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Woods, Carolyn- Treasurer Report F3- 8-23-13 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Carolyn R. Woods CI IMfUuE&ONLY Name (2) 303 6th St. AUG 2 3 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: 46-1832821 (4) Check appropriate box(es): © Candidate (office sought): Atlantic Beach Seat 1, Mayor ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED [' Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED [' Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 08 / 03 / 2013 To 08 / 22 / 2013 Report Type 2013 F3 Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 3,980.00 Expenditures $ 7,331.37 Loans $ 0.00 Transfers to Office Account $ 0.00 Total Monetary $ 3,980.00 Total Monetary $ 7,331.37 In-Kind $ 4,506. 12 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 23,245.00 $ 23, 166.06 (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) Jeffrey A. Hite (Type name) Carolyn R. Woods ❑Individual(only for 0 Treasurer ❑Deputy Treasurer 0 Candidate ❑Chairperson(only for PC,PTY& electioneering commun.) electioneering commun.organization) n X C� Ajg� ' X , I Signae Signature 9 1 DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS . (1 ) Name Carolyn R . Woods (2) LD. Number 46 - 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (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 08 03 13 Penelope Christian I RET CHE 250 . 00 / / 3848 Duval Dr . Jacksonville Beach , FL 32250 2013 F3 - 1 Dennis Stone I Law CHE 150 . 00 08 / 07 /73 1620 Park Terrace educato West r Atlantic Beach , Fl 2013 F3 -2 32233 Collier & Karen I RET INK Hospitali - 100 . 00 08 / 07 1/3 Summers ty 237 Magnolia St . M&G Atlantic Beach , 2013 F3 -3 Fl 32233 Monica & Steve i RET INK Hospitali & 350 . 00 08 / 07 / 13 Osborne ty 1470 Marshview Ct . M&G Atlantic Beach , Fl 2013 F3 -4 32233 Kennelly BUS Apprais CHE 250 . 00 08 / 08 / 13 Appraisal Svc . LLC or 2265 Beachcomber Tr . 2013 F3 -5 Atlantic Beach , FL 32233 Diane & Ray 08 / 08 13 Brandstaetter I CHE 50 . 00 254 Oceanwalk Dr . S . 2013 F3 -6 Atlantic Beach , FL 08 / 08 /,. 3 Mark & Jackie I Pharmaci INK Hospitalit 280 . 00 Beckenbach st y M&G 2210 Oceanwalk Dr . 2013 F3 - 7 Atlantic Beach , FL Joan Carver I RET CHE 100 . 00 08 / 06 ? 3 115 Fleet Landing Blvd . Atlantic Beach , FL 2013 F3 - 8 32233 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) W. Number 46 - 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 2 of Y (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 Sarah Bohr I Atty CHE 50 . 00 08 / 10 / 13 2337 Seminole Rd Atlantic Beach , Fl 32233 2013 F3-9 08 10 3 Sarah Bohr I Atty INK Hospitalit 100 . 00 / / 2337 Seminole Rd . y Atlantic Beach , Fl M&G 32233 2013 F3 - 10 Susan & Rich I Bus . CHE 100 . 00 08 / 16 1/3 Dalcero 212 Magnolia St Atlantic Beach , 2013 F3 - 11 Fl 32233 David & Mary Lou 1 RET CAS 40 . 00 08 / 16 / 13 Boyer 109 Fleet Landing Blvd 2013 F3 - 12 Atlantic Beach , FL David & Darlene I Atty CHE 250 . 00 08 / 16 / 13 Fletcher 1440 East Coast Dr . 2013 F3 - 13 Atlantic Beach , FL 32233 1st Coast Home BUS Home CHE 500 . 00 08 / 16 } 3 Insp . Inspect 552 Dutton Island or Rd . 2013 F3 - 14 Atlantic Beach , FL 08 16 /13 Pam White I Finance CHE 200 . 00 / 2069 Selva Marina Dr . Atlantic Beach , 2013 F3 - 15 Fl 32233 08 3 Lyman Fletcher I RET INK Hospitalit 350 . 00 / 16 it 804 East Coast Dr . y Atlantic Beach , Fl M&G 32233 2013 F3 - 16 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) LD. Number 46- 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 3 of (5) (7) (8) (9) (1 0) (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 Steve Osborn I INK Pot Luck 45 . 00 0 / 16 /13 1470 Marshview Ct . Dish Atlantic Beach , Fl 32233 2013 F3 - 17 Steve Kallao I INK Pot Luck 13 . 00 08 / 16 A3 282 Magnolia St . Dish Atlantic Beach , Fl 32233 2013 F3 -18 Madelyn Levine i INK Pot Luck 14 . 50 08 / 16 1/3 305 8th St . Dish Atlantic Beach , Fl 32233 2013 F3 - 19 Alan & Kathleen i INK Pot Luck 50 . 00 08 / 16 / 13 Halpern Dish 372 4th St . Atlantic Beach , FL 2013 F3 -20 32233 Jane & Jim Burns I INK Pot Luck 8 . 00'` 08 / 16 / 13 1321 Sea Oats Dr , Dish Atlantic Beach , Fl 32233 2013 F3 -21 Mike & Beverly i INK Pot Luck 15 . 00 08 / 16 13 Cavanaugh Dish Atlantic Beach , Fl 32233 2013 F3 -22 08 / 16 3 Joyce Freeman i INK Pot Luck 10 . 00 Atlantic Beach , Dish Fl 32233 2013 F3 -23 Wanda Martin I INK Pot Luck 9 . 00 08 / 16 1. 3 Atlantic Beach , Fl Dish 32233 2013 F3 -24 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) LD. Number 46 - 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 4 of g (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 Mark & Jackie I INK Pot Luck 20 . 00 08 / 16 / 13 Beckenbach Dish 2210 Oceanwalk Dr . Atlantic Beach , Fl 2013 F3 -25 32233 Hank Brigman I INK Pot Luck 17 . 00 08 / 16 It Atlantic Beach , Fl Dish 32233 2013 -26 Diana Townsend I INK Pot Luck 15 . 00 08 / 16 1? Atlantic Beach , F1 Dish 32233 2013 F3 -27 08 16 13 Boyer Mary Lou David i INK Pot Luck 20 . 00 / / Dish 109 Fleet Landing Blvd 2013 F3 -28 Atlantic Beach , Fl Joyce Goodman i INK Pot Luck 42 . 50 08 / 16 / 13 1831 Seminole Rd . Dish Atlantic Beach , Fl 32233 2013 F3 -29 Janice Waters i INK Pot Luck 47 . 50 08 / 16 13 1835 Seminole Rd . Dish Atlantic Beach , Fl 32233 2013 F3 -30 08 / 16 /13 Darlene & David I INK Pot Luck 20 . 00 Fletcher Dish 1440 East Coast Dr . 2013 F3 -31 Atlantic Beach , FL Karen Kempf I INK Pot Luck 25 . 00 08 / 16 73 1501 Challenger Dish Ct . Atlantic Beach , Fl 2013 F3 -32 32233 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT ® ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) I. D. Number 46- 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 5 of g (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 Chuck & Linda I INK Pot Luck 15 . 00 08 / 16 /13 Almaeida Dish 282 Magnolia St . Atlantic Beach , Fl 2013 F3 -33 32233 Pam White I INK Pot Luck 4 . 00 08 / 16 /13 2069 Selva Marina Dish Dr . Atlantic Beach , Fl 2013 F3 -34 32233 Elliot & Carolyn i INK Pot Luck 30 . 00 08 / 16 1? Zisser Dish 1937 Beach Ave . Atlantic Beach , 2013 F3 - 35 Fl 32233 I I I I I I I I I I DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) LD. Number 46 - 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 6 of g' (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 Benjamin Sheldon I Bus CA 100 . 00 08 / 08 /13 101 Natures Isle Dr . Ponte Vedra Beach , 2013 F3 -36 Fl 32082 Anne Simpson I CA 50 . 00 08 / 10 /13 420 Snapping Turtle Ct . E Atlatnic Beach , Fl 2013 F3 -37 32233 Ellen Breen i CA 25 . 00 08 / 17 1/1 345 East Coast Dr . Atlantic Beach , 2013 F3 -38 Fl 32233 James Koister i RET CA 100 . 00 08 / 16 / 13 1971 Mipaula Ct . Atlantic Beach , Fl . 32233 2013 F3 -39 Anne Conway I RET CHE 100 . 00 08 / 09 / 13 5813 Fleet Landing Blvd Atlantic Beach , 2013 F3 -40 F1 32233 Madelyn Levin i CHE 25 . 00 08 / 18 13 311 8th St . Atlantic Beach , Fl 32233 2013 F3 -41 08 / 15 /13 Karen Hoffman I RET CHE 250 . 00 50 20th St . Atlantic Beach , Fl 32233 2013 F3 -42 Mary Updike I REP CHE 250 . 00 08 / 15 ,13 42 3rd St . Atlantic Beach , Fl 32233 . . 2013 F3 -43 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT ® ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) I.D. Number 46 - 1832821 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 7 of q (5) (7) (8) (9) (10) (1 1 ) (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 Nial Falloon I Restaura CHE 200 . 00 08 / 13 /13 1717 Beach Ave . unteer Atlantic Beach , Fl 32233 2013 F3 -44 Louis Keith I Investi CHE 250 . 00 08 / 15 /13 1845 Tierra Verde gator Dr . Atlantic Beach , Fl 2013 F3 -45 32233 Maureen I CHE 25 . 00 08 / 16 1? Shaughnessy 361 Main Atlantic Beach , 2013 F3 - 46 Fl 32233 Ronald Giddens i CA 40 . 00 08 / 18 / 13 1701 Beach Blvd Jacksonville Beach , Fl 32233 2013 F3 -47 Samuel Jacobson I ATTY CHE 150 . 00 08 / 14 / 13 2359 Seminole Rd . Atlantic Beach , Fl 32233 2013 F3 - 48 John McLaughlin i RET CHE 75 . 00 08 / 143 1425 W . 28th St . Minneapolis , Mn 55408 2013 F3 -49 08 17 13 Meg Bolton I RET CHE 150 . 00 / / 1792 Sea Oats Dr . Atlantic Beach , Fl 32233 2013 F3 - 50 Susanne Barker I CHE 50 . 00 08 / 20 /13 1938 Beachside Ct . Atlantic Beach , Fl 32233 2013 F3 -51 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1 ) Name Carolyn R . Woods (2) I. D. Number 46 - 1832821 (3) Cover Period 08 / 03 / 2013 through 08 22 / 2013 (4) Page 8 of 8 (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 Carolyn R . Woods I Candidat INK postage & 1491 . 66 08 / 21 / 13 303 6th St . e paper Atlantic Beach , Fl 32233 2013 F3 -52 Linda & Michael i psychol Che 200 . 00 08 / 19 /13 Lanier ogist 1788 Park Terrace W . 2013 F3 - 53 Atlantic Beach Karen Kurtzke & i INK hospitali 75 . 00 08 / 20 1? Scott Bridge ty M&G 2043 Duna Vist Ct . 2013 F3 - 54 Atlantic Beach , F Deb Bailey i Realtor INK hospitali 120 . 00 08 20 / 13 337 Ahern St . ty Atlantic Beach , Fl 32233 2013 F3 - 55 Anthony & Gery I Contruc INK hospitalit 150 . 00 08 / 21 / 13 Romano tion y 395 Sailfish Dr . M&G Atlantic Beach , 2013 F3 - 56 Fl 32233 Marsh Landing BUS Psychol INK Web site 79 . 96 08 / 19 } 3 Behavioral Group ogy 1538 The Greens Way 2013 F3 -57 Jacksonville Beach 08 Taylor Hite I clerk INK Hospitalit 494 . 50 / 21 /13 1075 Seminole Rd . Y Atlantic Beach , Fl 32233 2013 F3 - 58 Trevor Hite I Army INK Hospitalit 494 . 50 08 / 21 L3 1075 Seminole Rd Nationa y Atlantic Beach , Fl 1 Guard 322333 2013 F3 -59 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1 ) Name Carolyn R . Woods (2) I.D. Number 46 csi g3 g., ga. I (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 1 of 2 (5) (7) (8) (9) (1 0) (11 ) Date Full Name Purpose (s) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount The Beaches Leader Advertising Mon $ 418 . 05 08 /19 /13 1114 Beach Blvd Jacksonville Beach , FL 2013 F3 - 1 32250 Office Depot paper Mon $ 112 . 32 07 /17 /13 2050 S . 3rd . St . Jacksonville Beach , Fl 32250 2013 F3-2 USPS postage Mon $ 230 . 00 07 /24 / 13 Atlantic Beach , FL 32233 2013 F3 -3 Office Depot Paper Mon $ 149 . 76 07 / 24 / 13 2050 S . 3rd St . Jacksonville Beach , FL 32250 2013 F3 -4 BJ ' s postage Mon $ 137 . 25 07 /28 / 13 12200 Atlantic Blvd . Jacksonville , Fl 32225 2013 F3 -5 Office Depot paper Mon $ 112 . 32 07 /05 / 13 2050 S . 3rd . St . Jacksonville Beach , Fl 32250 2013 F3 - 6 USPS postage Mon $ 774 . 56 08 /17 /13 Atlantic Beach , Fl 32233 2013 F3 -7 Office Depot paper , ink Mon $ 195 . 71 08 /20 / 13 2030 S . 3rd . St . Jacksonville Beach , Fl 32250 2013 F3 -8 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Carolyn R . Woods (2) I.D. Number 46-113 c22 1 (3) Cover Period 08 / 03 / 2013 through 08 / 22 / 2013 (4) Page 2 of 2 (5) (7) (8) (9) - (10) (11 ) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount BJ ' s Ink Mon $ 66 . 86 08 /22 /13 12200 Atlantic Blvd . Jacksonville , Fl 32225 2013 F3 -9 Wells Fargo Bank bank charges Mon $ 111 . 24 08 /22 /13 Atlantic Beach , Fl 32233 2013 F3 - 10 Paypal . com Bank charges Mon $ 23 . 30 08 /22 / 13 2013 F3 - 11 Carolyn Woods Loan Refund Refund $ 5 , 000 . 00 08 / 22 / 13 303 6th St . Atlantic Beach , Fl 32233 2013 F3 - 12 / / / / / / / / DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES