Hill- Treasurers Report- P5- 8-11-17CAMPAIGN TREASURER'S REPORT SUMMARY
(1) James K Hill
OF 1%kld§ANLY
Name
(2) 372 7th Street
AUG 1 1 2017
Address (number and street)
Atlantic Beach FL 32233
Ofce of City Clerk
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number: N/A
(4) Check appropriate box(es):
Atlantic Beach FL
Commissioner Seat 4
® Candidate Office Sought:
❑ 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 ❑ Check here if no other IE or EC reports vAll be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 07 / 29 / 17 To
08 / 04 / 17 Report Type: 2017-P5
® Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash &Checks $ 0 0 0 00
Monetary
Expenditures $ 0 0 0 00
Loans $ 250 00
Transfers to
Office Account $ 0 0 0 00
Total Monetary $ 250 00
—
Total Monetary $ 0 0 0 00
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
$ 1 510 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)
❑ IMiddual (only for IE ❑ Treasurer la Deputy Treasurer
® Candidate ❑ Chairperson (o yior PC and PTY)
or electioneering comm.)
X
X
Signature
Signal
DS -DE 12 (Rev. 11/131✓ SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
James K Hill
(2) I.D. Number
(3) Cover Period 07 i 29 ) 17 through 08 1 04 17 (4) Page 1 of 1
(S)
Date
(T)
Full Name
(Last, Suffix, First, Middle)
Street Address&
C State Zi Code
Langson Assoc
4830 Atlanti
Blvd, Jax FL
32207
(S)
Contributor
T e Occu ation
B
(9)
Contribution
Type
CHE
(1o)
In-kind
Description
N
(11)
nenoa
(12)
Amount
Amount
00
$ 250.00
(S)
Sequence
Number
08 04 17 Inc,
2017-P5 - 1
rr«
DS -DE 13 (Rev. 11113) SEE REVERSE rURINb IKV�.11V1YJ w... ..•..•. ••.--