Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M4 - 5-2-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) Curtis R. Ford OFFICE USE ONLY
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)
5) Report Identifiers
Cover Period: From 04 / 01 / 2022 To 04 / 30 / 2022 Report Type: 2022-M4
Original Amendment Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash & Checks $ 4 , 000. 00 Expenditures $ 0 . 00
Loans 0 00 Transfers to
Office Account $ 0 . 00
Total Monetary 4, 000. 00
Total Monetary $ 0 . 00
In-Kind 0 . 00
8) Other Distributions
V
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
8 , 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.)
I certify that I have examined this report and it is true, correct, and complete:
Type name) William G. Hillegass Type name) Curtis R. Ford
Individual(only for IE Z Treasurer Deputy Treasurer Candidate C ' er n(only for PC and PTY)
or electioneering comm.)
X
1 /
X 3
Signature Signature
DS-DE 12(Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Curtis R. Ford N/A
1) Name 2) I.D. Number
4 01 2022 4 30 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
Bildman, Eileen
04 4 2022 520 East Cost Drive
Atlantic Beach, FL
1
32233 I Race car dri Che 1,000.00
in
Knapton, Bob
0419 2000 1371 Silvermoon Drive
Atlantic Beach, FL
2
32233 I Mort Broker Che 1,000.00
Diaz, Michael
0428 2022 1490 Selva Marina
0 Drive, Atlantic
3
Beach, FL 32233 I Distiller Che 1,000.00
Fletcher & Phillips,
04 28 2022 PLLC
541 E Monroe Street
4 Jacksonville, FL 32202 B Attorney Che 1,000.00,
DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
r S
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
1) Name Curtis R. Ford 2) I.D. Number"
3) Cover Period 4 / 01/ 202k through 4 / 30 / 20221m94) Page
1
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
I
I
l
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES