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Hill- Treasurers Report- P4- 8-4-17CAMPAIGN TREASURER'S REPORT SUMMARY (1) James K Hill OFFIC6tMINONLY Name (2) 372 7th Street AUG - 4 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 0 Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTI') ❑ Check here if PTY has disbanded ❑ Independent Expenditure (fE) (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 07 / 22 / 17 To 07 / 28 / 17 Report Type: 2017-P4 0 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash &Checks $ 0 0 0 00 Monetary Expenditures $ 468 68 Loans $ 1 050 00 Transfers to Office Account $ 0 0 0 00 1 050 00 Total Monetary $ — _ _ 468 68 Total Monetary $ 0 0 0 00 In-Kind $ (8) Other Distributions $ 000 000 000 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ _1 260 00 $ 554 12 (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 la Derouly Treasurer ® Candidate erso dy-brfCand PTY) or electioneering comm.) X (WhX Signature Signa DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name James K Hill (2) I.D. Number (10) In-kind Description (3) Cover Period 07 / 22 / 17 through 07 / 28 / 17 (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address& City,State Zip Code (5) Contributor Occu atim (9) Contribution Tvve (10) In-kind Description (11) a Wm (12) Amount (S) Sequence Number 07, 28 ,17 2017-P4 - 1 ontanye, Jeffre 34 11th St tl Bch FL 32233 -TvDe I CHE N $50.00 07, 28, 17NEFAR,4130 3rd St S, Jacksonville ach, FL 3225 B CHE N 1,000.0 2017-P4-2 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name James K Hill (2) I.D. Number 07 22 17 07 20 17 (3) Cover Period /_/_through /_/ (4) Page of _ (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (S) Purpose (add office sought if contribution to a candidate) (g) Expenditure Type (1e) AMdm, (11) Amount (S) Sequence Number 07 28 17 372 7th Street, Atlantic Beach FL 32233 covuissionar Seat 4 supplies for campaign project at Lowe's SHE 2] 68 2017 P4 1 0] 28 1] Evans Marketing Group Inc (Online company) Jacksonville FL W 0^ At h Commissionei Seat 4 OAN 441.00 201] P4 2 Signs DS -0E 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES