Candidate: DAVID F COLLINS

Office: LEE MEMORIAL HEALTH SYSTEM-3

Report Date: G3 (9/29/2012 - 10/12/2012)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 10/1/2012	Contributor Rick Brown 14092 Bently Cir Fort Myers, FL 33912	Entity Individual	Occupation ProjectEngineer	Contribution Type Check	Amend	Amount $250.00
Seq# 2	Date 10/1/2012	Contributor Cindy Brown 14092 Bently Cir Fort Myers, FL 33912	Entity Individual	Occupation RN	Contribution Type Check	Amend	Amount $250.00
Seq# 3	Date 10/1/2012	Contributor Diane Rudd 13870 Tonbridge Ct Bonita Springs, FL 34135	Entity Individual	Occupation Realtor	Contribution Type Check	Amend	Amount $100.00
Seq# 4	Date 10/1/2012	Contributor Joel Gammons 8796 Ventura Way Naples, FL 34109	Entity Individual	Occupation OfficeFurnituredistrib	Contribution Type Check	Amend	Amount $250.00
Seq# 5	Date 10/4/2012	Contributor Christina Prendiville ***Protected Voter***	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 6	Date 10/8/2012	Contributor Amanda Rivera 3140 Midship Drive N Ft Myers, FL 33908	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $100.00
Seq# 7	Date 10/10/2012	Contributor Jerry Hemmer 12899 Stone Tower Loop Fort Myers, FL 33913	Entity Individual	Occupation FinancialPlanner	Contribution Type Check	Amend	Amount $500.00
Seq# 8	Date 10/11/2012	Contributor Thomas Lambert 4820 Laurel Lane Fort Myers, FL 33908	Entity Individual	Occupation BusinessConsultant	Contribution Type Check	Amend	Amount $100.00
Seq# 9	Date 10/11/2012	Contributor Karina Borgia 11930 Fairway Lakes Drive Fort Myers, FL 33913	Entity Individual	Occupation RealEstateTitle	Contribution Type Check	Amend	Amount $100.00
Seq# 10	Date 10/11/2012	Contributor Ann Stewart 7430 Lake Breeze Dr Apt 313 Fort Myers, FL 33907	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $25.00
Seq# 11	Date 10/5/2012	Contributor Geoffrey Roepstorff 1287 Isabel Drive Sanibel, FL 33957	Entity Individual	Occupation Bank CEO	Contribution Type Check	Amend	Amount $200.00
Seq# 12	Date 10/5/2012	Contributor Robert E Beville 5706 Basswood Court Fort Myers, FL 33919	Entity Individual	Occupation Directorof Sales	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 10/12/2012	Contributor Joseph Mitchell ***Protected Voter***	Entity Individual	Occupation Owner poolcompany	In-Kind Description Golf tournament hole support sign	Amend	Amount $200.00
Seq# 2	Date 10/11/2012	Contributor ActionCOACH 10250 Templeton Lane Fort Myers, FL 33913	Entity Business	Occupation BusinessCoach	In-Kind Description Food, Drink and decorations for fundraising gathering	Amend	Amount $336.09
Seq# 3	Date 10/11/2012	Contributor Kendra Sutton 12450 Eagle Pointe Cir Fort Myers, FL 33913	Entity Individual	Occupation MarketingConsultant	In-Kind Description Disc Jockey and Balloons for host gathering	Amend	Amount $143.90
Seq# 4	Date 10/10/2012	Contributor Paper Fish Printing, Inc 17251 Alico Center Road Suite 5 Fort Myers, FL 33967	Entity Business	Occupation Printer	In-Kind Description Printing of campaign cards	Amend	Amount $103.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 10/3/2012	Vendor Priority Payment Systems P.O.Box 246 Alpharetta, GA 30009	Purpose Credit Card fees	Expenditure Type Monetary	Amend	Amount $59.11
Seq# 2	Date 10/4/2012	Vendor La Trattoria Cafe Napoli 12377 South Cleveland Ave Fort Myers, FL 33907	Purpose Food and Drink at Fundraising gathering	Expenditure Type Monetary	Amend	Amount $500.00
Seq# 3	Date 10/5/2012	Vendor United Way 7273 Concourse Drive Fort Myers, FL 33908	Purpose United Way Kick off Breakfast	Expenditure Type Monetary	Amend	Amount $20.00
Seq# 4	Date 10/5/2012	Vendor Grafix Alliance 5565 Lee Street unit 5 Lehigh Acres, FL 33971	Purpose Campaign Signs	Expenditure Type Monetary	Amend	Amount $477.00
Seq# 5	Date 10/10/2012	Vendor Paper Fish Printing, Inc 17251 Alico Center Road Suite 5 Fort Myers, FL 33967	Purpose Printing of Palm Cards	Expenditure Type Monetary	Amend	Amount $42.40
Seq# 6	Date 10/11/2012	Vendor iPROMOTEu Dept CH 17195 Palatine, IL 60055	Purpose Campaign buttons	Expenditure Type Monetary	Amend	Amount $176.50

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