Candidate: Brenda D. Forman

Office: Clerk of the Circuit Court

Report Date: M2 (2/1/2020 - 2/29/2020)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 2/6/2020	Contributor Kimberly Kolback, Esq 1395 Brickell Ave Suite 800 Miami, FL 33131	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 2	Date 2/6/2020	Contributor Kate Goldman 7385 NW 24th St Margate, FL 33063	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 3	Date 2/6/2020	Contributor Ross Charno 323 SW 11th St Ft. Lauderdale, FL 33315	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 4	Date 2/6/2020	Contributor Scott Cagan 1142 NW 195th Ave Pembroke Pines, FL 33029	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 5	Date 2/6/2020	Contributor Tom Loffredo 1636 NE 19th St Ft. Lauderdale, FL 33305	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $250.00
Seq# 6	Date 2/6/2020	Contributor Russell Marcus 11988 Classic Dr Coral Springs, FL 33071	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 7	Date 2/6/2020	Contributor Charles Hall ***Protected Voter***	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 8	Date 2/6/2020	Contributor Jane Valliere 600 S Andrews Ave Ft. Lauderdale, FL 33301	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 9	Date 2/6/2020	Contributor Ryan Ramjeet 8691 Gate House Road Plantation, FL 33324	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 10	Date 2/6/2020	Contributor Susan Kalman 600 W Las Olas Blvd Ft. Lauderdale, FL 33312	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $30.00
Seq# 11	Date 2/6/2020	Contributor Hassett & Associates 6099 Stirling Road Suite 217 Davie, FL 33314	Entity Business	Occupation Attorney	Contribution Type Check	Amend	Amount $500.00
Seq# 12	Date 2/6/2020	Contributor Law Office of Russel Lazega PA 45 E Sheridan St Dania Beach, Fl 33004	Entity Business	Occupation Attorney	Contribution Type Check	Amend	Amount $500.00
Seq# 13	Date 2/6/2020	Contributor Jackie LLoyd 1668 NW 58th Ave Ft. Lauderdale , FL 33312	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 14	Date 2/6/2020	Contributor Renee Petty 6211 NW 14th Court Sunrise, Fl 33313	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 15	Date 2/6/2020	Contributor KV & Hugo Viaud 4501 NW 8th Place Plantation, FL 33311	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 16	Date 2/6/2020	Contributor Donna Caldwell 13521 NW 5th Court Plantation, FL 33325	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 17	Date 2/6/2020	Contributor Harvey&Karen Spigler 6231 SW 188th Ave Ft. Lauderdale, FL 33332	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $100.00
Seq# 18	Date 2/6/2020	Contributor Shirley Grissett 920 NW 96th Ave Ft Lauderdale, FL 33311	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $25.00
Seq# 19	Date 2/6/2020	Contributor Charlotte I Smith 821 NW 9th Ave #1 Ft Lauderdale, FL 33311	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $40.00
Seq# 20	Date 2/6/2020	Contributor Nakia I Smith 7206 SW 3rd Ave N. Lauderdale, Fl 33068	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $40.00
Seq# 21	Date 2/1/2020	Contributor Lauren Grimes 2526 Palma Dr NW Conyers, GA 30012	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $75.00
Seq# 22	Date 2/6/2020	Contributor Fernanda Charno 323 SW 11th St Ft. Lauderdale, FL 33315	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 23	Date 2/7/2020	Contributor Nathaniel Greene 3201 W Commercial Blvd Suite 228 Ft. Lauderdale, Fl 33309	Entity Business	Occupation Attorney	Contribution Type Check	Amend	Amount $300.00
Seq# 24	Date 2/7/2020	Contributor Erica Fox 24 David Drive Augusta, NJ 07822	Entity Individual	Occupation SelfEmployed	Contribution Type Money Order	Amend	Amount $150.00
Seq# 25	Date 2/11/2020	Contributor Tracy I Ceballos 9421 Evergreen Place #205 Davie, FL 33324	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $25.00

Campaign Treasurer's Report – In-Kind Contributions

Seq#	Date	Contributor	Entity	Occupation	In-Kind Description	Amend	Amount
Seq# 1	Date 2/6/2020	Contributor Gray Robinson 301 E Pine St Suite 1400 Orlando, FL 32801	Entity Business	Occupation Attorneysat Law	In-Kind Description fundraiser	Amend	Amount $240.92

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 2/1/2020	Vendor Sandra Gipson P.O. Box 290032 Davie, Fl 33329	Purpose King Jamaica NCNW	Expenditure Type Monetary	Amend	Amount $50.00
Seq# 2	Date 2/24/2020	Vendor Broward County Black Caucus 900 River Reach Dr #507 Ft. Lauderdale, FL 33315	Purpose event	Expenditure Type Monetary	Amend	Amount $148.08

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