CAMPAIGN TREASURER'S REPORT SUMMARY (3) \J"-. ::.' -"+-"t?..--~ =""""-"'...,.,:: _ O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED
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1 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY v O CHECK IF ADDRESS HAS CHANGED (3) (4) ~~!<appropriate box(es): ('\/\ -~candidate (office sought):_'\_,,_ D-" O Political Committee O Committee of Continuous Existence D Party Executive Committee D Electioneering Communication \J"-. ::.' -"+-"t?..--~ =""""-"'...,.,:: _ O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED O CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From Qi 12-0 I~ To jq_ I.Q!J_ 1 _Qj Report Type ~ D Original D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 1-J~ if'o. t>o Monetary Cash & Checks $ Expenditures $ Loans $ Transfers to Office Account $ 2--70'1. (k. ~ Total Monetary $ '1s Lf o.oo Total Monetary $ z:300. fs;- In-Kind $ tr S:9,gs;- (8) Other Distributions $ {9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ Co Co Ll.~~,,r.,, $ Lf:{p lls~fu Io (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and com te. correct, and complete. (Type name) VI~ (Type name) J~cfhff{f'i Otndividual (only r Treasurer ~ctione.. ~ Signature DS-DE 12 (Rev ) D Deputy Treasurer 11] Candidate x
2 (1) Name: Kathleen Ford I I I~ Numbe City, State, Zip Type Occupation type description Amendment (12b) Amount 9/26/2009 Wagner, Joseph I n/a check $ Montana Ave, NE, St. Petersburg, FL /26/2009 Boicheff, Angela I n/a check $ tangle wood Dr. NE, St. Petersburg, FL /28/2009 Browning, Joanne I n/a check $ th sty. 5., St. Petersburg, FL /28/2009 Yardley, Jay I n/a check $ th Ave N., St. Petersburg, FL /28/2009 Petersen, J. Kurt I n/a check $ nd aver Ne., St. Petersburg, FL /29/2009 Thurman, Ruth Fleet I retired check $ Brevard Rd NE, St. Petersburg, FL /29/2009 Sterling, Maria I n/a check $ rd Street S., St. Petersburg, FL /4/2009 Chapman, Mardie I n/a check $ lloth aver N., #809, St. Petersburg, FL /4/2009 Allen, Susan I n/a check $ th Ave, N., St. Petersburg, FL /4/2009 Fiber, Dennis I Bus. Man check $ N. Falkenburg Rd. 0402, Tampa, FL /4/2009 Ernesto, Chris I Education check $ th Ave N., sty. Petersburg, FL /4/2009 Huber, Marianne I Bus. Woman check $ th Ave N., sty. Petersburg, FL /5/2009 DeGuire, Joan I n/a check $ th Lane, N, St. Petersburg, FL /5/2009 Jones, Alan I n/a check $ Fairfield Dr., Clearwater, FL /5/2009 Ward, Harold I n/a check $ Bacopa Lane, S. #404, St. Petersburg. F: /5/2009 McCarthy, Terence I Bus. Man check $ Beach Dr. NE, #2406,. St. Petersburg, FL /5/2009 Incorvaia, Mitchel I n/a check $ Merlins Ct., Tarpon Springs, FL 34689
3 (1) N~me: Kathleen Ford Iv It Numbe1 City, State, Zip Type Occupation type description Amendment (12b) Amount 10/6/2009 Lawton, Dwight I retired check $ th Ave South, St. Petersburg, FL /7/2009 Hammond, Carolyn I n/a check $ World Pkwy Blvd W #15, Clearwater, FL /7/2009 Boadway, Jack I n/a check $ Tanglewood Dr. NE, St. Petersburg, flu /7/2009 Ligon, Mendee I n/a check $ th St. S., St. Petersburg, FL /7/2009 Higgins, Karen I n/a check $ SO.DO Jungle Ave N., St. Petersburg, FL /7/2009 Seiu Florida Public Services Union CCE c Committee check $ Lake Ellenor Drive #130, Orlando, FL /7/2009 Westerberg, Candace I n/a check $ Tanglewood Way NE, St. Petersburg, FL /7/2009 Keebler, Gena n/a check $ Tanglewood Dr. NE, St. Petersburg, FL /7/2009 King, Steven n/a check $ /2 13th Ave NE #5, St. Petersburg, FL /8/2009 Stafford, Eileen I n/a check $ Mirror Lake Dr. N.,#201, St. Petersburg, FL /8/2009 Nawab, Rehana A. I Bus. Woman check $ th Ct NE,, St. Petersburg, FL /8/2009 Smith Jr., Dr. Arnett I n/a check $ Hyacinth Way S., St. Petersburg, /8/2009 Moon, Glenn I Bus. Man check $ th Ave NE., St. Petersburg, FL /8/2009 Lupo, Frank I retired check $ Palma De Mar Blvd #502C, St. Petersburg, FL /8/2009 Killingsworth, Jesse I retired check $ st Street N., Largo, FL /8/2009 Haak, Alexander I n/a check $ st Ave N., St. Petersburg, FL /8/2009 Kiesylis, Patricia I retired check $ th Ave NE., St Petersburg, FL 33703
4 (1) Name: Kathleen Ford I I< (3) Cover Period 09/26/2009 to 10/09/2009 4) Page# ---3 of Numbe City, State, Zip Type Occupation type description Amendment (12b) Amount 10/8/2009 Schauer, David B n/a check $ nd Ave SE, St. Petersburg, FL /8/2009 Fountain, Elizabeth Lake I n/a check $ th St S., Gulfport, F: /8/2009 Rent A Hand, Inc B n/a check $ Pasadena Ave S., South Pasadena, FL /8/2009 Wilson, Gregory S I n/a check $ th Ave, St. Pete Beach, flu /8/2009 Zeller, Suzanne I n/a check $ th Ave N #6, St. Petersburg, FL /8/2009 Hickman, Douglas I n/a check $ st Street E., Redington Shores, FL /8/2009 Piper, J Richard I n/a check $ Crestwood Lane, Largo, FL /8/2009 Abolafia, Elisa I n/a check $ th Ave N., St. Petersburg, FL /8/2009 Bustamante, Shelia I n/a check $ nd Way N, St. Petersburg, FL /8/2009 Boylan, Richard I n/a check $ Isle Dr., St. Pete Beach, FL /8/2009 Jackson, James I n/a check $ rd Ave S., St. Petersburg, FL /8/2009 Helm, Adrien I n/a check $ th Ave S., St. Petersburg, FL /8/2009 Hitches, Paul I n/a check $ st Ave N., St. Petersburg, FL /8/2009 Nazario, John I n/a check $ Bluff View Drive #C210, Belleair Bluffs, FL /8/2009 West, Tobi I n/a check $ th Ave S., Gulfport, FL /8/2009 Ford, Andrew I n/a cash $ so 90 Lexington Ave 10, New York, New York /8/2009 Hallahan, Lauren I n/a cash $ Picardy Circle., Clearwater, FL 33755
5 (1) Name: Kathleen Ford Ii/ 16' Numbe City, State, Zip Tyoe Occupation type description Amendment (12b) Amount 10/8/2009 Bryant, Laura I Bus. Woman check $ Bayshore Blvd NE., St. Petersburg, FL /8/2009 Peppers on the Pier B n/a check $ nd Ave NE., St. Petersburg, FL /8/2009 O'Donnell, F. Gemma I n/a check $ th Ave NE., St. Petersburg, FL /8/2009 Young, Roberta I n/a check $ Mount Lancaster Ave, NE., St. Petersburg, FL /8/2009 Fouts, Marty I n/a check $ th Ave N., St. Petersburg, FL /8/2009 Stanford, Doris I n/a check $ th St. N., sty. Petersburg, FL /8/2009 Schmidt, Donald I n/a check $ th St. NE., St. Petersburg, FL /8/2009 Wright, Michael I n/a cash $ Beach Dr SE #1309, St. Petersburg, FL /8/2009 Winsor, Patrick I n/a cash $ Dartmouth Ave N., St. Petersburg, FL /8/2009 Old Northeast Tavern B n/a in-kind $ th Ave N., St. Petersburg, FL /8/2009 Lupo, Frank I n/a in-kind $ Palma Del Mar, St. Petersburg, FL /8/2009 Mclaughlin, Ramsey I n/a in-kind $ th Ave, Madeira Beach, FL /8/2009 Nawab, Ahmad I n/a in-kind $ th Court NE., St. Petersburg, FL /8/2009 Mehta, Jay B Hotel owner in-kind $ th St. N., St. Petersburg, FL /8/2009 Ford, Kathleen I n/a in-kind technology $ th Street NE, St. Petersburg, FL /9/2009 Patterson, Gary I n/a check $ th Ave N., St. Petersburg, FL /9/2009 Dubina, Mark I n/a check $ nd Ave NE, St. Petersburg, FL 33702
6 (1) Name: Kathleen Ford I/ I( ~ Number City, State, Zip Type Occupation type description Amendment (12b) Amount 10/9/2009 Madeiros, Abby I n/a cash $ th Ave NE., St. Petersburg, FL 33703
7 (1) Name: Kathleen Ford (3) Cover Period 09/26/2009 to 10/09/2009 (4) Page# I of / (5) Date (7) Full Name (Last, Suffix, First, Middle), Street (9) Expenditure (10) (6) Sequen Address & City, State, Zip (8) Purpose type Amendment (11) Amount 9/29/2009 Azelea Neighborhood Associations Advertising Mon $ PO Box 47975, St. Petersburg, FL /30/2009 Minute Man Press printing Mon $ Central Ave, St. Petersburg, FL /1/2009 New City Signs Signs Mon $ 1, th St N., St. Petersburg, FL /5/2009 Harris Neighborhood Assoc c/o Sullivan Advertising Mon $ PO Box 11895, St. Petersburg, FL /6/2009 Heritage Association LLC Phone Mon $ nd Ave S 3201, St. Petersburg, FL /7/2009 Post Master postage mon $ stAve, N, St. Petersburg, FL /8/2009 Progress Energy power Mon $ PO Box 33199, St. Petersburg, FL /8/2009 Progress Energy power Mon $ PO Box 33199, St. Petersburg, FL /9/2009 Adaboy Media Advertising Mon $ PO Box 21512, St. Petersburg, FL /9/2009 Pay pal Fees Mon $ North 1st St., San Jose, CA /9/2009 Minute Man Press printing Mon $ Central Ave, St. Petersburg, FL 33713
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