CAMPAIGN TREASURER'S RE.r.~ committ… · Milton, FL 32571 \ minutes ,,., 1 1 20 11 Addison, Kay ~...

$Page 1: CAMPAIGN TREASURER'S RE.r.~ committ… · Milton, FL 32571 \ minutes ,,., 1 1 20 11 Addison, Kay ~ C-G..-e' $5.00 / / ~, " ,., J ~ca.." n 0 : 0 -m; It:. ... Red Roof Inn hotel Scott$
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FLORIDA DEPARTMENT OF STATE ~!~~~~~ONS CAMPAIGN TREASURER'S RE.r.~ t; -.'---- ~ '~y -l F

I ' ' , .~ -, q C I :r '; ": ,-, _ " t: c ? . ' ;, , "OFFICE USe1:>NLY(1) Santa Rosa Co.Republican Exc.Com.

Cash &Checks $ 1,635.04

Loans $

Total Monetary $ 1,635.04

In-Kind $ 127.75

Name (2) P. o. Box 402

Address (number and street)

Bagdad, FL 32503

City, State, Zip Code

o CHECK IF ADDRESS HAS CHANGED

(4) Check appropriate box(es): o Candidate (office sought): o Political Committee

o Committee of Continuous Existence

III Party Executive Committee

o Electioneering Communication

(5) REPORT IDENTIFIERS

Cover Period: From 01 I 01 I 2011 To 03 I

liI Original o Amendment o Special Election Report

(6) CONTRIBUTIONS THIS REPORT

(9) TOTAL Monetary Contributions To Date $ 14,069.69

(11) CERTIFICATION

It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)

I certify that I have examined this report and it is true, correct, and complete.

(Type name)

Dinclividual (my for eIectioIl8el i IQ CXlI11RUl,)

~ Signature

DS-OE 12 (Rev. 08104)

Carmen Reyo1ds

o TreaslRf' 0 Deputy Trea&lRI"

~&~tk

q ~ ')2rq RPR y Rrl 10, vi v

(3) ID Number: 59-263-4220

o CHECK IF PC HAS DISBANDED

o CHECK IF CCE HAS DISBANDED

o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS Will BE FILED

(7)

31 I 2011 Report Type Q 1

o Independent Expenditure Report

EXPENDrTURES THIS REPORT

Monetary Expenditures $ 270.10

Transfers to Office Account $

Total Monetary $ 270.10

(8) Other Distributions $

(10) TOTAL Monetary Expenditures To Date

$ 5,684.38

I certify that I have examined this report and it is true, correct, and complete.

(Type name)

DCaldldate

X\~~ Signahlf1

Kay Addison

1ZI Chairperson (my for PC. PTY & eIedIoI..ilQ ~_ organization)

ad~ X

CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS

(1) Name Santa Rosa Rep Executive Committee (2) 1.0. Number 59-2634220

01 01 2011 03 31 2011 1(3) Cover Period I I through I I (4) Page of I'D (5) (7) (8) (9) (10) (11) (12)

Date Full Name

(6) (Last, Suffix, First, Middle)

Sequence Street Address & Contributor Contribution In-kind

Number City. State, Zip Code Type OCCUpation Tvre DeSCliotion Amendment Amount

1 Cole, Nancy INK mail $5.20

/ 07 / 11 5100 Seagull Dr. reports & Milton, FL 32571 \ minutes ,,.,

1

1 20 11 Addison, Kay ~ C- G..-e' $5.00 / / ~, " ,., J ~ca.. " n 0 0

-

m; It:. 010>, FJ.,. I 2 ~5'1r>

Baker, O'Neal 0IiIiI5 $5.00 1 / 20 1} 5267 Berryhill e:.,ae-

Milton, Fl 32570

3 I

Berel, Susan c.I!!P' $5.001 / 20 /11 6709 East Bay Blvd

Navarre, FL 32566 ~()vV

I 4

Brenenstahl, $5.00 1 / 20 /11 Martha

1398 Sterling , ~~Point Dr.

5 Gulf Breeze, FL

32566

1 20 11 Brown, Greg ~ $5.00

/ / 5932 Aston Woods Circle CCWJ

Milton, FL 32570 I 6

1 20 11 Cole, Nancy ~ $5.00 / / 5100 Seagull Dr. C-~

Milton, FL 32571 I

7

Claude Duvall IMJf!& $20.00 1 / 20 / 11 7517 Casa Grande c..-M.

Circle JMilton, FL 32583

8

DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

I


(1) Name S.R. Republican Committee (2) 1.0. Number 59-2634220

01 01 2011 03 31 2011 2 10(3) Cover Period I I through I I (4) Page of

(5) (7) (8) (9) (10) (11) (12)

Date Full Name

(6) (Last, Suffix, First, Middle) Sequence Street Address & Conbibutor Conbibution In-kind

Number Citv, State, Zip Code Type Occuoation Tvee Desaiotion Amendment Amount

Esser, James <iilo6 $5.00 1 , 20 , 11 4371 Maryland cL Q.;-S

Court I Gulf Breeze, FL

9 32563

1 20 11 Fulford, Dana ~ $1. 00 , 4812 La Casa Dr. Pace, FL 32571 ~ O-S

I 10

Furlong, Fran ~ $5.00

1 , 20 1} 1638 Monet Dr. Gulf Breeze, FL , Q-<:u.L

32563 11

1 , 20 Golden, Mary $20.00

,11 P.O.Box583 t-t-t-fG Bagdad,FL 32530 ~

12 J

Lawrence, Ann -..e $3.04 1 , 20 ,11 2851 Happy Hollow Q..,H ,C-

Milton, FL 32570

I 13

1 20 P Miller, W.Charles QiWt- c.... 0-5

$5.00, 5132 Rowe Trail Pace, FL 32570 \

14

1 20 ,11 Rambo, Annie Sue aae-C-0-S

$10.00, 9621 Bosswood St Milton, FL 32583 \

15

Reynolds, Carmen ~ $1.001 , 20 ,11 9621 Sunnybrook

Dr. e..,o...5 Navarre, FL 32566

, 16


v'


(1) Name SR Republican Executive Committee (2) 1.0. Number 50-2634220

p . d I 01 I 2011 through 03 I 31 I 2011 3 10(3) Cover erlo 01 (4) P age 0f

(5)

Date

(6)

Sequence Number

, 20 , 11

17

, 20 ,11

18

20 1}

19

, 20 ,11

20

, 20 ,11

21

20 ,11

22

20 11

23

, 20 ,11

24

(7) (8) (9) (10) (11) (12)

Full Name

(Last, Suffix, First, Middle) Street Address & Contributor Contribution In-kind

City, State, Zip Code Type Occupation Tvoe Description Amendment Amount

Rollo, Rodney Q68 $2.00 5327 Overbrook Dr. Q~S Milton, FL 32570 I

Solomon, Ferninand cas $2.00 3201 St.Andrews st QCLS

Pace, FL 32570 •

Shuman, Alan cas $5.00 2515 N Cambridge C,CLSWay

Pace, FL 32571 l

Spencer, Donny 6000 Badgee Rd.

~

Q...()..5 $2.00

Milton, FL 32583 I

Ross, Michelle ~ $3.00

2827 Sherwood Dr. <L o...S Navarre, FL 32566

\

Hardy, Shannon 52.12 Munson Hwy.

~ ~ o,S $10.00

Milton, FL 32570 \

Boston, Carol eas e....o...S $20.00 7136 East Bay Blvd Navarre, FL 32566 \

Johnson, Tom ~ $5.00 5713 Sunflower Ave ~O-S Milton, FL 32570

\


1

1

1

1

1

01

,

,

01

01

,

v


(1) Name SR Republican Executive Committee (2) I.D. Number 59-2634220

1

2

01(3)Cover Pen·00 I 01 I 2011 through 03 I 31 I 2011 (4) P age 4 0flD (5) (7) (8)

Red Roof Inn hotel Scott Kauffman owner

2672 Avalon Blvd. i?J Milton, FL 32583

Addison, Kay 6147 Swainson St tMilton, FL 322570

Aiken, Lauretta -eas-2011 Flamingo Lane Navarre, FL 32566

I

Cotton, Adair ~ county

6936 Deep Forest employeRd. e

Milton, FL 32583 I

Johnson, Mary oWr- Clerk 5713 Sunflower of the

Ave. Court Milton,FL 32570 f

2 Duvall, Claude d!k busines Blackwater East s owner

Corp 65190Ward Basin Milton FL 32583

..a«-- county commissi

oner I

aht:"" county commiss ioner

\

(9)

Date Full Name

(6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution Number TypeCity, State, Zip Code OcaJpation Type

INK, 20 ,11

25

INK1 , 28 , 11 f

26

2 , 01 1} c.. CLS

27

kc...i-I2 , 3 ,11

28

c.. It !(2 , 3 ,11

29

, 4 P v

30

Salter, Don2 , 6 , 11 C!- H f(6000 Chumuckla Hwy Pace, FL 32571

31

Melvin, Samuel J., 7 , 11 3893 Ward Basin e-t-f lRd.

Milton, FL 32583 32

(10) (11 ) (12)

In-kind Description Amendment Amount

monthly meeting

room ~~,. ~,

$10.74 phone

REC cell

$15.00

$120.00

$120.00

$250.00 Q..H)~

$100.00

$100.00IL

DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND COOE VALUES



2

2

2

2

2

2

2

2

01 I 01 03 31 I 2011 5(3) Cover Period I 2011 through I (4) Page of

(5) Date

(6) Sequence

Number

, 7

33

, 7

(7) (8) (9) (10) (11) (12)

Full Name

(last, Suffix, First, Middle)

Street Address & Contributor Conbibution In-kind

CitY, State, Zip Code Type Occupation Type Descriotion Amendment Amount

williamson, Jim ett& county c..~S

$100.00 , 11 4351 Berryhill commissi Milton FL 32571 ( oner

,11 Winkles, Hugh eflk- pharmac $100.00

5684 Nicklaus Lane ist Q., Hie Milton, FL 32570 j

Nichols, Stan .-elnc tax $100.00 5020 Roland Rd. collect Q. HI<

Milton, FL 32571 or \

Lawrence ,Ann retired $100.00 5851 Happy Hollow e-.f4K.-

Dr. I Milton, FL 32570

Sheehan, Michael ollk-'"' retired $100.00 ,11 2517 Water Oak St. militar L~/<"

Navarre, FL 32566 I Y

Addison, Kay -ehk retired CH((

$100.00 6147 Swainson St Milton, FL 32570 I

Aiken, Lauretta tern e,a..S $5.00

2011 Flamingo Lane Navarre, FL 32566 I

Bayea, Ron GaB-' $5.00 , 11 1638 Monet Dr. C--o..S Gulf Breeze, FL I

32563

'/

34

,11 1}

./

35

, 17 ,11

36

, 17

37

, 17 P y

38

, 17 1-1

39

, 17

40


v



01 I 01 03 I 31 I 2011 6 10(3) Cover Period I 2011 through (4) Page of

(5) Date

(6) Sequence Number

(7) (8) (9) (10) (11) (12)

Full Name

(Last, Suffix, First, Middle)

street Address & Contributor Contribution In-kind

City, State, Zio Code Type Occupation Tvee Descriotion Amendment Amount

Cole, Nancy ~ $5.00, 11 5100 Seagull Dr Milton, FL 32571 I

e., 0-5

,11 Duvall, Claude .eiMO Q..u--S

$5.00 7517 Cas Grande

Circle Milton, FL 32583 \

Esser, James e&e- $10.00 ,11 4371 Maryland e..QS

Court ,Gulf Breeze, FL

32563

Fulford, Dana ~ $1.00

,11 4812 La Casa Dr. ~a....s Pace, FL 32571 I

Lamb, Morgan ,11 2067 Pine Ranch Dr

~ $2.00

Navarre, FI 32566 e...o..~

I

11 Miller, W.Charles eaG $5.00, 5132 Rowe Trail c.,a.SPace, FL 32571 I

,11 Rollo, RodneY oe:!l' $5.00 5327 Overlook Dr c....CL $ Milton, FL 32570

I

Sanborn, Ann ~ $2.00 P 6258 Cottage Woods c...a...,s

Milton, FL 32570 , OS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

/, 17

41

, 17

42

17

43

, 17

44

, 17

45

17

46

17

47

, 17

48

2

2

2

2

2

2

2

2

,

,

,

I


(1) Name SR Republican Committee (2) 1.0. Number 59-2634220

(3) Cover Period 01 I 01 I 2011 through 03 I 31 I 2011 (4) Page 7 of 10

(5) (7) (8) (9) (10) (11) (12)

Date Full Name

(6) (Last, Suffix. First, Middle)


Number City. State, Zio Code Tvoe Occuoation Tvoe Descriotion Amendment Amount

Sheehan, Michael Gee- $20.00 2 , 17 , 11 2517 Water Oak

Navarre, FL 32566 I Q..a..S

49

2 17 ,11 Spencer, Donny ~ $1.00 , 6000 Bagee Rd.

C.- G.>.5Milton, FL 32583 J

50

Boston, Carol eft5 $10.00

2 , 17 fl 7136 East Bay Blvd. Q.. a..S

Navarre, FL 32566 I 51

Cotton, Adair ~ $5.00

2 ,11, 6936 Deep Forrest e-a..5Rd. I

Milton, FL 32583

52

Ross, Michelle el!'S- $3.00

2 , 17 ,11 2827 Sherwood Dr e.a..SNavarre, FL 32566

\

53

2 17, 11 Villane, Tappi

3868 Sailwind Dr. ~ c... O-~

$5.00, Navarre, FL 32563

I 54

2 17 ,11 Brenenstahl, ea-t!t c.. 0....5

$2.00, Martha 1398 Sterling Pt ,Gulf Breeze, FL

55 32566

Red Roof Inn hotel INK monthly $37.27 2 , 17 ,11 Scott Kaufman G owner meeting

2672 Avalon Blvd room Milton, FL 32570

56

DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VAWES

v



(3) Cover Period 01 I 01 I 2011 through 03 I 31 I 2011 (4) Page 8 of ID (5) (7) (8) (9) (10) (11 ) (12)

Date Full Name

(6) (Last. Suffix. First, Middle)


Number City, State. Zip Code Type Occupation Type Description Amendment Amount

3 17 11 Beyea, Ron ~ $5.00

I I 1638 Monet Dr e.. CLS Gulf Breeze, Fl

I32563 57

3 17 11 Brenenstahl, -GaB $1. 00 I I Martha e..-a...S1398Sterling Point

Gulf Breeze, Fl I 58 32566

Boston, Carol c.& $5.00 3 I 17 }-l 7136 East Bay Blvd

c...-e..-~Navarre, FL 32566 I

59

Cotton, Adair a6'l!I"'" $2.003 I 17 III 6936 Deep Forest

Rd. c......cx.,S Milton, FL 32583 I

60

Eser, Ruth-Dupont QiIIe" $5.00

3 17 IIII 4371 MarylandCourt e." o..-SGulf Breez, FL I32563

61

3 17 11 Fulford, Dana

4812 La Casa Dr. ~ 0,a..S $1. 00

I I Pace, FL 32570 t

62

3 17 11 Gossett, Joann I I 6894 Magnolia St.

~ $5.00 e.- CLS

Milton, FL 32570 )

63

-Green, Torn lMeo- $5.00

3 I 17 fl 2350 Valley Rd. Navarre, ;:: I- l

~ o...~

.~~~."..'''& 64

OS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

v

v



I 01 03 I 31 I 2011 9(3) Cover Period 01 I 2011 through (4) Page of ) D

(5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last. Suffix, First, Middle)

Sequence Street Address & Contributor Contribution In-kind Number City. State, Zip Code Type Occupation Type Description Amendment Amount

Hand, Buddy Qii& $2.003 I 17 I 11

I C-a.... 'S

65

3 17 11 Johnson, Mary e&e'" e.--0..5 $5.00 I I 5713 Sunflower Ave

Milton,FL 322570 , 66

Miller, W. Charles ea1!t C-<L5 $5.00 3 I 17 }-l 5132 Rowe Trail

Pace, FL

67 {,

Reynolds, Carmen GOMI"" e...a..S $2.003 I 17 III 9621 Sunnybrook

Navarre, FL 32566 \

68

Rollo, Rodney ~ e..- CLS

$5.00 3 I 17 I 11 5327 Overbrook Dr.

Milton, FL 32570 , 69

3 17 11 Sanborn, Ann ~ Q.- Gl-S $5.00

I I 6258 Cottage Woods Milton, FL 322570

1 70

3 17 III Sheehan, Michae ~ C,CLS, $20.00

I 2517 Water Oak Ct Navarre, FL 3266 I

71

3 Shuman, Alan ~

Q..,~Q $5.00

I 17 11 4253 N Cambridge Way ,

Pace, FL 32571 72



3

3

3


(3) Cover Period 01 I 01 I 2011 through 03 I 31 I 2011 (4) Page 10 of 10

(5)

Date

(6)

Sequence Number

17 11/ /

73

17 /11/

(7) (8) (9) (10) (11) (12)

Full Name

(Last, Suffix, First, Middle) Street Address & Contributor Contribution In-kind

City, State, Zip Code Type Occupation Type Description Amendment Amount

Donny Spencer ~ $2.00 6000 Badger Rd

Milton, FL 32583 e.,Q,$ I

Baker, O'Neal cas' c.... 0.,'5 $10.00

5267 Berryhill 1Milton, FL 32570

Red Roof Inn hotel INK monthly $37.27 Scott Kaufman owner meeting

2672 Avalon Blvd r3 room Milton, FL 32570

/

74

/ 17 /11

/ /

/ /

/ /

/ /

/ /

DS~ 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

------ ------

CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name SR Republican Executive Conunittee (2) t.D. Number 59-2634220

(3)CoverPeriod 01 / 01 /2011 through 03 / 31 /2011 (4) Page 1__of 1__

(5) Date

(6) Sequence Number

(7)

Full Name (Last, SuIIix., First, Middle)

Street Address & City, S1aIe, ZIp Code

(8)

Purpose (add oftic:e sought If

contrtbution to a candidate)

(9)

Expenditure Type

(10)

Amendment

(11)

Amount

1

3

/20/11

1

/4 /11

2

Kay Addison 6147 Swainson St. Milton, FL 32570

Kay Addison 6147 Swainson St. Milton, FL 32570

reimburse postage stamps

envelopes permanent ink

stamp II

reimburse for SR Chamber of

Coumerce membership

$70.37

$100.00

3 /4 /11

ATT & T Mobility P.D.Box 536216

Atlanta, GA 30353-6216

1st new monthly phone

bill

$51.19

3

3 /19/11

4

ATT & T Mobility P.D.Box 536216

Atlanta, GA 30353-6216

Feb.2-Mar.1 2011

monthly phone bill

$48.54

/ /

/ /

/ /

/ /


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CAMPAIGN TREASURER'S RE.r.~ committ… · Milton, FL 32571 \ minutes ,,., 1 1 20 11 Addison, Kay ~...

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