Lagner - DSDE 12, 13, 14 - Treasurers Report - 2022-M9 - 10-11-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) Jennifer D. Lagner OFFICE USE ONLY
Name acEIVEDI
2) 278 Seminole Road RECEIVED 4
Address(number and street) OCT 11 /872 OCT 1t 1Q1AtlanticBeach, FL 32233 L
City, State, Zip Code AV?' iA8f3
Check here if address has changed 3) ID Number:N/A
4) Check appropriate box(es):
0 Candidate Office Sought: Atlantic Beach Commission Seat 4
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
0 Original Amendment Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash&Checks $963 . 00 Expenditures $2 , 453 . 73
Loans 1 , 000 . 00 Transfers to
Office Account $
Total Monetary $ ,
1 963 00
Total Monetary $ 2 , 453 . 73
In-Kind
8) Other Distributions
0 . 00
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
4 , 653 . 00 3 144 18
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) Jennifer D. Lagner Type name) Jennifer D. Lagner
Individual(only for Treasu -r Deputy Treasurer IX Candidate 0 Chairperson(only for PC and PTY)
or electio g comm. I
Sign-
ti
Signat, -r dr
DS-DE 12 11/13) SEE REVERSE FOR lRbTRt7CTioNS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
1) Name
Je Jefer D9N/ALagner
2) I.D. Number
3) Cover Period 09 / 01 / 22 through 09 / 30 / 22 4) Page
1
of
1
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/ 02 / 22 Jennifer Lagner
278 Seminole Rd S Facilities LOA 1,000.00
AB, FL 32233
1
0907 22 Phyllis Deery
10 10th Street
2 Atl Beach, Fl 32233
I Retired CHE 600.00
09/ 07 22 Ian O'Brien
I Finance CHE 263.00
3
09/ 21 / 22 Jane Hauenstein
588 Clipper Ship Ln I retired CHE 100.00
4 AB, FL 32233
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Cf4MPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
1)Name JenniTTer Lagner 2)I.D.Number N/A
3)Cover Period 09/ 01 / 22 through 09 / 30 /22 4)Page 1 of 1
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
09/ 01/ 22 City of Atlantic Beach
800 Seminole Road Qualifying Fee CAN 64.95
1 AB, FL 32233
09/03/22 UPS Store
Notary Fee1015AtlanticBlvd IEC 10.00
2 AB, FL 32233
Election Doc
09/05/ 11 The Executive Advertising Marketing - CAN 230.50
181E Main St Ste 4
3 Henderson, TN 37075
can coolers
0907 22 Anedot Processing Fee MON
1340 Poydras Street Ste1770 10.82
4
New Orleans, LA 70112
09/ 09/ 22 Stitches & Screens Marketing - CAN 354.32
1939 Mayport Road Tshirts
5 Atlantic Beach, FL 32233
09/09/ 22 Atlantic Imaging Marketing - CAN
1260 MayportBlvd signs
1,472.50
Atlantic Beach, FL 32233
6
09/25/ 22 Office Depot Office Supplies CAN 60.9319543rdSt
7 Jacksonville Beach, FL 32255
09/25/9 25 22 Vistaprint Marketing/ /
11 Boney Lane door hangers
CAN 249.71
8
Norwood, MA 06062-12010
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES