CAMPAIGN TREASURER'S REPORT SUMMARY

Size: px
Start display at page:

Download "CAMPAIGN TREASURER'S REPORT SUMMARY"

Transcription

1 (1) (2) Name FLORIDA DEPARTMENT OF STATE 5562 Cape Aqua Dr Address (number and street) Sarasota, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY CHECK IF ADDRESS HAS CHANGED (3) ID : OFFICE USE ONLY (4) Check appropriate box(es): Candidate (office sought): County Commissioner, District 4 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 COMMUNICATION REPORTS WILL BE FILED REPORT IDENTIFIERS Cover Period: From 4 / 1 / 2010 To 7 / 16 / 2010 Report F1 Original Amendment Special Election Report Independent Expenditure Report CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 3, Expenditures $ 13, Loans $ 0.00 Transfers to Office Account $ Total Monetary $ 3, Total Monetary $ In-Kind $ (8) Other Distributions $ , (9) TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ 28, $ 24, (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete. I certify that I have examined this report and it is true, correct, and complete. ( name) Individual (only for electioneering commun.) X Signature ( name) Treasurer Deputy Treasurer Candidate Chairperson (only for PC, PTY & electioneering commun. organization) X Signature CFID: 5169 DS-DE 12 (Rev. 08/04)

2 CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS (4) Page 1 of (7) Wendy A Merriman 1718 Peregrine Point DR Sarasota, FL (8) (9) (10) (11) (12) Contributor Contribution In-kind Occupation Description Amendment Amount I CHE $ Broken Eggs Inc of Siesta Key 140 Avenida Messina Anne Weintraub 1111 Ritz Carlton DR #1205 Patrick O'Neil 4581 Higel Ave B Restaurant CHE $ I Attorney CHE $ Neff Rental 109 Bluegrass CT Nokomis, FL B Equipment rentals INK Auger use (4 days) $ Sean O'Brien 2625 Nassau ST Sarasota, FL I Constructio n INK Lumber for signs $ Gabriele Charity 623 Avenida del Norte W H Bishop III 246 Noble Cir W Jacksonville, FL I CHE $50.00 DS-DE 13 (2/03)

3 CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS (4) Page 2 of (7) Sarasota Life Network 642 N Auburn RD Venice, FL (8) (9) (10) (11) (12) Contributor B Occupation Non Profit Org Contribution In-kind Description Amendment Amount CHE $ Jane L Wooden 2932 Captiva DR Sarasota, FL I CHE $ Tom Quigley 2424 Tamisola ST Sarasota, FL I Constructio n INK Metal sign posts $ Richard H Storm 707 S Gulfstream Ave Mitchell D McKnight 4066 Losillias DR Sarasota, FL Samuel C Holladay Jr nd ST Sarasota, FL Sarasota Celts Inc 1064 Mallard Marsh DR Osprey, FL B Sport Rentals CHE $ Nancy J Brown 1207 Starboard LN I Farmer CHE $ DS-DE 13 (2/03)

4 CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS (4) Page 3 of 5 17 (7) Judith A Hillery 1109 Schere Way Osprey, FL (8) (9) (10) (11) (12) Contributor Contribution In-kind Occupation Description Amendment Amount I Retired CHE $ Wendall J Jacobsen 2206 Alvarado LN Sarasota, FL Michael P Fehily Midnight pass Rd Unit 51 Joseph F Barresi 5503 Azure Way Vern G Johnson 5770 Midnight Pass RD 110-C Massage Experience of Siesta Key Inc 5138-A Ocean Blvd Siesta Key, FL Ted Parker 7328 Point of Rocks RD Amanda Bagnasco 3321 Mayflower ST Sarasota, FL I Retail CHE $ I CHE $75.00 I CHE $25.00 I CHE $50.00 B CHE $40.00 I CAS $ I CHE $50.00 DS-DE 13 (2/03)

5 CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS (4) Page 4 of (7) Carolina Consultants of Cabarrus Inc 2583 Sunberry LN Concord, NC (8) (9) (10) (11) (12) Contributor B Occupation Consulting Services Contribution In-kind Description Amendment Amount CHE $ James Connell 184 Sandy Hook RD Cathryn Connell 184 Sandy Hook RD Susan C Sobzack 7106 Queen Palm Circle Sarasota, FL Summer D Matthes 5649 Old Ranch RD Sarasota, FL I CAS $ I CAS $ Nancy Lee Havens 3839 Tangier Ter Sarasota, FL I Dentist INK Food/bevera ge for even $ Broken Egg of LWR Inc 6115 Exchange Bradenton, FL B Restaurant INK Food/bevera ge for even $ Broken Egg of LWR Inc 6115 Exchange Bradenton, FL B Restaurant INK Server provided for ev $ DS-DE 13 (2/03)

6 CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS (4) Page 5 of (7) Kathleen M Bolam 131 Flamingo RD Venice, FL (8) (9) (10) (11) (12) Contributor Contribution In-kind Occupation Description Amendment Amount I CHE $ E L Malone 331 Sea Grape RD Venice, FL Mary C O'Nesky 4260 Corso Venetia Blvd Venice, FL Gerardo Ripo 1234 Lime Ave Sarasota, FL Nancy Lee Havens 3839 Tangier Ter Sarasota, FL I CHE $5.00 I Dentist CHE $ DS-DE 13 (2/03)

7 CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES (4) Page 1 of (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Reimburse - Lincoln Day Dinner Expenditure Amendment Amount MON $ Reimburse - Printing MON $ Strategic Image Management LLC 511 West Bay ST TAMPA, FL Consulting Fees MON $ Consulting Fees MON $1, Florida Shores Bank 500 US 41 Bypass N Bank Fee MON $ SARASOTA, FL Petition Verification MON $ Siesta LLC 221 Beach RD SARASOTA, FL Copies MON $ Reimburse - Petition Verification MON $ DS-DE 14 (7/98)

8 CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES (4) Page 2 of (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Reimburse - Postage Stamps Expenditure Amendment Amount MON $ Consulting Fees MON $1, Sun Graphic Technologies Inc PO Box 807 Tallevast, FL Signs MON $1, Reimburse - Postage Stamps MON $ Sun Graphic Technologies Inc PO Box 807 Tallevast, FL Signs MON $1, Petition Verification MON $ Reimburse - Petition Verification MON $ Petition Verification MON $20.00 DS-DE 14 (7/98)

9 CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES (4) Page 3 of (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Expenditure Amendment Amount Petition Verification MON $ Petition Verification MON $ Petition Verification MON $ Siesta LLC 221 Beach RD Copies MON $ Filing Fee MON $4, Absentee Ballot Information MON $ Strategic Image Management LLC 511 West Bay ST Tampa, FL Palm Cards MON $ Siesta LLC 221 Beach RD Siesta Key, FL Copies MON $50.24 DS-DE 14 (7/98)

10 CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES (4) Page 4 of Strategic Image Management LLC 511 West Bay ST Suite 350 Tampa, FL (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Expenditure Amendment Amount Absentee post cards MON $1, DS-DE 14 (7/98)

TREASURER' S REPORT. Council. Check here if no other IE or EC reports will be filed individual making electioneering communications)

TREASURER' S REPORT. Council. Check here if no other IE or EC reports will be filed individual making electioneering communications) CAMPAIGN TREASURER' S REPORT SUMMARY ) Tom Keller ORFfrAMDT Name 2) 707 Algonquin Dr. Address ( number and street) Clearwater, FL 33755 Check here if address has changed 3) ID : NOV 0 9 OFFICIAL RECORDS

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers (1) Georgette E. Dumont Name () 507 16th Avenue South (4) Address (number and street) CAMPAIGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check appropriate box(es):

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. JUL Address (number and street) Jacksonville Beach, FL City, State, Zip Code

CAMPAIGN TREASURER'S REPORT SUMMARY. JUL Address (number and street) Jacksonville Beach, FL City, State, Zip Code (1) Christine Hoffman Name CAMPAIGN TREASURERS REPORT SUMMARY REG (2) 1026 13th St. N. JUL 2 9 2016 Address (number and street) 32250 City, State, Zip Code City Clerk D Check here if address has changed

More information

TREASURER' S REPORT. Council, 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Transfers to. Office Account.

TREASURER' S REPORT. Council, 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Transfers to. Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt HamiltonEEKE Name 2) 8 N Belcher Rd., STE - 2 Address ( number and street) NOV 0 8 207 OFFICIAL RECORDS ` LEGISLATIVE SRVCS ;:-., :. Y Check here if address

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY CAMPAGN TREASURER'S REPORT SUMMARY (1) Paul John Rolli office use only Name () 016 NE 6th Ter Address (number and street) Wilton Manors, FL 33305 City, State, Zip Code 0 Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. Monetary. Expenditures $ I. Office Account $ I 1. Total Monetary $

CAMPAIGN TREASURER'S REPORT SUMMARY. Monetary. Expenditures $ I. Office Account $ I 1. Total Monetary $ CAMPAGN TREASURER'S REPORT SUMMARY (1) Gary Resnick OFFCE USE ONLY Name (2) 2800 NW 10 Avenue Address (number and street) City, State, Zip Code 0 -w...- Check here if address has changed (3) 1&1' ~ECEV~

More information

o Check here if address has changed (3) 10 Number:

o Check here if address has changed (3) 10 Number: (1) Lorry Woods Campaign Name (2) PO Box 347921 Address (number and street) Miami, FL 33234 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code o Check here if address has changed (3) 10 Number: (4)

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PTY has disbanded. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PTY has disbanded. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures (1) Georgette E. Dumont Name (2) 507 16th Avenue South Address (number and street) Jacksonville Beach, FL 32250 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code 0 Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) Thomas L. Gaume Jr. Name (2) 1700 Lantana Ct. NW (4) Address (number and street) Palm Bay, FL, 32907 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PC or ECO has disbanded

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PC or ECO has disbanded CAMPAIGN TREASURER'S REPORT SUMMARY (1) Christine Hoffman Ritue. "...-u v Name (2) 1026 13th St. N. NOV 09 2015 Address (number and street) Jacksonville Beach, FL 32250 City Clerk City, State, Zip Code

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if no other IE or EC reports will be filed. (5) Report Identifiers

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if no other IE or EC reports will be filed. (5) Report Identifiers CAMPAGN TREASURER'S REPORT SUMMARY ( 1 ) Gary Resnick Name (2) 2800 NW 10 Avenue Address (number and street) Wilton Manors, FL 33311 City, State, Zip Code 0 Check here if address has changed (4) Check

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. City Council. 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Office Account.

CAMPAIGN TREASURER' S REPORT SUMMARY. City Council. 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Name 2) 006 Magnolia Dr. Address (number and street) Check here if address has changed 4) Check appropriate box(es): Candidate Office Sought: Clearwater Political

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY CAMPAGN TREASURER'S REPORT SUMMARY (1) Sandra K. Golding R&GEtYEQv -. Name () 103 18th Avenue North Address (number and street) Jacksonville Beach, FL, 30 OCT 1 018 City Clerk City, State, Zip Code D Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Name FLORDA DEPARTMENT OF STATE Post Office Box 8212 Address (number and street) DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY CHECK F ADDRESS HAS CHANGED (3) D : OFFCE USE ONLY (4) Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY CAMPAGN TREASURERS REPORT SUMMARY () Sandra K. Golding r Name () 0 8th Avenue North --. - -... - -- : 7?ECEVED Address (number and street) JAN 08 08 Jacksonville Beach, FL, City, State, Zip Code. ~sty

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Monetary. Transfers to Office Account. Total Monetary. 8) Other Distributions

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Monetary. Transfers to Office Account. Total Monetary. 8) Other Distributions CAMPAIGN TREASURER' S REPORT SUMMARY ) Tom Keller Name 2) 707 Algonquin Dr. Address ( number and street) Clearwater, FL 33755 Check here if address has changed 3) 9 lref', EB 2. I20 Y OFFICIAL RECORDS

More information

D CHECK IF PC HAS DISBANDED

D CHECK IF PC HAS DISBANDED .. FLORDA DEPARTMENT OF STATE DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (1) JAMES R. KENNEDY, JR. Name (2) 856 Second Ave N Address (number and street) St. Petersburg FL 33701 City, State, Zip

More information

CAMPAIGN TREASURER'S REPORT SUMMARY, !\hf'c/j (1) Alfonso M. Leon Campaign nr..rrr,r^r. USE ONL

CAMPAIGN TREASURER'S REPORT SUMMARY, !\hf'c/j (1) Alfonso M. Leon Campaign nr..rrr,r^r. USE ONL CAMPAIGN TREASURER'S REPORT SUMMARY,!\hf'C/j (1) Alfonso M. Leon Campaign nr..rrr,r^r. USE ONL Name (2) 2368 SW 4th Street Address (number and street) Miami, FL 33135 "'^10 Orf- - ' t OF Y Cliyrur.'^irYri

More information

o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED

o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (1) Robert A. Cole Name (2) 8651 Riverstone Address (number and street) Milton, FL 32583-2579,..... ' FLORDA DEPARTMENT OF STATE DVSON O~~~f?i~p~,~:'.'.~-;CNS CAMPAGN TREASURER'S REPORT SU,MVlARY;:',T..

More information

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY. (3) ID Number: q CHECK IF PC HAS DISBANDED

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY. (3) ID Number: q CHECK IF PC HAS DISBANDED (1) Tin-Adams (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY 5262'IilleniBlvd. Address (number and street) OrlandoFL32839 City, State, Zip Code q CHECK

More information

City, State, Zip Code n Check here if address has changed (3) l&'fis. (5) Report Identifiers. Monetary Expenditures $

City, State, Zip Code n Check here if address has changed (3) l&'fis. (5) Report Identifiers. Monetary Expenditures $ PAOLO A. WESTON Name (2) 174 Arlington Road Address (number and street) 33405 CAMPAIGN TREASURER'S REPORT SUMMARY City, State, Zip Code n Check here if address has changed (3) l&'fis DEC 12 2018 CITY OF

More information

(7) Expenditures This Report Monetary Expenditures $ ' Transfers to Office Account. Total Monetary $ -- (8) Other Distributions $ --'--'~ 76

(7) Expenditures This Report Monetary Expenditures $ ' Transfers to Office Account. Total Monetary $ -- (8) Other Distributions $ --'--'~ 76 D Check here if address has changed (3) (4) Check appropriate box( es): D : ] Candidate Office Sought: City Counsel --=-~--------~------------~ 0 Political Committee (PC) 0 Electioneering Communications

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY ~~~~~~~~- ~~~~~~~~~~~~~~~~~~~~~~~~- (1) Name (2) 9604 NW 36th Manor Address (number and street) 33065 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed (4) Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. Miami. FL ,...~,-- Y1 (4) Check appropriate box(es): -=- X

CAMPAIGN TREASURER'S REPORT SUMMARY. Miami. FL ,...~,-- Y1 (4) Check appropriate box(es): -=- X (1 ) (2) CAMPAIGN TREASURER'S REPORT SUMMARY Wifredo (Willy) Gort Campaign Name OFFICE USE ONLY c " (J1 ~; (/) ~n 2828 Coral Way Suite 500 Address (number and street)...;:. rr1 0,.,,''') 0 ', I Miami.

More information

CAMPAIGN TREASURER s REPORT SUMMARY. (7) Expenditures This Report Monetary Expenditures .00. Transfers to Office Account $ Total Monetary $

CAMPAIGN TREASURER s REPORT SUMMARY. (7) Expenditures This Report Monetary Expenditures .00. Transfers to Office Account $ Total Monetary $ CAMPAGN TREASURER s REPORT SUMMARY (1) offce use only Name (2) 2016 NE 6th Ter Address (number and street) Wilton Manors, FL 33305 City, State, Zip Code D Check here if address has changed (3) D Number:

More information

D Check here if PTY has disbanded

D Check here if PTY has disbanded CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) KLEIN, MARTIN I. Name 1060 North Ocean Boulevard Address (number and street) Palm Beach, FL 33480 City, State, Zip Code D Check here if address has changed (4)

More information

D Check here if PC or ECO has disbanded D Check here if PTY has disbanded D Check here if no other IE or EC reports will be filed

D Check here if PC or ECO has disbanded D Check here if PTY has disbanded D Check here if no other IE or EC reports will be filed CAMPAGN TREASURER'S REPORT SUMMARY (1) Tres Holton OFFCE USE ONLY Name (2) 1729 La Maderia Dr SW Address (number and street) Palm Bay, FL 32908 City, State, Zip Code D Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Caragiulo, Paul Name FLORDA DPARTMNT OF STAT 3708 Flores Ave Address (number and street) Sarasota, FL 34239 DVSON OF LCTONS CAMPAGN TRASURR'S RPORT SUMMARY CHCK F ADDRSS HAS CHANGD (3) D : OFFC

More information

DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED

DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED FLORDA DEPARTMENT OF STATE DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (1) J OE CAROLLO CAMPAGN 4 '\... ( r.... OFFW E U$._;: 9N!.i Name (2) 3126 CORAL WAY Address (number and street) 2017 FEB

More information

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY 3126 CORAL WAY Address (number and street) MIAMI, FL 33145-3210 OFFICE USE ONLY 10 32 < r; CD CHECK IF

More information

FLORIDA DEPARTMENT OF STATE CAMPAIGN TREASURER'S REPORT SUM~:~Y, o CHECK IF PC HAS DISBANDED

FLORIDA DEPARTMENT OF STATE CAMPAIGN TREASURER'S REPORT SUM~:~Y, o CHECK IF PC HAS DISBANDED FLORDA DEPARTMENT OF STATE DVSON OF ~frtons CAMPAGN TREASURER'S REPORT SUM~:~Y, d~flbtju E ONf.Y. -, '"_. (1 ) Clifton Wheeler -

More information

I x Signature'" fl *- c+ 0 I C'. / rl 6- .;b G,% CoverPeriod: From --- Original 0 Amendment Special Election Report Independent Expenditure Report

I x Signature' fl *- c+ 0 I C'. / rl 6- .;b G,% CoverPeriod: From --- Original 0 Amendment Special Election Report Independent Expenditure Report (1) Republican Executive Comm of Lee Cou% Name (2) PO ox 61465 Address (number and street) Ft Myers FL 33906 r OFFCE USE ONLY o + G,% T,.;b fl * c+ 0 C'. / rl 6 (5) REPORT DENTFERS CoverPeriod: From 04

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name 2) 8 N Belcher Rd., STE - 2 Address (number and street) Check here if address has changed 3) R 4qY JAN j,,08 OFFICIAL '= CORDS AND LEGISLATIVE:

More information

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4011 Laurel St. New Orleans, LA 70118 2. Office Sought (Include title of office

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY ~~~~~~~~- < 1 > William Charlie Latham Name (2) 2016 Gail Avenue Address (number and street) Jacksonville Beach, FL 32250 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code 0 Check here if address

More information

Texas Ethics Commission P.O.Box Austin, Texas (512)

Texas Ethics Commission P.O.Box Austin, Texas (512) Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 SPECIFIC- COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how

More information

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY. CHECK IF PC HAS DISBANDED O Committee of Continuous Existence

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY. CHECK IF PC HAS DISBANDED O Committee of Continuous Existence C) JOE CAROLLO CAMPAIGN (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY 3126 CORAL WAY Address (number and street) MIAMI, FL 33145-3210 CHECK IF ADDRESS HAS

More information

Name Procedures. Hyphen If there are two last names with a hyphen between them; key the hyphen.

Name Procedures. Hyphen If there are two last names with a hyphen between them; key the hyphen. Name Procedures sp = space Hyphen If there are two last names with a hyphen between them; key the hyphen. MARY A SMITH-JONES SMITH-JONES MARY A JOHN A SMITH JONES SMITHspJONES MARY A Apostrophe An apostrophe

More information

I Reporting Period: from April, 2010 To: May 23, 2010 YELLOWSTONE COUNTY Initial Report

I Reporting Period: from April, 2010 To: May 23, 2010 YELLOWSTONE COUNTY Initial Report THE STATE OF MONTANA COMMISSIONER OF POLITICAL PRACTICES 1205 EIghth Avenue Post Office Box 202401 Helena, MT 59620-2401 Phone: 406-444-2942 Fax: 406-444-1643 www. political practices.mt.gov FOR OFFICE

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to. Office Account.

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to. Office Account. NumiP56Y8tPl' CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name 2) 8 N Belcher Rd., STE I- 2 OFFICE USE ONLY RECEIVED Address (number and street) JAN 2C) 200 OFFICIAL RECORDS AND Check here if

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 2. Office Sought (Include title of office as well as parish, city, town and/or

More information

2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4

2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4 Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov 1. Report Type

More information

contents The credit union difference. table of

contents The credit union difference. table of ANNUAL 2018 REPORT table of contents Financial Summary... 2 Chairman & CEO Report... 3 Events & Community...4-5 The credit union difference. Member Growth & Highlights... 6-8 Locations...9 Achieva strives

More information

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES C-2 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 11/17 SUMMARY PAGE (Please Print or Type) Section I Name of candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any)

More information

Campaign Contribution Disclosure Report

Campaign Contribution Disclosure Report SEC FORM CCDR REV 01/2014 1. Report Type (Select One) * Original Report Amended Report Amendment # 2. Filing is being made on behalf of (Select One): * Candidate or Public Official Office Sought or Held:

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp FORM Page 1 of 12 For Official Use Only COVER PAGE

More information

ACHIEVA CREDIT UNION ANNUAL REPORT

ACHIEVA CREDIT UNION ANNUAL REPORT ACHIEVA CREDIT UNION ANNUAL REPORT table of contents Financial Summary... 2 Chairman & CEO Report... 3 Events & Community...4-5 mission statement Our mission at Achieva Credit Union is to provide financial

More information

13281 MCGREGOR BLVD FORT MYER FL

13281 MCGREGOR BLVD FORT MYER FL 13281 MCGREGOR BLVD FORT MYER FL 33919 Fantastic high traffic McGregor location with 30k cars a day. This property has McGregor frontage and is almost a full acre in size. The front parcel is close to

More information

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME

More information

5200 Ocean Blvd, Siesta Key, FL 34242

5200 Ocean Blvd, Siesta Key, FL 34242 Siesta Key Restaurant- BEST LOCATION IN THE VILLAGE! 5200 Ocean Blvd, Siesta Key, FL 34242 Listing ID: 29826583 Status: Active Property Type: Business Opportunity For Sale Industry: Food and Beverage Size:

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to Office Account.

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name ) 8 N Belcher Rd., STE - Address ( number and street) Check here if address has changed 3) ofreecceiwd FEE - 08 OFFICIAL RECORDS AND LEGISLATIVE

More information

FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I

FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015 SCANNED CANDIDATE / OFFICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to

More information

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA MEMORANDUM

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA MEMORANDUM ENC. November 8, 2006 THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA MATERIALS MANAGEMENT DEPARTMENT 101 OLD VENICE ROAD OSPREY, FLORIDA 34229 TELEPHONE (941) 486-2183 FAX (941) 486-2188 MEMORANDUM TO: FROM:

More information

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) State Representative Multiple Dist th day after general

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) State Representative Multiple Dist th day after general CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 296 Belle Pointe Dr. Ruston, LA 71270 3. Date of Primary 2/23/2019 2. Office

More information

5c 6 Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here... G.

5c 6 Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here... G. Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black

More information

The Bohemian Celebration Hotel 700 Bloom Street Celebration, FL July 12, :30am

The Bohemian Celebration Hotel 700 Bloom Street Celebration, FL July 12, :30am CONSTRUCTION INDUSTRY LICENSING BOARD The Bohemian Celebration Hotel 700 Bloom Street Celebration, FL 34747 407.566.6000 July 12, 2012 8:30am Final Action Minutes Approved March 15, 2013 The meeting was

More information

Case Doc 160 Filed 10/04/18 Page 1 of 6 THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA WINSTON-SALEM DIVISION

Case Doc 160 Filed 10/04/18 Page 1 of 6 THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA WINSTON-SALEM DIVISION Case 18-50946 Doc 160 Filed 10/04/18 Page 1 of 6 THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA WINSTON-SALEM DIVISION In re: ) Chapter 11 ) Product Quest Manufacturing, LLC,

More information

INVOICE AGENCY AGENCY NO. CUSTOMER CUSTOMER NO. POL-APRIL FREEMAN FOR CONGRESS 19409

INVOICE AGENCY AGENCY NO. CUSTOMER CUSTOMER NO. POL-APRIL FREEMAN FOR CONGRESS 19409 INVOICE DATE SA804056 11/3/2016 INVOICE DUE DATE 201610 11/27/2016 ATTN: Samuel Fisher POL-APRIL FREEMAN FOR CONGRESS P.O. Box 152198 Cape Coral, FL 33915-2198 INVOICE AGENCY AGENCY NO. CUSTOMER CUSTOMER

More information

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16 Case 9:16-bk-04221 Doc 1 Filed 05/16/16 Page 1 of 10 Fill in this information to identify your case: United States Bankruptcy Court for the: MIDDLE DISTRICT OF FLORIDA Case number (if known) Chapter 11

More information

2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission

2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, 30334 404-463-1980 www.ethics.ga.gov 1. Report Type 2.

More information

JJ Richard Cottone v. Kenneth C. Jenne, II

JJ Richard Cottone v. Kenneth C. Jenne, II United States Court of Appeals for the Eleventh Circuit 56 Forsyth Street, N.W. Atlanta, GA 30303-2289 (404) 335-6100 02-14529-JJ Richard Cottone v. Kenneth C. Jenne, II Closed Docket #: 02-14529-JJ Short

More information

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ;

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ; Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 02/20/2011 through 0 3 / 0 2/2 0 11 1. Type of Recipient Committee: GZl Officeholder, Candidate Controlled

More information

2017 FSRA Regatta Vendor Application For Non-Food Products and Services

2017 FSRA Regatta Vendor Application For Non-Food Products and Services 2017 FSRA Regatta Vendor Application For Non-Food Products and Services PLEASE PRINT: Company Name Contact Name Address Phone Fax E-mail Website 2017 VENDOR FEE: $300 per event (does not include tent rental)

More information

Summary Page. TYPE OF REPORT Original = 30 Day Post - Primary Report. 30 Day Post -General Report. No=

Summary Page. TYPE OF REPORT Original = 30 Day Post - Primary Report. 30 Day Post -General Report. No= C- 2 Campaign Financial Disclosure Report Rev. 1/ 18 Summary Page Please print or type SECTION I Name of Candidate or Political Committee & Chairperson Office Sought ( if candidate) District ( if any)

More information

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate P.O. Box 2827 Harvey, LA 70059 2. Office Sought (Include title of office as

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) MAO, ALAN Name FLORDA DEPART OF STATE PO ox 1804 Address (number and street) Venice, FL 34284 DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMAR CHECK F ADDRESS HAS CHANGED (3) D : OFFCE USE ONL

More information

FORM G-37. Name of Regulated Entity: Citigroup Global Markets Inc. Report Period: Fourth Quarter of 2017

FORM G-37. Name of Regulated Entity: Citigroup Global Markets Inc. Report Period: Fourth Quarter of 2017 FORM G-37 Name of Regulated Entity: Citigroup Global Markets Inc. Report Period: Fourth Quarter of 2017 I. CONTRIBUTIONS made to officials of a municipal entity (list by state) Complete name, title (including

More information

Texas Ethics Commission P.O.Box Austin, Texas (512)

Texas Ethics Commission P.O.Box Austin, Texas (512) SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 ACCOUNT # (Ethics Commission filers) 2 Total

More information

Candidate (office sought): Political Committee. D Check if PC has DISBANDED. D Check if no other electioneering communicaticniep~ ~t1~ filed

Candidate (office sought): Political Committee. D Check if PC has DISBANDED. D Check if no other electioneering communicaticniep~ ~t1~ filed FLORDA DEPARTMENT OF STATE Cash & Checks $2,525.40 Loans $0.00 DVSON OF ELECTONS CAMPAGN TREASURER'S Rfij~~UMM~~s 49 CAROLNE S(bFF~E~ ONLY (1) Santa Rosa County Democratic Executive Committee MilTON. Fl,

More information

The Biltmore Hotel 1200 Anastasia Avenue Coral Gables, FL September 13, :30am

The Biltmore Hotel 1200 Anastasia Avenue Coral Gables, FL September 13, :30am CONSTRUCTION INDUSTRY LICENSING BOARD The Biltmore Hotel 1200 Anastasia Avenue Coral Gables, FL 33134 305.445.1926 September 13, 2012 8:30am Final Action Minutes Approved March 15, 2013 The meeting was

More information

6. TREASURER'S MAILING ADDRESS 7. TREASURER'S TELEPHONE NUMBER 8100 W FLORISSANT AVE

6. TREASURER'S MAILING ADDRESS 7. TREASURER'S TELEPHONE NUMBER 8100 W FLORISSANT AVE Missouri Ethics Commission COMMITTEE DISCLOSURE REPORT COVER PAGE C000586 M.E.C. ID NO. INSTRUCTIONS ON REVERSE SIDE 2. FULL NAME OF COMMITTEE 1. OF REPORT OFFICE USE ONLY 3. COMMITTEE MAILING ADDRESS

More information

Filer ID (Filer ID that begins with the letter C ) Organization or Person Other than Candidate s Campaign Committee Committee Name:

Filer ID (Filer ID that begins with the letter C ) Organization or Person Other than Candidate s Campaign Committee Committee Name: Page 1 of 10 1. Report Type (Select One) Original Amendment Amendment # Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334

More information

State of Georgia Campaign Contribution Disclosure Report

State of Georgia Campaign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of: Candidate or Public Official Filing Office Use Only E-Filed on Original Report 4/3/12 8:20 pm C2011005736 - Duane K. Piper Sheriff 3. Identifying and

More information

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 481 John Edwards Rd. 2. Office Sought (Include title of office as well LA

More information

Maryland State Board of Elections. Campaign Finance Report Summary Sheet

Maryland State Board of Elections. Campaign Finance Report Summary Sheet Report Due : Campaign Finance Report Summary Sheet Part 1 Transaction Period This Report covers transactions beginning Final Report (Check if you intend to close the account. This cannot be a final report

More information

The Florida Hotel & Conference Center 1500 Sand Lake Road Orlando, FL October 10, :30am

The Florida Hotel & Conference Center 1500 Sand Lake Road Orlando, FL October 10, :30am CONSTRUCTION INDUSTRY LICENSING BOARD The Florida Hotel & Conference Center 1500 Sand Lake Road Orlando, FL 32809 407.859.1500 October 10, 2013 8:30am Final Action Minutes Approved January 10, 2014 The

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4939 Saint Roch 3. Date of Election 2. Office Sought (Include title of office

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax 99-EZ Short Form Return of Organization Exempt From Income Tax OMB No. 1545-115 Form Under section 51, 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

More information

Finance Checklist and GAB - Campaign Finance Overview Local Candidates

Finance Checklist and GAB - Campaign Finance Overview Local Candidates TOWN OF VERNON WAUKESHA COUNTY WISCONSIN 2018 Finance Checklist and GAB - Campaign Finance Overview Local Candidates (For additional resources and information please visit the Wisconsin Elections and Ethics

More information

Campaign Contribution Disclosure Report

Campaign Contribution Disclosure Report REV 1/15 FILER ID: C000185 1. Report Type 2. Filing is being made on behalf of: Candidate or Public Official Filing Office Use Only E-Filed on 4/3/17 4:08 pm Original Report 3. Identifying and Contact

More information

Send one check in the total amount payable to the Florida Department of State.

Send one check in the total amount payable to the Florida Department of State. FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached is a form to convert an Other Business Entity into a Florida Limited Liability Company pursuant to section 605.1045, Florida Statutes. These

More information

Florida Health Care Plan, Inc.

Florida Health Care Plan, Inc. Report on Examination of Florida Health Care Plan, Inc. Holly Hill, Florida as of December 31, 2003 By The State of Florida Office of Insurance Regulation CONTENTS SCOPE OF EXAMINATION...1 STATUS OF ADVERSE

More information

, 20 B Check if applicable: label or print or Number and street (or P.O. box, if mail is not delivered to street address) type.

, 20 B Check if applicable: label or print or Number and street (or P.O. box, if mail is not delivered to street address) type. Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring

More information

State of Rhode Island and Providence Plantations

State of Rhode Island and Providence Plantations State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us

More information

Campaign Finance & Public Disclosure Board

Campaign Finance & Public Disclosure Board Campaign Finance & Public Disclosure Board First Floor South. Centennial Office Building. 658 Cedar Street. St. Paul MN 55155-1603. 800/657-3889. TTY 800/657-3529 Committee Information: Report of Receipts

More information

CAMPAIGN TREASURER' S REPORT SUMMARY

CAMPAIGN TREASURER' S REPORT SUMMARY CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name ) 8 N Belcher Rd., STE I- Address (number and street) Check here if address has changed 3) ` AI LfiIEDLY fia? r_? Ojfl OFFICIAL RECORDS AND LEGISLATIVE

More information

0 Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand. Name of Chairperson and/or Treasurer of Committee

0 Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand. Name of Chairperson and/or Treasurer of Committee 1. Save to File 2. Attach to Email REV 0312008 1. Report Type 2. Filing is being made on behalf of (Select One): Filing office use only (Select One) o Candidate or Public Official Office Sought or Held:

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures. Transfers to Office Account

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures. Transfers to Office Account CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt HamiltonIf-,, Name ) 8 N Belcher Rd., STE - Address (number and street) Check here if address has changed 3) 4) Check appropriate box(es): Candidate Office Sought:

More information

APPENDIX A BLANK DISCLOSURE REPORTS

APPENDIX A BLANK DISCLOSURE REPORTS APPENDIX A BLANK DISCLOSURE REPORTS C-1 Appointment and Certification of Political Treasurer C-2 Campaign Disclosure Forms Detailed Summary Page C-4 Independent Expenditures C-5 48 Hour Notice of Contributions/Loans

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Section I Name Candidate or Political Committee and Chairperson Offi ce Sought (if candidate) Seat (if any) Mailing

More information

Contents. Completing the CFA-4 Form Contributions Expenditures Debts Disband Important Items

Contents. Completing the CFA-4 Form Contributions Expenditures Debts Disband Important Items Disclosure The information in this presentation is designed to serve as a resource for completing campaign finance reports. It is not to be used for legal reference pertaining to Indiana campaign finance

More information

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN Is This Report an Amendment: Yes No Instructions for completing schedules are on the back of each schedule. COMMITTEE IDENTIFICATION Name of Committee

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. Pofiticat Committee (PC) Q Check here if PC or ECO has disbanded [ Electioneering Communications Org.

CAMPAIGN TREASURER'S REPORT SUMMARY. Pofiticat Committee (PC) Q Check here if PC or ECO has disbanded [ Electioneering Communications Org. CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Zoraida A. Barreiro Campaign. Name 210] SW 4 Avenue Address {number and street) Miami, FL 33129 City, State, Zip Code r~] Check here if address has changed (4)

More information

FRS INVESTMENT PLAN INVESTMENT PLAN EXIT CHECKLIST

FRS INVESTMENT PLAN INVESTMENT PLAN EXIT CHECKLIST FRS INVESTMENT PLAN INVESTMENT PLAN EXIT CHECKLIST Name: Date: EMPLID: Position: School/Dept: PLEASE NOTE: SUBMISSION OF THIS FORM DOES NOT ENROLL YOU IN THE FRS INVESTMENT PLAN. For information on enrolling

More information

CAMPAIGN FINANCE REPORT

CAMPAIGN FINANCE REPORT Commonwealth of Pennsylvania CAMPAIGN FINANCE REPORT (MOTE: This report must be clear and legible. It may be typed or printed in bfua or black ink.) Filer Identification Number: N»m«of Filing Comm tt*e,

More information

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS ..., Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 07/01/2011 through 12/31/2011 1. Type of Recipient Committee: li2f Officeholder, Candidate Controlled

More information

mended Report Special Election Report UIndependent Expenditure Report (7) EXPENDITURES FOR THIS REPORTING PERIOD I Monetary Expenditures $137Ch.

mended Report Special Election Report UIndependent Expenditure Report (7) EXPENDITURES FOR THIS REPORTING PERIOD I Monetary Expenditures $137Ch. FLORDA DEPARTMENT OF STATE, DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (cover sheet) Modified For Lee County Only (09-2001) SEE REVERSE SDE FOR NSTRUCTONS ON COMPLETNG TEMS TROUG 1 n NOTE: Check

More information

THIS MEETING IS OPEN TO THE PUBLIC

THIS MEETING IS OPEN TO THE PUBLIC AGENDA BOARD OF FUNERAL, CEMETERY AND CONSUMER SERVICES August 6, 2015-10:00 A.M. Hilton Orlando/Altamonte Springs 350 S Northlake Blvd Altamonte Springs FL 32701 THIS MEETING IS OPEN TO THE PUBLIC 1.

More information

FORM G-37. Name of Regulated Entity: Loop Capital Markets, L.L.C. Report Period: Third Quarter of 2017

FORM G-37. Name of Regulated Entity: Loop Capital Markets, L.L.C. Report Period: Third Quarter of 2017 Name of Regulated Entity: Loop Capital Markets, L.L.C. Report Period: Third Quarter of 2017 I. CONTRIBUTIONS made to officials of a municipal entity (list by state) Complete name, title (including any

More information

Short Form 990-EZ Return of Organization Exempt From Income Tax

Short Form 990-EZ Return of Organization Exempt From Income Tax Form B G I Short Form 990-EZ Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter Social Security

More information