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HomeMy WebLinkAboutQualifying Packet RR - 08-12-2016CITY OF CAPE CANAVERAL PO BOX 326 CAPE CANAVERAL, FL 32920-0326 DATE August 12, 2016 RECEIVED FROM Rocky Randels $39.00 Thirty nine and no/100 DOLLARS FOR Qualifing for City Council < # 2512 O CASH O CHECK O M.O. O CREDIT CARD AMOUNT OF ACCOUNT ------ $39.00 AMOUNT PAID --------------------$39.00 BALANCE DUE -------------------$ O THANK YOU! BY (cant' read signature) SUN SPACE AND SEA CITY OF CAPE CANAVERAL CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD I, Rocky Randels , previously announced my candidacy for City Council and do hereby acknowledge receipt of additional materials as follows: • Form DS-DE 25 (rev. 05/11), Candidate Oath — Non-Partisan Office and Affidavit of Nickname • City Oath of Candidate • CE Form 1, (Jan 1, 2016) Statement of Financial Interests and Instructions • Election Laws of the State of Florida as of August 2015 July 2016, MG • Candidate and Campaign Treasurer Handbook as of Janury 2013 2016 MG • Form DS-DE 87 (rev. 6/15), Waiver of Report • 2016 General Election Canvassing Board Dates 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. Rocky Randels 12 Aug 2016 Signature Date OFFICE USE ONLY RECEIVED AUG 12 2018 MG 12:10 PM Enter Date & Time Received and Initials of Clerk's Office Staff Member CANDIDATE OATH - NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) RECEIVED AUG 12 2016 MG 12:10 PM OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021, Florida Statutes) I, Rocky Randels (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT*-- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of City Council Cape Canaveral (office) (district #) ; I am a qualified elector of Brevard County, Florida; (circuit #) (group or seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. X Rocky Randels (321) 784-5694 RockyRandels1@gmail.com Signature of Candidate Telephone Number Email Address 308 East Central Blvd. P.O. Box 308 Cape Canaveral FL 32920-0308 Address City State ZIP Code Candidate's Florida Voter Registration Number(located on your voter information card): 100953833 * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): Roc-Ky Ran-dels STATE OF FLORIDA COUNTY OF Brevard Sworn to (or affirmed) and subscribed before me this 12th day of August , 2016. Personally Known: X or Produced Identification: Type of Identification Produced: Mia Goforth Signature of Notary Public Print, Type, or Stamp Commissioned Name of Notary Public MIA GOFORTH Notary Public- State of Florida My Comm. Expires May 16, 2017 Commission # EE 866939 Bonded Through National Notary Ass. DS-DE 25 (Rev.5/11) Rule 1S-2.0001,F.A.C. INSTRUCTIONS: INSERTING PHONETIC SPELLING OF CANDIDATE'S NAME FOR AUDIO BALLOT Use the PRONUNCIATION KEY below to provide pronunciations for ambiguous first names and surnames. Capitalize STRESSED syllables, use lower case for unstressed syllables. Use dashes (-) to separate syllables. You should also add any notes such as rhyming examples, silent letters, etc. Samples: PRONUNCIATION KEY Stressed Vowel Sounds NAME ON BALLOT PRONOUNCED AS EE (FEET) feet I (FIT) fit Mishaud mee-SHO ('d'is silent) E (BED) bed A (KAT) cat (KAD) cad Jahn HAHN (rhyme:fawn) AH (FAH-thur) father Beauprez boo-PRAI (rhyme:hooray) (PAHR) par AH (HAHT) hot (TAH- Maniscalco man-uh-SKAL-ko dee) toddy UH (FUHJ) fudge Tangipahoa TAN-ji-pah-HO-uh (FLUHD) flood Monte Mahn-TAI UH (CHUHRCH) church AW (FAWN) fawn Tanya TAWN-yuh (not TAN) U (FUL) full 00 (FOOD) food OU (FOUND) found O (FO) foe El (FEIT) fight Al (FAIT) fate Cl (FOIL) foil YOO (FYOOR-ee-uhs) furious Unstressed Vowel Sounds uh (SO-fuh) sofa (FING- guhr) finger Certain Vowel Sounds with R AHR (PAHR) par ER (PER) pair IR (PIR) peer OR (POR) pour OCR (POOR) poor UHR (PURR) purr Consonant Sounds B (BED) bed TS (ITS) its (PITS-feeld) Pittsfield D (DET) debt TH (THEI) Thigh F (FED) fed TH (THEI) Thy G (GET)get ZH (A-zhuhr) azure (VI-zhuhn) vision H (HED) head Z (GOODZ) goods (HUH-buhz-tuhn) Hubbardston HW (HWICH) which J (JUNG) jug K (KAD) cad L (LAIM) /ame M (MAT) mat N (NET) net NG (SING-uhr) singer P (PET) pet R (RED) red S (SET) set T (TEN) ten V (VET) vet Y (YET) yet W (WICH) witch CH (CHUCRCH) church SH (SHEEP) sheep NOTE: This page should not be submitted to the filing officer. Page 2, DS-DE 25 (Rev.5/11) Rule 1S-2.0001,F.A.C. SUN SPACE AND SEA CITY OF CAPE CANAVEAL OATH OF CANDIDATE I, Rocky Randels , do solemnly swear or affirm that I am qualified under the City of Cape Canaveral Charter and Ordinances to hold the Office of Council Member, to which I desire to be elected and I will support the City of Cape Canaveral Charter and Ordinances. Rocky Randels Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this 12th day of August, 2016 by Rocky Randels , who is personally known or produced n/a Identification. Mia Goforth Signature of Notary Public Print, type or Stamp Commissioned Name of Notary Public MIA GOFORTH Notary Public-State of Florida My Comm. Expires May 16, 2017 Commission # EE 866939 Bonded Through National Assn. FORM 1 STATEMENT OF FINANCIAL INTERESTS 2015 Please print or type your name,mailing address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: Randels, Rocky MAILING ADDRESS: 308 East Central Blvd. CITY: ZIP: COUNTY: Cape Canaveral 32920-0308 Brevard NAME OF AGENCY City Of Cape Canaveral, FL NAME OF OFFICE OR POSITION HELD OR SOUGHT City Council Member You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF X- CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE FOR OFFICE USE ONLY: RECEIVED AUG 12 2016 MG 12:10 PM **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): X- DECEMBER 31, 2015 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES,WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS,WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING (must check one): X- COMPARATIVE (PERCENTAGE) THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY Office of Personal Management O.P.M Retirement Program Distribution of Postal Box 45 Boyer, PA 10017 Employment Benefits Thrift Savings Account Thirft Savings Plan Bx 380521 Personal Savings Account Employee Savings Birmingham, ALA 35258 While Employer A + Post Office Social Security Chicago, ILL 60661 Contributions While working Retirement at Public/Private Ensp. Closed out IRA & CD's Wells Fargo. Sunrise Banks Personal Savings While working into New One Brevard County at Post Office PART B— SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE NONE PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. Residence Home; Owned and Resided in Since 1982 INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1-Effective:January 1,2016 (Continued on reverse side) Incorporated by reference in Rule 34-8.202(1), F.A.C. PAGE 1 Rec. 8/12/16 MG 12:10 pm PART D—INTANGIBLE PERSONAL PROPERTY [Stocks,bonds,certificates .-deposit,etc.-See instructions] (If you have nothing to report,write"none or"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES Postal Thrift Savings Personal Savings Account "While employed Account throu For 39 Years with Sun Air Force Formaly IRA, CD's Convoted Well Farog; Sunrise Banks in Brevard Co. To new CD's & Shares PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR NONE PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions] (If you have nothing to report,write"none"or"n/a") BUSINESS ENTITY # 1 BUSINESS ENTITY #2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY NONE PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PART G—TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. X- I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or attorney Signature: in good standing with the Florida Bar prepared this form for you, he or Rocky Randels she must complete the following statement: I, , prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief,the disclosure herein is true and correct. Date Signed: 12 August 2016 CPA/Attorney Signature: Date Signed: FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially,each local officer/employee,state officer signing and datinca it, send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officers/employees file with the who must be confirmed by the Senate must file section, you must write "none" or "n/a" in that Supervisor of Elections of the county in which they prior to confirmation, even if that is less than section(s). permanently reside. (If you do not permanently 30 days from the date of their appointment. reside in Florida, file with the Supervisor of the Candidates must file at the same time they file NOTE: county where your agency has its headquarters.) their qualifying papers. MULTIPLE FILING UNNECESSARY: Thereafter,file by July 1 following each calendar State officers or specified state employees year in which theyhold their positions. A candidate who previously filed Form 1 because file with the Commission on Ethics, P.O. Drawer of another public position must file a copy of 15709, Tallahassee, FL 32317-5709; physical Finally, file a final disclosure form (Form 1F) his or her Form 1 when qualifying. A candidate address: 325 John Knox Road, Building E, Suite within 60 days of leaving office or employment. who files a Form 1 with a qualifying officer is 200,Tallahassee, FL 32303. Filing a CE Form 1F(Final Statement of Financial not required to file with the Commission or Interests) does not relieve the filer of filing a CE Supervisor of Elections. Candidates file this form together with their Form 1 if the filer was in his or her position on qualifying papers. December 31, 2015. Facsimiles will not be accepted. To determine what category your position falls under,see page 3 of instructions. CE FORM 1-Effective:January 1, 2016. Incorporated by reference in Rule 34-8.202(1), F.A.C. PAGE 2 Mia Goforth From: Mia Goforth Sent: Wednesday, August 17, 2016 2:51 PM To: Mia Goforth Cc: Daniel LeFever Subject: Reminder- Campaign Treasurer Report Code P6 Due - 8-19-16 Good afternoon Candidates, Please remember that another Report is due this Friday the 19th by COB. If you need additional forms, please let us know. Thank you! Mia Mia Goforth, CMC City Clerk m.goforth@cityofcapecanaveral.org 321-868-1220 Ext 220 321-868-1248 fax 105 Polk Avenue. P.O.Box 326 Cape Canaveral,FL 32920 www cityofcapecanaveraLorg Launch your connection... SUN SPACE AND SEA CITY OF CAPE CANAVERAL Mia Goforth From: Mia Goforth Sent: Friday, August 19, 2016 5:09 PM To: Rocky Randels Cc: Daniel LeFever Subject: Campaign Treasurer Report - P6 Due 8-19-16 Importance: High Tracking: Recipient Delivery Rocky Randels Daniel LeFever Delivered: 8/19/2016 5:09 PM Rocky, I hope everything is ok with you, I tried calling you twice today and left one voicemail message. Please contact me at your earliest convenience regarding the Campaign Treasurer Report - P6 Due that was due today, 8-19-16 by close of business. State statute dictates that the Qualifying/Filing Officer(me) must impose a fine of$50.00 per day for each late day, not to exceed 25 percent of the total receipts or expenditures, whichever is greater for the period covered by the late report. All fines must be paid from the candidate's personal funds—not campaign funds. (Section 106.07(2) and(8), F.S.). Thank you. Mia Mia Goforth, CMC City Clerk m.goforth@cityofcapecanaveral.org 321-868-1220 Ext 220 321-868-1248 fax 105 Polk Avenue. P.O.Box 326 Cape Canaveral,FL 32920 www cityofcapecanaveraLorg Launch your connection... SUN SPACE AND SEA CITY OF CAPE CANAVERAL CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 East Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral FL 32920-0308 City, State, Zip Code OFFICE USE ONLY RECEIVED AUG 22 2016 MG 8:30 AM 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 08/ 06/ 16 To 08/ 12/ 16 Report Type: P-6 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ---0---- Expenditures $ -----$39.00 Loans $ 3, 000.00 Transfers to Office Account $ ------0------ Total Monetary $ 3, 000.00 Total Monetary $ ------$39.00 In-Kind $ -----0----- (8) Other Distributions $ -----0------- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 3, 000.00 $ ---------------$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) Rocky Randels (Type name) Rocky Randels ❑ Individual (only for IE X- Treasurer ❑ Deputy Treasurer X-Candidate E Chairperson(only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS r Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code(i.e., SG3). Check one of the appropriate boxes: ❑ Original: first report filed for this reporting period. ❑ Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: O Candidate report: treasurer and candidate must sign. O PC report: treasurer and chairperson must sign. O PTY report: treasurer and chairperson must sign. O ECO report: organization's treasurer must sign. O IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES MG 8/ 22/ 16 CANDIDATE FOR CITY Cape Canaveral Council (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 08/ 06/ 16 through 08/ 12/ 16 (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 08/ 12/ 16 City of Cape Canaveral Qualifing CAN ------ 39.00 P.O. Box 326 For Cape Canaveral Office FL, 32920 1 / / / / / / ------------------O---------------------------- / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (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 requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS MG 8/22/16 CANDIDATE FOR CAPE CANAVERAL COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 08/ 06/ 16 through 08/ 12/ 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 08/ 09/ 16 Randels, M S Candi- Rocky date LOA -------- ------------ 3000.00 308 E Central Bv. To Cape Canaveral Self FL 32920 1 / / / / / / ------------------O--------------------------------- / / / / / / 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) SUN SPACE AND SEA CITY OF CAPE CANAVERAL City of Cape Canaveral VIA USPS MAIL & E-MAIL August 22, 2016 Rocky Randels 308 East Central Boulevard PO Box 308 Cape Canaveral, FL 32920-0308 Re: 2016 Campaign Treasurer's Reports. Due Dates and Late Filing Dear Mr. Randels. As you know, the Campaign Treasurer's Report. 2016 P6. for period 08/06/2016- 08/12/2016. was due 08/19/2016. Your P6 Campaign Treasurer's Report (see the attached) was received on 08/22/2016- 2 days past the deadline. Section 106.07(8)(b), Florida Statutes. provides for a fine of $50.00 per day for the first 3 days lai and, thereafter, $500.00 per day for each late day, not to exceed 25 percent of the total receipts or expenditures. whichever is greater . for the period covered by the late report. In accordance with Florida Statute, you are hereby assessed a fine of $100.00. This is fine must be paid using your personal funds within 20 days of the receipt of this notice. Please submit a personal check for $100.00 made payable to the City of Cape Canaveral by mail or via hand delivery to City Clerk's Office at 105 Polk Avenue. If you have any questions regarding this letter, please do not hesitate to contact me at 321-868- 1220 x220 or via e-mail at m.goforth@cityofcapecanaveral. Sincerely, Mia Goforth, CMC City Clerk/Elections Qualifying Officer Encls. cc: David L. Greene, City Manager Anthony Garganese, City Attorney Daniel LeFever, Deputy City Clerk 105 Polk Avenue • Post Office Box 326 Cape Canaveral, FL 32920-0326 Telephone (321) 868-1220 Fax: (321) 868-1248 www.cityofcapecanaveral.org • email: info@cityofcapecanaveral.org CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 East Central Blvd. P.O. Box 308 Address (number and street) Cape Canaveral FL 32020-0308 City, State, Zip Code OFFICE USE ONLY RECEIVED AUG 22 2016 MG 8:30 AM O Check here if address has changed (3) ID Number: (4) Check appropriate box(es): X- Candidate Office Sought: Cape Canaveral Cilty Council O Political Committee (PC) ❑ Electioneering Communications Org. (ECO) O Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) O Check here if PTY has disbanded O 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/ 06/ 16 To 08/ 12/ 16 Report Type: P-6 X- Original O Amendment O Special Election Report (6) Contributions This Report Cash & Checks $ ---0---- Loans $ 3 ,000.00 Total Monetary $ 3,000.00 In -Kind $ ----0---- (7) Expenditures This Report Monetary Expenditures $ ------ $ 39.00 Transfers to Office Account $ ----0----- Total Monetary $ ---- $ 39.00 (8) Other Distributions $ ------0------- (9) TOTAL Monetary Contributions To Date $ $ 3,000.00 (10) TOTAL Monetary Expenditures To Date $ --------- $ 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) Rocky Randels (Type name) Rocky Randels O Individual (only for IE X- Treasurer O Deputy Treasurer X- Candidate O Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check thea ro riate box es (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms IDS -DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In -Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS -DE 13, 14, 14A and 94. CAMPAIGN TREASR'S REPORT— ITEMIZED EXPENDITURES MG 8/22/16 CANDIDATE FOR CITY Cape Canaveral Council (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 08/ 06/ 16 through 08/ 12/ 16 (4) Page 1 of 1 (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 Amount (6) Sequence Number 08/ 12/ 16 City of Cape Canaveral P.O. Box 326 Cape Canaveal FL, 32920 Qualifing For Office CAN --- 39.00 1 / / / / / / / / -----------------0------------------ / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT ~ ITEMIZED EXPENDITURES (1) Candidate's full name orname ofthe political committee (PC)^ electioneering communications organization (ECO), nrparty executive committee (PTY). (2) Identification number assigned bythe filing officer. (3) Cover period dates (01/01/15 through 01 /31/15). (Bee filing officer's reporting dotes calendar for appropriate cover periods.) (4) Page numbers (e.g.,1 of 3). (5) Date of expenditure (Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are tobe 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 oonbibudon, axpsndUure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and onamended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address ofentity receiving payment (including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditunes, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 108.07. F.S.). (9) Enter Expenditure Type using one ofthe following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1 /13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Accont (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment typo "ADD" will start at one plum the number of expenditures inthe original report. For example, amending unoriginal M1 reports that had 75expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS MG 8/22/16 CANDIDATE FOR CAPE CANAVERAL COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 08 / 06/ 16 through 08/ 12/ 16 (4) Page 1 of 1 (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 Amendment (12) Amount (6) Sequence Number 08/ 09/ 16 Randels, M Rocky 308 E Central Bv. Cape Canaveral FL 32920 S Candi- date To Self LOA -- -- 3000.00 1 / / / / / / -------------------0------------------- / / / / / / 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 orfund 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, organiztions, groups, etc.) E Electioneerting Communications Organizations F Political Committee (federal or state) P Political Parties (includes federal, state and county executive committees) 0 Other (e.g., candidate surplus funds to party, etc.) (9) Enter Contribution Type using one ofthe 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) RECEIPT NO. 621603 DATE 26 Aug 16 FROM Rocky Randels $100.00 One Hundred -----------00/100 DOLLARS O FOR RENT X- FOR FINE FOR Late Rpt. P-6 ACCT. PAID 100.00 DUE O CASH X- CHECK O MONEY ORDER O CREDIT CARD FROM---------- TO----------- BY A-1152 T-4161 WAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) RECEIVED AUG 26 2016 MG CCO 4:16 PM OFFICE USE ONLY Rocky Randels City Council Cape Canaveral Name Office Sought 308 East Central Blvd 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 O GENERAL ELECTION O OTHER REPORT TYPE Indicate report # Indicate report # Indicate report # Indicate report type and # M P 7 G as applicable: O TERMINATION REPORT O SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 08/ 13/ 16 THROUGH 08/ 25/ 16 x Rocky Randels 26 Aug 2016 Signature Date X Rocky Randels 26 Aug 2016 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 REPORT CODE 2016 G- 1 (1) Rocky Randels Name (2) 308 East Central Blvd P.O. Box 308 Address (number and street) Cape Canaveal, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED SEP 09 2016 CCO DL O Check here if address has changed (3) ID Number: (4) Check appropriate box (es): X- Candidate Office Sought: Cape Canaveal 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 08/ 26/ 16 To 09/ 02/ 16 Report Type: G - 1 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , . Expenditures $ ----------- 17.03 Loans $ , , . Transfers to Office Account $ ---------------------- Total Monetary $ , , . Total Monetary $ --------------17.03 In-Kind $ , , . (8) Other Distributions $ ---------------0------------ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ -------3,000.00 $ ---------------- 56.03 (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) Rocky Randels (Type name) Rocky Randels ❑ Individual (only for IE X-Treasurer ❑ Deputy Treasurer O Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Report Code 2016- G - 1 (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 08/ 26/ 16 through 09/ 02/ 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 / / / / / / / / --------------0------------------- / / / / / / 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) CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES Report Code 2016 G - 1 (1) Name Rocky Randesl (2) I.D. Number (3) Cover Period 08/ 26/ 16 through 09/ 02/ 16 (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 08/ 26/ 16 Space-Mann Name Embroidery/Signs Tag For CAN ------ 17.03 P.O. Box 202 Shirt Cape Canaveral, FL. 32920 / / / / / / / / ---------------0--------------- / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (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 requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. WAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) RECEIVED SEP 20 2016 DL CCO OFFICE USE ONLY Rocky Randels City Council Cape Canaveral Name Office Sought 308 East Central Blvd. P.O. Box 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 ❑ PRIMARY ELECTION X- GENERAL ELECTION O OTHER REPORT TYPE Indicate report # Indicate report # Indicate report # Indicate report type and # M P G 2 (TWO) as applicable: ❑ TERMINATION REPORT O SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 09-03-16 THROUGH 09-16-10 X Rocky Randels 20 Sept 2016 Signature Date X Rocky Randels 20 Sept 2016 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. Done 20 Sept 2016 DS-DE 87 (Rev. 06/15) Notice of No Activity - (Paragraph) ? Page 47 of Campaign Treasurer Handbook Does the next Due Report Cover the Entire Period Since Last Report & New period ? CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 E. Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT 5 2016 FINANCE 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/ 17/ 16 To 09/ 30/ 16 Report Type: G -3 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , • Expenditures $ --------, 836.95 Loans $ , , . Transfers to ----0----- Office Account $ ---------, 0 ------- Total Monetary $ , , • Total Monetary $ ---------, 836.95 In-Kind $ , , • (8) Other Distributions $ ------0------------- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 3, 000.00 $ -------, 892.98 (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) Rocky Randels (Type name) Rocky Randels ❑ Individual (only for IE X- Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures:total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, &fund transfers being reported as additions or deletions. Read the instructions for the sequence number& amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES Cape Canaveral City Council (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 09/17/16 through 09/30/16 (4) Page 1 of 3 G - 3 (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 09/20/16 Sign Depot 18x24" 1813 E. Colonial DR. Plastic CAN ------- $805.00 Orlando, FL Yard 32803 Signs 01 09/28/16 City of Cape I Night Canaveral Rental For CAN -------- 42.00 105 Polk Ave 32920 Friday Fest Cape Canaveral, FL (Street Fair) Booth Space 02 / / / / / / -----0----- / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (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 requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Cape Canaveral City Council (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 09/17/16 through 09/30/16 (4) Page 1 of 1 G - 3 (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 / / / / / / -------------0------------------- / / / / / / / / 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) CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 E. Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT 14 2016 CCO DL 2:10 PM O Check here if address has changed (3) ID Number: (4) Check appropriate box( es): X- Candidate Office Sought: City Council-Cape Canaveral, FL ❑ 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/ 01/ 16 To 10/ 07/ 16 Report Type: G - 4 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , . Expenditures $ ----------- 42.00 Loans $ , , . Transfers to ----0---- Office Account $ -----0----- Total Monetary $ , , • Total Monetary $ ------------ 42.00 In-Kind $ , , • (8) Other Distributions $ , -----,0.----- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures Topp Date $ ------, 3,000.00 $ ------,-----, 934.98 (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) Rocky Randels (Type name) Rocky Randels ❑ Individual(only for IE X-Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS G - 4 City Council Cape Canaveral (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 01 /16 through 10/ 07/ 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 / / / / / / / / -------------0----------------- / / / / / / 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) CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES G - 4 City Council Cape Canaveral (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 01/ 16 through 10/ 07/ 16 (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 10/ 03/ 16 Supervisor of Elections Printed Brevard County Walking CAN 42.00 Voters Map & List 1 / / / / / / -------------0----------------- / / / / / / / / Total = 42.00 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (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 requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. G-5 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 East Central Blvd P.O. Box 308 Address (number an street) Cape Canaveral , FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT 2 2016 CCO DL 4:19 PM ❑ 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 10/ 08/ 16 To 10/ 14/ 16 Report Type: G - 5 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ ---, ----, ---. ---- Loans $ ---, ----, ---. ---- -------------0-------------- Total Monetary $ ----, ----, ---. ---- In - Kind $ ----, ----, ---. ---- (7) Expenditures This Report Monetary Expenditures $ -------- 411.09 Transfers to Office Account $ -----0------- Total Monetary $ ------- 411.09 (8) Other Distributions $ ----, ----, ----. ---- (9) TOTAL Monetary Contributions To Date $ --------- 3, 000.00 (10) TOTAL Monetary Expenditures To Date $ ------- 1, 346.07 (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) Rocky Randels (Type name) Rocky Randels ❑ Individual (only for IE X- Treasurer ❑ Deputy Treasurer X- Candidate O Chairperson (only for PC and PTY) or electioneering comm.). X Rocky Randels X Rocky Randels Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add"S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign(this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, &fund transfers being reported as additions or deletions. Read the instructions for the sequence number& amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS G - 5 CITY COUNCIL CAPE CANAVERAL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 08/ 16 through 10/ 14/ 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 / / / / / / / / ------------0--------------- / / / / / / 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) CAMPAIGN TREASURER'S REPORT — ITEMIZED EXTENDITURES G - 5 CAPE CANAVERAL CITY COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 08/ 16 through 10/ 14/ 16 (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 10/ 10/ 16 Allegra Printing Printing 2040 Murrell Rd Business CAN 217.26 Rockledge FL 32955 Cards 1 10/ 12/ 16 Go Signs Relabeling 8105 Canaveral Blvd my 28 year CAN 193.83 Cape Canaveral old Signs FL 32920 with "For City Council" 2 / / / / / / --------------0-------------------- / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (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 special contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type-using one of the following codes: Code Description CAN/ Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT SUMMARY G - 6 CAPE CANAVERAL CITY COUNCIL (1) Rocky Randels Name (2) 308 East Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT 28 2016 CCO DL O Check here if address has changed (3) ID Number: (4) Check appropriate box(es): X- 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 10/ 15/ 16 To 10/ 21/ 16 Report Type: G - 6 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ — 0 ----- Expenditures $ ---------, 181.98 Loans $ ---- 0 ------ Transfers to Office Account $ ---------0--------- Total Monetary $ ------- 0 ------ Total Monetary $ ----------, 181.98 In-Kind $ -------0------- (8) Other Distributions $ ----, ---, 0. ----- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ------- 3,000.00 $ , , 1, 528.05 (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) Rocky Randels (Type name) Rocky Randels ❑ Individual (only for IE X-Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Randy Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: ❑ Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS G - 6 CAPE CANAVERAL CITY COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 15/ 16 through 10/ 21/ 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 10/ 15/ 16 Randels, Rocky S 4'X4' INK ------- used 308 E. Central need By me Cape Canaveral campaign For 28 FL 32920 Signs Years 1 10/ 15/ 16 Various VOL. I Placing INK --------- Volun- ??/ 0 Residents of Small & teer Cape Canaveral Large Time Locating Signs campaign NO LOST For Placement signs in yards 1 / / / / ---------------0-------------- / / / / / / DS-DE 1 (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) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES G - 6 CAPE CANAVEAL CITY COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 15/ 16 through 10/ 21/ 16 (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 10/ 20/ 16 Allegra Printing Printing of 2040 Murrell Road Carly voting CAN ------- 181.98 Rockledge FL 32955 information 1 / / / / / / / / ------------0---------------- / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (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 requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. RECEIVED AMENDED REPORT NOV 04 2016 CCO DL G - 6 CAPE CANAVERAL CITY COUNCIL CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name 308 East Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral, FL. 32920 OFFICE USE ONLY RECEIVED OCT 28 2016 CCO DL ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): x- Candidate Office Sought: This was omited on original G-6 Report X- Amendment Cape Canaveral City Council ''?'` CW`w<' ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded 0 Party Executive Committe PTY) 0 Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 10/ 15/ 16 To 10/ 21/ 16 Report Type: G - 6 Original X-Amendment (See above to office sought) 0 Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ----0----- Expenditures $ ------ 181.98 Loans $ -----0----- Transfers to Office Account $ -----0------ Total Monetary $ ----0----- Total Monetary $ -------181.98 In-Kind $ ----0----- (8) Other Distributions $ ---, -----, 0. ----- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ------ 3, 000.00 $ ---------1, 528.05 (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) Rocky Randels (Type name) Rocky Randels Individual(only for IE X- Treasurer 0 Deputy Treasurer X- Candidate 0 Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS G - 7 CAPE CAN- ANVERAL CITY COUNCIL CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 East Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED NOV 04 2016 CCO DL ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): X- Candidate Office Sought: Cape Canaveral City Council O 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/ 22/ 16 To 11/ 03/ 16 Report Type: G - 7 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ---0------- Expenditures $ -------, 305.96 Loans $ ---0------- Transfers to Office Account $ -------0---------- Total Monetary $ ----0------ Total Monetary $ ------, 305.96 In-Kind $ -----0------ (8) Other Distributions $ ---, ----0.----- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ -------- 3, 000.00 $ -------,-----0.------ (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) Rocky Randels (Type name) ❑ Individual (only for IE X-Treasurer ❑ Deputy Treasurer X- Candidate 0 Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS G - 7 CAPE CANAVERAL CITY COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 22/ 16 through 11/ 03 / 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 10/ 22/ 16 Various VOL. Placing Volunteer Residents of Small & INK ------ Time- Cape Canaveral I Large NO Locating Signs campaign COST TO For Placement signs in Candidate yards / / / / / / ---------------0------------------- / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES G - 7 Cape Canaveral City Council CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 10/ 22/ 16 through 11/ 03/ 16 (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 10/ 22/ 16 Allegra Printing Printing of 2040 Murrell Road Revised CAN ------ 305.96 Rockledge FL 32955 Campaign Letter 1 / / / / / / / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Terminated Report (T.R) CAMPAIGN TREASURER'S REPORT SUMMARY (1) Rocky Randels Name (2) 308 East Central Blvd P.O. Box 308 Address (number and street) Cape Canaveral FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED FEB 03 2017 CCO DL 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 11/ 04/ 16 To 02/ 03/ 17 Report Type: T.R. X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ---0---.---- Expenditures $ — 1, 165.99 Loans $ --0---.---- Transfers to Office Account $ -----0------ Total Monetary $ ---0---.---- Total Monetary $ -----, 1,165.99 In-Kind $ -----0---.---- (8) Other Distributions $ ----, ---0----.---- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ----- 3,000.00 $ ----- 3,000.00 (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 haveavexamined this report and it is true, correct, and complete: (Type name) Rocky Randels (Type name) Rocky Randels ❑ Individual (only for IE X-Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Rocky Randels X Rocky Randels Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: ❑Candidate report: treasurer and candidate must sign. ❑ PC report: treasurer and chairperson must sign. ❑ PTY report: treasurer and chairperson must sign. ❑ ECO report: organization's treasurer must sign. ❑ IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREAS V RER'S REPORT - ITEMIZED EXPENDITURES TERMINATION (T.R.) REPORT CAPE CANAVERAL CITY COUNCIL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 11/04/2016 through 02/03/2017 (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 11/08/16 Go Signs 13' Thank 8105 Canaveral Blvd you' Card CAN. ---------- 207.68 Cape Canaveral, Fl Board Signs 1 11/08/16 Check for Cash; to pay 2 Sign Holders CAN. ------------ 190.00 For portion of <SAME Election Day For: Francie Long > 8515 Atlantic Michele Manley > 119 Columbia (BOTH in Cape Canaveral) 2 01/31/17 Rocky Randels TO repay 308 East Central PORTION of Blvd Originial DIS. ----- 768.31 Cape Canaveral Loan to my Campaign Fund 3 / / TOTAL 1165.99 / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure (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 requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS TERMINATION (T-R) REPORT CITY COUNCIL CAPE CANAVERAL (1) Name Rocky Randels (2) I.D. Number (3) Cover Period 11/ 04/ 16 through 02/ 03/ 17 (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 11/08/18 VOLUNTEER NO COST RESIDENT of I INK TO me Cape Canaveral as A TRANS PORTED candidate 1 Sign To each For A.M. Polling Site And P.M. was & picked them Trips a C.C. up at end Each Resident of day Volunteer / / / / / / / / / / D8-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.) 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)