HomeMy WebLinkAboutCampaign Treasurer's Report 2015 M8 Amended CAMPAIGN TREASURER'S REPORT SUMMARY
(1) JOSHUA A SURPRENANT Name BaFeertTet[i
(2) 218 E LONG POINT RD
Address (number and street) JAN 14 2016
CAPE CANAVERAL
City, State, Zip Code
❑ 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 08 / 24 / 15 To 08 / 31 / 15 Report Type: M8
❑ Original ❑✓ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 , 00 ,00 .00 Expenditures $ 00 , 00 , 39 . 00
Loans $ 00 , 00 , 91 . 33 Transfers to
Office Account $ 00 , 00 ,00 . 00
Total Monetary $ 00 , 00 , 91 . 33
Total Monetary $ 00 , 00 ,39 . 00
In-Kind $ 00 , 00 , 100 . 00
(8) Other Distributions
$ 00 , 00 , 00 . 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 00 , 00 , 91 . 33 $ 00 , 00 , 39 . 00
(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 ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
Signature Signatur
DS-DE 12(Rev.1 3) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Joshua Surprenant
(1) Name (2) I.D. Number
8 24 15 8 31 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
Surprenant, Joshua A
8 24 15 218 E Long Point RD
/ / Cape Canaveral, FL
DEL 001 M8 32920 DEL Designer LOA Money to run DEL $91.00
Surprenant, Brenda, A
8 / 28 /15 218 E Long Point RD
Cape Canaveral, FL
ADD 001 M8 32920 I Designer LOA Money to run ADD $91.33
Surprenant, Joshua A
824 15 218 E Long Point RD
/ /
Cape Canaveral, FL
2 32920 I Designer INK Logo Design $100.00
/ /
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES