Campaign Treasurer's Report – Itemized Contributions

Seq# Date Contributor Entity Occupation Cont. Type Amend Amount
1
2/23/2015
Darren Holsey
501 E Bay St
Jax, FL 32202
Individual
Reired
Check
$200.00
2
2/23/2015
Allura Holsey
501 E Bay St
Jax, FL 32202
Individual
Check
$100.00
3
2/23/2015
Joselina McClain
3490 Laurel Mill Dr
Orange Park, FL 32065
Individual
Medical
Check
$200.00
4
2/23/2015
Michelle Holmes
1069 Valley Forge Ct
Jax, FL 32233
Individual
Technician
Check
$200.00
5
2/24/2015
Alice Boyd
12711 Sampson Rd
Jax, FL 32218
Individual
Check
$100.00
6
2/24/2015
Samuel Stomberg
228 Walton Blvd W
Palm Beach, FL 33405
Individual
Check
$25.00
7
2/24/2015
Jeffrey Marks
3771 Rubin Road
Jax, FL 32257
Individual
Check
$50.00
8
2/24/2015
Robert Hickson
3333 Monument Rd
Jax, FL 32225
Individual
FireFighter
Check
$300.00
9
2/26/2015
Melissa Adams
5056 Johnson Creek Dr
Jax, FL 32218
Individual
Check
$100.00
10
2/26/2015
Tillis Devaughn
5146 Moose Creek Ct
Jax, FL 32218
Individual
Check
$100.00
11
2/26/2015
Dottye Young
2832 Ribault Scenic Dr
Jax, FL 32208
Individual
Secretary
Check
$200.00
12
2/26/2015
Carol Ttee
13510 Mandarin Road
Jax, FL 32223
Individual
Check
$50.00
13
2/26/2015
Joseph Debs
4453 Glen Kernan Parkway
Jax, FL 32224
Individual
BusinessOwner
Check
$500.00
14
2/26/2015
Savani Rohikumar
9017 Kensington Forest Dr
Harrisbury , NC 28075
Individual
Insurance
Check
$500.00
15
2/26/2015
Elizabeth Bing
3730 Moncrief Rd W
Jax, FL 32209
Individual
Check
$10.00
16
2/26/2015
Alberta Veney
445 Johns Creek Pathway
St Augustine, FL 32092
Individual
Cash
$20.00
17
2/26/2015
Tonya Thomas
10018 Skinner Lake Dr
Jax, FL 32246
Individual
Cash
$30.00
18
2/26/2015
Parth Investments Inc
907 Lane Ave S
Jax, FL 32205
Individual
Food StoreOwner
Check
$150.00
19
2/26/2015
Parry Shah
9580 Hutchinson Park Dr
Jax, FL 32225
Individual
Check
$100.00
20
2/26/2015
Patel Narren
9580 Hutchinson Park Dr
Jax, FL 32225
Individual
Check
$100.00
21
2/26/2015
Exon Food Mart
815 Edgewood Ave
Jax, FL 32209
Business
Check
$100.00
22
2/26/2015
Veena Kumar
12152 Basalt Dr S
Jax, FL 3226
Individual
Check
$50.00
23
2/26/2015
Premier Clinic LLC
7807 Baymeadows Rd E
Jax, FL 32256
Business
Medical
Check
$151.00
24
2/26/2015
Amit Patel
1650 Crooked Oak Dr
Orange Park, FL 32065
Individual
Check
$100.00
25
2/26/2015
R` R Raj
9343 Lem Turner Rd
Jax, FL 32208
Individual
FoodService
Check
$250.00
26
2/26/2015
KRSNA Corp. Inc
5406 Timuquana Rd
Jax, FL 32210
Business
GasStation
Check
$351.00
27
2/26/2015
Suresh Patel
12 Anastasia Blvd
St Augustine, FL 32080
Individual
HotelOwner
Check
$200.00
28
2/26/2015
R-Kuber LLC
2310 State Rd 16
St Augustine, FL 32084
Business
HotelOwner
Check
$300.00
29
2/26/2015
M & A Food Mart
4211 Moncrief Rd
Jax, FL 32209
Business
FoodService
Check
$201.00
30
2/26/2015
Charles Lyon
9580 Hutchinson Park
Jax, FL 32220
Individual
Cash
$20.00
31
2/26/2015
Vijay Patel
1188 Broward Rd
Jax, FL 32218
Individual
Gas storeowner
Check
$401.00
32
2/26/2015
Amit Vijapura
9141 Cypress Green Dr
Jax, FL 32256
Individual
Cash
$50.00
33
2/26/2015
Kolmar Bharat
14401 Dunnite
Jax, FL 32218
Individual
Doctor
Check
$151.00
34
2/26/2015
Suril Sheh
1819 Dunn Ave
Jax, FL 32218
Individual
BusinessOwner
Check
$151.00
35
2/26/2015
Dimpal Patel
6217 Merrill Rd
Jax, FL 32217
Individual
Cash
$50.00
36
2/26/2015
Jacksonville Pain Center
PO Box 60029
Jax, FL 32260
Business
Medical
Check
$500.00
37
2/26/2015
Chetan Patel
6923 Atlantic Blvd
Jax, FL 32225
Individual
Cash
$46.00
38
2/26/2015
Sanjay Trivedi
624 Fenwick Lane
Jax, FL 32259
Individual
Check
$100.00
39
2/26/2015
Dipak MOdi
9580 Hutchinson Park Dr
Jax, Fl 32225
Individual
Cash
$50.00
40
2/26/2015
Chandra Yadav
166 Austin Ryan Dr
Kingsland , GA 31548
Individual
Military
Check
$200.00
41
2/26/2015
Radhe 108 LLC
6802 Commonwealth Ave
Jax, FL 32254
Business
Hotel
Check
$300.00
42
2/26/2015
John Gray
10248 Manorville Dr
Jax, FL 32210
Individual
Check
$100.00
43
2/27/2015
Florida Delivers Leadership PA
3563 Chrriage Walk Lane
Laurel, MD 20724
Political Comm.
(Federal or State)
PoliticalCommittee
Check
$500.00
44
2/27/2015
Darrell Coats
2957 White Eagle Lan
Jax, FL 32226
Individual
Bishop
Check
$200.00
45
2/27/2015
Lee Harris
6055 Kinnon Dr
Jax, FL 32209
Individual
Medical
Check
$200.00
46
2/27/2015
Eric Simmons
501 E Bay St
Jax, FL 32202
Individual
Check
$100.00
47
2/27/2015
Eugene Leigh
501 E Bay St
Jax, FL 32202
Individual
RetiredPolice
Check
$200.00
48
2/27/2015
Bobbie Barreira
501 E Bay St
Jax, FL 32202
Individual
Nurse
Check
$400.00
Total Contributions
$8,457.00

Campaign Treasurer's Report – In-Kind Contributions

Seq# Date Contributor Entity Occupation In-Kind Description Amend Amount
1
2/27/2015
MHR Rental
501 E Bay St
Jax, FL 32202
Business
Wait staff for Ruth Chris dinner
$100.00
Total In-Kind Contributions
$100.00

Campaign Treasurer's Report – Itemized Expenditures

Seq# Date Vendor Purpose Exp. Type Amend Amount
1
2/23/2015
SM Group
3034 Beauclerc Oaks Ct
Jax, FL 32257
Consulting
Monetary
$1,000.00
2
2/27/2015
The Mccormick Agency
2579 Oak St
Jax, FL 32204
Magazine Add - Onyx Magazine
Monetary
$588.25
3
2/27/2015
Square Inc
1455 Market St
Suite 600
San Francisco, CA 94103
CC Fees
Monetary
$14.30
4
2/27/2015
The McCormick Agency
2579 Oak St
Jax, FL 32204
Mar Public Relations
Monetary
$1,250.00
Total Expenditures
$2,852.55

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