Candidate: CHRIS HANSEN

Office: LEE MEMORIAL HEALTH SYSTEM-4

Report Date: G4 (10/9/2010 - 10/28/2010)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 10/11/2010	Contributor Jerry & Barbara Snyderman 11970 Rosemount Drive Fort Myers, FL 33913	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 2	Date 10/12/2010	Contributor Randy E Thibaut 4571 Colonial Boulevard #102 Fort Myers, FL 33966	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 3	Date 10/11/2010	Contributor Joseph & Martha Certa 1596 Jefferson Avenue Fort Myers, FL 33901	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 4	Date 10/19/2010	Contributor Ronald E Inge 5571 Halifax Avenue Fort Myers, FL 33912	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 5	Date 10/28/2010	Contributor Hans C Hansen 18100 Hansen Hoke Farm LN N FORT MYERS, FL 33917	Entity Individual	Occupation Candidate	Contribution Type Loan	Amend	Amount $983.84

Campaign Treasurer's Report – In-Kind Contributions

Seq#	Date	Contributor	Entity	Occupation	In-Kind Description	Amend	Amount
Seq# 1	Date 10/28/2010	Contributor Priority Marketing of SWFL INC 8191 College Parkway Suite #303 Ft. Myers, FL 33919	Entity Business	Occupation marketing and pr	In-Kind Description professio nal services to develop campaign	Amend	Amount $500.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 10/13/2010	Vendor Randy E Thibaut 4571 Colonial Boulevard #102 Fort Myers, FL 33966	Purpose Donor was unaware that his first check had cleared and this was a refund since he contributed twice.	Expenditure Type Refund	Amend	Amount $100.00
Seq# 2	Date 10/28/2010	Vendor Priority Marketing of SWFL INC 8191 College Parkway Suite #303 Fort Myers, FL 33919	Purpose campaign materials	Expenditure Type Monetary	Amend	Amount $2,075.62

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