HomeMy WebLinkAboutPost-Qualifying Campaign Treasurer Reports AACAMPAIGN TREASURER'S REPORT SUMMARY
(1) Antonio J. Alban
Name
t71Fj ELI! I
2 7515 Ridgewood Ave. Apt. 14
() g
Address (number and street)
t
SEP 0 7 2017
Cape Canaveral, FL 32920
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: 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 / 01 / 2017 To
08 / 31 / 2017 Report Type: 2017G1
✓❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 100. 00
Expenditures $ 39 .00
Loans $
Transfers to
Office Account $
Total Monetary $
Total Monetary $
In -Kind $
(8) Other Distributions
$ 0 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 100. 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) Antonio J. Alban
(Type name) Antonio J. Alban
❑ Individual (only for IE E] Treasurer ❑ Deputy Treasurer
21 Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X _
Signature/
Signat e
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Antonio J. Alban
(1) Name
08 01 2017 08 31
(3) Cover Period / / through /
(2) I.D. Number
2017
/ (4) Page
1 1
of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08 25 2017
Alban, Antonio Jose
7515 Ridgewood Ave.
Apt 14
Cape Canaveral, FL
32920
I
C.F.O.
CHE
$100.00
1
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1) Name Antonio J. Alban
(3) Cover Period
08 01 2017 through
08 31 2017
(2) I.D. Number
(4) Page
of 1
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(g)
Sequence
Number
$0
DS -DE 13A (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio J. Alban (2) I.D. Number
(3) Cover Period 01 / of / 2011 through / 31 / 201' (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
(11)
Amount
(6)
Sequence
Number
08 2 20
City of Cape Canaveral
105 Polk Ave
P.O. Box 326
Cape Canaveral, FL 32920
2017 Qualifying Fee
for November
election.
CAN
$100.00
1
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
Antonio J. Alban
(1) Name _ (2) I.D. Number
(3) Cover Period
08 / 01 / 2017 through
08 / 31 / 2017 (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)
Related
Expenditures
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
08 25 2017
City of Cape Canaveral
105 Polk Ave
P.O. Box 326
Cape Canaveral, FL
32920
2017 Qualifying Fee
for November
election.
2017 G1 1
$100.00
PPD
1
DS -DE 14A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CURL VAL.UL5
Antonio J Alban
7515 Ridgewood Ave Apt 14
Cape Canaveral, FL 32920
O.Rd/9400 I
City Clerk — Cape Canaveral
105 Polk Ave
Cape Canaveral, FL 32920
32920-300705 fill- I,'+!!!l+fill, '�1+1l++!!�l!!i•i11N+1!'+++�+!!!'1!i"i'lll'I
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
Name Office Sought
7 S I S' R,4syr-. M. Cape Camwera (, S 2 9 ZO
Address city State Zip Code
Candidate ❑ Political Committee
❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report (not a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
❑ Check here if address has changed since last report. ❑ 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 MGENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report # Indicate report # Indicate report # Indicate report type and #
M P G Z- as applicable:
x
n
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
11112-011 THROUGH 1115e/17
signature
Signature
g12i11-
Date
Iz r/17
?121
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)
Mia Goforth
From:
Mia Goforth
Sent:
Thursday, October 12, 2017 10:37 AM
To:
'Antonio Alban'
Cc:
David Greene; Anthony Garganese; Daniel LeFever; Lisa Day; Joshua Surprenant
Subject:
RE: 2017 G3 Report due 10/06/2017
Attachments:
Late G3 Report with attachments.pdf
Importance: High
Good morning Mr. Alban,
Please see the attached letter, being mailed today, regarding your late Campaign Treasurer Report 2017 G3, due
10/6/2017. Florida Statute 106.07 requires that 1, the filing officer, notify you that a fine is being assessed for
each late day. Additionally, F.S. 106.07 provides any candidate may appeal or dispute the fine, based upon but
not limited to, unusual circumstances surrounding the failure to file on the designated due date. Please refer to
F.S. 106.07 for more information:
hllp://www.lct; �Ic �.
...sta.t....e.........fl.........u.s..../....s....t....a.....tut.e......s..../....i...n...d.e.....x..........c.... fi....n..?.....A .pp.tnode--Dis lay_Statutc&Scarch Stringy; CTRL.......=......0 0100-.
.0 1 9..9../..0 1 1 0.6,9 7,1111n.]..
Please note, F.S. 106.07 states that the filing officer shall notify the Florida Elections Commission of repeated
late filings by a candidate or political committee, the failure of a candidate or political committee to file a report
after notice, or the failure to pay the fine imposed. The Commission shall investigate only those alleged late
filing violations specifically identified by the filing officer and as set forth in the notification. Any other alleged
violations must be separately stated and reported by the division to the commission under s....1.0.6.25(2).
I I I i i I I I I I i I I ill i I i I i ll Ill i i a Uff M-affm aa�� I�
If you have questions or need anything additional, please contact me.
Thank you.
Mia
Launch Youi- connection...
From: Mia Goforth
V11 i 'a ( ; ( J fcj t' t It, �d \4 C
City Clerk/Records Management Liaison Officer
rn..gotbj�d o akec��
. ..... .... (Y
321-868-1220 Ext 220 321-868-1248 fax
105 Polk Avenue. P.O. Box 326
Cape Canaveral, FL 32920
2EIE!I�L)f f LL� L�!� tt.m.
Sent: Monday, October 09, 2017 11:22 AM
To: 'Antonio Alban'<antonioalban@grnail.corn>
Cc: Daniel LeFever <D.LeFever@cityofcapecanaveral.org>
Subject: RE: 2017 G3 Report due 10/06/2017
Good morning Mr. Alban,
Per our phone conversation a few minutes ago, to avoid incurring additional fines, please turn in the Campaign
Treasurer Report for the Period Covering 09/16/2017 — 09/29/2017 due 10/6/2017 as soon as possible.
For more information regarding reports, please refer to the Florida Laws provided to you in your Qualifying
Packet or click here:
hllp://www.lct s.tate li u.s/sta u.les/n c�ex Cfi.p?.A..pp_mode--Display—Statute&Search String U.R.L .GIGO-
0199/0106/Sections/0106.97.121Jm1.
Thank you.
Launch vourconnection...
V111i 'a (;oifoi t't11h�, C �\4C
City Clerk/Records Management Liaison Officer
...... 'or th(cr ci.ryofcapecanaveral.or
321-868-1220 Ext 220 321-868-1248 fax
105 Polk Avenue. P.O. Box 326
Cape Canaveral, FL 32920
From: Antonio Alban rnailto:antonioala_n_C_.grnailcarn
............................................................. .....
Sent: Monday, October 09, 2017 7:43 AM
To: Mia Goforth <ISI: crFcrrth citycrF a e anaveral :crrg>; Daniel LeFever <D._ILe_ everC�_citycrF a e anaveral :crrg>
Subject: 2017 G3 Report
Good morning Ms. Goforth. Unfortunately, I have to inform you that you will not be receiving my campaign
treasure's report in a timely manner. I absent-mindedly forgot to submit it before my travels overseas. I will not
be back until Monday the 16th. I know I'm incurring a fine for tardiness and a stiff one at that but if there is a
way I can stop the fines from accumulating until I'm back in town I will try my best to fulfill those
requirements. If there is no remedy I understand and would appreciate if you could verify how much I would
need to pay when I submit the Treasurer's report next Monday. Have a great day.
Sincerely,
Antonio.
Florida has a very broad public records law. As a result, any written communication created or received by the
City of Cape Canaveral officials and employees will be made available to the public and/or media upon request,
unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email
address released in response to a public -records request, do not send electronic email to this entity. Instead,
contact our office by phone or in writing
000��
October 12, 2017
Antonio J. Alban
7515 Ridgewood Avenue, #14
Cape Canaveral, FL 32920
Re: 2017 Campaign Treasurer's Reports, Due Dates and Late Filing
Dear Mr. Alban,
On Monday, October 9, 2017, the City Clerk's Office received an ernail (Attachment 1) from you
indicating that we would not be receiving your Car npaignTreasurer's Report, 2017 G3, for period.
09/16/2017 .09/29/2017 due Friday, October 6, 2017 in a timely manner. Further, you indicated.
in that email you were aware that you would be fined and requested "a way I can stop the fines
from accumulating until I'm back in town I will try my best to fulfill those requirements" and "If
there is no remedy I understand and would appreciate if you could velify how much I would need
to pay when I submit the Treasurer's report next Monday."
The information you requested in your email of October 9, 2017 was previously provided to you
on Friday, August 4, 2017 (Attachment 2) in the Announced Candidate Packet you picked up and
signed for prior, to Qualifying. I called you on the morning of Monday, October 9, 2017 to let you
know that you could stop the accumulation of fines by inn mediately forwarding your 2017 G3
Report to me and followed up that conversation with an email (Attachment 3) stating "Per our
phone conversation a few minutes ago, to avoid incurring additional fines, please turn in the
Campaign Treasurer Report for the Period Covering, 09/16/2017 09/29/2017 due 10/6/2017 as
soon as possible. For more infbrmation regarding reports, please refer to the Florida Laws provided
to you..."
Your Campaign Treasurer's Report, 2017 G3, for period 09/16/2017 — 09/29/2017 due Friday,
October 6, 2017 is now 6 days late. Section 106.07(8)(b), Florida Statutes, provides for a fine of
$50.00 per day for the first 3 days late 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 reporL
In accordance with Florida Statute, you will be assessed a fine, the total. of wl-nch is not known to
me until you provide your 2017 133 Report. This fine nigsL be paid usinj, your nal funds
within 20 days of the re ige. You will need to submit a personal, check made payable
L _
to the City of Cape Canaveral by mail or via hand delivery to the City Clerk's Office at 105 Polk
Avenue.
105 Polk Avenue - Post Office Box 326 Cape Canm)eral, FL 32920-0326
"Fetephone (321.) 868-1220 Fax: (321) 868-1248
,"IWW,Cityofcapecartiai�eral.orp, - email: info(�i,ciityofcap,ecaniavet.-uxl.(,)rg
City of Cape Canaveral, City Clerk's Office
Campaign Treasurer's Reports
October 12, 2017
Page 2 of 2
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 T . )(Orth(�)jc jyot��
Tyr. gL 111gcanaycyew l.
Sincerely,
C/5
Mid Goforth, CMC
City Clerk/Elections Qualifying Officer
Encls.
cc: David L. Greene, City Manager
Anthony Garganese, City Attorney
Daniel LeFever, Deputy City Clerk
ATTACHMENT 1
Mia Goforth
From: Antonio Alban <antonioalban@gmail.com>
Sent: Monday, October 09, 2017 7:43 AM
To: Mia Goforth; Daniel LeFever
Subject: 2017 G3 Report
Good morning Ms. Goforth. Unfortunately, I have to inform you that you will not be receiving my campaign
treasure's report in a timely manner. I absent-mindedly forgot to submit it before my travels overseas. I will not
be back until Monday the 16th. I know I'm incurring a fine for tardiness and a stiff one at that but if there is a
way I can stop the fines from accumulating until I'm back in town I will try my best to fulfill those
requirements. If there is no remedy I understand and would appreciate if you could verify how much I would
need to pay when I submit the Treasurer's report next Monday. Have a great day.
Sincerely,
Antonio.
Florida has a very broad public records law. As a result, any written communication created or received by the
City of Cape Canaveral officials and employees will be made available to the public and/or media upon request,
unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email
address released in response to a public -records request, do not send electronic email to this entity. Instead,
contact our office by phone or in writing
L __a 461(,Ic) 101V\
Council and do hereby acknowledge receipt of.
ATTACHMENT 2
would like to announce my candidacy for City
I . May 17, 2017 Candidate Information Memo
2. 2017 Election Information
3. Announcement of intention to become a Candidate for Office
4. Form DS -DE 9 (rev. 10/10), Appointment of Campaign Treasurer and designation of campaign depository
for Candidates
5. Form DS -DE 84 (rev. 05111), Statement of Candidate
6. Election Laws of the State of Florida as of July 2016
7. Candidate and Campaign Treasurer Handbook as of January 2016
8. 2017 Campaign Treasurer's Report Due Dates for Announced Candidates and general information for
filing reports
9. Do's & Don'ts for Campaign Treasurer's Reports
10. Form. DS -DE 12 (rev. 11/13), Ca.mpaign'l"reasurer's Report Summary
11. Form DS -DE 13 (rev. 11/13), Campaign Treasurer's Report — Itemized Contributions
12. Form DS -DE 13A (rev. 11./1.3), Campaign Treasurer's Report — Fund Transfers
13. Form DS -DE 14 (rev. I I /13), Campaign Treasurer's Report -- Itemized Expenditures
14. Form DS -DE 14A (rev. 11 /13), Campaign Treasurer's Report — Itemized Distributions
15. Form DS -DE 87 (rev. 06/15), Waiver of Report
16. Public Service Request Form
17. Political Sign Regulations
I understand to have my name appear on the November 7, 2017 Municipal Election Ballot, I must
complete qualifying paperwork and pay qualifying fees during the qualifying period which begins
on August 11, 2017 at noon and ends August 25, 2017 at noon.
Signature
Date: 12,017
OFFICE USE ONLY
I D
AUG 0 4 2017
Enter DLtee &Time Received
and Initials of Clerk'') - ice §RMeniB —er'
Mia Goforth
From:
Sent:
To:
Cc:
Subject:
Good morning Mr. Alban,
ATTACHMENT 3
Mia Goforth
Monday, October 09, 2017 11:22 AM
'Antonio Alban'
Daniel LeFever
RE: 2017 G3 Report due 10/06/2017
Per our phone conversation a few minutes ago, to avoid incurring additional fines, please turn in the Campaign
Treasurer Deport for the Period Covering 09/16/2017 — 09/29/2017 due 10/6/2017 as soon as possible.
For more information regarding reports, please refer to the Florida haws provided to you in your Qualifying
Packet or click here:
Ino1::L).//www ke,t ,s4::�a4.c, 1a,n�.s/ O:a4:-n�.9.c, /aid cfina ill1 .9& Pis�ay S4„ 0..t0.g.&S u:r�,ll `,OL ..n.. &IJR11 .:::0100...
0199/0106/ ections/0106.07.1iii,nl.
t Ll `. "V]
City Clerk/Records Management Liaison Officer
I fl
h(
321-868-1220
eD�Cetl.�b`CetlTletlV":fletl.�.e.D y
321-868-1220 Ext 220 321-868-1248 fax
105 Polk Avenue. P.O. Box 326
Cape Canaveral, FL 32920
r r rima: tl,ali:.Y1
From: Antonio Alban [mailto:antonioalban@gmail.com]
Sent: Monday, October 09, 2017 7:43 AM
To: Mia Goforth <M.Goforth@cityofcapecanaveral.org>; Daniel LeFever <D.LeFever@cityofcapecanaveral.org>
Subject: 2017 G3 Report
Good morning Ms. Goforth. Unfortunately, I have to inform you that you will not be receiving my campaign
treasure's report in a timely manner. I absent-mindedly forgot to submit it before my travels overseas. I will not
be back until Monday the 16th. I know I'm incurring a fine for tardiness and a stiff one at that but if there is a
way I can stop the fines from accumulating until I'm back in town I will try my best to fulfill those
requirements. If there is no remedy I understand and would appreciate if you could verify how much I would
need to pay when I submit the Treasurer's report next Monday. Have a great day.
Sincerely,
Antonio.
Florida has a very broad public records law. As a result, any written communication created or received by the
City of Cape Canaveral officials and employees will be made available to the public and/or media upon request,
unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email
address released in response to a public -records request, do not send electronic email to this entity. Instead,
contact our office by phone or in writing
City of Cape Canaveral
TIFIED MAIL & E-MAIL
October 17, 2017
Antonio J. Alban
7515 Ridgewood Avenue, #14
Cape Canaveral, FL 32920
Re: 2017 Campaign Treasurer's Reports, Due Dates and Late Filing
Dear Mr. Alban,
Your Campaign Treasurer's Report, 2017 G4, which was due on Friday, October 20, 2017,
covering the period from 09/30/2017 through 10/06/2017, has not been received. Additionally, I
have still not received your Campaign Treasurer's Report, 2017 G3, which was due on Friday,
October 13, 2017, covering the period from 09/16/2017 — 09/29/2017.
Once your Reports have been received, I will notify you of the specific amounts due for the fines
as explained in Section 106.07(8)(b), Florida Statutes.
Failure to file a report is a violation of Section 106.19(1)(b), Florida Statutes and is guilty of a
misdemeanor of the first degree, punishable as provided in Section 775.083 Florida Statutes,
which includes a fine not to exceed $1000.00. As the filing officer for the City of Cape Canaveral,
per Section 106.0702(7)(d) Florida Statutes, I am required to notify the Florida Elections
Commission of the late filing, or failure to file the required monthly Campaign Reports.
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(dcityofcapecanaveral.
S' cerely,
is Goforth, CM
City Clerk/Elections Qualifying Officer
Ends.
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.cityofcapecanavcral.org • email: info@cityofcapecanaveral.org
Mia Goforth
From: Mia Goforth
Sent: Tuesday, October 17, 2017 2:09 PM
To: 'Antonio Alban'
Cc: David Greene; Anthony Garganese; Joshua Surprenant; Daniel LeFever; Lisa Day
Subject: FW: 2017 G3 Report due 10/06/2017
Attachments: Late G3 Report with attach ments.pdf, Late G4 Report.pdf
Importance: High
Good afternoon Mr. Alban,
Per our conversation this morning and to answer your inquiry on whether or not we received your report via US
Mail, no we have not received your Campaign Treasurer Reports 2017 G3 and G4. Please see the attached
letter being mailed to you via Certified Mail today.
If you have questions or need anything additional, please contact me.
Thank you.
Mia
Mia Goforth, CMC
City Clerk/Records Management Liaison Officer
m.ofg orth(- cityofcapecanaveral.org
321-868-1220 Ext 220 321-868-1248 fax
105 Polk Avenue. P.O. Box 326
Cape Canaveral, FL 32920
www. cityofcapecanaveraL ori
Launch yoimur connection... GO a
From: Mia Goforth
Sent: Thursday, October 12, 2017 10:37 AM
To: 'Antonio Alban' <antonioaThan @gmail.com>
Cc: David Greene <D.Greene@cityofcapecanaveral.org>; Anthony Garganese <agarganese@orlandolaw.net>; Daniel
LeFever <D.LeFever@cityofcapeca nave raLorg>; Lisa Day <I.day@cityofcapeca nave ral.org>; Joshua Surprenant
<J.Surprenant@cityofcapecanaveral.org>
Subject: RE: 2017 G3 Report due 10/06/2017
Importance: High
Good morning Mr. Alban,
Please see the attached letter, being mailed today, regarding your late Campaign Treasurer Report 2017 G3, due
10/6/2017. Florida Statute 106.07 requires that I, the filing officer, notify you that a fine is being assessed for
each late day. Additionally, F.S. 106.07 provides any candidate may appeal or dispute the fine, based upon but
not limited to, unusual circumstances surrounding the failure to file on the designated due date. Please refer to
F.S. 106.07 for more information:
http://www.lea.state.fl.us/statutes/index.cfin?App mode=Display Statute&Search String=&URL=0100-
0 1 99/0106/Sections/0 106.07.htm1.
Please note, F.S. 106.07 states that the filing officer shall notify the Florida Elections Commission of repeated
late filings by a candidate or political committee, the failure of a candidate or political committee to file a report
after notice, or the failure to pay the fine imposed. The Commission shall investigate only those alleged late
filing violations specifically identified by the filing officer and as set forth in the notification. Any other alleged
violations must be separately stated and reported by the division to the commission under s. 106.25(2).
Finally, Campaign Treasurer Report 2017 G4 is due Friday, October 13, 2017.
If you have questions or need anything additional, please contact me.
Thank you.
Mia
Mia Goforth, CMC
City Clerk/Records Management Liaison Officer
m ofd orth(i cityofcapecanaveral.ore
321-868-1220 Ext 220 321-868-1248fax
105 Polk Avenue. P.O. Box 326
Cape Canaveral, FL 32920
www. cityofcapecanaveral. orQ
Launch your connection...
a C) 10
From: Mia Goforth
Sent: Monday, October 09, 2017 11:22 AM
To:'Antonio Alban' <antonioaIban Pgmail.com>
Cc: Daniel LeFever <D Le Fever cityofcapecanaveral.org>
Subject: RE: 2017 G3 Report due 10/06/2017
Good morning Mr. Alban,
Per our phone conversation a few minutes ago, to avoid incurring additional fines, please turn in the Campaign
Treasurer Report for the Period Covering 09/16/2017 — 09/29/2017 due 10/6/2017 as soon as possible.
For more information regarding reports, please refer to the Florida Laws provided to you in your Qualifying
Packet or click here:
http //www leg state fl us/statutes/index cfin?App mode --Display Statute&Search Stringy=&URL=0100-
0199/0106/Sections/0106.07.html.
Thank you.
Mia Goforth, CMC
City Clerk/Records Management Liaison Officer
m. goforthAcitvofcapecanaveral.org
321-868-1220 Ext 220 321-868-1248 fax
105 Polk Avenue. P.O. Box 326
Cape Canaveral, FL 32920
www. citvofcapecanaveral. orQ
C>
Launch connection... a a
Lau your ___ __
From: Antonio Alban [mailto:antonioalban@gmail.com]
Sent: Monday, October 09, 2017 7:43 AM
To: Mia Goforth <M.Goforth( a�citvofcapecanave ral.org>; Daniel LeFever <D.LeFever cityofcapecanaveral.org>
Subject: 2017 G3 Report
Good morning Ms. Goforth. Unfortunately, I have to inform you that you will not be receiving my campaign
treasure's report in a timely manner. I absent-mindedly forgot to submit it before my travels overseas. I will not
be back until Monday the 16th. I know I'm incurring a fine for tardiness and a stiff one at that but if there is a
way I can stop the fines from accumulating until I'm back in town I will try my best to fulfill those
requirements. If there is no remedy I understand and would appreciate if you could verify how much I would
need to pay when I submit the Treasurer's report next Monday. Have a great day.
Sincerely,
Antonio.
Florida has a very broad public records law. As a result, any written communication created or received by the
City of Cape Canaveral officials and employees will be made available to the public and/or media upon request,
unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email
address released in response to a public -records request, do not send electronic email to this entity. Instead,
contact our office by phone or in writing
tMEMMEMME SEMEN 0 MEMO 0 ONE NONE
M
Domestic
For delivery information, visit our website at
www.usps.cotr
P-
Certified Mail Fee
�$
c
Extra Services & Fees (check box, add tee as appropna
❑ Return Receipt (hardcopy) $ _
K..rk
0
❑ Return Receipt (electronic) $
❑ Certified Mail Restricted Delivery $
,,;dere
Q
❑ Adult Signature Required $
[:]Adult Signature Restricted Delivery $
O
Postage
1!1
$
'
�1
Total Postage and F
Irl
Sent
J
treat and Ap . No., ox.
-_---- --- 1_-`---- -----'---- . . ...6. --------------------
m
i
I
I
I
I
I
I
I
I
I
I
I
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Antonio,J. Alban
— --- ----
OFFICE USE ONLY
Name
(2) 7515 Ridgewood Ave. Apt. 14
n L5
Address (number and street)
�J
_Cape Canaveral, FL 32920
_ OCT 19 2017
City, State, Zip Code
❑ Check here if address has changed
(3) ID IC /,3_!7
(4) Check appropriate box(es):
F/1 Candidate Office Sought: 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 9 / 30 / 2017 To
10 / 6 /2017 Report Type: 2017 G4
E Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 1500 00
Expenditures $ , 13 .37
Loans $
Transfers to
Office Account $
Total Monetary $ 500. 00
Total Monetary $ 13 . 37
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 1190. 00
$ 100. 51
(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)Antonio J. Alban
(Type n_ame)Antonio J. Alban
❑ Individual (only for IE E Treasurer ❑ Deputy Treasurer
EI Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
al6i�X _ __
X
Signatu e
Signatur
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Antonio J. Alban
(1) Name (2) I.D. Number
(3) Cover Period
9 30 2017
through _ / / (4) Page
1 1
of
(5)
r- Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
_ Number
F, 2017
Antonio J. Alban
7515 Ridgewood Ave.
Apt. 14
Cape Canaveral, FL
32920
g
CFO
CHB
$500.00
i I I
I
/ I
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1) Name Antonio J. Alban
(3) Cover Period 9 / 30 / 2017 through
(2) I.D. Number
10 / 6 / 2017 (4) Page of
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
NONE
DS -DE 13A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
sol -, 10 o Z0i/ 1
(3) Cover Period / / through / / (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
J 2017
OFFICE DEPOT
550 E Merritt Island Causeway
Meri.itt 'sland, FL 32952
CAN
$13.37
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1)
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
Antonio J. Alban
Name (2) I.D. Number
(3) Cover Period 9 / 30—/ 2011 through 10 / 6 / 2017 (4) Page
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)
Related
Expenditures
(1Q)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
NONE
DS -DE 14A (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
M7
AY)IOC\10 Alc%r
L
0 Cr#L�OL 139
11-70-13S LIAO'.
FIE SIVE I
OCT 19 2017
Intemacional
-4�
ca R C0.f-,&V4,rJ 044
10 S T>(,IK ILQ.
Car. C-11 L
usA
A,-66.
ctt
Prd-pago
Postage Paid
Portugal
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Antonio J. Alban
ME C
Name
D
(2) 7515 Ridgewood Ave. Apt. 14
Address(number and street)
OCT 2 0 2017
Cape Canaveral, FL 32920
-
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
❑r Candidate Office Sought: 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 / 7 / 2017 To
10 / 13 / 2017 Report Type: 2017 G5
y
Ej Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ 48 . 14
Loans $
Transfers to
Office Account $
Total Monetary $ 0 00
Total Monetary $ 48 14
In -Kind $
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 1190. 00
$148 • 65
,
(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) Antonio J. Alban
(Type name) Antonio J. Alban
❑ Individual (only for IE I] Treasurer ❑ Deputy Treasurer
[E] Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
�-
X,`
X
Signa re
Sign ure
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Antonio J. Alban
(1) Name (2) I.D. Number
10 1 2017 10 13 2017 1
(3) Cover Period / / through / / (4) Page _
1
of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
NONE
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND COUE VALUES
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Antonio J. Alban
(3) Cover Period 10 7 2017 through
10 13 2017
(2) I.D. Number
(4) Page 1
of 1
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(g)
Sequence
Number
NONE
DS -DE 13A (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio j. Alban. (2) I.D. Number
(3) Cover Period
10 / 7 / 2017 through
10 / 13 / 2017 (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
(11)
Amount
(6)
Sequence
Number
10 10/2017
Staples
3155 Columbia Blvd
Titusville, FL 32780
E�C
$58.14
1
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
Antonio J. Alban
(1) Name _ (2) I.D. Number
(3) Cover Period 10 / 7 / 2017 through 10 / 13 / 2017 (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)
Related
Expenditures
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
NONE
DS -DE 14A (Rev. 11/13) SEE REVERSE FUK IN5I KU(; I IUNS ANU I:VUt VALUtb
CAMPAIGN TREASURER'S REPORT SUMMARY
&Lonio -T A166 -k\
Name
(2) VS S atl Air— • AiA =,
Address (num er and street)
Gme Ca'.t'r.k .�'�
City, State, Zip Code
❑ Check here if address has changed (3) ' ID Number:
(4) WC
ck appropriate box(es):
andidate Office Sought: Cliv
❑ 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 / LL / ZQ('j To ---l— / Zq / 2,0(7 Report Type: 20(1 G3
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 9 .5%. U V
Loans $
Total Monetary $ , S1() • GU
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ "•_Q�J_
(7) Expenditures This Report
Monetary
Expenditures $ ,
Transfers to
Office Account $ ,
Total Monetary $ L .
(8) Other Distributions
$ H f
(10) TOTAL Monetary Expenditures Toate
$ �� ' ��
(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) AV4yA%0 _( 1 • Ak6an ('Type name) / Vr �tW►l0 i��
❑ Individual (only for IE reasurer ❑ Deputy Treasurer canddate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X a�QL X a�=
Signa
a Signatur
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
D E COCES1 VYE
OCT 2 6 2017
SCO& /1-ZV4 /MA Z®t
❑ Check here if address has changed (3) ' ID Number:
(4) WC
ck appropriate box(es):
andidate Office Sought: Cliv
❑ 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 / LL / ZQ('j To ---l— / Zq / 2,0(7 Report Type: 20(1 G3
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 9 .5%. U V
Loans $
Total Monetary $ , S1() • GU
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ "•_Q�J_
(7) Expenditures This Report
Monetary
Expenditures $ ,
Transfers to
Office Account $ ,
Total Monetary $ L .
(8) Other Distributions
$ H f
(10) TOTAL Monetary Expenditures Toate
$ �� ' ��
(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) AV4yA%0 _( 1 • Ak6an ('Type name) / Vr �tW►l0 i��
❑ Individual (only for IE reasurer ❑ Deputy Treasurer canddate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X a�QL X a�=
Signa
a Signatur
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name 1 n4fjr+o J NILS (2) I.D. Number
(3) Cover Period __q__ / J6 /ZO 1'7 through .____l_ / 2A / W17 (4) Page __L of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
ZI ,1
wnPY 0.+e(
31574,.k46,�, Ate.
5,M6- , FC
zq S-1
1
_
P
I'•' 7
1 2-°( /0—
13rovail DEC
5(3CN•��or�U
P
A
��
7-
,1-9 , I
11/1-9
a��� I�IfJry�a,r,
391 Wnwr.
C,e "V-11 F 1,
191 2L
Cl�
50. Gly
3
6o s. 4rR'f"fAF�
�.�c�
�ls
a3
.I
GAS
V0.60
y
We' &t*_ Qrcj2A
1535 ry fcl. /rove.
f'teftr if 151, VL
32K52
C S
Z0.00
5
r r
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1)Name Adonlo Alta, (2) I.D. Number_
(3) Cover Period 1 / 16 /2.01% through 9 / 2-j /?X1 (4) Page �_ of
(5)
Date
(T)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(17)
Amount
(g)
Sequence
Number
NONE
DS -DE 13A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Aqf l Iia ,T Ajc,. (2) I.D. Number
(3) Cover Period I/I C j2bl?through T/?:�_/ Z-0 1 '7 (4) Page _ I of �!
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
Contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
5 f ( les
��sS
H Asa Ili, VIL 327 bb
�1y�` �vrcL.o st
6LC
qx-l�
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN /T�R�EASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name Ar4o to U• klwl (2) I.D. Number
(3) Cover Period -{ / 16 / 201 I through °� / 2.11 / Zo 17 (4) Page �� of
(5)
Date
(7)
Full Name
(last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(6)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Related
Expenditures
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
``
DS -DE 14A (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
T�IROri�O U 11�5a�1
IJP
AviJo
y�/
o Priority
post
Fir -e S Z- Intemacional �` j .
Poro+9al
4000 — Z -L2 0110, Re rwq "k 379 1s3pp
INUNICIPIO {Pi) 4000 POR *13 S7 cff
pc�c��ovc�D
OCT Z s zon
Ce -0 Kl 11-12a14
c,afe C.4namej c1+, citek
105 Palk AEA .
C" FL 3ZI 20
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Antonio J. Alban(rvICE
�M�Y
Name
E V FE
(2) 7515 Ridgewood Ave. Apt. 14
�.
Address (number and street)
OCT 2 7 2017
Cape Canaveral, FL 32920
City, State, Zip Code
y
❑ Check here if address has changed
(3) I-umber:
(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) ❑ 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
C ver Period: From 10 / 14 /2017 To
10 / 20 /2017 Report Type: 2017 G6
9Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ 121 .29
Loans $
Transfers to
Office Account $
Total Monetary $ 0 . 00
Total Monetary $ 121. 29
In-Kind $
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 1190. 00
$ 269 . 94
(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) Antonio J. Alban
(Type name) Antonio J. Alban
❑ Individual (only for IE E] Treasurer ❑ Deputy Treasurer
lj Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
Alr4_
X
Signat re
Signatur
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Antonio J. Alban
(1) Name
(2) I.D. Number
10 14 2017 10 20 2017 1 1
(3) Cover Period / / through / / (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
NONE
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1) Name Antonio J. Alban
(3) Cover Period 10
/14 ?017 through 10 /20 ?017
(2) I.D. Number
(4) Page 1
of 1
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(1 0)
Amendment
(11)
Amount
(g)
Sequence
Number
NONE
DS -DE 13A (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio J. Alban
(3) Cover Period 10 14 2017 through 10 20 2017
(2) I.D. Number
1 1
(4) Page of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
10 14 2017
USPS
8700 Astronaut Blvd
Cape Canaveral, FL 32920
Post Office Box
CAN
$25.00
1
10 20 017
Staples
3155 Columbia Blvd
Titusville, FL 32780
Flyers
ECC
$96.29
2
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
Antonio J. Alban
(1) Name (2) I.D. Number
(3) Cover Period 10 / 14 / 2017 through 10 / 20 / 2017
(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)
Related
Expenditures
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
NONE
DS -DE 14A (Rev. 11113) SEE REVERSE FUR INS I KUL; I IUNS ANU I L)Ut VALUCO
City of Cape Canaveral
CITY OF
CAPE CANAVERAL
October 27, 2017
Antonio J. Alban
7515 Ridgewood Avenue, # 14
Cape Canaveral, FL 32920
1:17m a UT I W Im. I
The City Clerk's Office received your Campaign Treasurer's Report, 2017 G3, for period
$9/16/2017 — 09/29/2017 due Friday, October 6, 2017 on Thursday, October 26, 2017 via
International Mail, postmarked Monday, October 9, 2017.
Section 106.07(8)(b), Florida Statutes, a fine of $50.00 per day for the first 3 days'ate•an
thereafter, $500.00 per day for each late day, not to exceed 25 percent of the total receipts
expenditures, whichever is greater, for the period covered by the late report, must be paid to t
filing officer (me) within 20 days after receipt of the Notice of Payment Due, unless .••-
•. •
ppe
paid using your personal funds within 20 days of the receipt of this notice. You will need to submit
a , cersonal check made Lugiable to the Citp of CaGse Canaveral bp mail or via hand deliverp to the
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.goforthgcjtyofcqpecanaveral.
Sincerely,
AI
Nfia Goforth, CMC
City Clerk./Elections (;qualifying Officer
Encls.
cc: David L. Greene, City Manager
John DeLeo, Administrative/Financial Services Director
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: infoCacityofcapecanaveral.org
USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 2156 k193 8129 70
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
CITY OF CAPE CANAVERAL
City Clerk's Office
P. 0. Box 326
Cape Canaveral, FL 32920-0326
Ili1'!!II!lIIIIIIIII IIIIIII, IIIIIIII!!1'.HII'fl!'lffllllh'll+
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
77 A -Ml
7-41-1
Ll '01L 320
A. Signna�tur
X / ,w � 13 Agent
—tel ❑Addressee
B. Rec iv d by (Prints me) C. Date of Delivery
�a✓'ar %- /7->n 11/ ( /Z(;, -)
D. Is delivery address different from item 1? ' ❑ Yes
If YES, enter delivery address below: ❑ No
Service Type
El Priority Mail Expresso
I
III'
III
II
I III
I
II
'
III
I
I I I I
❑ Adult Signature
L1
❑Registered MaiIT"^
❑ jduIt Signature Restricted Delivery
❑ Re i tered Mail Restricts
�ery
9590 9402 2156 6193 8129 70
ertified Mailo
❑ Certified Mail Restricted Delivery
;Return Receipt for
❑Collect on Delivery
Merchandise
9- Article Numhar !Transfer from sarvirP lahall
❑Collect on Delivery Restricted Delivery
0 Signature ConfirmationT^
Tail
11 Signature Confirmation
7015 0 6 4 0 0004 1077
3641 Jail Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
tNONE MEN ONO 0 NONE 0 0 0 0 seems@@
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits. _
1. Article Addressed to: /
A. Sig t
❑ Agent
❑ Addressee
B. Re eiyed by'�^^'"� nlamal C. Date of Delivery
or .. -
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: 0 No
3. Service Type
Li Priori mau cxp,---
❑Registered MailT^
III�III�I I'll lel
I III�I
III I
III'IIII
III Illlli
III
❑ Adult Signature
Xu p6ult Signature Restricted Delivery
❑ Re is' Mail Restricted
every
9590 9402 2156 6193 8132 50
Certified Mail®
❑Certified Mail Restricted Delivery
Return Receipt for
Merchandise
j
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
p Signature ConfirmationM
E3 Signature Confirmation
2. Article Number
(Transfer from SRI Wre- IahaO
0 0 0 4 10?? 3 610
Aail
Aail Restricted Delivery
Restricted Delivery
7 015
0640
— -
-------"-""-
Domestic Return Receipt
PS Form 3811,
July 2015 PSN 7530-02-000-9053
0000MON on MEN 01000000010000
Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label),
for an electronic return receipt, see a retail
■ A unique identifier for your mailpiece.
associate for assistance. To receive a duplicate
■ Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPS® -postmarked Certified Mail receipt to the
■ A record of delivery (including the recipient's
signature) that is retained by the Postal Service"
retail associate.
Restricted delivery service, which provides
for a specified period.
delivery to the addressee specified by name, or
to the addressee's authorized agent.
Important Reminders.
Adult signature service, which requires the
■ You may purchase Certified Mail service with
signee to be at least 21 years of age (not
First -Class Mail®, First -Class Package Service'%
available at retail).
or Priority Mail° service.
- Adult signature restricted delivery service, which
■ Certified Mail service is not available for
requires the signee to be at least 21 years of age
international mail.
and provides delivery to the addressee specified
■ Insurance coverage is not available for purchase
by name, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retail).
of Certified Mail service does not change the
■ To ensure that your Certified Mail receipt is
insurance coverage automatically included with
accepted as legal proof of mailing, R should bear a
certain Priority Mail items.
USPS postmark. If you would like a postmark on
■ For an additional fee, and with a proper
this Certified Mail receipt, please present your
endorsement on the mailpiece, you may request
Certified Mail item at a Post Office' for
the following services:
postmarking. If you don't need a postmark on this
Return receipt service, which provides a record
Certified Mail receipt, detach the barcoded portion
of delivery (including the recipient's signature).
of this label, affix it to the mailpiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
j Receipt, attach PS Form 3811 to your mailpiece;
IMPORTANT. Save this receipt for your records.
Ps Form .3800, APN[ 2015 (Reverse) PSN 7530.02.000-9047
USPS TRAC�yKtING_#
=1119590 9402x2156 6193 8132 50
United States •Sender:
Postal Service Please print your name, address, and ZI
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
CITY OF CAPE CANAVERAL
City Clerk's Office
P. 0. Box 326
Cape Canaveral, FL 32920-0326
in this box*
lirirllrltiliiill=���=lii=lilt=III 111x1,11-1111=iiilli=il,t,)IIii
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Antonio J. Alban---
(`� �_..� b
NameD)
'-
(2) 7515 Ridgewood Ave. Apt. 14
Address (number and street)
NOV 0 3 2017
N I
Cape Canaveral, FL 32920
City, State, Zip Code
���'—TT /0 /,Op-
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: 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 / 21 / 2017 To
11 / 02 / 2017 Report Type: 2017 G7
✓❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 645. 00
Expenditures $ 549.75
Loans $
Transfers to
Office Account $
Total Monetary $ 645. 00
Total Monetary $ 549. 75
In -Kind $
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 1 835 00
$ 734 , 69
(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) Antonio J. Alban
(Type name) Antonio J. Alban
❑ Individual (only for IE E] Treasurer ❑ Deputy Treasurer
Q Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X�
Signature
Signat e
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Antonio J. Alban
(1) Name (2) I.D. Number
10 21 2017 11 2 2017
(3) Cover Period / / through / / (4) Page
1 1
Of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
10 27 2017
Ajay Joshi
3318 Ferncliff P1 NE
Atlanta, GA 30324
I
Radiologist
CHE
$500.00
1
10 27 2017
Lorraine Rendon
879 Yorktowne Dr.
Rockledge, FL 32955
I
CAS
$45.00
2
10 27 2017
Pam Dirschka
495 Arbor Ridge Lane
Titusville, FL 32780
I
CAS
$100.00
3
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1) Name Antonio J. Alban
(3) Cover Period 10 / 21 / 2017 through 11 / 2 / 2017
(2) I.D. Number
(4) Page 1 of
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(g)
Sequence
Number
NONE
DS -DE 13A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio J. Alban (2) I.D. Number
(3) Cover Period 10 / z1 2017 through 11 / 2 / 201 (4) Page 1 of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
10 23 2017
The Paramount Group
1110 Hwy AIA
Satellite Beach, FL 32937
ECC
$236.00
1
10 26 017
Staples
3155 Columbia Blvd.
Titusville, FL 32780
ECC
$69.54
2
10 26 2017
Staples
3155 Columbia Blvd.
Titusville, FL 32780
CAN
$6.13
3
10 31 2017
Dynamic Seven, Inc.
3700 S. Hopkins Ave.
Titusville, FL 32780
ECC
$153.08
4
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
1 Antonio J. Alban
() Name (2) I.D. Number
(3) Cover Period 10 21 2017 through
11 / z / 2017
(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)
Related
Expenditures
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
NONE
DS -DE 14A (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
City of Cape Canaveral
105 Polk Avenue
P.O. Box 326
Cape Canaveral, FL 32920
(321) 868-1220
www.cityofcapecanavera1.org
Cash Receipt,
Cash Receipt #: Date: j 031
Cash Received From
1(7 1017 0
For
I -6P
Total Amount Due
Amount Received
Payment Received Balance Due
\� ci'i' - tmitIZIG tItAL -:;--
Cash
Check V #
City Employee
CANAV
CITY OF CAPE
CityC r 'a O�c�ERAIPO�lgQ
P. 0. Box 3X z
Cape Canaveral, Fl. 32920 2 1P $006-560
551
701,5 0640 0004 1077 3634 0000241FROM
OCT 17 2017
MAILED FROM ZIP CODE 32920
MR ANTONIO j. ALBAN
7515 RIDGEWOOD AVE, #14
Cape Canaveral, FL 32920
I ;
'f
RETURN TO SENDER
UNCLAIM=D
UNABLE TO r-ORWARD
i
*1261-03491-17-40
_ 2 6
4 apu3Y OC. 32-320032626 ii++SS 1tFi i1i -[[0D}}'";F '�91".4t -�i l�'1 �)
.r`'`Y'.Y»'•..?: i'x4+ >'��,y�c.•r..L�w. ( 'f11;iai I'� Ili�� I llifj�;�9Ll�I I�„IS�i 411�111
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Antonio J. Alban
7515 Ridgewood Ave., #14
Cape Canaveral,FL 32920
A. Signature
❑ Agent
X ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se Ice Type
® Certified Mail® [Ijilriority Mail Express'"
❑ Registered In Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. 7015 0640 0004 1077 3634
PS Form 3811, July 2013 Domestic Return Receipt
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Antonio J. Alban EF EIVOVYLE;)
Name
(2) 7515 Ridgewood Ave. Apt. 14 FEB 0 7 2018
Address (number and street)
Cape Canaveral, FL 32920 srtA o ?�.s
2613
City, State, Zip Code �-�-�
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
[' Candidate Office Sought: 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 / 3 / 2017 To 2 / 5 / 2018 Report Type: 2017TR
0 Original ❑Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 0. 00 Expenditures $ , 791 . 46
Loans $ , , 0. 00 Transfers to
Office Account $ , , 0. 00
Total Monetary $ , 0. 00
Total Monetary $ , 791. 46
In-Kind $ , 0. 00
(8) Other Distributions
$ 0 . 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 1 , 920 . 00 $ 1 , 920 . 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)Antonio J. Alban (Type name)Antonio J. Alban
❑Individual(only for IE LI Treasurer ❑ Deputy Treasurer I]Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X//
0
Signature Signat e
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Antonio J. Alban
(1) Name (2) I.D. Number
11 3 2017 2 5 2018 1 1
(3) Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
N/A
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1)Name Antonio J. Alban (2) I.D. Number
(3)Cover Period 11 3 2017 through 2 5 2018 (4) Page of
(5) (7) (8) (9) (1 0) (11)
Date Name of Financial
(6) Institution
Sequence Street Address& Transfer Nature of
Number City,State,Zip Code Type Account Amendment Amount
N/A
I
I/
/
/
1
1
DS-DE 13A(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio J. Alban (2) I.D. Number
(3)Cover Period 11 / 3 / 2j through 2 / 5/ 2018 (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
Alban, Antonio Jose Reimbursement for
12/15 '6017 7515 Ridgewood Ave. Apt. 14 campaign mailings.
Cape Canaveral, FL 32920
RMB $771.46
1
2/ 2 /2018 Alban, Antonio Jose Reimbursement for
7515 Ridgewood Ave. Apt. 14 campaign mailings.
Cape Canaveral, FL 32920
RMB $20.00
2
/ /
/ /
/ /
/ /
/ /
1 /
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
Antonio J. Alban
(1) Name (2) I.D. Number
(3) Cover Period 11 / 3 / 2017 through 2 / 5 / 2018 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11) (12)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence Street Address& contribution to a Related Distribution
Number City,State,Zip Code candidate) Expenditures Amendment Amount Type
N/A
/ /
/ /
DS-DE 14A(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Aa�"n't6 AL�
is
(�
PlIa,�
� Q-dd Ave. p, Iq
Come, C ravQ ckI � L 32-9 ZG
D
FEB
Cor Ca.,�o.verat Gly Cerk
los P4 Aw-
Cc,,e CovraJ, FL 329 2-0
7USAR E, IT18 W
0sPs
a2 :-,:2CI--:D-C10 -,,-,S— 1N„1J,X11,IV),I„ ill ,1,,,I,,1,,►jiit, i„1,11111]11+,1111it, 11