Committee: Polk County Citizens for Single Member Districts

Office: Political Committee

Campaign Treasurer's Report – Itemized Contributions

Seq#	Date	Contributor	Entity	Occupation	Cont. Type	Amend	Amount
Seq# 1	Date 3/22/2019	Contributor Karen Welzel 3310 FOX RIDGE DR WINTER HAVEN, FL 33884-2603	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 2	Date 4/16/2019	Contributor Jean S Reed 27 Lake Eloise Ln Winter Haven, FL 33884	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 3	Date 4/16/2019	Contributor Ruth A Eaddy 410 West Main Street Lake Hamilton, FL 33851	Entity Individual	Occupation Retired	Contribution Type Check	Amend	Amount $50.00
Seq# 4	Date 6/7/2019	Contributor Democratic Party of Polk Co. 263 Kings Pond Ave. Winter Haven, FL 33880	Entity Political Party	Occupation Dem. Partyof PolkCo.	Contribution Type Check	Amend	Amount $500.00
Seq# 5	Date 7/29/2019	Contributor FL Bi Partisan Civic Affairs Group 27 Lake Eloise Ln Winter Haven, FL 33884	Entity Committee	Occupation	Contribution Type Check	Amend	Amount $25.00

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 10/8/2019	Vendor Center State Bank, NA 6900 Cypress Gardens Blvd Winter Haven, FL 33884	Purpose Stop/Hold lost check #0094 written to Polk DEC	Expenditure Type Monetary	Amend	Amount $35.00
Seq# 2	Date 10/3/2019	Vendor Democratic Party of Polk Co. 263 Kings Pond Ave. Winter Haven, FL 33880	Purpose PAC dissolved & funds returned to donors	Expenditure Type Monetary	Amend	Amount $465.00
Seq# 3	Date 9/1/2019	Vendor Jean S Reed 27 Lake Eloise Ln Winter Haven, FL 33884	Purpose PAC dissolved & funds returned to donors	Expenditure Type Monetary	Amend	Amount $50.00
Seq# 4	Date 9/1/2019	Vendor Karen Welzel 3310 FOX RIDGE DR WINTER HAVEN, FL 33884-2603	Purpose PAC dissolved & funds returned to donors	Expenditure Type Monetary	Amend	Amount $50.00
Seq# 5	Date 9/1/2019	Vendor Ruth Ann Eaddy 410 West Main Street Lake Hamilton, FL 33851	Purpose PAC dissolved & funds returned to donors	Expenditure Type Monetary	Amend	Amount $50.00
Seq# 6	Date 9/1/2019	Vendor FL Bi Partisan Civic Affairs Group 27 Lake Eloise Ln Winter Haven, FL 33884-2821	Purpose PAC dissolved & funds returned to donors	Expenditure Type Monetary	Amend	Amount $25.00

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