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HomeMy WebLinkAboutQualifying Packet & Campaign Treasurer Reports BHCITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD I, o--gee-r X• 4ef , previously announced my candidacy for Mayor and do hereby acknowledge receipt of additional materials as follows: • Form DS-DE 3 02N (Rev. 11/17), Candidate Oath —Nonpartisan Office • City Oath of Candidate • CE Form 1 (Effective January 1, 2018) Statement of Financial Interests and Instructions • 2018 General Election Canvassing Board Dates I understand to have my name appear on the November 6, 2018 Municipal Election Ballot, I must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins on August 10, 2018 at noon and ends August 24, 2018 at noon. Robert E Hoog 8-13-2018 Signature Date OFFICE USE ONLY RECEIVED AUG 13 2018 Enter Date By: CCO DL 11:55 AM and Initials of Clerk's Office Staff Member CANDIDATE OATH — D NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) AUG 13 2018 Check box only if -you are seeking to qualify as a write-in candidate: By.-- Write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) (Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed on the ballot, ,tthe ,name must be printed above for oath purposes.) am a candidate for the nonpartisan office of / "¢/ (411-1; ✓ PIF 4, 104"Aw --- (Office) a (District#) I am a qualified elector of 3'Iee& 'ep 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 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. Candidate's Florida Voter Registration Number(located on your voter information card): 10d ZDi 3 Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities(see instructions on page 2 of this form):[Not applicable to write-in candidates.] Signature of Candidate Telephone Number Email Address 210 rjo/J (• C+ 13aJAV 2 -L 1Zal Z Address City State ZIP Code STATE OF FLORIDA Si ature o otary lic COUNTY OF t re(O.4f2/ Print,Type,or Stamp Commissioned Name of Notary Public below: / Mia Goforth Sworn to(or affirmed)and subscribed before me this SIN NOTARY PUBLIC day of 1/5STATE OF FLORIDA 20 l V Comm#GG083783 Personally Known: orProduced Identification: NCE 191Expires 5/1.6/2021 Type of Identification Produced: DS-DE 302NP(Rev. 11/17) Rule 1S-2.0001, F.A.C. 'Compound Last Names If your last name consists of two or more names and has no hyphen, check the box in the Candidate Oath section. If you fail to check the box, your name will;be listed with the'name appearing last on the line. Example: John Jones Smith— If the last name has no hyphen and you do not check the box, the last name on the ballot would be"Smith". If you check the box, your last name would be listed on the ballot as"Jones Smith." If you have a hyphen within your last name, the last name would be listed as"Jones-Smith". Guide for ,Designating Phonetic Spelling of Candidate's Name for Audio Ballot 1. Use tables below. 2. Use upper case for"stressed" syllables. Use lower case for"unstressed" syllables. 3. Use dashes (-)to separate syllables. 4. Add any notes such as rhyming examples, silent letters, etc. Vowels Stressed Vowel Sounds Unstressed Vowel Sounds EE (FEET)feet uh (SO-fuh)sofa(FING-guhr)finger I (FIT)fit E (BED).bed A (KAT).cat(KAD) cad AH (FAH-thur)father(PAHR) par AH (HAHT) hot(TAH-dee)toddy UH FUHJ)fudge (FLUHD)flood UH (CHUHRCH)church AW (FAWN)fawn Certain Vowel Sounds with R U (FUL)full AHR (PAHR) par 00 (FOOD)food ER (PER) pair OU (FOUND)found IR (PIR) peer O (FO)foe OR (POR) pour EI (FEIT)fight OOR (POOR) poor AI (FAIT)fate UHR (PUHR) purr OI (FOIL)foil Y00 (FYOOR-ee-uhs)furious Consonants B (BED)bed R (RED)red D DET debt S SET set F FED fed T TEN ten G (GET)get V VET vet- H (HED)head Y (YET)yet HW (HWICH) which W (WICH) witch J (JUNG)jug CH CHUCRCH church K (KAD)*cad SH (SHEEP) sheep L (LAIM)lame TS (ITS) its(PITS-feeld) Pittsfield M (MAT)mat TH (THEI).Thigh N (NET)net TH (THE]) Thy NG SING-uhr)singer ZH (A-zhuhr) azure VI-zhuhn vision P (PET)pet Z (GOODZ)goods(HUH-buhz-tuhn) Hubbardston Examples of Phonetically Spelled Names NAME ON BALLOT PRONOUNCED AS Mishaud mee-SHO(V is silent) Jahn HAHN(rhyme:fawn) Beauprez boo-PRAT(rhyme:hooray) Maniscalco man-uh-SKAL-ko Tangipahoa TAN-ji-pah-HO-uh Monte Mahn-TAI Tanya TAWN-yuh(not TAN) Do not submit this page to the filing officer. DS-DE 302NP(Rev. 11/17) Rule 1S-2.0001, F.A.C. g4pCE NO, go I RORN9 AUG 13 2018 ( ` e,.«.. ., y. NP OATH OF CANDIDATE 4!F. ° do solemn/ , y swear or affirm that I am qualified under the City of Cape Canaveral Charter and Ordinances to hold the Office of Mayor, to which I desire to be elected and I will support the City of Cape Canaveral Charter and Ordinances. Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this day of August, 2018 by who is rsonally known r produced Identification. Mia Goforth t o+NOTARY PUBLIC g STATE OF FLORIDA 1 Commix GG083783 Signature of otary Public s cE,9 Expires 5/16/2021 Print,type or stamp Commissioned Name of Notary Public FORM 1 STATEMENT OF 2017 Please print or type your name,mailing . FINANCIAL INTERESTS FOR OFFICE USE ONLY. address,agency name,and position,below: LAST NAME--FIRST NAME--MIDDLE NAME: yq MAILING ADD SS: 3 CITY.' .ZIP: COUNTY: AUG 13 2018 NAME OF AGENCY NAME OF OFFICE OR POSITION HELD OR SOUGHT: BY: You are not limited to the pace on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** 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): f3 DECEMBER 31, 2017 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE 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 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 o(' CEeT/ iG &oeP. /0 Atj, PART B— SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] 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 p IVIA PART C—REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") FILING INSTRUCTIONS for when / and where to file this form are OSIt .tl l Q / 2 Z v located.at the bottom of page 2. INSTRUCTIONS on who must file Z 'Y, 0,6 (%(O' 'aliff, 7-9z7 this form and how to fill it out Ir begin on page 3. ,,)x . a 2, 3;M J& . ZSSZ CE FORM 1-Effective:January 1,2018 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1),F.A.C. PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions] (If you have nothing to report,write"none"or'Wa") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ST cr Sa 14se- 3.o IVK o/1 /3rga z f t PART E—LIABILITIES [Major debts-See instructions] (If you have;nothing to repor ,,w to "none"or'Wa") " NAME'OF-CREDITOR "; a ADDRESS OF CREDITOR 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'Wa") __.... BUSINESS ENTITY#1 BUSINESS ENTITY#2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY A t! PRINCIPAL BUSINESS ACTIVITY /► /V 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. R I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473,or attorney Signature: in good standing with the Florida Bar prepared this form for you,he or i she must complete the following statement: I, prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes,and the instructions to the form.Upon my reasonable knowledge and belief,the disclosure herein is true and correct. Date Signed: CPA/Attorney Signature: Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers. Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY:A candidate who files a Form form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission under, see page 3 of instructions. or Supervisor of Elections. Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially, each local officer/employee, state officer, of the county in which they permanently reside. (If you do not and specified state employee must file within 30 days of the permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment. where your agency has its headquarters.) Form 1 filers who file with Appointees who must be confirmed by the Senate must file prior to the Supervisor of Elections may file by mail or email. Contact your confirmation,.even if that is less than 30 days from the date of their Supervisor of Elections for the mailing addressor email address to appointment. use. Do not email your form to the Commission on Ethics, it will be returned. Candidates must file at the same time they file their qualifying State officers or specified state employees who file with the papers. Commission on Ethics may file by mail or email. To file by mail, Thereafter,file by July 1 following each calendar year in which they send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions. 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1 F) within 60 days of Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment.'Filing a CE Form 1 F(Final Statement your completed form and any attachments as a pdf(do not use any of Financial Interests)does not relieve the filer of filing a CE Form 1 other format) and send it to CEForml @leg.state.fl.us. Do not file by if the filer was in his or her position on December 31,2017. both mail and email. Choose only one filing method. Form 6s will not be accepted via email. CE FORM 1-Effective:January 1,2018. PAGE 2 Incorporated by reference in Rule 34-8.202(1),F.A.C. 7 City of Cape Canaveral 105 Polk Avenue P.O. Box 326 Cape Canaveral, FL 32920 (321) 868-1220 www.cityofcapecanavera1.org Cash,Receipt #: Cash Received Fro'ro}Jc ] (-e For Z?2-r2 ,erS" . Payment Received Cash Check - ' Total,Amca irtt Shlah a Due ®ate: X111 'e a City Employee CAMPAIGN TREASURER'S REPORT SUMMARY rill ir , .. r-.), ' ' ,. Name D (2) D f67'tE SOA/ AV. SEP 4 2018 Address(nu ber and street) ` U cag , ly,ziv efo-L 4 ZS2a - r r . City, State, Zip Code 1 ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): /J andidate Office Sought: /ifJ02`- 6'2 a,L/4 fir R -2- 0 ❑Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded 0 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 og I Q I I I To 40? I 3/ I /g Report Type: aZ 1 g-'b 2 Original ❑Amendment 0 Special Election Report (6) Contributions This Report (7) Expenditures This Report ° f Monetary Cash &Checks $ , , 1400 00 Expenditures $ , , 3 I g . '/g Loans $ , - Transfers to Office Account $ , , - Total Monetary $ , , yoy . 042 Total Monetary $ , 3 j F . 7e In-Kind $ , , (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , / , //OD . oc' $ , , 02-`i . 7 (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) 411e,, r. ( " (Type name) -. PST g", 1-kol Individual(only for IE 0 Treasurer 0 Deputy Treasurer 0 Candidate 0 Chairperson(only for PC and PTY) _: or electioneerin .) i - i / 4 . : ,.moi X .. X Signature Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name E.r E. /foo (2) [.D. Number >- (3)Cover Prod D 5 101 I /e' •through 0 8 1 3/ I /g (4) Page / of 1 (5) (7) (8) (9) (10) (11) 1 (12) Date Ful Name (6) (Last,Suffix,First,Middle) . Sequence Street Address& Contributor Contribution in-kind Number City,State,Zip Code Type Occupation Type Description Amendmant Amount 8 (03 , /g boA16, 18J., N /Do.o0 393 / e4PE. C34 iAvJZ.4()r(. 3z9Za `L/,/-/. lNOR2l 3c)AZ q / 3D 1 /g is.K. (toele.156>A( Q93I I-4 KC. D2 c1 /oo.00 a QAPC C'PN4vZ2a(_,FT 321Zv t 1 50 I /g ,-7: I. a rE PPSO,T 578 01-54 3 ELL-A-De CAPE C'✓ N4 JE , J CIF 4200.crD 3 3z ' - t 1 / / / I I / I DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name (2)M. Number s Cover Period : v 'Of /ot'iv CS 3 i 70. 7 r ( I tJ o / v through v / -) 1 o(V(O (4)Page / of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix, First,Middle) (add office sought if Sequence Street Address& contribution to€ Expenditure Number r„State,Zip rCode rate) Type wiiiettdir- tri— Av 1O IIt .... i.Ta:rariwae - 06/02 y a7 o2rt► rtw - .Av „DI.f /1 J,4e'At 27/ 78 90,66-Ity e'E& d- ./7z7. / / / ii DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS i II) Name o rr E. (40oq (2) I.D. Number (3) Cover Period orio( II( through 00/ 3/ / /1 (4) Page / of (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 "Rdft/g rz04 6,7)_. /, 63.00 Avaunt Av; A0/471 271. 7 e4,06, CemlAvgaw, FI, 64-A7 Ofry OapNAV ( a /3' 47.00 ?rpm DW3 I IC' /Do ("«e Z 3Z,Zo / / / I / / / 1 I I / OS-DE 14A(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES mw aim wig WAIVER OF REPORT ` SEP 1 7 2018 (Section 106.07(7), F.S.) (PLEASE TYPE) i ' By: -- - rf:- 4 c Aci Name Office Sought 2/D ,72:F Eesado 4v, d,Q" e4- /4 & 2-C , (-(- 3Z zo Address City State Zip Code Candidate El 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) 0 MONTHLY REPORT El PRIMARY ELECTION Er-GENERAL ELECTION E] OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G 2 as applicable: 0 ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF Off'- 0 1 - i g THROUGH 09 - i 4- i /3 9- /7-/,r •nature Date X4--- ,- ign7' -77- 71 ature Date REQUIRED SIGNATURES FOR: Candidates: Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Political Committees: Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) _ , Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or received)the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87(Rev. 06/15) I CAMPAIGN TREASURER'S REPORT SUMMARY '.1 , r% .f. E1V' ) D Y 2 Na /© _J f'EE.S O SEP 2 8 2018 A ress (num er and street) City, State, Zip Code By:— _ 11 Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 4,4 L Candidate Office Sought / 1;/#'c . G/TP' a/ 4,f,4 vz' ❑Political Committee(PC) ❑ Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure(IE) (also covers an 0 Check here if no other lE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers / To ( I g I i Report Type: 3 Cover Period: From n / I S I Z 0 Original 0 Amendment ❑Special Election Report r-- .; (6) Contributions This Report (7) Expenditures This Report ___ Monetary Cash &Checks $ , , . Expenditures $ , , .-Yi0 • 16 Loans $ • , Transfers to Office Account $ , , - Total Monetary $ 0 , 0 , 0 . C y Total Monetary $ , '190 • 26 In-Kind $ f7 • (8) Other Distributions $ , , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , / , 2oo . v® $ , , -9O . 2,0 (11) Certification It is a first degree misdemeanor for any person to falsify a public record(ss.839.13,F.S.) I certify that I have examined this report and it true,correct, and complete: (Type name) aS r >~. ©o c (Type name) T £ 140.G. ' 0 Individual(only for lE ❑Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY) --'; or electioneering a•• - .) e. ‘7 r Signature Signature SEE REVERSE FOR INSTRUCTIONS DS-DE 12(Rev.11113) CAMPAIGN TRASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name {7O75e✓'T Lam, /-1-0 66-' (2)I.D. Number .-- 1 ( ) (3)Cover Period 0 / /5 1 /X through 09 1 ,qK I /Er. (4) Page / of / (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 N 1° / `r' ' ` 0.z Jo5Do AL/ e .r,-)p4 6 Al 64 n/ / aApc- 04n/AVE iz/a-L, Z9ZC7 Phyg25 / 1 ( ) 1 / / 1 1 / ,--- I l DS-DE 14(Rev. 11)13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S/ REPORT - ITEMIZED DISTRIBUTIONS 1) Name r7- I -loC7c (2) I.D. Number (3) Cover Period 09 GC- / /g through 09 12g/ ler (4) Page /- of / (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 -Ro.JEE2 Rid/7;04 p; soy Arta0,f vqi bl/ l 04 PC- ea- -e e(. C/41-A7 3z9ZO I I / / I / / 1 1 I I I I DS-DE 14A(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY !Tit, ri. Name , ---) cf&(')-- E. goo E to a i v igai (2) c9 1O ___TE O -A V. OCT 0 8 2018 a Ad ess (number and street) _k e- g/iJ.4U /226 4/ 3Z5 City, State, Zip Code / y: 6)/( 0 Check here if address has changed (3) ID Number: (4) Check appropriate box(es): / / a,,,,,,,,,,( ,andidate Office Sought: Afa'g g 7 0 Political Committee(PC) ❑ Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded 0 Party Executive Committee (PTY) 0 Check here If PTY has disbanded 0 + IE) (also here if IE orW reports will be filed U independent Expenditure(IC) covers an 0 Check no other aa.. iv aclrww ensu.va....... individual making electioneering communications) (5) Report identifiers Cover Period: From , / /5 / /f To o4 I gel /[r Report Type:,70/e --3 0 Original Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary —"Cash &Checks $ , , Expenditures $ , . _26 Loans $ _ Transfers to Office Account $ , , Total Monetary $ 0, a , 0 - D Total Monetary $ , , +90 . o2,60 In-Kind $ _ • -_ (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ it 1 # 400, O ) I $ , / , 2.19 5 3 (11) Certification It Is a first degree misdemeanor for any person to falsify a public record(ss.839.93,F.S.) I certify that I have examined this report and it is true,correct,and complete: Niti),---17.— !J(Type name) , . 00 C it (Ty rne) CI individual(only far IE 0 Treasurer 0 Deputy TreasurerCandidate 0 Chairperson(only for PC and PTY) or elecctionee -comm.) , 5C / ISignature Signature 1 DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS WAIVER OF REPORT OCT 08 2018 ry (Section 106.07(7),F.S.) V (PLEASE TYPE) e F R OFFICE USE ONLY ?1rT E_ /4-or> 6. /1102, (7/T/z7a ( 1P .4-Nnve'2AL Name Office Sought o2/0 ` ' =f2 i e.) 4u, e, . ,4 ti,4 V rz,4-c 32_ q 2.- Address ZAddress City State Zip Code r Candidate El 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.). 0 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) 0 MONTHLY REPORT Q PRIMARY ELECTION 'ENERAL ELECTION 0 OTHER REPORT TYPE , indicate report# Indicate report# Indicate report# Indicate report type and# as applicable: M P G "7 ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 9 - z F-/ THROUGH / _ 5 - r S. X / - /v --ods— /F S4 re Date X / /o —oar /er nature 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: 1 Treasurer and Chairman(s. 106.29(2),F.S.) '- _-' Except as noted above for an ECO,in any reporting period when there has been no activity in the account(no funds expended or received)the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87(Rev.06/15) Larrrvl WAIVER OF REPORT p ._ _ (Section 106.07(7), F.S.) OCT I t ani (PLEASE TYPE) 3=2 CaD/di/OFFICE USE ONLY P Name Office Sought 07D fli 4.tp,t/ A &,f— aA,,zivReaz, c( 3z9zO Address City State Zip EKandidate Q 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) 0 MONTHLY REPORT 0 PRIMARY ELECTION 0 GENERAL ELECTION 0 OTHER REPORT TYPE f Indicate report# Indicate report# Indicate report# Indicate report type and# M P G S as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION . NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF /O/o 0..//F- THROUGH /6//2// g` Ad X (• g /9 %oi£ SIS ure Date X (9j. /5 ooP 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. 10629(2),F.S.) ` A '..---' Except as noted above for an ECO,in any reporting period when there has been no activity in the account(no funds expended or received)the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87(Rev.06!15) D s i WAIVER OF REPORT 1 OCT 2 6 2018 mg [i r ii (Section 108.07(7),F.S.) (PLEASE TYPE) i /del eCSC/ 1 1 ----F,Z.,,r-r- I-, I:40EL)- PA ilt) e q Name Office Sought a/0 _TE frso,) y.tz. Address City State Zip Code Gndidate 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.). 1i Check here if address has chanced since last report, E 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 0 PRIMARY ELECTION 1 /GENERAL ELECTION 0 OTHER REPORT TYPE i ',11811' Indicate report# Indicate report# indicate report# Indicate report type and# M P G.,;?0W6 as applicable: 1 1 6 U TERMINATION REPORT j i SPECIAL ELECTION 0 NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF i /0 - / 3 Z o / gTHROUGH /0 '/ -46/ c X /0 - - /CK 'nature Date X /6 - A /‘) - 4-7- ' -/S7 Signature ne.eWC&`W. 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. 10629(2), F.S.) I 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.08/15) DRONNE_ B NOV 0 2 2018 WAIVER OF REPORT LJ (Section 106.07(7),F.S.) rCD 2 '82, (PLEASE TYPE) By C f OFFICE USE ONLY ro.hrr dr. /744( riilaie. Name . Office Sought • Z'OeThg,4' eSem/ Av (?PE (i.✓4✓6e44 eZ , 3Z?2,0 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. El 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 fl PRIMARY ELECTION rilENERAL ELECTION 0 OTHER REPORT TYPE ,.,,_ Indicate report# Indicate report# Indicate report# Indicate report type and# M P G T'"2619as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF /0/2.072-,o/ THROUGH /1/4/[z..o !g 4 , / ,, ,/, // /ADre / Signature Date .40 /// /1Zo/1? 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.10629(2),F.S.) ExcO, ing period there hin haunt(no fexpended or received) eptas thenoted fiaboveling offor thean reqECuired in report anyreportis waived. Howeverwhen,the filingas obeenfficerno must beactivity notifitheed inccowriting on theunds prescribed reporting date that no report is being filed. DS-DE 87(Rev.06/15) CAMPAIGN TREASURER'S REPORT SUMMARY MARY r ) 79,1V1---- f: 171001 Name E'CELE 1 (2) 27 d -i g izs_o‘o 4v. Address (number and street) z NOV 0 9 2018 a6 aA✓'Pa L 3 5'Z City, State, Zip Code - / vv .moi ws - ❑ Check here if address has changed (3) It, ' ! •- . (4) Check appropriate box(es): Eandidate Office Sought Aha e T‘r 1 (o0f 6- 0 tTEa. ( F/. Political Committee(PC) ❑Electioneering Communications Org.(ECO) 0 Check here if PC or ECO has disbanded 0 Party Executive Committee(PTY) 0 Check here If PTY has disbanded 0• 1E) (also Check. if It or reports quill be fled i__.l independent Expenditure(l covers an 0 here a no other s>_ EC acrvaas .a.:..... ...... individual making electioneering communications) (5) Report identifiers Corr Period: From /1 / 62. I„Zoa To l ( / D q I oRO/g Report Type: 20/87-i< [ riginat 0 Amendment 0 Special Election Report —. (6) Contributions This Report (7) Expenditures This Report (7--)-.. Monetary 1 mash &Checks $ , Expenditures $ , , r ' . 41 Loans $ _ , Transfers to Office Account $ , , Total Monetary $ , 0 Total Monetary $ , , /go . 47 In-Kind $ _ _ - (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , / , yoo . o0 $ , 1 you . 0 0 (11) Certification It is a first degree misdemeanor for any person to falsify a public record(ss.839.13,F.S.) I certify that I have examined this report and it is true,correct,and complete: ( (Type name) ?d.herr k. 16 (Type name) ".. ,a y Q Individual(only for lE 0 Treasurer 0 Deputy Treasurer 0 Candidate D Chairperson(only for PC and PTY) ( or etectioneenn rmm.) I x __I x /4,--0.--/--.34-0/ Signature Signature I DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS ( ) Name akrl F. 14006 (2) I.D. Number (3) Cover Period // / 1.)x 1;40/5/ through 1/ / COCJ 1a01S (4) Page / of / (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 /J/jiTE.b WA i 17►s7,i?LCT va /I / 9118 I o zo c€Dee •Ziv c: 4AJ RocleL e) 32.'95.5- ONA L' / I I 1 I I / / / / / / / / DS-DE 14A(Rev.17/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name i.ceT E. /-teo‘.-- (2)LD. Number CoverPeriod / / through / / D4 /a©lg 1/ OZ 2O I! / (3) (4) Page / of (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 // MAO if /01/®T Wxi y ,sre, ut,c;,,,3//Do Kee 6E. 7iv'ct © f' / POC- (-Ed?,/ Ft. 32 6S F' n' 5 Call' $I . 7 / / / / / / / / / / / / I / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES