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Funk, John - Seat 5
CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY OFFICE USE ONLY pr_: hr !7'1""\ OFFICIAL RECORDS AND Name (2) 1006 Magnolia Dr. Address (number and street) City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council, /L 3r ' L)EPT. ID 4, um•er: Seat 5 ✓ Candidate Office Sought: Clearwater • Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed ❑ Electioneering Communications Org. (ECO) • Check ❑ Party Executive Committee (PTY) • Check ❑ Independent Expenditure (IE) (also covers an • Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 03 / 09 /2018 To 04 / 06 /2018 Report Type: TR Election Report Original ■ Amendment • Special (6) Contributions This Report Cash & Checks $ ,, (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ . Loans $ , , • to $• , , Total Monetary $ , , • $. In -Kind $ , , - (8) $. Other Distributions (9) TOTAL Monetary Contributions To Date $ , 17 , 486 . 62 (10) TOTAL Monetary Expenditures To Date $ , 17 , 486 . 62 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk • Individual (only for tE p Treasurer ■ Deputy Treasurer `Candidate Ir X • Chairperson (only for PC and PTY) or electioneering comm.) X /6/174/\L 9—://C.—___ Signature Signa d r DS -DE 12 (Rev. f9/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number (3) Cover Period 03 / 09 / 2018 through 04 / 06 / 2018 (4) Page 1 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 (1 0) Amendment (11) Amount (6) Sequence Number / / / / / / / / / / / / / / / / DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (1) Name (2) I.D. Number 03 09 2018 04 06 2018 throug h (3) Cover Period / / / / (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number / / / / / / / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY RetiRiINLY t V MAR j 3 2018 OFFICIAL R&COR6S AND IEGISLA1VE SktVCS r PJ Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) ID Number: NA ✓ Candidate Office Sought: • 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 03 / 02 / 2018 To 03 / 08 / 2018 Report Type: G 7 Election Report ✓ Original ❑ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ , , 0 . 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 268. 51 Loans $ , , 0 . 00 to $ , , 0 . 00 Total Monetary $ , , 0 . 00 $,, 0 . 00 In-Kind $ , , 0.00 (8) $ Other Distributions , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 17 , 486 . 62 (10) TOTAL Monetary Expenditures To Date $ , 17 , 486 . 62 (11) Certification It is a first degree misdemeanor for any person I certify that 1 have examined this report and it is true, correct, (Type name) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk CI Individual (only for IE IS Treasurer ■ Deputy Treasurer 0 Candidate ■ Chairperson (only for PC and PTY) or electioneering comm.) X - XPA/Ue--__. Signature Signatur DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number NA (3) Cover Period 03 / 02 / 2018 through 03 / 08/ 2018 (4) Page 1 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 (1 0) Amendment (11) Amount (6) Sequence Number 03/ 08/2018 Tampa Bay News 9911 Seminole Blvd Seminole, FL 33772 Ad CHE $268.51 / / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk 03 02 2018 03 (2) I.D. Number NA (3) Cover Period / / through / 08 / 2018 (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) in-kind Description (11) Amendment (12) Amount (6) Sequence Number / / / / / / / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY OFFICE USE ONLY RECF1 ED HAP s i:Jt . • 018 OFFICIAL RECORDS AND Name (2) 1006 Mangnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council, ID Nb t'ili TkASIMS DEPT. Seat 5 0 Candidate Office Sought: Clearwater • Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed ❑ Electioneering Communications Org. (ECO) • Check ■ Party Executive Committee (PTY) ■ Check ■ Independent Expenditure (IE) (also covers an ❑ Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 02 / 23 / 2018 To 03 / 01 / 2018 Report Type: G 6 I9 Original • Amendment • Special Election Report (6) Contributions This Report Cash & Checks $ , 4 , 050. 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , 8 , 780. 31 Loans $ , , • to $ , , . Total Monetary $ , 4 , 050. 00 $ , 8 , 780. 31 In-Kind $ , , 800 . 00 (8) Other $ Distributions , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 17 , 486 . 62 (10) TOTAL $ Monetary Expenditures To Date , 17 , 227 . 52 (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) Q-7)4,,, FG. 6./ /( to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) 3o h ,Ni F---64_0\-) t_ ■ Individual (only for IE Treasurer ■ Deputy Treasurer Indidate X • Chairperson (only for PC and PTY) or electioneering comm.) X 2 • e - 2 r 1 i-/if!"` Signature (,' Signa -ut iz (rcev. SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (3) Cover Period 02 / 23 / 2018 through 03 / / (4) Page of (2) I.D. Number NA 01 2018 1 1 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number Ronald Delp 2 23 2018 332 Waterford Cl / / © Clearwater, FL 34688 33 I Ret. CHE $50.00 Rudi Loehwing 2 23 2018 1175 Jackson Rd. / / Clearwater, FL 33755 34 I Mktg. Dir. CHE $1000.00 Kim Barry 223 / 2018 / 0 2737 Navel Dr. Clearwater, FL 33759 35 I Estates Mgr. CHE $1000.00 Consumer Sales 2 23 2018 Solutions, LLC / / 1061 Belcher Rd 36 Seminole, FL 33777 B Business CHE $1000.00 Lisa Barry 2 23 2018 2737 Navel Dr. / / Clearwater, FL 33759 37 I Exec. Admin. CHE $1,000,00 Joy Rockwell Ent, Inc. 2/ 28 2018 2145 Sunnydale Dr. / a Clearwater, FL 33765 38 B Corporation INK Printing $1,000.00 / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number NA (3) Cover Period 02 23� 2018 through 03 / 01 / 2018 (4) Page 1 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 (1 0) Amendment (11) Amount (6) Sequence Number 2 / 26/201E Postcardmania 2145 Sunnydale Blvd. Clearwater, FL 33765 Mailer & Postage CHE $8780.31 C 33 / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY TEMEur5 FEL -. 2018 OFFICIAL RECORDS AND Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33767 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council ID Number:ENPtE SRVCS DEPT. Seat 5 ✓ Candidate Office Sought: Clearwater ❑ Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed • Electioneering Communications Org. (ECO) • Check ❑ Party Executive Committee (PTY) ■ Check ❑ Independent Expenditure (IE) (also covers an ■ Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 02/ 16 /2018 To 02 / 22 /2018 Report Type: G 5 Election Report • Original ■ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ , 5 ,101 ..75 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 525. 00 Loans $ , 0 . 0 0 to $ , 0 . 00 Total Monetary $ 0 . 00 $ , , 525 . 00 In -Kind $ , 0. 00 (8) Other Distributions $ , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 13, 436 . 62 (10) TOTAL Monetary Expenditures To Date $ , 8 , 447 . 21 (11) Certification It is a first degree misdemeanor for any person 1 certify that 1 have examined this report and it is true, correct, ^� 1 ( (Type name) J / to falsify a public record (ss. 839.13, F.S.) and complete: ,,- (Type name) i D h /i.-t_/t/k_ R Individual (only for IE 12 Treasurer ■ Deputy Treasurer O Candidate ■ Chairperson (only for PC and PTY) or electioneering comm.) X 1..,/--Y✓ I X Signatur_ Sign re DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number NA (3) Cover Period 2 / 16 / 2018 through 2 / 22 / 2018 (4) Page 1 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 2 / 17/201E Accent Systems 624 S MacDill Ave Tampa, FL 33609 Signs CHE $525.00 Q 22 / / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (3) Cover Period 2 16 / 2018 through (2) I.D. Number NA 222 2018 1 (4) Page / / of 1 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 2 / 22 2018 / William Bradley 2967 FLINT DR N #82D CLEARWATER, FL Trustee RCT $48.25 26 2 / 22 2018 / o Superior Schoos Corp 861 N. Hercules Clearwater, FL 33765 Corp CHE $200.00 27 222 / 2018 / 0 American Power & Gas 10601 Belcher rd. s Seminole F1 33777 Corp RCT $970.70 28 2/ 22 / 2018 David Agami 5 N. Osceola Ave #704 Clearwater FL 33755 Bus. Owner RCT $970.70 29 2 / 22 2018 / Monica Agami 5 N. Osceola Ave #704 Clearwater FL 33755 Sales RCT $970.70 30 2 1 22 2018 / 0 Claire Loehwing 1175 Jackson Rd. Clearwater, F1 33755 CFO RCT $970.70 31 2 / 22 2018 / Tom Cummins 10601 Belcher Rd. s Seminole, F1 33777 CEO RCT $970.70 32 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY OFFICE USE ONLY E RECEIVED FES' Z0 2018 Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33767 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council ID NuUI.1-ILI tC VI<L) ANI) 11s SVCS DEPT. Seat 5 I9 Candidate Office Sought: Clearwater ■ Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed ❑ Electioneering Communications Org. (ECO) ■ Check ■ Party Executive Committee (PTY) ■ Check • Independent Expenditure (IE) (also covers an ■ Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 02 / 09 / 2018 To 02 / 15 / 2018 Report Type: G 4 Election Report 1 Original • Amendment ■ Special (6) Contributions This Report Cash & Checks $ , , 250. 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , 3 , 588. 34 Loans $ , , 0 . 0 0 to $ , 0 . 00 Total Monetary $ , , 0 . 00 $ , 3,588. 34 In -Kind $ , , 0. 00 (8) Other $ Distributions , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 8 , 334 . 87 (10) TOTAL $ Monetary Expenditures To Date , 7 , 922 . 21 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk • Individual (only for IE 17 Treasurer ■ Deputy Treasurer !!J Candidate ■ Chairperson (only for PC and PTY) or electioneering comm.) X t "'✓ X lye'. -1 /C' Signature Signatur -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (2) I.D. Number 02 09 2018 02 15 2018 NA (3) Cover Period / / through / / (4) Page 1 of 1 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 02 / 09 / 2018 13 S.I. Russell 312 Rosery Road Belleair, FL 33756 I Ret. CHE $250.00 25 / / / / / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number N' (3) Cover Period 02 / 09 / 2018 through 02 / 15 2018 / (4) Page 1 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 03/ 12/201E Zip Printing 1237 S. Lincoln Ave. Ste. C Clearwater, FL 33756 Printing/Mailing CHE $3,588.34 0 21 / / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY c,��c��iv NLY KK 11.. ED FEB 5 NW OFFICIAL RECORDS AND Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33767 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) Council LEGISLATIllthRYCS DEPT. ID Number: IN Seat 5 ✓ Candidate Office Sought: Clearwater City • Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed ■ Electioneering Communications Org. (ECO) 1 Check ❑ Party Executive Committee (PTY) ■ Check ■ Independent Expenditure (IE) (also covers an • Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 01 / 26 /2018 To 02 / 08 / 2018 Report Type: G 3 Election Report ■ Original • Amendment ■ Special (6) Contributions This Report Cash & Checks $ , 3 , 107 . 15 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 120. 60 Loans $ , , 0 . 0 0 to $ , , 0 . 00 Total Monetary $ , , 0 . 00 $ , 120 . 60 In -Kind $ , , 0. 00 (8) Other Distributions $ , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 8 , 084. 87 (10) TOTAL Monetary Expenditures To Date $ , 4 , 333 . 87 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk ■ Individual (only for IE D Treasurer IN Deputy Treasurer GI Candidate 0 Chairperson (only for PC and PTY) 7:44-7/1/. or electioneering comm.) X lie/"/1/C-- X Signature Sign re DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (2) I.D. Number NA 01 26 2018 0208 2018 1 1 (3) Cover Period / / through / / (4) Page of DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number Gendusa, S J 02 / 05 2018 / © 414 Magnolia Dr. Clearwater, FL 33756 19 I Bus. Owner RCT $970.70 Sjouwerman, Stu 0205 2018 331 Cleveland St. / / Clearwater, FL 33755 20 I Bus. Owner RCT $970.70 Clouden, Patrick 02 05 2018 111 Manatee Road / / Belleair, F1 33756 21 I Bus. Owner RCT $970.70 Nagengast, Natalie 0205 2018 331 Cleveland St. / / Clearwater, FL 33755 22 I Entrepreneur RCT $48.25 Nagengast, Mariah 0205 2018 321 Belleview / / Belleair, FL 33756 23 I Rec.Pk. emp. RCT $96.80 Smith, Brad & Sonia 02 05 2018 / / 2924 Bayhead Run Oviedo, FL 32765 24 I Tech. Supv. CHS $50 / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (2) I.D. Number NA 01 26 2018 02 08 2018 1 (3) Cover Period / / through / / (4) Page of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 02 / 05 2018 / DVC Marketing 411 S. Garden Ave Clearwater, FL 33756 Printing CHE $85.60 19 02 / 05 2018 / Seacoast 715 Indian Rocks Rd N Belleair Bluffs,FL 33770 SVC Cash $35 20 / / / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (2) I.D. Number NA 01 26 2018 02 08 2018 1 (3) Cover Period / / through / / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number Gendusa, S J 02 05 2018 414 Magnolia Dr. / 1 III Clearwater, FL 33756 19 I Pres./CEO RCT $970.70 Sjouwerman, Stu 0205 2018 600 Pineland Ave. / / Belleair, FL 33756 20 I CEO RCT $970.70 Clouden, Patrick 0205 2018 111 Manatee Road / / Belleair, F1 33756 21 I CEO RCT $970.70 Nagengast, Natalie 02/ 05 2018 / 331 Cleveland St. Clearwater, FL 33755 22 I Bus. Owner RCT $48.25 Nagengast, Mariah 02/ 05 2018 / 321 Belleview Belleair, FL 33756 23 I Rec.Pk. emp. RCT $96.80 02 05 2018 Smith, Brad & Sonia / / 2924 Bayhead Run Oviedo, FL 32765 24 I Tech. Supv. CBE $50 / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY OFFICE USE ONLY RECEIVED JAN 2 , 2010 OFFICIAL RECORDS AND Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, ❑ Check (4) Check State, Zip Code here if address has changed (3) appropriate box(es): Office Sought: Clearwater City Council fE('ISLA1 M SRVCS DEPT ID Number: Seat 5 ✓ Candidate ❑ Political ❑ Electioneering ❑ Party ❑ Independent individual Committee (PC) Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded Executive Committee (PTY) ❑ Check here if PTY has disbanded Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed making electioneering communications) Cover Period: I Original (5) Report Identifiers From 01 / 12 / 2018 To 01 / 25 / 2018 Report Type: G 2 ❑ Amendment ❑ Special Election Report (6) Contributions Cash & Checks Loans Total Monetary In -Kind This Report $ , 0 . 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 400. 00 $ , 1, 000. 00 to $ , , 0. 00 $ , , 0 . 00 $ 400. 00 $ , , 0. 00 (8) $, Other Distributions 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 4 , 977 . 72 (10) TOTAL Monetary Expenditures To Date $ , 4 , 213 . 27 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk ■ Individual (only for IE 17 Treasurer • Deputy Treasurer 17 Candidate ■ Chairperson (only for PC and PTY) or electioneering X comm.) bfri'✓C / _ / X ', �G�"'"C Signat e Signa re DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number NA (3) Cover Period 01 // 12 //2018 through 01 / 25 / 2018 1 (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 01//12 /2018 Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 Printing CHE $400 18 / / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (2) I.D. Number 01 /12 / 2018 01 / 25 / 2018 (3) Cover Period / / through / / NA 1 (4) Page of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 01 / 12 / 2012 / / Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 S Bus. Owner CHE $1,000 18 / / / / / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY OFFICE USE ONLY Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council IDN rAl; 'f(�S DE Seat 5 ✓ Candidate Office Sought: Clearwater ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 1 / 1 /2018 To 1 / 11 /2018 Report Type: G1 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , 0 . 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 0. 00 Loans $ , , 0 . 00 to $, , 0 . 00 Total Monetary $ , , 0 . 00 $0 . 00 , In -Kind $ , , 0. 00 (8) $ Other Distributions , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 3 , 977 . 72 (10) TOTAL Monetary Expenditures To Date $ , 3 , 813 . 27 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk • Individual (only for IE 0 Treasurer ■ Deputy Treasurer 0 Candidate 1 Chairperson (only for PC and PTY) or electioneering comm. I X Signatur Sig ure DS -DE 12 (17ev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY c tl PP,ISY f a 2z 1A I `�' OFFHCH ':EC,Mr s AND LEGISLAI kriE S \ �...i D[:j Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council ID Number: NA Seat 5 ✓ Candidate Office Sought: Clearwater ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 12 / 1 /2017 To 12 / 31 /201 7 Report Type: D12 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , 312. 72 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , 1, 805. 47 Loans $ 1 000. 00 to $ , , 0 . 00 Total Monetary $ , 1 312. 72 $, 1 805. 47 In -Kind $ , , 0. 00 (8) $ Other Distributions , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 3 , 977 . 72 (10) TOTAL Monetary Expenditures To Date $ , 3 , 813 . 27 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk ■ Individual (only for IE 0 Treasurer • Deputy Treasurer 17 Candidate ■ Chairperson (only for PC and PTY) or electioneering comm.) X , �,67- vt/X ' ?_6(,,,,,, Signature Signat i r. DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) ID. Number NA (3) Cover Period 12 / 1 / 2017 through 12 / 31 / 2017 (4) Page 1 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 (1 0) Amendment (11) Amount (6) Sequence Number City of Clearwater 12 / 5/2017 112 S. Osceola Ave. Clearwater, FL 33756 Election Fees CHE $318.92 10 12 15 2017 Griffin Productions / / P.O.BOX 1314 Advertising Indian Rocks, Beach FL 33785 CHE $695 11 THE UPS STORE 12 23/017 611 S. FT. Harrison / Clearwater, FL 33756 Rental CHE $51 12 ZIP Printing 122 2017 1237 S. Lincoln Ave. /Ste. C Clearwater, FL 33756 Printing CHE $580 13 City of Clearwater 12 28017 112 S. Osceola Ave. / Clearwater, FL 33756 Copies CHE $5.85 14 City of Clearwater 12 2 017 112 S. Osceola Ave. / Clearwater, FL 33756 Signature Verify CHE $29.70 15 Zip Prining 12 /017 1237 S. Lincoln Ave. /28 / Clearwater, FL 33756 Printing CHE $125 16 / / 17 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (2) I.D. Number NA 12 1 2017 12 31 2017 1 1 (3) Cover Period / / through / / (4) Page of DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 12 5 / 2017 / Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 S Bus. Owner CHE $1,000 13 12 10 / 2017 / Repper, Mary 28366 Peterson Camp Brooksville, FL 34601 I Bus. Owner CHE $100 14 12/ 18 /2017 Chenault, Michelle 468 Mandalay Ave. Clearwater, FL 33767 I Realtor RCT $193.90 15 12/ 18 /2017 Zayas, Ricardo 10800 US Highway 19 Unit 114 Pinellas Park, FL 33782 I IT Tech. RCT $9.41 16 12/ 18 /2017 Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 S Bus. Owner RCT $9.41 17 / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY or,fiTrEmiff _ ..:. . CrF1cp4 , ;:, AND LEG1SD ,, ,;, , DEPT. Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council ID Number: NA Seat 5 ✓ Candidate Office Sought: Clearwater ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 11 / 1 / 2017 To 11 / 30 / 2017 Report Type: M 11 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , 565. 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 258. 79 Loans $ , , 0. 00 to $ , , 0 . 00 Total Monetary $ , , 565. 00 $ 258. 79 In -Kind $ , , 0. 00 (8) $ Other Distributions , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 2, 665 . 00 (10) TOTAL Monetary Expenditures To Date $ , 2, 007 . 80 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk ■ Individual (only for IE 12 Treasurer ■ Deputy Treasurer Q Candidate ■ Chairperson (only for PC and PTY) or electioneering comm.) X l / ?•��O�i° - X ?;(,'V. -‘i Signature / Signatur DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS John Funk (3) Cover Period 11 / 1 / 2017 through (2) I.D. Number 11 30 2017 / / NA 1 (4) Page of 2 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number Arnold, Yankee 11 28 2017 4811 George Rd. / / Tampa, F1 33635 5 I Pastor CHE $50 GRACE, Tom 11 28 2017 220 Belleview Blvd. / / #407 6 Belleair, FL 33756 I Attorney CHE $100 MURPHY, Jerry 1128 2017 959 MANDALAY AVE. / CLEARWATER, FL 33767 7 I Army Officer CHE $100 Shapiro, David 11 28 2017 308 Hickory Lane / / Largo, FL 33770 8 I MD CHE $100 Beach Tran Clearwater 11 28 2017 LLC / / 3173 Drew St. 9 Clearwater, FL 33759 B APR Transit CHE $50 KELLY, MARTIN D. 11 28 2017 1451 Sandy Lane / / Clearwater, FL 33755 10 I AuthorWriter CHE $100 FUNK, BRIANA 11 28 2017 / / 10800 US Highway 19 Unit 114 11 Pinellas Park, FL I Optician CAS $40 33782 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS JOHN FUNK (3) Cover Period 11 / 1 / 2017 through / / (4) Page (2) I.D. Number NA 11 30 201: 2 2 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 11 / 28 / 2017 Wentworth, Glenna 2227 BARN BLVD. CLEARWATER, FL 33764 I COUNSELOR CHE $25 12 / / / / / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number NA (3) Cover Period 11/ 1 / 2017 through 11 / 30 / 2017 (4) Page 1 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 (1 0) Amendment (11) Amount (6) Sequence Number 11/ 2/2017 THE UPS STORE 611 S. FT. HARRISON CLEARWATER, 7 FL 33756 PRINTING CHE $49.16 11 / 10 /2017 ONE STOP PRINTING 1867 GULF TO BAY BLVD. CLEARWATER, FL 33765 SIGN/PRINTING CHE $173.34 8 11 / 27 017 THEUPS T. HARRISON STORE 6111 S. FT. 6 CLEARWATER, FL 33756 PRINTING CHE $35.69 9 / / / / / / / / 1/ DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY 0Qf�f1EMPYLY itC�,,C� �/ �tJ NOV 1 2017 OFFICIAL RECORDS AND LEGISIATINE SINCS DEPT. Name (2) 1006 MAGNOLIA DR. Address (number and street) CLEARWATER, FL, 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council ID Number: NA Seat 5 1 Candidate Office Sought: Clearwater ❑ Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed ❑ Electioneering Communications Org. (ECO) ■ Check ❑ Party Executive Committee (PTY) ❑ Check ❑ Independent Expenditure (IE) (also covers an ■ Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 10 / 1 /2017 To 10 / 31 /2017 Report Type: M10 Election Report 1 Original ■ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ , , 100. 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , 1, 749. 01 Loans $ , 1 , 500. 00 to $, , 0 . 00 Total Monetary $ , 1 , 600. 00 $ , 1 , 749. 01 In -Kind $ , , 0. 00 (8) Other Distributions $ , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , 2 , 100 . 00 (10) TOTAL Monetary Expenditures To Date $ , 1 , 749 . 01 (11) Certification It is a first degree misdemeanor for any person 1 certify that I have examined this report and it is true, correct, (Type name) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk ■ Individual (only for IE fl Treasurer 0 Deputy Treasurer 17 Candidate • Chairperson (only for PC and PTY) or electioneering com „ Cx /Al x Signa f Signatu DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS JOHN FUNK (3) Cover Period 10 / 1 / 2017 10 through / (2) I.D. Number NA 31 2017 (4) Page 1 of 1 -ut is (rcev. SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 10/ 4 / 2017 0 Funk, John 1006 Magnolia Dr. s Bus Owner CHE $500 2 Clearwater, FL 33756 10/ 10 /2017 Beach, Dan 2162 Druid East Clearwater, FL 33764 I Barber CHE $100 3 10 / 24 ! 2017 Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 s Bus. Owner CHE $1,000 4 / / / / / / / / -ut is (rcev. SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name John Funk (2) I.D. Number NA (3) Cover Period 10/ 1 / 2017 through 10 / 31 / 2017 (4) Page 1 of 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (1 0) Amendment (11) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 10/ 2 /201i Supervisor of Elections 315 Court St IT Data CHE $127.62 a 1 Clearwater, FL 10 4 201; 1 / . Roberts Printing 2049 Calumet St Clearwater, Printing CHE $419.44 2 FL 33765 10 / / 4 2017 9 Supervisor of Elections 315 Court St. Clearwater, FL. 33756 IT Data CHE $15.52 3 10/ 5 / 2017 d PH Media 10800 US Hwy 19N #114 Pinellas Park, FL 33782 Website CBE $320.00 4 10 / 24/201') / a Computerized Results 4420 Manhattan Ave. MAILER SERVICE 5 Tampa, FL 33614 CHE $203.71 10 / 24201 CI POSTMASTER C/O Computerized Results 4420 Manhattan Ave_ Tampa, FL 33614 POSTAGE CHE $662.72 6 / / /1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) John Funk SUMMARY OFFICE USE ONLY RECEIVED NOV 0 8 2011 OFFICIAL RECORDS AND Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) City Council IDIticTIVF iVCS DEPT. Seat 5 SI Candidate Office Sought: Clearwater • Political Committee (PC) here if PC or ECO has disbanded here if PTY has disbanded here if no other IE or EC reports will be filed ❑ Electioneering Communications Org. (ECO) • Check ❑ Party Executive Committee (PTY) ❑ Check ❑ Independent Expenditure (IE) (also covers an 0 Check individual making electioneering communications) (5) Report Identifiers Cover Period: From 9 / 14 /2017 To 9 / 30 / 2017 Report Type: M9 Election Report Original Ei Amendment • Special (6) Contributions This Report Cash & Checks $ , , 500.00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , 0. 00 Loans $ 0.00 to $ , , 0 00 Total Monetary $ , , 500..00 $ 0. 00 In-Kind $ , , 86. 67 (8) Other Distributions $ , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , , 500.00 (10) TOTAL Monetary Expenditures To Date $ ,, 0. 00 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk ■ Individual (only for IE NI Treasurer ■ Deputy Treasurer GI Candidate ■ Chairperson (only for PC and PTY) or electioneering comm.) / X ,I, /6e, C / x Signature ' Signatu," DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS JOHN FUNK (3) Cover Period 9 14 2017 through (2) I.D. Number NA 9 / 30 , 2017 1 (4) Page of 1 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 9 / 14 2017 1 Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 S Bus. Owner CHE $500 1 9/ 25 /2017 Funk, John 1006 Magnolia Dr. Clearwater, F1 33756 S Bus. Owner INK P.O.BOX $86.67 2 / / 1 / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) John Funk Campaign Fund oFicorusE otio i : w ,_ g 2017 `' r ,- , ` : ,D LE�;L L», L.. ,. y i. Name (2) 1006 Magnolia Dr. Address (number and street) Clearwater, FL 33756 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: na (4) Check NI appropriate box(es): Candidate Office Sought: Clearwater City Council Seat 5 ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 9 / 14 /2017 To 9 / 30 / 2017 Report Type: M9 ✓ Original ❑ Amendment • Special Election Report (6) Contributions This Report Cash & Checks $ , , 500.00 (7) Expenditures This Report Monetary Expenditures $ , , 0. 00 Loans $ , , 0.00 Transfers to Office Account $ , , 0 00 Total Monetary $ , , 500.00 Total Monetary $ 0. 00 In -Kind $ , , 86. 67 (8) Other Distributions $ , , 0 . 00 (9) TOTAL Monetary Contributions To Date $ , , 500.00 (10) TOTAL Monetary Expenditures To Date $ 0. 00 (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) John Funk to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) John Funk GI Candidate • Chairperson (only for PC and PTY) X ■ Individual (only for IE F4 Treasurer ■ Deputy Treasurer or electioneering comm.) Signature Sig re -DE 12 (Rev. SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS JOHN FUNK CAMPAIGN FUND (3) Cover Period 9 / 14 / 2017 through (2) I.D. Number NA 9 30 2017 (4) Page 1 of DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND COD b IL ^ COT 1.0 201I✓ COT (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 9 / 14 / 2017 Funk, John 1006 Magnolia Dr. Clearwater, FL 33756 S Bus. Owner CHE $500 1 9/ 25 /2017 Funk, John 1006 Magnolia Dr. Clearwater, Fl 33756 S Bus. Owner INK P.O.BOX $86.67 2 / / / / / / / / / / u, rrr DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND COD b IL ^ COT 1.0 201I✓ COT STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) JOI7n/ �GC.nI OFFICE USE ONLY candidate for the office of C L P f d r u i 6 o “ „/ c L- s - — have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x /z113) 2_n/7 Signature of Candidate ate Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS -DE 84 (05/11) APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.)'( (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. ry � C' -j OFFICE USE ONLY 1. C)-IECK APPROPRIATE BOX(ES): l' Initial Filing of Form Re- filing to Change: ❑ Treasurer /Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this! order: First, Middle, Last) .! d i-i n/ r,, N k 3. Address (include post office box or street, city, state, zip code) % D c3 6 %r) A tr_ r✓O L/ A Di- �— 375-Z GLe�rw� i ��� `L 3 4. Telephone ( 227) s4q,3 6f 5. E -mail address ,,,446,kksgy,,/,,,, row► 6. Office sought (include district, circuit, group number) tv GC rtl G L- Sc-oo 7. If a candidate for a non • artisan office, check if applicable: ❑ My intent is to run as a Write-In candidate. 8. If a candidate for a • artisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write -In ❑ No Party Affiliation J Party candidate. 9. I have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Thh,i yu.,✓ /c 11. Mailing Address / v /c> 0 6 mA /V *� 0r 12. Telephone 027) 5,9 -3,x.1 y 13. City 6- r k,. p r en 14. County %nvP / //as 15. State F 1-- 16. Zip Code 337C-6 17. E -ma I address -ric2f a_ cam- �v,) /cqY� 4 ao . Cc,.�i 18. I have designated the following bank as my [� Primary Depository ❑ Secondary Depository 19. Name of Bank /1!69 /-111 �7 t 130d 20. Address `"7/ cL Ai✓ /G/eS 44 Pi. 21. City e e / / c- .Ai • 1 3 L u i f s 22. County A i ' e //' ' 23. State FLT - d ,v 24. Zip Code 33-770 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date S7-e:l 6 e,-- ) V 2 (2 / 7 26. Signature of Can• • :te x 1 -% 27. Treasurer's Acceptance of Appointment (fill in the bl -f% s and check the appropriate block) I, D /,V )—z, A)' - , do hereby accept the appointment (Please Print or Type Name) designated above as: Er Campaign Treasurer ❑ puty Tre surer. Sefre"-, 6 /y 20/7 x Date ature of Campaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C.