Candidate: SANDY COHEN

Office: LEE MEMORIAL HEALTH SYSTEM-3

Report Date: G4 (10/13/2012 - 11/1/2012)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 10/15/2012	Contributor JACOB GOLDBERGER 1220 KASAMADA FORT MYERS, FL 33919	Entity Individual	Occupation PHYSICIAN	Contribution Type Check	Amend	Amount $250.00
Seq# 2	Date 10/17/2012	Contributor R.W. GRAHAM 1005 OLD BURNT STORE ROAD N. CAPE CORAL, FL 33993	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 3	Date 10/17/2012	Contributor ADVANCED PAIN MANAGEMENT P.O. BOX 07400 FORT MYERS, FL 33919	Entity Business	Occupation physicians	Contribution Type Check	Amend	Amount $500.00
Seq# 4	Date 10/22/2012	Contributor GEORGE FITZGERALD 1818 ARDMORE ROAD FORT MYERS, FL 33901	Entity Individual	Occupation PHYSICIAN	Contribution Type Check	Amend	Amount $500.00
Seq# 5	Date 10/22/2012	Contributor BRIAN KRIVISKY 15361 RIVER BY RD. FORT MYERS, FL 33908	Entity Individual	Occupation PHYSICIAN	Contribution Type Check	Amend	Amount $250.00
Seq# 6	Date 10/22/2012	Contributor JOHN SPENCER 598 BOULDER DRIVE SANIBEL, FL 33957	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 7	Date 10/22/2012	Contributor BRUCE BERGET 4908 SW 11TH AVE CAPE CORAL, FL 33914	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 8	Date 10/22/2012	Contributor WAYNE ISAACSON 13100 LINTON ROAD FORT MYERS, FL 33908	Entity Individual	Occupation PHYSICIAN	Contribution Type Check	Amend	Amount $250.00
Seq# 9	Date 10/22/2012	Contributor ALAN ISAACS 9814 RED REEF COURT FORT MYERS, FL 33919	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 10	Date 10/29/2012	Contributor ROLF L ANDREASSEN 12751 ALLENDALE CIRCLE FORT MYERS, FL 33912	Entity Individual	Occupation PHYSICIAN	Contribution Type Check	Amend	Amount $100.00
Seq# 11	Date 10/25/2012	Contributor MAXIM E EHRLICH 7877 E MISSISSIPPI AVE APT 207 DENVER, CO 80247-2034	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00

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
Seq# 1	Date 10/22/2012	Vendor BREEZE NEWSPAPERS 2510 DEL PRADO CAPE CORAL, FL 33904	Purpose ADVERTISING	Expenditure Type Monetary	Amend	Amount $1,140.00
Seq# 2	Date 10/22/2012	Vendor PAYPAL	Purpose VARIOUS FEES	Expenditure Type Monetary	Amend	Amount $35.15
Seq# 3	Date 10/25/2012	Vendor THE NEWS-PRESS 2442 DR. MARTIN LUTHER KING JR. BLVD. FORT MYERS, FL 33901	Purpose ADVERTISING	Expenditure Type Monetary	Amend	Amount $2,100.00

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