Candidate: Brenda D. Forman

Office: Clerk of the Circuit Court

Report Date: M11 (11/1/2019 - 11/30/2019)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 11/3/2019	Contributor Davie Premier Management LLC 4125 SW 64th Ave Davie, FL 33314	Entity Business	Occupation Diner	Contribution Type Check	Amend	Amount $1,000.00
Seq# 2	Date 11/22/2019	Contributor Law Office of Levi Williams PA 12 SE 7th St Suite 710 Ft. Lauderdale, FL 33301	Entity Business	Occupation Attorney	Contribution Type Check	Amend	Amount $500.00

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 11/8/2019	Vendor American Cancer Society 3363 W Commercial Blvd Suite 100 Ft. Lauderdale, FL 33309	Purpose Fund raiser for Jail and Bail	Expenditure Type Monetary	Amend	Amount $200.00
Seq# 2	Date 11/1/2019	Vendor Trade Mark Graphics 2030 NW 93rd Ave Pembroke Pines, FL 33024	Purpose campaign literature	Expenditure Type Monetary	Amend	Amount $83.46

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