HomeMy WebLinkAboutashea-king_qualifying_elections_paperwork_202008CITY OF CAPE CANAVERAL, FLORIDA
CANDIDATE PACKET ACKNOWLEDGMENT
I, ANDREA SHEA-KING do hereby acknowledge receipt of:
1. June 25, 2020 Candidate Information Memo
2. 2020 Election Information
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. 04/20), Candidate Oath — Nonpartisan Office
5. City Oath of Candidate
6. CE Form 1 (January 1; 2020), 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 October 2019
10. 2020 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
I understand, in order to have my name appear on the. November 3, 2020 Municipal Election Ballot, I
must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins
on August 3, 2020 at noon and ends August 14, 2020 at noon.
( Andrea Shea King)
Signature
Date:
Aug 5, 2020
OFFICE USE ONLY
RECEIVED
AUG 05 2020
DL
By: MG 3:14 PM
Enter Date:Time Received
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 05 2020
DL
By: MG CCO 3:24 PM
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
X- Initial Filing of Form Re -filing to Change: ✓ Treasurer/Deputy O Depository O Office O Party
2. Name of Candidate (in this order: First, Middle, Last)
ANDREA P SHEA-KING
3. Address (include post office box or street; city, state, zip
code)
7017 ORANGE AVE
CAPE CANAVERAL, FL.
32920
4. Telephone
(321 ) 534-4396
5. E-mail address
radiopatriot@gmail.com
6. Office sought (include district, circuit, group number)
City Council
7. If a candidate for a nonpartisan office, check if
applicable:.
O 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
O Write -In O No Party Affiliation O Party candidate.
9. I have appointed the following person to act as my X-Campaign Treasurer O Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
ANDREA SHEA-KING
11. Mailing Address
7017 ORANGE AVE. CAPE CANAVERAL FL
12. Telephone
(321) 534 - 4396
13. City
CAPE CANAVERAL
14. County
BREVARD
15. State
FL
16. Zip Code
32920
17. E-mail address
radiopatriot@gmail.com
18. I have designated the following bank as my X- Primary Depository O Secondary I epository
19. Name of Bank
SUNRISE BANK
20. Address
5604 N. ATLANTIC AVE
21. City
COCOA BEACH
22. County
BREVARD
23. State
FL
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
AUG 5, 2020
26. Signature of Candidate
X [Andrea P. Shea-King
27. Treasure's acceptance of Appointment (fill in the blanks and check the appropriate block)
I, [ Andrea P. Shea-King , do hereby accept the appointment
(Please Print or Type Name)
designated above as: X- Campaign. Treasurer 0 Deputy Treasurer.
Aug 5, 2020 X [Andrea P. Shea-King
Date Signature of Campaign Treasurer 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
RECEIVED
AUG 05 2020
DL
By: MG CCO 4:24 PM
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, ANDREA SHEA-KING
(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
(Office) (District #)
, ; I am a qualified elector of 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 inthe 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): 100972961
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:]
ANN-dree-uh SHAY- KING
X [ Andrea P. Shea-King
Signature of Candidate
(321) 536- 4396 RadioPatriot@gmail.com
Telephone Number Email Address
7017 ORANGE AVE CAPE CANAVERAL FL 32920
Address City State ZIP Code
STATE OF FLORIDA
COUNTY OF BREVARD
Sworn to (or affirmed) and subscribed before me by X-physical or
❑ online presence this 5th day of August , 2020.
Personally Known: ___ or Produced Identification: X
Type of Identification Produced: FLORIDA DRIVER LICENSE
[ Mia Goforth]
Signature of Notary Public
Print, Type or Stamp Commissioned Name of Notary Public below:
Mia Goforth
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG083783
Expires 5/16/2021
DS-DE 302NP (Rev. 04/20)
Rule 1S-2.0001, F.A.C.
OATH OF CANDIDATE
I, ANDREA SHEA- KING , 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.
[ Andrea P. Shea- King]
Signature of Candidate
State of Florida
County of Brevard
City of Cape Canaveral
Sworn to (or affirmed) and subscribed before me by physical presence this
5th day of August, 2020 by Andrea Shea- King , who
is personally known or produced FL DRIVER LICENSE Identification.
Signature of Notary Public
Print, type or stamp Commissioned Name of Notary Public
[ Mia Goforth]
Signature of Notary Public
Print, type or stamp Commissioned Name of Notary Public
Mia Goforth
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG083783
Expires 5/16/2021
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
2019
Please print or type your name, mailing
address, agency name, and position below:
LAST NAME — FIRST NAME — MIDDLE NAME :
SHEA-KING Andrea P.
MAILING ADDRESS :
7017 ORANGE AVE
CAPE CANAVERAL 32920 BREVARD
CITY: ZIP : COUNTY :
CITY OF CAPE CANAVERAL
NAME OF AtGENCY :
CITY COUNCIL ( City of Cape Canaveral)
NAME 0F OFFICE OR POSITION HELD O SOUGHT :
City Council
CHECK ONLY IF X- CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE
FOR OFFICE USE ONLY:
RECEIVED
AUG 05 2020
By: MG CCO 4:48 pm
**** THIS SECTION MUST BE COMPLETED ****
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2019.
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 ❑ DOLLAR VALUE THRESHOLDS
PART A — PRIMARY SOURCES OF INCOME [ Major sources of income the reporting person- See instructions]
(If you have nothing to report, write "none" or "n/a")
NAME OF SOURCE
OF INCOME
Social Security
IRA (Merritt Lynch)
SOURCES
ADDRESS
SSA Washington DC
Merrill Lynch, Rockledge Fl
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
N/A
Retirement Fund
PART B — SECONDARY SOURCES
[Major customers, clients, and other sources of income businesses owned by the reporting person- See instructions]
(If you have nothing to report, write "none" or "n/a")
NAME OF
BUSINESS ENTITY
OF INCOME
N/A
NAME OF MAJOR SOURCES
OF BUSINESS' INCOME
ADDRESS
OF SOURCE
PRINCIPAL BUSINESS
ACTIVITY OF SOURCE
PART C — REAL PROPERTY [Land, buildings owned by the reporting person - See instructions]
(If you ave nothing to report, write "none" or "n/a")
N/A
You are not limited to the space on the
lines on this form. Attach additional
sheets, if necessary.
FILING INSTRUCTIONS for when
and where to file this form are
located at the bottom of page 2.
INSTRUCTIONS on who must file
this form and how to fill it out
begin on page 3.
CE FORM 1 - Effective: January 1, 2020
Incorporated by reference in Rule 34-8.202(1), F.A.C.
(Continued on reverse side)
PAGE 1
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
N/A
BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E — LIABILITIES [Major debts - See instructions]
(If you have nothing to report, write "none" or "nla")
NAME OF CREDITOR
N/A
ADDRESS OF CREDITOR
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
NAME OF BUSINESS ENTITY
N/A
ADDRESS OF BUSINESS ENTITY
BUSINESS ENTITY # 2
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:
Signature:
[Andrea Shea-King]
Date Signed:
Aug 5, 2020
CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473, or attorney
in good standing with the Florida Bar prepared this form for you, he or
she must complete the following statement:
I _______________, prepared the CE
Form 1 in accordance with Section 112.3145, Florida Statutes, and the
instructions to the form. Upon my reasonable knowledge and belief, the
disclosure herein is true and correct.
CPA/Attorney Signature:
Date Signed:
FILING INSTRUCTIONS:
If you were mailed the form by the Commission on Ethics or a County
Supervisor of Elections for your annual disclosure filing, return the
form to that location. To determine what category your position falls
under, see page 3 of instructions.
Local officers/employees 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 headquarters.) 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 Ethics, it will be
returned.
State 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 P.O. Drawer 15709, Tallahassee, FL
32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200,
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), send it to CEForm1@leg.state.fl.us and retain a copy
for your records. Do not file by both mail and email. Choose only one
filing method. Form 6s will not be accepted via email.
Candidates file this form together with their filing papers.
MULTIPLE FILING UNNECESSARY: A candidate who files a Form
1 with a qualifying officer is not required to file with the Commission
or Supervisor of Elections.
WHEN TO FILE: Initially, each local officer/employee, 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
confirmation, even if that is less than 30 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 their positions.
Finally, file a final disclosure form (Form 1 F) within 60 days of
leaving office or employment. Filing a CE Form 1 F (Final Statement
of Financial Interests) does not relieve the filer of filing a CE Form 1
if the filer was in his or her position on December 31, 2019.
CE FORM 1 - Effective: January 1, 2020. PAGE 2
Incorporated by reference in Rule 34-8.202(1), F.A.C.
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY
RECEIVED
AUG 05 2020
DL
By: MG CCO 4:40 PM
I, ANDREA SHEA KING ,
candidate for the office of
City Council, Cape Canaveral ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X [Andrea P. Shea King
Signature of Candidate
Aug 5, 2020
Date
Each candidate must file a statement with the qualifying officer within 10
Appointment of Campaign Treasurer and Designation of Campaign Depository
failure to file this form is a first degree misdemeanor and a civil violation of
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)
CITY OF CAPE CANAVERAL
100 POLK AVE.
CAPE CANAVERAL, FL 32920
(321) 868-1220
Received Of: ANDREA SHEA-KING
The sum of: $39.00
RECEIPT
08/05/20
Number: 60006
Cashier: c.blake
ELE TAX ELECTION TAX PAYABLE
MISC MISC
Total
$24.00
$15.00
$39.00
Remaining Balance:
$0.00
TENDERED:
CHECK
91
$39.00
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Andrea P. Shea-King
Name
(2) 7017 Orange Ave
Address cpumber and street)
Cape Canaveral FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP 04 2020
By: CCO DL
❑ Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
X- 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 08/ 01/ 20 To 08/ 29/ 20 Report Type: 2020 G1
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 100.00, __, __. __
Loans $ __, __, __. __
Total Monetary $ 100.00, __, __. __
In-Kind $ __, __, __. __
(7) Expenditures This Report
Monetary
Expenditures $ 39.00, 45.39, __. __
Transfers to
Office Account $ __, __, __ . __
Total Monetary $ 39.00, 45.39, __. __
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ 100.00 , __, __. __
(10) TOTAL Monetary Expenditures To Date
$ 84.39 , __, __. __
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I ceritfy that I have exmained this report and it is true, correct, and complete:
(Type name) ANDREA P. SHEA-KING
■ Individual (only for IE X- Treasurer ■ Deputy Treasurer
or electioneering comm.)
X [ Andrea P. Shea-King]
Signature
(Type name) ANDREA P. SHEA-KING
X Candidate • Chairperson (only for PC and PTY)
X [ Andrea P. Shea-King
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Andrea P. Shea-King (2) l.D. Number N / A
(3) Cover Period 08/ 01/ 20 through 08/ 29/ 20 (4) Page 1 of 1
(5)
Date
08/ 05/ 20
(6)
Sequnce
Number
7
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
City of Cape Canaveral
100 Polk Ave.
Cape Canaveral, FL. 32920
(8)
Purpose
(add office sought if
contribution to a
candidate)
Qualifying Fee
for City Council
Seat
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
39.00
(5)
Date
08/ 19/ 20
(6)
Sequence
Number
8
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Go Daddy Operations Co.
(8)
Purpose
(add office sought if
contribution to a
candidate)
Elect Andrea.com
Website
Email / Outlook
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
45.39
.
me. iuc. A.
gyp& 00Natia41-1 R . 3.9,0.0
'h
Ze..
8.62„..1_
- LL
,1
39, °o
(S)
OS//1/ow
%% , , /i
J DA 9,F 1 rr",:l 4 c .
C e7 4 z' . e.D.l
1
//
/ /
/ /
//
//
//
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Andrea Shea-King (2) I.D. Number
(3) Cover Period 08/ 01/ 20 through 08/ 29/ 20 (4) Page 1 of 1
(5)
Date
08/ 05/ 20
(6)
Sequence
Number
(7)
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Shea-KIng
Andrea P.
7017 Orange Ave
Cape Canaveral,
FL 32920
(8)
Contributor
Type
S
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
$100.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
From: Andrea <radiopatriot@gmail.com>
Sent: Thursday, September 17, 2020 11:01 AM
To: Mia Goforth
Subject: Discontinuing Campaign for City Council
Warning -This email originated outside the City of Cape Canaveral mail system. Please review the sender's
address. Report any suspicious mail by using the Phishalert button in Outlook. If that is not possible forward
the suspicious mail to phishalert@cityofcapecanaveral.org
Good morning, Mia,
This email is sent to officially inform you that I am ending my campaign for City Council and will not be running
for a seat on that board at this time.
I appreciate all the help you have given me along the way, and look forward to continuing my relationship with
you in your capacity as Clerk. Also, please let me know if I'm required to return the Candidate Packet binder to
you.
All the best,
Andrea Shea -King
Florida has a very broad public records law. As a result, any written communication created or received by the
City of Cape Canaveral officials and employees will be made available to the public and/or media upon request,
unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email
address released in response to a public -records request, do not send electronic email to this entity. Instead,
contact our office by phone or in writing.
1
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ANDREA P. SHEA-KING
Name
(2) 7017 ORANGE AVE
Address number and street)
CAPE CANAVERAL FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEPT 18 2020
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X -Candidate Office Sought: City Council, Cape Canaveal FL 329
❑ 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 8/ 30/ 20 To 9/ 11 /20 Report Type: 2020 G2
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ ---, ---, ---. ---
Loans $144.00, 7.75, __. __
Total Monetary $ 144 ---, 7.75, __. __
In-Kind $ __, __, __ . __
(7) Expenditures This Report
Monetary
Expenditures $ 7.75, __, __ . __
Transfers
Office Account $ __, __, __. __
Total Monetary $ 7.75, __, __. __
(8)
Other Distributions
$ __, __, __ . __
(9) TOTAL Monetary Contributions To Date
$ 151.75, __, __. __
(10)
TOTAL Monetary Expenditures To Date
$ 7.75, __, __,. __
(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 thisJi(rreport and it is true, correct, and complete:
(Type name) ANDREA P. SHEA-KING
• Individual (only for IE X- Treasurer • Deputy Treasurer
or electioneering.comm.)
X [Andrea P. Shea-King]
Signature
(Type Name) ANDREA P. SHEA-KING
X- Candidate • Chairperson (only for PC and PTY)
X [Andrea P. Shea-King]
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Andrea P. Shea-King (2) I.D. Number N / A
(3) Cover Period 8/ 30/ 20 through 9/ 11/ 20 (4) Page 1 of 1
(5)
Date
9/ 01/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
USPS
50 Fleming St.
Lincoln, ME
04457-9998
(8)
Purpose
(add office sought if
contribution to a
candidate)
Postage
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
$7.75
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Andrea P. Shea-King (2) I.D. Number N / A
(3) Cover Period 8/ 30/ 20 through 9/ 11/ 20 (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor NONE
Type
(9)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Andrea P. Shea-King
Name
(2) 7017 Orange Ave
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 02 2020
By: KS 10:25 AM
❑ Check here if address has changed (3) ID Number: N / A
(4) Check appropriate box(es):
X- 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
C ver Period: From 9/ 12/ 20 To 10/ 2/ 20 Report Type: 2020 G 3
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 5.00 , __, __. __
Loans $ __, __, __. __
Total Monetary $ __, __, __. __
In-Kind $ __, __, __ . __
(7) Expenditures This Report
Monetary
Expenditures $ 15.00, 2.20, .34. 5.00
7.75
Transfers
Office Account $ __, __, __. __
Total Monetary $ 22.75, 2.00, .34 . 5.00
(8) Other Distributions
$ __, __, __ . __
(9) TOTAL Monetary Contributions To Date
$ 5.00, __, __ . __
(10) TOTAL Monetary Expenditures To Date
$ 30. 29, __, __. __
(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 enexamined this report and it is true, correct, and complete:
(Type name) Andrea P. Shea-King
• Individual (only for IE X- Treasurer ■ Deputy Treasurer
or electioneering comm.)
X [Andrea P. Shea-King]
Signature
(Type Name) Andrea P. Shea-King
X- Candidate ■ Chairperson (only for PC and PTY)
X [ Andrea P. Shea-King
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Andrea P. Shea-King (2) I.D. Number N / A
(3) Cover Period 9/ 12/ 20 through 10/ 2/ 20 (4) Page 1 of 1
(5)
Date
9/ 15/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Nina Clay
11 Justice St.
Vero Beach, FL
32966
(8)
Contributor
Type
I
(8)
Occupation
(9)
Contribution
Type
MO
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
5.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAI TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Andrea P. Shea-King (2) I.D. Number
(3) Cover Period 9/ 12/ 20 through 10/ 2/ 20 (4) Page 1 of 1
(5)
Date
9/ 16/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
USPS
50 Fleming St.
Lincoln, ME
04457- 9998
(8)
Purpose
(add office sought if
contribution to a
candidate)
Postage
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
7.75
(5)
Date
9/ 30/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Bank Fee
Sunrise Bank
Cocoa Beach, FL 32931
(8)
Purpose
(add office sought if
contribution to a
candidate)
Bank Fee
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
2.20
(5)
Date
9/ 30/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Sunrise Bank
Cocoa Beach, FL.
32931
(8)
Purpose
(add office sought if
contribution to a
candidate)
Bank Fee
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
.34
(5)
Date
10/ 02/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Return Contribution
Nina Clay
Justice St. Vero Beach, FL
32966
(8)
Purpose
(add office sought if
contribution to a
candidate)
RETURN CONTRIB.
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
5.00
(5)
Date
9/ 30/ 20
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Sunrise Bank
Cocoa Beach, FL.
32931
(8)
Purpose
(add office sought if
contribution to a
candidate)
SERV. CH (cant read spelling)
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
15.00
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Andrea P. Shea-King
Name
(2) 7017 Orange Ave
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
NOV 17 2020
By: MG CCO
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X- Candidate Office Sought: City Council
❑ Political Committee (PC) I
❑ 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/ 26/ 20 To 11/ 17/ 20 Report Type: 2020 TR
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 0, 0, 0 . 0
Loans $ 0, 0, 0 . 0
Total Monetary $ 0, 0, 0. 0
In-Kind $ 0, 0, 0 . 0
(7) Expenditures This Report
Monetary
Expenditures $ 0 , 0 , 0 . 0
Transfers to
Office Account $ 0 , 0 , 0 . 0
Total Monetary $ 0, 0, 0 . 0
(8) Other Distributions
$ 0, 0, 0. 0
(9) TOTAL Monetary Contributions To Date
$ 0 , 0 , 0 . 0
(10) TOTAL Monetary Expenditures To Date
$ 0, 0, 0. 0
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) Andrea P. Shea-King
■ Individual (only for IE ■ Treasurer • Deputy Treasurer
or electioneering comm.)
X [ Andrea P. Shea-King]
Signature
(Type Name) Andrea P. Shea-King
• Candidate • Chairperson (only r PC and PTY)
X [ Andrea P. Shea-King]
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS