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Glasser- Amended Treasurer Report- P4-11-7-17- v------ -- -------- -------- CAMPAIGN TREASURER'S REPORT SUMMARY (1) Ellen G Iasser n'.··''·· l OFFI'CE'dSE oNLY Name (2) 2060 Beach Ave Address (number and street) Atlantic Beach, FL, 32233 City, State, Zip Code D Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): Atlantic Beach, Seat 1, Mayor0 Candidate Office Sought: 0 Political Committee (PC) 0 Electioneering Communications Org. (ECO) 0 Check here if PC or EGO has disbanded D Party Executive Committee (PTY) 0 Check here if PTY has disbanded 0 Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 07 I 22 I 17 To 07 I 28 I 17 Report Type: P4 -­-­-­-­-­-- Ooriginal ~Amendment D Special Election Report (6) Contributions This Report 1 585 00Cash & Checks $ ' ' $ 0 00Loans --' --' ---­ 1 585 00Total Monetary $ ' ' 175 00In-Kind $ --' --' ---­ (9) TOTAL Monetary Contributions To Date 49 195 00$ ' ' (7) Expenditures This Report Monetary Expenditures $ -­' 3 '-­ 588 99 ---­ Transfers to Office Account $ ' ' 0 . 00 -­---­-­ Total Monetary $ 3 ' ---­' 588 -­ 99 -­ (8) Other Distributions $ __, __ 0 00' ---­ (10) TOTAL Monetary Expenditures To Date 30 171 18$ --' -- ---­' (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 Glass7­ D Individual (only for IE LJ Treasurer D Deputy Treasurer or electioneering comm.) X dQ~~ ---...... ....... Signature (Type'name) Ellen Glasser ~Candidate D Chairperson (only for PC and PTY) ~9"f{LO~ DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS Ellen Glasser N/A (1) Name (2) I.D. Number 1 07 22 17 07 28 17 1 (3) Cover Period I I through I I (4) Page of (5) (7) (8) (9) (10) (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 Edmundo Nava 07 22 17 155 Poinsettia St. I I Atlantic Beach, FL P4-15 32233 I INK Video Produc1 ADD $100.00 Jeff Weil 07 23 17 10 Tenth St. #52 I I Atlantic Beach, FL P4-16 32233 I Retired INK Refreshments ADD $75.00 Jeff Weil 07 23 17 10 Tenth St. #52 I I Atlantic Beach, FL P4-3 32233 I CHE N/A DEL $100.00 Jeff Weil 07 23 17 10 Tenth St. #52 I I Atlantic Beach, FL P4-17 32233 I CHE N/A ADD $25.00 Hichael Williamson 07 19 17 3583 Long Cove Ct. I I Green cove Springs,FL P4-2 32043 I Retired CHE N/A DEL $50.00 Michael Williamson 07 26 17 3583 Long cove ct. I I Green cove Springs,FL P4-18 32043 I Retired CHE N/A ADD $50.00 I I OS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1) Name Ellen Glasser (2) 1.0. Number ____N_IA____ 0 17 0 1 7 1 1 (3) Cover Period __ _ through __ __ (4)Page _____of _____ 7_/~__ 7 _/~/_ (5) (7) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Number City, State, Zip Code (8) (9) (10) (11) Purpose (add office sought If Expenditurecontribution to a candidate) Type Amendment Amount a1cnae.c .1\nt:OnJ.nl 07 122 I 11 Atlantic Beach Police Dept. l::;ecurl.ty at Tour ae Parks MON ADD $140.00 P4 - 9 u.s. Postal Service07L 26l 17 Postage for mailer MON DEL $203.12 P4-2 u.s. Postal Service 07 126 I 17 Postage for mailer MON ADD $283.12 P4-10 Beaches Leader 07 25 17 1372 Beach Blvd. I I Jacksonville Beach, FL 32250 Advertising MON ADD $259.13 I I I I I I I I OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES