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HomeMy WebLinkAbout2015 M8 Campaign Treasurer's Report CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz Petsos OFFICE USE ONLY Name (� © fesL� 11 (2) 618 Madison Avenue 15 �/ Address (number and street) [1 Cape Canaveral, FL 32920 SEP - 9 2015 City, State, Zip Code ❑ Check here if address has changed (3) ID Numhpr. (4) Check appropriate box(es): O Candidate Office Sought: Mayor, City of Cape Canaveral ❑ 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 08 / 01 / 15 To 08 / 31 / 15 Report Type: 2015M8 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 00.00 Expenditures $ , 47 . 00 Loans $ , 00.00 Transfers to Office Account $ • Total Monetary $ , 00.00 Total Monetary $ , , 47. 00 In-Kind $ , , 00.00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 523 . 95 $ , , 47 , 00 (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) Buzz Petsos (Type name) Buzz Petsos ❑Individual(only for IE asurer ❑ Deputy Treasurer 0 Candidate ❑Chairperson(only for PC and PTY) or electioneerin comm.) X)7 X 7 Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Buzz Petsos (1) Name (2) I.D. Number 08 01 15 08 31 15 1 1 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount NONE / / / / / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Buzz Petsos (2) I.D. Number (3)Cover Period 08 01 / 15 through 08 / 31 / 15 (4) Page 1 of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address& contribution to a Expenditure Sequence Type Number City,State,Zip Code candidate) yp Amendment Amount City of Cape Canaveral Qualification Fee 05/ 18/ 15 105 Polk Avenue Cape Canaveral, FL 32920 CAN 47.00 / / / / / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES