Candidate: Jeff Larsen

Office: School Board Member - District 2 - At Large

Report Date: M5 (5/1/2017 - 5/31/2017)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 5/5/2017	Contributor Ron Haddad 334 Bay Street Tarpon Springs, FL 34688	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $50.00
Seq# 2	Date 5/4/2017	Contributor Richard Butcher 1307 Ironworks Lane Tarpon Springs, FL 34688	Entity Individual	Occupation Fire Chief	Contribution Type Check	Amend	Amount $150.00
Seq# 3	Date 5/13/2017	Contributor Bob Peterson 33 Shelwood Dr. Rochester, NY 14618	Entity Individual	Occupation volunteer	Contribution Type Check	Amend	Amount $50.00
Seq# 4	Date 5/9/2017	Contributor Jared Crisp 1934 Wood Bend Street Tarpon Springs, FL 34689	Entity Individual	Occupation firefighter	Contribution Type Check	Amend	Amount $50.00
Seq# 5	Date 5/24/2017	Contributor Irene Juaristic 804 Lucille Dr Tarpon Springs, FL 34689	Entity Individual	Occupation Veterinarian	Contribution Type Check	Amend	Amount $50.00
Seq# 6	Date 5/24/2017	Contributor Susan Kikta 1500 Sunset Rd # C9 Tarpon Springs, FL 34689	Entity Individual	Occupation MortgageProcessor	Contribution Type Check	Amend	Amount $50.00
Seq# 7	Date 5/24/2017	Contributor Clara Morgan 1451 Morning Rose Pl Trinity , FL 34655	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 8	Date 5/24/2017	Contributor Jennifer Panagiotis ***Protected Voter***	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 9	Date 5/24/2017	Contributor Victoria Rosenbaum 3987 Orchard Hill Circle Palm Harbor, FL 34684	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $25.00
Seq# 10	Date 5/24/2017	Contributor Carolyn Jones 868 Cypress Cover Way Tarpon Springs, FL 34688	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $50.00
Seq# 11	Date 5/24/2017	Contributor Lisa Sibley P.O. Box 847 Tarpon Springs, FL 34688	Entity Individual	Occupation teacher	Contribution Type Check	Amend	Amount $25.00
Seq# 12	Date 5/24/2017	Contributor Brie Ochoa 570 Hillsborough St Palm Harbor, FL 34683	Entity Individual	Occupation biologist	Contribution Type Cash	Amend	Amount $50.00
Seq# 13	Date 5/24/2017	Contributor Athena Tsardoulias 634 E. Orange Street Tarpon Springs, FL 34689	Entity Individual	Occupation storeowner	Contribution Type Check	Amend	Amount $200.00
Seq# 14	Date 5/24/2017	Contributor Mary Coburn 425 S Spring Blvd Tarpon Springs, FL 34689	Entity Individual	Occupation lawyer	Contribution Type Check	Amend	Amount $100.00
Seq# 15	Date 5/29/2017	Contributor Jasmina Forcan 100 Hampton Rd Clearwater, FL 33759	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $25.00
Seq# 16	Date 5/29/2017	Contributor Tom McKone 2880 Deer Run Tarpon Springs, FL 34688	Entity Individual	Occupation	Contribution Type Cash	Amend	Amount $50.00
Seq# 17	Date 5/24/2017	Contributor Steve Wagner 1716 Richard Ervin PKWY Tarpon Springs, FL 34688	Entity Individual	Occupation lawenforcement	Contribution Type Check	Amend	Amount $100.00
Seq# 18	Date 5/24/2017	Contributor Rezart Uruci 1296 Cottage Grove Rd Tarpon Springs, FL 34689	Entity Individual	Occupation bankdirector	Contribution Type Check	Amend	Amount $100.00
Seq# 19	Date 5/24/2017	Contributor Karen Mullens 678 Oakwood Dr Dunedin , FL 34698	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $25.00
Seq# 20	Date 5/24/2017	Contributor David Banther 622 E Tarpon Ave Tarpon Springs, FL 34689	Entity Individual	Occupation ManagingPartner	Contribution Type Check	Amend	Amount $100.00
Seq# 21	Date 5/24/2017	Contributor Julie Wade 1095 Mainsail Dr Tarpon Springs, FL 34689	Entity Individual	Occupation RetiredTeacher	Contribution Type Check	Amend	Amount $50.00
Seq# 22	Date 5/24/2017	Contributor Ann Larsen 2934 St. Andrews Blvd Tarpon Springs, FL 34688	Entity Individual	Occupation MuseumDirector	Contribution Type Check	Amend	Amount $100.00
Seq# 23	Date 5/24/2017	Contributor Gerald Goen 1104 Clippers Way Tarpon Springs, FL 34689	Entity Individual	Occupation retiredteacher	Contribution Type Check	Amend	Amount $50.00
Seq# 24	Date 5/24/2017	Contributor Barbara Mamouzelos 1561 Santa Clara Dr Dunedin , FL 34698	Entity Individual	Occupation retiredteacher	Contribution Type Check	Amend	Amount $200.00
Seq# 25	Date 5/24/2017	Contributor Thomas Frain 624 Pent Street Tarpon Springs, FL 34689	Entity Individual	Occupation complianceofficer	Contribution Type Check	Amend	Amount $250.00
Seq# 26	Date 5/24/2017	Contributor Kathleen Monohan 214 Banana Street Tarpon Springs, FL 34689	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $25.00
Seq# 27	Date 5/24/2017	Contributor Julie Marriott 3570 Deer Run St Palm Harbor, FL 34684	Entity Individual	Occupation teacher	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 5/24/2017	Contributor Tarpon Tavern 21 Safford Avenue Tarpon Springs, FL 34688	Entity Business	Occupation Restaurant	In-Kind Description Catering for campagin event	Amend	Amount $428.00
Seq# 2	Date 5/20/2017	Contributor Jeff Larsen ***Protected Voter***	Entity Individual	Occupation teacher	In-Kind Description website	Amend	Amount $29.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 5/30/2017	Vendor Stripe 3180 18th Street San Francisco, CA 34110	Purpose fees	Expenditure Type Monetary	Amend	Amount $28.81

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