Myers, Morton - Seat 5CAMPAIGN TREASURER'S REPORT
(1) Morton Myers
SUMMARY
OFFICE USE ONLY
RECEIVED
NOV 1 2 2013
G ~FIcL . RE C e . 3 .A NT)
Name
(2) 1756 W Lagoon Cr
Address (number and street)
Clearwater, FL 33765
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
(3)
1[LrWVE S aaV`L) LJ F1
✓ Candidate Office Sought: City Council
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
• Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 10 / 01 / 13 To 10 / 31 / 13 Report Type:
Election Report
✓ Original ❑ Amendment ❑ Special
(6) Contributions This Report
Cash & Checks $ , , 40 . 00
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , , 23 . 56
Loans $ , , 0 . 00
to
$ , , 0 . 00
Total Monetary $ , , 40 . 00
$ , , 23 . 56
In -Kind $ , , 0 . 00
(8)
$
Other Distributions
, , 0 . 00
(9) TOTAL Monetary Contributions To Date
$ , , 40 . 00
(10) TOTAL
Monetary Expenditures To Date
$ , , 23 . 56
(11) Certification
It is a first degree misdemeanor for any person
I certify that I have examined this report and it is true, correct,
(Type name) Jessica Whitcher
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name) Morton Myer s
• Individual (only for IE 0 Treasurer • Deputy Treasurer
0 Candidate • Chairperson (only for PC and PTY)
or electioneering comm.)
X : :� (1.._ L(✓(�'t�
x
1
Signature
Signatu
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
ACKNOWLEDGMENT
STATE OF FLORIDA
COUNTY OF PINELLAS
BEFORE ME, the undersigned, a Notary Public in and for the
aforesaid County and State, on this day personally appeared Jessica
Whitcher, personally known to me and the person whose name is subscribed
to the foregoing instrument.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this 11th day
of November 2013.
:'•�g °Y HELEN C. AMMON
MY COMMISSION # EE 002830
q•. o EXPIRES: SepteYnber 24, 2014
• " Bonded Thru Notary Pub c Underwriters
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ¥ortom Myers
(2) I.D. Number
3) Cover Period 10 / 01 / 2013 through 10 / 31 / 2013 (4) Page
1
of
1
(5)
Date
(7)
Full Name
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
10/
08
/
2013
Myers, Morton
1756 W Lagoon Cr
I
CAS
40.00
1
Clearwater, FL
33765
/
/
/
/
/
/
/
/
/
/
/
/
/
/
DS -DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Morton Myers
(3) Cover Period 10 / 01 / 2013 through 10 / 1 /7013
(2) I.D. Number
(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
(1 0)
Amendment
(11)
Amount
(6)
Sequence
Number
10/17 2013
Harland Clarke
CfiNcks
MON
23.56
1
1
1
1 /
1
/
/
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
0
CAMPAIGN TREASURER'S REPORT SUMMARY
��� Morton Myers
Name
(2) 1756 W Lagoon Cr
Address (number and street)
Clearwater, FL 33765
City, State, Zip Code
° .�� .:��v �,�
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a /1�'i.i�.�' � E -��� �bU��`@ AA �
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ppr g/^vw., � �+ .�"t.i�d,:A'
4.Lu+✓b��1�'4Vf° � �l��il Y� �'G"��T.Y
�+ i r° a�ei�e4++�r
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: Clt�/ COUCICII
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 11 / 01 / 13 To 11 / 30 / 13 Report Type:
�✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , � . �� Expenditures $ , , �
Loans $ , , 0 . 00 Transfers to
Office Account $ , , Q
Total Monetary $ , , � . �0
Total Monetary $ , Q
In-Kind � , , � . ��
I(9) TOTAL Monetary Contributions To Date
$ , , 40 00
11
1/
11
(8) Other Distributions
$ , , 0 . 00
(10) TOTAL Monetary Expenditures To Date
$ , , 23 . 56
(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:
(rype name) JeSSICa Wi1ltCit@I' �Type name) MOI�OCI M�/@1'S
❑ Individual (only for IE 0 Treasurer ❑ Deputy Treasurer ❑� Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X �:N�,r�-�^ ! .' X n/
Signature Signa re
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Morton Myers
(1) Name (2) I.D. Number
11 O1 13 11 30 13 1 1
(3) Cover Period / / through / / (4) Page of _
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Ci , State, Zi Code T e Occu ation T e Descri tion Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Morton htyers
(3) Cover Period 11 / ol / 13
(2) I.D. Number
through 11 / 30 / 13 (4) Page 1 of 1
(5) ��) �$) �9) �� �) �� � )
Date Full Name Purpose
�6) (Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) TYPe Amendment Amount
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
STATE OF FLORIDA
COUNTY OF PINELLAS
On this 10�` dav of December 2013, before me appeared Jessica Whitcher to
me known to be the person described in and who executed the foregoing
instrument, and acknowledged that she executed the same as her free act and
deed.
s'� •��b! HELEN C. AMMpN
:i,a• �'x;:
*; ir_ PAY CpMMISSION # EE 002830
��..,,,.�,Q� ��R� NSeptefiber 24, 2014
otary aublic u�erwrioers
' ---------_—.__._.
STATE OF FLORIDA
COUNTY OF PINELLAS
)
)
)
�
Notary Public
On this lOth day of December 2013, before me appeared Morton Myers to
me known to be the person described in and who executed the foregoing
instrument, and acknowledged that he executed the same as his free act and
deed.
.,,..
,
,�s�� :�: � c. a�oni
_ ; ,:_ MY COMMISSION # EE 002830
A�: EXPIRES: SepteYnber 24, 2014
�� Bonded Thtu Notary Public Undetvrtiters
�/'�,.��/)/l,
.�
Notary Public
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Morton Myers
Name
(2) 1756 W Lagoon Circle
Address (number and street)
Clearwater, FL 33765
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
Candidate Office Sought:
City Council
FEB 1 114
Cs; 9 iAL REC .)'`r '.) AND
LEOSLATIV% SRVCS DEPT
(3) ID Number:
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
❑ Check here if PC or ECO has disbanded
El Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From 12 / 01 / 2013 To 02 / 10 / 14 Report Type: TR
❑ Special Election Report
Original ❑ Amendment
(6) Contributions This Report
Cash & Checks $
Loans $
Total Monetary $
In -Kind $
0 . 00
0 . 00
0 . 00
0 . 00
(7) Expenditures This Report
Monetary
Expenditures $ , 16 . 44
Transfers to
Office Account $ , 0 . 00
Total Monetary $ , 16 . 44
(8) Other Distributions
$ , , 0
00
(9) TOTAL Monetary Contributions To Date
$ 40 . 00
(10) TOTAL Monetary Expenditures To Date
$ 40 . 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 1 have examined this report and it is true, correct, and complete:
(Type name) Jessica Whitcher
❑ Individual (only for IE
or electioneering comm.)
X
Signature
17
Treasurer ❑ Deputy Treasurer
(Type name) Morton Myers
Candidate ❑ Chairperson (only for PC and PTY)
X
Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
ACKNOWLEDGMENT
STATE OF FLORIDA
COUNTY OF PINELLAS
BEFORE ME, the undersigned, a Notary Public in and for the
aforesaid County and State, on this day personally appeared Jessica
Whitcher, personally known to me and the person whose name is subscribed
to the foregoing instrument.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this /day
014.
es% HELEN C. AMMON
MY COMMISSION # EE 002830
.1 EXPIRES: September 24, 2014
Bonded Thru Notary Public Underwriters
0,4)2L,,,
(It 44
Instructions for Campaign Treasurer's Report Summary
(1)
Name: full name of the candidate, political committee, party executive committee, electioneering
communications organization, or individual making an independent expenditure or electioneering
communication.
(2)
Address: the full address or post office box, city, state, and zip code.
❑ Check the box if the address has changed since the last report filed.
(3)
ID Number: identification number assigned by the filing officer.
(4)
Check the appropriate box(es).
(5)
Report Identifiers
Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Im aortant: use the appropriate
cover period dates as published by the filing officer.
Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for
each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3).
Check one of the appropriate boxes:
❑ Original: first report filed for this reporting period.
❑ Amendment: must summarize only contributions /fund transfers and expenditures /distributions being
reported as additions or deletions. Read instructions for sequence numbers and amendment types on
the back of Forms DS -DE 13A and 14A.
❑ Special Election Report: Important: once a special election report is filed, the entity is required to file all
remaining reports due for the special election.
(6)
Contributions This Report:
Cash and Checks: total amount for this reporting period.
Loans: total amount for this reporting period.
Total Monetary: sum of Cash and Checks and Loans.
In -Kind: the fair market value of the in -kind contribution at the time it is given for this reporting period.
(7)
Expenditures This Report:
Monetary Expenditures: total amount of monetary expenditures for this reporting period.
Transfers to Office Account: total amount transferred to an office account by elected candidates only.
Total Monetary: sum of Monetary Expenditures and Transfers to Office Account.
(8)
Other Distributions: the total amount of goods and services contributed to a candidate or other
committee by a PC, ECO, or PTY.
(9)
TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(10)
TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date.
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 and candidate must sign.
❑ PC report: treasurer and chairperson must sign.
❑ PTY report: treasurer and chairperson must sign.
❑ ECO report: organization's treasurer must sign.
❑ IE or EC report: individual must sign (this applies when an individual acts alone to make these
expenditures)
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.
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Morton Myers (2) I.D. Number
(3) Cover Period 12 / 01 / 2013 through 02 / 10 / 2014
1
(4) Page 1 of
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(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
p
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
02
/10
/ 14
Myers, Morton
1756 W Lagoon Cr
Clearwater, FL 33765
DIS
16.44
1
/
/
/
/
/
/
/
/
/
/
/
/
/
/
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Morton Myers
(1) Name
(3) Cover Period 12
01 / 13 02
through
10
(2) I.D. Number
14 1 1
/ (4) Page 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
/
/
/
/
/
/
/
/
/
/
/
/
/
/
DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES