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Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M5 - 6-1-22CAMPAIGN TREASURER'S REPORT SUMMARY (�) Curtis R. Ford OFFICE USE ONLY Name (2) 536 Beach Avenue _ '!"` ��77��,; 1 Address (number and street) ���� Atlantic Beach, FL 32233 City, State, Zip Code Check here if address has changed ❑ g i b 4 C._ (3) ID Number: NIA (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 05 / 01 /2022 To 05 / 31 /2022 Report Type: 2022-M5 ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 1, 600. 00 Expenditures $ 3, 000 . 00 Loans $ 1, 000. 00 Transfers to Office Account $ 0. 00 Total Monetary $ 2, 600. 00 Total Monetary $ 3 000. 00 In-Kind $ 0. 00 (8) Other Distributions ��A $ • _N (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 11, 200 , 00 $ 31 018 • 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. HIIIegaSs (Type name) Curtis R. Ford ❑ Individual (only for IE ❑� Treasurer ❑ Deputy Treasurer I] Candidate erson (only for PC and PTY) or electioneering comm.) i��� ti X X At 11,4 Signature Signat 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 (3) Cover Period 5 01 2022 5 31 2022 1 through / / (4) Page of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Ford, Curtis 05 31 2022 536 Beach Avenue Atlantic Beach, FL 32233 S Retired LOA N/A 1,000.00 1 Watson, William A. 05 04 7821 Deercreek Club /2022 / Road, Suite 200 Jacksonville, FL 32256 1 Real Estate Che 1,000.00 2 Ponte Vedra Diner Inc 05 28 2022 880 AlA North Unit 2 Ponte Vedra Beach, FL 32082 B Restaurant Che 500.00 3 Marshall, Martha 05 19 2022 1663 Sea Oats Drive Atlantic Beach, FL 32233 I Retired Che 100.00 4 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. Nunnber''1A Az1 1 (3) Cover Period s / 01/ rough s / 31 / Oki (4) Page 1 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (1 0) Amendment (11) Amount (6) Sequence Number 05 04 022 Voxpouli Communications LLC. 1022 Park Street Suite 204 Jacksonville, FL 32204 Marketing Mon 3,000.00 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES