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Home My WebLink AboutHILL JAMES 11-06-2012FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (�� S�M�S ��u L OFFICE USE ONLY Name c2� t � i�l.oc ��, G� .� Address (n m� er and street) R�C��VFD �e�i��.��.�.��L 3Z�5� �AN31 City, State, Zip Code C�ty �� sti � ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: ��ks �q,a (4) Check appropriate box(es): � [[�andidate (office sought): � G.. �,v� �� UK� ❑ Political Committee ❑ CHECK IF P HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK !F NO OTHER ELECTIONEERING COMMUNICATION REP�RTS WILL BE FfLEQ (5) REPORT IDENTIFIERS Cov,er Period: From � I / � 2/ 2 p l 2 To ��/� � i 20 t� Report Type � �Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT /� Monetary �' � Cash & Checks $ �l� Expenditures $ Loans $ � Transfers to Office Account $ Total Monetary � � Total Monetary $ � l � In-Kind $ (U (8) Other Distributions $ (9) TOTAL Monetary Contrib�ns To Date (10) TOTAL Monetary Ex�ditures To Date $ 2,(�3/ -- � 2� 3(�- (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined�this report and it is true, I certify that I have examined this report and it is true, correct, and complete. ``� correct, and com lete. �� T e name � � � iTYPe name) �-�,'ti��j �\ i YP ) � � ❑ Individual ( niy for �freasurer � Deputy Treasurer �andidate � Chairperson (only for PC, PTY & electioneering c mmun.} ele�tioneering commun. organization) X X Signature atur 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) (7) (8) (9) (10) (11) (12) Date Fuil Name ) (Last, Suffix, First, Middle) � Sequ ce Street Address 8 Contributor Contribution In-kind Numbe Ci , State, Zi Code T e Occu ation T e Descri tion Amendment Amount / / ��V � � ✓q 3 c�y�� Seb ?0 S ��t�ah / / / / / / / / / / / / DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � CAMP/�GI� �REASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name �� l� v (2) I.D. Number (3) Cover Period _�/�/��through Q(_/�/�;� (4) Page of �5� �7) �8) �9) i��) ��) Date Full Name Purpose (Last, Suffix, First, Middle) (add office sought if �6� Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) TYPe Amendment Amount Number i� Qio �u�i� � � 1�"2� � �� s cz. �� u. 2'� 3 � Se�, �L 32�.S � t� o� �.,��. � �� 5� ti �� i Y� I�tp� 12� 2 S�� 32�c SJ� �` � � �;,,,,, �.� �ti\ dv � tt3 }.�,�,"� C► t. Qe�� j�.� � 3Z�i 5 � �� e� , � �G�n.� ��F N c�, �f �b 2�� erk, as��a c��ivl s n e DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i 'I ' ; . CfiYOF ��,�" ��1� �_.,� ^�v� 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 help me �'od. / S Sally A. P City Cler� (SEAL) �a s A. Hill - S astian City Council Member subscribed before me this 14th day of November, 2012. � �� , --_�_ ' o, MMC `J 11 �_, � , � „�. U ; ,�,i , L.i �� SE � �" �--;= HOME Of PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org November 2, 2012 Jim Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. Hill: In accordance with Florida Statutes Section 106.141, the Termination Report (TR) for your campaign is due within 90 days of the day of the election, which is no later than February 4, 2013. This report will include a summary sheet and an expenditure sheet showing the disbursement of all funds. There will be no contributions sheet in your TR since the last day for accepting contributions was November 15t and those contributions were included in your G4 report. A copy of FS 106.141, which sets out the manner is which excess funds in your campaign account can be disposed, is attached for your information. If you have any questions, please don't hesitate to contact me at 388-82145 or smaio@cityofsebastian.org. Sincerely, �;`�� .C./( - ' °/ Sally A. M�, MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY �� OFFICE USE ONLY Name RE'CE�V�� (2) lT� ' � Addr ss (nu ber and street) ��V (f �?Q�? Se��i.^�, �1-- 32�t S�% c; °f s�b ,�� City, State, Zip Code �' C�erk�s ast`an ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Chec appropriate box(es): ' Candidate (office sought): � �L(, �1.� ��Y�.�t�. �, ❑ Political Committee ❑ CHECK IF PC HA ISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO O'fHER ELECTIONEERING COMMUNICATfON REPQRTS WILL BE �{LED (5) REPORT IDEN �RS � �y Cov eriod: From / l�/��Z To /� /��Report Type ` Original ❑ Amend nt ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT �j/� Monetary Cash & Checks $ �V O Expenditures $ �� Loans $ �, Transfers to Office Account $ Total Monetary � �� Total Monetary $ �� In-Kind $ � �� (8) Other Distributions $ (9) TOTAL Mone ary C r�txibutions To Date (10) TOTAL Monetary Expe ditures To Date $ 2., ��-�- $ �2.3�'� ---� " -�,- (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and co plete. correct, and co te. � � I w (Type name) �W�,' (Typ ame) �/t.� C�.. � � Individual ( for Treasurer � Deputy Treasurer Candidate � Chairperson (only for PC, PTY & electioneering mmun.} electioneering commun. organization) � � Signatur Signa re DS-DE 12 (Rev. 08104) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name .�+�/t,� �,�� c � (2) I.D. Number (3) Cover Period � / � /�1�hrough / Q � / �C2. (4) Page of (5) (7) (8) (9) (10) (11) (12) 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 � � 1,� �l �� , G ��-�� 1 �� . 1�-- � � �L��S� n� [3 �D ��-.��C... � �g�s�� e,�� Ol� � � �� o�� i��- � � , b � ��n��'� � G �,� �� 2� � Ld� � � b L 32-�� d�r �x I D, Z�Z4 c�- I��C�� .� ��`�- l �.� c� �da �l �,�►L��-� D, �.� , ��. �-�� u.� �.� � Q�.�- ��- ��D � �5 � eL �-�- 32�K , � R �F i i c� �V � f�� 10l C/�,rk o�an i i DS-DE 13 (Rev. 08103) 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� (7) (8) (9) (10) (11) Date Full Name Purpose (Last, Suffix, First, Middle) (add office sought if �6� Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) TYPe Amendment Amount Number Us�'� ._ � �� s �� .a Z 32�-�1� P !d � a� �'�`�'� - � � �u �� a � �� 2-- s�� 2� �a s'�' � ��P � 1�,.". Sd� � �,, s � � `_ � �-Z 3 2Q5 � � � �� '�� ;�, �� o�� Cj�rk�b st��n ��'e DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� e�� :� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian. org October 22, 2012 Jim Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. Hill: In accordance with Florida Statutes Section 106.07, the G4 campaign treasurer's report for your campaign for the period Saturday, October 13, 2012 through THURSDAY, November 1, 2012 is due by Friday, November 2, 2012. This is the 4th day prior to the election and the due date is governed by FS 106. I will be here all day Friday November 2"d until 5 pm to receive your report. I will provide you with the Statutes relating to proper disbursement of campaign funds in your next letter. Please keep in mind that this report is different than the previous three. The reporting period ends on a Thursday, November 1 st and is due the next day on Friday, November 2nd. No further contributions can be accepted after midnight on November 1St. This means midnight on Thursday night, not Wednesday night. This sometimes causes confusion. (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, anx report postmarked b.y the United States Postal Service no later than midnight of the day designated shall be deemed to have been filed in a timely manner. Any report received by the filin� officer within 5 days 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 report was mailed after the desiqnated due date. A certificate of mai/in4 obtained from and dated by the United States Posta/ Service at the time of mai/in4, or a receipt from an estab/ished courier company, which bears a date on or before the date on which the report is due, sha// be proof of mailina in a time/y manner Reports sha// contain information of a/l vreviously 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 completely filled out and signed and you have inserted a USPS mailing receipt. If your report is received incomplete after the deadline, it will be deemed not timely filed and penalties may be imposed. If you have any questions, please do not hesitate to contact me. Sin er ly, � � -----_ Sal y A. io, MMC City Clerk �LORIDA DEPARTMENT OF STATIE �IVISI�N �F' �LECTIONS CA�PA[GN TREASlJ1�ER"5 REPC)F�T SE.3�MARY {'I) y � � OFFIC��l,SE ONLY ar�e . ��L7 t�) �� t � - dCr � Adcfress (nu r and s reet) �lty �'�Q1,� i�� L� Z 7�� 'ty cif s�b��r,� � '� City, State, Zi� Code �s Q�c� ❑ CHECK IF ADDRESS �iAS CHA�]GED �3) 1D Numher: (4) Chec �propriafe box(es): ._ Candidate (office sought): � !�`�'� � �� ❑ Politicai Committee ❑ CHECK IF PC HAS ISBANDED ❑ Committee af Continuous Existenee ❑ CHECK IF' CC� HAS DISBAND�D ❑ Pa�ty Executive Cornmittee ❑�lectioneering Communication ❑ CNECK !F NO oTHER ELEC�IONEERI�lG COMMUN#CAiEUN R�P�RTS WIl�L B� �rlL�i� {�) REF'ORT IDENTI�EERS Caver I'eriod: From � 1�� 1� f�To �� 1 i2 1�� Report Type � riginal ❑ Amendment ❑ Special Elect�on Repart ❑ Indepe�dent Expenditure R�port (6) CONTR�BUTIONS THIS R�PORT (7j EXPENDITURES TH15 REPORT pp Monetary � j� �i'/] � � Cash & Checks � � � � Expenditures $ `7 U t✓' Loans � Transfers io Office Account � $ Total Monetary � Total Monetary $ In-Kind � �8} Other Distributions � (9) TOTA� Monetary Contributions Ta �ate (10] TOTAL Monetary Expenditures Ta Date $ ��.j� $ �EJ�,� ('I'Ij CERTIFICATION . It is a firs� degree misdemeanar for ar�y person to faIsify a puhlic record (ss. 839.13, F.S.) I certify that I have exarnined'this report and it is true, I certify that ! have examined ihis report and it is true, carreci, and com lete. correct, ar�d complete. 1 r �(TYPe name) �� S ~� L� t�YPe narne) �� t S�� ❑individual ly iar reasurer ❑ i�eputy Treasurer andidate ❑ Chairperson (only ior PC, PTY & efe�lioneer3ng mmun.) eleclianeering eommun. organizatian) � � � na re 5ign re D5-D� �2 (Rev. OS104j CAI�PAtGN TREASURER'S FtEPOFtT - �TEMIZED CONTRIBUT�OfVS � (�) Name �rtl� e� I (2) i.�. Nurr��er (3} Cover Period 1�"[ 11k�l� through 1�,2 / �� (4) Page � of � (5) (i) (S} (9} (10) (91) (�12) Date FuI11�Eame (5) (�.ast, SufFx, First, Middle) . � � Sequence 5treei Address & Cantril�utor Contribution In-kind Number Ci , State, Z Code T e Occu afian T e �escri tion A��ndment Amount � � �� r�� . �� S� � �� - °-�i � �D � 5�,�� Z� � � � i ��'i � . �%t.�.�� C/�,r�0�� `°G � I I s O� a� c� / 1 1 / / ! / 1 �5-DE �3 (Rev. D81q3j 5EE REVERSE FOF21�[STF2UGTE4N5 AiVD CODE VALUES �CAMPAIC�T�i�E,45URER'S REPORT —1TEfViIZED EXPENDITURES (1) Name _ �„��1 ,�t� l � (2j t.D. Number (3) Cover Period __�,_/�/�through �/ 2 / �� (4) Page �� of �� {7) {8} (9} {t0) (1'IJ Date Pull Name Purpose j6} . SRast, Suffix, First, Middle} (add affice saught if Sequence 5treet AcEdress 8� eontribution to a �P�nditure Num�er City, State, zip Code candidat�) �YPe Amendment Amaunt �� . ' �a �l �� N`°-�� s� i 5�'��P� S� �t� 3��.5 � �� '�� ,� � � �,�,,��s� �� ,. , � A. � ��d� ce DS-�E �4 (Rev. 08l03) 5EE REVERSE FDR INSTRUCTfOiUS ANR CODE VALUES �� .�',,°'�'" �'"��'V �" - :� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org October 10, 2012 Jim Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. Hill: In accordance with Florida Statutes Section 106.07, the G3 campaign treasurer's report for your campaign for the period September 29, 2012 through Friday, October 12, 2012 is due on Friday, October 19, 2012. All contributions and expenditures for that period must be reported. City Hall is closed for furlough day on Friday, October 19th. During evenings, furloughs, weekends and holidays when City Hall is closed, all entry doors lock automatically, so I will not be here to receive the report on that day. You have from Monday, October 15t" through Thursday, October 18t'' to hand deliver your report, however, Florida law allows you to mail the report as long as it is postmarked up to midnight of the due date (October 19, 2012) and you include a USPS issued mailing receipt with the report. I encourage you to hand deliver the report in case there is any information missing. If I receive a mailed report and the report is incomplete, according to the State, it is deemed not timely filed and subject to penalty. (2)(a)1.A1/ 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 midniaht of the day desianated shall be deemed to have been filed in a timely manner. Any report received by the filinq officer within 5 days 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 report was mailed after the desiqnated due date. A certificate of mailin4 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 proof of mailin� 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 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 smaio(a�cityofsebastian.orq. Sin ely � � � �� Sally A. io, MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY �� ` OFFICE USE ONLY ame ;. RECEIVED c2) l� �o� �� Q.--�� OCT — 5 2�12 Asl,dress (n� `�e�r� d �et) �� (� L City o; Sebasti�n City Clerk's Office City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): � � %�_� ' � (�Candidate (office sought): �- � �"1 L.-PJ' ❑ Political Committee ❑ CHECK IF PC HA SBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Parry Executive Committee ❑ E{ectioneering Communication ❑ CHECK IF NO OTHER ELECT[ONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cove,r Period: From (��'� / � /�� To � / �� /� (,� Report Type . "�--,.. [�lOriginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary . 7 � Cash & Checks � � Expenditures $ � 7 Loans $ � � � Transfers to Office Account $ Total Monetary � Total Monetary $ In-Kind � (8) Other Distributio� � $ (9) TOTAL Monetary Cor�tributions To Date (10) TOTAL Monetary E�enditures T Date � I C �o �'— $ �� `'L�S g (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 com lete. � correct, and complete. �I c t, � 1 �TYPe name) C� ��t e " �TYP� name) R�G�� '� . " � Individual (o for Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC, PTY & electioneering co mun.) electioneering commun. organization) � „ ...a.._.._ _ __ ----___ Signature Signature DS-DE 12 (Rev. 8/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS . (1) Name a.�ti�S �� (2) I.D. Number ; � (3) Cover Period / /��2 through � / � / � 2. (4) Page . of (5) (7) ($) (9) (��) (��) (12) 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 �� l � 1:�� 1�� l � ��"�ijr < � -��' �� d � �- I �►i'�'��"� � � � �6� % � L` �J ° ``1� � � � �s�' �1 � 2-� �2Gt �-� > t - � �� r S � ./�Q .. , ` � -�.4 _ �-� I 4�� . �v .;� � � ,� ��'S� `' , , RE EIVED / / City Sebastia City lerk's O�c / / / / ! / / ! DS-DE 13 (Rev. 08I03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � CAMPAI��T�f�EASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name ,.�i.o�,,.C' � � (2) I.D. Number (3) Cover Period �/ � /� through �� /�/�%i% , (4) Page �_ of �5� (7) (8} (9) (10) (11) Date Full Name Purpose �6� (Last, Suffix, First, Middie) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount � � � ,l ds�� _. . � S �-��ls 5�a . � �� P�� y�� .— �..��- +�:� ��, � � b'n ( .�7�5 FZE EIVED OCT - 5 2012 ebastia �ity C erk's Offic DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� ,��, �� :,�a,� �-.� _ , _�.: HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org September 25, 2012 Jim Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. Hill: In accordance with Florida Statutes Section 106.07, the G2 campaign treasurer's report for your campaign for the period September 15, 2012 through Friday, September 28, 2012 is due by 5 pm on Friday, October 5, 2012. All contributions and expenditures for that period must be reported. You have from Monday, October 1St through Friday, October 5th to hand deliver your report, however, Florida law allows you to mail the report as long as it is postmarked before midnight of the due date (October 5, 2012) and you include a USPS issued mailing receipt with the report. I encourage you to hand deliver the report in case there is any information missing. If I receive a mailed report and the report is incomplete, according to the State, it is deemed not timely filed and subject to penalty. (2)(a)1.AlI 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 midnight of the day desiqnated shall be deemed to have been filed in a timelv manner Any report received by the filing officer within 5 davs after the desiqnated due date that was delivered by the United States Postal Service shall be deemed timel� filed unless it has a�ostmark that indicates that the reoort was mailed after the desiqnated due date A certificate of mailing obtained from and dated b,y the United States Postal Service at the time of mailina, or a receipt from an established courier companx, which bears a date on or before the date on which the re�ort is due, shall be proof of mailing in a timely manner. ReAOrts shall contain information of all �reviously 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. The Sebastian River Area Chamber of Commerce and the Sebastian Property Owners Association have decided to combine their efforts to present the October 23rd Candidate Forum in the City Council Chambers with live broadcasts and have canceled the October 25t" event. You will be contacted by them directly. I wili be out of the office during the reporting week, except for Wednesday, October 3�a however, you can bring the report on any day and my staff will scan and email the report to me for review before it is stamped in and your stamped copy will then be emailed to you. If you have any questions, please do not hesitate to contact me at 388-8214 or smaioC�cityofsebastian.org. Sincer . , / Sally A. Maio, City Clerk �� ` � '----- MMC FLORIDA DEPARTMENT OF STATE ` DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY �� 4� �i �� OFFICE USE ONLY Name (2) l�3 1��ac.v� �.,� R Address (numbe a d street) �CF��/�CD S��,s�-�w� E L 32°l.� � �E'P� City, State, Zip Code C�y �� ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: �'"�r � -��. (4) Check appropriate box(es): \ < < j Candidate (office sought): ��`�ly,�� `'1 �v�Gt, 1 ❑ Politicai Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK !F t�0 OTHER ELECTIONEERING COMMUNtCATiON REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From � / 03 / ��ry. To � / �� / � Report Type C � �'�riginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Jf Cash & Checks $ Expenditures $ �1 � � 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 $ .�G? C� � $ �1 �G� (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) ��µ.1'e � �-� �,� (Type name) SG`1,.e�Q� � � �,� � Individual nly for � Treasurer ❑ Deputy Treasurer � Candidate ❑ Chairperson (only for PC, PTY & electioneerin ommun.) electioneering commun. organization) X X --_ Si n re Signatur DS-DE 1 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name :�Gtv� {—'''� lrJ �,� (2) I.D. Number (3) Cover Period / / through (} �/ �� /�(f L� (4) Page � of � (5) (7) (8) (9) (10) (11) (12) 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 a , , � -�,�� t� � � c� ,�,, �G � c�,s��.e, c�o A� 5 OG� �c�' �- � 2�; � ( ��h e-� i i i i RECEIVE SEP � � 12 �, c� c��°� � � � � � � � � � � � DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c _CAMPAIG�I TF�EASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name �G'��ea �,j �� (2) I.D. Number (3) Cover Period / / through � � / � `'f /_� (4) Page � of �5� (7) (8) (9) (10} (11) 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 �1 2 � l2 °�o�n.� �c�v�, �C U S �,►� C%�t. �- ��p� � C � �� `� � � � � �e�.� �,�. , F L 32�i � Y �S _3t1 t2 ��'� �� 5��.��.w�. S � rz,...-� ` ,n /,, ,�10�,��.. Q�' �1��i�. � N l C. `.'� V�� 2 ��'��J�G.��L�2�1 �� t��iv � SE� � � 4� '�� t��r,� �� ''� � ,�e DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org September 10, 2012 Jim Hill 113 Morgan Circle Sebastian, FL 32958 Dear Mr. Hill: In accordance with Florida Statutes Section 106.07, the G1 campaign treasurer's report for your campaign for the period July 3, 2012 (the day you pre-qualified) through Friday, September 14, 2012 is due by 5 pm on Friday, September 21, 2012. All contributions and expenditures for that period must be reported. 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. City Hall is closed for furlough day on Friday, September 21St. During evenings, furloughs, weekends and holidays when City Hall is closed, all entry doors lock automatically, so I will not be here to receive the report on that day. You have from Monday, September 17t" through Thursday, September 20t" to hand deliver your report, however, Florida law allows you to mail the report as long as it is postmarked up to midnight of the due date (September 21St) and you include a USPS issued mailing receipt with the report. I encourage you to hand deliver the report in case there is any information missing. If I receive a mailed report and the report is incomplete, according to the State, it is deemed not timely filed and subject to penalty. (2)(a)1.A1/ 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 midnight of the day desiqnated sha!l be deemed to have been filed in a timely manner Any report received bX the filing officer within 5 days after the designated due date that was delivered by the United States Postal Service shall be deemed timelv filed unless it has a postmark that indicates that the report was mailed after the designated due date. A certificate of mailing 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 proof 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 e%ction 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. This same situation may occur in October as well for your G3 report and a furlough day but I'll send another reminder at that time. The Sebastian River Area Chamber of Commerce and the Sebastian Property Owners Association plan to conduct candidate forums in October in the City Council Chambers with live broadcasts --- Chamber 10/23/12 and SPOA 10/25/12 both from 7-9 pm. You will be contacted by them directly. If you have any questions, please do not hesitate to contact me at 388-8214 or smaio(c�citvofsebastian.org. Sincerely, ,� �� Sally A. aio, City Clerk � ��, MMC � FORM 1 STATEMEl�TTT OF 2011 Please print or type your name, mailing FINANCIAL INTERESTS address, agency name, and position below: ''AST NAME -- FIRST NAME -- MIDDLE NAME : FOR OFFICE � USE ONLY: M/ Mayor Sebastian c^-; � �.;�: i � 1111'1 HIII ID Code � �� ; � 1--°' y� � 113 Morgan Cir �, � CI C� � a <'�l Sebastian, FL 32958 io No. -� � � � N/ � � �-�a �i _ _ _ _ Conf. Code � •-� .. -�-� NAME OF OFFICE OR POSITION HELD OR SOUGHT : " �=� P. Req. Code �y ,�-y � 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 **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL Y : PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): � DECEMBER 31, 2011 OR ❑ 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): ' COMPARATIVE PERCENTAGE THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A-- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions p. 4] (Ifyou have nothing to report, you must write "none" or"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY {/C i °G�1JtY'r.t�n �� f9G �" ��l,l.fjW C�'�'��v = �' ��1`� 7—L.��,j �� if$� J��vt�� PART B-- SECONDARY SOURCES OF WCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions p. 4] (If you have nothing to report , you must write "none" or "n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE PART C-- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions p. 4] FILING INSTRUCTiONS for (If you have nothing to report, you must write "none" or "n/a") 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. CE FORM 1- Effective: January 1, 2012. Refer to Rule 34-8.202(1), F.A.c. (Continued on reverse side) PAGE 1 PART D— INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions p. 5] (If you have nothing to report, you must write "none" or "n/a") TYPE OF INTANGIBLE PART E— LIABILITIES [Major debts - See instructions p. 5] (If you have nothing to report, you must write "none" or "n/a") NAME OF CREDITOR BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ADDRESS OF CREDITOR PART F— INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions p. 5] (If you have nothing to report, you must write "none" or "n/a") 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 IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ WHAT TO FILE: After completing all parts of this form, includina sianina and datina 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). 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/employeesfile with the Supervisor of Elections ofthe county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Sfate 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. Facsimiles will not be accepted. �� WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file wifhin 30 days of the date of his or her appointment or of the beginning of employment. Appointeeswho mustbe confirmed bythe 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 1 stfollowing each calendar year in which they hold their positions. 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 d� of leaving office or employment. However, fi. a CE Form 1 F(Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in their position on December 31, 2011. CE FORM 1- Effective: January 1, 2012. Referto Rule 34-8.202 (1), F.a.c. PAGE 2 CANDIDATE OATH - NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) OATH OF CANDIDATE (Section 99.021, Florida Statutes) RECEIVED AUG 3 0 2012 City of Sebastian City Clerk's Office OFFICE USE ONLY �, �I.1V� ��L (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT *-- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of �'c�3/LS r+��U � t.'��' �uuC.� Z � (office) (district #) � ; I am a qualified elector of �v'f�t�� 1��vG� 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; 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 I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. � �3 � Address Signature of Candidate �:s � �Z�1� 2�l-5�� Telephone Number state Candidate's Florida Voter Registration Number (located on your voter information card): � l� t 1 i � (f�' Email Address ZIP Code '' 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 orm): � � W ,� --�� -�- `�- � � STATE OF FLOI�DA �? COUNTY OF ,x%L'`1.��,TG a._ ��''`°- Sworn to (or affirmed) and subscribed before me this �,�,c1, day of ,�:?- � '�..,� Personally Known: � or , � y ..�� l�.'ry�c; �,4LLY A. MAIO Si nature of ;� r�, •:�; t:,r�r�;n}ission # EE 02435U g Produced Identification: ;�.��. ��;_ Fxpires OCt,�kier 5, 2014 Print, Type, o •r, �-�`�;:' •,��Fr �,p.. n��n;�eG ��'�ra TrcN =ain InSUrar�ce 800.385-7019 Krann,*�Wiys;.awc+ r.�� Type of Identification Produced: �,20 �Z. ,,.{�� - � Public Commissioned Name of Notary Public DS-DE 25 (Rev. 5/11) Rule 1S-2.0001, F.A.C. CITY OF SEBAS: IAN CI I �' �LERK'S OFFICE . /, 4�� . 'CEIPT `o- i Name � i�,'l. T 1 !,� Date _ ?�� /�. _ No. 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 CopieslBid Specs. 001501 341910 LDCICode of Ordinances t] Cash f U+Check # /�� Amount Paid 001501 341930 Eledion Qualifying Fees ��• � 601010 343800 Cemetery Lots LoUNiche , Block , Unit 001501 343805 Cemetery Fees , �, . f � � � `'= �` ,.��iJ � .-,� � ` •� t �> � c �� ,� � �;'�-��' \ Total Paid �_ 4_ ' ials White - Dept. of Origin • Vellow - Finance • Pink - Applicant 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 I officer before opening the campaign account. 1. ECK APPROPRIATE BOX(ES): RECEtVED JUL - 3 2012 City of Sebasti�n City C1erk's O�ce OFFICE USE ONLY � Initial Filing of Form Re-filing to Change: � Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) � �� 4lu�I,P� � t � l. ��G'ti ��' 4. Telephone 5. E-mail address �� i�^-.' �� L c`I ��l > �.2�f-S2�1 �O ` ( �� ) ��, �� C� c.�a�i.c� �� 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: S��s.�� .t.Y � J��` � � 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 � No Party Affiliation � 9. I have appointed the following person to act as my 10. Name of Treasurer or Deputy Treasurer ��« �� 11. Mailing Address � �� c.� �;��r Party candidate. Campaign Treasurer � Deputy Treasurer 12. Telephone c > 13. Ci 14. County 15. State 16. Zip Code 17� m i�ddres I � e,�S�cTc.�-`. � �— �"�- .��C�� i � t� �� C� �11.CG� 18. I have designated the following bank as my � Primary Depository � Secondary Depository 19. Nam��` Bank r a 20. Address� ,` r �-.J v�jl�' V �,l � 21. City 22. County � 23. State 24. Zip �ode �� . �� a�.. � � L. 32`r5 � 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 , � 26. Signatu of C, ndidate 27 � '� /��l 2��- Treasurer's Acceptance of Appointment (fill in `,� J��',�� (Please Print e Name) designated above as: Campaign Treasurer � Z � Date � �❑ gnature blanks and check the appropriate block) , do hereby accept the appointment Treasurer. Treasurer DS-DE 9(Rev. 10/10) U Rule 1S-2.0001, F.A.C. ,� �i � .. , rur � _. , �� , �.0 �� =°y ��>, - �_ • • � , � ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER Charter Section 2.02 - ELIGIBILITY FiE�E�VED JUL - 9 2012 City of Sebastian City Clerk's Office "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, �c t�� l�i L\ , 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. Si ature of Candidate Sworn to subscribed before me this �� day of , 2012. �.o� (� �� Notary'�i�blic State of Floric SEAL �......r ,,�1�� iy�,, SALLY A. MA.iG _.. ,� Commission " EE 0�4350 ��o: Expires October 5, 2i714 �� P'� Bpidad Thu Troy Fain Insurance� i�;i�i-345-7019 *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 gualifzed elector of the municipality. Ms-word/election/charter eligibility STATEMENT OF CAN DIDATE (Section 106.023, F.S.) (Please print or type) i, J�� \< � v candidate for the office of ��.�5"T ��,..� k-rY �✓,�C.c �. ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x Signature of Candidate 0 20L2 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 (OS/11)