HomeMy WebLinkAbout2015 G3 Campaign Treasurer's Report CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Buzz Petsos D ,( tisl
Name
(2) 618 Madison Avenue OCT 3 0 2015
Address (number and street) _
Cape Canaveral, FL 32920
City, State, Zip Code T�--
❑ 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 / 17 / 15 To 10 / 29 / 15 Report Type: 2015 G3
❑✓ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 115 00 Expenditures $ , 00 . 00
Loans $ • Transfers to
Office Account $ .
Total Monetary $ , , 115. 00
Total Monetary $ , 00 . 00
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 915 00 $ , , 346 . 89
(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
0 Individual(only for IE ❑Treasurer ❑ Deputy Treasurer 0 Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X :ZZ /fee3 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
10 17 15 10 29 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
Gerald Feeney
10 18 15 7013 Orange Avenue
/ / Cape Canaveral, FL
01 32920 I CAS 25.00
John & Patricia Vail
10 18 15 375 Polk Avenue A-17
/ / Cape Canaveral, FL
02 32920 I CAS 40.00
Andrea Shea King
1018 15 7017 Orange Avenue
/ /
Cape Canaveral, FL
03 32920 I CHE 50.00
/ /
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
A
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Buzz Petsos (2) I.D. Number
(3) Cover Period 10 / 17 / 15 through 10 / 29 / is (4) Page 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) Type Amendment Amount
NONE
/
00.00
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES