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Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M6 - 7-6-22CAMPAIGN TREASURER'S REPORT SUMMARY 1) Curtis R. Ford OFFICE USE ONLY Name 2) 536 Beach Avenue Address (number and street)l ( 2022 Atlantic Beach, FL 32233 City, State, Zip Code i nv n 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 06 / 01 / 2022 To 06 / 30 / 2022 Report Type: 2022-M6 Original Amendment Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $4 , 000 . 00 Expenditures $ 4, 032 . 99 Loans 00 Transfers to Office Account $ 0 . 00 Total Monetary 4, 000 . 00 Total Monetary $ 4 , 032 . 99 In-Kind 0 . 00 8) Other Distributions 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 15, 200 . 00 7 , 050 . 99 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 av ebtamir ` Type name) i report and it is true, correct, and complete: T - _ • : T e name Curtis R. Fordyp Individual(o •r IE II? . - NrDeputy Treasurer 2 Candidate Chairperson(only for PC and PTY) orelectionee g co ,rn.) X 0 X11%/;414; 4 11 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 6 01 2022 6 30 2022 1 2 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 Mandlebaum, Steven D 06 17 2022 906 Stocks Street Atlantic Beach, FL 1 32233 I Builder Che 300.00 Cerqueira, Atillio 06 13 2022 36 W 6th Street Atlantic Beach, FL 2 32233 I Seafood sale Che 1,000.00 Cumbea, CL Lee 06 22 2022 1085 Beach Ave Atlantic Beach, FL 32233 I Retired Che 100.00 3 Smith, William T 06 22 2022 699 Beach Ave Atlantic Beach, FL 32233 4 I Retired Che 250.00 Smith, David J 06 22 2022 6505 Burnham Circle Ponte Vedra Beach, FL 32082 I Retired Che 100.00 5 Grossberg, Susan 06 28 2022 2008 Selva Madera Ct. III Atlantic Beach, FL 32233 6 I Retired Che 250.00 06 06 2022 Sabates, Priscilla 72 Southeast 6th Ave Unit F 7 Delray Beach, FL 33483 I Finance Che 100.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Curtis R. Ford N/A 1) Name 2) I.D. Number 6 01 2022 6 30 2022 2 2 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 D'Alesio, Daniel 06 11 2022 1408 Forest marsh Drive, Neptune Beach, 8 FL 32266 I Attorney Che 250.00 Ameer, George 0613 2022 27 Antigua Dana Point, CA 92629 9 I Producer Che 50.00 Marotta, Joya 0615 2022 1037 NW 18th Ave Boca Raton, FL 33486 10 I Corp Exec Che 200.00 Nottmeier, Eric 0623 2022 2055 Beach Ave Atlantic Beach, FL 11 32233 I Physician Che 1,000.00 Bishop, Jim 0629 2022 544 Ocean Blvd Atlantic Beach, FL 12 32233 I Retired Che 250.00 Freedman, Bev 06 30 2022 285 Grantham F 0 Deerfield Beach, FL 13 33442 I Retired Che 150.00 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 6 / 01 / 202p through 6 / 30 / 20`: 4) Page of 5) 7) 8) 9) 10) 11) Date Full Name Purpose 6) Last, Suffix, First, Middle) add office sought if Street Address & contribution to a Expenditure Sequence Type Number City, State,Zip Code candidate) yp Amendment Amount Anedot Processing fee 06/ 30'6022 1340 Poydras Street, Suite 1770 New Orleans, LA 70112 1 06/ 05/022 Voxpopuli Communications LLC Marketing 102 Park Street, Suite 204 Jacksonville, FL 32204 m:L 1,500.00 2 Website Solutions Domain 065 2022 866 Wren Road registration Jacksonville, FL 32216 hlor 44 3 Curtis Ford Fundraising Event 06282022 536 Beach Ave. expense Atlantic Beach, FL 32233 450.00 Kessler Creative Signs 06 30 2022 12276 San Jos Blvd., Ste 115 Q Jacksonville, FL 32223 1,988.75 5 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES