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HomeMy WebLinkAbout2015 G2 Campaign Treasurer's Report CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz Petsos �MCtirrt Name D (2) 618 Madison Avenue11 Address (number and street) OCT 2 3 2015 Cape Canaveral, FL 32929 _ City, State, Zip Code �)02 ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑✓ Candidate Office Sought: ❑ 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 / 01 / 15 To 10 / 16 / 15 Report Type: 2015 G2 ❑✓ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 300. 00 Expenditures $ , , 212 . 89 Loans $ , Transfers to Office Account $ . Total Monetary $ , , 300. 00 Total Monetary $ , 212 . 89 In-Kind $ , 3 , 052 . 43 (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , 800 . 00 $ , , 346 . 16 (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 D --asurer ❑Deputy Treasurer 0 Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) X -Z7 ii9r-Y-7 X Y ---‘->7-2- / ' i'' 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 10 01 15 10 16 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 Joy Salamone 10 03 15 7103 Orange Ave. Cape Canaveral, FL 01 32920 I Principal CHE 100.00 Richard Evans 10 04 15 8921 Lake Drive Cape Canaveral, FL 02 32920 I Business.. wfi CHe 200.00 owAleA C Joshua Surprenant 10 / 09 / 15 218 Long Point Rd. Cape Canaveral, FL 03 32920 I Web designer INK 3,052.43 / / / / / / / / 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 10 / 01 /15 through 10 / 16 / 15 (4)Page 1 of (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) Tyre Amendment Amount City of Cape Canaveral Friday Fest booth 10/ 01/(15 105 Polk Avenue Cape Canaveral, FL 32920 CAN 31.95 01 1001 15 Jet Press Tee shirts / 250 N. Atlantic Ave. Cocoa Beach, FL 32923 CAN 180.94 02 DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES