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HomeMy WebLinkAboutCoy Andrea 03-13-2007FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY_ (1) ~~ 72Ew1 ~. Co`i ~ OF~1CE'.USEONLY Name _- ... , (2) ~ G l f A ~ rat ~ ~- f -1,+ cc ~ _ ,~ -- 1 ,- ~ ~ . ~ '' ~+ `~ ~ ~ k ~~ U ~ Address (number and street) - ' .~~ ,~i~s ~ ~ ~~ ~ ~ 3~~i.sy~ 3 City, State, Zip Code - ^CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ~ ~ ~ ' ~~ L `T` ~ ' ~,Candldate (office sought) ~ ~ 3 As + i G ~ ~ ~ Ia+~J -t ^ Political Committee _, _ --_ CHECK IF PC HAS DISBANDED _. ^ Committee of Continuous Existence ^ CHECK IF.CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK 1F NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED . .. (5) REPORT-IDENTIFIERS .. Cover Period: From .d ~ / ~ ~ I ~ To ~f ~ l ~ (~ l Q ~ Report Type i Original ^ Amendment ^ Special Electron Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash 8~ Checks $ ~ Monetary ~ ; ~; Expenditures $ (.~ (~ (~ Loans $ ~ ~ Transfers to Office .. ~ _ Account $, Total Monetary $. ~ Total ;~ Monetary $ ~ Q~ In-Kind: .. .$ . ~. .. (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date ~ (10) TOTAL Monetary Expenditures To Date $ ~~ 1 7-S' $ ~-I . ~ ~' S (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, I certify that I have examined this report and it is true; correct, and complete. correct, and complete. nn (TYPe name) A N l~Fc~~ IJ - Co`~ nn (Type name) ~~ q R£ ~ L7 C~ `f cab 'individual (only for Treasurer ^ Deputy Treasurer - Candidate ~ ^ Chairperson (only for PC, PTY i~ ' electioneering co n) `~ oneerin .organization) el ~ . ~ X ~ ~ . Signa ure ~ Signature DS-DE 12 (Rev. 08104) 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 identfication 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 electloneering 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 Ca/endar 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 46~' Day Prior.........................:.......................................G1 April Quarterly ................................................................ Q1 .32"~ Day Prior ....:........................................................... G2 Jury Quarterly ................................................................. Q2 18"' Day Prior.............:...................................................G3 October Quarter ........................................................... Q3 ... 4"' Da Prior................................................................... G4 • Primary Reports 32"d Day Prior ..................................................................F1 90-Day Termination Reports (Candidates Only) 18"' Day Prior ..................................................................F2 Termination Report ...............................................:........TR • 4m Da 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 -12131/03). 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 & chairoerson must sianl AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, t~ 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 reporting period and for the filer to date. ` CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name - ~+'~ ~ 2~rA ~ . Co `~ .(2) I.D Number (3) Cover Period 0.3 / ~ I ~ through 6~ / ~ ~, / Ca ~ (4) Page ~ of (5) Date . (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) StreetAddress & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount / 1 . d .. _ ~~ . / / ' ~ ~ ,~~ _. -, - - / / / / I 1 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES . ~ INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Typia candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTI~. - - - (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 E/ection Dates for appropriate year and cover periods.) (4) Type page numbers (e.g., 1 of 3 a. (5) Type 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 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. . (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: Individual = 1 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 =-O (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.) (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. 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 TREASURER'S REPORT -ITEMIZED EXPENDITURES ('I) Name l~~il r~i2£E~ ~ . Go i~ ~ ' (2) LD. Number (3) Cover Period ~ 3 ~~~,Z through ~ ~ 6 1~ (4) page ~ of (5) Date .(7) Full Name (8) Purpose (9) (10) (11) (s) Sequence ' Number (Last, Suffix, First, Middle) ~ Street Address ~ City, State, Zip Code (add office sought if . contribution to a candidate) Expenditure ~ TYPe Amendment Amount c~3 i3 07 ~~~>s:s r~r~.~ R~~~.~ ~.~ 5<~b ~~;~.. r~a.~;~: ~~ G~~~ ~s~ CO C~ I ~ ~.:~~~~;~ : ~,.,~ ,~L 3 ~ ~S ~, P~ ~ ~~3 ~E 67 ~n~~ ~ ~. ~'; So ~ P~~~ ~1 ~ ~. ~- ~~ Q ~ F 18 ~ . ,~. . ~ ~ - d ~~ - ~, d~ _ ~~~ DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUGTIONS 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 (PTI~: (2} Type identification number assigned by the Division of Elections. (3) Type cover period dates 07/( 01/03 through 09130103. (See Calendar and Election Dates for appropriate cover periods.) (4) Type page numbers (e.g.,1 of 3). (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.. Thin method of unique identification is required for responding to requests from the Division and for reporting requirements. ~ . For example, a Q1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended Q1 reports would begin with sequence number 41 and on amended Q2 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 resort office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: DESCRIPTION . CODE Disposition of Funds (Candidate) DIS Monetary MON Petty Cash Withdrawn ~ PCW Petty Cash Spent PCS Transfer to Office Account TOA Refund 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 Q1 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 SEBAS~'IA~i CI'T'Y CO(~~'C'IL "~iEtiTBER E).~TN ®F t?I: FIC'F I, Andrea B. Coy, 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. Andrea B. Coy Sebastian City Council Member Swo apd subscribed before me this day of~~l~~l-C~, 2007. ~~~""" ~~ ,' ~~~ - - Sally A. a o, MMC City C rk (SEAL) ,,~ , arvoF ~~ HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 589-5330 phone - (772) 589-5570 fax March 14, 2007 Andrea B. Coy 501 Palm Avenue Sebastian, FL 32958 Dear Ms. Coy: Congratulations on your successful bid for re-election. I applaud your effort to continue to represent the citizens of Sebastian. In accordance with Florida Statutes 106.07 a campaign treasurer's termination report for (TR) for your campaign must be filed by June 11, 2007 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. Sin , Sally A. M 'o, City Clerk r~~= MMC sam HP OfficeJet G Series G85 Personal Printer/FaxlCopier/Scanner Last Fax Time Tag I entifi~~tion Mar 12 10:41am Sent 18509210783 Result: OK -black and white fax Okay color -color fax Fax-History Report for Marie 772-589-0680 Mar 12 2007 10:41am D r i n Pages R 1 0:37 2 OK From: Andrea B. Coy 501 Palm Avenue Sebastian, FL 32958 To: Florida Elections Commission 107 W. Gaines Street Collins Building, Suite 224 Tallahassee, FL 32399-1050 Transmission sent via fax to: 850-921-0783 ATTN: Mr. David Flagg March 12, 2007 Subject: Waiver of Confidentiality Case No. FEC 07-057 Scozzari v. Coy Dear Sir or Madam: As an incumbent elected official against whom this allegation has been filed, I respectfully request waiver of confidentiality effective the date of your letter in order to make the decision public record. Thank you, .~ ~~ Andrea B. Coy Sebastian City Council Member FLORIDA ELECTIONS COMMISSION 107 W. Gaines Street Collins Building, Suite 224 Tallahassee, Florida 32399-1050 (850) 922-4539 March 1, 2007 Ms. Julia Scozzari 1401 Thornhill Lane Sebastian, FL 32958 RE: Case No.: FEC 07-057 Dear Ms. Scozzari: The Florida Elections Commission has received your complaint alleging violations of Florida's election laws. I have .reviewed your complaint and it appears to be .legally insufficient. You allege in your complaint that Andrea Coy, a candidate for the Sebastian City Council, violated Section 106.15(3),- Florida Statutes, when a city employee displayed Ms. Coy's sign on the employee's personal automobile. However, any person, including a public employee; can affix a sign. or bumper. sticker .supporting a candidate to his or her automobile. Such action is part of every citizen's right to express their political views and does not, without more, violate any provision in Chapter 106. In addition, the employee can park his car anywhere it is legal to park. The same is true of the candidate. If you have additional information to correct the stated ground of insufficiency, please submit it within 14 days of the date of this letter. If the additional information corrects the stated ground of insufficiency, both you and the person against whom the complaint is filed will be notified. If you submit an additional statement, you must sign the statement and have your signature notarized. If you have no additional information to correct the stated ground of insufficiency, you may request that the Commission review of your complaint. Rule 2B-1.0025(7) & (8), Florida Administrative Code, provide that you may seek the Commission's review of a complaint that the executive director found legally insufficient by filing a written request for review with Patsy Rushing, Commission Clerk, at the address listed above. The request for review must state with specificity the reasons you believe that your complaint is legally sufficient. The request for review must be filed within 21 days of receiving notice that your complaint was legally insufficient. Com005 (2/05) Until the complaint is dismissed, Section 106.25(7), Florida Statutes, provides that the person against whom the complaint is filed may not disclose this letter or the complaint, unless he or she waives confidentiality in writing. A waiver of confidentially should be sent to the Commission Clerk at the address listed above. If you have any questions concerning the complaint, please contact David Flagg, Investigator Supervisor, at extension 111. Sincerely, Barbara M. Linthicum Executive Director cc: ~ :~n~1~ ea Coy w/ complaint and attachments COM005 (9/98) p STATE OF FLORIDA FLORIDA ELECTIONS COMMISSION i~ ~ ~ ~ ` ~ ~' ' ~-~ 107 West Gaines Street, Suite 224, Tallahassee, Florida~~~~ .9;1050 A Telephone Number: (850) 922-4539 ~ ~ a ~ f ;~ ~ ~ ~ www.fec.state.fLus CONFIDENTIAL COMPLAINT FORM ~ ~ ~ ..; ;~.~; The Commission's records and proceedings in a case are confidential until the Commission rules on`pr'obable I cause. A copy of the complaint will be provided to the person against whom the complaint is brought. 1. PERSON BRINGING COMPLAINT: Name: ~~ ~~ o` SC®~~ ar-~ Work Phone: (_) Address: ~~~ ~ ~~ ~ ~~- ~- ~ `~ L-W- . Home Phone: ( ).~ `f~-,~ $vZ .r City: S Qs ~`car.~-., County i wt,~~ Je~tate: /~L Zip Code: 3 Z 9,j 2. PERSON AGAINST WHOM COMPLAINT IS BROUGHT: A person can be an individual, political committee, committee of continuous existence, political party, electioneering communication .organization, club, corporation, partnership, company, association, or any other type of organization. If both an individual and a committee or organization are involved, name both. Name of individual: Address: SC> l ~c~ ~ ht ,Qv,e Phone: ~~_3g ~ ~~ T 6~ City: ~a.~ County: ~y~d`c au~ (Z.t~eState: ~_ Zip Code: 3z 9~~ // ~l ec~ If individual is a candidate, list the office or position sought: ~ ~ y~U ~®~„~Ct ~ :/ ~ - r Name of committee or organization: a o u a,C Address: f_/ 2Z ~ /yf-g, k ~,~,• Phone: 7~Z 5~ 9 5~,33D City: sebas~"rgt~. County: ~K1r'a~. /~~'v~~State: r~L Zip Code: 3Z 9sg Have you filed this complaint with the State Attorney's Office? (check one) ^ Yes ~ No 3. ALLEGED VIOLATION(S): Please list the provisions of The Florida Election Code that you believe the person named above may have violated. The Commission has jurisdiction only to investigation the following provisions: Chapter 104, Chapter 106, Section 98.122, and Section 105.071, Florida Statutes. Also, please include: / The facts and actions that you believe support the violations you allege, / The names and telephone numbers of persons you believe may be witnesses to the facts, A copy or picture of the political advertisements you mention in your statement, / A copy of the documents you mention in your statement, and / Other evide/nce that supports your allegations. // // /~S. C, o./ .~~ 6e ~~ i J ~ ~ ~- S/ u /i o cz ~ ~/~ S t~ ~u~e_ l0~ ~Qi'Q. r'Gi ~ ~. ~,~ e ~ s~4fe~JS }` ~ ain.d ~`0-0.7'~ Ol !U "~- ~Kr- i'i~l. ~ ~~ A o r Ca h. tu.cLe O ~ Nl p I,N. r GLCLY r ~o N. o r Q P~ ~e ra,rtC L° D ~ a 4 j i ~ ©~.~°~ e e i vL caw. ~ `' ec r` o K.. Lcr-, P t~ ~e ~ .~ S V ~` C e s ./ j o !~ >> ~a~.~ FEC 002 (Rev 4-24-OS) O k r o` "e tk o Z e r G c~ r- ~ -a, e5 ~~o A ~ S ~ ~ e lno o iSe ~ S; ~ c~ r d ~® r ~~ Do~-5 i°"~ ' (E ~4~ J~c~oo , ~ ~ t~ o U~ e ross~ o< I cco,.rd ~ ~~u• (o cC~ b 'Fl~.~ . t ozw G~ ~.v ~ ~ o F i -t c` iS ivt. 5~ S ~~ ~ ' cs ~. so ~ g I (. t ~ Bc.~.n ei l t~ ~ ~~ ~ ~ i ~e ~-- a2 ~i o ~ n. l f o f~„ cs ~ ~ ~ l caV~. C q~,.s S Additional materials attached (check one)? Yes ~]No 5. OATH STATE OF FLORIDA COUNTY OF ~~~~~„ ,," ~..~„`. I swear or affirm, that the above information is true and correct to the best of my knowledge. rte' O final Signature of P rs Bringing Complaint Sworn to and subscribed before me this .~0 ~ day of ~ ff ~`~ b rt ~ ~-~ 200 ~_ ~~~~, . Signature of icer Authorized Administer Oaths or Notary public. r++r.....~.,...,.o t~+Y e''••. IRENE P. EDES ~' ~ MY COMMISSION # DD 581799 ~:;o;= EXPIRES: August 8, 2010 ~~ „~~ Bonded Thou Notary PubNc Undenvrkero (Print, Type, or Stamp Commissioned Name of Notary Public) / Personally known Or Produced Identification t/ Type of Identification Produced ~~nr ~ d ~ 1j. tt,' ~ i S L ,'~ , Any person who files a complaint while kn wins that the allegations are false or without merit commits a misdemeanor of the first degree, punishable as provided in Sections 775.082 and 775.083, Fiorida Statutes. FEC 002 (Rev 42400 ~_ 1 t'` , ~ - i .J ,~ `'~i - ' S ~ _ T ~` ~ ~ n ri ~ A ~. ~ ~ r ~~ ~. ~~ ~~ ` i . r "'fi ' ''~% a ~,$ IS 1F. n I ~ yy . obi C ~q ( e :r i ~~ y F ~ -~ l ¢¢¢ ~ T: stir .1 1 ~ '" ~ T f ''~ ~ EY ~ ~~ ~~ # ~ ~ ~ ~ ~~ SY C ~ A s ins, ( `. N "~% From: Andrea B. Coy 501 Palm Avenue Sebastian, FL 32958 To: Florida Elections Commission 107 W. Gaines Street Collins Building, Suite 224 Tallahassee, FL 32399-1050 Transmission sent via fax to: 850-921-0783 ATTN: Mr. David Flagg March 12, 2007 Subject: Waiver of Confidentiality Case No. FEC 07-065 Lever v. Coy Dear Sir or Madam: As an incumbent elected official against whom this allegation has been filed, I respectfully request waiver of confidentiality effective the date of your letter in order to make the decision public record. Thank you, Andrea B. Coy Sebastian City Council Member FLORIDA ELECTIONS COMMISSION -107 W. Gaines Street Collins Building, Suite 224 Tallahassee, Florida 32399-1050 (850)922-4539 March 7, 2007 Charles J. Lever 783 Mulberry Street .Sebastian, FL 32958 RE: Case No.: FEC 07-065 Dear Mr. Lever: The Florida Elections Commission has received your complaint alleging violations of Florida's election laws. I have reviewed your .complaint and it appears to be legally insufficient. You allege in your complaint that Andrea Coy, a incumbent candidate for the Sebastian City Council, violated the Florida election laws when she displayed her campaign sign on her personal automobile while attending the February 14, 2007, city council meeting. However, any person, including Ms. Coy, can affix a sign or bumper sticker supporting any candidate to his automobile. Such action is part of every citizen's right to express their political views and does not, without more, violate any election law. In addition, Ms. Coy can park her car anywhere it is legal to park. If you have additional information to correct the stated ground of insufficiency, please submit it within 14 days of the date of this letter. If the additional information corrects the stated ground of insufficiency, both you and the person against whom the complaint is filed will be notified. If you submit an additional statement, you must sign the statement and have your signature notarized. If you have no additional information to correct the stated ground of insufficiency, you may request that the Commission review of your complaint. Rule 2B-1.0025(7) & (8), Florida Administrative Code, provide that you may seek the Commission's review of a complaint that the executive director found legally insufficient by filing a written request for review with Patsy Rushing, Commission Clerk, at the address listed above. The request for review must state with specificity the reasons you believe that your complaint is legally sufficient. The request for review must be filed within 21 days of receiving notice that your complaint was legally insufficient. Com00~ (2/05) Until the complaint is dismissed, Section 106.25(7), Florida Statutes, provides that the person against whom the complaint is filed may not disclose this letter or the complaint, unless he or she waives confidentiality in writing. A waiver of confidentially should be sent to the Commission Clerk at the address listed above. If you have any questions concerning the complaint,.. please contact David Flagg, Investigator Supervisor, at extension 111. Sincerely, '/%~ /~ • y Barbara M. Linthicum Executive Director cc: Andrea Coy w/ complaint and attachments COM005 (9/98) STATE OF FLORIDA FLORIDA ELECTIONS COMMISSION - - - - ~''~~~ 107 West Gaines Street, Suite 224, Tallahassee, Florida 3?~3~~-1050- ~ . • •-;, ~. ;-. Telephone Number: (8SQ) 922-4539 L I' } ~ r: -;:~ ,; • ,; ~? www.fec.state.fl.us ~v~r~ILlrav'1'lAL COMPLAINT FOR~VI ~~ ,F„ The Commission's records and proceedings in a case are confidential until the Commission rules on probable cease.. A copy of the complaint will be provided to the person against whom the complaint is brought. 1. PERSON BRINGING COMPLAINT: Name: _ C.~%A/1 L E~ v ~~ ~ B//~7~ Work Phone: (_) Address: c~'°jg' /SIGj.L~~~ ~~2E.~T Home Phone: (~ .~~~`~~~ City ~~,~'~gJf/i4/1/ County: /.~.P/~N ~'/~' State: /d L Zip Code: Jno`~,`~',1~"8 -- 2. PERSON AGAINST WHOM COMPLAINT IS BROUGHT: A person can be an individual, political committee, committee of continuous existence, political party, ..electioneering communication organization, club, corporation, partnership, company, association, or any other type of organization. If both an individual and a committee or organization are involved, name both. Name of individual: /~ ,~t/13R~~ CO i/ . Address• ~5-'a / ~~LIU' ~U~~ Phone• 7(~~(, 3~~-- ~ 6'/ City: .s~B~ioi~ .County: /A/,~/~~~'/~ State: ~l Zip Code• _~'c;~~,S"~ If individual is a candidate, list the office or position sought: Cr7`y l;c~~lNctL ~~~~ Name of committee or organization: ,QN pt~C'/~ G ~ f ~ Address• ~~~~ O~i~l/zf ,,Q~/t, Phone•( 7~) ~a~ ~/ City: ~~dAs i (AIV .County: 1~~'~A~ ,~.1~'~2 State: ~l. Zip Code: ,~ L ~S~ Have you filed this complaint with the State Attorney's Office? (check one) ^ Yes [~ No 3. ALLEGED VIOLATION(S)• Please list the provisions of The Florida Election Code that you believe the person named above may have violated. The Commission has jurisdiction only to investigation the following provisions: Chapter 104, Chapter 106, Section 98.122, and Section 105.071, Florida Statutes. Also, please include: / The facts and actions that you believe support the violations you allege, / The names and telephone numbers of persons you believe may be witnesses to the facts, / A copy or picture of the political advertisements you mention in your statement, / A copy of the documents you mention in your statement, and / Other evidence that supports your allegations. . , ~/ ~'/~y ~! /~ ~'/B o`~~`,Y~`~ g/ti/Gryn ~42z: A7TA~N~ r % ~',~ f %~~ /~t/ T `y,FY_~> ~lT~ ~'U2 /P`T' i i{90~~ % t9~1/~(~~ 6'Ya/.4'3~ ~~ic~ f7~-C- ~y~ OF i ~ c ~`~ ,~ ~~s ~S'i~T'~/,+~"~ off" /."L~ iD~ t roc arz txev a-2a-os~ Additional materials attached (check one)? [Yes ~No 5. OATH ~P~~~ ~ ~q,~~/~!~' STATE OF FLORIDA ~.J~ G'vs COUNTY OF ~n~l ~ ~-ti ~ i y ~ Tf',G~'I,~~Q.lJ7~~ ~A~i/~ ~:~.~/~~il/~ I swear or affirm, that the above information is true and correct to the best of my knowledge Original Signatur of Person Bringing Complaint Sworn/fo'' and subscribed before me this U7~P day of r~-~ I"U GL. -"Gl 200 ~_ S e of Officer Authorized to A minister oaths ar Notary fTublic. F~oee L Wood we AAY OOMM. ~DD388326 EXPIRES: Jarx,ary 13, 2009 (Print, Type, or Stamp Commissioned Name of Notary Public) Personally latown Or Produced Identification z Type of Identification Produced ~~- ~ i2.. L~ C ~ Ll(dG/S'p ffl'3Z7C.~ Airy person who files a complaint while lrn_ owine that the allegations are false or without merit commits a misdemeanor of the first degree, punishable as provided in Sections 775.082 and 775.083, Florida Statutes. FEC 002 (Rev 4-24-05) Complaint: -~r--„.~~ ., On January 31, 2007 Ms. Andrea Coy, a city council memde~r;`~~ `'`~ did have cause to arrive at the City of Sebastian -n Hall to , appear as a city council member in her o fficial capacity as such. The scheduled time of said meeting was 7 P.M. and concluded at 10:30 P.M.. Ms. Coy did have displayed on her private vehicle, during these times, political advertisements clearly displayed and with out obstruction with flagrant disregard to the law. Ms. Coy is seeking re-election to said position. on the City Council o f Sebastian. She has been admonished in the past that displaying o f such signs while on or in of ficia! capacity is in violation o f the law. (n accordance with your o f Tice, campaign does include the displaying of political signs while on duty (official duty). Pictures. marked exhibit A on the back support the above. In addition to mysel f being an eye witness to this the following .two individuals were also witnesses Joseph Scozzari (321)288-0478 and Damien Gillians (772) 713-5071. Furthermore on Februaryl4, 2007 Ms. Coy maliciously and no respect to the law chose to repeat the same act. Pictures marked exhibit B on back were taken on 2/14/07 between the hours of 7 P.M, and 10:45 P.M. again showing the campaign signs to be in clear and unobstructed .view in a public parking lot, where. she was conducting o f ficial business inside o f Town Hall. Once more I was an eye witness to this and did take the pictures which are attached hereto. Two witnesses to this are Robert Stewart (772) 388-1038 and Kevin J. Paukner (772) 388-9560. Both violations o f 2/14/07 and 1/31 /07 were while she parked her privately owned vehicle within 100 feet from the building where she was conducting official business. It is my contention that Ms. Coy has repeatedly violated Chapter 104.31 of the Florida Statutes. Also attached hereto are DVDs (marked exhibit C for 1/31/07 and exhibit D for 2/14/07) which. are recorded by the city o f Sebastian showing Ms. Coy sitting in her o f ficial capacity as a city council member on the dates in question. ~~ c7 a n ~~ ~~ ~J V ~"'~~~~ a\ ~• U '~] ~. e y C V ~~ e. O N ~~ O ~J o~ \i{ . A Q V v '. ~ ~ GAMPAIGN TREASURER'S REPORT SUMMARY (1) /l~c-e~a o' OFFI~E l{ISE ONLY Name T _ --- -~ - ~;,~ -. ,.~. ~' ~ ~~ Address {number and street) - ` _ ` ~ ~ ~ v ~ „ ; ~ ~ ~ ~ '' - City, State, Zip Code ~ - ^ CHECK IF ADDRESS HAS CHANGED ~ {3) ID Number; (4) Check appropriate box(es): ~Candidate_ (office sought): ~ ~ ~-~ G..s ~~ G--~ ~ ~ ~ ~-~.~r~. c- ~ ^ Political Committee ^ -CHECK IF PC AS DISBANDED ^Committee of Continuous Existence ^ CHECK IF-CCE HAS DISBANDED ^ Party Executive Committee ~ _ ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED .. .. -. (5) REPORT.IDENTIFIERS .. - Cover Period: From ~~ / ~ ~ ! G~ To ~3 / ~p ~j / ~7 Report Type ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT - o Cash & Checks $ Loans $ ,° °- . 'T'otal Monetary $. p~ ,;;o a G . ~ !n-Kind" .. .$ . . 3 7S _ ""__ (9) TOTAL Monetary Contributions To Date ~ ~1, -r g~ (7) EXPENDITURES THIS REPORT Monetary ~ .- f~~ Expenditures ~$ ~ ~ g Transfers to Office Account $. Total ~ ~ a Monetary $ a ~j g S - (8) Other Distributions $ - (10) TOTAL~M~ o`n~et~-/ary Expenditures To Date $ -~~ ~ ~~SS__ (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, I certify that I have examined this report and it is true; correct, and complete. correct, and complete. ~/j (TYPe name) ~ Y~.) ~ R ~ f} ~ . ~(3 ~ (Type name) {~ ~~ /a 1.~ Individual (only for ., ~T'reasur r ^ Deputy Treasurer Candidate ^ Chairperson jonly for PC, PTY & electioneering co .) ~ ectioneerin minun. organization) X X ~.%, ~. Signature' ~ ~ Signa re DS-DE 12 (Rev. OS104) CAMPAIGNt TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ..//~~ ,/~ ~ (7) Name /rte yU ~ ~~ ~.. - ° ~ .(2) LD, Numbs~r ~ ' . (3) Corer Period ©~ ! ,~ / ~ through ~ / G ' • / .~ (4) Page ~ of c~ ~. m ~ c8> ~ c~} c~oi c~i> . c~~ Date . Fuil Name (6) {Last. Suffix, First. Middle) Sequence Street Address & Contributor Contribution In-Idnd . Number State Code C' T Occu tion • T Descrl ~ Amount ,~ ~ $g''' ~ ~tG.,nn S • Z GEC ~. / w ~ a ~. ~~-.~--c. . ... . . ~~~ y / ~ ~ U ~: Q ~3 ~«~... , F~ o ~ O ~ 3 Rn~b u-t- c -~ ~, c~~ o ~~~..-.~~s ~ ~ C.-~ .S ~ ~~ ~- ~~/ ~ /~ ~ /1 G UP~I~J i1.J4~ / \ ~. ~C ~,~,~ r.~ ~ ~ ` 1 T c-~a s .~ ~s /1 ~, ss t3 ~ ~~~ ~ ~ . £-~5 ~-~ _ ~ . - M~'s'c o... S-~..~e ~ ` ~ ~ ~ ~ ~ - ~ ~ ao ~ ~C~ A~..,, Cl•.~ ~G3 ~ ~ ~ ~ . ~ ~~ C3 ~~.,, F(, - • a~~~~ ~~ ~ 3~~~~~ ~ ~~ VCjC~c~~~~ _ (;G FS7 r3~~~~ ~~~ F ~._ ~ ~ 7 s ~~ ` I ~ a..S .G... ~ ~ ~2 ! ;3 ~_ S DS-DE 13 {Rev. 08103} SEE REVERSE FOR 1NSTRUCTION3 AND CODE VALUES • CAMPAIGN TREASURER'S DEPORT -ITEMIZED CONTRIBUTIONS . - t~) H$me ~ ~ -rte ~ ~z ~/.-~ iQ ~ :Co Y . fad ~.D. Number - - . - . . (3) Cover Period ~ ~ ~ / ~ / ~ ~ through ~ / ~. / ~ (4) Page ~ of Date . Fuli Name (6) (Last, Suffix, First, Middle) Sequence Street Address S Contributor Contributbn in-Idnd . Number C' State Code T C+xu tion ' 1' Descri n ~ Amount q~ u:~, ~ . U.2 ~~ D - - L-: ~ zc - - Rib ~~ k - - ... , //~ O~ ~ I W ~ ~, l~ G.nr~ ~~oc a~ ~/ ! ` ~-.O'~ ~ 4' f ~O W WSJ Locr/ "~k~- ~~ \ ~~~ ~ ~ L.. as /~ ~ ~ ~ ~~~ ~~~~,, ty~. ~ . ~k~aw.k;c Gnu.sk ~~ . 7a ~ ~ G ~ ~ ~~ Sa s ~ ~ ©~ 3a~3 l/ / ~ .. / ~ OC Robw~~ ~ _ PU - - ra ~.~ 9 ~...~~ a... ~: or, G~ ~ ~ - aS . . d3 03 6 7 3a ~ r,. i ~ ,;; ~ ~.. /~ l ~ l \ ~ ~~6P3Z ~ ~ ~0. ~ ~-, , ~~ -i-I ~/ - D I , S 'Ra~~' L pa~~.~. ~~ , ~ - - .a 9s ~~{,.~ P .. 1-~ ~ C SD v~o ~ OcZ[' ~w, ~~ ~~ . v3 ©y o7 3aq 63~ ~~o Yp~/1: =n.,~s~~ G v ~T° C3~.t-., FL -'' - 0 3 o s o 7 3a~~o ~sa3a - DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES • CAMPAIGN TREASURER'S f~EPORT -ITEMIZED CONTRIBUTIONS • - (~~ Name " ,~ iN A Q£ i4 ~ ~©r .(2) La Number .. _ _ -, (3) Cover Period Oa- 1 ~ I O 7 through D 3 / d Fj • / ...1 (4} Page ~ of ~~ ' . m - C8) ~ ~9) X10) ~'t ~) ~~~ Date . Full Name _ (6) (Last, Suttix, First, Middle) • Sequence St[eetAddress & Contributor Contribution to-kind . Number State Code T Occu tion • T Desai n ~ Amo~t Olr~~c'w~a e', 0 , I , 7 ~~~~~- r~~,. • () C~ . ~ a~ ~-~~~,.~a~~~ -T R~~, ~ • C y~ S a o U 3 /o $~D 7 tv~1,~ o ~ rQ-. ~~~. '-' F.~: aqs Rv s~~, ~ 1 63 ~~ ~~ 3 ~s'~ - l o~{ - _ ` ~ ff ~~ 4.~ @. ... \ \ ~ o ~ ~~ C._ 6'Llt'If-~ f 1 -(~~ O~ l ~ I 0 ~r.~C~..s ~.,e- . ~ ~ ~ ~ 0 ' rL a 0'3 7 x 7 S8 ~ ~ ~S. . I S 3 t S Q ` ~ ~~..~-~.t ~ R C. ~ ~ • C;:3~G7 G~ 5~~~~.~...k15~ ~ -. TncSl~o.,~ R ve~c ®j , a ~«~~. ` e~~ t ('055 024 ~` ~ P ~o'.}:c~ ,~ '~ ~ \ ~~~cS -; ~, _ ., ~`,"/ .. v 3~~ S U `~ F ~ ~ 9 6~C~ ~ ~- ~= . _= _~ -_ • - G'7 . ~ ~ - ~ ~ DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~AMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (7) Name ~~ rex~ i~. CQ ~ ' ' ~ (2) LD. Number (3) Cover Period o a ~_,~1~ through C~.~/ O ~/ • C'~ ~ (4) Page ~ of _~,_ . (~ . ~ (8) (9) (10) (~ ~) . Date - - Full Name Purpose - ~ - - (g) (Last, Suffix, First, iVltddle) (add office sought ff . Sequence- . Number Stn3et Address S CffY, State, Zip Code contribution to a candidate) Expenditure • Type Amendm~t Amount d~~ cx ~ ~pe~ ~ ~k eco ~ ~-c,~.. ~ ~ ~.. - ~~~ oa ~~ o~j - ~a~~6 - ~. `~~~.s - ~ k --- ~ ~, ~ ~ ~ 1 - s ~o~ - a3 i . ~ ~ ~ aw u. s. ~~`~Y ~ - oa ~ o 3ot`~ ~6 ~ ~ ~ - s ~ b G.,S ~ . C~n.~ ~a a6 6~7 / - 0 ~ ~ ~ c ~ s S ~c> u~ +~c_~ (mac..-~ 5 ~~" C So ~ - -03 a,~ o S e..~, ~s~: ~.:., ~ .. ~~ ~ . . . P~~S.`~ ~o:~c,n.c\ ~c,.~s ec~es' pfd 0 d 6 °i r ~ o ~ ;,mss ~~ ~~~.~~~5:~ v'"1a rv --~.~ ~ . X833 ~ . C-? 1 D3o~o ~= C,'; -~~,: ~ s~ ~.,~~'. s ~. cyst :~ ~ ._; . -. = ; . ~/~cU ~-GU' '- ~~~~~s~~ -" G.-, - G3 0707 3~ DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES mvoF ~~~~ i~~ HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax March 2, 2007 Andrea B. Coy 501 Palm Avenue Sebastian, FL 32958 Dear Ms. Coy: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period February 17, 2007 through• March 8, 2007 is due in the Office of the City Clerk by 5 pm on Friday, March 9, 2006. Do not accept any campaign contributions after midnight on Thursday, March 8, 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 11, 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 106.07(2)(a) for further details. If you have any questions, please do not hesitate to contact me at 388-8214 or a-mail me at smaio@cityofsebastian.org. Sincerely, -. Sally A. aio, MMC City Clerk FLORID~- DEPARTMENT OF-STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY. _ „, -~. Name ... .. ._ ., . , , _ _ _ .. - Address (number and street) ~ ~ ~ ~'~ ~ ~~~ ~ ~ I ' ~ ~ - City, State, Zip Code - ^CHECK IFADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Candidate (office sought) - - ~ o.•~ ~~ ~ ~~~ c°~ \ ^ Political Committee ^ CHECK IF PC AS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF.CCE HAS DISBANDED ^ Party Executive Committee ~ - ^Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED . .. -. (5) REPORT-IDENTIFIERS / To ~ / ~ / _~ Re ort T e ~- , Cover Period: From ®a l d 3 Q ~ ~. (~ (~ P YP ~ J Original ^ Amendment ^ Special Election Report ^ Intlependent Expenditure Report (6) CONTRIBUTIONS THiS REPORT ~ (7) EXPENDITURES THIS REPORT Monetary ~ 19 Cash & Checks $ ,~~ Jr ~ c Expenditures $ ~ ~ Loans $ !-- ~ Transfers to Office ~_ Account $. d~ Total Monetary $. ~ ~ s °-" Total 1 g - Monetary $ ~ (~ a ~'"" In-Kind: :. ~ - - .. . . (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ~ ]s~ ~' $ c,U~ (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, I certify that I have examined this report and it is true; correct, and complete. (~ correct, and compleft~e. (TYPe name) ~ Yy O ~' f 1A V ~ C~ `1' (Type name) ~ -"i v'y ~J ~2 f:.4~ ~ ~~ ^ Individual (only for ~TTreasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY 8~ electioneering co n/J~~` electioneeri mmun. organization) X / /~ . Signature - Signature DS-DE 12 (Rev. 08/04) INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARI( . (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 Eiectton Reports January Quarterly...... ~. ................................................ Q4 .... 46"' Day Prior.........................:.......................................G1 April Quarterty ................................................................ Q1 .32"d Day Prior ....:........................................................... G2 July Quarterly .................................................................QZ - 18"' Day Prior...........,.:...................................................G3 __ October Quarte ........................................................... Q3 ... 4°i Da Prior...................................................................G4 Primary Reports 32"~ Day Prior ..................................................................F1 90-Day Termination Reports (Candidates Only) 18~' Day Prior ..................................................................F2 Termination Report...............................................:........TR 4th Da~ 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) T tal M to f Mo to E nd'tures and Transfers t Offi e A t 0 one ry (sumo ne ry xpe i o c ccoun ) (8) Type the amount of other distributions (goods & services contributed to a candidate or other committee by a PC, CCE or PTlr7. (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 8~ chairperson must sign) CCE report (treasurer must sign) PTY report (treasurer & chairperson must sign) Electioneerin Communication re ort individual or or anization's treasurer & chaff erson must si n 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 re orts submitted for each re ortin eriod and for the filer to date. r CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS -- ;~, ~ ~~ (1) Name /~ rU P R~~1 ~ ~ Cv`~ _(2) I.D Number ~ ~_ 3 Cover Period G f O 3 / O through a a ~ l l 6 / ~ ~ ~ pa ~ e ~ ~ ii - ~ ~ ~ a`>` ~i `' (5) ~ (7) (8) ~ (9) (10) (11) (12) Date . Full Name (6) {Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind . Number Ci ,State Zi Code T . e Occu ation T e Descri tion Amendment Amount Po i~~RS, . 'y C.J I ~ I ~ Q~r..r.~s it ~ trw•2 ~ 75~ °[' 6.32 Alb.-ossT~ ~ ~l~S c~~~e8 p 7 s~b~~=.~, ~~- 9 Qc~~ ~O.1~ .. f P o. hoc ~C. I ~ .. G~ ~ .3 aa~o~lo-7 ~S~-, l Q 1 3 1 'v~Trv1ArV ~ 11 . Q~iC~ ~ ~nv~e ~, . 3.~ 9S ~ I O I ~ ~.~kt~, ~ (l j c.. 5:~~~~ ._._ c> ~ ~ X1 1 ~ 7..5 ~ ~;,~ku C- . 733 ~ , . R ~ ,~~.: f o 13 Z,.~~:.~µ.. ~~ ~ a ~ ~ s~s~.s~.~~ ~ ~~~~~~ .~ e- ~ ~ ~ ~t~~ L~ ~. ~ / 00 ,~.~. 2.~ to131, 3~~ ra~-~r .,._- ~~ r~. ~,~~~~, t_ C1a c.. ~ ~~ . ~ ~. t3 ~c 7 ~ ~-s~~~:~,,.., ~ ~ 3~~i n U I I ~j Q ~: c +..) ~ ~ ~v l...n ~r ~~z~ .- ~ ~ ._ .~ _ - 0~~1 ~ ~~7 ~~~~ 6 ;sue ~~_} S~~s~',~.,. , '~ l,- 1 G ~-(~ . 3 S 3,,2 4S DS-DE 13 (Rev. 08103) 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.) (4) Type page numbers (e.g., 1 of 3,. (5) Type 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 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. . (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: 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 = O (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.) (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. 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, amendirg 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 s'octh "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 TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ vy ©R s q Q .- ~ O`'j (2) LD. Number (3) Cover Period ~~ /~/QZ through D ~ / r~ ,~ (4) Page ~ of (5) . (7) (8) (9) (10) (11) .Date Full Name Purpose ~ • (s) (Last, Suffix, First, Middle) (add office sought if . Sequence ~ Street Address & d C contribution to a did Expenditure TYpe Number o e City, State, Zip can ate) Amendment Amount UU C ii ~ U~o 6~~~., F~ ~3a~67 as Q~ 07 \G~F=- ~~g d~ S~ 50 .you. ~•~ . G~~~ ~ ~ ~~l y ~ (r. Uc~o ~~.~~ pc : ~~.C o C7 O~. I - .. ~ 3~6C .. `~.~~ F'c~.ss ~ v~r~~c~~ ~ ~ 07 07 ~ I/7 moo\;&~~ ~~- ~ p3 '3~~58 C3 .~ ' ~ :: ~ <__ _ _ _._ --, -- G ~r C~ o~ DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES . - ~- INSTRUGTIDNS 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 (PTI~: (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 ~. (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. Thin method of unique identification is required for responding to requests from the Division and for reporting requirements. ~ . For example, a Q1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended Q1 reports would begin with sequence number 41 and on amended Q2 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: DESCR1PT10N _ CODE Disposition of Funds (Candidate) DIS Monetary ~ MON Petty Cash Withdrawn PCW Petty Cash Spent PCS Transfer to Office Account TOA Refund 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 Q1 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. cmroF ~- HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org February 15, 2007 Andrea B. Coy 501 Palm Avenue Sebastian, FL 32958 Dear Ms. Coy: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period February 3, 2007 through February 16, 2007 is due in the Ofl•ice of the City Clerk by 5 pm on Friday, February 23, 2007. 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. I also want to notify you that the Canvassing Board for the City of Sebastian will meet at the Supervisor of Elections Office on Wednesday, February 21, X007 a# 2:30 p.m. and immediately following will witness and certify as to the accuracy of the public test of the election equipment as required by Florida law. This test is open to the public. For your information, the Canvassing Board is the City Clerk (chair - by Charter) and the City Attorney (by Charter); and I have selected the City Manager as the third member. If you have any questions, please do not hesitate to contact me at 388-8214. Sincerely, ~ ~--- Sally A. M ~ , MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY 1 ~ O~FIC~^USE ONLY Name - Addcess (number and street) '~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED ~ (3) ID Number: (4) Check appropriate box(es): '~Candldate (office sought) ~ rj ~„ c ~; ~-. C..~'t ~/ o..t.~c~. _ .._. . _ ^ Political Committee CHECK IF PC AS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF.CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED .. (5) REPORT.IDENTIFIERS .. Cover Period: From (,~ ~ / p I I ~ To ~ ~ / / G ~ Report Type ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT ~ (7) EXPENDITURES THIS REPORT a ~ Monetary ~ ~ Cash 8~ Checks $ r ~d o Expenditures ~$ 3 Loans $ ~ ~ Transfers to Office Account $. ^~ a c~ _ Total Monetary $. ~ d Q Total a~j Monetary $ ~ G ( ~- In-Kind: :. .~ . ~ ~ .. . . (8) Other Distributions $ "-'- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetar~Expenditures To Date (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, I certify that I have examined this report and it is true; correct, and comp'lete. /' correct, and complete. /' (TYPe name) /'-T n} O ~ ~ `~--0 (Type name) ~ 130 (ZE..(~ ~j , ~O`~ ^ Individual (only for Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY & electioneering .) 7 electioneerin n. organization) X / X . Signa re ~ Signature DS-DE 12 (Rev. 08104) 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) Typethe 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.,l=rom 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 46"' Day Prior.........................:........................:.............. G1 April Quarterly ................................................................ Q1 .32nd Day Prior ....:........................................................... G2 July Quarterly ................................................................. Q2 18"' Day Prior.............:...................................................G3 October Quarts ... Q3 4~' Da Prior ...................... ~' ........................................................ ............................................ .G4 Primary Reports 32"d Day Prior ..................................................................F1 90-Day Termination Reports (Candidates Only) 18'" Day Prior ..................................................................F2 Termination Report...............................................:........TR 4th Da~ 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) Electioneerin Communication re ort individual or ar anization's treasurer & chaff erson must si n 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 8: amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. The Division will summarize all re orts submitted for each re ortin eriod and for the filer to date. CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (7) Name ~ /-I I'V p (•Z~p [~ . ~ o ~' .(2) I.D Number (3) Cover Period C~ I / C~ l1 / ~ through ~ / ~ / C~~ (4) Page _ of f (5) ~ (7) (8) ~ (9) (10) (11) (12} Date . Full Name (6) {Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind . Number Ci ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount V~.~oR~ _ ~,$O ~r~ e ar~rt2. ~ ~ ~ ~ ~~ ~ ~O ~a 6C~ - ~~Q ~.-~-, r ~ - ~a9~ P„~k .. . 6 1 I l 7 I d `7 A n rle. 6~ ~' ~ge...s ~ , o~ :.-- SE3 Goss Lcae.~C. Now,e.a. ` r ~ t-1. ~ ~ /a6 S~b~~,a,.., , ~ t,-- .. . . C~CD.~ 3ac5~ O~~J I? I d , ~ Ar~.c i,,~~ ~G1,.~:s~~- ~, ~ o a ~~~ ~3~,~..~,~~:~~ t, Cl-~ ~ ~ d 0 0 3 -,'~~.- S~bQ.s~: a,:, Fc..~ ~ B~~ P. D. box 7g087 1 ~ t~vw.~ C ~ ~ ~~DO " ~~ ~ SeS~as~'.a.... I ~I.... ~u,~~.e.r 3aq~8-v~7y / / _ G 6~'` _ . 0 ~~ I I S `_ I 1 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES . INSTRUCTIONS~FOR CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Typb candidate's full~name or name of the political committee (PC), committee of continuous existence (CCE) or party executive committee (PTlr7. ~ . (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 E/ec6on Dates for appropriate year and cover periods.) - (4) Type page numbers (e.g., 1 of 3 a. (5) Type 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 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. . (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: Individual = 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.) (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. 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, amendirg 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 TREASURER'S REPORT -ITEMIZED EXPENDITURES n (1) Name 1a~ Qrz~~A ~ mo`t' (2)J.D. Number (3) Cover Period CO~ 1 / a ( ,~ through ~ l~~ /~ (4) Page ~_ of _~_ (5) .(7) (8) (9) (70) (11) .Date Full Name Purpose (Last, Suffix, First, Middle) (s) (add office sought if Street Address B< Sequence ' City, State, Zip Code contribution to a candidate) Expenditure TYPe Amendment Amount Number U I Ia G 7 G ~~.~ Q~ ~~~.sk~ ~.~- ~.,..~:.~~,~ o0 i ass (~~..~ s~~~~ c~ :~~~s~ dot s~~~~-~~. ~v1or~ , G G ~:-w.: ~. ~C' c~~-+ e ~ a ~ ;3i a7 W ~71,.5~ M+. P(~<<5~~ Ave. ~ ~c ~~c-:c_ `~ ~ ~1~ ~,~, o2y~ ~~~~~ ~~c„N:~' ~ ~f^ ~ic~~S~ OU:~ . ... ~ ' . ~ "IOCU .. V ~~ ~l Y ~G .... .. o ~ ~ - - .. O( s ..., -4. u-~ _ ii-, -> ~. ~.3 _ r;, _ ,`...~ ~ _ DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUGTIONS 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 (PTA: (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 ~. (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 Q1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended Q1 reports would begin with sequence number 41 and on amended Q2 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) DIS Monetary MON Petty Cash Withdrawn PCW Petty Cash Spent PCS Transfer to Office Account TOA Refund 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 Q1 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. anoF "~~~,,~ HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org January 30, 2007 Andrea B. Coy 501 Palm Avenue Sebastian, FL 32958 Dear Council Member Coy: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period January 1, 2007 through February 2, 2007 is due in the Office of the City Clerk by 5 pm on Friday, February 9, 2p07. 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 an February 11, 2007. 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. Sin ly, ~~ - Sally A. io, MMC City Clerk sam CITY OF SEBASTIAN CITY CLERK'S OFFICE 3 7 9 ~ RECEIPT f~ rQ Q. CCU ~~ Name ~n ^ Cash Date ~' ) I Z~~ 7 ~Check# ~~a No. Amount Paid 001001 208001 Sales Tax 001501322900 Garage Sales 001501341920 CopieslBid Specs. 001501341910 LDCICode of Ordinances 001501 341930 Election Qualifying Fees ~ 01. ~ l~ 601010343800 Cemetery Lots LoUNiche ,Block ,Unit 001501 343805 Cemetery Fees Total Pai G 1. ~ 0 Initials White -Dept. of Origin • Mallow -Finance • Pink • Applicant ~~ HdME OF 1'>E1.ECAN wSLAtdD ELIGIBILITY. TO HOLD OFFICE OF COUNCILMEMBER 2.02 -ELIGIBILITY :--~ c r:; c. ~; --- -. ~~ t-' r--a - r.~ rti~ 'No person shall be eligible to hold the office of council member unless he or she s a qualified elector. in said city and actually cgntinually resided in .said city for a period of one (1) year immediately preceding the final date for qualification as a ;andidate for said office.n I, ~ n c~ «-~ ~ • C ~ candidate for the office ncilmember; meet ttie qualifications t be eligible to hold office as required lion. 2.02 of the City of Sebastian Charter, above. ~~' Signature of Candida worn to and subscribed before me this ~~°~ day of ~~~ ~~~ ~1 "~i= ,,,,,,, of lorida ~~~Y"'~, saiNa "'°'° c~'= MYCOMMISS!4°' '.?3??55 EXPIRES ~'~~ o ••F:o;.`~ BONUEUTHRUTROV FAIN INSURANCE, INC a~ n~ ` ~~11/ -•~a'0.~~L6'= Sally A. Maio =•~ Commission # DD595269 ~' ." Expires October 5, 2010 ~~i ~~ ~ Bonded Troy Fam Insurance. Inc 800.3&5.7018 FORM 1 STATEMENT OF 2005 Please print or type your name, mailing FINANCIAL INTERESTS address, agency name, and position below: LAST NAME -FIRST NAME -MIDDLE NAME : FOR OFFICE O ~ ~ p ~ A ~ ~-~- ~ USE ONLY: ~-•• • 4' . '~ MAILINGADDR SS: '~-~ -_ S C~ "l ~a ,~.,. v~ c~ ID code . _ ~ ~, ~ . ~~ .:a • ~~; CITY : ZIP : COUNTYt: .~ ~ r _. _ NAME OF AGENCY Conf. Code `_; NAME OF OFFICE OR POSITION HELD OR SOUGHT : P. Req. Code ~~~ - `` ~~ C` _a CHECK ONLY IF~CANDIDATE OR ^ NEW EMPLOYEE OR APPOINTEE PDF 2005 **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 (check one): DECEMBER 31, 2005 Qj3 ^ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: 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): ^ COMPARATIVE (PERCENTAGE) THRESHOLDS QB ~ DOLLAR VALUE THRESHOLDS PARTA -PRIMARY SOURCES OF INCOME [Major sources of income to the. reporting person] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S -~r Q y^~ OF/IN'COME /+ ADDRESS PRINCIPAL BUSINE/S^S ACCTIVITY ~I,nc~ii,,~ ^ iJa.f ~omw~w. ~ L-a~ ~ ~= 3 of P s c~ ~` ~: as ~~- I ~o a++.w- w,~.'.+- 1.., p ~ l~° C~~ p~~~~ ~:.~.ow.c.~ ct~ ~'•O, ¢o,C 7l3® ~~ `.~-o..c 1«;c-; c-e,..,.v C' ~= 1p o..s~ 1 ~a s wt.a~ .~ s~~~..~t ~ Y~ ~ Cs ~ ~ 1~V~~ G. o~ c il c' c.n w.c..c~- ©e ~nwt oar Vek ccLy Sttri~r f?G~. 't3a~G IH3c ~~ ~ ~ e Sc.1.o~.1:-4-~ 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] FILING INSTRUCTIONS for when and where to file this form are locat- r ` ((~~ i i^- ~G~ 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 - Eff. 1!2006 (Continued on reverse side) PAGE 1 PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE NTITY TO WHICH THE PROPERTY RELATES BUSINESS E `` \\ PART E -LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR f~, ~~.~_ ~ ~~ ~ ~.,,,... Q.a.~„ ~~.. 3K~a- Sys 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 ACTNITY POSITION HELD WITH ENTITY 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 SIGNATURE (required): ~ /' DATE SIGNED (required): /// ay~o ~ FILING 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 for officer, and specified state employee must sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to file within 30 days of the date of his or her that location. appointment or of the beginning of employ- If you have nothing to report in a particular Loca-of<5cers/emp/oyeesfilewith the Supervisor ment. Appointees who must be confirmed by section, you must write "none" or "nla" in that of Elections of the county in which they pemta- the Senate must file prior to confirmation, even if that is less than 30 days from the date of their section(s): nenty reside. (If you do not permanently reside appointment. in Florida, file with the Supervisor of the county Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly-elected local office NOTE: State officers or specked state employees must file at the same time they file their MULTIPLE FILING UNNECESSARY: file vuith the Commission on Ethics, P.O. Drawer .qualifying papers. Generally, a person who has filed Form 1 for a 15709, Tallahassee, FL 32317-5709; physical Thereafter, local officers/employees, state calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are second Form 1 for the same year. However, a 201, Tallahassee, FL 32312. required to file by July 1st following each candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their posi- of another public position must at least file a copy qualifying papers. tions. of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment, falls under, see the "11Vho Must File" Instructions each local officer/employee, state officer, and specified state employee is required to file a on page 3. final disclosure form (Form 1F) within 60 days of leaving office or employment. CE FORM 1 - Eff. 1/2006 PAGE 2 NDREA B. COY CAMPAIGN ACCOUNT ~ 005 501 PALM AVENUE 63-6419/2670 SEBASTIAN, FL 32958 BRANCH 035 ~ ~ l a O? DAB /°~ Q~ ORDER OF ~ ~ ~t'y/ tJ } S ~r ~i cLS~ ~ Cy~~ I Y~ / ' O O hd ~7 s.cemy Q Feetuns ~O DOLLARS t o.uue ee f//ef~ Beck.. ® ~~ ! f Sebastian, FI.32958 . FOR ..- ~ x:267084 L99~:0 L000 L33 L537911' L005 1 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS . ~ CAMPAIGN TREASURER'S REPORT SUMIMARY (1) ~ i~ C> (`' € r1 .~ . C,.~`)' ~ _ . ~OI=FICE, IJSE ONLY Name rr ;, ~ , Address (number and street) ~ '~ S~~~Ccx-~. ~ L, 3~9Sf~ City, State, Zip Code - - ^CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): '~ Candidate (office sought): ~ J~ c...s-~. c~.~n ~ .k a c.~nC-~ ^ Political Committee ^ -CHECK IE P HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF.CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication . ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FLED - . .. (5) REPORT-IDENTIFIERS - . Cover Period: From ~. ( / ~ Q / ~ 6 To (~ / ~ i ~ / [} 6 Report Type (~'--~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT ~ (7) EXPENDITURES THIS REPORT t* o Monetary ~ r' i Cash & Checks $ ~ S~ __- Expenditures ~$ ~ (~ s ~- Loans Total Monetary . ~ i l n-Kind ` c• ~ $ -.. ~~ Transfers to Office Account $. """-- Total ~ bl Monetary $ ~ ~ S -- (8) Other Distributions $ _ - (9) TOTAL Monetary Contributions To Date ~ (10) TOTAL Monetary Expenditures To Date It.is a first degree misdemeanor for any pe I certify that I have examined this report and it is true, correct, and complete. pename) ~iU.IJQ£A t..J~ C(3 f Individual (oy4xfor Treasurer ^ Deputy Treasurer x/~~~ -~- Signature ~ DS-DE 12 (Rev. 08104) (11) CERTIFICATION rson to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true; correct, and compfplete. (TYpe name) l~ ~ fJ f2-~ -~ ~j _ ~ C? ~'~ Candidate ^ Chairperson (only for PC, PTY & electio n~commun. organization) X . ,-' Signature INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY (1) Type full name of candidate, political committee, committee of continuous existence, party executroe 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 Elecfion 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 46~' Day Prior.........................:........................:..............G1 April Quarterly ................................................................ Q1 .32`~ Day Prior ....:........................................................... G2 July Quarterly ................................................................. Q2 18"' Day Prior...........,.:...................................................G3 October Quarter ........................................................... Q3 ... 4"' Da Prior...................................................................G4 Primary Reports 32"d Day Prior ..................................................................F1 90-Day Termination Reports (Candidates Onty) 18~' Day Prior ..................................................................F2 Termination Report...............................................:........TR 4th Da 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., 01/01/02-12/31103). 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 -12131/03). 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) Electioneerin Communication re ort individual or or anization's treasurer & chaff erson must si n 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 gti amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. The Division will summarize all re orts submitted for each re ortin eriod and for the filer to date. .~ ('I) Narne CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (3) Corer Period ~ l o~ D l ~6 through ~ a / 3 ~ ,~ ~ ~ u(4)-~p~c,~: ~' ~ of (5) ~ (~) (8) ~ (9) (10) (11) (12~ Date . Full Name (6) {Last, Suffix, First, Middle) Sequence StreetAddress & Contributor Contribution In-kind Number Ci ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount goy, A~;. P~~~ ~ 020 ~ ©6 Ms . qn~r~ 63 . ~ ~ iiRGC. ~ O ~ ac ~30C~ ~~. spy ~a~~ ~~,~.~.~~.: . ~~s Y~~, ~~ ~ ~ i 1~ a ~, o 6 M~ . s{~v4~. Q~~-;~, . . ~p r~~.s~..{~5 , ~ ~ ~ ~ 06 sk ~ ~.:._~.~. ~U e~r ~ . So 13 ~ l 1.~.~.~;~:,~ s+ ~ CC.~i.~ OD~ s~~S~'ia,.. ~.3~eS~$ I ~ ~S ~ 0 6 ~~.w~..«~ '. ~~ ~~- ~ ~J .~`oc.S~ .ci.~ ~ ~L- 3,~9 S~ ..^y^` ~.:. C~ l~ ~.~ .~r~y ~ f ~ Uc CI ~ V V ~ \~~~C -..~.. ~ ~ Ju`6LtS~',~cw ~~ ~ j ~I ~~ U. ~o~ 83 ` ,~j.tef-c.c ~ ( . y , a~ rj W ab ~s see ~ Ff^ 3~Z9TD ~ T ~- SA6 ft~~~. Ct I C~ S $ ~ a ~ ~ ~ s4~~; a, s~- ~~~ ~ I,,? ~ 0.3 ~ 06 f~rr~ ~- ~ D o 8 s~.~~~-;~,.., ~~ b~ ~rS DS-DE 13 (Rev. 08103) 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 (PT1~. (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.) (4) Type page numbers (e.g., 1 of ~. (5) Type 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 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. (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: Individual = 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. (lf a business, please indicate nature of business.) (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. 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 TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS . ('I) Karns ~ ~ rid aR~~ ~. Cc~`+ .(2) LD. Number (3) Cover Period i C ~ ! v~ ? U l O C~ through ~ 1 3 I . I d ~ (4) Pegs c~ of c5) ~ . m ~ c8) ~ c9) c10i c1i) - c1~ Date . Full Name (6) {Last, Suffix, Fkst, Middle) Sequence Street Address ~ Contributor Contribution In-Idnd . Number State Code T Occu on ~ T Descri n ~ Amount i+~~~M~ ~ ~a ~ ~3 ~G6 0~,~~~ a~~ .~ s ov ~i00 Go~...w~oc ` ~ ~ ~~ ~ ~ ~ OD `~ - .3~~s ~ - ~OnnOSG~'\~ _ .. Ob -C~.~ C> ~~~~; , F~ ~a , 0 3 , 06 ~GYS' ~ ~ , ~ . P. o. 6~X 78! ~LI ~ ~ . Ct~~ $ 7~ - C~ 1 1 5~a.s~; a5' t~3~`~. is ~ 0 3 ~ 0 6 '~ - - `/ `'`' ~C~\V~~`rG«. ~~~ ~~JD ~bt U~`ti~a,~+ T . I ~ S~Q6S't~Q7) .Q~~ ~(- _ - VC ! S S GAS od~ i3`7 A.~a,.r~- o~ 1- .. CIS ~ ~ ~ ~0°._" ~ ~ . - ,~ f' ' . _f ~~ DS-DE 13 (Rev. 08/03) SEE REVERSE FOR iN3TRUCTIONS AND CODE VALUES nn CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES ('I) Name .t~N02EA 13. . ~~``~ (2) I.D. Number (3) Cover Period ~~../ ~~ / ®~ through ~%J ~ (4) Page ~ of (5) Date . (7) Full Name (8) Purpose ~ (9) (~ 0) ('1'1) Sequence ~ Number (Last, Suffix, First, Middle) ~ Street Address & City, State, Zip Code (add office sought if . contribution to a candidate) ExpTn eture Yp Amendment Amount ~ 01 S~b~~sk~.«„ , ~L_ 3 r~~r.SB ~ ~~ a 6 .. ~ 3 ~ o~.a_ 3a~.s7~- ~ r~~ ~~-~~. s .. (6v~ a (~~b~.;x ~ w ~ ~~~. ~s~~ 00 3 ~~ ra ®s'o6 ~, ~o~ 5~ a p ~~u ~ ~P ~'r~.~~- ~ ~~~ 79 ov y 3 3 ~~ . G'~ T l-~ i N G ~~ Lv~ c> --____ ~, ~~ -; ~. '::; .. DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUGTIDNS 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 (PTI~: (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 ~. . (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 Q1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended Q1 reports would begin with sequence number 41 and on amended Q2 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) DIS Monetary MON Petty Cash Withdrawn PCW Petry Cash Spent PCS Transfer to Office Account TOA Refund 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 Q1 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. a-v~ ~s~ .~--~u!~ -- -- ~ - HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 - (772) 589-5570 fax smaio@cityofsebastian.org January 5, 2007 Andrea Coy 501 Palm Avenue Sebastian, FL 32958 Dear Ms. Coy: In accordance with Florida Statutes Section 106.07, the campaign treasurer's quarterly report for your campaign from the time you pre-qualified through December 31, 2006 is due in the Office of the City Clerk by 5 pm on Wednesday, January 10, 2007. 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 11, 2007. 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 388-8214. Sin ely, ____---- Sally A.~ aio, MMC City Clerk sam - STATE OF fLORIDA _OFFICE'usE ONLY APPOINTMENT O.F CAMPAIGN TREASURER +`' AND DESIGNATION OF CAMPAIGN ~ "' ' ' `' DEPOSITORY FOR CANDIDATES ~~ ~ , ~ ~ s ~ i c~ iJ ~ ~ ~ ~m (Section 106.021(1), F.S.) , i - (PLEASE TYPE) CHECK APPROPRIATE BOX: Original Appointment ^ Deputy Treasurer ^ Reappointment of Treasurer ^ Secondary Depository Name of Candidate 1. Address (include post office box or street, city, state, zip code) . s ~~ t ~~~~ ~,, A „ ~. ~-, ~ ~. Cr c~ ~i Telephone (optional) 2. Party (Partisan candidates only) 3.Office (add district, circuit, group number) I have appointed the following person to act as my ~ Campaign Treasurer ^ Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer ~~tinr~ ~.~ Cam; 5. Mailing Address (If post office box or drawer add street address) 6. Telephone .~ C~ ~ r^r'1') ~ v £ rJ S `T" / N FL- ~ ~~ cI S ~ 7 ~~2 j mot'., ~'~ -- C~ ~~ ~ 7. City 8. County 9. State 10. Zip Code ~a~s~la,.~ .~ ,v4~1~~, ~t~~~ ~l- 3~:~~i~~ I have designated the following named bank as my ®, Primary Depository ^ Secondary Depository 11. Name of Bank 12. Street Address r r 13. City 4. County 15. State 16. Zip Code i C: ~ ~ 17. Signature of Candida 7 ~, X Date c :Vr C.. -- - --- --.Campaign- Trea is Acceptance of Appointment - - - - I, ,~ ~ ~ ~ ~ ~ ~~ ,. ~..~.cJ ~;~ , do hereby accept the appointment as (Please Print or Type) "'~~ a~'/ ~'1G~1 c~'a l.'.~ . ~ ~7 ' / ® Campaign Treasurer ^ Deputy Treasurer for the campaign of ~,~.,~~ ~ ~ G.~. ~' ~ ~ y C,~c> ~,,1~, who is seeking nomination or election as a candidate to the office of (Party) ~. Ca:~~c~ \. As a duly registered voter in .__-1c ; ~ ~, ~ ~,:; ~c'; ~-. `f =~c sk .~•.f. ~' ~v , , ~ , County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. ,~~ - T Date Signature of Campaign Trea r Deputy Treasurer DS-DE 9 (Rev. 02106) - f i'i _ v 4_ ._ STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) 1, ~~lv ~ ~ ~ ~ ~ z:~ ~ ~~ O F,]F,l.~ ~ .,U $E, O N LY i. ~i L' 1 E; i candidate for the office of ,~ ~, ~~~s.~.; ~~ Cry ~.~ ~~,~~ ~, ~ ; ._ _... .. ... _ have received, read and understand the requirements of Chapter 106, Florida Statutes. ,~'~"~ r~ ,, X f Signature of Can 'ate l~ ~~ U~ 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. 08103)