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Lagner - DSDE 12, 13, 14 - Treasurers Report - 2022-G3 - Amendment - 12-27-22CAMPAIGN TREASURER'S REPORT SUMMARY 1) Jennifer D. Lagner OFFICE USE ONLY Name 2) 278 Seminole Road RECEIVED Address(number and street) Atlantic Beach, FL 32233 DEC 2 7 2022 \ . City, State,Zip Code Check here if address has changed 3) ID Number: N/A 4) Check appropriate box(es): E 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(1E)(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 IKAmendment 0 Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash&Checks $ , 2_.L05 Expenditures $695 ' —L Loans Transfers to Office Account $ Total Monetary $ , Z--, Total Monetary $ Ifq12- In-Kind 8) Other Distributions 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date 6c) 1-4 ft 2-7 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: Jennif- D. Lagner Jennifer D. LagnerTypename) f 9 Type name)g Indi ' ual(onl •.r IE 0 Treasurer 0 Deputy Treasurer Q Candidate Chairperson(only for PC and PTY) lure oneering.. •m.) nater- DS-DE 2(R .11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Jennifer D. Lagne, 1) Name 2) I.D. Number 3) Cover Period 10 / 22 / 2022 through 11 / 03 / 2022 ( 4) Page 1 of I 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 10/ 25 / 22 Ian O'Brien 141 Bowler Street I Finance CHE 263.00 1 Lynn, MA 01904 10 / 27 / 22 Parker Yochim 601 Colt Station Rd self CHE 500.00 2 Waterford, PA I employed 16441 101 27 / 22 Dave Harrington 5795 Forrest Crossing' manufac CHE 1,000.00 3 Erie, PA 16506 10 / 28 / 22 OE&S Legacy Inc 1524 San Marco Blvd I furniture CHE 500.00 4 Jax, FL 32207 11//02/ 2 Mike Zimmer CHE Calico Lane I Electrician 100.00 Erie, PA DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES N/A 1)Name Jennifer D. Lagner 2)I.D. Number 3)Cover Period 10 i 22 / 2022 through 11 / 3 / 2022 ( 4)Page 1 of l 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 7095 Hollywood Blvd website update 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 10/27/0 27 22 Anedot l 1340 Poydras St Ste 1770 Process Fee MON 20.30 New Orleans, LA 70112 3 10/ 27/ 22 Anedot Process FeeID 1340 Poydras St Ste 1770 MON 4 New Orleans, LA 70112 Ltp„, USPS 10 /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 Anedot11/02/22 1340 Poydras St Ste 1770 Process fee MON 4.30 New Orleans, LA 70112 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES