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Glasser- Amended Treasurer Report- M5-11-7-17-v-------- -------- CAMPAIGN TREASURER'S REPORT SUMMARY Ellen Glasser(1) Name (2) 2060 Beach Ave Address (number and street) Atlantic Beach, FL, 32233 City, State, Zip Code OFFICE lfSEa'NL~ 2017 Office of City Ciork 0 Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): Atlantic Beach, Seat 1, MayorDCandidate Office Sought: D Political Committee (PC) D Electioneering Communications Org. (ECO) D Check here if PC or ECO has disbanded D Party Executive Committee (PTY) D Check here if PTY has disbanded D Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 05 I -­ 01 I -­ 17 -­To 05 I -­31 I -­ 17 -­Report Type: M5 D Original ~Amendment D Special Election Report (6) Contributions This Report Cash & Checks 7 175$ ' ' -­-­-­ 00 -­ Loans $ ' ' 0 -­-­-­ 00 -­ Total Monetary 7 175$ ' ' -­-­-­ 00 -­ In-Kind $ ' ' -­-­-­-­ (9) TOTAL Monetary Contributions To Date $ 42,100.00' .' (7) Expenditures This Report Monetary 1 510 25Expenditures $ --' --' ---­ Transfers to Office Account $ 0. 00' ' 1 510 25Total Monetary $ ' ' (8) Other Distributions $ ' ' (1 0) TOTAL Monetary Expenditures To Date 14 033 25$ ' ' (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: (Type name) Daisy Glas~r 0 Individual (only for IE ej Treasurer D Deputy Treasurer or electioneering comm.) X ~~~ Signature """"'" (Ty~me) Ellen Glasser ef Candidate D Chairperson (only for PC and PTY) xf{La~ Sign re CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS Ellen Glasser N/A (1) Name (2) I.D. Number 05 01 17 05 31 17 1 1 (3) Cover Period I I through I I (4) Page of (5) (7) (8) (9) (1 0) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Law Offices of 05 05 17 Kimberly Sadler I I 301 w. Bay Street M5-3 Suite 1463 II Jacksonville, FL BUS CHE N/A DEL $500.00 32202 Law Offices of 05 05 17 Kimberly Sadler I I 301 w. Bay Street M5-31 suite 1463 B Attorney CHE N/A !ADD $500.00 Jacksonville, FL 32202 Dale Carson (2) 05 18 17 233 East Bay Street I I 1101, Jacksonville M5-7 FL, 32202 II BUS CHE N/A DEL $100.00 Dale carson (2) 05 18 17 233 East Bay Street I I 1101, Jacksonville M5-32 FL, 32202 B Attorney CHE N/A !ADD $100.00 Theo Mitchelson 05 16 17 (Business) I I 1822 university Blvd. M5-17 south, Jacksonville, II BUS CHE N/A DEL $500.00 FL, 32216 Theo Mitchelson 05 16 17 1822 University Blvd. I I south, Jacksonville, M5-33 FL, 32216 B Insurance CHE N/A !ADD $500.00 I I DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Ellen Glasser (2) I.D. Number ____N_IA____ 05 0 1 17 0 7 1 (3) Cover Period _ __/__ ___ through __ __ (4) Page _____of ______/ 5 _/~_1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount Str~pe On.L~ne aonat~on 05 I 16l 17 185 Berry Street, #550 Credit Card Fee San Francisco, CA 94017 MON DEL $93.80 M5-8 Stripe online donation 05 I 18l 17 185 Berry Street, #550 credit card Fee San Francisco, CA 94017 MON DEL $93.80 M5-9 Stripe online donation 05 I 18l 17 185 Berry Street, #550 Credit Card Fee San Francisco, CA 94017 MON DEL $93.80 M5-10 Stripe online donation 05 19 17 185 Berry Street, #550 credit Card Fee l I San Francisco, CA 94017 MON DEL $93.80 M5-ll Stripe online donation 05 I 16l 17 185 Berry Street, #550 credit Card Fee San Francisco, CA 94017 MON ADD $6.20 M5-14 Stripe online donation 05 18 17 185 Berry Street, #550 Credit Card Fee I I San Francisco, CA 94017 MON ADD $6.20 M5-15 Stripe online donation 05 I 18l 17 185 Berry Street, #550 credit card Fee San Francisco, CA 94017 MON ADD $6.20 M5-16 Stripe online donation 185 Berry Street, #550 Credit Card Fee 05 I 19l 17 San Francisco, CA 94017 MON ADD $6.20 M5-17 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES