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F L O R I D A D E P A R T M E N T O F S T A T E , D I V I S I O N O F E L E C T I O N S
C A M P A I G N T R E A S U R E R ' S R E P O R T S U M M A R Y
( 1 ) M i c h a e l J H a r t ( 2 )
C a n d i d a t e , C o m m i t t e e o r P a r t y N a m e I . D . N u m b e r
( 3 ) 6 0 2 E P i n e S t O r l a n d o F L 3 2 8 0 1
( 4 )
A d d r e s s ( n u m b e r a n d s t r e e t ) C i t y S t a t e Z i p C o d e
Q' C h e c k b o x i f a d d r e s s h a s c h a n g e d s i n c e l a s t r e p o r t
C h e c k a p p r o p r i a t e b o x ( e s ) :
' C a n d i d a t e ( o f f i c e s o u g h t ) : C i t y C o m m i s s i o n D i s t r i c t 4
Q' P o l i t i c a l C o m m i t t e e Q' C h e c k i f P C h a s D I S B A N D E D
Q' C o m m i t t e e o f C o n t i n u o u s E x i s t e n c e Q' C h e c k i f C C E h a s D I S B A N D E D
Q' P a r t y E x e c u t i v e C o m m i t t e e
( 5 ) R E P O R T I D E N T I F I E R S l i k
C o v e r P e r i o d : F r o m 1 0 / 0 1 / 2 0 0 3 T o 1 2 / 3 1 / 2 0 0 3 R e p o r t T y p e : * V - ' {
p O r i g i n a l Q' A m e n d m e n t Q' S p e c i a l E l e c t i o n R e p o r t Q' I n d e p e n d e n t E x p e n d i t u r e R e p o r t
( 6 ) C O N T R I B U T I O N S T H I S R E P O R T
C a s h & C h e c k s $ 5 0 . 0 0
( 7 ) E X P E N D I T U R E S T H I S R E P O R T
M o n e t a r y
E x p e n d i t u r e s $ 0 . 0 0
L o a n s $ 0 . 0 0
T r a n s f e r s t o O f f i c e
A c c o u n t $ 0 . 0 0
T o t a l M o n e t a r y $ 5 0 . 0 0
T o t a l M o n e t a r y $ 0 . 0 0
I n - K i n d $ 0 . 0 0
( 8 ) O t h e r D i s t r i b u t i o n s $ 0 . 0 0
( 9 ) T O T A L M o n e t a r y C o n t r i b u t i o n s t o D a t e
$ 5 0 . 0 0
( 1 0 ) T O T A L M o n e t a r y E x p e n d i t u r e s t o D a t e
$ 0 . 0 0
( 1 1 ) C E R T I F I C A T I O N
I t I s a f i r s t d e g r e e m i s d e m e a n o r f o r a n y p e r s o n t o f a l s i f y a p u b l i c r e c o r d ( s s . 8 3 9 . 1 3 , F . S . )
I c e r t i f y t h a t I h a v e e x a m i n e d t h i s r e p o r t a n d i t i s
t r u e , c o r r e c t a n d c o m p l e t e
A n g e l a C R a y n o r
I c e r t i f y t h a t I h a v e e x a m i n e d t h i s r e p o r t a n d i t i s t r u e ,
c o r r e c t a n d c o m p l e t e
M i c h a e l J H a r t
N a m e
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C h a i r m a n ( P C / P T Y o n l y )
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S i g n a t u r e
D S - D E 1 2 ( 7 / 9 8 )
S E E R E V E R S E F O R I N S T R U C T I O N S A N D C O D E V A L U E S
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C A M P A I G N T R E A S U R E R ' S R E P O R T - I T E M I Z E D C O N T R I B U T I O N S
( 1 ) N a m e M i c h a e l J H a r t ( 2 ) I D . N u m b e r
( 3 ) C o v e r P e r i o d 1 0 0 1 0 3 t h r o u g h 1 2 ! 3 1 ! � 3
( 5 )
D a t e
( 7 )
F u l l N a m e
( L a s t , S u f f i x , F i r s t , M i d d l e )
S t r e e t A d d r e s s &
C i t y , S t a t e , Z i p C o d e
C o n t r i b u t o r
T y p e
( 8 )
O c c u p a t i o n
( 9 )
C o n t r i b u t i o n
T y p e
( 1 0 )
I n - k i n d
D e s c r i p t i o n
( 1 1 )
A m e n d m e n t
( 1 2 )
A m o u n t
( 6 )
S e q u e n c e
N u m b e r
1 2 / 1 5 / 0 3
M i c h a e l J H a r t
6 0 2 E P i n e S t
O r l a n d o F L 3 2 8 0 1
/
C A S
5 0 . 0 0
1
/ /
/ /
1 /
/ /
/ /
/ /
/ /
( 4 ) P a g e 1
o f
1
V K I K 3 1 K U I i 1 I I J A I V U L U U C V A L
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name
(3) Cover Period
MirhAwl
d Nett
10 01 / 03 through 12 __./ 31 / 03
(2)1.D. Number
(4) Page - - 1.._.
of 1
(5)
Date
(r)
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
/ /
No Financial Activity
in Expenditures this
Quarter
-D-
1
1
1
1
.cc oCULo.0 .....
... .... .......�. �.... .-.....
11h_1lF 9n i IJUH1
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C A M P A I G N T R E A S U R E R ' S R E P O R T - I T E M I Z E D C O N T R I B U T I O N S
( 1 ) N a m e M i c h a e l J H a r t ( 2 ) I D . N u m b e r
( 3 ) C o v e r P e r i o d 1 0 0 1 0 3 t h r o u g h 1 2 ! 3 1 ! � 3
( 5 )
D a t e
( 7 )
F u l l N a m e
( L a s t , S u f f i x , F i r s t , M i d d l e )
S t r e e t A d d r e s s &
C i t y , S t a t e , Z i p C o d e
C o n t r i b u t o r
T y p e
( 8 )
O c c u p a t i o n
( 9 )
C o n t r i b u t i o n
T y p e
( 1 0 )
I n - k i n d
D e s c r i p t i o n
( 1 1 )
A m e n d m e n t
( 1 2 )
A m o u n t
( 6 )
S e q u e n c e
N u m b e r
1 2 / 1 5 / 0 3
M i c h a e l J H a r t
6 0 2 E P i n e S t
O r l a n d o F L 3 2 8 0 1
/
C A S
5 0 . 0 0
1
/ /
/ /
1 /
/ /
/ /
/ /
/ /
( 4 ) P a g e 1
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1
V K I K 3 1 K U I i 1 I I J A I V U L U U C V A L
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name
(3) Cover Period
MirhAwl
d Nett
10 01 / 03 through 12 __./ 31 / 03
(2)1.D. Number
(4) Page - - 1.._.
of 1
(5)
Date
(r)
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
/ /
No Financial Activity
in Expenditures this
Quarter
-D-
1
1
1
1
.cc oCULo.0 .....
... .... .......�. �.... .-.....
11h_1lF 9n i IJUH1
FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Michael J Hart
OFFICE USE ONLY
2004 FEB 24 PM 4:24
Candidate, Committee or Party Name
(2) 1819 Mark St
Address (number and street)
Orlando, FL 32803
City, State, Zip Code
❑ Check box if address has changed (3) ID
(4) Check appropriate box(es):
!ti Candidate (office sought): city Commission District
Number:
4
• Political Committee ❑ Check if PC has DISBANDED
❑ Committee of Continuous Existence ❑ Check if CCE has DISBANDED
❑ Party Executive Committee
(5) REPORT IDENTIFIERS
Cover Period: From 01 / 01 / 2004 To 02 / is / 2004 Report Type G3
riginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 780.00
(7)
Monetary
Expenditures
Transfers
Account
Total
Monetary
EXPENDITURES THIS REPORT
$ 807.72
Loans $ 0.00
to Office
$ 0.00
Total Monetary $ 780.00
$ 807.72
In -Kind $ 500.00
(8)
Other Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date
$ 1,330.00
(10)
TOTAL Monetary Expenditures To Date
$ 807.72
(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.
Angela C Raynor
I certify that I have examined this report and it is true,
correct and complete.
Michael J Hart
Name of 1 Treasurer 111 Deputy Treasurer
Name
of 0 Candidate ❑ Chairman
X '&21.1/145-2 X
(PC/PTY Only)
..Allik_
Signature
Signature
DS -DE 12 (Rev. 08/03)
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
Michael J Hart
(3) Cover Period
(2) I.D. Number
01 / 01 / 2004 through 02 / 15 / 2004
(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
01
/
16
/2004
Ruby Hart
7815 Brentwood St
Orlando, FL 32822
I
cafeteri
a worker
CAS
500.00
1
01
/
16
/2004
Susan Fox
7704 Gentian St
Orlando, FL 32822
1
waitress
CAS
280.00
2
01
/
13
/2004
Thomas Scheetz
310 E Anderson St
#B
Orlando, FL 32801
I
web
designer
INK
website
design
500.00
3
/
/
/
/
/
/
/
/
/
/
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Michael J Hart (2) I.D. Number
(3) Cover Period 01 / 01 / 2004 through 02 / 15 / 2004
(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
Sequence
(6)
Number
01
/16
/04
City Clerk
2nd Floor, 400 S Orange
PO Box 4990
Orlando, FL 32802
Ave
Qualifying Fee
MON
$755.43
1
02
/04
/04
Michael J Hart
1819 Mark St
Orlando, FL 32803
office
supplies, food
for staff
meeting
PCW
$30.00
2
02
/05
/04
Publix
office
supplies, food
for staff
MON
$22.29
3
/1
1
/
/
/
{
/
/
/
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1) Name Michael J Hart
(3) Cover Period 01 / 01 / 04 through 02 / 15 / 04
(2) I.D. Number
(4) Page 1
of
1
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(f 0)
Amendment
(f 1)
Amount
(6)
Sequence
Number
1
1
1
/1
1
DS -DE 94 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Michael J Hart
OFFICE USE ONLY
2004 R 5 °"�
Candidate, Committee or Party Name
(2) 1819 Mark St
Address
Address (number and street)
Orlando FL 32803
City, State, Zip Code
❑ Check box if address has
(4) Check appropriate box(es):
FA Candidate (office sought):
• Political Committee
• Committee of Continuous
❑ Party Executive Committee
changed (3) ID
City Commissioner District
Number:
4
❑ Check if PC has DISBANDED
Existence ❑ Check if CCE has DISBANDED
(5) REPORT IDENTIFIERS
Cover Period: From 02 / 16 / 2004 To 03 / 04 / 2004 Report Type G4
❑ Special Election Report ❑ Independent Expenditure Report
J Original ❑ Amendment
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 0.00
(7)
Monetary
Expenditures
Transfers
Account
Total
Monetary
EXPENDITURES THIS REPORT
$ 133.53
Loans $ 133.53
to Office
$ 0.00
Total Monetary $ 133 .53
$ 133.53
In -Kind $ 0.00
(8)
Other Distributions
$ 0.00
(9) TOTAL Monetary Contributions To D to
g $ !63 . 55
(10)
TOTAL Monetary Expenditures To Date
$ 941.25
(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.
Angela C Raynor
I certify that I have examined this report and it is true,
correct and complete.
Michael J Hart
Name of Q Treasurer Ill
Deputy Treasurer
r
Name
x
of IN Can idate ❑ Chairman
X aytteaC
(PC/PTY Only)
„If \,___\
Signature
Signature
DS -DE 12 (Rev. 08/03)
2004 PIAR 5 PM 3:47
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
Michael J Hart
(3) Cover Period
(2) I.D. Number
02 / 16 / 2004 through 03 / 04 / 2004
(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
02
/
26
/2004
Michael J Hart
1819 Mark St
Orlando, FL 32803
I
candidat
e
LOA
133.53
1
/
/
/
/
/
/
/
/
/
/
/
/
/
/
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
2004 MAR 5 FS 3:47
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Michael J Hart (2) I.D. Number
(3) Cover Period 02 / 16 / 2004 through 03 / 04 / 2004
(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
02 /26 /04
Lowes Home Improvement
8700 W Colonial Dr
Orlando, FL 32818
Campaign sign
materials
PCS
$133.53
1
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES