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Harding- Treasurer Report M12- 1-4-17 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mitchell Ray Harding OFI MS. ONLY 7, , „ Name (2) 635 Jasmine Street JAN 4 2017 Address (number and street) -- Atlantic Beach, Florida 32233 City, State, Zip Code Office of City Clerk 0 Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): Q Candidate Office Sought: City Commissioner - Seat 5 ❑ Political Committee(PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) ❑ Check here if PTV 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 12 / 01 2016 To 12 / 31 416 Report Type: M12 0 Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , , 650 . 00 Expenditures $ , , 00 . 00 Loans $ Transfers to Office Account $ , , Total Monetary $ , 50 00 Total Monetary $ , , 00 . 00 In-Kind $ • (8) Other Distributions " $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , 650 , 00 $ , , 00 . 00 (ii) 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)Robert RI.ISSakoff (Type name)Mitchell R Harding ndividual(on! for IE ❑Treasurer 0 Deputy Tre. er El Candidate ❑Chairperson •. for PC and PTY) or electionee'•• comm.) ' / - / , nature Sig ature DS-DE 12(Rev.11113) SEE REVERSE FOR IN RUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Mitchell R Harding NA (1) Name (2) I.D. Number 12 01 2016 12 31 2016 01 01 (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 Cerqueira, Atilio 12 01 2016 38 W 6th Street / / Atlantic Beach FL 32233 M12-01 I Owner C&C Fi CHE $300.00 Whalen, Mike 12 01 2016 1420 Mayport Rd / / Atlantic Beach FL 32233 M12-02 I Owner Specia CHE $300.00 AlA Woodworks LLC 12 15 2016 605 Plaza / / Atlantic Beach FL M12-03 B CHE $50.00 / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mitchell R Harding (2) I.D.Number'/A (3) Cover Period 12 / 01 / 2016 through 12 / 31 /2016 (4) Page 01 of 01 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (s) (Last,Suffix,First,Middle) (add office sought if Expenditure Sequence Street Address& contribution to a p Number City,State,Zip Code candidate) Type Amendment Amount None None / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES