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Norris - DSDE 12, 13 - Treasurers Report - 2022-M4 - 5-5-22CAMPAIGN TREASURER'S REPORT SUMMARY 1) Brittany Norris E . OFFICE USE ONLY,, r Name 2) 1183 Violet Street Address(number and street) M a Y - 5 02 2 Atlantic Beach, Florida 32233 City, State, Zip Code Check here if address has changed 3) ID Number: N/A 4) Check appropriate box(es): riCandidate Office Sought: Mayor, Commission, Seat 1 Political Committee(PC) Electioneering Communications Org.(ECO) Check here if PC or ECO has disbanded Party Executive Committee(PTY) 0 Check here if PTY has disbanded Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) 6) Report Identifiers Cover Period: From 4 / 1 / 22 To 4 / 30 / 22 Report Type: 2022-M4 Original Amendment 0 Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $200 . 00 Expenditures $ 00 Loans 00 Transfers to Office Account $ 00 Total Monetary $ 00 Total Monetary $ 00 In-Kind 00 8) Other Distributions 00 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 250 . 00 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) Brittany Norris Type name) Brittany Norris Indi d of(only for IE 0 Treasurer leDeputy Treasurer sCandidate Chairperson(only for PC and PTY) or ele 'o eering comm.) I//,AI X AOA1101111. na Sig, j DS-DEA (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS 1) Name Brittany Norris 2) I.D. Number N/A 3) Cover Period 4 / 1 / 22 through 4 / 30 / 22 (4) Page 1 of 1 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 4 / 29 / 22 Linda Lanier 1618 Atlantic Beach Drive, 1 Retired CHE 200 1 Atlantic Beach,FL 32233 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES