Anderson, Tim - Treasurer Report 2013 F1- 7-24-13 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Tim J Anderson
OFFIC§iyg .Y
Name
(2) 824 Sherry Drive JUL 24 2013
Address (number and street)
Atlantic Beach, FL 32233
City, State, Zip Code Office of City Clerk
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
n Candidate (office sought): Atlantic Beach City Commission Seat 4
❑ Political Committee ❑ CHECK IF PC HAS DISBANDED
❑ Committee of Continuous Existence fJ CHECK IF CCE HAS DISBANDED
❑ Party Executive Committee
E. Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 4 / 1 / 2013 To / 19 / 2013 Report Type Fl
A Original ❑ Amendment [' Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 7, 860 . 00 Expenditures $ 1, 563 . 11
Loans $ 0 . 00 Transfers to Office
Account $ 0 . 0.0
Total Monetary $ 7, 860 . 00 Total
Monetary $ 1, 563 . 11
In-Kind $ 171 . 20
(8) Other Distributions
$ 0 . 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 7 , 860 . 00 $ 1, 563 . 11
(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) Tim J Anderson (Type name) Tim J Anderson
❑Individual(only for ❑Treasurer E Deputy Treasurer E Candidate ❑Chairperson(only for PC,PTY&
electioneering commun.) electioneering commun.organization)
X X
Signature Signature
DS-DE 12(Rev. 08/04)
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Tim J. Anderson (2) I.D. Number n/a
(3) Cover Period 4 / 1 / 2013 through 7 / 19 / 2013 (4) Page 1 of 0
(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
Angela Fortner I Office CHE $50.00
6 / 11 /2013 4523 W. Beacon Manager
Drive
Jacksonville, FL
1 32225
Elaine Golopol I Finance CHE $20.00
6 / 11 013 llc Ponte Vedra Assoc.
Ct.
Ponte Vedra, FL
2 32082
Brad Barrett I Family CHE $300.00
6 / 11 2pl3 51 Country Club
Drive
Canyon, TX 79015
3
Lindley Tolbert B Real CHE $500.00
6 / 11 ?013 Design, Inc. Estate
465 Beach Avenue
Atlantic Beach, FL
4 32233
W. Radford Lovett g Venture CHE $500.00
6 11 /2013 1 Independent Dr. Capital
Suite 1600 Owner
Jacksonville, FL
5 32202-5009
Ms. Patricia Nolen I Retired CHE $20.00
6 / 13 013 1074 Stocks Street
Atlantic Beach, FL
32233
6
Rev. Anthony I Catholic CHE $100.00
6 / 13 013 Palazzolo Priest
101 Marsh Cove
Lane
7 Ponte Vedra, 32082
Ernest P Bono Sr. I Retired CHE $500.00
6 / 13 ?013 7450 Founders Way
Ponte Vedra, FL
32082
8
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name Tim J. Anderson (2) I.D. Number n/a
(3) Cover Period 4 / 1 / 2013 through 7 / 19 / 2013 (4) Page 2 of M J
(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
Edmund Rastrelli I Medical CHE $20.00
6 / 14 /2013 1710 Park Terrace Company
East Executiv
Atlantic Beach, FL e
9 32233
Raymond Lanzi I Retired CHE $200.00
6 / 14 013 409 Osprey Lookout
Ct.
Ponte Vedra, FL
10 32082
Thomas Perry I Retired CHE $50.00
6 / 14 2p13 1106 Salt Creek
Dr.
Ponte Vedra, FL
11 32082
Bryan Croft I Stamp CHE $20.00
6 / 14 ?013 218 South Street Company
Neptune Beach, FL Owner
32266
12
Bob Barrett i Family CHE $500.00
6 / 17 /2013 PO Box 670
Hereford, TX 79045
13
Susan Barrett i Family CHE $500.00
6 / 17 013 PO Box 670
Hereford, TX 79045
14
Louis Fuqua I Retired CHE $25.00
6 / 17 013 4541 Mainmast Lane
Jacksonville, FL
32277
15
KGI Consultants B Consult CHE $100.00
6 / 17 ?013 2 South Roscoe ants
Blvd
Ponte Vedra, FL
16 32082
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Tim J Anderso (2) I.D. Number
(3) Cover Period 4 / 1 / 2013 through 7 / 19 / 2013 (4) Page 3 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
Ron Weishaar I Family CHE $300.00
6 / 18 /2013 102 Rio Vista
Hereford, TX 79045
17
Beau Baker I Lawyer CHE $20.00
6 / 24 013 50 N. Laura St.
Suite 3900
Jacksonville, FL
18 32202
Allison Cox i Finance CHE $20.00
6 / 24 2p13 4814 River Point
Rd.
Jacksonville, FL
19 32207
Brian I Finance CHE $20.00
6 / 24 ?013 Sasaki-Scanlon
9628 Deer Run Rd.
Ponte Vedra, FL
20 32082
Holmes Stamp & B Stamp INK Name $171.20
6 / 27 /2013 Sign Company Badges
2021-5 St.
Augustine Rd East,
21 Jacksonville, FL
32207
Brian Davis I Entrepr CAS $20.00
6 / 28 013 1415 Ocean Blvd. eneur
Atlantic Beach, FL
32233
22
Kathryn Humphries I Retired CHE $75.00
6 / 28 013 Living Trust
277 15th Street
Atlantic Beach, FL
23 32233
Tom Petway, III I Insuran CHE $500.00
6 / 28 ?013 1911 Beach Avenue ce
Atlantic Beach, FL Executi
32233 ve
24
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Tim J. Anderson (2) I.D. Number
(3) Cover Period 4 / 1 / 2013 through / 19 / 2013 (4) Page / of 0S
(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
Thomas Petway, III 1 Retired CHE $500.00
6 / 28 2013 375 Atlantic Blvd
Suite 200
Atlantic Beach, FL
25 32233
Betty Petway I Retired CHE $500.00
6 28 ?013 1601 Beach Avenue
Atlantic Beach, FL
32233
26
Brian Swallow I Sports CHE $100.00
6 / 28 2p13 5338 Hala Ct. Marketi
Jacksonville, FL ng
32224
27
Barrett W Weishaar i Cowboy CHE $500.00
7 / 8 ?013 500 24th Street
Canyon, TX 79015
28
Chad Creech I Truckin CHE $500.00
7 / 9 /2013 2212 South Hughes g
Amarillo, TX 79109
29
Jessica Schenk i Teacher CHE $200.00
7 / 9 013 2217 Crocket St.
Amarillo, TX 79109
30
Ross Debernardis 1 Communic CHE $100.00
7 / 9 ?013 141 Azalea Point ations
Dr. N.
Ponte Vedra, FL
31 32082
Hereford B Truckin CHE $500.00
7 / 9 ?013 Logistics, LLC 9
POBox 1428
Hereford, TX 79045
32
DS-DE 13(Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Tim J. Anderson (2) I.D. Number
(3) Cover Period 4 I 1 12013 through 7 / 19 / 2013 (4) Page 5 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
L.M. Borno, Jr. I Retired CHE $100.00
7 / 17 /2013 223 Ocean Forest
Drive
Atlantic Beach, FL
33 32233
7 17 013 5. ��/ i 6.�1L631tt4loA CHE $500.00
ib31 (Sem owd.
34
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DS-DE 13(Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
a
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Tim J Anderson (2) I.D. Number
(3)Cover Period 04 / 01 / 2013 through 07 / 19 / 2013 (4) Page 1 of l
(5) (7) (8) (9) (10) (1 1)
Date Full Name Purpose
(6) (Last,Suffix, First,Middle) (add office sought if
Street Address& contribution to a Expenditure
Sequence City,State,Zip Code candidate) Type Amendment Amount
Number
BB&T Bank Bank Checks DIS $23.52
06 /19 /13 363 Atlantic Blvd Expense
Atlantic Beach, FL 32233
1
City of Atlantic Beach Filing Fee DIS $57.73
06 /20/13 Check 101
2
TWG Technologies Campaign DIS $200.00
06 /25 /13 2305 Beach Blvd Software
Jacksonville Beach, FL 32250 Check 102
3
Tim Anderson Campaign Signs REF $640.93
06 /27/ 13 824 Sherry Drive Check 104
Atlantic Beach, FL 32233
4
Fastsigns #171701 Campaign Signs DIS $640.93
06 /27/13 8535-7 Baymeadows Rd. Check 103
Jacksonville, FL 32256
5
/ /
/ /
11 / /
41 DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES