Campaign Treasurers Reports
GENERAL ELECTION
NOVEMBER 6, 200 7
FILE NO.
1
DISTRICT NO.
'?J
CANDIDATE CHECK LIST
for
COMMISSIONER - DISTRICT 4 - CITY OF BOYNTON BEACH
SERGIO CASAINE
NAME
Term of Office
3 yrs. to 11/10
ADDRESS 13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Qualifying Fee
$25.00
PHONE
a J" Sefj<'^ "p.@ ~"n.". Receipt No. 4(,,8</5"
(Residence) (561) 969-6684 Assessment Fee: a~ fo. 7ft::,
(Cell) .5C23-15"Q-r · "8 11,1
(Business) Receipt No. &-f",_ ":LI
PAPERS FILED
8-/).&/-07
Name to Appear on Ballot
Se.rGio ell-SAI.NE:
SERGIO CASAINE
FEBRUARY 12. 2007
Date: 02-12-07 BANK OF AMERICA - 4793
NORTH CONGRESS AVE. BOYNTON BEACH 33436
02-12-07
Appointment of Campaign TREASURER
Acceptance of Campaign Treasurer
Designation of DEPOSITORY (OS-DE 9A)
Copy of VOTER'S REGISTRATION (Candidate)
Copy of VOTER'S REGISTRATION (Treasurer)
SAME AS ABOVE
Certified PETITION - 25 Registered Voters
[3 -.;/. t/-D 1
CERTIFICATION of Candidate
Financial Disclosure
B-~q-OJ
B-~"'-o '7
8 -~'-I-Di
B -tJ.L/-07
Qualifying Fee ($25.00) Check. No. oqq .3
Assessment Fee ($.aab"') Check. No.
~
Oath of Loyalty
02-12-07
FS1 06 Acknowledgment - Statement of Candidate
(DS-DE84)
~ -~t.J-D7
L & A Testing Notice
Treasurer's Report _1st quarterly - April 10, 2007
Treasurer's Report _~~ ~ 10
Treasurer's Report
oK..
DIG
Treasurer's Report
NNE.O
SC~ ~S (ffi\C9
C\\'l c\e{
. ~__ ~....06
Treasurer's Report
Sign Intent Request
Sign Intent Request
Sign Intent Request
Endorsements
Endorsements
Other
Other
2/21/20079:11 AM
S:ICCIWPIELECTIONIYear 2007\District 41Sergio CasainelChecklist.doc
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(i)
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(2)
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
J~RC:;tJ {'ASAiJJE [~lvIp~/&AI rUN D
Name
/:3 HEI)))Qu}S Th/2.I<' L ~rJE
Address (number and street)
BOYNTOU BE/leJl. rL ~?JJ.j3"
I
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED
I....
Check appropriate box(es): C
~ Candidate (office sought): ONMi.ss;'OIol6R]) /sr/lic!'" r IK.---
o Political Committee 0 CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication
U1
0'
_.
(,- ()
OFFICE USE ONLY
(3)
10 Number:
)
c.:J (; ".:,
____.J _.. <
z
o
<
, .c;
. '.~
(4)
I
f'V
.C
-
, ' .~'.
::;: ,-
. .
:-.. ;I~J
-0
-
..
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 1Q I .1..f. I 122 To /0 I 3/ I QZ Report Type E 3
~ Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
if. /5-0, 00 / Monetary gOC:,;(,/3 /
Cash & Checks $ Expenditures $
, . ,
Loans $ Transfers to Office
Account $
Total Monetary $ ,/ 16-0 · OU / Total
Monetary $ ,8/ o&~, /3 /
In-Kind $
(8) Other Distributions
$
(9)
TOTAL Monetary Contributions To D~e
$ /Q 2{)Q, 00 ./
(10)
TOTAL Monetary Expenditures To Date /
$ ~ -I~S-. ~r . ~
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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) J E.R6'JO CASf1/iu C (Type name) S E t26iO (! fts,q/~E
o Individual (only for ~ Treasurer 0 Deputy Treasurer ~ Candidate 0 Chairperson (only for PC, PTY &
'''ctiOOee"~ '. ~g. commun. organization)
X ~ ~tU~: X " .
Signatw:-e Signatu(e
OS-DE 12 (Rev. 08/04)
S C~M~IGN. TRE~URE~IS REPOR~ - ITEMIZED EXPENDITURES
(1) Name Et!.GIO 'A:SAiJlE A/.-IMICd ~U^)j) (2) 1.0. Number
(3)CoverPeriod /01..1QJ.t22-through /0 I-.dL/~ (4) Page I of I
(5) (7) (8) (9) (10) (11 )
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
,.
JAS711 Si6/l! {! A/.f? AI(; III
,;2 7tJ3 S. r€!>E/?flL III;!!j s ;'6.AfS MoA/ / Jj~ 10
.J)cZRA'I Bc-'lKfI fL :8'18-3
PETE Ros~ &LLllti2K &: E g UppOR-tevlS
{! ()Jt/" /?ESS IJ r e- (!~CK TtJjL fVtotV / 73,,2{J
Eily/l/~.N gE-/J(!1;:-L /v1eeT,'n
Tk HOme"JJEPoT uJOO~ UitriJi
/500 5~ i(). g#; Sfr$f ,
f'Of2- f:.JnS MtJ rJ 30,83
8/Jj4ToN ;3z-.I1CII; F L. 33;JcJh
/LIj))/- PIV'miA!; }v(AILE;2S
(5"/)0/ 6etJe6itJ HiC.
H~tJ I()/' 75
WEST PIJLII 13E~f/-33
J
(} AEIJR- (]!f>j P.2i;yt.77tV4 fjiJ.tJOIu/2/;.s
/3D1 MrLfDEKfLllu1/ ;)051825 !If) II) 333,00
BOyJ-iT(lA! lfEIk/(FL ~t/::f;-
H UR.R1CIIHe ALI-Ej (lc>mP6 f]
6:.:2. 9 EAst {)J G'lJJ IJ {IE. jiB tV h 9.:;'6-
flIe e~
BDY/lIitlN BE/lC1f ;1-3:5'/-35"
SUA/NY G;Qf204 l+efOy'CJ, 7!P/J
Boy.dTOAI &K1;L I-I#HI/ It! ~ !v1od 2 00. oCJ
7 .s 5 n-S
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
SE~6;O (JqSfJJAJe &UP/Jltll! kll./~' (2) 1.0. Number
\ I Name
/ of 2-
(3) Cover Period IIJ I /9 I t2:Z through 10 I ~ / Q.Z (4) Page
(5) (7)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address &
Number Cit . State Zi Coder-,," T
/0 2'/ 0 7 O/ll~ M ;;EKII/~aJ
/ l' I p/2/Jwt;J/lI:>&" t.L.t!-
/05" S, UtHJI/f}telJl~' '8 ~,bNSilI:ftIK/Ja ~fl[
U/fH.J,;J:').. a31:30
/0 l:l 107 IlLfoiJ ~j)I/~$()ffSJ~C'
15'; S.NJlIf""~fe5Ikt, 13 f()flS(JJ.1Nt tHE
flJ.i~uiJ j:J- 3?/~O
Si1:PHlJtJiE J1 #-Ieltoy
" ~ (J;r~1JS f}Jyf L,).
"80 iN '/VNBEIJC!/ il L
~..;?
MfJllK.. PIILI/.-)'Nq
liO alP /}~rESA t>~. l' fNbIYl~f}' (J HE
B()y~i~~/.BE8CJ{., ~ '-
8343b
flffRyJ. \J.i IMISFt2
I 79~ :JPvrnej!S Dk!.
!ll}l2l1.JhJ~ VI ~(J;!I r
() I gO /() OO/..D tJ/9-st/lltJ"a.
rO~::rOBS . .
;e /01 0>1lpt)taie. ~llIe I3
Co B()YNTDt\J BE/MH f:1
O ~ 0 07 htIJ./i hi=-$ h/2 fJf~
I I J I /Iot/SI,!!)
. JO{ (kR~Mrl? ~12.
~YA/101J BrN!ltI13af:J('
CITizENS. FOR..
It) I 30 I tJ Eeonomie. 6~O{J)TH (}{)#JSt.,ft''!j I
2/DI &~ POfYt'b 00 8 G/leI..Q t {l~
~ &YNT'DiV 8E(kIl::-/;J.~
DS.DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
I
2
It) 1:2
.3
~
/0 / J,
5
7
(8)
(9)
(10)
(11 )
(12)
Contribution
T e
In-kind
Descri tion
Amendment
Amount
500.fJO
500.0{J
cHF
5dlJ{)
/ (JIJJ){}
[1 /-j r;;
bM.{)f)
CHE
5a;, UO
c./-t L
G" t)tJ. PC
500.'
\ I Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
SeR,io (!/tSiMAk (JMPI1I~A/ ,!;Ai)) (2) 1.0. Number
(3) Cover Period /~ / / 9 / 12.1- through /0 /;JL / 12.1. (4) Page Z of ~
(5) (7) (8) (9) (10) (11 ) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State Zio Code.-, Tvoe Occuoation Tvoe Description Amendment Amount
101-30107 r/.OJ2JoilM/S roe & (icier$.
S EtI.silll.f ~ 12~7)(
/d //)/ (!.c)/2t1oMTE. ?;iJ,yt B A-sslXi liT/ON C/-fE 5~ O.OD
9 8t1YII"7id ~h/~~dfl)l.
/013//01 J(E,4L. TC~ fJpJ..l1iclf-l-.. .
fJcJlctJ &.vtt1lf17lee;:ftrlct RelltT"es.
7tJ z" /l06/15H HA~~L. B Ikdc i~Ii" Off? 5oo.(){)
DI2-\UC,; {j~t-;fNi)O
/0 P .J."'~II> fI 32€a~ -so 17
/ I
-
I I
I /
I I
,
/ I
I I
OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
SE,e~io{1sA/.t.Je A#JYJi6NIVAlJ) OFFICE USE ONLY
Name
(2) 1.3 !1e/7A{Ju)s ?,4~j.( /A-.vE
Address (number and street)
J30YAlr~N bEfiC/I.;:1. 3:3ij3"
,
City, State, Zip Code
o CHECK IF ADDRESS HAS qttANGED (3) ID Number:
Check appropriate box(es): /1 'A --=-
~ Candidate (office sought): L OHJ1i.ssitJIJE /.J iS~ic. T ~
o Political Committee 0 CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication
(1 )
(4)
o CHECK IF NO OTHER ELECTIONEERING ..
COMMUNICATION REPORTS WILL BE FILED a
(5) REPORT IDENTIFIERS
Cover Period: From /0 I 0 I 1.!2.Z. To /0 I / J> I 07 Report Type E 2
o Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
c2j J SlJ i:() 0 Monetary ~ 1t:l.,/f
Cash & Checks $ Expend itu res $ ./
Loans $ Transfers to Office
Account $
Total Monetary $ ~J50,OC' Total 3 7~c1, /;
J Monetary $ I
I
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ 6.050.00
.
(10)
TOTAL Monetary Expenditures To Date
$ 1: 10.3 · 7(:, /
,
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55.839.13, 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) .s E It G /0 C4 SA I Jr/ I.!:: (Type name) S- t:%' ~ 10 C Ii.5A I.IV C-
D Individual (on ~ Treasurer 0 Deputy Treasurer 181 Candidat 0 Chairperson (only for PC, PTY &
electioneering mmu.) electioneering commun. organization)
x
..
Sign ure
OS-DE 12 (Rev. 08/04)
Si
o
-..1
a
n
I
I.D
-u
-.
--
S CAIVIPAlGN TREASU~ER'S REPO!3T - ITEMIZED EXPENDITURES
(1) Name e~6/0 ('ASr/ill/C: CAJ.fP/fl6Ai f-ljA./j) (2) I.D. Number
(3) Cover Period 10 / {) / / 07 through / tJ / I~ / () 7 (4) Page / of /
(5)
Date
(6)
Sequence
Number
o
DS-DE 14 (Rev. 08/03)
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
IU/t!,OS, tJp' ;JCIC. EiBj
FFIt!/t!LS., ,-'
dLlfO $. Utila!:!) /1214-11-
we!;T i)~/m J3eJ~~/Z 33'
)4]) ii 'i2/A.lT/tI ~ lJ M/JPJ/ld J..-IfJiJ-~
$~()I 6E~12-614 f+;/e~(j€- (PJ-'1e(2-)
We;;. T 1>,:1 /111 aE~ Fi33'jC C ~ ~J/11l
J.1))/- j)Jl/A;rlA/~ bMi># ics N J4 iLE Ie.
6'-O()1 .bae6//1 ;4-ven pe. } .~:
aJesTf}~/;~ B(:ld/L~h) L fM.-( (J\.~~ IJ
f/'lSTA Si~^, J / 50ns ~r-
;; 7~3 StJtrfh ~EteIfL)/ttJ, /1 .'.
))E1.J2lly i3EIJ-~fL ::B%'3 L2J11f)j I}
LiS ~5TI}L Sb2f1It!.L':
SUfiJ/HI t ~/f/d. ,
uJes t (?; j,n Btb1c~ ~L
S UIJ~ (d /l-K'J!j 11
80 yN'77JN BE/1/I(.FL
\~~ 't'-
,/~eparallofl
~d~!:J tf
57fjIJ/S
/J/4N
c:2/J[J.OO
MbrV
:1 ~(l/~tJ
I
1111/
q 7 If, tJ{)
})ol\(
I; 1lJ~ 1-7
fJON
~ 668.7/
/llirV
:3 OO.lD
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name !!JEROlo {JI1S/Jj;jc {',AJJjJl}iGAI j:'"tlAlh (2) 1.0. Number
(3) Cover Period /D /...a.L/~ through -.L...tIJ.LL/~ (4) Page J
(5) (7) (8) (9) (10)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type Descri tion Amendment
BflS . 'riLU&f}(!I/( ',QE1>ir
o ~l>7(JGle,eS, J:TvC~ Hd'fitiL.
/ / / '01 ;2$/0 S. SEI'k!.~ES/ 13/Jld '8 EJ11/iel C fiE
BOYAl71# g.{" /JC!If,cJ. 33
Contributor
;(.
25 (){) QUfJAlIL1t1. if. (!.
/)1 'SOO!;U;fA/TdA1JfJi'E 1J,?itlE, oav;l~ lIt::
$u;r-E /t!J1 8 Ii 9. . ~ f1~
tJy7ffWBE~,cL 3i3'Mt Lf)11~1v.'
JOHN tJ.€ L 'fJI?RiE i4E
O t) 1< tJR.O5/1EC, .
/ 'Jo,07 731()Sw' 9~IJSfI!EEt J
3 PIC2J1MbA1FJ... 333/7
fI~ / l:':~/ t//Jiz..
~/:30 N. W, 5~1>5't
/0 / ~ 01 ~{)~iJl.lrt!J2EG< f'L 33~73' [3
. /
iftf9/5
Bt1-f?AI '~l>E.. IE~
/ tJ/ PIAlEIJ))Pl!;' 6~vG
ELRIJ,/ Eefldlt f/L 33 . .
(!..;lE
(jlle
j2l?1t L
]) Es.-t/i: (!)f e
NI2-/2E'''('/o .5 ~;::A-vE
/ 0 /~ t1 'Ii/- R 0/L,41(/); L~AIC r
6 BtJYAlJl;t/2E#e1t~1. ~
lHE
Cflll.#. 1111i2/.1IJN G/8stJllI
/1) ;301 2i>Lj .9drF~L-~ 6' {JtlSvJ4 r!f)E
"8tJCh ,&TlJ~ rL 3~l/3'I B ~
7
(11 )
of
:?
-
(12)
Amount
2j (), ()()
$1Jt), (J()
/ aQ IX)
/otJ, ()()
5{(),OO
/ JtJ,~1J
5tP, f} 0
/ tJD.bD
(1. C~MPAIGN.TREASURER'~ REPORT :-ITEMIZED CONTRIBUTIONS
(1) Name.JE~/O &S'IHHE (!t9J.1,PIJIGAI ;::LJ~j) (2) I.D. Number
(3) Cover Period It) 10/ I lJ7 through /1} I )~ I~ (4) Page 2. of Z
(5) (7) (8) (9) (10) (11 ) (12)
Date Full Name
(6) (Last, Suffix, First, Middle) Contributor
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type DescriDtion Amendment Amount
HEN!:E/!StJN 7)uNntI/fR.
/t)//~~1 5Y l3EA/rI1J;:J7Ee C j~ . I- Clf~ I tJtJ,iltJ
13oYAJ7JIII-gprJcH, P'L, -33'/2t.
9
/ /
/ /
/ /
/ /
/ /
/ /
/ /
JS-DE 13 (7/98) :Scc r-Ul' ...........
(2)
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
Er26;O C N'lJiAlE i41-tj)4/~A./ !VAIl) OFFICE USE ONLY
Name /
/3 I-IEAf>oW$ ~12K. ^ t4A1E
Address (number and street)
BOYII//t/,{ BEI1CH, ~L 3-3 '13 b
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
Check appropriate box(es): C . ~ '. ~
IKI Candidate (office sought): OU/vf/sSJIJAlER -'/ 15T12 le"- 1JL-
o Political Committee 0 CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(4)
(5) REPORT IDENTIFIERS ~
Cover Period: From 07 I 0/ I Q:2 To ~ I 30 I 07 Report Type E f ;.
~
IXI Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
3,800. 00 Monetary 01i S~
Jsh & Checks $ Expenditures $
Loans $ Transfers to Office
Account $
Total Monetary $ 3. ~OO, 00 Total
. e,1//, S'~
Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ E,8'OO, DO
(10) TOTAL Monetary Expenditures To Date
$ 6~/'5g>
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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) S E R.6 10 C 1'4 SA/~E (Type name) 5E t2 6iIJ CJ S4iIJ E
o Individual (only for ~ Treasurer 0 Deputy Treasurer Candidate 0 Chairperson (only for PC, PTY &
;('ioO""O' ~~" X 'l'diO~":' oommoo, ",""'''00)
SignaturE; "~ Signature
OS-DE 12 (Rev. 08/04)
o
-.J
o
("")
--I
I
.r:-
t
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
SE26/0 CA-SIV,vE CAl-fhii6JJ ;;;j) (2) 1.0. Number
\ I Name
(3) Cover Period 0'1 I 0 I I () 1 through 01 1.3 G> I 07 (4) Page ~ of L
(5)
Date
(6)
Sequence
Number
(7) (8) (9) ( 1 0) ( 11 ) (12)
Full Name
(Last, Suffix, First, Middle)
Street Address & Contributor Contribution In-kind
City, State, Zip Code Type I Occupation Type Description Amendment Amount
01/ IJfo /07 7:. / '. Ii
lj:3.IIV/J..f:O LA~ E~
t P/J5TIJIE~~~. B ~S7lLj
j .LAJlr-dJ,e j4~t&Jjk r!tlet-
I (}!J, -
(}. 1-1 E
oP /)..3 /07 /J ,1/ -i-
!/#~~P.. ~tJ.f/~'0 ~thil
/) ~ ~/ 1""/ S J1J c:S C' fiG'
0<:. bXA 11/"'" ~{,; He. '-
{)fS,.;13 ,lJ7 ~ RL kLE1?~ 'Ol3
3 .;g,o~J:f1;:~fL ~
() J> / :J...":) / 07 ) ()J"lfK/;~D })'IltJ(e~
1/ ~ot> 3,ItJ6 Jhvilr!J;.. '
T ~DYNT/)^, ~:f6i~~ .]
08'/ ;( ~ /01 :M/..IES CAJJ.1MeA.fiJ
98/J AlFE);El2fJL HWYB
~- ~ulf-e.~OO 1".'
u BOC"fl- i2J4TctV //:S3~
0'6 ,;10 ,g7 'lc6erfrJJ'I/tJrd,
;l~/che,rj KJm Kd
C:, Bbtd. (j;~ fL~f;J- j
or/ J& /07 GiJiL4I..El/iAlc
7 ()Jtd iMm B~fL
D 9t / " / tJ 711!I}RSJIIILL.t.HIE~
I: YJ3SoJ-iptJI/T)12 , --
g ~,/~M B~I/ff 33/57 J-
DS-DE 13 (Rev. 08/03)
tJtJ~. -
EJ8;te C 1ft;
.5 to. PO
5T1Lt;S t3-Ht;
5~tJ. dO
tt.E(utvt" C f-If
5'1J I). () Ii
SJ&:
Cfl~
So&, 00
~/Jlttf
B t~ I}H~
J ~O. 00
i2eiftc/ C fiE
) to. oJ
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
\ I Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
3 ERa io ~ 1t$/JiAlE &flP;;/6A1 /UJi~ (2) 1.0. Number
(3) Cover Period ~ I () / I Q2 through Q!L I 30 1!2Z (4) Page 2. of ~
(5) (7) (8) (9) (10) (11 ) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State Zio Code . . Tvoe Occuoation Tvoe Descriotion Amendment Amount
0'1/ / q /07 9iEf;EL,. Li'PM~
DUNAY llHi:jJAf1.:.
.t I-OS J03L-
9 .5355 IOtvJ d4irtl2Rd 13 {ffIOY!Je1j5 ~IIE SOD, 00
&rA ~dFi d3J/.i'
09/ ~1/01 fl JJJt1 Bi/.J./iJt;SJ.t:) ~ibE()h~
lJ73~ piNe 7lJE~ ~ 1 (!H~ 500. O()
IQ 80,/fo/roH I3E11t!Jf,.FL
/ /
-
/ /
/ /
/ /
/ /
/ /
OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
8 CAMPAIG~ TREASUR~'S REp,ORTT":- ITEMIZED EXPENDITURES
(1) Name _~ R6io C' A SAill/E L'AUPIU6N rU/./lJ (2) I.D. Number
(3) Cover Period QL/ 0 I /~ through !2!L/30 /~ (4) Page / of /
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if Expenditure
Street Address & contribution to a
Sequence City, State, Zip Code candidate) Type Amendment Amount
Number
OJ' /~~ ~'7 {! i T'/ 01 &YJIITtJ;J Bcl)ell Sl;:;tE b~J
MtJlI1 226.70
I ~EE
0;; /c2t//tJ7 ~ iT,/ O/ByNTIJNBEIJCf t.it'! !lJ./j)t lEt HilA! d5: t'tJ
2
OS /:11/~7 gopervl.$oQ ~I t ~IMNs ;J{)I.-i;I/~ ti}j
().)esf P.;Jm eedCLL ('L j)e f i/TiJlJ }.I 0 II] 3/0
3 I LI ~ I idci1i;Jt1
O~/:l1/07 l/;STtt- PfJ~IVT ~'~T"N6, Va J~ H or; 5"3. J3
j.. c,>U/.J6/tJl( HA o,).t.J-;)./ C rtt2 nS
t/
() 9//3 /tJ1 (} ). EfllZ &py /~JUiJIf)4 PR. ,;")71 N ,
I~IJL/ ;(1. FeDEd.IlL HtoJ, p/... yEflS U~tJ ~ Jf, 'II
.-
~ 8o,/IJro,J 8e;:JCI-I,FL.
of 1:2/ /tJ1 (! L Ell R- ati.jJ~/;;TlAlb (! t4 /.4)/1/6# MOAl ~:)()
13D'-/ Ai, j-~ ML II fA) j. (! fl R-j)S
C, Bo yN"TcJN BE AcII, F L
01/.J6/0'l 8IJs~Albs. iJl/-'J /'vIEET;tl6, MON I'-/. 95
Boy/J r~" B~,4C1-/ I F L
7
~9 ~6/()1 Sl/h-t'ws&e (JF ElEcTlolI/s (!)) oIvo!ai:
f/ !J)esr PALM BE/IC~ ~L NON d /.56
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(4)
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
E Er2~;O C AllJiNE l~ I-(P4/tl.l hAil) OFFICE USE ONLY
Name I.
/3 tlEA'.bow-S Tkt2K. t4A1E
Address (number and street)
B {) YfII /tJ"; BEACH, ~ L :3-3 'I~-3 b
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
Check appropriate box(es): C' . '--;) '. .---;-
~ Candidate (office sought): OMMISSJ6NER -'/ /STI2IC / 1JL-
o Political Committee 0 CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From QL I OJ 1.tJ..:Z To ~ I 30 I Q2 Report Type E f
cg] Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
8
~-. """'-f
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(2)
.r-
-
.c-
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
.3 gOO. 00 Monetary ~ Ii S~
.Jsh & Checks $ Expenditures $
J ;
Loans $ Transfers to Office
Account $
Total Monetary $ 3 S>OQ, 00 Total
. Monetary $ ~Jj/, ~t5'
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ ~ ~OO. DO
I
(10) TOTAL Monetary Expenditures To Date
$ 6 ~/'...5~ ?
(11) CERTIFICATION
It i5 a first degree misdemeanor for any person to falsify a public record (55. 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 "me) S E,(16 /0 elf SA/';;E (Type "me) SE i2 6itJ [7 AS4 i.u E
o Individual (only for ~ Treasurer 0 Deputy Treasurer ~ Candidate /l 0 Chairpe. rson (only for PC. PTY &
~ct"O"":]2~~. X 0dI/, ~,:~~;::g wmm", "',," "ioo)
Signature Signature '....J
I
OS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
\ I NameSE.e6iO ~jNE &N;JA/&/ h/Jl/lJ (2) 1.0. Number
(3) Cover Period .Q1/ D / / 07 through a / -3() / lJ 7 (4) Page I of-L
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address & Contributor
City, State, Zip Code ",~ Tvpe Occuoation
)t? 123 /tJ7 4A1/#~AJI(Jk;J~Rllro ~AIS-;;;'ttJ
B S4LES C fiE
:z t3cx ~ ~()~ ;:- L
)8 I;) 3 / 07 fjtJrlf~tll (JMMRAriJ
9i() N. !E})E ;f4L }by
:2 V3oclfl?t4rp,~fL3d'tj;j;2"8 <:;;'luFS [JIIE
(5)
Date
(6)
Sequence
Number
(8)
I
(9)
(10) (11) (12)
Contribution
Tvpe
In-kind
Description Amendment Amount
llEL 5"Q:? 00
~,J;;jiJt
J,qi'l) 5" (){). tJO
I~ 1.23 / 07 ~/lJ2.L /4c??EK E j/!(!U tve
S l3tXt4RIJT~J.!~L 8 (!I!E ])EL StJo.oo
/
-
)~ ;23 01 (]ft~~ J!t.EP))EK }.
/ / 3 f!):r oS. fVJll jll /l;lH . 'tJ &.~I/T;f/E {Jill: If DD bOO. 00
3; 8~A 12A1iJ,~;;J. ~ I.::J;J-
)t?/ /6 7 G'l1iL ,4.l.Ev/;;E /I
7 /0 i3 UJrJwL5I1AJT
W6ST fJAl){ BEAtifli . fI(jprfJjsJ0n C J-fE
DEL /tJO.()O
1
) q I I b I ~ 1 a A/,L. 17. iF wAlE 1t!B"SiJUffUi"
1?O.8oj C,.50c:' /3 ~i(jRlSi/tl-1 Cfrt:
(,de:!;alm &/yI("~
~ 16-6)'4.
7
/ I
/ /
)S-DE 13 (Rev. 08/03)
/J JJj) / t () ,lJIJ
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
SERGIO CASAINE, JR.
13 Meadows Park Lane
Boynton Beach, FL 33436
PH (561) 969-6684
FAX (561) 969-6735
October 8, 2007
Mrs. Janet M. Prainito, CMC
City of Boynton Beach, City Clerk
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33425
Dear Janet:
Attached please find an amendment to the Campaign Treasurer's report covering period 07101/07 To
09/30107.
The amendment should correct three entries on the contribution report that completes the addresses
of three contributors. The addresses were not available at the reporting time.
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Hoping that this will clarify any and all information required, I remain
Sincerely,
o
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/,Sergio Casai~)
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FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY ,..-, ,....,. ~
~~ E t2G;O C Af~;,JE -C~Hj)4161t1 hA/I) -.l ~ I<
OFFICE USE ONLY C) .< ~
n
Name ---{ .:"")
tlEAJ;oW.s ~t2K. j t4.A1E I ;--r: g
(2) /3 \D .:;J
Address (number and street) ._".. ~
-0 J) j
BtJY'III/IJ,.f BEAC.H, ~L :3-3 t/3 ~ ::::;:: ,-,
.~ r:
.r:- ." ~
City, State, Zip Code .. ....1
-
o CHECK IF ADDRESS HAS CHANGED (3) ID Number: .- rl1 ~
....
(4) Check appropriate box(es): C~M/vllssj~AlER ])/STI} ic I ~
I}{] Candidate (office sought):
o Political Committee o CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence o CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication o CHECK IF NO OTHER ELECTIONEERING
COMMUNICA TION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From Q2 / OJ / Q:L To ~ / 30 / Q.2 Report Type Ei
~ Original o Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
3, 800. 00 Monetary 01l 5~
.Jsh & Checks $ Expenditures $
Loans $ Transfers to Office
Account $
Total Monetary $ 3 ~oo. 00 Total
. Monetary $ ~Ij/, ~t?
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ~, ~OO, 00 $ 6 ~/...5~ ?
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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. CI4SIl/;';E correct, and complete. CAS4i,vE
(Type name) Se.e6/0 (Type name) SE 126;1)
o Individual (only for ~ Treasurer 0 Deputy Treasurer IS!I cand;dal~ 0 Cha;"",,,,,,n (only 10, PC. PTY &
;(,"onee'", ~:u. . electioneering commun. organization)
X _Uh/'~~.
I Signature ~ Signature '....J
OS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
, I Name SE.e6iO ~jllE ~;JAldJ klJII!) (2) 1.0. Number
(3) Cover Period .Q:l/ () / / 07 through t2L / ~() /!) 7 (4) Page I of-L
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address & Contributor
Citv, State Zio Code ,,~ Type Occupation
DS> /::23 /tJ7 4A1/I/~f(]/'{P~RI//() (!tlAlS-;;;'ttJ
B ls';1LES C HE
:z /Joe A i1r()~ ;: L
08/;23 / 07 !J1JrlftJN,/tJMMft1rlJ
WON. Nj)E~4lJbj
:2 8oct4J?t4rl,~(j 3:i9d:J. "8 <;;;ltli~S [J If E
o~ /23 t 07 {!AR.L kLc,o,PEK F.. l
"2 Z1 :J, I 'P.. I- tk"lJu '/ /Je {! 1/ E
J otX!J/AIJTt?NU V
/
-
O~ ~:3 07 (!f/!2J.. J!LEPPEK A
t t 3 t!) ~ .s I Mil ,/11 /J1lHl)1.
.:3 13aARA1i!~J'L "..JJ;J. '"iJ HR'uT,iIE (lfiE
,I') 7 G'AiL /i. lEv/AlE
07 / /6 t() .
war fJAiH BEAt, Ii E
7 /
o q / I b /~1 (]A;~ /l. )Ev'liJE
?{},B()~ C:, ~roc' 73
tdd 131m &#/(J:l
~ 16-6)'4,
(5)
Date
(6)
Sequence
Number
7
/ /
t /
OS-DE 13 (Rev. 08/03)
(8)
(9)
(10) (11) (12)
Contribution
Type
In-kind
Descriotion Amendment Amount
lJEL 5m.oO
~~bt
't;LJD 500J) 0
])EL SaJ,OO
It DO DC)O.OO
1t111!oSULJI/AlT
i/lourts,S;; C ff-E
bELl tJO, of)
t!a..SlJU/hfl"
~/Jt/ffSilo, C)fF
II])]) / tJO' p()
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
SERGIO CASAINE, JR.
13 Meadows Park Lane
Boynton Beach, FL 33436
PH (561) 969-6684
FAX (561) 969-6735
October 8, 2007
Mrs. Janet M. Prainito, CMC
City of Boynton Beach, City Clerk
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33425
Dear Janet:
Attached please find an amendment to the Campaign Treasurer's report covering period 07/01/07 To
09/30/07.
The amendment should correct three entries on the contribution report that completes the addresses
of three contributors. The addresses were not available at the reporting time.
n
~J~/~~~;tc~ (
./&ergio Casai~ )
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-"
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-rn
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Hoping that this will clarify any and all information required, I remain
Sincerely,
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FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1 ) _~ERbl(; tASAliJ~ ~UP!4i~N kAlA OFFICE USE ONLY
Name
(2) l3 H~A:tJOW .5 !l:1,12/< j AAlE:
Address (number and street)
l!JOY^,7~All3EI4C!N. ;;'L 3BJ/:3'
.--. oJ
City, State, Zip Code
[J CHECK IF ADDRESS HAS CHANGED (3) ID Number:
--~~~-_.._._-~~-~
(4) Check appropriate box(es): ClJNMlssidNC,e b/67~/CT 7 i/...
IX1 Candidate (office sought):
-
[J Political Committee D CHECK IF PC HAS DISBANDED
Committee of Continuous Existence n CHECK IF CCE HAS DISBANDED
[J Party Executive Committee
Electioneering Communication [J CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period. From !2!i / 0/ / 0 7 To O~ /..30 / ~ Report Type QZ
~ Original D Amendment D Special Election Report D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
0 Monetary
Cash & Checks $ Expenditures $ -e-
_._~_._--.--- - ~- --------~-- -
Loans $ -0 - Transfers to Office
--~--~
Account $ I
-0 -- "_._-------"- ..~._..._..__'..W_-
Total Monetary $ Total
n -.
Monetary $ -e- -.
$ ~_._---_._-_..._._~-
In-Kind - .
(8) Other Distributions . ~/ , .
$ ------""_._---
--_.~---~- -------.---- ..-~._-
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ _______-5:T $ O~
(11) CERTIFICATION
m -- -.----. It is a first degree misdemeanor for any person to falsify a public record (55. 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. CA-SA-/AlE correct, and complete. C ASA/AiE
(Type name) S E1i?6/0 (Type name) SER6'/O
_____u_____
D IndiVidual (only for g] Treasurer D Deputy Treasurer I;gI Candidate D Chairperson (only for PC. PTY &
ict"O"'io9 oomm~~ X ~ . '''0100'' ri 09 oommoo. o~,oi"liool
~~
Signature ../ Signature
OS-DE 12 (Rev. 08/04)
o CAIYIP~GN T~EASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name ....;ER.6/0 C!./tSt:J/iJE' C. AkPII/tfA/ rvd):J (2) 1.0. Number
(3) Cover Period MI ~1J27_ through 06 I ~ 6 I ~ (4) Page /
of
/
I -_.~-
I (5) (7) (8) (9) (10) (11 )
Date Full Name Purpose
[ (6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
I Type
I Number City, State, Zip Code candidate) Amendment Amount
I
I / /
\ -E7
I ,
I
I / /
i
I
I
i / /
!
I
I
I / /
I
I
I
I / /
I
I
I
i / / I
I
I
I
I
/ /
I / /
! -e-
I
__._____n_____. .___._____~__.. ._-~~.-
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASUR~'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name $ ERG/O {'Ac51J1AJe CAJ1,PA-i6N /UdD (2) I.D. Number
(3)COVerperiodMI t)/ IQLthrough~.3'O I~ (4) Page / of /
(5) (7) (8) (9) (10) (11 ) (12)
Date Full Name
Contributor
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ / -e-
/ /
/ /
/ /
/ /
,
/ /
/ /
/ /
~
DS.DE 13 (7/98) ::i~~ t"ut< IN~I '\NU CODE
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1 ) Sf'RbiO (!I7Sl9iAlE (~HPlfi~N h~//) OFFICE USE ONLY
Name
(2) J.3 He/f/>ows ?1'9~(' J14l1.1c
Address (number and street)
l3oY/Jro/l/ B.E/J~ r- L. a i3 Jj .B f.o
.
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es): (! ommlssj~NEJ:.. ))/:s r.elc.f JJ/~
~ Candidate (office sought):
o Political Committee o CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence o CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 0 / /0/ /Q2 To 0$ / 3 J / QZ Report Type 611
~ Original o Amendment o Special Election Report o Independent Expenditure Rep~ - -
--- --
~ .. :
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT v
:::0 'J 1
--
Monetary -
-e- -e- a
$ Expenditures $ .,
Cash & Checks . :'..
~ -
-','.:'-
-'-
Loans $ -e- Transfers to Office co -'1':;
.-ri 0
Accou nt $ ~ --r
-~ 1:
-e- OJ . '1 i;-
Total Monetary $ Total :..
Monetary $ ~
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ -G- $ -e-
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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. . C '
{Type name)SE Kb 1'0 C11511/tJE (Type name) SERb/O A6A/A/E
o Individual (only for ~ Treasurer 0 Deputy .r,:eas~rer ~ C""d~Q D Cha;"",,,,," (00" "', PC, PTY &
~dlo_',"'~') 'n' electioneering commun. organization)
X E,i/,';~.
Signatu~ ~ ./ .
Signature G
OS-DE 12 (Rev. 08/04)
[1 CAMPAIGN TREASUBER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Q..,E12.6iO C/t5,IJ-iAlc C FfNP,4)6N r-UA/j;> (2) I.D. Number
(3) Cover Period ~.QL;~ through 0.5 / 3 / /~ (4) Page / of /
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) {Last, Suffix, First, Middle) {add office sought if
Street Address & contribution to a Expenditure
Sequence City, State, Zip Code candidate) Type Amendment Amount
Number
/ /
-B-
/ /
/ /
/ /
/ /
/ /
/ /
/ / -f)-
DS-DE 14 {Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name S E.26ID C t4S4/NE dNP,416A1 /"uN]) (2) I.D. Number
(3) Cover Period QL / ~ / trL through ():3 / 3/ I Q2 (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 Citv, State, Zio Code Tvoe Occupation Type Description Amendment Amount
/ /
-e-
/ /
/ /
/ /
/ /
/ /
I
/ /
/ /
-e-
OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
,-
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
~ SfllA/E C'1l b';V hJtflJ)
e Me-4-bOuJS 7JMe- I Me
ess (number ~ street) ... J
o NTV A! 't:5G4C-J./ t:"h ::33lf3 b
City, tate, Zip Code
o C ECK IF ADDRESS HAS CHANGED
OFFICE USE ONLY
(2)
(3) 10 Number:
COJAMISi/oIVEI!. O)S~/C r ]I
o CHECK IF PC HAS DISBANDED
o CHECK IF CCE HAS DISBANDED
(4) Che k appropriate box(es):
~ andidate (office sought):
I
[JPolitical Committee
o Committee of Continuous Existence
o Party Executive Committee
o Electioneering Communication
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From LL / () / / ~ To I Z / d1- / Q2 Report Type T R
~ Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
Cash & Checks
$
o
Monetary
Expenditures $
02, 131~ /1
.
Loans $
Transfers to Office
Account $
Total
Monetary $
c2, 1~1-, JI /~
. -.I
Total Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ Iq 200, aD
(10) TOTAL Monetary Expenditures To Date
$ I D I ,;} 001 00
.
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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) S elJ6i" {!A...SA-;/Jt;i (Type name) S' ,:t2.6;0 L!ASA~NG
o Individual (on 0 Deputy Treasurer ~ Candidate 0 Chairperson (only for PC, PTY &
electioneering mun.) electioneering commun. organization)
x
Sig
x
Signa ure'
OS-DE 12 (Rev. 08/04)
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S CAMPAICi,N TREASURER'S~EPORT - ITEMIZED EXPENDITURES
(1) Name E:.RG ;0 C~ SAJ/../C $, C.'AHPf1J~A1 FUAliJ (2) I.D. Number
(3) Cover Period .-iLl CJ / I~ through 1Z..J..!!.LI..!2L (4) Page I of...2
(5)
Date
(6)
Sequence
Number
II
I
fc
7
OS-DE 14 (Rev. 08/03)
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
C~h1 ~ jlt.
ee !!, h,"r1S
C ON.sU ( j~
SERVtQ.ES
{!A- k~A-;6N
~OOlcbt~4TfJe
NO#J
200,00
S y 1//1/:1 S f1J/IIV/L-
2/2 AlE and S Peel
80 Yi.J7'tJdEEI90!? 1'/
Peie..1?cse' "jo:\~~ A-FE EtEcnO^l It{
II <?607 '''01 Ai. CON6f!E~ A tiE. 6ATrle;;LIA1~
:2 BoyAlTf),j &AeH/ FL..
C' ,I/J . '7: 'i?E(~8UtlS€1.IEtI/1
.:Jcr<610 C t4SrlqJ~ ~t2 HEEr;/I(S
, 3 NeA- bo ~s 'PA-~ LA- /Ii' _<1~scL;'1If ~
"'4 w.-,nt F3~C;M,-Wes
~oY^' r~tJ BEfKIi f/.. 3~ '-(}fl1~tnt SJ trill!'
S<"lpERV/.St112 oIELECT/~~ \jo--/)'sl~r
['rf P 1:> c.. . . I C'rc:
6 UN C IDb iJcI ~ U,,-, ttJ{}J Ref.
LV -est Vd \ l'\ '&cU'h, ~ L-.
BAIJIGOt- 4k€RICf/ c..ftM~~'6N
CHELt<.. PEE - kOl\\~O~ OHE~0Nb ~c1
Nc\J .
Cffisres5 ~ !Jil'/VI/a, 8tifl(JiJiB
S T: ..:JOHN /S.SIOI/fl (2y J>oAltfTi 0 AI
eA:f+d;. t Ll. t+u Re H J P - ,/,.
qoo Nr .SEAeIleSTBI,.. '"frDrYl HJr1tU
t30t'-liotJ BElK!rI/ F) :B'f3S'
tEE I i SeliE
/1 '1~ '07 1.3{)2. sw IS#. sr.
). G>lihvleuill-e
B 0 YA/n~ kfJc~ /1 3diJ;2t
RAuo/IJ1J ~()IJ<;
1?~t, 13tJYN71N aJ>NSW'!j
80YAlTlJ".BE/kY( FL -3:3'137
MON
t, 72 Jlt,
MD,J
C,(,15"2
Hol'J
/ I, OD
J1, 111
J L/~q!i
MorJ
/ {JO. 00
/vi (J II
t. OD. 00
fvf ON
tj~. Of)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(\ CA/YIPAJ.(3N TREASUij.liR'S RiPOBJ - ITEMIZED EXPENDITURES
(1) Name ...)Eklb/l) C;.qSA;A/e~ l'AtfPAl6"Al rllNU (2) I.D. Number
,
(3) Cover Period 1L-I 01 112 through /~ 13/ I.P.L (4) Page ;;Z of ()..
(5) (7) (8) (9) (10) (11 )
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
II J.:J6 /17 8M~ O,::-/lNeWCI'I dHECK. FEE
Ctvts f't?~ 4 If..j ",I cJ 1- () 8111{jJ~jrl CkflfJ
9 8"y AIr,,^, Bet4C1-t FL ~16v ,4caw(/f Uo/tJ 11/;'75
Se~6ip ('/fI$AIAJ6" ) Ke'IIl1 lJi'Se-/II'tM7
II /2'107 j ~ tie II-i) 0 ws 1J riT1JI ~ ~~c..~~,
If) ~ 4 fA! Tlj#IIl3E~~~ FIJdf LOll tit /v16 tV
t)11 Lktlt ~ j f] 56,:J 3>
1 1
1 1
/ /
/ /
/ /
/ /
DS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES