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Mark- Treasurers Report- (M6) amendment 11-20-15 CAMPAIGN TREASURER'S REPORT SUMMARY (1 ) Maria D . Mark OFiUiONLY Name (2) 1148 Linkside Drive NOV 2 0 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): cO 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 (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 06 / 01 / 2015 To 06 / 30 / 2015 Report Type: M6 ❑ Original 2nd 5 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ • • stn nn Expenditures $ 2 , 771 77• • Loans $ 0 00 Transfers to Office Account $ , , 0 . 00 Total Monetary $ , 3 540 • 00 Total Monetary $ , 2 771 • 77 In-Kind $ , 385 • on (8) Other Distributions $ 0 00 • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date 5 , 765 • 00 $ , 3 , 765 , 06 (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: Maria D . Mark Maria D . Mark (Type name) (Type name) ❑ individual (only for IE 21 Treasurer ■ Deputy Treasurer 0 Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X al v x /0 Signature Signature DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS MVIII " itT EdefA R Ms IEPORT - ITEMIZED EXPENDITURES (1 ) Name (2) 1.D. Number (3) Cover Period 06 I 01 , 15 through 06 , 30 i 15 (4) page 1 of 1 (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 06 ,13 , 15 Publix Stores Kick-off Party MON DEL $29 . 96 14444 Beach Blvd. , Suite 6 Supplies 5 Jax Bch, FL 32250 06 / 13/ 15 Wells Fargo, NA Cash Withdrawal MON DEL $60 .00 1031 Atlantic Blvd. to pay chef for 6 Atlantic Beach, FL 32233 kick- off party 06 / 13/15 Wells Fargo, NA Cash Withdrawal MON ADD $80.00 1031 Atlantic Blvd. to pay chef for 6 Atlantic Beach, FL 32233 kick- off party 06/ 30/ 15 Democracy Engine Processing fees MON DEL $62 .02 2125 14th St. , NW 14 Washington, DC 20009 06 / 30/ 15 Democracy Engine Processing fees MON ADD $46.77 2125 14th St., NW 14 Washington, DC 20009 06 / 08 /15 Agility Press Printing MON ADD $235 .40 3060 Mercury Rd 15 Jacksonville, FL 32207 06 05 15 FedEx Office Printing MON ADD $ 18 .46 / / 341 Marsh Landing Pkwy 16 Jacksonville Beach, FL 32250 / / DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES