Candidate: DAVID F COLLINS

Office: LEE MEMORIAL HEALTH SYSTEM-3

Report Date: G2 (9/15/2012 - 9/28/2012)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 9/18/2012	Contributor Brian Krivisky 15361 River By Road Fort Myers, FL 33908	Entity Individual	Occupation Doctor	Contribution Type Check	Amend	Amount $200.00
Seq# 2	Date 9/17/2012	Contributor M E Byck 15210 Portside Drive #501 Fort Myers, FL 33908	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $150.00
Seq# 3	Date 9/15/2012	Contributor Victor W Mayeron 15839 Silverado Court Fort Myers, FL 33908	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $250.00
Seq# 4	Date 9/17/2012	Contributor Michael J Gadaleta 74 Timberland Circle Fort Myers, FL 33919	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 5	Date 9/22/2012	Contributor Louis Luongo 1685 Menlo Rd Fort Myers, FL 33901	Entity Individual	Occupation BusinessOwnerManufactu	Contribution Type Check	Amend	Amount $100.00
Seq# 6	Date 9/25/2012	Contributor James H Schmitt 9803 Quinta Artesia Way Apt 101 Fort Myers, FL 33908	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $100.00
Seq# 7	Date 9/25/2012	Contributor Mark Blust 1460 Claret Court Fort Myers, FL 33919	Entity Individual	Occupation ResturantManagement	Contribution Type Check	Amend	Amount $100.00
Seq# 8	Date 9/25/2012	Contributor David Depew 1724 Whittling Court Fort Myers, FL 33901	Entity Individual	Occupation Engineer	Contribution Type Check	Amend	Amount $250.00
Seq# 9	Date 9/25/2012	Contributor Angelo Vaughn 14750 Six Mile Cypress Pkwy Fort Myers, FL 33912	Entity Individual	Occupation LawEnforcement	Contribution Type Cash	Amend	Amount $40.00
Seq# 10	Date 9/25/2012	Contributor Steven P Kushner 7060 Hendry Creek Dr Fort Myers, FL 33908	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $250.00
Seq# 11	Date 9/25/2012	Contributor Melissa N Cofta 5566 Pernod Drive Fort Myers, FL 33919	Entity Individual	Occupation Dir ofDevelopment- Non	Contribution Type Check	Amend	Amount $50.00
Seq# 12	Date 9/25/2012	Contributor Kelsey A Thompson 9119 Red Canyon Drive Fort Myers, FL 33908	Entity Individual	Occupation CPA	Contribution Type Check	Amend	Amount $50.00
Seq# 13	Date 9/25/2012	Contributor Barbara J Stevens ***Protected Voter***	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 14	Date 9/25/2012	Contributor Jane B Gold 7823 Eagles Flight Lane Fort Myers, FL 33912	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 15	Date 9/25/2012	Contributor Simon S Morris 7831 Twin Eagle Lane Fort Myers, FL 33912	Entity Individual	Occupation Banker	Contribution Type Check	Amend	Amount $50.00
Seq# 16	Date 9/25/2012	Contributor Ryan M Shute 12712 Aston Oaks Drive Fort Myers, FL 33912	Entity Individual	Occupation Engineer	Contribution Type Check	Amend	Amount $100.00
Seq# 17	Date 9/25/2012	Contributor Kathleen Wolter 11500 Longwater Chase Court Fort Myers, FL 33901	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 18	Date 9/28/2012	Contributor Hannah Pelle 8290 Sumner Ave Fort Myers, FL 33908	Entity Individual	Occupation DirectorofAllocations	Contribution Type Check	Amend	Amount $100.00
Seq# 19	Date 9/28/2012	Contributor Scott Robertson 2759 Janet Street Matlacha, FL 33993	Entity Individual	Occupation Auctioneer	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 9/15/2012	Contributor Markit Group, Inc 26944 Montego Pointe Circle Bonita Springs, FL 34134	Entity Business	Occupation Marketing	In-Kind Description Website Design	Amend	Amount $300.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 9/21/2012	Vendor Better Coupons 12565 New Brittany Blvd #24 Fort Myers, FL 33907	Purpose Advertising	Expenditure Type Monetary	Amend	Amount $500.00
Seq# 2	Date 9/21/2012	Vendor Grafix Alliance 5565 Lee Street Lehigh Acres, FL 33971	Purpose Campaign Signs	Expenditure Type Monetary	Amend	Amount $2,222.02

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