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Mark- Treasurers Report 2015 M5 amended 7-22-15 CAMPAIGN TREASURER'S REPORT SUMMARY tltl (1 ) Maria D . Mark OFFICE USE ONLY Name JUL 2 2 2015 • (2) 1148 Linkside Drive Address (number and street) Atlantic Beach . FL 32233 Office of City Clerk City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: Commissioner, Seat 2 , District 1308 ■ 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 (1E) (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 I 01 / 2015 To 05 / 31 / 2015 Report Type: M5 ❑ Original ® Amendment • Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 9 n • 0 n Expenditures $ 5 00 Loans $ O • O D Transfers to Office Account $ , , 0 . 00 Total Monetary $ Q • O U Total Monetary $ 5 . 00 In-Kind $ t b • 00 (8) Other Distributions 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ s , " 105 . 00 $ 3 ' 536 4 • (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) Maria D . Mark (Type name) Maria D . Mark ■ Individual (only for IE ll Treasurer ❑ Deputy Treasurer 21 Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) Signature Signature OS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1 ) Name Maria D . Mark (2) I.D. Number (3) Cover Period 05 / 01 / 2015 through 05 / 31 / 2015 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11 ) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Sheet Address & contribution to a P Number City, State, Zip Code candidate) TYPe Amendment Amount 05 /18 / 15 Wells Fargo Bank, N .A. Bank Fees CAN ADD $5 . 00 Atlantic Beach , FL 32233 1 / / / • / DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES