HomeMy WebLinkAboutkdavis_treasurers_reports_202209CAMPAIGN 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 08 2022
❑ 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 ❑ Checkhereif no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 08/ 01/ 22 To 09/ 02/ 2022 Report Type: G 1
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 200.00
Loans $ __, __, 100.00
Total Monetary $ __, __, __. __
In-Kind $ __, __, 87.00
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 103.20
Transfers
Office Account $ __, __, __. __
Total Monetary $ __, __, __. __
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ __, __, 387.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 103.00
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
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 E Davis ]
Signature
(Type name) Kimberley Elaine Davis
X- Candidate O 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/ 01/ 22 through 09/ 02/ 22 (4) Page 1 of 1
(5)
Date
08-17-22
(6)
Sequence
Number
01
(7)
Full 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
(5)
Date
09/ 06/ 22
(6)
Sequence
Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Sharon Lugo
345 River Isl
St. Merritt
Island, Fl
32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In-Kind
Description
Sign Stickers
(11)
Amendment
(12)
Amount
87.00
(5)
Date
09/ 06/ 22
(6)
Sequence
Number
03
(7)
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Robert Hoog
210 Jefferson
Ave
Cape Canaveral
FL 32920
(8)
Contributor
Type
B
(8)
Occupation
Electrical
Company
(9)
Contribution
Type
CHE
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
200.00
/ /
/ /
/ /
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/ 22 through 09/ 02/ 22 (4) Page 1 of 1
(5)
Date
08/ 17/ 22
(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)
Filing fee
(9)
Expenditure
Type
C
(10)
Amendment
(11)
Amount
39.00
(6)
Sequence
Number
01
(5)
Date
09/ 06/ 22
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
City of Cape Canaveral
Leisure Services
7300 N. Atlantic Ave
Cape Canaveral, Fl
32920
(8)
Purpose
(add office sought if
contribution to a
candidate)
Friday
Fest
booth
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
64.20
//
//
//
//
//
//
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 23 2022
MG 11:33 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 09/ 03/ 22 To 09/ 16/ 22 Report Type: G 2 2022
X- Original ❑ Amendment ❑ Special .Election Report •
(6) Contributions This Report
Cash & Checks $ __, __, __. __
Loans $ __, __, __. __
Total Monetary $ __, __, __. __
In-Kind $ __, __, __. __
(7) Expenditures This Report
Monetary
Expenditures $ __, __, __. __
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, __. __
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Moneta Contributions To Date
$ __, 387.00 (387.00) D
(10)
TOTAL Monetary Expenditures To Date
$ __, __, 103.00
(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 E Davis ]
Signature
(Type name) Kimberley E Davis
X- Candidate O 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) ID. Number
(3) Cover Period 09/ 03/ 22 through 09/ 16/ 22 (4) Page 1 of 1
(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
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REEPORT - ITEMIZED DISTRIBUTIONS
(1) Name Kimberley Elaine Davis (2) . I.D. Number
(3) Cover Period 09/ 03/ 22 through 09/ 16/ 22 (4) Page 1 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)
Related
Expenditures _________________________
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14A (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
OCT 07 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 09/ 17/ 20 To 09/ 30/ 22 Report Type: G 3 2022
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __. __
Loans $ __, __, __. __
Total Monetary $ __, __, __. __
In-Kind $ __, __, __. __
(7) Expenditures This Report
Monetary
Expenditures $ __, __, __. __
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, __. __
(8) Other Distributions
$ __, __, 103.00
(9) TOTAL Monetary Contributions To Date
$ __, __, 387.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, __. __
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) Kimberley Elaine Davis
O Individual (only for IE X- Treasurer ❑ Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis ]
Signature
(Type name) Kimberley Elaine Davis
X- Candidate • Chairper on (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/ 17/ 22 through 09/ 30/ 22 (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City,State, Zip Code
(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 Davis (2) I.D. Number
(3) Cover Period 09/ 17/ 22 through 09/ 30/ 22 (4) Page 1 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
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
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
OCT 14 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)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From 08/ 01/ 22 To 09/ 02/ 2022 Report Type: G 1 2022
❑ Original X-.Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 200.00
Loans $ __, __, 100.00
Total Monetary $ __, __, __. __
In -Kind $ __, __, __. __
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 103.20
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, __. __
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ __, __, 300.00
(10) TOTAL Monetary Expenditures To Date
$ __, __ 103.20
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that 1 have examined this report and it is true, correct, and complete:
(Type name) Kimberley E Davis
❑ Individual (only for IE X- Treasurer ❑ Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis
Signature
(Type name) Kimberley Elaine Davis
X- Candidate O Chairperson (only for PC and PTY)
X [ Kimberely 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/ 01/ 22 through 09/ 02/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence Number
01
(7)
Full 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
(5)
Date
(6)
Sequence
Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Lugo, Sharon
345 River Isl.
Street Merritt
Island, Fla.
32952
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In-Kind
Description
Sign
Stickers
(11)
Amendment
(12)
Amount
87.00
(5)
Date
(6)
Sequence Number
03
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Hoog, Robert
210 Jefferson
Ave
Cape Canaveral
Fl. 32920
(8)
Contributor
Type
B
(8)
Occupation
Electrical
Company
(9)
Contribution
Type
CHE
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
200.00
/ /
/ /
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 08/ 01/ 22 through 09/ 02/ 22 (4) Page 1 of 1
(5)
Date
8-17-22
(6)
Sequence Number
01
(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)
Filing fee
(9)
Expenditure
Type
C
(10)
Amendment
(11)
Amount
39.00
(5)
Date
9-6-22
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
City of Cape Canaveral
Leisure Services
7300 N. Atlantic Ave
Cape Canaveal, Fl 32920
(8)
Purpose
(add office sought if
contribution to a
candidate)
Friday
Fest
booth
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amoount
64.20
//
//
//
//
//
//
DS-DE 14 (Rev. 11113)
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 14 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 09/ 03/ 22 To 09/ 16/ 22 Report Type: G 2 2022
❑ Original X- Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __. 00
Loans $ __, __, __. 00
Total Monetary $ __, __, __. 00
In-Kind $ __, __, 245.00
(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
$ __, __, 300.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 103.20
(11) Certification
It is a first degree misdmeanor for any person to falsify a public record (ss. 839.13, F.S
I certify that I have exmained this report and it is true, correct, and complete:
(Type name) Kimberley E Davis
■ Individual (only for IE X- Treasurer O Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis ]
Signature
(Type name) Kimberley E Davis
X- Candidate ■ Chairperson (only for PC and PTY)
X [ Kimberely E Davis
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name KImberely Elaine Davis (2) I.D. Number
(3) Cover Period 09/ 03/ 22 through 09/ 16/ 22 (4) Page 1 of 1
(5)
Date
(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 32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In -kind
Description
Marketing
Material
(11)
Amendment
(12)
Amount
245.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUE
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I.D. Number
(3) Cover Period 09/ 03/ 22 through 09/ 16/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(9) _______________________________________
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) 3oo Columbia Dr. @1101
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 14 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)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (1E) (also covers an
individual making electioneering communications)
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here If no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From 09/ 17/ 22 To 09/ 30/ 22 Report Type: G 3 2022
0 Original X- Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 350.00
Loans $ __, __, __. 00
Total Monetary $ __, __, 350.00
In -Kind $ __, __, __ . 00
(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
$ __, __, 650.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 103.20 KD
103.20
(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
0 Individual (only for IE X- Treasurer 0 Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis ]
Signature
(Type name) Kimberley E Davis
X- Candidate O 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 Davis (2) I.D. Number
(3) Cover Period 09/ 17/ 22 through 09/ 30/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Brevard Dec
2955 Pineda
Plaza Way 123
Palm Shores, FL
(8)
Contributor
Type
F
(8)
Occupation
Organization
(9)
Contribution
Type
CHE
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
250.00
(5)
Date
(6)
Sequence Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Linda Brown
562 Casa Bella
Dr.
Cape Canaveral FL
32920
(8)
Contributor
type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CHE
(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/ 17/ 22 through 09/ 30/ 22 (4) Page of
(5)
Date
(6)
Sequence Number
(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
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
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
OCT 14 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)
O Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
O 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/ 01/ 22 To 10/ 07/ 22 Report Type: G 4
X- Original KD O Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 50.00
Loans $ __, __, __. 00
Total Monetary $ __, __, 50.00
In-Kind $ __, __, 59.41
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 267.80
Transfers to
Office Account $ __, __, __. 00
Total Monetary $ __, __, 267.80
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ __, __, 700.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 371.00
(11) Certification
it is a first degree misemanor 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 E Davis
Signature
(Type name) Kimberley Elaine Davis
■ Candidate ■ Chairpersbn (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 (2) I.D. Number
(3) Cover. Period 10/ 01/ 22 through 10/ 07/ 22 (4) Page 1 of 1
(5)
Date
(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 CC
Friday
fest
(11)
Amendment
(12)
Amount
13.99
(5)
Date
(6)
Sequence
Number
02
(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 CC
Friday
Fest
(11)
Amendment
(12)
Amount
15.99
(5)
Date
(6)
Sequence
Number
03
(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 CC
Friday
Fest
(11)
Amendment
(12)
Amount
29.43
(5)
Date
(6)
Sequence
Number
04
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Renee Anthony
Cape Shores Cir
Unit B
Cape Canaveal, FL
32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CAS
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
50.00
/ /
/ /
/ /
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 10/ 01/ 22 through 10/ 07/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Good Guys Sign
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
267.80
//
//
//
//
//
//
//
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kimberley E Davis
Name
(2) 300 Columbia Dr # 1101
Address (number and street)
Cape Canaveral, Fl 32920
City, Mate, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 21 2022
By: MG 3:28 PM
❑ 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)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From 10/ 08/ 22 To 10/ 14/ 22 Report Type: G 5 2022
X- Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __.00
Loans $ __, __, __.00
Total Monetary $ __, __, __.00
In -Kind $ __, __, 46.50
(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
$ __, __, 700.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 371.00
(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 E Davis
Individual (only for IE X- Treasurer 0 Deputy Treasurer
or electioneering.comm.)
X [ Kimberely E Davis ]
Signature
(Type name) Kimberley E Davis
X- Candidate ❑ Chairperson (only for PC and PTY)
X [ Kimberley E Davis ]
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/ 8/ 22 through 10/ 14/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence
Number
1
(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
Trick
or
Treat
(11)
Amendment
(12)
Amount
46.50
/ /
/ /
/ /
/ /
/ /
/ /
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
OCT 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/ 15/ 22 To 10/ 21/ 22 Report Type: G 6 2022
X- Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 100.00
Loans $ __, __, __. __
Total Monetary $ __, __, __. __
In-Kind $ __, __, __.__
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 40.66
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, __. __
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ __, __, 800.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 411.66
(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 ❑ Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis ]
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 - ITEMIZED EXPENDITURES
(I) Name Kimberely Elaine Davis (2) I.D. Number
(3) Cover Period 10/ 15/ 22 through 10/ 21/ 22 (4) Page 1 of 1
(5)
Date
10/ 21/ 22
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Southern Tape and
Label
1107 Peachtree St
Cocoa, Fl 32922
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Signs
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
40.66
//
//
//
//
//
//
//
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 10/ 15/ 22 through 10/ 21/ 22 (4) Page 1 of 1
(5)
Date
10-19-22
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Angela Raymond
7048 Sevilla
Court Unit
#202
Cape Canaveral
Fl. 32920
(8)
Contributor
Type
B
(8)
Occupation
Retired
(9)
Contribution
Type
CHE
(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 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
NOV 04 2022
By: MG 8:50 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) 0 Check here if PTY has disbanded
❑ Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 10/ 22/ 22 To 11/ 03/ 22 Report Type: G 7 2022
X- Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 200.00
Loans $ __, __, __. __
Total Monetary $ __, __, 200.00
In-Kind $ __, __, __. __
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 105.59
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, __. __
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contribution To Date
$ __, __, 1,000.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 517.25
(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
0 Individual (only for IE X- Treasurer 0 Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis ]
Signature
(Type name) Kimberley E Davis
X- Candidate O 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 E Davis (2) I.D. Number
(3) Cover Period 10/ 22/ 22 through 11/ 03/ 22 (4) Page 1 of 1
(5)
Date
10-25-22
(6)
Sequence
Number
01
(7)
Full Name
(Last,Suffix,First,Middle)
Street Address &
City, State, Zip Code
Rocky Randels
308 E Centeral
Blvd
Cape Canaveral
Fl 32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CHE
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
200.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev.11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Kimberley E Davis (2) I.D. Number
(3) Cover Period 10/ 22/ 22 through 11/ 03/ 22 (4) Page 1 of 1
(5)
Date
10-23-22
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City,State,Zip Code
Dollar Tree
755 N. Courtenay Pkwy
Merritt Island, Fl
32953
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or Treat
items
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
26.12
(5)
Date
10-26-22
(6)
Sequence
Number
02
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Walmart
2700 Clearlake Rd
Cocoa, Fl 32922
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
12.80
(5)
Date
10/ 23/ 22
(6)
Sequence
Number
03
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
N. Courtenay Pkwy
Merritt Isl Fla
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
13.77
(5)
Date
10/ 25/ 22
(6)
Sequence
Number
04
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
N Courtenay Pkwy
Merritt Is Fl
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
9.07
(5)
Date
10/ 22/ 22
(6)
Sequence
Number
05
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
N. Courtenay Pkwy
Merritt Isl Fl
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
14.32
(5)
Date
10/ 25/ 22
(6)
Sequence
Number
06
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Walmart
1500 E MI CSWY
Merritt Isl , Fl
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
9.29
(5)
Date
10/ 25/ 22
(6)
Sequence
Number
07
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
BJ'S
415 E Merritt Ave
Merritt Isl Fl
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
Treat
Candy
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
19.78
/ /
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
NOV 30 2022
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)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
O Party Executive Committee (PTY) 0 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/ 8/ 22 To 10/ 14/ 22 Report Type: G-5 2022
❑ Original X-Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __. 0
Loans $ __, __, __.0
Total Monetary $ __, __, __. 0
In-Kind $ __, __,46.50
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 125.00
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __ 125.00
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ __, __, 700.00 $ __, __, 496.00
(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 O 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/ 8/ 22 through 10/ 14/ 22 (4) Page 1 of 1
(5)
Date
(6)
Sequence
Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
City, State, Zip Code
Vicki Mace
770 Lakewood Cir
Merritt Island, FL
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
INK
(10)
In-Kind
Description
Trunk
or
Treat
(11)
Amendment
(12)
Amount
46.50
/ /
/ /
/ /
/ /
/ /
/ /
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/ 8/ 22 through 10/ 14/ 22 (4) Page 1 of 1
(5)
Date
10-13-22
(6)
Sequence
Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City,State,Zip Code
Cocoa Beach Chamber of
Commerce
400 Fortenberry Rd
Merritt Island, FL 32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Cocktails
and
Candidates
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
125.00
/ /
/ /
/ /
/ /
/ /
/ /
/ /
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
NOV 30 2022
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)
❑ 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/ 15/ 22 To 10/ 21/ 22 Report Type: G-6
❑ Original X- 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 $ __, __, 40.66
Transfers to
Office Account $ __, __, __. __
Total Monetary $ __, __, 40.66
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ __, __, 800.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 536.66
(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 EXPENDITURES
(1) Name Kimberley Elaine Davis (2) I. D. Number
(3) Cover Period 10/ 15/ 22 through 10/ 21/ 22 (4) Page 1 of 1
(5)
Date
10-21-22
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Southern Taper and
Label
1107 Peachtree St
Cocoa, Fl 32922
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Signs
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
40.66
/ /
/ /
/ /
/ /
/ /
/ /
/ /
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 10/ 15/ 22 through 10/ 21/ 22 (4) Page 1 of 1
(5)
Date
10-19-22
(6)
Sequence
Number
01
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Angela Raymond
7048 Sevilla
Court Unit
# 202
Cape Canaveral
(8)
Contributor
Type
B
(8)
Occupation
Retired
(9)
Contribution
Type
CHE
(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 SUMMARY
(1) Kimberley Elaine Davis
Name
(2) 300 Columbia Dr # 1101
Address (numper and street)
Cape Canaveral, Fl 32920
City, State, ZipCode
OFFICE USE ONLY
RECEIVED
NOV 30 2022
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)
❑ Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
O 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/ 22/ 22 To 11/ 03/ 22 Report Type: G-7
❑ Original X- Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, 200.00
Loans $ __, __, __. __
Total Monetary $ __, __, 200.00
In-Kind $ __, __, __. --
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 105.15
Transfers to
Office Account $ __, __, __. __
Total Monetary $ ___, __, 105.15
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Contributions To Date
$ __, __,1000.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 641.81
(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 O 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/ 22/ 22 through 11/ 03/ 22 (4) Page 1 of 1
(5)
Date
10-25-22
(6)
Sequence
Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Rocky Randels
308 E. Central Blvd.
Cape Canaveral,
FL 32920
(8)
Contributor
Type
I
(8)
Occupation
Retired
(9)
Contribution
Type
CHE
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
200.00
/ /
/ /
/ /
/ /
/ /
/ /
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 10/ 22/ 22 through 11/ 03/ 22 (4) Page 1 of 1
(5)
Date
10-23-22
(6)
Sequence
Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Dollar Tree
755 N. Courtenay Pkwy
Merritt Island, FL
32953
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
26.12
(5)
Date
10-26-22
(6)
Sequence
Number
2
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Walmart
2700 Clearlake Rd.
Cocoa, FL 32922
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
12.80
(5)
Date
10-23-22
(6)
Sequence
Number
3
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
N. Courtenay Pkwy
Merritt Island, Fl
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
13.77
(5)
Date
10-25-22
(6)
Sequence
Number
4
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
N. Courtenay Pkwy
Merritt Island, FL
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
9.07
(5)
Date
10--22-22
(6)
Sequence
Number
5
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Home Depot
N. Courtenay Pkwy
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
14.32
(5)
Date
10-25-22
(6)
Sequence
Number
6
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Walmart
1500 E. MI Causeway
Merritt Island, FL
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
9.29
(5)
Date
10-25-22
(6)
Sequence
Number
7
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
BJs
415 E. Merritt Ave
Merritt Island, FL
32952
(8)
Purpose
(add office sought if
contribution to a
candidate)
Trunk
or
Treat
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
19.78
/ /
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)
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
NOV 30 2022
By: MG CCO 4
O Check here if address has changed (3) ID Number.
(4) Check appropriate box(es):
X- Candidate Office Sought: City Council
0 Political Committee (PC)
❑ Electioneering Communications Org.(ECO) ❑Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) 0 Check here if PTY has disbanded
❑ Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 11/ 4/ 22 To 11/ 30/ 22 Report Type: 2022 TR.
X- Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ __, __, __.0
Loans $ __, __, __.0
Total Monetary $ __, __, __.0
In-Kind $ __, __, __.0
(7) Expenditures This Report
Monetary
Expenditures $ __, __, 314.46
Transfers to
Office Account $ __, __, __.__
Total Monetary $ __, __, 314.46
(8) Other Distributions
$ __, __, __. __
(9) TOTAL Monetary Expenditures Contributions To Date
$ __, __, 100.00
(10) TOTAL Monetary Expenditures To Date
$ __, __, 956.27
(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
0 Individual (only for IE X- Treasurer 0 Deputy Treasurer
or electioneering comm.)
X [ Kimberley E Davis ]
Signature
(Type name) Kimberley Elaine Davis
X- Candidate O 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 11/ 4/ 22 through 11/ 30/ 22 (4) Page 1 of 1
(5)
Date
11/ 07/ 22
(6)
Sequence
Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Barefoot Designs
410 Brevard Ave
Cocoa, FL
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Shirts
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
69.55
(5)
Date
11-21-22
(6)
Sequence
Number
2
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Amazon
Earmax USH
(8)
Purpose
(add office sought if
contribution to a
candidate)
Campaign
Tent
(Replaced tent
damaged on
Election Day)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
244.91
/ /
/ /
/ /
/ /
/ /
/ /
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 11/ 4 /22 through 11/ 30/ 22 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix,First,Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ / ______________________________________
/ /
/ /
/ /
/ /
DS-DE 13 (Rev.11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES