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Announcement of Intention to Run RR 06-28-16
A O 45;g4,_ CITY OF CAPE CANAVERAL, FLORIDA ANNOUNCED CANDIDATE PACKET ACKNOWLEDGMENT I, PQ-4 would like to announce my candidacy for City Council and do hereby acknowledge receipt of: 1. June 20, 2016 Candidate Information Memo 2. 2016 Election Information 3. Announcement of intention to become a Candidate for Office 4. Form DS-DE 9 (rev. 10/10), Appointment of Campaign Treasurer and designation of campaign depository for Candidates 5. Form DS-DE 84 (rev. 05/11), Statement of Candidate 6. Election Laws of the State of Florida as of August 2015 7. Candidate and Campaign Treasurer Handbook as of January 2016 8. 2016 Campaign Treasurer's Report Due Dates for Announced Candidates and general information about filing reports 9. Do's & Don'ts for Campaign Treasurer's Reports 10. Form DS-DE 12 (rev. 11/13), Campaign Treasurer's Report Summary 11. Form DS-DE 13 (rev. 11/13), Campaign Treasurer's Report- Itemized Contributions 12. Form DS-DE 13A (rev. 11/13), Campaign Treasurer's Report - Fund Transfers 13. Form DS-DE 14 (rev. 11/13), Campaign Treasurer's Report- Itemized Expenditures 14. Form DS-DE 14A (rev. 11/13), Campaign Treasurer's Report - Itemized Distributions 15. Form DS-DE 87 (rev. 11/13), Waiver of Report 16. Public Service Request Form 17. Political Sign Regulations 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. cE) \ J ����� � OFFICE USE ONLY Signature c.� LIECEOVETh Date: 2- '� 6 j2 2 8 2016 Enter>;atceived and Initials of Clerk's Office St t Me 54 ACE Aid. ,�'' }t A ''''.. 110 -i � ir City of Cape Canaveral __Ityl —��-=__=-= id& 4491 CITY OF CAPE CANAVERAL MEMORANDUM TO: Prospective City Council Candidates FROM: Mia Goforth, City Cleo SUBJECT: Candidate Information DATE: June 20, 2016 The Qualifying Period for this year's General Election is scheduled from 12 noon on August 12, 2016 through 12 noon on August 26, 2016. Traditionally,the Qualifying Period is the time when all qualifying paperwork is submitted to the Qualifying Officer (me); it is also the time when the Qualifying Officer provides the Candidate with the Candidate and Campaign Treasurer Handbook and necessary forms. However, individuals interested in announcing their candidacy prior to the Qualifying Period may do so provided they file the Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates (DS-DE9) with the City Clerk's Office prior to opening a campaign account, receiving campaign contributions or making campaign expenditures. Once the Campaign Treasurer is designated, Campaign Financing Reports must be submitted. The Campaign Treasurer or Deputy Campaign Treasurer must be a registered voter in Florida. A Candidate may appoint him/herself as Campaign Treasurer or Deputy Campaign Treasurer. Each Candidate must file a Statement of Candidate (DS-DE 84) with the City Clerk's Office within 10 days after filing the Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates stating that the Candidate has read and understands the requirements of Chapter 106, Florida Statutes. Willful failure to file the Statement of Candidate Form is a violation of ss. 106.19(1)(c) and 106.25(3), Florida Statutes. A Candidate may also have to resign-to-run as applicable in Section 99.012 F.S. Each Candidate is responsible for complying with all applicable election laws. Valuable election information and State Election Forms are available on the State Division of Election's Website, http://election.dos.state.fl.us as well as the Brevard County Supervisor of Election's Website, www.votebrevard.com. You are urged to become familiar with the entire Election Code as it may apply to you. Thank you for your interest in the election process. If you have any questions concerning your intent to qualify,please feel free to give me a call at 321-868-1220 x220. 105 Polk Avenue • Post Office Box 326 • Cape Canaveral,FL 32920-0326 Telephone(321) 868-1220 • Fax: (321) 868-1248 www.cityofcapecanaveral.org • email: info@cityofcapecanaveral.org 54 x E A^'O ji CITY OF CAPE CANAVERAL ELECTION INFORMATION 2016 General Election - Tuesday, November 8, 2016 Council Members will take office during the regular meeting on November 15, 2016 provided Election Certification is complete. Office Open — Two (2) City Council Seats, currently held by John Bond and Mike Brown. The names of the candidates are listed on the ballot in alphabetical order of their surnames. The two candidates receiving the highest number of votes shall be declared the winners upon certification of the Election by the Brevard County Supervisor of Elections/Canvassing Board. Term of Office—Council Member- Three years, through November 2019. Qualifications — All candidates shall be qualified electors who are residents of the City of Cape Canaveral for at least one year prior to the date of qualifying to run for City office and registered to vote. Qualifying Fee—$15. In addition,the State of Florida Department of State requires an assessment of one percent(1%) of the annual salary of the office being sought. The Council Members' annual salary is$2,400,which equates to a$24.00 assessment and a total fee of$39.00. [Florida Statutes 99.093(1)] Qualifying Period—Friday, August 12, 2016 at 12 noon through Friday, August 26, 2016 at 12 noon. Candidates shall file qualifying papers with the City Clerk. A candidate may announce their intention to run for office prior to official qualifying. However, individuals interested in collecting campaign contributions or making expenditures for their campaigns prior to the Official Qualifying Period to run, must file the "Statement of Campaign Treasurer and Designation of Campaign Depository" (DS-DE 9)form with the City Clerk before funds may be collected or dispersed. State law requires candidates for municipal office to comply with state regulations and accounting instructions for candidates and committees as set forth in Florida Statutes. (. 44, LILL =i-ry CITY OF CAPE CANAVERAL, FLORIDA ANNOUNCEMENT OF INTENTION TO BECOME A CANDIDATE FOR OFFICE CR___c3 (11 .0\../N/NO- .Q5L hereby declare and announce my intention to become a Candidate for the office of City Council in the City of Cape Canaveral General Election on November 8, 2016. 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. O Date: Z Signature DECE • IVE JUN 2 8 2016 'MEW Enter Date&Time Received and Initials of Clerk's Office Staff Member APPOINTMENT OF CAMPAIGN TREASURER E © E Q V E'' AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES JUN 2 8 2016 (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) I �� .40 r NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): 121 Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository 0 Office ❑ Party 2. Name of Candidate(in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) ocu.,1 FZ A nl a� 3�� CE ash 2 Lv(Q 4. Telephone 5. E-mail address s . eD, p8 ( 32.1 )1089-569N(Az s1 c- _ C ,,a... FL c)3 499 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if L c,u N G ; C - -pE Cad -r 0-- 'Q L applicable: My intent is to run as a Write-In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write-In ❑ No Party Affiliation 7 Party candidate. 9. I have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Tre surer 11. Mailing Address 12. Telephone P. 0. a % (78 ) -) E -SbH 13. City 14. County 15. State 16. Zip Code 17. E-mail address L �1 vQCz�c4- L-K '.142 3�q o� 47.004...1 V."�c -LsYEr,5r�c�.l. M 18. I have designated the following bank as my Li Primary Depository E Secondary Depository 19. Name of Bank 20. Address ---63(U k\3 \-...oc,,A vj eN\ s 21. City 22. County 23. State 24. Zip Code G fe. Ccs a�►e.� cc l n c,.t G' ' >(4 ZU 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 Candidate ^ 27. Treasurer's Acce tance of Appointment(fill in the blanks and check the appropriate block) ��cim:) , do hereby accept the appointment (Please Print or Type Name) designated above as: A Campaign Treasurer ❑ Deputy Treasurer. Date Signature of Campaign easurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. OFFICE USE ONLY STATEMENT OF CANDIDATE ECE1IV (Section 106.023, F.S.) JUN 2 8 2016 (Please print or type) s( -,(S2 c �CJL l� candidate for the office of L ci\ C-tv of c i L C ►��� have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. 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) nECEn91 WAIVER OF REPORT (Section 106.07(7), F.S.) ,1\ JUL 13 2016 (PLEASE TYPE) OFFICE USE ONLY`-- I Rocky Randels City Council City of Cape Canaveral, Fl. 32920 Name Office Sought 308 East Central Blvd. (P.O.Box 308) Cape Canaveral Florida 32920 Address City State Zip Code ®Candidate ❑ Political Committee El 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. I I 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 Er GENERAL ELECTION I I OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P 2 G as applicable: I I TERMINATION REPORT SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 06/25/16 THROUGH 07/08/16 XC oc a. — D ® � 6 1 Signature Date Nt-CI Signature Da e REQUIRED SIGNATURES FOR: Can andidat andampaign Treasure r 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) WAIVER OF REPORT I JUL 2 5 2016 (Section 106.07(7), F.S.) (PLEASE TYPE) OFFICE USE ONLY Rocky Randels City Council; Cape Canaveral, FL. Name Office Sought 308 E. Central Blvd. (P.O. Box 308) Cape Canaveral, FL. 32920-0308 Address City State Zip Code ❑Candidate El Political Committee ❑ Party Executive Committee NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a waiver)that no reportable contributions or expenditures were made during the reporting period(s. 106.0703(6), F.S.). Check here if address has changed since last report. I I 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 17 I PRIMARY ELECTION ❑GENERAL ELECTION n OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P 3 G as applicable: TERMINATION REPORT SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 07/09/16 THROUGH 07/22/16 X Ccs ��- � �� Signature Date X Q 0 l4q 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) 3 © VEP WAIVER OF REPORT (Section 106.07(7), F.S.) AUG 0 5 2016 - (PLEASE TYPE) :or OFFICE USE ONLY Rocky Randels City Council; Cape Canaveral, FL. Name Office Sought 308 E. Central Blvd. (P.O. Box 308) Cape Canaveral, FL. 32920-0308 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. I I 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 171 PRIMARY ELECTION fl GENERAL ELECTION ❑ OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P 4 G as applicable: I I TERMINATION REPORT [1 SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 07/23/16 THROUGH 07/29/16 X °C. c,c_Se C ,,c7x/.1-4QckCk. 5— ic4i,n Signature Date <2-o 34. c -Ct-/-0-0‘2-C2, s f=s- a tQ 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) WAIVER OF REPORT AUG 0 8 2016 1 :IA(Section 106.07(7), F.S.) (PLEASE TYPE) Rocky Randels City Council; Cape Canaveral, FL. Name Office Sought 308 E. Central Blvd. (P.O. Box 308) Cape Canaveral, FL. 32920-0308 Address City State Zip Code ig 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 171 PRIMARY ELECTION ❑GENERAL ELECTION ❑ OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P 5 G as applicable: TERMINATION REPORT n SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 07/30/16 THROUGH 08/05/16 X �©Lao.r.4-0 � � c1,0 Signature Date o .€ \ 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)