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M5 Report (Johnson)
5' a' I LV 1: Ted Johnson OFFICE USE ONLY Name UBM I I ON I (2) 1107 Pheasant Circle [1208067] Address (number and street) Submitted on: Winter Springs, FL 32708 6/2/2020 16:26:47 (eastern) L City, State, Zip Code n Check here if address has changed O 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 5 1 2020 To 5 31 / 2 0 2 0 report Type M5 ® Original F] Amendment Special Election Report O Contributions This Report Expenditures This Report Monetary Cash & Checks $ 450 - 00 Expenditures $ 312 22 Loans $ 0 - 00 Transfers to Office Account $ 0 00 Total Monetary $ 450 . 00 Total Monetary $ 7312 22 1 n-Kind 0 . 00 (8) Other Distributions $ 0 - 00 (9) TOTAL Monetary Contributions To Date (1) TOTAL Monetary Expenditures To Date $ 5 928 80 $ 928 53 (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 ER'S REPORT T — ITEMIZED CONTRIBUTIONS (1) Name TPd Jobe step 2 I.D. Number 502 5/1/2020 5/31/2020 (3) Cover Period 1 through 1 Page 1 f 1 Date Full Name (Last, Suffix, First, Middle) Street ,Address & City, State, Zip Code Contributor Type Occupation Contribution Type 1 ) In -kind Description (11) Amendment 1 Amount Sequence Number 5/22/2020 Geisler, William 1505 Corkery Court Winter Springs, FL 32708 I telecommun lcatlons exec. re CH $100 . o 1 5/27/2020 Egan, Beverly 360 Casa Grande Drive Winter Springs, FL 32708 I retired CH $50. o 2 5/28/2020 Pohlad, Robert 50 Sable Court Winter Springs, FL 32708 I wner : coo antiques CH $ 2 0 0 . o 3 5/28/2020 Coffman, Georgia Individual 21 S. Edgemon Ave. Winter Springs, FL 32708 I retired CH $100. o 4 1 1 1 1 1 D -DE 1(Rev. 11/1) SEE REVERSE FOUR INSTRUCTIONS AI D CODE VALUES (1) Name CAMPAIGN TREASURER'S SUF EF ' REPORT F T — ITEMIZED EXPENDITURES ES Ted Johnson I.D. Number (3) Cover Period 5/1/2020 1 l 5/31/2020 through l 4 Page 1 502 of 1 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) Amount O Sequence Number 5/29/2020 Services, Graphic 945 Longdale Ave. Longwood, FL 32750 campaign hats M0 $312.2 1 DS-DE 1 (Rev. 11/1) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES