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HomeMy WebLinkAboutQualifying Packet MB - 08-24-2016 CITY OF CAPE CANAVERAL ANNOUNCED CANDIDATE FOR CITY COUNCIL 2016 TRACKING FORM CONTINUED NAME: /kE z.6/AJA/ PHONE: �3Z/) 3°2'3032-- ADDRESS: °Z-3032ADDRESS: 5152 CA ,FU-4 Th2. Date Qualified/Paid Qualifying Fee: V 9 QUALIFYING FEE: $39.00 ($15.00 Qualifying + $24.00 Election Assessment) PAPERS FILED DATE FILED Candidate packet acknowledgement for persons who pre-announce �./2 Candidacy d 4 DS-DE 25, Loyalty Oath for Non-Partisan Office with Candidate W2W/� Name Pronunciation Request CE Form 1(Jan 1, 2016) Statement of Financial Interests 1/l���� 2016 Candidate Reporting Deadlines Section 106.07(1), F.S Period Covered Report Code Due Date Date Filed 08/06/16-08/12/16 2016 P6 August 19, 2016 08/13/16-08/25/16 2016 P7 August 26, 2016 046' 08/26/16-0' "" September 9, 2016 09/03/16-0 RECO goPT- DATE NO8 1 C 09/17/16-( / 21603 FROM s 200A/ $ 20 10/01/16- _ '`7 • - /tui 4"41 5�� O FOR RENT DOLLARS 10/08/16- OFOR A CASH 10/15/16- ME Q MONEYCHECKORDER FROM TO PAID 10/22/16- DUE Ma TCARD BY p� 1-4161 Campaign Treasurer's Report Period: Date (NOTE: if no opposition al -- varies end of Qualifying Period, Due Date is 11/28/2016) CITY OF CAPE CANAVERAL ANNOUNCED CANDIDATE FOR CITY COUNCIL TRACKING FORM Page 2 of 2 CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED ()e) CANDIDACY PRIOR TO QUALIFYING PERIOD / 'Ce r(. uo)1/4.1 , previously announced my candidacy for City Council and do hereby acknowledge receipt of additional materials as follows: • Form DS-DE 25 (rev. 05/11), Candidate Oath — Non-Partisan Office and Affidavit of Nickname • City Oath of Candidate • CE Form 1, (Jan 1, 2016) Statement of Financial Interests and Instructions • Election Laws of the State of Florida as of_^_gig t 20'_& J� Zy 2iC • Candidate and Campaign Treasurer Handbook as of ian -1-5- J/2z//b • Form DS-DE 87 (rev. 6/15), Waiver of Report • 2016 General Election Canvassing Board Dates I understand to have my name appear on the November 8, 2016 Municipal Election Ballot, I must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins on August 12, 2016 at noon and ends August 26, 2016 at noon. -.1Wk2.46)t ?-'1/ Signature Date DECEIVE AUG 242016 dre / ,C) Enter Date&Time Received and Initials of Clerk's Office Staff Member CANDIDATE OATH - NONPARTISAN OFFICE AUG 2 4 2016 f;• (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021,Florida Statutes) �, r-01;:�N (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT*-- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of ( LA.4 te„t, ` N i tc.1 (office) c (district#) NIA N ; I am a qualified elector of 1`c v a L J 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. X X 01.-- 3 b rGc,pz,061S'a ;vr.); 4, Signature of Candidate Telephone Number Email Address ° 6`1L t Ac i� tL .J CrApe. ehEVIMVe a.n' L 3 �,EZv Address City State ZIP Code Candidate's Florida Voter Registration Number(located on your voter information card): I (DO-6 C1,i+CI G(8 * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): (V\ 4-•.-eSTATE OF FLORI COUNTY OF �2_V4.e//] Sworn to (or affirmed) and s• - - - - - - - �� . •f of ia 11-•</ ,20 /6 . YpJ,, MIAGOF'- - �` = Notary Public-State .t Fl. / -•„ I*� My Comm.Expires May 16,20 0°' �I . Personally Known: or ( ,+ �« Commission # EE 86693' ( ' F dreof Nota ublic�'�•°����••• Bonded Through National Notary Assn.` Produced Identification: - t,Type,or Stamp Commissioned Name of Notary Public Type of Identification Produced: FL L ,3 (0 so-5 S b Stt 4-70 f DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C. INSTRUCTIONS: INSERTING PHONETIC SPELLING OF CANDIDATE'S NAME FOR AUDIO BALLOT Use the PRONUNCIATION KEY below to provide pronunciations for ambiguous first names and surnames. Capitalize STRESSED syllables, use lower case for unstressed syllables. Use dashes (-) to separate syllables. You should also add any notes such as rhyming examples, silent letters, etc. Samples: PRONUNCIATION KEY Stressed Vowel Sounds NAME ON BALLOT PRONOUNCED AS EE (FEET)feet I (FIT)fit Mishaud mee-SHO('d'is silent) E (BED)bed A (KAT)cat(KAD)cad Jahn HAHN(rhyme:fawn) AH (FAH-thur)father Beauprez boo-PRAI(rhyme:hooray) (PARR)par AH (HAHT)hot(TAH- Maniscalco man-uh-SKAL-ko dee)toddy UH (FUHJ)fudge Tangipahoa TAN-ji-pah-HO-uh (FLUHD)flood Monte Mahn-TAI UH (CHUHRCH)church AW (FAWN)fawn Tanya TAWN-yuh(not TAN) U (FUL)full 00 (FOOD)food OU (FOUND)found O (FO)foe El (FEIT)fight Al (FAIT)fate 01 (FOIL)foil Y00 (FYOOR-ee-uhs) furious Unstressed Vowel Sounds uh (SO-fuh)sofa(FING- guhr)finger Certain Vowel Sounds with R AHR (PAHR)par ER (PER)pair IR _ (PIR)peer OR _ (POR)pour OOR (POOR)poor UHR (PUHR)purr Consonant Sounds B (BED)bed TS (ITS)its(PITS-feeld)Pittsfield D (DET)debt TH (THEI) Thigh F (FED)fed TH (THEI) Thy G (GET)get ZH (A-zhuhr)azure(VI-zhuhn)vision H (HED)head Z (GOODZ)goods(HUH-buhz-tuhn)Hubbardston HW (HWICH) which J (JUNG)jug K (KAD)cad L (LAIM)/ame M (MAT)mat N (NET)net NG (SING-uhr)singer P (PET)pet R (RED)red S (SET)set T (TEN)ten ✓ (VET) vet Y (YET)yet W (WICH) witch CH (CHUCRCH)church SH (SHEEP)sheep NOTE: This page should not be submitted to the filing officer. Page 2,DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C. FORM 1 STATEMENT OF 2015 Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: address,agency name,and position below: LAST NAM0 FIRST --MIDDLE NAME : nQCT © L OMC MAILING ADDRESS: 1 5 b 1 Cosa '�2_ SLA.. -V".3-w< I i( AUG 2 4 2016 Ift. CIIrT�jY: ZIP: COUNTY: 1 Li it NAME O AGENCY: C- fJ % �'"� Zrel /© NAME OF OFFICE OR POSITI N HELD OR SOUGHT: C.1-<.-.)LA-4,./z..._ \ \,en— You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF [CANDIDATE OR LI 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): C'� DECEMBER 31, 2015 OR L] 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 Q� 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 t 3 Y t f 4k-_ P P. L : �1 .1't�� .: �1`1S�G,J �l�. 'Qc��GCc \✓a lt�aln.rn:.S z C ,i-k- c'�'tA"i� r@.aJ�a .<<.-4 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. SL:A. l \I l� ,ek.soi;L1A ‘6V2 L A. Loa,wa✓clt- (, •)-t- 's -Lc t INSTRUCTIONS on who must file tis M �j_CL ,, 4 �'7 rt r. etA0 ' t , 3Z"12.t,% this form and how to fill it out J ) L p �" A' �``� '" begin on page 3. CE FORM 1-Effective.January 1,2016 (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 STv7 of- QUA.%) Arv.e ( Acc_.��,.� PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR <a .tiwc.. 1400'3 +ci-s . 7 c i j { ai,5 L '43%ra • ;L C. 4\,. Ar— .As SS+�± f 3'2—rt5Z 1/41.•;) r C",-. G� `C 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 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: • prepared the CE / v(: ✓ Form 1 in accordance with Section 112.3145, Florida Statutes, t and the instructions to the form.Upon my reasonable knowledge and belief,the disclosure herein is true and correct. Date Signed: CPA/Attorney Signature: 6 1 )-4 C le Date Signed: FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially,each local officer/employee,state officer. signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet(pages 1 and 2)for filing. your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officers/employees file with the who must be confirmed by the Senate must file section, you must write "none" or "n/a" in that Supervisor of Elections of the county in which they prior to confirmation, even if that is less than section(s). permanently reside. (If you do not permanently 30 days from the date of their appointment. reside in Florida, file with the Supervisor of the Candidates must file at the same time they file NOTE: county where your agency has its headquarters.) their qualifying papers. MULTIPLE FILING UNNECESSARY: State officers or specified state employees Thereafter,file by July 1 following each calendar A candidate who previously filed Form 1 because year in which they hold their positions. file with the Commission on Ethics, P.O. Drawer of another public position must file a copy of 15709, Tallahassee, FL 32317-5709; physical Finally, file a final disclosure form (Form 1F) his or her Form 1 when qualifying. A candidate address: 325 John Knox Road. Building E, Suite within 60 days of leaving office or employment. who files a Form 1 with a qualifying officer is 200,Tallahassee, FL 32303. Filing a CE Form 1F(Final Statement of Financial not required to file with the Commission or Interests)does not relieve the filer of filing a CE Supervisor of Elections. Candidates file this form together with their Form 1 if the filer was in his or her position on qualifying papers. December 31,2015. Facsimiles will not be accepted. To determine what category your position falls under,see page 3 of instructions. CE FORM 1-Effective January 1,2016, PAGE 2 Incorporated by reference in Rule 34-8.202(1),F.A.C. - 2%/v/irn AAA- `74-041,-- ► /o.z� cAce, (-VAS c R"e 4 4`" Li k)•c �"J �' tit&s '17c-14-1 � -ts10 AL -�G P-T.� I 4pCE gjvh. jUG t © LIVI 2 4 2016 11 Ain ,lCFI r . •, eCO CITY OF CAPE CANAVERAL OATH OF CANDIDATE I, nr\ t , do solemnly swear or affirm that I am qualified under the City of Cape Canaveral Charter and Ordinances to hold the Office of Council Member, to which I desire to be elected and I will support the City of Cape Canaveral Charter and Ordinances. Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this /14day of August, 2016 by p"7iM '�-®w. / , who is personally known or produced 7 .49 _ Identification. t 'I // ,/ o�"=�No•, MIA GOFORTH of Florida y l6,2017 Sig ature of Notary Public (.0:::?..omNyoctaormympu.bElxico-res:amtea ! .► Commission # EE 866939 " Bonded Through National Notary Assn. Print,type or stamp Commissioned Name of Notary Public 2016 General Election Canvassing Board Dates Extended Days Friday, October 14, 2016 Logic&Accuracy Test for Early Voting and Precinct Voting 9:00 a.m. (Elections Support Center) Logic&Accuracy Test for Mail Ballots 2:00 p.m. Tuesday, October 25, 2016 Begin Canvassing Mail Ballots 2:00 p.m. Tuesday, November 8, 2016 General Election Meeting 9 a.m. and 7:00 p.m. Public Meeting Friday, November 11, 2016 Review Provisionals &Certify 1St Unofficial Results (Veteran's Day- Holiday) 9:00 a.m. November 14 thru 16, 2016 Possible Recount (Please hold these dates in the event Monday-Wednesday there is a recount) November 17, 2016 Tentative Meeting to submit 2❑d Unofficial Results Thursday 9:00 a.m. November 18, 2016 Certify Election, Conduct of Election &Selection of Post Friday Election Audit Race and Precincts 5:00 p.m. November 22, 2016 Start Audit 9:00 a.m. Tuesday All meetings are open to the public and will be held in the Viera Office of the Supervisor of Elections located in the Government Center (2725 Judge Fran Jamieson Way, Building C, Suite 105) except the first L&A which will be at the Elections Support Center. 8/1/16 FINAL jem CAMPAIGN TREASURER'S REPORT SUMMARY (1) N\ %tct T rb ti [ r Elt V`L�� Name D --� (2) 5L Qtr „11c.. DA-40e. AUG 2 4 2016 1 Address (number and street) , Li4 pe. C 61%A)(1-4c,113k 1 -L 3. 1LO if", ' City, State, Zip Code ire/ —�-4?_.ld,Z/ ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): i ��^^.. ❑ Candidate Office Sought: avAce �A NA Jciu I �v 0-0 LA.14 42-t. ❑ Political Committee (PC) El 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 / i 3 I ( L To OR / ;,3.S / ‘6 Report Type: c)11 I6riginal ❑ Amendment ❑ Special Election Report (6) Contributions This Report raga,---- (7) Expenditures This Report w IA r i t' Monetary ) Cash & Checks $ 3, • • ".,i, Expenditures $ 39 • -:::--r--,€'" Loans $ , , • Transfers to Office Account $ , , . Total Monetary $ , , • ,� Total Monetary $ , 31 �� In-Kind $ , , • (8) Other Distributions $ , , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , aco . 6% $ , , `•1 . ,, 'Nay "' (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: ` 11319—�i (Type name) (Type name) � t�� r � TT�e 1/4� �(`6�..i D Individual(only for IE Treasurer D Deputy Treasurer I_y'Candidate D Chairperson(only for PC and PTY) or electioneering o ) X X �� Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS u 1/4/1/4/1` CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name ( (2) I.D. Number (3) Cover Period 08/ I S/ V through Ci3 / c / t L, (4) Page 1 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 it.15 Pte`1L f� 1 c� 1 ,i LAN, C_AN AJeani tai. / / / l l / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number- Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification(effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT SUMMARY (1) , ke, 13ro(.4. r. E . . ,. 1, •E Name .,, (2) 5‘-).. Ca'sA Qe;\,\.a„ 2"'t SEP 0 9 2016 Address (number and street) a ' ' 3- __ 3 -° ccv City, State, Zip Code - ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ Candidate Office Sought: C G4)<r C O.NA .,e-11(. C -‘ C,N c‘ ❑ Political Committee (PC) J ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) E 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 / L(, / \lo To 01 1 o2. / 0,0 Report Type: G 1 2 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report v a Monetary q,- Cash & Checks , 640. Expenditures $ , , N . Loans Transfers to Office Account $ , , . Total Monetary $ , Total Monetary $ , In-Kind $ (8) Other Distributions S . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date . sm o - $ , '70 .' (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 ' 1 , t 12/bu)'' - �/(Type name) o e, i3f Qt J ❑ Individual(only for IE V Treasurer ❑Deputy Treasurer Randidate ❑Chairperson(only for PC and PTY) or electioneering comm.) /A-tioili.0,. ,___ X _x Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name �%k Rco (2) I.D. Number (3) Cover Period Og / ),L, / ( b through 0(21 / CL / ) E, (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 130 r111Zx.e WI tj OCA/ .2 b / l k 5(0 Cas 413 ei\a o,t c C i 0...i3Qe, ..,i3 i.o.,,,r_a_011 7c.. .--)-ktp A-oko -32-ctw �o )--71 FRt e I(0 I Git_oc-e.. I4-1-1 C 4 i 0O , 2`= F652 Vtlla.Avv.m4k, I. •�,2-... n P- e- 7C.in 1.,d,rem I. r7 . - - 3 Z`t_Z V o to 68 / 3( / i t, Ea.°(,,'y,31 foal lei 12-e-4-KrA c 1.E aoo. 44/. (P.0,54oNLN$ Spt✓ps�fipl '31- —1- I / / / / / / I DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organization, (ECO) or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of 410 business.) I Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties committees) O Other _ (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) tv_CAMPAIG TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period lav / '2 / '00 through C-1 / L:L/ \ (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 DC3/5-10/I1,3 '` 6t0 CAQe CAN4 ctc,l ft- 1 `BUS fae A .A*4401)( 329" / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. EilVE WAIVER OF REPORT J (Section 106.07(7), F.S.) SEP 2 3 2016 (PLEASE TYPE) OFFICE USE ONLY CC-60 I e O UJ k) ac—pe, Q..06fV(�v�24 l t C()( --ivc f Name Office Sought Address City State Zip Code QCandidate 0 Political Committee 0 Party Executive Committee NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a waiver)that no reportable contributions or expenditures were made during the reporting period(s. 106.0703(6), F.S.). Ti Check here if address has changed since last report. n Check here if PC has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and Complete Applicable Line beneath Box) 0 MONTHLY REPORT ❑ PRIMARY ELECTION E GENERAL ELECTION ❑ OTHER REPORT TYPE Indicate report# Indicate report# Indice report# Indicate report type and# M P G as applicable: Ti TERMINATION REPORT Ti SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF os. ) 3 I l b THROUGH CSS ji. L ( lo X 7ki, tV v4/23 Signature Date X Y2""` 0q1D-3 ) IL, 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.06115) CAMPAIGN TREASURER'S REPORT SUMMARY (1) Nr\A(---,...._ TR— w rCEOV1 _OFFFIMF CMIIY Name `� L5 (2) 5(0�- C.aS q �De ���.��,r� Address (number and street) SEP 2 3 2016 City, State, Zip Code GCO — Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ` Q Candidate Office Sought: C e pe. CnC/A r\, J -0\ e_,G-i--- �._.�,, 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 (n / 03 / t To Cj 9 1 I to I I. � Report Type62 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks Expenditures , . Loans Transfers to Office Account . Total Monetary $ , . Total Monetary $ . • In-Kind $ . (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expe�d s ur Io Date $ Oo t�. $ 111 • (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)01\ ----k(A—O W (Type name) M \L�— /,-0 L),-,.....- D ,,,�-D Individual(only for IE TA Treasurer D Deputy Treasurer D Candidate 0 Chairperson(only for PC and PTY) or electioneering comm. X XAlL---Aljj -12)12)‹./k----------- 2_101,.._.__- Signature Signature DS-DE 12 (Rev. 11/13) ..:.7 ,17 SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) t k.Q IJ c"D •_5--- rJ Name D � �E�TE (2) 5 C,c�S A e1,\� -b2, OCT 0 5 20160 Address (number and street) C‘ Q e- Q_A f_,,m_c�;.,\ 'RA. 3 acA2,o City, State, Zip Code i gi.e )g,fri r0 ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): [Candidate Office Sought: ❑ 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 Oct / l`1 / 1 So To Qom( / 36 / 1 b Report Type: G 3 2Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report �� Monetary Cash & Checks $ , \ ,Ooo . Expenditures $ 5 c,.7), Loans $ , , • Transfers to Office Account $ • , , Total Monetary $ , , • Total Monetary $ , . In-Kind $ , , • (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditu es.To Date $ , 1 ,0640 . v( $ , q . (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: \ --(2(Type name) C�� 2U�Ai J--� (Type name) �� 1. tZumij,...) ❑ Individual(only for IE 3i reasurer ❑ Deputy Treasurer ErCandidate ❑ Chairperson(only for PC and PTY) or electioneering comm X X 4. --e-1-- ----- Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneeringj110 communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers(i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: ) Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. 4 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name M \ � f'c w rj (2) I.D. Number (3) Cover Period O c\ / \-1 / 04, through 0 a\ / -,Y.,\ / 1 b (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 i 3'6 ilk, 590C-14: Cas; k_SSoc•p`i: ee�.�1-k- suaC (Zz�1 rs J (oW• c. e-ocJ S B S5�( 'M�mi- '5 DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organization. (ECO)or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers(e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAIGNJREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name 0(1,, KC 13 f'6 (2) I.D. Number (3) Cover Period C.) / 11 / l through 01. / 3 U / d (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 OA/121 16 Ica ,a„► --RAN tc o� herr:Yr S C'"'` (�ti vz tt � 1 1��.-t-t- +S , �- ^32yS"L. }�� a A k) S. / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure(if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification(effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT SUMMARY (1) ( , `f-�.� Lx.)/0D1t15o� Name (2) Sb 0..ASA (1•e✓ik- Dc OCT 14 2016 Address (number and street) Z P t. e.A i•E"wt.-2a t :II, A7,75-6, City, State, Zip Code El Check here if address has changed (3) ID Number: (4) Check appropriate box(es): INta.ndidate Office Sought: ❑ 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 to / 01 / 2 lb To J J / 07 / 'D..,p Ib Report Type:Gr4.- VOriginal ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , • Expenditures $ , , L-2. • ' ,11 Loans $ , , • Transfers to Office Account $ , , . Total Monetary $ , 7 • Total Monetary $ , , (...R. 2,4 In-Kind $ , , 190 • °,5 (8) Other Distributions $ , , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , I 40 . "t' $ , , IIS . 19 (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) l ' `_1 ' , r W • (Tyr v name) (Y\% .e, 13 c-O W J LI Individual(only for IE E 1 reasurer ❑Deputy Treasurer iTei Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) 1 X /�_ X A A 0 Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name OrQr6 U`;\I (2) I.D. Number (3) Cover Period c O / 01 / 00 through 10 / Cri / 1v (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 CAL 1, e.1(,l..ortYt Lilo p4' `, 10 / 01 / I b 5-h2 C w sA 3�1c.0c .v WpL C',An10JtM4, ` - 3-2-6tLo Ss y->' 0 aor-wcil Lore to .a LbeAA to / o z / ‘).5 5-0.2 Ce..s a e.Uw r7,, 1 ' p / 0 p^..p° ' N ‘19.,Lr�pz- 1IO,vAUC:')-r1 (2..-ti-N,Medi .1 AAL D, `74-L., 3-z ci z0 S►5 1 0-, ,,.si. M4Le. w fl—V-- IC) / 01—/ VooN II 3Q jrze.c, S ..5)5e`1"5 `,AM d CO r.,, 1 L rc" m p i-�!. ` L4,1 k Thi-- 324 CS6).. Q.}zb5cC-ee-lieL. 1 NJ L, o 5 0.)/ ()-(_,0_--vz"FATe_rLo 1 5 310w / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN ASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name M i V— r0 (2) I.D. Number (3) Cover Period I U / 0 I / I lc through I V I U `1/ I (4) Page ) of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (Last, Suffix, First, Middle) (add office sought if (6) Street Address& contribution to a Expenditure Sequence Type Amendment Amount Number City, State,Zip Code candidate) (A,Q Nn'.-` I u/o`I/ ►bko .e, DO-11/4rc.., 2,24 C 3cc Ciz %/C AA , ' 3Lk ?) / • / / 1 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) l \ � _� . -13COW r—_-:.-7--7-OFFICE USE-ONLY-.. ._ Name (-� L - L-..., !i ' (2) c---) L-, ,) @ ,c_:,._S l�e.,\1,c,. D (L. Ll Address (number and street) OCT 2 0 2016 32920 City, State, Zip Code —C-Lr P' E Check here if address has changed (3) ID Number: (4) Check appropriate box(es): [I''andidate Office Sought: ❑ 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 I (y�; I L, To \0 / M / `b Report Type: S ❑✓/Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ----&-- Expenditures $ iC1 Loans $ , , • Transfers to Office Account $ Total Monetary $ , , • 5su In-Kind $ '� Total Monetary $ , l , C ) (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1 , y $ , I , 13 (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 ' ` \ ��t 7) r L _.)fl (Type name) /1 Ike �Q J cot,_)r'1 ❑ Individual(only for IE ❑Treasurer ❑ Deputy Treasurer ❑ Candidate 0 Chairperson(only for PC and PTY) or electioneering •m / X /0 1/ X abiv_____-- Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. 41111) (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: C Candidate report: treasurer and candidate must sign. [1 PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TRFASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name ', e__ r`Q w ►J (2) I.D. Number (3) Cover Period / OS/ \ 10 through 1 / / \ o (4) Page \ of \ (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City, State,Zip Code candidate) Type Amendment Amount m/05/ 'rower M � c�•��\ VIs-zo PRbio-x- �s 56a- C s -���. Cbz �,S�' �,� L1 \�1 , �p C,tE1v\,nJe2(1 ( l� ( rM ea_S) -4€c), (—) V CRt 2 M a,%c.e_S CAN 93 .`19 13rown_i Po `i° o i^b/I 3 Cc Q CratvAVcfA\ ,3-2 to -R-\. ��S / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) rtre f e, *-Sru u.w 1v - ` LV' CC LQ l� 1J L Name n `` (2) 5-(c a. c Sp �e,�b� 1 ���e.. ddressandOCT 2 8 2016 1 (number street) Lk QC O.AfuQ,jcJ2J \ L 1a� City, State, Zip Code /� ,/ ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): L`� Candidate Office Sought: ❑ 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 C V / I 5" / 1 L To I t`.: / d- \ / !L Report Type: C., C3 [Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report i ANN Monetary 41.7 Cash & Checks $ , / , ()IS-. oc Expenditures $ • ` 7 Loans $ , , • Transfers to Office Account $ , Total Monetary $ Total Monetary $ 33% . el In-Kind $ , (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions ToDate (10) TOTAL Monetary Expenditures To Date $ 3 , 53.C. �:� $ , M , 61/ k„ . Io (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 1 \��examined this report and it is true, correct, and complete: (� (Type name) � �rowv ,, (Type name) t ' " —Bil6�NI ❑ Individual(only for IE treasurer ❑ Deputy Treasurer g-Candidate 0 Chairperson(only for PC and PTY) or electioneerin co. ''''' X ''.'"4 ' L....----- X IVIAA---- Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers(i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, &fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. •f CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS `. (1) Name 'Mt�-t �jR0\,�rJ (2) LD. Number (3) Cover Period I 0 / 1 j / 1 (( through 1 O / 2 ‘ / ` ' (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 51210 Ito ��,--�,iva 1 t / 2so / 110 w- 3 elLse Aye_ 07302. /o x� ib Wells t Je.c Gtx5"---s.s c_14-- .... — / / �I% Ce re1t�►c. Ow�e� [ pG s� C04e_ GI�NOJG/7A� . 5�0. /l�J / ,20 / l(� 11:11/41'1,•- ( � z1-r IJ--S t,vt ils i S32 oNwQ� isl pw C «� rJ p0, 32.sro� 5 L O( S. P �v / 9-') / to R s c, e0RP -row,~ - 12,ra NS.� S �c�SSe �rL Q Sen .,tt� C-� S-00, Li ORA Mi r-J c).,o t 1-L. 1 / ?-6 /l b Spa- 6-e c RL e N Pt NI e.,AQ s L 5 !03,...T, .--& .,,i-t_ j. (2.€:\i.a.,,t) c ti E, T.-15.6.e 3ac131 Jf'Owci %L, J 0t+,; 1 � d to� INK.. SQ Ai A. L' OtCCN %&Jolk it-or.dttci No\d‘w 1 O / xf,•- / it, 511, CQ4:111el\4 W. % .1 �L s'S" .- e,�e, c pen+Odeit,.A` —'- � �s. 1 �, El-.(t•cit32.gLo SP-RIA. DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES fir.. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organization...0)f (ECO)or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) I Individual B Business also includes cor orations, or anizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name (Y\%�e, .-- Ct)w v (2) I.D. Number (3) Cover Period 1'1 / i 5- / I b through to / 2..t / (c, (4) Page I 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 vt..Q.;r,) I eke. t-6.‘a,�. io / ),► / Ib 5 62 C1r� _I_ �2� 40)1 4 2, -1—) � L S'"a"' cy„ ,:- CQPeQAI v (i , SQ. AcA �, mea 5 kek. \,, J 12-? .J-" N,Ic1....A (t.9 / t / 1G 5-4213 e....cams 11c,,Dl. S i S Ai On" Lt S -AQZ.LarvoJe12-001 ' Se-- A;p -1-1-6t"2--(. / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organizations (ECO)or party executive committee(PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates(e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers(e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) _ P Political Parties (includes federal, state and county executive committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) I. CAMPAIGN TR ASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name i\ 1 Kb -gawk) (2) I.D. Number (3) Cover Period IC) / i S/ Ito through (b / dt 1 / i b (4) Page 1 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 )o /2o/IL. n.it rook C-74. .�.() S OCA• CbM �� a (�o� � �� O(LA".sc Qa.ak ,:R-c. 3ztio3 R-Avcrt5 1, /20e Ot C-oN'.,t-t k ‘ ,.,o s-e_ Poi tr-v-te.ft ib/20/ i %. S•7L, C Sri 3e_i1� \--)2 - talus �Mo 200.uo Cr(3p� t1AVvAVC..Zc.1 ,.-1-1._ �0 S1SNJ 3 3 24 to / / • / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) 1\i) ► 1 R,Ci r cb k3 rho-� g qQ L � Name \ DLSL-' ll V tr..a Address num er and street) �" Nov 0 4 2016 1 City, State, Zip Code t GC,O gt, E Check here if address has changed (3) ID Number: (4) Check- appropriate box(es): L� Candidate Office Sought: ❑ 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 / 2,2_ / 1 Iv To 1 I / 03 / ! jv Report Type: G 1 [Original 0 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report 411" Monetary Cash & Checks $ Expenditures $ ,Z(, . Loans $ , , Transfers to Office Account $ Total Monetary $ , , , . Total Monetary $ , &1('&� • In-Kind $ , v 1 ( 3 S0 CJS (8) Other Distributions $ , , . I (9) TOTAL MonetaryContributions To Date (10) TOTAL Monetary Expenditures To Date $ , S , 535T �" $ , a , 3©z _ ye (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: 1' (Type name) r^t-\\ F.:� f1v",�,✓ (Type name) t Inti. ❑ Individual(only for IE psi reasurer ❑ Deputy Treasurer andidate ❑ Chairperson(only for PC and PTY) or electioneering co m I 106 X X e.--AALP/2"\--,------ Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS ar Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers(i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREA RER'S REPORT- ITEMIZED EXPENDITURES (1) Name ( % KA.) t`Ol,.. es/ (2) I.D. Number (3)Cover Period t 0 / 21./ I (o through I 1 / 0 3/ Ile (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 I�/2� �b �S`3-e4 pn.e.ss Pn,..}-r►Al S...T1 .kCA, Ao N. e . A4t.--r•, 4.- - s h -+S bti I "32-5-31 CO3..-pa.jN �J/ Z`/ l b a 04 o till "--i( 2I rn C a� 34 i,, s,�� Z RJvkt5 ✓ i 4, 3?AS " Poll-,c,.iI S,5:41 £ K-3 A ppr3ro( LLC �a v,.-pn1-5,C) it/01/44 )..�3 C.01„..,v,„..A "b ft— L.C.,��`s Q,�'' ZOO 3zs-� 3 CvA Pt t,./4 eve:AU-illAI ,7z / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name (V ' k-e. Ir-ok.A.Sr✓ (2) I.D. Number (3) Cover Period / / 7_-t- / I I. through t 1 / (?3 / t 6 (4) Page ‘ of _A_ (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 O‘Coarx.11,lantt� 1 kd.NS Imo/ L / fib 59b Co.sn 'tBelle n S,5-) m. Ti e V 2 e LA.,,n JUL-4 t i ll E/-4 n.:,V L4"") ' 5 32`t Lo ivIcNvtt 74-st i3(1.4),....),--) . N ►�L:t4 kc L-11 Ia , a4 / 1 b .tih., OtL ('�:.,�Jcn�t 1� `"a`d1. E�,>L1j Vol, t Zv.1 CnP`' /hear.t-+14 74-L 12 cL V 1 lb / 2S i 1 b 5-6-2_ 8-ASP Zet(� s ,~ c_fkiav 3 e eze - c',w.�,a ( ✓�te.,r► s 32 LV `T-Lt5 A.ct•o lD / 2aL, ( / i5(..,1_, t�S,o 'Belk , S,S.,, 1. .r1 -t kn-,4 .,.- wt( ' L °�`� C,�p t C�,,.AV e_rLn l -.--j„ � L�r� Uc {,,� 1 ,A-►eM, ft 7 L 10 / .?-/� / l(' 5.161..5.161..Cm So i'-r,(l (2-e--i'4;419 ..) 5.5:, C fri.1,�ij ,'Vu arae 773 S .1-L 3 z -i 2.O -it u n..,Clio '-. (1_0-1J , ,n- C_,.-C: n -NAL i� ") /0 / 2S' / 1 i" S 61- CK.+ a ��I(4 1-� ai5ru e-r-e, e_aivea oma°I --1- zt� yr 4. l 2 1i 37 s7-O Me+-.-,tt :IS p'co.,,,,.r.4c tLcrttk, 1-4-otill.i t' / 7-Si / t to C- s-1 -c. � .f>' tA1:-. kv%_,J) a,..A(. s,3'.)tNL _ -- Q� ,o Q in E.ti.l,1 l)J tic. Crone c,r." M 71_ L 32SZ t� .q-L, 3-L 5Z DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organizations (ECO) or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates(e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ). (5) Date contribution was RECEIVED (Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) I Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) P Political Parties (includes federal, state and county executive committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order _ MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name On k k'Q, ;�fLpws"j (2) I.D. Number (3) Cover Period I 0 / 2 L / L l-u through ( i / 0 3 / 1 b (4) Page '' of 5 (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 562 C pcia Re.u4 ._v_ Si*sa 6_9:), Q. ,,, ,,,,Jcn� 1, �- Q C� UV.V t 2-�. c� 1 i' r-o w•� I l- w k4u\d,,•=� — ' J /\ / (, t, c61_, C y°S P -ea C..�'t-' a :-1-----)v-- Sr-'%Sf C,v pc, C1o,.,,, ovc�1, = erznAl u6,-) Li Scts ,F,° i-L- 3.2-1.7.4) Me-'t-f- 1i1 o`c:o, ,4` L retic'to �tv 3 N� 4�1cS1�"-� / 30 / I w sib �.1.c,tl� ice- s,sr%-) C trz,pt' mow.,,�.(, -a �,>_Ly vz�j ( c) 9-, 3-2...,„ ys il>w 1OA;iLi VAv1dL-5' 1 J / 3J / f b S 61- C.I. leikff � -'7 ,S"'-) •l0. IL C/)ill v`� lie "3-t_ 3241_0 "1-1.w..,`dsi R4..00....--) M'U-t. (,40‘et,-� 0 / .3' / tic, S b2 Co:.,0 t3 Il -11'\L• c s e F DI`- -T C.-a." V&L1 6 . fc- Co,vihl e. i 1 Z `}-to rte&.,. /he.+vN ti IS 7-2,,,,,,........ d\-,.eke. ( I i- Ls-k,-2_ iw -R�e U 4 ` u t I 3 + ..5._ t_v3eLL3vc,�..) 1 Z `-) CsJpt- An+OJetil( (r•-1.,..,4-, r, -aS --i- �l+t.A't .. Jam•,t4_, i-� a - I I / o '- / LL e2 Cvz o 3,et1 —r,,,1L SCSI J ,� (tom�. .220 6,34) Vo4 (c,°' 1 'tic, eizo 1\44-N\14-1-s 1 L DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organization. (ECO) or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name -R, `—' (2) I.D. Number (3) Cover Period 1 / 7 - / 16 through t % / O / 1t.:5 (4) Page 3 of 3 (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 U\ C.6NNA,tIiLa-c..1,c,. 1 L4 r ` ( / 03 1 U0 5�e ��� � s‘s 4529° Da- 1 e(zn. U, , Is— SPC �rv(Jc1t t ' itr,o,..-.,...) ON'if..t; 14...‘,X,.-.S " / u3 / tb . :�b2 Com,}a ike.. r S,,),:' ff te ,.,1L r I t e_,,,.pc �+v4�t�1 Men,rt 1) �� 31_,,_t _ / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organization:vgati (ECO)or party executive committee(PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates(e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers(e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) yid Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) P Political Parties (includes federal, state and county executive committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAIGN TREASURER'S REPORT SUMMARY CO I 1 f1�' , r` C.;. ice' [ c y¢lS" Name is V (2) 5 b c-,sA -ROAbQ ❑ �-`-'I Address (n ber and street) JAN 3 2017 City, State, Zip Code -v Xi ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: ❑ 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 I ` / 0 y / rr la To d { / 30 / t 1 Report Type:.L !(d Th t [Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary v Z Cash & Checks $ Expenditures $ , I , o..',J).• Loans $ , Transfers to Office Account $ Total Monetary $ , • , n Total Monetary $ In-Kind $ , , ((ei.5 , rra (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures Ti Date (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) i `11Vv t.,Z., ,..,..i.1....., (Type name) 1.IL-� I-6.-%_:/k,' ❑ Individual(only for IE Treasurer ❑ Deputy Treasurer candidate ❑ Chairperson(only for PC and PTY) or electioneeringco m..-. X .. 141(") Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS 1 Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: 0 Candidate report: treasurer and candidate must sign. E PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name Oaf\k JSI`n,,_.>,v (2) I.D. Number (3) Cover Period 00 / 1:".)-‘\/ \\' through v‘ / 3b / 11 (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 I I /0 VI 6 ('‘ C.) N .Pere t i 1,0 r, MA- 5`"A p k„rte k Com.f e. C a...o v cava t ,1-t- (3%o t-h C(Leac1�ems s r a ,v of S�epon--tte-n., 1 /0 (ten-•\t- . b 2°‘© i ' ' A4t, c ''t�x^-� e L 1/� _ _. _ n Z. w a..w JCfL l,'30. 06 6,- a N �p ...2--' 1Zetu7 It MI-1u. 5/6 Casa 3zA1.:,. 'bn -4-�.<.s Mom ..... 30.„el 0.._,pt. tw,Mo�esxdaI ,i-L. Cv,t.,.p...s„ "Milt* -11 50 N3 , w ,c. -...(LA ,_rL 01 a AC:C.t to c. AZ 1 c t J A ...34..$ g' i . lC �►.�L e , _ Te_ r 11 /I J/ \b 1 ? Zb N . t,u,c,(11a:.%124 0Pest Six4,equelr fly 0A) 7 LI,2' 1M t-t tp Cit 1L..,L ,�' " 32"� 't v !')'�onrzkt� pct. (Lel y 104•-+1 'S eo ry k, g o.vl� i-e v... C1/ 110 J^t� R,0 P r S�az P �7-/ / "�,� � N . 'v.w.�k�:4444 � //no r.) 31.--c •t0 I ,oaJS aon.;4... Q 'h" a/r o/\-1 `11 50 lv : w•c,It.h o rl-. Pp o N 1 ').-- C'A pc\I rcW Ett.„, P,3c z- 01 /10/(1 t10 m01J i ( `I , — %k\A 6 (4 c o t h APerve. .i`e4 e-A- 1 W Q.A3 wil 0 cr245 k ill:D. 1 W bQw t La f,a DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name r t 1Ce ! Is ,/,_°,.,,,„,) (2) I.D. Number (3) Cover Period k\ I O 1A I 0 through 0 1 / / � I (4) Page \ of f 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 Brt.)i,.;-: I rr,kZ t-1-1;%d..-j P,, r,..,5 L15 ,-'-- --3-1_-‘1.0 M m-i- -Ls- -:4--, is- L 11 / / 1(-�w 0 , nr\ '<-� :1-: (Z,� ,-J \'. �' H o1/4i 5(4 ), tp.s A ((1-ILC 4c-5. C A Q Z G AN 1)V t l C ppt, l a ,,,� (:,0.. ), -"L 32-1IZ0 13CG-tti- Ok Cr3 nni11 t-04-et-c. 1/44c-c3Xd.�. CI / 0c / 1b — 5`?�u C.e.S� �3c 1t4' (c-,rc4, -. Ni` 5+5�► C3ngt- Cw.�,o.��z�� .� Pc\\.�s (�O . �-�— 2�t't� ::L� v't �j SV\ : .Sla / / / / / / / / DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organizations (ECO)or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ). (5) Date contribution was RECEIVED (Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) I Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only)