Hill- Treasurers Report- P1- 6-30-17CAMPAIGN TREASURER'S REPORT SUMMARY
(1) James K Hill
Name
(2) 372 7th Street
Address (number and street)
Atlantic Beach FL 32233
OFFICE USE ONLY
Received
JUN 3 0 2017
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:er: N
(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 06 ) 01 / 17 To 06 ) 23 17 ReportType: 2017-P1
® Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7)Expenditures This Report
000 000 000 00 Monetary 59 01
Cash & Checks $ Expenditures $
100 00
Loans $ Transfers to
Office Account $ 000 000 000 00
Total Monetary $ 000 000 000 00
In -Kind $000 000 000 00
(9) TOTAL Monetary Contributions To Date
_$ - 110 00
Total Monetary $ 000 000 000 00
(8) Other Distributions
$ 000 000 000 00
(10) TOTAL Monetary Expenditures To Date
$ 59 01
(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:
Della Hill James K Hill
(Type name) (Type name)
❑ IndiNdwi (orgy for IE ❑ Treasurer ® Deputy Treasurer ® Candidate ❑ Chakperson (orgy for PC and Fry)
orNedioneering
Signaiu_re7 Signature
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name James K Hill
(2) I.D. Number
(3) Cover Period 06 i 01 i 17 through 06 i 23 i 17 (4) Page 1 Of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City,State Zip Code
(6)
Contnbutor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Desch tion
(11)
(12)
Amount
(6)
Sequence
Number
6 1 19 117
Hill, James Kelly
72 7th Street
tl Bch FL 3223
S
Loan
NA
Add
$100.00
2017 P1 1
i
i
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name James R Hill (2) I.D. Number
23 1] 1
(3) Cover Period 06 01 // 17 06 1_
through // (4) Page of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
(a)
Purpose
(add office sought if
contribution to
candidate)
(g)
Expenditure
Type
(10)
Amendment
(11)
Amount
(a)
Sequence
Number
6 19 17
City of Atlanticac
000 Seminole Road
Atlantic Beach FL 32233
r qua i ying
for the campaign/
election.
CAN
DEL
$59.01
201] P1-1
DS -0E 14 (Rev. 11/131 AFF RFVFRAF Fr1R INATRI ICTIr1NA ANTI r`nnF VAI I IFC