HomeMy WebLinkAboutCampaign Treasurer's Report 2015 G1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Joshua Surprenant OFFICE USE ONLY
Name IECIE11V1
(2) 218E Long Point Rd
Address (number and street) OCT 09 2015Cape Canaveral, FL 32920
City, State, Zip Code .-- - :(57‘ '
(5 //fin
❑ Check here if address has changed (3) ID Number. J"
(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 9 / 1 /2015 To 9 / 30 /2015 Report Type: G1
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 , 00 , 00 . 00 Expenditures $ 00 , 00 , 29 . 24
Loans $ 00 , 00 , 00 . 00 Transfers to
Office Account $ NA , NA , NA . NA
Total Monetary $ 00 , 00 , 91 . 00
Total Monetary $ 00 , 00 , 29 . 24
In-Kind $ 00 , 00 , 750 . 00
(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 , 68 . 24
(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 0 Treasurer 0 Deputy Treasurerr,,,,,,,,,,
0 Candidate 0 Chairperson(only for PC and PTY)
or electioneering comm.) I
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x 1 A
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Signat = Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Joshua Surprenant (2) I.D. Number
(3)Cover Period 9 / 1 / 2015 through 9 / 30 / 2015 (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
Surprenant, Joshua A Website domain name
9 /16 /2015 218 E Long Point RD
Cape Canaveral, FL
32920 CAN 10.67
9 30 201' Surprenant, Joshua A Wood, white paint
/ / 218 E Long Point RD and sandpaper, Home
0 Cape Canaveral, FL Depot. All
32920 materials to make CAN 18.57
my sign
/ /
/ /
/ /
/ /
1
/ /
L3-
L t^`.wnwwwr. -
I DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Joshua Surprenant
(1) Name (2) I.D. Number
9 1 2015 9 30 2015 1 2
(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
9 16 2015 Surprenant, Joshua A
/ / 696 Limerick Dr
001 Merritt Island FL B Designer INK WebsiteBuild $500.00
32920
Handiwork Design LLC
916 /2015 Surprenant, Joshua A
/
696 Limerick Dr
002 Merritt Island FL B Designer INK WebsiteHost $50.00
32920
Handiwork Design LLC
925 2015 Surprenant, Joshua A
/ /
696 Limerick Dr
003 Merritt Island FL B Designer INK Tshirt $25
32920
Brenda
9 26 2015 Defoe-Surprenant
/ / 218E Long Point RD
004 Cape Canaveral, FL I Designer INK Flier design $25
32920
Brenda
9 26 2015 Defoe-Surprenant
/ / 218E Long Point RD
005 Cape Canaveral, FL I Designer INK Flier Print $15
32920
Handiwork Design LLC
9 26 2015
/ / Surprenant, Joshua A
696 Limerick Dr
006 Merritt Island FL B Designer INK Flier cutout $10
32920
Handiwork Design LLC
9 27 2015
/ / Surprenant, Joshua A
696 Limerick Dr
007 Merritt Island FL B Designer INK Buttons $25
32920
---1,-,:;-'-.--1-- 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
9 1 2015 9 30 2015 2 2
(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
9 30 2015 Surprenant, Joshua A
_ / / 696 Limerick Dr
008 Merritt Island FL B Designer INK Sign Build $100.00
32920
/ /
/ /
/ /
/ /
/ /
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-.,- DS-DE 13(Rev. 11/13) �. SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES E----
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