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Glasser- Treasurer Report-M4- 5-10-17CAMPAIGN TREASURER'S REPORT SUMMARY 1) Ellen Glasser OFFI8 9J E'P rtfONLY Name 2) 2060 Beach Ave MAY 1 0 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) Ctleck appropriate box(es): Candidate Office Sought: Atlantic Beach, Seat 1, Mayor 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 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) 5)Report Identifiers Cover Period: From 04 / 01 I 17 To 04 / 30 / 17 Report Type: M4 Original Amendment 0 Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash &Checks $ 5 675 . 00 Expenditures $ 3 , 011 77 Loans 0 . 00 Transfers to Office Account $ 0 . 00 Total Monetary 5 , 675 . 00 Total Monetary $ 0 . 00 In-Kind 0 00 8) Other Distributions 0 . 00 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 34 075 . 00 11 , 424 . 75 11)Certification N 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)Daisy Glass9r Tyy -name)Ellen Glasser Individual(qtly for IE ©Treasurer 0 Deputy Treasurer CJ Candidate 0 Chairperson(only for PC and PT') a electioneering mum.) X2 Q Signature Signature DS DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Ellen Glasser N/A CO Name 2) I.D. Number 04 01 17 04 30 17 1 4 3) Cover Period through 4) Page of 5) 7)8) 9) 10) 11) 12) Dale Full Name 6) Last,Suffix,First,Middle) Sequence Street Address 8 Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amnxhiem Amount 04 03 17 Meredith Johnson 2871 Darning St, Jacksonville, PL, I Consultant CHB N/A N/A 25.00 M9-1 32205 04 03 17 Victor eolena 4023 Marianna Road, Jacksonville, FL, I Analyst CUE N/A N/A 100.00 M4-2 32217 0406 17 Tara Wildes 3750 Reedpond Dr N, Jacksonville, FL, I Consultant CME N/A N/A 500.00 M4-3 32233 0402 17 Paul Riels 300E old Glenview Rd, Wilmette, IL, I University CUE N/A N/A 250.00 M4-9 60091 O 04 03 17 Sam Karlin 10 Overlook Dr., Champagne, NY, I Tennis Coac CUE N/A N/A $1000.00 M4-5 10514 O 03 30 17 Recce Tindall 4 Old Hickory Lane, Savannah, GA, I Retired CHB N/A N/A $200.00 M4-6 31411 03 29 17 City of Atlantic Beach Q 800 Seminole Road, Atlantic Beach, FL, 0 REF CPE N/A N/A $200.00 N4-] 32233 DS.OE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Ellen Glasser N/A 1) Name 2) I.D. Number 04 01 17 04 30 17 2 4 3) Cover Period through 4) Page of _____ 5) 7)8) 9) 10) 11) 12) Date Full Name 6) Last,Suffix,First,&addle) Sequence Street Address& Contributor Contribution In-kind Number City,State.Zip Code Type Occupation Type Dacniptin Amendment Amount 03 28 17 'Robert S. Gast II 485 Mytlewood Parklet, Reno, NV, I Retired CBE N/A N/A 50.00 M4-8 89511 0402 17 Catherine Wilson I 3281 Sequoyah Circle, Jacksonville, FL, I Homemaker CNE N/A N/A 25.00 M4-9 32259 04 05 17 Susanne Barker 1938 Beachside Ct., Atlantic Beach, FL, I Retired CHE N/A N/A 50.00 M4-10 32233 0412 17 Dale Carson 233 East Bay St., Ste, 1101, I Attorney CHE N/A N/A 50.00 M4-I1 Jacksonville, FL, 32202 04 / 06 1 17 William C. MagaryP.O. Box 10823, Mclean, VA, I Retired CHE N/A N/A $250.00 84-12 22102 04 12 17 Walter Lamar 1602 Belle View Blvd, Alexandria, VA, I Security Pr CUE N/A N/A $150.00 M4-13 22307 II 04 14 17 William Uurlburt 0 117 Nature Isle Drive, Ponte Vedra Beach, PL, I Teacher CBE N/A N/A 100.00 M4-14 32082 DS.DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Ellen Glasser N/A 1) Name 2) I.D. Number 04 01 17 04 30 17 3 4 3)Cover Period _ / through 4) Page of 5) 7)8) 9) 10) 11) 12) Date Full Name 6) Last,Suffix,First,Middle) Sequence Sheet Address& Contributor Conhibution In-kind Number City State,ap Code Type Occupation Type Description M,atdmm't Amount 04 12 17 Chris Kirwan 11 Marsh Creek Road, Amelia Ieland, FL, I Retired CUE N/A N/A 50.00 M4-15 32034 04 / 12 / 17 Beach Diner (AB) 501 Atlantic Blvd, Atlantic Beach, FL, II Business CRE N/A N/A 500.00 M4-16 32233 04I 12 / 17 Beach Diner (EV)880 AlA North - 12, Ponte Vedra, FL, II Business CRE N/A N/A 500.00 M4-17 32082 0407 17 Ronald aosko 6037 Tinley Mill Drive, Haymarket, VA, I Retired CAE N/A N/A 100.00 M4-18 20169 04 10 17 Arthur P. Small III l 1647 woodmere Dr., Jacksonville, FL, I Retired CUE N/A N/A $100.00 M4-19 32210 D4 10 17 Phyllis Del Pesso P.O. Box 2508, Ponte Vedra, FL, x Retired CBE N/A N/A 50.00 M4-20 32004 04 12 17 Juanita De Loach Q 804 East Coast Drive, Atlantic Beach, FL I Retired CAE N/A N/A 250.00 M4-21 32233 U DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Ellen Glasser N/A 1) Name 2) I.D. Number 04 01 17 04 30 17 4 4 3)Cover Period through 4) Page of 5) 7)S) 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 kmaildiumil Amount 04 11 17 Harriet S. Fleming 194 High Rock Road North, Hanover, PA, I Retired CHE N/A N/A 250.D0 N4-22 17331 04 / 12 / 17 Susan E. Lloyd 3419 Q Street NW, Washington, D.C., I Retired CHE N/A N/A 250.00 M4-23 20007 04 20 17 Emma Karlin 293 Central Park West Apt. 4C, New York, NY, I Student CHE N/A N/A 500.00 M4-24 10024 04 26 17 George Maloney 3598 Shiinecokc Lane, I Retired CHE N/A N/A 25.00 M4-25 Green Cove Springs, FL, 32043 04 / 26 / 17 Susan McNulty 395 South Atlantic Avenue,I Private Inv CHE N/A N/A 100.00 M4-26 Ormond Beach, PL, 32176 II 04 28 17 Martin Wood 4122 Millwood Rd., Jacksonville, FL, I Retired CHE N/A N/A 50.00 M4-27 32223 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES 1)Name Ellen Glasser 2)I.D.Number N/A 3)Cover Period 01 / 01 / 17 through 04 / 30 / 17 4)Page 1 of 2 5) 7) S) S) 10) 11) Date Full Name Purpose 6)Last.Suffix,First,Middle) add office sought If Street Address A contribution to a ExpendituSequence City,State,Zip Code candidate) Type Amendment Amount Number marketing 04/ 03/ 17 Mary Fisher Designs consultation, 1731 Emerson Street, artwork, card MON N/A 837.69 Jacksonville, FL, printing, flag M4-1 32207 printing 04as17 City of Jacksonville Beach Opening of the 2500 South Beach Parkway, Beaches parade Jacksonville Beach, FL, entry MON N/A 200.0032250 04-2 04 / 03/17 Stripe Online donation 185 Berry St #550,credit card San Francisco, CA,processing fee MON N/A 1.78 94107 M4-3 04 03 17 Stripe Online donation 185 Berry St #550,credit card MON N/A 59.30SanFrancisco, CA,processing fee 94107 M4-4 04/ 05/17 Stripe Online donation lbs Berry St #550,credit card San Francisco. CA,processing fee MON N/A 3.25 94107 M4-5 Stripe 04/ 02/17 185 Berry St #550,Online donation Ban Francisco, CA,credit card MON N/A 15.05 94107 processing fee M4-6 04 03 17 Stripe Online donation 185 Berry St #550,credit card San Francisco, CA,processing fee MON N/A 6.20 94107 M4-] 04/ 06/17 Stripe Online donation 185 Berry St #550,credit card MON N/A 29.80SanFrancisco, CA,processing fee 94107 M4-8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES co Name Ellen Glasser 2)I.D.Number N/A 04 O1 I7 04 30 17 2 2 3)Cover Period through 4)Page of 5) 7) 8) 9) 10) 11) Date Full Name Purpose 6) Last,Suffix,First,Middle) add office sought if Sequence Street Address S contribution to a Exnditure Number City State,Zip Code candidate) Type AmendnMed Amount 04/ 12/17 Stripe Online donation 185 Berry St #550,credit card MON N/A 9.15SanFrancisco, CA.processing fee M4-9 94107 04 14 17 stripe Online donation 185 Berry St #550,credit card San Francisco, CA,processing fee 94107 MON N/A 6.20 M4-10 04 / 12/ 17 Stripe Online donation 185 Berry St #550,Credit card San Francisco. CA,processing fee 94107 NON N/A 3.25 M4-11 04 2 j 17stripeOnlinedonation 185 Berry St #550,credit card MON N/A 29.80SanFrancisco, CA,processing fee 94107 N4-12 04 20 17 Custom Graphics and Designs, Inc. Banners, signs Q 230 Industrial Loop South MON N/A $482.57OrangePark, FL, 32073 M4-13 Online donation 04/ !/26 _ 17 stripe credit card 185 Berry St #550,processing fee Sen Francisco, CA,MON N/A 1.78 94107 M4-14 Online donation 04 26 17 Stripe credit card 185 Berry St #550,processing fee San Francisco, CA,MOM N/A 6.20 94107 M4-15 04/ 27/ 17 APS Promotional solutions T-shirts and polo 7121 Beach Blvd, shirts Jacksonville, FL, MON N/A $1329.75 32216 M4-16 DS-OE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES