CAMPAGN TREASURER'S REPORT SUMMARY (1) R-~--- --...!?~ - T c:'t!ly Name (2) 1203 1th Avenue North JUN O 7 201 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 -- -- -- -- -- -- 0 Original D Amendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 4, 555.77 -- ' -- -- -- Expenditures $ 1, 764. 13 -- ' -- -- -- Loans $ -- ' -- -- --,0.00 Transfers to 4, 555. 77 Total Monetary $ -- ' -- - - -- n-kind $, 44. 63 -- ' -- -- -- Office Account $ Total Monetary $ () Other Distributions $ ' 0. 00 -- ' - - '-- -- 1 764 13 -- '-- '-- -- ' 0 00 -- -- TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ 13 47 74 $ 2 32 3 -- -- '-- ' (11) Certification t is a first degree misdemeanor for any person to falsify a public record (ss. 39.13, 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
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1 ) Name (2).D. N/ A (3) Cover Period 201 1 Citv, State, Zip Code Shields, Brenda P. 03 201 5 1th Street North Jacksonville Beach, FL 1 () Contribution n-kind 100. 00 Shields, Darrell B. 03 201 5 1th Street North Jacksonville Beach, FL 2 Halton, Beau 09 201 349 10th Street Atlantic Beach, FL 3 300.00 Buck, Robert Lee 09 201 136 1 7th Avenue North Jacksonville Beach, FL 4 Elected Off. 250.00 Hall, Sam 14 201 P.O. Box 330042 Atlantic Beach, FL 5 Funkhouser, Cindy 14 201 1352 Plantation Oaks Jacksonville Beach, FL 6 Non-Pr CEC Sellers, Collette 14 201 115 3rd Street South Apt. 9B Jacksonville Beach, FL 7 CPA DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR NSTRUCTONS AND CODE VALU ES
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2). D. N/A (3) Cover Period 201 2 Favo, Renee 14 201 1377 Shady Woods Street North Jacksonville, FL 32224 () Contribution n-kind Music. Dir. Christensen, Kathy 14 201 20 19th Avenue South Jacksonville Beach, FL 9 Teacher 200.00 Larson, Janet 14 201 7 Marshside Court Jacksonville Beach, FL 10 Tutor Lewis, Bruce 14 201 1301 1st Street South Apt, 906 Jacksonville Beach, FL 11 City Planner Bass, Sara 14 20 1 1202 1th Avenue North Jacksonville Beach, FL 12 Reimann, Sharon 14 201 91 19th Avenue North Jacksonville Beach, FL 13 Schmidt, John 11 Jack 11 14 201 55 San Juan Drive Ponte Vedra Beach, FL 14 3202 200.00 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1 ) Name (2).D. N/A (3) Cover Period 201 3 Galarneau, John 14 201 2002 Grove Street N. Jacksonville Beach, FL 15 () US Army Ret. Contribution n-kind 200.00 Murphy, Christa 14 201 519 6th Street North Jacksonville Beach, FL 16 3. 00 Mitchell, Dot 14 201 172 10th Street North Jacksonville Beach, FL 17 25.00 Barker, Suzanne 14 201 193 Beachside Court Atlantic Beach, FL 1 30.00 Hollingsworth, Phyllis 14 201 1 000 19th Street North Jacksonville Beach, FL 19 20.00 Reiman, Lyle 14 201 91 19th Avenue North Jacksonville Beach, FL 20 5. 00 Marini, Jeannie 14 201 14603 Beach Boul evard Suite 1 00 21 Jacksonville, FL 32224 Nurse 20.00 DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS Sandra K. Go l d ing (2). D. N/A (3) Cover Period 201 4 Citv, State, Zip Code Bratlee, Ross 14 201 407 16th Avenue North J acksonville Beach, FL 22 () Grocer Contribution n-kind 10.00 Roberts, Lori 14 201 112 20th Street North Jacksonville Beach, FL 23 Self-Emp. 10.00 Hartkemeyer, Steven D. 14 20 1 13720 Covington Creek Drive Jacksonville, FL 32224 24 25.00 Armingeon, Neil 14 201 224 30th Avenue South J acksonville Beach, FL 25 25.00 Spidle, Robert 14 201 97 Dolphin Blvd. East Pont e Vedra Beach, FL 26 3202 Craftsman 25.00 14 20 1 Circle 27 Sheklin, Judy 195 Brista De Mar Atlantic Beach, FL 50.00 Shaughnessy, Maureen 14 20 1 361 Main St reet Atlantic Beach, FL 2 Landscaper 25. 00 DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/A 01 201 (3) Cover Period 201 5 Doherty, Grace Ann 14 201 927 4th Avenue North Jacksonville Beach, FL 29 () Nurse Contribution n-kind 50.00 Doherty, Keith 14 201 927 4th Avenue North Jacksonville Beach, FL 30 Restaurateu1 50.00 Tipton, Bob 14 201 2333 Azalea Drive Jacksonville Beach, FL 20.00 Hillier, Robert 14 201 612 11th Avenue North Jacksonville Beach, FL 32 Finance Smith, Stephanie 14 201 1017 th Avenue North Jacksonville Beach, FL 33 Healthcare 20.00 Malmstrom, Julie 14 201 2042 2nd Street South Jacksonville Beach, FL 34 10.00 Aston, Michael P. 14 201 1523 Summer Sands Dr. Neptune Beach, FL 35 32266 50.00 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/ A (3) Cover Period 201 6 () Tayl or, Thomas 14 201 603 15th Street North Jacksonville Beach, FL 36 Concrete Contribution n-kind Scholl, Sharon 14 201 2049 Selva Marina Dr. Atl antic Beach, FL 37 200.00 Lightsey, Beth 14 201 612 11th Avenue North Jacksonville Beach, FL 3 Accountant 10.00 Cummings, Stacey 14 201 1207 1th Avenue North Jacksonville Beach, FL 39 HR Director Medrano, Kimber 14 201 97 Dolphin Blvd. East Ponte Vedra Beach, FL 40 3202 Holistic Pre 25.00 C Thompson, Shandy 14 201 522 3rd Avenue South Jacksonville Beach, FL 41 Fin. Anal. 45.00 Golding, Sandy 14 201 1203 1th 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
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/ A (3) Cover Period 201 7 Lee, JoAnn 14 201 33 Alhambra Street Ponte Vedra Beach, FL 43 3202 () Contribution n-kind Ginder, Jeremy 15 201 901 Ocean Blvd. #79 Atlantic Beach, FL 44 Nevitt, Colleen F. 16 201 174 Jardin De Mer Pl. Jacksonville Beach, FL 45 Prac. Mgr. 50.00 Kessler DDS, Michael H 17 201 220 3rd Avenue South Jacksonville Beach, FL 46 Dentist 500.00 Piscitelli, Steve 17 201 374 Magnolia Street Atlantic Beach, FL 47 Author 27. 00 Kane, Susan 17 201 2026 10th Street North Jacksonvill e Beach, FL 4 Pharmacist 250.00 Sumo Design Studio 1 201 76 Aquatic Drive Atlantic Beach, FL 49 B Graphic Des. NK Graphic Des. 420.00 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. N/ A 01 20 1 (3) Cover Period 201 White, Susan R. 19 201 535 Canal Road Ponte Vedra Beach, FL 50 3202 () Contribution n-kind 200. 00 Goelz, John H. 23 201 1359 Beach Avenue Atlantic Beach, FL 51 Sales 100. 00 Roberts, Jakki 29 201 2 E. Palm Drive Lakeland, FL 3303 52 25. 00 VyStar Credit Union 201 100 3rd 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
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 / 01 1504 3rd Street North Jacksonville Beach, FL Catering MON SOD.OD 1 / 14 / 01 PayPal 2211 North First Street San Jose, CA 951 Fee MON 3. 20 2 Square nc. / 14 / 01 1455 Market Street, Ste. 600 San Francisco, CA 94103 Fee MON 4. 96 3 PayPal 15 201 2211 North First Street San Jose, CA 951 4 Fee MON 3. 20 / 16 / 01 United States Postal Service 134 Beach Boulevard Jacksonville Beach, FL Postage MON SO.OD 5 PayPal / 17 / 01 2211 North First Street San Jose, CA 951 Fee MON. 63 6 / 1 / 01 Sumo Design Studio 76 Aquatic Drive Atlantic Beach, FL Graphic Design MON 1, 000.00 7 / 23 / 01 Jim Golding Name tags and 1203 1th Avenue North envelopes- Jacksonville Beach, FL reimbursement RMB 27. 06 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
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 32202 Signs MON 167. 0 9 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES