Candidate: Brenda D. Forman

Office: Clerk of the Circuit Court

Report Date: Q3 (7/1/2023 - 9/30/2023)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 8/18/2023	Contributor Law office of Laura Chukwuma, 200 SE 6th St Ste 305 Ft. Lauderdale, FL 33301	Entity Business	Occupation Attorney	Contribution Type Check	Amend	Amount $1,000.00
Seq# 2	Date 8/18/2023	Contributor Samuel Chukwuma 2480 Davie, FL 33325	Entity Individual	Occupation MD	Contribution Type Check	Amend	Amount $1,000.00
Seq# 3	Date 9/20/2023	Contributor Tara Grundemeier Schiller Street Houston, TX 77055	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 4	Date 9/20/2023	Contributor Katie Aelvoet PO Box 34 Spring B, TX 78070	Entity Individual	Occupation partner	Contribution Type Check	Amend	Amount $500.00
Seq# 5	Date 9/20/2023	Contributor James Harris Bake Bend Houston, TX 77079	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 6	Date 9/20/2023	Contributor Brunson P.A. 3350 148th Ave Miramar, FL 33027	Entity Individual	Occupation accounting	Contribution Type Check	Amend	Amount $1,000.00
Seq# 7	Date 9/20/2023	Contributor Charles Sutton Sutters Chase Dr Sugar Land, TX 77479	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 8	Date 9/20/2023	Contributor Ron Roccha 112 E Pecan St San Antonio , TX 78205	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 9	Date 9/20/2023	Contributor Mark Flowers 1301 E 8th St Odessa, TX 79761	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 10	Date 9/20/2023	Contributor Ben Sorenson 1111 Miami, FL 33069	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 11	Date 9/20/2023	Contributor John Guevara 35 Providencia Court Brownsville, TX 78526	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 12	Date 9/20/2023	Contributor Tanya Wood 3043 Rabbit Brush Manvel, TX 77578	Entity Individual	Occupation partner	Contribution Type Check	Amend	Amount $500.00
Seq# 13	Date 9/20/2023	Contributor Glenn Lewis 100 Throckmorton St Ft. Worth, TX 76102	Entity Individual	Occupation partner	Contribution Type Check	Amend	Amount $500.00
Seq# 14	Date 9/20/2023	Contributor Chris Young PO Box17428 Austin, TX 78735	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 15	Date 9/20/2023	Contributor Jim Lambeth 1517 W Front St Tyler, TX 75702	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 16	Date 9/20/2023	Contributor Lucy Canales 1512 Lone Star Way Edinburg, TX 78539	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 17	Date 9/20/2023	Contributor Lori Gruver Terrace 2, 2700 Via Fortuna Dr Austin, TX 78746	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $250.00
Seq# 18	Date 9/20/2023	Contributor Clifton Douglass III 112 E. Pecan St San Antonio, TX 78205	Entity Individual	Occupation partner	Contribution Type Check	Amend	Amount $500.00
Seq# 19	Date 9/20/2023	Contributor Bridget Lopez 2777 N. Stemmons Freeway Dallas, TX 75207	Entity Individual	Occupation partner	Contribution Type Check	Amend	Amount $500.00
Seq# 20	Date 9/21/2023	Contributor Kelly Salazar Hollywood Drive Edinburg, TX 78539	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00
Seq# 21	Date 9/30/2023	Contributor Ronald L Book PA 4000 Hollywood Blvd Ste 677-S Hollywood, FL 33021	Entity Business	Occupation Law Firm	Contribution Type Check	Amend	Amount $1,000.00
Seq# 22	Date 9/30/2023	Contributor Ronald Book Coconut Palm Plantation, FL 33324	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $1,000.00
Seq# 23	Date 9/30/2023	Contributor Pat Book S Ocean Dr Hollywood, FL 33021	Entity Individual	Occupation Partner	Contribution Type Check	Amend	Amount $500.00

Campaign Treasurer's Report – In-Kind Contributions

Seq#	Date	Contributor	Entity	Occupation	In-Kind Description	Amend	Amount

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount

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