Lagner - DSDE 12, 14 - Treasurers Report - 2022-G-TR - 12-27-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) Jennifer D. Lagner OFFICE USE ONLY
Name
2) 278 Seminole Road is. RECEIVED/
Address(number and street)
Atlantic Beach, FL 32233 DEC 171011 '
City, State,Zip Code
0 Check here if address has changed 3) ID Number: N/A
4) Check appropriate box(es):
Q 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 11 / 04 / 22 To Report Type: G-TR
incl 0 Amendment 0 Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash&Checks $00 Expenditures $H12:1- t
Loans Transfers to
Office Account $
Total Monetary
Total Monetary $
In-Kind
8) Other Distributions
ar
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
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)•1f1114131 Lagner a lIIIL D. Lagner
Individ (only for IE p)as • 0 Deputy Treasurer Candidate 0 Chai •-rson • . PC and PTY)
or electio eering comm.)
tiA 11111110
X
Signature Signature
DS-DE 12(R• .11/13) EE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES N/A
1)Name Jennifer D. Lagner 2)I.D. Number
3)Cover Period 11 /04 /2022 through 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
11/05/ 22 A&JM Klinkenberg
712 Camelia St marketing MON 750.00
1 Atlantic Beach, FL 32233
11/07/ 22 Jennifer Lagner
278 Seminole Road Loan Reimburse RMB 3,000.00
Atlantic Beach, FL 32233
2
11/ 8/22 Whiskey Jax Election night MON
555.18725AtlanticBlvd
watch party3AtIBeachFL32233
11/07/ 22 Beaches Leader
1372 Beach Blvd Thank you ad MON 116.00
4 Jax Beach, FL 32250
11/ 2y 22
701
5 Hollywood Blvd
website fee MON 6.00
Los Angeles, CA
12/0722 Connecting Thru Music
donation 501c3 DIS 908.76
1917 Beach Ave
AB, FL 32233
12/ 7/ 22 Beaches Veteran Memorial
donation 501c3 DIS 908.77P.O. Box 330515
Atlantic Beach, FL 32233
1
DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES