Loading...
HomeMy WebLinkAboutQualifying Packet MB - 08-24-2016CITY OF CAPE CANAVERAL ANNOUNCED CANDIDATE FOR CITY COUNCIL 2016 TRACKING FORM CONTINUED NAME: Mike R. Brown PHONE: (321) 302-3032 ADDRESS: 562 Casa Bella Dr. Date Qualified/Paid Qualifying Fee: $39.00 QUALIFYING FEE: $39.00 ($15.00 Qualifying + $24.00 Election Assessment) PAPERS FILED DATE FILED Candidate packet acknowledgement for persons who pre-announce 8/ 24/ 16 Candidacy DS-DE 25, Loyalty Oath for Non-Partisan Office with Candidate 8/ 24/ 16 Name Pronunciation Request CE Form 1(Jan 1, 2016) Statement of Financial Interests 8/ 24/ 16 2016 Candidate Reporting Deadlines Section 106.07(1), F.S Period Covered Report Code Due Date Date Filed 08/06/16-08/12/16 2016 P6 August 19, 2016 8-17-2016 08/13/16-08/25/16 2016 P7 August 26, 2016 8/24/16 08/26/16- 2016 G1 September 9, 2016 09/03/16- 09/17/16- 10/01/16- 10/08/16- 10/15/16- 10/22/16- Campaign Treasurer's 2016 TR Report Period: Date Varies (NOTE: if no opposition al -- end of Qualifying Period, Due Date is 11/28/2016) CITY OF CAPE CANAVERAL ANNOUNCED CANDIDATE FOR CITY COUNCIL TRACKING FORM Page 2 of 2 RECEIPT No. 621601 DATE 8/24/16 $39.00/xx FROM Mike Brown ----- Thirty- nine and 00/100 DOLLARS O FOR RENT O FOR Qualifying Election Fee ACCT. O CASH PAID X X CHECK DUE O MONEY ORDER O CREDIT CARD FROM -------------- TO -------------- BY Joan Gapud A-1152 T- 4161 SUN SPACE AND SEA CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD I, Mike Brown , 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 July 2016 • Candidate and Campaign Treasurer Handbook as of 1/ 22/ 16 • 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. Michael Brown 8/ 24/ 16 Signature Date RECEIVED AUG 24 2016 MG CCO 10:21 AM 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 24 2016 MG CCO 10:21 AM OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021,Florida Statutes) I, Mike Brown (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 , N/A (office) (district#) N/A , N/A ; 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 Michael Brown (321) 302- 3032 Trooper0625@gmail.com Signature of Candidate Telephone Number Email Address 562 Casa Bella Drive Cape Canaveral FL 32920 Address City State ZIP Code Candidate's Florida Voter Registration Number(located on your voter information card): 100994968 * 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): Mike Brown STATE OF FLORIDA COUNTY OF BREVARD Sworn to (or affirmed) and subscribed before me this 24th day of August ,2016 Mia Goforth Signature of Notary Public Personally Known: X or Produced Identification: Type of Identification Produced: FL DL B650-556-54-270-0 NOTARY OF PUBLIC STATE OF FLORIDA MIA GOFORTH Notary of Public-State of Florida My Comm. Expires May 16, 2017 Commission # EE 866939 Bonded Through National Notary Assn. 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) (PARR)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 0I (FOIL)foil Y00 (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 OOR (POOR) poor UHR (PUHR) 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. FORM 1 STATEMENT OF 2015 FINANCIAL INTERESTS Please print or type your name,mailing address, agency name, and position below: LAST NAME FIRST --MIDDLE NAME : Brown Mike MAILING ADDRESS: 562 Casa Bella Drive CITY: ZIP: COUNTY: Cape Canaveral 32920 Brevard NAME OF AGENCY: Cape Canaveral NAME OF OFFICE OR POSITI N HELD OR SOUGHT: 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 LI NEW EMPLOYEE OR APPOINTEE OFFICE USE ONLY RECEIVED AUG 24 2016 MG CCO 10:21 AM **** 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 O 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): ❑ COMPARATIVE (PERCENTAGE)THRESHOLDS OR X- 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 State of Fl-Pension Plan P.O. Box 9000, Tallahassee, FL 32315 STATE PENSION 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 PART C--REAL PROPERTY [Land, buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") 8617 Villanova Drive, Cape Canaveral, FL 32920 7801 Ridgewood Ave. # 7, Cape Canaveal, FL 32920 FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1-Effective.January 1, 2016 Incorporated by reference in Rule 34-8.202(1), F.A.C. (Continued on reverse side) PAGE 1 PART D—INTANGIBLE PERSONAL PROPERTY[Stocks, bonds,certificates of 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 State of FL- Nationwide CDrop Acct Retirement Account PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR Supreme Lending P.O. Box 619063 , Dallas, TX 75261 Regions Bank 324 E. Merritt Cswy FL 32952 Chase Bank 760 E. Merritt Is. FL 32952 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 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 Signature: If a certified public accountant licensed under Chapter 473, or attorney Michael R Brown in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, t and the instructions to the form.Upon my reasonable knowledge and belief,the disclosure herein is true and correct. Date Signed: CPA/Attorney Signature: 8/ 24/ 16 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 dating 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: State officers or specified state employees Thereafter,file by July 1 following each calendar A candidate who previously filed Form 1 because year in which they hold their positions. 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 PART E- Liabilities Attachment To Form 1 Space Coast Credit Union- 445 Fortenberry Rd, Merritt Island Florida 32952 for Michael Brown 8/24/16 MG 8/24/16 10:21 AM SUN SPACE AND SEA CITY OF CAPE CANAVERAL RECEIVED AUG 24 2016 MG CCO 10:21 AM OATH OF CANDIDATE I, Mike Brown , 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. Micheal Brown Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this 24th day. of August, 2016 by Mike Brown , who is personally known or produced n/a Identification. NOTARY PUBLIC STATE OF FLORIDA MIA GOFORTH Notary Public- State of Florida My Comm. Expires: May 16, 2017 Commission # EE 866939 Bonded Through National Notary Assn. Mia Goforth Signature of Notary Public Print, type or stamp Commissioned Name of Notary Public 2016 General Election Canvassing Board Dates Extended Days Friday, October 14, 2016 Logic & Accuracy Test for Early Voting and Precinct Voting 9:00 a.m. (Elections Support Center) Logic & Accuracy Test for Mail Ballots 2:00 p.m. Tuesday, October 25, 2016 Begin Canvassing Mail Ballots 2:00 p.m. Tuesday, November 8, 2016 General Election Meeting 9 a.m. and 7:00 p.m. Public Meeting Friday, November 11, 2016 Review Provisionals &Certify 1St Unofficial Results (Veteran's Day- Holiday) 9:00 a.m. November 14 thru 16, 2016 Possible Recount (Please hold these dates in the event Monday-Wednesday there is a recount) November 17, 2016 Tentative Meeting to submit 2❑d Unofficial Results Thursday 9:00 a.m. November 18, 2016 Certify Election, Conduct of Election &Selection of Post Friday Election Audit Race and Precincts 5:00 p.m. November 22, 2016 Start Audit 9:00 a.m. Tuesday All meetings are open to the public and will be held in the Viera Office of the Supervisor of Elections located in the Government Center (2725 Judge Fran Jamieson Way, Building C, Suite 105) except the first L & A which will be at the Elections Support Center. 8/1/16 FINAL jem CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) , Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED AUG 24 2016 MG CCO 10:21 AM ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ Candidate Office Sought: Cape Canaveral City Council ❑ Political Committee (PC) O 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/ 13/ 16 To 08/ 25/ 16 Report Type: P7 X - Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary MRB Expenditures $ , , 39.00/xx 8/24/16 ) Cash & Checks $ , , ///////// Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ , , . Total Monetary $ , , 39.00/xx In-Kind $ , , . (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , 200.00/xx $ , , 39.00/xx (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Mike Brown (Type name) Mike Brown O Individual (only for IE X- Treasurer O Deputy Treasurer X- Candidate O Chairperson (only for PC and PTY) or electioneering comm.) X Michael Brown X Michael Brown Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES MG 8/24/16 10:21 am (1) Name Mike Brown (2) I.D. Number (3) Cover Period 08/ 13/ 16 through 08/ 25/ 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/ 29/ 16 City of Cape Canaveral 105 Polk Ave, Qualifying CAN $39.00 32920 Fees Cape Canaveral, FL 1 / / / / / / / / / / / / / / 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 SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) 562 Casa Bella Drive Cape Canaveral, FL 32920 City, State, Zip Code RECEIVED SEP 09 2016 CCO DL ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ 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) O 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 $ , ,640.00 Expenditures $ , , 31.95 Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ , , . Total Monetary $ , , . In-Kind $ , , . (8) Other Distributions $ , , . . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , ,840.00 $ , ,70.95 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Mike Brown (Type name) Mike Brown ❑ Individual(only for IE X- Treasurer ❑Deputy Treasurer X- Candidate ❑Chairperson (only for PC and PTY) or electioneering comm.) X Michael Brown X Michael Brown Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Mike Brown (2) I.D. Number (3) Cover Period 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 08/ 26/ 16 Brown, Mike S Retired CHE 340.00 562 Casa Bella State DR of Cape Canaveral, FL Florida 32920 1 08/ 27/ 16 Friello, Groce I Retired CHE 100.00 8652 Villanova Dr Cape Canaveral FL 32920 2 08/ 31/ 16 Brown, Walter I Retired CHE 200.00 4423 Winston LnS Sarasota, FL 34235 / / / / / / / / 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 organization, (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) (includes federal, state and county executive P Political Parties 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) CAMPAIG TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Mike Brown (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 City of Cape Canaveral Friday Fest CAN 31.95 105 Polk Ave, Booth Cape Canaveral, FL 32920 1 / / / / / / / / / / / / / / / / 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 23 2016 DL OFFICE USE ONLY CCO Mike Brown Cape Canaveral City Council Name Office Sought 562 Casa Bella Drive Cape Canaveral, FL 32920 Address City State Zip Code X- Candidate 0 Political Committee 0 Party Executive Committee NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a waiver) that no reportable contributions or expenditures were made during the reporting period(s. 106.0703(6), F.S.). 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) 0 MONTHLY REPORT ❑ PRIMARY ELECTION X- GENERAL ELECTION ❑ OTHER REPORT TYPE Indicate report # Indicate report # Indice report # Indicate report type and # M P G 2 as applicable: O TERMINATION REPORT O SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 09/ 03/ 16 THROUGH 09/ 16/ 16 X Michael Brown 09/ 23/ 16 Signature Date X Michael Brown 09/ 23/ 16 Signature Date REQUIRED SIGNATURES FOR: Candidates: Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Political Committees: Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Party Executive Committees: Treasurer and Chairman(s. 106.29(2), F.S.) Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or received) the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87 (Rev.06115) CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) City, State, Zip Code Cape Canaveral, FL 32920 OFFICE USE ONLY RECEIVED SEP 23 2016 DL CCO O Check here if address has changed (3) ID Number: (4) Check appropriate box(es): X- Candidate Office Sought: Cape Canaveral City Council ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 09/ 03/ 16 To 09/ 16/ 16 Report Type G 2 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , . Expenditures $ , , . Loans Transfers to Office Account $ , , . Total Monetary $ , , . Total Monetary $ , , . In-Kind $ , , . (8) Other Distributions $ , , . . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures Io Date $ , , 840.00 $ , , 70.95 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Mike Brown (Type name) Mike Brown Individual (only for IE X- Treasurer O Deputy Treasurer O Candidate 0 Chairperson (only for PC and PTY) or electioneering comm.) X Michael Brown X Michael Brown Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT O5 2016 MG 8:06 AM ❑ 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 09/ 17/ 16 To 09/ 30/ 16 Report Type: G 3 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 1,000.00 Expenditures $ , , 5.00 Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ , , . Total Monetary $ , , . In-Kind $ , , . (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditu es.To Date $ , 1 ,840.00 $ , , 75.95 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Mike Brown (Type name) Mike Brown ❑ Individual(only for IE X- Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY) or electioneering.comm.) X Michael Brown X Michael Brown 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 electioneeringj110 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 and 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. 4 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Mike Brown (2) I.D. Number (3) Cover Period 09/ 17/ 16 through 09/ 30/ 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 09/ 30/ 16 Space Coast B Realtor CHE 1000.00 Association of Assoc. Realtors 105 McLeod St Merritt Is, FL 32953 1 / / / / / / / / / / / / 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 organization. (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) (includes federal, state and county executive P Political Parties 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) CAMPAIGNJREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Mike Brown (2) I.D. Number (3) Cover Period 09/ 17/ 16 through 09/ 30/ 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 09/ 12/ 16 Regions Bank Bank CAN 5.00 324 E. Merritt Is Cwy Monthly Merritt Is, FL 32952 Fee 1 / / / / / / / / / / / / / / 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 SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT 14 2016 MG 10:56 AM 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/ 01/ 2016 To 10/ 07/ 2016 Report Type: G 4 X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , . Expenditures $ , , 42.24 Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ , , . Total Monetary $ , , 42.24 In-Kind $ , , 190.00 (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 1, 840.00 $ , , 118.19 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Mike Brown (Type name) Mike Brown Individual (only for IE X- Treasurer ❑Deputy Treasurer X- Candidate ❑Chairperson (only for PC and PTY) or electioneering comm.) X Michael Brown X Michael Brown Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Mike Brown (2) I.D. Number (3) Cover Period 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 10/ 01/ 16 O'Connell, Loretta I Retired INK Labeling 30.00 576 Casa Bella Dr Campaign Cape Canaveral, Signs FL 32920 1 10/ 02/ 16 O'Connell, Loretta I Retired INK Labeling 50.00 576 Casa Bella Dr Campaign Cape Canaveral Sign FL 32920 2 10/ 02/ 16 Brown, Mike S Retired INK Work 40.00 562 Casa Bella Dr On Cape Canaveral Campaign FL 32920 Signs 3 10/ 03/ 16 O'Connell, Loretta I Retired INK Labeling 30.00 576 Casa Bella Dr Sign Cape Canaveral FL 32920 4 10/ 06/ 16 Brown, Mike S Retired INK Campaign 40.00 562 Casa Bella Paperwork Cape Canaveral FL 32920 5 / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Mike Brown (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 (Last, Suffix, First, Middle) (add office sought if Expenditure Amendment Amount (6) Street Address & contribution to a Type Sequence City, State, Zip Code candidate) Number 10/ 04/ 16 O'Connell, Loretta RMB 42.24 576 Casa Bella Drive Cape Canaveral, FL 32920 1 / / / / / / / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) Cape Canaveral , FL 32920 City, State, Zip Code 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/ 08/ 16 To 10/ 14/ 16 Report Type: G 5 ❑✓/Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , 0. Expenditures $ , 1,019.84 Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ , , . In-Kind $ , , . Total Monetary $ , 1, 019.84 (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 1, 840.00 $ , 1, 138.03 (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) Mike Brown (Type name) Mike Brown ❑ Individual (only for IE ❑Treasurer ❑ Deputy Treasurer ❑ Candidate 0 Chairperson (only for PC and PTY) or electioneering.comm.) X Michael Brown X Michael Brown 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 TRFASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Mike Brown (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/ 08/ 16 Brown, Michael Vista Print RMB 419.95 562 Casa Bella Dr. Campaign 32920 Flyers Cape Canaveral, FL (mailers) 1 10/ 12/ 16 Fed Ex Office Print Labels CAN 73.49 650 E. Merritt Island for mailers Florida 32952 2 10/ 14/ 16 Brown, Michael Postal RMB 526.40 562 Casa Bella Dr. Stamp Cape Canaveral, FL for 32920 Flyers 3 / / / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED OCT 28 2016 CCO DL ❑ 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 $ , 1, 695.00 Expenditures $ , , 338.07 Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ Total Monetary $ , , 338.07 In-Kind $ , , . (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions ToDate (10) TOTAL Monetary Expenditures To Date $ , 3, 535.00 $ , 1 , 476.10 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Mike Brown (Type name) Mike Brown ❑ Individual(only for IE treasurer ❑ Deputy Treasurer X- Candidate 0 Chairperson (only for PC and PTY) or electioneering.comm.) X Michael Brown X Michael Brown 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. •f CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name Mike Brown (2) LD. 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/ 20/ 16 Friello, Kathleen I Teacher CHE 120.00 648 Jersey Ave Jersey City, NJ 07302 1 10/ 20/ 16 Wells, Jeffrey I Business CHE 500.00 211 Caroline St Owner Cape Canaveral, FL 32920 2 10/ 20/ 16 Faulk, Robert I Business CHE 500.00 1532 Conway Isl Owner Orlando, FL 32839 3 10/ 20/ 16 RSC Corp B Towing CHE 500.00 5601 S. Orange Service Blossom Tr Orlando, FL 32839 4 10/ 20/ 16 Spaeth George I Retired CHE 75.00 190 Pinellas W # 309 Cocoa Beach, FL 32931 5 10/ 21/ 16 Brown, Linda I Retired INK 45.00 562 Casa Bella Dr Cape Canaveral Florida, 32920 6 10/ 22/ 16 O' Connell, Loretta I Retired INK 45.00 576 Casa Bella Dr Cape Canaveral Florida, 32920 7 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 organization...0)f (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 cor orations, or anizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties 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 CONTRIBUTIONS (1) Name Mike Brown (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/ 21/ 16 Brown, Mike I Retired INK Holding 45.00 562 Casa Bella Dr Sign on Cape Canaveral, FL SR. A1A 32920 8 10/ 21/ 16 Meagher, Bob I Retired INK Holding 45.00 568 Casa Bella DR Sign on Cape Canaveral, FL SR-A1A 32920 9 / / / / / / / / / / 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 (1) Name Mike Brown (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 Murray, Whitney Design MON 100.00 1521 Millbrook CT Campaign Orange Park, FL 32003 Flyers 1 10/ 20/ 16 O' Connell, Loretta Lettering MON 38.07 576 Casa Bella Dr for Cape Canaveal, FL Sign 32920 2 10/ 20/ 16 O' Connell, Loretta Payment MON 200.00 576 Casa Bella Dr for Labeling Cape Canaveral, FL 70 Signs 32920 3 / / / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mike Brown Name 562 Casa Bella Drive Address (number and street) Cape Canaveal, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED NOV 04 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/ 22 / 16 To 11/ 03/ 16 Report Type: G 7 X- Original 0 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , .0 Expenditures $ , , 826.88 Loans $ , , .0 Transfers to Office Account $ , , . Total Monetary $ , , .0 Total Monetary $ , , 826.88 In-Kind $ , 1, 350.00 (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 3, 535.00 $ , 2, 302.98 (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) Mike Brown (Type name) Mike Brown ❑ Individual (only for IE X- Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Michael Brown X Michael Brown 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 (1) Name Mike Brown (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/ 26/ 16 Jet Press Printing Sticker 250 N. Atlantic Ave Sheets CAN 218.09 Cocoa Bch, FL for 32931 Campaign 1 10/ 26/ 16 Allejra Printing Campaign 2040 Murrell Rd Car CAN 348.79 Rockledge, FL Magnets 32955 + Political Signs 2 11/ 01/ 16 EKJ Apparel LLC 223 Columbia Dr Campaign CAN 260.00 32920 Logo's Cape Canaveral, FL 3 / / / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Mike Brown (2) I.D. Number (3) Cover Period 10/ 22/ 16 through 11/ 01/ 16 (4) Page 1 of 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 10/ 24/ 16 O' Connell, Loretta Holding 576 Casa Bella I Retired Ink Sign 45.xx DR Polling Cape Canaveral, FL Early Voting 32920 Merritt Isl 1 10/ 24/ 16 Brown, Mike 562 Casa Bella I Retired Ink Holding DR Sign 120.xx Cape Canaveral Early Voting FL 32920 Merritt Isl 2 10/ 25/ 16 Brown, Mike I Retired Ink Holding 562 Casa Bella Sign DR Early Voting 45.xx Cape Canaveral Merritt Is FL 32920 Florida 3 10/ 26/ 16 Brown, Mike I Retired Ink Holding 562 Casa Bella Sign DR Early Voting 120.xx Cape Canaveral Merritt Is FL. 32920 Florida 4 10/ 27/ 16 Brown, Mike I Retired Ink Holding 562 Casa Bella Sign 120.xx DR Early Voting Cape Canaveral Merritt Is FL 32920 Florida 5 10/ 28/ 16 Brown, Mike I Retired Ink Holding 562 Casa Bella Dr Sign 120.xx Cape Canaveral Early Voting FL 32920 Merritt Is Florida 6 10/ 28/ 16 O' Connell, Loretta I Retired Ink Holding 576 Casa Bella Sign 45.xx DR Early Voting Cape Canaveral Merritt Is FL 32920 FL 32952 7 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 CONTRIBUTIONS (1) Name Mike Brown (2) I.D. Number (3) Cover Period 10/ 22/ 16 through 11/ 03/ 16 (4) Page 2 of 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 10/ 29/ 16 Brown, Mike I Retired Ink Holding 120.xx 562 Casa Bella Dr Sign Cape Canaveral, Early Voting FL 32920 Merritt Isl 8 10/ 29/ 16 Brown, Linda I Retired Ink Holding 45.xx 562 Casa Bella Dr Sign Cape Canaveral, Early Voting FL 32920 Merritt Isl 9 10/ 30/ 16 O'Connell, Loretta I Retired Ink Holding 45.xx 576 Casa Bella Dr Sign Cape Canaveral, Early Voting FL 32920 Merritt Is 10 10/ 30/ 16 Brown, Mike I Retired Ink Holding 120.xx 562 Casa Bella Sign Dr. Early Voting Cape Canaveral Merritt Is FL 32920 Florida 11 10/ 31/ 16 Brown, Mike I Retired Ink Holding 60.xx 562 Casa Bella Sign DR Early Voting Cape Canaveral Merritt Is Florida 12 11/ 01/ 16 Brown, Mike I Retired Ink Holding 120.xx 562 Casa Bella Sign DR Early Voting Cape Canaveral Merritt Is Florida 13 11/ 02/ 16 Brown, Mike I Retired Ink Holding 60.xx 562 Casa Bella Sign DR Early Voting Cape Canaveral, FL Merritt Is 32920 14 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 organization. (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) (includes federal, state and county executive P Political Parties 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 CONTRIBUTIONS (1) Name Mike Brown (2) I.D. Number (3) Cover Period 10/ 22 / 16 through 11/ 03/ 16 (4) Page 3 of 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 11/ 03/ 16 O'Connell, Loretta I Retired Ink Holding 576 Casa Bella Sign 45.xx DR Early Voting Cape Canaveral, FL Merritt Is 32920 Florida 15 11/ 03/ 16 Brown, Mike I Retired Ink Holding 120.xx 562 Casa Bella Sign DR Early Voting Cape Canaveral Merritt Is FL 32920 16 / / / / / / / / / / 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 organization:vgati (ECO) or party executive committe (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) Mike Brown Name (2) 562 Casa Bella Drive Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED JAN 30 2017 CCO DL ❑ 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 11/ 04/ 16 To 01/ 30/ 17 Report Type: 2016 TR X- Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , .0 Expenditures $ , 1, 232.02 Loans $ , , .0 Transfers to Office Account $ , , . Total Monetary $ , , .0 Total Monetary $ , , . In-Kind $ , , 165.xx MB (8) Other Distributions $ , , . . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 3, 535.00 $ , 3, 535.00 (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) Mike Brown (Type name) Mike Brown ❑ Individual(only for IE X- Treasurer ❑ Deputy Treasurer X- Candidate ❑ Chairperson(only for PC and PTY) or electioneering comm.) X Michael Brown X Michael Brown 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 (1) Name Mike Brown (2) I.D. Number (3) Cover Period 11/ 04/ 16 through 01/ 30/ 17 (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/ 07/ 16 O'Connell, Loretta Supplies 576 Casa Bella Dr Friday Fest MON 45.xx Cape Canaveral, FL Booth 1 11/ 09/ 16 Crackers Island Supporting Grille 6290 N. Atlantic Gathering MON 644.86 Ave, Cape Canaveral, FL Food 32920 2 11/ 19/ 16 O'Connell, Loretta Admin 576 Casa Bella Dr Fees MON 330.xx Cape Canaveral, FL Campaign Treasurer 3 11/ 14/ 16 Regions Bank Checks 7750 N. Wickham Rd for MON 68.24 Melbourne, FL Business 32940 Account INC Postage Delivery 4 11/ 15/ 16 Regions Bank Bank Fee MB 7750 N. Wickham Rd Paper Statement MON 7.xx Melbourne, FL + 32940 Monthly Fee 5 12/ 9/ 16 Regions Bank Bank Fee 7750 N. Wickham Rd Paper Statement MON 7.xx Melbourne, FL + 32940 Monthly Fee 6 01/ 10/ 17 Regions Bank Bank Fee 7750 N. Wickham Rd Paper Statement MON 12.xx Melbourne, FL + 32940 Monthly to Include Oct + Jan 17 7 01/ 10/ 17 Cape View Elementary Donation PTO To Parent MON 117.92 8440 Rosalind Ave Teacher Cape Canaveral, FL 32920 Organization 8 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 (1) Name Mike Brown (2) I.D. Number (3) Cover Period 11/ 04/ 16 through 01/ 30/ 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/ 04/ 16 Brown, Mike 562 Casa Bella I Retired INK Holding 45.xx Cape Canaveral, FL Sign 32920 Polling Early Voting Merritt IS FL 1 11/ 04/ 16 Brown, Mike 562 Casa Bella I Retired INK Friday 60.xx Cape Canaveral Fest FL 32920 Cape Canaveral FL Booth 2 11/ 05/ 16 O'Connell, Loretta 576 Casa Bella Dr I Retired INK Holding 60.xx Cape Canaveral Sign FL 32920 Polling Early Voting Merritt / / / / / / / / 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) (includes federal, state and county executive P Political Parties 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)