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M1 Report (Johnson) - Amended 2020 04 03
Ted Johnson OFFICE USE ONLY Name UBM I I ON I (2) 1107 Pheasant Circle [1203048] Address (number and street) Submitted on: Winter Springs, FL 32708 4/3/2020 15:10:15 (eastern) L City, State, Zip Code n Check here if address has changed (3) ID Number: 502 (4) Check appropriate box(es): ® Candidate Office Sought: City Commissioner, District 3 © Political Committee (PC) F1 Electioneering Communications Org. (ECO) ® Check here if PC or ECO has disbanded F] Party Executive Committee (PTY) F] Check here if PTY has disbanded F1 Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 1 2020 To 1 / 31 / 2 0 2 0 Report Type: M1 El Original Amendment Special Election Report O Contributions This Report Expenditures This Report Monetary Cash & Checks $ 0. 59 Expenditures $ 0 00 Loans $ 0 - 00 Transfers to Office Account $ 0 00 Total Monetary $ 0 . 59 Total Monetary $ 0 00 I n-Kind 0 . 00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (1) TOTAL Monetary Expenditures To Date $ 3 778 80 $ 547 36 (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) (Type name) 171 Individual (only for IE ❑ Treasurer 171 Deputy Treasurer El Candidate El Chairperson (only for PC and PTY) or electioneering comm.) X X Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Te-,d Jobe step (2) I.D. Number 502 1/1/2020 1/31/2020 (3) Cover Period 1 through 1 Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 1/15/2020 Benton, Sheila I 414 Cedarwood Court Winter Springs, FL 32708 I CH Delete $9.41 1 1/15/2020 Benton, Sheila I 414 Cedarwood Court Winter Springs, FL 32708 I CH dd $10 . 0C 2 DS-DE 13 (Rev. 11/13 ) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S SUF EF ' REPORT F T — ITEMIZED EXPENDITURES ES Ted Johnson I.D. Number (3) Cover Period 1/1/2020 1 l 1/31/2020 through l 4 Page 1 502 of 0 O Date O Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Dude O Purpose (add office sought if contribution t arndida�te) (9) Expenditure Type (1 ) Amendment (11) Amountz O Sequence Number z z z z z z z z z z z z z DS-DE 1 (Rev. 11/1) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES