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Hill-Treasurers Report- P5-amended 8-16-17CAMPAIGN TREASURER'S REPORT SUMMARY James K Hill OFFICE USVONLY (1) Name (2) 372 7th Street AIH 2017 Address (number and street) Atlantic Beach FL 32233 OffP__ cL. ...'lark 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 will 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 $ 250 00 Monetary Expenditures $ 468 68 Cash &Checks Loans $ 0 0 0 00 Transfers to Office Account $ 0 0 0 00 $ 250 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 $ _1 510 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 8 is true, collect, and complete: Della Hill James K Hill (Type name) (Type name) ❑ Individual (only for IE ❑ Treasurer ® Deputy T e uw ® Candidate ❑ airperso dMy for PC antl PTY) m elecfioneanng comm.) X Signature tl I . ature DS -DE 12 (Rev. 1 V13) SEE REVERSE FOR INSTRUCTIONS