FRIENDS OF CMA - 04/01/2013 TO 06/30/2013FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT mair`"
(1) Friends of CMA
OFFICE USE ONLY
_
` . b) l " "" °2 i_-'
Name
(2) 600 Cleveland Street, Suite 200
Address (number and street)
Clearwater, FL 33755
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
❑ Candidate (office sought):
(3) ID Number:
P 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
(5) REPORT IDENTIFIERS
Cover Period: From 4 / 1 / 13 To 6 / 30 / 13 Report Type Q2
Report ❑ Independent Expenditure Report
I% Original ❑ Amendment ❑ Special Election
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 14,600.00
(7)
Monetary
Expenditures
Transfers
Account
Total
Monetary
EXPENDITURES THIS REPORT
$ 0.00
Loans $ 0.00
to Office
$ 0.00
Total Monetary $ 14,600.00
$ 0.00
In -Kind $ 0.00
(8)
Other Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date
$ 14,600.00
(10)
TOTAL Monetary Expenditures To Date
$ 0.00
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true,
correct, and complete.
(Type name) John Doran
I certify that I have examined this report and it is true,
correct, and complete.
(Type name) /Vit t ),(/
In idual (only o ✓ Treasurer ❑ Deputy Treasurer
❑
X
Candidate ✓ Chairperson (only for PC, PTY &
electi, neering commun.) % �
X Ai / ' /'
el- ctione- ' • co mun. organization)
Signature
Signatur
DS -DE 12 (Rev. 08/04)
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Type full name of candidate, political committee, committee of continuous existence, party executive
committee, or individual or organization filing an electioneering communication report.
(2) Type the address (include city, state, and zip code). You may use a post office box.
If the address has changed since the last report filed, check the appropriate box.
(3) Type identification number assigned by the Division of Elections.
(4) Check one of the appropriate boxes:
Candidate (type office sought - include district, circuit, or group numbers)
Political Committee
Committee of Continuous Existence
Party Executive Committee
Electioneering Communication
If PC or CCE has disbanded and will no longer file reports, check appropriate box.
If individual or organization will no longer file electioneering communication reports, check appropriate box.
(5) Type the cover period dates (e.g., From 07/01/03 To 09/30/03)
Enter the report type using one of the following abbreviations (see Calendar of Election and Reporting
Dates). If report is for a special election, add "S" in front of the report code (e.g., SG3).
Quarterly Reports
January Quarterly Q4
April Quarterly Q1
July Quarterly Q2
October Quarterly Q3
General Election Reports
46th Day Prior G1
32nd Day Prior G2
18th Day Prior G3
4th Day Prior G4
Primary Reports
32nd Day Prior F1
18th Day Prior F2
4th Day Prior F3
90 -Day Termination Reports (Candidates Only)
Termination Report TR
Check one of the appropriate boxes:
Original (first report filed for this reporting period)
Amendment (an amendment to a previously filed report)
Special Election Report
Independent Expenditure Report (see Section 106.071, F.S.)
(6) Type the amount of all contributions this report:
Cash & Checks
Loans
Total Monetary (sum of Cash & Checks and Loans)
In -kind (a fair market value must be placed on the contribution at the time it is given)
(7) Type the amount of all expenditures this report:
Monetary Expenditures
Transfers to Office Account (elected candidates only)
Total Monetary (sum of Monetary Expenditures and Transfers to Office Account)
(8) Type the amount of other distributions (goods & services contributed to a candidate or other committee by
a PC, CCE or PTY).
(9) Type the amount of TOTAL monetary contributions to date (parties keep cumulative totals for 2 year
periods at a time (e.g., 01/01/02 — 12/31/03). Candidates keep cumulative totals from the time the
campaign depository is opened through the termination report).
(10) Type the amount of TOTAL monetary expenditures to date (parties keep cumulative totals for 2 year
periods at a time (e.g., 01/01/02 — 12/31/03). Candidates keep cumulative totals from the time the
campaign depository is opened through the termination report).
(11) Type or print the required officer's name and have them sign the report:
Candidate report (treasurer & candidate must sign)
PC report (treasurer & chairperson must sign)
CCE report (treasurer must sign)
PTY report (treasurer & chairperson must sign)
Electioneering Communication report (individual or organization's treasurer & chairperson must sign)
AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures,
distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence
number & amendment type fields on the back of forms DS -DE 13, 14, 14A and 94. The Division will summarize all
reports submitted for each reporting period and for the filer to date.
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends of CMA
3) Cover Period
5
/ 23
/ 2013 through 6
(2) I.D. Number
20 / 2013
4) Paae
1
of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10) _
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
Carol A Hague
I
CEO
CHE
500.00
5 / 23 /2013
24 Bishop Creek Dr
Safety Harbor FL
34695
1
Jiffy
B
Printer
CHE
100.00
5 / 23 /2013
Reprographics
411 S Garden Ave
Clearwater FL
2
33756
Robert J Roperti
I
Pres
CHE
100.00
5 /23 2p13
Mary Dianne
Roperti
7831 Oliver Rd
3
Largo FL 33777
Frank L Dame
I
C00
CHE
500.00
5 / 23 013
Lynn M Dame
407 Leeward Is
Clearwater FL
4
33767
Brian Aungst Jr
I
Attorne
CHE
1000.00
5 / 24 /2013
Cary Anne Aungst
y/
1683 Midnight Pass
Way
Pediatr
ician
Clearwater FL
5
33765
Brian Aungst Sr
I
VP
CHE
500.00
6 / 18 ?/013
Karen Aungst
2633 Brattle Ln
Clearwater FL
6
33761
6 18 013
John L Draheim
I
Retired
CHE
1000.00
/
Janice Draheim
224 Windward Is
Clearwater Beach
7
FL 33767
Latifeh Inc
B
Insuran
CHE
1000.00
6 / 18 ?013
James Nichols
ce
133 Carlyle Cir
Palm Harbor FL
8
34683
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends of CMA
(3) Cover Period
6 / 19 / 2013 through
(2) I.D. Number
6 / 26 / 2013
4) Paae
2
of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
6 / 19 2013
Frank Dame
407 Leeward Isle
Clearwater FL
I
COO
CHE
500.00
33767
9
Nicola G Diceglie
I
CEO
CHE
500.00
6 20 2013
/
Earline M Diceglie
128 10th Ave
Indian Rocks Beach
10
FL 33785
Solar Sanitation
B
Sanitat
CHE
500.00
6 / 20 2p13
Inc
ion Co
PO Box 7057
Clearwater FL
11
33758
Brian Aungst Jr
I
Attorne
CHE
500.00
6 / 20 ?013
Cary Anne Aungst
1683 Midnight Pass
y /Pedia
trician
Way, Clearwater FL
12
33765
David Yates
I
CEO
CHE
500.00
6 / 20 2013
Kathryn Yates
4110 Grandchamp
Circle
13
Palm Harbor FL
34685
Hyatt Regency
B
Hotel
CHE
500.00
6 26 3013
/
301 S Gulfview
Blvd
Clearwater Beach
14
FL 33767
6 26 2013
Frank R Jakes
I
Attorney
CHE
500.00
/
4522 Rosemere Rd
Tampa FL 33609
15
Rowland W Milam
I
Pres
CHE
1000.00
6 / 26 ?013
1828 Venetian Pt
Drive
Clearwater FL
16
33755
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Friends of CMA (2) I.D. Number
3) Cover Period
6
/ 26
/ 2013 through
6 30 2013 (4) Paae
3
of
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
R Brenton Howie
I
Mgmt
CHE
250.00
6
/
26
/2013
107 Hampton Rd
Suite 100
Clearwater FL
17
33759
Jolley Trolley
B
Transpo
CHE
250.00
6
/
26
/2013
Transportation
rtation
483 Mandalay Ave
Suite 213
18
Clw Beach FL 33767
Clearpac Inc
0
PAC
CHE
3000.00
6
/
27
2p13
600 Cleveland St
Suite 200
Clearwater FL
19
33755
John Doran
I
Atty /Ac
CHE
250.00
6 /
28
?013
Stephanie J Doran
PO Box 3266
countan
t
Clearwater Beach
20
FL 33767
Bruce B Veghte
I
CFO
CHE
1000.00
6 /
28
/2013
418 Midway Island
Clearwater, FL
33767
21
David Allbritton
B
Buildin
CHE
150.00
6
/
30
?/013
Building
g
Contractor Inc
704 Court St
Contrac
tor
22
Clw, FL 33756
6
30
2013
Nathan Hightower
B
Atty
CHE
500.00
/
PA
PO Box 4376
Clearwater, FL
23
33758
/
/
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Friends of CMA (2) I.D. Number
(3) Cover Period 4 / 1 / 13 through 6 / 30 / 13 (4) Page 1 of
1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
1
1
/
/
/
/
1/
/
/
/
/
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Friends of CMA
R LY
OCT 10 2013
OFFICIAL RECORDS AND
LEGISLATIVE SRVCS DEPT
Name
(2) 600 Cleveland Street, Suite 200
Address (number and street)
Clearwater, FL 33755
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
❑ Candidate (office sought):
(3) ID Number:
Z 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
(5) REPORT IDENTIFIERS
Cover Period: From 7 / 1 / 2013 To 9 / 30 / 2013 Report Type 43
Report ❑ Independent Expenditure Report
r Original ❑ Amendment ❑ Special Election
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 14,870.00
(7)
Monetary
Expenditures
Transfers
Account
Total
Monetary
EXPENDITURES THIS REPORT
$ 13,353.05
Loans $ 0 . 00
to Office
$ 0 . 0 0
Total Monetary $ 14,870.00
$ 13, 353.05
In -Kind $ 3,000.00
(8)
Other Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date
$ 32,200.00
(10)
TOTAL Monetary Expenditures To Date
$ 13,353.05
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true,
correct, and complete.
(Type name) John Doran
I certify that I have examined this report and it is true,
correct, and complete.
(Type name) Nick DiCeglie
❑ In. ... .nly for ✓ Treasurer ❑ Deputy Treasurer
❑ Candidate
✓ Chairperson (only for PC, PTY &
elec sneering co n.)
X 414 ,,,�/
�
r elec • --nng mmun. organization)
</, __
�
Signature
Signature
DS -DE 12 (Rev. 08/
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends of CMA
(3) Cover Period 8
6 / 2013 through
(2) I.D. Number
9 / 29 / 2013 'Al ) Pa
1
of
4
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
Clearwater
B
Chamber
Che
5000
08 /
06
/2013
Regional Chamber
of Commerce
of
Commerce
600 Cleveland St
1
Ste 200
Clearwater, FL p
Luis Dobon
I
Retired
Che
2500
09 /
03
013
15572 Gulf Blvd.
Redington Beach,
FL 33708
2
Frank V Hibbard
I
Stock
Che
500
09 /
05
2p13
Teresa D Hibbard
Broker
308 Druid Rd W
Clearwater, FL
3
33756
Joseph E Blakley
I
Retired
Che
75
09 /
06
?013
Barbara L Blakley
31 Island Way 104
Clearwater, FL 337
4
Michael J /Brooke A
I
Manager
Che
100
09 /
06
/2013
Boccacino
749 Belted
Kingfisher Dr N
Palm Harbor, FL
5
34683
John R Campion
I
Retired
Che
100
09 /
06
013
Madonna Campion
80 Rogers St, 6B
Clearwater, FL
6
33756
09 /
06
?013
Jiff y Mgt Services
411S Garden Ave
B
Property
Mgt
Che
100
Clearwater, FL
33756
7
Lee Ellen Hooper
I
Artist
Che
100
09 /
06
p013
2040 Lakeview Dr
205
Clearwater, F1
8
33763
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends of CMA
3) Cover Period
09
/ 06
/ 2013 through
09 /
(2) I.D. Number
09 / 2013
4) Paue
2
of
4
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
John L Bowden
1
Retired
Che
150
09
/
06
2013
Michelle R Tess
2962 2nd Ave N
St Petersburg, FL
9
33713
Gulf Coast
B
Enginee
Che
200
09
/
06
»013
Consulting Inc
ring
13825 ICOT Blvd
605
10
Clearwater 33760
Budget Blinds of
B
Window
Che
50
09
/
06
2p13
Clearwater 611 Ft.
Harrison Ave #163
Treatme
nts
Clearwater, FL
11
33756
Melissa Seixas
I
Public
Che
100
09
/
06
F013
Gregory Feldman
8391 Meadowbrook
Relatio
ns
Dr E Seminole F1
12
337777
John Morroni
I
County
Che
50
09
/
07
2013
3037 Heron P1
Commiss
Clearwater, F1
Toner
33762
13
Nicholas C Fritsch
I
Retired
Che
200
09
/
08
013
Jena E Fritsch
1310 Gulf Blvd 8D
Clearwater, FL
14
33767
09
/
08
»013
Donald Van Weezel
Mary A Van Weezel
I
Consulta
nt
Che
200
1290 Gulf Blvd
#1404
15
Clearwater, F1 337
Robert W Clifford
1
CEO
Che
100
09
/
09
?013
Nancy A Clifford
1406 Manatee Cir
Tarpon Springs 346
16
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends of CMA
(3) Cover Period
08
/ 06
/ 2013 through
(2) I.D. Number
09 30 2013 (4) Paae
3
of
4
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
Bullseye Surveying
B
Surveyin
Che
100
09 /
12
/2013
2206 Granger Dr
g
Clearwater, F1
33764
17
Douglas Williams
I
Retired
Cas
20
09 /
12
013
2544 Frisco Dr
Clearwater FL
33761
18
Grant D Petersen
I
Lawyer
Che
100
09 /
16
2p13
Carlen A Petersen
19
Kathleen Peters
I
Governm
Che
250
09 /
18
F013
7032 South Shore
ent
Dr S South
Affairs
Pasadena, FL 33707
20
Susan Clark
I
Self
Che
75
09 /
19
/2013
670 Island Way
1002
Employe
d
Clearwater, F1
21
33767
Kathleen Forde
I
Retired
Che
50
09 /
20
013
240 Windward
Passage #1004
Clearwater, F1
22
33767
09
20
Linda
I
Lawyer
Che
250
/
?013
Griffin - Keliher
1455 Court St
Clearwater, FL
23
33756
John Draheim
I
Retired
Che
1000
09 /
22
013
224 Windward
Island
Clearwater Bch 337
24
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends of CMA
(3) Cover Period
08
/ 06
/ 2013 through
(2) I.D. Number
09 30 2013 14) Paae
4
of
4
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
1000
(6)
Sequence
Number
09 / 22 /2013
John Draheim
224 Windward
Island
Clearwater Bch
33767
1
Retired
Che
25
09 / 24 013
Andy Burwell
845 Bay Esplanade
Clearwater, FL
33767
I
Realtor
Che
100C
26
09 /29 2p13
Susan Clark
670 Island Way,
#1002
Clearwater, FL
33767
I
Retired
Che
500
27
09 / 30 013
John Draheim
224 Windward
Island
Clearwater Bch
33767
I
Retired
Che
1000
28
9 / 6 /2013
Island Way Grill,
Inc.
20 Island Way
Clearwater, FL
33767
B
Restaur
ant
In -Kind
Campaign
Kick -Off
Part
Party
3000
29
/ /
/ /
/ /
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Friends of CMA (2) I.D. Number
(3) Cover Period 7 / 31 / 2013 through 9
/ 30 / 13
(4) Page 1 of
2
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
/
Jen Carlisle
Website Design
MON
$5,500.00
7 /31 /13
2734 Meadow Wood Dr
& Management
Clearwater FL 33761
1
webElect.net
Voter
MON
$187.D0
8 /26 /13
1256 Vinetree Dr.
Information
Brandon FL 33510
2
TelOpinion
Interviews
MON
$6,000.00
9 / 9 /13
3275 Cobbs Dr
Palm Harbor FL 34684
3
Gulf Coast Imprinting
Art Work
MON
$1,524.75
9 /17/ 13
2050 Tall Pines DR Suite A
Printing
Largo FL 33771
Signs
Stakes
4
Pay Pal
Merchant
MON
$9.30
9 /20 /13
www.paypal.com
Service Fee
5
Pay Pal
Merchant
MOM
$29.30
9 /22 /13
www.paypal.com
Service Fee
6
Pay Pal
Merchant
MON
$29.30
9 /24 /13
www.paypal.com
Service Fee
7
Pay Pal
Merchant
MON
$14.80
9 /29/ 13
www.paypal.com
Service Fee
8
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Friends of CMA (2) I.D. Number
(3) Cover Period 7 / 31 / 2013 through 9 / 30 / 2013 (4) Page 2 of
2
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
9 /30 /13
Pay Pal
www.paypal.com
Merchant
Service Fees
MON
$58.60
9
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
Friends Of CMA
Name
600 Cleveland St. Suite 200
Address (number and street)
Clearwater, FL 33755
City, State, Zip Code
[I] CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
0 Candidate (office sought):
Political Committee
0 Committee of Continuous Existence
n Party Executive Committee
Electioneering Communication
OFRECE
OCT 1 8 2013
07FIGAL RECORDS AND
LEGISLATIVE SRVCS DEPT
(3) ID Number:
El CHECK IF PC HAS DISBANDED
0 CHECK IF CCE HAS DISBANDED
0 CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From lo / 1 / 2013 To 10 / 17 / 2013 Report Type
E Original
Amendment E Special Election Report
SG3
0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks
Loans
Total Monetary
In-Kind
00.00
0.00
9,100.00
250.00
(7) EXPENDITURES THIS REPORT
Monetary
Expenditures
Transfers to Office
Account
Total
Monetary
16,961.53
0.00
1 ,961.53
(8) Other Distributions
0.00
9) TOTAL Monetary Contributions To Date
41,570.00
(10) TOTAL Monetary Expenditures To Date
30,314.58
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true,
correct, and complete.
I certify that I have examined this report and it is true,
correct, and complete.
(Type name) John Doran
EiIndiv� onv to Treasurer J Deputy Treasurer
ele
Signature
DS-DE 12 (Rev.
(Type name)
Candidate
X
Signature
Nick DiCeglie
Ea
Chairperson (only for PC, PTY
electio dL11 rr nization)
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends Of CMA
(3) Cover Period
10
1 / 2013 through 10
(2) I.D. Number
17 / 2013 (4) Page _ 1 of
1
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
Miguel S. Hall
1
Retired
CHE
100
10
2
2013
john R. Sovibile
628 Cleveland St
#913
1
Clearwater, FL
33755 CI
R. Brent Howie
I
Busines
CHE
250
10
4
2013
107 Hampton Rd.
-s
Ste. 100
Owner
Clearwater, FL
2
33759
Herbert G Brown
i
Busines
CHE
2500
10
/
7
2p13
635 Court St. St.
s
100
Owner
Clearwater, FL
3
33756
Flower Associates
B
Arch-
CHE
500
10
/
8
?013
Architects Inc.
itects
1421 Court St.
Suite D
4
Clearwater,FL33756
Bob Carter Co. LLC
B
Fundrai
CHE
2000
10
/
10
/2013
400 Madison Dr.
-sing
Ste. 204
Sarasota, FL 34236
5
Rick & Cindy Owen
I
Re-
CHE
250
10
/
10
013
26 Midway Island
tired
Clearwater, FL
33767
6
10
16
013
Frank & Jayme
Chivas
I
Business
Owner
CHE
1000
500 Bluff View Dr.
Belleair Bluffs FL
7
33770
IslandWay GrillInc
B
Restaur
CHE
1000
10
/
16
p013
18395 Gulf Blvd
-ant
204
Indian Shores FL
8
33785
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Friends Of CMA
(3) Cover Period 10
1 / 2013 through 10
(2) I.D. Number
17 / 2013 (4) Page
2
of
2
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
10
/
16
2013
ABQ Restaurant Inc
18395 Gulf Blvd
Ste 204
Indian Shores, FL
33785
B
Rest-
aurant
CHE
1000
9
10
/
17
12013
Anna and
Terry Tsafatinos
667 Snug Island
Clearwater, FL
3367
I
Real
Estate
Investo
r
CHE
500
10
10
/
9
2p13
Jiffy Repo
Graphics, Inc.
411 South Garden
Ave., Clearwater,
FL 33756
B
Printin
g
In -Kind
Banner
250
11
/
/
/
/
/
/
/
/
/
/
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Friends Of CMA (2) I.D. Number
(3) Cover Period 10 / 1 / 2013 through 10 / 17 / 2013
(4) Page 1 of
1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Gulf Coast Imprinting
Printed
MON
$174.95
10 /8 /13
2050 Tall Pines St Ste 200
Materials
Largo, FL 33771
Flyers
1
Direct Marketing Southeast
Hand Out Cards
MON
$1,119.48
10 /8 /13
Inc
2050 Tall Pines Dr. Ste. A
Largo, FL 33771
2
Civic Action Group
Consulting
MON
$1,000.00
10 /8 /13
2050 Tall Pines Dr. Ste. A
Services
Largo, FL 33771
September
3
Civic Action Group
Polling
MON
$635.00
10 /15/ 13
2050 Tall Pines Dr. Ste. A
Largo, FL 33771
4
Direct Marketing Southeast
Mailing
MON
$11,229.
10 /17 /13
2050 Tall Pines Dr. Ste. A
1
Largo, FL 33771
5
Direct Marketing Southeast
Social Media
MON
$778.77
10 /17/13
2050 Tall Pines Dr. Ste. A
E -Mail
Largo, FL 33771
S.O.E.
6
Direct Marketing Southeast
Art Design
MON
$499.32
1(6/17 /13
2050 Tall Pines Dr. Ste. A
E -Mail Address
Largo, FL 33771
7
Gulf Coast Imprinting
Signs
MON
$1,524.75
10
2050 Tall Pines Dr. St. A
Stakes
/17/13
Largo, FL 33771
8
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES