The URL can be used to link to this page

Home My WebLink AboutNeglia Sal 03-14-2006 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Sty^- IJI;&/.~/ff Name (2) 1"1 ~e()eG-/A row}} Address (n,Umber and street) , . -4J S~Jq-$J7N-AJ ~L '3 )..1.56 . City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED "'" ~.. 1 (4) Check appropriate box(es): D Candidate (office sought): D Political Committee D Committee of Continuous Existence D Party Executive Committee D Electioneering Communication OFFICE USE ONLY ......~ c:::.:.::>> = c:::r:> t:._ <:"= Z C) -rl C.-) .., --. - -j o _< Pl ' CIl (3) ::3 _; !> r':l ~ (f) C::J (.) -l r -- ("'i"J )> -...... """:">"' -<'-.,., .,'-- ID Number: I--" C) UI --, - " D CHECK IF PC HAS DISBANDED D CHECK IF CCE HAS DISBANDED D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 3- / /0 / CJ /I To L /.s- / tJ b Report Type -1){ D Original D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Loans Cash & Checks $ $ Total Monetary In-Kind (9) TOTAL Monetary Contributions To Date $ 01/ '3{ s-; " a (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 7'1/, t(~r Transfers to Office Account $ Total Monetary '1 '1/. cf )/ $ (8) Other Distributions $ (10) TOTAL Monetary Expenditures To Date $ ",-, 3f):p tJ . (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F .S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Dlndividual (on for electioneering co mu x DS-DE 12 (Rev. 08/04) . (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (2) I.D. Number (3) Cover Period _1----1_ through ----1----1_ (5) Date (6) Sequence Number ~ ~~ OS-DE 14 (Rev. 08/03) (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code S t ~~ t'. ~ ' g e-tfrJ /fit S If r {J f'(/# ~~CV~~t- +vd S It-l iJ eG-fA /I (4) Page of (8) (9) (10) (11) Purpose (add office sought if contribution to a Expenditure candidate) Type Amendment Amount Vlv~ty yr/V'ttel{ y 15 \)/5 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES J if 30 ~ '9. frO (P 3, / ( ~'11 c_ .-' "-,~ p, c, ~) :::::: U1 C> -"I ,"] en C) rn =-~i CD -< ]>. :D :3 ...... c::::J Ul -.J ~ :::-2 [\j ~:: ......\J "--._- ....."." HOME OF PELICAN ISLAND 1225 MAIN STREET · SEBASTIAN, FL 32958 (772) 589-5330 · (772) 589-5570 fax May 16, 2006 The Honorable Sal Neglia Council Member The City of Sebastian 461 Georgia Boulevard Sebastian, FL 32958 coP~ RE: Campaign Treasurer's Termination Report Dear Council Member Neglia: Please be advised that your 2006 campaign treasurer's termination report is due by June 1 it" 2006. This report should include all lawful expenditures in accordance with F .S.1 06.11 (5) and final disposition of surplus funds in accordance with F.S.106.141. Failure to file a report will result in a fine up to $50.00 per day for each day late, not to exceed 25% of your total receipts or expenditures, whichever is greater for the period covered by the late report. Fines must be paid out of personal funds, not campaign funds. If you have any questions regarding this requirement, please do not hesitate to call me at 388- 8214. ~' am Sally ~ MMC City Clerk SAMljw ~ ~,",",,"l'oil:""',~'"'''' .- .. ' HOME OF PEUCAN ISlAND 1225 Main Street Sebastian, Florida 32958 (772) 589-5330 phone - (772) 589-5570 fox March 20,2006 Salvatore and Catherine Neglia 461 Georgia Boulevard Sebastian, FL 32958 Dear Mr. and Mrs. Neglia: Congratulations on your re-election to Sebastian City Council! In accordance with Florida Statutes 106.07 a campaign treasurer's termination report for (TR) for your campaign must be filed by June 12, 2006 and will include all lawful expenditures in accordance with 106.11 (5) and final disposition of surplus funds in accordance with 106.141. If you have any questions or if there is anything I can do to assist you, please do not hesitate to contact me at 589-5330. :9~' am SaIlY~' MMC City Clerk <. sam \..:::;,) 9 ..,; j!" ''0 CI1Y C1' ~ ~ ,-- - '~', - - '., HOME OF PELICAN ISLAND SEBASTIAN CITY COUNCIL MEMBER OATH OF OFFICE I, Salvatore Neglia, do solemnly swear that I will support, protect, and defend the Constitution and Government of the United States, and of the State of Florida against all enemies, domestic and foreign; that I will bear true faith, loyalty, and allegiance to the same; that I am duly qualified to hold office under the Constitution and Laws of the State of Florida; and that I will faithfully perform all the duties of the office of Councilmember of which I am about to enter, so help me God. '~ ~ Salvatore Neglia Sebastian City Council Member _ }j:,re me thi~ 20th day of March, 2006. Sally A. Mai , MMC City Cler (S E A L) '8J FLORIDA DEPARTMENT OF STATE DIVISION OF E.LECIIQtr'~ CAMPAIGN TREASURER'S REPORT SUM _ A~"t-~-;-I' 'i (1) Sf}-JtlA--;;~f- ~ W&~/fr Name (2) "t/; / G-et)etf./rr tJLr/O Address (number and street) ,,-.8 5eEQS7/A/f/' ~ 31-1.5 If City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (4) ~~k appropriate box(es): [21" Candidate (office sought): t.IJ c/ IfI e (I- D Political Committee D Committee of Continuous Existence D Party Executive Committee D Electioneering Communication O~fCE!W$aON_LY: fun 10 flfl 9 16 (3) ID Number: ;J1 e-mlJ C/G' D CHECK IF PC HAS DISBANDED D CHECK IF CCE HAS DISBANDED D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From j.. I ) YJ ~~ To ~ I L I f) ~ Report Type G- - ( D Original D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ 3()cP r tJ tJ Monetary Expenditures $ 73 I ' 3 :J- Loans $ $ 3&0,. l)[) Transfers to Office Account $ Total Monetary Total Monetary $ 73/,. 3d- In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ ;)./ 3 f .5 -:- {) iJ (10) TOTAL MJ>netary Expen~es To Date $ /;. b 03 'S-5 (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) SA-Lt! IT-w;f~ ;::, ~ /J Olndividual {only for o Treasurer ~~ r Signature DS-DE 12 (Rev. 08/04) I certify that I have examined this report and it is true, correct, and complete. {T e name)Sirt '/J-r ~~ /.-::. fl/E~j. (if o Chairperson (only for PC, PTY & el . n ring co un. organization) 't' , " ... CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name 5#1vfrr'eff, f'. f1Jf~t//r (2) J.D. Number (3) Cover Period :J- I J r I d b through L I L I tJ t, (4) Page 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 Tvoe Descriotion Amendment Amount ~/J? ItJb K (LlM/i@ll(ldf ~~ti,e,) ~ 'JSrJe1 6-e~1IA,1 ~~t- d- ~ I,).J- ItP IP ft 1-l,v I! r II T/nItN 11r..7Itc,> CHc i~~HJ r-IP 3 {, (tp$ 5 e ~~d: 5' et3"'s1l~ +1-. 1 1 ).. ( 1 tJr,.. f+J e~pel{ -pvlr Cti-t- i~'7~~7 'p.e~Mftlt:l tJ ~f~Ai s -et;/tS 1i,.,,) ~ 1 J.,/p 1 e~ fl- (;.ef) ).,6-( tI v/:5P/ (eliteo t"f{ t: ~.):'PD '1) It mIJ-SK 1- t1 ~e~""Sll~ , 2 I~ I~b (<PN m{.t.ilJI'(/~JI ~ ~1tkO eye ~ -;;tJ .00 ~ eri-'tU1~~ /WE ~t:&l6 71A~(~ '" \..9 ~ "3 1.:2- I~~ f3 - L. JVJ..,.et:. 1Jl.w'feA. c (..J t: ~ , & (JJ ,&f) V.5. 1 $e~,q.s PI-) ~ , .'" -....., :::':'.::1 1 1 tt-' <I::) -'I , c; .' ("""t ".- ] =:D ~ ~-: ::; -", -=> . . -" (eel ( -....- 1 1 ! 0" f+-" - ..~ 4_ -..J DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f ",:-' ,.. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY (1) Type full name of candidate, political committee, committee of continuous existence, party executive committee, or individual or organization filing an electioneering communication report. (2) Type the address (include city, state, and zip code). You may use a post office box. If the address has changed since the last report filed, check the appropriate box. (3) Type identification number assigned by the Division of Elections. (4) Check one of the appropriate boxes: Candidate (type office sought - include district, circuit, or group numbers) Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication If PC or CCE has disbanded and will no longer file reports, check appropriate box. If individual or organization will no longer file electioneering communication reports, check appropriate box. (5) Type the cover period dates (e.g., From 07/01/03 To 09/30/03) Enter the report type using one of the following abbreviations (see Calendar of Election and Reporting Dates). If report is for a special election, add US" in front of the report code (e.g., SG3). Quarterly Reports General Election Reports January Quarterly........................................................... Q4 !i~~~~~~::::::::::::::.:.:::::::::::..:..::::~ April Quarterly................................................................ Q1 July Quarterly................................................................. Q2 October Quarterlv ........................................................... Q3 Primary Reports 32"d Day Prior...............................,.................................. F 1 90-Day Termination Reports (Candidates Only) 1 ~IhD~~yp~~~~.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ~~ Termination Report ........................................................ TR Check one of the appropriate boxes: Original (first report filed for this reporting period) Amendment (an amendment to a previously filed report) Special Election Report Independent Expenditure Report (see Section 106.071, F.S.) (6) Type the amount of all contributions this report: Cash & Checks Loans Total Monetary (sum of Cash & Checks and Loans) In-kind (a fair market value must be placed on the contribution at the time it is given) (7) Type the amount of all expenditures this report: Monetary Expenditures Transfers to Office Account (elected candidates only) Total Monetary (sum of Monetary Expenditures and Transfers to Office Account) (8) Type the amount of other distributions (goods & services contributed to a candidate or other committee by a PC, CCE or PTY). (9) Type the amount of TOTAL monetary contributions to date (parties keep cumulative totals for 2 year periods at a time (e.g., 01/01/02 - 12/31/03). Candidates keep cumulative totals from the time the campaign depository is opened through the termination report). (10) Type the amount of TOTAL monetary expenditures to date (parties keep cumulative totals for 2 year periods at a time (e.g., 01/01/02 - 12/31/03). 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 & candidate must sign) PC report (treasurer & chairperson must sign) CCE report (treasurer must sign) PTY report (treasurer & chairperson must sign) Electioneering Communication report (individual or organization's treasurer & chairperson must sign) 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 OS-DE 13, 14, 14A and 94. The Division will summarize all reports submitted for each reporting period and for the filer to date. .. .. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTY). (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates (e.g., 7/1/03 through 9/30/03). (See Calendar and Election Dates for appropriate year and cover periods.) Type page numbers (e.g.,...L of ....L). Type date contribution was RECEIVED (Month/DaylYear). (4) (5) (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 Division and for reporting amendments. For example, a 01 report having 75 contributions would use sequence numbers 1 through 75. The next report (02), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended 01 reports would begin with sequence number 76 and on amended 02 reports would begin with sequence number 41. See the Amendment Type instructions below. Type full name and address of contributor (including city, state and zip code). Enter the type of contributor using one of the following codes: Individual = I Business = B (also includes corporations, organizations, groups, etc.) Committees = C (includes PC's, CCE's and federal committees) Political Parties = P (includes federal, state ad county executive committees) Other = 0 (e.g., candidate surplus funds to party, etc.) Type occupation of contributor for contributions over $100 only. (If a business, please indicate nature of business.) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. (7) (8) (9) DESCRIPITION CODE Cash CAS Check CHE In-kind INK Interest INT Loan LOA Membership dues DUE Refund REF (10) Type the description of any in-kind contribution received. Candidate's Only - If in.kind contribution is from a party executive committee and is allocable toward the contribution limits, type an "A" in this box. If contribution is not allocable, type an "N". (11) Amendment Type (required on amended reports) - To add a new (previously unreported) contribution for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment type "ADD" will start at one plus the number of contributions in the original report. For example, amending an original 01 report that had 75 contributions, means the sequence number of the first contribution having amendment type "ADD" will be 76; the second "ADD" contribution would be 77, etc. When amending an original 02 report that had 40 contributions, the sixth "ADD" contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the contribution to be corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (12) Type amount of contribution received. Committees of continuous existence ONLY: Any contribution which represents the payment of dues by a member in a fixed amount pursuant to the schedule on file with the Division of Elections need only list the aggregate amount of such contribution, together with the number of members paying such dues and the amount of membership dues. . ,. , , CAMPAIGN TREASll~ER'S REPORT - ITEMIZED EXPENDITURES (1) Name .:s 1'rI-(j1f~Lt!- F ")l!'.t4,j- (2) I.D. Number (3) Cover Period :t- 1 /1", t::Jt. through LIL, tPb (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number . 1.. IJYI ~h f~e5f 'JPv JAt/ J4-1- f'r })~ ~t1,47 t7Pb5 #-11',6 .;L /14 I&'; f{v r If S 1/ li-I (j frill' A-PfJS fI; tP~1lO A,Jew5 fJPJ>5 tFft?l 3 17 10' fife-55 'j"'W(nJ1J-/ ft DfJ 5 3)',9$'/ j}D~ If:' / /79 I I I I " .r a::: (C..> ,:"1 ----,' == ~ (-,..~ .. I t I I -r, ~ ;:: rl ' -i r:'-,~ ....::: - -< c.. r: '......J' ltC ~~. :-.::! ~ ' , .-'"PO I I --J ........... I I DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I,. . ~d of W~<YL.MNL tlA r "71 FLORIDA DEPARTMENT OF STATE DIVISION OF ELI;QJ~S CAMPAIGN TREASURER'S REPORT sill\liMARVri! [J (1) 5/J- )vfrJ;;(f( ;: #R'G.L;/7- ~.oFRCEYU8E[(jNL y Name (f.e.pl. 6-; A ;1J.~ c/O - ".~ r- n 1 0 Afl 8 11 (2) +~/ _i,\iY . Inri Address (number ~ s~t) -' f~ 5 -e ,.8195 7/ A- r }.--- City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) ~appropriate box(es): Candidate (office sought): C{)u veIL ;Y)em t3eJf- D Political Committee D CHECK IF PC HAS DISBANDED o Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED o Party Executive Committee D Electioneering Communication D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From ~ d-- I d I I} (p To ~ I Ll.- I If t Report Type 6-- 3 D Original ~mendment D Special Election Report. 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT ?7j~ 00 Monetary S3~ td--3 Cash & Checks $ Expenditures $ Loans $ Transfers to Office Account $ Total Monetary $77.5"'. of) Total Monetary $ s3;),,~3 In-Kind $ (8) Other Distributio!)i S~/ $ -'2F,7).;;LtG (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary E;renditures To Date $ :L tJ 1j~tJ tJ $ 6' l~ ':J- (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name).:)jfLJ/J f(c r MtGj..-lff (Ty9'i name) Olndividual {only for o Treasurer ~DeputyTreasurer ~ Candidate o Chairperson (only for PC, PTY & ~.- , ~ '--~ring":,,,",.O<g'-) < Signature ~ Signature ~ DS-DE 12 (Rev. 08/04) r .' .,.. . (1) FLORIDA DEPARTMENT OF STATE DIVISION O~,',f, ~~, ~;rJ"g ,N N:S CAMPAIGN TREASURER'S REPORT SUM~~1 \ IfL till tI ~{ ,c. /IJ & G if 14- ~ ,~jifJ~{USE,ONl y .~:,~ \ ~~ 21 pm 1 02 LijwU 'LU ' , . Name (2) 1~( b-e~~"'4 /.31-119 Address (number and street) 5 e I?J It S'1/ AN ~L ]H s-:P City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): D Candidate (office sought): D Political Committee D Committee of Continuous Existence D Party Executive Committee D Electioneering Communication D CHECK IF PC HAS DISBANDED D CHECK IF CCE HAS DISBANDED C07period: ~ Original D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS From ~ I L I t'J"' To ~ I ~ I D6 ReportType C:3 D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT $ t -7 '7~t9tJ (7) EXPENDITURES THIS REPORT Cash & Checks Monetary Expenditures $ ~)?~3 Loans $ Total Monetary $ 7 75-: ()J Transfers to Office Account $ Total Monetary $ rl.--' ,,).- ) ~ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ :hIP 7 ()-; /)1) (10) TOTAL Mo~tary Expenditures To Date $ ?bb .;;'p (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) CI4TI-/~~/4& If t!GL/ A- D Individual (only for ~surer D Deputy Treasurer electioneering commun.) X ~--_:4_r + Signature DS-DE 12 (Rev. 08/04) .. \, ,~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period ";;L I ~ I tJ 6 through &;)... I t 1 I o~ (5) Date (6) Sequence Number 02. I , f)h (7) Full Name (Last, Suffix, First, Middle) Street Address & Cit ,State, Zi Code SR;1WeJ..lr~ D/tIltI 6tr7 RtZ~ Iti/~ ~ eA A-51i IW ..f I- fYJ4~[t '1)9,Se1 tff4 ~6/.J.1f1/ '-fllJ.L 1)1< $elblt~ 1i4/ !;Vbt,l !l11f1~ () 3 (; ~ S'erl- '-li9tl' S e-fJ:> J. ). fflJ-l1 c (II!- I)' ,P~ tift ~IJ"r1l1!J S~~ B~et 211'/1-. ~ I 13 ,p" ,V) I/pd ?p'f..ptltvP'P vr.. SeA> ~) I It 1- till ~J1 A t; I ;.- ,/I lIP" If (f(/r~eot.P See" ~tflilK I\h ~ ,J~ 11)" t{/1 c- etJtfJ-tAJ SelP 1\ 1_ a,~ l..t5{lff J- ,13 If) If' ,!"ftIJ 0 f4lt 1"1 M S~ ~, /P I" ~ I" ,';6 DS-DE 13 (Rev. 08/03) (4) Page t of ~ (8) (9) (10) (11 ) (12) In-kind Descri tion Amendment F?elle~fJ t'fft :1- 5'J-j' !4cfllt:. IN/elL ettt {t3V Re1lt,tt f) t.~#- f-eplrj) f)l-S If q/~O trf t.f/tJ Pi'r '0 teftleO Ct{' 3th e e J 51! :e1ttteo eN- - tj),&1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES j ) .I / I / / \i. , . - '. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name .5i1t J/fr-P/P:- JI~bJ.lh (2) I.D. Number (3) Cover Period Pd- / !!i- / ~ /1 through t9~ / -.!2 / () 6 (4) Page ~ of a.- (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 ~ I J:;" 106 f) L H ~P...J) SJYlI (II /{e1/ttf cf-{~ ~S-~ 79'? lJ:JtJlIt!#Allll( SC~~51f~fI! fl3~fQ ;to5e-f#- (;..etl e~,fj. II () ~~~ J~t I~ ~ I /3 ItJt, I bl..f I J..(!;et.f sT l~tJrJI ~ Se~JtSJJI)H ,P/..3l1s1 2.. 1/6 I c&, 7G;L2- ~LIJ eo#~ ~He ~ fJ ({,IJ iN .e.,e5 J,PIl. tJlJ t:.pJ1J~ -r t:,17 .(IYC- ~p 5- .f <:,.e, ~)..{.) f) (!,.I, I I ~:''J "ll!:,::':.. c=:) C;'" r-, CD I I N (:~_;i ~ ; r ....... '1 , .-~ ::g ~ ~~ :;~ --~ ~',--;: r'.i (;) \:.:J It-' c> __..' --- f I :~. '1 C) ~..,. -,.',-- .(0 -,,"'" I I I I / J ) OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES .' " . INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTY). (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates (e.g., 7/1/03 through 9/30/03). (See Calendar and Election Dates for appropriate year and cover periods.) Type page numbers (e.g., -L of ....L) Type date contribution was RECEIVED (Month/Day/Year). (4) (5) (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 Division and for reporting amendments. For example, a 01 report having 75 contributions would use sequence numbers 1 through 75. The next report (02), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended 01 reports would begin with sequence number 76 and on amended 02 reports would begin with sequence number 41. See the Amendment Type instructions below. Type full name and address of contributor (including city, state and zip code). Enter the type of contributor using one of the following codes: Individual = I Business = B (also includes corporations, organizations, groups, etc.) Committees = C (includes PC's, CCE's and federal committees) Political Parties = P (includes federal, state ad county executive committees) Other = 0 (e.g., candidate surplus funds to party, etc.) Type occupation of contributor for contributions over $100 only. (If a business, please indicate nature of business.) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. (7) (8) (9) DESCRIPITION CODE CAS CHE INK INT LOA DUE REF Cash Check In-kind Interest Loan Membership dues Refund (10) Type the description of any in-kind contribution received. Candidate's Only - If in-kind contribution is from a party executive committee and is allocable toward the contribution limits, type an "A" in this box. If contribution is not allocable, type an "N". (11) Amendment Type (required on amended reports) - To add a new (previously unreported) contribution for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment type "ADD" will start at one plus the number of contributions in the original report. For example, amending an original 01 report that had 75 contributions, means the sequence number of the first contribution having amendment type "ADD" will be 76; the second "ADD" contribution would be 77, etc. When amending an original 02 report that had 40 contributions, the sixth "ADD" contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the contribution to be corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (12) Type amount of contribution received Committees of continuous existence ONLY: Any contribution which represents the payment of dues by a member in a fixed amount pursuant to the schedule on file with the Division of Elections need only list the aggregate amount of such contribution, together with the number of members paying such dues and the amount of membership dues. '" \ . . " . I . .. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTY). (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates (e.g., 7/1/03 through 9/30/03). (See Calendar and Election Dates for appropriate year and cover periods.) Type page numbers (e.g.,...L of ....L). Type date contribution was RECEIVED (Month/DayNear). (4) (5) (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 Division and for reporting amendments. For example, a Q1 report having 75 contributions would use sequence numbers 1 through 75. The next report (Q2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended Q1 reports would begin with sequence number 76 and on amended Q2 reports would begin with sequence number 41. See the Amendment Type instructions below. Type full name and address of contributor (including city, state and zip code). Enter the type of contributor using one of the following codes: Individual = I Business = B (also includes corporations, organizations, groups, etc.) Committees = C (includes PC's, CCE's and federal committees) Political Parties = P (includes federal, state ad county executive committees) Other = 0 (e.g., candidate surplus funds to party, etc.) Type occupation of contributor for contributions over $100 only. (If a business, please indicate nature of business.) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. (7) (8) (9) DESCRIPITION CODE Cash CAS Check CHE In-kind INK Interest' INT Loan LOA Membership dues DUE Refund REF (10) Type the description of any in-kind contribution received. Candidate's Only - If in-kind contribution is from a party executive committee and is allocable toward the contribution limits, type an "A" in this box. If contribution is not allocable, type an "N". (11) Amendment Type (required on amended reports) - To add a new (previously unreported) contribution for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment type "ADD" will start at one plus the number of contributions in the original report. For example, amending an original Q1 report that had 75 contributions, means the sequence number of the first contribution having amendment type "ADD" will be 76; the second "ADD" contribution would be 77, etc. When amending an original Q2 report that had 40 contributions, the sixth "ADD" contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the contribution to be corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (12) Type amount of contribution received. Committees of continuous existence ONLY: Any contribution which represents the payment of dues by a member in a fixed amount pursuant to the schedule on file with the Division of Elections need only list the aggregate amount of such contribution, together with the number of members paying such dues and the amount of membership dues. -" ~ CAMPAIGN TREASUReJr$ RI;PORT - ITEMIZED EXPENDITURES (1) Name ~ 'A.LI/;t77ffA'L 1< #cG/-//7 (2) I.D. Number (3) Cover Period ~/~ ~~ through ~/~ tPb (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number 1.- /It,/~ f ~ e!JS T&tJtZtVA~ trY5 t%'i/ tJi JA; :)., /(1/ f)' l' (}nfi~r- , \r , ~ / / / / / / / / / / / / DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES '(;~. 3 V ~':':' ,: ~; -I" Jr" II:P ~~ -~ H~ P .) <:.... -,c 1"1 -r-) <'; (") (,) I" C? rn -,,,: =i :::~ ~ -< :') C) (':"';~ -~-'1 4., . " INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES . . (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTY). (2) Type identification number assigned by the Division of Elections. (3) Type cover period dates (07/01/03 through 09/30/03). (See Calendar and Election Dates for appropriate cover periods.) (4) Type page numbers (e.g., 1 of ID. (5) Type date of expenditure (Month/DaylYear). (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 Division and for reporting requirements. For example, a 01 report having 40 expenditures would use sequence numbers 1 through 40. The next report (02), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended 01 reports would begin with sequence number 41 and on amended 02 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Type full name and address of entity receiving payment (including city, state and zip code). (8) Type 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), CCEs 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: DESCRIPTION CODE --- i I ! ; DIS MaN pcw PCS TOA REF Disposition of Funds (Candidate) Monetary Petty Cash Withdrawn Petty Cash Spent Transfer to Office Account Refund (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 01 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. To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Type amount of expenditure. ~ CW~rM-~ FLORIDA DEPARTMENT OF STATE DIVISION OF EL .CTIQ~S:-\ CAMPAIGN TREASURER'S REPORT SUMMAQ~'~~.~ \1 (1) cS',4)..IJ/9- %,4: ~ ;?)i'6Llff OFFkfEW8'dNL~i'(i<, Name ~ 05 (2) 1/" / ~~.(&/n 12.Li/J) ru'lR 1 a Arl ~ ' Address (number and street) 5'efJ 14-57/4# Pi. ?>~f ~ . City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) ~~k appropriate box(es): [i;d'Candidate (office sought): ~PU /1/C!..iL-. tneml3 e.-a D Political Committee D CHECK IF PC HAS DISBANDED D Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED D Party Executive Committee D Electioneering Communication D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From L I L I ~ ~ To .;L I 1)3 I I)b Report Type 6-;)- D Original ~mendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT $ g~, ~~ Monetary 3 t/~ · tJ 3 Cash & Checks Expenditures $ Loans $ Transfers to Office Account $ Total Monetary $ f':;--;}. 8 tJ Total 3 1& , tJ 3 Monetary $ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ / / .3 ~tJ , If ~ , (10) TOTAL Monetary Expenditures To Date $ 3 cfo ,tJ 3 (11 ) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55.839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) S'Aitllf '/RIP:;- / AI~6)/jj- D 'ndivi al (only for D Treasurer 0 Deputy Treasurer election ring comm D Chairperson (only for PC. PTY & electioneeri 9 commun. organization) DS-DE 12 (Rev. 08/04) , FLORIDA DEPARTMENT OF STATE DIVISION OF-ELeCTJONS CAMPAIGN TREASURER'S REPORT 'S);J,~ ~'ARYd: (1) 5th IIA ~tfi r ;V/6LI F~e~S"~;d'NLY (2) Nam;6( tep~G/1f ~L(/D ll~ 7 FW1 9 3l Address (number and street) SceJ!>If51/A-U ~,L 3~~ sf City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (4) Ch~ appropriate box(es): /" L [!2(Candidate (office sought): L-tP c/ I/I~ I o Political Committee D CHECK IF PC HAS DISBANDED D Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED D Party Executive Committee D Electioneering Communication (3) ID Number: D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS From / I L I tJh To ~ I ~ I 0(, Report Type G- ~ D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ 1stJ,tJtJ Monetary Expenditures $ 3 tit . () 3 In-Kind $ J ~:JP. "e' 'S' 1/,/ $ ~ll3tJ tJ $ Transfers to Office Account $ Loans Total Monetary Total Monetary $ E cftfJ, [) 3 (8) Other Distributions $ (9) TOTAL Moneta'lContributions To Date $ l' 3t'~ t:JtJ I (10) TOTAL Monetary E,!penditures To Date $ 9 tftfJ.. tf) ::> (11 ) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. Chairperson (only for PC. PTY & ectioneerin9 commun. organization) OS-DE 12 (Rev. 08/04) .' CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Sr+l(/;r~tE ;:: j)c&-t/ h (2) I.D. Number (3) Cover Period ~ / (!) I / "It; through .J- / ~ / f!iL (4) Page 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 I, f) '1,'P#' R (/ S5 c!lJ.. /..{e,fRJlJIfI(, kI K~71iel) <j' .s-~6tel>wl'"d C-r ef/-& Sp - pf) S'e~!f5 '1ftf,rt/ I /1 'Xfeve ~JlJIY'; tefft,eO eJf?tf ~ I I{)b 5t'- po 1.1' "3 / S filliP AKK f. \ , fe~fr$;;I/#' 111tJ/P VI}t/1 J) r/lc*,~'"I ,Qe(JfJ9 1 I I {,4S tI s;.. Po I S~I S'!JlII,otlxel:. S>e i!>/l-S PlY/' / ,~(P ,()b flfhel.'''' ~ tfptNe Cpt:. " ~~~;f) c;eiJlr5 71,,41 -iL J ,r;.6 IPb IXt/f'1 M,r(~t( , (elf REI) ctfe ~ Ip,lt} 1,;4,5LfIee. S' et3tf5 ~ &11 ~ J lJ..r lob weSLq t>JfV/~ ~/f-t! "lIP ~. 1)0 7()() I /~t./~ ~ :~'i c"; \Jete> ~ 3>117 - r~ c: ..--. '<;....' , , -- --'q (', ( J (.. 'c' o (T) ~: ~ -: ~...", ""'i('" --" '''-''' j ~ -= -< ;.> ~": ~"-,.; <?> .' ..~ ..-d._ Ii:: J ; i .' ',~ - .-.--- I I ~.- .. ,.-..... DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (2) I.D. Number (3) Cover Period _1_'_ through _,----1_ (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 I 113 II)~ ~4J.Nft~IlL p:. /tJ'~j..ti1 CJrflvf II- t&. AI ,. (//6 ,. ()O cP- fA- /t.../1 ,y~ ell 61" J ;(~( 6-Ut.6-IH SicJj) $'C6~7:A-~ ~ /tJ/ I I I~Q/~ r/lcr;R.1 573 et:, c.. tf"YkhY.M t/f~ , ,!'t,.Ig' ( jP?- 'f? I&JfI S ~ /6115 . )., I I lob t1 t~1 e,f DE ftl t PI-JE( S ~Ht f~, ~( If!)~ I I I I ,,,",, ~ r'-' iC , ' f.J '. , I I c' : ~ =~ '~: :',~ ;;; - ) [,~) IX ) (':) ,,--.i rn" "w._ I " If. , I I I I DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTY). (2) Type identification number assigned by the Division of Elections. (3) Type cover period dates (07/01/03 through 09/30/03). (See Calendar and E/ection Dates for appropriate cover periods.) (4) Type page numbers (e.g., 1 of ID. (5) Type date of expenditure (Month/DaylYear). (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 Division and for reporting requirements. For example, a 01 report having 40 expenditures would use sequence numbers 1 through 40. The next report (02), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended 01 reports would begin with sequence number 41 and on amended 02 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Type full name and address of entity receiving payment (including city, state and zip code). (8) Type 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), CCEs 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: DESCRIPTION Disposition of Funds (Candidate). Monetary Petty Cash Withdrawn Petty Cash Spent Transfer to Office Account Refund I CODE f------------ ! DIS I MaN ! PCW PCS TOA REF (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 01 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. To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Type amount of expenditure. HOME OF PELICAN ISlAND 1225 Main Street Sebastian, Florida 32958 (772) 589-5330 phone - (772) 589-5570 fax March 3, 2006 Salvatore and Catherine Neglia 461 Georgia Boulevard Sebastian, FL 32958 Dear Mr. and Mrs. Neglia: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period February 18, 2006 through March 9, 2006 is due in the Office of the City Clerk by 5 pm on Friday, March 10, 2006. Do not accept any campaign contributions after midnight on Thursday, March 9, 2006. Any contributions accepted after that time will have to be returned. For future reference and in preparation of your termination report, which will be due by June 12, 2006, please see FS 106.11 and 106.141 relative to expenditure of remaining funds and final disbursement of funds. . Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Please read FS 1 06.07(2)(a) for further details. If you have any questions, please do not hesitate to contact me at 589-5330. JrIY, fl. Yh- sall~iO' MMC City Clerk . 1- HOME OF PELICAN ISLAND 1225 Main Street Sebastian. Florida 32958 (772) 589-5330 phone - (772) 589-5570 fax February 15, 2006 cot''' Salvatore and Catherine Neglia 461 Georgia Boulevard Sebastian, FL 32958 Dear Mr. and Mrs. Neglia: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period February 4,2006 through February 17, 2006 is due in the Office of the City Clerk by 5 pm on Friday, February 24, 2006. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Please read FS 106.07(2)(a) for further details. If you have any questions, please do not hesitate to contact me at 589-5330. Si~' l- ",ff;2^' C1- Yl1 ,{.< Sally A. io, MMC City Clerk ~,,'.,...cm,...,".....a..~.. .~ HOME OF PEUCAN ISLAND 1225 Main Street Sebastian, Florida 32958 (n2) 589-5330 phone - (n2) 589-5570 fax February 3,2006 Salvatore and Catherine Neglia 461 Georgia Boulevard Sebastian, FL 32958 Dear Mr. and Mrs. Neglia: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period January 1, 2006 through February 3, 2006 is due in the Office of the City Clerk by 5 pm on Friday, February 10, 2006. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Just a reminder, in accordance with the Land Development Code, political signs can be posted beginning on February 12, 2006. Please refer to the candidate handbook for LDC sign provisions and FS 106 for applicable campaign advertising provisions. If you have any questions, please do not hesitate to contact me at 589-5330. - sam SALVATORE F NEGLIA SR CAMPAIGN ACCOUNT 461 GEORGIA BLVD. SEBASTIAN, FL 32958 101 ~ 1'-63-841912670 &6 BRANCHOO8 DATE $6/~ DOLLARS ~ Km-K- ~~' I: 2 b 'i'08... ~ q ql:O ~OOO ~ 28...0 'i' 2 "'111 0 ~O ~ CITY OF SEBASTIAN CITY CLERK'S OFFICE : ~~Ji~;~ No. 3493 o Cash ~.4I-I(j1 Amount Paid 001001 208001 001501322900 001501 341920 001501341910 001501341930 601010343800 Sales Tax Garage Sales CopieslBkI Specs. LDCICode of Ordinances EIecIion Qualifying Fees o?i vI) ~ 610b 3t,,6b tkcJNj (J ~~~~~ ~~ Lol/Nlche . Block .Unlt_ Ce~~~ Fees 001501343805 ~I Initials White - Dept. of Origin. V,llow - Finance. Pink. Applicant b/6j. Total Paid SecurIty F.'lur.. Oetllleon Ikck. M' ,'" FORM 1 STATEMENT OF FINANCIAL INTERESTS 2004 Please print or type your name, mailing address, agency name, and position below: FOR OFFICE USE ONLY: r]t. (/ j) ID Code CITY: sea ;;/f NAME OF AGENCY: C. li1 ,,? NAME OF OFFICE OR POSITION HELD OR SOUGH~ C-tY L/ G; . ~(J \ OR D NEW EMPLOYEE OR APPOINTEE ZIP: ~ CO~ I? 3)..9 j 4 -;.J-- r I' r Sel3lJs7iA,v1' ... IDNo. Cont. Code ...... ((..) -q P. Req. Code --0 :eJ .....j ;'i CHECK ONLY IF ~ ;. C,) C '_.. ,.... -.: i .PDE 2004 ClJl ""BOTH PARTS OF THIS SECTION MUST BE COMPLETED"" DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTER~ST -fOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALEND, AR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THI TATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one): o DECEMBER 31,2004 OR SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: tp~~ MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS 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). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): o COMPARATIVE (PERCENTAGE) THRESHOLDS QB 0 DOLLAR VALUE THRESHOLDS PART A .. PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE SOURCE'S OF INCOME ADDRESS P-L11J5/dJ# S-r N. .c( 5 p C-/J4-1- C-L7 DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY t4-nI I h -1/ f/ PART B -. SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person) NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] fJ? FILING INSTRUCTIONS for when and where to file this form are locat. ed at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1 - Elf. 1/2005 (Continued on reverse side) PAGE 1 -.- PART D - INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES \ f / ,.--, , V. V c:'.:, / j'- - ":::;~1 " / , ~ :;~. - , t: PART E - LIABILITIES [Major debts] ("') r~' ---. -0 - r~'L ~....- ADDRESS OF CR7DITOR -l NAME OF CREDITOR ::3 -0( l~ ~.., '; U~IZAtP f\v, -.h6et4--L :,( I ,,/) I). S. f .s el!J ~fi -r; fr AI ~ C:.:. r-PF7YI --- I ~.~.... CUl ..'--- , PART F - INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] ,/ BUSINESS ENTITY # 1 ---.~' BUSINESS ENTITY # 2 ....../ BUSINESS ENTITY # 3 ./ - NAME OF / /' /----- BUSINESS ENTITY -,/' ADDRESS OF / \ / \/ BUSINESS ENTITY ~ PRINCIPAL BUSINESS "'/ \/ ^-, ACTIVITY POSITION HELD ^ /\ ( WITH ENTITY I OWN MORE THAN A 5% I "', { " 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 D SIGNAnJRE l"'UI~yfJ. ~~ ~. DATE SIGNED (required): 1/# /'-' 47'" ....." r" FIL" NG INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state signing and dating it, send back only the first on Ethics or a County Supervisor of Elections officer, and specified state employee must sheet (pages 1 and 2) for filing. for your annual disclosure filing, retum the form file within 30 days of the date of his or her to that location. appointment or of the beginning of employ- Local officers/employees file with the Supervisor ment. Appointees who must be confirmed by of Elections of the county in which they perma- the Senate must file prior to confirmation, even nently reside. (If you do not permanently reside ifthat is less than 30 days from the date oftheir NOTE: in Florida, file with the Supervisor of the county appointment. MULTIPLE FILING UNNECESSARY: where your agency has its headquarters.) Candidates for publicly-elected local office Generally, a person who has filed Form 1 for a State officers or specified state employees must file at the same time they file their calendar or fiscal year is not required to file a file with the Commission on Ethics, P.O. Drawer qualifying papers. second Form 1 for the same year. However, a 15709, Tallahassee, FL 32317-5709; physical Thereafter, local officers/employees, state candidate who previously filed Form 1 because address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are of another public position must at least file a copy 201, Tallahassee, FL 32312. required to file by July 1 st following each of his or her original Form 1 when qualifying, Candidates file this form together with their calendar year in which they hold their posi- qualifying papers. tions. To determine what category your position Finally, at the end of office or employment. falls under, see the 'Who Must File" Instructions each local officer/employee, state officer, and on page 3. specified state employee is required to file a final disclosure form (Form 1 F) within 60 days of leaving office or employment. CE FORM 1 - Eff. 1/2005 PAGE 2 "\[~IVED LOYAL TV OATH CANDIDATES WITH NO PARTY AFFILIATION (Sections 876.05-876.10, Florida Statutes) ~Ir;;~ 13 Prl 1 59 STATE OF FLORIDA .::JA;)/IIiV' ~r cIC t:- COUNTY I, ~L 1IjJ-'1bIlJ{ First Name (PLEASE PRINT) r II/e lij / J4 Middle Name/Initial Last Name a citizen of the State of Florida and of the United States of America, . .. and a candidate for public office. .. do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. I, .;- It L OATH OF CANDIDATE (Section 99.021, Florida Statutes) /Jc~i 117' (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT ... NAME MAY NOT BE CHANGED AFTER THE END OF QUAUFYlNG) am a candidate for the office of C f) t/ /v ~ I L frt ~IY' 4 ~ I?. (office) . I am a qualified elector of --r.- . ~ . (district) (circuit) County, Florida. I am qualified (group) 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. RJURY, I DECLARE THAT E FACTS STATED IN EAC E READ THEFO E TRUE. D OATH OF SIGN HERE 'II / ~ -t:Pl..l-ll1 /!Jlt10 Mailing Address 77j -= Jtflf~ J 7'.j~ Day Phone Fax Number S'..eJ8IJS J/JtJ/ PI- 3 1-1 .!.--,/'~ City State Zip Code Date Signed DS-DE 248 (Rev. 08/03) \\If.:~ ..,; ~,) STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) OFFICE ose, oill'yl oir CI'j'f ~ ;',<\ l~ PPl 1 [A ~~ q (PLEASE TYPE) CHECK APPROPRIATE BOX: / D Original Appointment ~ Deputy Treasurer Name of Candidate SI'r)..JJ9-1"tC~ r #~{LI /} D Reappointment of Treasurer D Secondary Depository 1. Address (include post office box or street, city, state, zip code) ~v / Gec,.(G-//J I3Lt/1) S'" e Blf-S J;.n -fJ 3 'J- f OJ 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number) C- ~ cJ I!-J fill A-/ Deputy Treasurer Telephone (optional) 77"J. -- 3 fff-O~t> I have appointed the following person to act as my D Campaign Treasurer 4. Name of Treasurer or Deputy Treasurer -A L II ~ -. 1lI.'.-' 5. Mailing Address (If post office box or drawer add street address) 6 I G- e-c?t-6-- / A- a f- ~ . City 8. County ~e~7:An/ -::;::: - R.. I have designated the following named bank as my 11. Name of Bank (3& IL +e ~41J- L 13. K'4JS'~W~U~i 17. Signatur X 6. Telephone ) 7). "" 3fY- Jd d-<3 3~10rY Primary Depository 12. Street Address [/.S" J:: 15. State ..pL- Secondary Depository I, 16. Zip Code ~)...- J-t IJ/c;r Treasurer's Acceptance of Appointment , do hereby accept the appointment as o Campaign Treasurer Deputy Treasurer for the campaign of SALt-! JW;;( I!:-, ;: /!/el:JJrr, who is seeking nomination or election as a candidate to the office of (Party) -::( /!. C ' C (YGJ Alet/IJ~ . As a duly registered voter in County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT FACTS STATED ARE TRUE. 113/o~ /. Date DS-DE 9 (Rev. 08/03) =\VED an'Of SEBAS~ ~~~ HOME OF PWCAN ISLAND ',"c. ,~," 11') pm 1 SC L~~\I ~I\H'1 .; II ~ ~ ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER Section 2.02 - ELIGIBILITY 'No person shall be eligible to hold the office of council member unless he or she is a qualified elector in said city and actually continually resided in said city for a period of one (1) year immediately preceding the final date for qualification as a andidate for said office." I, ~..~ , candidate for the office 0 ouncilmember, meet th~ ~al~~cations to be eligible to hold office as required in ection 2.02 of the City of Sebastian Charter, above. k~ "Signature of Candid te worn to and subscribed before me this / ]-fh day of ~n uCtr y o /v7LW W~~ o ry Public te of Florida ~\\\\'''"''''"''I: ~,'\ e\\e WilJiA!II"-. EA'~ ~~~..."..::Il6' ~ ~ ..:,u.\SSION.<-.~. ~ ~ . 0""'" 28. -"-,0.. ~ ~ ..:....0 ~:~..rt '<',,_ ~ .. ~ ~ l~,f ~~~: =*: ..... :*= - . . - ... .... ~ -:a.. #00172594 : ~~ ~::;.\.. R...,,~ ..~~ ~~;..~~..~*' ~ A.... ..... ~ 'Ill C. ST~ ~,\I, "1111I""\\'\\'\ , ~ , << (1) FLORIDA DEPARTMENT OF STATE DIVISIO, N, 9,E J;,H~R:'[, ~O,IN,S, CAMPAIGN TREASURER'S REPORT SUM .RY, 'I .5 il-LIl/17i;(f- AJrt:6-.Llff ,c 'JfOfffOEl!SEO'NLY Name (2) #'fRl ~eP,e (;IA- fJ,J.A,If> Address (number and street) _ -/') SCI?JJ)-~ Ti A~ rJ- ~ 'J- f s d' City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (4) C~ appropriate box(es): ;c ~ Candidate (office sought): L-OcJ IIIC--/L. D Political Committee D CHECK IF PC HAS DISBANDED D Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED D Party Executive Committee D Electioneering Communication ~iJOG 1'-" ~' ,'!!'i S API 9 5l (3) ID Number: D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED , ~ 10 3 ~EPORTIDEJ!~r>>.s-~ / Co"" Period: From L / /B I iY To~' I Ii - / ~ bJ Report Type {J'ff 0' Original D Amendment D Special Election Report D Independent Expenditu~ (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Expenditures $ Cash & Checks $ .J/~"1J , Il V Loans $ dtJ. tJ f) Total Monetary $ J/71./~ In-Kind $ Transfers to Office Accou nt $ Total Monetary $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ tf 7lJ r () f) (10) ~OTAL Mone~ Expenditures To Date (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F .S.) I certify that I have examined this report and it is true, correct, and complete. (Type name) ~ 4T/-It;-1< ~- }./l':-~L/4 D Individual (only for Treasurer D Deputy Treasurer ~"'~, ? Signature DS-DE 12 (Rev. 08/04) I certify that I have examined this report and it is true, correct, and complete. (Typename)eSIfLv;t~Jf~ r. ~ Candidate D Chairperson (only for PC, PTY & ~. ~_ooori"9 rom","o. o~'"""'''') /Signature ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name $ ft LV fr 1/Jtt. f', ,II! c r; J... / If (2)......D. Number ~ ItJ 3 tPr ~I 31 Os- (3)CoverPeriod ~ I ~ I ~throU9h ~ i~ I~ (4) Page I 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 Tvpe Occupation Tvpe Description Amendment Amount / J. I CfJ1 105' /!'. DW1tf;-rrou..r ~ elL ~ /;;.. 9fJ. ebcd~ ~ / Ill). tH? c;.,ebus-liQh t/. 3~fi..ry /j., 1 17 /' IT ~ f{ I/JIIJ !J ,aW15 f~1tI~D ek $ .sd',NJ I~j (p ~" f?y€AIe()/~lI.vtt ~eJ!J1t51/rl-t/ f~ ~ 3p.f /;)" I 1'1 ItP~ f)UNJ4).J) htvtJv,(11~ J Relit<e,) <J t/ SO (j. ~t. G--h9 ~p W- !tt'. ~ s e 8".5 71A-1l/ rl.- /& 1 II /" 541- NeG-L/lr V I ~~ yv ( 6-&A 6-t ff }JJ1r ~.&e? Se~4<) 1i;4/ , 1:J. lor 1Jf,J11H~ /fAIIAlIP ~{,ftlef} dt f /1.- 1;l3 bf/ 13~(1JRlI'k# ~ /1~/dQ ~rt~IJS 1!#' g /'Y 1 -'V ,/ ~/J/ 1ft Nitti! t.. M.. ' f I~S IV< " t~ II" p1 ...,. ~b UP ,,4Jd1 /r (plrl)[) ( tc.. ....,.. . r.,' c-~ c~:) 1 1 Q:;' r._.... .::,: ) - . ~ jl; : -- ~_~ ~-'i-j Ci : , ::0 ~ rT; .' I I _,\ L.-,.~ :3 -< >. : ~ C) L.) (J:) ;.:~ -.., ,~'I r'-'-j ::,~; --,..- OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ..:. . . (1) Type full name of candidate, political committee, committee of continuous existence, party executive committee, or individual or organization filing an electioneering communication report. (2) Type the address (include city, state, and zip code). You may use a post office box. If the address has changed since the last report filed, check the appropriate box. (3) Type identification number assigned by the Division of Elections. (4) Check one of the appropriate boxes: Candidate (type office sought - include district, circuit, or group numbers) Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication If PC or CCE has disbanded and will no longer file reports, check appropriate box. If individual or organization will no longer file electioneering communication reports, check appropriate box. (5) Type the cover period dates (e.g., From 07/01/03 To 09/30/03) Enter the report type using one of the following abbreviations (see Calendar of Election and Reporting Dates). If report is for a special election, add "S. in front of the report code (e.g., SG3). Quarterly Reports General Election Reports January Quarterly........................................................... Q4 !~~~?tF.::::::::::::::::~ April Quarterly................................................................ Q 1 July Quarterly................................................................. Q2 October Quarterlv........................................................... Q3 Primary Reports 32"d Day Prior.................................................................. F 1 90-Day Termination Reports (Candidates Only) 18th Day Prior.................................................................. F2 Termination Report ........................................................ TR 4th Dav Prior ....................................................................F3 Check one of the appropriate boxes: Original (first report filed for this reporting period) Amendment (an amendment to a previously filed report) Special Election Report Independent Expenditure Report (see Section 106.071, F.S.) (6) Type the amount of all contributions this report: Cash & Checks Loans Total Monetary (sum of Cash & Checks and Loans) In-kind (a fair market value must be placed on the contribution at the time it is given) (7) Type the amount of all expenditures this report: Monetary Expenditures Transfers to Office Account (elected candidates only) Total Monetary (sum of Monetary Expenditures and Transfers to Office Account) (8) Type the amount of other distributions (goods & services contributed to a candidate or other committee by a PC, CCE or PTY). (9) Type the amount of TOTAL monetary contributions to date (parties keep cumulative totals for 2 year periods at a time (e.g., 01/01/02 - 12/31/03). Candidates keep cumulative totals from the time the campaign depository is opened through the termination report). (10) Type the amount of TOTAL monetary expenditures to date (parties keep cumulative totals for 2 year periods at a time (e.g., 01/01/02 -12/31/03). 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 & candidate must sign) PC report (treasurer & chairperson must sign) CCE report (treasurer must sign) PTY report (treasurer & chairperson must sign) Electioneerina Communication report (individual or organization's treasurer & chairperson must sian) 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. The Division will summarize all reports submitted for each reportina period and for the filer to date. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY - ~. CAMPAIGNJREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name IH.4/I7--oIi~ t:: ,VE6i/ J4 .Q} I.e. Ntsl..b61 (3) Cover Period ~~.P.L through ~-.2L1 0 ~- (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number r.,';, ~~.'~ c:::::::...: c.-:> =2"~) 2,:' (. t',-:,: "'j i '1 ( ; en r' ~ rn -'"~ -i~: <; c:o ::n (~...., CJ c.o Ul ~ :' '~ .......- OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES .-. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTY). (2) Type identification number assigned by the Division of Elections. (3) Type cover period dates (07/01/03 through 09/30/03). (See Calendar and Election Dates for appropriate cover periods.) (4) Type page numbers (e.g., 1 of ID. (5) Type 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 Division and for reporting requirements. For example, a 01 report having 40 expenditures would use sequence numbers 1 through 40. The next report (02), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended 01 reports would begin with sequence number 41 and on amended 02 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Type full name and address of entity receiving payment (including city, state and zip code). (8) Type 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), CCEs 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: DESCRIPTION CODE Disposition of Funds (Candidate) Monetary Petty Cash Withdrawn Petty Cash Spent Transfer to Office Account Refund DIS MaN pcw PCS TOA REF (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 01 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. To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Type amount of expenditure. HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 trn) 589-5330 phone - trn) 589-5570 fax January 3, 2006 Sal and Catherine Neglia 461 Georgia Boulevard Sebastian, FL 32958 RE: Quarterly Treasurer's Report Due 1110106 Dear Mr. and Mrs. Neglia: In accordance with Florida Statutes Section 106.07, the quarterly treasurer's report for your campaign is due in the Office of the City Clerk by 5 pm by Monday, January 10, 2006. This report includes all contributions and expenditures from the date you pre- qualified (October 3, 2005) through December 31, 2005. Just a reminder that regular qualifying begins on January 13, 2006 and ends on January 27, 2006. The remainder of your forms and the qualifying fee must be submitted by the last day of qualifying. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Please read FS 106.07(2)(a) for further details. If you have any questions, please do not hesitate to contact me at 589-5330. Sin~IY, ~~o~c}z, , City Clerk sam : ,_, \Ie. D -'1""' 1,1 t~-;t~ /~\ 1; r~ F CITY Ot , \ STATEMENT OF CANDIDATE ~OQ5 QffIC~ U~'1L 'f2 5 (Section 106.023, F .S.) (Please Type) ~." .'.1 I, 5ItLVft-~;ft:- ;:: IV E c;: if Ir LI)C/t1/~/L /J1A;/ .;:' II <1:.":> -"'fl. (~ n C~~~ 'J 'lI;.'.. .'~ .~.c~ ::3 -I' - c-; ""') ~_::; .......... e;" ,,[ rr---r'. ! fT"-..J '. W candidate for the office of have received, read and understand the requirements of Chapter 106, Florida Statutes. x ,dd~~ ./' Signature of Can date /(P j3 ;; S'--- 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 (Rev. 08/03) STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) , Ot=F1C'itf'SE ONLY :'~ :S C l~,,;\ (' Or! r t-] ,) F C ~ T Y CU. :' ~UUI1 Ol,~ ~ Prl l 00 (PLEASE TYPE) CHECK APPROPRIATE BOX: [:j Original Appointment Name of Candidate D Deputy Treasurer D Reappointment of Treasurer D Secondary Depository 1. Address (include post office box or street, city, state, zip code) ~ftLl/rt~r<€ ~ ).)e6-t/~ e-' ij6/ (,. et'~ (;..1;::; I&).I/[) 5>CJj $ /.4nJ ~L 3;1-- 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number) . Ltf-V, C./ i1 D Campaign Treasurer D Deputy Treasurer 9. St~e -J-L 6. Telephone 7 7~ - 3 ~k'-~-dt) Z tJ 10. Zip Code 3~f~-P I have designated the following named bank as my 11. Name of Bank Primary Depository Secondary Depository 12. Street Address ~S.T 15. State ~ I, (!/trJl-I7,{J/NF ~paign Treasurer Campaign Treasurer's Acceptance of Appointment N &<;LJ/4 (Please Print or Type) , do hereby accept the appointment as D Deputy Treasurer for the campaign ofSltLi/It-;S/EIi ))C&-L/,IT who is seeking nomination or election as a candidate to the office of C /h)~J?IL/VI4"/ (Party) -y, If. Ltf)VA//i . As a duly registered voter in County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. gc/~ 5, d ooS Date x (l~. DS-DE 9 (Rev. 08/03)