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HomeMy WebLinkAboutHILL JAMES 11-02-2010FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMAR1 James Hill p i- Dti✓A7 :i IAN o f I C` U IerTrFE K t� y 2011 JRN 31 P19 1 19 Name (2) 113 Morgan Circle Address (number and street) Sebastian, FL, 32958 City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): Council (3) ID Number: Candidate (office sought): Sebastian City 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 0 21 Z //O To 01 3/ /int Report Type TR Report Independent Expenditure Report M Original Amendment Special Election (6) CONTRIBUTIONS THIS REPORT Cash Checks (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 635.00 Loans to Office Total Monetary In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 2,850.00 (10) TOTAL Monetary Expenditures To Date 2,850.00 (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) Carleen Hill I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill Indivi.. (only for N Tree ur- Deputy Treasurer Candidate Chairperson (only for PC, PTY electioneering commun. organization) election -rin \commun.) X X Sign Signature ure DS-DE 12 (Rev. 08/04) 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 ►i /oVto YKocrusc,t s tk..1! Pii SIEck1,-,. (4 y l T'�dvriSS6S s tt S 5e ,-6.,, --L 32415 r It Ai, F 1.'VJ i Z. 1 1 /22/1b e e.e.�l-1 i,�� V. �r �2ctSx t.-� �C1�1�L`. 5�S�kN 4h, 1 `d 20 11 driN 31 I t: ri 'Pl 1 19 11 CLERK (1) Name (3) Cover Period DS 14 (Rev. 08/03) CAMPAIGN T REPORT ITEMIZED EXPENDITURES A r 5 Ff (2) I.D. Number 10 2" 1 2l 7 through 20/ (4) Page of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DMSION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) James Hill OFFICE USE ONLY Name (2) 113 Morgan Circle Address (number and street) Sebastian, FL, 32958 City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): Council (3) ID Number: Candidate (office sought): Sebastian City 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 10 09 2010 To 10 28 2010 Report Type G4 Report Independent Expenditure Report Original Pi Amendment Special Election (6) CONTRIBUTIONS THIS REPORT Cash Checks 100.00 (7) Monetary Expenditures Transfers Account Total Monetary N EXPENDITURES THIS REPORT =2 Y rn Loans c_.) c_ (f) to Office C) r D. Cn Total Monetary t"• r- 1—' r" In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 2,850.00 (10) TOTAL Monetary Expenditures To Date 2,215.00 (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) Carleen Hill I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill Indivi a my for Treasur Deputy Treasurer Candidate Chairperson (only for PC, PTY ectioneering commun. organization) electione ring c� mun.) Sig Signatur ture DS-DE 12 (Rev. 08/04) (5) Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type cu Occupation Contribution Type In -kind Description Amendment Amount (6) Sequence Number 10 16 10 Donna A. Keys 725 Layport Drive Sebastian, FL 32958 I Insuranc e CHE 50.00 1 10 16 10 Daniel P. Melien 850 Periwinkle Sebastian, FL 32958 I Retired CHE 50.00 2 201 SE t FICE OF CI 1 JON 31 TY CLERK 'P1 1 19 CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name James Hill (2) I.D. Number 3 Cover Period DS-DE 13 (Rev. 08/03) 10 09 2010 through reset 10 28 2010 4) Paae SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES prin 1 1 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) James Hill OFFICE USE ONLY Name (2) 113 Morgan Circle Address (number and street) Sebastian, FL, 32958 City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): Council (3) ID Number: Candidate (office sought): Sebastian City 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 09 25 2010 To 10 08 2010 Report Type G3 Report Independent Expenditure irgport Original M Amendment Special Election (6) CONTRIBUTIONS THIS REPORT Cash Checks (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT rn w a n, Loans -c to Office 3 C r— J Total Monetary CO 7c In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date 1,529.00 (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) Carleen Hill I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill In ividu (only for 0 Treasure Deputy Treasurer Candida Chairperson (only for PC, PTY ctioneering commun. organization) elect' rneenng ommun.) X L Sign. Signature ure DS-DE 12 (Rev. 08104) FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) James Hill OFFICE USE ONLY Name (2) 113 Morgan Circle Address (number and street) Sebastian, FL 32958 City, State, CHECK (4) Check Zip Code IF ADDRESS HAS appropriate box(es): (office sought): Committee of Continuous Executive Committee Communication CHANGED Sebastian City Council (3) ID Number: Candidate Political Committee Party Electioneering CHECK IF PC HAS DISBANDED Existence CHECK IF CCE HAS DISBANDED CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED Cover Period: Original (5) REPORT IDENTIFIERS From 09 11 2010 To 09 24 2010 Report Type G2 Special Election Report Independent Expenditure Report M Amendment (6) CONTRIBUTIONS Cash Checks Loans Total Monetary In -Kind THIS REPORT (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 1,002.00 ry to Office G ffice c=> rl c_- n c---; o c E—' *t C rr, (8) Other Distributions C;-. w (9) TOTAL Monetary Contributions To Date (10) kau TOTAL Monetary Expenditures To Date 1,477.00 (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) Carleen Hill I certify that I have examined this report and it is true, correct, and complete. (T ame) James Hill t Indi dual electio Bring X only for IN Treasu r In Deputy Treasurer M i. S andidat: Chairperson (only for PC, PTY 8 ele ioneering commun. organization) �mmun.) 1 Signat ature DS-DE 12 (Rev. 08/04) December 6, 2010 Jim and Car leen Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. and Mrs. Hill: In accordance with Florida Statutes Section 106.07, your campaign treasurer's Termination Report (Try) for your campaign for the period from Friday, October 29th is due in the Office of the City Clerk by January 31, 2011. The Termination Report will include a summary page showing the amount of your expenditures since October 29, 2010 and an equal amount of contributions and expenditures for the entire campaign. It will also include an expenditure page with all lawful expenditures in accordance with 106.11(5) and 106.141(4). You need not wait until the deadline to provide your report. As soon as your funds are disbursed you may complete the form and submit it. 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. If you have any questions, or if there is anything 1 can do to assist you, please do not hesitate to contact me at 388-8214 or m i ityof e ti n.or Si erely, Sally A. aio, MMC City Clerk V1ct ('iwtiq. HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589-5570 fax smaio@cityofsebastian.org s e o- 4* 0 Cie L 0 CU e 0 i-c$ ,I, CIJ w Z et CA CI CU CA 0 ..O CU e 0 PC E CU 7 0 0 w 0 0 z li can Q Q V Q Q Q 4 4 4 4 4 4 4 4 November 9, 2010 Jim and Carleen Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. and Mrs. Hill: In accordance with Florida Statutes Section 106.07, your campaign treasurer's Termination Report (TR) for your campaign for the period from Friday, October 29th is due in the Office of the City Clerk by January 31, 2011. The Termination Report will include a summary page showing the amount of your expenditures since October 29, 2010 and an equal amount of contributions and expenditures for the entire campaign. It will also include an expenditure page with all lawful expenditures in accordance with 106.11(5) and 106.141(4). You need not wait until the deadline to provide your report. As soon as your funds are disbursed you may complete the form and submit it. 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. 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 or smaio(c�cityofsebastian.orq. Sin Sally A. City Clerk C o, MMC HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org Sally A. aio, MMC City Cl -rk (SEAL) CQY OF HOME OF PELICAN ISLAND SEBASTIAN CITY COUNCIL MEMBER OATH OF OFFICE I, James A. Hill, do solemnly swear that I will support, protect, and defend the Constitution and Government of the United States, and of the State of Florida; that I am duly qualified to hold office under the Constitution of the State; and that I will faithfully perform the duties of the office of Council Member for the City of Sebastian of which I am now about to enter, so hel me God. J. es A. Hill ebastian City Council Member Swo u and subscribed before me this 8 day of November, 2010. FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY James Hill i 1 r Li._;A 7 OFFICE OF EH 9ILY 2010 OCT 29 Ail 11 1 18 Name (2) 113 Morgan Circle Address (number and street) Sebastian, FL 32958 City, State, Zip Code CHECK IF ADDRESS HAS (4) Check appropriate box(es): 12 Candidate (office sought): Political Committee Committee of Continuous Party Executive Committee Electioneering Communication CHANGED Sebastian City Council (3) ID Number: CHECK IF PC HAS DISBANDED Existence CHECK IF CCE HAS DISBANDED n CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED Cover Period: (5) REPORT IDENTIFIERS From 10 09 2010 To 10 28 2010 Report Type G4 Amendment Special Election Report Independent Expenditure Report FA Original (6) CONTRIBUTIONS Cash Checks Loans Total Monetary In -Kind THIS REPORT �1 1 0 0 (7) Monetary Expeures Transfers Account Total Monetary EXPENDITURES THIS REPORT 00 to Office 1 1■ 0 0 b (8) Other Distributions (9) TOTAL Mo etary Contributions To Date X15 (10) TOTAL Monetary Expenditures To Date 10k 00 1 (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) Carleen H 11 I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill Individ electione X ing co ily for Treasurer 11 Deputy Treasurer Candida Chairperson (only for PC, PTY electioneering commun. organization) mun.) 0. 1 7 Signatu Sign ture DS -DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name James Hill (2) I.D. Number DS -DE 13 (Rev. 08/03) 10 09 2010 through 10 28 2010 4) Paae SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 of 1 Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type (8) Occupation Contribution Type In -kind Description Amendment Amount (6) Sequence Number 10 13 /2010 Realtors Association 2182 Ponce de Leon Circle Vero Beach, FL32960 0 B Realtor CHE 500 1 10 19 2010 Capt. Hiram's PO Box 781507 Sebastian, FL 32958 B Marina CHE 200 2 0 F F C 1- r t. jLiLP SEBASTI) OF CITY Cu ttu t \N ERK 4Q CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name James Hill (2) I.D. Number DS -DE 13 (Rev. 08/03) 10 09 2010 through 10 28 2010 4) Paae SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 of 1 (5) Date 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 Amendment Amount (6) Sequence Number Jim Hill Loan Repayment MON $200.00 10 /12/10 113 Morgan Circle Sebastian, FL 32958 1 Sam's Club Supplies MON $34.95 10 /15 /10 20th Street Vero Beach, FL 32963 2 Dunkin Donuts Supplies MON $25.70 10 /20)/10 Sebastian Blvd. Sebastian, FL 32958 3 Morrissey's Irish Pub Campaign Lunch MON $65.48 10/20/10 740 S Fleming Sebastian, FL 32958 4 St. Sebastian Catholic Event Sponsor MON $360.00 11/27/10 Church US Highway One Sebastian, FL 32958 5 201! 01 119 11 TY CL� 99 CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES (1) Name James Hill (2) I.D. Number (3) Cover Period 10 09 2010 through 10 28 2010 (4) Page 1 of 1 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES October 19, 2010 Jim and Carleen Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. and Mrs. Hill: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period from Saturday, October 9 through Thursday, October 28, 2010 is due in the Office of the City Clerk by 5 pm on Friday, October 29, 2010 (G4). Please keep in mind that this report has a different reporting period from the previous two, since it is a longer period; and ends on Thursday, October 28 with the report due the next day Friday, October 29 In accordance with Florida law, no contributions can be accepted after midnight on Thursday, October 28 (106.07 (2) a.1.) Now is a good time to become familiar with FS 106.11(5) and 106.141 in regard to closeout and disposition of campaign 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. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio c@citvofsebastian.orq. Sin Sally A. aio, MMC City Clerk CITY OF SEitiesTaN 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 EI,ECTI.ONS CAMPAIGN TREASURER'S REPORT S R (1) James Hill li OFFICE 09Ftl( LR Y 2010 OCT 15 fill 9 32 Name 113 Morgan Circle Address (number and street) Sebastian, FL 32958 City, (4) Check 12 State, Zip Code CHECK IF ADDRESS HAS CHANGED appropriate box(es): Candidate (office sought): Sebastian City Council (3) ID Number: 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 Cover Period: (5) REPORT IDENTIFIERS From 09 25 1 2010 To 10 08 2010 Report Type G3 Amendment Special Election Report Independent Expenditure Report Original (6) CONTRIBUTIONS Cash Loans Total Monetary In -Kind THIS REPORT Checks 200.00 (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 51.99 100.00 to Office (8) Other Distributions (9) TOTAL Monetary Contributions To Date 2,050.00 (10) TOTAL Monetary Expenditures To Date 1,520.00 (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) Carleen Hill I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill ❑Indivi• election X .1 (only for Treasurer Deputy Treasurer Candidate Chairperson (only for PC, PTY electioneering commun. organization) erin4 ommun.) X Signature Signat e DS -DE 12 (Rev. 08/04) (1) Name James Hill (2) I.D. Number DS-DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS 09 25 2010 through 10 08 2010 4 Page 1 of 1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Date Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Code Contributor Type (8) Occupation Contribution Type In -kind Description Amendment Amount (6) Sequence Number 09 27 /2010 James Hill 113 Morgan Circle Sebastian, FL 32958 I LOA 100 1 09 27 2010 Denise Griffin 588 Gossamer Wing Sebastian, FL 32958 I CHE 50 2 10 07 2pl0 Daniel Duffell 717 W Fischer Cir Sebastian, FL 32958 I CHE 50 3 10 08 ?010 Joseph and Rosemary Flescher 279 Joy Haven Dr Sebastian, F 32958 I County Commiss ioner CHE 100 4 r. c c h ,(r1 OFFICE 0 CITY CLER `C) (1) Name James Hill (2) I.D. Number DS-DE 13 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS 09 25 2010 through 10 08 2010 4 Page 1 of 1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date 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 Amendment Amount (6) Sequence Number 10 /04 /10 IRCSOE 4375 43rd Ave Unit #101 Vero Beach, FL 32967 Voter List MON $15.00 1 10 /04 /10 The Home Depot US Hwy 1 Sebastian, FL 32958 Supplies MON $36.99 2 UFFICE 2010 OCT F SEC4S 11,1 OF CITY CLf 15 AP19 ERK (1) Name CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES James Hill (2) I.D. Number (3) Cover Period 09 25 2010 through 10 08 2010 (4) Page 1 of 1 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES October 7, 2010 Jim and Carleen Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. and Mrs. Hill: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period September 25 through October 8, 2010 is due in the Office of the City Clerk by 5 pm on Friday, October 15, 2010. 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 11 through October 15, 2010. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio cityofsebastian.orq. S Sally A. aio, MMC City Clerk CIIYQF HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388 -8214 phone (772) 589 -5570 fax smaio @cityofsebastian.org ti FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY James Hill VIII U I 1 t jNLY OFFICE 0 IYLERi{ 2010 p(}� 2010 OCT 1 f 11 3 .19 Name (2) 113 Morgan Circle Address (number and street) Sebastian, FL 32958 City, State, Zip Code CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): II Candidate (office sought): Sebastian City Counc' (3) ID Number: Political Committee C K IF PC HAS DISBANDED Committee of Continuous Exioencg C K IF CCE HAS DISBANDED Party Executive CommittelP Electioneering Communication CHECK IF NO OTHER ELECTIONEERING gigNIMUtlICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 9 11 2010 To 9 24 2010 Report Type G2 2 Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks 1,000.00 (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 993.00 Loans 5 0.0 0 to Office Total Monetary In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 1,750.00 (10) TOTAL Monetary Expenditures To Date 1,468.00 (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) CArleen J. Hill I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill Individual (only for 12 rer Deputy Treasurer electio commun.) x Jai)," r2 x Candidate Chairperson (only for PC, PTY electioneering commun. organization) Si Sig re DS -0E 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 (12) Amount (6) Sequence Number Collier Club Inc. B Communit CHE 200 9 14 /2010 1999 Pointe West y Dr. Vero Beach, FL Developm ent 1 32966 Onsite Realty B Realty CHE 200 9 14 010 1999 Pointe West Dr. Vero Beach, FL 2 32966 Jim Hill I Busines CAS 50 9 16 2pl0 113 Morgan Circle s Owner Sebastian, FL 32958 3 C,v■ML U.- e- CHE 200 9 16 010 vestrweut 4 Vero off. t om- 3 Z4 tto S ..r; rw., Todd Brognano I Contrac CHE 9 17 2010 PO Box 780874 tor Sebastina, FL 32978 01 5 Harry Tanner I Histori CHE B ST' FJ 1T f CLE nm 7 IQ 9 18 010 517 Belfast Ter an Sebastian, FL 32958 6 F CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name James Hill (2) I.D. Number Cover Period 9 11 2010 throug 9 24 2010 (4) Pane 1 1 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date Full Nam (Last, Suffix, Fkst, Middle) Street Address City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (5) Sequence Number Total Print, Inc. Magnets MON $202.60 9 /13 /10 1132 US Hwy 1 Sebastian, PL 32958 1 Supervisor of Elections CD set up MON $15.00 9 /13 /10 4375 43rd Avenue Unit 101 Vero Beach, FL 32967 2 USPS Stamps MON $448.00 9 /15/10 Main Street Sebastian, FL 32958 3 t USPS Stamps MON $28.00 9 /20/ 10 Main Street Sebastian, FL 32958 4 USPS Stamps MON 9 /20 /10 Main Street Sebastian, FL 'It fit 32958 5 USPS Stamps MON g4ST1i t; glY CLERK (19 3 19 9 /22 /10 Main Street Sebastian, FL 32958 6 (1) Name (3) Cover Period 9 DS DE 14 (Rev. 08/03) CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES James Hill (2) I.D. Number 11 2010 through 9 24 2010 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (4) Page 1 of 1 September 23, 2010 Jim and Carleen Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. and Mrs. Hill: cnn sEBAsnAN 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 11th through 24th, 2010 is due in the Office of the City Clerk by 5 pm on Friday, October 1, 2010. 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 27 through October 1, 2010. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio @cityofsebastian.orq. Sincerely, Sally A. City Clerk o, MMC FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY James Hill Y T t�t�� OFFIci;i: F CI h 2010 SEP 16 PM 2 38 Name 113 Morgan Circle Address (number and street) Sebastian, FL 32958 City, State, Zip Code CHECK IF ADDRESS (4) Check appropriate box(es): F4 Candidate (office Political Committee Committee of Continuous Party Executive Committee Electioneering Communication HAS CHANGED sought): Sebastian City Council (3) ID Number: CHECK IF PC HAS DISBANDED Existence CHECK IF CCE HAS DISBANDED CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 8 2 2010 To 9 3.0 2010 Report Type G1 0 Original Amendment Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash Checks 700.00 (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT 475.00 Loans to Office Total Monetary In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date 700.00 (10) TOTAL Monetary Expenditures To Date 475.00 (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) Carleen J. Hill I certify that I have examined this report and it is true, correct, and complete. (Type name) James Hill divi al (only for A rea rer Deputy Treasurer Candid Chairperson (only for PC, PTY electioneering commun. organization) el ;one commun.) Signature ig ature 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 8 06 /2010 Jim Hill 113 Morgan Circle Sebastian, FL 32958 1 Business Owner LOA 500 1 9 08 /2010 Realty King, Inc. DBA Remax Crown Realty 945 Sebastian Blvd Sebastian, FL 3295 B Realtor CHE 200 2 IN C �ntn FFI r E S u E OF CITY G d ILEP,K CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS (1) Name James Hill (2) I.D. Number DS-DE 13 (Rev. 08103) 8 2 2010 through 9 10 2010 Page SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 of (5) Date Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type Amsndmsnt Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address City, State, Zip Code 8 /18 /10 Postcard Mania 2145 Sunnydale Blvd Supplies MON $414.00 1 Clearwater, FL 33765 8 /26/10 City of Sebastian Main Street Sebastian, FL 32958 Qualify NOM $61.00 2 OFFICE I I c )F SEBAST; OF CITY CL 1F PE 7 ERK 111 (1) Name DS-DE 14 (Rev. 08103) CAMPAIGN TREASURER'S REPORT ITEMIZED EXPENDITURES James Hill (2) I.D. Number (3) Cover Period 8 2 2010 through 9 10 2010 (4) Page 1 of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 September 7, 2010 Jim and Carleen Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. and Mrs. Hill: a CF 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 August 2, 2010 (the day you declared your candidacy) through September 10, 2010 is due in the Office of the City Clerk by 5 pm on Friday, September 17, 2010. 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 13 throughl7, 2010. I am also including updated links to the Florida Division of Elections and paper copies of revised FS 106 and Candidate and Campaign Treasurer Handbook should you not be able to access them on the internet. Florida Election Laws revised August 2010 includes revised FS 106 http: /election. dos. state.fl. us/ publications /pdf /2010 /2010ElectionLaws. pdf State of Florida Candidate and Campaign Treasurer Handbook Revised July 2010 http: /election.dos.state.fl. us /publications /pdf 2010 /2010CandCampTreasHandbook. pdf In 2010, the State Legislature revised certain election laws that pertain to electioneering communications and disclaimers. The laws went into effect after the City Candidate Handbook was prepared and I want to be sure you have up to date information. If you have any questions, please do not hesitate to contact me at 388 -8214 or smaio @cityofsebastian.org. Sin rely, i. Sally A. aio, MMC City Clerk FORM 1 STATEMENT OF FINANCIAL INTERESTS s E F I C 2009 Please print or type your name, mailing address, agency name, and position below: F. T L W 4 A� 10 y3 r AST NAME FIRST NAME MIDDLE NAME MI FOR OFFICE B SON& MAIr Jim Hill 221989 Vice Mayor Sebastian a ID Code ID No. c r, Conf. Code .v P. Req. Coders 113 Morgan Cir CITl Sebastian ,FL 32958 NAM NAME OF OFFICE OR POSITION HELD OR SOUGHT': You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF a 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 51 DECEMBER 31, 2009 OR SPECIFY TAX YEAR IF OTHER THAN T[{R.CALENDAR MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARSE ABSOLUTE REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICti U§,U LY BASED instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REI LE'CTS EITI (check'one): '9 COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR`VACLdE'THRESHOLDS ON A CALENDAR YEAR OR ON EITHER (check one): YEAR: DOLLAR VALUES, WHICH ON PERCENTAGE VALUES (see r'ART A PRIMARY SOURCES OF INCOME (If you have nothing to report, you NAME OF SOURCE OF INCOME [Major sources of income to the reporting person] must write "none" or "n /a SOURCES ADDRESS 4 DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY lh1ka vex k r —rePLO `0�� s t c, I D LOl q t erva ke...L food Lk �tL (.[t- wt4G S e PART B SECONDARY SOURCES (If you have nothing to report NAME OF BUSINESS ENTITY OF INCOME [Major customers, clients, you must write "none" or "n /a 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 PART C REAL PROPERTY [Land buildings owned by the reporting person] (If you have nothing to report, you must write "none" or "n /a FILING when are located INSTRUCTIONS file this begin OTHER to file INSTRUCTIONS for and where to file this form at the bottom of page 2. on who must form and how to fill it out on page 3. FORMS you may need are described on page 6. CE FORM 1 Eff. 1/2010 (Continued on reverse side) PAGE 1 PART D INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] (If you have nothing to report, you must write "none" or "n /a TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E LIABILITIES [Major debts] (If you have nothing to report, you must write "none" or "n /a NAME OF CREDITOR ADDRESS OF CREDITOR C (L\ Owe- PART F INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] (If you have nothing to report, you must write "none" or "n /a BUSINESS ENTITY 1 BUSINESS ENTITY 2 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 Lth-z. f ;L. GO C4U se Sexy. ©waver '(e-S root' PO Box L a4 r Da Lf( 04 'VW( V.b. 2408V V 7S°24 BUSINESS ENTITY 3 IR V QE:PAR.TS.A'T OU cPNTI, UER (Aft' sEPARATE SHEET, PLgA$ecI1EcCIs MERE U w.. SIGNATURE (required): 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. DATE SIGNED (required): 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 employmei each local officer /employee, state officer, anu 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. 1/2010 PAGE 2 1 a citizen hereby Florida. LOYALTY OATH FOR NON PARTISAN OFFICE (Sections 876.05- 876.10, Florida Statutes) STATE OF FLORIDA I h �10 4 I/-e_ r COUNTY gFige USE ONLY ,i 'f ur SEt3A51 r:.'� OFFICE 0 F CITY CLERK 2010 AUG 26 A(9 11 03 &,1M, t111 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 (Section 99.021, Florida Statutes) l A \"A ILL 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 Spth5'o Ct. COVALl office (district) (group) legal residence is I (3. KGs c.,, C. S A Ico.„ County, Florida. I am qualified the Constitution and the L s 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 (1 12 22 52'16 '\lqiili qm ET' Signature of Candidate Daytime Telephone Number Email Address S A01-3' c v' S e .S a‘ C L 32 6 152 Address Sworn Personally Produced Type to (or affirmed) and subscribed Known: t7 or City before me this State ZIP Code C day o 20f 0 Identification: of Identification Produced: Signature of Not y Public State of Florida Print, Type or amp Commissioned Name of Notary Public u r 0.1.4Us; Sally A. Maio Commission DD595269 1: Expires October 5, 2010 "ith Bonded Troy Fan Insurance. Inc. 800.305.701fl DS -DE 25 (05 /08) CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT Name 0 Cash Date 8/26' /0 Er 9 No. 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC /Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Niche Block Unit 4712 Amount Paid 001501 343805 Cemetery Fees l 2s t! aAd Initials White Dept. of Origin Yellow Finance Pink Applicant Total Paid STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) OFFICE ilk ONLY O IYF SEBASTIAN OFFICE OF CITY CLERK 1. CHECK APPROPRIATE BOX: X Original Appointment Change in: Treasurer /Deputy Depository Office Party 2. Name of Candidate (in this order: First, Middle, Last) A� tN 3. Address (include post office box or street, city, state, zip code) I 1 t rfb4�^'� C.-t 4 Se S� te CL 32R d 4. Telephone (optional) )3!J U 2� /q7 5. E -mail 6v1 ddress (optional) _S�1 t 1 t'\ ec rl-Q�'N 6. Office sought (include district, circuit, group number) C 1 f y CDuNCIL M �l p1 7. If a candidate for a non artisan office, check if applicable: My intent is to run as a Write -In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a Write -In 11 No Party Affiliation Party candidate. 9. I have appointed the following person to act as my Iiii Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 11. Mailing Address (If post office box or drawer, also include street address) 113 Aory.v■ C.-; 12. Telephone 15 City 5 Qi 14. County 15. State F L 16. Zip Code 3L' S y 17. E -mail address (optional) 18.1 have designated the following bank as my Da Primary Depository Secondary Depository 19. Name of Bank WP∎GL 20. Street 1JS Address 21. City S eko�g4 C, 22. County t 1 23. State L- 24. Zip Code 32/Lk UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date gi v21 SOLO 26. Signature of Candidate X 27. Treasurer's Acceptance I, COT k e_csn V‘ t of Appointment (fill in the blanks and check the appropriate block) i i do hereby accept the appointment (Please Print or Type Name) designated above as: Ea Campaign Treasurer Deputy Treasurer. 0LI sot 0 X Q A Date ature of Campai reasurer or Deputy Treasurer DS -DE 9 (Rev. 11/09) ND' OFS�� YS CLEi3K OFFICE OF 2010 RUG 2 RIB 8 88 Charter Section 2.02 ELIGIBILITY "No person shall be eligible to hold the office of council member unless he or she is a qualified elector* in said city and actually continually resided in said city for a period of one (1) year immediately preceding the final date for qualification as a candidate for said office." 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. Sign ure of Candidate Sworn and subscribed before me this 2010 Notary Pu State of orida SEAL nr' e s, ®+ra Si NOM OF PEJJGN ISLAND ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER a //p= day of Sally A. Maio Commission DD595269 Expires October 5, 2010 Bonded Troy Fain Insurance, Inc 1100.31167019 *166.032 Electors.--Any person who is a resident of a municipality, who has qualified as an elector of this state, and who registers in the manner prescribed by general law and ordinance of the municipality shall be a qualified elector of the municipality. Ms- word/election/charter eligibility STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) Ao‘vit 1,1U candidate for the office of have received, read and understand the requirements of Chapter 106, Florida Statutes. OFFICE OF CITY CLERK 2010 RUG 2 fill 8 58 se,\40 c_4\Aivc.,\ .3102,i2. Signature of Candidate 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)