CAMPAIGN TREASURER'S REPORT SUMMARY
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1 CAMPAGN TREASURER'S REPORT SUMMARY (1) R-~ !?~ - T c:'t!ly Name (2) th Avenue North JUN O Address (number and street) Jacksonville Beach, FL, City Clerk D Check here if address has changed (3) D : N/A (4) Check appropriate box(es): 0 Candidate Office Sought: City Council District 3, Seat 6 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Committee (PTY) D ndependent Expenditure (E) (also covers an individual making electioneering communications) D Check here if PC or ECO has disbanded D Check here if PTY has disbanded D Check here if no other E or EC reports will be filed (5) Report dentifiers Cover Period: From t 01 / 201 To t 201 Report Type: 201 MS Original D Amendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 4, ' Expenditures $ 1, ' Loans $ -- ' ,0.00 Transfers to 4, Total Monetary $ -- ' n-kind $, ' Office Account $ Total Monetary $ () Other Distributions $ ' ' - - ' '-- '-- -- ' TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ $ '-- ' (11) Certification t is a first degree misdemeanor for any person to falsify a public record (ss , F.5.) certify that have examined this report and it is true, correct, and complete: (Type name) Beth M. Lightsey (Type name) D ndividual (only for E 0 Treasurer D Deputy Treasurer 0 Candidate D Chairperson (only for PC and PTY) or electioneering comm.) a ~ X < &vl. ~~ --.;;;;:::: Signature Signature (1 - DS-DE 12 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS
2 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1 ) Name (2).D. N/ A (3) Cover Period Citv, State, Zip Code Shields, Brenda P th Street North Jacksonville Beach, FL 1 () Contribution n-kind Shields, Darrell B th Street North Jacksonville Beach, FL 2 Halton, Beau th Street Atlantic Beach, FL Buck, Robert Lee th Avenue North Jacksonville Beach, FL 4 Elected Off Hall, Sam P.O. Box Atlantic Beach, FL 5 Funkhouser, Cindy Plantation Oaks Jacksonville Beach, FL 6 Non-Pr CEC Sellers, Collette rd Street South Apt. 9B Jacksonville Beach, FL 7 CPA DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR NSTRUCTONS AND CODE VALU ES
3 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2). D. N/A (3) Cover Period Favo, Renee Shady Woods Street North Jacksonville, FL () Contribution n-kind Music. Dir. Christensen, Kathy th Avenue South Jacksonville Beach, FL 9 Teacher Larson, Janet Marshside Court Jacksonville Beach, FL 10 Tutor Lewis, Bruce st Street South Apt, 906 Jacksonville Beach, FL 11 City Planner Bass, Sara th Avenue North Jacksonville Beach, FL 12 Reimann, Sharon th Avenue North Jacksonville Beach, FL 13 Schmidt, John 11 Jack San Juan Drive Ponte Vedra Beach, FL DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
4 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1 ) Name (2).D. N/A (3) Cover Period Galarneau, John Grove Street N. Jacksonville Beach, FL 15 () US Army Ret. Contribution n-kind Murphy, Christa th Street North Jacksonville Beach, FL Mitchell, Dot th Street North Jacksonville Beach, FL Barker, Suzanne Beachside Court Atlantic Beach, FL Hollingsworth, Phyllis th Street North Jacksonville Beach, FL Reiman, Lyle th Avenue North Jacksonville Beach, FL Marini, Jeannie Beach Boul evard Suite Jacksonville, FL Nurse DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
5 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS Sandra K. Go l d ing (2). D. N/A (3) Cover Period Citv, State, Zip Code Bratlee, Ross th Avenue North J acksonville Beach, FL 22 () Grocer Contribution n-kind Roberts, Lori th Street North Jacksonville Beach, FL 23 Self-Emp Hartkemeyer, Steven D Covington Creek Drive Jacksonville, FL Armingeon, Neil th Avenue South J acksonville Beach, FL Spidle, Robert Dolphin Blvd. East Pont e Vedra Beach, FL Craftsman Circle 27 Sheklin, Judy 195 Brista De Mar Atlantic Beach, FL Shaughnessy, Maureen Main St reet Atlantic Beach, FL 2 Landscaper DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
6 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/A (3) Cover Period Doherty, Grace Ann th Avenue North Jacksonville Beach, FL 29 () Nurse Contribution n-kind Doherty, Keith th Avenue North Jacksonville Beach, FL 30 Restaurateu Tipton, Bob Azalea Drive Jacksonville Beach, FL Hillier, Robert th Avenue North Jacksonville Beach, FL 32 Finance Smith, Stephanie th Avenue North Jacksonville Beach, FL 33 Healthcare Malmstrom, Julie nd Street South Jacksonville Beach, FL Aston, Michael P Summer Sands Dr. Neptune Beach, FL DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
7 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/ A (3) Cover Period () Tayl or, Thomas th Street North Jacksonville Beach, FL 36 Concrete Contribution n-kind Scholl, Sharon Selva Marina Dr. Atl antic Beach, FL Lightsey, Beth th Avenue North Jacksonville Beach, FL 3 Accountant Cummings, Stacey th Avenue North Jacksonville Beach, FL 39 HR Director Medrano, Kimber Dolphin Blvd. East Ponte Vedra Beach, FL Holistic Pre C Thompson, Shandy rd Avenue South Jacksonville Beach, FL 41 Fin. Anal Golding, Sandy th Avenue North Jacksonville Beach, FL 42 Nat. Vol. s~ NK Decorations 2.63 OS-DE 13 (Rev. 11 /13) ~ SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
8 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/ A (3) Cover Period Lee, JoAnn Alhambra Street Ponte Vedra Beach, FL () Contribution n-kind Ginder, Jeremy Ocean Blvd. #79 Atlantic Beach, FL 44 Nevitt, Colleen F Jardin De Mer Pl. Jacksonville Beach, FL 45 Prac. Mgr Kessler DDS, Michael H rd Avenue South Jacksonville Beach, FL 46 Dentist Piscitelli, Steve Magnolia Street Atlantic Beach, FL 47 Author Kane, Susan th Street North Jacksonvill e Beach, FL 4 Pharmacist Sumo Design Studio Aquatic Drive Atlantic Beach, FL 49 B Graphic Des. NK Graphic Des DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
9 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/ A (3) Cover Period 201 White, Susan R Canal Road Ponte Vedra Beach, FL () Contribution n-kind Goelz, John H Beach Avenue Atlantic Beach, FL 51 Sales Roberts, Jakki E. Palm Drive Lakeland, FL VyStar Credit Union rd Street North Jacksonville Beach, FL 53 B Credit Uni or NT 0.77 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
10 CAMPAGN TREASURER'S REPORT - TEMZED EXPENDTURES (2).D. N/A (3) Cover Period 0 _ 5 ;_ 0 _ 1 _t~ _0 _ 5 /_ 3 _ 1 /~ 1 2 () Purpose (6) (Last, Suffix, First, Middle) (add fice sought if contribution to a Expenditure candidate) Type Amendment Milano's talian Restaurant / 14 / rd Street North Jacksonville Beach, FL Catering MON SOD.OD 1 / 14 / 01 PayPal 2211 North First Street San Jose, CA 951 Fee MON Square nc. / 14 / Market Street, Ste. 600 San Francisco, CA Fee MON PayPal North First Street San Jose, CA Fee MON / 16 / 01 United States Postal Service 134 Beach Boulevard Jacksonville Beach, FL Postage MON SO.OD 5 PayPal / 17 / North First Street San Jose, CA 951 Fee MON / 1 / 01 Sumo Design Studio 76 Aquatic Drive Atlantic Beach, FL Graphic Design MON 1, / 23 / 01 Jim Golding Name tags and th Avenue North envelopes- Jacksonville Beach, FL reimbursement RMB DS-DE 14 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
11 CAMPAGN TREASURER'S REPORT - TEMZED EXPENDTURES (2).D. N/ A (3) Cover Period 0 _ 5 ;_ 0 _ 1 _f~ _ 0 _ 5 _/_ 3 _ 1 _ /~ 2 2 _ () Purpose (6) (Last, Suffix, First, Middle) (add fice sought if Expenditure contribution to a candidate) Type Amendment / 25 / 01 DP&M Florida, LLC 51 1 Church Street East Jacksonville, FL Signs MON DS-DE 14 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY. o Check here if PC or ECO has disbanded
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(1) (2) Republican Party of Sarasota Name FLORIDA DEPARTMENT OF STATE PO Box 15333 Address (number and street) Sarasota, FL 34277 DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY CHECK IF ADDRESS
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