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Woods- Treasurers Report- 2015 M5- 6-8-15 CAMPAIGN TREASURER'S REPORT SUMMARY (11 Carolyn Woods OFFICE USE ONLY Name Received (2) 303 6th Street Address (number and street) JUN 8 2015 Atlantic Beach, FL 32233 City, State, Zip Code Office of City C61K ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Mayor, Seat 1 5 Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 5/1/2915 � To 54731q015 015 Report Type: 2015 M5 MI Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 Expenditures $ 0 , , • Loans $ 0 , , Transfers to Office Account $ 0 , , Total Monetary $ 0 , , Total Monetary $ 0 . In-Kind $ 0 , , • (8) Other Distributions $ 0 , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 550.00 $ 0 , • , , (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: Carolyn Woods Carolyn Woods (Type name) (Type name)(Type ❑ Individual(only for IE ❑Treasurer ® Deputy Treasurer ( Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) r X '1� X ',i1 Signature Signature • DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1 ) Name Carolyn Woods (2) I. D. Number (3) Cover Period s / i / ao� through s / si / 2f 15 (4) Page 1 of (5) (7) (8) (9) (1 0) (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 NA I I I I I I Received JUN 8 2015 DS-DE 14 (Rev. 11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Office of City Clerk CAMPAIGN TREASURER' S REPORT - ITEMIZED CONTRIBUTIONS Carolyn Woods ( 1 ) Name (2) I . D. Number 5 / 1 / 2015 5 / 31 /2015 1 1 (3) Cover Period / / through / / (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 NA Received DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES JUN 8 2015 Office of City Clerk