Candidate: Brenda D. Forman

Office: Clerk of the Circuit Court

Report Date: M10 (10/1/2019 - 10/31/2019)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 10/27/2019	Contributor Jacqueline LLoyd 3271 W Broward Blvd Lauderhill, FL 33312	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $40.00
Seq# 2	Date 10/27/2019	Contributor Natalie Davis 821 NW 9th Ave #1 Ft Lauderdale, FL 33311	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $20.00
Seq# 3	Date 10/27/2019	Contributor DonElla Reddick 460 SW 38th Terr Ft. Lauderdale, FL 33312	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 4	Date 10/27/2019	Contributor Tim&Penny Powell 5407 Madbor Hollywood, FL 33021	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 5	Date 10/27/2019	Contributor Tanya Webb 3150 N 23rd Ave Hollywood, FL 33020	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 6	Date 10/27/2019	Contributor Marlene Solomon 4133 Corambola Cir Coconut Creek, Fl 33066	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 7	Date 10/27/2019	Contributor Inez Butler 3140 NW 43rd Place Oakland Park, Fl 33309	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 8	Date 10/27/2019	Contributor Shirley Grissett 920 NW 96th Ave Plantation, FL 33324	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 9	Date 10/27/2019	Contributor Darron Grissett 920 NW 96th Ave Plantation, FL 33324	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $20.00
Seq# 10	Date 10/27/2019	Contributor Tracy Ceballos 9421 Evergreen Place #205 Davie, FL 33324	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $30.00
Seq# 11	Date 10/27/2019	Contributor Timesha Glenn 109 Gardens Dr #204 Pompano Beach, FL 33069	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $20.00
Seq# 12	Date 10/27/2019	Contributor Chuck Good 4912 SW 102nd Ave Miami, FL 33165	Entity Individual	Occupation	Contribution Type Money Order	Amend	Amount $100.00
Seq# 13	Date 10/27/2019	Contributor Charito Henley 2413 Main St #151 Miramar, Fl 33025	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 14	Date 10/27/2019	Contributor Audrey Warren 2300 SW 48th Ave W. Park, FL 33023	Entity Individual	Occupation	Contribution Type Money Order	Amend	Amount $60.00
Seq# 15	Date 10/27/2019	Contributor Kathy Jackson 1306 Brae Burn N. Lauderdale, FL 33068	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 16	Date 10/27/2019	Contributor Carissa Jackson 1306 Brae Burn N. Lauderdale, FL 33068	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 17	Date 10/27/2019	Contributor Jessica McKenzie 10430 SW 17 Court Miramar, FL 33025	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 18	Date 10/27/2019	Contributor Charlotte Smith 2924 NW 55th Ave Lauderhill, FL 33313	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 19	Date 10/29/2019	Contributor Nakia Smith 7206 SW 3rd Ave N. Lauderdale, Fl 33068	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 20	Date 10/29/2019	Contributor Dian Diaz ***Protected Voter***	Entity Individual	Occupation Executive	Contribution Type Money Order	Amend	Amount $250.00

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 10/8/2019	Vendor Leaders who shine 110 Grand Palms Hotel Spa Resort Pembroke Pines, FL 33027	Purpose Democratic event	Expenditure Type Monetary	Amend	Amount $200.00

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