Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M5 - Amendment - 6-30-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) Curtis R. Ford OFFICE USE ONLY
Name
r_
2) 536 Beach Avenue
Address (number and street) Juiv 0 2022
Atlantic Beach, FL 32233
City, State, Zip Code LEX:
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 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 450. 00
8) Other Distributions
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
11, 200 . 00 3 , 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. Hillegass Type name) Curtis R. Ford
Individual(only for IE D Treasurer Deputy Treasurer Candidate erson(only for PC and PTY)
or electioneering comm.)1
X vV X11: Af
SignatureSignatureSig
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
5 1 2022 5 31 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
5 31 2022 536 Beach Avenue
Atlantic Beach, FL
l
32233 S Retired LOA 1,000.00
Watson, William A.
54 2022 7821 Deercreek Club
Q Road, Suite 200
2
Jacksonville, FL 32256 I Real Estate Che 1,000.00
Ponte Vedra Diner Inc
5 28 2022 880 AlA North Unit 2
Ponte Vedra Beach, FL
3
320.82 B Restaurant Che 500.00
Marshall, Martha
5 19 2022 1663 Sea Oats Drive
Atlantic Beach, FL
4
32233 I Retired Che 100.00
Atlantic Beach Diner
5 19 2022 Inc
501 Atlantic Blvd
Atlantic Beach, FL B Restaaurant INK Marketing 450.00
32233
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. Number"
3) Cover Period 5 / 01/
through
5 / 31 2 iii (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
Voxpouli Communications LLC. Marketing
05/04 /2022 1022 Park Street
Suite 204
Jacksonville, FL 32204
Mon 3,000.00
1
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES