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Daugherty, Jonathan Amended Treasurer Report 2013 Q1 4-9-13FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (4) Jonathan Daugherty Name 830 Hibiscus St. Address (number and street) Atlantic Beach, Fl 32233 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED Check appropriate box(es): Candidate (office sought): City Commissioner Seat 5 ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED 0 Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED 0 Party Executive Committee ❑ Electioneering Communication CHECK IF NO OTHER ELECTIONEERINGCOMMUNICATION REPORTS WILL BE FILED Received APR -9 2013 Office of City Clerk (3) ID Number: (5) REPORT IDENTIFIERS Cover Period: From 1 / 25 / 13 To 3 / 31 / 13 Report Type 41 0 Original [Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 700.00 Loans $ 500.00 Total Monetary $ 1,200.00 In -Kind $ 0.00 (9) TOTAL Monetary Contributions To Date $ 1,200.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ Transfers to Office Account $ Total Monetary 122.68 (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ 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, correct, and complete. I certify that I have examined this report and it is true, correct, and complete. Jonathan Daugherty ✓❑Treasurer ❑ Deputy Treasurer (Type name) ❑ Individual (only for electioneering commun.) ,Adg/000' X Signature DS -DE 12 (Rev. 08104) (Type name) Jonathan Daugherty ['Candidate ❑ Chairperson (ont for PC, PTY & lectioneeri+e,>s n. o •anization) lam// %I Signa re 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 DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (8) Sequence Number 3 / 11 /13 Fletcher Stein P.O. Box 50069 Jacksonville Beach, FL 32240 B Insuranc e Company CHE 500 3 /7 /13 Elaine Brown 1302 Neptune Grove Dr. E Neptune Beach, FL 32266 I Real Estate Broker CHE 100 3/ 12 1? Jim Smith P.O. Box 51528 Jacksonville Beach, FL 32240 I Busines s Owner cHE 100 3/ 12 /13 Jonathan Daugherty 830 Hibiscus St. Atlantic Beach, Fl 32233 I City Commies ioner LOA 500 I / / / / / / / DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES