Hill- Treasurers Report- M3- Amended- 4-7-17CAMPAIGN TREASURER'S REPORT SUMMARY
(1) James K Hill OFAFC1NLY
Name
(2) 372 7th Street
APA 7 2017
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: N/A
(4) Check appropriate box(es): Atlantic Beach FL Commissioner Seat 4
® Candidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Ong. (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 03 / 01 / 17 To 03 / 31 / 17 Report Type: 2017-M3
❑ Original ® Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
$_ 00 00
Monetary
Expenditures $ 00 00
Cash &Checks
_
Loans $ 10 00
Transfers to
_
Office Account $ 00 00
Total Monetary $ 00 00
Total Monetary $ 00 00
In -Kind $ 00 00
(8) Other Distributions
$ 00 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 10 00
$ 00 00
(11) Certification
it is a first degree misdemeanor for any person to falsify a public record (ss. $39.13, F.S.)
I certify that I have examined this report and it is true, coned, and complete:
Della L Hill James K Hill
(Type name) (Type name)
❑ Individual (only for IE ❑ Treaeuer ® Deputy Treasurer la Candidate ❑ Chairperson (only for PC and PTI)
or electioneenrg canm.) n
X X
Signature ign re
DS -DE 12 (Rev. 11113) / / SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name James K Hill
(2) I.D. Number
(3) Cover Period 03 / 01 ) 17 through 03 i 31 /17 (4) Page 1 Of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State Zip Code
(6)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
^v M.t
(12)
Amount
(6)
Sequence
Number
3 1 291 17
Hill, James Kell
372 7th Street
Atl Bch FL 3223
S
Loan
NA
Add
$10.00
2017 M3-1
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
Sanies K Hill
(2) I.D. Number
03 01 17 03 31 17 1 1
(3) Cover Period //_through_//_ (4)Page Of
(5)
Date
(T)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(S)
Purpose
(add office sought if
contribution to a
candidate)
(g)
Expenditure
Type
(ta)
Amendment
It 1)
Amount
(S)
Sequence
Number
03 29 17
ag .... It. str p une Beachopening
FL -
o
checking account
for possible
ampeign
expenditures and
ontributions
MON
DEL
10.00
2017 M3-1
DS -0E 14.(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES