Hill- Treasurers Report- P1 Amended P1-7-19-17CAMPAIGN TREASURER'S REPORT SUMMARY
(1) James K Hill Ol WfW ONLY
Name
(2) 372 7th Street JUL 19 2011
Address (number and street)
Atlantic Beach FL 32233
Office of City Clerk
City, State, Zip Code
❑ Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
® Candidate Office Sought: Atlantic Beach FL Commissioner Seat 4
❑ 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 N 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 Report Type: 2017-P1
f Original 0 Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
000 000 000 00
Cash 8 Checks $
Monetary
Expenditures $ 59 01
Loans $100 00
Transfers to
_
Office Account $ 000 000 000 00
Total Monetary $ 100 00
—
Total Monetary $ 000 000 59 01
In -Kind $000 000 000 00
—
(8) Other Distributions
$ 000 000 000 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 110 00
$ 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)
❑ Individual (only for IE ❑ Treasurer ® Deputy Treasurer la Candidate hairperson (only for PC and PTV)
or elecliaxamg comm.) \
X X
Signature Sig t
05-0E 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS