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HOME OF PELICAN ISLAND
SEBASTIAN CITY COUNCIL MEMBER
OATH OF OFFICE
I, Lisanne Monier, do solemnly swear that I wi}1 support, protect,
and defend the Constitution and Government of the United States,
and of the State of Florida against a11 enemies, domestic and
foreign; that I will bear true faith, loyalty, and allegiance to the
same; that I am duly qualified to hold office under the Constitution
and Laws of the State of Florida; and that I will faithfully perform
all the duties of the office of Councilmember of which I am about
to enter, so help me God. ;
isanne Moni
ebastian City Council Member
S and subs 'bed before me this 15th day of March, 2004.
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______—
Sally aio, CMC
City Clerk
(SEAL)
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
(3) Cover Period /_/,
(2) I.D. Number
through /_/ (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle) Contributor
Sequence Street Address 8� Contribution In-kind
Number City, State, Zip Code Typ. occupatfon Typo Descri tion Amendment Almount
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(3)
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party
executive committee (PTY).
Type the ident�cation number assigned by the Division of Elections.
Type cover period dates (e.g., 4/1/97 through 6/30/97 ). (See Calendar and E/ection Dates for appropriate year
and cover periods.)
(4) Type page numbers (e.g., 1 of 3).
(5) Type date contribution was RECEIVED (Month/Day/Year).
(6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned
within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number
will combine to uniquely identify a specific contribution, expenditure, disMbution or fund transfer. This method of unique
ident'rfication is required for responding to requests from the Division and for reporting amendments.
For example, a Q1 report having 75 contributions would use sequence numbers 1 thru 75. The next report (Q2), comprised
of 40 contributions would use sequence numbers 1 through 40. Contributions on amended Q1 reports would begin with
sequence number 76 and on amended Q2 reports would begin with sequence number 41. See the Amendment Type
instn�ctions below.
(7) Type full name and address of contributor (including city, state and zip code).
(8) Enter the type of contributor using one of the following codes:
Individual ■ 1
Business s B (also includes corporations, organizations, groups, etc.)
Committees = C (includes PC's, CCE's and federal committees)
Political Parties = P (includes federal, state and county executive committees)
Other = O (e.g., candidate surplus funds to parly, etc.)
Type occupation of contributor for contributfons over 5100 only. (If a business, please indicate nature of business.)
(9) Enter Contribution Type using one of the following codes:
11cL+/'►p1�T�A\I f�Af1C
NOTE: Cash includes cash and cashier's checks.
(10) Type the description of any in-kind conMbution received.
Cash
Check
In-kind
Interest
Loan
Membership dues
Refund
CAS
CHE
INK
INT
LOA
DUE
REF
Candidete's Only -- If in-klnd contribution Is from a party executfve committea and is allocable toward the
contribution Iimits, type an "A" in this box. If contribution is not allocable, type an "N".
(11) Amendment Type (required on amended reports) - To add a new (previously unreported) contribution for the repo►ting
period being amended, enter "ADD' in amendment type on a line with ALL of the required data.
The sequence number for contributions with amendment type "ADD" will start at one plus the number of contributions in
the original report. For example, amending an original Q1 report that had 75 cont�ibutions, means the sequence
number of the first contribution having amendment type "ADD" will be 76; the second "ADD" contribution wouid be 77,
etc. When amending an original 02 report that had 40 contributions, the sixth "ADD" contribution would have sequence
rlumber 46.
To correct a previously submitted contribution use the following drop/add procedure. Enter "DEL" in amendment type
on a(ine with the sequence number of the contribution to be corrected. In combination with the report number being
amended, this sequence number will identify the contribution to be dropped from your active records. On the next line
enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the
dropped data. Assign the sequence number as described above.
(12) Type amount of contribution received. Committees of continuous existence ONLY: Any contribution which
represents the payment of dues by a member in a fixed amount pursuant to the schedule on file with the Division of
Elections need only list the aggregate amount of such contribution, together with the number of inembers payirng such
dues and the amount of inembership dues.
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3) Cover Period �.�/� through �/ (4) Page of
(5) i�) �8� i9) i10) (11)
Date Full Name Purpose
(g) (Last, Suffix, First, Middle) (add o�ce sought if
Sequence Street Address 8 contribution to a Expenditure
Number City, State, Zip Code candidate) TYPe Amandmant qmount
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INSTRUCTIONS FOR CAMPAIGN TREASUR�R'S REPORT — ITEMIZED EXPENDITURES
(1) Type candidate's full name or name of the political committee (PC), committee of continuous
existence (CCE) or party executive committee (PTY).
(2) Type identification number assigned by the Division of Elections.
(3) Type cover period dates (e.g., 7/1/01 through 9/30/01). (See Calendar and Election Dates for
appropriate cover periods.)
(4) Type page numbers (e.g., 1 of �.
(5) Type date of expenditure (Month/Day/Year).
(6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to
be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type,
and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund
transfer. This method of unique identification is required for responding tq requests from the Division and for
repo�ing amendments._ _
For example, a Q1 report having 40 expenditures would use sequence numbers 1 thru 40. The next report (Q2),
comprised of 30 expenditures would use sequence numbers 1 thru 30. Expenditures on amended Q1 repa�ts
would begin with sequence number 41 and on amended Cl2 reports would begin with sequence number 31: See
Amendment Type instructions below.
(7) Type full name and address of entity receiving payment (including city, state and zip code).
(8) Type purpose of expenditure (if expenditure is a contribution to a candidate, also type the office
sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditu�es,
as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting
candidates), CCEs and party executive committees contributing to candidates must reaort office
sought (Section 106.07, F.S.).
(9) Enter Expenditure Type using one of the following codes: DESCRIPTION C04E
Disposition of Funds (Cand.) DIS
Monetary MON
Petty Cash Withdrawn PCW
Petty Cash Spent PCS
Transfer to Office Account TOA
Refund REF
(10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for
the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for expenditures with amendment type "ADD" will start at one plus the number of
expenditures in the original report. For example, amending an original Q1 report that had 75 expenditures,
means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second
"ADD" expenditure would be 77, etc. When amending an original Q2 report that had 30 expenditures, th�e ninth
"ADD" expenditure would have sequence number 39.
To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in am�ndment
type on a line with the sequence number of the expenditure to be corrected. In combination with the report
number being amended, this sequence number will identify the expenditure to be dropped from your acti!ve
records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary
corrections thus replacing the dropped data. Assign the sequence number as described above.
(11) Type amount of expenditure.
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(1) Name ��'�'����'�j � (2) I.D. Number
(3) Cover Period � / � / (� through �/ � / � (4) Page � of I
�5) ��) �8) i9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address 8� Contributor Contribution In-kind
Number Cit , State Zi Code T e Occu ation T Descri tion Amendment Amount
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DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIG TREASU ER'S REPORT - ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3) Cover Period �/�/� through �/.�/ (4) Page of �
(s) c�) c8i c9) c�o) c��)
Date Full Name Purpose
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Sequence Street Address S contribution to a �Penditure
Number Clty, State, Zip Code candidate) TYPB Amandmant Amount
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DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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HOME OF•PEUCAN [SLAND
1225 Main Street
Sebastian, Florida 32958
{772) 589-5330 phone - (772) 589-5570 fax
March 5, 2004
Lisanne Monier
1125 US Highway 1
Sebastian, FL 32858
Dear Ms. Monier:
In accordance with Florida Statutes a campaign treasurer's termination report must be
filed by June 7,. 2004 and will include ali lawful expenditures in accordance with
. an na isposition of surpius funds in accordance with 106.141.
If you have any questions, please do not hesitate to contact me at 589-5330.
Since ly,
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Sally A. M 'o, CMC
City Clerk
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HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, Florida.32958
(772) 589-5330 phone - (772) 589-5570 fax
March 5, 2004
Steven R. Schlitt
2095 Cayalla Road
Vero Beach, FL 32963
Dear Mr. Schlitt:
In accordance with Florida Statutes a campaign treasurer's termination report for the
Lisanne Monier campaign must be filed by June 7, 2004 and will include all lawful
expenditures in accordance with 106.11(5) and final disposition of surplus funds in
accordance with 106.141.
If you have any questions, please do not hesitate to contact me at 589-5330.
Sin ly,
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Sally A. aio, CMC
City Clerk
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HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, Florida 32958
{772) 589-5330 phone - (772) 589-5570 fax
March 5, 2004
Lisanne Monier
1125 US Highway 1
Sebastian, FL 32958
Dear Ms. Monier:
In accordance with Florida Statutes a campaign treasurer's termination report must be
filed by June 7,.2004 and will include all lawful expenditures in accordance with
106.11(5) and final disposition of surplus funds in accordance with 106.141.
If you have any questions, please do not hesitate to contact me at 589-5330.
Since ly, .
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Sally A. M 'o, CMC
City Clerk
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Lisanne Monier
1125 US Hwy. 1
Sebastian, Florida 32958
772-581-2626
lisannemonier@yahoo. com.
Born in Baltimore, Maryland 1956
Lived in Baltimore until 1988 moved to Kill Devil Hills, North Carolina
Moved to Florida in 1998 and Sebastian in 1999
Educational background
BS Towson State University 1978 suma cum laude
Completion of honors thesis �rogram in fine art
I have participated in juried art shows for 27 years creating my own
designs in handmade paper and copper.
In 1999 after purchasing the Old Town Ha11 in Sebastian I opened The
Old Opera House �allery which features the work of many artists and
craf�smen.
Planning and Zoning commissioner 2 1/2 years, Board of Directors
Sebastian River Chamber of Commerce, founder of The Sebastian River
Fine Art and Music Festival
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COASTAL FLORIDA
POLICE BENEVOLENT ASSOCIATION
1660 Tomoka Farms Road � Port Orange, Florida 32128
(386) 258-7579 e• 1-800-625-5451
February 18, 2004
Sally Maio
City Clerk
City of Sebastian
1225 Main Street
Sebastian, FL 32958
Dear Ms. Maio,
Please find enclosed our Notice of Intent to Endorse the following candidates for the City
of Sebastian City Council:
Mr. Walter Barnes
Ms. Lisanna Monier
If you should have any questions, please call our office.
Sincerely,
i � �
Vincent L. Champion
President
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Protecting The Protector�
�oASTA� F�oRioA COASTAL FLORIDA
�� POLICE BENEVOLENT ASSOCIATION
1660 Tomoka Farms Road � Port Orange, Florida 32128
(386) 258-7579 � 1-800-625-5451
NOTICE OF INTENT TO ENDORSE CANDIDATE (S)
Section 106.144. Florida Statutes
COASTAL FLORIDA POLICE BENEVOLENT ASSOCIATION, INC., files this fts Notice of
Intent to endorse certain political candidates, as required by Section 106.144. Florida Statutes, as
follows:
1. ORIGIN OF CHARTER/MEMBERSHIP; Section 106.144(1) (a): Coastai Florida Police
Benevolent Association, Inc. (PBA), is an employee organization as defined by Sedion 447.203
(11), Florida Statutes, and is properly registered with the Public Employees Relations
Commission (PERC).
A. DATE OF CHARTER: August 12. 1973
B. NUMBER OF MEMBERS: 1,918
C. NUMBER OF MEMBERS PAYING DUES: 1,907
2. OFFICERS/METHOD OF SELECTION; Section 106.144 (1) (b): The current officers
of the PBA and method of selection are as follows:
A. OFFICERS:
(1) President: �ncent L. Champion
(2) Vice Presidents:
James Rocque
Randall K. May
(3) Secretary/Treasurer: John Jakovenko
B. METHOD OF SELECTION: Nomination and selection of officers is governed
by Article IV of the PBA By-Laws. Candidates must be members of the PBA Board of Directors, in
good standing, who have filed a written form, thirty (30) days prior to the election date, signed by
ten (10) members in good standing. Fifteen (15) days prior to the election date, ballots are
mailed to each PBA member in good standing containing the names of all properly nominated
candidates. Ballots are returned by mail to the election trustees to who count all timely filed
ballots and announce the results of the election.
3. SELECTION OF CANDIDATES TO ENDORSE/OPPOSE; Section 106.144 (1) (c):
Article VIII of the P[iA By-Laws authorizes the screening and endorsement of political candidates.
As an election nears, a political screening committee is formed comprised of PBA members in
good standing. Dates are selected for interviews of each candidate for each office relevant to the
association. Letters are mailed inviting each candidate to be interviewed by the PBA Political
Screening Committee. Any candidate interested in participating in the screening process calls
the PBA administrative assistant and confirms a date and time for their interview. Each candidate
is asked to respond to the same set of questions tailored to the particular political seat. After
interviews, the political screening committee meets, deliberates, and chooses a candidate to
endorse or concludes that no candidate should be endorsed.
4. SOURCE OF FUNDS FOR ADVERTISEMENTS/ENDORSEMENTS; Section 106.144
(1) (d): The majority of the association's funds are generated from membership dues and a small
proportion comes from solicitation of donations by outside independent solicitors.
5. PAYMENT TO ORGANIZATION BY CANDIDATES; Section 106.144 (1) (e): None.
Protecting The Protector�
rnvo�
�E���AhJ
-
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, Flor.ida 32958
(772) 589-5330 phone - (772) 589-5570 fax
February 11, 2004
Lisanne Monier
1125 US Highway 1
Sebastian, FL 32958
Dear Ms. Monier:
In accordance with Florida Statutes Section 106.07, the campaign treasurer's
report for the period January 1, 2004 through February 13, 2004 is due in the
Office of the City Clerk by 5 pm on Friday, February 20, 2004.
Any report postmarked by the United States Postal Service no later than midnight
of the due date, shall be deemed to have been submitted in a timely manner.
Please read FS 106.07(2)(a) for further details.
For your information, City Hall will be closed on Monday, February 16, 2004 in
honor of Presidents' Day.
If you have any questions, please do not hesitate to contact me at 589-5330.
Si ely,
� '
.
-
Sally A. io, CMC
City Clerk
sam
��
� ��
HOME OF PEUCAN ISLAND
1225 Main Street
Sebastian, Florida 32958
(772) 589-5330 phone - (772) 589-5570 fax
February 11, 2004
Steven R. Schlitt
2095 Cayalla Road
Vero Beach, FL 32963
Dear Mr. Schlitt:
In accordance with Florida Statutes Section 106.07, the campaign treasurer's
report for the campaign of Lisanne Monier for the period January 1, 2004 through
February 13, 2004 is due in the Office of the City Clerk by 5 pm on Friday,
February 20, 2004. �
Any report postmarked by the United States Postal Service no later than midnight
of the due date, shall be deemed to have been submitted in a timely manner.
Please read FS 106.07(2)(a) for further details.
For your inforrnation, City Hall will be closed on Monday, February 16, 2004 in
honor of Presidents' Day.
If you have any questions, please do not hesitate to contact me at 589-5330.
Si ly,
�
Vi - ---
r ��
Sally A. Maio, CMC
City Clerk
sam
�
Name
�
No.
001001 208001
0015U1 322900
001501 341920
001501 341910
001501 341930
601010 343800
001501 343805
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CITY OF SEBASTIAN � � � �
CITI( CLERK'8 OFFICE
RECEIPT
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Sales Tax .
Garege Sales
�opieslBid Specs• --.---
LDCICode of Ordinanoes •, • . , -- r '
:� (�tlt i � �t cy �� ,.;'; /�, t'n._
Electlon (�ualiiying Fees ,{' ^ y LL�. fA�� .'r��
Cemetery Lots
LotMiche _. Blodc _. Unft
Cemetery Fees "
�- ,���;'�•�t.•'� Tot�l P�Id �--
In�ials '
Whits – Dept of Odpin • Y�Ilow – Fin�np • Pink • ApPlfeant
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HOME OF PELICAN ISIAND
1225 Main Street
Sebastian, Florida 32958
{772) 589-5330 phone - (772) 589-5570 fax
February 20, 2004
Steven R. Schlitt
2095 Cayalla Road
Vero Beach, FL 32963
Dear Mr. Schlitt:
In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for
the campaign of Lisanne Monier for the period Febnaary 14, 2004 through March 4, 2004
is due in the Office of the City Clerk by 5 pm on Friday, March 5, 2004.
Any report postmarked by the United States Postal Service no later than midnight of the
due date, shall be deemed to have been submitted in a timely manner. Please read FS
106.07(2)(a) for further details.
The March 5�' report will include all contributions and actual expenditures for the period
2/14/04 through 3/4/04. No contributions can be accepted after midnight of March 4"'.
For future reference, a termination report must be flled within 90 days of the election
(deadline June 7, 2004) and will include alt lawful expenditures in accordance with
106.11(5) and final disposition of surplus funds in accordance with 106.141.
I have enclosed additional forms in the event you need them. I have also enclosed a
copy of the Notice of Intent to Endorse Lisanne Monier as submitted to me by the
Coastal Florida Police Benevolent Assoaation on February 20, 2004.
If you have any questions, please do not hesitate to contact me at 589-5330.
Si r ly,
�� �'--�—_.`
Sally A. aio, CMC
City Clerk
sarn
��
SE��T�1
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, Florida 32958
(772) 589-5330 phone - (TI2) 589-5570 fax
February 20, 2004
Lisanne Monier
1125 US Highway 1
Sebastian, FL 32958
Dear Ms. Monier:
In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for
your campaign for the period February 14, 2004 through March 4, 2004 is due in the
Office of the City Clerk by 5 pm on Friday, March 5, 2004.
Any report postmarked by the United States Postal Service no later than midnight of the
due date, shall be deemed to have been submitted in a tirnely manner. Please read FS
106.07(2)(a) for further details.
The March 5"' report will include all contributions and actual expenditures for the period
2/14/04 through 3/4/04. No contributions can be accepted after midnight of March 4th
For future reference, a termination report must be filed within 90 days of the election
(deadline June 7, 2004) and will include all lawful expenditures in accordance with
106.11(5) and final disposition of surplus funds in accordance with 106.141.
I have enclosed additional forms and the Coastal Police Benevolent Association Notice
of Intent to Endorse as submitted to me on February 20, 2004. I also supplied these
enclosures to your Deputy Campaign Treasurer.
If you have any questions, please do not hesitate to contact me at 589-5330.
Sincerely,
� �
�
Sally A. o, CMC
City Clerk
sam
REAl10Rm
REALTORS� ASSOCIATION OF INDIAN RIVER
COUNTY, INC.
2182 Ponce de Leon Circle
Vero Beach, Florida 32960
Phone (772) 567-3510
www.rairc.com
February 20, 2004
Lisanne Monier
1125 US Highway #1
Sebastian, FL 32958
�zar Lisanne,
�
��
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Fax (772) 778-6490
The Board of Directors of the REALTORS� Association of Indian River County
recommends to their membership the following candidates for election to the positions
indicated:
Vero Beach Citv Council (3-4vr. seatsl
Mary Beth McDonald
Michael Wangen
Thomas P. White
Sebastian Citv Council (2-2 vr. seats)
Walter W. Barnes
Lisanne Monier
Town of Orchid Council (2-3vr. seatsl
Richard D. Dunlap
We thank all candidates who attended our interviews. This community is fortunate
indeed to be blessed with candidates possessing.your qualifications and willingness to
accept the heavy responsibilities of government service.
Sincerely,
Lois Work
Chairman/Government Affairs Committee
The Voice for Real Estate in Ind.ian River County
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name � '�,.�(a.�� �� (2) l.D. Number
� �
(3) Cover Period �_/�/� through ��_�_� ./ (4) Page �_ of,��
�5� (7) (8j (9) (10) (11) (12)
Date Full Name
�g� (Last, Suffix, First, Middle) Contributor
Sequence Street Address & Contributfon In-kfnd �
Number Clty, State, Zip Code Type Occupadon T Descri tion Amendnfent Amount
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INSTRUCTIONS FOR CAMPAIGN TREQSURER'S REPORT —{TEMIZED CONTRIBUTIONS
(1) Type candidate's full name or name of the pollticsi committee (PC), committee of continuous existence (CCE) or party
executive committee (PTY).
(2) Type the identification number assigned by the Division of Etections.
(3) Type cover period dates (e.g., 4/1 /04 through 6/30/04 ). (See Calendar and E/ection Dates for appropriate year
and cover penods.)
(4) Type page numbers (e.g., 1 of 3).
(5) Type date contribution was RECEIVED (Month/Day/Year).
(6) Sequence Number - Each detail line shall have a sequence number assigned to tt Sequence numbers are to be assigned
within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number
will combine to uniquely identiy a specffic contribution, expenditure, distrfbution or fund transfer. This method of unique
iderrttfication is required for responding to requests from the Division and for reporting amendments.
For exampie, a Q1 report having 7� conMbutions would use sequence numbers 1 thru 75. The next report (Gl2), cornprised
of 40 contributions would use sequence numbers 1 through 40. Contrihutions on amended Q1 reports would begin with
sequence number 76 and on amended O2 reports would begin with sequence number 41. See the Amendment Type
instructions below. _
(7) Type full nam� and address of contributor (including city, state and zip code).
(8) Er�ter the type of contributor using one of the fotfowing codes:
individual = I
Business = B (also incfudes corporatfons, organizations, groups, etc.)
Committeas � C (inciudes PC's, CCE's and federai committeas)
Poiltical Parties = P (includes federal, state and county executive commtttees)
Other = O (e.g., candidate surpfus funds to party, etc.)
Type occupetion of contributor for contributions over �100 only. (If a business, please indicate nature of business.)
(9) Enter Contribution Type using one of the following codes:
NOTE: Cash inciudes cash and cashier's checks.
(10) Type the description of any in-kind contribution received.
DESCRIPTION
Cash
Check
In-kind
Interest
Loan
Membership dues
Refund
CAS
CHE
INK
INT
LOA
DUE
REF
Candidate's Only — If in-kind contribution is from a party axecutive committee and is allocable toward the
contNbution limits, type an "A" in this box. If contribution is �ot ailocabls, type an "N".
(11) Amendment Type (required on amended reports) - To add a new (previousfy unreported) contribution for the reporting
period bein8 amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for contributfons with amendment type "ADD" will start at one plus the number of contributioros in
the o�iginel report. For example, emending en originel �i report thet had 75 contributions, means the sequence
number of the flrst contribution havinp emendment type "ADD" will be 76; the sacond "ADD" c�rrtribution would be TT,
etc. When amending en original Q2 report that had 40 contributions, the sixth "ADD° contribution would have sequence
number 46.
To correct a previously submitted «�ntribution use the following drop/add procedure. Enter "DEL" in amendment lype
on a line with the sequence number of the contribution to be corrected. in combinetion with the report number bqing
amended, this sequence number will idenUfy the contribution to be dropped from your active records. On the next line
enter "ADD" in emendmerrt type and ALL of the required data with the necessary corrections thus replecing the
dropped data. Assign the sequence number as described above.
(12) Type emount of contr(bution received. Cammlttsas of continuous existence ONLY: Any cronMbution which
represerrts the payment of dues by a member in a flxed emount pursuant to the schedule on fils with the Divisfari of
Elections need only tist the eggregate emount of such contributiqn, together with the number of inembers psying such
dues and the amourrt of inembership dues.
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRtBUT10NS
(1) Name (2j t.�. Number
��� � '
(3j Cover Periad Q�J�/ through (4j Psge of �_
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CAMPAIGN TREASURER'S REPORT - ITEMiZED CONTRIBUTIONS
(1) Name ' 1�' ��� • ( v'd� � �" (2) l.D. Number
(3) Cover Pe�iod �l�_l� through � (�„/�I � J� (4) Page �_ of _�'
��r� �) (8) (g) (10) (11) ('� )
Date Full Name ConVibutor
�g� (Last. Sufflx, Firat, Middle)
Straet Addre� 8
irMidnd
Numbe� ChY, state� Zip Code Type occup�tlon � T��� Deacri tion Amendment Amount
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CAMPAIGN TREASURER'S REPORT - lTEMIZED CONTRIBUTIOI�S
(1) Name 1,.1,�t1 � i�, !" ��W (2) l.D. Number
(3) Cover Period �/�/� through�,/Jy�� (4) Page � of �
�5y (T) iB) (9) i��1 ���� ��a�
Date Full Name Cont�ibutor
�g� (La�t, Sufflx, First, Middie)
Sequence Strest Address & Contrlbution 1�-icind
Number City, State, Zip Coda Type Ocwpatlon T e Deacri tion Amendment Amount
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CAMPAIGN TREAS RER'S REPORT - ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3) Cover Perfod �/�../� through �/___�__/V (4) Page _� of __�____�_
(5) i7) �8) ig) i'� �) (� ��
Date Full Name Purpose
(g� (Last, Suffix, First, Middle) �add office sought if
Sequence Street Address & contributfon to a Expenditure
Number City, State, Zip Code candidate) fYPe nmendmsnt Amount
���st��n�-c�c�, �,
° ia�� m�� 5�-- 1�1� I��
��el�;�,S��1 3�'� �
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INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEM(ZED EXPENDtTURES
(1) Type candidate's fuli name or name of the political committee (PC), committee of continuous
existence (CCE) or party executive committee (PTY).
(2) Type identification number assigned by the Division of Elections.
(3) Type cover period dates (e.g., 7/1 /01 through 9/30/01). (See Calendar and Election Dates for
appropriate cover periods.)
(4) Type page numbers (e.g., 1 of 3).
(5) Type date of expenditure (Month/Day/Year).
(6) Sequence Number - Each detail (ine shall have a sequence number assigned to it. Sequence numbers are to
be assigned within each reporting period and for each type of detail line. Thus the report type, detail fine type,
and sequence number will combine to uniquely identify a spec�c contribution, expenditure, distribution or fund
transfer. This method of unique identi�cation is required for responding to requests from the Division and for
reporting amendments.
For example, a Q1 report having �40 expenditures wouid use sequence numbers 1 thru 40. The next report (Q2),
comprised of 30 expenditures would use sequence numbers 1 thru 30. Expenditures on amended Q1 reports
would begin with sequence number 41 and on amended Q2 reports wouid begin with sequence number 31. See
Amendmeni Type instructions below.
(7) Type full narne and address of entity receiving payment (including city, state and zip code).
(8) Type purpose of expenditure (if expenditure is a contribution to a candidate, also type the office
sought by the candidate). PLEASE NOTE: This coiumn does not apply to candidate expenditures,
as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting
car�didates), CCEs and party executive committees contributing to candidates must reoort ofFice
sought (Section 106.07, F.S.).
(9) Enter Expenditure Type using one of the following codes: DESCRIPTION CODE
Disposition of Funds (Cand.) DIS
- Monetery . MON
Petty'Cash Wlthdrawn PCW
Petty Cash 5pe7�t PCS
• Transfer to Offica Accourrt TOA
' Refuntl - REF
(10) Amendment Type (required on amended reports) - To add a new (previou'sIy unreported) expenditure for
the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for expenditures with amendment type "ADD" will start at one plus the number of
expenditures in the original report. For example, amending an original Q1 report that had 75 expenditures,
means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second
"ADD" expenditure wouid be 77, etc. When amending an original Q2 report that had 30 expenditures, the ninth
"ADD" expenditure would have sequence number 39.
To coRect a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment
type on a line with the sequence number of the expenditure to be corrected. In combination with the report
number being amended, this sequence number wlll identify the expenditure to be dropped from your active
records. On the next iine enter "ADD" in amendment type and ALL of the required data with the necessary
corrections thus repiacing the dropped data. Assign the sequence number as described above.
(11) Type amount of expenditure.
RE�EIVEQ
,�, �r 5EF3A5Ti;°;h!
��F-ICE OF CITY CLE�K
an a
5���� 100y �►�N 12 A�1 �� 2
- _"� .
HOME OF ~PELIGN IS[AND
ELIGIBILtTY TO HOLD OFFICE
OF COUNCILMEMBER
on 2.02 - ELIGIBIL(TY
o person shail be eligible to hold the office of council member unless he or sh�
a qualified elector in said city and actually continually resided in said city for a
�riod of one (1) year immediately preceding the final date for qualification as a
ndidate for said office.�
�, �T��n��� , candidate for the office
ouncilmember, meet the qualifications to be eligible to hold office as required
ection 2.02 of the City of Sebastian Charter, above.
to and subscribed before me
�
otary Pu�tc
tate of Florida
,
is ��� day of
,"„� ,,,,, Sal A Maa
EAL :.,��n"n�;t N
_.. � MYCOMMISSION� DD131155 EXPIRES
' �ro; October �, 2006
�� ��� bJi+JeL� 1 MkU TkOY FAIN INSURANCE INC
LOYALTY OATH
CANDIDATES WITH NO PARTY ++ LIATION
(Sections 876.05-876.10, Florida Statutes)
STATE OF FLORIDA �i V,�N� 1� �1 COUNTY
lease Print
I, ��.��a.�� I " I���i
First Name Middle Name/Iaftial Last Name
a citizen of the State of Florida and of the United States of America, ... and a candidate far
public office ... do hereby solemnly swear or affirm that I will support the Constitution of tlae
United Staxes and of the State of Florida.
OATH OF CANDIDA?'E
, (Section 99.021, Florida Statutes)
c
z, � o ��n� Mon���'
(PLEASE PRINT NANIE AS YOU WISH IT TO APPEAR ON THE BALLOT — NAME
MAY NOT BE CHANGED APTER THE FND OF QUALIFYING)
am a candidate for the of6ce of ��� �(� ��(, l�j;�'��_ , ,
(office) (district) (circuit)
. 1 am a qualified elector of �� County, Florida. I am
(SrouP)
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 pursu�t to Section 99.012, Florida Statutes.
UNDER PENALTIES OF PERTURY, I DECLARE THAT I HAVE READ THE
FOREGOING LOYALTY OATH AND OATH OF CANDIDATE AND THAT TI�E
FACTS STATED IN EACH ARE UE.
; •
f
SIGN HERE X ' °
�
Si� atura of Candidate
; '
I I �� �� l�iu��.1 � ) '� �.�,1 {-�.���-
_���
Maiiing Address Day Phone Fax Number
.��' Q.I���IId�/1 �-lc:.:�°ldd. ���'S�' �I � �
City State Z�p Code Date Signed
DS-DE 24B (Rev. 8199)
� � � L1� ZI P�'��' h0��
`'1��1� /tl�� �� ?J{ .�'.
i�3 Y`I1Sb�3S .�G ,ll�� 43
43A1����
i
~� F�ORM 1 STATEMENT OF �� 2002
. �cc�I�E�
,_,
Plsase print or type your name, mailing FINANCIAL INTERLS � S �� i"; i
addnss, apaney name, and position below: '
Ci i Ci�ti`.;•,
LAST NAME — FIR$T NAME — MIDDLE NAME :__ FOR OFFiCE
r' .
�2 ,�5�r'1 �-I�� .�
�
c►n ��, • ziP :
�:, � � -.,L,,.� •,'1
�=
NAME OF AG NCY : _
.� I C�� n � mraml
NAME OF O ICE OR POSITION HELD OR S
COUNTY:
�`��iii I ♦�rie�F ��`Y� I 11 I � � �
, ID Code
ID No.
Conf. Code
P. Req. Code
CHECK IF � CANDIDATE OR � NEW EMPLOYEE OR APPOINTEE
"T'HIS SECTION MUST BE COMPLETED"
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR END�NG EITHER (check one):
❑ DECEMBER 31, 2902 Q$ ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
� ��3
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VAL�l1ES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (se
instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
❑ COMPARATIVE (PERCENTAGE) THRESHOLDS Q@ � DOLLAR VALUE THRESHOLDS
PART A-- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
NAME OF SOURCE SOURCE'S
OF INCOME I ADDRESS
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESSAiCTIVITY
PART B-- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporGng personj
BUS NESS ENTITY I N OF US NE SRINCOMEES I O SOURCE I ACTIVI�TY OP SOURCE
PART C— REAL PROPERTY [Land, buildings owned by the reporting person]
CE FORM 1- Eff. 1/2003 (Continuad on reverse side)
FILING INSTRUCTIONS for whe
and where to fiie this form are locat-
ed at the bottom of page �.
INSTRUCTIONS on who must tile
this form and how to flll It out begin
on page 3.
OTHER FORMS you m�ay need to
flle are dsscribed on page 6.
PAGE
PART D— INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposft, etc.]
TYPE OF INTANGIBLE . I BUSINESS ENTITYTO WHICH THE PROPERTY RELATES
PART E — LtABILITIES [Major debts]
NAME OF CREDITOR
ADDRESS OF CREDITOR
PART F— INTERESTS IN SPECIFIED BUSINESSES [Ownership or posl�ons in certein types of businesses]
BUSINESS EN(TITY # 1 � BUSINESS ENTITY # 2 I BUSINESS EN'fITY # 3
POSI'
WITH
i owi
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEE7, PLEASE CHECK HERE ❑
SIGNATURE (required): f j1��
S � ,•� tV ��
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 fliing.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Form 1 for a
calendar or fiscal year is not required to flle a
second Form 1 for the same year. However, a
candidate who previously flled Form 1 because
of another public posiUon must et least flle e copy
of his or her original Form 1 when qualifying.
CE FORM 1- Eff. 1/2003
DATE SIGNED (requlred): � j' I i�`]..�
1 � V
WHERE TO FILE:
If you were malled the form by the Commission
on Ethics or a County Supervisor of Electlons
for your annual dfsclosure filing, retum the form
w that locstlon.
Local ofNcera/employees flle with the Supervisor
of Elections of the county in which they pertna-
nently reside. (If you do not perrnanently reside
in Florida, file with the Supervisor oi the county
where your agency has Its headquarters.)
State otficers or speclfled sfate omployees
file with the Commission on Ethics, P.O. Drawer
15709, Tallahassee, FL 32317-5709.
Cand/dates flle this fortn together with their
qualiiying papers.
To determine what cetegory your positlon
falis under, see the "Who Must File" Instructions
on pege 3.
WHEN TO FILE:
Inldally, each local offfcedernployee, sta
officer, and specifled state employee must fi
wlihln 30 days of the date of his or h
appointment or of the beginning of emplo
ment. Appointees who must bm confirtried b
the Senate must flle prior to conflrmatfon, eve
ff that is less than 30 days fram the date
their appointment.
Candidates for publicly-elected local offic
must flle at the same time lhey flle the
qualifying papers.
Thereafter, local o�cers/employees, sta
officers, and spec�ed state employees a
requfred to flle by July 1st tbllowfng eac
calendar year in which they hbld their pos
tions.
Finally, at the end of oflice or employmen
each tocal oflicsdemployee, st�te oi�cer, an
is required to flle
flnsl disdosure fortn (Form 1F) �rithin 60 day
of leaving oAice or ernployment.
PAGE
FLORIDA DEPARTMENT OF STATE, DIVtSiON OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
��� ���M�►�✓ c2�
Candidate, Committee or Party Name I.D. Number
c3� S � 5
Address (number a d street) City State Zip��odie
, �
��
❑ Check box if address has changed since last report -� ��
(4) Check appropriate box(es): • ��' � ' ��{
� rr{ 4T> �
� Candidate (office sought): �_ (�L� �( �(�L � f ��
u�
❑ Political Committee ❑ Check if PC has DlSBANDED �'�' ��
❑ Committee of Continuous Existence ❑ Check if CCE has DISBANDED � "� �' �
� �� a
4��' �-- . i
❑ Party Executive Committee �.� � -
� :_
� (5) REPORT IDENTIFIERS �
Cover Period: From 1� /�� i� To �/�/� Report Type
❑ Originai ❑ Amendment ❑ Special ElecEion Report ❑ fndependent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDiTURES THIS REPORT
Monetary
Cash & Checks $ , , � . � E�cpenditures $ , , � �SC�
Transfers to
Loans $ , , , Office Account $ � � ,
Total Monetary $ , , � , � V Total Monetary $ � � � . �✓
Other
In-kind $ , , . . (8) Distributions $ , ,
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expendi ures to Date
$ , ,L� V�'� $ . ,�.�U
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a pubiic 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
_�u�.� ��l ��1� �(��1�✓
Name of ❑ Treasurer � Deputy Treasurer Name of � Candidate ❑ Chairman (PC/PTY
Oniy)
� .� � � T ,
Signature ig a ure
DS-DE 12 (9/01) SEE REVERSE FOR IN UCTIONS AND CODE VAl.UES
�
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Type candidate's fuil name or name of the political committee (PC), committee of continuous existence (CCE) or
party executive comrnittee (PTY).
(2) Type the identification number assigned by the Division of Elsctions.
(3) Type the address, including city, state and zip code (may use post office box), If the address has changed since
the iast report filed, please check the box.
(4) Check appropriate box(es): Candidate (type office sought including district, circuit or group numbers), PC, CCE, or
PTY. If PC or CCE has disbanded and will no longer file reports, please check the respective box.
(5) Report Identifiers: Type cover period dates (e.g., From 7/1 /01 To 0/ 1). (See Ca/endar and Election Dates
for appropriate year and cover periods.) Enter the Report Type using one of the following abbreviations:
IF A SPECIAL ELECTION REPORT ADD "5" IN FRONT OF THE REPORT CODE (i.e., "SG3"j.
CIUARTERLY REPORTS GENERAL ELECTION REPORTS
Januaryquarterly .....................................................Q4 46'" day prior ........................................................G1
Apriiquarterly ..........................................................Q1 32nd day prior........................................................G2
Julyquarterly ...........................................................o2 18�' day prior........................................................G3
October quarterly .....................................................Q3
PRIMARY REPORTS
32`� day prior ........................................................... F1
18�' day prior ............................................................ F2
4�' day pnor .............................................................. F3
4'h day prior .................................................:........G4
90-DAY REPORTS (Candidates Onfy)
Termination report ............................................... TR
Indicate whether this is the Original (first) report for this period or if this is an Amendment. Also check the
appropriate box to indicate if this is a Specia! Election Report or an Independent Expend'�ture Report (Section
106.071, F.S.).
(6) Type the amounts of all Cash & Checks, Loans, Tota/ Monetary and In-kind contributions ider�tified on his re ort
on the appropriate fine. (Tota/ Monetary is the sum of Cash & Checks and Loans.)
(7) Type the amount of all Monetary Expenditures, Transfers to O�ce Account and Tota/ Monefary Expenditures
ident�ed on this reaort on the appropnate line. (Tote! Monetary is the sum of Monetary ExpendJtures and
Transfers to Office Account.)
(8) Type the amounts of Other Distributions identified on thls renort on the appropriate line. (Other Distrlbufions
are goods or services contributed to a candidate or other commlttee by a political commlttee, ccmmNtee
of continuous existence or a party executive committee.)
(9) Type the amount of TOTAL Monetary Contributions to Date on the appropriate line.
(10) �Type the amount of TOTAL Monetary Expend'rtures to Date on the appropriate line.
NOTE: For (9) and (10) above — Committees and party executive commlttees will keep cumufative totals
for 2 year periods at a time (example: Januery 1, 2000 through December 31, 2001). Candidates wlll keep
cumulative totals from the time the campaign depository is opened through the tennination report.
(11) Type or print required name and have them sign:
♦ Candidate Report (treasurer and candidate must sign)
♦ PC Report (treasurer and chairman must sign)
♦ CCE Report (treasurer must sign)
♦ PTY Report (treasurer and chairman must sign)
AMENDMENT REPORTS: An amendment report summary is to summarize only the contributions, expenditures,
distributions and fund transfers being reported as addltions or deletions. Please read the instructions for the s�quence
number field and the amendment type field on the back of fonns DS-DE 13, 14, 14A and 94. The Division wlll
summarize all reports submitted for each reporting period and for the fller to date.
�
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIOI�S
(1) Name ��.,��Ci�� M��i�� (2) t.D. Number
(3) Cover Period �,./�_/�through �J�/�� (4j Page �_ of ��
(�) i�) �8) �9) ���) i11) 12)
Date Full Name Contributor
(6) (Last, Sufffx, Flrst, Middie)
Sequence Street Address 8 Co�tribution In-kind
Number City, State, Zfp Code Type Occupation T pe Descri tion Amendment Arrlount
�� .�31 �1 �C+ 1 Y KJI 1�� ( `r"� l� � I� �/'�'� CX�
� � (l�
� IaS US.I�iu�y I
I '3
y
(1)
i2)
(3)
(4)
��)
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT —{TEMIZED CONTRIBUTIONS
Type candidate's full name or name of the poUtical committee (PC), committee of continuous existence (CCE) or party
executive committee (PTY).
Type the identification number assipned by the Division of Eiections.
Type cover period dates (e.g., 4/ 04 through 6/30/04 ). (See Calendar and E/ection Detes for appropriate year
and cover periods.)
Type page numbers (e.g., 1 of 3).
Type date contribution was RECEIVED (Month/Day/Year).
(6) Sequence Number - Each detail line shali have a sequence number assigned to it Sequence nurnbers are to ba assigned
within each reporting period and for each type of detail line. Thus the report type, detefl line type, and sequence number
will combine to uniquely identify e speciflc conMbution, expenditure, distrfbution or fund transfer. This method of unique
identification is required for responding to requests from the Division and for reporting amendments.
For example, a 01 report having 75 contributions would use sequence numbers 1 thru 75. The next report (Q2), comprised
of 40 cont�ibutions wouid use sequence numbers 1 through 4Q. Contributions on amended Q1 reports would begin with
sequence number 76 and on amended G12 reports would bepin with sequence number 41. See the Amendment Type
instructions below.
(7) Type full name and eddress of contributor (including city, state and zip code).
(8) Errter the type of contributor using one of the foliowing codes:
Individual = I
Business = B (also includes corporatfons, organizations, groups, etc.)
Commtttees = C (includes PC's, CCE's and federal committees)
Political Parties = P (includes federal, stete and county executive commlttees)
Other = O (e.g., candidate surplus funds to party, atc.)
Type occupatfon of conMbutor for contributfons over 5100 only. (If a business, please indicate nature of business.)
(9) Errter Corrt�ibution Type using one of the following codes:
NOTE: Cash includes cash and cashfer's checks.
(10) Type the descxiption of any in-kind contribution received.
ESCRIPTION
Cash
Check
In-kind
Interest
Loan
Membership dues
Refund
CODE
CAS
CHE
INK
INT
LOA
DUE
REF
Candidate's Only — If fn-kind contrlbution is from a party executive committae and is allocsble toward the
contribution limits, type an "A" in this box. If contribution is not ailocabie, type an "N".
(11) Amendment Type (required on amended reports) - To add a new (previously unreported) corrtribution for the reportfng
period being amended, enter "ADD" in amendment type on a(ine with ALL of the required data.
The sequence number for cont�ibutions with amendment type "ADD" will start at one pius the number of contributions in
the original report. For example, amendin8 an onginal Q1 report that had 75 contributions, means the sequence
number of the flrst contribution having amendment type "ADD" will be 76; the sec�nd "ADO" contribution would be 77,
etc. When amending an original �2 report that had 40 conMbutions, the sixth "ADD" contribution would have sequence
number 46.
To correct a previously submitted contribution use the following drop/add procedure. Enter "DEL" in amendment type
on a line with the sequence number of the contribution to be corrected. in combination wlth the report number being
amended, this sequence number will idenUfy the contribution to be dropped from your active records. On the next line
enter "ADD" in emendment type and ALL of the required data wlth the necessary corrections thus replaanp the
dropped deta. Assign the sequence number es described above.
(12) Type amount of contributfon received, Commlttees of continuous existence ONLY: My c:ontribution which
repreaerrts the payment of dues by a member in a flxed amount pursuant to the schedule on file with the Division of
Elections need only list the aggregate amount of such contribution, together with the number of inembers paying such
dues and the amount of inembership dues.
�
CAMPAIGN TREASURER'S REPORT - tTEMIZED EXPENDITURES
(1) Name_L��►�_Iv��i�i�Y (2) I.D. Number
(3) Cover Period �l�J�, through �l�J� (4) Page �_ of �_
(5) iT) is) ig) i10) i��)
Date Full Name Purpoae
�g� (Lasf, Suffix, First, Middls) (add office sought if
Sequence 8trest Address 8 coMribution to s Expenditure
Number Clty, Stste, Zip Code candidate) TYPB Amendmsnt AmOunt
w��'`�� �pl� ,�o
d� u� L� �o� •
I 55 '1g�''�•
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Type candidate's full name or name of the political committee (PC), committee of continuous
existence (CCE) or party executive committee (PTY).
(2) Type identification number assigned by the Division of Elections.
(3) Type cover period dates (e.g., 7/1 /01 through 9/30/01). (See Ca/endar and E/ection Dates for
appropriate cover periods.)
(4) Type page numbers (e.g., 1 of 3).
(5) Type date of expenditure (Month/Day/Year).
(6) Sequence Number - Each detail line shall have a sequence number assfgned to it. Sequence numbers are to
be assigned within each reporting period and for each type of detail line. Thus the report type, deteil line type,
and sequence number will combine to uniquely identify a spec�c contribution, expenditure, distribution or fund
transfer. This method of unique identif'ication is required for responding to requests from the Division and for
reporting amendments.
For example, a Gt1 report having �l0 expenditures would use sequence numbers 1 thru 40. The next report (Q2),
comprised of 30 expenditures would use sequence numbers 1 thru 30. Expenditures on amended Gl1 reports
would begin with sequence number 41 and on amended Q2 reports would begin with sequence number 31. See
Amendment Type instructions below.
(7) Type full narne and address of entity receiving payment (including city, state and zip code).
(8) Type purpose of expenditure (if expendlture is a contribution to a candidate, also type the office
sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures,
as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting
car�didates), CCEs and party executive committees contributing to candidates must report office
sought (Section 106.07, F.S.).
(9) Enter Expenditure Type using one of the following codes: DESCRIPTION CODE
Disposition of Funds (Cand.) DIS
Monetery MON
Petty Cash Withdrewn PCW
Petry Cash Spent PCS
Transfer to Office Accourrt TOA
Refund REF
(10) Amendment Type (required on arnended reports) - To add a new (previously unreported) expend�ture for
the reporting period being amended, enter °ADD" in amendment type on a line with ALL of the required data.
The sequence number for expenditures with amendment type "ADD" will start at one plus the number of
expenditures in the original report. For example, amending an original Q1 report that had 75 expenditures,
means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second
"ADD" expenditure would be 77, etc. When amending an original Q2 report that had 30 expend'rtures, the ninth
"ADD" expenditure would have sequence number 39.
To correct a previously submitted expenditure use the following drop/add procedu�e. Enter "DEL" in am�endment
type on a line with the sequence number of the expenditure to be corrected. in combination wlth the report
number being amended, this sequence number will idendfy the expenditure to be dropped from your ective
records. On the next line enter "ADD" in amendment type and ALL of the required data wlth the necessary
corrections thus repiacing the dropped data. Assign the sequence number as described above.
(11) Type amount of expenditure.
�����V�"�
�';��'�' ��r SE��STI��P'
�003 i��C �8 A('��,q`i�EMENT OF CANDIDAT�
I, �
(Sectfon 106.023, F.S.)
(Please Type)
candidate for the office of �, ;
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
��—� �rV�
Date
Each candidate must file a statement with the qua(ifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is �led. 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. 8/99)
STATE OF FLORIDA CHECK APPROPRIATE B(DX
,..
� APPOINTMENT OF CAMPAIGN TREASURER Original Appointment
`' `� �i4ND DESIGNATION OF CAMPAIGN DEPOSITORY Depury Treasurer
,�
-- � �� FOR CANDIDATES � Reappointment of Treasurer
a
� �� � (Section 106.021(1), F.S.) � Secondary Depository
� `� v (PLEASE TYPE)
�
',3�tafr�r of �hdidate 1. Address (include post office box or street, city, state, zip code)
- �:.., �_� 1
- �, � � �J� (,•S• {�w`�
"- �--, ���" ,��ne, '�°'�`�r 5eb��� �.r � 1.._ 32°�S�
Telephon6fbptional) 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number)
.
�?7� � �s��21�ZCv
1 have appointed the following person to act as my � Campaign Treasurer � Deputy Treasurer
4. Name of Treasu Depu Treasul+er
5. Mailing Address (j� post office box r edd street address) 6. Telephone
Y � �
L(�.,
7. Ci � Coun � 9. 10. Zip Code
I have designated the following named bank as my � Primary Depository � Secondary Depository
11. ame of Bank . 12. Street Address
�
13 City ' 4. Co nty • 15. te 16. Zip Code
17. ign e of Ceildidate Date
l�-q�c�3
Campaign Treasurer's Acceptance of Appointment
I, ���'e--��'(� �• �Y `� �� �� , do hereby accept the appointment as
(Pleese Print or Type)
� Campaign Treasurer � Deputy Treasurer for the campaign of � j SQ n h.e ' 18 n � P�
who is seeking nomination or election as a candidate to the office of
` (Party)
G 1� C . As a duly registered voter in 1�d �'c� �� �e�
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
�z � � X �� Q����-
Date Sipnature of Campefgn Treasurer or Deputy Treesurer ~
DS-DE 9 (Rev. 11/01)
�;C�FIYEJ
' ' ' J' � � � �� � � � ��'ATE OF FLORIDA
`p�Pp�t�i1Y1'�tli�T' �OF CAMPAIGN TREASURER
2UQ3 �,�,1��(�E��t�1T�t OF CAMPAIGN DEPOSITORY
FOR CANDiDATES
(Section 106.021(1 j, F.S.j
(PLEASE TYPE)
Name of Candidate
Ll�.n�� N���i��
CHECK APPROPRIAT'E BOX
� Originel Appoirrtment
� Deputy Treasurer
� Reappointment of Treasurer
� Seconciary Depository
1. Address (indude post office box or street, ary, state, zip code)
� t25
Telephone (op6onal) 2. Party (Partisan candidates onlyj
�-�a� ��-a� , _
U� l-�i� � I ��;���1 �(
3. Office (add district, circuit or group numberj
c�-� �.��i
I have appointed the foilowing person to act as my � Campaign Treasurer � Deputy Treasurer
4. Name of Treasurer or Depuly Treasurer �
L�n� f�1a�nt� �'
5. Mailing Address (If post office box or drav�rer add strset address) 6. Telephone
l � U� -
7. City , � _ �. C°t�nty i1 .. 9. S�e 1�U',,Zi. p Co�d�,
I have designaled the fotlo�wing named benk as rtry
11. Name of Bank r �
�g, ity . 14. County
17. Signatu Qf Cantiidate
�
0
f Primary Deposftory
12 Street Address
/`ilr _ I '
�
� 5econdary Deposftory
16. Zip
Date
Campaign Treasurer's Acceptance of Appointment
or
�
, do hereby accept the appointrment as
� Campaign Treasurer � Deputy Treasurer fot the campaign of ���� �,� n�,�
who is seeking nomination or eledion as a candidate to the afiice of
� • � f�Y) 1� .
(� As a duly re�stered wter in � 1�' � 11 �� �
Counry, Florida, I am qualified to accept this sppointme�t.
UNDER PENALTIES OF PERJURY. i DECIARE THAT t HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
/� � .
�•IC�•t��e X
DS-0E 9 (Rsv.11/01)
a
of
or
December 10, 2003
Lisanne Monier
1125 US Hwy. 1
Sebastian, Florida 32958
Dear Gentlemen,
� �
1125 US Hwy. 1� Sebastian, F a 3`1�68 `..--
Pnone rrz-ss�-�c�'! `;� F S E� A 5 T i�1 P�
� .-, �: oF eiTY c���; �
�003 ��� 10 A�1 � �ti
It has been a pleasure serving on the planning and zoning commission for the past couple of years, and at times
somewhat frustrating. I think we all share the vision of controlled growth and maintaining the integrity and charm
of our city. I have chosen to run for city council to be able to make that vision a reality, and to help create better
tools for us to work with in attaining that goal. In orckr to run in the election I therfore must resign by December
30, 20Q3_ Thank-you all for the work you do for the board, and I hope the panther dcesn't get caught in the barb
wire...
Sincerely, •
U 1�((/�
' nne Monier
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