Loading...
HomeMy WebLinkAboutFiling Papers and Campaign Reports BW 2014 ef: 41 , At 'i :Ei ' , P 4,, %OW----1 CITY OF CAPE CANAVERAL, FLORIDA CANDIDATE PACKET ACKNOWLEDGEMENT I + ,i0 -1.5 I .) would like to qualify as a candidate for City Council and do hereby acknowledge receipt of: 1. 2014 Election Information 2. Form DS-DE 9 (rev. 10/10), Appointment of Campaign Treasurer and designation of campaign depository for candidates 3. Form DS-DE 25 (rev. 05/11), Candidate Oath-Non-Partisan Office 4. CE Form 1 (Jan 1, 2014), Statement of Financial Interests and Instructions 5. Form DS-DE 84 (05/11), Statement of Candidate 6. Election Laws of the State of Florida (August 2013) 7. Candidate and Campaign Treasurer Handbook (November 2013) 8. 2014 Campaign Treasurer's Report Due Dates and General information about filing reports 9. Do's and Don'ts for Campaign Treasurer's Reports 10. Form DS-DE 12 (rev. 11/13), Campaign Treasurer's Report Summary 11. Form DS-DE 13 (rev. 11/13), Campaign Treasurer's Report-Itemized Contributions 12. Form DS-DE 13A (rev. 11/13), Campaign Treasurer's Report-Fund Transfers 13. Form DS-DE 14 (rev. 11/13), Campaign Treasurer's Report-Itemized Expenditures 14. Form DS-DE 14A (rev. 11/13), Campaign Treasurer's Report-Itemized Distributions 15. Form DS-DE 87 (rev. 11/13), Waiver of Report 16. Notification of Public Logic and Accuracy Tests / Canvassing Board Meeting 17. Certification of Municipal Elections Results 18. Public Service Request Form 19. Political Sign Regulations for City and County I understand to have my name appear on the November 4, 2014 Municipal Election Ballot, I must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins on August 8,2014 at noon and ends on August 22,2014 at noon. OFFICE USE ONLY &al) 0026 -- - - , Signature 1" ', 8//g/26/57 AUG 1 8 21114 i k 1 Date I1"- 2 Enter Date-&-T m --'--__—C! " and Initials of Clerk's Office Staff Member lij APPOINTMENT OF CAMPAIGN TREASURER ,, AND DESIGNATION OF CAMPAIGN AUG 1 8 2014 ,, , DEPOSITORY FOR CANDIDATES '! i (Section 106.021(1), F.S.) '..----regi-, , (PLEASE PRINT OR TYPE) �-�� F�,ee e4pe K Z/ NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): NI Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository 0 Office ❑ Party 2. Name of CandidatelW(in Ithiss order: First, Middle, Last) 3.Address(include post office box or street, city, state, zip j}„ {-t, a,L S h code) 4.Telephone 1, ,`1 v 5. - -it address 'y O6 B'vk ( 321 )-783 _70f , : !;w�s1110{i/Slug. C(pe. Co na y �L ')29Z0 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if �G I applicable: CI ❑ 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 ErCampaign Treasurer ❑ Deputy Treasurer %IV0. Name of Treasurer orr,Deputy Treasurer 11. Mailing Address (( 12. Telephone 140 5-ea pokl-� Aiv A. ( 32l )7g3- f IN 13 City 14. County 15. State 16. Zip Code 17. E-mail address td,apt bnavtrat $r'ev64. PC- 3Z92o hetilwalch (p ,((/ca - 18. I have designated the following bank as my g Primary Depository ❑ Secondary Depository 19. Name of Bank & ik 20.Address n� SOrrf sc 51,04 � �/�n�, f� o� c 21. City ��� U�Gct✓Y t 22. County 23. State rt 24.Zip Code B(tV6r31-93 / UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date9/15 /26/V 26. Signature of Ca didate a�vJ /_ X � 27. Treasurer's Acceptance of Appointment(fill in the blanks an check the appropriate block) I, `e> 1 Wa-f S`1 , do hereby accept the appointment 1 (Please Print or Type Name) esignated above as: 4 Campaign Treasurer El Deputy Treasurer. lise 20 2/q X Si (idd, Date Signaturle ��f CampaignAr reasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C. CANDIDATE OATH - NONPARTISAN OFFICE AUG 2 0 2014 (Not for use by Judicial or �' y School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021,Florida Statutes) P +-1'jWods(PLEASE PRINT NAME AS YOU WISH IT TO AEAR ON THE BALLOT'— NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of C(`h-f 30(A V1£ ( I , / , (office) (district#) ; I am a qualified elector of1-eVaro( County, Florida; (circuit#) (group or seat#) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. (hyX Walz6 (51I)i/`-7C/W h�wask2O&//r 4 .,f Signa a of Candidate Telephone Number Email Address NO 5_06po14 81v4. edik Cancvea-C FL 32_920 Address City State ZIP Code Candidate's Florida Voter Registration Number(located on your voter information card): /00/9 /1742/il * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities(see instructions on page 2 of this form): — T- IjJaI - s h STATE OFF A COUNTY OF rPvA2. Sworn to(or affirmed)and subscribed before me this e.-6, - day of US% , 20/5/ . Personally Known: or � SignaKire of Notary PubT Produced Identification: Print,Type,or Stamp Commissioned Name of Notary Public Type of Identification Produced: — — — *i • MIA GOFORTH r `\ Notary Pulite-State of Florida M►,10,t017 r, ,Ase Commission f EE 866939 Rule 1S-2.0001,F.A.C. DS-DE 25(Rev.5/11) 4 °.. ..,. BondedTIM0.NationalNola'c�s;n INSTRUCTIONS: INSERTING PHONETIC SPELLING OF CANDIDATE'S NAME FOR AUDIO BALLOT Use the PRONUNCIATION KEY below to provide pronunciations for ambiguous first names and surnames. Capitalize STRESSED syllables, use lower case for unstressed syllables. Use dashes (-)to separate syllables. You should also add any notes such as rhyming examples, silent letters, etc. Samples: PRONUNCIATION KEY Stressed Vowel Sounds NAME ON BALLOT PRONOUNCED AS EE (FEET)feet I (FIT)fit Mishaud mee-SHO('d'is silent) E (BED)bed A (KAT)cat(KAD)cad Jahn HAHN(rhyme:fawn) AH (FAH-thur)father Beauprez boo-PRAI(rhyme:hooray) (PARR)par AH (HAHT)hot(TAH- Maniscalco man-uh-SKAL-ko dee)toddy UH (FUHJ)fudge Tangipahoa TAN-ji-pah-HO-uh (FLUHD)flood Monte Mahn-TAI UH (CHUHRCH)church AW (FAWN)fawn Tanya TAWN-yuh(not TAN) U (FUL)full 00 (FOOD)food OU (FOUND)found O (FO)foe El (FEIT)fight Al (FAIT)fate 01 (FOIL)foil YOO (FYOOR-ee-uhs) furious Unstressed Vowel Sounds uh (SO-fuh)sofa(FING- guhr)finger 11111) Certain Vowel Sounds with R AHR , (PAHR)par ER (PER)pair IR (PIR)peer OR (POR)pour OOR (POOR)poor UHR (PURR)purr Consonant Sounds B (BED)bed TS (ITS)its(PITS-feeld)Pittsfield D (DET)debt TH (THEI) Thigh F (FED)fed TH (THEI) Thy G (GET)get ZH (A-zhuhr)azure(VI-zhuhn)vision H (HED)head Z (GOODZ)goods(HUH-buhz-tuhn)Hubbardston HW (HWICH)which J (JUHG)jug K (KAD)cad L (LAIM)lame M (MAT)mat N (NET)net NG (SING-uhr)singer P (PET)pet R (RED)red S (SET)set T (TEN)ten ✓ (VET)vet Y (YET)yet W (WICH)witch 41k, +�TRo71111M CH (CHUCRCH)church + s*sr2 atr6ic�v.:i; SH (SHEEP)sheep � NOTE: This page should not be sul#mitted,t0 "hitt 'a(icet. 1' Y Page 2,DS-DE 25(Rev.5111) moot sr =+'' Rule 1S-2.0001,F.A.C. FORM 1 STATEMENT OF 2013 Via. ow I prbd or type your wow mans FINANCIAL INTERESTS FOR OFFICE USE ONLY: YYa15dJ Mi4sea��vd CITY: ZIP: COUNTY: r AUG 2 1 2014 i Cpe Canaveral,FL 32920 !' f NAME OF AGENCY: Cape Canaveral NAME OF OFFICE OR POSITION HELD OR SOUGHT: ( — Council Member You aro not Nailed be the space on the line on this tone.Attach additional sheets.It necessary. CHECK ONLY IF 0 CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR.WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(must check one): X DECEMBER 31,2013 QE 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES,WHICH REQUIRES FEWER CALCULATIONS.OR USING COMPARATIVE THRESHOLDS.WHICH ARE USUALLY BASED ON PERCENTAGE VALUES(see instructions for further details). CHECK THE ONE YOU ARE USING: COMPARATIVE(PERCENTAGE)THRESHOLDS 1213 O DOLLAR VALUE THRESHOLDS PART A–PRIMARY SOURCES OF INCOME (Major sources of Income to the reporting person-See instructions) (If you have nothing to report write"none'or"Na") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY Trldeprndtrit enhisely r Swept Blvd , Cit amount() Ft- a chant hiuw► Nl[it noir PART B– SECONDARY SOURCES OF INCOME [Major customers.clients.and other sources of income to businesses owned by the reporting person-See instructions) (if you have nothing to report,write"none or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE 14 A PART C—REAL PROPERTY [Land.buildings owned by the reporting person-See instructional (If you have nothing to report,writs"none"or"ria") FILING INSTRUCTIONS for when // and where to file this form are A 31 f OCeoo RYh. Lane. Cape Iara ve rd located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill It out begin on page 3. CE FORM 1-Efetaro: uy 1.2014. (Cceoneod en mens ROM PAGE 1 Adopted by ohm,in We 344202(1).FAC. PART D—INTANGIBLE PERSONAL PROPERTY(Stocks,bonds,certificates of deposit,etc.-See instructions) (If you have nothing to report write'none"or"Ida") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES i►,1,1,1,,g Rfi m{fn`E Ali d emit PART E—UABIL(TIES [Major debts-See ) (If you have nothing to report _write"none"or n/a') NAME pF CREDITOR ADDRESS OF CREDITOR N . PART F—INTERESTS IN SPECIFED BUSINESSES [Ownership or positions In certain types of businesses-See Instruction] (If you have nothing to report write''none"or'Na") BUSINESS ENTITY*1 BUSINESS ENTITY 0 2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HEI O WITH Emmy I OWN MORE THAN A 5%INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ _ I _ r : �:,� . c_.' • DATE 'IGN I (required); X 7 tAktain If a cerlifled public - --. ntartt licensed under Chapter 473,or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: prepared the CE Form 1 in accordance with Section 1123145, Florida Statutes.and the instructions to the form.Upon my reasonable knowledge and belief,the disdosure herein is true and correct. Signature Date FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing at parts of this form,Milling If you were mailed the form by the Commission initially,each local adNoedemployee,state abider, aIer ng and datna R send back only the first on Ethics or a County Supervisor of Elections for and seedbed state employee must Se within sheet(pages 1 and 2)for Ming. your annual disdoeune filing. return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officershnrployees file with the who must be..utd.rned by the Senate nand file settlor. you muat urge'none'ar WO"in that Supervisor of Elections ofthe county in*tilt they prior to aordirrnatiorr, even if that is less than section(s). permanently reside. (If you do not permanently 30 days from the date of their appointment. NOTE: county where your agency has head a•) candidates for p One t lected mem owe must MULTIPLE RUNG UNNECESSARY: papers.State a at the same lithe they Ibe their quafifybtg Guate�►,a person wllo has filed Form 1 fora Meofficers Commission sprained emus employees calendar or fiscal year is not required to file a 15 with the ase, FLon�,P.O.Drawer Therva ter local t>iticersiempioyses, stats 15709, Tallahassee, 32317-5709; physical second Form 1 for the same year. However;a address:325 Joon Kees Road,Boum E,sass offl.. a, and ape ed slate employees are candidate who previously Med Form 1 because 200.Tallahassee.FL 32303. Niquired y in b by July let following each calendar of another public position must at least title a copy Candidates file this form together with their Form of his or her original 1 when qualifying. Irel Finely.at the end of office or employment.each local oAioedemployee.state albcer,and specified To determine what category your position fabs slate employee is required to Me a final disclosure under, see the Who Must Fite instruction on form(Form 1F)within 60 days of leaving dice or page 3. employment.However,Ming a CE Form 1F(Final Facsimiles will not be accented. Statement of Financial Interests)does Ol>s relieve the Mer of Sing a CE Form 1 if he or she was in their position on December 31.2013. CE Fonts 1-E4u1Nx Adopted by totem=InP2 344202(1).FDIC. OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) AUG 2 0 2014 (Please print or type) 1, WOASi' nn aim �,^ candidate for the office of CA C have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X lidai09/9 �Z� / y Signat ,e of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84(05/11) CAMPAIGNr, TREASURER'S REPORT SUMMARY 4160 (1) 32t\1tA)o,(S1') OFFICE USE ONLY Name (2) 140 5opioa 131v o . AUG 2 02014 Address number and street C& CEJ aVUC PL ? 1910 City, State,'Zip Code -- � ‘ , [' Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: (1 Ntifi Political Committee(PC) / ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) El Check here if PTY has disbanded El Independent Expenditure(IE)(also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 66 / o9 / /C/ To 08 / Z.,/ / /V Report Type: P7- 0 Original El Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Le // (2-1Monetary $ 0O Cash & Checks $ , ( �U. Expenditures , , �'J Loans $ , Transfers to /6 Office Account $ , ; Total Monetary $ , 1/0 f) • d� Total Monetary $ , 30 9 . In-Kind $ , ----- (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , /0« 16' $ , , • 6D (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.1:3, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) 'B+EY (�J l Wr (Type name) 1d- WaJs o Individual(only for IE 1 Treasurer ❑Deputy Treasurer Candidate 0 Chairson(only for PC and PTY) or electioneering comm.) L xgeft-a)a, x cia,li Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check.tfidt box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code(i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. ',11) Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign(this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, &fund transfers being reported as additions or deletions. Read the instructions for the sequence number& amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name 13;etty tdciSA (2) I.D. Number Le (3) Cover Period 06 I 09/ / through 6e) / Z / ! (4) Page j of (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 08 , 20 , RIy ,,�s °pz" Vf Pio ohivk li acck CNF / / 160 CenGly P S 3Z-920 / / / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES L INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee(PC), electioneering communications organizations (ECO)or party executive committee(PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates(e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers(e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) P Political Parties (includes federal, state and county executive committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAII9N TREASURER'S REPORT- ITEMIZED EXPENDITURES (lie (1) Name /9)e1/0OS{7 (2) I.D. Number Page Cover Period 016 / 09 / through 63 / Zl / /7 (4) 1 of (5) (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 oe/2b/1 o' `'PyK atvecc.. �tnd cde / v. x 3z& glAttieflrq D I5 / y 39c6 / Cayje, &pa v FL 3Z-920 -f-e-2. / / / / c / I 1 / / / / / / L DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES *No) (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure(if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign(effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund(Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. WAIVER OF REPORT SEP 5 2014 (Section 106.07(7), F.S.) (PLEASE TYPE) ---._-1. 041 OFFICE USE ONLY Betty Walsh City Council Name Office Sought 140 Seaport Blvd Cape Canaveral, FL 32920 Address City State Zip Code ❑✓ Candidate ❑Political Committee ❑Electioneering Communications Organization ❑Party Executive Committee ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and Complete Applicable Line beneath Box) ❑MONTHLY REPORT El PRIMARY ELECTION El/GENERAL ELECTION ❑OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G as applicable: 0 TERMINATION REPORT 0 SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF e/Z4/'7 THROUGH e/Z�//i X WA A 9/ /iy' Signature e &-Ii`tdaAA qA/7./V 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.) Electioneering Communications Organizations: Treasurer (s. 106.0703(4)(c), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) 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.11/13) WAIVER OF REPORT SEP 1 9 2014 (Section 106.07(7),F.S.) (PLEASE TYPE) /6- _,. 27,2 OFFICE USE ONLY Beay ln)a(sh et.-61wi r Name Office Sought �9 1q0 &ov Nva eápe rt_ 3z9w Address City State Zip Code Candidate ❑Political Committee ❑Electioneering Communications Organization riParty Executive Committee ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and Complete Applicable Line beneath Box) MONTHLY REPORT El PRIMARY ELECTION 1 GENERAL ELECTION ❑OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G as applicable: 0 TERMINATION REPORT 0 SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 8/301/Y THROUGH 9/I21I4/ X &da6 9//9// Signature Date X = tth A 9110y GSignature 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.) Electioneering Communications Organizations: Treasurer (s.106.0703(4)(c),F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) 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.11113) 3 \ WAIVER OF REPORT ! OCT = (Section 106.07(7),F.S.) (PLEASE TYPE) ` /l '��/i 3g it OFFICE-OSEONLY B ,J0/1Sk(1 Cai (ung .; Name ! Office Sought Sopv !VSL efx (!ofwve rrae FL 32920 Address City State Zip Code r Candidate ❑Political Committee ❑Electioneering Communications Organization riParty Executive Committee ❑ Check here if address has changed since last report. 0 Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and Complete Applicable Line beneath Box) (MONTHLY REPORT ❑PRIMARY ELECTION GENERAL ELECTION nOTHER REPORT TYPE Indicate report# Indicate report# Indic report# Indicate report type and# M P G as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF g 9//3//(1 THROUGH `/ZG y X ' �� OJJ /OJ3/ 201/ Signature • Date 26-11 Signature D e 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.) Electioneering Communications Organizations: Treasurer (s.106.0703(4)(c),F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2),F.S.) 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.11113) • WAIVER OF REPORT — 8 2014 (Section 106.07(7),F.S.) OCT .-rJ (PLEASE TYPE) � /�����-Jn ' /%`4, 4 OFFICE USE ONLY 6'167/ 1/06C6 A eC117- &iriet:e Name Office Sought N v( C Citavevd Ft 32926 Address City State Zip Code Candidate ❑Political Committee ❑Electioneering Communications Organization riParty Executive Committee ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and C plete Applicable Line beneath Box) ❑MONTHLY REPORT ❑PRIMARY ELECTION GENERAL ELECTION ❑OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G q as applicable: 0 TERMINATION REPORT 0 SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF 9/2-7//(7 2-7//(7 THROUGH //..3/20/y X tdak4 /D ignature ate X IAJ ) /0/7//V ignature 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.) Electioneering Communications Organizations: Treasurer (s. 106.0703(4)(c),F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2),F.S.) 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-0E 87(Rev.11/13) WAIVER OF REPORT OCT 1 5 2014 (Section 106.07(7),F.S.) (PLEASE TYPE) OFFICE USE ONLY ilej: Wall 7Atin&L Name Office Sought /4O4 , /vL *ereKtietr-4_ , 32920 Address City State Zip Code 12/ Candidate ❑Political Committee ❑Electioneering Communications Organization ❑Party Executive Committee ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and C mplete Applicable Line beneath Box) ❑MONTHLY REPORT ❑PRIMARY ELECTION GENERAL ELECTION OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G5 as applicable: 0 TERMINATION REPORT 0 SPECIAL ELECTION NOTIFICATION ,F OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF /0/(//26/4/26/4/ THROUGH `0/0/ZQ/V X ,4' kt=� /0* Signature Date X ‘‘ � /air / ignature ate 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.) Electioneering Communications Organizations: Treasurer (s.106.0703(4)(c), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2),F.S.) 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.11/13) WAIVER OF REPORT OCT 2 2 2014 (Section 106.07(7),F.S.) (PLEASE TYPE) OFFICE-USEONL'- Eaffy (iJoJdcaLy &Jo Ctz /Name Office Sought IYb *0/4- glUG� 51,vve 32920 Address City State Zip Code Itndidate ❑Political Committee ❑Electioneering Communications Organization ®Party Executive Committee ❑ Check here if address has changed since last report. 0 Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and Complete Applicable Line beneath Box) ❑MONTHLY REPORT ❑PRIMARY ELECTION PlIGENERAL ELECTION nOTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G l(0 as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTTMTY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF /0/11/4 THROUGH v/171�� X ' waal I I/zo lV Signature Date X ' ori lraI )az/ / y ISignature ate 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.) Electioneering Communications Organizations: Treasurer (s.106.0703(4)(c), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2),F.S.) 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.11/13) WAIVER F REP p L © C 0 M C O ORT (Section 106.07(7), F.S.) OCT 3 1 2014 (PLEASE TYPE) _ _JJ U-%� r OFFICE USE ONLY /2,; 3y///4— Be,t-fy WculsA ei.t eamcd Name ffice Sought N6 5 n /VVA. ea/x, ea'nvver6_e / 3Z92Q Address City State Zip Code ®Candidate ❑Political Committee ❑Electioneering Communications Organization ❑Party Executive Committee ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and omplete Applicable Line beneath Box) ❑MONTHLY REPORT ❑PRIMARY ELECTION GENERAL ELECTION ❑OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G as applicable: 0 TERMINATION REPORT 0 SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF /6 /Uk THROUGH /0/-3(04/ X &Itri k.ki ilft)// U Signature Date X W 10/36 19 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.) Electioneering Communications Organizations: Treasurer (s. 106.0703(4)(c), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) 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.11/13) CAMPAIGN TREASURER'S REPORT SUMMARY (1) &V WaJ'SIi y OFFICE USE ONLY Name I ' "1 (2) leo S Qv� ig/Vc pC C� C OMC , Address (nu ber and street) _ Canaverc.Q_ J 3Z92p JAN 2 9 2015 City, State, Zip Code -4k- -� .. ❑ Check here if address has changed (3) ID Number: ��Pr (4) Check appropriate box(es): Candidate Office Sought: LAA41 02, 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 16, l 31 / /LI To 121 0; 1 1/1 Report Type: TR. Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report _ Monetary Cash & Checks $ O Expenditures $ , , (a/ . Loans $ ,/ Transfers to Office Account $ , , Q. Total Monetary $ Total Monetary $ , , 6l. q In-Kind $ (8) Other Distributions $ .."_. (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , r, 00 . $ , / , DV . (` (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 a and it is true, correct, and complete: �j;��/ (Type name) (Type name) ❑Individual(only for IE IDe � asurer E Deputy Treasurer Candidate 0 I airperson(only for PC and PTY) or electioneering comm.) Lie X P.)6•61/ X 4tz5iOaM Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers(i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer.. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code(i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, &fund transfers being reported as additions or deletions. Read the instructions for the sequence number& amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. Trm)11a7tAl 614" CAgP G TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name aJS (2) I.D. Number lare (3)Cover Period /0/ / � / �Y' through �Zl 0.3 / �y (4) Page of (5) (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 /2/03/ 2/U3/0/ Bet, viiish Blvd Reh�rn�i�oj ids r 140 Seap -to - I015 (v/.GYM / Copt CanaVea G- con vi bw-br 32920 (etoscd`-1' 4cd-) / / / / L / / / / / / / / / / L DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other ,44) candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue _ MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund(Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of Nraile expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CITY OF CAPE CANAVERAL CANDIDATE FOR CITY COUNCIL TRACKING FORM NAME: : 1 ltiZ5// PHONE: (j7/) 70 - 7177/-/ ADDRESS: //(---0SCa.povtlvd. _ Date Qualified/Paid Qualifying Fee: , /20// /- //,_ i- o0 QUALIFYING FEE: $39.00 ($15.00 Qualifying + $24.00 Election Assessment) PAPERS FILED DATE FILED Candidate Packet Acknowledgement / 8// . - DS-DE 9, Appointment of Campaign Treasurer and Designation of YON- //� Campaign Depository for Candidates l DS-DE 25, Loyalty Oath for Non-Partisan Office with Candidate Name Pronunciation Request V2.0// ZO(f CE Form 1,(Jan 1, 2013) Statement of Financial Interests 2-/(/ */ DS-DE 84, Statement of Candidate C (due 10 days after DS-DE9) Dil ZOO 2014 Candidate Reporting Deadlines Section 106.07(1), F.S Period Covered Report Due Date Date Filed Code 08/02/14 - 08/08/14 P6 August 15, 2014 08/09/14 - 08/21/14 P7 August 22, 2014 51206Z L 08/22/14 - 08/29/14 G1 September 5, 2014 9/51/1- 08/30/14 /S//1-08/30/14 - 09/12/14 G2 September 19, 2014 /'9 /1/ - 09/13/14 - 09/26/14 G3 October 3, 2014 /%31 / 09/27/14 - 10/03/14 G4 October 10, 2014 /0/S/ /i 10/04/14 - 10/10/14 G5 October 17, 2014 /O /,s/,y 10/11/14 - 10/17/14 G6 October 24, 2014 i o / z i /,rrl 10/18/14 - 10/30/14 G7 October 31, 2014 /0/3,f Campaign Treasurer's TR February 2, 201"- Report 015Report Period: Date (NOTE: if no opposition at varies end of Qualifying Period, Due Date is 11/20/2014) ii;iicbr I'vli4 4:04 PM 000A352 iotas 39.90 L41-:1) Hnount $0.00 Lnantie 9.60 +_K iLk.141,0i Amount $39.00