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Campaign Treasurer's Reports CAMPAIGN TREASURER'S REPORT SUMMARY (1) Michael Fitzpatrick OFFICE USE ONLY Name - (2) 175 SW 2nd St - Address (number and street) t! rn Boynton Beach, FL 33435 t° ` . City, State, Zip Code . ` ❑ Check here if address has changed (3) ID Number: Ye. -1 1 CO rr (4) Check appropriate box(es): to © Candidate Office Sought: City Commission District 111 z ❑ 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 10 / 01 /2015 To 10 / 31 /2015 Report Type: M 1 0 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , • Expenditures $ 0 , , • Loans $ , 1 , 000 00 Transfers to Office Account $ 0 , , . Total Monetary $ , • Total Monetary $ 0 , . , In -Kind $ , • (8) Other Distributions $ 0 , , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1 ; 00 $ 0 , . (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) Michael Fitzpatrick (Type name) Michael Fitzpatrick ❑ Individual (only for IE ❑� Treasurer ❑ Deputy Treasurer © Candidate % Chairperson (only for PC and PTY) or electioneering . mm.) il i c X ' I(, IA J X a c- Signature Signature elji DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michael Fitzpatrick (1) Name (2) I.D. Number 10 01 2015 10 31 2015 1 1 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Fitzpatrick, Michael 10 20 15 M / / 175 SW 2nd St. Boynton Beach, FL Self City Commiss LOAN 1,000.00 1 33435 • El / / C'3 ( ) - .q V7 f'S w / / = V)cp Cpz ""*$ C Fir*" S . / / / / / / / / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I CAMPAIGN TREASURER'S REPORT SUMMARY (1) Michael Fitzpatrick • OFFICE USE ONLY Name (2) 175 SW 2nd St Address (number and street) r° 4.8, Boynton Beach, FL 33435 c7 :,,; City, State, Zip Code o , ❑ Check here if address has changed (3) ID Number: (1) (4) Check appropriate box(es): City Commission District III WI Candidate Office Sought: y rnn ❑ Political Committee (PC) 2 ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 11 / 01 / 2015 To 11 / 30 / 2015 Report Type: M 11 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report ° � ` t Monetary 665 i ry Expenditures 406 -95 Cash & Checks $ 300 00 p $ , Loans $ Transfers to Office Account $ 0 , , . Total Monetary $ c65.- 77 / Total Monetary $ , , .49.6- . - F1 In -Kind $ , , 159. 28 (8) Other Distributions $ o , . (9) TOTAL Monetary Contributions To Da (10) TOTAL Monetary Expenditures To Date $ , 1 , 459 • 28 $ , 40G .-e5 . _?� . / &65v (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: LDcL (Type n ame) - \ ayA ( na Michael Fitzpatrick p ❑ Individu - I (only for IE © Treasurer O Deputy easurer 13 Candidate ❑ Chairperson (only for PC and PTY) or ::- -, comm.) Signature 111 Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michael Fitzpatrick (1) Name (2) I.D. Number , - 11 01 2015 11 30 2015 1 1 (3) Cover Period / / through / / (4) Page of ( ( (8) ( ( ( ( Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Peyton McArthur 11 10 15 104 Sun Terrace Ct / / Palm Beach Gardens, 1 Florida 33403 I Admin Aide CHE 100.00 Joyce Pickel 11 13 15 9 Colonial Club Dr 104 / / Boynton Beach, FL 33435 2 I Retired CHD 200.00 Michael Fitzpatrick 11 13 15 175 SW 2nd St / / © Boynton Beach,FL 33435 I Self INK off supplies 159.28 3 / / I I / / I / / , / / I • DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 11 / 01 / 2015 through 11 / 30 / 2015 (4) Page 1 of 1 (5) ( ( ( ( 0 ) ( Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a p Number City, State, Zip Code candidate) Type Amendment Amount City of Boynton Beach State Assessment 11 / 10/ 100E Boynton Beach Blvd Boynton Beach, FL 33435 MON 222.57 1 11 10 15 City of Boynton Beach Filing fee / / 100 Boynton Beach Blvd Boynton Beach, FL 33435 MON 25.00 2 Staples Office - 11 / 13 15 1540 SW 8th St supplies Boynton Beach,FL 33426 MON 143.69 3 Staples Office 11 13 15 1540 SW 8th St supplies / / Boynton Beach,FL 33426 MON 15.69 ti a \CLOA CA,ac\S C\MCV 5 rn. 0 N 53 `8 L S `� d 45 \ \5t . V';w Cf.n 5 d� o N z vz , R$ / `Y (:),`\IA e BAs 6 / / - / / , DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) ( CAMPAIGN TREASURER'S REPORT SUMMARY Michael Fitzpatrick Name 175 SW 2nd ST Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (3) ID Number: ❑ Check here if PC or ECO has disbanded El Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report Identifiers Cover Period: From 11 / 01 2015 To 11 / 30 8015 Report Type: M -11 ❑ Original 19 Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ Loans $ Total Monetary $ In -Kind , 300. 00 $ , 159.28 (9) TOTAL Monetary Contributions To Date $ , 1 , 300 , 00 (7) Expenditures This Report Monetary Expenditures $ , 665. 77 Transfers to Office Account $ Total Monetary $ , 665. 77 (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ , 665 . 77 (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) Lisa Hanley ❑ Individual (only for IE Ii Treasurer ❑ Deputy Treasurer or electioneering comm.) l Signature t/ (Type name) Michael F 0 Candidate ❑ Chairperson (only for PC p td PTY) X Signature (5) Date ( Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure T ype ( Amendment ( Amount (s) Sequence Number City of Boynton Beach State Assessment 11 10/ 15 100 E Boynton Beach Blvd i f Boynton Beach, FL 33435 MON 222.57 1 11 10 15 City of Boynton Beach 100 Boynton Beach Blvd Filing fee / / Boynton Beach, FL 33435 MON 25.00 2 Staples Office 11 13 15 1540 SW 8th St supplies / / Boynton Beach,FL 33426 MON 143.69 3 Staples Office 11 13 15 1540 SW 8th St supplies / / Boynton Beach,FL 33426 MON 15.69 ti /AUAKOA, C\Ck.CVN C.h 5 rn o o 55'. $ `f 11• / "7/ 15 5 �� /d��5 I \i`‘5� V , o n ` l�' C. C=4\nA s C ar o N ZvZ.�� C // // CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 11 / 01 / 2015 through 11 / 30 / 2015 DS 14 (Rev. 11/13) (4) Page 1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES of 1 (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michael Fitzpatrick 11 01 2015 11 30 2015 (3) Cover Period / / through / / DS-DE 13 (Rev. 11/13) (2) I.D. Number (4) Page 1 of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 Date (5) (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type ( Occupation ( Contribution Type ( In -kind Description ( Amendment ( Amount (6) Sequence Number 11 / 10 / 15 Peyton McArthur 104 Sun Terrace Ct Palm Beach Gardens, Florida 33403 I Admin Aide CHE 100.00 1 11 / 13 / 15 Joyce Pickel 9 Colonial Club Dr 104 Boynton Beach, FL 33435 I Retired CHD 200.00 2 11 / 13 / 15 © Michael Fitzpatrick 175 SW 2nd St Boynton Beach,FL 33435 I Self INK off supplies 159.28 3 / / / / / / / / (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michael Fitzpatrick 11 01 2015 11 30 2015 (3) Cover Period / / through / / DS-DE 13 (Rev. 11/13) (2) I.D. Number (4) Page 1 of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 (1) Michael Fitzpatrick Name (2) 175 SW 2nd ST Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): 19 ❑ Original Sei ✓ Amendment (6) Contributions This Report Cash & Checks $ Loans $ Total Monetary $ In -Kind CAMPAIGN TREASURER'S REPORT SUMMARY 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: Fro 11 / 01 015 To 11 / 30 ?015 Report Type: M -11 , 300. 00 (9) TOTAL Monetary Contributions To Date $ , 1 , 300 , 00 $ , 159. 28 ❑ Special Election Report (3) ID Number: (7) Expenditures This Report Monetary Expenditures $ , 665 . 77 Transfers to ),Office Account $ Total Monetary $ , 665. 77 (8) Other Distributions OFFICE USE ONLY (10) TOTAL Monetary Expenditures To Date $ , 665 . 77 (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) Lisa Hanley ❑ Individual (only for IE or electioneering comm.) • 11 Signature D Treasurer ❑ Deputy Treasurer (Type name) Michael Fitzpatrick 0 Candidate ❑ Chairperson (only for PC fiid PTY) r x Signature /74.-C7 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 11 / 1 / 2015 through 11 / 30 / 2015 (4) Page 9 SFF PFVFRCF FAR INCTRI I(_TIANC hull r'Ar1F VAI 1IFS of DS -DE 14 (Rev. 11/131 1 1 (5) Date ( Full Name ( Purpose (add office sought if contribution to a candidate) ( Expenditure Type ( Amendment ( 1 ) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 11 /10 /15 City of Boynton Beach 100 E Boynton Beach Blvd Boynton Beach, FL 33435 State Assessment DIS 222.57 1 11 10 15 / / City of Boynton Beach 100 E Boynton Beach Blvd Boynton BEach, FL 33435 Filing fee DIS 25.00 a 11 13 15 / / Staples 1540 SW 8th ST Boynton Beach, FL 33426 office supplies DEL 364 143.69 11 13 15 / / Staples 1540 SW 8th St Boynton Beach, FL 33426 office supplies DEL ` 15.69 11 it 17 15 Harland Clark checks DIS 55.84 3 11 24 15 / / Vista Print Online purchase Christmas Cards DIS 202.98 --+ (_ n -- t 4 / / JAN 14 PI / / OFFICE 3: 26 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 11 / 1 / 2015 through 11 / 30 / 2015 (4) Page 9 SFF PFVFRCF FAR INCTRI I(_TIANC hull r'Ar1F VAI 1IFS of DS -DE 14 (Rev. 11/131 1 1 (1) CAMPAIGN TREASURER'S REPORT SUMMARY Michael Fitzpatrick Name (2) 175 SW 2nd ST Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (3) ID Number: OFFICE USE ONLY ❑ 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 (5) Report Identifiers Cover Period: From 12 / 01 2015 To 12 / 31 8015 Report Type: M -12 0 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ Loans $ Total Monetary $ In -Kind $ , 98.00 (9) TOTAL Monetary Contributions To Date $ , 1 , 300. 00 (7) Expenditures This Report Monetary Expenditures $ , 157.03 Transfers to Office Account $ Total Monetary $ 157. 03 (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ , 822 . 80 I certify that I have examined this report and it is true, correct, and complete: (Type name) Lisa Hanley ❑ Individual (only for IE ID Treasurer ❑ Deputy Treasurer orelecti . ee'n• comm.) X Signature (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) (Type name) Michael Fitzpatrick Candidate X Signature 4, ❑ Chairperson (only for PC and PTY) (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) ( Expenditure Type ( Amendment ( Amount (6) Sequence Number 12 i t 3 /15 USPS Downtown Station Boyton Beach, FL 33435 stamps DIS 98.00 1 12 3 15 / / Staples 1540 SW 8th ST Boynton Beach, FL 33426 GV list DIS 10.03 2 12 11 15 / USPS Downtown Station Boynton Beach, FL 33435 stamps DIS 49.00 3 / / / / / / / / / / CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 12 / 01 / 2015 through 12 / 31 / 2015 (4) Page 1 of 1 DS -DE 14 (Rev. 11/131 SFF REVERSE FAR IWSTRI IfTIAMS AIJrf (:Ar1F VAI 1IFS Michael Fitzpatrick (1) Name 12 (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 2015 12 / / through 31 2015 (2) I.D. Number 1 / / (4) Page of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 ( Date ( Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type ( Occupation ( Contribution Type ( In -kind Description ( Amendment ( Amount (6) Sequence Number 12 / 04 / 15 Gates, Kathleen 9693 El Clair Ranch Rd Boynton Beach, FL 33437 I retired INK stamps 98.00 1 / / / / / / / / / / / / Michael Fitzpatrick (1) Name 12 (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 2015 12 / / through 31 2015 (2) I.D. Number 1 / / (4) Page of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 CAMPAIGN TREASURER'S REPORT IRA s N i ON BEACH (1) Michael Fitzpatrick cl DEED SiONLYeL 16 FEB -9 Pil J: 55 Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check 4 appropriate box(es): Candidate Office Sought: City Commission District III ❑ 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 01 / 01 / 2016 To 01 / 31 / 2016 Report Type: M 1 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , 5 , 680. 00 (7) Expenditures This Report Monetary Expenditures $ , 2,722 . 99 Loans $ , 5 000. 00 Transfers to Office Account $ , . Total Monetary $ Total Monetary $ , 2 722. 99 In -Kind $ , 804,63 (8) Other Distributions $ , , . 0 (9) TOTAL Monetary Contributions To Date $ , 11 , 980 • 00 (10) TOTAL Monetary Expenditures To Date $ , 3 , 545.79. (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) Lisa Hanley to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) Michael Fitzpatrick ❑ Individual (only for IE © Treasurer ❑ Deputy Treasurer or electioneering comm.) . If X ';.i . i.. (,. — " m Candidate ❑ Chairperson (only for PC and PTY) .. X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Michael Fitzpatrick (1) Name DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 01 2016 01 31 2016 (2) I.D. Number (3) Cover Period / / through / / (4) Page 1 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 M and M Asphalt 01 06 2016 Maintenance DBA All / / County Paving 1 1180 SW 10th St B Maintenance CHE 750.00 Delray Beach, FL 33444 Michael Fitzpatrick 01 06 2016 175 SW 2nd St / / Boynton Beach, FL 33435 2 S City Commiss LOA 5,000.00 JKM Developers LLC 01 13 2016 102 NE 2nd St #203 / / Boca Raton, FL 33432 3 B Developer CHE 1,000.00 Coastal Painting Co 01 13 2016 6820 Lyons Technology / / Circle #105 4 Coconut Creek, FL 33073 B Maintenance CHE 750.00 Jennifer MIller 01 13 2016 PO Box 3802 / / Lantana, FL 33465 5 I CHE 25.00 Monty Riley 01 20 2016 65 Palm Sq / / Delray Beach, FL 33483 6 I CHE 25.00 Tom McClure 01 21 2016 2004 S Federal Hwy Apt / / D403 7 Boynton Beach FL 33435 I INK fund raiser 105.03 Michael Fitzpatrick (1) Name DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 01 2016 01 31 2016 (2) I.D. Number (3) Cover Period / / through / / (4) Page 1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Michael Fitzpatrick (1) Name (2) I.D. Number 01 (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 2016 01 31 2016 2 / / (4) Page of 5 / / through SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date ( Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type ( Occupation (9) Contribution Type ( In -kind Description (11) Amendment (12) Amount (6) Sequence Number Brian Nagle 01 22 2016 2006 South Federal Hwy / / G305 8 Boynton Beach, FL 33435 1 CHE 25.00 Richard Stowe 01 22 2016 414 N Federal Hwy / / Lake Worth, FL 33460 9 I CHE 25.00 Lorraine Shaw 1 22 2016 1202 Old boynton Rd / / Boynton Beach, FL 10 33426 I CHE 25.00 Agnes Boy4g 1 22 2016 275 High Point Ct Apt D / / Boynton Beach, FL 33435 11 I CHE 35.00 William Fitzpatrick 1 22 2016 800 Horizons West, apt / / 103 12 Boynton Beach, FL 33435 I CHE 50.00 Robert Foot 1 22 2016 760 E can Ave., Apt / / 507N 13 Boynton Beach, FL 33435 1 CHE 50.00 Brian Zinn 1 22 2016 24 Hawthorne Lane / / Boynton Beach, FL 33426 14 I CHE 50.00 Michael Fitzpatrick (1) Name (2) I.D. Number 01 (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 2016 01 31 2016 2 / / (4) Page of 5 / / through SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Michael Fitzpatrick (1) Name (2) I.D. Number 01 (3) Cover Period DS -DE 13 (Rev. 11/13) 01 2016 01 31 2016 3 / / through / / (4) Page of 5 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ( Date ( Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type ( Occupation ( Contribution Type ( In -kind Description ( Amendment ( Amount (6) Sequence Number Micheline Many 01 22 2016 1001 Coral Ct / / Boynton Beach, FL 33426 15 I Realtor CHE 100.00 Anne MacFadyen 01 22 2016 250 HIgh Point Ct Apt C / / Boynton Beach, FL 33435 16 I Retired CHE 100.00 Harry Woodworth 01 22 2016 685 N.E. 15th Place / / Boynton Beach, FL 33435 Q, 17 I i JC.IIreck CHE 100.00 Lila Kipp 01 22 2016 2833 SW 4th St / / Boynton Beach, FL 33435 18 I Therapist CHE 150.00 Charles MacDonald 01 22 2016 11343 Wingfoot Dr / / Boynton Beach, FL 33437 19 I Retired CHE 250.00 Jetport II LLC 01 21 2016 10 SE 1st Ave / / Delray BEach, FL 33444 20 B Real Estate CHE 250.00 01 22 2016 James Devoursney, M.D., P.A. / / 7740 Boynton Beach Blvd 21 Boynton Beach, FL 33437 Physcian CHE 500.00 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Michael Fitzpatrick (1) Name (2) I.D. Number 01 (3) Cover Period DS -DE 13 (Rev. 11/13) 01 2016 01 31 2016 3 / / through / / (4) Page of 5 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Michael Fitzpatrick (1) Name (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 01 2016 01 31 2016 4 / / (4) Page of 5 / through (2) I.D. Number SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ( Date ( Full Name Contributor Type (8) Occupation ( Contribution Type ( In -kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code James Guilbeault 01 22 2016 7849 Manor Forest Lane / / Boyjon Beach, FL 33436 22 I Caterer CHE 1000.00 James Kazepis 01 22 2016 533 SE 27th Way / / Boynton Beach, FL 33435 23 I CAS 20.00 Kellye Houston 01 22 2016 127 N Palmway / / Lake Worth, FL 33460 24 I CAS 25.00 Cheryl Black 01 22 2016 321 SW 1st Ave / / Boynton beach, FL 33435 25 I CAS 25.00 Hollis Tidwell 01 22 201( 324 Sw 3rd Ave / / Boynton Beach, FL 33435 26 I CAS 50.00 Margaret Nugent 01 22 2016 610 Horizons E 306 / / Boynton Beach, FL 33435 27 I CAS 50.00 Butch Buoni 01 22 2016 450 Horizons E 304 / / Boynton Beach, FL 33435 28 I CAS 50.00 Michael Fitzpatrick (1) Name (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 01 2016 01 31 2016 4 / / (4) Page of 5 / through (2) I.D. Number SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Michael Fitzpatrick (1) Name (3) Cover Period / DS-DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 01 2016 (2) I.D. Number 01 31 2016 5 5 through / / (4) Page of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ( Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type ( In -kind Description (11) Amendment (12) Amount (6) Sequence Number 01 29 / 2016 / James Chard 401 SE 4th Ave Delray Beach, FL 33483 I retired CHE 100.00 29 01 30 / 2016 / Sierra Club Florida Political Committee 225 9th Ave N St Petersburg, FL 33701 F CHE 100.00 30 01 22 / 2016 / Culinary solutions Inc. 1470 SW 8th St Boynton Beach FL 33426 B INK catering 699.60 31 / / / / / / / / Michael Fitzpatrick (1) Name (3) Cover Period / DS-DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 01 2016 (2) I.D. Number 01 31 2016 5 5 through / / (4) Page of SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date ( Full Name ( Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 01 i f 06 /2016 Third St Signs 216 NE Third St Boynton Beach, FL 33435 signs DIS 153.70 1 01 07 201E / if © Kaitlin Novello 415 S Seacrest Blvd Boynton Beach, FL 33435 administrative assistance DIS 126.70 2 01 / 07 201E Marcia Karasoff 3081 Golden Rain Rd #3 Walnut Creek, CA 94585 graphic design deposit DIS 100.00 3 01 1 2 16 / Staples 1540 SW 8th St Boynton Beach, FL 33426 copies DIS 42.14 4 01 / 12 Q USPS Boynton Beach Downtown Station stamps DIS 24.50 5 01 / 1 4 20 © Wells Fargo onli charge account fee DIS 14.00 6 01 / / 19 201E mi Supervisor of Elections 240 South Military Trail West Palm Beach, FL 33415 Voter into disc DIS 10.00 7 01 20/201E / Q Marcia Karasoff 3081 Golden Rain Rd #3 Walnut Creek, CA 94585 graphic design final payment DIS 175.00 8 (1) Name Michael Fitzpatrick (3) Cover Period 01 / 01 /2016 through 01 / 31 / 2016 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (2) I.D. Number (4) Page 1 of 2 (5) Date ( Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (1 0) Amendment (11) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code 01 /20)6016 Supervisor of Elections 240 S Military Trail West Palm Beach, FL 33415 Balance of voter disc DIS 5.50 8 01 21 16 / / Dixie Printing 504 24th St West Palm Beach, FL 33407 brochures DIS 319.06 9 01 / 27 016 Mastermailer Inc 3700 N 29th Ave # 203 Hollywood, FL 33020 mailers DIS 1703.63 10 01 31 2 2016 / / Michael Fitzpatrick 175 SW 2nd St Boynton Beach, FL 33435' supplies for signs RMB 48.76 11 / / / / / / / / CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2)1.D. Number (3) Cover Period 01 / 0 / 2016 through 0 1 / 3 / 2016 (4) Page 2 of 2 DS -0E 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT (1) Michael Fitzpatrick 5tI11 .;`r' ,, OFFICE $ dlkFiFICE IS FEB 19 PH 14: 2a Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): City Commission (3) ID Number: District I I I F 4 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 0 / 0 t / zo%, To b 2. / I Z / lo 6 Report Type: G-1., ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , gas 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report 3 � $ , 3 , 097 097 -5-I t Loans $ , to $ . Total Monetary $ , $ 1 �7 5 C o v $ , 3 0 1-f 7 3 In -Kind $ (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date $ , ► a , '5' 0o (10) TOTAL Monetary Expenditures To Date $ , 6, _5. 13 (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) to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) Michael Fitzpatrick ❑ Individual (only for IE ✓❑ Treasurer ❑ Deputy Treasur >• or electioneer g comm.) X i\ IZI Candidate ❑ Chairperson (only for PC and PTY) X Signatur- • Signature DS -DE 12 (Rev. 11/13) SCAN NED Ay v ■ iV SEE REVERSE FOR INSTRUCTIONS Michael Fitzpatrick (1) Name 02 (3) Cover Period -DE 13 (Rev. 1 1/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 (2) I.D. Number 2016 oz through / / / (4) Page of SCANNED 12 2016 1 1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date ( Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Ron Haines 02 05 2016 Online contribution / / 1 I paypal 25.00 Peyton McArthur 02 09 2016 104 Sun Terrace Ct / / Palm Beach Gardens, FL 2 33403 I Port Commis CHE 100.00 10 FL CDM Smith Inc 02 10 6365 NW 6th Way #200 / / 2016 Ft Lauderdale, FL 3 33309 PAC Consulting CHE 500.00 Marie Horenburger 02 10 205 A High Point Blvd / / 2016 Boynton Beach, FL 4 33435 I CHE 50.00 Buck Buchanan 02 11 2016 807 Ocean Inlet Dr / / Boynton Beach, FL 5 33435 I RET CHE 200.00 / / / / Michael Fitzpatrick (1) Name 02 (3) Cover Period -DE 13 (Rev. 1 1/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 01 (2) I.D. Number 2016 oz through / / / (4) Page of SCANNED 12 2016 1 1 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date ( Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type ( Amendment ( Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Paypal transaction fee 02 /04 /2016 DIS 1.03 1 02 05 016 Kaitlin Novello administrative aide / 415 S Seacrest Bohnton Beach, FL 33435 DIS 112.50 2 02 201E Marcia Karasoff graphic design / 09 / lal 3081 Golden Rain Rd #3 Walnut Creek, CA 94585 DIS 250.00 3 Rainbow Printing post cards 02 11 201E 3300 S Congress Ave # 12 / / Boynton Beach, FL 33426 DIS 20.00 4 Dixie Printing brochures 02 504 24th St #1 /11 /016 West Palm Beach, FL 33407 DIS 556.50 5 Staples labels 02 11 2 016 1540 SW 8th St / Boynton Beach, FL 33426 DIS 12.71 6 USPS stamps 02 / 11/ 0 16 0 Downtown Station DIS 105.00 7 Great Western Printing T- shirts 02 11016 2211 2nd Ave N. # 8 -11 i f Lake Worth, FL 33461 DIS 420.82 1 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 02 / 01 / 2016 through 02 / 12 / 2016 DS-DE 14 (Rev. 11/13) (4) Page 1 a of 2 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES SCANNED (5) Date ( Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount ( 6 ) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 02 i f 12/2016 Mastermailers, Inc 3700 N 29th Ave #203 Hollywood, printing DIS 1554.78 9 FL 33020 02 12 201E / / © Great Western Bank online account fee DIS 14.00 10 / / / / / / / / / / / / CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (3) Cover Period 02 / 01 DS -DE 14 (Rev. 11/13) /2016 through 02 / 12 / 2016 (2) I.D. Number SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES SCANNED (4) Page 2 of 2 ( CAMPAIGN TREASURER'S REPORT SUMMARY Michael Fitzpatrick Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) OFFICE USE ONLY - 'l (3) ID Number: Boynton Beach City Commission District 3 -n z ❑ 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 (5) Report Identifiers Cover Period: From 12 /01 / 2015 To 12 / 31 8015 Report Type: ❑ Original Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ Loans $ Total Monetary $ In -Kind $ , 98.00 (9) TOTAL Monetary Contributions To Date $ 1 , 300 , 00 (7) Expenditures This Report Monetary Expenditures $ , 157 _ 03 Transfers to Office Account $ Total Monetary $ 157. 03 (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ , 663 , 42 (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) ❑ Individual (only for IE El Treasurer ❑ De uty Treasurer or electio eying comm.) x � Signet e (Type name) El Candidate Signature Z ANICV ❑ Chairperson (only for PC and PTY) ( Michael Fitzpatrick Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): ❑ Original (Type name) Signature CAMPAIGN TREASURER'S REPORT SUMMARY (6) Contributions This Report Cash & Checks $ , 5 , 680. 00 Loans $ 5, 000. 00 Total Monetary $ , 10 , 680. 00 In -Kind $ , 804. 63 (9) TOTAL Monetary Contributions To Date $ , 11, 980 . 00 IE � Tre asurer 0 Trea mm. ❑ Individual (only for urer or electioneering Co ) OFFICE USE ONLY (3) Amendment ❑ Special Election Report Transfers to Office Account (8) Other Distributions (Type name) I] Candidate X Signature ID Number: Candidate Office Sought: Boynton Beach City Commission District 3 (5) Report Identifiers Cover Period: From 01 / 01 / 2016 To 01 / 31 / 2016 Report Type: M1 (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: ❑ 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) (7) Expenditures This Report Monetary Expenditures $ , 2 , 722. 99 Total Monetary $ 2, 722. 99 (10) TOTAL Monetary Expenditures To Date 41 t' ;c1A0,e_` Z \ ❑ Chairperson (only fir PC and PTY) — ar, m (1) Michael Fitzpatrick Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code ['Check here if address has changed (4) Check appropriate box(es): Candidate Office Sought: CAMPAIGN TREASURER'S REPORT SUMMARY ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (3) ID Number: Boynton Beach City Commission District 3 ❑ 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 (5) Report Identifiers Cover Period: From 02 / 01 / 2016 To 02 / 12 / 2016 Report Type: G1 ❑ Original Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , 875. 00 Loans $ Total Monetary $ , 875. 00 In -Kind $ (9) TOTAL Monetary Contributions To Date $ , 12 , 855 . 00 (7) Expenditures This Report Monetary Expenditures $ , 3 , 047. 00 Transfers to Office Account $ Total Monetary $ , 3 , 047. 00 (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ 6 , 433 . 75 (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) Lisa Hanley ❑ Individual (pnly for IE or electionOering .mm.) El Treasurer uty Treasurer (Type name) Michael Fitzpatrick Candidate x Signature El Chairperson (only for ; C and PTY) CAMPAIGN TREASURER'S REPORT SUMMARY (1) Michael Fitzpatrick Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code n Check here if address has changed (4) Check appropriate box(es): a Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) City Commission District III OFFICE USE ONLY s-- (3) ID Number: -, ❑ Check here if PC or ECO has disbandedt ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will (5) Report Identifiers Cover Period: From 02 / 13 / 2016 To 02 / 26 / 2016 ❑ Original ❑ Amendment ❑ Special Election Report Report Type: G2 (6) Contributions This Report Cash & Checks Loans $ Total Monetary $ In -Kind $ 1 , 170. 00 $ , 254,00 (9) TOTAL Monetary Contributions To Date $ , 14 , 025 00 (7) Expenditures This Report Monetary Expenditures $ , 701.79 Transfers to Office Account $ Total Monetary $ , 701. 79 (8) Other Distributions 0 (10) TOTAL Monetary Expenditures To Date $ , 7 , 135 . 54 ❑ Individual ( my for IE or electio comm.) Si nnatiirp (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that 1 have examined this report and it is true, correct, and complete: (Type name) Lisa Hanley Treasurer ❑ Deputy Treasurer (Type name) Michael Fitzpatrick x Candidate ❑ Chairperson (only for PC and PTY) Sinnati ira Michael Fitzpatrick (1) Name (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 / 13 / 2016 through (2) I.D. Number 02 26 2016 2 / (4) Page of 2 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 02 22 / / 16 Gary Lehnertz 619 SW 2nd Ave Boynton Beach, FL 33426 I CHE 75.00 8 02 22 / / 16 Anthony Mancini 3460 SW llth St Deerfield Beach, FL 33442 I contractor CHE 500.00 9 02 21 / / 16 Robert Ganger 1443 N Ocean Blvd Gulfstream F1 33483 I retired CHE 100.00 10 02 23 / / 16 Marguerite Boivin 133 SW 7th Ave Boynton Beach, FL 33435 I autocad des IN CHE 100.00 11 02 25 / / 16 Harris Sanitation 2700 NW 48th St Pompano Beach, FL 33073 B Sanitation CHE 150.00 12 / / / / Michael Fitzpatrick (1) Name (3) Cover Period DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 / 13 / 2016 through (2) I.D. Number 02 26 2016 2 / (4) Page of 2 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 02 / 16 / 16 Charles Gaulkin 8 Colonial Club Dr #301 Boynton Beach, FL 33435 I CAS 20.00 1 02 / 16 / 16 Joyce Pickel 9 Colonial Club Dr #109 Boynton Beach, FL 33435 I CAS 50.00 2 02 / 18 / 16 John Eberhart 2004 S Federal Hwy G -208 Boynton Beach, FL 33435 I CHE 25.00 3 02 / 18 / 16 Mary Nagel 230 Horizons #205 Boynton Beach, FL 33435 I retired INK refreshments 254.00 4 02 / 19 / 16 III Ken Reed 200 S Federal Hwy G -208 Boynton Beach, FL 33435 I CAS 50.00 5 02 / 19 / 16 Rebecca Buckley 859 Montego Dr WPB, FL 33415 I CAS 50.00 6 02 / 22 / 16 Sabrina Carle 3903 Coelebs Ave Boynton Beach, FL 33436 I Paypal CHE 50.00 7 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michael Fitzpatrick (1) Name (2) I.D. Number 02 13 2016 02 26 2016 1 2 (3) Cover Period / / through / / (4) Page of DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ( Purpose (add office sought if contribution to a candidate) ( Expenditure Type ( Amendment ( Amount (6) Sequence Number 02 /02 / 16 USPS Downtown station stamps DIS 26.60 1 02 02 16 / / WIX.com online payment website fee DIS 77.50 2 02 22 16 / / Paypal online deduction transaction fees DIS 19.03 3 02 23 16 / / 3rd Street Signs 216 NE 3rd St Boynton Beach,FL 33435 signs DIS 546.16 4 02 /25/16 USPS Downtown Station stamps DIS 32.50 5 / / / / / / CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 02 / 13 / 2016 through 02 / 26 / 2016 11C_r1G 14 IRo•I 11111% c rr nrvrn['r r .n 1 u,Tni lnrun wun nnnr'. I 1 (4) Page of CAMPAIGN TREASURER'S REPORT (1) Michael Fitzpatrick SUMMARY `-' -< - OFFICE USE ONLY al = ;�� -- � ;n Name (2) 175 SW 2nd St Address (number and street) Boynton Beach, FL 33435 City, State, ❑ Check (4) Check Zip Code here if address has changed (3) appropriate box(es): Office Sought: City Commission - C/) ID Number: "' o C 2 r1 1. r — District III — rnc N Candidate ❑ Political ❑ Electioneering ❑ Party ❑ Independent individual Committee (PC) Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded Executive Committee (PTY) ❑ Check here if PTY has disbanded Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed making electioneering communications) Cover Period: ❑ Original (5) Report Identifiers From 02 / 29 / 2016 To 03 / 10 / 2016 Report Type: G 3 Election Report ❑ Amendment • Special (6) Contributions Cash & Checks Loans Total Monetary In -Kind This Report $ , 1 , 125. 00 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , 6 , 946.88 $ , 1 , 000. 00 to $ , , . $ , 2, 125. 00 $ , 6 , 946.88 $ , , 50.00 (8) Other $ Distributions , , (. (9) TOTAL Monetary Contributions To Date $ , 16 , 150 . 00 (10) TOTAL $ Monetary Expenditures To Date , 14 , 082 . 42 (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) Lisa Hanley to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) Michael Fitzpatrick ❑ Individu. or election- x .irr— (only for IE IZJ Treasurer ❑ Deputy Treasurer ' g comm.) J © Candidate ❑ Chairperson (only for PC and PTY) X 47 Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Michael Fitzpatrick (1) Name (3) Cover Period DS-DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 27 / 2016 o3 through / / / 10 2016 (2) I.D. Number (4) Page 1 of 2 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date ( Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type ( In -kind Description ( Amendment ( Amount (6) Sequence Number 02 / 29 / 16 SUAU Enterprises 2360 N Federal Hwy Boynton Beach, FL 33435 B Gas station CHE 200.00 1 02 / 29 / 16 Joe Benoit 4475 N Ocean Dr #407 Delray Beach, FL 33483 I retired CHE 150.00 2 02 / 29 / 16 Miller Land Planning 508 E Boynton Beach Bvld, Boynton Beach, FL 33435 B planner CHE 100.00 3 03 / 01 / 16 G. Allan Hendricks 122 SE 4th Ave Boynton Beach, FL 33435 I CHE 50.00 4 03 / 07 / 16 13987 Colonial LLC 105 E Palmetto Pk Rd Boca Raton, FL 33432 B law CHE 250.00 5 03 / 09 / 16 Michael Fitzpatrick 175 SW 2nd St Boynton Beach, FL 33435 S commissione e LOAN 1,000.00 6 03 / 10 / 16 Taylor Levy 1810 Lake Dr Delray Beach, FL 33444 I rest. owner CHE 250.00 7 Michael Fitzpatrick (1) Name (3) Cover Period DS-DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 27 / 2016 o3 through / / / 10 2016 (2) I.D. Number (4) Page 1 of 2 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Michael Fitzpatrick (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 27 2016 03 (3) Cover Period / / through DS -DE 13 (Rev. 11/13) 10 2016 (2) I.D. Number SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (4) Page 2 of 2 (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 03 / 10 16 / Kristina Lebrevelec 304 SE 4th Ave Delray Beach, FL 33483 I prop. manage CAS 100.00 8 03 / 10 16 / Craig Satori 145 SE 28th Ct Boynton Beach, FL 33435 I CAS 25.00 9 03 / 10 16 / Chris Montague 222 W Ocean Ave Boynton Beach; FL 33435 I INK FB boosts 50.00 10 / / / / / / / / Michael Fitzpatrick (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 27 2016 03 (3) Cover Period / / through DS -DE 13 (Rev. 11/13) 10 2016 (2) I.D. Number SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (4) Page 2 of 2 (5) Date ( 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 (6) Sequence Number USPS postage 03 /01 / 16 Downtown station DIS 36.40 1 03 07 16 Marcia Karasoff graphic design / / 3081 Golden Rain Rd #3 Walnut Creek, CA 94585 DIS 275.00 2 Mastermailer mailer 3 03 16 3700 N 29th Ave # 203 / 08 / Hollywood, FL 33020 DIS 2584.00 3 Master Mailer mailer 4 03 08 16 3700 N 29th Ave # 203 / / Hollywood, FL 33020 DIS 2584.00 4 Marcia Karasoff graphic design 03 08 16 3081 golden Rain Rd #3 / / Walnut Creek, CA 94585 DIS 200.00 5 Wells Fargo bank fee 02 29 16 / / online DIS 14.00 6 USPS postage 03 09 16 Downtown Station / / DIS 10.08 7 Paypal transaction fee 03 09/16 online / DIS 7.55 8 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michael Fitzpatrick (2) I.D. Number (3) Cover Period 02 / 27 / 2016 through 03 / 10 / 2016 DS - 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 2 (4) Page of (5) Date ( Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) ( Expenditure Type ( Amendment ( Amount (6) Sequence Number 03 /10/16 Smart Communities PO Box 970517 Coconut Creek, FL 33097 website construction DIS 181.65 9 03 10 16 / / StonePhones 41 -750 Rancho Las Palmas Dr #E -3 Rancho Mirago, CA 92270 robo calls DIS 718.35 10 03 / 1 0 16 StonesPhones 41 -750 Rancho Las Palmas Dr #E -3 Rancho Mirago, CA 92270 robo calls DIS 335.85 / / / / / / / / / / (1) Name Michael Fitzpatrick (3) Cover Period 02 DS - 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (2) I.D. Number / 07 2016 through 03 / 10 / 2016 (4) Page 2 of 2 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES