Candidate: DAVID F COLLINS

Office: LEE MEMORIAL HEALTH SYSTEM-3

Report Date: F3 (7/21/2012 - 8/9/2012)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 8/3/2012	Contributor Marshall T Bower 15031 Punta Rassa Rd #1203 Fort Myers, FL 33908	Entity Individual	Occupation Executive Director	Contribution Type Check	Amend	Amount $150.00
Seq# 2	Date 7/31/2012	Contributor Robert Wells 8280 Casadelrio Lane Fort Myers, FL 33919	Entity Individual	Occupation Business Owner	Contribution Type Check	Amend	Amount $100.00
Seq# 3	Date 8/2/2012	Contributor Gay Rebel Thompson 11604 Timberline Circle Fort Myers, FL 33966	Entity Individual	Occupation CEO-Cement Industries	Contribution Type Check	Amend	Amount $100.00
Seq# 4	Date 7/24/2012	Contributor Douglas L Meurer 439 Prather Drive Fort Myers, FL 33919	Entity Individual	Occupation ASST County Admin	Contribution Type Check	Amend	Amount $100.00
Seq# 5	Date 7/24/2012	Contributor Gail Markham 18160 Creekside View Dr Fort Myers, FL 33908	Entity Individual	Occupation CPA	Contribution Type Check	Amend	Amount $100.00
Seq# 6	Date 8/1/2012	Contributor Samira Beckwith 17080 HARBOUR POINTE #1212 Fort Myers , FL 33908	Entity Individual	Occupation CEO	Contribution Type Check	Amend	Amount $100.00
Seq# 7	Date 7/25/2012	Contributor David Collins 6458 Griffin Blvd Fort Myers, FL 33908	Entity Individual	Occupation Banker	Contribution Type Loan	Amend	Amount $300.00
Seq# 8	Date 8/8/2012	Contributor Melanson Law, P.A. 1412 Royal Palm Sq Blvd Ste 103 Fort Myers, FL 33919	Entity Business	Occupation Law Practice	Contribution Type Check	Amend	Amount $50.00
Seq# 9	Date 8/8/2012	Contributor Condo & HOA Law Group, PLLC 2030 McGregor Blvd. Fort Myers, FL 33901	Entity Business	Occupation Law Practice	Contribution Type Check	Amend	Amount $250.00
Seq# 10	Date 8/9/2012	Contributor Kelly L Fayer, P.A. 12601 World Plaza Lane Fort Myers, FL 33907	Entity Business	Occupation Law Practice	Contribution Type Check	Amend	Amount $250.00
Seq# 11	Date 8/8/2012	Contributor Nancy McGovern 785 Entrada Drive S Fort Myers, FL 33919	Entity Individual	Occupation RN	Contribution Type Check	Amend	Amount $25.00
Seq# 12	Date 8/8/2012	Contributor Michel G Doherty 5341 SW 11th Ave Cape Coral, FL 33914	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $25.00
Seq# 13	Date 8/7/2012	Contributor David W Depew 1724 Whittling Court Fort Myers, FL 33901	Entity Individual	Occupation Engineer	Contribution Type Check	Amend	Amount $125.00
Seq# 14	Date 8/7/2012	Contributor Sonia Gomez P.O. Box 1503 Clewiston, FL 33440	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $35.00
Seq# 15	Date 8/8/2012	Contributor Craig R Stevens ***Protected Voter***	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $250.00
Seq# 16	Date 8/8/2012	Contributor Diana Willis P.O. Box 61566 Fort Myers, FL 33906	Entity Individual	Occupation Business Owner	Contribution Type Check	Amend	Amount $500.00
Seq# 17	Date 8/8/2012	Contributor Stephen Colgate 15400 Catalpa Cove Lane Fort Myers, FL 33908	Entity Individual	Occupation Business Owner	Contribution Type Check	Amend	Amount $200.00
Seq# 18	Date 8/8/2012	Contributor Brittany Cohill 4674 Siesta Circle Fort Myers, FL 33901	Entity Individual	Occupation medical sales	Contribution Type Check	Amend	Amount $150.00
Seq# 19	Date 8/8/2012	Contributor Cora Cisneros Molloy 8909 Banyan Cove Circle Fort Myers, FL 33919	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $250.00
Seq# 20	Date 8/8/2012	Contributor Susan Sweeney 3100 Orangetree Bend Fort Myers, FL 33905	Entity Individual	Occupation Realtor	Contribution Type Check	Amend	Amount $200.00
Seq# 21	Date 8/8/2012	Contributor Sandra Lynn Stilwell P.O. Box 848 Captiva, FL 33924	Entity Individual	Occupation Business Owner	Contribution Type Check	Amend	Amount $100.00
Seq# 22	Date 8/8/2012	Contributor Danielli D Martel 2712 NW 22nd Street Cape Coral, FL 33993	Entity Individual	Occupation Insurance	Contribution Type Check	Amend	Amount $100.00
Seq# 23	Date 8/8/2012	Contributor Connie B Ramos 8770 Paseo De Valencia Street Fort Myers, FL 33908	Entity Individual	Occupation Marketing	Contribution Type Check	Amend	Amount $100.00
Seq# 24	Date 8/8/2012	Contributor David M Arter 7217 Saint Anns Court Fort Myers, FL 33908	Entity Individual	Occupation Insurance	Contribution Type Check	Amend	Amount $100.00
Seq# 25	Date 8/8/2012	Contributor Elizabeth Bernstein 6767 Danah Court Fort Myers, FL 33908	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 26	Date 8/8/2012	Contributor Elaine A Hawkins 6642 Daniel Court Fort Myers, FL 33908	Entity Individual	Occupation Insurance	Contribution Type Check	Amend	Amount $250.00
Seq# 27	Date 8/8/2012	Contributor Lora Ann Potts 17420 Sterling Lake Drive Fort Myers, FL 33967	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 28	Date 8/8/2012	Contributor Francis X Collins 1819 SE 5th Ave Cape Coral, FL 33990	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 29	Date 8/8/2012	Contributor Clifford S Parker 12431 McGregor Woods Circle Fort Myers, FL 33908	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 30	Date 8/8/2012	Contributor Gary T Hampton 11870 Grand Isles Lane Fort Myers, FL 33913	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 31	Date 8/8/2012	Contributor Nicole Laquis 19846 Markward Crossing Estero, FL 33928	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 32	Date 8/8/2012	Contributor Elizabeth S Alderman 5820 Sunnyside Lane Fort Myers, FL 33919	Entity Individual	Occupation Financial Planner	Contribution Type Check	Amend	Amount $50.00
Seq# 33	Date 8/8/2012	Contributor Cynthia M Lastovica 634 Astarias Circle Fort Myers, FL 33919	Entity Individual	Occupation Banking	Contribution Type Check	Amend	Amount $100.00

Campaign Treasurer's Report – In-Kind Contributions

Seq#	Date	Contributor	Entity	Occupation	In-Kind Description	Amend	Amount
Seq# 1	Date 7/22/2012	Contributor Red Door Studio 2210 Bay Street Fort Myers, FL 33901	Entity Business	Occupation photograph studio	In-Kind Description photograp hy for campaign collateral	Amend	Amount $400.00
Seq# 2	Date 8/8/2012	Contributor Heather Fitzenhagen 1750 Marlyn Road Fort Myers, FL 33901	Entity Individual	Occupation business owner	In-Kind Description campaign kickoff party	Amend	Amount $250.00
Seq# 3	Date 8/8/2012	Contributor Richard D Deboest 1750 Marlyn Rd Fort Myers, FL 33901	Entity Individual	Occupation Attorney	In-Kind Description Campaign kickoff party	Amend	Amount $250.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 7/25/2012	Vendor Paper Fish Printing, Inc 17251 Alico Center Road Suite 5 Fort Myers , FL 33967	Purpose business cards thank you cards envelopes	Expenditure Type Monetary	Amend	Amount $93.28

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