Candidate: Fernando Melendez

Office: Palm Coast City Council Member District 4

Report Date: M12 (12/1/2021 - 12/31/2021)

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 12/2/2021	Contributor Alberto I Domenech 286 Quarter Horse LN Bunnell, FL 32110	Entity Individual	Occupation Restaurantowner	Contribution Type Cash	Amend	Amount $40.00
Seq# 2	Date 12/2/2021	Contributor Louis E. Gajer 123 Point Pleasant Drive Palm Coast, FL 32164	Entity Individual	Occupation Unknown	Contribution Type Cash	Amend	Amount $20.00
Seq# 3	Date 12/4/2021	Contributor Gail Wadsworth PO Box 838 Flagler Beach, FL 32136	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $500.00
Seq# 4	Date 12/8/2021	Contributor Adolpho E. Garcia 87 Cimmaron Dr. Palm Coast, FL 32137	Entity Individual	Occupation RealEstate	Contribution Type Check	Amend	Amount $200.00
Seq# 5	Date 12/23/2021	Contributor Sarah Melendez 16 Rae Drive Palm Coast, FL 32164	Entity Individual	Occupation Counselor	Contribution Type Check	Amend	Amount $20.00

Campaign Treasurer's Report – In-Kind Contributions

Seq#	Date	Contributor	Entity	Occupation	In-Kind Description	Amend	Amount
Seq# 1	Date 12/2/2021	Contributor Alberto I Domenech 286 Quarter Horse LN Bunnell, FL 32110	Entity Individual	Occupation RestaurantOwner	In-Kind Description Use of restaurant for campaign announcement on 12/2/21	Amend	Amount $100.00

Campaign Treasurer's Report – Itemized Expenditures

Seq#	Date	Vendor	Purpose	Exp. Type	Amend	Amount
Seq# 1	Date 12/15/2021	Vendor Michael E. Ameris Bank 181Cypress Point Parkway Palm Coast, FL 32164	Purpose Checks	Expenditure Type Monetary	Amend	Amount $40.50
Seq# 2	Date 12/23/2021	Vendor PayPal 2211 N 1st St San Jose, CA 95131	Purpose Paypal Fees	Expenditure Type Monetary	Amend	Amount $1.07
Seq# 3	Date 12/1/2021	Vendor Michael E. Ameris Bank 181Cypress Point Parkway Palm Coast, FL 32164	Purpose Refund for incorrect checks	Expenditure Type Monetary	Amend	Amount $-31.60

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