Woods- Treasurers Report- 2015 M5 amended 7-7-15 CAMPAIGN TREASURER'S REPORT SUMMARY
(I) Carolyn Woods OFFICE USE ONLY
Name Received
(2) 303 6th Street
Address (number and street) JUL - 7 2015
Atlantic Beach, FL 32233
City, State, Zip Code
ice
❑ Check here if address has changed (3) ID Number: 26-0161126
(4) Check appropriate box(es):
• Candidate Office Sought: Mayor, Seat 1
❑ 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 05 / 01 / 2015 To 05 / 31 / 2015 Report Type: 2015 M5
❑ Original ® Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 250 00 Expenditures $ , , 153 23
Loans $ , 2, 000 00 Transfers to
Office Account $ 0 , •
Total Monetary $ , 2, 250 . 00
Total Monetary $ 153 . 23
In-Kind $ 0 •
(8) Other Distributions
$ 0
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 2 , 800 . 00 $ , , 153. 23
(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:
(Type name) (Typename)Carolyn Woods
!❑ Individual(only 0..)
❑Treasurer eputy Treasurer IA Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
Signature I Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER ' S REPORT — ITEMIZED CONTRIBUTIONS
Carolyn Woods 26-0161126
( 1 ) Name (2 ) I . D . Number
05 01 2015 05 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
Carolyn Woods
05 26 2015 303 Sixth St
I I Atlantic Bch, FL 32233
2015M5-01 S mayor LOA ADD 2 , 000 . 00
John Goelz
05 26 2015 1359 Beach Ave
/ /
Atlantic Bch , FL 32233
2015M5-02 I bus mgr CHE ADD 250 . 00
/ /
/ /
I /
/ /
/ /
DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER ' S REPORT - ITEMIZED EXPENDITURES
( 1 ) Name Carolyn Woods (2 ) LD . Number 26 - 0161126
(3) Cover Period 29. 5 / through 20/ 5 / (4) Page 1 of
(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
Harland Clarke office supplies
05 / 26/2015 133 Peachtree St NE , Atlanta GA
30303
MON ADD 153 . 23
2015M5 01
/
DS -DE 14 (Rev. 11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES