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HomeMy WebLinkAboutQualifying Packet & Campaign Treasurer Reports BG I 'T e�, �a '. . "" , x _ CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD I, by 6' i,%t , 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. fier 1/)-11/2i4? Signature Date OFFICE USE ONLY AUG 2 4 2018 ..1 J c,„ x/•034 Enter D. -. . 'ui- tee-iv__ and Initials of Clerk's Office Staff Member • CANDIDATE OATH — _ICE11 ‘91] NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) R Check box only if you are seeking to qualify as a AUG 2 4 2018 write-in candidate: ❑ Write-in candidate C'c6 "`' //,®SIA ' _ OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) I, Byt-oh CCK (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 D. (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 Mi /U- aF ft Ci4-y of CAN to..k•av1w'.I KA (Office) (District#) ittpt , t/A- ; I am a qualified elector of I21`cK ra 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. _ ..�_ I Candidate's Florida Voter Registration Number (located on your voter information card): 1)-Lia 35 5 vti • i 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.) BEI- rtihh fir—ENV a 11 Signaturesof Candidate Telephone Number Email Address ' 602 8e ii ik/h Lal (aloe (.414.1,4k.1,4/ F1- 3242-0 i Address City St ZIP Code d STATE OF FLORIDA �/}� ��/� Signature otary Public COUNTY OF VA(26 Print,Type,or Stamp Commissioned Name of Notary Public below: �Y ii Sworn to(or ffirmed) and subscribedbefore me this Dame!Roy LeFever cdtt,-.�� $ NOTARY PUBLIC day of G j� 20 /o . -4STATE OF FLORIDA #1114-vi Corm*FF984423 ' Personally Known: _or Produced`Identification: .,\( �' C® Expires 4/20/2020il [I Type of Identification Produced:ft 0` Gad 7.2 Ob p® tiro {! DS-DE 302NP(Rev. 11/17) Rule 1S-2.0001, F.A.G. yep r aho t y ,.. J .! <4Y CAMA LMA tri* OATH OF CANDIDATE I, 13i e , 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. /4,,V AUG 2 4 2018 Signature of Candidate Cce //'o' State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this /0/i day e�6 6 of August, 2018 by e ft av /✓ , who is personally known or rodded ft CdD 32/17‘if dIdentification. c• .Ry4 Daniel Roy LeFever - NOTARY PUBLIC x • " STATE OF FLORIDA 1,14 , Comm#FF9134423 Signature of Notary Public 040 vi' Expires 4/20/2020 Print,type or stamp Commissioned Name of Notary Public FORM 1 STATEMENT OF 2017 Please print or type your name,mailing FINANCIAL INTERESTS 1 FOR OFFICE USE ONLY: address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: MAILING ADDRESS: Q E © E I \�// IE 601 & Ln huh �h v �+ • AUG 2 it 2018 CITY: ZIP: COUNTY: • NAME OF AGENCY: do - `/'/®A _I F y 0 C��C Hsi .lo r" I - NAME OF OFFICE OR POSITION HELD OR SOUGHT: y M'h You are not limited to the space on the lines on this form.Attach additional sheets,if nacessary. • CHECK ONLY IF Er 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): CSS 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 Sufi 02 11'e'c' Pi 1' L,. Cary Cvhstr1FAf 1 e- Co. 26U x v,, ►.i i t 13 i v1/I 13he+41,f ` F•RR4 W: a t..'. "iA an,.R r xt wa3...":.;..€M&'.as. .[ _ v,., ... ..y. .. ..,.w. A' .. ..:-.: u.,..:ap" .. _. q. �. .. ..:.:u".nom•.,-..y.....i. ..r.... .n _.._ .,. . _. PART B-- SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS • BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] FILING INSTRUCTIONS for when (If you have nothing to report,write"none"or"n/a") �/X1L locateand datfilere to at the bottom of page arem page2. 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 34-8202(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") AA S�TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES I� ' ....,......-1-0-44..,.,e . , ...;,. .,-:. >_. . ;,,. ,,... .Km,.,.fi„; -. . _..a. ..,......,t.:: .,'.e. . . -7,',....-,...,,...a,,,,.......,.,,.—-.,�„._,. - .�.,, » ,,.; PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR he,zdfc C6r4g( Sear) l g2O E Ski 144,-tom- Ci-dt 5, scdt ic-c' w,,„.....: . . ,"........ - — __ ...-,.. a.,..:,..,..,.,..: ,. ...w,a,.r..,,.;_:Wm.,„-.:,:. ,..',,....:._:a::. .:A:...�4. ...a......,44,44...4 . ... , 4. 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 I NAME OF BUSINESS ENTITY i ADDRESS OF BUSINESS ENTITY ' PRINCIPAL BUSINESS ACTIVITY i POSITION HELD WITH ENTITY I OWN MORE THAN A 5%INTEREST IN THE BUSINESS IMill I NATURE OF MY OWNERSHIP INTEREST HHh,,,,,—+Rp't4WWE.. eW -...-,et,,,..+,,, ,aw!., Wk.,V-' asAa°.a1...444'+a£+..`,,W11,124,4119,4,4106,....4,...-S.,..,1,13..-,...,4 s16.40....5,1,,,,1., • ,4,44.44C.A....a ,,,,,IAV..... . ,:3 C: Y`.LTi2,-1 PART G—TRAINING i For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. • I ® I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. ,.:., .,a*. .aacs-sw.xxs*as+.t..,.-ar.acr r. _.-__.•:>'o...::r�,;.<o-a ac:o:..«a ,,w...•?as N.',.,w,•a cti+:.x- .am m..s.e'::..., .s;c,.-..h ,s.ta'.--sa -..n-..,ta:..:F.. -.tg. s:wr. e::.+ - :, ,>qn_ IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE U k SIGNATURE OF FSE, CPA or ATTORNEY SIGNATURE ONLY Signature: I If a certified public accountant licensed under Chapter 473,or attorney in good standing with the Florida.Bar prepared this form for you,he or 5. 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: /Z1/2lir CPA/Attorney Signature: 0 Date Signed: V*AIim6•...fr,4,'A,,,,,,,.....ii 4.e+..l.%h....-...ti'ie.Il. :...r,:.14',, ti:Ad:G,,,....A.,Prne.9Swt . ., k x,......*1 pbc+.......3Y..R e,Al..,,,,.RTS .I.,,, 4.4,-d,..40.+'""':'Y_P..4ta YX, Y ;....;,,,4 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, Iof 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 pp 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.statell.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),FA.C. City of Cape Canav s1 --�, . -\r, r— 105 Polk Avenue -� `� �"� P.O.Box 326 AUG 2 4 2018 i( Cape Canaveral,FL 32920 / (321)868-1220 www.cityofcapecanaveral.org BUILDING DPT • Ca-s�h gRe�ce�i�pti, Cash Receipt#: 4fir' .� a Date: I/IV/ / 4,,,>- 4:g., .($ ,' < cc4, I s,;, C.�j� r/ 4.,P- GG Received Fromero ,rWii/u„ ��''� $ ,� . ____- 0 For �6ND11),( 1" /��(1+ �7 S -QaA) - /`�C 6E ` 1 i-T(it alAmouat-Oue--7 11310. ---- = 'AnontReceived y - -_ V= Payment Received (Balance Due / G� Cash ..../...___...._..._----- Check / City Employee CAMPAIGN TREASURER'S REPORT SUMMARY (1) gYRaf AVG" egErEtide Name D (2) 6 zo Foe-Act4 PARR LA' SEP 0 7 2018 Address (number and street) w .� J City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): El Candidate Office Sought: M,AY011— ❑ Political Committee(PC) El 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 0 10 I / I , To 0 g / 3 I I 1. 8 Report Type: 6-1 ®'Original 0 Amendment 0 Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ 6 , 0 , 0 • ,o Expenditures $ Q , 6 , 4/7, p O Loans $ 0 , 0 , 6 • 0 Transfers to Office Account $ o , O , O . a Total Monetary $ ( , C) , 0 . Total Monetary $ p , 0 4f 7 . 0 0 In-Kind $ © , , G . 0 (8) Other Distributions $ c� , , a • C3 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , I 0 0 . $ Q , 0 , L-77 . O© (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: -t 6-1A-tekt ,2, (Type name) q-�Ac N 1� �E L(N YL (Type name) '/y` ❑Individual(only for IE ad Treasurer 0 Deputy Treasurer d Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) X X Sig :y Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) � a� ee DME-11 Name (2) ?e,) - -r� P ►� SEP 2 1 101$ Address (number and street) U City, State, Zip Code C( ' "(/ /:01/f ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): I-Candidate Office Sought: AA-`(0 R. ❑ 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 09 / O d / 20t83 To Oct / I t / QOI; Report Type: C Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ c' , c7 , CD . Expenditures $ C7 , c , v . Loans $ 0 , , 0 . o Transfers to Office Account $ �, ® , c) . Total Monetary $ 0 , 0 , d • V Total Monetary $ Q , Q . Q In-Kind $ , , • Q) (8) Other Distributions $ d , , d • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , / 0 0 . vo $ , , � 7.; 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) 1n - /C< �C� �/'1�r`~ (Type name) iy!r/I'1 6i"&ilk ❑Individual(only for IE &Treasurer 0 Deputy Treasurer I Candidate ( 0 Chairperson(only for PC and PTY) or electioneering m.) X / \ . X Si ature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ai( OA,/ CPZ IIE lFtE Name D -----� (2) ‘2-0 ecu Pf acs. civ OCT 0 5 2018 Address (number and street) , (4 cin v — FL___ `3 2 92-oI - City, State, Zip Code _. �`r�3 ArIF ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): c® Candidate Office Sought: 1\11,26.V0( ❑ 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 0 / IS / 20i8 To 0 9 / 2g / 201(9 Report Type: 6 3 ❑ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 , o ,So . CO Expenditures $ U , v , U . C) Loans $ , v , c) • cD Transfers to Office Account $ , ( . Total Monetary $ -Q , ,Sc) • (Q • ,Total Monetary $ , . In-Kind $ o , 0 , • 0 (8) Other Distributions $ c , O , CT . U (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , /CD • (9O $ , , (7/ 7 . oe (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) (Z 0�11�GL ��l//((�� (Type name) (4easi 6- t - ❑Individual(only for IE )Treasurer ❑Deputy Treasurer Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) X l X Si•.�r" Signature DS-DE 1 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) 3%2 J Q -€A/E nn EoecEl `fitLE Name U (2) G Zv `�3Acu PAS LANG OCT 12 2018 Address (number and street) C� P� ca .),gk -tiz.,L_ / Ft- 32-9 --0 4.414 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 2 Candidate Office Sought: N`64-it©2. ❑ 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 p 9 / 2 9 / /g To /D / p 7 / /8 Report Type: G 4/ L]'Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ b , , O . o Expenditures $ O , O , . Loans $ a , p• o• o Transfers to Office-Account $ cO , Q , ) . 6 Total Monetary $ s 6 , g • 0 Total Monetary $ d , o © . O In-Kind $ ' ©' (8) other Distributions $ c9 , 0 , 0 • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures.To Date $ , / 5D . � $ , , 1/7 • OO (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) 1 j0 AMK 2ENN (Type name) 5 y 6- ha- ❑Individual(only for IE � Treasurer 0 Deputy Treasurer ErCandidate 0 Chairperson(only for PC and PTY) or electioneering comm.) /714 X j ii X Si..4ur' p Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) 3 12N a �► --� ,F —1 Nme (2) 6L 6 O C 2 Cd -,AA/tL LA/ OCT 19 2018 Address (number and street) CAPE Crc AVe► .L j2 72 9 2. o City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: AA-1A r c ❑ 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 /6 / 06 / ie To •/0 / / 2.. / /r5 Report Type: 6s s-Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 , C./ , • C Expenditures $ d , C) , O . 0 Loans $ 0 , C , 3 • Transfers to Office Account $ , 0 , Q • CJ Total Monetary $ c , , 0 • o Total Monetary $ , . 6 In-Kind $ 0 , 0 , 0 (8) Other Distributions $ d , C7 , d . C) (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , so . 0 O $ , , 97 . ©c) (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) 7t--/Z 4N k RLI Nem (Type name) f *P/Gt o44 ❑Individual(only for IE ®.Treasurer 0 Deputy Treasurer l'Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) I- `�1y Si X Sign-A a Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) YEN rig ECtiVE (2) ZO l442.A_ OCT 2 6 2018 Address (number and street) CAPS coy Ven-Ac 3192- City, ( 292-City, State, Zip Code ❑ Check here if address has changed (3) ID Number: / i11 (4) Check appropriate box(es): Candidate Office Sought: 00 ❑ 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 l o / l / ( E To /6 I j l l 6' Report Type: 6 6 [Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , U , 0 • Expenditures $ , , C . Loans $ ( , © , C.) C' Transfers to Office Account $ c , , . Total Monetary $ D , © , © • CD Total Monetary $ v , �), p) . (3 In-Kind $ , 0' , • 0 (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , r,S'c) . a� $ , , (17 . v 6 (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) r?— 6c" (]-7J E - (Type name) f y)-(Al - ❑ Individual(only for IE aTreasurer ❑ Deputy Treasurer IZCandidate ❑ Chairperson(only for PC and PTY) or electioneering comm.) 1/V-- X X i Sign ture Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) l'::; 0__cyv 0-er--2v -- Re Name r i iv. (2) �'�' � � Q Cie D Address (number and street) I NOV I '• 018 r I yfC CA€VAArc �) Ec 0 2q 2 0 V City, State, Zip Code Oe_0 // Z fir ❑Check here if address has changed (3) ID #,,s4 7+ c,,,, (4) Check appropriate box(es): '® Candidate Office Sought: i `—' ❑ 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 /0 I 2 O / / S To // I 0/ I /8 Report Type: 4--/ g Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , ‘-,0 . ✓�C./ Expenditures $ /37 . 9 7 Loans $ , , • Transfers to /' Office Account $ , , . Total Monetary $ , , CS 0 • ,,u Total Monetary $ , ---. In-Kind $ , /i. 39 (8) Other Distributions $ , , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , ( p . el $ , , m . 3y (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 re .a+ -it is rue, correct, and complete: (Type name) (Type name) Pyr-01, ❑ Individual (• or IE gTreasurer ❑ Deputy Treasurer I rCandidate ❑ Chairperson(only for PC and PTY) or electioneering comm.) X Z.9.' X Sig re Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) o,) G Ifi.C—._wv&- • 1,TI ' nmeN RC, ►1:� --._... . 1) (2) 41_ o EACiA Pctst2c< int FEB 4 2019 Address (number and street) r / C AP4" CA-2/A- FL 329 L 0wi City, State, Zip Code �� z^ <—po,.na By: ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: kj(o(L ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) LI Check here if PTY has disbanded El 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 n I / O L I 20ragt To a 2 / p I 701 9 Report Type: 20/g r' Original ❑Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report V ( Monetary Cash & Checks $ Expenditures $ 0 p , p p Loans $ 0 , 0 , 0 • O Transfers to Office Account $ C) , C , © . Total Monetary $ 0 , C) , C - Total Monetary $ 0 , C a . O In-Kind $ 0 , C , • C) (8) Other Distributions $ , S (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ,210 . ao $ , , /eW . 3 (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) HIM& R671/A/6-7-2. (Type name) Oly v-' ' - ❑ Individual(only for IE I Treasurer 0 Deputy Treasurer El Candidate Chairperson(only for PC and PTY) or electioneering comm.) X X Sign- 're Signature DS-DE 1ev.11/13) SEE REVERSE FOR INSTRUCTIONS Transaction History Page 1 of 1 SUNRISE BANK 5604 N ATLANTIC AVE COCOA BEACH, FL 32931 321-784-8333 BYRON GREEN,CAMPAIGN ACCOUNT Today's Date 02/04/2019 602 BEACH PARK LN Account Nbr CAPE CANAVERAL FL 32920 Current Balance 25.61 Date Last Statement 01/31/2019 Balance Last Statement 25.61 Transactions From 06/11/2018 To 02/04/2019 Date Amount Check Nbr Balance Description 10/29/2018 -137.39 1029 25.61 CHECK 10/24/2018 60.00 163.00 DEPOSIT 09/24/2018 10.00 103.00 DEPOSIT 09/18/2018 40.00 93.00 DEPOSIT 08/28/2018 -47.00 101 53.00 CHECK 06/11/2018 100.00 100.00 DEPOSIT 06/11/2018 0.00 Beginning Balance http://core-063115806.ibtapps.net/acu-bin/transHist.acu 2/4/2019 5604,X.Atlantic Ave.. S N'RSI`S E BA'RT'K Casis Cocoa.Beach;FL 32§81 � Cash': Check . . - -- < �� No. 9069 2/4/2019 REMITTER PAY TO THEORDER OF ON a MENENDEZ 1ZW7Z m ACCOUNT CLOSING 121022099 s c too I its r . 5604 N.Atlantic Ave. S'/1'I'T ' 'y Cashier's Check Cocoa Beach,FL 32931 No. 9069 B N -R MINIMA" N A� ON1� REMITTER p PAY TO THE ORDER OF SRI t" •1 ACCOUNT CLOSING= VOID - receipt Copy