Candidate: Rick Surrency

Office: District Superintendent of Schools

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 9/13/2019	Contributor Danny Martinez 320 Round Lake Rd Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $1,000.00
Seq# 2	Date 9/17/2019	Contributor Joe Pickens P. O. Box 981 Palatka, FL 32178	Entity Individual	Occupation COllegePresident	Contribution Type Check	Amend	Amount $1,000.00
Seq# 3	Date 9/23/2019	Contributor Breck Sloan P O Box 1257 Palatka, FL 32178	Entity Individual	Occupation CEO AutoDealership	Contribution Type Check	Amend	Amount $1,000.00
Seq# 4	Date 9/27/2019	Contributor Charles Bates 3400 Crill Ave Palatka, FL 32177	Entity Individual	Occupation Businessowner	Contribution Type Check	Amend	Amount $1,000.00
Seq# 5	Date 9/27/2019	Contributor Taylor Douglas 7120 Middleton Ave St. Augustine, FL 32080	Entity Individual	Occupation Realestateagent	Contribution Type Check	Amend	Amount $100.00
Seq# 6	Date 9/27/2019	Contributor Charlotte Griffin 120 Kelley Smith Ranch Road Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 7	Date 9/27/2019	Contributor Cassandra Browning-Nettles 120 Kelley Smith Ranch Road Palatka, FL 32177	Entity Individual	Occupation Realestateagent	Contribution Type Check	Amend	Amount $100.00
Seq# 8	Date 9/27/2019	Contributor Brandi Screen P O Box 428 Florahome, FL 32140	Entity Individual	Occupation home maker	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 9/6/2019	Contributor Richard M Surrency 6003 4th Manor East Palatka, FL 32177	Entity Candidate to Themselves	Occupation	In-Kind Description printing of post cards / staples	Amend	Amount $49.21
Seq# 2	Date 9/8/2019	Contributor Richard M Surrency 6003 4th Manor East Palatka, FL 32177	Entity Candidate to Themselves	Occupation	In-Kind Description printing address labels/staples	Amend	Amount $16.04
Seq# 3	Date 9/8/2019	Contributor Rick Surrency 6003 E 4th Manor Palatka, FL 32177	Entity Candidate to Themselves	Occupation Superintendentof Schools	In-Kind Description purchase post cards	Amend	Amount $49.21
Seq# 4	Date 9/9/2019	Contributor Rick Surrency 6003 E 4th Manor Palatka, FL 32177	Entity Candidate to Themselves	Occupation Superintendentof Schools	In-Kind Description purchase postage	Amend	Amount $35.00
Seq# 5	Date 9/23/2019	Contributor Rick Surrency 6003 E 4th Manor Palatka, FL 32177	Entity Candidate to Themselves	Occupation Superintendentof Schools	In-Kind Description pay petition fee	Amend	Amount $5.50
Seq# 6	Date 9/29/2019	Contributor Rick Surrency 6003 E 4th Manor Palatka, FL 32177	Entity Candidate to Themselves	Occupation Superintendentof Schools	In-Kind Description purchase supplies for kick off event	Amend	Amount $42.81
Seq# 7	Date 9/28/2019	Contributor Rick Surrency 6003 E 4th Manor Palatka, FL 32177	Entity Candidate to Themselves	Occupation Superintendentof Schools	In-Kind Description purchase supplies for kick off event	Amend	Amount $34.70
Seq# 8	Date 9/29/2019	Contributor Rick Surrency 6003 E 4th Manor Palatka, FL 32177	Entity Candidate to Themselves	Occupation Superintendentof Schools	In-Kind Description purchase supplies for kickoff event	Amend	Amount $6.99

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 9/14/2019	Vendor Atomic Tees 1005 St. Johns Ave Palatka, FL 32177	Purpose purchase campaign T-shirts	Expenditure Type Monetary	Amend	Amount $786.45
Seq# 2	Date 9/29/2019	Vendor Victoria Barnes P O Box 693 Hollister, FL 32147	Purpose purchase food for kickoff event	Expenditure Type Monetary	Amend	Amount $150.00

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