HomeMy WebLinkAboutCampaign Treasurer's Report 2015 G3 CAMPAIGN TREASURER'S REPORT SUMMARY
(I) Joshua Surprenant D lEcOcE WLE-
Name
(2) 218E Long Point Rd OCT 3 0 2015
Address (number and street) J J
Cape Canaveral, FL 32920 �/
City, State, Zip Code /,�3'n
❑ 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 / 17 / 2015 To 10 / 29 /2015 Report Type: G3
1 Original ❑Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 , 00 , 00 . 00 Expenditures $ 00 , 00 , 10 . 00
Loans $ 00 , 00 , 08 . 00 Transfers to
Office Account $ NA , NA , NA . NA
Total Monetary $ 00 , 00 , 99 . 00
Total Monetary $ 00 , 00 , 10 . 00
In-Kind $ 00 , 00 , 557 . 00
(8) Other Distributions
$ NA , NA , NA . NA
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 00 , 00 , 99 . 00 $ 00 , 00 , 98 . 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 I I Treasurer 0 Deputy Treasurer Q .ndidate ❑Chairperson(only for PC and PTY)
or election-ering co•,m.)
X r I / X �_
Sig a re Signa ure
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 17 201`. 10 29 2015 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 17 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 / 17 /2015 Surprenant, Joshua A
_ 696 Limerick Dr
Prints neon shirts Merritt Island FL B Designer INK shirts/sign $100.00
and signs on 32920
paper, attach wood
to sign
Handiwork Design LLC
1018 2015 Surprenant, Joshua A
/ /
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 19 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
2 videos, street Merritt Island FL B Designer INK Insta. Video $40.00
and forum 32920
Handiwork Design LLC
10 20 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 21 2015
/ Surprenant, Joshua A
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Mike
10 21 2015 Port Canaveral police
/ / officer? Was wearing
Gave me a Mcd. fatigues and driving I Officer INK Food $2.00
sandwich but I put an offical Port
it down and the Cmanaveral Truck
ants got it.
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 17 2015 10 29 2015 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
Cazessus, Cassie
10 21 2015 Instagram @cass_caz
/ /
Gave me a 7/11 I Karate Inst. INK 7/11 Coffee $2.00
coffee I offered
it to homeless
man, James
Handiwork Design LLC
10 / 22 /2015 Surprenant, Joshua A
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
1023 2015 Surprenant, Joshua A
/ /
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 24 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 25 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
Handiwork Design LLC
10 26 2015
/ / Surprenant, Joshua A
696 Limerick Dr
Merritt Island FL B Designer INK Insta. Video $20.00
32920
10 27 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 CONTRIBUTIONS
Joshua Surprenant
(1) Name (2) I.D. Number
10 17 2015 10 29 2015 ' 3 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 28 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
Merritt Island FL B Designer INR Insta. Video $20.00
32920
Handiwork Design LLC
1029 2015 Surprenant, Joshua A
/ /
696 Limerick Dr
Rest of campaign, Merritt Island FL B Designer INR Insta. Video $140.00
videos 32920
Surprenant, Joshua
1029 2015 218E Long Point Rd
/ /
Cape Canaveral, FL
10$ Bank fee put 32920 I Designer LOA Bank fee $8.00
me in debt $7
Brenda
1029 / 2015 Defoe-Surprenant
/
!l. 218E Long Point Rd
Print out of #s Cape Canaveral, FL I Designer INR Print outs $25.00
and #voteforjosh 32920
Surprenant, Joshua
10 / 29 /2015 218E Long Point Rd
Cape Canaveral, FL
Halloween costume 32920 I Designer INR Halloween $20.00
and make up
/ /
/ /
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 / 17 / 2015 through 10 / 29 /2015 (4) Page 1 of 1
(5) (7) (8) (9) (1 0) (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
Wells Fargo Bank Bank account fee
10 /27 /2015 7801 N Atlantic Ave
Cape Canaveral, FL
32920 CAN $10.00
(321) 639-5242
/
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES