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Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-M9 - 10-10-22CAMPAIGN TREASURER'S REPORT SUMMARY I) Curtis R. Ford OFFICE USE ONLY Name 2) 536 Beach Avenue RECEIVED Address (number and street) Atlantic Beach, FL 32233 OCT 10 2021 City, State, Zip Code Check here if address has changed 3) ID Number: 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 09 / 01 /2022 To 09 / 30 / 2022 Report Type: 2022-m9 E Original Amendment Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $4 , 000. 00 Expenditures $ 4 , 691 . 54 Loans 00 Transfers to Office Account $ 00 Total Monetary 4 , 000. 00 Total Monetary $ 4 , 691 . 54 In-Kind 150. 00 8) Other Distributions 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 23 , 133 . 00 18 , 050 , 58 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) (i1.%- LL I h 6 /it LL--Cert-s5 (Type ame) Cu 2fs i Z 0 Individual(only for IE ['Treasurer 0 Deputy Treasurer 2andidate 0 Chairperson(only for PC and PTY) or electioneering comm.) X frq(4 Signature l../ Signature - DS-DE 12(Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Curtis R. Ford 1) Name 2) I.D. Number 09 01 2022 09 30 2022 1 3 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 Beliles, Mary 09 10 2022 42 11th Street Atlantic Beach,FL 1 32233 I Retired Che 500.00 Haas, J Eric 09 11 2022 1655 Beach Avenue Atlantic Beach,FL 2 32233 I Doctor Che 100.00 Elmore, Kelly 09 11 2022 1650-1 Beach Avenue Atlantic Beach, FL 3 32233 I Landscape Ar Che 150.00 CI Grossberg, Mike 09 / 11 /2022 50 Oceanbreeeze Drive L. Atlantic Beach, FL 4 32233 I Retired Che 100.00 Rosenbloom, Steve 09 8 2022 1417 Beach Avenue Atlantic Beach, FL 5 32233 I Retired Che 250.00 Lee, Warden 09 8 2022 7012 Cypress Bridge Drive N, Ponte Vedra 6 Beach, FL 32082 I Realtor Che 200.00 09 8 2022 Oakley, Thomas 360 Garden Lane Atlantic Beach, FL 32233 I Retired 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 1) Name 2) I.D. Number 09 01 2022 09 30 2022 2 3 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 McCarthy, John 09 13 2022 325 First Street Atlantic Beach, FL 8 32233 I Retired Che 500.00 Abode-Lyamah, Kingsley 09 14 2022 77 19th Street Atlantic Beach,FL 9 32233 I Doctor Che 100.00 Gallop, Marshall 0922 2022 312 Wingstone Drive Ponte Vedra Beach, FL 10 32082 I Banker Che 200.00 D'Alesio, Daniel 0922 2022 1408 Forest Marsh Drive, Ponte Vedra 11 Beach, FL 32082 I Attorney Che 100.00 Cicerella, Cami 09 21 2022 13164 Atlantic Blvd. Jacksonville, FL 32225 12 I ap clerk Che 200.00 SR Surgical Corp 09 26 2022 90 Ocean Blvd ISI Atlantic Beach, FL 13 32233 B Medical Che 1,000.00 Stockton, Richard 09 25 2022 1881 Beachside Ct. Atlantic Beach, FL 14 32233 I Retired Che 500.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Curtis R Ford 1) Name 2) I.D. Number 9 01 2022 9 30 2022 3 3 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 Nottmeir, Eric 9 14 2022 2055 Beach Avenue Atlantiic Beach, FL 32233 I Medical INK Marketing 150.00 DS-DE 13(Rev. 11113) 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 09 / 01 / 2022 , n. through 09 / 30 / 2022 4) Page 1 of 1 5)7) 8) 9) 10) 11) Date Full Name Purpose Last,Suffix, First, Middle) add office sought if 6) Street Address& contribution to a Expenditure Sequence Number City,State,Zip Code candidate) Type Amendment Amount Anedot Processing fee 09 / 30/2022 1340 Poydras Street, Suite 1770 New Orleans, LA 70112 Mon 45.50 1 09 07 2021 Creative Direct Marketing 1402 Belleville St. Richmond, Va 23230 Mon 728.00 2 Kessler Creative Marketing 0919 _20 12276 San Jose Blvd, #115 Jacksonville, FL 32223 Mon 2,633.75 3 Curtis Ford Marketing 09/ 3 0 2027 536 Beach Avenue Atlantic Beach,FL 32233 Mon 1,284.29 4 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES