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. 839.13, 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. 08104) D Deputy Treasurer 11] Candidate x
(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 $ 100.00 1 1835 Montana Ave, NE, St. Petersburg, FL 33703 9/26/2009 Boicheff, Angela I n/a check $ 50.00 2 1783 tangle wood Dr. NE, St. Petersburg, FL 33702 9/28/2009 Browning, Joanne I n/a check $ 25.00 3 7366 14th sty. 5., St. Petersburg, FL 33705-6111 9/28/2009 Yardley, Jay I n/a check $ 25.00 4 1417 38th Ave N., St. Petersburg, FL 33704 9/28/2009 Petersen, J. Kurt I n/a check $ 100.00 5 1357 52nd aver Ne., St. Petersburg, FL 33704 9/29/2009 Thurman, Ruth Fleet I retired check $ 500.00 6 2411 Brevard Rd NE, St. Petersburg, FL 33704 9/29/2009 Sterling, Maria I n/a check $ 100.00 7 357 3rd Street S., St. Petersburg, FL 33701 10/4/2009 Chapman, Mardie I n/a check $ 25.00 8 500 lloth aver N., #809, St. Petersburg, FL 33716 10/4/2009 Allen, Susan I n/a check $ 75.00 9 486 24th Ave, N., St. Petersburg, FL 33704 10/4/2009 Fiber, Dennis I Bus. Man check $ 200.00 10 333 N. Falkenburg Rd. 0402, Tampa, FL 33619 10/4/2009 Ernesto, Chris I Education check $ 200.00 11 116 11th Ave N., sty. Petersburg, FL 33701 10/4/2009 Huber, Marianne I Bus. Woman check $ 200.00 12 116 11th Ave N., sty. Petersburg, FL 33701 10/5/2009 DeGuire, Joan I n/a check $ 100.00 13 7200 17th Lane, N, St. Petersburg, FL 33702 10/5/2009 Jones, Alan I n/a check $ 50.00 14 1368 Fairfield Dr., Clearwater, FL 33763 10/5/2009 Ward, Harold I n/a check $ 100.00 15 4993 Bacopa Lane, S. #404, St. Petersburg. F: 33715 10/5/2009 McCarthy, Terence I Bus. Man check $ 500.00 16 400 Beach Dr. NE, #2406,. St. Petersburg, FL 33701 10/5/2009 Incorvaia, Mitchel I n/a check $ 50.00 17 723 Merlins Ct., Tarpon Springs, FL 34689
(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 $ 500.00 18 175 56th Ave South, St. Petersburg, FL 33705 10/7/2009 Hammond, Carolyn I n/a check $ 20.00 19 2257 World Pkwy Blvd W #15, Clearwater, FL 33763 10/7/2009 Boadway, Jack I n/a check $ 100.00 20 1933 Tanglewood Dr. NE, St. Petersburg, flu 33702 10/7/2009 Ligon, Mendee I n/a check $ 50.00 21 6450 4th St. S., St. Petersburg, FL 33705 10/7/2009 Higgins, Karen I n/a check $ SO.DO 22 1500 Jungle Ave N., St. Petersburg, FL 33710 10/7/2009 Seiu Florida Public Services Union CCE c Committee check $ 500.00 23 7001 Lake Ellenor Drive #130, Orlando, FL 32809 10/7/2009 Westerberg, Candace I n/a check $ 100.00 24 2189 Tanglewood Way NE, St. Petersburg, FL 33702 10/7/2009 Keebler, Gena n/a check $ 100.00 25 1767 Tanglewood Dr. NE, St. Petersburg, FL 33702 10/7/2009 King, Steven n/a check $ 5.00 26 330 1/2 13th Ave NE #5, St. Petersburg, FL 33701 10/8/2009 Stafford, Eileen I n/a check $ 20.00 27 701 Mirror Lake Dr. N.,#201, St. Petersburg, FL 33701 10/8/2009 Nawab, Rehana A. I Bus. Woman check $ 200.00 28 7229 17th Ct NE,, St. Petersburg, FL 33702 10/8/2009 Smith Jr., Dr. Arnett I n/a check $ 100.00 29 4900 Hyacinth Way S., St. Petersburg, 33705 10/8/2009 Moon, Glenn I Bus. Man check $ 300.00 30 485 58th Ave NE., St. Petersburg, FL 33703 10/8/2009 Lupo, Frank I retired check $ 300.00 31 6218 Palma De Mar Blvd #502C, St. Petersburg, FL 33715 10/8/2009 Killingsworth, Jesse I retired check $ 500.00 32 10380 131st Street N., Largo, FL 33774 10/8/2009 Haak, Alexander I n/a check $ 100.00 33 4694 31st Ave N., St. Petersburg, FL 33713 10/8/2009 Kiesylis, Patricia I retired check $ 450.00 34 231 44th Ave NE., St Petersburg, FL 33703
(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 $ 50.00 35 321 22nd Ave SE, St. Petersburg, FL 33705 10/8/2009 Fountain, Elizabeth Lake I n/a check $ 15.00 36 2611 49th St S., Gulfport, F: 33707 10/8/2009 Rent A Hand, Inc B n/a check $ 20.00 37 1135 Pasadena Ave S., South Pasadena, FL 33707 10/8/2009 Wilson, Gregory S I n/a check $ 25.00 38 610 78th Ave, St. Pete Beach, flu 33706 10/8/2009 Zeller, Suzanne I n/a check $ 25.00 39 1921 58th Ave N #6, St. Petersburg, FL 33714 10/8/2009 Hickman, Douglas I n/a check $ 25.00 40 17480 1st Street E., Redington Shores, FL 33708 10/8/2009 Piper, J Richard I n/a check $ 50.00 41 301 Crestwood Lane, Largo, FL 33770 10/8/2009 Abolafia, Elisa I n/a check $ 25.00 42 5155 9th Ave N., St. Petersburg, FL 33710 10/8/2009 Bustamante, Shelia I n/a check $ 25.00 43 1803 42nd Way N, St. Petersburg, FL 33713 10/8/2009 Boylan, Richard I n/a check $ 50.00 44 250 Isle Dr., St. Pete Beach, FL 33706 10/8/2009 Jackson, James I n/a check $ 100.00 45 251 23rd Ave S., St. Petersburg, FL 33705 10/8/2009 Helm, Adrien I n/a check $ 100.00 46 2900 68th Ave S., St. Petersburg, FL 33712 10/8/2009 Hitches, Paul I n/a check $ 100.00 47 6464 1st Ave N., St. Petersburg, FL 33710 10/8/2009 Nazario, John I n/a check $ 50.00 48 100 Bluff View Drive #C210, Belleair Bluffs, FL 33770 10/8/2009 West, Tobi I n/a check $ 25.00 49 5101 29th Ave S., Gulfport, FL 33707 10/8/2009 Ford, Andrew I n/a cash $ 40.00 so 90 Lexington Ave 10, New York, New York 10016 10/8/2009 Hallahan, Lauren I n/a cash $ 35.00 51 1537 Picardy Circle., Clearwater, FL 33755
(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 $ 150.00 52 3376 Bayshore Blvd NE., St. Petersburg, FL 33703 10/8/2009 Peppers on the Pier B n/a check $ 50.00 53 800 2nd Ave NE., St. Petersburg, FL 33701 10/8/2009 O'Donnell, F. Gemma I n/a check $ 50.00 54 405 10th Ave NE., St. Petersburg, FL 33701 10/8/2009 Young, Roberta I n/a check $ 25.00 55 685 Mount Lancaster Ave, NE., St. Petersburg, FL 33702 10/8/2009 Fouts, Marty I n/a check $ 20.00 56 3701 16th Ave N., St. Petersburg, FL 33713 10/8/2009 Stanford, Doris I n/a check $ 10.00 57 3229 58th St. N., sty. Petersburg, FL 33710 10/8/2009 Schmidt, Donald I n/a check $ 100.00 58 7200 18th St. NE., St. Petersburg, FL 33702 10/8/2009 Wright, Michael I n/a cash $ 50.00 59 1 Beach Dr SE #1309, St. Petersburg, FL 33701 10/8/2009 Winsor, Patrick I n/a cash $ 20.00 60 4134 Dartmouth Ave N., St. Petersburg, FL 33713 10/8/2009 Old Northeast Tavern B n/a in-kind $ 75.00 61 201 7th Ave N., St. Petersburg, FL 33701 10/8/2009 Lupo, Frank I n/a in-kind $ 100.00 62 6218 Palma Del Mar, St. Petersburg, FL 33715 10/8/2009 Mclaughlin, Ramsey I n/a in-kind $ 100.00 63 218 148th Ave, Madeira Beach, FL 33708 10/8/2009 Nawab, Ahmad I n/a in-kind $ 150.00 64 7229 17th Court NE., St. Petersburg, FL 33702 10/8/2009 Mehta, Jay B Hotel owner in-kind $ 480.00 65 5005 34th St. N., St. Petersburg, FL 33714 10/8/2009 Ford, Kathleen I n/a in-kind technology $ 54.85 66 7477 18th Street NE, St. Petersburg, FL 33702 10/9/2009 Patterson, Gary I n/a check $ 50.00 67 133 13th Ave N., St. Petersburg, FL 33701 10/9/2009 Dubina, Mark I n/a check $ 250.00 68 1700 72nd Ave NE, St. Petersburg, FL 33702
(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 $ 10.00 69 970 45th Ave NE., St. Petersburg, FL 33703
(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 $ 45.00 1 PO Box 47975, St. Petersburg, FL 33743 9/30/2009 Minute Man Press printing Mon $ 165.15 2 4827 Central Ave, St. Petersburg, FL 33713 10/1/2009 New City Signs Signs Mon $ 1,364.25 3 1739 28th St N., St. Petersburg, FL 33713 10/5/2009 Harris Neighborhood Assoc c/o Sullivan Advertising Mon $ 100.00 4 PO Box 11895, St. Petersburg, FL 33733 10/6/2009 Heritage Association LLC Phone Mon $ 37.43 5 575 2nd Ave S 3201, St. Petersburg, FL 33701 10/7/2009 Post Master postage mon $ 176.00 6 31351stAve, N, St. Petersburg, FL33713 10/8/2009 Progress Energy power Mon $ 36.63 7 PO Box 33199, St. Petersburg, FL 33733 10/8/2009 Progress Energy power Mon $ 134.09 8 PO Box 33199, St. Petersburg, FL 33733 10/9/2009 Adaboy Media Advertising Mon $ 150.00 9 PO Box 21512, St. Petersburg, FL 33742 10/9/2009 Pay pal Fees Mon $ 45.40 10 2211 North 1st St., San Jose, CA 95131 10/9/2009 Minute Man Press printing Mon $ 53.50 11 4827 Central Ave, St. Petersburg, FL 33713