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Woods- Treasurers Report (P3) 8-21-15 CAMPAIGN TREASURER'S REPORT SUMMARY ( 1 ) CAROLYN WOODS OFFICE USE ONLY Name Received ( 2) 303 6TH STREET Address (number and street) AUG 2 1 2015 ATLANTIC BEACH , FL 32233 City, State, Zip Code Clffirn of f:ity f`►nrk ❑ Check here if address has changed (3) ID Number 26-0161126 r: (4) Check appropriate box(es) : MAYOR , SEAT 1 Ti Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org . (ECO) El 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 8 / 8 / 2015 To 8 / 20 / 2015 Report Type : 2015 P3 J Original • Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report 7 , 245 . 00 Monetary 2 918 . 25 Cash & Checks $ ,Expenditures $ Loans $ , , • Transfers to Office Account $ , , Total Monetary $ 7 , 245 . 00 Total Monetary $ 2 , 918 . 25 , In- Kind $ 1 530. 00 • (8) Other Distributions $ . 00 ( 9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 29 , 791 . 00 $ 10 , 311 . 84 ( 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) Cr v Wow 3 (Type name) C Voods • Individual (only for IE Treasurer eputy Treasurer 11 Candidate . • Chairperson (only for PC and PTY) or electioneering c ) X AI X Signature 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 08 08 2015 08 20 2015 1 (3 ) Cover Period / / through / / (4) Page of 0 (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 Parker, Cynthia 08 08 2015 1959 Brista Demar Cir, AB 32233 I retired INK stamps 49 . 00 2015P3-01 Osborn , Steve 08 08 2015 1470 Marshview Ct , AB / / FL 32233 2015P3-02 I atty INK food & bev 100 . 00 Townsend , Diana 08 10 2015 266 Poinsettia St , AB I / FL 32233 2015P3-03 I CHE 25 . 00 Lanier, Linda 08 10 2015 1768 Park Terr VV, AB / / FL 32233 2015P3-04 I retired CBE 200 . 00 Ster, Mary-Blue 08 11 2015 1071 Selva Marina Dr, ( / AB FL 32233 2015P3-05 I retired INK 50 . 00 08 11 2015 Sheklin, Judy 1985 Brista De Mar, AB FL 32233 2015P3-06 I retired INK 70 . 00 08 11 2015 Parker, Cynthia 1959 Brista Demar Cir, AB 32233 2015P3-07 I retired INK 36 . 00 DS -DE 13 (Rev. 11 /13 ) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER ' S REPORT — ITEMIZED CONTRIBUTIONS Carolyn Woods 26-0161126 ( 1 ) Name (2) I . D. Number 08 08 2015 08 20 2015 2 (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 I Occupation Type Description Amendment Amount Urbanski, Vema 08 11 2015 1586 Linkside Dr, AB I I FL 32233 I CHE 50 . 00 2015P3-08 Ster , Jn4 08 11 2015 1071 Selva Marina Dr , I I AB FL 32233 2015P3-09 1 CHE 100 . 00 Simon , Kenneth 08 11 2015 1945 Brista de Mar , AB I I FL 32233 2015P3-10 1 CHE 100 . 00 Sheklin , Judy 08 11 2015 1985 Brista De Mar, AB I . FL 32233 2015P3-11 I CHE 20 . 00 Sheilds, Darrell 08 11 2015 315 18th St N, Jax Bch I 1 FL 32250 2015P3-12 I CHE 50 . 00 Robichaud , William 08 11 2015 352 12th St, AB FL I 1 32233 2015P3-13 I CHE 100 . 00 oe 11 2015 McGuinness, Neil I I 1629 Beach Ave, AB FL 32233 2015P3-14 I REALTOR CHE 400 . 00 DS -DE 13 (Rev . 11 /13 ) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Carolyn Woods 26-0161126 (1) Name (2) I.D. Number 08 08 2015 08 20 2015 3 (3) Cover Period / / through / / (4) Page of 6 (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 Harris, John Jr 08 11 2015 1834 Ocean Grove Dr, / / AB FL 32233 . I retired CHE 300.00 2015P3-15 Carroll, Linda 08 11 2015 316 9th St, AB FL / / 32233 2015P3-16 I CHE 50.00 McBride Enterprises 08 11 2015 320 Osceola Ave, Jax / 1 Bch FL 32250 2015P3-17 B finance CHE 50.00 Perera, Chinta 08 / 13 /2015 1840 W Spiceberry Circle, Jax FL 32246 2015P3-18 I homemaker CHE 500.00 Perera, Charith 08 / 13 /2015 1840 W Spiceberry Circle, Jax FL 32246 2015P3-19 I shipping CHE 500.00 Martin, Marchant 08 13 2015 PO Box 331298, AB FL / / 32233 2015P3-20 I retired CHE 100.00 13 2015 Hill, Mark 08 / / 1726 Selva Marina Dr, AB FL 32233 2015P3-21 I retired CHE 50.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Carolyn Woods 26-0161126 (1) Name — (2) I.D. Number 08 08 2015 08 20 2015 4 / (3) Cover Period / / through / / (4) Page of l/�� (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 Gibbs, Robert 08 13 2015 2253 Beachcomber Trl, / / AB FL 32233 I towing CHE 100.00 2015 P3-22 Broner, Nancy 08 14 2015 154 Pinewood Rd, Jax / / Bch FL 32250 2015P3-23 I education CHE 200.00 Everitt, Shelby 08 16 2015 402 Sherry Dr, AB FL / I 32233 2015P3-24 I business and INK food & bev 100.00 Barker, Susanne 08 16 2015 1938 Beachside Ct, AB / / FL 32233 2015P3-25 I retired INK food & bev 450.00 Robin Shepherd 08 16 2015 Studios, / / do Robin Shepherd 2015P3-26 2077 Beach Ave, AB FL B advertising CHE 500.00 32233 Nemecek, Fred 08 16 2015 1964 Brista de Mar / / Cir, AB FL 32233 2015P3-27 I marketing CHE 100.00 08 16 2015 Morgan, Bunny / / 1945 Beach Ave, AB FL 32233 2015P3-28 I CHE 25.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Carolyn Woods 26-0161126 (1) Name (2) I.D. Number 08 08 2015 08 20 2015 5 (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 Freestone Properties, 08 16 2015 do Jeff Hite, / / 1055 East Coast Dr, AB FL 32233 1 event space INK event space 400.00 2015P3-29 Barker, Susanne 08 16 2015 1938 Beachside Ct, AB / / FL 32233 2015P3-30 I retired INK 200.00 Hart, Susan 08 17 2015 PO Box 330250, AB FL / 1 32233 2015P3-31 I banking CHE 150.00 White, Pamela 08 18 2015 2069 Selva Marina Dr, / / AB FL 32233 2015P3-32 I retired CHE 100.00 Huber, Thomas 08 / 18 /2015 160 Sylvan Dr, AB FL 32233 2015P3-33 I retired CHE 25.00 Looney, Stephen 08 / 18 /2015 402 Sherry Dr, AB FL 32233 2015P3-34 I CHE 100.00 / / 2015P3- DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER' S REPORT - ITEMIZED CONTRIBUTIONS Carolyn Woods 26 -0161126 ( 1 ) Name (2) I . D. Number 08 08 2015 08 20 2015 6 6 ( 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 Edward Cottrell 08 20 2015 1656 Park Terrace E . / / Atlantic Beach , Fl 32233 I Attny . CHE 250 . 00 2015P3 -29 Beth Cottrell 08 20 2015 1656 Park Terr . E / / Atlantic Beach , FL 2015P3 -30 32233 I INK food 75 . 00 Lynn Eilers 08 20 2015 369 3rd . St . / / Atlantic Beach , FL 2015P3-31 32233 B CHE 100 . 00 Merrill Animal Clinic 08 20 2015 7530 Merrill Rd . / / Jacksonville , FL 32277 2015P3 -32 B Veterinarian CHE 1 , 000 . 00 Hi -Ali of Northeast Fl 08 20 2015 7530 Merrill Rd . / / Jacksonville , FL 32277 2015P3-33 B Veterinariar CHE 1 , 000 . 00 JAX Beach VET Holdings 08 18 2015 7530 Merrill Rd . / / Jacksonville , FL 32277 2015P3 -34 B Animal ER CHE 1 , 000 . 00 / / 2015P3 - DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER' S REPORT - ITEMIZED EXPENDITURES ( 1 ) Name Carolyn Woods (2 ) I . D . Number 26 - 0161126 (3 ) Cover Period 08 / 08 / 2015 through 08 / 20 / 2015 (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 Wells Fargo bank charge 08 / 10 6015 1031 Atlantic Blvd , AB FL 32233 MON 3 . 00 2015P3 - 01 08 / 10 y015 The Beaches Leader advert / 1114 Beach Blvd , Jax Bch FL 32250 MON 546 . 75 2015P3 - 02 Momentum Strategy Gp consult 08 / 13 2015 4002 La Vista Cir , Jacksonville , FL f/ 32217 MON 1 , 000 . 0 2015P3 - 03 Momentum Strategy Gp postage 08 / 13 2015 4002 La Vista Cir , Jacksonville , FL 32217 MON 352 . 00 2015P3 - 04 The Beaches Leader advert 08 // 17 / 015 1114 Beach Blvd , Jax Bch FL 32250 MON 1 , 003 . 50 2015P3 - 05 Wells Fargo bank charge 08 / 192 015 1031 Atlantic Blvd , AB FL 32233 MON 13 . 00 2015P3 - 06 2015P3 - / 2015P3 - DS -DE 14 (Rev. 11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES