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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 / / / / / / / / / / / / 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 / / / / / / / / / / / / / / 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 / / / / / / / / / / / / 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