Candidate: Jeff Larsen

Office: School Board Member - District 2 - At Large

Report Date: M6 (6/1/2016 - 6/30/2016)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 6/20/2016	Contributor Tom Alte 4430 14th Ave N St. Petersburg, FL 33713	Entity Individual	Occupation	Contribution Type Check	Amend	Amount $1.00
Seq# 2	Date 6/20/2016	Contributor Ronald Larsen 13706 Doubletree Trail Wellington, FL 33414	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $400.00
Seq# 3	Date 6/20/2016	Contributor Brad Larsen 2050 Tigris Drive West Palm Beach, FL 33411	Entity Individual	Occupation computerprogrammer	Contribution Type Check	Amend	Amount $250.00
Seq# 4	Date 6/21/2016	Contributor Mark Lecouris 422 Wayfarer Court Tarpon Springs, FL 34689	Entity Individual	Occupation CityManager	Contribution Type Check	Amend	Amount $100.00
Seq# 5	Date 6/21/2016	Contributor Johnny Johnson 31790 US 19 North apt 60 Palm Harbor, FL 34684	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $250.00
Seq# 6	Date 6/26/2016	Contributor Barbara Mamouzelos 1561 Santa Clara Dr. Dunedin, FL 34698	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $200.00
Seq# 7	Date 6/29/2016	Contributor Dorian Modjeski 750 Sandy Hook Road Palm Harbor, FL 34683	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $500.00
Seq# 8	Date 6/29/2016	Contributor Margaret Modjeski 750 Sandy Hook Road Palm Harbor, FL 34683	Entity Individual	Occupation retired	Contribution Type Check	Amend	Amount $500.00

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 6/30/2016	Vendor Stripe 3180 18th Street San Fransisco, CA 34110	Purpose Fees June 1-June 31	Expenditure Type Monetary	Amend	Amount $36.63

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