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Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M3 - 4-5-22CAMPAIGN TREASURER'S REPORT SUMMARY (1) Curtis R. Ford Name (2) 536 Beach Avenue ' {� Address (number and street) Atlantic Beach, FL 32233 City, State, Zip Code ❑ 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) APR - S 2022 (5) Report Identifiers Cover Period: From 03 / 01 / 2022 To 03 / 31 / 2022 Report Type: 2022-M3 ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 3, 600. 00 Expenditures $ , 18. 00 Loans $ . 00 Transfers to Office Account $ , 0.00 Total Monetary $ 3„ 600. 00 Total Monetary $ 18. 00 In -Kind $ 0.00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 4 , 600 , 00 $ , 18 . 00 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 1 certify that I have examined this report and it is true, correct, and complete: (Type name) William G. Hlllegass (Type name) Curtis R. Ford o Individual (only for IE Ei Treasurer 0 Deputy Treasurer IDCandida p' ` l❑ Cha only for PC and PTY) or electioneering comm.) Q/ idIA/C----/ 41/ X / Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Curtis R. Ford (1) Name 3 01 2022 3 (3) Cover Period / / through (5) Date (6) Sequence Number (7) Full Name (Last, Suffix, First, Middle) (8) N/A (2) I.D. Number 31 2022 (9) Street Address & Contributor Contribution City, State, Zip Code Type Occupation Type Jennings, Billie Sue 03 23 2022 154 Beach Avenue / / Atlantic Beach, FL 32233 03 28 03 29 03 30 Bildman, Steven 2022 520 East Coast Drive Atlantic Beach, FL 32233 2022 Moyer, Jamees A 1087 Beach Ave Atlantic Beach, FL 32233 Mann, Elaine K 2022 337 5th Street / Kt Atlantic Beach, FL 32233 Al's Pizza Inc #2 03 31 2022 240 3rd Street / / Q Neptune Beach, FL 32266 I Retired Che I Businessman Che I Auto sales I Educator B Restaurant Che Che Che 1 (4) Page of (10) (11) (12) In-kind Description Amendment DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Amount 1,000.00 1,000.00 500.00 100.00 1,000.00 • CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Curtis R. Ford (2) I.D. NumberN/A 1 1 (3) Cover Period 3 / 01/ through 3 / 31 / �0� (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 Wells Fargo Bank 3 /01 /2022 233 3rd Street Jacksonville Beach, FL 32250 1 / / / / / / / / / / / / 1 / DS -DE 14 (Rev. 11/13) Bank fees Mon 18.00 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES