Committee: Polk Forever PAC

Office: Political Committee

Report Date: G3 (9/17/2022 - 9/30/2022)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 9/17/2022	Contributor Robert Gibson 954 Campbell Ave Lake Wales, FL 33853	Entity Individual	Occupation laywer	Contribution Type Check	Amend	Amount $250.00
Seq# 2	Date 9/19/2022	Contributor Nancy McKavanagh 206 Patten Heights St Lakeland, FL 33803	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $50.00
Seq# 3	Date 9/19/2022	Contributor Laura Lusa 5 LOMA VERDE Lakeland, FL 33813	Entity Individual	Occupation cpa	Contribution Type Check	Amend	Amount $25.00
Seq# 4	Date 9/19/2022	Contributor Todd Thompson 1776 6th Street NW #6 Winter Haven, FL 33881	Entity Individual	Occupation develop.Consultant	Contribution Type Check	Amend	Amount $50.00
Seq# 5	Date 9/18/2022	Contributor Michael Fearney 734 Jessanda Circle Lakeland, FL 33813	Entity Individual	Occupation retiredCPA	Contribution Type Check	Amend	Amount $5,000.00
Seq# 6	Date 9/23/2022	Contributor Matthew Ginley 6242 E Winchcomb Dr. Scottsdale, AZ 85254	Entity Individual	Occupation statistician	Contribution Type Check	Amend	Amount $150.00
Seq# 7	Date 9/22/2022	Contributor Kathleen Edmonds 4886 Summerford Dr Dunwoody, GA 30338	Entity Individual	Occupation homemaker	Contribution Type Check	Amend	Amount $100.00
Seq# 8	Date 9/23/2022	Contributor Dean Saunders 1421 Seville Place Lakeland, FL 33803	Entity Individual	Occupation RealEstate	Contribution Type Check	Amend	Amount $1,500.00
Seq# 9	Date 9/22/2022	Contributor Gerald Harris 235 Rock Point Drive, Unit C Durango, CO 81301	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $50.00
Seq# 10	Date 9/22/2022	Contributor Unitarian Universalist Congregation of Lakeland 3140 Troy Avenue Lakeland, FL 33803	Entity Other	Occupation ReligiousCongregation	Contribution Type Check	Amend	Amount $159.00
Seq# 11	Date 9/23/2022	Contributor David Bunch 4641 Hancock Ave SE Bartow, FL 33830	Entity Individual	Occupation RealEstate	Contribution Type Check	Amend	Amount $250.00
Seq# 12	Date 9/23/2022	Contributor Sarah Raiden ***Protected Voter***	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $1,000.00
Seq# 13	Date 9/25/2022	Contributor Gerald Kriehn 5342 North Questa Tierra Dr Phoenix, AZ 85012	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $50.00
Seq# 14	Date 9/26/2022	Contributor Kelly Fearney 615 Plymouth Drive Durango, CO 81301	Entity Individual	Occupation Engineer	Contribution Type Check	Amend	Amount $200.00
Seq# 15	Date 9/30/2022	Contributor Jan I Barrow 782 Jessanda Circle Lakeland, FL 33813	Entity Individual	Occupation Hospitality	Contribution Type Check	Amend	Amount $100.00
Seq# 16	Date 9/30/2022	Contributor Gilbert J Hoffman, Jr. 2515 Roslyn Ln. Lakeland, FL 33812	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $10.00
Seq# 17	Date 9/30/2022	Contributor Patricia Ginley 1340 Emerald Dunes Dr Sun City Center, FL 33573	Entity Individual	Occupation RetiredSchoolAdmin	Contribution Type Check	Amend	Amount $100.00

Campaign Treasurer's Report – In-Kind Contributions

Seq#	Date	Contributor	Entity	Occupation	In-Kind Description	Amend	Amount
Seq# 1	Date 9/21/2022	Contributor Marian I Ryan 2215 NW Ave W Winter Haven, FL 33880	Entity Individual	Occupation retired	In-Kind Description PO BOX payment	Amend	Amount $116.00
Seq# 2	Date 9/23/2022	Contributor Michael Fearney 734 Jessanda Circle Lakeland, FL 33813	Entity Individual	Occupation retired	In-Kind Description Booth fee for Bartow Antique Market	Amend	Amount $20.00
Seq# 3	Date 9/25/2022	Contributor Suzanne Lindsey 181 Otis Rd Winter Haven, FL 33884	Entity Individual	Occupation retired	In-Kind Description Meta ad invoices: BQB4GJ3VJ2, YBENDHXUJ2, LTKFJH7VJ2, G7NNAHKVJ2, VY8GAHKVJ2, QW4Q8JXVJ2	Amend	Amount $85.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 9/19/2022	Vendor MidFlorida Credit Union 5301 US Hwy 98 S Lakeland, FL 33812	Purpose incoming wire fee	Expenditure Type Monetary	Amend	Amount $10.00
Seq# 2	Date 9/20/2022	Vendor Munguia Photography & Advertising 4209 Sunny View Dr Lakeland, FL 33813	Purpose print & ship palm cards	Expenditure Type Monetary	Amend	Amount $297.33
Seq# 3	Date 9/24/2022	Vendor Meta Platforms, Inc. 1 Hacker Way Menlo Park, CA 94025	Purpose Ad invoice: SLLUGJ3VJ2	Expenditure Type Monetary	Amend	Amount $35.00
Seq# 4	Date 9/25/2022	Vendor Meta Platforms, Inc. 1 Hacker Way Menlo Park, CA 94025	Purpose Ad invoice: NACDDJTVJ2	Expenditure Type Monetary	Amend	Amount $50.00
Seq# 5	Date 9/30/2022	Vendor PayPal, Inc. 2211 N 1st St. San Jose, CA 95131	Purpose Payment processing fees	Expenditure Type Monetary	Amend	Amount $76.04
Seq# 6	Date 9/30/2022	Vendor Meta Platforms, Inc. 1 Hacker Way Menlo Park, CA 94025	Purpose Ad invoice: GPE6LHXUJ2	Expenditure Type Monetary	Amend	Amount $75.00

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