Norris - DSDE 12, 13 - Treasurers Report - 2022-M2 - 3-10-22CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Brittany Norris OFFICE USE ONLY
Name RECEIVED
1183 Violet Street
Address (number and street) MAR .1. 0 2022
Atlantic Beach, Florida 32233
City, State, Zip Code BY:
❑ Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
Candidate Office Sought: Mayor, Commission, Seat 1
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) 0 Check here if PTY has disbanded
0 Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(2)
(5) Report Identifiers
Cover Period: From 2 / 1 / 22 To 2 / 28 / 22 Report Type: 2022-M2
[Original 0 Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Cash & Checks $
Loans $ 00
Total Monetary $ �;�Q . 06:
In -Kind $ 00
50 00
Monetary
Expenditures $ . 00
Transfers to
Office Account $ 00
Total Monetary $ 00
(8) Other Distributions
$ 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 50 . 00 $ , 00
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that 1 have examined this report and it is true, correct, and complet•
-
(Type na -) Brittany Norris
❑ Indivi
or electi
only for IE 0 Treasurer rig Deputy Treasurer
m.)
(Type n
e) Bri
any Norris
$Can date 0 Chairperson (only for PC and PTY)
X X
Signa Siature
DS -DE 12 (Rev. 11/13)
SEE REVERSE F • NSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Brittany Norris
(3) Cover Period 2 / 1
(2) I.D. Number N/A
/ 22 through 2 / 28 / 22 (4) Page 1 of
1
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
2 14 22 Brittany Norris
/ /
1183 Violet Street S CAS
1
Atlantic Beach, FL 32233 $50
/ r
r /
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES