HomeMy WebLinkAboutkdavis_cocc_campaign_treasurers_reports_202109CAMPAIGN TREASURER'S REPORT SUMMARY
(1) kimberley Elaine Davis
Name
(2) 300 Columbia Dr #1101
Address number and street)
Cape Canaveral, Fl 32920
City, State, ZipCode
OFFICE USE ONLY
RECEIVED
SEP 03 2021
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(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/ 27 To 08/ 27/ 21 Report Type: G1
X- Original ❑ Amendment ❑ Special Election Report 2021
(6) Contributions This Report
Cash & Checks $ __, __,__.__
Loans $ __, __, 100.00
Total Monetary $ __, __, __.__
In-Kind $ __, __, __.__
(7) Expenditures This Report
Monetary
Expenditures
$ __, __, 39.00
Transfers to
Office Account $ __, __,__.__
Total Monetary $ __, __, __.__
(8) Other Distributions
$ __, __, __,.__
(9) TOTAL Monetary Contributions To Date
$ __, __, 100.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 39.00
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss.839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) Kimberley Elaine Davis
• Individual (only for IE X-Treasurer • Deputy Treasurer
or electioneering comm.)
X Kimberley Elaine Davis
Signature
(Type name) Kimberley Elaine Davis
X- Candidate ■ Chairperson (only for PC and PTY)
X Kimberley Elaine Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S. REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 08/ 01/ 27 through 08/ 27/ 21 (4) Page 1 of 1
(5)
Date
01
(6)
Sequence Number
(7)
FuII Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
DAVIS, Kimberley
Elaine
300 Columbia
Dr #1101
Cape Canaveral
Fl 32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
LOA
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
100.00
/
/
/
/
/
/
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 08/ 01/ 21 through 08/ 27/ 21 (4) Page 1 of 1
(5)
Date
01/ Ineligible)
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
City of Cape Canaveral
100 Polk Ave
Cape Canaveral, Fl
32920 321 868-1220
(8)
Purpose
(add office sought if
contribution to a
candidate)
Filing fee
(9)
Expenditure
Type
C
(10)
Amendment
(11)
Amount
//
//
//
//
//
//
//
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Dr #1101
Address (number and street)
Cape Canaveral, Fl. 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP 16 2021
MG
❑ Check here if address has changed (3) ID Number:
(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/ 28/ 21 To 09/ 10/ 21 Report Type: G1
X-Orginal 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 250.00
Loans $ __, __, __.__
Total Monetary $ __, __, __.__
In-Kind $ __, __, __.__
(7) Expenditures This Report
Monetary
Expenditures $ __, __,0.00
Transfers to
Office Account $ __, __, __.__
Total Monetary $ __, __, __.__
(8) Other Distributions
$ __, ___, ___.___
(9) TOTAL Monetary Contributions To Date
$ __, __, 350.00
(10) TOTAL Monetary Expenitures To Date
$ __, __, 39.00
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss.839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) Kimberley Elaine Davis
• Individual (only for IE X-Treasurer 0 Deputy Treasurer
or electioneering comm.)
X- Kimberley E Davis
Signature
(Type name) Kimberley Elaine Davis
X- Candidate 0 Chairperson (only for PC and PTY)
X- Kimberley E Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 08/ 28/ 21 through 09/ 10/ 21 (4) Page 1 of 1
(5)
Date
01
09-10-21
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
BREVARD DEC
513 N. HARBOR
BLVD, MELBOURNE
FL 32935
(8)
Contributor
Type
F
(8)
Occupation
Organiz-
ation
(9)
Contribution
Type
Che
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
$250.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) kimberley Elaine Davis
Name
(2) 300 Columbia Dr #1101
Address (number and street)
Cape Canaveral, Fl 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP 3 0 2021
MG
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X-Candidate Office Sought: City Council-Cape Canaveral
❑ 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/ 11/ 21 To 09/ 24/ 21 Report Type: G3
X-Orignal 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 129.37
Loans $ __, __, 100.00
Total Monetary $ __, __, 229.37
In-Kind $ __, __, 117.91
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 497.05
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, 497.05
(8) Other Distributions
$ __, __, __.__
(9) TOTAL Monetary Contributions To Date
$ __, __, 579.37
(10) TOTAL Monetary Expenditures To Date
$ __, __, 536.05
(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) Kimberley E Davis
• Individual (only for IE X-Treasurer 0 Deputy Treasurer
or electioneering comm.)
X Kimberley Elaine Davis
Signature
(Type name) Kimberley Elaine Davis
X-Candidate 0 Chairperson only for PC and PTY)
X kimberley Elaine Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 09/ 11/ 21 through 09/24 /21 (
(4) Page 1 of 1
(5)
Date
09/ 15/ 21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Mace, Vicki
770 Lakewood
Circle
Merritt Island
Fl 32952
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In -kind
Description
Door Hangers N
(11)
Amendment
(12)
Amount
130.60
(5)
Date
09/ 20/ 21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Lugo, Sharon
345 River ISl
Street
Merritt ISl
Fl 32953
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In- Kind Description
Banner
N
(11)
Amendment
(12)
Amount
47.31
(5)
Date
09/13/ 21
(6)
Sequence Number
03
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Majid, Joan
695 Oak Park
Circle
Merritt ISl
Fl 32953
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In-Kind Description
(11)
Amendment
(12)
Amount
100.00
(5)
Date
09/13/21
(6)
Sequence Number
04
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Majid, Joan
695 Oak Park
Circle
Merritt Isl
Fl 32953
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In-Kind Description
(11)
Amendment
(12)
Amount
4.37
(5)
Date
09/15/21
(6)
Sequence Number
05
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Mace, Vicki
700 Lakewood
Circle
Merritt Isl
Fl 32952
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In-Kind Description
(11)
Amendment
(12)
Amount
25.00
(5)
Date
09/16/21
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Davis, Kim
300 Columbia
Dr #1101
Cape Canaveral
Fl 32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
LOA
(10)
In-Kind Description
(11)
Amendment
(12)
Amount
100.00
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 09/11/21 through 09/24/21 (4) Page 1 of 1
(5)
Date
9/17/21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Good Guy Signs
1032 E Hillsborough
Ave Tampa, Fl
33604
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Signs
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
374.10
(374.10)
(5)
Date
9/17/21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Office Depot
550 E MI Causeway
Merritt Isl Fl
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Palm
Cards
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
33.39
(5)
Date
9/15/21
(6)
Sequence Number
03
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Comstock Photography
1245 S Orlando Ave
Cocoa Beachm Fl
32931
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Photo
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
56.50
(5)
Date
09/20/21
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Cape Canaveral Leisure
Services
7300 N. Atlantic Ave
Cape Canaveral, Fl
32920
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Table
Friday
Fest
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
33.06
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Dr. #1101
Address (number and street)
Cape Canavreral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
O C T 0 8 2021
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X-Candidate Officee 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/ 25/ 21 To 10/ 01/ 21 Report Type: G-3
X- Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 96.42
Loans $ __, __, __.00
Total Monetary $ __, __, 96.42
In-Kind $ __, __, 21.98
(7) Expenditures This Report
Monetary
Expenditures $ __, __,17.43
Transfers to
Office Account $ __, __, __.__
Total Monetary $ __, __, 17.43
(8) Other Distributions
$ __, __, __.00
(9) TOTAL Monetary Contributions To Date
$ __, __, 675.79
(10) TOTAL Monetary Expenditures To Date
$ __, __,553.53
(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) Vicki L Mace
■ Individual (only for IE E X-Treasurer 0 Deputy Treasurer
or electioneering comm.)
X Vicki L Mace
Signature
(Type name) Kimberley E Davis
X- Candidate 0 Chairperson (only for PC and PTY)
X Kimberley E Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 09/ 25/ 21 through 10/ 01/ 21
(4) Page 1 of 1
(5)
Date
9/26/21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Michaels
780 B. East Merritt Island
Causeway
Merritt Island, FL 32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
T-Shirts
for
Campaign
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
11.03
(5)
Date
10/01/21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Cumberland Farms
8000 Astronaut Blvd
Cape Canaveral, FL
32920
(8)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
6.40
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 09/ 25/ 21 through 10/ 01/ 21 (4) Page 1 of 1
(5)
Date
9/ 30/ 21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Vicki Mace
770 Lakewood Cir
Merritt Island, FL
32952
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In -kind
Description
Candy for
Friday
Fest
Cape Canaveral
(11)
Amendment
(12)
Amount
21.98
(5)
Date
10/ 1 / 21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Renee Anthony
Cape Shores Circle
Unit B
Cape Canaveral, FL
32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In-Kind Description
(11)
Amount
96.42
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Drive #1101
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 15 2021
By: AY 9:34 Am
❑ Check here if address has changed (3) ID Number:
(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 10/ 02/ 21 To 10/ 08/ 21 Report Type: G5
X- Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 100.00
Loans $ __, __, __.00
Total Monetary $ __, __, 100.00
In-Kind $ __, __, __.__
(7) Expenditures This Report
Monetary
Expenditures $ __, __, __.00
Transfers to
Office Account $ __, __, __.00
Total Monetary $ __, __, __.00
(8) Other Distributions
$ __, __, __.00
(9) TOTAL Monetary Contributions To Date
$ __, __, 775.79
(10) TOTAL Monetary Expenditures To Date
$ __, __, 553.53
(11) Certification
It is a first degree misdemeanor for any person to falisfy 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) Vicki L Mace
• Individual (only for IE X-Treasurer 0 Deputy Treasurer
or electioneering comm.) -
X Vicki L Mace
Signature
(Type name)
• Candidate • Chairperson (only for PC and PTY)
X
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 10/02/ 21 through 10/08/21 (4) Page 1 of 1
(2) I.D. Number
(5)
Date
10/ 04/ 21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City; State, Zip Code
Hoog Electric
210 Jefferson Ave
Cape Canaveral, FL
3292(8)
Contributor
Type
B
(8)
Occupation
Electricial
Company
(9)
Contribution
Type
CHE
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
100.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 10/ 02/ 21 through 10/ 08/ 21 (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
No Expenditures for this Period
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1 Kimberley Elaine Davis
Name
(2) 300 Columbia Dr. #1101
Address (number and street)
Cape Canaveral, FL 32920
City, Statd, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 22 2021
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(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 (1E) (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/ 25/ 21 To 10/ 01/ 21 Report Type: G-4
❑ Original X-Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 96.42
Loans $ __, __, __.00
Total Monetary $ __, __, 96.42
In-Kind $ __, __, 21.98
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 17.43
Transfers to
Office Account $ __, __, __.__
Total Monetary $ __, __, 17.43
(8) Other Distributions
$ __, __, __.00
(9) TOTAL Monetary Contributions To Date
$ __, __, 675.79
(10) TOTAL Monetary Expenditures To Date
$ __, __, 553.53
(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) Vicki L Mace
■ Individual (only for IE X- Treasurer ■ Deputy Treasurer
or electioneering comm.)
X Vicki L Mace
Signature
(Type name) Kimberley E Davis
X- Candidate • Chairperson (only for PC and PTY)
X Kimberley E Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 09/ 25/ 21 through 10/ 01/ 21
(4) Page 1 of 1
(5)
Date
9/30/21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Vicki Mace
770 Lakewood Cir
Merritt Island, FL.
32952
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In -kind
Description
Candy for
Friday
Fest
Cape Canaveral
(11)
Amendment
(12)
Amount
21.98
(5)
Date
10/01/21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle0
Street Address &
City, State, Zip Code
Renee Anthony
Cape Shores Circle
Unit B
Cape Canaveral, FL
32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
96.42
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGNTREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 09/ 25/ 21 through 10/ 01/ 21 (4) Page 1 of 1
(5)
Date
9/26/21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Michaels
780 B East Merritt
Island Causeway
Merritt Island, FL. 32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
T-Shirts
for
Campaign
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
11.03
(5)
Date
10/01/21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Cumberland Farms
8000 Astronaut Blvd.
Cape Canaveral, FL
32920
(8)
Purpose
(Add office sought if
contribution to a
candidate)
Ice for
Friday Fest
Cape Canaveral
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
6.40
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Drive # 1101
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 22 2021
By: CCO DL
❑ Check here if address has changed (3) ID Number.
(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 10/ 09/ 21 To 10/ 15/ 21 Report Type: G--6
❑ Original ❑ Amendment ❑ Special Election Report G-6
(6) Contributions This Report
Cash & Checks $ __, __, __.00
Loans $ __, __, __.00
Total Monetary $ __, __, __.00
In-Kind $ __, __, __.00
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 48.32
Transfers to
Office Account $ __, __, __.0
Total Monetary $ __, __, 48.32
(8) Other Distributions
$ __, __, __.00
(9) TOTAL Monetary Contributions To Date
$ __, __, 775.79
(10) TOTAL Monetary Expenditures To Date
$ __, __, 601.85
(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) Vicki L Mace
• Individual (only for IE X- Treasurer ■ Deputy Treasurer
or electioneering comm.)
X Vicki L Mace
Signature
(Type name) Kimberley E Davis
X- Candidate ■ Chairperson (only for PC and PTY)
X Kimberley E Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 10/ 09/ 21 through 10/15/21 (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
No Contributions received for this period.
(8)
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 10/ 09/ 21 through 10/ 15/ 21 (4) Page 1 of 1
(5)
Date
10/ 14/ 21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
BJS
415 East Merritt Ave
Merritt Island, FL 32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Candy for
Cape Canaveral
Trunk or Treat
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
48.32
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Drive # 1101
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 29 2021
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(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 10/ 16/ 21 To 10/ 28/ 21 Report Type: G-7
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __.00
Loans $ __, __, __.00
Total Monetary $ __, __, __.00
In-Kind $ __, __, 23.97
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 71.80
Transfers to
Office Account $ __, __, __.00
Total Monetary $ __,__, 71.80
(8) Other Distributions
$ __, __, __.__
(9) TOTAL Monetary Contributions To Date
$ __, __, 775.79
(10) TOTAL Monetary Expenditures To Date
$ __, __, 673.65
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss.839.13, F.S.)
I certify that I havelexamined this report and it is true, correct, and complete:
(Type name) Vicki L Mace
■ Individual (only for IE X-Treasurer ■ Deputy Treasurer
or electioneering comm.)
X Vicki L Mace
Signature
(Type name) Kimberley E Davis
X-Candidate ■ Chairperson (if only for PC and PTY)
X- Kimberley E Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 10/ 16/ 21 through 10/ 28/ 21 (4) Page 1 of 1
(5)
Date
10/ 19/ 21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Vicki Mace
770 Lakewood Cir
Merritt Island
FL 32952
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In -kind
Description
Candy for
Cape Canaveral
Trunk or Treat
(11)
Amendment
(12)
Amount
23.97
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 10/ 16/ 21 through 10/ 28/ 21 (4) Page 1 of 1
(5)
Date
10/ 19/ 21
(6)
Sequence Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
200 N. Courtenay Pkwy
Merritt Island, FL
32953
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Materials
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
54.92
(5)
Date
10/ 27/ 21
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Publix
1850 N. Courtenay Pkwy
Merritt Island, FL 32953
(8)
Purpose
(add office sought if
contribution to a
candidate)
Dry Ice
Cape Canaveral
Trunk or Treat
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
16.88
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Dr # 1101
Address (number and street)
Cape Canaveral, Fl 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
JAN 28 2022
CCO DL
❑ Check here if address has changed (3) ID Number:
(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 10/ 29/ 21 To 01/ 28/ 22 Report Type: 2021TR
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __.00
Loans $ __, __, __.00
Total Monetary $ __, __, __.00
In-Kind $ __, __, __.00
(7) Expenditures This Report
Monetary
Expenditures $ __, __, __.00
Transfers to
Office Account $ ---, ---, ---.00
Total Monetary $ __, __, __.00
(8) Other Distributions
$ __, __, __.__
(9) TOTAL Monetary Contributions To Date
$ __, __,775.79
(10) TOTAL Monetary Expenditures To Date
$ __, __, 673.65
(11) Certification
It is a first degree misdemeanor for any person to falisfy 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) Vicki L Mace
• Individual (only for IE X-Treasurer 0 Deputy Treasurer
or electioneering comm.)
X Vicki L Mace
Signature
(Type name) Kimberley E Davis
X- Candidate ■ Chairperson (only for PC and PTY)
X Kimberley E Davis
Signature
DS-DE 12 (Rev.11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 10 / 29/ 21 through 01/ 28/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
------ NONE--------------
(8)
Contributor
Type
(8)
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 - ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis
(2) I.D. Number
(3) Cover Period 10/ 29/ 21 through 01/ 28/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
NONE
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES