Campaign Treasurer's Report – Itemized Contributions

Seq# Date Contributor Entity Occupation Cont. Type Amend Amount
1
11/14/2012
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
WellnessInstructor
Loan
$200.00
2
12/3/2012
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
WellnessInstructor
Loan
$390.00
3
12/6/2012
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
WellnessInstructor
Loan
$180.00
4
1/19/2013
William Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Individual
SystemsEngineer
Check
$250.00
Total Contributions
$1,020.00

Campaign Treasurer's Report – In-Kind Contributions

Seq# Date Contributor Entity Occupation In-Kind Description Amend Amount
1
11/30/2012
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Verification
of
Petitions
and
Contribution
of County
Maps
$47.50
2
12/24/2012
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Domain
Name
$11.30
3
2/8/2013
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Easel
$29.99
4
2/12/2013
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Dry Erase
Board
$34.99
5
2/23/2013
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Paper Clips
$2.13
6
2/26/2013
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Membership dues for Brevard Young Conservatives group
$20.00
7
3/14/2013
Adam Lane Perez
7667 North Wickham Road
Apt. 1407
Melbourne, FL 32940
Candidate
to Themselves
Petition Verification Fee
$10.00
8
5/27/2013
Adam Lane Perez
5778 Tamarac Drive
Viera, FL 32940
Candidate
to Themselves
Candidate Website Hosting
$0.99
9
6/26/2013
Adam Lane Perez
5778 Tamarac Drive
Viera, FL 32940
Candidate
to Themselves
Candidate Website Hosting
$0.99
10
7/25/2013
Adam Lane Perez
5778 Tamarac Drive
Viera, FL 32940
Candidate
to Themselves
Candidate Website Hosting
$0.99
11
8/27/2013
Adam Lane Perez
5778 Tamarac Drive
Viera, FL 32940
Candidate
to Themselves
Candidate
Website
Hosting
$0.99
12
9/14/2013
William Haskell
2812 Bellwind Circle
Rockledge, FL 32955
Individual
Republican Liberty Caucus of Central East Florida Constitution Day Dinner Ticket
$65.00
13
9/30/2013
Adam Lane Perez
5778 Tamarac Drive
Viera, FL 32940
Candidate
to Themselves
Candidate Website Hosting
$0.99
14
10/30/2013
Adam Lane Perez
5778 Tamarac Drive
Viera, FL 32940
Candidate
to Themselves
Candidate Website Hosting
$0.99
Total In-Kind Contributions
$226.85

Campaign Treasurer's Report – Itemized Expenditures

Seq# Date Vendor Purpose Exp. Type Amend Amount
1
12/3/2012
Wendy Diaz
4165 Dow Road
Unit 17
Melbourne, FL 32934
Payment 1
of 2, 75%
of the
total
campaign
shirts
(100
count)
order cost
of $700.
Order
fulfilled
by
'Ms.Behave
Custom
Screenprinting '
Monetary
$525.00
2
12/6/2012
Wendy Diaz
4165 Dow Road
Unit 17
Melbourne, FL 32934
Payment 2
of 2, 25%
of the
total
campaign
shirts
(100
count)
order cost
of $700.
Order
fulfilled
by
'Ms.Behave
Custom
Screenprinting '
Monetary
$175.00
3
12/24/2012
Vistaprint
95 Hayden Avenue
Lexington, MA 02421
Premium
Business
Cards
Monetary
$49.39
4
12/31/2012
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign
Account
Maintenance
Fee
Monetary
$8.00
5
1/31/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
6
2/11/2013
Walmart
8500 North Wickham Road
Melbourne, FL 32940
Table
Monetary
$47.70
7
2/12/2013
Lowes
3790 South Fiske Boulevard
Rockledge, FL 32955
Sign
Monetary
$6.34
8
2/12/2013
Walmart
8500 North Wickham Road
Melbourne, FL 32940
Sign Supplies
Monetary
$15.48
9
2/21/2013
Walmart
8500 North Wickham Road
Melbourne, FL 32940
Paper Clips
Monetary
$1.43
10
2/26/2013
Scottdale Hosting
230 Rosenberry Court
Mt Pleasant, PA 15666
Candidate Website
Hosting
Monetary
$0.99
11
2/28/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
12
3/27/2013
Scottdale Hosting
230 Rosenberry Court
Mt Pleasant, PA 15666
Candidate
Website
Hosting
Monetary
$0.99
13
3/29/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign
Account
Maintenance
Fee
Monetary
$8.00
14
4/26/2013
Scottdale Hosting
230 Rosenberry Court
Mt Pleasant, PA 15666
Candidate Website Hosting
Monetary
$0.99
15
4/30/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
16
5/15/2013
Walmart
8500 North Wickham Road
Melbourne, FL 32940
Dry erase markers
Monetary
$6.33
17
5/31/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
18
6/28/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
19
7/31/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
20
8/30/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
21
9/30/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
22
10/31/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
23
11/29/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
24
12/31/2013
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
25
1/31/2014
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
26
2/28/2014
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
27
3/31/2014
TD Bank
4551 North Wickham Road
Melbourne, FL 32940
Campaign Account Maintenance Fee
Monetary
$8.00
28
4/30/2014
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
29
5/30/2014
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
30
6/30/2014
TD Bank
4551 North Wickham Road
Melbourne, FL 32935
Campaign Account Maintenance Fee
Monetary
$8.00
31
7/14/2014
Adam Perez
5778 Tamarac Drive
Viera, Fl 32940
Loan reimbursement, balance at close of account
Monetary
$38.36
Total Expenditures
$1,020.00

Campaign Treasurer's Report – Fund Transfers

Seq# Date Institution Transfer Type Nature of Account Amend Amount

Campaign Treasurer's Report – Distributions

Seq# Date Vendor Purpose Expenditure Related Exp. Amend Amount