Candidate: DAVID F COLLINS

Office: LEE MEMORIAL HEALTH SYSTEM-3

Report Date: G1 (8/10/2012 - 9/14/2012)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 8/14/2012	Contributor Health-Check MD Inc 8595 College Parkway #350 Fort Myers, FL 33919	Entity Business	Occupation Retail-Health	Contribution Type Check	Amend	Amount $100.00
Seq# 2	Date 8/14/2012	Contributor Spada Salon and Day Spa 13161 McGregor Blvd Fort Myers, FL 33919	Entity Business	Occupation retail- Salon service	Contribution Type Check	Amend	Amount $250.00
Seq# 3	Date 8/16/2012	Contributor Borgia Law 11930 Fairway Lakes Drive Fort Myers, FL 33913	Entity Business	Occupation LawPractice	Contribution Type Check	Amend	Amount $200.00
Seq# 4	Date 8/24/2012	Contributor Douglas Baker 6260 Briarcliff Road Fort Myers, FL 33912	Entity Individual	Occupation LawEnforcement	Contribution Type Check	Amend	Amount $250.00
Seq# 5	Date 8/24/2012	Contributor Wittenborn Plastic Surgery LLC PO Box 13300 56 S Cleveland Ave #261 Fort Myers, FL 33907	Entity Business	Occupation Medical	Contribution Type Check	Amend	Amount $250.00
Seq# 6	Date 8/22/2012	Contributor Crowther Facility Services 12120 Amedicus Lane Fort Myers, FL 33907	Entity Business	Occupation Contractor	Contribution Type Check	Amend	Amount $200.00
Seq# 7	Date 8/22/2012	Contributor Stephen Sanford, JR 15378 Upwind Drive Bonita Springs, FL 34135	Entity Individual	Occupation Executive	Contribution Type Check	Amend	Amount $50.00
Seq# 8	Date 9/5/2012	Contributor MLS Title LLC 13550 Reflections Pkwy Unit 4-403 Fort Myers, FL 33907	Entity Business	Occupation RealEstateTitleser	Contribution Type Check	Amend	Amount $100.00
Seq# 9	Date 9/12/2012	Contributor Joel F Martineau 4575 Via Royale Suite 218 Fort Myers, FL 33919	Entity Individual	Occupation CPA	Contribution Type Check	Amend	Amount $100.00
Seq# 10	Date 9/12/2012	Contributor Patricia J Bell 7161 Golden Eagle Ct #1012 Fort Myers, FL 33912	Entity Individual	Occupation Executive	Contribution Type Check	Amend	Amount $100.00
Seq# 11	Date 9/14/2012	Contributor Above Board Chamber of Florida 4616 Mackinaw Ave N Fort Myers, FL 33903	Entity Business	Occupation Chamber	Contribution Type Check	Amend	Amount $50.00
Seq# 12	Date 9/14/2012	Contributor Andrew R Sicnolf 9025 Colby Dr 2111 Fort Myers, FL 33919	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 13	Date 9/14/2012	Contributor Creighton Commercial 900 SW Pine Island Rd 202 Cape Coral, FL 33991	Entity Business	Occupation RealEstateDeveloper	Contribution Type Check	Amend	Amount $400.00
Seq# 14	Date 9/14/2012	Contributor Donna J Caruso 4524 SE 16th Place 1A Cape Coral , FL 33904	Entity Individual	Occupation FinancialPlanner	Contribution Type Check	Amend	Amount $100.00
Seq# 15	Date 9/14/2012	Contributor Frederick R Williams 8770 Passeo De Valencia St Fort Myers, FL 33908	Entity Individual	Occupation Banker	Contribution Type Check	Amend	Amount $100.00
Seq# 16	Date 9/14/2012	Contributor Gregory K Wooley 1400 SW 48th Terrace Cape Coral , FL 33914	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 17	Date 9/14/2012	Contributor John Grey 4350 Fowler Street Fort Myers, FL 33901	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $5.00
Seq# 18	Date 9/14/2012	Contributor Raymond Dean Piccirillo 5526 Whispering Willow Way Fort Myers, FL 33908	Entity Individual	Occupation FinancialPlanner	Contribution Type Check	Amend	Amount $250.00
Seq# 19	Date 9/12/2012	Contributor Jonathan Gabel 857 SE 47th Street Cape Coral, FL 33904	Entity Individual	Occupation business owner merchan	Contribution Type Check	Amend	Amount $100.00
Seq# 20	Date 9/13/2012	Contributor Gary I Tasman 6627 Daniel Ct Fort Myers, FL 33908	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $75.00
Seq# 21	Date 9/13/2012	Contributor Eric Cohill 4674 Siesta Cir Fort Myers, FL 33901	Entity Individual	Occupation PresidentManufacturing	Contribution Type Check	Amend	Amount $200.00
Seq# 22	Date 9/12/2012	Contributor Jonathan Gabel 857 SE 47th Street Cape Coral, FL 33904	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $0.02
Seq# 23	Date 9/12/2012	Contributor David Collins 6458 Griffin Blvd Fort Myers, FL 33908	Entity Individual	Occupation	Contribution Type Loan	Amend	Amount $0.02
Seq# 24	Date 9/13/2012	Contributor Cathy Eagle 4134 ERINDALE DRIVE N Fort Myers, FL 33903	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
Seq# 1	Date 9/13/2012	Contributor The Martel Agency 4560 Via Royale #1 Fort Myers, FL 33919	Entity Business	Occupation Insuranceagency	In-Kind Description Fundraising Host Food, Drink, Entertainment	Amend	Amount $500.00
Seq# 2	Date 9/13/2012	Contributor Trini In Private Salon 13499 South Cleveland Ave #233 Fort Myers, FL 33907	Entity Business	Occupation Hair Salon	In-Kind Description Wine for the fundraising event	Amend	Amount $200.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 8/20/2012	Vendor Sign of the Times 2315 Davis Blvd Naples, FL 34104	Purpose campaign tee shirts	Expenditure Type Monetary	Amend	Amount $113.96
Seq# 2	Date 8/13/2012	Vendor Sign of the Times 2315 Davis Blvd Naples, FL 34104	Purpose Campaign Tee Shirts	Expenditure Type Monetary	Amend	Amount $115.00
Seq# 3	Date 8/28/2012	Vendor Conric PR & Marketing 8211 College Parkway Suite 130 Fort Myers, FL 33919	Purpose Content and Design for Campaign Palm Card	Expenditure Type Monetary	Amend	Amount $385.00
Seq# 4	Date 8/28/2012	Vendor Paper Fish Printing, Inc 17251 Alico Center Road Suite 5 Fort Myers, FL 33967	Purpose Print of Palm Cards	Expenditure Type Monetary	Amend	Amount $174.90
Seq# 5	Date 9/14/2012	Vendor Grafix Alliance 5565 Lee Street Unit 5 Lehigh Acres, FL 33971	Purpose Campaign Signs	Expenditure Type Monetary	Amend	Amount $1,252.13

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