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Waters - DS-DE12, 13, 14 Treasurers Report - 2020 G1 - 10-6-20 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Dr. Michael L. Waters E MIS Name D (2) 1849 Beachside Court Address (number and street) OCT 6 2020 Atlantic Beach, FL 32233-5954 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 Commissioner, Seat 3 ❑ 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 9 / 01 / 2020 To 10 / 02 / 2020 Report Type: G1 ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 3 , 350 . 00 Expenditures $ , 2, 862 . 36 Loans $ , 0 . 00 Transfers to Office Account $ , , 0 . 00 Total Monetary $ , 3 , 350 . 00 Total Monetary $ , 2 , 662 . 36 In-Kind $ , , 150. 00 (8) Other Distributions $ , 0 . 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 17 , 071 , 00 $ 7 , 028 . 52 (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) Nancy Whittington (Type name) Dr. Michael L. Waters ❑ Individual(only for IE r❑Treasurer ❑ Deputy Treasurer ❑r Candidate ❑Chairperson(only for PC and PTY) or tioneering comm.) X G/7 Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Dr. Michael L. Waters N/A (1) Name (2) I.D. Number 09 01 2020 10 02 2020 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 Sherman, Leah 09 02 2020 536 Beach Avenue / / Atlantic Beach, FL 2020-G1-01 32233 I Nurse CHE $100.00 Day, Jeffrey 0904 2020 292 16th Street / / Atlantic Beach, FL 2020-G1-02 32233 I retired CHE $50.00 Melancon, De Jean 0904 2020 664 Beach Avenue / / Atlantic Beach, FL 2020-G1-03 32233 I Bus. owner CHE $150.00 Porter, Michael T. 0905 2020 1802 Seminole Road / / Atlantic Beach, FL 2020-G1-04 32233 I Bus. owner CHE $1000.00 Walker, Robert & 09 05 2020 Marcia / / 42 Lake Julia Drive 2020-G1-05 Ponte Vedra Beach, FL I Physican CHE $100.00 32082 Green, C. 09 06 2020 1306 Beach Avenue / / Atlantic Beach, FL 2020-G1-06 32233 I Physican CHE $250.00 09 07 2020 Rosenbloom, Steve & / / Paula 2020-G1-07 1417 Beach Avenue I Senior VP CHE $500.00 Atlantic Beach, FL 32233 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Dr. Michael L. Waters N/A (1) Name (2) I.D. Number 09 01 2020 10 02 2020 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 DeGiovanni, Thomas 09 20 2020 342 5th Street / / Atlantic Beach, FL 2020-G1-08 32233 I retired CHE $250.00 Tice, Sharon 0920 2020 685 Sturdivant Avenue / / Atlantic Beach, FL 2020-G1-09 32233 I self-empl CHE $200.00 Stone, Mitch 0921 2020 1270 Ocean Blvd / / Atlantic Beach, FL 2020-G1-10 32233 I Attorney CHE $100.00 Stevenson, Diane 09 / / 25 2020 627 Selva Lakes Circle Atlantic Beach, FL 2020-G1-11 32233 I retired CHE $200.00 Marco, David 9 27 2020 2399 Ocean Breeze Ct / / Atlantic Beach, Fl 2020-G1-12 32233 I Chairman CHE $250.00 McQuiston,Stan & Robyn 9 27 2020 / / 254 East Coast Drive Atlantic Beach, FL 2020-G1-13 32233 I Marketing INK Meet & Greet $150.00 Lambertson, Chris 09 28 2020 / / 355 11th Street Atlantic Beach, FL 2020-G1-14 32233 I builder CHE $100.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Dr. Michael L. Waters N/A (1) Name (2) I.D. Number 09 01 2020 10 02 2020 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 Timcke, Meghan 09 29 2020 2233 Seminole Rd. #43 / / Atlantic Beach, FL 2020-G1-15 32233 I Sales CHE $50.00 Sands, Carolyn Sue 0930 2020 500 Plaza / / Atlantic Beach, FL 2020-G1-16 32233 I retired CHE $50.00 / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Dr. Michael L. Waters (2) I.D. Number N/A (3) Cover Period 09 / 01 / 2020 through 10 / 02 / 2020 (4) Page 1 of 1 (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 ULINE Shipping Supply 09/03 / 20 12575 Uline Drive campaign envelopes Pleasant Prairie, WI 53158 MON $191.91 2020-G1-01 0903 20 www.usps.com Online / / US Post Office Stamps Stamp fulfillment services 8300 NE Underground Drive, #210 MON $1651.80 2020-G1-02 Kansas City, MO 64144 Avery Products Corporation 09 /03 / 20 50 Pointe Dr Supplies for Brea, CA 92821 mailer MON $243.93 2020-G1-03 UPS Store #1469 09 10 20 1015 Atlantic Blvd Color copies / / Atlantic Beach, FL 32233 MON $363.80 2020-G1-04 Costco #0357 Warehouse 09 /11 /20 4901 Gate Parkway water bottles for Jacksonville, FL 32246 promotion labels MON $12.98 2020-G1-05 www.usps.com Online 09 /23 2 00 US Post Office Stamps Stamp fulfillment services 8300 NE Underground Drive, #210 MON $276.80 Kansas City, MO 64144 2020-G1-06 Walmart 09 /22 /20 11900 Atlantic Blvd printer ink Jacksonville, FL 32225 MON $42.69 2020-G1-07 RaiseTheMoney.com Credit card on-line 09 /31 /20 P.O. Box 26466 contribution Little Rock, AR 72221 processing fees MON $78.45 2020-G1-08 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES