Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-G1 - 10-12-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) Curtis R. Ford OFFICE USE ONLY
Name
2) 536 Beach Avenue RECEIVED 4
Address (number and street)
OCT 1 1191AtlanticBeach, FL 32233
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 10 / 01 /2022 To 10 / 07 /2022 Report Type: 2022-G1
Original Amendment Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash & Checks $2 , 100 . 00 Expenditures $ 371 . 49
Loans 00 Transfers to
Office Account $ 00
Total Monetary 2 , 100 . 00
Total Monetary $ 371 . 49
In-Kind 150 . 00
8) Other Distributions
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
25 , 233 , 00 18 , 422 , 07
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) W/L(!11-
44 (
9, C C,GJt (Type name) (U 2 i /S \ '
E Individual(only for IE Treasurer Deputy Treasurer E Candidate son(only for PC and PTY)
or electioneering comm.)
X iN AM/14C3 X -----44t,5 41d/
Signature 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
10 01 2022 10 07 2022 1 J.
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
Dineen, John
10 03 2022 110 8th Street
Atlantic Beach, FL
1
32233 I Investor Che 100.00
Young, Brenda .
1001 2022 309 Ahern Street
Atlantic Beach, FL
2
32233 I Housewife Che 1,000.00
Petway, Thomas F
10 05 2022 1601 Beach Avenue
Q Atlantic Beach, FL
3
32233 I Retired Che 1,000.00
Scrogins, Bill
1007 2022 133 Beach Avenue
Atlantic Beach, FL
32233 I Retired INK Marketing 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
10 / 01 / 2022through 10 / 07 / 2022
4) Page of
5) 7) 8) 9) 10) 11)
Date Full Name Purpose
s) Last, Suffix, First, Middle) add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
Anedot Processing fee
10/ 07/20222 1340 Poydras Street, Suite 1770
Q New Orleans, LA 70112
c;:: 4.30
10 07 2022 Curtis Ford Marketing
536 Beach Avenue
Atlantic Beach, FL 32233
1:: 367.19
2
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES