HomeMy WebLinkAboutM8 Report - Waiver & Rev Statement of OrganizationSTATEMENT OF ORGANIZATION
OFFICE USE ONLY
OF POLITICAL COMMITTEE
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CEP 10 20
(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)
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
Edward Herlihy
474 Sea Grass Avenue
City Council
None
Sebastian, FL 32958
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?
Donated to area non - profit organizations.
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.
Signaturetof Chairman of Po' cal Committee Date
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
Sebastian Citizens Speak Out
973 Oswego Avenue
❑Candidate
Name
Address
✓❑Political Committee
❑ Party Executive Committee
- - -No Office Sought—
Office Sought
Sebastian, FL 32958
City State Zip Code
❑Electioneering Communications Organization
❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no
longer file reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
❑✓ MONTHLY REPORT ❑ PRIMARY ELECTION ❑GENERAL ELECTION ❑OTHER REPORT TYPE
Indicate report # Indicate report # Indicate report # Indicate report type and #
M 8 P G as applicable:
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
August 1, 2014
X
Signature
X
Signature
REQUIRED SIGNATURES FOR:
THROUGH August 31, 2014
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Date
Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer
Electioneering Communications Organizations:
Treasurer (s. 106.0703(4)(c), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 10629(2), F.S.)
(s. 106.07(5), F.S.)
(s. 106.07(5), F.S.)
In any reporting period when there has been no activity in the account (no funds expended or received) the filing of the required
report is waived. However, the filing officer must be notified in writing on the prescribed reporting date that no report is being filed.
DS -DE 87 (Rev. 11/13)