p.e. :.;- (1) -•i• receivednumber city, state, zip code candidate) type amendment amount print...

CAMPAIGN TREASURER'S REPORT SUMMARY

(1) Cory Nichols, P.E. :.;- ... ,,. .... v -•I•

RECEIVED -

Name (2) 1107 1st Street S, Unit C

JUL 2 9 2016 Address (number and street) Jacksonville Beach, FL 32250

City Clerk City, State, Zip Code

D Check here if address has changed (3) ID Number: N/A -

(4) Check appropriate box(es):

0 Candidate Office Sought: Mayor, City of Jacksonville Beach

D Political Committee (PC) D Electioneering Communications Org. (ECO) D Check here if PC or ECO has disbanded D Party Executive Committee (PTY) D Check here if PTY has disbanded D Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be filed individual making electioneering communications)

(5) Report Identifiers

Cover Period: From 07 I 09 116 To 07 I 22 116 Report Type: 2016-P3 -- -- -- -- -- --

0 Original D Amendment D Special Election Report

(6) Contributions This Report (7) Expenditures This Report

Cash & Checks $ ' 20 ' 050. 00 Monetary Expenditures $ '

4 , 043 .01 -- -- -- -- -- -- -- --

Loans $ ' '

0. 00 Transfers to -- -- -- --Office Account $

' ' 0. 00 -- -- -- --

Total Monetary $ ' 20 ' 050. 00 -- -- -- --

Total Monetary $ ' 4, 043. 01

$ 0. 00 -- -- -- --

In-Kind ' ' -- -- -- --(8) Other Distributions

$ ' ' 0 00

-- -- -- - -

(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date

$ '

54 '

917 40 $ ' 10, 546 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 rep~t~ is true, correct, and complete: ~ i'."..1. N t'-!':1\-~ - r"' A .

(TypenamerJoel ...... -· ~~ ·~• 11 , ...,.,, " (Typename)Cory Nichols, P.E. 0 Individual (only for IE 0 Treasurer D Deputy Treasurer 0 Candidate D Chairperson (only f~C and PTY) or electioneering comm.) -x c::/?l-~- x ~~~ Signature -- - Signature

DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS

CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Cory Nichols, P.E. (2) l.D. Number_Nl_A ______ _

(3) Cover Period __ 0_71_0_9_!~ through _0_7_;_2_2_/~ 1 of 1 (4) Page____ _ ___ _

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

Date Full Name Purpose

(6) (Last, Suffix, First, Middle) (add office sought if Expenditure

Sequence Street Address & contribution to a

Number City, State, Zip Code candidate) Type Amendment Amount

Print runner Printing 07 ; 11 /2016 8000 Haskell Avenue Advertising

Van Nuys, CA 91406 Marketing CAN $170.02

1

07 / 11 / 016 City of Jacksonvi lle Beach Filing Fees 11 North Third Street Licensing Jacksonville Beach, FL 32250 Taxes

CAN $488.80

2

Kessler Creative Media 07 / 14 /016 12276 San Jose Blvd #115 Advertising

Jacksonville, FL 32223 Marketing CAN $3 ,235.0 0

3

BBVA Compass Bank Bank Charges 07 15 2016 2300 Third Street South

I I Jacksonvi lle Beach , FL 32250 CAN $3.00

4

Home Depot Sign Materials

07 I 10/016 3790 Third Street South Advertising Jacksonville Beach, FL 32250 Marketing

CAN $45.35

5

07 20 2016 Smart Sign Sign Materials

I I 300 Cadman Plaza W #1303 Advertising Brooklyn, NY 11201 Marketing

CAN $50.83

6

Facebook Adverti s ing

07 / 20 / 016 1 Hacker Way Marketing Menlo Park , CA 94205

CAN $50.01

I I

OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

1

2

3

4

5

6

7

CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS

(1) Name Cory Nichols , P . E . N/A

(2) 1.0. Number

07 09 2016 07 22 20 1 6 1 (3) Cover Period I I through I I (4) Page

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

Date Full Name

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

Sequence Street Address & Contributor Contribution In-kind

Number Citv, State, Zip Code Type Occupation Tvpe Description Amendment

Husein Cumber 07 12 2016 2325 River Road

I I Jacksonvil le , FL 32207

I Executive RTC

Matthew Kane 07 12 2016 2701 Ocean Drive S

I I Jacksonville Beach , FL 32250 I Softwa r e CHE

California Trends 07 14 2016 51 Roscoe Bl vd

I I Ponte Vedra Beach , FL 32082 B Sa l on CHE

Jacksonville Beach 07 14 2016 Properties

I I 320 First Street North #912 B Real Estate CHE Jacksonville Beach , FL 32250

Ken Purcell 07 19 2016 1987 Brista De Mar Cir

I I Atlantic Beach , FL 32233 I Executive CHE

07 James Michae l Howard,

14 2016 Inc. I I 4128 Herschel Street

Jacksonville , FL 32210 B Designer CHE

07 14 2016 Hillary Whitaker 1168 24th Street No r th

I I Jacksonville Beach , FL 32250 I Designer CHE

DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

6 of

(12)

Amount

$500.00

$1 , 000.00

$1,000.00

$1,000 . 00

$1 , 000 . 00

$250.00

$350.00


(1) Name Cor y Nich o ls , P.E . N/A

(2) l.D. Number

07 09 2016 07 I I through

22 20 1 6 I I

2 (3) Cover Period (4) Page

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

Date Full Name (6) (Last, Suffix, First, Middle}

Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occuoation Tvoe Descriotion Amendment

07 14 2016 Sager Shah 14 31 Riverplace Blvd

I I #2 10

B Jac ksonvi l le , FL 32207 I Physician CHE

Ben Ep stein 07 14 2016 12835 Ox fo r d Cr oss ing

I I Jacksonvi l le , FL 32224

9 I CEO CHE

Rushab Choksi 07 14 2016 3663 Ma rbon Road

I I J acksonville , FL 32223

10 I CEO CHE

Richard Cap l i n 07 14 20 1 6 1210 Journeys End La ne

I I Jacksonville , FL 32223

11 I CEO CHE

07 14 2016 Joshu a Cossey 1710 Shadowood Lane


12 I Attorney CHE

07 2016 Cortel lo Salon

14 1086 3rd Stre et North I I Jacksonvi l le Beach, FL

13 32250 B Sa l on CHE

07 14 2016 Er in Le i nenweber 24 Oakwood Road

I I Jacksonvi l le Beach , FL

14 32250 I Admi nistrate CHE

DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

6 of

(1 2)

Amount

$1 , 000 . 00

$1 , 000.00

$1, 000.00

$1, 000.00

$ 1 ,000.00

$500 . 00

$250.00


(1) Name Cory Nichols , P.E. N/A

(2) l.D. Number

07 09 2016 07 22 2016 3 (3) Cover Period I I through I I (4) Page

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

Date Full Name



Number City, State, Zip Code Type Occupation Tvoe Descriotion Amendment

07 14 2016 Anthony Corral 802 3rd Street

I I Neptune Beach, FL

15 32266 I Dentist CHE

Julie Harrell 07 14 2016 3766 Cathedral Oaks Pl

I I South

16 Jacksonville , FL 32217 I Attorney CHE

Urban Partners 07 14 2016 Construc t i on LLC

I I 3236 Beach Blvd

17 Jacksonvi l le , FL 32207 B Constructior CHE

2016 Joseph Alexander

07 14 5233 Commissioners Dr I I Jacksonville , FL 32224

18 I CEO CHE

Glen Geraci 07 14 2016 3924 Tar Kiln Road


19 I Banking CHE

07 James Yates

14 2016 5203 Tallulah Lake Ct I I Jacksonvi l le , FL 32224

20 I Bui l der CHE

07 14 2016 Blocker Law , P . A. 10 1 Marketside Ave

I I Suite 404-195

21 Ponte Vedra , FL 32081 B Lawyer CHE

DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

6 of

(12)

Amount

$500 . 00

$500.00

$250.00

$250.00

$250 . 00

$250.00

$100.00


(1) Name Cory Nichols , P.E . N/A

(2) l.D. Number

07 09 2016 07 22 2016 4 (3) Cover Period I I through I I (4) Page

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

Date Full Name



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

William Price 07 14 2016 2394 St Johns Bluff Rd

I I South

22 Jacksonville , FL 32246 I Engineer CHE

Anthony Marinates 07 14 2016 4514 Swilcan Bridge

I I Lane North

23 Jacksonville, FL 32224 I CEO CHE

John Marinates 07 14 2016 7980 Monterey Bay Dr


24 I Product Dev CHE

Michael Diaz 07 14 2016 1490 Selva Marina Dr

I I Atlantic Beach , FL

25 32233 I CEO CHE

07 14 2016 Kevin Gray Design Group, I nc .

I I 500 11th Ave South

26 Jacksonville Beach , FL I Designer CHE 32250

us Roof Recycle , LLC 07 14 2016 6822 West 12th Street

I I Jacksonville, FL 32254

27 B Construction CHE

07 12 2016 Sonny Martin 112 7th Avenue Unit C

I I Jacksonville Beach, FL

28 32250 I Accountant RTC

DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

6 of

(12)

Amount

$250.00

$500.00

$500.00

$500 . 00

$250 . 00

$100.00

$250.00


(1) Name Cory Ni c hols , P.E. N/A

(2) 1.0. Number

07 09 20 1 6 07 22 20 1 6 5 6 (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}


Number Citv, State, Zio Code Tvoe Occuoation Tvoe Descriotion Amendment Amount

J u lie Brewe r 07 14 2016 131 14th Ave South

I I Jacksonvil le Beach, FL

29 32250 I Realtor RTC $500 . 00

William Perez 07 14 2016 1054 Popolee Rd

I I St Johns , FL 32259

30 I Owner RTC $500.00

Tamara Baker 07 15 20 1 6 1306 May f a ir Road


31 I Eng ineering RTC $500.00

Garrett Schanck 07 16 2016 4500 Salisbury Rd .


32 I CEO RTC $500 . 00

07 16 2016 Samantha J u styn 1890 Gardenia Street

I I Fernand ina Beach , FL

33 32034 I Pha r macy RTC $500.00

Jason Brooks 07 16 2016 4788 Hodges Blvd #203


34 B Contractor RTC $500 . 00

07 18 2016 Jamie Cesarett i 1830 Eppi ng Forest Way

I I South

35 Jacksonville, FL 32217 I Physician RTC $500 . 00



(1) Name Cory Ni chols , P . E.

(2) 1.0. Number N/A

07 09 20 1 6 07 22 2016 6 6 (3) Cover Period I I through I I (4) Page of

(5) (7) (8) (9) (10) (11) (12) Date Full Name



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

07 20 2016 Phillip Mahn 4121 Tide view Drive


36 I CEO RTC $250.00

Ankit Desai 07 22 2016 1 626 Mandarin Manor

I I Road

37 Jacksonville , FL 32223 I Physician RTC $1 , 000 . 00

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