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Keane - DSDE 12, 13, 14 - Treasurers Report - 2022-M9 - 10-6-22CAMPAIGN TREASURER'S REPORT SUMMARY 1) Sean Keane 121 , Name 2) 395 Saturiba Dr. Address(number and street) OCT - 2n22 Atlantic Beach, FL 32233 f:I gi City, State, Zip Code Check here if address has changed 3) ID Number: NA 4) Check appropriate box(es): 0 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 / 22 To 09 / 30 / 22 Report Type: 2022 -M9 1 Original Amendment Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $5 , 450 00 Expenditures $ 5 , 549 . 72 Loans N/A Transfers to Office Account $ N/A Total Monetary 5 , 450 . 00 Total Monetary $ 5 549 72 In-Kind 40 • 05 8) Other Distributions N/A , 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 15 , 846 • 17 7 , 973 22 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) Rebecca Ciric Type name) Sean Keane Individual(only for IE 0 Treasurer Deputy Treasurer I]Candidate 7,1 C rson(only for PC and PTY) or electioneering comm.) X '/li l ,,/ V/ n// X Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Sean Keane N/A 1) Name 2) I.D. Number 09 01 22 09 30 22 5 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 John Ster 09 01 22 1701 Selva Marina Dr. Atlantic Beach, FL 2022-M9-1 32233 I Retired CHE 100.00 Elizabeth Keane 0902 / 22 420 Red Sail Way Satellite Beach, FL 2022-M9-2 32937 I Retired CHE 1000.00 Patrick Keane 0902 22 420 Red Sail Way Satellite Beach, FL 2022-M9-3 32937 I Retired CHE 1000.00 William Vernon 09 05 22 13938 Settlers Ridge Trail 2022-M9-4 Carmel, IN 46033 I Retired CHE 50.00 09 04 22 Philip Petley 380 19th Street Atlantic Beach, FL 2022-M9-5 32233 I Retired CHE 50.00 Elizabeth Pendleton 09 05 22 687 Gladwin Ave Fern Park, FL 32730 2022-M9-6 I Artist CHE 50.00 Louis Keith 09 06 22 1845 Tierra Verde Dr. Atlantic Beach, FL 2022-M9-7 32233 I Retired CHE 250.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Sean Keane N/A 1) Name 2) I.D. Number 09 01 22 09 30 22 2 5 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 09 07 22 Marjorie Wilson 121 Cedar Street Neptune Beach, FL 2022-M9-8 32266 I Retired CHE 200.00 Nathan Reichenberg 09 07 22 7041 Roundleaf Dr. Jacksonville, FL 32258 2022-M9-9 I FLARNG CHE 100.00 Nathan Fifer 09 08 22 2054 Riverside Ave. Jacksonville, FL 32204 2022-M9-10 I Pilot CHE 100.00 Gary Beaver 0912 22 5225 Portsmouth Rd. Fairfax, VA 22032 Retired 2022-M9-11 I Military CHE 50.00 09 06 22 Spencer Border 1741 Live Oak Lane Atlantic Beach, FL 2022-M9-12 32233 I I.T. CHE 100.00 Rebecca Ciric 09 15 22 324 West Kari Ct. St. Johns, FL 32259 Brochure 2022-M9-13 I Accounting INK Printing 40.05 09 15 22 Tim Mull 1757 Seminole Rd. Atlantic Beach, FL 2022-M9-14 32233 I Consulting CHE 50.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Sean Keane N/A 1) Name 2) I.D. Number 09 01 22 09 30 22 3 5 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 1 Occupation Type Description Amendment Amount Rick Spear 09 08 22 541 Lora Street Neptune Beach, FL 2022-M9-15 32266 I Retired CHE 100.00 Tames Oliser 09 08 22 215 Plaza Atlantic Beach, FL ECI 2022-M9-16 32233 I Sourcing, CHE 100.00 LLC Janna Matson 09 14 22 345 Seminole Rd. Atlantic Beach, FL 2022-M9-17 32233 I Pharmacist CHE 50.00 Josh Nussbaum 09 14 22 1355 Ocean Blvd. Atlantic Beach, FL 2022-M9-18 32233 I Director CHE 100.00 09 15 22 Jessica Clancey-Sodini 1885 Live Oak Lane Atlantic Beach, FL Physical 2022-M9-19 32233 I Therapist CHE 50.00 Austin Fowler 09 15 22 1800 Live Oak Lane Atlantic Beach, FL 2022-M9-20 32233 I Dentist CBE 100.00 09 18 22 Joe R. Scott 1820 Live Oak Lane Atlantic Beach, FL 2022-M9-21 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 Sean Keane N/A 1) Name 2) I.D. Number 09 01 22 09 30 22 4 5 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 Gary Moore 09 16 22 1857 Tierra Verde Dr. Atlantic Beach, FL 2022-M9-22 32233 I Retired CHE 250.00 Joe R. Scott 09 18 22 1820 Live Oak Lane Atlantic Beach, FL 2022-M9-23 32233 I Retired R.R. CHE 100.00 Will Radler 09 20 22 1565 Park Terrace East Atlantic Beach, FL 2022-M9-24 32233 I Real Estate CHE 250.00 Robert Ingrum 09 20 22 777 Vecuna Rd. Atlantic Beach, FL 2022-M9-25 32233 I Retired CHE 25.00 Michael Newbern 09 24 22 754 Pinehaven Rd. Gadsden, AL 35901 2022-M9-26 I Engineer CHE 50.00 Michael Pannell 09 26 22 3863 Biggin Church Road W. 2022-M9-27 Jacksonville, FL 32224 I Retired CHE 100.00 John McCallum 09 26 22 1836 Seagate Ave. Neptune Beach, FL 32266 2022-M9-28 I Retired CHE 500.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Sean Keane N/A 1) Name 2) I.D. Number 09 01 22 09 30 22 5 5 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 Steven Rosenbloom 09 27 22 1417 Beach Ave. Atlantic Beach, FL 2022-M9-29 32233 I Retired CHE 150.00 Patricia Gomez 09 27 22 5272 Camelot Forest Dr. 2022-M9-30 Jacksonville, FL 32258 I VP CHE 75.00 Marketing Manager Emily McCarthy 09 27 22 65 Shell Street Atlantic Beach, FL Community 2022-M9-31 32233 I Organizer CBE 50.00 Joseph Alberti 0930 22 1671 Park Terrace West Atlantic Beach, FL 2022-M9-32 32233 I Insurance CBE 50.00 09 30 22 Emily Colson 9516 West Walker Place Littleton, CO 80123 Director, 2022-M9-33 I Customer CHE 100.00 Success Mark Rosenberg 09 22 22 1870 Live Oak Lane Atlantic Beach, FL 2022-M9-34 32233 I Lab Manager CBE 50.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Agenda Item#7E. 08 Nov 2022 CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES 1)Name Sean Keane 2)I.D.Number N/A 3)Cover Period 09 / 01 / 22 through 09 / 30 / 22 4)Page 1 of 4 5) in 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 09/01/22 toan's 12945 Atlantic Blvd. Jacksonville, FL 32225 Dry Erase Board MON 31.48 2022-M9-1 0901 22 Joe's Tees, Inc. 11290 St. Johns Industrial Tee Shirts Pkwy North #2 MON 125.26 2022-M9-2 Jacksonville, FL 32246 09 01 22 Katie Caston 113 Bowles Strett Social Media Neptune Beach, FL 32266 MON 500.00 2022-M9-3 0 0 1 22 Google G Suite 1600 Amphitheatre Parkway Mountain View, CA 94043 Website Email MON 29.41 2022-M9-4 City of Atlantic Beach 09/ 01/ 22 800 Seminole Road Atlantic Beach, FL 32233 Assessment Fee MON 106.72 2022-M9-5 09 02 22 Jax SV, LLC 830 AlA North 13-317 Tech & Marketing MON 1000.00 Ponte Vedra Beach, FL 32082 2022-M9-6 Bubble i0 09 / 06/ 22 22 West 21st St. New York, NY 10010 Processing Fee MON 29.00 2022-M9-7 Rebecca Ciric 09/ 07/ 22 324 West Kari Ct. St.Johns, FL 32259 Accounting MON 250.00 2022-M9-8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Page 389 of 401 Agenda Item #7E. 08 Nov 2022 CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES 1)Name Sean Keane 2)I.D.Number N/A 3)Cover Period 09 / 01 / 22 through 09 / 30 / 22 4)Page 2 of 4 5) 7) 8)9) 10) 11) Date Full Name Purpose 6) Last,Suffix,First,Middle) add office sought if Sequence Street Address Z. contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Matt Pendleton 09 /06/22 14030 Atlantic Blvd Jacksonville, FL 32225 Graphic Design MON 350.00 2022-M9-9 09 / 08/ 22 Bubble i0 22 West 21st St. New York, NY 10010 Processing Fee MON 29.00 2022-M9-10 090922 BTCA Golf Classic 200 First St. Neptune Beach, FL 32266 Event Promotion MON 250.00 2022-M9-11 09 /Mailchimp1522675PonceDeLeon Ave NE Suite 5000 Processing Fee MON 17.00 Atlanta, GA 30308 2022-M9-12 Admiral's Daughters Inc. 09 / 16/ 22 4315 Coquina Dr. Jacksonville, FL 32250 T Shirts MON 650.00 2022-M9-13 09/ 16/ 22 Dollar Tree 989 Atlantic Blvd. Atlantic Beach, FL 32233 Event Supplies MON 13.44 2022-M9-14 Walmart 09 / 16/ 22 11900 Atlantic Blvd. Jacksonville, FL 32225 Event Supplies MON 65.80 2022-M9-15 Publix 09 / 16/ 22 630 Atlantic Blvd. Event Neptune Beach, FL 32266 Food & Beverage MON 279.32 2022-M9-16 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Page 389 of 401 Agenda Item#7E. 08 Nov 2022 CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES 1)Name Sean Keane 2)I.D.Number N/A 3)Cover Period 09 / 01 / 22 through 09 30 / 22 4)Page 3 of 4 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 Gate Petroleum 09j/16)/22 535 Atlantic Blvd Atlantic Beach, FL 32266 Event Supplies MON 8.58 2022-M9-17 Ice) 09/ 18/ 22 Publix 630 Atlantic Blvd. Neptune Beach, FL 32266 Meeting Lunch MON 30.07 2022-M9-18 09 19 22 Evolution Signs & Print, Inc. 11672 Philips Highway Suite 3 Big Signs MON 376.25 Jacksonville, FL 32256 2022-M9-19 Mailchimp0917/22 675 Ponce de Leon Ave. NE Suite 5000 Email Processing MON 98.00 Atlanta, GA 30308 Fee 2022-M9-20 Squarespace, Inc. 09 / 19/ 22 8 Clarkson St. New York, NY 10014 Website MON 18.40 2022-M9-21 09 20 . 22 Sticker Mule, LLC 336 Forest Ave. Amsterdam, NY 12010 Buttons MON 92.45 2022-M9-22 Jobber 09 / 20/ 22 260 Queen St. West Toronto, Ontario M5V 1Z8 Email Marketing MON 135.00 Canada 2022-M9-23 Squarespace, Inc. 09/ 20/ 22 8 Clarkson St. New York, NY 10014 Website MON 23.00 2022-M9-24 DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Page 389 of 401 Agenda Item #7E. 08 Nov 2022 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES 1)Name Sean Keane 2)I.D. Number N/A 3)Cover Period 09 / 01 / 22 through 09 / 30 / 22 4)Page 4 of 4 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 Vimeo 09 / 21/ 22 555 West 18th Street New York,NY Website Video MON 20.00 2022-M9-25 09 / 23/ 22 Bubble i0 22 West 21st Street New York, NY 10010 Processing Fee MON 29.00 2022-M9-26 09 27 22 Stitches & Screens 1939 Mayport Road Atlantic Beach, FL 32233 T Shirts MON 600.00 2022-M9-27 09 3 0 22 Stripe Corporation 354 Oyster Point Blvd S. San Francisco, CA 94080 Processing Fee MON 79.78 2022-M9-28 Hello Sunshine Eco Cleaning 09 / 21/ 22 12743 Ashbrook Circle E. Jacksonville, FL 32225 Event Service MON 135.00 2022-M9-29 09 / 14/ 22 Eventbrite 535 Mission Street San Francisco, CA 94105 Processing Fee MON 27.54 2022-M9-30 Eventbrite 09/ 21/ 22 535 Mission Street San Francisco, CA 94105 Processing Fee MON 64.26 2022-M9-31 Eventbrite 09 / 28/ 22 535 Mission Street San Francisco, CA 94105 Processing Fee MON 85.96 2022-M9-32 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Page 389 of 401