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HomeMy WebLinkAboutQualifying Packet & Campaign Treasurer Reports BPAPPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. RECEIVED AUG 23 2018 By: MG OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): X- Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) Buzz Petsos 3.Address (include post office box or street, city, state, zip code) 618 Madison Ave Cape Canaveral, FL 32920 4. Telephone 5. E-mail address (321) 243-1122 buzzpetsos@gmail.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Mayor, City of Cape Canaveral applicable: My intent is to run as a Write-In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a Write-In ❑ No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my X- Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 11. Mailing Address 12. Telephone 618 Madison Ave (321) 243-1122 13. City 14. County 15. State 16. Zip Code 17. E-mail address Cape Canaveral Brevard FL 32920 buzzpetsos@gmail.com 18. I have designated the following bank as my X- Primary Depository ❑ Secondary Depository 19. Name of Bank 20.Address Sunrise Bank 5604 N. Atlantic Ave 21. City 22. County 23. State 24. Zip Code Cocoa Beach Brevard FL 32931 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Signature of Candi 8/23/18 X- Buzz Petsos 27. Treasurer's cceptance of Appointment(fill in the blanks and check the appropriate block) I , Buzz Petsos , do hereby accept the appointment (Please Print or Type Name) designated above as: X- Campaign Treasurer 0 Deputy Treasurer. 8/23/18 X- Buzz Petsos Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. THE SPACE BETWEEN CITY OF CAPE CANAVERAL, FLORIDA ANNOUNCEMENT OF INTENTION TO BECOME A CANDIDATE FOR OFFICE I, Buzz Petsos , hereby declare and announce my intention to become a Candidate for the office of Mayor in the City of Cape Canaveral General Election on November 6, 2018. I understand it is my responsibility to comply with all applicable election laws and that I must be a resident and registered voter of the City of Cape Canaveral. Buzz Petsos 8/23/18 Signature Date RECEIVED AUG 2 3 2018 By: MG Enter Date &Time Received and Initials of Clerk's Office Staff Member STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) RECEIVED AUG 23 2018 By: MG I, Buzz Petsos , candidate for the office of Mayor, City Of Cape Canaveral; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X- Buzz Petsos 8/23/18 Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84 (05/11) THE SPACE BETWEEN CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD I, Buzz Petsos , previously announced my candidacy for Mayor and do hereby acknowledge receipt of additional materials as follows: • Form DS-DE 302NP (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. Buzz Petsos 8/23/18 Signature Date RECEIVED AUG 2 3 2018 By: MG Enter Date &Time Received and Initials of Clerk's Office Staff Member THE SPACE BETWEEN OATH OF CANDIDATE I , Buzz Petsos ,do solemnly 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. Buzz Petsos Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this 23rd day of August, 2018 by Buzz Petsos , who is personally know or produced N/A Identification. Mia Goforth Signature of Notary Public Print, type or stamp Commissioned Name of Notary Public Mia Goforth NOTARY PUBLIC STATE OF FLORIDA Comm# GG083783 Expires 5/16/2021 CANDIDATE OATH — NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a write-in candidate: 0 Write-in candidate RECEIVED AUG 23 2018 By: MG OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) I, Buzz Petsos (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 O. (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, the name must be printed above for oath purposes.) am a candidate for the nonpartisan office of MAYOR, CITY OF CAPE CANAVERAL, (Office) (District#) ; I am a qualified elector of BREVARD County, Florida; (Circuit#) (Group or Seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. Candidate's Florida Voter Registration Number(located on your voter information card): 101039421 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.] BUZZ PET-SOWS X Buzz Petsos (321) 799-1876 buzzpetsos@gmail.com Signature of Candidate Telephone Number Email Address 618 Madison Ave Cape Canaveral FL 32920 Address City State Zip Code STATE OF FLORIDA Mia Goforth Signature of Notary Public COUNTY OF BREVARD Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to (or ffirmed)and subscribed before me this 23rd day of August, 2018 Personally Known: -X or Produced Identification: Type of Identification Produced: N/A Mia Goforth NOTARY PUBLIC STATE OF FLORIDA Comm# GG083783 Expires 5/16/2021 DS-DE 302NP (Rev. 11/17) Rule 18-2.0001, 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 El (FEIT) fight OOR (POOR) poor Al (FAIT) fate UHR (PUHR) purr 0I (FOIL) foil YOO (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 (W ICH) witch J (JUHG) jug CH (CHUCRCH) church K (KAD) cad SH (SHEEP) sheep L (LAIM)/ame TS (ITS) its(PITS-feeld) Pittsfield M (MAT) mat TH (THEI) Thigh N (NET) net TH (THEI) 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('d'is silent) Jahn HAHN(rhyme:fawn) Beauprez boo-PRAI(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. 11117) Rule 1S-2.0001, F.A.C. FORM 1 STATEMENT OF 2017 FINANCIAL INTERESTS Please print or type your name,mailing address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: PETSOS ARTHUR L. "BUZZ" MAILING ADDRESS: 618 MADISON AVE CAPE CANAVERAL CITY: ZIP: COUNTY: 32920 BREVARD NAME OF AGENCY: CITY OF CAPE CANAVERAL NAME OF OFFICE OR POSITION HELD OR SOUGHT: MAYOR You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF-X CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE FOR OFFICE USE ONLY: RECEIVED AUG 23 2018 By: MG **** 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): 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 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 AECOM CORP P.O. BOX 21025, KSC, FL 32815-0025 FACILITY MANAGER PART B— SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE NONE PART C—REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NONE 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, 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"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES SAVINGS ACCT BANK OF AMERICA CHECKING ACCT BANK OF AMERICA PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME;OF CREDITOR ADDRESS OF CREDITOR NONE PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions] (If you have nothing to report,write"none"or"n/a") BUSINESS ENTITY #1 BUSINESS ENTITY #2 NAME OF BUSINESS ENTITY NONE 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. ❑ 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 Buzz L Petsos "Buzz" 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 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: 8/23/18 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 address or 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 1F) within 60 days of Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1F(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 CEForm1@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. Incorporated by reference in Rule 34-8.202(1),F.A.C. PAGE 2 PART D. PETSOS, ARTHUR L. EE SAVINGS BONDS U.S.TREASURY STOCKS/ INVEST MENTS MORGAN STANLEY City of Cape Canaveral 105 Polk Avenue P.O.Box 326 Cape Canaveral, FL 32920 (321) 868-1220 www.cityofcapecanaveral.org CASH RECEIPT Cash Receip #: Date: 8/23/18 Cash Received From Buzz Petsos $ For Candidate for City of Cape Canaveral Mayor Total Amount Due 47.00 Amount Recevied 47.00 Balance 0 Payment Received Cash Check #001 MG rgf)O 7.-ef)0 , CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz Petsos Name (2) 618 Madison Ave Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code OFFICE USE ONLY RECEIVED SEPT 07 2018 CCO DL ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): X Candidate Office Sought: MAYOR ❑ 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/ 18 To 08/ 31 /18 Report Type: 2018-G1 X Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ , , 200.00 Monetary Expenditures $ , , 47.00 Loans $ , , . Transfers to Office Account $ , , . Total Monetary $ Total Monetary $ , , 47.00 In-Kind $ , , . (8) Other Distributions $ , , . 0 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , 200.00 $ , , 47.00 (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) Buzz Petsos (Type name) Buzz Petsos Individual(only for IE Treasurer ❑Deputy Treasurer X-Candidate O Chairperson(only for PC and PTY) or electioneering comm.) X Buzz Petsos X Buzz Petsos Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Buzz Petsos (2) I.D. Number (3) Cover Period 08/ 01/ 18 through 08/ 31/ 18 (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/ 23/ 18 Buzz Petsos I RETIRED CAS 208.00 01 618 Madison Ave Cape Canaveral, FL 32920 / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN REASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Buzz Petsos (2) I.D. Number (3) Cover Period 08 / 01 / 18 through 08/31/ 18 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First, Middle) (add office sought if Expenditure Amendment Amount Sequence Street Address & contribution to a Type Number City, State, Zip Code candidate) 08/23/18 City of Cape Canaveral Qualification Fee CAN 47.00 100 Polk Ave Cape Canaveral, FL 32920 01 / / / / / / / / / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz Petsos Name (2) 618 Madison Avenue Address (number and street) Cape Canaveral, FL 32920 City, State,Zip Code OFFICE USE ONLY RECEIVED SEP 20 2018 CCO DL ❑ Check here if address has changed (3) ID Number. (4) Check appropriate box(es): X Candidate Office Sought Mayor, City of Cape Canaveral ❑Political Committee(PC) ❑Electioneering Communications Org.(ECO) 0 Check here if PC or ECO has disbanded ❑Party Executive Committee(PTY) 0 Check here if PTY has disbanded 0 Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 09 / 01 / 18 To 09 / 14 / 18 Report Type: G2 0 Original ❑Amendment 0 Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , , .00.00 Expenditures $ , , 10.65 Loans, $ , , 00 00 Transfers to Office Account $ , , Total Monetary $ , , 00.00 Total Monetary $ , , 10.65 In-Kind $ , , 250.00 (8) Other Distributions $ , , 00.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $: , ,200. 00 $ , , 57. 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) BUZZ Petsos (Type name)Buzz Petsos 0 Individual(only for IE X- ❑Treasurer 0 Deputy Treasurer ❑Candidate 0 Chairperson (only for PC and PTY) or electioneering comm.) X Buzz Petsos X Buzz Petsos Signature Signature DS-DE 12 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES. (1) Name Buzz Petsos (2) I.D.Number (3) Cover Period 09/ 01/ 18 through 09/ 14/ 18 (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 09/05/18 Office Depot Business Card CAN 10.65 550 E.West St Merritt Island Cwy Merritt Island, FL 32952 01 DS-DE 14 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Buzz Petsos (2) I.D. Number (3)Cover Period 09/01/18 through 09/ 14/ 18 (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/ 07/ 18 Buzz Petsos S Candidate INK OLD Signs 250.00 01 618 Madison Ave & Cape Canaveral, FL TEE Shirts 32920 / / / / / / / / / / / / DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz Petsos Name (2) 618 Madison Ave Address (number and street) Cape Canaveral, FL 32920 City, State,Zip Code OFFICE USE ONLY RECEIVED OCT 05 2018 LD 2:50 PM 0 Check here if address has changed (3) ID Number. (4) Check appropriate box(es): X Candidate Office Sought: Mayor, City of Cape Canaveal ❑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 09/ 15/ 18 To 09/ 28/ 18 Report Type: G3 0 Original 0 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , , 650.00 Expenditures $ , , 469.50 Loans $ , , 0. Transfers to Total Monetary $ , , 650.00 Office Account $ , , 0. In-Kind $ , , 0. Total Monetary $ , , 469.50 (8) Other Distributions $ , , 0. (9) TOTAL Monetary Contributions To Date- (10) TOTAL Monetary Expenditures To Date $ , , 850.00 $ , , 527.15 (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) Buzz Petsos (Type name) Buzz Petsos X- Individual (only for IE Treasurer 0 Deputy Treasurer X-Candidate 0 Chairperson(only for PC and PlY) or electioneering comm.) X Buzz Petsos X Buzz Petsos Signature Signature DS-DE 12 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name Buzz Petsos (2) I.D. Number (3) Cover Period 09/15/18 through 09/28/18 (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/ 20/ 18 Kurt Tezel I Business RCT 100.00 01 103 Holiday Ln Owner Cocoa Beach, FL 32931 09/ 24/ 18 Keith Johnson I Business RCT 50.00 02 333 Filmore Ave Owner Cape Canaveal, FL 32920 09/ 24 /18 Wayne Elsey I Business RCT 500.00 03 Owner / / DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES .„CAMPAIGNa SURER'S REPORT—ITEMIZED EXPENDITURES (1)Name 15 xi. (2)I.D.Number (3)Cover Period 09 //J /I through 64 /,Z / //9 (4)Page / of f (5) (7) (8) (9) (10) (19) Date Full Name Purpose (s) (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/d ' Si6w )6pOT 77ts,v AL mipni. tete ; , .JAN C f'e /0(MO COW -3,0b 02- V,.54/5/ Xv T 4 Jvimrripio ovav 6 p hyl_ P,yf . oKete 6,3 SN J.04.4, C 9 3i lesc4el 9i PIA- a2,11 N. MS?: ‘V" . 1, SN CA 4c, 0.a / .ilei 09 ,/B/ rr A. e E/ )A) / / / / / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES • r • CAMPAIGN TREASURER'S REPORT SUMMARY (1) 1J V L•z, T 'I• o.S D F f ONd9! Er Name (2) . zoI e MA4.Is 'n) OCT 12 2018 Address(number and street) CA-Pg 6,>t c/ t- i f'-, 3 Z D:`4C6. City, State,Zip Code ❑ Check here if address has changed (3) ID Number. (4) Check appropriate box(es): n/ hisCandidate Office Sought V)i Y13 4/ Cery AC Clioe ( tnVEizn(- Political Committee(PC) , ❑Electioneering Communications Org.(ECO) 0 Check here if PC or ECO has disbanded ❑Party Executive Committee(PTY) 0 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 C'Y4 / 2R / f 8 To f 0 / 6/ / /€. Report Type: ❑Original 0 Amendment •❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , '26-.- ®d Expenditures $ , , 9 l i • 64( Loans $ , , gt t)- ©6 Transfers to Office Account $ , - Total Monetary $ , / ., 3 6 6 Total Monetary $ 9// . (o L In-Kind $ (8) Other Distributions 0 $ , , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ q- p $. , , I3s . i9 z, t '75' - qp J 1 (11) Certification It is a first degree misdemeanor for any person to falsify a public record(ss.839.13,F.S.) I certify that I have examined this report and it is true,correct,and complete: (Type name) (Type name) 0 Individual(only for IE %Treasurer 0 Deputy Treasurer Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) X Cl.,1 ? . - ' X )1i— Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS • CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name fR` 7.. PaT.50.5 (2) I.D. Number (3)Cover Period ©9 / 2' / 49 through /0 / ® / (4) Page Z of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount (0 / / /i) tbveze ,29zp /0 Joky -2,1s / e-Puov ge• I Snv4CS 560,06 AltA1101229 e L awe JO / o9 , /R P6-G9/ 6-4r 2/9 c.Ay fy Paurt-PO, ,e i- .P erg 25.00 Cst 03 fzo DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES • CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name U1 P6T.1-0.$ (2)I.D.Number (3)Cover Period 09/ 2 Q / through `0 / 012/ /15) (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 /D/L/4 Qs:54//6 s /G • jj26 144 h 4. (vej• 12ec//vrgi;,5 Win/' aaVi /6, QJ FY►& hove / ` 295'5" .5-cite/OA; Ape Zila l© 2-/113 07 frAcilertede L'PcrOA/ G 32.9 z z wosz pcap cS c 282, y $ / / / / DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) 13 V z,z_ Wim('.5O,5v-s --; Name D t (2) 6 /8 /1 R.Pts A OCT 19 2019 Address(numbye r and street) all C./i%okv 112-i L- 3z92® J City, State,Zip Code C-e . a'' 2`S2/° ❑ Check here if address has changed . (3) ID Number: (4) Check appropriate box(es): / 12 Candidate Office Sought IV Aya)l1 C /r/ A' 606 641,4-vck4 2' ❑Political Committee(PC) ❑Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded ❑Party Executive Committee(PTY) 0 Check here if PTY has disbanded 0 Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) V (5) Report Identifiers Cover Period: From / 0 I o6 I /6 To , /Q I /2 / /8 Report Type: 6,,.‘ ❑Original. ❑_Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , , Lld6 • oo Expenditures $ , ., 16.7 . Z . Loans $ , 3 16 Transfers to Office Account $ , 0 . Total Monetary $ 3 , LOD • OD Total Monetary $ . , 7o#7 . 2B In-Kind $ , . , . (8) Other Distributions pi $ , , r. • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date . $ , 2 75 . 00 $ , 2 , lX16 , ori (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: r (Type name) 'Z2. {3,r- 5Q5 (Type name) gZ°Z ei'$ 3 ❑Individual(only for IE Treasurer 0 Deputy Treasurer $Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) ' X ;. ,, . X cite a....'....".' ----- Signature V Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name . )60 2--Z FJTr O5 (2) I.D. Number (3)Cover Period /0 / o o / // through /p / 72. / __ (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind ' Number City,State,Zip Code Type Occupation Type Description Amendment Amount /0 / l ,/8 _NO 'We 64. aimafolvaliz, Rt1i c)-IE ©d,o® 0/ 3g /O , 1/ ,le PRene,i C.14, 14 3v iO4J D 2 C ,Q N3 L I owe& C i/ /00.00 Rzq /D 1 08C,. rhnWwo/. 45 7e37 4aSitatt v f Q&r/2 C Obacio r4„, 03 329zO I I /. I 1 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name P'L'LZ Yt73b ' (2)1.0.Number (3)Cover Period /0 / .19 / /8 through /0 / / / ie (4)Page / of I (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount /c2/ pg CilV s G /00 , AI pT CR1V 6a.©6 ' . a J VV 4NE. e2/ foto 19 L S Ct!iGG S r v9p6r.5 /,0/11/18 CozoW. £q ) 4 Lig PO, mA/4,44$ 64A 667,26 /'h-dl a.)ANL FL 3 9 S 02 / / / / /_ / / / / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES o WAIVER OF REPORT Lf r01 2 6 10;1 r (Section 106.07(7), F.S.) Li (PLEASE TYPE) SCC /e•'75 By; fICF ONL 1 LSF Buzz Petsos Mayor, City of Cape Canaveral Name Office Sought 618 Madison Avenue Cape Canaveral, FL 32920 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 ISI GENERAL ELECTION ❑ OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G6 as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 10/13/18 THROUGH 10/19/18 X a ffgr7 5/1:4.7 L 10/25/18 Signature Date X -pe,A.S'o10/25/18 Signature Date REQUIRED SIGNATURES FOR: Candidates: Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Political Committees: Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5),F.S.) Party Executive Committees: Treasurer and Chairman(s. 106.29(2), F.S.) Except as noted above for an ECO,in any reporting period when there has been no activity in the account(no funds expended or received)the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87(Rev.06/15) CAMPAIGN TREASURER'S REPO , ' ' ' . . vian f (1) Buzz Petsos p . 3 i) Name (2). 618 Madison Avenue NOV 0 2 2018 Address(number and street) 1111f. Li Cape Canaveral, FL 32920 deo /YI,, s,,r p City, State,Zip Code 8y: J _, ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 0 Candidate Office Sought Mayor, City of Cape Canaveral ❑Political Committee(PC) ❑Electioneering Communications Org.(ECO) ❑Check here if PC or ECO has disbanded ❑Party Executive Committee(PTY) 0 Check here if PTY has disbanded ❑Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) (5)Report Identifiers Cover Period: From 10 / 20 / 18 To 11 / 01 i 18 Report Type: G7 0 Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ 36Q 00 Expenditures . $ , 00. Loans $ , , 00• Transfers to Office Account $ , , 00 . Total Monetary $ , , 360 00 • Total Monetary $ 00 . In-IGnd $ , , 200 00 (8) Other Distributions $ , , 00 , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ . , 2, 935 , 00 $ , 2 , 146 07 (11)Certification It is a first degree misdemeanor for any person to falsify a public record(ss.839.13,F.S.) I certify that I have examined this report and it is true,correct,and complete: (Type name)BUZZ Petsos (Type name) Buzz Petsos 0 Individual(only for IE 0 Treasurer 0 Deputy Treasurer 0 Candidate 0 Ch-irperson(only for PC and PTY) • or electioneering comm.) X T X i 1_,, • drr Signature Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name —60zz c-P-1-SO5 (2) I.D. Number (3) Cover Period ) D / Zo / /8 through 7/ / Ol / / 8 (4) Page l of I . (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 10 131 IS 39171 1,11:&-uQ 17 60‘06 Oa-pt 671/M1 1 CE 0/ r`L zifZes 10121 / /6 AAr VvCeiU`:R • 0";- . ue-Am) 1/- I CA( I©b.®o /0 /3/ / 16 V44t.Pict Ckyymew 9, -i 6151,04,0,51416 344e1451-4,v( 1 CA-S J 0 D,00 03oi067 la 1 ,3l 1 l8 ZA4 Nj 6f/ l2// CY/'ikss (IWC.. C/+S /oo.oa 04/ 32-92- /0 / 3i / // SO)04 14 KO-60/rs 2 '1O Celaz is fivc oyew.Smykaa &Ac, ( N' /AI 1< l( Art-05)T' 6- 3z 16e 5-ts-r v¢) .206.00 I I / / DS-DE 13(Rev.11113). SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name 3d l z. p6-i-, 0_5 (2)I.D.Number (3)Cover Period (0 / Z© / )6 through // / e)( / /63 (4)Page 1 of I (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 pntre Number City,State,Zip Code candidate) TYPeAmendment Amount I I C3111 AAA)& / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz PetsosNg E 7 Van Name D (2) 618 Madison Avenue FEB 0 4 2019 Address(number and street) 1-1 U Cape Canaveral, FL 32929' City, State, Zip Code eioh., ,•/ By: ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑✓ Candidate Office Sought: Mayor, City of Cape Canaveral ❑ Political Committee(PC) o 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 ❑Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 11 / 02 / 1€ To 02 / 04 / 19 Report Type: TR 0 Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , , . 00 . 00 Expenditures $ , , 00. 00 Loans $ Transfers to Office Account $ , , • Total Monetary $ , , - Total Monetary $ , , In-Kind $ , • • (8) Other Distributions $ , , . 788 . 93 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 2 , 935 • • 00 $ , 2 , 935 • 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) Buzz Petsos (Type name) Buzz Petsos 0 Individual(only for IE El Treasurer 0 Deputy Treasurer El Candidate 0 Chairperson(only for PC and PTY) or electioneering mm.) // X Ili ,r X 4,... Signature Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name12,73-0,5" (2) I.D. Number (3) Cover Period 1/ / ,o2- l l e through 02- / 04/ / /g (4) Page I 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 / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1)Name UI- 5.05 (2)I.D. Number (3)Cover Period / d / l6 through O / / / (4)Page / of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (s) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount /02V/6 ki-60 5 AKT L fl 9 1 al a,v,a V' c 'L 104A/ 0/ / . • • DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES