Candidate: Raymond Edward Forbess

Office: County Court Judge Group 1

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 12/14/2021	Contributor Joseph Bucci 901 North Orange Ave Green Cove Springs, FL 32043	Entity Individual	Occupation DirectorCCSO	Contribution Type Check	Amend	Amount $250.00
Seq# 2	Date 12/15/2021	Contributor Law Offices of John S. Kalil, P.A. 6817 Southpoint Pkwy Jacksonville, FL 32216	Entity Business	Occupation Law Firm	Contribution Type Check	Amend	Amount $1,000.00
Seq# 3	Date 12/21/2021	Contributor Clay Finance LLC 3161 River Road North Green Cove Springs, FL 32043	Entity Business	Occupation Finance	Contribution Type Check	Amend	Amount $1,000.00
Seq# 4	Date 12/22/2021	Contributor Dale C. Carson Attorney, PA 444 East Duval Street Jacksonville, FL 32202	Entity Business	Occupation Law Firm	Contribution Type Check	Amend	Amount $250.00
Seq# 5	Date 12/6/2021	Contributor Thornton Guthrie 3398 Shinnecock Lane Green Cove Springs, FL 32043	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $100.00
Seq# 6	Date 12/15/2021	Contributor Raymond Forbess 3384 Shinnecock Lane Green Cove Springs, FL 32043	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $284.68
Seq# 7	Date 12/20/2021	Contributor Raymond Forbess 3384 Shinnecock Lane Green Cove Springs, FL 32043	Entity Individual	Occupation Attorney	Contribution Type Check	Amend	Amount $116.00

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 12/1/2021	Vendor Reliant Florida 50 North Laura Street Jacksonville, FL 32202	Purpose Consulting and Campaign Materials	Expenditure Type Monetary	Amend	Amount $3,000.00
Seq# 2	Date 12/1/2021	Vendor Lake Region Kiwanis 555 South Lawrence BLVD Keystone Heights, FL 32656	Purpose Christmas Parade Entry Fee Keystone Heights	Expenditure Type Monetary	Amend	Amount $100.00
Seq# 3	Date 12/27/2021	Vendor Raymond Forbess 3384 Shinnecock Lane Green Cove Springs, FL 32043	Purpose Green Cove Springs and Keystone Heights Christmas Parade Supplies.	Expenditure Type Monetary	Amend	Amount $284.68
Seq# 4	Date 12/20/2021	Vendor U.S. Post Office 1335 Kingsley Avenue Orange Park, FL 32073	Purpose Postage	Expenditure Type Monetary	Amend	Amount $116.00

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