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Home My WebLink AboutDEVIRGILIO DAVID 11-08-2011FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) �� F V � � L t v OFFICE USE ONLY Name . RECEIVED c2� �r� �F��c�� 5�.�,N� �P� Address (number and street) FEB 0 6 2012 y�(l�8—S '�( �,, �L �j�f1��' City of Sebastian City, State, Zip Code City Clerk s O�ce ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Che appropriate box(es): Candidate (office sought): C( T� CUV'"''�'� �' ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK {F NO OTHER ELECTIONEERING COMMUNICATION REPORTS WlLL BE FILED (5) REPORT IDENTIFIERS Cover Period: From � 1 / �' / � To ?i / �,. / '�Z-- Report Type �"�1� [�] O iginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks � Expenditures $ 3 � Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ t� $ 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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. . , . �/ � , (Type name) �, �( 1� � V L ��.,.� u (Type name) V �� f, Y(� � L p � Individual (only f Treasurer � Deputy Treasurer Candidate � Chairperson (oniy for PC, PTY 8 electioneering co un.) electioneering commun. organization) X X Signature Signature DS-DE 12 (Rev. 08104) CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period / / through / / (4) Page of �g� l7) �$) l9) ��0) ��) Date Full Name Purpose �6� (Last, Suffix, First, Middle) (add office sought if Sequence Street Address 8� contribution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount S� � ��i��J��,.�L�a �� b �"'� �F� �� c s�� w fk.o,,, 3 ¢�"' �C��h wc�,r � S£�- S� ' �'� �. F RE E FEB 0 6 2�12 City o Sebastia Cit C rk's Offic DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �rv�� i��,�, '�.�� HOM� OF P�LICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - smaio@cityofsebastian.org January 11, 2012 David DeVirgilio 113 Pelican Island Place Sebastian, FL 32958 Dear Mr. DeVirgilio: In accordance with Florida Statutes Section 106.141, a Termination Report (TR) for your campaign is due within 90 days of the day of the election, which is no later than February 6, 2012. If you have any questions, please don't hesitate to contact me at 388-82145 or smaio@cityofsebastian. org. Sinc , � � � Sally A. aio, MMC City Clerk �� "�;.7 �� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - smaio@cityofsebastian.org November 9, 2011 David DeVirgilio 113 Pelican Island Place Sebastian, FL 32958 Dear Mr. DeVirgilio: In accordance with Florida Statutes Section 106.141, a Termination Report (TR) for your campaign is due within 90 days of the day of the election, which is no later than February 6, 2012. A copy of FS 106.141, which sets out that manner is which excess funds in your campaign account can be disposed, is attached for your review. If you have any questions, please don't hesitate to contact me at 388-82145 or smaio@cityofsebastian.org. Sincer�ly, ��c� � � _ �._._��.. 6 Sally A. M o, MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY �� vl��, �� --� OFFICE USE ONLY �/ L— Name ��V�� (2) �/�3 /�F u�� r��.; � S" 1�r✓� � L Address (number and street) �' � � {: «� S�' �3 ��'–l��. f�� ..�ZV �`�" City �,f S��`�astian City, State, Zip Code � (�tyCd�dr,k'� C�##lce/" ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Chec,k appropriate box(es): - [��andidate (office sought): �� T`j ('D �•v c: �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 � / j S� / �� To � � / � / � � Report Type riginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary � Cash & Checks $ Expenditures $ —� Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ f � c� $ �a / (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. �TYPe name) 1 � l� � C �/ 0 12 6I L l C7 �TYPe name) f� ✓�� F j�i,C L'G � J � Individual (oniy for reasurer � Deputy Treasurer Candidate � Chairperson (only for PC, PTY & electioneering co un.} � electioneering commun. organization) X X � Signature Signature DS-DE 12 (Rev. 08104) (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (2) I.D. Number (3) Cover Period / / through / / (4) Page of �5) ��) �$) �9) �� ) i� � ) �� 2) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Cit , State, Zi Code T e Occu ation T e Descri tion Amendment Amount / / � �: .;��%�� / � ��s'i�a�� U�� /�� £�iiy �; �pbb�stia �`� Clty C rk'S Offic / / I I I / / / / / / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period / / through / / (4) Page of (5) i7) �$) �9) ��0) (��) Date Full Name Purpose �s� (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) TYpe Amendment Amount � -• - �� + � �� t�' `�`�:�i3�S�! CI y �I�rk's Off� @ DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� . ��I 1 !:�� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - smaio@cityofsebastian.org October 25, 2011 David DeVirgilio 113 Pelican Island Place Sebastian, FL 32958 Dear Mr. DeVirgilio: In accordance with Florida Statutes Section 106.07, the G4 campaign treasurer's report for your campaign for the period Saturday, October 15, 2011 through THURSDAY, November 3, 2011 is due by Friday, November 4, 2011. This is the 4th day prior to the election and the due date is governed by FS 106. Please keep in mind that this report is different than the previous three. The reporting period ends on a Thursday, November 3�d and is due the next day on Friday, November 4t". No further contributions can be accepted after midnight on November 3�d. This means midnight on Thursday night, not Wednesday night. This always causes confusion. (2)(a)1.A1/ reports required of a candidate by this section shall be filed with the officer before whom the candrdate is requrred by law to qualify. All candidates who file with the Department of State shall file their reports pursuant to s. 106.0705. Except as provided in s. 106.0705, reports shall be filed not later than 5 p,m, of the day designated; however, any report postmarked by the United States Postal Service no later than midni4ht of the day desrqnated shall be deemed to have been filed in a timely manner. Any report received by the filing otficer within 5 days after the desiqnated due date that was delivered by the United States Postal Service shall be deemed timelX filed unless it has a postmark that indreates that the report was mailed after the desiqnated due date. A certificate of mai/in4 obtained from and dated bv the United States Postal Service at the time of mai/inu, or a receivt from an estab/ished courier companv, which bears a date on or before the date on which the revort is due, sha// be proof of mai/in4 in a time/v manner. Reports shal/ contain information of al/ nrevious/v unreported contributions received and expenditures made as of the preceding Friday, except that the report filed on the F�iday immediately preceding the election shall contain information of all prevrously unreported contributions received and expenditures made as of the day preceding that designated due date. All such reports shall be open to public inspection. If you choose to mail, please make sure the form is completely filled out and signed. If it is not and received after the deadline, it will be deemed not timely filed and penalties must be imposed. If you have any questions, please do not hesitate to contact me. Sin�e�ely, � �� ___ �I Sally A. io, MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY OFFI��' �� 1� �� n 122 � � �� i� � Name � � O (2) 1�—�� r c � �- � s' � -� � h �L ?Di1 Address (number and street) C1� $�,8 g��r�ry 5� g� 5 r�. � � � ��- �3 s��- � City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Che k appropriate box(es): . [�Candidate (office sought): G( 1"1 C v�✓ � 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 r C;� l� l j� To 1 t� l!`� l 1( Report Type � 3 [�Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary ` Cash & Checks � Expenditures $ �f Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date � / n u � —�� / (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. _ �TYpe name� r--.`"')� J_�� /�V 11�-c. �� l � �TYPe name) d 1� ��II 12t �L /J 1 � , ) r► J � Individual (on for �Treasurer � Deputy Treasurer Candidate � Chairperson (only for PC, PTY 8� electioneering omm n.) electioneering commun. organization) X x Signature Signature DS-DE 12 (Rev. 08/04) (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (2) I.D. Number (3) Cover Period / / through / / (4) Page of �5) ��) �$) �9) �� ) �� ) �� 2) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kin�E Number Cit , State, Zi Code T e Occu ation T e Descri tion C��t Amount OCT 1 2p11 i i c�� of � �itY Clerk 8 astian Offi� / I / / / ! / / / / / / / ! DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (2) I.D. Number (3) Cover Period / / through / / (4) Page of �5� l7) �$) i9) ��) ��) Date Full Name Purpose (6� (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) TYpe Amendment Amount � CEIVEp ocr c,ty�f �itY CI �bsstian $ �ic� DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES arv�� J��,�� HOIVI� O� P�LICAN ISi.AND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - smaio�a cityofsebastian.org October 10, 2011 David DeVirgilio 113 Pelican Island Place Sebastian, FL 32958 Dear Mr. DeVirgilio: In accordance witk� Florida Statutes Section 106.07, the G3 campaign treasurer's report for your campaign for the period October 1, 2011 through Friday, October 14, 2011 is due by Friday, October 21, 2011. This is the 18th day prior to the election and the due date is governed by FS 106. City Hall is closed for a furlough day on Friday, October 21St, and during evenings, furloughs, weekends and holidays when City Hall is closed, all doors lock automatically and A/C systems shut down. Because the due date is governed by Florida law, I cannot extend the due date to the following Monday, so I am asking that you either hand deliver your report anytime between Monday, October 17th and Thursday, October 20th or the report can be mailed anytime after October 14t" up to midnight of the due date October 21St if it meets the requirements set out in FS 106.07 (2) (a) below: (2)(a)I,AII reports required of a candidate by this section shall be filed with the officer before whom the candidate is required by law to qualify. All candidates who file with the Department of State shall file their reports pursuant to s. 106.0705, Except as provided in s. 106.0705, reports shall be filed not later than 5 p.m, of the day designated; however, any report postmarked by the United States Postal Service no later than midni_qht of the day designated shall be deemed to have been filed in a timely manner. AnX report received by the filing officer within 5 days after the designated due date that was delivered by the United States Postal Service shall be deemed timely filed unless it has a postmark that indicates that the report was mailed after the desi4nated due date. A certificate of mai/ing obtained from and dated bv the United States Posta/ Service at the time of mai/ing, or a receipt from an established courier company, which bears a date on or before the date on which the report is due, sha// be proof of mai/ing in a time/y manner. Revorts shal/ contain information of al/ previous/y unreported contributions received and expenditures made as of the preceding Friday, except that the report filed on the Friday immediately preceding the election shall contain information of all previously unreported contributions received and expenditures made as of the day preceding that designated due date. All such reports shall be open to public inspection. If you choose to mail, please make sure the form is completety filled out and signed. If it is not and received after the deadline, it will be deemed not timely filed and penalties must be imposed. Just a reminder that the Sebastian Property Owners Association and Chamber of Commerce candidate forums will take place in the City Council Chambers with live broadcasts --- SPOA October 13t" 7-9 pm and Chamber October 19th – 7– 9 pm. You will be contacted by them. If you have any questions, please do not hesitate to contact me at 388-8214 or smaio(c�cityofsebastian.orq. Sincerely, � � ; �,-_---� Sally A. Maio, MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY �� J: � V, j 7��, ��1'v OFFICE USE ONLY Name . �ECEIVED (2) I I�� G�+� ls c�r �� - OCT 0 ,., Address (number and street) 7 Z��' S � �i� S 1'� (k +-� i � L 3 `i- `! � �r �ity � ��t��t� City, State, Zip Code C+� ��` � ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Che appropriate box(es): Candidate (office sought): C� T y C- �� "� �� - ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ E{ectianeering Communication ❑ CHECK fF NO OTHER ELECTIONEERING COMMUNICATiON REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cov �Period: From �/�/ �� To 9 /� o/ f� Report Type � y Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary � Cash & Checks $ Expenditures $ � Loans $ Transfers to O�ce Account $ Total Monetary $ Total Monetary $ In-Kind � (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ �/d v $ � � (11) CERTIFICATION It is a first degree misdemeanor for any person to�falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. _� (Type name) i V� �7 �, ��✓d-(. 1 l. l U (Type name) V►� �i � J� �� V j le L/ l./ U � Individual {only for reasurer � Deputy Treasurer ��andidate � Chairperson (only for PC, PTY 8 electioneering commun.) electioneering commun. organization) X �� X Signature Signature DS-DE 12 (Rev. 08/04) � rnveF �,: ��,�»�n�� ,� NOME OF PELICAN ISLAN� 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - smaio@cityofsebastian.org September 29, 2011 David DeVirgilio 113 Pelican Island Place Sebastian, FL 32958 Dear Mr. DeVirgilio: In accordance with Florida Statutes Section 106.07, the G2 campaign treasurer's report for your campaign for the period September 17, 2011 through Friday, September 30, 2011 is due by 5 pm on Friday, October 7, 2011. This is the 32"d day prior to the election and the due date is governed by FS 106. As I have advised previously, reports can be mailed if they meet the requirements set out in FS 106.07 (2) (2)(a)1. All reports required of a candidate by this section shall be filed with the officer before whom the candidate is required by /aw to qualify. A/I candidates who file with the Department of State shall file their reports pursuant to s. 106.0705. Except as provided in s. 106.0705, reports sha/l be filed not later than 5 p.m. of the day designated; however any report�ostmarked by the United States Postal Service no /ater than midniqht of the dav designated shall be deemed to have been filed in a time%manner Any report received by the filinq officer within 5 davs after the desiqnated due date that was delivered by the United States Postal Service shall be deemed timely filed unless it has a postmark that indicates that the reoort was mailed after the desiynated due date. A certificate of mailin4 obtained from and dated by the United States Postal Service at the time of mailin4, or a receipt from an estab/ished courie� comQany, which bears a date on or before the date on which the report is due, shal/ be vroof of mai/in4 in a timely manner R�orts shall contain information of all areviouslv unreaorted contributions received and expenditures made as of the preceding Friday, except that the report filed on the Friday immediately preceding the election shall contain information of all previously unreported contributions received and expenditures made as of the day preceding that designated due date. All such reports shall be open to public inspection. If you have any questions, please do not hesitate to contact me at 388-8214 or smaioCa�citvofsebastian.orQ. Sin ely `�. � � Y� Sally A. io, MMC City Clerk v FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY �� A � � ,D �£ , /� � ` � � � � OFFICE USE ONLY �/ v Name - RECF/V�Q c2� l 13 ��r � cr� •�► t s� �� 7�� Address (number and street) Cs� ?? �', S� A S'r � Pr�� L � Zct S�� C�tY C%.`�Stian City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Che appropriate box(es): . . Candidate (office sought): C[ T`� Cc�v � G � c., ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Cammunication ❑ CHECK IF NO OTHER ELECTtONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cove Period: From �/ 9/� To 9� r� �� Report Type � Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT �,� Monetary � / Cash & Checks � Expenditures $ �� Loans $ � D U Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind � (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ /bo $ "� / , . , ^ (11),CERTIFICATION It is a fir�st degree"ri'�isdemeanor #or any person to falsify a public: record (�ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I hav�, examined this report and it is true, correct, and complete. correct, and complete. �� 1 ♦ � / � �TYP'e name) � l� �� 17 �� l�`io i �! � _ �Type ame) f-�1/ l!� £ V 1F2� C./ ci � Individuai (oni for reasurer � Deputy Treasurer Candidate ❑ Chairperson (oniy for PC, PTY 8� electioneering mm n.) electioneering commun. organization) X X � Signature Signature DS-DE 12 (Rev. 08104) . . . .,. . . , ... : ...._..:.:_ _ ,..,. ,.. . ,q�:� ', CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name �/� v I,� �� V 1��/�. �� (2) I.D. Number (3) Cover Period � / � / �l � through � / i � / � ( (4) Page of i5) i�) i8) �9) ��) ��) �12) Date Full Name (6) (Last, Su�x, First, Middle) Sequence Street Address 8� Contributor Contribution In-kind Number Cit , State, Zi Code T e Occu ation T e Descri tion Amendment Amount Q �j AJ ►'p '�E1� �RC� �a t / � / �� L�� laa r , , � � f'F�Ei D �' Z? City CI��,B es ien / / ce i i � i � i � � DS-DE 13 (Rev. 08I03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �CAMPAIG TI�EASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name 11 �i J tl� ��-V ��L/� 1 L 1 J (2) I,D. Number (3) Cover Period �/�/ � � through �/ % 6/_�, (4) Page of (5) ��) �8) �9) �10) ��) Date Full Name Purpose �s� (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount q -I � � e. (T �{ l� 1� .S'4 � STl 14-vJ � o�,.� � I I RECE� � SEP ? Z 11 City o f se ��5 � rce US-Ut 74 (KCV. Utf/U3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� -- HOME OF PELICAN ISIAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org September 13, 2011 David DeVirgilio 113 Pelican Island Place Sebastian, FL 32958 Dear Mr. DeVirgilio: In accordance with Florida Statutes Section 106.07, the G1 campaign treasurer's report for your campaign for the period September 9, 2011 (the day you qualified) through Friday, September 16, 2011 is due by 5 pm on Friday, September 23, 2011. This is the 46t" day prior to the election and the due date is governed by FS 106. City Hall is closed for furlough day on Friday, September 23�d, and during evenings, furloughs, weekends and holidays when City Hall is closed, all doors lock automatically and A/C systems shut down. I'd be glad to be here on that Friday, but I would have to park a desk by a first floor doorway to let you in. Because the due date is governed by Florida law, I cannot extend the due date to the following Monday, so I am asking that you either hand deliver your report sometime between Monday, September 19t" and Thursday, September 22"d or the report can be mailed anytime after September 16t" up to midnight of the due date September 23rd if it meets the requirements set out in FS 106.07 (2) (a) below: (2)(a)Z.AII reports required of a candidate by this section shall be filed with the officer before whom the candidate is required by law to qualify. All candidates who file with the Department of State shall file their reports pursuant to s, 106.0705. Except as provided in s. 106.0705, reports shall be filed not later than 5 p.m. of the day designated; however, any report postmarked by the United States Postal Service no later than midniqht of the day designated shall be deemed to have been filed in a timely manner. Any report received by the filing officer within 5 days after the designated due date that was delivered b,y the United States Postal Service shall be deemed timely filed unless it has a postmark that indicates that the report was mailed after the desiQnated due date. A certificate of mailinp obtained from and dated by the United States Postal Service at the time of mailing, or a receipt from an established courier company, which bears a date on or before the date on which the report is due, shall be �roof of mailing in a timely manner. Reports shall contain information of all previously unreported contributions received and expenditures made as of the preceding Friday, except that the report filed on the Friday immediately preceding the election shall contain information of alI previously unreported contributions received and expenditures made as of the day preceding that designated due date. All such reports shall be open to public inspection. This same situation is going to occur for the October 21 St report as well but I'll send another reminder at that time. Remember that the funds used to open your account are contributions, and your filing fee is an expenditure and both should appear in your G1 report. When I receive the legal ad for the City Canvassing Board meetings that will take place at the Supervisor of Elections office, I will forward it to you. You had a memo from the SOE in your packet citing the times, but she will be running a legal ad prior to the first meeting which is scheduled for October 1 gtn One other item I wanted to remind you of was that the Sebastian Property Owners Association and Chamber of Commerce have been approved to conduct candidate forums in October in the City Council Chambers with live broadcasts --- SPOA October 13th 7-9 pm and Chamber October 19 – 7– 9 pm. You will be contacted by them. If you have any questions, �lease do not hesitate to contact me at 388-8214 or smaioCcr�.cityofsebastian.orq. S � � � SallyA. �io, MMC City Clerk APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. 1. � ECK APPROPRIATE BOX(ES): Q Initial Filing of Form Re-filing to Change: ❑ Tre� 2. Name of Candidate (in this order: First, Middle, Last) �w�� ✓�r��.�o 4. Telephone 5. E-mail address ('77z) 1v33 '7is� �e�l �v � �e��so��►.n 6. Office sought (include district, circuit, group number) , ' RECEIVED SEP 0 9 2011 City of Sebastian City Clerk's Office C�,IrJ" " OFFICE USE ONLY ;urer/Deputy ❑ Depository ❑ Office ❑ Party 3. Address (include post office box or street, city, state, zip code)1 �3 PEC,I �� N !S L ff-N� Pr-- S��STlr�N. � �� 3 x 9Q"b- 7. If a candidate for a nonpartisan office, check if applicable: , I � My intent is to run as a Write-In candidate. C, ITI.� (' o v�'�( c� � 8. If a candidate for a ap rtisan office, check block and fill in name of party as applicable: My intent is to run as a � Write-In � No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my �Campaign Treasurer � Deputy Treasurer 10. Nam f Treasurer or Deputy Treasurer �A � ��a �J� � � � � � 11. Mailing Address 12. Telephone � £ ( ) 13. City 14. County 15. State 16. Zip Code 17. E-mail address 18. I have designated the following bank as my � Primary Depository 19. Name of Bank �� c 21. City J��A si►R� 20. Address �E��ST 22. County , 23. State I� � r+�- �\ V� K- 1�L � Secondary Depository ,� � LV '� 24. Zip Code �Z�� UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FAC�STATED IN IT ARE TRUE. 25. Date f 26. Signature p�f C�'ndidate �� 27. Treasurer's Acceptance of Appointment (fill in th('e blanks and check the appropriate block) � �,4� �'a �� ! 12.� � L� � , do hereby accept the appointment (Please Print or Type Name) designated above as: � Campaign Treasurer � D�ty Treasurer. �� X Date Sign�e of Campaign Treasurer or Deputy Treasurer nc_nF a �Ro.. �ni�m Rule 1S-2.0001, F.A.C. RECEIVED SEP 0 9 1�11 --r �• vvr� City Clerk'a an a SE�T�AN � n:�y�� HOME OF PELIWV ISLAND ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER 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." I, �9v i� �£�� rzc. , �', o , candidate for the office of Council Member, meet the eligibility qualifications to hold office as required in ection 2.02 of the City of Sebastian Charter, above. , Signature of Candidate Sworn to and subscribed before me this � day of � , 2011. . . ' SALLY A. MAI� Notary Public ;��;; :.; .� Commission # EE 024350 State of F da ;,a,•• ": Expires October 5, 20�4 '�R �� Bonded ThN Troy Fain Insurerke 8p0-3g5-7019 SEAL *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 municipaliry. Ms-word/election/charter eligibiliry STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) I , �,f� J ► � . Yg V l Q.-(� 1 L1 t� , candidate for the office of C 4� � �' pv r..� c � L ; have received, read and understand the requirements of Chapter 106, Florida Statutes. � Signature of Candidate , a // 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) FORM 1 STATEMENT OF Please print or type your name, mailing FINANCIAL INTERESTS address, agency name, and position below: LAST NAME -- FIRST NAME -- MIDDLE NAME : FOR OFFICE �� f��` l� J � � USEONLY: ti ) � 3 ��.� � c r� ►� � �. � � swr, �ra-�v CITY : NAME OF AGENCY : l 5 L� �� `�� — � Z�S� /n1 DIf1�J %ZI ✓�- ZIP : COUNTY : NAME OF OFFICE OR POSITION HELD OR SOUGHT : C IT� c�V.--� cl� You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF � CANDIDATE OR ❑ NEW EMPLOYEE ORAPPOINTEE "`BOTH PARTS OF THIS SECTION MUST BE COMPLETED*' 2010 SEP 0 9 ��11 City of Sebastian City Clerk's Office ID Code ID No. Conf. Code P. Req. Code DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): � DECEMBER 31, 2010 OR 0 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 (must check one): ❑ COMPARAT�VE (PERCENTAGE) THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A-- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] (if you have nothing to report, you must write "none" or "n/a") NAME OF SOURCE OF INCOME A�/ C P"��, v � 2� � �, o u-� SOURCE'S (� u c �► � ! S �.e-Na .P�- ih� S� lr�+� ,��- 3 z.`� DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY C_b�kT-2�c,T l N C� PART B-- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting personj (If you have nothing to report , you mus4 write "none" or "n!a") NAME OF NAME OF MAJOR 50URCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY I OF BUSINESS' INCOME _ I OF SOURCE 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 "nla") � � wi /�..� N � r�-r � � , 5 4-r(3� s� H�� , �'`� CE FORM 1- Effective: January 1, 2011. Refer to Rule 34-8202(1), F.A.C. (C011tIIlU@d OIt 1'BVQfS2 SICI@� FILING INSTRUCTIONS for when and where to file this form are located 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. PAGE 1 PART D— INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.J (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") c5� ua' M�i�'r T� y o i�1- � 1��?. (�, o�• Z o��-z.. 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 "nla") 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 '��v � �.J erc�c,��,� +�e..�- � 13 �S�C. � c�-.- � S, t..a ..� �- S'E �*i a C �'(j-/d�G� i.J2'G a 1. 4 N+ �� / � s � _ . .l � J � L �______.J 2� 2 BUSINESS ENTITY # 3 IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ 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. DATE SIGNED 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/employeesfile 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 o�cers 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. CE FORM 1- Effective: January 1, 2011. Refer to Rule 34-8.202 (1), F.A.C. WHEN TO FILE: Initiafly, 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 o�ce 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 o�cer/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. LOYALTY OATH (Sections 876.05-876.10, Florida Statutes) NONPARTISAN OFFICE I, �� •� 47 First Name Middle Name/lnitial RECEIVED SEP 0 g �011 City of Sebastian City Cierk's Office OFFICE USE ONLY ��bR-(��1.14 Last Name a citizen of the State of Florida and of the United States of America, and being [a candidate for public otfice] do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. Important: If elected, a candidate must retake the loyalty oath as specified in s. 876.05, F/orida Statutes, and that oath shall be filed with the records of the goveming official or employing govemmental agency prior to the approval of payment of salary, expenses, or ofher compensation. OATH OF CANDIDATE (Section 99.021, Florida Statutes) I, a.� 1'� �e � ► �r- �►1 �"� (PLEASE PRINT NAME AS YOU WISH IT TO APPE ON THE BALLOT *-- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of C�'� �' p J rJ C � L. � , (office) , (district #) � ; I am a qualified elector of jl`.� 7�4 IA�w VL�, �/�-`2 County, Florida; (circuit #) (group or seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; by executing this form, I have taken the oath required by ss. 876.05-876.10, Florida Statutes; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and�have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes./% X �,°�1 (7�� (,33-� 1�c� C�c��e��q' nature of Candidate ��w�w �S � Telephone Number E�.�-S �r � Email � 3 z.9 S'"�' ZIP " Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): �, • • ��-u-,d� i �= — Vu (�,r — � � I-ee—o _ STATE OF FLO IDA COUNTY OF �� Sworn to (or affirmed) and subscribed before me this ��" day ,�,,,. ..� ,%� ,�,i��7��;_ SALLYA. MAIO Personally Known: v or =•; �:.� Commission # EE 024350 Produced Identification: Type of Identification Produced: Expires October 5, 2014 'g"' Borxled Thru Troy Fain Inwrence 800-385-7019 Pri nt, 20 �� . r- �iN�otary Public or Stamp Commissioned Name of Notary Public DS-DE 25 (Rev. 10/10) Rule 1S-2.0001, F.A.C. a 9 7 d � y S m O � � O m 7 • < m O � T � � m � � : � 0 a d C � � C�9� d � � �w � G 0 0 w � � 0 0 0 0 0 °o p o cn cn cn v, o 0 0 0 0 0 0 W W W W W N W A � � N N Oo c0 cD c0 c0 O p O O O O � .�� o � rm—p v o c�i d 3 Z � � n �- n� N N ° " y � J � � o � � �� , � Q � x ry O N � Cn N �y y � O � � f� �" � ' _ T ? N � W y y n F , � � c � � �, _ _. n � N � � � 3 0 � � n: n � � ;m0 � � � N � � � N T �„� T � n = m � �.6� � Q1.