Mark- Treasurers Report 2015 M4 2nd amend 9-4-15 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria D: Mark OfinCEiti Sd ONLY
Name •
(2) 1148 Linkside Drive SEP - 4 2015
Address(number and street)
Atlantic Beach, FL 32233
City, State, Zip Code Office of City Clerk
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
ca 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 04 1 01 " 2015 To 04 I 30 / 2015 Report Type: M4
❑ Original 2nd 1i Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ 700 00 Expenditures $ , , >;l . 00
Loans $ rl • nn Transfers to 0 00
Office Account $ , ,
Total Monetary $ , 700 _ 00
Total Monetary $ '5 . 00 <t
In-Kind $ 0 00
(8) Other Distributions 0 00
$ •
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 825 00 $ , '64 . 15
(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 E]Treasurer ❑Deputy Treasurer 6d Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X c.hf/d/Ai) X a L,I M)
Signature Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES
(1)Name Maria D. Mark (2nd Amendment) (2)I.D.Number
(3)Cover Period 04 / 01 /2015 through 04 / 30 / 2015 (4)Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(Last,Suffix,First,Middle) (add office sought if
(6) Street Address& contribution to a Expenditure
Sequence
Number City,State,Zip Code candidate) Type Amendment Amount
04 /16/15 Wells Fargo Bank, N.A.
1031 Atlantic Blvd. Bank Fees MON ADD $5.00
1 Atlantic Beach, FL 32233 AckJrQSS
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I
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DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES