Lagner - DSDE 12, 13, 14 - Treasurers Report - 2022-G3 - 11-04-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) Jennifer D. Lagner OFFICE USE ONLY
Name RECEIVED 4
2) 278 Seminole Road
Address(number and street) NOV (i4 2022
Atlantic Beach, FL 32233
City, State,Zip Code
Check here if address has changed 3) ID Number: N/A
4) Check appropriate box(es):
Candidate Office Sought: Atlantic Beach Commission Seat 4
Political Committee(PC)
Electioneering Communications Org.(ECO) 0 Check here if PC or ECO has disbanded
Party Executive Committee(PTY) 0 Check here if PTY has disbanded
Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
5) Report Identifiers
Cover Period: From 10 / 22 /2022 To 11 / 03 / 22 Report Type: G3
0 Original 0 Amendment 0 Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash&Checks $ , 2 ,Z.63 6.b Expenditures $
Loans Transfers to
Office Account $
Total Monetary $ 2 , 263 bU
ITotalMonetary $
In-Kind
8) Other Distributions
9) $TOTAL Monetary Contributions To Date 10) TOTAL Moneta Expenditures To Date
u Vy"7 c
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)Je_nnifer D. Lagner Type name)Jennifer D. Lagner
o Indiv' al(only for 0 Treasurer 0 Deputy Treasurer 0 Candidate 0 Chairperson(only for PC and PTY)
or ele oneering comm.
MOXX
11111Signature1JSignature
DS-DE 12(Rev.11 ) S1E-REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Jennifer D. Lagner
1) Name 2) I.D. Number
3) Cover Period 10 22 / 2022 through
11 / 03 / 2022 (
4) Page I 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 Amxndmenl Amount
10/ 25 / 22 Ian O'Brien
141 Bowler Street I Finance CHE
Lynn, MA
263.00
1
01904
10 / 27 / 22 Parker Yochim
601 Colt Station Rd self CHE 500.00
2
Waterford, PA I
employed
16441
10/ 27 / 22 Dave Harrington
5795 Forrest Crossing) manufac CHE 1,000.00
3 Erie, PA 16506
10 / 28 / 22 OE&S Legacy Inc
I furnitul(-1524 San Marco Blvd CHE 500.00
4 Jax, FL 32207
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES N/A1)Name Jennifer D. Lagner 2)1.D. Number
3)Cover Period 10 i 22 / 2022 through
11 / 3 2022 (
4)page
1
of
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
10/24/22 WIX
date7095HollywoodBlvdwebsiteupdate MON 6.00
1 Los Angeles, CA
10/ 25/22 Anedot
1340 Poydras St Ste 1770 Process Fee MON 10.82
New Orleans, LA 70112
2
Anedot
10/27/027 22 1340 Poydras St Ste 1770
Process Fee MON 20.30
New Orleans, LA 70112
3
10/ 27/ 22 Anedot Process Fee
MON
40.30
1340 Poydras St Ste 1770
4 New Orleans, LA 70112
USPS10 /31 /22
1348 Beach Blvd stamps MON
Jax Beach, FL 32233 30.00
5
11/02/22 WIX
7095 Hollywood Blvd email upgrade
MON
288,00
6 Los Angeles, CA
DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES