HomeMy WebLinkAboutmkellum_treasurers_reports_202209CAMPAIGN TREASURER'S REPORT SUMMARY
(1) MARIA "Mickie" Kellum
Name
(2) 8910 Coquina lane
Address (number and street)
Cape Canaveral, Fl. 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEPT 08 2022
By: 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
Coy 0r Period: From 8/ 01 / 22 To 9 / 2/ 22 Report Type: 2022 G1
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 100.00
Loans $ , , 400.00
Total Monetary $ , , 500.00
In-Kind $ , , , .
(7) Expenditures This Report
Monetary
Expenditures $ , 70.10
Transfers to
Office Account $ , , , .
Total Monetary $ , , 70.10
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , , 500.00
(10) TOTAL Monetary Expenditures To Date
$ , , 70.10
(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) Maria M Kellum
❑ Individual (only for X Treasurer ❑ Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Maria Mickie Kellum
X Candidate • Chairperson (only for PC and PTY)
X
Signature
DS-DE 12 (Rev.11113)
SEE REVERSE FOR INSTRUCTIONS.
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 8/01/ 22 through 9/ 2/ 22 (4) Page 2 of 3
(5)
Date
(6)
Sequence Number
(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
8/ 18/ 22
Maria
mickie
Kellum
8910 Coquina LA CC.
S
LOA
400.00
1
9/ 1/ 22
Ms Jo SouJouner
280 Canaveral Beach
Blvd
Cape Canaveral Fl
I
CHE
100.00
2
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Maria "Mickie" Kellum (2) I.D. Number
(3) Cover Period 8/ 01/ 22 through 9/ 2/ 22 (4) Page 3 of 3
(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
8/ 18/ 22
City of Cape Canaveral
100 Polk Ave
Cape Canaveral, Fl.
32920
Qualifing Fee
CAN
39.00
1
8/ 24/ 22
City of Cape Canaveal
100 Polk Ave
Cape Canaveal, Fl.
32920
Friday
Fest
Booth
CAN
31.10
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria "Mickie" Kellum
Name
(2)
8910 Coquina Lane
Address (number and street)
Cape Canaveral Fl. 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP 23 2022
CCO DL
❑ Check here if address has changed (3) ID Number:
(4) k 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 9 / 03 / 22 To 9/ 16/ 22 Report Type: 2022-G2
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 2,505.-
Loans $ , , .
In-Kind $ , , 60.00
(7) Expenditures This Report
Monetary
Expenditures $ , -
Loans $ , ,
Transfers to
Office Account $ .
Total Monetary $ . ...0
(8) Other Distributions
$ ,
(9) TOTAL Moneta Contributions To Date
$ , 3,065.00
(10) TOTAL Monetary Expenditures To Date
$ , , 70.10
(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) Maria M Kellum
■ Individual (only for IE X Treasurer Deputy Treasurer
or electioneering cornm.)
X
Signature
(Type name) Maria M Kellum
X 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 Maria "Mickie" Kellum (2) I.D. Number
(3) Cover Period / 03 / 22 through 9 /16 /22 (4) Page 1 of 2
(5)
Date
(6)
Sequence Number
(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
9/ 7/ 22
Mr & Mrs
Bill Hodge
390 Sanders lane
Merritt Island
32953
I
CHE
100.00
1
9/ 16 / 22
Tina Freeman
504 Filmore
Cape Canaveral
I
CHE
100.00
2
9/ 16 / 22
Wave Development
280 W. Central Blvd.
Cape Canaveral
32920
B
Business Devlopment
CHE
1000.00
3
9/ 16/ 22
Sheila McAlle
225 Buccaneer Ave
Merritt Island
32953
I
CAS
5.00
4
9/ 16/ 22
Katie Quellette
8910 Coquina La
Cape Canaveral
32920
I
INK
Party
Favors
Balloons
Etc
60.00
5
9/ 16 / 22
Brian Quellette
913 Jefferson Ave
Rockledge Fl
32953
I
CAS
50.00
6
9/ 16 / 22
Ed Adams
217-3 Anchger
Ave
Cape Canaveral
Fla
I
CAS
50.00
7
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 9/03/ 22 throough 9/ 16/ 22 (4) Page 2 of 2
(5)
Date
(6)
Sequence Number
(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
9/ 16 / 22
Mable Harding
1301 Robbinwood Dr
Rockledge Fla
39253
I
CAS
50.00
8
9/ 16 / 22
Nicole Quellette
913 Jefferson
Rockledge Fla
32053
I
CAS
50.00
9
9/ 16/ 22
Dina Hitchcock
305 Churchill Dr
Cocoa Fl. 32922
I
CAS
50.00
10
9/ 16/ 22
Linda McLaughlin
5105 Brillance Circle
Cocoa Fl.
32926
I
CAS
50.00
11
9/ 13 /22
Felicity McDonald
319 Adams Ave
Cape Canaveral
Fla
32920
I
Paypal
1000.00
12
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Maria Mickie Kellum (2) LD. Number
(3) Cover Period 9/ 03/ 22 through 9/ 16/ 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
(6)
Sequence
Number
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria Mickie Kellum
Name
(2) 8910 Coquina Lane
Address (number and street)
Cape Canaveral
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 07 2022
By: MG 3:48 pm
❑ Check here if address has changed (3) ID umber:
(4) Check appropriate box(es):
X Candidate Office Sought: City Council
❑ Political Committee (PC) l
❑ 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 er Period: From 9/ 17/ 22 To 9 / 30 / 22 Report Type: 2022-G3
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 130.00
Loans $ , , .
Total Monetary $ , , .
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , , 158.06
Transfers to
Office Account $ , , .
Total Monetary $ , , 158.06
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 3, 195.00
(10) TOTAL Monetary Expenditures To Date
$ , , 228.16
(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) Maria Mickie Kellum
Individual (only for IE X Treasurer Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Maria Mickie Kellum
X 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 Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 9/ 17/ 22 through 9/ 30/ 22 (4) Page 2 of 3
(5)
Date
(6)
Sequence Number
(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
9/ 26/ 22
Ellie Mae's
Tiki Bar
B
Restu
CHE
100.00
1
9/ 26 /22
Peggy Green
219 Long Point Rd
Cape Canaveral
I
CHE
30.00
2
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 9 /17/ 22 through 9/ 30/ 22 (4) Page 3 of 3
(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
9/ 26/ 22
Cocoa Beach Area Chamber
Canidates & Cocktails
400 Fortenberry Rd
Merritt Island Fl 32952
CAN
125.00
1
9/ 27/ 22
City of Cape Canaveral
Polk Ave
Cape Canaveral Fl.
Friday Fest 32920
CAN
33.06
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
OFFICE USE ONLY
RECEIVED
OCT 14 2022
CCO DL
Mickie Kellum
Name
City Council
8910 Coquina Lane
Address
Cape Canaveral
City
State Zip Code
X Candidate ❑ Political Committee ❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report (not -a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
❑ Check here if address has changed since last report. ❑ Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
❑ MONTHLY REPORT ❑ PRIMARY ELECTION X GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report # Indicate report # Indicate report # Indicate report type and # as applicate:
M P G 2022 G4
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
10/ 01/ 22 THROUGH 10/ 07/ 22
X 10/14/22
Signature Date
X 10/14/22
Signature Date
REQUIRED SIGNATURES FOR:
Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account (no funds expended or
received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev. 06/15)
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria "Mickie" Kellum
Name
(2) 8910 Coquina Lane
Address (number and street)
Cape Canaveral FL. 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 20 2022
By: 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 10/ 8/ 22 To 10/ 14/ 22 Report Type: 2022 G5
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 0.
Loans $ , , 0.
Total Monetary $ , , 0.
In-Kind $ , , .
(7) Expenditures
Monetary
Expenditures
$ , , 361.90
Transfers
Office Account
$ , , .
Total Monetary
$ 361.90
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To.Date
$ , 3, 195.00
(10) TOTAL
Monetary Expenditures To Date
$ , , 590.06
(11) Certification
It is a first degree misdemeanor for any person to 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) Maria Mickie Kellum
Individual (only for IE X Treasurer • Deputy Treasurer
(only or electioneering comm.)
X
Signature
(Type name) Maria Mickie Kellum
X Candidate Chairperson (only for PC and PTY)
X
Signature
DS-DE 12 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREAS RER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Maria "Mickie" Kellum (2) I.D. Number
(3) Cover Period 10/ 8/ 22 through 10/ 14 / 22 (4) Page 2 of 2 MK
(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
10/ 8/ 22
USPS
Cape Canaveral Fl
32920
Postage
CAN
276.00
1
10/ 11 22
Staples
Rt 524
Titisville Fl
Printing
CAN
85.90
2
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria Mickie Kellum
Name
(2) 8910 Coquina Lane
Address (number and street)
Cape Canaveral Fl.
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 28 2022
CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Checl ppropriate box(es):
X Candidate Office Sought: 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 10/ 15 / 22 To 10/ 21 / 22 Report Type: 2022 G6
X Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 550.00
Loans $ , , .
Total Monetary $ , ,550.00
In -Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $, 1,650.73
Transfers to
Office Account $ , , .
Total Monetary $ , 1, 650.73
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 3, 745.00
, 3, 745.00
(10) TOTAL Monetary Expenditures To Date
$ , 2, 240.79
(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) Maria Mickie Kellum
❑ Individual (only for IE X Treasurer O Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Maria Mickie Kellum
X Candidate 0 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 Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 10/ 15 / 22 through 10/ 21/ 22 (4) Page 2 of 3
(5)
Date
(6)
Sequence Number
(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
10/ 20/ 22
Young Republicans Club
Melbourne Fla
F
CHE
500.00
1
10/ 20/ 22
Davide Neuman
Space Coast Republicans
Melbourne Fl.
F
CHE
50.00
2
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASUR R'S REPORT - ITEMIZED EXPENDITURES
(1) Name Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 10/ 15 /22 through 10/21/ 22 (4) Page 3 of 3
(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
10/ 11 / 22
Staples
Titusville Fl
Printing
CAN
85.90
1
10/ 20/ 22
City of Cape Canaveral
Polk Ave
Cape Canaveral
Sign Permit Fee
CAN
52.50
2
10/ 21 / 22
ASG Graph
Melbourne Fl.
Mail Printing
CAN
1,512.33
3
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria Mickie Kellum
Name
(2) 8910 Coquina Lane
Address (number and street)
Cape Canaveral
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
NOV 04 2022
MG 2:41 pm
0 Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X Candidate Office Sought: City Council
❑Political Committee (PC)
0 Electioneering Communications Org.(ECO) 0 Check here if PC or ECO has disbanded
0 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: G7
X Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash &Checks $ , ,300.00
Loans $, , .
Total Monetary $ , ,300.00
In-Kind $, , .
(7) Expenditures This Report
Monetary
Expenitures $ , , 743.32
Transfers to
Office Account $ , , .
Total Monetary $ , , 743.32
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 4, 045.00
(10) TOTAL Monetary Expenditures To Date
$ , 2, 394.05
(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) Maria Mickie Kellum
❑Individual(only for IE X Treasurer 0 Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Maria M Kellum
X Candidate O 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 Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 10/ 22/ 22 through 11/ 03/ 22 (4) Page 2 of 3
(5)
Date
(6)
Sequence Number
(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
10/ 22 / 22
John Steele
Cape Canaveral
Fl.
I
Paypal
200.00
1
10/ 22 / 22
James D Holston
Cape Canaveral
Fl
I
Paypal
100.00
2
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES
(1)Name Maria Mickie Kellum (2) I.D.Number
(3)Cover Period 10/ 22 / 22 through 11/ 03/ 22 (4) Page 3 of 3
(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
10/ 25 / 22
POS Delivery
Signs
CAN
293.94
1
10/ 25/ 22
Southern Tape
Cocoa Fl.
CAN
258.52
2
10/ 26/ 22
Dollor Tree
Cocoa Fl
CAN
30.76
3
10/ 27 / 22
Circle K
Cape Canaveral
CAN
20.00
4
10/ 31 /22
Kelsey's Pizza
Cape Canaveral
CAN
11.60
5
10/ 31 /22
Ellie Mays
Cape Canaveral
CAN
57.08
6
10/ 31/ 22
Dollar General
Cape Canaveral Fl
CAN
71.42
7
/ /
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Maria Mickie Kellum
Name
(2) 8910 Coquina Lane
Address (number and street)
Cape Canaveral Fl. 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
FEB 06 2023
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 (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 11/ 04/ 22 / To 2/ 4/ 23 Report Type: 2022 TR
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks , ,
Loans $
Total Monetary $
In-Kind $
(7) Expenditures This Report
Monetary
Expenditures $ , , 879.94
Transfers to
Office Account $ , , . __________
Total Monetary $ , , 879.94
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 4,045.00
(10) TOTAL Monetary Expenditures To Date
$ , 3, 824.05
(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) Maria M Kellum
• Individual (only for IE X Treasurer ■ Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Maria M Kellum
X Candidate ■ Chairperson (only for PC and PTY)
X
Signature
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Maria Mickie Kellum (2) I.D. Number
(3) Cover Period 11/ 04/ 22 through 2/ 4/ 23 (4) Page 2 of 2
(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
11/ 02/ 22
Bernie Lennon
Oak Lane
Cape Canaveral
Sign Repair
CAN
40.00
1
11/ 08/ 22
Publix
Cocoa Beach Fla
Volunteer
Election
Food
CAN
180.79
2
11/ 09/ 22
Papa Vitos
Cape Canaveral
Volunteer
Poll
Food
CAN
47.09
3
11/ 09/ 22
Ellie Mays
Jackson Ave
Cape Canaveral
Volunteer
Thank you
Dinner
CAN
109.46
4
12/ 09/ 22
East Coast Rentals
Anchorage Drive
Cape Canaveral
Rental Set up
Break Down
Tents, Charis Tables
CAN
299.60
5
12/ 30/ 22
Jeff & Mickie Kellum
8910 Coquina Lane
Cape Canaveral
Repay Loan
to Campaign
Self
RMB of Loan
400.00
6
11/ 8/ 22
Peggy Spenser
Cocoa Fla
DJ Service
CAN
50.00
7
11/ 04/ 22
Staples
Columbia Blvd
Titusville Fl. 32780
Post Cards
CAN
85.90
8
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES