HomeMy WebLinkAboutCampaign Treasurer's Report 2015 G2 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Joshua Surprenant OFFICE USE ONLY
Name ECE0 VLr�
(2) 218E Long Point Rd D
Address (number and street) OCT 2 2 2015
Cape Canaveral, FL 32920
City, State, Zip Code
/73:5's4,14
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: City Council
❑ 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 10 / 1 / 2015 To 10 / 16 /2015 Report Type: G2
❑✓ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 , 00 , 00 . 00 Expenditures $ 00 , 00 ,20 . 44
Loans $ 00 , 00 , 00 . 00 Transfers to
Office Account $ NA , NA , NA . NA
Total Monetary $ 00 , 00 , 91 . 00
Total Monetary $ 00 , 00 , 20 . 44
In-Kind $ 00 , 00 , 305 . 50
(8) Other Distributions
$ NA , NA , NA . NA
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 00 , 00 , 91 . 00 $ 00 , 00 , 88 . 68
(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)Joshua A Surprenant (Type name)Joshua A Surprenant
❑Individual(only for IE ❑� Treasurer ❑Deputy Treasurer El Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
Signature — Signatu
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Joshua Surprenant
(1) Name (2) I.D. Number
10 1 2015 10 16 201! 1 3
(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
Brenda
10 16 2015 Defoe-Surprenant
/ / 218E Long Point Rd
Neon shirts and Cape Canaveral, FL I Designer INK Neon shirts 25.50
32920
paper from
Michaels
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DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Joshua Surprenant
(1) Name (2) I.D. Number
10 1 2015 10 16 201' 2 3
(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
Handiwork Design LLC
10 10 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 11 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
1012 2015 Surprenant, Joshua A
/ /
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 13 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 14 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 15 2015
/ / Surprenant, Joshua A
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 16 2015
/ / Surprenant, Joshua A
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Joshua Surprenant
(1) Name (2) I.D. Number
10 1 2015 10 16 201 1 3
(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
Handiwork Design LLC
10 03 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 / 04 /2015 Surprenant, Joshua A
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
1005 2015 Surprenant, Joshua A
/ /
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 06 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 07 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
10 08 2015 Handiwork Design LLC
Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
10 09 2015 Handiwork Design LLC
Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Joshua Surprenant (2) I.D. Number
(3) Cover Period 10 / 1 / 20d through 10 / 16 / 2015 (4) Page 1 of J.
(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
Surprenant, Joshua A Walmart foamcore
10 /13 / 15 218 E Long Point RD for signs
Cape Canaveral, FL
32920 CAN $12.66
1016 15 Surprenant, Joshua A HomeDepot wood for
/ /
218 E Long Point RD sign handles
Cape Canaveral, FL
32920 CAN $7.78
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES