HomeMy WebLinkAboutAnnouncement of Intention to Run MB 7-01-16SUN SPACE AND SEA
CITY OF CAPE CANAVERAL, FLORIDA
ANNOUNCED CANDIDATE PACKET ACKNOWLEDGMENT
I, Michael R. Brown would like to announce my candidacy for City
Council and do hereby acknowledge receipt of:
1. June 20, 2016 Candidate Information Memo
2. 2016 Election Information
3. Announcement of intention to become a Candidate for Office
4. Form DS-DE 9 (rev. 10/10), Appointment of Campaign Treasurer and designation of
campaign depository for Candidates
5. Form DS-DE 84 (rev. 05/11), Statement of Candidate
6. Election Laws of the State of Florida as of August 2015
7. Candidate and Campaign Treasurer Handbook as of January 2016
8. 2016 Campaign Treasurer's Report Due Dates for Announced Candidates and general
information about filing reports
9. Do's & Don'ts for Campaign Treasurer's Reports
10. Form DS-DE 12 (rev. 11/13), Campaign Treasurer's Report Summary
11. Form DS-DE 13 (rev. 11/13), Campaign Treasurer's Report— Itemized Contributions
12. Form DS-DE 13A (rev. 11/13), Campaign Treasurer's Report— Fund Transfers
13. Form DS-DE 14 (rev. 11/13), Campaign Treasurer's Report — Itemized Expenditures
14. Form DS-DE 14A (rev. 11/13), Campaign Treasurer's Report— Itemized Distributions
15. Form DS-DE 87 (rev. 11/13), Waiver of Report
16. Public Service Request Form
17. Political Sign Regulations
I understand to have my name appear on the November 8, 2016 Municipal Election Ballot, I
must complete qualifying paperwork and pay qualifying fees during the qualifying period which
begins on August 12, 2016 at noon and ends August 26, 2016 at noon.
Michael R Brown
Signature
Date: 7/1/16
OFFICE USE ONLY
RECEIVED
JUL 01 2016
MG 2:48 pm
Enter Date & Time Received
and Initials of Clerk's Office Staff Member
SUN SPACE AND SEA
CITY OF
CAPE CANAVERAL
CITY OF CAPE CANAVERAL, FLORIDA
ANNOUNCEMENT OF INTENTION
TO BECOME A CANDIDATE FOR OFFICE
I, Mike Brown ,
hereby declare and announce my intention to become a Candidate for the office of
City Council in the City of Cape Canaveral General Election on November 8,
2016.
I understand it is my responsibility to comply with all applicable election laws and
that I must be a resident and registered voter of the City of Cape Canaveral.
Michael R Brown Date: 7/1/16 II
Signature
OFFICE USE ONLY
RECEIVED
JUL 01 2016
MG 2:48 pm JUL012016
Enter Date & Time Received
and Initials of Clerk's Office Staff Member
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
RECEIVED
JUL 01 2016
MG 2:48 pm
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
X- Initial Filing of Form Re-filing to Change: O Treasurer/Deputy ® Depository 0 Office 0 Party
2. Name of Candidate(in this order: First, Middle, Last)
Michael R. Brown
3. Address (include post office box or street, city, state, zip
code)
562 Casa Bella Drive
Cape Canaveral, FL 32920
4. Telephone 5. E-mail address
(321) 302- 3032 Trooper0625@gmail.com
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
City Council applicable. ❑ My intent is to run as a Write-In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
O Write-In ❑ No Party Affiliation Party candidate.
9. I have appointed the following person to act as my X- Campaign Treasurer ❑ Deputy Treasurer
10. Name ofTreasureror ff Deputy Treasurer
Michael R. Brown
11. Mailing Address 12. Telephone
562 Casa Bella Drive ( 321) 302- 3032
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Cape Canaveral Brevard FL 32920 Trooper0625@gmail.com
18. I have designated the following bank as my ❑ Primary Depository O Secondary Depository
19. Name of Bank 20. Address
Regions 324 E. Merritt Is Causeway
21. City 22. County 23. State 24. Zip Code
Merritt Island Brevard FL 32952
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26. Signature of Candidate
7/ 1/ 16 X- Michael R Brown
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, Michael R. Brown , do hereby accept the appointment
(Please Print or Type Name)
designated above as: X- Campaign Treasurer ❑ Deputy Treasurer.
7/ 1/ 16 X- Michael R Brown
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY
RECEIVED
JUL 06 2016
MG
I, Michael Brown
candidate for the office of City Council
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X Michael R Brown 7/6/16
Signature of Candidate Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84 (05/11)
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Mike Brown
Name
(2) 562 Casa Bella Drive
(Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
RECEIVED
JUL 12 2016
MG
O Check here if address has changed (3) ID Number
(4) Check appropriate box(es):
X- Candidate Office Sought: Cape Canaveral 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 06/ 25/ 16 To 07/ 08/ 16 Report Type: 2016 P2 TR MB
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 200.00/xx Expenditures $ , , .
Loans $ , , . Transfers to
Office Account $ , , .
Total Monetary $ , , .
Total Monetary $ , , .
In-Kind $ , , .
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , , 200.00/xx $ , , .
(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) Mike Brown (Type name) Mike Brown
❑ Individual (only for IE X- Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X-Michael R Brown X- Michael R Brown
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Mike Brown (2) I.D. Number
(3) Cover Period 06 / 25/ 16 through 07/ 08/ 16 (4) Page 1 of 1
(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
07/ 11/ 16 Brown, Mike R S Retired
562 Casa Bella Dr State CHE $200.00
Cape Canaveral, Of ;
Florida
FL, 32920
1
I I
I I
I I
I I
I I
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Candidate's full name or name of the political committee (PC), electioneering communications organizations
(ECO) or party executive committee (PTY).
(2) The identification number assigned by the filing officer.
(3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for
appropriate year and cover periods.)
(4) Page numbers (e.g., 1 of 3 ).
(5) Date contribution was RECEIVED (Month/Day/Year).
(6) Sequence Number— Each detail line shall have a sequence number assigned to it. Sequence numbers
are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail
line type, and sequence number will combine to uniquely identify a specific contribution, expenditure,
distribution or fund transfer. This method of unique identification is required for responding to requests from
the filing officer and for reporting amendments.
For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next
report (M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on
amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with
sequence number 41. See the Amendment Type instructions below.
(7) Type full name and address of contributor (including city, state and zip code).
(8) Enter the type of contributor using one of the following codes:
Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of
business.)
I Individual
B Business (also includes corporations, organizations, groups, etc.)
E Electioneering Communications Organizations
F Political Committee (federal or state)
P Political Parties (includes federal, state and county executive
committees)
O Other (e.g., candidate surplus funds to party, etc.)
S Candidate to Self
(9) Enter Contribution Type using one of the following codes:
NOTE: Cash includes cash and cashier's checks.
Code Description
CAS Cash or Cashier's Check
CHE Check
COF Carryover Funds from Previous Campaign
INK In-Kind
INT Interest
LOA Loan
MO Money Order
MUC Multiple Uniform Contributions
RCT Other Receipts
REF Refund (Negative Amount Only)
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
RECEIVED
JUL 28 2016
OFFICE USE ONLY
Mike Brown Cape Canaveral City Council
Name Office Sought
562 Casa Bella Drive Cape Canaveral, Fl 32920
Address City State Zip Code
X- Candidate ❑ Political Committee ❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report(not a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
Check here if address has changed since last report. I I Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
❑ MONTHLY REPORT X- PRIMARY ELECTION ❑ GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate repor t# Indicate report # Indicate report # Indicate report type and #
M P 3 G as applicable:
O TERMINATION REPORT O SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
07/ 09/ 16 THROUGH 07/ 22/ 16
X Michael Brown 7/ 28/ 16
Signature Date
X Michael Brown 7/ 28/ 16
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or
received) the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev. 06/15)
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
RECEIVED
AUG 04 2016
MG
OFFICE USE ONLY
Mike Brown Cape Canaveral City Council
Name Office Sought
562 Casa Bella Drive Cape Canaveral, FL 32920
Address City State Zip Code
X- Candidate ❑ Political Committee 0 Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a
waiver) that no reportable contributions or expenditures were made during the reporting period(s. 106.0703(6), F.S.).
❑ Check here if address has changed since last report. ❑ Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
O MONTHLY REPORT X- PRIMARY ELECTION ❑ GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report # Indicate report # Indicate report # Indicate report type and #
M P 4 G as applicable:
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
07/ 23/ 16 THROUGH 07/ 29/ 16
X Michael Brown 08/ 04/ 16
Signature Date
X Michael Brown 08/ 04/ 16
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or
received) the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev.06/15)
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
RECEIVED
AUG 10 2016
DL CCO
OFFICE USE ONLY
Mike Brown Cape Canaveral City Council
Name Office Sought
562 Casa Bella Drive Cape Canaveral, FL 32920
Address City State Zip Code
X- Candidate ❑ Political Committee ❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications orization(ECO). An ECO must file a report(not a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
O Check here if address has changed since last report. O Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
❑ MONTHLY REPORT X- PRIMARY ELECTION ❑ GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report # Indicate report # Indicate report # Indicate report type and #
M P 5 G as applicable:
O TERMINATION REPORT O SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
07/ 30/ 16 THROUGH 08/ 05/ 16
X Michael Brown 08/ 05/ 16
Signature Date
X Michael Brown 08/ 10/ 16
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or
received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev.06/15)
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
RECEIVED
AUG 17 2016
OFFICE USE ONLY
Mike Brown Cape Canaveral City Council
Name Office Sought
562 Casa Bella Dr Cape Canaveral FL 32920
Address City State Zip Code
X- Candidate ❑ Political Committee ❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report(not a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
O Check here if address has changed since last report. O Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
❑ MONTHLY REPORT X- PRIMARY ELECTION ❑ GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate repor t# Indicate repor t# Indicate report # Indicate report type and #
M P 6 G as applicable:
O TERMINATION REPORT O SPECIAL ELECTION
NOTIFICATION OF NOACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF(
08/ 06/ 16 THROUGH 08/ 12/ 16
X Michael Brown 8/ 17/ 16
Signature Date
X Michael Brown 8/ 17/ 16
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or
received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev. 06/15)
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Mike Brown
Name
(2) 562 Casa Bella Drive
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP 23 2016
DL CCO
O Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X- Candidate Office Sought: Cape Canaveral 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 09/ 03/ 16 To 09/ 16/ 16 Report Type: G 2
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , .
Loans $ , , .
Total Monetary $ , , .
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , , .
Transfers to
Office Account $ , , .
Total Monetary $ , , .
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , , 840.00
(10) TOTAL Monetary Expenditure To Date
$ , , 70.95
(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) Mike Brown
■ Individual (only for IE
or electioneering comm.)
X Michael Brown
Signature
X - Treasurer ■ Deputy Treasurer
(Type name) Mike Brown
■ Candidate ■ Chairperson (only for PC and PTY)
X Michael Brown
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTION