Candidate: Rick Surrency

Office: District Superintendent of Schools

Report Date: M10 (10/1/2019 - 10/31/2019)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 10/1/2019	Contributor Sharon Daniels 107 Oak Grove Drive Palatka, FL 32177	Entity Individual	Occupation Realtor	Contribution Type Check	Amend	Amount $100.00
Seq# 2	Date 10/1/2019	Contributor Rebecca Hopkins 5437 Cypress Links Blvd. Elkton, FL 32033	Entity Individual	Occupation Educator	Contribution Type Check	Amend	Amount $200.00
Seq# 3	Date 10/1/2019	Contributor Wayne McClain 285 West River Road Palatka, FL 32177	Entity Individual	Occupation Autodealer	Contribution Type Check	Amend	Amount $100.00
Seq# 4	Date 10/1/2019	Contributor Paulette Crawford 7208 Andrew Jackson Street Palatka, FL 32177	Entity Individual	Occupation Educator	Contribution Type Cash	Amend	Amount $40.00
Seq# 5	Date 10/1/2019	Contributor Jane Hafner 122 Hilty Lane East Palatka, FL 32131	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 6	Date 10/1/2019	Contributor Shirley Griffin 1738 S Hyw 17 Pomona Park, FL 32181	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 7	Date 10/1/2019	Contributor Adam Azula 429 E Bannerville Road Palatka, FL 32177	Entity Individual	Occupation Educator	Contribution Type Cash	Amend	Amount $50.00
Seq# 8	Date 10/1/2019	Contributor Jennifer Rivera ***Protected Voter***	Entity Individual	Occupation Educator	Contribution Type Cash	Amend	Amount $10.00
Seq# 9	Date 10/1/2019	Contributor Spencer Hathaway 43 Sounders Trail Ormond , FL 32174	Entity Individual	Occupation Prosecutor	Contribution Type Check	Amend	Amount $100.00
Seq# 10	Date 10/1/2019	Contributor Robert Mills 127 Magnolia Drive East Palatka, FL 32131	Entity Individual	Occupation Financialadvisor	Contribution Type Check	Amend	Amount $100.00
Seq# 11	Date 10/1/2019	Contributor Ronald Surrency 11215 Southeast 223 Terrace Hawthorne, Fl 32640	Entity Individual	Occupation Attorney	Contribution Type Cash	Amend	Amount $50.00
Seq# 12	Date 10/1/2019	Contributor Sharon I Surrency 11215 Southeast 223 Terrace Hawthorne, FL 32640	Entity Individual	Occupation Retired	Contribution Type Cash	Amend	Amount $50.00
Seq# 13	Date 10/1/2019	Contributor Susan Hardy ***Protected Voter***	Entity Individual	Occupation Banker	Contribution Type Check	Amend	Amount $100.00
Seq# 14	Date 10/1/2019	Contributor JP Browning Consulting 480 Hwy 17 South San Mateo, FL 32187	Entity Business	Occupation Businessowner	Contribution Type Check	Amend	Amount $250.00
Seq# 15	Date 10/1/2019	Contributor Sandra Turner 319 Old Peniel Road Palatka, FL 32177	Entity Individual	Occupation Nurse	Contribution Type Check	Amend	Amount $50.00
Seq# 16	Date 10/1/2019	Contributor Judy Turner 2605 Fairway drive Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 17	Date 10/1/2019	Contributor Laura France 415 Mulholland Park Palatka, FL 32177	Entity Individual	Occupation EducationalAdministrator	Contribution Type Check	Amend	Amount $500.00
Seq# 18	Date 10/1/2019	Contributor Barbara Altman 255 West River Road Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 19	Date 10/1/2019	Contributor John D Thompson 558 West Peniel Road Palatka, FL 32177	Entity Individual	Occupation EducationalAdministrator	Contribution Type Check	Amend	Amount $50.00
Seq# 20	Date 10/1/2019	Contributor Howard Blasczyk 1705 Palma Ceia Street Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 21	Date 10/1/2019	Contributor Susan Wilkes 108 Raintree Woods Trail Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 22	Date 10/1/2019	Contributor Julie Sloan ***Protected Voter***	Entity Individual	Occupation SchoolPsychologist	Contribution Type Check	Amend	Amount $100.00
Seq# 23	Date 10/1/2019	Contributor Marc Spalding PO Box 39 SanMateo, FL 32187	Entity Individual	Occupation Realtor	Contribution Type Cash	Amend	Amount $50.00
Seq# 24	Date 10/1/2019	Contributor Linda Spalding PO Box 39 SanMateo, FL 32187	Entity Individual	Occupation Homemaker	Contribution Type Cash	Amend	Amount $50.00
Seq# 25	Date 10/1/2019	Contributor Robert Mitchem 145 Estates Drive Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 26	Date 10/1/2019	Contributor Molly Jackson 229 East New England Drive Elkton, FL 32033	Entity Individual	Occupation Educator	Contribution Type Check	Amend	Amount $100.00
Seq# 27	Date 10/1/2019	Contributor Lisa Parsons 1105 Lee Street Palatka, FL 32177	Entity Individual	Occupation Educator	Contribution Type Check	Amend	Amount $50.00
Seq# 28	Date 10/1/2019	Contributor Julie Glisson 188 Turner Road East Palatka, FL 32131	Entity Individual	Occupation Educator	Contribution Type Check	Amend	Amount $25.00
Seq# 29	Date 10/1/2019	Contributor P and F Mini Storage 533 South Summit Street Crescent City, FL 32112	Entity Business	Occupation Business	Contribution Type Check	Amend	Amount $250.00
Seq# 30	Date 10/1/2019	Contributor Peninsular Auto Parts 533 South Summit Street Crescent City, FL 32112	Entity Business	Occupation Business	Contribution Type Check	Amend	Amount $250.00
Seq# 31	Date 10/1/2019	Contributor James Padgett PO Box 1816 Palatka, FL 32178	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 32	Date 10/1/2019	Contributor Gullett Title Inc 401 St Johns Ave Palatka, FL 32177	Entity Business	Occupation Business	Contribution Type Check	Amend	Amount $250.00
Seq# 33	Date 10/1/2019	Contributor Martha Westbury 330 East Peniel Road Palatka, FL 32177	Entity Individual	Occupation Businessperson	Contribution Type Check	Amend	Amount $50.00
Seq# 34	Date 10/1/2019	Contributor Evelyn Langston 2522 Northeast 64th Terrace Gainesville, FL 32609	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 35	Date 10/1/2019	Contributor Stephanie Smith 121 Point of Woods Trail Palatka, Fl 32177	Entity Individual	Occupation Educator	Contribution Type Cash	Amend	Amount $40.00
Seq# 36	Date 10/1/2019	Contributor Andrew Burnett 1110 Tierra Woods Drive Palatka, FL 32177	Entity Individual	Occupation EducationalAdministrator	Contribution Type Check	Amend	Amount $500.00
Seq# 37	Date 10/1/2019	Contributor Rufus Borom PO Box 2511 Palatka, FL 32177	Entity Individual	Occupation Informationaltechnician	Contribution Type Check	Amend	Amount $300.00
Seq# 38	Date 10/1/2019	Contributor John Kutsch 3284 SE 26th Ct Ocala, FL 34471	Entity Individual	Occupation Insurancesales	Contribution Type Check	Amend	Amount $250.00
Seq# 39	Date 10/1/2019	Contributor Productions Alchemy Sound and Video 145 E Corbina Way Florahome, FL 32140	Entity Business	Occupation Business	Contribution Type Check	Amend	Amount $200.00
Seq# 40	Date 10/1/2019	Contributor Bill Evans 2000 Country Club Terrace Palatka, FL 32177	Entity Individual	Occupation EducationalAdministrator	Contribution Type Cash	Amend	Amount $50.00
Seq# 41	Date 10/1/2019	Contributor Ellen Evans 2000 Country Club Terrace Palatka, FL 32177	Entity Individual	Occupation PersonnelRecruiter	Contribution Type Cash	Amend	Amount $50.00
Seq# 42	Date 10/1/2019	Contributor Helen Muir 220 Madison Street Palatka, Fl 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $250.00
Seq# 43	Date 10/1/2019	Contributor Donna Ramirez 8835 Hastings Blvd Hastings, FL 32145	Entity Individual	Occupation Couselor	Contribution Type Check	Amend	Amount $50.00
Seq# 44	Date 10/1/2019	Contributor R.J. Larizza 251 N Ridgewood Ave Daytona Beach, FL 32114	Entity Individual	Occupation StateAttorney	Contribution Type Check	Amend	Amount $100.00
Seq# 45	Date 10/1/2019	Contributor Jane Crawford 105 Roberts Ct Palatka, FL 32177	Entity Individual	Occupation RecordsClerkSJRSC	Contribution Type Check	Amend	Amount $100.00
Seq# 46	Date 10/1/2019	Contributor James Kinard 239 East Buffalo Bluff Road Satauma, FL 32189	Entity Individual	Occupation Retired	Contribution Type Cash	Amend	Amount $50.00
Seq# 47	Date 10/1/2019	Contributor Ed Taylor 3750 SanJose Place Suite 35 Jaksonville, FL 32257	Entity Individual	Occupation Psychologist	Contribution Type Check	Amend	Amount $300.00
Seq# 48	Date 10/1/2019	Contributor SareJean McDaniel 103 Oak Tree Lane Palatka, Fl 32177	Entity Individual	Occupation SchoolPrincipal	Contribution Type Cash	Amend	Amount $50.00
Seq# 49	Date 10/1/2019	Contributor Tony Benford 5504 Ober Creek Drive Elkton, FL 32033	Entity Individual	Occupation SchoolAdministrator	Contribution Type Cash	Amend	Amount $50.00
Seq# 50	Date 10/1/2019	Contributor Laura Turner PO Box 232 San Mateo , FL 32187	Entity Individual	Occupation Homemaker	Contribution Type Check	Amend	Amount $200.00
Seq# 51	Date 10/1/2019	Contributor Veronica Overturf 111 Grassy Lane Palatka, FL 32177	Entity Individual	Occupation Educator	Contribution Type Check	Amend	Amount $200.00
Seq# 52	Date 10/1/2019	Contributor Lester Sheppard 227 Old Peniel Road Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $25.00
Seq# 53	Date 10/4/2019	Contributor Mary Ellen Hancock 128 Crete Ct St. Augustine, FL 32084	Entity Individual	Occupation Banker	Contribution Type Check	Amend	Amount $150.00
Seq# 54	Date 10/1/2019	Contributor Tammie Thornton 143 Heidt Road Palatka, FL 32177	Entity Individual	Occupation EducationalAdministrator	Contribution Type Check	Amend	Amount $50.00
Seq# 55	Date 10/3/2019	Contributor David Buckles 650 Cedar Creek Road Palatka, FL 32177	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 56	Date 10/13/2019	Contributor Craig Smith PO Box 917 Clendenin, WV 25045	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 57	Date 10/2/2019	Contributor Marsha Hill 124 Confederate Point Road Palatka, FL 32177	Entity Individual	Occupation EducationalAdministrator	Contribution Type Check	Amend	Amount $100.00
Seq# 58	Date 10/2/2019	Contributor Rhonda Odom PO Box 1594 Palatka, FL 32178	Entity Individual	Occupation EducationalAdministrator	Contribution Type Check	Amend	Amount $250.00
Seq# 59	Date 10/1/2019	Contributor Kari Reynolds 640 West Peniel Road Palatka, FL 32177	Entity Individual	Occupation Educator	Contribution Type Check	Amend	Amount $100.00
Seq# 60	Date 10/1/2019	Contributor Rebecca M Motes 619 State Road 20 Hollister, FL 32177	Entity Individual	Occupation Teacher	Contribution Type Cash	Amend	Amount $20.00

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 10/2/2019	Vendor John Dennard 1619 High Street Palatka, FL 32177	Purpose purchase food for kick off event	Expenditure Type Monetary	Amend	Amount $1,800.00
Seq# 2	Date 10/2/2019	Vendor Palatka Womens Club 600 S 13th Street Palatka, FL 32177	Purpose building rental fee for kickoff event	Expenditure Type Monetary	Amend	Amount $385.00
Seq# 3	Date 10/4/2019	Vendor CJ Photography 103 Oak Tree Lane Palatka, FL 32177	Purpose photography services	Expenditure Type Monetary	Amend	Amount $100.00
Seq# 4	Date 10/1/2019	Vendor PayPal 2211 N 1st Street San Jose, CA 95002	Purpose processing fees	Expenditure Type Monetary	Amend	Amount $5.99
Seq# 5	Date 10/15/2019	Vendor Center Sate Bank 350 N State Road 19 Palatka, FL 32177	Purpose service fees for October	Expenditure Type Monetary	Amend	Amount $16.50
Seq# 6	Date 10/1/2019	Vendor Center State Bank 350 North State Road 19 Palatka, FL 32177	Purpose service fee for September	Expenditure Type Monetary	Amend	Amount $14.90

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