(1) (2) FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY Name Address (number and street) CHECK IF ADDRESS HAS CHANGED (3) ID : (4) Check appropriate box(es): Candidate (office sought): HOSPITAL BOARD CENTRAL DISTRICT <BR> SEAT 1 Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee Electioneering Communication CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED REPORT IDENTIFIERS Cover Period: From 7 / 19 / 2008 To 8 / 1 / 2008 Report Type F2 Original Amendment Special Election Report Independent Expenditure Report CONTRIBUTIONS THIS REPORT EXPENDITURES THIS REPORT Monetary Cash & Checks $ 1,480.00 Expenditures $ Loans $ 0.00 Transfers to Office Account $ Total Monetary $ 1,480.00 Total Monetary $ In-Kind $ 167.00 (8) Other Distributions $ 0.00 0.00 (9) TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ 1,480.00 $ (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. I certify that I have examined this report and it is true, correct, and complete. (Type name) Individual (only for electioneering commun.) X Signature (Type name) Treasurer Deputy Treasurer Candidate Chairperson (only for PC, PTY & electioneering commun. organization) X Signature CFID: 3031 DS-DE 12 (Rev. 08/04)
(2) I.D. 8 1 2008 (4) Page 1 of 3 1 Edward Ellis 679 Norasota Way Sarasota, FL 34242 2 3 4 Ruth Sokolow 4061 Wilshire Circle E Mario Salem 5501 Dunrobin Dr. #3302 Barbara Desmond 255 Esplanade North Venice, FL 34285 I CHE $20.00 I CHE $50.00 I CAS $25.00 5 6 7 8 4284 Ashington Dr Birmingham, AL 35242 Marianne Oines 8267 Alam Ave North Port, FL 34287 David Hughes 6106 56th Terrace East Bradenton, FL 34203 Thomas Dickinson 2229 McClellan Parkway B CHE $100.00 I CHE $25.00 I CHE $25.00
(2) I.D. 8 1 2008 (4) Page 2 of 3 9 Robert Rosenbluth 562 S. Spoonbill Dr. 10 11 12 13 Debra Larson 2307 Beneva Terrace Sarasota, FL 34232 Diana Allman 1834 Roxane Way Sarasota, FL 34235 Greg Gillette 1700 S. Tamiami Trail Adrienne Matcham 3932 Wilshire Circle I CAS $20.00 I CAS $20.00 I INK Stamps $42.00 Matt Ingram 2463 Prospect St. I Draftsman INK Web Design and Hosting $125.00 14 15 16 Dee Mercurio 7840 Andora Drive - 4756 Dolores Fantin 5420 Southerly Way Sarasota, FL 34232 I Retired CHE $125.00 I Retired CHE $100.00
(2) I.D. 8 1 2008 (4) Page 3 of 3 17 Bella Padar Revocable Trust 1800 Towhee Lane Sarasota, FL 34231 I CHE $50.00 18 19 20 21 Robert Mallow 3925 Wilshire Ct Susan Garrett 3325 Bougainvillea St - 5704 Irene Carafelli 25188 Marion Ave TH 1012 Punta Gorda, FL 33950 Issam Soussou 1559 Baypoint Dr I CHE $20.00 I RN CHE $100.00 I Retired CHE $200.00 I MD CHE $200.00
CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES (2) I.D. 8 1 2008 (4) Page 1 of 1 7 19 08 Word Wood Farmer's Market Sarasota, FL 34242 (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Expenditure Type Amendment Amount Advertisement Apron MON $20.00 2 3 Office Depot 4940 S. Tamiami Trail Sarasota, FL 34231 Office Supplies MON $28.11 4 Ellen's Hallmark 3800 S. Tamiami Trail Thank you cards MON $26.75 1838 Alta Vista Reimbursement of Expenses, Meeting Refre MON $54.75 5 6 Pastry Art Bakery Cafe 1512 Main Street Meeting Refresment MON $6.94 7 28 08 7 USPS Main St. Sarasota, FL 34230-9998 Stamps MON $42.00 DS-DE 14 (7/98)