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Ford - DSDE 12, 13, 14 - Treasurers Report - 2022-G3 - 11-04-22CAMPAIGN TREASURER'S REPORT SUMMARY 1) Curtis R. Ford OFFICE USE ONLY Name RECEIVED 4 2) 536 Beach Avenue Address (number and street) NOV 0 4 2022 0, 0YIS 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, 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 / 22 / 2022 To 11 / 03 / 2022 Report Type: 2022-G3 Original Amendment Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $4 , 325 . 00 Expenditures $ 14 253. 29 Loans 10 , 000 . 00 Transfers to Office Account $ 0 . 00 Total Monetary 14, 325. 00 Total Monetary $ 14, 253. 29 In-Kind 0 . 00 8) Other Distributions 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 44 , 708 . 00 41 , 186 . 84 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)William G. Hillegass Type name) Curtis R. Ford Individual(only for IE III Treasurer Deputy Treasurer I]Candidate C on(only for PC and PTY) or electioneering comm.) X A X 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 22 2022 11 03 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 Povloski, Frances 10 23 2022 402 15th Street North Jacksonville Beach, FL 1 32250 I BWP Che 150.00 Marlier, James 1028 2022 1763 Atlantic Beach Drive, Atlantic Beach, FL 32233 2 I Retired Che 200.00 Beliles, Gregory 10 28 2022 42 11th Street Atlantic Beach, FL 3 32233 I Retired Che 250.00 Scrogins, Bill 1028 2022 133 Beach Avenue Atlantic Beach, FL 4 32233 I Pharmacist Che 500.00 Grossberg, Susan 1028 2022 2008 Selva Madera Ct. Atlantic Beach, FL 5 32233 I Retired Che 250.00 Hillis, Robert 10 28 2022 152 3rd Street Atlantic Beach, FL 6 32233 I Real Estate Che 200.00 Garcia, George 10 28 2022 640 Ocean Blvd. Atlantic Beach, FL 7 32233 I Retired Che 125.00 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 10 22 2022 11 03 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 Sterton, Scott 10 31 2022 2615 Magnolia Lane W Seattle, WA 98199 8 I Sales ane 200.00 Bishop, Henry 112 2022 2006 Beach Ave Atlantic Beach, FL 9 32233 I Retired Che 500.00 Cerqueira, Cathy 1031 2022 36 West 6th Street Atlantic Beach, FL 10 32233 I Retired Che 500.00 Dickinson, Edna 11 / 01 /2022 1199 Beach Ave Atlantic Beach, FL 11 32233 I Retired Che 200.00 Petway, Elizabeth 1031 2022 1601 Beach Ave Atlantic Beach, FL 12 32233 I Retired Che 1,000.00 Ford, Curtis 11 03 2022 536 Beach Ave Atlantic Beach, FL 13 32233 S Retired Loan 10,000.00 Elmore, Kelly 11 02 2022 1650-1 Beach Ave Atlantic Beach, FL 14 32233 I Landscaper 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 10 22 2022 11 03 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 Elmore, Lee 11 03 2022 1650 Beach Ave Atlantic Beach, FL 32233 I Realtor Che 150.00 15 0 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 / 222022 through - 4) Page of 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 Creative Direct Marketing 11/03 2022 1402 Belleville St. Richmond VA 23230 637.00 11 03 2022 Voxpopuli Communications LLC Marketing 1022 Park Street Suite 204 Jacksonville, FL 32204 4,000.00 Beaches Leader Marketing 10 / 27/2022 1372 Beach Blvd. i Jacksonville Beach, FL 32250 1,933.00 3 Anedot Processing fee 11 03 2022 1340 Poydras STreet, Suite 1770 El New Orleans, LA 70112 i,i_ 89.70 4 Ford, Curtis Internet fee 11 3 2022 536 Beach Ave Atlantic Beach, FL 32233 li-r. 180.00 5 Ford, Curtis Office depot 11/ 3 /2022 536 Beach Ave expenses d Atlantic Beach, FL 3223 413.59 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES