Woods- Treasurers Report- (P3) amendment 11-6-15 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Carolyn Woods OFF�Iff.C�:I�$i<�NLY
Name
(2) 303 6th Street
Address (number and street)
Atlantic Beach, FL 32233
City, State, Zip Code (ii), C1, 1k
❑ 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 08 / 08 / 2015 To 08 / 20 / 2015 Report Type: 2015 P3
❑ Original ®Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 400 ,00 Expenditures $ 0
•
Loans $ 0 , • Transfers to
Office Account $ 0 ,
•
Total Monetary $ , 400. 00
Total Monetary $ 0 ,
In-Kind $ , , - 400. 00
(8) Other Distributions
$ 0
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 28, 861 . 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) Robin Soergel (Type name)Carolyn Woods
❑Individual(only for IE ❑Treasurer m Deputy Treasurer m Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
1112
x 726 X dr, AV
Signature Signature fp
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 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 Occupation Type Description Amendment Amount
Freestone Properties.
08 16 2015 C/o Jeff Hite,
I / 1055 East Coast Dr, AB
FL 32233 1 event space DEL 400 . 00
2015P3-29
(on pg 5 of 6)
Cottrell , Edward
08 16 2015 1656 Park Terr E , AB
/ / FL 32233
2015P3-29 1 atty DEL 250 . 00
(on pg 6 of 6)
Cottrell , Beth
1656 Park Terr E , AB
/ / FL 32233
2015P3-30 1 DEL 75 . 00
(on pg 6 of 6)
Eilers, Lynn
/ / 369 3rd St, AB FL
32233
2015P3-31 B DEL 100 . 00
(on pg 6 of 6)
Merrill Animal Clinic
7530 Merrill Rd, Jax
/ /
FL 32277
2015P3-32 B veterinarian DEL 1 , 000 . 00
(on pg 6 of 6)
Hi-Ali of Northeast FL
/ / 7530 Merrill Rd, Jax
FL 32277
2015P3-33 B veterinarian DEL 1 , 000 . 00
(on pg 6 of 6)
JAX Beach VET holdings
7530 Merrill Rd, Jax
/ I
FL 32277
2015P3-34 B animal ER DEL 1 , 000 . 00
(on pg 6 of 6)
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 Z 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& Co_ntributor Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
Freestone Properties,
08 16 2015 do Jeff Hite,
/ 1 1055 East Coast Dr, AB
FL 32233 I event space ADD / CHE 400.00
2015P3-35
Cottrell, Edward
08 16 2015 1656 Park Terr E, AB
/ /
FL 32233
2015P3-36 I atty ADD / CHE 250.00
Cottrell, Beth
1656 Park Terr E, AB
/ 1
FL 32233
2015P3-37 I ADD / INK 75.00
Eilers, Lynn
/ / 369 3rd St, AB FL
32233
2015P3-38 B ADD / CHE 100.00
Merrill Animal Clinic
7530 Merrill Rd, Jax
/ /
FL 32277
2015P3-39 B veterinarian ADD / CHE 1,000.00
Hi-Ali of Northeast FL
/ / 7530 Merrill Rd, Jax
FL 32277
2015P3-40 B veterinarian ADD / CHE 1,000.00
JAX Beach VET holdings
/ / 7530 Merrill Rd, Jax
FL 32277
2015P3-41 B animal ER ADD / CHE 1,000.00
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES