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Anderson, Tim - Amended Treasurer Report 2013 TR - 11-15-13 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY cihroLi (1) Tim J Anderson ®cIE ONLY Name (2) 824 Sherry Drive NOV 1 1 5 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 ❑ 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 8 / 23 / 2013 To 11 / 07 / 2013 Report Type TR ❑ Original n Amendment ❑ Special Election Report LI Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 0 . 00 Expenditures $ 3 , 280 . 68 Loans $ 0 . 0 0 Transfers to Office Account $ 0 . 00 Total Monetary $ 0 . o o Total Monetary $ 3 , 280 . 68 In-Kind $ 0 . 00 (8) Other Distributions $ 0 . 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9, 260 . 00 $ 9, 260 . 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 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 0 Deputy Treasurer Candidate ❑Chairperson(only for PC,PTY& electioneering co •• e- 'oneeri. ommun.organization) X Signature Signature DS-DE 12(Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Tim J Anderson (2) I.D. Number (3) Cover Period 8 / 23 / 2013 through 11 / 07 / 2013 (4) Page 1 of 5 (5) (7) (8) (9) (10) (11) 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 Angela Fortner Refund DIS $17.71 11 /7 /13 4523 W. Beacon Drive Jacksonville, FL 32225 1 Elaine Golopol Refund DIS $7.0$ 11 /7 /13 11c Ponte Vedra Ct. Ponte Vedra, FL 32082 2 Brad Barrett Refund DIS $106.29 11 /7 /13 51 Country Club Drive Canyon, TX 79015 3 Lindley Tolbert Design, Inc. Refund DIS $177.14 11 / 7 / 13 465 Beach Avenue Atlantic Beach, FL 32233 4 W. Radford Lovett Refund DIS $177.14 11 /7 /13 1 Independent Drive Suite 1600 Jacksonville, FL 32202-5009 5 Ms. Patricia Nolen Refund DIS $7.09 11 /7 /13 1074 Stocks Street Atlantic Beach, FL 32233 6 Rev. Anthony Palazzolo Refund DIS $35.43 11 /7 /13 101 Marsh Cove Lane Ponte Vedra, FL 32082 7 Ernest P Bono Sr Refund DIS $177 .14 11 / 7 / 13 7450 Founders Way Ponte Vedra, FL 32082 8 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES ( 1 ) Name Tim J Anderson (2) I . D. Number (3) Cover Period 8 / 23 / 2013 through 11 / 07 / 2013 (4) Page 2 of 5 (5) (7) (8) (9) (1 0) (11 ) 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 / Edmund Rastrelli Refund DIS $ 7 . 09 11 / 7 /13 1710 Park Terrace East Atlantic Beach , FL 32233 9 Raymond Lanzi Refund DIS $ 70 . 86 11 /7 /13 409 Osprey Lookout Ct . Ponte Vedra , FL 32082 10 Thomas Perry Refund DIS $ 17 . 71 11 / 7 / 13 1106 Salt Creek Drive Ponte Vedra , FL 32082 11 Bryan Croft Refund DIS $ 7 . 09 11 / 7 / 13 218 South Street Neptune Beach , FL 32266 12 Bob Barrett Refund DIS $ 177 . 14 11 / 7 / 13 PO Box 670 Hereford , TX 79045 13 Susan Barrett Refund DIS $ 177 . 14 11 / 7 / 13 PO Box 670 Hereford , TX 79045 14 Louis Fuqua Refund DIS $ 8 . 86 11 / 7 /13 4541 Mainmast Lane Jacksonville , FL 32277 15 KGI Consultants Refund DIS $ 35 . 43 11 / 7 / 13 2 South Roscoe Blvd . Ponte Vedra , FL 32082 16 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1 ) Name Tim J Anderson (2) I . D. Number (3) Cover Period 8 / 23 / 2013 through ii / 07 / 2013 (4) Page 3 of 5 (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 Ron Weishaar Refund DIS $ 106 . 29 11 /7 /13 102 Rio Vista Hereford , TX 79045 17 Beau Baker Refund DIS $ 7 . 09 11 /7 /13 50 N . Laura St . Suite 3900 Jacksonville , FL 32202 18 Allison Cox Refund DIS $ 7 . 09 11 /17 / 13 4814 River Point Rd . Jacksonville , FL 32207 19 Brian Sasaki - Scanlon Refund DIS $ 7 . 09 11 / 7 / 13 9628 Deer Run Rd . Ponte Vedra , FL 32082 20 Brian Davis Refund DIS $ 7 . 09 11 / 7 113 1415 Ocean Blvd . Atlantic Beach , FL 32233 21 Kathryn Humphries Living Refund DIS $ 26 . 57 11 / 7 / 13 Trust 277 15th Street Atlantic Beach , FL 32233 22 Tom Petway , III Refund DIS $ 177 . 14 11 / 7 /13 1911 Beach Avenue Atlantic Beach , FL 32233 23 Thomas Petway Refund DIS $ 177 . 14 11 / 7 / 13 375 Atlantic Blvd Suite 200 Atlantic Beach , FL 32233 24 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER' S REPORT - ITEMIZED EXPENDITURES ( 1 ) Name Tim J Anderson (2) I . D. Number (3) Cover Period 8 / 23 / 2013 through 11 / 07 / 2013 (4) Page 4 of 5 (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 / Betty Petway Refund DIS $ 177 . 14 11 / 7 /13 1601 Beach Avenue Atlantic Beach , FL 32233 25 Brian Swallow Refund DIS $ 35 . 43 11 /7 /13 5338 Hala Ct . Jacksonville , FL 32224 26 Barrett W Weishaar Refund DIS $ 177 . 14 11 / 7 / 13 500 24th Street Canyon , TX 79015 27 Chad Creech Refund DIS $ 177 . 14 11 / 7 / 13 2212 South Hughes Amarillo , TX 79109 28 Jessica Schenk Refund DIS $ 70 . 86 11 / 7 / 13 2217 Crocket St . Amarillo , TX 79109 29 Ross Debernardis Refund DIS $ 35 . 43 11 / 7 / 13 141 Azalea Point Drive N . Ponte Vedra , FL 32082 30 Hereford Logistics , LLC Refund DIS $ 177 . 14 11 / 7 /13 POBox 1428 Hereford , TX 79045 31 L . M . Borno , Jr . Refund DIS $ 35 . 43 11 / 7 / 13 223 Ocean Forest Drive Atlantic Beach , FL 32233 32 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES ( 1 ) Name Tim J Anderson (2) I . D. Number (3) Cover Period 8 / 23 / 2013 through 11 / 07 / 2013 (4) Page 5 of 5 (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 S . Bagby & Co . Inc . Refund DIS $ 177 . 14 11 /7 /13 1639 Beach Blvd . Suite 2 33 Jacksonville Beach , FL 32250 George J Garcia Refund DIS $ 17 . 71 11 /7 /13 640 Ocean Blvd . Atlantic Beach , FL 32233 34 Lynette Dinneen Refund DIS $ 35 . 43 11 / 7 / 13 110 8th Street Atlantic Beach , FL 32233 35 John Dinneen Refund DIS $ 35 . 43 11 / 7 / 13 110 8th Street Atlantic Beach , FL 32233 36 Mike Lee Refund DIS $ 17 . 71 11 / 7 / 13 1703 Park Terrace East Atlantic Beach , FL 32233 37 John Anderson Refund DIS $ 177 . 14 11 / 7 / 13 139 South Roscoe Ponte Vedra , FL 32082 38 TAG Roscoe Consulting , LLC Refund DIS $ 177 . 14 11 / 7 /13 1548 The Greens Way Suite 1 Jacksonville , FL 32250 39 R . G . Fuller , Jr . Refund DIS $ 35 . 43 11 / 7 / 13 10 Tenth Street , Apt . 11B Atlantic Beach , FL 32233 40 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES