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HomeMy WebLinkAboutWright Donald W 11-3-09FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT I(L� Y J I V V Name ,/e//--- 7 /'U lL did' 1v Address (number and street) e ./`e City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): [Candidate (office sought): Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication (5) REPORT IDENTIFIERS Cover Period: From /0 en To /2 2 L� 9 Report Type R1 Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks Loans Total Monetary In -Kind (9) TOTAL Monetary Contributions To Date 35 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. (Type name) A a /tJ !i/LftyT nIndividual (only for VITreasurer Deputy Treasurer electioneering commun.) Signature FFICE OF CIP I !RREONLY 2O DEG 22 Rhl 9 12 (3) ID Number: I s O/ i!¢71 CHECK IF PC HAS DISBANDED CHECK IF CCE HAS DISBANDED Li CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (7) EXPENDITURES THIS REPORT Monetary Expenditures Transfers to Office Account Total Monetary (8) Other Distributions (10) TOTAL Monetary Expenditures To Date ,era I certify that I have examined this report and it is true, correct, and complete. (Type name))6 02 LL/,�i/6rfY Candidate Signature n Chairperson (only for PC, PTY electioneerinv commun. organization) DS -DE 12 (Rev. 08/04) November 4, 2009 Don Wright 720 N Fischer Circle Sebastian, FL 32958 Dear Mr. Wright: HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio ©cityofsebastian.org Congratulations on your election to City Council! In accordance with Florida Statutes 106.07, following the election a campaign treasurer's termination report (TR) must be filed with me by February 1, 2010. The TR report will include the summary page showing the amount of your expenditures since 10/31/09 and an equal amount of total contributions and total expenditures for the entire campaign period. It will also include an expenditure page showing all lawful expenditures in accordance with 106.11(5) and 106.141(4), which I provided to you in your previous letter. You need not wait until February to submit the TR report. Once your funds are closed out you can bring in the completed form at any time. If you have any questions or if there is anything I can do to assist you, please do not hesitate to contact me at 388 -8214. Sin fly, Sally A. Maio, MMC City Clerk sam FLORIDA DEPARTMENT OF STATE DIVISION (SF ELECTIONS CAMPAIGN TREASURER'S REPORT SV ARY al `()F "r ICE OF Cq/MERREKONLY 109 OCT 30 PM 12 98 Name 7,c3 /I//) e 01/1., Address (number and street) 5- 1,1fs il' 351? (4) City, State, CHECK IF Check appropriate Candidate Political Committee Committee Party Executive n Electioneering Zip Code ADDRESS HAS CHANGED box(es): A 1 T (office sought): 6 7 dip i J (3) ID Number: c 04 ,4 qtr CHECK IF PC HAS DISBANDED of Continuous Existence n CHECK IF CCE HAS DISBANDED Committee Communication U CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED Cover Period: joriginal (5) REPORT IDENTIFIERS From /O 0 9 To /v d v 9 Report Type 6' Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS Cash Checks Loans Total Monetary In -Kind THIS REPORT 6-0,03 (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 7 04. to Office d S ‘J 0c. rt O (8) Other Distributions (9) TOTAL Monetary Contributions To Date .2 3Co.o=" (10) TOTAL Monetary Expenditures To Date 3,0, 0,0 (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 correct, and co (Type name)/ examined this report and it is true, lete. d-, yh.0 /j A I certify that I have examined this report and it is true, correct, and complete. (Type name OA s�•,J le 0,ei 6 Individual (only for Treasurer r Deputy Treasurer electioneer commun.) X inCandidate Chairperson (only for PC, PTY electioneering commun. organization) X Signature Signature DS -DE 12 (Rev. 08104) /o l0 Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type In -kind Description Amendment Amount (6) Sequence Number /t1 l 0 a 45 S te 1 !�cti ss s� Z C s rh b t lila 9/054 ;a,c;i9 A47 /d l -2 9 !'du 7/ 7 it)/- G' h s 2009 FI OCT 30 POI r SEGA =ICE OF CITY f N .0 GO .TIAN CLERK (1) Name 3 Cover Period DS -DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS through (2) I.D. Number 4 Pa of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Purpose (add office sought if contribution to a candidate) Expenditure Type Amendment Amount (6) Sequence Number !J //3/)9 v As, t .J45 C fF /yri a 2o,� y `v/ /if/r9 Ask fed .40r S14 k %c i` ?co `,,e 21A °Y /v /Cq /of Aciiti 5A LjJ t 2-2 rd-SJy S4,,95 j 220.610 /21/0 J4 lam/ lUrdy ?7x, .N .,-rsc'~ el /2e-6 64? ¢e 3,,,i.slar °sus, /i 6.1-kr• 1110`) p yd,? 9 2009 OCT 31 1 VFFICE OF t' a iEBASTit,iti CITY CLERK AMP I NJ�R�EA RER'S REPORT ITEMIZED EXPENDITURES !Ot/ (2) I.D. Number (3) Cover Period 1 C 1) �7through «l S/ v 7 (1) Name (4) Page of DS 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES October 22, 2009 Don Wright 720 N Fischer Circle Sebastian, FL 32958 Dear Mr. Wright: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period October 10 through October 29 2009 (G4) is due in the Office of the City Clerk by 5 pm on Friday, October 30, 2009. 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. For clarification, this G4 reporting period ends at midnight on October 29 and no further contributions may be accepted after that time. This is midnight on the night of Thursday, October 29 not midnight Wednesday, October 28 Trust me, there has been confusion and there have been three Division of Elections opinions on this the final being DE 00 -01 (see attached). I am also enclosing a copy of language from FS 106.11 and 106.141 which explain how remaining campaign funds can be utilized and disbursed, and you can be thinking of how you will disburse funds before you file your termination report (TR). The termination report can be filed anytime after the election when funds all are disbursed and it must be filed by February 1, 2010. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio(a cityofsebastian.org. Since, y, /1 Sally A. City Clerk Enclosures sam 43, io, MMC aIYOF HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org FLORIDA DEPARTMENT OF STATE DIVISION OF EL gc1JIONS CAMPAIGN TREASURER'S REPORT IAN (1) ll/Diiiik-O kti a 1 kitcn-/ s. FFICF OF ef 2009 OCT 15 Pig 3 33 Name Tao 4) j/5 d h /itL Address (number and street) 5 /J A' 7, 3 ,i9 f 2 City; State, Zip Code CHECK IF ADDRESS HAS CHANGED (3) ID Number: d A (4) Check appropriate box(es): `Candidate (office sought): (e4 4 (4 V /l 'crt6 5 4 lint) J Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee n Electioneering Communication I 1 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From d‘ d To /v D 9 Report Type e3 Ori Amendment Special Election Report n Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks `per V J (7) EXPENDITURES THIS REPORT Monetary Expenditures 0 7,)(3.0 Loans Transfers to Office Account Total Monetary o (AJ Total Monetary 2 (ID, Q il In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 7 0 I (10) TOTAL Monetary Expenditures To Date 6U9,y..3 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. (Type name) �0OL O G,f/�G /‘f�r- I certify that I have examined this report and it is true, correct, and complete. (Type name) (oi-//-r4 X✓l �iei6 7 Individual (only for reasurer Deputy Treasurer electioneering commmmun.)�� X j4 6.) G Candidate Chairperson (only for PC, PTY electioneering commun organization) X G fy' Signature Signature j v 2 4 oc-f '7 -JJA DS -DE 12 (Rev. 08/04) (5) Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type Occupation Contribution Type In -kind Description Amendment Amount (6) Sequence Number ii) 7 9 Lrf A f �'1 c e 1, ch we*, L f` 3-1 6 446 `oG? o f I CT -r r Sc FFICE OF CI w CAI ca 1ASTIAN rY CLERK DS -DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name A AM d /11 (2) I.D. Number A e, through lv 7 D7 4) Page of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number A /s 9 S A A 4 S J_d 5-70/N, 2 ,2t., av cc C c- I— OFFICE Cr CA SEBASTIAN F CITY CLE• Ca, .3c AMPAIGN T ER ASUR'S REPORT ITEMIZED EXPENDITURES (1) Name Ar lri-,�fri/l (rt1!'� j ,if (2) I.D. Number (3) Cover Period ,2(0 c3 9 through /i3 9 9 (4) Page of DS 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES October 8, 2009 Don Wright 720 N Fischer Circle Sebastian, FL 32958 Dear Mr. Wright: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period September 26 through October 9 2009 (G3) is due in the Office of the City Clerk by 5 pm on Friday, October 16, 2009. 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. You are welcome to submit your campaign report at any time during the week of October 12 through 16 2009. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaioAcitvofsebastian.orq. Sincerely, 1 4 Sally A. aio, MMC City Clerk sam CfiYO HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org FLORIDA DEPARTMENT OF STATE DIVISION OF.ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMR 3 TIAN (1) il*,:r4 J off OFFICE GIFF6fluti.EINY 2009 OCT 1 .v'� 16 4 l +Xt- e Lbeile Ei 414- Name ..2Q 4J_ �15i1/ e.e/'c4 Address (number and street) -Ca/5,5 -Ca/5,5 7 /----''L 5"-? 2 r P City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): `/:1 Candidate (office sought): j dQun ce (3) ID Number: ��S /7, 7 rt) Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee Electioneering Communication U CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From /L o f To y Zr 7 Report Type G' 2 1 Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash &Checks 23 a (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT •.ae.:7pc) Loans to Office Total Monetary 2 j'0, o 2 In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date ia'o (10) TOTAL Monetary Expenditures To Date 9 ,.d' ��J (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. (Type name)% ,7 GV tOfi ii- I certify that I have examined this report and it is true, correct, and complete. (Type name) '/jo 1.G1� 11! t r t,1.1 Individual (only for Treasurer Deputy Treasurer electioneering c•mmun.) X Candidate Chairperson (only for PC, PTY electioneering commun. organization) X %/h Signature Signature GEC DS -DE 12 (Rev. 08/04) l2 e t 2 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 09 z 1 d tea c -A.✓'"i .'J f is, v ,vt,, 2 009 OCT ri r7 7 n /A 7v1 iv V) i T I .fit 1 1 t SEERS T l /'�P; c (1) Name 3) Cover Period C e7 through DS -DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS 2J' (2) I.D. Number a? 4) Page SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 209 OFI OCT 1 Pf1 M. T OF SEBA fCE OF GIP 10 16 STIAN ECLERK MPAIGN THE SUR REPORT ITEMIZED EXPENDITURES (1) Name �G Gt� .9 ,lam (2) I.D. Number (3) Cover Period Z 6/ 9 through L -r (4) Page of DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES September 25, 2009 Don Wright 720 N Fischer Circle Sebastian, FL 32958 Dear Mr. Wright: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period September 12th through 25 2009 is due in the Office of the City Clerk by 5 pm on Friday, October 2, 2009. 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. You are welcome to submit your campaign report at any time during the week of September 28 through October 2 2009. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio a@citvofsebastian.orq. Sincerely, Sally A. Maio, MMC City Clerk sam 4 )14 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org GTYOF HOME OF PELICAN ISIAND FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT }S,UMMA tY (1) 65".9..i Iv �/v/L OFFICE %M 6ii8�ILY 2009 SEP 16 Fr1 2 12 Name (2) 7 a /2/ C'LSC l R ad 6.€ Address (number and street) ceili/57; 3a? 3'49 City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): u/ic -r Candidate (office sought): C� t q (3) ID Number: 45 i Political Committee CHECK IF PC 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 FILED (5) REPORT IDENTIFIERS Cover Period: From 7 D 9 To 9 1/ C 9 Report Type f VIE Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks f Cr) (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT IC 0 Loans to Office Total Monetary L D 5' cp 3 f O k In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 3.{° (10) TOTAL Monetary Expenditures To Date «2°' q 3 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. (Type name) 40 4/4¢ts i W &Jr /9, 4 I certify that I have examined this report and it is true, correct, and compete. t (Type name) ,CA -z/) W A y/ Individual (only for L4 Treasurer Deputy Treasurer electioneerin• ,mmun.) rjl Candidate Chairperson (only for PC, PTY electioneering commjn. organization) Signature Signature v 1 DS -DE 12 (Rev. 08/04) (5) Date (7) Full Name (Last, Suffix, Firs' Middle) Street Address City, State, Zip Contributor Type (8) Occupation (9) Contribution Type (10) v In -kind Description (11) Amendment (12) Amount (6) Sequence Number ,d9 1 p 7 3 5 a i ,o�.�� 7 109 ll. yai 3 6r 1 0 9 Ile //y is r 7 334/. 1-75e 05'F 3 29 fe l4 e 0 CD /T'v C twAo r ply .40'514•-' 19 3'r x e 6 ?m'4,- o 1 lag 40 5, Gu,ae f Ct j 79 Ai.,r w ia.d "jib �a` 3 s--16S lc) /id, Ov 2 7 /a1 5 z 1 mil' le 0u d (t //i Fve9, o g l Z l di `s`a° in- AR bur A, rC 7 4 re m 1 Il W d 9 T d es 6001 ch.) CA (1) Name CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS A N At." (2) I.D. Number 3) Cover Period 7 df through 9 1/ iJ✓ 4 p L DS -DE 13 (Rev. 08/03) SEE REVERSE FOR IN Silfilig9 UES 0 JA1 71 (3) Cover Period e ci 7 through 1 (4) Page Z of Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type Occupation Contribution Type In -kind Description (11) Amendment (12) Amount (6) Sequence Number q 9 l 27 1 AY Vi e-4-- 9 04-CY, Fr G 7 7y6 ys el -ice. /L 721tp ee4`' 00 p d 1 1 hi X8i 2 WA 9I 10 A110 JO d39 6001 30IJJO (1) Name DS-DE 13 (Rev. 08103) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS 4 41,,/e"oc)G 6 5 (2) 1.D. Number SEE REVERSE FOR INSTRUCTIOt441419V996 VACIUti Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Purpose (add office sought if contribution to a candidate) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number a /1c /0 e,;j l .1,:s.5 f T Or, t!oG ;ii, d A `l j g /,7s:/of S3? 50; dff /IN"' hi 2 \111 hid 91 d: 1 111 JA 7e s ,I 1 IJ In CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (1) Name ,odn, Ai (2) I.D. Number (3) Cover Period 7 D 9 through F (4) Page -Ut 74 (Kev. SEE REVERSE FOR INSTRUCTIONS ANI} RS)i IgS a of I September 11, 2009 Don Wright 720 N Fischer Circle Sebastian, FL 32958 Dear Mr. Wright: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period July 1, 2009 through September 11, 2009 is due in the Office of the City Clerk by 5 pm on Friday, September 18, 2009. 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. You are welcome to submit your campaign report at any time during the week of September 14 throughl8, 2009. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio(a�citvofsebastian. org. Sincerely, Sally A. aio, MMC City Clerk sam aTYOF HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org At/` I, a citizen hereby Florida. LOYALTY OATH FOR NON PARTISAN OFFICE (Sections 876.05 876.10, Florida Statutes) STATE OF FLORIDA u vet— COUNTY CT RC tii4ENNLY �l SEBASTIAN OFFICE O F CITY CLERK 2009 AUG 25 API 11 29 /OA A/ -L6 PO le iea i` First Name Middle Name /Initial Last Name of the State of Florida and of the United States of America, and a candidate for public office do solemnly swear or affirm that I will support the Constitution of the United States and of the State of L am My legal under have with 99.012, OATH OF CANDIDATE (Section 99.021, Florida Statutes) 4 el) IA I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) a candidate for the office of ,�.s Of 6co 0 c_, 1 7 +JJu r/ /rA di /?ter office) (district) (group) residence is �tEG 74„,,, f=4 9 j a� Florida. jfte�,vn ,e,l,7County, I am qualified the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected. qualified for no other public office in the state, the term of which office or any part thereof runs concurrent the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section Florida Statutes. X 772 9/i ..7),,j Signatur Daytime Telephone Number Email Address t I Address Sworn Personally Produced Type to (or affirmed) and subscribed Known: or City before me this State ZIP Code day of 200 (J' v Identification: of Identification Produced: A Signature of Not y Public State of Florida Print, Type or amp Commissioned Name of Notary Public AiNk Sally A. Maio Commission DD595269 Expires October 5, 2010 s' t Bonded Troy Fern Insurance. Inc. 8003tl',L7019 DS -DE 25 (05/08) FORM 1 STATEMENT OF 2008 Please print or type your name, mailing address, agency name, and position below: I FINANCIAL INTERESTS I tt� J L v 57 LAST NAME FIRST NAME MIDDLE NAME: /z //�N to e /6 4v 4 /t j �F46FFIGi CITY CLERK USE ONLY: am qq MAILING ADDRESS S/1-1 '7 ,a O /`t) /f7 e UDO f (3 25 API 11 S '/A5 Ta") A G 3 9 1-0-7 ID Code ID No. Conf. Code P. Req. Code f,"6. 1 CITY ZIP COUNTY NAME OF AGENCY NAME OF OFFICE OR POSITION HELD OR.S OUGHT /CGS /-J 6W F You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF pi CANDIDATE OR M NEW EMPLOYEE OR APPOINTEE *BOTH PARTS DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS al DECEMBER 31, 2008 OR I OF THIS SECTION MUST BE COMPLETED FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one): 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 OR Q DOLLAR VALUE THRESHOLDS PART A-- PRIMARY SOURCES OF INCOME NAME OF SOURCE OF INCOME [Major sources of income to the reporting person] SOURCE'S DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY r/gfr1�i 4 //'1 /POI /3-.) "4 /POI /i <j G '2?-14 J (4 7. G S ,f Zit'' 45 -r 141J -4 /j,4 S Z PART B SECONDARY SOURCES NAME OF BUSINESS ENTITY OF INCOME [Major customers, clients, NAME OF MAJOR SOURCES OF BUSINESS' INCOME and other sources of income to businesses ADDRESS OF SOURCE owned by the reporting person] PRINCIPAL BUSINESS ACTIVITY OF SOURCE ��J/� dht K PART C REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when and where to file this form are locat- ed at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. A /41/X, e %i� ii- L��)C -C.--..‘'c �j,�� r j 5 L PI, !/44 S /0"0-r..,,---77,e,1) /0"0-r..,,---77,e,1) /r y ,f e`(/ �h) L s CE FORM 1 Eff. 1/2009 (Continued on reverse side) PAGE 1 I PART D INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES l' 0 /.s 1Cc �iCd /1 /�T`1 a F J A S r/1G� iv rfe 6 744 0 e NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST "7 .5e.oeer/Ae PART E LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR PART F INTERESTS IN SPEC F151 BUSINESSES [Ownership or positions in certain types of businesses] //Ad o"r ef? f LI`P A et BUSINESS ENTITI' 1 BUSINESS ENTITY 2 BUSINESS ENTITY 3 f:/ S /6..42-7" �C IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE (required): DATE S IGN Z/2. u�d): WHAT TO FILE: After completing all parts of this form, including signing and dating it, send back only the first sheet (pages 1 and 2) for filing. If you have nothing to report in a particular section, you must write "none" or "n /a" in that section(s). Facsimiles will not be accepted. NOTE: MULTIPLE FILING UNNECESSARY: Generally, a person who has filed Form 1 for a calendar or fiscal year is not required to file a second Form 1 for the same year. However, a candidate who previously filed Form 1 because of another public position must at least file a copy of his or her original Form 1 when qualifying. PILING INSTRUCTIONS: WHERE TO FILE: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. Local officers/employees file with the Supervisor of Elections of the county in which they perma- nently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) State officers or specified state employees file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, FL 32317 -5709; physical address: 3600 Maclay Boulevard, South, Suite 201, Tallahassee, FL 32312. Candidates file this form together with their qualifying papers. To determine what category your position falls under, see the "Who Must File" Instructions on page 3. WHEN TO FILE: Initially, each local officer /employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employ- ment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates for publicly elected local office must file at the same time they file their qualifying papers. Thereafter, local officers /employees, state officers, and specified state employees are required to file by July 1st following each calendar year in which they hold their posi- tions. Finally, at the end of office or employment, each local officer /employee, state officer, and specified state employee is required to file a final disclosure form (Form 1F) within 60 days of leaving office or employment. CE FORM 1 Eff. 1/2009 PAGE 2 Name Date No. 001001 208001 001501 322900 001501 341920 001501 341910 001501 341930 601010 343800 001501 343805 CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT Sales Tax Garage Sales Copies/Bid Specs. LDC/Code of Ordinances Election Qualifying Fees Cemetery Lots Lot/Niche Block Unit Cemetery Fees 4577 Et Check Amount Paid 0 Cash Total Paid Initials White Dept of Origin Yellow Finance Pink Applicant FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORTS MMAYST1AN (1) 9 1 o 4 4 U r F I C EOM is ZAE 2009 JUL 9 P11 2 11 (2) N7 ,)e.) /U, d Q'�4(7 Address (number and street) Sl/ T'//7%) t j1- d' City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): �j Candidate (office sought): 6if,ce-, (3) ID Number: Sed 5 7�, tn- Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED U Party Executive Committee Electioneering Communication CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS �1 Cover Period: From 4' v, To 3j l d l Report Type L! Z- j& Original Amendment [1 Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks /5 (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 6 g, yj Loans v to Office Total Monetary 36 J Y.. e/3 In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 3,)-. (10) TOTAL Monetary Expenditures To Date 66?-y_ (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. 1L 4 /c.i 'Gi (Type name) e �'[1, I certify that I have examined this report and it is true, correct, and complete. (Type name) J/e v brf all-'!6 /f7 Individual (only for Treasurer n Deputy Treasurer eiectioneerin ommun.) X ?el ,j a. Candidate Chairperson (only for PC, PTY electioneering common. organization) X -e-2 Signature Signature DS -DE 12 (Rev. 08/04) (5) Date (7) Full Name (Last, Suffix, First, Street Address City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) to -kind Description (11) Amendment (12) Amount (6) Sequence Number 6 4 alAr 7))/P /sc.l --r--, Zjd D, 0. 6 2 L L.4)1,4 /t, GU,.s. 4 s ki,< 3 4.);),e 3 Y*Z s t A 6, ,i/ 76v /I c\ 6 zL /Dy «7 J. S_ sp- 9J2 201 OF SEE:- FFICE OF CIT NUL 9 F S1L Y CLERK rl 2 11 (1) Name 9 through 6 3v CI? 4) Page DS -DE 13 (Rev. 08/03) VA-ann. 11. V.• ...mss .v v a j R/ 4 e 41 1/0 I J, (2) I.D. Number SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Purpose (add office sought if contribution to a candidate) (9) Expenditure Type Amendment Amount (6) Sequence Number G /a /Gayz Tiff f G r)'J -Wri 4* ,�-r- ed a y,� /mil /d Y //U %g 4,4 id �G -40, 3 -79s ,r' d /l) 9 4' 3 7S It 3,. /c4 vJ �.e1 /`c 3; 7 OFF 11' c Y F SEBA ICE OF CITY r 1. F CLERK 2 11 CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (3) Cover Period q y through Z c y (1) Name (2) 1.D. Number (4) Page of 1 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE TYPE) CHEC APPROPRIATE BOX: O 4ii &"Tt1 N (FFICE OF CITY CLERK Z 1 lW JUN 15 API 9 Original Appointment R Deputy Treasurer Reappointment of Treasurer Name of Candidate n N/3-c4 02/G/Pr 1. Address (include post office box or street, city, state, zip code) 7.2 0, /sc ,e C'/-,-e !-e .5e.6.�s7J f// ?-2 91 Telephone (optional) (77..2.) a9 2. Party (Partisan candidates only) 3. Office Ladd district, circuit, group number) (��a�+ have appointed the following person to act as my El Campaign Treasurer Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer 4 0 /1/4-e 4 P ,'I •e!6 71- 5. Mailing Address (If post office box or drawer add street address) 7a /U, j= lSef`/? 6 /dC''4 I1 6. Telephone 77.2 -5 a 7 7 c e 7. City 5,6-15 ,rxJ 8. County ga 9. State L 10. Zip Code 3 9 r8 I have designated the following named bank as my Er Primary Depository Secondary Depository 11. Name of Bank S 9CG4-5 r 44 r 12. Street Address v %'s Ay) 2 13. City Se.b 5 4/�J 14. County ..4.71-‘-(4471, i 15. State fC 16. Zip Code 11 17. 3 ienature of andidate r Ze/ Date 1 /f/ Campaign Treasurer's Acceptance of Appointment I, J 4/ ii-4-rGjyl do hereby accept the appointment as (Please Print or Type) 2 Campaign Treasurer KI Deputy Treasurer for the campaign of /1),q# ad £//l a4r.:.s who is seeking nomination or election as a candidate to the office of (Party) c, i 6 i., ,,G! se‘,s4. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. X I/0 2 Date Signature of Campaign Treasurer or De Treasurer DS -DE 9 (Rev. 01/08) STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) candidate for the office of a u��, have received, read and understand the requirements of Chapter 106, Florida Statutes. OFFICE USE ONLY ri F SEBASTIAN LiFFICE OF CITY CLERK 2009JUN15 BM 9 32 X Gti Ac/0 Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS -DE 84 (Rev. 03/08) OF SESAST1 Charter Section 2.02 ELIGIBILITY .3009 Notary Pu State of Florida SEAL Ms- word/election/charter eligibility alr a 5L�TIAN HOME OF PELICAN ISLAND ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER "No person shall be eligible to hold the office of council unless he or she is a qualified elector in said city and continually resided in said city for a period of one immediately preceding the final date for qualificatio candidate for said office." Signature of Candidates Sworn to and subscribed before me this day of JCL. OFFICE OF CITY CLERK I, 4v,u.o-fg3 candidate for the office of Council Member, meet the eligibility qualifications to hold office as required in Section 2.02 of the City of Sebastian Charter, above. 4 2009 JUN 15 API 9 32 'r t f Sally A. Maio Commission DD595269 =a c p Expires October 5, 2010 "1 R0- Bonded Troy Fein inewance, Inc. 800.3857019 See attached FS language for meaning of qualified elector member actually (1) year n as a