Committee: Ponte Vedra Democratic Club

Office: Political Action Committee

Report Date: G4 (10/1/2016 - 10/7/2016)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount

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 10/1/2016	Vendor ST JOHNS COUNTY DEC PO BOX 4200 ST AUGUSTINE, FL 32085	Purpose DONATION	Expenditure Type Monetary	Amend	Amount $100.00
Seq# 2	Date 10/1/2016	Vendor BARBARA HAUGEN 1207 SALT CREEK ISLAND DR PONTE VEDRA BEACH, FL 32082	Purpose REIMBURSEMENT	Expenditure Type Monetary	Amend	Amount $88.66
Seq# 3	Date 10/1/2016	Vendor BARBARA HAUGEN 1207 SALT CREEK ISLAND DR PONTE VEDRA BEACH, FL 32082	Purpose REIMBURSEMENT	Expenditure Type Monetary	Amend	Amount $72.74
Seq# 4	Date 10/1/2016	Vendor BARBARA HAUGEN 1207 SALT CREEK ISLAND DR PONTE VEDRA BEACH, FL 32082	Purpose REIMBURSEMENT	Expenditure Type Monetary	Amend	Amount $4.99
Seq# 5	Date 10/1/2016	Vendor BARBARA HAUGEN 1207 SALT CREEK ISLAND DR PONTE VEDRA BEACH, FL 32082	Purpose REIMBURSEMENT	Expenditure Type Monetary	Amend	Amount $15.31

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
Seq# 1	Date 10/1/2016	Vendor COSTCO WHOLESALE 4901 GATE PARKWAY JACKSONVILLE, FL 32246	Purpose CANDIDATE FUNDRAISER	Expenditure Related Exp. 2016-G4-2	Amend	Amount $88.66
Seq# 2	Date 10/1/2016	Vendor PUBLIX 220 FRONT ST PONTE VEDRA BEACH, FL 32082	Purpose CANDIDATE FUNDRAISER	Expenditure Related Exp. 2016-G4-3	Amend	Amount $72.74
Seq# 3	Date 10/1/2016	Vendor PARTY PLANET 880 A1A NORTH PONTE VEDRA BEACH, FL 32082	Purpose NAME TAGS	Expenditure Related Exp. 2016-G4-4	Amend	Amount $4.99
Seq# 4	Date 10/1/2016	Vendor FRESH MARKET 840 A1A NORTH PONTE VEDRA BEACH, FL 32082	Purpose CANDIDATE FUNDRAISER	Expenditure Related Exp. 2016-G4-5	Amend	Amount $15.31