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Home My WebLink AboutSLAVEN TIM DAVID 11-06-2012�a S� � HOME OF PELICAN ISIAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org November 2. 2012 Tim Slaven Sebastian, FL 32958 Dear Mr. Slaven: 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 Feb�uary 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 15� 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, piease don't hesitate to contact me at 388-82145 or smaio@cityofsebastian.org. �Sin r ly, �� ` "' Sally A. f4laio, MMC City Clerk �� . ' T � it� � $°�`:�.-,,, .:. ". _. HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org October 22, 2012 Tim Slaven 103 Day Drive Sebastian, FL 32958 Dear Mr. Slaven: 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, any reAOrt postmarked by the United States Postal Service no later than midnight of the dav designated shall be deemed to have been filed in a timely manner Any report received bv the filinq officer within 5 days after the desi4nated due date that was delivered by the United States Postal Service shall be deemed timelv filed un/ess it has a ,00stmark that indicates that the report was mailed after the designated due date A certificate of mailing obtained from and dated by the United States Posta/ Service at the time of mai/ina, 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 aroof of mai/in4 in a time/y manner. Reports shall contain information of a// previous/y unrevorted 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�y, � -� _ �� `�----. Sally A. io, MMC City Clerk ; ,' ° . � -� ' F�ORIDA �EPARTMENT OF STATE DNIS�ON�OF ELECTI�t�lS . CA�i[PAI.GN TREASURER'S REPDI�T SL�MMARY �� -; � - �/� �� - O�FIC� L2SE ONLY �� d � � Nam ��`,�� { � Adaress (numkier and street} �� ,� J ! r I'7 � � � �� e �y �� `�� . � City� State, Zip Code �'� '- �'�� ,_ d ❑.CHECK 1F ADflRESS HAS CHANG�O �4} Check apQrnpriate�6ox(es): � Gandidate (office sougY�t): _� ❑ Politica! Comrr�itiee ❑ Comrnittee of Contir��tous Exjsience ❑ Party Executive Committee � ❑ Electioneering Communicaiion (3) 1D Number. �a�.� c►�I -- f,� d�s�� ❑ CF#�CK IF PC HAS �1SBAND�D ❑ CHECK iF CCE HAS DISBAN��D ❑ CH�CK IF NO OTHER EI.�GTtON�ERiNG CQMMUNICAT�ON REPORTS W�LL. B� FiLED {5j REPORT ZDENTIFIERS Caver Periad: From � 1 z�f / f z. Ta �!�� Original ❑ Arr�endment ❑ Spec�al Efection Re�ari (6j CONTRIBUTIONS TH1S REP(�RT r� Cash � C�ecks � � �� Laans � . Tdta� Monetary In-Kind 49) TOTAL M� W r�--� $ � $ �`" ��--� Contributions To Date, rt• � i p� � � 1 f � Report Type �"� ❑ lndependeRt Expendit�are Repart (i) �XPENDITURES TH1S REPORT Monetary •. . . x ``� � Ex{�endihrres $ J � f '�� , � — ... _ Trar�.sfers to Office � Acco�nt $ Total . /� _ Monetary $ �V (8) Otiier Distributions ,y � �..1� - (7D) TD�AI,,�f��t G•�C 3�Ur � 3�(ji � _ � ' r ' �� J{p � � 9 f/' - I �� VV _ � � - _ . (71) CERTl��GATION • ft is a frst degres misderrteanor for any persan fo falsify a public record {ss. 839.'13, F.S.) ! cerfify that 1 have examinedthis repor� and it is true, I c�rtify thal i�ave exarnined #his report and il is true� co�recl, and cornpfete. . carrecf, and complete_ . iTYF� �arne? f� V R� CfYAe narne) J� J`�'! J 1 0f E� ��f �Individu�f {on�y rar �Treasurer � Deputy Treasurer �r+didate ❑ Ghairpersan {onty Eor PC, PiY 8� elec[soneeri�g mun.J leciioneering cornmun. argantzalion) � � Sigr�at�►re�'- . - 5ignature ��s=aE �t� {�t��. osia�} � . : .. CAMPAiGN TREASURER'S REP�RT-1TEMfZED EXPENDITURES {i) Name /✓� (2)1.D. Nufr►ber (3) Co�er Period �I Z�/ I� through l � /!� I � Z (4) �age f � of (5} (7} �8) ��) ��Q) ��13 Aate F�li Name i'urpase (Lasf, Suffix, First, Middle) (add affice saught if {6) . g��etAddress & contrihution to a �P��diture Sequence 7 e ��. City, State, Zip CocEe ca�didate) yp Amendment Amaunt �D C /� lZ, � ¢d � �s� � � �I'i [", (r.��y�d I,�6�1- • � �3zv � �,�s �Ia� - 301 DD_C .S_�6�s��mH, F�3295g � � �� W� . ��3� � � . �'�Jr � �� d ,�C� ��b � � r�s QS f�d � � bS-QE 14 4Rev. OSIU3) S�� REVERSE FOF2 INSTRl�C71DN3 AtrfD COD� VAL.UES � � I � ' t' � CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUT10N5 (1) Name { (2) i.D_ N�mber (3) Caver Period � � i � f � ihrough ,�� % %,Z r _ �( : _ 4 _ Page _ _ __l - _ _ af c�� . m cs� cs} t� o� c� 1� Date FuE� Name � [B) {Last, Sufiuc, First, f+/liddle} • _ . • Sequence Sir�et Address & ConEribuior Cantri�uGon . !n-kind Number Ci , Sfate, Z"i Code i' e Occu atioR T Descri tian ��d►nent �p � �t � fz �vn�'an��cE►� y3� rh�r�n��t�r j UU1� e�� n �, S� �� z, �� , - f .... E��) ZSp0 � !a i ll � !Z �tII � •�T{rn �•G � .. G3��r�r,��sff. j � U d� �� 1do=.o � p � st p�ff�rh� �d� � f ! / ! DS-D� 13 {Rev_ R8l03) � �° � , o�- � C'��r� �,�� , s �� . ��s 5EE I�EV�F2S� FOR 1�7STRiJCT4DNS ANb COD� VAl.UES �� ,�� )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 Tim Slaven 103 Day Drive Sebastian, FL 32958 Dear Mr. Slaven: 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 15th through Thursday, October 18�' 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)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 re�ort 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 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 desrqnated due date. A certificate of mailin_q 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 mailinq 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 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. Sinc , � � �----- . � �1 Sally A. M o, MMC City Clerk FLORfDA DEPARTMENT OF STATE DiVlSION OF E�ECTIONS CAMPAIGN TREASURER'S REPORT RY �� yy� �/� �/,� � � OFFICE USE ONLY Name r OCY ` 9 2012 (2) l�3 �� vr� V� City of Sebasti;in Address (number and street) City Cierk's Off�c: 5�.6✓Jii�� .� 32iS� �2�c��ec� Uefi.�r�� w�fti 5��'�c�r��t � City, State, Zip Code �� ✓I n o ti t�. -`=�-o r,� paSf (.`�-%� ��.d e ❑_ CHECK IF ADDRESS HAS CHANGED (3) 1D Number� � (4} Check appropriate box(es): n L t �Cj Candidate (office sought): C/!j� G DtJ rI i/I " f� O✓f/ �v h ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK lF t�0 OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From q l/,,'f l�Z. To �/ 1� l�Z Report Type G" � �Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDfTURES THIS REPORT Monetary Cash & Checks $ Expenditures $ y�/ s� � — Loans � Transfers to O�ce Account $ � Total Monetary � � Total �S"" Monetary $ Cj S,i In-Kind $ (8) Other Distributions $ (9) TOTAL Moneta Contributions To Date (10) TO L Monet�a�-y Expenditur To Da e l� � . � _ . } $ �-�- �i�—/�-L � r'�s's��,�/-�S�'Z; to —�' (11} CERTIFICATtON It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 1 certify that 1 have examined ihis 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) �/17 (�lJ �{ � (Type name) ✓ � � J �r ✓ � v% �Individua! (oniy tor �{Treasurer � Deputy Treasurer �Candidate � Chairperson (only for PC, PTY 8 electioneering c mmun.) ��electioneering commun. organization) ^ ^ / Signature� � Signature DS-DE 12 (Rev. 08J04) �� CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name �/l��rl�� / { /� (2) l.D_ Number T (3) Cover Period /l l iZ through / 28 // Z (4) Page � of ,� �5) �7) �$) (9) ��) ��1) ��2) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution !n-kind Number Ci , State, Zi Code T e Occu ation T e Descri tion Amendment Amount / / D i i 0 T-92►7 Cit of Sebas : Ci Cierk's O ; 12��e�i� ��fi, ��t, w�th � � S u�F�-� �� n+ nna+ I i��g noti c �{'0 (Y� �05 C� �'i �, c�l CL.te ��--�-1 .L / / .. / / / / / / / / us-ut 73 (ttev. DSl03) SEE REVERSE FOR tNSTRUCTIONS AND CODE VALUES • 4 CAMPAIGN TREASURER'S REPORT — iTEMIZED EXPENDITURES (1) Name 7%rf �f��/y.� /� (2) I.D. Number (3) Cover Period 7 / �i� / � Z through �/ �� / / Z (4) Page �_ of (5) �7) �8) �9) �10) �11) Date Full Name Purpose �6� (Last, Su�x, First, Middle) (add office sought if Sequence Street Address 8� contribution to a �penditure Number City, State, 2ip Code candidate) TYPe Amendment Amount /G lZ /Ql%tLrO��i✓ n /J a/� !'✓�r1�✓� /� . 2�1�1� s�A�d•►�t 8/re% i•: �f � /✓Io n ll 7 Q03 l''�r��tJ�rli/ FG 333GS '�C✓��-f ECEIV p7GS i 0 T-9 212 Cit of Sebas ian Ci Clerk's O ic� e�' v d C�ct 9�'� w i�- S �t-F�i (:. i ��- ��ti�c� (� n� n o1-i -F �c m P s t c��'-�-, c e da�e iv-�--�z, �C,J D5-UE 14 (Rev. 08l03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i�i j�,t iij t;� � t,��ti ;fi ..; f� i_. iL) � � '+ N � N � _1 � � � `� � � ��..� � � W � � � � C� � � � � � ` �` � � `, `�� 3 � , a � � � � �.. �N 3 � ` � � t S O '� � ` � w � N (�� "' V -..t a � � � � � O � � O �� O �� E-' � � � Lri � � �� _ 0 �, - � - 5� r�?� m � O ° m '^ o a j � o G n � m L.J N P r, � m o � c c� o o� 3.�WWTJ� o OoNf�7> CD C,U7(DS>�+� o� Z�.• Q7C7C70 � A -I •02 (A I�V� �- � "'O N�� o m m •�R;> �, � �w � �', IwW' F� ��y��q+� ` f k ,� � � � , � }' ,� � fi , l'�� I '� � � � ,, ', Y� ti # �� . iR , g r, � i ; � � ��'�' � � { �r :;�x ''�� , �. � � �� HOME OF PELICAN IStAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org Septernber 25, 2012 Tim Slaven 103 Day Drive Sebastian, FL 32958 Dear Mr. Slaven: 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 5t" 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.All 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 � the United States Postal Service no later than midnipht of the day desiQnated shall be deemed to have been filed in a timelv manner An� report received by the filinq 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 r�ort was mailed after the desiqnated due date. A certificate of mailina obtained from and dated by the United States Postal Service at the time of mailing, or a receipt from an established courier com�anX, which bears a date on or before the date on which the report is due, shall be proof of mailinq 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 23�d Candidate Forum in the City Council Chambers with live broadcasts and have canceled the October 25th event. You will be contacted by them directly. I will be out of the office during the reporting week, except for Wednesday, October 3�d 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 smaio(a�cityofsebastian.orq. Sincer , Sally A. Maio, City Clerk l.-C-- �� ,------- MMC FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY (� ) / .�►�� ✓� v� Name �2� /03 ,� dr E��i��d Address (number nd street} �� D Z ._� � f� ��r.�i�n ,�'� 3z�is� �� City, State, Zip Code �Cf . �t�" ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: �� (4) Check appropriate box(es): � Candidate (office sought): �/f}' iyDc/nC ! � "" � �'�.s��'� � ❑ 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 COMMUNICAT{!JN REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From � I.� l/ 2 To �/ � j� l� Z Report Type �j ' � �-Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT � p Monetary G� Cash & Checks � l�(� Expenditures $ 1�� oG Loans $ l�U �`�" Transfers to Office O Account $ Total Monetary � l l 0� '� Total G y Monetary $ %�/ ^ In-Kind � (8) Other Distributions $ (9) TOTAL Monetary Contrib�tions To Date (10) TOTAL Monetary Expendit es To Date $ �� Qv "- $ � � � ��f (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) / /✓j ��i1 Ir (Type name) �� v 11�f� , � Individual (only for �reasurer Deputy Treasurer � Candidate ❑ Chairperson (only for PC, PTY & electioneering commu e neering commun. organization) X 1 X �___-- Signature Signature DS-DE 12 (Rev. 08/04} CAMPAIGN TREASURER'S REPORT — lTEMIZED CONTRIBUTIONS (1) Name r / � ��1►� ✓ � � (2) I.D. Number (3) Cover Period � / .� / � Z- through 9 / � � / � Z (4) Page � of � (5) ��) �8) �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 � , � , /2 .l'lrWrn��✓j�✓ ,�� '�� c�' ��s �,�o,r+ � ,��t � /GY� y{r� �� c y �i�"�. d 31g��' �1 � 3 / Z. s�'�✓{n, � ' �1'�c- L�� /dp1� �d3 1�r Dr1 ✓C. � 6o Z, �b�� - � � R�� '�E� �; � � ?0,2 � � ci�Y Clf k Sb stian ��e r � � i i i i i DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � C_,j�l IPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name 7//!� .%�tll/'� li (2) I.D. Number (3) Cover Period � / � / � Z through �/ �� / �Z (4) Page � of / �5� �7) �$) �9) ��) ��) Date Full Name Purpose (Last, Suffix, First, Middle) (add office sought if �6� Street Address 8� contribution to a Expenditure Sequence City, State, Zip Code candidate) TYPe Amendment Amount Number q�- �2 ��ty � f� f�.r��h c��,d,d��e o0 / I �� N'J✓ � n J'%ct � � 0/N�i�.� -C /�%l� �j � '. p0,� Srd�tf'f /Jn� �G 319S�j ,tc bC��o,vnc�,� 9 � i2 7old �/'r, � t.�'�v� . l'✓,,��tv��'� �G y 1i.3Z vss-- ,c� � r�S J�lu ✓I Ss —' d�Z S� ,�./1�/d l7� �L ,3Z�.S� R�' S,Ep z o �� ,�,t�'". ��Y of Cify Cl�� DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� !�� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Fiorida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org September 10, 2012 Tim Slaven 103 Day Drive Sebastian, FL 32958 Dear Mr. Slaven: In accordance with Florida Statutes Section 106.07, the G1 campaign treasurer's report for your campaign for the period July 5, 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 20th 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. (Z)(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 shall be deemed to have been filed in a timely manner Any report received bX the filin4 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 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 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 all previously unreported contributions received and expenditures made as of the day preceding that designated due date. AlI 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. Sinc - ly, . ` � d'"� ,._---°-- � i �� Sally A. Maio, MMC City Clerk FORM 1 STATEMENT OF 2011 Please print or type your name, mailing FINANCIAL INTERE STS address, agency name, and position below: LAST NAME -- FIRST NAME -- MIDDLE NAME : FOR OFFICE �/ �I �/�/ 17 TI✓� �I r/ V�� USE ONLY: MAILING ADDRESS : 1 D 3 ,�� li/J �/ t �� ID Code �„ S'� b�s �� v n �� 379s8 �'h��n �� r SEp 0 4r CITY : ZIP : COUNTY : ��t,y�� :Y NAME OF AGENCY : er�� O�� ff ,�JJ ��n C�� OVh�'� l Conf.Code � NAME OF dFFICE OR POSITION HELD OR SOUGH : P. Req. Code You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF � ANDIDATE 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 ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS ST�TEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (mu�7st check one): ❑ DECEMBER 31, 2011 QR �� SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: 4D� Z 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] (If you 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 ��►✓� Qeev fia�:.1%J�-L 11 yS/ �+'�, J�I.r t�L c� ♦ Y e F/on J� � ♦ l' lrl rr �c h i� Z G� �,n �� v a✓' an d f.� n,,,,� � PART B-- SECONDARY SOURCES OF INCOME [Major customers, ciients, 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 !I 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 ( n��•!v3 J L L are located at the bottom of page 2. ' INSTRUCTIONS on who must file this form and how to fill it out Jt J„ l' GJ �1 d. �%-/ �Vi 90!'OM% ��i n F� ; L� Sy begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1- Eftective: January 1, 2012. Refer to Rule 34-8202(1), F.A.C. (COOt1OU@d Ofl 1'@V@rS@ Sld@! PAGE 1 PART D— INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions p. 5J (If you have nothing to report, you must write "none" or "n!a") TYPE OF INTANGIBLE BUSINESS ENTITY TO HICH THE PROPERTY RELATES 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 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 ■ 1 N PRINCIPAL BUSINESS ACTIVITY � � � POSITION HELD WITH ENTITY � V J�} n/ �•r I OWN MORE THAN A 5% �A � J' INTEREST IN THE BUSINESS Y I �V NATURE OF MY � ', ' � t y�- OWNERSHIP INTEREST � ]1J // IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE (required� DATE SIGNED (required� qf 3 �� Z FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, includina If you were mailed the form by the Commission Initially, each local o�cer/employee, state signing and dating it. send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to file within 30 days of the date of his or her that location. appointment or of the beginning of employment. If you have nothing to report in a particular AppointeeswhomustbeconfirmedbytheSenate Loca/ officers/employees file with the Supervisor section, you must write "none" or "nia" in that must file prior to confirmation, even if that is less section(s). ofElectionsofthecountyinwhichtheypermanently than 30 da s from the date of their a reside. (If you do not permanently reside in y ppointment. Florida, file with the Supervisor of the county Candidates for publicly-elected local office must where your agency has its headquarters.) file at the same time they file their qualifying NOTE: State officers or specified sfate employees Papers. MULTIPLE FILING UNNECESSARY: file with the Commission on Ethics, P.O. Drawer Thereafter, local officers/employees, state Generally, a person who has filed Form 1 for a 15709, Tallahassee, FL 32317-5709; physical officers, and specified state employees are calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite required to file by July 1 stfollowing each calendar second Form 1 for the same year. However, a 201, Tallahassee, FL 32312. year in which they hold their positions. candidate who previously filed Form 1 because of another public position must at least file a copy of Candidates file this form together with their Finally, at the end of office or employment, his or her original Form 1 when qualifying. qualifying papers. each local officedemployee, state officer, and To determine what category your position falls specified state employee is required to file a under, see the "Who Must File" Instructions on final disclosure form (Form 1F) within 60 days page 3. of leaving o�ce or employment. However, filing a CE Form 1F (Final Statement of Financial Interests} does � relieve the filer of filing a Facsimiles will not be accepted. CE Form 1 if he or she was in their position on December 31, 2011. CE FORM 1- Effective: January 1, 2012. Refer to Rule 34-8202 (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) RECE�V�,D SEP � 5 Z012 � c�ry of CitY Cle kes ��C�n OFFICE USE ONLY �, —� � M f! n% �/! ✓i (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT *-- NAME MAY NOT BE CHANGED AFTER THE END OF �UALIFYING) am a candidate for the nonpartisan office of ff O af �%�» G��y ��hC �� (office) (district #) � ; I am a qualified elector of ��rN ��'r✓ 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. X Sig l6 3 ,��y arivt � �n> �� 3 y38 Z� Telephone Number ,T{ 6 ✓Jf / r � FL c�ry scace ��JId v�n ��Mdi/, ei� Email Address 3ags� Candidate's Florida Voter Registration Number (located on your voter information card): �� T IC�L% .s 7� % " 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): T%,�t S� C�r) V r'►V STATE OF FLO A,1 COUNTY OF :�'�'-�Ct.�- �:-/�-t�. Sworn to (or affirmed) and subscribed before me this E� day Personally Known: _� or Produced Identification: Type of Identification Produced: DS-DE 25 (Rev. 5/11) � , 20 lL-- . � �i �---- f�. 'A. �1 f�. �� q��r��tS��Nai e of Notary Public �xplr�� C�tobet 5, 2014 9ontldB TTNU Troy FRin R�surence gq��g�7019 Rule 1S-2.0001, F.AC. Name / � h No. 001001 208001 001501 322900 001501 341920 001501 341910 001501 341930 601010 343800 001501 343805 CITY OF SEBASTIAN CITY CLERK�S oFF��E . 4 4 8 9 RECEIPT � ❑ Cash [�-Check #� Amount Paid Sales Tax Garage Sales CopieslBid Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots LoUNiche , Block , Unit_ !%,Cemetery Fe � �/nC - �-�lC.> r tlb� � .� � �/ 6L Total Paid White - Dept. of Origin • Yellow - Finance • Pink • Applicant rnYOF _.. �� HOME OF PELICAN 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, �`J ��- �� I�� , 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 re of Candidate �� Sworn to_ and subscribed before me this /� j=� day of��P � ' 2012. (��,, ^ . �.% `� � � ,., Notary Pu �c State of orida ,•ti;�Y::;;•. SALLY A. MAIO ,'� � := Commission # EE U24350 �= Expires October 5, 2014 '�; a. S EA L ��R� ��`'�, Ba�dad Thru Tmy Fain Inwrance 800-385-7073 *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 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. CHE K APPROPRIATE BOX(ES): nitial 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) /� � � � '�,n ��< d S�✓�� 4. Telephone 5. E-mail address � �� l�� L ? Z�� c �r�z � ��3 �38 � f�"sl✓r�� ,�"�� J 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if � !�� l,UV��! / applicable: � � My intent is to run as a Write-In candidate. 8. If a candidate for a artisan office, check block and fill in name of party as applicable � Write-In No Party Affiliation � RECEIVED ,fUL - 5 2012 City of Sebastian City Clerk's Office OFFICE USE ONLY My intent is to run as a Party candidate. 9. I have appointed the following person to act as my Campaign Treasurer � Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer ��//� �5�� 11. Mailing Address � � � � J� �� ,� 13. City 14.�n 15. State 16. Zip Code Sr �f fi� �, .�- �� L 3 Z� s� 18. I have designated the following bank as my Primary Depository 19. Name of Bank �� 20. Address � �tJ l�l 7`��v 21. City 22. Co� �r b aS�� v v� .�.�, ��,�,��r 12. Telephone c��z > �-i3�—`f382. 17. E-mail address ��s�"'��" � ��.1 �o� � Secondary Depository �dh �Z�� 23. State 24. Zip Code ��- 3 2 �� UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 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 �� f�� 26. Signature � e / , � X / �v ,---_ 27 � Treasurer's Acceptance of Appointment (fill in the f� '1�� (Please Pnnt or Type Name) designated above as: �Campaign Treasurer ��/r � Date DS-DE 9 (Rev. 10/10) ►� natu d check the appropriate block) , do hereby accept the appointment Deputy Treasurer. or Deputy Treasurer Rule 1S-2.0001, F.A.C. STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) I� candidate for the office of ��1��- �U �/� � i � _-- �S (�✓ ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. ��S< � �. ignature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84 (OSl11)