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Rosa, Jon-Paul - Seat 5FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUr,' 11\iFi--) (1) Jon- Paul Rosa OFFICE USE ONLY Name (2) 2623 Seville Blvd., apt 301 Address (number and street) Clearweater, Florida 33764 City, State, Zip Code Lil CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): P2 Candidate (office sought): clearwater City Council (3) ID Number: Seat 5 LI Political Committee LI CHECK IF PC HAS DISBANDED Committee of Continuous Existence E CHECK IF CCE HAS DISBANDED Party Executive Committee Electioneering Communication LI CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From lo / I / / 3 To 10 / 31 / 13 Report Type n \ _ 1 0 Report Independent Expenditure Report P2 Original Amendment Special Election (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ , (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT $ 1 1 5 j C q Loans $ 2 400.00 to Office $ 0 Total Monetary $ 2,500.00 $ 1 In-Kind $ .1 (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date n $ /4 5-00 (10) TOTAL Monetary Expenditures To Date $ [ 5 • 7 ) 1 (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) Ivan Farber I certify that I have examined this report and it is true, correct, and complete. (Type name) Individual„(only for .1 Trea rer fl Deputy Treasurer 'Candidate Chairperson (only for PC, PTY & electioneering commun. organization) X , AA 6 "il electioneerilcommun.) X i. Signatur Sig4ture DS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Jon Paul Rosa (2) I.D. Number (3) Cover Period 10 / 1 / 13 through 1) / 3 1 / / 3 (4) Page / 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 P Type (10) Amendment (11) Amount (6) Sequence Number 1P5//S12)013 C I -1-G -10 RAe. I c (tit V eQt. r L.2s7 Tv' * rt, c p0 fklehoh CIAQ 4S 1 3 6 / 10 /(,6 / 13 L,A1_ rnq�-I I. -t' C 't.�t�Y u )t \ L. 73161 �,� Ee S 0 i,1 1 I .es t�CC ty, cS" 2 ( /'7 /13 k 1k l-5 C[01, C [ J � �v 3 t �, q /� C I e dty '-e u t F t-,4 C rA likr,i f 11 P � 4- '`s (2 . �Sl ID /a1/13 Cho\/ Y'o'n 1L-ve v't , c 1? 1t v u/(,--N, rt V t. 31'3 TvR rsi)or-(e4;0, 33 43 (1 l o / o.,/i3 5- }- e14 }(--1\-S)-114ke- Co 04,-0, y ;AR- - t% C (.e kk ",�.� ) 301' CApi(1Ger�N I} In G� I[ y E--cc. ii7a to /a3/�3 NeAV\ cp fv, -.z JS 1 "- .ill • Z �fi b v�,,�,Afr- ,-EL -2 163 C. f �e t>t cl� � - v�� ���. CF �as-� y (0 %3/13 Rk \ty P S � C ( � v Gval e', G13 14 �,'16Z C� ,C3 z� / 7 ,,,, , , , � _+ fe fiv a,it, • ) 5,--)A, Co? S q P , Cc-C 3 Ig. ec DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Jon Paul Rosa (2) I.D. Number (3) Cover Period -1D / 1 / /3 through /0 / 3 / / / 3 (4) Page 2_ of Z (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 1c� /�y/ 3 itcf2 Q CA 1- (0141), c C (k-e''�1a'� L337. C LC- �A c4 r� V i0kcwl„1, A h ,ic,l� C 3,oa 10 /25711 ? fq-cor � �e' 314) Z K��Y r dpu OIL &d\ Fig E)ec. -�-oh (01400,4 -Q l ,�,. ` ECC i33 .t; (/0 10 /aV)? p Por CCdv- r` c-h 7 0ik >&-1 -ee c" "" 0 �-r Idv1 CVt. E (,e imeel -; cvM c� --�,� E cc Iog. 1'. 1 10 hd13 5 a w1 S C 1p b l'' -I't 1 q /giAl -4-aAll C f eA V v, F1- 3763 - vlsprI I;0,,► C P N 3 3. 3 S J / / / / / / / / DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jon -Paul Rosa (2) I.D. Number through 10 / 31 / 13 (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 (0 / �1 / 13 1 fl A n-, Pal 7, 3 Set: //e J c (eity � 2, it 33X St Ii / (,°11\-. /T OD 1 / / / / / / / / / / / / / / DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) - a , c 11 R o S SUMMARY `: , ri .. ,. p� s= LE `SL tV S C % aE71 -Jp Name (2) -' a 3 ,ce V i lie 13 1 04 r Address (number and street) _ ,p N r Z - 3 3 76 City, State, Zip Code n Check here if address has changed (3) (4) Check appropriate box(es): andidate Office Sought: C 1 C kr c irQ G tt` ID Number: C1 fy L% °(C i Ceti- S 1 ❑ 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 o/ 1 / 1 3 To 1 v/ 3 I/ j 3 Report Type: I' ,f p ❑ Original Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , (7) Monetary Expenditures Transfers Office Account Total Monetary Expenditures This Report $ 1 , (() . Loans $ , , S''Z O. -oe) to $ Total Monetary $ , , S 00 ,00 $ , t t • 6 In -Kind $ , , (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date $ , R, ..5(7T:. 00 (10) TOTAL Monetary Expenditures To Date $ l AC), . %q (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) ..i__ i--'1 _ L_ 0 ii to falsify and complete: (Type a public record (ss. 839.13, F.S.) name) SQR' l',�Qi../ LJ W II [j'Candidate • Individual (only for IE IfTreasury ❑ Deputy Treasurer • Chairperson (only for PC and PTY) or electioneeri ommi)) Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (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. 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). Important: 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: E 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 I FORT - ITEMIZED EXPENDITURES (1) Name ��V�� 1 s /4' (2) I.D. Number (3) Cover Period / l.i / / 13 through 10 13 / / /3 (4) Page l of (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) Ex enditure p Type (10) Amendment (11) Amount (6) Sequence Number i:CeaV 13 c\IN-- a 5 v a( - ik - .-, N L . p s ..,_ on C / / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (Month /Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. Full name and address of entity receiving payment (including city, state and zip code). (7) (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). Enter Expenditure Type using one of the following codes: (9) Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication Independent Expenditure Regarding a Candidate IEC IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre -paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements T.. ....r. -... i.„ Offi,- Arrrnunt (Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. To correct a previously submitted expenditure use the following drop /add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Amount of expenditure. FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY � (1) �j � � OF 1 � � i�JLf �� h .. Name � t���- a �:--=-. �2� i � !�(L ) Y' ° G� ��C r �.,, � Addr s(number and treet) i Q�' ���� n� c��-� �L 3 6 f'� '^� � � � , �.., t 3�a � i�z�+� �,�'aJ F'ki ,,,t City, State, Zip Code �- ��a � � IECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Che�ic appropriate box�es): � � �� andidate (o�ce sought): r C r �� ❑ Political Committee ❑ CHECK IF P 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 , ,�an���� Cover eriod: From ,� / � / 1 � To � ! '3 Q / � Report Type ,, Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT � Monetary Cash & Checks � � � rj (�6 y��� Expenditures $ , � � _ 4 � 7 Loans $ Transfers to Office �- Account $ Total Monetary $ (7 �� Total Monetary $ � � � (� Q� � In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date � -,_������ ° � $ '.,�� � � (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) (Type name) ❑Individu on for T surer � Deputy Treasurer � Candidate ❑ Chairperson (only for PC, PTY & electione g co un.) electioneering commun. organization) X X Sign ure Signatur US-DE 7Z (Rev. OS/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 ident�cation 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 General Election Reports JanuaryQuarterly ........................................................... Q4 46'" Day Prior.................................................................G1 A ril Quarterl 41 32nd Day Prior ................................................................ G2 P Y ................................................................ •--... G3 . JulyQuarterly ................................................................. Q2 18t Day Pnor........................................................... OctoberQuarterl ........................................................... Q3 4�' Da Prior................................................................... G4 Primary Reports 32"� Day Prior ..................................................................F1 90-Day Termination Reports (Candidates Only) . • 18"' Day Pnor ..................................................................F2 Termination Report........................................................T 4'" Da Prior ....................................................................F3 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 o# 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) Electioneerin Communication re ort individual or or anization's treasurer & chair erson must si n 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 8� amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. The Division will summarize all re orts submitted for each re ortin eriod and for the filer to date. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS �/ � (1) NameC' ,' /1 -� �( J6 - �� (2j I.D. Number C ► �' �UYI G i S` (3) Cover Period � j ! E/ d 3 through j 1/ 3� l� d�3 (4) Page of � �5) i�) i8) �9) �10) i��) �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 Descri tion Amendment Amount `� � �-n �e (.eb�le .� � ��. � z�l t fr� �t � C�e�i ro� C�� � � D�a 7162� �2J • � C1 Qf� rwr� � �I �L -� .� 7�� � � � � � � � � � � � � � � DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �AMPAIG TREASU ER'S REPORT - ITEMIZED EXPENDITURES (1 j Name _� 2j_� �� f� ��S n (2) I.D. Number (3) Cover Period �1�_i 7Q 13 through � � I�Q/�� {4) Page �_ of (5) f�) isl �9) (�0) �111 Date Full Name Purpose (6} (�st, Suffix, First, Middlej (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) TYpe Amendment Amount 3 � L�.2 �� Y1 � R S ` (,oS' � l� `-�� � �.c'c�,�-� l�i 2 � �6 � 3 `7 � �.ev�e � s od��- , � �� � ~ ° � ���� C''L �� 3 YYl t� r� os � i z �A ��? �- � � o� e.. l�.e� rw��t.1 �L °���c�e- � �S' Y � 337,6y �.�-. P�}�err ��v e l C l,� p► n i k. ��S`" � Y � . c ��d�rt,c��'e�r �L. � �S �3��y � � t� �e .�� , cl�ec�.° . ov C Ov n� ll tr �'PG� Ye e �. G(,�,� f� � UU �1�,,��- ��� � 1 _ �S �-- l�e. �,. e 1- �L 3� � � o n '1�-�. � � � �- 0 ��� c� . QS_ �o z��-� i� � l �1� -p r�w S-�. e� � '/� •� ��l f V '�Iv ���C � s� ►� �.�- �°a� n��' � � S C 3 ° (f — � 1�1c1� M,�J�`� j�q� �v�hj"�U1f C " �I . S(7 �-ke ia S��s�,�k W�- z9 — l ��� �� 1s � � �. <<e,�r w�er � �'� nc_nG �e rue., nQrn�z� SEE REVERSE FOR INSTRUCTIONS AND COdE VALUES CAMPAIGN TRE� URER'S REPORT - ITEMIZED EXPENDITURES (1) Name SD 1� �o,i� � /�-a�/4 (2) I.D. Number (3) Cover Period �_/�_/� through �/,� O/�'� (4) Page % of �5) (7) (8) (9) (10) (11) Date Full Name Purpose (s� (Last, Su�x, First, Middie) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount �� � � ��L �i .:� � °�1/ n� �� a �� � _.a.� �, �1S �� Se�tn � � � R,� � � r � C � /��'ti�u.��e ��e � � ,�,�-�m �����.,�-�. �� �.�r� l 1�.?� i� . ' S Z� I l �l c�-�eu- . 'v � ef ��; �.f �. � �c���� � S ��l S f w�-�e ' : �3 � �( � - ���1e ���� �.����r�� , Y � j S ��e 1� C � �S � `�' -�1-��°� r�r.e- `` L. � � �� C,(�e�r�c�-� e �j � -�3 t.� es {- ���� �r � ��e�. , s �J Ye� S-�� �'�J ��e�n��l� � �S �(3� . � �w , 3 � ��,� �( �,,,�..����xY 1�I�q. � r ��� �--�-�e I ��S �x ��-� ��' � �,� `-�� � �- � 1 S' ,�-`` G �.e.� �e� ��. 33 ;�3 ��� � " %�r � � -F� � � � ,1-� � � v ���� ��`�`y � ` .,- �-�-e l a l s �� S�-� P�-. ��-� J� ►� � � S � �� - � 2�(��� �'-,�s . �i��y � s � ►� � �-� �� - � ►�Q � �.S C V c�,, � DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES `jCAMP N TR,EASL�RER'S,�2EPORT - tTEMIZED EXPENDITURES (1 } Name �J 6 /n — ��� / � � �„�/f (2) I.D. Number �^� �-- (3j Cover Period �,1_�1�� through ��l_?�'�1�_ {4) Page �_ of �5� (7) (8) (9) {10) (11} Date Full Name Purpose �s} {Last, Suffix, First, Middle) (add office sought if Sequence Street Address 8 contribution to a Expenditure Number City, State, Zip Code candidate) TYpe Ame�dment Amount t" i ''n1 ��/ C04.1�-�-1'ay� �I�' M P����." � � a (�s �c � e - �'A'� �� k -� � �� �l � � � T ��, 3 1�1P'Y�C�ej�f %�1,�'-� � -�. �'ol� ��`y , 3 � l �I ��� , J �v�f� -2' bo.a� � o� i�t,C, �. S� n �� ��Q 1 S � � �.�d� S-F-. P�`�e ch�r FL S3 Z. CK�oh n,c�i;1 �-1�� , 3�83 c,1�e�v cw-�-�n,���-��by �� � � �s C IJ �j � ��1GQ � i�(f a�i 3 G- � � � .� � � lq�� 1� (J6� S � � �i �°S � � J �,. �3 (� �. < < � s � ts- �� . ��- � �e�o � � ��' � �, % � 1.. b c� �- ` S P�'S S 7 G� ( � -�a �� �C �� r �-�� ' � Y 1s , � L33�6 . �,� �D�a��s c(�� ���`�� 6 � � v� e1(�s P�-r � � , w�►�f+�(it° � � . � i a� Q�/ �c- , � � � . ' �r` �2 s �1�� . t� � U �.Q .�� ��� , 3 2�� 't� c�` e.a-� k ��� �,.e � t�l� G� � �� DS-DE 14 (Rev. 08J03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES -f-- CAMP�IGN T E�RER'S REPORT - ITEMtZED EXPENDITURES (1} Name �1 an_� ���l� C�,� (Z) I.D. Number (3) Cover Period ��t�_/_� through �/�Q/�_ {4) Page �_ of � tr�� (7) {8) {9) (10) (11) Date Fult Name Purpose �s} (Last, Su�x, First, Middle) (add office sought if Sequence Street Address & contrihution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount C VL G C.� ��� '�� � U vl C I� �l V � � �-� � � �l� o ����� �� � �� l� , , � 1S � L ����� l3 �s-�-D�, yu.��r��{-- d � �- � , YY�. C Yl�, i �� It V? �"�' � � �Jvl �<a L�- �S s� - '-�' ��- i S f ��t hr'C � ' C ( c �s � � � — t� � x..-� C�� � a� �' , �s---` �'� 3 ���'�U� � � / � �Z-(� � �f 1� C � r �� � 3 � ` G � �s -�- � c� � C'A i1 n� � 3 � l� j-� re� ��-� � �1 U�e lPSS �`?' G / ��� �� � � � 0 �(ie l/ (R.����- �� 3 3 3�UI/ o G� 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 e'D (1) Je9 Y\ - \ etA9 I Name (2) / 970 D fret42 Address (number and street) ct elzk v- wc,/te lz,, City, State, Zip Code i IRLeHECK IF ADDRESS HAS CHANGED (4) Che5k appropriate box(es): Pandidate (office sought): C ; 1- y co (3) ID Number: o nc,i 1 - g• e i -1- ''`'S" Political Committee LI CHECK IF PC HAS DISBANDED Lil Committee of Continuous Existence LI CHECK IF CCE HAS DISBANDED LI Party Executive Committee LI Electioneering Communication 111 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From / / / / 3 To iR / 3 / /3 Report Type I/ ...., la. g/Original Lil Amendment LI Special Election Report LJ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 3 i 1 Lir (7) Monetary Expenditures Transfers Account Total Monetary EXPENDITURES THIS REPORT -3 93 $ q g- 7 xx ) Loans .$—"" 1 to Office $ Total Monetary $ $ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ 7 TLr— (10) TOTAL Monetary Expenditures To Date $ i (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) /ft A it h e K I certify that I have examined this report and it is true, correct, and complete. (Typ) name) j 0 6 — ?fiol 1 dA Individual (only for Lfreasurer Deputy Treasurer electioneering co n ) 'Candidate fl Chairperson (only for PC, PTY & --^ electioneering commun organization) ( Signature Signature DS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS 1IST (1) Name 0 h R -�C n ) (2) I.D. Number (3) Cover Period /-2- / / 3 through / Z-/ 3/ / /3 (4) Page 1 of /6, (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, ZJp Code (8) (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number Contributor Type Occupation )2.-/ 2 /3 vh14- `� �4o c p n w firve. ,i k 7011110 itli.: � 6 l2- l 1-- / /3 D gfe 'r/,eliAfr» zoc C67.47 _/ C AS p p 51' e.tel3 34 cd fie n V -t-- / 3Q4 D60 j y 1 ro0 Cii sre. c. / �- 2 /3 .errs- ' 4� YL SD�=Q 24.23 S.eol/e �' 3!v� cleslAvoiet re ..- //36,6-4. 1K I l3 2 , o n n 1Zym ■ 7,3 �r6 .Stan y e leitv 0-4,te /e L 1006 y to C V ffn rite �-e r —4 Y'0° CY w (dekv &``fek,` `13:3 I i // 1 l 3 IA-14 owlet- ‘i1 /4-v S± ,./ l A:" -1' O 0 1 ,w d DS -DE 13 (Rev. 11/13) `SEE REVERSE FOR INSTRUCTIONS AND CODE V (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (2) I.D. Number (3) Cover Period / Z / J / 13 through 12/ 3/ /1-3 (4) Page Z of (5) (7) (8) (9) (10) (1 1) (12) Date Full Name (Last, Suffix, First, Middle) Street Address & Contributor Contribution In -kind City, State, Zip Code Type Occupation Type Description Amendment Amount fron,t &t- #10t, DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Ptcd 27-c)cA (3) Cover Period / (2) I.D. Number / through / / (4) Page 3 of ,6 (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 / / 3o 115 114 ii chill) ei- -L.(` yl / defry w -S 1 G 7 C 12- 1 3 i,13 Je cvWJe/ 214 71,r Av lellliz--21 r 33 7, AS. /ms J S6 ige( It/ / b rdt5 h 1, I a ki-k vi) Se ;Kd���Q fits / /z 3/ l f3 / e(4Q 5t �e II t2 kv� t 8qq' ,es-PDr. F ge4 i_60 1 6 /2- 31 1/ 3 r fir- et, F 7/0 7' f /.. eyo / 2 13l /l3 �X��%� -(, S.--. Pet 3 Cahr�/ �- 2 0 ?-• 12- I') /I3 £ oDcI%� 34 C(fb 1U�c ,.).,)f 7z...." ;Iv 1 i Act: ,inr DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (2) I.D. Number /" (3) Cover Period / / through / / (4) Page y of -g (5) Date (6) Sequence Number /2/3/ //3 4/31 (8) (7) Full Name (Last, Suffix, First, Middle) Street Address & Contributor City, State, Zip Code Type Occupation 7-249-nmo to S 1-7 (40' ls .�. fr Rhce vJkj 3 (ITT /�� Li�v7oi Pi- 3'v' (9) (10) Contribution In -kind Type Description Amendment (12) Amount ,J3 yi3 r sseh, �,rtc s'3s cz>oebr. s'C. PefprL�252 l3 p /o -1-P ° )) 47-ti le() s� off' .� �� /2'e-4-ire() L(D ,D>At DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTION geuara,L ;Hc�C, ,P(oe /30//ervie;zel) Jay1 /ekGi1 fria, `°fjrep c#C 6.�`� n 0 l•--/‘. )2 /3/ /13 S4 iliac. .� ,� roZ 3_ )2S. �1 rrs ,Jr�. C low nfeAcii, /�, 3 i , i� •w,iket a. fell 1eJt qt ooSt iy. IT 13 /. / 3 3em/ei P.- 3 37 7x DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTION (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (2) I.D. Number /' through / / (4) Page of __ (3) Cover Period (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & Codes City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number „7-, 3/ / 13 c; n t) Y1 1 o Ci C ca i7 G. dew i h. _ dilL , "D. )--ri 121V ,ai� lUitfacf14A' CAS S-0 cJ 6 2 /b/ 43 33 ivncin * P-0 goy trw i Tp ,t S. -5 C0 art„ I 3/ p/ / 3 i 3 1 a rCA II � �ti.�. Ts / D a If /r-ii rbili C . 'e"r'� C A r 0-9' 3 r) )z,3/ '13 3'3TJ ks,sAAYD� -Te c&. sLP� C� ,,.fzl.! 3i ,It �,�r • 1t Ue`" si.. _3 1 k 47s CAS 3 ms s' �s PrA69 946P‘Ot- J /z /)I 113 L G i: t: S-frel it i "v's r Ac. 2 ro , L-.*-v f - 3312% DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS er © Pao 1 Roctel (3) Cover Period 1 / / / %J through (2) I.D. Number / 3 // /3 (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 /3//13 � chi ( rn; 333 P. L-"f()). 371 Cons 1, l-hp�..�' C1-1. e 3 b. 19.'131 ,13 Vet0 34�n� -s4.s� [ cIe �R 31 /z-i3J 1/5 4)k vt 6)G►' so t).> 6rev- . s' /-7 gel r Fleur h Be i 1.€4 CY '� �' 61) 3 , 12/3/ /13 (itilvt'�1s: 3 .real /4 deptvo,wietig C P6 3 7 )z)/ ,13 Akii)/cih423 Le-hi a -4( (,)0 cpt, 2v 1--/D 1,2.,0( bpi/. sewvitiep1t; 1 t-772 JZi ?/ /a P1) k' o'er ) to 2. °a --7 / is IrnL 37Z' iairr7J7"r113 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES TO IN_ ?t ic' 1 ''KO SA (2) I.D. Number (4) Page j of (3) Cover Period (7.. / (' / f 3 through / 3 / 13 (5) Date (6) Sequence Number (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 Amount W a /t3 X2/2//3 2 Tz -i-4, l QjCoy) fief 1 � A c..'hc 1C �G 5*. ,�Pe ers46 er W A,-e tiZ Dis 7 e 3 (j j--1 ro Lr SunseA'/ Icr cle ( coc&ce rtif3763 e,,,+,4 L D is 1 a /3/i3 v_J-1A0L S' s- et/ l`� L 1e wc�wM -763 AD IS ft 3 M J2./3/13 co hSe's Its C (e 0 1-w -13 a3 rnpvc P11? 0,41r o its D is it 3 LI l -evlz� r -eu) /3 et eR � IS -7 CAN eAvow nsek l 1'f CiLQiWei 4 m' ce --4'- vok +ems. :�1\d Or P y PrrV,/, IS DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASU R'S REPORT - ITEMIZED EXPENDITURES J 1 _ LA) 1 OSA. (2) I.D. Number (4) Page � of (3) Cover Period 11—/ 1 / 13 through /k.. (5) Date (6) Sequence Number (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 Amount l ;/ /13 • A /G /13 1(0 11, - e G1erenF1 3c1 e At 1-e14.1,41.1. e''''`'`'i,k lei re-`Q9 11, N% 531 702 b /i3 II 5frsf^tsclob 0-MG e � l i �� CI e�r�e &i S�Q 33'763 Js iz c'tic-e. 7e.P C e OVnce SoQfVer 102/ q/ 13 13 l•//o/ 13 �fie� Uy '� Co soft //a to* 04, c/I C Ek?. + �i� . S. Q iclew ►� (ekte-wiev-I-evirc WI; 116 4 ee Di-sw sk c 9 /0 9i 30.02 e 2s. .66 SQGVr• 4-Y v1s DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES — CAMPAIGNEASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name J 1" tt- v L (2) I.D. Number (4) Page 3 (3) Cover Period /Z. / / /J through 1 3/ / /3 of (5) Date (6) Sequence Number (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 Amount 2-/12/31 I� E y co r ,>vt0 k L L AI 1 c1AA PS CO- Mt MA s lel- 3/3/ 8 /113 1( /2/ %/13 '.Q eleVevx C 1eo b2)41-6t f 01. I.e k� G tem, re,440 �L k .e '47 A Ito bit &)11/Z. -w took c) F. ice D `S vtiv 03 I a 6� Cps Auly uic / Aix I/ 1,0 stiV4 sQ�- 1��s _i:_-="evi2, ffe cs Cl‘eewtaA-fr", Fe- 7.63 Cro C. 7d �q 1 T)-4.7D C (e kv --69- C� c 1ev-k. ui- �/L C 11� rate e A- 1131-eittec otpup, ,4Q16tilt< Pk1— P k EL- 'J DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 30 �� (1) Name /GAMPAIGI�TREA URE 'S REPORT - ITEMIZED EXPENDITURES J& n,/ J,� J lc o A (2) LD. Number (� (3) Cover Period /2../ / /1/ through/ 2/3j! / 3 (4) Page of (5) Date (6) Sequence Number lL //Q /1) (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code "fae ,44-r'"/� (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment Amount hA I op L ncL 31� 1 //r /i 3 26 sA D r D FPZ S.e144,; talk b'b p IS Ace X/2./13 /z/2 V/31 3 'b S' OA 'J Clvb Waf.e/17 w A- (G-1( e2wS AlAtto-k A-144.13ci,f_h 4-D,1 A-y cleAy(42.--twir P; /0+ t-Weet-kw, Fe-- ���dkvcv��rj fG r12-e, his ea-rcrfica 3D. kie55 /Quisnzr #eSS etefr v frig, ru.e./ CA /off ritit;de 044,444- Sok L 74 2 ■t DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name _.GAMPAIG THE U R'S REPORT - ITEMIZED EXPENDITURES J d - r Ce- C (2) I.D. Number 9 (3) Cover Period / 2- /_ Ili through [ 2.! 3/ / / 3 (5) Date (6) Sequence Number (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 12/D/3 ve4- y e 3 (4) Page (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type of (10) Amendment Amount Cue tt 0 t DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES , APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. eTa OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re- filing to Change: X Treasurer /Deputy ❑ Depository Office Party 2. Name of Candidate (in this order: First, Middle, Last) Jon -Paul Rosa 3. Address (include post office box or street, city, state, zip code) 1910 Drew Street Clearwater, FL 33765 4. Telephone ( ) 5. E -mail address jonpaul.rosa @live.com 6. Office sought (include district, circuit, group number) Clearwater City Council Seat 5 7. If a candidate for a non .artisan office, check if applicable: My intent is to run as a Write -In candidate. 8. If a candidate for a • artisan office, check block and fill in name of party as applicable: My intent is to run as a Write -In J No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my X Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Toni Ungemach Walker 11. Mailing Address 13522 98th Ave 12. Telephone (7A7 ))Q37 - OS-63 13. City Seminole 14. County Pinellas 15. State Fl 16. Zip Code 33776 17. E-mal address tpuwalker @gmail.com 18. I have designated the following bank as my ❑ Primary Depository ❑ Secondary Depository 19. Name of Bank Chase 20. Address 13883 Walsingham Rd. 21. City Largo 22. County Pinellas 23. State Florida 24. Zip Code 33774 -3223 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date I 17 i4/ 26. Signature of Candidate X �,\ ,�.�,.._ 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Toni Ungemach Walker , do hereby accept the appointment (Please Print or Type Name) designated above as: X Campaign Treasurer ❑ Deputy Treasurer. 7 ?D/ X ` , C �/ te % Signature of i taimpaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. January 17, 2014 Van Farber, Thank you for your services as treasurer during the first half of the campaign. As per our discussion of the position, your services as treasurer would no longer be required once a replacement has been found. Toni Walker has been designated to assume the responsibilities of campaign treasurer. Please forward all financial documents and receipts from your tenure to Mrs. Walker. Respectfully, Jon -Paul Rosa CAMPAIGN TREASURER'S REPORT Dy Pjjj R05Lt (1) Ton:. SUMMARY . __.. :ED Y FEB 0 3 2014 OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPT Name (2) I g I o Drew Street Address (number and street) C ear w0.fiev) - L 3 3 7(0L City, State, Zip Code ❑ Check here if address has changed (3) (4) Check appropriate box(es): Candidate Office Sought: C kearwal -V._c- City COUncti 1D Number: - Seat IFS ■ Political Committee (PC) ❑ 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 ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) • Independent Expenditure (1E) (also covers an individual making electioneering communications) (6) Report Identifiers Cover Period: From 1 / l / /7 To / / 3/ / /T Report Type: In- 1 Election Report Original • Amendment ❑ Special (6) Contributions This Report Cash & Checks $ , / d �7, g�7 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ / ' a 0$ 7 • 83 ) Loans $ , , • to $ . Total Monetary $ ' / ) RI F, D 7 $ , / ,2g-7. 83 In-Kind 6,1(c t ao(ra $ , ,_ 7 3, 92 to (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date $ g 2-411 4 16/ (10) TOTAL Monetary Expenditures To Date $ . . (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report t sand it is true, correct, (Type name) Ton't If.Mker to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) JOYC aLc\ 'R oSq. '';Candidate I] Chairperson (only for PC and PTY) X i MI Individual (only for IE 1KTreasurer 0 Deputy Treasurer or electioneering comm.) X -2- -: / 1��f Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES "Ton - Patel Ros ct (2) I.D. Number (3) Cover Period / / I / / Li through 1 / 3) / / q (4) Page 1 of 3 (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 Typo (10) Amendment (11) Amount (s) Sequence Number f /a /14 Ort extol Safer et- �'ar `/ 713p / c„.46 (s(-t j� c D J �/6 3o �p W It ,C,,,,,,-) / / / �� / Pub(i* Slyer Mar 121 c(est�w4 -1-e�) FL o� 01/01 -mod -Cor voluKtpet-5 g6,ns out DZ s Igo?' ,07 2 / /'2/ P-t Low es It77/ 0 &rt& rce.4- / F-L (07 %7 (P 0//oZ keg e cp ies -4or 0.c f c e p I s O 3 / �� / / Pub /Ix Sue er /nett- 172 I cl eAmicete - i-L s14 �/, ► bI /02 ��t co ,r, voltivreer5 pz S 7, 7g (� ei //6/61 //pp' ebee.S o9'�0(94169 illS' PhJ(as Park) TL 01/4 5( coo4 Drs. s 4/3,Zg f /� /4/ R4 //f /3/ e reel rway-,e r F[_ loz55 -2 01/ .0 g cis 1)1S 8" Q, Oa e I / 6//4{ St pies 0011 5-qqg Clegrwater (- of /©`f 1 ofgtee , Sappines Di S 0.?S6 1 /!v / /iL 5-tyle_s ob((Sq/5f4( CI ear, ter, FL o //54. O- C-Clce. siknoll'es bis 4,6 7 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCRTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name -r) h - Paid R o S Q (2) I.D. Number (3) Cover Period 1 / 1 / I') through 1 / 31 / 1'4 (4) Page (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) (S) Expenditure (10) (11) Amount (6) Sequence Number / / , /' / PGll7 1 IX Soper Qr `� 9 1/01101 4oc1 r k/v 611-40rS 7 I / PaKact Lover C,ear t uctei'i L ©// o / � -eaoA DI S 1 o %g, z- /b / / �� V;1141 e Tail 0 g-57/ g?� G Gear herl L 743 S94t of /os cook DIS 3 023, ISM / / ijiq ffes5 09435 Clca - - -, IL o/ %!o l'ts Dz5 02.k , o1 /Z (/ ' /(4 Pete_ Silo rt &5 d' ' eLwT Cleara:at e� j \ L o/ /a7 Sc o cc- i'neat 4 ee- bIS 4- q/, /3 /3 / //0//7 Pitt ris 11 i e.s 4.10 el- iL o1 /o6, P(2-24 -Cr Yclknteer5 /S, 2,3 /y , f MP/ 0.� E3k fD5T9 614 rn ww, w, in ele c. � o JJ �M S i 30,7 4 /S- , 4/2- 1 /a(9//51 Chec k or sclOy D i - c t Q r . PP 7b; 01102-I fj c0o 'fee (/- t e-t- reCildect - see , con't-rl btttlar DI5 69,g7 // DS -DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name -Jt)» ' Pa-ki RoS Q (2) 1.D. Number (3) Cover Period ' / 1 / i L) through 1 / 3) / % q (4) Page 3 of (8) 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 .� / `i' ro I' i-t- is us LLC (P,a Boy_ (o(0 148 5't', (tersbari ,C-L 3 3� 134o Chi -- 34645 I"�0, 14 x30 Hn¢- CQ►rain pc p cht4 1 sh ( pf, 1)13 /(9 /3 , % / /01/ 14, Pohticus L L 'Q, O, (36( (ol,(L St; 'Peters burr� , Pt' 33-734P Ckeck ft 3`1.54 to vocee. tE 1x(007 fio9lic� C.-eA1 V . Sejtces prikt iio; rksh "�"`' �"� cie(�ve1r� T DIS 74a, 3 j I g / !/ /0104/ US PS (111o7a9ssas76Z9b3 Cle&rwater �L 6127 lIina C- Karje- DLS /LL70 /9 /cep pcept. 13Sa9, 9sF X3377 Sen„nale ) 4 C.he_ck -it 34 56 �r 7.amPs; security en tkaicpis TA t seed enu; ft- tnir L8 L) Post- I5 its $ 3q, 3 20 1/ / / / / / / DS -DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 6-11pr =,yam CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name a-0 - I c� d Rosa_ through / 31 (2) I.D. Number 4 Paste 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 / /q Pe. Dowell, Ann 330 ?ertasJ,,,,Av� gyp-I- I , Ozr:ancLt3 .140 T re +om t E 5(25: Oo / / / % / 1`{ Kass T &a., 5-4/9 `6 Y.i aTol to Tr Spr-inci U O YflL Vyit%as'ark)k . 337102 re-;1 C i-E s ,25, 00 2 1 / Co / 14 Osborr1� 'Don�4 `R 2.4655 FI �enttVIe ct , 3703 I CftE 5 020, 0o / o / � / I Y L-.ei acct*-) 4a C 130 �arrt4tean .-t-. Re, t- S9 C lea - ±er, 337103 1 C E Ili o, Oo q I / 6 / I q R;psa-t, Uerruce 0 Zn7o amertc�sB)vcl 1'1 apt 38 C-Wat- caner) 33 ?63 I Cif -- 025, vo 5- / / 6. IN 171 c onald,Eiatne.E 2`itlo �lor ttview j Cleq� ter; F33763 _ 1 C E �07 4, / /0 I / L/ Hortant ) then C. Kcn55 l.Ja Ln. I CIE ' 75 DO 7 121.1 Tax-pm set -nsi 'FL 33IoiSig 1-7 1 q / l Lanza Lisa ,fl Mar-Ind-Pt Z CfIE 4 .2500 gClearu%Q 2.043 Smxt :er, 1L 3371x3 DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jon-Rd I \oS0. I (2) I.D. Number 3 ] 1 / of fat '.vrssr Period (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code _ •• --,a• Contributor Type • (8) Occupation - - (9) Contribution Type , , - : (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number / / a / 1 iy , i\reenle r, ve.r0 1001 Cork St LAr80 , FL 33770 Z Ci4E 4/D, DO 9 021 1Li Ne(sbrt, Gnnt� R. �s Si-, SW Lar9o) 'PI 33-770 �- C E $ — as, 00 ID 1 / a , I LI Laramee t�r(s`Fene 30q Cedar L I Li o, -FL 33770 I C 1`1 S aoctb, $Sv, 00 I( l , 02 ( 1 i sal weirer, `i(�alq 5i7 N�Tslave uleaccr Z€ 3 g� 1 CMS ao,Oo 1 2 ' 5F? Ile l sie Ave QJleare ) FL 337. , INK dear dama� V for- lib Site 13.4tZ 021 1 1 q Nelson � Glnn(J. R I cii 5 �aD, 00 in I l i sf, SL) 1—ct.V3 l 'FL 3 37 70 , a1 , i4 ThomP5Z QJ!I Ir 1 CJ}S SjD, bo nqc arse rn 33-77g / , al , l�- - Hancock) G(�y I COS 1110,00 /271 $b4 5'F.� s- to - L 33707 DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 2 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name �O(1 ?a\ Rc, 54_ I/ • trouQi, (2) I.D. Number 3/ / ) `/. (a) Page 3 iJ) vv(5)r rill Ivai Date 1 • (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In-kind on Description (11) amendment (12) Amount (6) Sequence Number // oU / fq France/ E I 1- I I(oal C.leave�ancls} C.{ear+o0.`t-erI FL 3 37CC S Cat s �5 00 7 / / 024 /. Jq illtscelianecas Cee Reve -s i cr0nn 1/144 eck(410 i Oter PPD 13 REF- q7 1$ l / a 7 / �� srieA�e,�I;zq -hz 1■ l9 � v�rs} Rd, Lar o,FL 33-7�L C E Q5-, 00 1 / / / a7 / I I �drrl5� ane ,geg go - R „, 17,- easure TLs\a 4 , FL 337o(c, I C L gas, 00 a 0 J,a7 /�� ��an�� ��0) J ��rt 4�� 1-I-((( +- r;e. Lav -301FL 3377( Z � E 5 ©, 00 2.1 / / a 7 / I `-f Moimom Sikane. C S do, oo Z Z 6-3-3 5- (IT` /9 ye Pn,e /v5 Par�(, P� 3375 Z. / 3/ / I � / / fl;16,3Swor'(h,-,€ s M Z r��trre� Alec, en 9 CIE' $ 0700, ov Z 3 10330 (31 S� S+ Largo -L 337 7 1 3I , �� / L k 0) Vik 1 *€ cker �ntort r'ep CF�E $aoo,00 aL� 6-2-IS (i'OIWati 1'1ko - Blvd, Opi -SoZ S Pz FL +. bi i"� DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND GOC CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name on c 0J R05c, 1 (2) 1.D. Number L) (4) Page of `V, % /WV B f %Wl TVM (5) Date 1 • 1 • • (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code -- -- --., Contributor Type • - (8) Occupation - (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number I / 31 / l L4 a, Y�l 3a19 7 -th hue rJ Sil Ti t un) FL -33-7 13 1 C11E a5, 00 ;25— f / / 31 / / q Voc.�r� t�a c n 'El ■ z.' Elt X03 7-l°- A-vt yG S'f,.0 +e,s6u • L `� 33 ?.oq 1 ,y J /D, DU 02 (0 / / / / / / / / / / / / DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN (1) -3-ort- f td TREASURER'S REPORT 0-50C SUMMARY OFR � ,. , .n , FEB a 2 �`�a'� v° *$CIs. RECORDS AND LEGISLATIVE SRVCS DEFT Name (2) 1' 10 iDrew Street Address (number and street) C[ Sri vafier) L 3 3 7/[ City, State, Zip Code ❑ Check here if address (4) Check appropriate box(es): 0, Candidate Office ❑ Political Committee (PC) ❑ Electioneering Communications ❑ Party Executive Committee ❑ Independent Expenditure individual making electioneering has changed (3) Sought: C lea eCter' C /r ID Number: # Cock licit - Seett 5 J Org. (ECO) ❑ Check here if PC or ECO has disbanded (PTY) ❑ Check here if PTY has disbanded (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed communications) (5) Report Identifiers 025 4_ tS 9 r-e-cP -k∎no -Fl�f Cle -fl0rt Cover Period: From / / / / 4/ To ( / 7 / ) c/ Report Type: rel, 1 -7�cµ Original ❑ Amendment ❑ Special Election Report G-1 (6) Contributions This Report // oO e Cash & Checks $ , / , a . 06 (7) Monetary Expenditures Transfers Office Account Total Monetary Expenditures This Report $ , 4 ,13(4- tP Loans $ , to $ . Total Monetary $ , 7 , f f Q • LX) $ , /i ,( 4 g In -Kind $ , , (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date $ , ms , 3? . <6.7 s (10) TOTAL Monetary Expenditures To Date $ , is , ,21 —O- (11) Certification It is a first degree misdemeanor for any person I certify that 1 have examined this report and it is true, correct, (Type name) -TOM lAM erKQc t Wcxf -ker to falsify and complete: (Type a public record (ss. 839.13, F.S.) name) dDr fRc&( R05c& Treasurer ❑ Deputy Treasurer / /j),U L/� /�---- gCandidate ❑ Chairperson (only for PC and PTY) X • Individual (only for IE >4- or electioneering comm.) Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name dX1-1CLAA I \ b5 q through (2) 1.D. Number / 7 / 't t43 Page (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 x2 / J / /4- Ri n€16 Count3 E i . e c u t - i v e C b n t . aaso ( f/. N St iltersioac,j P o r , /550, p(? / 3 1 q / / Ik33J13 Devine , e5i-19 LLC_ (m's Rb54 ' 1 O Ox 35�'} Si meters b u ) FL 337o " I C I{E do , o0 a i ! Li n Co ac ?C.bYrl - e L aaso I si. (q ye. 14 S+, baI-5 FL- 337J.� ©pq, E �, obb, 00 2 / 3 ,/' Lonesope ) /4K9e11 ca 623 Se„ij(ek Q 3q C12ar,Jate Ft. 7(04 S nt Cj5 4 Jed, Do 0(2 3 / /LI .R3 Ro `Paul a(o -3 Sev■11€ 814 '-301 C.(�arWater i VL 33714 1 S eK� C rt 6 5d, DO / / / / / / DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (2) I.D. Number Jpn- -Poo(i a5Q 7 (3) Cover Period c2 / / / �4 through (2 / / / / y (4) Page 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 Sequence Number / � / I r 7 ` ae Vo i'i�(�t 7�a sa S� S`i- e- tf-e -rs urn PL o a m�enf cox, � 45 clot' Van rber I I L,� / S.94, ao i / 7 /i� `%oI1 pcus LL C P. o, f3ak' 4910 14g qt � -i-ers b�� , - eare�c3n. Trot Q -}03 D1-5 53 /931.0 ,3 /3/ I Po(-f ocu s L L C. 10, o, �a ) /pip r 4f s-r ?et- etsbutJ )N' 3373lp �n a{ iq 33 Car<e(3� artQ 5t5in S ` stgvas _ DT -5 S. 154 ,aS / / / / / / / / / / DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) Moll - Pats\ gOsa SUMMARY ott L LY FEB 2 4 2014 OFFICRL RECORDS AND LEGISLATIVE s `CS DEPT Name (2) 19 10 Brea) '"reef Address (number and street) 'R_ C.1•e ctr Waj t-e.C' 337 Lt-I , City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Lit Candidate Office Sought: C tear,.�a rea- (3) C_r-4 ID Number: LOCI a,Y CA C I ecit '1 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 • Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ ❑ Party Executive Committee (PTY) ❑ ❑ Independent Expenditure (IE) (also covers an ❑ individual making electioneering communications) (5) Report Identifiers Cover Period: From a / $ / / L/ To ,Z / a I / / 4 Report Type: QGl. ,�,,�- Original ❑ Amendment ❑ Special Election Report If "'� (6) Contributions This Report Cash & Checks $ , S , ifs? • 9? (7) Monetary Expenditures Transfers Office Account Total Monetary Expenditures This Report $ , ,, 19\7- .7 ? Loans $ , , • to $ . Total Monetary $ S , c. / . lq /� $ , `p , < ' • 9 In -Kind $ , - (8) Other Distributions $ , , • (9) TOTAL Monetary Contributions To Date $ , OW,gs ,0 - (10) TOTAL Monetary Expenditures To Date $ , 19,o41-1 . 23 (11) Certification It is a first degree misdemeanor for any person I certify that have examined this report is true, correct, to falsify a public record (ss. 839.13, F.S.) and complete: Tort (Type name) i - 1 a u\ R bScfk_ _and �it `I (Type name) t Oq't a. y1Csexia i ilt Q - ,Candidate ❑ Chairperson (only for PC and PTY) X ■ • 4.1., -- • Individual (only for IE Treasurer • Deputy Treasurer or electioneering comm.) X el14- it--) Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS cJon -'Pc u \ R O5& (2) I.D. Number 3) Cover Period 2 / O / /4 through / 02 I / ) (4) Page (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 c2 / lo //z4 tVarts %lit hips t4 1antecit6 RA Larva, -t.. 33 pt3d Z. C I E fl 10,00 /13300 / 2 / /0 / iq )- erneri Linciia. Cbj . FL W'a 3377 ' -Z Sc-Iu°I c E - jp0, 00 aSerninale l /0 / l f revf,ne,�es%tn� LLC `P,O�`$oy.35441 337o 1 rAolla5er c° + CAE 560, 00 3 / / `/ / �1 WC.FFL Poct +«t po 8t 7101Cartnnrttee --1... » L . nos' ` or CRE 6 l 2S, DO CI / l 7 / / ='hteryta tonal Uviia,n of Operatthj �ngt,neers -PAC j=L. 33550 ?O 8b* 39g c � Ct g Cc+E 3�a,q� iit sfo) / 'LI / 1, ( 1 `( C tah�t &6 ne-. 1I ppo 14o- --n, stoe,„„buc-g, v-L 3379 3 P °r'3 C- +E it dn, 00 <0 / 14 / 14 4c e 1 anc-3 i {} C E 61 0, 00 r 33 oo tnetctrt Largo, FL 33714 A. / / PI K aS Cb, Dew EX Co,el 17. o r CJ*E -0 Li)000, OCR g' , , a a� t Affive)a 0 St, Pe -,c r-sb u ,r� j_L 37/3 DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMR41IGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name J ri. - Yew. ` RoSek. (2) I.D. Number (3) Cover Period oL / g / /4-1- through a / &l / 1 if (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 69./ 1 1 / 1t Chase ink wwW, c 1-3.3S3 tstrt m t Lett -go , Ft_ 3 3-77q C3Aeek DI- S q o0 / o1/ l l/ l Lebect✓ Dian d203 Sevf leJva, go( C.-) ' L 3 37 !o`{ m �et �°- ent 1 L *`) DLS $ /DOO f 00 � /13/ Pojt-t't'das ILLC ee) 0,, D((lI g s*,?ei-e sbur9 l't C_ 3 373(° ?ri a tn3 t os0. 5e- 5 4 �gs,11 3 a/13/14 Le_becke -CF) Diane. a lo33 Seville 31v4 ,1 O( G€ - t F L 3 37 (Pi{ fart Icxctt re- petLYnen+ t; w►e n-t- it (2) �bts 1goo'w (1 �r .Q/PT/l� `felon- Cards AMW-0 Gct S `rctvn ft t EL S 753 2//q Sp Rosa 5as -For 7amect. meei-in9 ills 5 a7, oo / / / 1 / ./ DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) Jon -Paul Rosa SUMMARY OFFICE UPS ®E ONLY RECEIVED MAR 0 4 2014 RECORDS AND LECITA11 Name (2) 1910 Drew Street Address (number and street) Clearwater, FL 33764 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Clearwater City (3) Council, VC. SRVCS DEPT ID Number: Seat #5 ✓ Candidate Office Sought: ❑ 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 12 / 1 / 13 To 12 / 31 / 13 Report Type: M -12 Election Report ❑ Original ✓ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ 3,745.00, . (7) Monetary Expenditures Transfers Office Account Total Monetary Expenditures This Report $ 2837.43 , • Loans $ , to $ , . Total Monetary $ 3,745.00 , • $ 2,837.00 , . In -Kind $ • (8) Other Distributions $ • (9) TOTAL Monetary Contributions To Date $ 7,245,.00 , • (10) TOTAL Monetary Expenditures To Date $ 6,091.93 , (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) %O h 1 �ery vii k: — to falsify a public record (ss. 839.13, F.S.) and complete: /� (Type name) Jon . � w / Ic054, ❑ Individual (only for IE Q Trees • Deputy Treasurer GI Candidate • Chairperson (only for PC and PTY) or electioneering comm.) \ X �1L( Cdjeti "� X Signature i n S ture g a DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Jon -Paul Rosa (2) I.D. Number 12 1 , 13 through 12 31 / 13 (4) Page 1 3 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 Angelica Lonesome 1 Student CHE DEL $100 12 / 2 /13 2623 Seville Blvd Clearwater, FL 33763 4 12 / 2 /13 Unaccounted for cash O CAS ADD $100 42 Van Farber I Retired CHE DEL $500 12 / 9 1p 2464 Australia Way Clearwater, FL 33763 6 Unaccounted for O CAS ADD $500 12 / 9 / 13 cash 43 Van Farber I CHE DEL $200 12 / 11 / 13 2464 Australia Way Clearwater, FL 33763 7 12 / 113 Unaccounted for cash 0 CAS ADD $125 44 12 Toni Walker I Retired CHE ADD $50 / 11 /13 13522 98th Ave Seminole, FL 33776 45 12 / 11 1� 13 Julia Hathaway 1708 20th Ave I Retired CHE ADD $25 Unit C St. Petersburg, FL 46 33713 DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Jon -Paul Rosa (2) I.D. Number 12 1 / 13 through 12 / 31 / 13 (4) Page 2 3 DS -DE 13 (Rev. 08103) 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 Van Farber I Retired CHE DEL $50.00 12 1 18 113 2464 Australia Way Clearwater, FL 33763 8 12 18 r13 Unaccounted for cash O CAS ADD $50.00 47 Van Farber I Retired CHE DEL $50.00 12 / 18 13 2464 Australia Way Clearwater, FL 33763 9 Unaccounted for O CAS ADD $50.00 12 1 18 13 cash 48 Van Farber I Retired CHE DEL $50.00 12 1 18 / 13 2464 Australia Way Clearwater, FL 33763 10 Unaccounted for 0 CAS ADD $50.00 12 / 18 ).3 cash 49 12 18 3 Van Farber I Retired CHE DEL $50.00 /13 2464 Australia Way Clearwater, FL 33763 11 12 / 18 13 I- Unaccounted for cash 0 ADD $50.00 50 DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Jon -Paul Rosa 3) Cover Period 12 1 / 13 through 12 (2) 1.D. Number 31 / 13 (4) Pane 3 (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 Van Farber I CHE DEL $50 12 / 20 /31 2464 Australia Way Clearwater, FL 33763 12 12 / 20 /13 Unaccounted for cash 0 CAS ADD $50 51 Angelica Lonesome I CHE DEL $50 12 / 26 3} 2623 Seville Blvd Clearwater, FL 33763 13 Unaccounted for 0 CAS ADD $50 12 / 26 /13 cash 52 Hal Leidiardt I CHE DEL $100 12 / 27 / 13 Jamacia Ave Clearwater, FL 33743 14 William Bucolo I CHE ADD $100 12 / 27 i3 7401 Darthmouth Ave N St Petersburg FL 53 33710 12 / 30 /13 Van Farber 2464 Australia Way I CHE DEL $50 Clearwater, FL 33763 15 Robert McDermott I CHE ADD $50 12 / 30 /1.3 1010 Keystone Ave Clearwater, FL 33756 54 DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) Jon -Paul Rosa SUMMARY ,L. -- : LY Cr ICi;!. F;;;.Cr.X << AC LEGISEATiVE S b�ILS D. Name (2) 1910 Drew Street Address (number and street) Clearwater, FL 33764 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Clearwater City (3) Council, ID Number: Seat #5 El Candidate Office Sought: ❑ 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 • Political Committee (PC) ❑ Electioneering Communications Org. (ECO) • Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (5) Report identifiers Cover Period: From 2 / 8 / 14 To 2 / 21 / 14 Report Type: G-2 Election Report ❑ Original ✓ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ $5.487.99 • (7) Monetary Expenditures Transfers Office Account Total Monetary Expenditures This Report $ 6,829.79 , . Loans $ , , • to $ , . Total Monetary $ $5,487.99 • $ 6,829.79 , • In -Kind $ , • (8) Other Distributions $ • (9) TOTAL Monetary Contributions To Date $ 20,880.88 , • (10) TOTAL Monetary Expenditures To Date $ 19,044123 , • (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, to falsify and complete: (Type a public record (ss. j� name) 3;ri- IA�LI 839.13, F.S.) RO5a_ (Type name) I talrt t t�l,tn�� etct (ket— • Cha'rperson (only for PC and PTY) • Individual (only for IE 0 Treasurer • Deputy Treasurer rA Candidate or electioneering comm.) 1 X Signature 401, _ Signature • DS -DE 12 (Rev. 11/13) SEE REVERSE FOR IN (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Jon -Paul Rosa (2) I.D. Number (3) Cover Period 2 / 8 / 14 through 2 / 21 / 14 (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 Lebedeff, Diane Partial Loan DIS DEL $2,000.00 2 /11 /14 2623 Seville Blvd. #201 Repayment Clearwater, FL 33764 2 Lebedeff, Diane Partial Loan DIS DEL $500.00 2 /13 /14 2623 Seville Blvd. #201 Repayment Clearwater, FL 33764 4 Lebedeff, Diane Refund of REF ADD $2,500.00 3 /7 /14 2623 Seville Blvd. #201 Clearwater, FL 33764 mistaken loan payment 6 Jon -Paul Rosa Repayment of DIS ADD $2,500.00 3 /10/ 14 2623 Seville Blvd. #301 loan on Clearwater, FL 33764 10/7/13 7 / / / / / / / / DS -DE 14 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) Ton 4au 1OS4 SUMMARY OFF :1 a _ `!, AD MAR 0 7 2C a° �:�6 �, CiALiEC: LEC SLATI E SRVCS DEVI Name (2) / q I b re co Stre e_t- Address (number and street) e.._( �L. 33Wo 1 State Zip Code City, P ❑ Check here if address has changed (3) (4) Check appropriate box(es): lel , ' Candidate Office Sought: Lje A -ter r 1- ID Number: C o utt C t I — S e a'(" S ❑ 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 / as / 1- f To 3 / Lo / Report Type: G--3 `Original 0 Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , 02 , _7t • 00 (7) Monetary Expenditures Transfers Office Total Monetary Expenditures This Report $ , , aaa . cab Loans $ , • to Account $ , , . Total Monetary $ , oZ , 774- $ , "47 , oi2 . 36 In -Kind $ , , (8) Other Distributions $ , • (9) TOTAL Monetary Contributions To Date $ 023 6Z < (10) TOTAL Monetary Expenditures To Date $ ,a23 ,Zip . 6-3 , (11) Certification It is a first degree misdemeanor for any person 1 certify that I have examined this report and it is true, correct, ._- f 1 (Typs name) I OYl i �t exi aC`'t We li<er to falsify a public record (ss. 839.13, F.S.) and complete: Rose( (Type name) �OR `�cu3 13 Individual (only for IE p Treasurer ❑ Deputy Treasurer or electioneering comm.) %Candidate X • Chairperson (only for PC and PTY) 4-e--re— etL aJt_ Signature 4 Signature DS -DE 12 (Rev. 11/13) (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Ton -'a Ro5ct 02 / .2a / / / through (2) I.D. Number / Co / / `f- (41 Page r 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 02 1 a 1 Lu inkm �� /Palma`DelYY�wr- 3 t,14.ters13wng,FL elvd, 4-p +, 502 c 3 3 7I5 -k� Q� i�ntor� rep _ C. E �3CO, oo / 4 ` lay rl . t Oo mer,s C1 �t (� ec1 ^Q��e�(1�as C1easnnoca-02k- ,P- 3-1)151) p C,ft E $ Po, co 1 Ob Rav li-ort Rethbt C e u - of r, `L an 3375q I- l_R E 50O 3 °--1 2 5 K 114 I Waf �r- P — Iiee i 1 36Venetianit,Dr, G2RrWa1er, 33755 .1 C,H-E s 3D, DO 41 / l'+ Aridex-sort Smoke Si-. Pete. dea ) Pi- 33-20/0 13 moo, 00 3 / I l Li I1-on W or4e_rs 3 stoke._ org cA L 5)o)0D IP pL.o�n 1441410, v 33S5o 31 3 , l i A 654_)Tose- Sr, I �nglneer CRE 45 5-4x),00 --') / �}►6 1403 9 IorKrtcll circle , -Tame q ,v1. 33&,2-S--- 3 , 3 ,I %Iowan r, Law►.... R Dings = -Doc.t-orr- C f} S s 50,00 12.21 Latt3 LGeVte/T0.rPort grass, L 34L. 8'T DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name -o rt - `Pack) f� r Period / 0Sq (2) I.D. Number (4) Pale a 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 (8) Sequence Number 2 I C/ 1 ,1 2 tnnmv2r1 Karert I I %7 F(∎ilerestOak �eiavtc� ,L - r: 32720 I CAE }E Sr ,2s,0o 9 . id / I Phe ns Co , 1V enI. veterans Cap.. s bi- 'F(or-i�a t3Sa- ggT�re 5ernuk pia )F- 32,7% 09 o� CAE s 00.00 In 3 1 6 l l4-1 Marrs� ) :4n 700 7{ -1St, SE Larir FL 3 377 f 1 CAE s 0,00 3 / (o/ i q fl am beats t, nZary 4rtrt , 333Tcovernter Or, ell E /0, 00 3 1 / �!r 7 E-}am1ItongNaney , 600 N. Old coack- man Rt, Lot %Q.. eye., -, -reri FL 337&S i 0.115 ao, 00 /3 I I / / / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND GOC CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name 3-on - at& 1 R 05 a (2)1.D. Number (3) Cover Period 2 / 2.2_/ /g through 0 / i`o / (4) Page / of (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 /aS/lT � folrliCos LL ? ,0, k &col Li gt. Peters P (KM i L 3 373 4 thvuce, t c}bS4 Ret i`(Vtf f»t ��('�`�� e rct s �� S $ 153,8/ / 02101,57 (-F4-t-- 7(0�1 St. 30� S'�, t? ter5 b iA.t-i , FL 3 3702 R.130 a a�,$t S /r bis M950 rl 02 /„2% /i4 PoI'ctt`cas , LL -- P,0, bx (n(oic(if S'-t, Pete rsiOit� ) \L 3 3 736 ,.LYIVU(C,Q i 4 O�"j' � tti(cu((k Rvs--c L03 (S "( �1S .R �i�8,$v 3 /1/ / 7 ,.-ted 1148 50000 t41^ +,N. 3o`F S-k-, Pletersburj ,F. L 3 3702 Rbbo ea 115 DIS S 1iI,90 41 /ag/ (`i Close '?iavtl vwww . Chase i cb ,r 1 3 N 3 ()Oaks' n3 ka wt `e@ , Lac FL 3 3774 b art k c��k Cha `'" DI 5 .8 t-1,00 S 3/3/4 ff un+ Live Kb� i 3 t s* ) 9 ^ hve N Cron ,* Ctea, a-rQ r` F,e-(4. ?tart 'DI S j 3 3 ;00 le S Yeto�buvl , T-L 337(3 :3 /L( /lq Toi:tt'cus ) LLC s0, (aax Co1(4� Aix ix-her-14s )�Q(((N, Q a9 e Lao i st, .., ThLS t)7g9, 7 -t, T,et-e r-sbK r) �L 3 373(P .nvc(c,e ( 4.0 5 7 /�[ / �( 1 I / 1 e.t2av-wfater N&LK Sr. �'Mvnun,ty C tec N�°�(°°r- Hood Coaiifion CAkakrC,tabl`e Dono rIvrk 3_,./..1..% .TTs .V 1 5 CPS dO e Io101 Dou-31as 4ve, Cle c-waT* - , F L. DS -DE 14 (Rev 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN THE SURER'S REPORT - ITEMIZED EXPENDITURES (1) Name nrt oe ck t (2) I.D. Number (3) Cover Period a / as / / through (4) Page c2. of (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 Ty Pe (10) Amendment (11) Amount (6) Sequence Number /6// Tate `t3..k Vie_ account- 3443S6, 37oci. 3 - 4 -t Lf L' red;trct niessa3e_ on ask • s me�QtcL 1S �� , 9 / C 3 /C /r rite_ lq of iVe SuNte oasf 1°°5- S, t4s #4"R C� ' acror) PL 3375(0 c 38cs C►^- t'�4(o��e borta "(on 3 -10 —I I $ �d 1 /0 / / / / / / / / / / / / DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) & 1. R04 OFFICE USE ONLY Name (2) 1 `l 10 'Drew Street Address (number and st set) I 1`- L 5 3 7 to 4 r- . , i. � L City, State, Zip Code . t , , G , 4, wil� o- _ - Q Check here If address has changed (3) ID Number: (4) Check appropriate box(es): /�t� C at Candidate Office Sought: l,..i'e.Gtr�ct -fit- L-1 'I- COIAitCI1 - Seat ❑ ❑ ❑ ■ individual 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 flied making electioneering communications) (5) Report identifiers Cover Period: From 3 / 7 / 1 q To / / Report Type: TR Original II Amendment ❑ Special Election Report (Ci I report (6) Contributions This Report Cash & Checks $ , , 0 • 0 (7) Expenditures This Report Monetary Expenditures $ , Transfers to Office Account $ , , . Loans $ , , U • y Total Monetary $ , 0 . 0 Total Monetary $ , . In -Kind $ , , 0 • 0 (8) Other Distributions $ , ,. (9) TOTAL Monetary Contributions t To Date $ , 9-3 , 1p . 4$ (10) TOTAL Monetary Expenditures To Date $ , (11) Certification it is a first degree misdemeanor for any person I certify that I have examined this report and ``it�,isfrtrue, correct, ` EY- WoJke (Type name) �D Y1 I � '(� 0 Individual (only for IE 'Treasurer • Deputy Treasurer or electioneering comm.) X r aSC. Signature to falsify a public record (ss. 839.13, and complete: Pe").- name) 7O n- (Type ame) F.S.) I R05C 'I Candidate • Chairperson (only for PC and PTY) d2,,,_---- Signature - -- ............ r..n ,.,Q1r511.•T,n„rc DS -DE 12 (Rev. 11113) CAMPAIGN- TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name o rt ' a cAf Cvascc (2) I.D. Number (3) Cover Period 3 / 7 / through / / (4) Page (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 / 3 111/(9 �a %4 )f G P)0 I 4 Si-, Ss,.,',-1-.2 3 Oct St, fte5- sbCAr;C3374Z a60 Cf( S ac edt DA 3%/c /� lg7 3 caflS f/ ��S ,8 IV, 73 I 3/17//5 CIxgs e. "&nk wu%�, Cf^ase,aont (3583 LJ0cstKzkgvx R� , Larjoj �L 3377'/ e -lAeck ckaroe bi S $� CEO , e_.0 k C(a 01 S 0, , Q C(ect -- .Q-1-e., PL - 7 5",b "l/t7OKS 5..- R o.s - ca , 4cct +AS ,e, , 3 �j ([ /QV/ i I �rty 0if CIearwa�'f�e..r- e- t,f,oKs Sub - vn i++ed n �l b e - i1al� b1' 3o„ Fui Ros0.-c t' c(a t Seat*,- ±+ e ou.rtc, ��5 3(i, 5Z �/ V Q 7° `oserna, --;.- al i 1 /a_ S, Oscea(q "✓.e. d keari,o,- er:PL 337S-1p // r� /q/ ►�i -r n,o, veins t1►obtle. t Q . Ntreutes Ave. you CA earw r,FL 3341155 'Dona-lion oC eCk over i n ?ClAds DI 5 ) 65 .Z / / • / / / DS-DE 14 (Rev 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES