Campaign Treasurer's Report – Itemized Contributions

Seq# Date Contributor Entity Occupation Cont. Type Amend Amount
1
1/7/2014
Jason J Tetlak
4424 Antisdale St
Jacksonville, FL 32205
Candidate
to Themselves
GraphicDesign
Loan
$100.00
2
1/16/2014
Jason James Tetlak
4424 Antisdale St
Jacksonville, FL 32205
Candidate
to Themselves
GraphicDesign
Loan
$100.00
3
1/26/2014
James Eddy
222 Lawton Ave
Jacksonville, FL 32208
Individual
RestaurantManager
Check
$10.00
4
1/26/2014
Tia Nash
1434 Avondale Ave
Jacksonville, FL 32205
Individual
Manager
Check
$100.00
5
1/26/2014
Steve Congro
2054 Riverside Ave
Apt 7312
Jacksonville, FL 32204
Individual
IT Manager
Check
$100.00
6
1/26/2014
Ashley Shaw
4004 High Pine RD
Jacksonville, FL 32225
Individual
Receptionist
Check
$20.00
7
1/26/2014
Anna Ganse
8290 Gate Parkway West
#418
Jacksonville, FL 32216
Individual
IT Manager
Check
$50.00
8
1/26/2014
Matt Scrimo
705 Southern Belle Drive
St Johns, FL 32259
Individual
AviationManagement
Check
$200.00
9
1/26/2014
John Hatle
***Protected Voter***
Individual
CollegeProfessor
Check
$50.00
10
1/26/2014
Charles Lammers
PO Box 10384
Jacksonville, FL 32247
Individual
Attorney
Check
$150.00
11
2/20/2014
Fred Pendley
6014 Robins Circle South
Jacksonville, Fl 32211
Individual
Cash
$20.00
12
2/24/2014
Tia Nash
1435 Avondale Ave
Jacksonville, FL 32205
Individual
Manager
Check
$100.00
13
2/24/2014
Jasen Hutchinson
4625 Delta ave
Jacksonville , FL 32205
Individual
Check
$50.00
14
3/2/2014
Jan R Tetlak
4217 St James Dr
Brunswick, OH 44212
Individual
Check
$100.00
15
3/24/2014
James Poindexter
2565 Pineridge Rd
Jacksonville, Fl 32207
Individual
Check
$50.00
16
3/21/2014
Debrah Carter
803 Woodhill Drive
Jacksonville, Fl 32256
Individual
Home maker
Check
$200.00
17
6/9/2014
Dustin lake
4479 rocky river rd w
Jacksonville, Fl 32224
Individual
Sales rep
Check
$50.00
18
6/9/2014
Tia Brown
1435 Avondale ave
Jacksonville, Fl 32205
Individual
Sales rep
Check
$100.00
19
6/9/2014
Bruce Carter
803 Woodhill dr
Jacksonville, Fl 32256
Individual
Retired
Cash
$35.00
20
6/9/2014
Debbi Carter
803 Woodhill dr
Jacksonville, Fl 32256
Individual
Retired
Cash
$35.00
21
6/9/2014
Bryan Hoffman
1826 silver st
Jacksonville, Fl 32206
Individual
Softwaremanager
Cash
$50.00
22
6/9/2014
David Vandygalf
2941 plum st
Jacksonville, Fl 32205
Individual
Businessowner
Cash
$20.00
23
6/9/2014
Florence Haridan
2527 Herschel st
Jacksonville, Fl 32257
Individual
Non profitcoordinator
Cash
$10.00
24
6/9/2014
Shannon McKissock
1826 silver st
Jacksonville, Fl 32206
Individual
Branchmanager
Check
$35.00
25
6/9/2014
Jonathan Brown
6190 high tide blvd
Jacksonville, Fl 32258
Individual
Mechanicalengineer
Cash
$50.00
26
6/9/2014
Christopher Duguid
1077 Orleans ct
Jacksonville, Fl 32205
Individual
Industrialengineer
Check
$50.00
27
6/9/2014
Javan Frinks
Po box 50163
Jacksonville beach, Fl 32250
Individual
Communityorganizer
Check
$10.00
28
6/9/2014
Karina Delcid
1687 Glendale st
Jacksonville, Fl 32205
Individual
Mortgages
Cash
$10.00
29
6/9/2014
Antonio Sanchez
3078 cobblewood lane west
Jacksonville, Fl 32225
Individual
Cash
$15.00
30
6/9/2014
Niki Brunson
736 a Phillip Randolph blvd
Jacksonville, Fl 32206
Individual
Cash
$25.00
31
6/9/2014
Sonja Jones
736 a Phillip Randolph blvd
Jacksonville, Fl 32206
Individual
Cash
$25.00
32
6/9/2014
Cleatus Brown
736 a Phillip Randolph blvd
Jacksonville, Fl 32206
Individual
Cash
$25.00
33
6/9/2014
Thaddeus Powell
736 a Phillip Randolph blvd
Jacksonville, Fl 32206
Individual
Cash
$25.00
34
6/17/2014
Randal Lessen
3158 plum street
Jacksonville, Fl 32205
Individual
Check
$50.00
35
6/17/2014
Richard Cerielllo
2767 Herschel street
Jacksonville, Fl 32205
Individual
Check
$100.00
36
6/23/2014
Anna Ganse
8290 gate pkwy w
418
Jacksonville, Fl 32216
Individual
Check
$50.00
37
6/27/2014
Charles Linquist
47915 Westinghouse drive
Fremont, Ca 94539
Individual
Check
$50.00
38
7/16/2014
Dan Merkan
3159 college street
Jacksonville, Fl 32205
Individual
Check
$25.00
39
7/16/2014
Richard Cerielllo
2767 Herschel st
Jacksonville, Fl 32205
Individual
Cash
$20.00
40
7/16/2014
Corrina Madrid
1028 Nelson st
Jacksonville , Fl 32205
Individual
Executivedirector
Check
$100.00
41
1/14/2015
Jason Tetlak
4424 Antisdale Street
Jacksonville, FL 32205
Candidate
to Themselves
GraphicDesigner
Check
$300.00
Total Contributions
$2,665.00

Campaign Treasurer's Report – In-Kind Contributions

Seq# Date Contributor Entity Occupation In-Kind Description Amend Amount
1
8/5/2014
City Xtra Magazine
2941 Plum St
Jacksonville, FL 32205
Business
Banner Ad
$75.00
2
9/6/2014
City Xtra Magazine
2941 Plum Street
Jacksonville, FL 32205
Business
banner ad
$75.00
3
10/10/2014
City Xtra Magazine
2941 Plum Street
Jacksonville , FL 32205
Business
Banner ad
$75.00
Total In-Kind Contributions
$225.00

Campaign Treasurer's Report – Itemized Expenditures

Seq# Date Vendor Purpose Exp. Type Amend Amount
1
1/17/2014
Paypal, inc.
2211 North First Street
San Jose, CA 95131
Credit
Card
Transaction
fee
Monetary
$2.70
2
1/17/2014
Dominos pizza
870 cassat ave
Jacksonville, Fl 32205
Campaign strategy meeting dinner
Monetary
$42.81
3
1/20/2014
Florida Times-Union
One Riverside Drive
Jacksonville, FL 32202
Business
card
printing
Monetary
$32.00
4
1/25/2014
Fast Signs
8102 Blanding Blvd. Ste 14
Jacksonville, FL 32244
Sign printing
Monetary
$58.41
5
1/26/2014
Paypal, inc.
2211 North First Street
San Jose, CA 95131
Credit Card Transaction Fee
Monetary
$14.59
6
1/31/2014
Jason Tetlak
4424 Antisdale Street
Jacksonville, Fl 32205
Reimbursement for website, kick-off fundraiser food and decor
Monetary
$437.80
7
2/12/2014
Wacky Buttons, Inc
101 Lincoln Parkway Suite E
East Rochester, NY 14445
Campaign buttons
Monetary
$26.31
8
3/26/2014
PayPal inc
2211 North First Street
San Jose, CA 95131
Credit
card
Transaction
fees
Monetary
$9.90
9
6/9/2014
Cafe Freda
2782 park st
Jacksonville, Fl 32205
Catering
Monetary
$613.09
10
6/9/2014
PayPal inc
2211 north first street
San Jose, Ca 95131
Credit
card fees
Monetary
$10.80
11
6/13/2014
Kevin Cramer
222 42nd street
Pittsburgh , Pa 15201
Website text and edits
Monetary
$200.00
12
6/14/2014
Bernie 's wine stop
1080 Edgewood ave s
#8
Jacksonvile, Fl 32205
Campaign event beverages
Monetary
$70.49
13
6/17/2014
The t-shirtland
1061 n Shepard st
Anaheim, Ca 92806
Tshirts
Monetary
$180.00
14
6/25/2014
Vistaprint
95 Hayden ave Lexington
Lexington, Ma 02421
Printing
Monetary
$28.23
15
6/25/2014
Uprinting
8000 Haskell ave
Van nuys, Ca 91406
Printing
Monetary
$118.42
16
6/2/2014
Bank of America
PO Box 25118
Tampa, FL 33622-5118
Bank Fee
Monetary
Add
$17.00
17
7/2/2014
Bank Of America
PO Box 25118
Tampa, FL 33622-5118
Bank Fee
Monetary
$17.00
18
7/16/2014
PayPal Inc
2211 n 1st st
San Jose, Ca 90131
Credit
Card Fees
Monetary
$0.68
19
7/1/2014
Facebook
1 Hacker Way
Menlo Park, CA 94025
online ads
Monetary
Add
$5.00
20
8/1/2014
Facebook
1 Hacker Way
Manlo Park, CA 94025
Banner ad
Monetary
$5.00
21
8/1/2014
Bank of America
po box 25118
Tampa , FL 33622
Bank service fee
Monetary
$17.00
22
9/26/2014
Florida Times-Union
1 Riverside Ave
Jacksonville, FL 32202
printing
Monetary
$67.41
23
5/1/2014
Bank of America
PO Box 25118
Tampa, FL 33622
Bank Service Fee
Monetary
Add
$17.00
24
9/2/2014
Bank of America
PO Box 25118
Tampa, FL 33622
Bank Fee
Monetary
Add
$17.00
25
9/30/2014
River City Pride
2715 Oak Street
Jacksonville, FL 32205
Parade Registration
Monetary
Add
$37.50
26
10/1/2014
Bank of America
po box 25118
tampa, fl 33622
Bank fee
Monetary
$17.00
27
11/3/2014
Bank of America
PO Box 25118
Tampa , FL 33622
Bank Fee
Monetary
$17.00
28
12/3/2014
Bank of America
PO Box 25118
Tampa, FL 33622-5118
bank fee
Monetary
$17.00
29
1/2/2015
Bank of America
po box 25118
Tampa , FL 33622
Bank fee
Monetary
$17.00
30
1/16/2015
Supervisor of Elections
105 East Monroe St.
jacksonville, fl 32202
Candidate bio for voter guide
Monetary
Add
$250.00
31
2/2/2015
Bank of America
po box 25118
Tampa, fl 33622
bank fee
Monetary
$17.00
32
2/27/2015
The Florida Times Union
One Riverside Ave
Jacksonville, FL 32202
printing
Monetary
$19.80
33
3/2/2015
Bank of America
po box 25118
Tampa, FL 33622
Bank Fee
Monetary
$17.00
34
3/6/2015
Facebook
1 Hacker Way
Manlo Park, CA 94025
Online ads
Monetary
$15.00
35
3/11/2015
Facebook
1 Hacker Way
Manlo Park, FL 94025
online ads
Monetary
$90.00
36
7/2/2014
Bank Of America
PO Box 25118
Tampa, FL 33622-5118
Bank Fee
Monetary
Delete
$-17.00
37
7/2/2014
Bank Of America
PO Box 25118
Tampa, FL 33622-5118
Bank Fee
Monetary
Add
$0.00
38
3/23/2015
Facebook
1 Hacker Way
Manlo Park, CA 94025
Banner ads
Monetary
$50.91
39
3/31/2015
Jason Tetlak
4424 Antisdale Street
Jacksonville, FL 32205
Reimbursement of loan
Disposition of Funds
$108.15
Total Expenditures
$2,665.00

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