HomeMy WebLinkAboutdwillis_treasurers_reports_202309CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP O5 2023
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral City Council
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if pc or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if=-P-TY:has disbanded
❑ Independent Expenditure (IE) (also covers an 0 Check here if no tier IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 08 / 01 / 23 To 09 / 01 / 23 Report Type: G1
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , .
Loans $ , 1,000.00
Total Monetary $ , , .
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , , 39 .00
Transfers to
Office Account $ , , .
Total Monetary $ , ,39. 00
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 1, 000 . 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 thisreport and it is true, correct, and complete:
(Type name) Jay Petty
• Individual (only for IE X Treasurer • Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
0 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 Don Willis (2) I.D. Number
(3) Cover Period / 08 01 23 through 09 01 23
(4) Page 1 of 1
(5)
Date
08 / 07 / 23
(6)
Sequence Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Willis, Donald Andrew
8984 Puerto Del Rio Dr
#301
Cape Canaveral, FL
(8)
Contributor
Type
S
(8)
Occupation
Retired
(9)
Contribution
Type
LOA
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
$1000.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Don Willis (2) I.D. Number
(3) Cover Period 08 / 01 / 23 through 09/ 01 / 23
(4) Page 1 of 1
(5)
Date
08 / 07 / 23
(6)
Sequence Number
1
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
City of Cape Canaveral
City Clerk
100 Polk Avenue
Cape Canaveral, FL 32920
(8)
Purpose
(add office sought if
contribution to a
candidate)
Filing Fee
(9)
Expenditure
Type
CAN
(10)
Amendment
(11)
Amount
$39.00
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
SEP 19 2023
MG CCO
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X ❑ Candidate Office Sought: Cape Canaveral City Council
❑ Political Committee (PC)
O Electioneering Communications Org. (ECO) 0 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 / 02 / 23 To 09 / 15 / 23 Report Type: G2
X Original ❑ Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 1, 000. 00 Expenditures $ , , 42 . 80
Loans $ , , . Transfers to
Office Account $ , , .
Total Monetary $ , , . Total Monetary $ , , 42. 80
In-Kind $ , , .
(8) Other Distrubutions
$ , , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 2 , 000 . 00 $ , , 81 . 80
(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) Jay Petty (Type name) Don Willis
❑ Individual(only for IE X Treasurer 0 Deputy Treasurer X Candidate 0 Chairperson (only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name Don Willis (2) I.D. Number
(3) Cover Period 09 / 02 / 23 through 09/ 15 / 23 (4) Page 1 of 1
(5)
Date
09 / 12 / 23
(6)
Sequence Number
1
(7)
Full Name
(Last,Suffix, First, Middle)
Street Address &
City, State,Zip Code
Wave Development,LLC
109 Long Point Road
Cape Canaveral, FL
(8)
Contributor
Type
B
(8)
Occupation
Development
(9)
Contribution
Type
CHE
(10)
In-Kind
Description
(11)
Amendment
(12)
Amount
$1000.00
/ /
/ /
/ /
09
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Don Willis (2) I.D. Number
(3) Cover Period 09 / 02 / 23 through 09 / 15 / 23 (4) Page 1 of
(6) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
09 / 11/ 23 City of Cape Canaveral
PRCA Friday Fest Fee CAN $42.80
7920 Orange Ave.
1 Cape Canaveral, FL 32920
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES.
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying -Officer
before opening the campaign account.
RECEIVED
SEP 2 5 2023
By: CCO DL OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
❑ Initial Filing of Form Re -filing to Change: X Treasurer/Deputy. ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last)
Donald Andrew Willis
3. Address (include post office box or street, city, state,
zip code)
8984 Puerto Del Rio Dr.,
#301
Cape Canaveral, FL 32920
4. Telephone -
( 321-688-1058
5. Candidate's -Voter Registration #:
119902557
(Not required for Qualifying Purposes).
(Not required for Qualifying Purposes) - Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on
the audio ballot as may be used by persons with disabilities (see instructions on page 2 of this form):
6. Office sought (include district, circuit, group number)
City of Cape Canaveral City Council
7. If a candidate for a non partisan office, check if
applicable:
❑ My intent is to run as a Write -In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write -In ❑ No Party Affiliation ❑ Party candidate. ,
9. I have appointed the following person to act as my ❑ Campaign Treasurer X Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
D'Lana Motta
11. Telephone
((321) 505-9900
12. Mailing Address
8984 Puerto Del Rio Dr., #403
13. City
Cape Canaveral
14. State
FL
15. Zip Code
32920
16. I have designated the following bank as my X Primary Depository ❑ Secondary Depository
17. Name of Bank
Sun Rise Bank
18. Address
5604 N. Atlantic Ave.
19. City
Cocoa Beach
20. County
Brevard
21. State
FL
22. Zip Code
32931
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
23. Date
September 22, 2023
24. Signature of Candidate
X
25. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, D'Lana Motta , do hereby accept the appointment
(Please Print or Type Name)
designated above as: ❑ Campaign Treasurer. Deputy Treasurer.
September 22, 2023
Date
X
Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 07/23)
Rule 1S-2.0001, F.A.C.
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 02 2023
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 / 16 / 23 To 09 / 29 / 23 Report Type: G3
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , 2 , 475 . 00
Loans $ , , .
Total Monetary $ , 2 , 475 . 00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , 1 , 030 . 90
Transfers to
Office Account $ , , .
Total Monetary $ , 1 030 . 90
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 4, 475 . 00
(10) TOTAL Monetary Expenditures To Date
$ , 1 , 112 . 70
(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) D'Lana Motta
■ Individual (only for IE • Treasurer X Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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 (2) I.D. Number
Don Willis
(3) Cover Period 09 / 16 / 23 through 09 / 29 / 23
(4) Page of 3
(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
09 / 16 / 23
Linda Hagen
732 Bayside Dr. Unit 303
Cape Canaveral, FL
I
Retired
CHE
$200.00
1
09 / 16 / 23
Dan Bailey
8984 Puerto Del Rio Dr
Unit 204
Cape Canaveral, FL
I
Retired
CHE
$50.00
2
09 / 18 / 23
Garrett and Patricia Lane
8934 Puerto Del Rio Dr.
Unit 401
Cape Canaveral, FL
I
Retired
CHE
$100.00
3
09 / 18 / 23
Teresa Wiberg
77 Hardy Drive
Leominster, MA
I
Retired
CHE
$25.00 .
4
09 / 18 / 23
Wendy Benison
8914 Puerto Del Rio Drive,
#402
Cape Canaveral FL
I
Retired
CHE
$50.00
5
09 / 18 / 23
Stephen and Pam Hepp
8730 Clara Elizabeth Ln
Cape Canaveral, FL
I
Retired
CHE
$100.00
6
09 / 18 / 23
John Zarella
1740 Manatee Ct
Merritt Island, FL
I
Retired
CHE
$100.00
7
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
Don Willis
(3) Cover Period 09 / 16 / 23 through 09 / 29 / 23
(4) Page 2 of 3
(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
09 / 18 / 23
Steve and Linda DeYoung
8903 Laguna LN. Unit 402
Cape Canaveral, FL
I
Retired
CHE
$100.00
8
09 / 18 / 23
Michael Hartman
8914 Puerto Del Rio Dr
Unit 303
Cape Canaveral, FL
I
Businessman
CHE
$50.00
9
09 / 18 / 23
Michael Nerlinger
8964 Puerto Del Rio Dr.
Unit 402
Cape Canaveral, FL
I
Retired
CHE
$50.00
10
09 / 18 / 23
Dennis and Karen Dettro
752 Bayside Dr. Unit 403
Cape Canaveral, FL
I
Retired
CHE
$100.00
11
09 / 18 /23
Bob and D'Lana Motta
8984 Puerto Del Rio Drive,
#403
Cape Canaveral FL
I
Retired
CAS
$100.00
12
09 / 18 / 23
Arlyn DeBlauw
89311 Lake Dr. #404
Cape Canaveral, FL
I
Retired
CAS
$100.00
13
09 / 18 / 23
Fred Parisi
1020 Pelican LN
Rockledge, FL
I
Retired
CAS
$50.00
14
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
Don Willis
(3) Cover Period 09 / 16 / 23 through 09 / 29 / 23
(4) Page 3 of 3
(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
09 /18 /23
Sue Remicka
PO Box 541629
I
Retired
CAS
$50.00
Merritt Island, FL
15
09 /18 / 23
Jill Andrews
8964 Puerto Del Rio Dr
I
Retired
CHE
$50.00
Unit 502
16
Cape Canaveral, FL
09 / 21 / 23
Margaret Kindle
8964 Puerto Del Rio Dr.
I
Retired
CHE
$50.00
Unit 501
17
Cape Canaveral, FL
09 /22 /23
Ronald Kubarek
8914 Puerto Del Rio Dr.
I
Retired
CAS
$100.00
Unit 204
18
Cape Canaveral, FL
09 / 22 /23
Jay Petty
8984 Puerto Del Rio Drive,
#401
I
Retired
CHE
$1000.00
19
Cape Canaveral FL
09 /18 / 23
Anthony Carrollo
8984 Puerto Del Rio Dr. #204
I
Retired
CHE
$50.00
Cape Canaveral, FL
20
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Don Willis (2) I.D. Number
(3) Cover Period 09 02/ 23 / through 09 15 / 23 / (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
09 / 17 / 23
Explorer Multimedia, LLC
PO Box 320773
Magazine ad
CAN
$600.00
1
Cocoa Beach, FL 329232
09 / 18 /23
Pioneer Printing
6500 N. Atlantic Ave.
Cape Canaveral, FL
Campaign Signage
CAN
$255.00
2
09 /27 /23
City of Cape Canaveral
100 Polk Ave.
Cape Canaveral, FL
Sign Permit
CAN
$50.00
3
09 / 27 / 23
Don Willis
8984 Puerto Del Rio Dr.
#301
Cape Canaveral, FL
Office Supples
RMB
$74.04
4
09 / 27/ 23
Don Willis
8984 Puerto Del Rio Dr.
#301
Cape Canaveral, FL
Campaign worker lunch
RMB
$38.66
5
09 / 28 /23
Don Willis
8984 Puerto Del Dr.
#301
Cape Canaveral, FL
Postage
RMB
$13.20
6
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 11 2023
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 / 30 / 23 To 10 / 06 / 23 Report Type: G4
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 350 .00
Loans $ , , .
Total Monetary $ , ,350 .00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , 1 , 257 . 00
Transfers to
Office Account $ , , .
Total Monetary $ , 1 257 . 00
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 4 , 825 . 00
(10) TOTAL Monetary Expenditures To Date
$ , 2 , 369 . 70
(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) Jay Petty
■ Individual (only for IE X Treasurer • Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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
Don Willis (2) I. D. Number
(1) Name
(3) Cover Period 09 / 30 / 23 through 10 / 06 / 23
(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
09 /30 / 23
Robert Hoog
Hoog Properties
210 Jefferson Ave.
Cape Canaveral, FL
B
Management
CHE
$200.00
1
09 / 30 / 23
Ira Finkelstein
8903 Laguna LN
Unit 302
Cape Canaveral, FL
r
Retired
CHE
$100.00
2
09 / 30 /23
30
Joseph Abreu
225 Longpoint RD
Cape Canaveral, FL
I
Retired
CHE
$25.00
3
09 / 30 / 23
Kevin Cea
3206 Morris Farm Rd
Jamestown, NC
I
Artist
CHE
$5.00
4
10 /05 / 23
Joseph Abreu
225 Longpoint Road
Cape Canaveral FL
I
Retired
CHE
$20.00
5
/ /
/ /
DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Don Willis (2) I.D. Number
(3) Cover Period . 09 / 30 / 23 through 10 / 06 / 23 (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
10 / 05/ 23
City of Cape Canaveral
PRCA
7920 Orange Ave.
Cape Canaveral, FL 32920
Trunk or Treat Fee
CAN
$42.80
1
10 /05 / 23
Pioneer Printing
6500 N. Atlantic Avenue
Cape Canaveral, FL 32920
Campaign Mailer
CAN
$1252.00
2
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 17 2023
CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 / 07 / 23 To 10 / 13 / 23 Report Type: G5
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 200 . 00
Loans $ , , .
Total Monetary $ , ,200. 00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , 1 , 000 .30
Transfers to
Office Account $ , , .
Total Monetary $ , 1 000 . 30
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 5 , 025 . 00
(10) TOTAL Monetary Expenditures To Date
$ , 3 , 370 . 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) Jay Petty
■ Individual (only for IE 0 Treasurer • Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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 Don Willis (2) I.D. Number
(3) Cover Period 10 / 07 / 23 through 10 / 13 / 23
(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
10 / 07 / 23
Drey Perkins
8914 Puerto Del Rio Dr.
Unit 404
Cape Canaveral, FL
I
Retired
CHE
$100.00
1
10 / 09 / 23
Pauline Beardall
8914 Puerto Del Rio Dr.
Unit 301
Cape Canaveral, FL
I
Retired
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 Don Willis (2) I.D. Number
(3) Cover Period 10 / 07 / 23 through 10 / 13 / 23 (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
10 / 11 /23
USPS
8700 Astronaut Blvd
Cape Canaveral, FL 32920
EDDM Postage
CAN
$691.02
1
10 / 12/ 23
USPS
8700 Astronaut Blvd
Cape Canaveral, FL 32920
EDDM Postage
CAN
$309.28
2
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DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPOR
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
OCT 23 2023
By: CCO DL
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 / 14 / 23 To 10 / 20 / 23 Report Type: G6
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , 1 , 000 . 00
Loans $ , , .
Total Monetary $ , 1, 000.00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , , . 00
Transfers to
Office Account $ , , .
Total Monetary $ , ', . 00
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 6 , 025 . 00
(10) TOTAL Monetary Expenditures To Date
$ , 3 , 370 . 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) Jay Petty
• Individual (only for IE X Treasurer IN Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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 (2) I.D. Number G6
Don Willis
(3) Cover Period 10 / 07 / 23 through 10 / 13 / 23
(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
10 / 14 / 23
Space Coast Assoc.
Of Realtors
Realtors Political
Advocacy Committee
7025 Augusta National Drive
Orlando, FL. 32822
B
Realtor
CHE
$1000.00
1
/ /
/ /
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/ /
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DS-DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Don Willis (2) I.D. Number
(3) Cover Period 10 / 14 / 23 through 10 / 20 / 23
(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) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
NOV 03 2023
By: CCO DL
❑ Check here if address has changed (3) ID Number: G7
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 / 21 / 23 To 11 / 02 / 23 Report Type: G7
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , . 00
Loans $ , , .
Total Monetary $ , , .00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , , 440 . 53
Transfers to
Office Account $ , , .
Total Monetary $ , , 440 . 53
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 6 , 025 . 00
(10) TOTAL Monetary Expenditures To Date
$ , 3 , 810 . 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) Jay Petty
■ Individual (only for IE X Treasurer IN Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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 Don Willis (2) I.D. Number G7
(3) Cover Period 10/ 21/ 23 through 11/ 02 / 23
(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 REPORT - ITEMIZED EXPENDITURES
(1) Name Don Willis (2) I.D. Number G7
(3) Cover Period 10 / 21 / 23 through 11 / 02 / 23 (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
10 /23/23
Campaign Graphics
95 Canyon Diablo Road
Sedona, AZ 86351
Campaign Signage
CAN
$440.53
1
10 / 24 / 23
City of Cape Canaveral
7920 Orange Ave.
Cape Canaveral, FL 32920
November Friday Fest
CAN
$42.80
2
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/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
NOV 21 2023
MG
❑ Check here if address has changed (3) ID Number: G7
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 / 21 / 23 To 11 / 02 / 23 Report Type: G7
❑ Original X Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , . 00
Loans $ , , .
Total Monetary $ , , . 00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , , 42 . 80
Transfers to
Office Account $ , , .
Total Monetary $ , , 42 . 80
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 6 , 025 . 00
(10) TOTAL Monetary Expenditures To Date
$ , 3 , 853 . 33
(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) Jay Petty
■ Individual (only for IE X Treasurer ■ Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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 Don Willis (2) I.D. Number G7
(3) Cover Period 10 / 21 / 23 through 11 / 02 / 23 (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
10 / 23 / 23
Campaign Graphics
95 Canyon Diablo Road
Sedona, AZ 86351
Campaign Signage
CAN
$440.53
1
10 / 24 / 23
City of Cape Canaveral
7920 Orange Ave.
Cape Canaveral, FL 32920
November Friday Fest
CAN
$42.80
2
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Don Willis
Name
(2) 8984 Puerto Del Rio Drive, #301
Address (number and street)
Cape Canaveral, FL 32920
City, State, Zip Code
OFFICE USE ONLY
RECEIVED
NOV 21 2023
❑ Check here if address has changed (3) ID Number: TR
(4) Check appropriate box(es):
X Candidate Office Sought: Cape Canaveral 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 11 / 03 / 23 To 11 / 20 / 23 Report Type: TR
X Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , . 00
Loans $ , , .
Total Monetary $ , , . 00
In-Kind $ , , .
(7) Expenditures This Report
Monetary
Expenditures $ , 2 , 171 . 67
Transfers to
Office Account $ , , .
Total Monetary $ , 2 171 . 67
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date
$ , 6 , 025 . 00
(10) TOTAL Monetary Expenditures To Date
$ 6 , 025 . 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) Jay Petty
• Individual (only for IE X Treasurer • Deputy Treasurer
or electioneering comm.)
X
Signature
(Type name) Don Willis
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 Don Willis (2) I.D. Number TR
(3) Cover Period 11 / 02 / 23 through 11 / 20 / 23
(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
11 / 08 / 23
Zarellas wood Fired Pizza and Italian
8801 Astronaut Blvd
Cape Canaveral, FL 32920
Campaign Worker
Dinner
CAN
$996.95
1
11 / 10 / 23
PayPal, Inc.
2211 North First Street
San Jose, California 95131
Transaction fees
CAN
$2.91
2
11 / 18 /23
Don Willis
8984 Puerto Del Rio Drive, #301, Cape
Canaveral FL 32920
Loan repayment
CAN
$1000.00
3
11 / 18 / 23
VFW Post
105 Longpoint Road
Cape Canaveral, FL 32920
Donation of remaining
campaign funds
CAN
$171.81
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES