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Daugherty, Jonathan Treasurer's Report 2013 Q1 4-5-13 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Jonathan Daugherty OFROEEfferiNLY Name (2) 830 Hibiscus St. APR 5 2013 Address (number and street) Atlantic Beach, Fl 32233 City, State, Zip Code Office of City clerk I CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Irl Candidate (office sought): City Commissioner Seat 5 ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication (l CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 1 / 25 / 13 To 3 / 31 / 13 Report Type Q1 Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 700 . 00 Expenditures $ 122 . 68 Loans $ 500 . 00 Transfers to Office Account $ Total Monetary $ 1, 200 . 00 Total Monetary $ In-Kind $ 0 . 00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1, 200 . 00 $ 122 . 68 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Jonathan Daugherty (Type name) Jonathan Daugherty ❑Individual(only for ✓❑Treasurer ❑Deputy Treasurer ❑✓ Candidate ❑Chairperson(only for PC, PTY& electioneering commun.) electioneering co . un.organization) X �r� - X Signature Signature DS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Jonathan Daugherty (2) I.D. Number (3) Cover Period 1 / 25 / 13 through 3 / 31 / 13 (4) Page of (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 Fletcher Stein B Insuranc CHE 500 3 / 11 /13 P.O. Box 50069 e Jacksonville Company Beach, FL 32240 Elaine Brown I Real CHE 100 3 / /71 3 1302 Neptune Grove Estate Dr. E Broker Neptune Beach, FL 32266 Jim Smith I Busines 100 3 / 12 1P.O. Box 51528 s Owner Jacksonville Beach, FL 32240 Jonathan Daugherty I City LOA 500 3 / 12 / 13 830 Hibiscus St. Commiss Atlantic Beach, Fl ioner 32233 / / / / / / / / DS-DE 13(Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Jonathan Daugherty (2) I.D. Number (3) Cover Period 1 / 25 / 13 through 3 / 31 / 13 (4) Page of 1 (5) (7) (8) (9) (1 0) (11) Date Full Name Purpose (Last,Suffix, First, Middle) (add office sought if (6) Street Address& contribution to a Expenditure Sequence Type Number City, State,Zip Code candidate) Amendment Amount / Lindsey Williams Reimburse for CHE $122.68 3 /19 /13 1596 Lancaster Terrace la office Jacksonville, FL 32204 supplies plus professional services. / / / / / / / / / / / / / DS-DE 14(Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES