Hill-Treasurers Report- P6- 8-16-17 -vCAMPAIGN TREASURER'S REPORT SUMMARY
(1) James K Hill
ONOWW ONLY
Name
(2) 372 7th Street
�...' 1 6 2017
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):
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 (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 08 / 05 / 17 To
08 / 11 / 17 Report Type: 2017-P6
0 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash &Checks $ 1 200 00
Expenditures $ 0 0 0 00
Loans $ 0 0 0 00
Transfers to
Office Account $ 0 0 0 00
Total Monetary $ 200 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
$ 1 710. 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:
Delia Hill
James K Hill
(Type name)
(Type name)
❑ Individual (only for IE ❑ Treasurer ® Deputy Treasurer
® Candidate rperson (only for PC and PTY)
or electioneering comm.)
X
X
Signatu
nature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name James K. Hill
(2) I.D. Number
(3) Cover Period 08 105 1 17 --through 08 / 11 17 (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
I Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08, 11 117
Don Ford, DB a
Don C Ford Insp
Service, 338 6th
Atl Bch 32233
B
ction
St,
C H E
N
$200.00
2017-P6 - 1
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES