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HomeMy WebLinkAboutrosborne_qualifying_elections_paperwork_201908CITY OF CAPE CANAVERAL, FLORIDA CANDIDATE PACKET ACKNOWLEDGMENT I, Ray Osborne. would like to announce my candidacy for City Council"and do hereby acknowledge receipt of: 1. April 18, 2019 Candidate Information Memo (Amended August 8, 2019) 2. 2019 Election Information (Amended) 3. Form DS-DE 9 (rev. 10/10), Appointment of Campaign Treasurer and designation of Campaign Depository for Candidates 4. Form DS-DE 302NP (rev. 11/17), Candidate Oath — Nonpartisan Office 5. City Oath of Candidate 6. CE Form 1 (January 1, 2019), Statement of Financial Interests and Instructions 7. Form DS-DE 84 (rev. 05/11), Statement of Candidate 8. Election Laws of the State of Florida as of as of August 2019 9. Candidate and Campaign Treasurer Handbook as of September 2018 10. 2019 Campaign Treasurer's Report Due Dates for Announced Candidates and general information for filing reports 11. Do's & Don'ts for Campaign Treasurer's Reports 12. Form DS-DE 12 (rev. 11/13), Campaign Treasurer's Report Summary 13. Form DS-DE 13 (rev. 11/13), Campaign Treasurer's Report — Itemized Contributions 14. Form DS-DE 13A (rev. 11/13), Campaign Treasurer's Report — Fund Transfers 15. Form DS-DE 14 (rev. 11/13), Campaign Treasurer's Report — Itemized Expenditures 16. Form DS-DE 14A (rev. 11/13), Campaign Treasurer's Report — Itemized Distributions 17. Form DS-DE 87 (rev. 06/15), Waiver of Report 18. Public Service Request Form 19. Political Sign Regulations 20. 2019 Municipal & Special Districts Canvassing Board Dates I understand to have my name appear on the November 5, 2019 Municipal Election Ballot, I must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins on August 9, 2019 at noon and ends August 19, 2019 at noon. Date: ill l2 2_0Q RECEIVED AUG 12 2019 MG CCO Enter Date & Time Recceived and Initials of Clerk's Office Staff Member APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. RECEIVED AUG 1 4 2019 By: CCO DL 9:05A OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): X Initial Filing of Form Re -filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) Raymond Kenneth Osborne 3. Address (include post office box or street, city, state, zip code) 209 Holman Road Cape Canaveral, FI 32920 4. Telephone (321 ) 345-1715 5. E-mail address ray4cccc@gmail.com 6. Office sought (include district, circuit, group number) City Council Member 7. If a candidate for a nonpartisan office, check if 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 X No Party Affiliation Party candidate. 9. I have appointed the following person to act as my X Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Raymond K Osborne 11. Mailing Address 209 Holman Road 12. Telephone ( ) 13. City Cape Canaveral 14. County . Brevard 15. State FI 16. Zip Code 32920 17. E-mat address ray4cccc@gmail.com 18. I have designated the following bank as my X Primary Depository ❑ Secondary Depository 19. Name of Bank Sunrise Bank 20. Address 5604 N Atlantic Ave 21. City Cocoa Beach 22. County Brevard 23. State Florida 24. Zip Code 32931 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 8/14/2019 26 Signature of Candidate [Raymond K Osborne] 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Raymond K Osborne (Print or Type Name) , do hereby accept the appointment (Please designated above as: X Campaign Treasurer ❑ Deputy Treasurer. 08/14/2019 Date [Raymond K Osborne] Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. CANDIDATE OATH — NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a write-in candidate: ❑ Write-in candidate • D g©RgT2C, fl AUG 1 5 2019 I) U Cco 9' VS -A By: ui-FICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) Raymond Osborne (Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.) am a candidate for the nonpartisan office of City Council member of the City of Cape Canaveral. , (Office) (District #) , ; I am a qualified elector of Brevard County County, Florida; (Circuit #) (Group or Seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. Candidate's Florida Voter Registration Number (located on your voter information card): 117631580 Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.] Raaay-Mond Oz-Born X ,c--:„ J 321 ) 345-1715 ray4cccc@gmail.com Signa re of andidate Telephone Number Email Address 209 Holman Road Cape Caanveral Florida 32920 Address City State ZIP Code STATE OF FLORIDA Signatu of Not ublic COUNTY OF Brevard Print, Type, or Stamp Commissioned Name of Notary Public below: Sworn to (or affirmed) and subscribed before me this / 57 0. v.tzp Mia Goforth n NOTARY PUBLIC day of (J$I' 20 (g et 3 TATE OF FLORIDA ..,. Comm# GG083783 Personally Known: or Produced Identification: ip E 19�® Expires 5/16/2021 Type of Identification Produced: Q— DS-DE 302NP (Rev. 11/17) Rule 1S-2.0001, F.A.C. NONNINFI) AUG 15 2019 v `i • BETWEEN."' OATH OF CANDIDATE I \--)NA'91,40,J1e) 5 �� U do solemnl, Y 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. Sig ature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this of August, 2019 by f2- y2,o, of s(95b,Oril personally known o• produced Signature di Notary Public Mia Goforth 11aY4ss 0 NOTARY PUBLIC 'STATE OF FLORIDA Comm# GGo83783 4NCE 19 Expires 5/16/2021 day , who is Identification. Print, type or stamp Commissioned Name of Notary Public STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) I, Raymond Osborne OFFICE USE ONLY NOVI-F.\ AUG 152019 candidate for the office of Council Member of the City of Cape Canaveral. have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. 1 loicv x 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) FORM 1 STATEMENT OF : 20'18 please pnnt:or type your name maning address agency name,; and position below • FINANCIAL INTERESTS FOR OFFICE USE ONLY Q LAST f�Qst orne;TI-<aymona; isenneth MAILING ADDRESS ` 209 Holman Road CITTape Canaveral zIP: COUNTY::rgl".EINIEF1)\ 32920 Brevard AUG 16 2019 NAMEaOF AGENCY : Li .NAME OF OFFICE OR. POSITION; HELD. OR S OUGHT ':: Member of City Council eCO �9• 2SA By: c..Cl// / ' You aremot limited to the pace on the lines on; this form ,Attach additional sheets if`necessary,. CHECK ONLY IF CANDIDATE Oft NEW EMPLOYEE ORAPPOINTEE **-** BOT,::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 8ELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER uat check;one).:. DECEMBER;31, 20:8 OR O; SPECIFYTAX`YEAR IF OTHER THAN THE CALENDAR YEAR; MANNER OF CALCULATING REPORTABLE: INTE .RESTS:' FILERS HAVE THE OPTION -OF -USING REPORTING THRESHOLDS THATARE.ABSOLUTE DOLLAR VALUES, WHICH REQUIRES; FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS;;: WHICH ARE USUALLY BASED ON PERCENTAGE; VALUES ;(see mstructions for further details). CHECK THE ONE YOU ARE USING (must check one);; - O COMPARATIVE (PERCENTAGE) THRESHOLDS OR ;DOLLAR VALUE THRESHOLDS: PART PRIMARY OF INCOME, (Ifyouu have. nothing to report, ;write N_ AME OF SOURCE OF INCOME; ,[Major sources iif income W. the reporting person See instructions] ''none" or' n/a" ) SOURCE'S ADDRESS DESCRIPTION OF THE SOURCE'S- PRINCIPAL BUSINESS ACTIVITY TTEC Healthcare , 9197 S. Peoria Street, Englewood CO Licensed Agent BroadPath Healthcare 6400 E Grant Rd. Tucson Az Licensed Agent Sitel Corporation ` 3102 West End Ave. Nashville TN Knowledge Worker PART B - SECONDARY SOURCES [Major customers, .clients,, (Ifyou have nothinglo;report,;write'none!' NAME OF BUSINESS;ENTITY OF_INCOME and other sources, of income to businesses: Or'Wa") NAME OF MAJOR;S.OURCES' OF BUSINESS' INCOME owned. by the reporting person See: ADDRESS OF SOURCE' , instructions] PRINC1PAL'BUSINESS AGTMTY OF SOURCE: AIA Research, Inc Medium businesses 209 Holman Rd, Cape Ca averal Knowledge Work* PART C REAL PROPERTY [Land Of you have nothing to buildings owned by the reporting person $eelinstructions] report; write "none" or "We" ). _ FiLING ie tofiCTIhNS et.,*heti and where to. :file this form are; Iocatedt. th ae bottom 'of page 2. INSTRUCTIONS on: who must :file this form and' how to fill it out, begin on page 3. N/a CEEORM 1= Effective January•1 2019;_ Incorporated by reference in Rule 34-8.202(1), F.A:C. ,(Continued on reverseside) PAGE?1 PART tr.— INTANGIBLEPERSONAL PROPERTY [Stdcks, bonds, cettifibates, of deposit, etc. - See instructionsf (If you have nothing to report, write "none" ,or "n/a") TYPE OF INTANGIBLE IRA E-Trade BUSINESS ENTITY TO. WHICH THE PROPERTY RELATES IRA Fidelity investments PART E — LIABILITIES. [Major debts - See instructions] (If yoWhave nothing to. report, write "none" or "n/a") NAME QF CREDITOR ADDRESS OF CREDITOR _ _ Capital One PNC Bank 1680 Capital One Dr. McLean, VA 22102-3491. 300 Fifth Ave, Pittsburgh, PA 15222 PART F INTERESTS IN SPECIFIED BUSINESSES Ownership or positions -in certain tyPeslof businesses - See• hitt-meth:ins] (If you have nothing to report, write "none' or "WA") NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY- BUSINESS ENTITY Itt,1 BUSINESS ENTIrr4 2 A1A Research, Inc 209 Holman Rd,Cape Canavere FRINCIPAL BUSINESS:ACTIVITY _ 3usiness services; Knowledge POSITION HELD WITH ENTITY Director I -OWN MOR., THAN A.,5°/p INTEREST IN THE BUSINESS NATUREOF MY.OWNERSHIP INTEREST yes Chapter S Corporation PART G =;= TRAINING For elected municipal •officers : required to complete annual" ethitt training pursuant to section 112,3142, F.S. u I CERTIFY THAT 1 HAVE COMPLETED THE REQUIRED TRAINING. IF ANY PARTS,A THROUGH G ARE CON'TINUED•ON .A SEPARATE SHEET PLEASE CHECK HERE [I SIGNATURE OF FILER: Date Signed: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, orsdordey in good standing with. the. Florida Bar prepared this fOrtri,foryou, he or she tni;Jst .complete :the (f011OWilipeteteineht 1, prepared the CE Form 1 in accordance with. Section 112.3145, Florida Statutes; and the instructions to the forrn, 1/pon my reasonable knowledge and bellefOhe disclosure herein, is true and CorteCt..., CPA/Attorney signature: Date Signed FILING INSTRUCTIONS: If Sf9:11WO.re: rrPiled,-the forrtl_bYthe Commission .on" Ethics -or a,county Supervisor of Elections for your annualdisclosure tiling; retum the form to that:location. To :determine, what category your position fens milder; seepage 3 Of intttlictiO0S. Local ,tifficgrsien#000,0s file with the Supervisor of Elections of the, :county in Which they permanently reside. (if you do not .permanently; reside in Florida, file with; the, Supervisor of ;the :county where your agency has its; headqOarters„.) Form 1 filers who file with the Supervisor of Elections may 'file by mail or email: Contact your Supervisor of Elections for the mailing :address or email. address: to use. Do not email your form - to the Commission -on Ethibt: it:will be etUrned. _ _ l Skate officers or.specified state employees. Who. file with the Commission ; on Ethics may file by mail or email. To file by .mail, send the completed form to RO. Drawer 1570.9; Tallahattee, FL 32317,-6709', physical address : 326, John Knox Rd, Bldg E, Ste 20D, Tallahassee; FL-32303: To file with the 'Commission by email, scan your completed form and any Attachments as a :pdf ,(do not use any other format) and send it to CEForfnl@teg.gate'.fl.uv, Do not :file by both mail and email. Choose only one:filing .method. Form 6s,willlicit be acceptedNia ernail. Candidates:file this, farm together With their filing papers. MULTIPLE FILIN6, UNNECESSARY: A candidate who files.a.Form 1 with :a qualifying officer is not required to file with the Commission 6r Supervisor OfEleetitirit:3 WHEN TO FILE IAWN/Y, each Iota' OffiOerieMplOy00, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of; the; beginning of employment. Appointees who must be, confirmed by the Senate must file, prior to Oonfirmation, even if that is less than 13 0 days from the date Of their appointment. Candidates must file at the same time they file their qualifying papers. Thereafter, file by July 1 following each calendar year in which they hold theirpositions. Finally, file a final disclosure form .(Porni 1F) Within 60 days .of leaving office or employment. Filing a CE Form 1 F Tina! Statement Of Financial Interests), does rigt relieve; the ler of filing a, CE Form:1 ifthe filer was in his Or her position on Decernber 31, 2018. ,cE:Fokm , Effective: January 1,2019. a ,inqi4, r A PAGE 2 City of Cape Canaveral,-=,-�j�G (-AVE 100 Polk Avenue _)J P.O. Box 326 ` AuG i52j 019 Cape Canaveral, FL 32920 !: U (321) 868-1220 www.cityofcapecanaveral.org Cash Rec1 i t�\ Gj Cash Receipt #: G ' , `; Date: 1,� 1 ` C., . //. i� � . r Cash Received From � 44Z-Ar?'6.- $ For Payment Received Cash Check V # Cp.r- N Total Amount) ,e . /'35, °. U _Amount Received,, 43?. rBalance Due / 0. City Employee CAMPAIGN TREASURER'S REPORT SUMMARY (1) qAt911-00)( 059-04-00Q. D i rir El v n Name/ am (2) cl Hod r n 904 SEP. 0 6 2019 Address (number and street) V , ` 2c12.-0 2YQ City, State, Zip Code c /0: g.. ❑ Check here if address has changed (3) ID Number: (4) Chrk appropriate box(es): Candidate Office Sought: Lj'h .or-4 \ ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 6,f / '0 [ / to\ To Or / 3 1 / ZOI/ Report Type:20j 16.1 riginal ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , (7) Expenditures This Report Monetary O Expenditures $ , , S--LC O% Loans $ , , ---- Transfers to � Office Account $ , Total Monetary $ , , • Total Monetary $ , Li In -Kind $ , , • __Yr (8) Other Distributions $ (9) TOTAL Monetary Contributions��To Date $ (-f'//• 00 (10) TOTAL Monetary Expenditures TQ,Date $ �7 •jam (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report ,,and itistrue, correct, (T)t n ll.) � `/2` to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) • Individual (only for IE • Treasurer • Deputy Treasurer ring comm.) • Candidate ■ Chairperson (only for PC and PTY) X Sig ure Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name QA)M0030 (2) I.D. Number (3) Cover Period 011. / 01. / l R through Mr / 31 / / J (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number p � 0 / 1 it /FA trw0 059 P4121'41t4) ) eive.6",N.A.- S 4.6..T CDA- IO (D 07 cis , -2.2., ri 1�Y� Thq ttoterav 1--- 5 �,d4- 12-- � C.9 t/n/iciPonO `L4 I cl (4ok o / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES 'W'►)() Z 1'#- - (2) I.D. Number (3) Cover Period 13(7c / O / ICI, through bir / 31. / J'j (4) Page of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number -W/67)i a4J 'DI- 4— '14') . I 6or444A O 3 I O D Mk. /- - m'9 - C,i,Y,q 4114- C - 252C) 1 Wipte ‘ GS 2 .625'5ew1-k !e'• "51 kmo k4(oil tit 5-6 `C/LY/tj P,oe jitu Au, 644pluts Cis 5'041C Aft 31 l Gc/► i /403 5-60-73 r 64,1/4Y-34 c J T2 3 , Lbo k.f cAte_ Go-0 NI_ 4:024pc-Gw4.2424 2— �- If • / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Q3X) 1 T T i NamV (2) 20'j F4dr/1,44;C)--3M0 SEP 19 2019 Address (number and street) U Cyityte, Z�e CC 0 7i/P ❑ 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 9 / 1 / lc) To Cl/ 13 / 102 Report Type: `� 66_Z ❑ Original ❑ Amendment ❑ Special `Election Report (6) Contributions This Report Cash & Checks $ ,�(�b •. — (7) Expenditures This Report Monetary Expenditures $ , 31 Loans $ , % d �- Transfers to Office Account $ , - Total Monetary $ , , `$ • Total Monetary $ -3j 3( In -Kind $ ,• (8) Other Distributions ,5 $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, to falsify a public record (ss. 839.13, F.S.) and complete: ( -,(AiC) \, 9-01\•i (Type name) • al (only for IE ■ Treasurer IN Deputy Treasurer or electionee comm.) X : 'M ( .. ■ Candidate ■ Chairperson (only for PC and PTY) x Sig ure Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name 1 v (_.� OY -� (2) I.D. Number (3) Cover Period ()et / / I l through Uk / 3 / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 9 / oc /2�".i � // aJ�Jaiv v i `M, \ mi‘ .../ l L i op 05 — 5 LDA-- $./ 0 o cA / 0 /i5C__ 0,0_0,,,Qx Di-C-- ,17 )4A 0ti44 1` 9 $5°° C / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAI N TREASURER'S�-�REPORT - ITEMIZED EXPENDITURES 1�' (1) Name 4 +`1c'',a3V� 5>o+4 LJ2 (2) I.D. Number (3) Cover Period 1 / ( / I ') through Cl / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number /`/f Q�,�y PrL`�,v� 0 LI 1)1140(l C 4•-e '�.61k)13° I3252a Y�`�-k CA-0 y ' /al/ 19 Fa' 2..tO S �1 3cSte,{, Acif/A-Av.) SIJc� 1-e d Qaf*P _ eA41 tl / � � �7� 3-24)9- - 3� $\ ���� cep- � cl / r Pi 6---4-6 v64144-tt -15LY tA.a.___ ., --5 1141 p'12.4 -0 1/45.4-- cproj 0 3!"2- // // . // // DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPOR 11 i : (1) CfC/i)fE> C� o D Name/ (2) \ 61 t�. OCT 0 4 2019 r / V Address (number and street) U4 --14.—FL.232_2_0cco //•.SSA By: City, tate,Code Zip ❑ 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 Qi / / L / 101 To Cl, / 21 / I Report Type. 6-3 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , 1 , (jam. , (7) Expenditures This Report Monetary r1 Expenditures $ { , , Loans $ , , 3 i • (DU Transfers to Office Account $ , , . Total Monetary $ , , • Total Monetary $ 502—, 1 cl In -Kind $ • (8) Other Distributions $ , , . (9) TOTAL Monet, Contributions To Date $ c• (10) TOTAL Monetary Expenditures To Date $ , , 647.E ,_, r (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name) 1( d3r to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) ■ Individual (only forQE • Treasurer • Deputy Treasurer or electioneering comm.) • Candidate • Chairperson (only for PC and PTY) Signa e Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name vlOti..%0 cDS,—Q.-- (2) I.D. Number (3) Cover Period / ) / IC't through q, / 2� / ) ( (4) Page 1 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number I6 , I iCkA(2.- 0„,,� b C fN`L--- G-t._, 1, Dom Wili Ma Ps6'`X" LD 1 0 ni •-)-(--)/ 0°0'4 (.-i,die___ (2:pc) Howpv /6-(3C- /--0A-. _----- liL-1 Do e--2-7 , , , , , , , , DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAJN TREASURER'S REPORT - ITEMIZED EXPENDITURES 2.4tY_ (2) I.D. Number (3) Cover Period CI / I / through 1 / 2) / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 1 A irl Gives 4e-4144-Y7-0(' atd..6 Pc- - per, „-„:r 5 c 7ci 1 I 9, V� L 0 6- P"�I '�-r (A -I, 17 ° /2,/ n 751.-.v en,,zst,Tiik, 4- .d -z.75- mer<14 14- MT 9. -5-49 Iff4-0 51640 Ok) , 40 2-( A /) / l -� 1 Q(e,(155t. - �'�,I5L\5`_ , tL 2 . 3 Z-. 5' q 2s 0, Ni z-ilb—c-1-0/0AL \ifyl, 6.0ery21/(_. OA— ,pie,,06- 041,. /_,), c1 . ' -) 400 ri?> t 510) .f1'5(--' / 7 -.' °V* 11 .-/L-(1- 2--t- 5-r- I -61-;6--L2— C4,14\k 5,071) N-,-ck,4--- tk)°114--- c.(A,6 i 6 / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES TELEPHONE SOLICITATION .RESIDENT AGENT NOTICE (Section 106.1475, F.S.) (Please Type) OFFICE USE ONLY (P, (,,e ri Z Name of Res nt Agent / %' 6 1-frac6 gfveevie60 ft 3 78 Address of Resident Agent 6'13 3'7151-3/ Telephone Number of Resident Agent 7 01DMV (a1/2 Name of Perso,or Organization Conducting Business /06,0 60.5Gia e)k Place / efl4 Ft 3 .578 Address of Person or Organization S/3 lib 673/ Telephone Number of Person or Organization Any person or organization that conducts any business in this state which consists of making paid telephone calls supporting or opposing any candidate or elected public official must, prior to conducting such business, have and continuously maintain, for at least 180 days following the cessation of such business activities in the state, a registered agent for the purpose of any service of process, notice, or demand required or authorized by law and must file with the division a notice of such registered agent. Such registered agent must be an individual who is a resident of this state, a domestic corporation, or a foreign corporation authorized to do business in this state. Conducting business in this state as specified, includes both placing telephone calls from a location in this state and placing telephone calls from a location outside this state to individuals located in this state. The person or organization conducting business in this state as specified must immediately notify the division of any changes in the information required. Any person or organization that violates this section commits a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083. DS-DE 100 (Rev. 07/10) CAMPAIGN TREASURER'S REPORT SUMMARY (1) Raymond Osborne ECEI17 E Name (2) 209 Holman Rd OCT 1 6 2019 Address (number and street) Cape Canaveral, FL 32920 City, State, Zip Code `� Od ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: City Council ❑ 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 09/28/2019 / To 10 / 01 Ztolcl / P.\ Report Type: G4 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , -UV—. -ay— ^ (7) Expenditures This Report Monetary �i Expenditures$ , 1, 5 • Transfers to Office Account $ , , . Loans $ , , • Total Monetary $ , , •"� Total Monetary $ , Lilc In -Kind $ , , • (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures Tcq Date (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name yy�341 t r E)S ` ° to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) Individual (only for IE ■ Treasurer • Deputy Treasurer or electioneering comm.) X,r",.' • Candidate ■ Chairperson (only for PC and PTY) X Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Raymond Osborne (2) I.D. Number (3) Cover Period 09 / / 11 through 10 /Ott /11 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number r O' vV V - ,�L U V Vs /` ^' 7 efAbiet4 n v_-V'_w --LOk Rk..5-ths2Q-t- i‘-340\-F-2-5" .3 /V Io A ./Y6.l 1,),,,,nit_. p- So S�► MO 56° orya-,..nd-Da_. U)15-- '''' WY'? i Q /1)3Acl RC,\Is',-Ne2i2—. ps-w o5c 64,Q3 ' 413-* P1P �, �w�i L,� no � r� /0 / P P jhc►L, )� ®P� c- c -;6(. 5-Q. - Volk Cier3 3-1 / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Raymond Osborne (1) Name 09 (3) Cover Period / / --P(.ci through 10 (2) I.D. Number / Dct (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number DO / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES City of Cape Canaveral October 16, 2019 VIA CERTIFIED MAIL & E-MAIL Raymond Osborne 209 Holman Road Cape Canaveral, FL 32920 Re: 2019 Campaign Treasurer's Report G4 10-16-19 Dear Mr. Osborne, The City Clerk's Office received .your Campaign Treasurer's Report, 2019 G4, for period 09/28/2019 — 10/04/2019, due Friday, October 11, 2019, on Wednesday, October 16, 2019 via hand delivery. Per Section 106.07(8)(b), Florida Statutes, a fine of $50.00 per day for the first 3 days late and, thereafter, $500.00 per day for each late day, not to exceed 25 percent of the total receipts or expenditures, whichever is greater, for the period covered by the late report, must be paid to the filing officer (me) within 20 days after receipt of the Notice of Payment Due. In accordance with Florida Statute, you are hereby assessed a fine of $123.88. This fine must be paid using your personal funds within 20 days of the receipt of this notice. You will need to submit a personal check made payable to the City of Cape Canaveral by mail or via hand delivery to the City Clerk's Office at 100 Polk Avenue. If you have any questions regarding this letter, please do not hesitate to contact me at 321-868- 1220 x207 or via e-mail at m.goforth@a,cityofcapecanaveral.org Sincerely, Mia Goforth, CMC City Clerk/Elections Qualifying Officer Cc: Todd Morley, Interim City Manager John DeLeo, Administrative/Financial Services Director Anthony Garganese, City Attorney THE SPAC[ 100 Polk Avenue — P.O. Box 326 • Cape Canaveral, FL 32920 BETWEEN° (321) 868-1220 • Fax (321) 868-1248 Visit us at www.cityofcapecanaveral.org • info@cityofcapecanaveral.org • #TheSpaceBetween 0680 0002 3251 2157 U.S. Postal Service M CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com'. FF Postage Total Postage and Fees Sent To os o e" /6 &reef an kffo., o PO Box No. City, State, Z114482q 246 fl A Lz-ti. Certified Mail Fee Extra Services &Fees (check box, add fee as appopdate)J) ❑ Return Receipt (haadcopy) $ ❑ Retum Recelpt(etectronlc) $ ❑ certified Mall Restricted Delivery $ Mit ,qq Poosrk sfma —Rare ❑ Adult Signature Required $ \V- 1A ❑AduttSignature Restricted Delivery $ \fin ru c:s CJ PS Form 3800, April 2015 PSN 7530-02000-9047 See Reverse for Instruction SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the maitpeece, or on the front if space permits. Article Addressed to: 20<7 // /AAN 415. CC- 3zg2© IIIIIIIIIIIII11111IIIIIII IIIIIIIIIIII l �I1111 9590 9402 4753 8344 1701 69 COMPLETE THIS SECTION ON DELIVERY ❑ Agent ❑ Addressee Date of Delivery I livery address different from Rem 1? ❑ Yes If YES, enter delivery address below: ❑ No !-2._Articleslumber fTransferfrom service label) L 7018 0680; ;OttOt, .257, 27 57; PS Form 3811, July 201 5 PSN 7530-02-000-9053' 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery 0 Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail ❑ Insured Mail RestricteiiDelivery ' (over $500)' ` ' ' • ❑ Priority Mali Express® i ❑ Registered MaiITM ❑ Registered Mail Restricted i Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmationTM D Signature Confirmation Restricted Delivery Domestic Return Receipt I9# 1111 11 111 1111 9590 9402 4753 8344 1701 69 United First-Cless,Mail Postage a Fees Paid USPS PerrriltNci;G-10 at-e'brint your neme:adcleess'i ahct-..ZIP+4° in this box' CllY OF CAPE CANAVERAL City Clerk's Office P. O. Box 326 Cape Canaveral, FL 32920-0326 I i 11111)111111h, 11 1 i 1 11 1 11 Jill' ili 1111111! !it'll CAMPAIGN TREASURER'S REPORT SUMMARY (1) Q() 055 O ECE1V n Name / (2) 2c . 0[�� Q OCT 182019 Address (number and street) V C vcJ N- ,2 I 315 /0 3 032P City,, Zip Code 6y: ❑ Check here if address has changed (3) ID Number: (4) Chec 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 /0 / (.)'7 /. 11 To / b / I [ / 11 _ Report Type: b-5 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report � Cash & Checks $ , `� (7) Expenditures This Report Monetary �� Expenditures $ , , Loans $ , Transfers to Office Account $ , , . Total Monetary $ , , • focr Total Monetary $ , , '�j . In -Kind $ , , • (8) Other Distributions $ . (9) TOTAL Monetary $ Contriibutio To Date , D� � • . (10) TOTAL Monetary Expenditures/� $ , , t1lq-• Tote (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type 1.0 D s 0a,vLwe... to falsify a public record (ss. 839.13, F.S.) and comple (TY!., name) 51 ✓Cv"''C i 1dual (only for IE • Treasurer • Deputy Treasurer or electioneering comm.) Fri Candidate ■ air son (only for PC and PTY) Signature Sig ure DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name fv1cci50 05()o6I_°2- (2) I.D. Number (3) Cover Period 1 0 / / through 10 / I 1 / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number I . 1 c 5i PSI i G n 10 /67/ 11 eizi /1.0.4301 .,110 0— C 5— MITT: - D....P R00.120-1.0_��1�- �, ®f_� 2 43 n ,..,,0 N. n 1 i .2 c, o 1 ‘1/4J ikk SPCC-- GoArAJOQ--1. k. fitA0.40 1,1m-i-ti.a.5 c---0() 9q qt --rg' VDQJ\'4 (2 2-7 o r Co o/,i g „.p-io..sm65iktiK ,0 co; , GAS l 2Y j Iv 4/Fok 9(1-19-044% / ;''-i 106d- (5tJZP�q)61iItt3&— 1()1 114 'Q-A& r\-\/7"dd 'c;if 13j-6r // // DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Raymond Osborne (3) Cover Period (2) I.D. Number 10• / 2p�� through / / 19 (4) Page of (5) Date (7) Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code DO :.v ._Y / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES City of Cape Canaveral 105 Polk Avenue P.O. Box 326 Cape Canaveral, FL 32920 (321) 868-1220 www. cltyof ca p eca n ave ra 1. org Ca Cash Receipt #: ; /"4 eceiyed From ers,, re ✓ -e, R� Payment Received '02 . Cash /04//9 Check V # Date/IVO/ Jvr'z/ // w gp€z,7 : kiiiiiiiiitiriiiiii i fr ' ' - ,/ •Z''& g.i tBaiahite Due • ''. City Employee CAMPAIGN TREASURER'S REPORT SUMMARY (1) Raymond Osborne OFFICE USE ONLY Name RE@MIV7LED (2) 209 Holman Road Address (number and street) OCT 5 2019 Cape Canaveral, Fl 32020 By: DY2p6 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ECandidate Office Sought City Council seat ❑ 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 �) / Ili- To J0 / IT Ilei Report Type: G Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report 0-0 Monetary -6 0\ Cash & Checks $ , , 50 Q . Expenditures $ , , . Loans $ , • Transfers to Office Account $ , • Total Monetary $ , , - , ..6_9,_ Total Monetary $ , In-Kind $ , (8) Other Distributions $ , (9) TOTAL Monetary Contribute T Date (10) TOTAL Moneta Expen# res T ate $ , I , C�' ` $ , 1 , l yJ 7 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) (Type name) ❑ Individual(only for IE E Treasurer Deputy Treasurer an I E Chairperson(only for PC and PTY) or e e ' ering comm.) / , X � X 4 " S t re Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Raymond Osborne (1) Name (2) I.D. Number (3) Cover Period 10 / 11—/ 141 through 10 / 4 / 1') (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 IPO/ 16 " ' 1,44kve.1- — Tfff-e- 4,k 0. C9tclu‘i '-'2"-j ,i- 6,„0...&__ PApi / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Raymond Osborne (2) I.D. Number r I (3) Cover Period l0 / )- 11 through 10 / g / G 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 /CY 1 /Cl -\K--c) ,) Q-or-tzini-5 t,.,6-c--b _J1-4q / 00- C) mp_.\i ‘Ok-OVie...ileket-L_ Pu lv/ICY/161 -6 ( V)--*-.. �� i-P., 10 Jo Id �' '�1L__' iti -.'„( -� �� e_Aiti i -4.--' .-12_ti ),,j \-,2-.) ) 1 )0--,\.. -r...eg___ C-f)� 540 'N --- / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I CAMPAIGN TREASURER'S REPORT SUMMARY (1) Raymond Osborne FICE USE ONLY Name (2) 209 Holman Road R E©L U7D NOV Address (number and street) Cape Canaveral, FI 32020 012019 o-- 3207/ By: .0 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ✓ Candidate Office Sought: City Council seat ❑ 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) Cov Period: From 1D / -1° / 11 Report Identifiers To ) 0 / `)) / 19 Report Type: G7 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , 7Sb • (7) Expenditures This Report Monetary al de Expenditures $ , , -672., Transfers to Office Account $ , , - . Loans $ , ,_- Total Monetary $ , , — • Total Monetary $ , , '64 In -Kind $ , , (8) Other Distributions $ , • (9) TOTAL Monetary ContribL, jigns To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Typ a ce ,f to falsify a public record (ss. 839.13, F.S.) and complete: (Type a 1,70 1i f)C sir ■ Individual (only for IE ■Treasurer • Deputy Treasurer eering comm.) andidate ■Chairperson (only for PC and PTY) Signs re Si re DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Raymond Osborne (3) Cover Period to through io (2) I.D. Number / - /9 (4) Page (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number /a [2 4 , 1`1 3Ar 1\ 14e0(Q— /oD / 0 / , Ict 0, ra :01c.- -)...i0 u.2 .s....1\44.51)7 )b ‘j.),2_ 4S-00 v,- i , �� ��I . 2-G l N. --7-"" -S ,�Q-- 61-( Z__ )V , 3 / 6 Pi1Kf 4 I-7- ID ,0 ,j P itc_---- -- KcA \) seADec— , i .„-ttl, (W2_ ...__- ......_ $i 'c% , , DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Raymond Osborne (2) I.D. Number (3) Cover Period 10 / 161 / n through / t) / 3 l / )c) (4) Page of 7_ (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number r /2-4--l RI `c,- F-1\3._9,,p__ (27_5 9 / cm -z\--- Pho Pc60 � ,L, ./ttt) 191'9,4 GD 10 / l5/ i ct L j - n4 7 012_, P. Aisi4PA.c.Ave_ CI) 010-411t.- - , Va,:=-.s- 671-0 3C 1 `2, C9 / / ib /4/1 ��5 C . T - ;--- --.1.-- Nt )b - �..1+NO( Y2300 POokiami- D )0P- 6,tear_ot,).40,A,Lrizi-,m.„ 5-6)-1 9(66, or j 3 6-D- %b 2„ va05„4/,iw I5fa12-.5) iV6Os4,,,k 33j p wig) 6,1vd 6O..---- /D ' Aci 5)._z:- 5—t-I,Ga-- 0-,> kho % Al‘5336—' C4-0 I cil (i-tr ,. SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Raymond Osborne (2) I.D. Number (3) Cover Period it / through / / In (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type yp (10) Amendment (11) Amount (6) Sequence Number ,r, 4+,_0, '�' V 3� _(n_)e too n / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Raymond Osborne 1f r'F IISF ONI Y ....- Name (2) 209 Holman Road R E©CDWI D JAN 2 9 2020 Address (number and street) Cape Canaveral, FI 32020 By.S I(�:�(� 6111 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: City Council seat ❑ 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 otherlE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From k / / .")_,p101 To I / / 2.D Report Type:20 I 1 12 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Expenditures $ , , 1? 3) . g Cash & Checks $ , Transfers to Office Account $ . Loans $ , Total Monetary $ D , 6G • 00 Total Monetary $ , c.M, . ,, In -Kind $ • (8) Other Distributions $ • (9) TOTAL Monetary Contributions ToDate(10) $-." , •2-, b C TOTAL Monetary Expendit s Toto $ , 2 , 6' . ,, (11) Certification It is a first degree misdemeanor for any person I certify that 1 have examined this report and it is true, correct, (TYP ameP} /•ii"a Aa 059,,fuk1od to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) V =r�w1a.4'1 6 bOL — Individual (only for IE • Treasurer eputy Treasurer eering comm.) Candidate • Chairperson (only f PC and PTY) Signature Signat DS-DE 1Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS . RE CAMPAIGN TREASURER'S REPORT (1) Name......�v1ii�tarn1� 0Sd>t�.f �� (3) Cover Period l / bt / 1C1 through JAN 2 9 2020 - 011k 151 NDITUREStn . . er (4) Page f (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Nuuence S Number h5-ti5o.di, Sfi /4 /3 5'6 0-7 -- 7111-K1,-)U4(:—. . ) —' 0 1 1 51 S G 12y1 -a7 • C)(2,'s5 Aye c_otztt_pAri-13r-c- (53' ))/vcv L9 t-h, 2007 .Q-C� C �NZ 1--�) -r lf,ivoit3 ) 51 t4 $7 5 � 3 6 6 0 Pszo5 OP/A -% w /060ct 6401-)k- 12 = �,J i L f3 6 /���i \)4W-0 (�n,� i f,� o��- G l4 3 51.c A7 ,20t `c'L0A4-- PI 2 S 1 ' cos roc R.a 6--2) 1 i��/ 05(30 c �c `" -Iva', ce-51---56M.- �� � — z � OC< c-W 6 3 0.)-00‘..CL 02 z-419e- / ��j Z0 t 5Q VLA, 5,. M2) 6v N- US- if-f1p,,1,th I)15 9,4/1- Cot -3.) () \ $ f 10-)---- �- it DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS Name �''7 vitaAso 5o Cover Period 1-1 /0 l- / i through (2) I.D. Number ( P 20 t� /2' / 20 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Related Expenditures (10) Amendment (11) Amount (12) Distribution Type (6) Sequence Number )City, Rosplia....÷-5p,..viNA,14 Q4eoei..� -us jc/ 6f---6-1,4(5 6/k� —1,P-N 3-°11 I CR od C'L. r / / / / / / // // / / R EOE MILE D / / JAN 2 9 By: JZs (6:5C, 2020 AWL DS-DE 14A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES