HomeMy WebLinkAbout2015 G1 Campaign Treasurer's Report CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Buzz Petsos
TitEh
NameD
(2) 618 Madison Avenue
Address (number and street) OCT 09 2015
1,1
Cape Canaveral, FL 32920 _ - ``
City, State, Zip Code ,��
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: Mayor, City of Cape Canaveral
❑ Political Committee (PC)
El 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 09 / 01 / 15 To 09 / 30 / 15 Report Type: 2015 G1
❑✓ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 0 . 00 Expenditures $ , , 86 . 27
Loans $ , , 0 . 00 Transfers to
Office Account $
Total Monetary $ , , 0 . 00
Total Monetary $ , , 86 . 27
In-Kind $ , ,213 . 95
(8) Other Distributions
$ , , 0 _ 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , , 500 . 00 $ , , 133 . 27
(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 ❑Tree rer ❑Deputy Treasurer El Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X ---- tk- ------
___:: 4 X �
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
09 01 15 09 30 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
09 01 15
/ / Buzz Petsos
01 618 Madison Avenue I Fac. Mgr. INK Internet 23.95
Cape Canaveral, FL
32920
Kathy Petsos
09 16 15 618 Madison Avenue
/ / 13 Cape Canaveral, FL
02 32920 I Pharmacist INK Campaign sig 190.00
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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 09 / 01 / 15 through 09 / 30 15 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
Office Depot Campaign brochures
09/ 03/ 15 550 E. Merritt Island Causeway
Merritt Island, FL 32953
CAN 86.27
01
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES