Committee: Northeast Polk PAC

Office: Political Committee

Report Date: M12 (12/1/2021 - 12/31/2021)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 12/31/2021	Contributor South State Bank 36079 US HWY 27 Haines City, FL 33844	Entity Business	Occupation Bank	Contribution Type Interest	Amend	Amount $0.03

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 12/6/2021	Vendor Google GSuite 1600 Amphitheatre Parkway MountainView, CA 94043	Purpose domain and email	Expenditure Type Monetary	Amend	Amount $30.00

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