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HomeMy WebLinkAboutQualifying Packet & Campaign Treasurer Reports BP L ,` APPOINTMENT OF CAMPAIGN TREASURER irramm AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES AUG 2 3 2018 CU (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. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): lg Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate(in this order: First, Middle, Last) 3.Address (include post office box or street, city, state, zip W./Zi- Per,50-5 code) WS 424Z(b l) Z 4. Telephone 5. E-mail address CI,c c V4'E ,/2_ 32 '2e (gt1 ) 2'/3/2; buzzyoer,c..seo57m4,44m 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: 4' /'o4 6, 6V2,- � l yeetL 1=1My 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 Ei Write-In ❑ No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my [ J Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer oreputy Treasurer 11. Mailing Address Co /y),g-045 j,) 4j6 12. Telephone ( 3Z/ ) Z-9'3-1/Z--Z- 13. ' -//Z-Z13. City /-714. County 15. State 16. Zip Code 17. E-mail address a' t 1v4-1/ /— W,2l/nE,A FG, 9 ,ZD / pa1 yg gm4it., cuta 18. I have designated the following bank as my g Primary Depository ❑ Secondary Depository 19. Name of B 20.Address N$fSC RN a►Dy /v. 44L,W71G ,4vc 21. Cityy,� 22. County 23. State 24. Zip Code 004604 X-4ci/ ?;2¢10114 '2 32q t 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 e Y�a3/j Xtf 27. Treasurer's cceptance of Appointment(fill in the blanks and check the appropriate block) I U,.yz, ersas , do hereby accept the appointment (Please Print or Type Name) designated above as: m Campaign Treasurer El Deputy Tr-. urer. 8/a/f X Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C. 74) ,:1; /-1": L. --,. 4 1 :46[2_,!L‘ , 7 , _ . ff ,.... - - '44cMgii;- ,,:: .,..,. ,,,, _ , n i,,` :mama BETWEEN): CITY OF CAPE CANAVERAL, FLORIDA ANNOUNCEMENT OF INTENTION TO BECOME A CANDIDATE FOR OFFICE I, sTtyl.„1_,W;(6/DS , 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. / 9/23/8 Signature Date ReEIVE i i) , AUG 2 3 2018 , U I B . =ice Enter Date&Time Received and Initials of Clerk's Office Staff Member E.,c T fm STATEMENT OF CANDIDATE AUG 2 3 2018 • (Section 106.023, F.S.) "/Ir/P (Please print or type) 1, z, R-15 V-S • candidate for the office ofAl�,��f CITYf� have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. Xz bg/23// 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 $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84(05/11) ; 'nT rJ,' ),..`` 4 poE i!,.6 \,, zwill1/4 r. I _,$. W.DACE B le I CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD I, vr`z e75©S , 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. ....." r ' 5%e // 1 Signature Date . . Tzu T.T.I. , rai D E ciii 1 oti Lir AUG 2 3 2018 -y r_-� L Enter Date&Time Received and Initials of Clerk's Office Staff Member sQ}dCE Ati, A11 , P.r,`/ ;!! ' tt'.v, -4.4; BET,WEE OATH OF CANDIDATE I r- Res 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. ,------- / ...4n .a. - Alt Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this Zv''l day of August, 2018 byv ,ICT-Sa S , who is personally know or produced A/e,___ Identification. a. pRY4 Mia Goforth ' 4. _NOTARY PUBLIC j Tr �// c ■111 STATE OF FLORIDA s��.,.0 Comm#GG083783 Signature of No ary Public "0E}9� Expires 5/16/2021 Print,type or stamp Commissioned Name of Notary Public CANDIDATE OATH — NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) AUG 2 3 2018 Check box only if you are seeking to qualify as a r©171 write-in candidate: „oAro ir,r El Write-in candidate : t� OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) Q- ?E,T64), (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 /4eV/DA/ ars-64/A v6ext... (Office) (District#) ; I am a qualified elector of 1444D 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): /O/ ) 3T4 21 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.] uiZ Y - :o X (32-/) 799 /69 46,onjoe-rsasgvei2A, Coin Signature of Candidate • Telephone Number Email Address A/)41)5Q.l &a (XPi &4J,4/b2 ��- :?2Q2 2 Address City State - IP Code OFFLORIDAF STATEL ”' v Signature of Notary Pu, c COUNTY OF r..e0412Print,Type,or Stamp Commissioned Name of Notary Public below: ,SpRY Mia Goforth Sworn to (or ffirmed)and subscribed before me this 2?j a , NOTARY PUBUC I STATE OF FLORIDA day of 1,5 v5 T 20 /51 -0- 11 r Comm#GG083783 Personally Known: or Produced Identification: 5'4'CE 1e Expires 5/16/2021 Type of Identification Produced: DS-DE 302NP(Rev. 11/17) Rule 18-2.0001, F.A.C. 'j- 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 (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 01 (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 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: F' y) i:1o3 (o'J14uiR L. i ler MAILING ADDRESS: (csle in, 5 d/ 4,a &PE: ( AV&Et CITY: ZIP: COUNTY: . 2.9A Oge.VAUG 23 2018 NAME OF AGENCY: )' / C rrY o' PAPS c23NA n;t,i- /. v NAME OF OFFICE OR POSITION HELD OR SOUGHT: M}l rOk By You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF 'g CANDIDATE OR J 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): 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 1 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 Ag col cow ? -Rp7,,z>o4 Kf pg-"Z. 5.-0023- 69 et Li 7y Milso662 PART B— SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE PART C—REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") 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 �A'V/,Ja 5 I ci- �x (a4c Avnee)CA PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME;OF CREDITOR ; ; ADDRESS OF CREDITOR Ar '45We i 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 //°D/JC 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 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: 1/ 1 I,_ _ , prepared the CE ArT"' j ,� 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: A2' 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. PAGE 2 Incorporated by reference in Rule 34-8.202(1),F.A.C. Et S vhu6,5 Fon;Ar ay City of Cape Canaveral 105 Polk Avenue P.O.Box 326 Cape Canaveral,FL 32920 (321)868-1220 www.cityofcapecanaveral.org t a .V: c` t Cash Receipt#: '`.. _ . :!4: tcc.�.', Date: i/23/N \. Cash Received From �1J -51-`-i $ • k ; ri ,•. For_ �"/,f# Cdr L- Z/ / cl / ' / 1 (! '/ . ®, - _. YO tai rgf)O Amount;Re'Geive%!'-•. e 7.-ef)0 Payment Received Balance,Due , Check # 09/ � � CAMPAIGN TREASURER'S REPORT SUMMARY ,, -.11) -Bum E 'T,�r�,; r,..u.. .], I , Name (2) IR 1?4,1fr,,Soh! tef✓ SEP 0 7 2018 i I Address (number and street) /9h awiv :j , L 52126 ccv / City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: 41/4A-1/0k ❑ 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 Ob / 01 / 18 To 06 / 5/ / /8 Report Type: 2.0n_63 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 20® . q0 Expenditures $ , , t{7 . WO Loans $ • Transfers to Office Account $ , • Total Monetary $ • Total Monetary $ , , 1/7 . 0° In-Kind $ , , • (8) Other Distributions $ i (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , 2,0D • et7 $ , , 1! . tl 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: C. (Type name) uta 3rjal (Type name) 1/XX 1 .-7-se:1'S ` LI Individual(only for IE Treasurer ❑Deputy Treasurer Candidate I] Chairperson(only for PC and PTY) \ or electioneering comm.) 1 - X X *' 42tLilti)X: Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name ` urZ2, _ ' .S05 (2) I.D. Number (3) Cover Period 8S / 0/ / (c3 through OS / / / ✓/9 (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 DS1 23118c'! Pc-sus ?ic et9 ye le 1 42forip C115 lois,-05° ®I g-2020 / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ) CAMPAIGN REASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name -a-M:4 M11 (2) I.D. Number (3) Cover Period Q9 / 01 / /A through.C8 / 6! / 0 (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 /23AS bfi afX C941109,2- /00 , ' fain (z oiAlA uiv, eiryi q q U� Cco ( AFZ C4ae/ 1 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Buzz Petsos NameMv°' (2) 618 Madison'Avenue T-1 • Address(number and street) 2018 Cape Canaveral, FL 32920 City, State,Zip Code ❑ Check here if address has changed (3) ID Number. (4) Check appropriate box(es): Q 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-K'ind $ , 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 E ❑Treasurer 0 Deputy Treasurer ❑Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) X X . U� Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES. (1)Name Jag% Pia�S©5 (2)I.D.Number (3)Cover Period 0 9/ Oh 18 through 0 f / (Y l /6 (4)Page / of l (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) TypeAmendment Amount 69 Par/a dfri‘g `P4Po r `4-0 ,WgIT o- Hwy Wyliivzs,r 6fifiS AL.6-5- / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name ?et; (2) I.D. Number (3)Cover Period O' / 1 / (E through 9 4 I /1"/ I /8 (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 Q 4 / / 7ilzx Ptr 7:104. O 1?'/-5 (g R?R,Iised 0 J Coratrec S' c414da�rz S/li ' 2�6 0� Ct��` 1 I I I DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) l a-:W'TS0.S r. ....OFFICE USFODS Name E -.1 + v� L;;7. i \i Ei s4 • (2) (D 1,e IVI PfOix,ons At/6 `'`I . Address(number and street) OCT 05 2018 OP an ,ve,Q/L) ./L 'zc' a City, State,Zip Code A <<,9907) 0 Check here if address has changed (3) ID Number. (4) Check appropriate box(es): /� /' 'Candidate Office Sought: nom,,, 07y (97' (PP aA/Avg iii. ❑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 ®g / /5 I le To 0 g / 2 g I f t Report Type: - ',.3 0 Original_ 0 Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , -5.6 - LSQ . Expenditures $ , , 146I .. _5-0 _ Loans $ , `f" - Transfers to ,-#. Office Account $ , , Total Monetary $ , (,5"6 - 60 Total Monetary $ , ,4/67 .cQ In-Kind $ 1 , a . (8) Other Distributions fe $ I . , (9) TOTAL Monetary Contributions To Date- (10) TOTAL Monetary Expenditures To Date $ , . , Ora . 04 . $ , , x27 . /5' (11) Certification tt 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) 13 012, 1©er64 s (Type name) <iy'Z RJI5 RI/Individual(only for IE (�.Treasurer 0 Deputy Treasurerandidate 0 Chairperson(only for PC and PlY) or electioneering comm.) . ::)Voli'2-,r---i6&----- X . .r-t/ 6.414----------- Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name Rs—r3e15 (2) I.D. Number (3) Cover Period 69 / /5 I !e through 0 / 2.g / l (4) Page / of 1 (5) (7) (8) (9) (10). (11) (12) I 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 2 0 / MIA 1E266/ ,K'-j A ���1A1�'r' C' 12 - Cod efi, �L °wo ®e DO dI 2.4�� '833 660iii .c the Bache ss" p2. 329710 Oq I a41 14)111)46 4311/4415 ©uIdig ROT' 560F€o / / 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