Candidate: Howard C. Forman

Office: Clerk of the Circuit Court

Report Date: M9 (9/1/2019 - 9/30/2019)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 9/30/2019	Contributor Jeff Goins 2400 SW 57 Way Westpark, FL 33023	Entity Individual	Occupation Contractor	Contribution Type Check	Amend	Amount $200.00
Seq# 2	Date 9/30/2019	Contributor Gary Lee Arenson 6001 N Ocean Dr #803 Hollywood, FL 33019	Entity Individual	Occupation CPA	Contribution Type Check	Amend	Amount $150.00
Seq# 3	Date 9/30/2019	Contributor Martin Schwartz 4962 Sarazen Dr Hollywood, FL 33021	Entity Individual	Occupation Retired	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 9/11/2019	Vendor Ann Storck Center 1790 SW 43 Way Ft Lauderdale, FL 33317	Purpose Fundraiser	Expenditure Type Monetary	Amend	Amount $200.00
Seq# 2	Date 9/10/2019	Vendor Broward Young Black Progressiv c/o Amber Vaughan 836 Harbor Inn Dr Coral Springs, FL 33071	Purpose Dinner ticket	Expenditure Type Monetary	Amend	Amount $25.00

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