HomeMy WebLinkAboutPAC Revised Statement of Organization 2013STATEMENT OF ORGANIZATION
OFFICE US k,VEt)
OF POLITICAL COMMITTEE
SEP
City ° 2013
(PLEASE TYPE)
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1. Full Name of Committee
Telephone
Sebastian Citizens Speak Out
772 - 713 -7350
Mailing Address (include city, state and zip code)
973 Oswego Avenue
Sebastian, FL 32958 -5133
Street Address (include city, state and zip code)
973 Oswego Avenue
Sebastian, FL 32958 -5133
2. Affiliated or Connected Organizations (includes other committees of continuous existence and political
committees)
Name of Affiliated or
Connected Organization
Mailing Address
Relationship
n/a
3. Area, Scope and Jurisdiction of the Committee
City of Sebastian
4. Nature of Organization or Organization's Special Interest (e.g., medical, legal, education, etc.)
Issues effecting citizens in the City of Sebastian
5. Identify by Name, Address and Position, the Custodian of Books and Accounts (include treasurer's name)
Full Name
Mailing Address
Committee Title or Position
Michael A Goodfellow
1061 West Lakeview Drive
Secretary/Treasurer
Sebastian, Florida 32958
DS -DE 5 (Rev. 05106) (continued on reverse side)
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6. List by Name, Address and Position, Other Principal Officers, Including Officers and Members of the
Finance Committee, If Any (include chairman's name)
Full Name
Mailing Address
Committee Title or Position
Louise Kautenberg
973 Oswego Avenue
Chair
Sebastian, FL 32958 -5133
7. List by Name, Address, Office Sought and Party Affiliation Each Candidate or Other Individual that this
Committee is Supporting (if none, please indicate)
Full Name
Mailing Address
Office Sought
Party
Wright, Donald
720 N. Fischer Circle, Seb.
City Council
None
Coy, Andrea
501 Palm Avenue, Sebastian
City Council
None
McPartlan, Robert
City Council
None
8. List Any Issues this Committee is supporting: Issues benefitting Sebastian residents.
List Any Issues this Committee is Opposing: Issues detrimental to Sebastian residents.
9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party
None
10. In the Event of Dissolution, What Disposition will be Made of Residual Funds?
11. List all Banks, Safety Deposit Boxes, or Other Depositories Used for Committee Funds
Name of Bank or Depository & Account Number
Mailing Address
Suncoast National Bank
1110 Roseland Road
4327082781
Sebastian, Florida 32958
12. List all Reports Required to be Filed by this Committee with Federal Officials and the Names, Addresses
and Positions of Such Officials, If Any
Report Title
Dates Required to be Filed
Name & Position of Official
Mailing Address
None
STATE OF Florida p Indian River p COUNTY
Louise Kautenberg certify that the information in this Statement of
Organization is complete, true and correct.
Signatur f Chairman of P cal Committee Date