Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M2 - 3-3-22(1)
(2)
CAMPAIGN TREASURER'S REPORT SUMMARY
- 3
Curtis R. Ford
Name
536 Beach Avenue
Address (number and street)
Atlantic Beach, FL 32233
City, State, Zip Code
MAR - 3 2022
❑ Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: Atlantic Beach, Seat 1, Mayor
❑ 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 02 / 01 / 2022 To 02 / 28 / 2022 Report Type: 2022-M2
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 0. 00 Expenditures $ , 0 . 00
Loans $ 1, 000. 00 Transfers to
Office Account $ , 0 . 00
Total Monetary $ 1, 000. 00
In -Kind $ 0.00
Total Monetary $ 0 . 00
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 1 , 000 , 00 $ 0 , 00
(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) William G. Hillegass
❑ Individual (only for IE
or electioneering comm.)
X �/✓
Signature
DS -DE 12 (Rev. 11/13)
❑� Treasurer ❑ Deputy Treasurer
(Type name) Curtis R. Ford
❑ Candidate cqn (only for PC and PTY)
Signature
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Curtis R. Ford
(1) Name
N/A
(2) I.D. Number
2 012022 2 28 2022 1 1
(3) Cover Period / / through / / (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
Ford, Curtis
02 18 2022 536 Beach Avenue
/ / Atlantic Beach, FL
32233 s Retired LOA N/A 1.000.00
r
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Curtis R. Ford (2) I.D. Numbers 'A
(3) Cover Period 2 01 through 2 / 28 /
2Q/1
1
(4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
/1
1/
1/
1/
1/
1/
1/
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
a-