CAMPAIGN TREASURER'S REPORT SUMMARY

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1 CAMPAGN TREASURER'S REPORT SUMMARY.., (1) , Name (2) 522 3rd Ave. South RECEVED Address (number and street) MAY o Jacksonville Beach, Florida City, State, Zip Code D Check here if address has changed (3) D Number: (4) Check appropriate box(es): 0 Candidate Office Sought: City Council Seat #4, District #1 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) City Clerk 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 01 /2018 To 30 t 2018 Report Type: 2018 M D Original 0Amendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $.,. 1, Expenditures $ ' ' -- '-- -- Loans $ -- ' -- ' Transfers to Office Account $ Total Monetary $ -- ' Total Monetary $ n-kind $ ' -- ' '-- ' '-- '-- -- (8) Other Distributions $ ' ' -- (9) TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ 1, $ '-- -- ' ' (11) Certification t is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) certify 1,,;-,:vJ that have examined this report and it is true, correct, and complete: (Type name) Meyacir Lozada (Type name) D ' ra sora, D Deputy Treasurer 0 Candidate D Chairperson (only for PC and PTY) or electioneering m ) ' X J \', - ~ Signature DS-DE 12 (Rev. 11/13)._:..--. ~gn~1~ SEE REVERSE FOR NSTRUCTONS

2 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. Number (3) Cover Period through (4) Page of Sequence Street Address & Contributor Contribution n-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Thompson, Hugh Marsh Cove Ln. Ponte Vedra, FL Retired Cash 50 Lindsey, Terry Rutile Dr. Ponte Vedra Beach, FL Sales Direct Check 100 Mosca, Matthew Long Lake Drive Jacksonville, FL Risk Officer Check 26 ll Guinn, Chad th Ave. s. Jacksonville Beach, FL Engineer Check 150 Townsend, Debbie Foxhunt Trail e St. Johns, FL Underwriter Check 200 Candler, Gaylord th Ave. s. Jacksonville Beach, FL Professor Check Thompson, Sarah 990 Brandywine Beaumont, TX Retired Check 100 OS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

3 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. Number (3) Cover Period through (4) Page of Sequence Street Address & Contributor Contribution n-kind Number Citv, State, Zio Code Tvoe Occupation Type Description Amendment Amount Miller, Ben Geni H11 Circle South 8 Jacksonville, FL Analyst Check 50 Gregory, Danail Melrose Avenue Jacksonville, FL VP Risk Check 100 Shay, Kristen Covington Creek Dr. W. Jacksonville, FL Public Relat Check 50 Murray, Curtis Nottinghamshire Dr. Jacksonville, FL T Check 50 DeLoach, Terry nd Ave. s. n Jacksonville Beach, FL Artist Check 100 Woods Jr., Stanley th Ave. s. Jacksonville Beach, FL Auto Cash 50 Lozada, Meyacir Capital Dome Dr. Jacksonville, FL Finance Check 100 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

4 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (2).D. Number (3) Cover Period through (4) Page of Sequence Street Address & Contributor Contribution n-kind Number City, State, Zip Code Type Occuoation Tvoe Descriotion Amendment Amount 27 Ertle, Ashley Bay Rd. a Neptune Beach, FL Professor Check 100 Taylor, Sean South Streeth Neptune Beach, FL Constructior Check 50 Kurtis Kreative th Avenue North Jacksonville Beach, FL B NK Business Car 206 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

5 CAMPAGN TREASURER'S REPORT - TEMZED DSTRBUTONS (2).D. Number NA (3) Cover Period / 01 / 2018 through / 30 / 2018 (4) Page of ---- Purpose (add office sought if Sequence Street Address & contribution to a Related Distribution Number City, State, Zip Code candidate) Expenditures Amendment Amount Type Anedot, nc P.O. Box D Ba ton Rouge, LA Fees OS-DE 14A (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

' Office Account $ 0. 00

' Office Account $ 0. 00 (1) Name (2) 522 3rd Ave. S. (4) Address (number and street) Jacksonville Beach, FL 32250 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check appropriate

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