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Mark- Treasurers Report- (P1) amendment 11-20-15 CAMPAIGN TREASURER'S REPORT SUMMARY (1 ) Maria D . Mark OFFICE USE ONLY Name Cccived (2) 1148 Linkside Drive Address (number and street) NOV 2 C 2015 Atlantic Beach . FL 32233 City, State, Zip Code Office ui C!ty Cleik ❑ 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 (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 07 / 01 / 2015 To 07 / 24 / 2015 Report Type: P1 0 Original 2nd j Amendment • Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ I 2 ' 885 • 00 Expenditures $ , 2 , 306 • 87 Loans $ . 00 Transfers to Office Account $ , , 0 . 00 Total Monetary $ 7 81,15 • nn Total Monetary $ , 2 306 . 87 In-Kind , 500 . 00 (8) Other Distributions $ 0 , 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 8 , 650 . 00 $ , 6 , 071 • 93 (11 ) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that 1 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 0 Treasurer ■ Deputy Treasurer fI Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) / X C.L c2 X C, 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) ID. Number 07 01 15 07 24 15 1 1 (3) Cover Period / / through _ / / - (4) Page of (5) (7) (8) (9) (10) (11 ) Date Full Name Purpose (s) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, Slate, Zip Code candidate) TYPe Amendment Amount 07 / 11, 15 3rd Street Diner Volunteer Lunch MON DEL $50.00 223 9th Ave . South 12 Jax Bch, FL 32259 07 18 15 FedEx Office Printing MON DEL $19.61 / 341 Marsh Landing Pkwy 13 Jax Bch, FL 32250 07, 22/ 15 Democracy Engine Processing Fees MON DEL $46.43 212514th St. , NW . 14 Washington, DC 20009 07 /2215 Democracy Engine Processing Fees MON ADD $66.17 2125 14th St., NW 14 Washington, DC 20009 / i DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER' S REPORT — ITEMIZED CONTRIBUTIONS ( 1 ) Name Maria D . Mark (2nd Amendment) ( 2) I . D. Number (3) Cover Period 07 / 01 / 15 through 07 24 / 15 (4) Page 1 of 1 (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 07 21 15 Dumont, Georgette I Professor CHE ADD $100.00 / / 507 6th Ave. South 20 Jax Bch, FL 32250 07 18 15 Barker, Susanne I CHE ADD $30.00 / / 1938 Beachside Ct. 21 AB, FL 32233 07 17 15 Mobley, William I CHE ADD $50.00 / / 1726 Selva Marina Dr. 22 AB, FL 32233 07 / 15 / 15 Hughes, Brian I VP Risk CHE ADD $100.00 171 Club Dr. Mgmt 23 AB, FL 32233 07 14 15 Loftus, Diane I CHE ADD $10.00 / / 351 Main St. 24 AB, FL 32233 07 / 14 / 15 Cahill, Ellen I CAS ADD $20 .00 805 Stocks Street 25 AB, FL 32233 / / DS-DE 13 (Rev. 11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES