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HomeMy WebLinkAboutCoy Andrea 11-3-09FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) i 13 Coy rt OFFICE USE ONLY o c ori o r Ti 3 Name 5O t P Q A wt. R Address (number and street) City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): jg Candidate (office sought): Se_kz,a.s 41/4 co (3) ID Number: m 2 73 an ,c �'eV Co von c 1\ �e,,.,.,., bn Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee E. Electioneering Communication CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 0 30 0 9 To I l 13 Q'7 Report Type TR ,Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT 00 Cash &Checks (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT .5 a q7 00 Loans to Office 0 0 Total Monetary D SC a ci 7 co In -Kind 0 (8) Other Distributions G (9) TOTAL Monetary Contributions To Date 3:1 (10) TOTAL Monetary Expenditures To Date 37 5 i (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) ,L Y�d�lc'�_c- co I certify that I have examined this report and it is true, correct, and complete. c� �p (Type name) h�'I ,cam v C Individual (only for la Deputy Treasurer electioneering un.) X 21 X Signature Candidate Chairperson (only for PC, PTY electioneering c. II n. organization) dA& Signature DS -DE 12 (Rev. 08/04) (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type 3) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 1\-) O •±N 1, o cti_ OFFI( ?MIA N( -)F SFBAST E OF CITY C i ERK 26 7 (1) Name DS -DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS /rI vuoc -O. Q c-°/ 3) Cover Period 1 0 O 9 through 1 //3 (2) I.D. Number Q q 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 io /3° %9 wGYL FM t a 3 s x6 S e. U �vo Q 'Rol: IA ks MO A) $2g5 60 G OB �i6 f ha/04=7 I1 L e. C'' 50 P�1w, fay ey•.,��. 5 Q.b ic" Ft." 3A9Se R� a 1^d a,,. D 1 S 4 I t- ooh Nen c \-1,A c L LO i r ;rF OFFICE OF 2009 NOU 13 SEBASTIAN CITY CLER? A�1926 1 1 1 CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (1) Name ,n� c- C o (2) I.D. Number (3) Cover Period 16 3 0 0, through 1' J 3 D 9 DS DE 14 (Rev. 08/03) (4) Page SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES of November 4, 2009 Andrea Coy 501 Palm Avenue Sebastian, FL 32958 Dear Ms. Coy: Congratulations on your re- 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 ely, Sally A. Maio, MMC City Clerk Enclosures sam 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 S'e I VI AA Y A (S. coy OFFICE O�FG�ilFf him L t� 1( 2009 OCT 30 API 10 07 Name So Qc& Q J Q— Address (number and street) 5��e- --,Sz el— 3 2 q5g City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): g Candidate (office sought): S a_\ C:).,- Co ..�r.c:.` S _&k.∎0 Political Committee CHECK IF.PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee 1 Electioneering Communication I I CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From (O 10 09 To 0 la g D 9 Report Type 4 ,Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks 1 -1 ac) i (7) EXPENDITURES THIS REPORT Monetary Expenditures 3 )176 s i vC, Loans 0 Transfers to Office no Account 0 ate Total Monetary 1 I.14 -5 Total Monetary 3 1 J 176 O c, 0 In -Kind (8) Other Distributions $c (9) TOTAL Monetary Contributions To Date 3 (10) TOTAL Monetary Expenditures To Date 3, �t 1-[ 7 (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. (Ty n _ca v �o) I certify that I have examined this report and it is true, correct, and complete. I (Type name) ✓toy e� `J CO C Individual (only for Treasurer Deputy Treasurer electioneering c• u x —4...L IS&andidate Chairperson (only for PC, PTY electioneeri• x 41..4 Signature Signature DS -DE 12 (Rev. 08104) (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 l a 07 3er..a.r. ete. O�— 9.0. a 0�c 6.61 Qost�►c..*d c L 3295 4 1 I� /G 3-'o G 00 l 0 I l09 p,O. t3o,4 1 R as t- 3 a9S7 -0661 1 Nq C.\-\ $So 00 .2. 0 A m .r.a P.��- ,N•A..�• S63CrossCn.....ka 5 ;a...., F"1.. 3z4 1-1 iq G1�� 1(�o 0 o 3 t o/ 141 Oct 1 se. sy5.3- C 00 410D 6 -(kw; r t 65 -a. Awe 3 .2958 0 0 l 10 14 log Kos fi s ue« o z,� 1 1NVA 6' AS 4020 Y° OOS 3 a9 10116/ Oo". \0. 1 912 Lo,,6 aF Qek ;.c-a 61A5t .._3-s 0..n .,.e_c C, 1- cE._ 2009 OCT c 0 410 0 c) m O 0 6 S Flo Q.5k ..L 3,243-8 �y 20 0 9 1 0/ 0 3 -4k� a s T....3- iui 1 3 2a. J l'l L 1 Q i s/ Prover ,M CIA L O OT WY 0 0 SE :IA TIAN F CI 0' CLEF GO`7 s Es.o o -s�'. �l_ 3a4sg D ,o7 /U o2 T .3- c..._ �o� c i GNP aU 4/60 0 D V 7 oe.o Lc .3', ,ae- 9203 (1) Name CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS rt ace_., G. c_oy 3) Cover Period 1 0 1 0 09 through DS -DE 13 (Rev. 08/03) (2) I.D. Number /O/ 02 O? (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) (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number Contributor Type Occupation 1v a oq r- cc.,( oho,.A P.©. a3ax 3 66 3a5 ou Oo c7 If O 09 s 84, ReAv-loack Ct.- 3a4s8 X25 el 0 Did /U 0 2'{ 0911401 u.s. N .,yd. \)�co G 307-60 e) 0�\ cN� O l I i»o ,Q 5 L o e cr. v, s e er. _c s ue A; lame. Pis c l-) G $1 Do 0J oZ to �:c O C. s n.,,. CL 3-29s13 r i 1 l-t t ►'J G C I~.L_G c,. 1)09 OCT 30 F SI 1FFICE OF L0 01 WY LE (1) Name DS -DE 13 (Rev. 08103) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (2) I.D. Number 3) Cover Period /0 /O 0 through /0 cR c/ 0 9 4) Page 02, of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I I OCT 30 1 08 (10) (5) 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 Amendment (11) Amount (6) Sequence Number to 16 /o9 1 141 CIS. N S I,.-.a 1 r 5 U cO Q ecZC� F L P�; 42-- e Maw 4135 83 1 3 ag 6 0 I o/ i 5/0 k.10 c--\.~•41-4-11- a, o 1 U.S. W*,,x./ S o \O 0 4 1 Qc'\ S u__ Al o 3 a 68 3 2 S S8 Se.10 3 t=.a.. 1 Qosit- or:dz_ 3 a 9s8 0 03 10 /IVO `rvnSuxe..t s �.octssr Rc��o (Z 6 3 v as® Z v .c.-e-CN. Ir R4 S ci) czc 1 015 7= °0 `i 39 CO 10 /1 r /o9 5' k e \.e_ S t li e p 5,�_q e i B g ---Vs 0o,5 \ie�o `Q 3a'6C) /0 /20/09 S {'c`rt\es 1191 u.s. I-4 i5� Pc: .,k; ,AA 4 58 81 0o6 32960 10/20/0? T �c mss. J ows c`o\ ..3 (Bot U.S. N Ne_,zse 4-6? 8 007 3 x-960 10 /aS /09 O�bb: \--\w C-cp. `1ST Ste. 1 a 50 E \.12. ��;o r. �t vn� $spZ� O0B t(` 3 as C- t e CAMPAIGN TREASURER'S REPORT ITEMIZETE) E(PENOITURES (1) Name nc c,�c_ t C c"`'1 I f deti {ti FICE OF CITY CLERK (3) Cover Period 10 10 D 9 through /0 a9 0 (4 Page of DS 14 (Rev. 08/03) 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 to a7 o g Q�S o�� i eoI u.s. "�y� �e—,a, won 6? 1dyo i0 /a7/o c 3,-.960 .x► Oo\,\G�C f® .,,,C'°�S ac_ ('1 RGGe. ic: or,. e.... e-<- Goo s Ls l S \i o\ 0 10 3 .G.-, 321- c U uFFICE 0 f* C C a •EUAS1 MH CITY CLER CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES „d Cry (3) Cover Period 10 /0 09 through U a 9 a 9 (1) Name DS -DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (2) I.D. Number (4) Page a of October 22, 2009 Andrea 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 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 smaioacitvofsebastian.orq. Sinc Sally A. City Clerk Enclosures sam io, MMC CPC( 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- E1'f1ONS CAMPAIGN TREASURER'S REPOR ti'M APTIAN (1) N QReell (S. CoY /—1 OFFICE ur LI I T ULI_KtS OFFICE USE ONLY 2009 OCT 13 All 11 99 Name SO Q\ vnn Q -�.ke_. Address (number and street) Seko��;�.., L_ 3.a9ss City,- State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): Z.Candidate (office sought): 5e-\�ics.c. (3) ID Number: CI scy Co.,,.„, (V\ Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee n Electioneering Communication I CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From c i a6 09 To 0 0 9 01 Report Type 63 [4 Ori Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT o c (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 0 o- Cash Checks .5-5—(—} co Loans 0 to Office O� Sr- 0 0 Total Monetary 550 o� In -Kind o (8) Other Distributions, .5 (9) TOTAL Monetary Contributions To Date a 3oa (10) TOTAL Monetary Expenditures To Date a-70 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. (Type name) q V D REA i s. C v I certify that I have examined this report and it is true, correct, and complete. (Type name) n ClCcis 6 Co Y Individual (only for XTreasurer Deputy Treasurer electioneering mun.) Qandidate Chairperson (only for PC, PTY e ctioneering c.••, un. organization) Signature Signature DS -DE 12 (Rev. 08/04) (3) Cover Period 0 9 6f O 9 through 1 V U C) (4) Page 1 of 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 o c26 0 5 3s CH aod� Oe_e. ,0 tYtcu e. 5 A so,, Nye 11463 00 I 0 0 7 o5 Cn�l c� e 19q, P w.4k- Or \kr o r s... ►'c-L t t•. 3966 B d dd .4, d g c__ t-4 a 250 001 10 OS 05 IZe o1 W-.. IAG O8A c c `H9A C_co �.s" 6 Semis 1 ``ek eb�sk--� L S 3a4SS 6 cZQa. Es C E-1 a 00 $100 003 1 OCT 13 I -1i SEL FFtCE OF CU t✓ s 1 AS Y CLEK 1 (1) Name t ry p RSA Gc9`i DS -DE 13 (Rev. 08103) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (2) I.D. Number 1 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 N O c 2 .o e 1 1 1 1 Z009 OCT FF10E 1 13 All 11 F SEBAST1A OF CITY CLE 1 99 N .RK 1 CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (1) Name kiN p atA J3 C'oY (2) I.D. Number (3) Cover Period 0 9 026 09 through /0 09/ 0 (4) Page 1 of DS 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES October 8, 2009 Andrea Coy 501 Palm Avenue Sebastian, FL 32958 Dear Ms. Coy: Sincerely, Sally A. Maio, MMC City Clerk sam OF HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org 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 smaio@cityofsebastian.orq. i FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORTAIVI k il lA (1) 14N0REA (3, Co'? Name 501 Pad,,.,, a v Address (number and street) Se..-\oo.sV■o....■ mot_ 3276 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 (6) CONTRIBUTIONS THIS REPORT as Cash Checks 0200 Loans o Total Monetary In -Kind aoo 00 00 (9) TOTAL Monetary Contributions To Date I 750 aO I certify that I have examined this report and it is true, correct, and complete. (Type name) A el cc c4 Individual (o for reasur-r D u ty Treasurer electioneerin o un X Signature OFFICE O EU4ert.i EcRA -Y 2009 SEP 29 PPI 11 17 AM tu (3) ID Number: CHECK IF P HAS DISBANDED CHECK IF CCE HAS DISBANDED CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED Cover Period: Original (5) REPORT IDENTIFIERS From 09 42 /Q To 9 2 o 9 Amendment Special Election Report Report Type Independent Expenditure Report (7) EXPENDITURES THIS REPORT Monetary Expenditures Transfers to Office Account Total Monetary o ho (8) Other Distributions o o (10) TOTAL Monetary Expenditures To Date 6 0270 (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) X Candidate X Signature nokce.c.. O CO El Chairperson (only for PC, electionee commun. organization) Y& DS -DE 12 (Rev. 08/04) Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type Occupation (9) Contribution Type (10) v In -kind Description (11) Amendment (12) Amount (6) Sequence Number i 53 r.f SPt LLesLA S eloo- bsv :n..► CI- T 9ek:r C. VAI.- 4 /So °b 0 0 i c3 1 i It/ iO9 R►c.L 0..,3c 7 '4 `f Kcoe O c, 5 e.N.3asv.C..� cL 35 1 C �l c----9- o O a 4,5 N k 1>v G o t,,,.,.. ow 20a9 SEP uFFICE 29 'ii _AM SEBASTG OF CITY CLI 17/ RK CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name AN) ORE-A Q, Co; DS -DE 13 (Rev. 08/03) (2) I.D. Number 3) Cover Period 6 C cj through 0 9 a C `j 4 P 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 (11) Amount (6) Sequence Number /0/ 09 S` Icae�� 2 q U. s. �,�y vim 6e--0.C\.. r 1,29 40 P.--,,,....v.,....,...... sv���L,<LS oN 33 t1y3 00 1 9 /457°9 S 1 \9k U.S. \--,..ay 2 U eNo C'� e_o-a G1,_. 34960 1:?c�..k:�.� S S e o r.) OQ 10 OT N rN G cO l._ l., 0 7 IlliCi Irri LFFICE 1711 JF SEBASTI) OF CITY CLI 18 N RK N CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (1) Name ,n (2) I.D. Number (3) Cover Period 0 9 a 09 through 0 9 o?S/ O (4) Page of DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES September 25, 2009 Andrea 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 September 12 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 smaioacityofsebastian.ord. Sincerely, Sally A. aio, MMC City Clerk sam Q OIYOF 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 ir r ENS CAMPAIGN TREASURER'S REPO0R1 ,t (1) /qnJcea (_p%/ AYliAti OFFICE LILY 2009 SEP 16 Prl .2 03 Name sot Qaa,,,,. Avw.v►� Address (number and street) SA)aS;C:c Vt.. 958 City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): RI Candidate (office sought): 5 e \0-.5V, COcy (3) ID Number: c c 1\/\_ -\oe-C" 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 OIS 03 09 To p R 11 loci Report Type 61_. Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT H G0 Cash Checks 1 t i SO (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT O0 g oo Loans r 00 to Office cao 0 Total Monetary 6 na 8t In -Kind 0 (8) Other Distributions $0 v (9) TOTAL Monetary Contributions To Date ii 550 (10) TOTAL Monetary Expenditures To Date at (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. (Type name) a vo A t �J Coy I certify that I have examined this report and it is true, correct, and complete. (Type name) A N O (ZCA G 1 �0e Individual (onl for Treasurer Deputy Treasurer electioneerin un.) X Wandidate Chairpers. ly for PC, PTY lectionee co nun. organization) X Signature Signature DS -DE 12 (Rev. 08/04) (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 0 0/ a 8/ o ci Ce AA,r.F ea. Q. so l t�aL� Pwe. se, ,L 5'a P a y lop 00 00 1 3a 09, O�/lo9 oAUis, Acke.c, 668 QQ :.dk,A se��:a,., F� 3 42 9se r. a 00 odd Ne K. Sot Pte,,. Awe S..toa..sk.A.. Cl.. sue- OcCker c.‘-1 E vo a 00— 00 09, O I t.ITMAry s Cr cce.e)K C►r, se;. Ft.... 3a9S8 T Re. reA C N 4200 4242 oy o/ 0 9/ o 9 c4..�V•ou se. 6o .0 e. b t Q Goy e C t .E, too 005 t- L' A S c 1 GL 324sS Bq,o6rr3A LS% k1"^'^ o0 6 So ts +.c.,,,., 3 2958 e 7SO �r a �N moo a t oms S LLO S M i o 07 34295'8 to >i< A)o as )1d310 a Wd X1110 ,0 91A39 301.4J0 (1) Name 3) Cover Period 08 0 3 09 through DS -DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS A P c c '6. C©C 09 1! 09' 4) Page (2) I.D. Number SEE REVERSE FOR ti S198Ss1I q pE VALUES Cl,$ 1 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 8 428/0? 1 .r O A rr .7eeaoe S l:.... Gi- 32958 Q E. I GG�•c Fe- pel `6 0 o 1 8/28/09 Na�:c.,` Cosy C3a.�, C4 993 Se .i Ci ■oc►. Sa-C....-Ek•A..., 31.5 GLe.c-tA Cep P10 rV 4 d oo oo a (0T uls6.o N 9 Z bid )18313 AI10 91 dr AO 3OI 6802 .3.4 CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (1) Name A N O RCA Q CO'? (2) I.D. Number (3) Cover Period 05 03/09 through o9' l o (4) Page 1 of DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS Aa ir 1 September 11, 2009 Andrea 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 August 3, 2009 (the day you first declared candidacy) 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 Sincerely, sam Sally A. Maio, MMC City Clerk 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org CfIYOF HOME OF PELICAN ISLAND 1, a citizen hereby Florida. LOYALTY OATH FOR NON PARTISAN OFFICE (Sections 876.05 876.10, Florida Statutes) STATE OF FLORIDA I NA: .c., PL)e..(, COUNTY OFFICE USE ONLY S S 'S i;. OFF IC CITY C E K 2009 RUB 28 P11 1 9? f rtolC €cx. (3 C.c 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 I, am My under have with 99.012, OATH OF CANDIDATE nn (Section 99.021, Florida Statutes) 1'! ad tr CC, I (PLEASE PRINT NAME AS YOU WISH IT TO APPS ON THE BALLOT NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) a candidate for the office of r j��, ms G;t J �c,u,, ,j, l i 1 NA. 0,. a, (office) 45 \,��Ic.:.r,... (district) (group) legal residence is j „e>.. County, Florida. 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 TM 380-096( Signature of Can+didd to Daytime Telephone Number Email Address Address Sworn Personally Produced Type to (or affirmed) and subscribed Known: or City before me this State ZIP Code r X day of �'it a.51 2007 ri s /J (Z,e 11 Identification: of Identification Produced: Signature of Notary Public State of Florida Print, Type or Stamp Commissioned Name of Notary Public 'k• Sally A. Maio :3; Commission DD595269 A Expires October 5, 2010 l,Pf, h- Bonded Troy Fain Insurance Inc 800.3897019 DS -DE 25 (05108) FORM 1 STATEMENT OF FINANCIAL INTERESTS 1 2008 Please print or type your name, mailing address, agency name, and position below: r[; F CITY T Y C L f n t I JU U Pill 1 1 LAST NAME FIRST NAME MIDDLE NAME FOR OFF USE ONL MAILIN Af1Qfe8 Coy 204852 Sebastian ID Code ID No. Conf. Code P. Req. Code 501 Palm Ave Sebastian, FL 32958 CITY COUNTY T NAME OF AGENCY ■k .\0c-S e�. NAME OF OF(rICE OR POSITION HELD OR SOUGHT C�W�c.•VVv�% e.r �er�f C cC 3 Gi c c.�v.. You are not limited to the space on the Tines on this form. Attach additional sheets, if necessary. CHECK IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE **BOTH PARTS OF THIS SECTION MUST BE COMPLETED** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING g DECEMBER 31, 2008 QR SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): COMPARATIVE (PERCENTAGE) THRESHOLDS OR la DOLLAR VALUE THRESHOLDS ON A CALENDAR YEAR OR ON EITHER (check one): YEAR: DOLLAR VALUES, WHICH ON PERCENTAGE VALUES (see PART A PRIMARY SOURCES OF INCOME NAME OF SOURCE OF INCOME [Major sources of income to the reporting person] SOURCE'S ADDRESS DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY c.,,,.., 9:104, C %-C c...,\. 3ocLi tct- Ft- VI. x G.e. 4,L (a.3.:_.,. W q� Gd,,\1. -C- 3 6 t7 L.sc: G i1�.�.� ,.,.r SC S P.©. OX 7t' 30 L .ti c k` 1. 4° 7 '1.2- 7130 4ti`l;`. F E k. c e ms« c__ �r s c._k.a e �..S� ;G..t.. aa 5' Nom: I s t,.6 C._� `C.C:.�_ fi t- 3 ry2 4 5 l 0A. G 4,, C_� mac_ J "1.. VLJ�1t�.. PART 8 SECONDARY SOURCES NAME OF BUSINESS ENTITY OF INCOME [Major customers, clients, NAME OF MAJOR SOURCES OF BUSINESS' INCOME and other sources of income to ADDRESS OF SOURCE businesses owned by the reporting person] PRINCIPAL BUSINESS ACTIVITY OF SOURCE 1A' VA' PART C REAL PROPERTY [Land, buildings owned by the reporting person) FILING and where ed at the INSTRUCTIONS this form on page OTHER file are INSTRUCTIONS for when to file this form are locat- bottom of page 2. on who must file and how to fill it out begin 3. FORMS you may need to described on page 6. CE FORM 1 Eff. 1/2009 (Continued on reverse side) PAGE 1 INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR 1\) mk V ke 1/4Ct PART F INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] BUSINESS ENTITY 1 BUSINESS ENTITY 2 BUSINESS ENTITY 3 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST rc). �3 o 6335D t ti�__��w. 6i4 3 C 3,s' 5-- rV 7--4- IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE (required): DATE SIGNED (required): S� 3 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. FILING 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 Tess 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 1 F) within 60 days of leaving office or employment. CE FORM 1 Eff. 1/2009 PAGE 2 rTh r Name Cash Date A4 eck# No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies /Bid Specs. 001501 341910 LDC /Code of Ordinances 001501 341930 Election Qualifying Fees`-- 6: L 601010 343800 Cemetery Lots Lot/Niche Block Unit 001501 343805 Cemetery Fees CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT :57, Oidr- Initials White Dept. of Origin Yellow Finance Pink Applicant 4578 Total Paid r STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: CITY (WINStJSE ONLY OFFICE OF CITY CLERK 9 RUG 3 WI 00 Ta Original Appointment r Deputy Treasurer Reappointment of Treasurer Name of Candidate Pncii-e�- '13. Co 1. Address (include post office box or street, city, state, zip code) SO 1 ecz.`w. AN) e- in.,,.e_ 5 2 Slc:c r- C 3a96 Telephone (optional) (7 3SS -out 2. Party (Partisan candidates only) ro /A 3. Office (add district, circuit, group number) Se_.\Q 0..sie.Q.,. C:ky Cot -t_&c I have appointed the following person to act as my Campaign Treasurer Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer AAA., .....A... 6. 5. Mailing Address (If post office box or drawer add street address) 5© 9Av.,. R 0 6. Telephone City e. o ST1ow� 8..� Co t 3-.h i°�+^� 9„,,,:.Je� 9. State L 10. Zip Code 3 a9 53 !have designated the following named bank as my Primary Depository Secondary Depository 11. Name of Bank rv cOr :O C2\ C I r 7/. B ---.:.U- 12. Street Address ci c3 S..1.0o,sk:o., Q uc 13. City 14. County S C S-•^d• c R:.,e c 15. State F l-- 16. Zip Code c� '3o2 `.0 CJ 17. k nature of Candid Date Campaign Treasurer's Acceptance of Appointment AA I, fl ✓Wlc2a, C3 �o do hereby accept the appointment as Campaign Treasurer (Please Prin r Type) Deputy Treasurer for the campaign of 1 s tr Q y who is seeking nomination or election as a I 4 candidate to the office of (Party) s 42.„\c, Sc:�.. COY CO,Ax,C.,:, UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT T ACTS STATED ARE TRUE. 6/ 3/0 X Date Signature of Campaign rea er or Deputy Treasurer DS -DE 9 (Rev. 01/08) 1 1 rtcXc� Q ca candidate for the office of have received, read and understand the requirements of Chapter 106, Florida Statutes. X STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) Signature of Can OFFICE OF CITY CLERK ZOOS HUG 3 19 9 00 8/3/0? ate 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 $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS -DE 84 (Rev. 03/08) JiTY OF SEBASTIAti Notary P •Iic State of Florida SEAL aYm Ms- word/election/charter eligibility Charter Section 2.02 ELIGIBILITY HOME OF OFFICE OF CITY CLERK RUG 3 fill 9 ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER "No person shall be eligible to hold the office of council member unless he or she is a qualified elector in said city and actually continually resided in said city for a period of one (1) year immediately preceding the final date for qualification as a candidate for said office." I, A vscL e a_ c!)- Go candidate for the office of Council Member, meet the igibility qualifications to hold office as required in Section 2.02 of the City of Sebastian Charter, above. Signature of Candidate Sworn to and subscribed before me this 3 ff day of 0200? 1:4fit, Sally A. Maio rE Commission* DD595269 Expires October 5, 2010 V ri Bonded Troy Fam Insurance. Inc. I0O4•701$ See attached FS language for meaning of qualified elector