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FRIENDS OF CLEARWATER INC - 11/01/2013 TO 11/30/2013CAMPAIGN TREASURER'S REPORT (1) Friends of Clearwater SUMMARY OFFICE USE ONLY ` , ! , ': , E.. Name (2) P. O. Box 900 Address (number and street) Clearwater, Florida 33757 City, State, Zip Code ❑ Check here if address has changed (3) (4) Check appropriate box(es): ❑ Candidate Office Sought: ID Number: ✓ Political Committee (PC) ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (5) Report Identifiers Cover Period: From 11 / 01 / 13 To 11 / 30 / 13 Report Type: M 11 Election Report ✓ Original ❑ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ , -1 , 600. 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 904 . 99 Loans $ , • to $ . Total Monetary $ , -1 , 600. 00 $ , 904. 99 In -Kind $ , , • (8) $ Other Distributions , , • (9) TOTAL Monetary Contributions To Date $ 50 365 _ 00 (10) TOTAL Monetary Expenditures To Date $ 48 656 . 73 (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name) Cathy Piotrowski to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) Lynn Ridley ❑ Individual (only for IE 47 Treasurer • Deputy Treasurer • Candidate 0 Chairperson (only for PC and PTY) or ele n ering co ,. i • X /. Signature Si' tu,,� DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS trAMYAIGN TREASURER `S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Friends of Clearwater (3) Cover Period 11/01/13 through 11/30/13 (2) I.D. Number (4) Page 1 of 1 (5) (7) (8) (9) (10) - (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Cox, Kim 11/24/13 331 Cleveland Street, #903 1 ggg - 1600.00 Clearwater, FL 33755 1. DS -DE 13 (7/98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Friends of Clearwater (3) Cover Period 11/01/13 through 11/30/13 (2) ID. Number (4) Page of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (Add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 11/05/13 Soszka, Kenneth 3017 Egret Terrace website services MON 140.00 Safety Harbor, FL 34695 1. The Tampa Tribune 11/06/13 advertising MON 650.00 P. 0. Box 85000 Richmond, VA 23285 2. Petersen, Tom 11/06/13 food & beverage MON 64.99 331 Cleveland Street Clearwater, FL 33755 3. Soszka, Kenneth 11/13/13 website services MON 50.00 3017 Egret Terrace Safety Harbor, FL 34695 4. DS -DE 14 (7/98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES