Campaign Treasurer's Report – Itemized Contributions

Seq# Date Contributor Entity Occupation Cont. Type Amend Amount
1
10/19/2021
Casey Doughty
524 Sheila Ave
Interlachen, FL 32148
Individual
Check
$22.00
2
10/19/2021
Paul I Adamczyk
150 Spooner Rd
Hawthorne, FL 32640
Individual
Politician
Check
$550.00
3
10/29/2021
Keith Altman
255 W River Rd
Palatka, FL 32177
Individual
retired
Check
$150.00
4
10/29/2021
Susanne Paper
229 Lake Ida Point Dr
Interlachen, FL 32148
Individual
Check
$75.00
5
10/29/2021
Tom I Williams
***Protected Voter***
Individual
Businessowner
Check
$550.00
6
10/29/2021
Michael Cribby
PO Box 383
Keystone Heights, FL 32656
Individual
Check
$550.00
7
10/29/2021
Mark Fisher
573 County Road 310
Palatka, FL 32177
Individual
Check
$550.00
8
10/29/2021
Constance Foster
164 Poplar Dr
Interlachen, FL 32148
Individual
Check
$550.00
9
11/3/2021
Diane I Williams
PO Box 1774
Interlachen, FL 32148
Individual
Check
$550.00
10
11/3/2021
Gene Palrud
903 S County Road 21
Hawthorne , FL 32640
Individual
Check
$75.00
11
11/3/2021
Stephen Beckett
2001 Country Club Ter
Palatka, FL 32177
Individual
Check
$150.00
12
11/3/2021
Robert W Pickens Jr
533 S Summit St
Crescent City, FL 32112
Individual
Check
$300.00
13
11/15/2021
Synergy Fabrications
2510 Crill Ave
Palatka, FL 32177
Business
Construction
Check
$550.00
14
11/15/2021
Pat Wilson
516 River St
Palatka, FL 32177
Individual
Check
$550.00
15
11/15/2021
Putnam Republican Club
PO Box 112
Pamona Park, FL 32181
Other
SocialClub
Check
$550.00
16
11/15/2021
Sheila Sweeny
1004 SE 8th St
Unit 102
Cape Coral, FL 33909
Individual
Check
$20.00
17
11/15/2021
Sheila I Sweeny
1004 SE 8th St
Unit 102
Cape Coral, FL 33909
Individual
Check
$60.00
18
11/15/2021
George Buzzard
890 S County Road 21
Hawthorne, FL 32640
Individual
Check
$75.00
19
11/15/2021
Larry I Harvey
111 Sasso Dr
Interlachen, FL 32148
Individual
Check
$75.00
20
11/15/2021
David I Kooy
115 W Washington St
Interlachen, FL 32148
Individual
retired
Check
$376.00
21
11/15/2021
Barbara I Kooy
115 W Washington St
Interlachen, FL 32148
Individual
secretary
Check
$550.00
22
11/12/2021
Paul I Adamczyk
150 Spooner Rd
Hawthorne, FL 32640
Individual
Politician
Check
$375.00
23
11/12/2021
Eric Reagan
821 1st Ave
Welaka, FL 32193
Individual
Check
$550.00
24
11/12/2021
Charles Overturf II
158 Confederate Point Rd
Palatka, FL 32177
Individual
Politician
Check
$100.00
25
11/12/2021
Dan I Eicher
310 Ashley St
Hawthorne, FL 32640
Individual
Check
$150.00
26
11/12/2021
Philip Purcell
6275 65th St
Vero Beach , FL 32967
Individual
Check
$550.00
27
11/12/2021
Curtis Bennett
500 S Long Ave
Interlachen, FL 32148
Individual
Author
Check
$275.00
28
11/12/2021
Carolyn I Bennett
500 S Long Ave
Interlachen, FL 32148
Individual
TownCouncilWoman
Check
$275.00
29
11/12/2021
Barbara I Kooy
115 W Washington St
Interlachen, FL 32148
Individual
secretary
Check
$225.00
30
11/12/2021
Ann Williams
PO Box 602
Hollister, FL 32147
Individual
Check
$50.00
31
11/19/2021
Brian Overton
309 64th St
Interlachen, FL 32148
Individual
Welder
Cash
$50.00
32
11/19/2021
Ginger I Overton
309 64th St
Interlachen, FL 32148
Individual
Housewife
Cash
$50.00
33
11/19/2021
Brian N Overton
309 64th St
Interlachen, FL 32148
Individual
Student
Cash
$50.00
34
11/19/2021
Jonathan I Kooy
115 W Washington St
Interlachen, FL 32148
Individual
Cash
$10.00
35
11/19/2021
John Larsen
PO Box 747
Interlachen, FL 32148
Individual
Check
$150.00
36
11/19/2021
Building a Prosperous Florida
2505 NW 71st Pl
Gainesville, FL 32653
Business
Check
$550.00
Total Contributions
$10,288.00

Campaign Treasurer's Report – In-Kind Contributions

Seq# Date Contributor Entity Occupation In-Kind Description Amend Amount
1
10/15/2021
Diane Williams
PO Box 1774
Interlachen, FL 32148
Individual
Dinner Ware for events
$22.79
2
11/3/2021
Diane I Williams
PO Box 1774
Interlachen, FL 32148
Individual
Paper Supplies
$27.86
3
11/12/2021
Tom Williams
***Protected Voter***
Individual
Drinks for event
$54.80
4
12/25/2021
Dan Eicher
310 Ashley St
Hawthorne, FL 32640
Individual
domain name
$24.88
Total In-Kind Contributions
$130.33

Campaign Treasurer's Report – Itemized Expenditures

Seq# Date Vendor Purpose Exp. Type Amend Amount
1
10/4/2021
FL Insurance Solutions Inc
PO Box 1854
Interlachen, FL 32148
General Liability
Monetary
$435.00
2
10/25/2021
AT&T
PO Box 6463
Carol Stream, IL 60197
phone
Monetary
$26.61
3
10/11/2021
Coventry Oaks Farm
104 Springside Shortcut Rd
Palatka, FL 32177
Event Rental
Monetary
$1,000.00
4
11/3/2021
Diane Individual Williams
PO Box 1774
Interlachen, FL 32148
Event Supplies
Monetary
$108.13
5
11/3/2021
Mark Individual Fisher
573 County Road 310
Palatka, FL 32177
event supplies & Pop Up tent
Monetary
$326.04
6
10/31/2021
TD Bank
PO Box 1377
Lewiston, ME 04243
bank fees
Monetary
$3.00
7
11/4/2021
Hawg Wash BBQ
114 S 3rd St
Welaka, FL 32193
Food - Event
Monetary
$2,700.00
8
11/15/2021
Stanley Escudera
3034 S Peninsula Dr
Daytona Beach, FL 32118
travel reimbursement
Monetary
$150.00
9
11/25/2021
AT&T
PO Box 6463
Carol Stream, IL 60197
phone
Monetary
$26.61
10
11/30/2021
TD Bank
PO Box 1377
Lewiston, ME 04243
bank fees
Monetary
$3.00
11
11/30/2021
PCAF
PO Box 400
East Palatka, FL 3213
booth rental fee
Monetary
$250.00
12
12/27/2021
AT&T
PO Box 6463
Carol Stream, IL 60197
phone
Monetary
$26.61
13
10/29/2021
PayPal
2211N First St
San Jose, CA 95131
Echeck
Monetary
$550.00
14
12/31/2021
TD Bank
PO Box 739
South Windsor, CT 06074-0769
bank fee
Monetary
$3.00
Total Expenditures
$5,608.00

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