HomeMy WebLinkAbout2015 TR Campaign Treasurer's ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Buzz Petsos
Name
(2) 618 Madison Avenue
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: Mayor
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
JAN 2 9 2016
(3) ID Number:
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From 10 / 30 / 15 To 01 / 15 / 16 Report Type: 2015 TR
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00.00 Expenditures $ , 568 . 11
Loans $ , ,
Total Monetary $ ,
In -Kind $ , ,
(9) TOTAL Monetary Contributions To Date
$ 915 00
Transfers to
Office Account $
Total Monetary $ 1 568. 11
(8) Other Distributions
$ , ,
(10) TOTAL Monetary Expenditures To Date
$ 915 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) Buzz Petsos (Type name) Buzz Petsos
❑ Individual (only for IE E] Treasurer ❑ Deputy Treasurer
or electioneering comm.)
X „�//-F;;—
Signature
El Candidate ❑ Chairperson (only for PC and PTY)
X
Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Buzz Petsos
(1) Name
(3) Cover Period io / 30 / is
(2) I.D. Number
01 16
through / is / (4) Page
Of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
00.00
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Buzz Petsos
(3) Cover Period 10 30 / 15 through of / 15 / 16
(2) I.D. Number
1 1
(4) Page of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
01 15 16
Buzz Petsos
618 Madison Avenue
Cape Canaveral, FL 32920
Loan repayment
RMB
568.11
01
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES