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Glasser- Treasurer Report- M5- 6-9-17CAMPAIGN TREASURER'S REPORT SUMMARY 1) Ellen Glasser dRetCetttatONLY Name 2) 2060 Beach Ave JUN -- 9 2017Address (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) CJhgEk appropriate box(es): Atlantic Beach, Seat 1, MayorgCandidateOfficeSought: Political Committee(PC) Electioneering Communications Org.(ECO)0 Check here if PC or ECO has disbanded Party Executive Committee(PTY) 0 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 COV eriod: From 05 / 01 / 17 To 05 / 31 / 17 Report Type: M5 Original Amendment 0 Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash &Checks $ 7 175 . 00 Expenditures $ 1 , 860 . 65 Loans 0 . 00 Transfers to Office Account $ 0 . 00 Total Monetary 7 , 175 . 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 41 , 250 00 13 , 285 . 40 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: Type name)Daisy Glasser Type name)Ellen Glasser Individual(only for IE [Treasurer Deputy Treasurer ECandidate or electioneering comm.) Chairperson(only for PC and PTY) X °C91 x a - Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Ellen Glasser N/A 1) Name 2) I.D. Number 05 01 17 05 31 17 1 5 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 8 Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 05 01 17 Joseph Karlin 250 North 10th Street, Apt. 253, I Software De CHB N/A N/A 1000.00 MS-1 Brooklyn, NY, 11211 II 05 03 17 Gerald Collins 5142 Sea Chase Drive, 2, I Retired CHE N/A N/A 500.00 MS_2 Amelia Island, FL, 32034 05 05 17 Law Offices of Kimberly Sadler 301 W. Bay Street, II BUS CHE N/A N/A 500.00 M5-3 Ste. 1463, Jacksonville, FL, 32202 05 / 10 / 17 Cynthia Carter 9306 Castle Hill Rd., Springfield, VA, I Retired CHE N/A N/A 100.00 MS-9 22153 05 / 05 1 17 Joseph Stehr1020ShoreDrive, West River, MD, I Retired CBE N/A N/A $200.00 M5-5 20778 05 12 17 Tracye Polson 1930 San Marco Blvd. 208, I Clinical Sc CBE N/A N/A $100.00 M5-6 Jacksonville, PL, 32207 II 05 18 17 Dale Carson (2) I Q 233 East Bay Street 1101, Jacksonville, II BUS CHB N/A N/A $100.00 FL,32202 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 05 01 17 05 31 17 2 5 3) Cover Period I l through I 4) Page of 5) 7)6) 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 Amendmeni Amount 05 18 17 Stephen Pouraker 387 6th street, Atlantic Beach, FL, I N/A CHE N/A N/A 100.00 MS-8 32233 05 19 17 Bev Eerington 1 2211 Fleet Landing Boulevard, I Retired CHE N/A N/A 100.00 M5-9 Atlantic Beach, FL, 32233 0516 17 Alma R. Glasser 14402 Marina San Pablo P1 Apt. 104, I Retired CHE N/A N/A 1000.00 M5-10 Jacksonville, FL, 32224 05 16 17 Diana K. Townsend 266 Poinsettia Drive, Atlantic Beach, FL, I N/A CHB N/A N/A 25.00 M5-l1 32233 05 / l6 1 17 Mary Ellen Waugh91OceanBreeze Dr., Atlantic Beach, FL, I Retired CRE N/A N/A $100.00 M5-12 32233 05 16 17 Georgette E. Dumont 507 16th Ave S., Jacksonville Beach, I College Prc CME N/A N/A $100.00 M5-13 FL,32250 U 05 18 17 Linda R. Spencer 1 0 282 Magnolia St., Atlantic Beach, FL, I N/A CHE N/A N/A $200.00 M5-14 32233 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 05 01 17 05 31 17 3 5 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 05 16 17 Katherine Kasten 1015 Marvone La, Neptune Beach, FL, 1 N/A CUE N/A N/A 100.00 M5-15 32266 05 16 17 RJ Brandstaetter 254 Oceanwalk Dr. S., Atlantic Beach, FL, I N/A CBE N/A N/A 75.00 M5-16 32233 0516 17 Theo Hitchelsan Business) 1822 University Blvd. IT BUS CBE N/A N/A 500.00 HS-17 South, Jacksonville, FL,32216 0516 17 Mark Howard 1970 Beach Ave, Atlantic Beach, FL, I N/A CHE N/A N/A 100.00 MS-18 32233 0516 17 Stuart Eirmell I 1883 Beach Ave, Atlantic Beach, FL, I N/A CBE N/A N/A $100.00 M5-19 32233 05 16 17 Maureen Shaughnessy 301 Main St., Atlantic Beach, FL, I N/A CBE N/A N/A 25.00 M5-20 32233 05 16 17 Jeff Montanye It 334 11th St., Atlantic Beach, FL, T N/A CRE N/A N/A 50.00 M4-21 32233 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 05 01 17 05 31 17 4 5 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 05 16 17 Jane Wytzka 352 2nd St., Atlantic Beach, FL, I N/A CHE N/A N/A 25.00 M5-22 32233 0516 17 Joyce Freeman 334 Skate Rd., Atlantic Beach, FL, 1 N/A CAE N/A N/A 25.00 M5-23 32233 05 16 17 Richard Goodman 1831 Seminole Rd., Atlantic Beach, FL, I Retired CHE N/A N/A 300.00 M5-24 32233 0516 17 Charles W. Stull Jr. 1969 Selvia Marina Dr, Atlantic Beach, FL, I N/A CHH N/A N/A 200.00 MS-25 32233 05 16 17 Helen Urban 543 Pelican EY, Atlantic Beach, FL, I Retired CHE N/A N/A $100.00 M5-26 32233 05 23 17 John Colllingwood I © 4641 Star Flower Drive, I Public Poll CBE N/A N/A $250.00 M5-27 Chantilly, FA, 20151 O 05 22 17 Faye Wood I 0 380 lith Street, Atlantic Beach, FL, I N/A CHE N/A N/A $100.00 M5-28 32233 DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS 811en Glasser N/A 1) Name 2) I.D. Number 05 01 17 05 31 17 5 5 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 05 25 17 Neal Brendel RBL Gates Centre, 210 6th Ave, I Attorney CBE N/A N/A 1000.00 MS-29 Pittsburgh, PA, 15222 0525 17 Anne Conway 1 5813 Fleet Landing Blvd, I Retired CBE N/A N/A 100.00 M5-30 Atlantic Beach, FL, 32233 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 05 / 01 / 17 through 05 / J1 / 17 4)Page 1 of 2 5) P) 8) 9) 10) 11) Date Full Name Purpose 6) Last,Suffix,First,Middle) add office sought If Expenditure Sequence Street Address& contribution to a f Number City,State,Zip Code candidate) Type Amendment Amount Online donation os/ 01/ 17 stripe credit card 185 Berry St #550,processing fee MON N/A 59.30 San Francisco, CA, M5-1 94107 05 03 17 Stripe Online donation 185 Berry St #550,credit card San Francisco, CA,processing fee 94107 MON N/A 29.80 M5-2 Stones Throw PR 05 / O8/ 17 2871 Downing Street, website maintenanceJacksonville, FL, and consulting 32205 MON N/A 150.00 M5-3 05 10 17 stripe Online donation 185 Berry St #550,credit card MON N/A 6.20 San Francisco, CA,processing fee 94107 M5-4 OS/ 15/ 17i of Florida, LLC rack card design 511 Church St. E.,printing Jacksonville, FL, MON N/A 125.10 32203 M5-5 05/ 16/17 Greg Adams Serving/campaign kickoff MON N/A 200.00 M5-6 05 16 17 Anna Arno Serving/campaign kickoff MON N/A 200.00 M5-7 OS/ 16/17 Stripe Online donation 185 Berry St #550,credit card MON N/A 93.80 San Francisco, CA,processing fee 9910/ M -8 i DS-DE 14(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 05 / el / 17 through 05 / 31 / 1] 4)Page 2 of 2 5) T) 8) 9) 10) 11) Date Full Name Purpose 8) Last,Suffix,First,Middle) add office sought if Sequence Street Address S contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Online donation Os/ 1B/17 Stripe credit card 185 Berry St #550,processing fee San Francisco, CA,MON N/A 93.00 MS-9 94107 05 18 17 Stripe Online donation 185 Berry St #550, card San Francisco, CA,processing fee 94107 MON N/A 93.80 M5-10 05 / 19/ 17 Stripe Online donation 185 BeIIy St #550,credit card MON N/A 93.80SanFrancisco, CA,processing fee 94107 M5-il 05 23 17 Stripe Online donation 185 Berry St #550,credit card MON N/A 15.05SanFrancisco, CA,processing fee 94107 M5-12 05/ 2]/1] Glenn Shuck Photography Campaign photos MON N/A 100.00 M5-13 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES