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1 (1) Name (2) 522 3rd Ave. S. (4) Address (number and street) Jacksonville Beach, FL CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check appropriate box(es): OFFCE USE ONLY RECEVED MAY Citv Clerk (3) D Number Candidate Office Sought: City Council, Seat 4, District 1 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Check here if PC or ECO has disbanded D Party Executive Committee (PTY) D Check here if PTY has disbanded D ndependent Expenditure (E) (also covers an D Check here if no other E or EC reports will be filed individual making electioneering communications) (5) Report dentifiers Cover Period: From / 01 / 2018 To / 30 / 2018 Report Type: 2018 M4 D Original 0 Amendment D Special Election Report (6) Contributions This Report Cash & Checks $ 00 1,776. a( / (7) Expenditures This Report Monetary Expenditures $, Loans $,, Transfers to ' Office Account $ Total Monetary $ 1,776. ~ / Total Monetary n-kind $ ', (8) $ Other Distributions $ (9) TOTAL Monetary Contributions To / $, 1, j -- (10) TOTAL Monetary Expenditures To / $,, / -- (11) Certification t is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) certify that have examined this report and it is true, correct, and complete: (Type name) Meyacir Lozada (Type name) [2) Candidate D Chairperson (only for PC and PTY) X Signature DS-DE 12 {Rev. 11 /13) ~gna~~ SEE REVERSE FOR NSTRUCTONS
2 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 Risk Officez Check 26 ll Guinn, Chad th Ave. s Engineer Check 150 Townsend, Debbie Foxhunt Trail St. Johns, FL Underwriter Check 200 Candler, Gaylord th Ave. s Professor Check 500 Thompson, Sarah Brandywine Beaumont, TX Retired Check 100 DS-DE 13 (Rev. 11/13)
3 Number City, State, Zip Code Type Occupation Type Description Amendment Amount Miller, Ben Geni H11 Circle South 8 Jacksonville, FL Analyst Check 50 Gregory, Danail Melrose Avenue 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. l!! Jacksonville Beach, FL Artist Check 100 Woods Jr., Stanley th Ave. s Auto Cash 50 Lozada, Meyacir Capital Dome Dr Finance Check 100 OS-DE 13 (Rev.11/13)
4 Number City, State, Zip Code Type Occupation Tvoe Description Amendment Amount Ertle, Ashley Bay Rd. 15 Neptune Beach, FL Professor Check 100 Taylor, Sean South Streeth Neptune Beach, FL Constructior. Check 50 Kurtis Kreative th Avenue North B NK Business Car 206 DS-DE 13 (Rev. 11/13)
5 CAMPAGN TREASURER'S REPORT - TEMZED DSTRBUTONS (3) Cover Period / 01 / 2018 through ; 30 ; 2018 (4) Page _ 1 ~~- of 1 Purpose (add office sought if Sequence Street Address & contribution to a Related Distribution Number City, State, Zip Code candidate) Expenditures Amendment Amount Type Automattic nc. Website Cost th Street #343 San Francisco, CA Fees Add Anedot, nc P.O. Box Baton Rouge, LA Fees DS-DE 14A (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT SUMMARY
CAMPAGN TREASURER'S REPORT SUMMARY..,... - -- -- - - - (1) --- --., Name (2) 522 3rd Ave. South RECEVED Address (number and street) MAY o 9 2018 Jacksonville Beach, Florida 32250 City, State, Zip Code
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