Committee: Northeast Polk PAC

Office: Political Committee

Report Date: M9 (9/1/2021 - 9/30/2021)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 9/17/2021	Contributor Polk Co Republican Executive C 6039 Cypress Gardens Blvd Ste 108 Winter Haven, FL 33884	Entity Committee	Occupation	Contribution Type Check	Amend	Amount $400.00
Seq# 2	Date 9/30/2021	Contributor SouthState Bank 42725 us-27n davenport, fl 33837	Entity Business	Occupation intrest	Contribution Type Cash	Amend	Amount $0.02

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 9/7/2021	Vendor Google G Suite 1600 Amphitheatre Parkway Mountain View, CA 94043	Purpose email and website software	Expenditure Type Monetary	Amend	Amount $30.00
Seq# 2	Date 9/7/2021	Vendor SAGA For Lakeland 2622 W Memorial Blvd Lakeland, FL 33815	Purpose CampaignSupport	Expenditure Type Monetary	Amend	Amount $250.00
Seq# 3	Date 9/9/2021	Vendor Steve Larson 711 McLeod Avenue Haines City, FL 33844	Purpose Banners	Expenditure Type Monetary	Amend	Amount $269.98
Seq# 4	Date 9/24/2021	Vendor Steve Larson 711 McLeod Avenue Haines City, FL 33844	Purpose Door Hangers	Expenditure Type Monetary	Amend	Amount $414.34

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