1) Diego Pfeiffer OFFICE US PH! % 3. 5) Report Identifiers. Monetary. Transfers to Office Account $ 8) Other Distributions.

Transcription

1 Named 0 CAMPAIGN TREASURER' S REPORT SUMMARY RECEWEE 1) OFFICE US PH! % 3 2) NW 66th CT Address ( number and street) Parkland, FL MA City, State, Zip Code Check here if address has changed 3) ID Number: 4) Check appropriate box(es): Candidate Office sought: Parkland Commissioner, District 2 Political Committee ( PC) Electioneering Communications Org. ( ECO) Party Executive Committee ( PTY) Independent Expenditure ( IE) ( also covers an individual making electioneering communications) Check here if PC or ECO has disbanded Check here if PTY has disbanded Check here if no other IE or EC reports will be filed 5) Report Identifiers Cover Period: From 07 / 01 / 2018 To 07 / 31 / 2018 Report Type: 2018M7 Original Amendment Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ Loans Transfers to Office Account $ Total Monetary Total Monetary $ In- Kind 8) Other Distributions 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date ) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F. S.) I certify that I have examined this report and it is true, correct, and complete: Type name) Elijah Abraham Type name) Individual( only for IE Treasurer Q Deputy Treasurer Candidate Chairperson( only for PC and PTY) or electioneering comm.) Signature Signature DS-0E 12( Rev. 11/ 13) SEE REVERSE FOR INSTRUCTIONS

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3 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number 2018M ) 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 Christophe Wittneben 4625 Mercado Court Elkton FL C1 I CHE Thomas Roberts Fountain Circle Lenexa KS I Chairman CHE Monique Gibson MD 07 / 09 / Blue Spruce Drive Grants NM C3 I CHE Sara Billings Latham Street 6 Mountain View CA I CHE DS- DE 13( Rev )

4 RECEIVED 2018 AUG 10 PM 12: 33 LOR! 0A

5 CAMPAIGN TREASURER' S REPORT - ITEMIZED EXPENDITURES 1) Name 2) I. D. Number 2" larr, 3) Cover Period 07 / 01 / 2018 through V7! 31 / ) Page 1 of 5) 7) 8) 9) 10) 11) Date Full Name Purpose 6) Sequence Last, Suffix, First, Middle) add office sought if Street Address& contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount Anedot Corporation S Buena Vista St 1# 109 Dallas, TX online Service Fee MON DS- DE 14( Rev. 11/ 13)

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7 1) Name 2) NW 66th CT Address ( number and street) Parkland, FL City, State, Zip Code CAMPAIGN TREASURER' S REPORT SUNNIVED Check here if address has changed 3) ID Number: 4) Check appropriate box(es): R Candidate Office Sought: Parkland Commissioner, District 2 Political Committee ( PC) Electioneering Communications Org. ( ECO) Party Executive Committee ( PTY) Independent Expenditure ( IE) ( also covers an individual making electioneering communications) ZO JICE ONLY U 9EPN 2: 5p C$ - ",,.: r iel A N D jii0. 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 06 / 01 / 2018 To 06 / 30 / 2018 ReportType: Q03M 6 v Original Amendment Special Election Report 6) Contributions This Report 7) Expenditures This Report Monetary Cash & Checks $ 1, Expenditures $ Loans Transfers to Office Account $ Total Monetary 3, Total Monetary $ In- Kind 8) Other Distributions 9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date ) Certification It is a first degree misdemeanor for any person to falsify a public record ( ss , F. S.) I certify that I have examined this report and it is true, correct, and complete: Type name) Kevin Trejos Type name) Individual( only for IE Treasurer it Deputy Treasurer El Candidate Chairperson( only for PC and PTY) or electioneering comm.) X Signature Signature DS- DE 12( Rev. 11/ 13) SEE REVERSE FOR INSTRUCTIONS

8 CAMPAIGN TREASURER' S REPORT- ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number ) 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 Mary Koss N Wisconsin St Elkhorn WI I CHE Matt Deitsch Northwest 111th Way Parkland FL I CHE Andrew Miller Apgar Street Oakland CA I CHE Cameron Kasky Northwest 97th Drive Parkland FL I CHE Robert Polsgrove Buck Run Rd. Versailles KY I CHE Donna Musgrove po box 706 Marysville WA United States I CHE Polly Pickering E. Cayuga Street Tampa FL I CHE DS- DE 13( Rev. 11/ 13)

9 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number a A S 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 Jamma1 Lemy Nw 48th Dr Coral Springs FL I CHE Jan Scott West 13th Street San Pedro CA I CHE Isabella Avalos rivera street chula vista CA I CHE Melinda Young Russell Ave Greenville SC I CHE BYRON LORRIER KENWOOD ROAD LARGO FL I CHE Desiree Dodson Michelle Ct SE Lacey WA I CHE Matt Perez Anne Way San Jose CA I CHE DS- DE 13( Rev. 11/ 13)

10 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number 20143M S 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 Joni Peters N Church Street GIBSON CITY IL I CHE Charles Marr lst St. SE Washington DC I CHE Laura Behr Wonderland Park Avenue Los Angeles CA I CHE Manuel Oliver Northwest 122nd Way Coral Springs FL I CHE Victoria Varela W. 76th St. Apt. 2 New York NY I CHE Susanna Johnston rd Avenue South Saint Petersburg FL I CHE Candice Roberts Amora Avenue Venice FL I CHE DS- DE 13( Rev. 11/ 13)

11 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number a01s M ) 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 David Mills Twin Shores Blvd J Longboat Key FL Retdred CHE Gina Deal W. Tufts Ave. Morrison CO I CHE Debra Farb The Plaza Drive Berkeley CA I CHE Tatiana Maxwell th Street Boulder CO I CHE Kevin Callahan New Broad Street J 210 Orlando FL I CHE Lisa Pfost SW Bond Ave, 2904 Portland OR I CHE Jessica Jacques Southwest 29th Street Miramar FL I CHE DS- DE 13( Rev. 11/ 13)

12 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number " I A A ) 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 John Bellisle nd Avenue Menominee MI CHE Beth Egyed County Route 623 Clifton NJ CHE Rick Provenzano Catania Way Royal Palm Beach FL CHE Nancy Yaklich rd Ave S Unit Bloomington MN CHE Barbara Mulvey Sycamore Avenue Wantagh NY CHE Brendan Ahern Loop Drive Sayville NY I CHE Ruben Garcia Joost Ave. San Francisco CA CHE DS- DE 13( Rev. 11/ 13)

13 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number a0lg M ) 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 Mary Van Schaick Liberty Ct North Wales PA CHE Ronald H. Cooper Breckenridge Lane 41 Louisville KY I CHE Heather Brudz North Quaker Lane West Hartford CT I CHE David Colton R Harry Kemp Way 2 Provincetown MA I CHE Roberta Sain ' 1340 Langewood Drive Mound MN I CHE Dianna Burdick Loyola Avenue Ventura CA CHE Shelly Storch Minnehaha Place Wayzata MN I CHE DS- DE 13( Rev. 11/ 13)

14 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1 Name 2 I. D. Number l[/ 2) v` NIS A A G ) 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 Tracey Glenn Hains Avenue Richland WA I CHE Lauren Owensby Stonehouse PI Sterling VA I CHE Alan Willis Upper Cove Terrace Sarasota FL I CHE Aimee Lambes Dunmore Ave NW Canton OH I CHE Patricia Margulies GREEN LEA PL THOUSAND OAKS CA I CHE Vicki DeGruy East County Road A Milton WI I CHE Barbara Bryniarski Highway 410 Chevy Chase MD I CHE DS- DE 13( Rev. 11/ 13)

15 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS 1) Name 2) I. D. Number Q) ) 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 Allison Allen 5231 W Strong St Chicago IL I CHE Sharon Conway Sylvan Drive Winter Park FL I CHE Joseph Meyerson North Main Street Apt 1 Chalfont PA I CHE Chris Henry East Republican Street Seattle WA I CHE JEFFREY NOBLE BROWNSBORO ROAD C3 LOUISVILLE KY I CHE Matthew Pfeiffer NW 66th Court Parkland FL I mnitech sales LOA Matthew Pfeiffer NW 66th Court Parkland FL I OrnniTech sales LOA DS- DE 13( Rev. 11/ 13)

16 CAMPAIGN TREASURER' S REPORT- ITEMIZED EXPENDITUR,E\S\ 1) Name 2) I. D. Number 2 V N"" 1 E 3) Cover Period 06 / 01 / 2016 through 06 / 30 / 2018 ( 4) Page 1 of 1 5) 7) 8) 9) 10) ( 11) Date Full Name Purpose Last, Suffix, First, Middle) ( add office sought if 6) Street Address& contribution to Expenditure a Sequence Number City, State, Zip Code candidate) Type Amendment Amount City of Parkland Qualifying fee and city 6600 University Dr. filing fee Parkland, Fl CAN 1, Anedol Corporation Online fee 4017 Buena Vista St# 109 Dallas, TX MON DS- DE 14( Rev. 11/ 13)

17 FORM 1 STATEMENT OF 2017 Please print or type your name, mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: address, agency name, and position below: LAST NAME-- FIRST NAME-- MIDDLE NAME : Ct ble34 - S MAILING ADDRESS VW '-" CITY: Rrk 6Qrv NAME OF AGENCY: NAME OF OFFI ZIP : 96J% n OR POSITION HELD OR SOUGHT: 3076 COUNTY: 1_ C% ( ommi55 o )1 o Q)is f ic+ You are not limited tothpace on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF " CANDIDATE OR J NEW EMPLOYEE OR APPOINTEE DISCLOSURE PERIOD: BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER( mast check one): a/ DECEMBER 31, 2017 OR SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES ( see instructions for further details). CHECK THE ONE YOU ARE USING ( must check one): COMPARATIVE ( PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS PART A-- PRIMARY SOURCES OF INCOME [ Major sources of income to the reporting person- If you have nothing to report, write" none" or" n/ a") See instructions] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE' S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY PART B-- SECONDARY SOURCES OF INCOME Major customers, clients, and other sources of income to businesses owned by the reporting person- If you have nothing to report, write" none" or" nla") See instructions] NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE PART C-- REAL PROPERTY [ Land, buildings owned by the reporting person- See instructions] If you have nothing to report, write" none" or-"n/ a") FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1- Effective: January 1, 2018 Continued on reverse side) PAGE 1 Incorporated by reference in Rule ( 1), F.A.C.

18 I PART D INTANGIBLE PERSONAL PROPERTY[ Stocks, bonds, certificates of deposit, etc.- See instructions] If you have nothing to report, write" none" or" n/ a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E LIABILITIES [ Major debts- See instructions] If you have nothing to report, write" none" or" n/a") NAME OF CREDITOR ADDRESS OF CREDITOR PART F INTERESTS IN SPECIFIED BUSINESSES [ Ownership or positions in certain types of businesses- See instructions] If you have nothing to report, write" none" or" ri BUSINESS ENTITY# 1 BUSINESS ENTITY# 2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PART G TRAINING For elected municipal officers required to complete annual ethics training pursuant to section , F.S. 1 CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY Signature: Date Signed: If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, prepared the CE Form 1 in accordance with Section , Florida Statutes, and the A-W instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. r\ r CPA/ Attorney Signature: J7. v CXJ Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the Candidates file this form together with their filing papers. MULTIPLE FILING UNNECESSARY: A candidate who files a Form form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission under, see page 3 of instructions. or Supervisor of Elections. Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially, each local officer/employee, state officer, of the county in which they permanently reside. ( If you do not and specified state employee must file within 30 days of the permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment. where your agency has its headquarters.) Form 1 filers who file with Appointees who must be confirmed by the Senate must file prior to the Supervisor of Elections may file by mail or . Contact your confirmation, even if that is less than 30 days from the date of their Supervisor of Elections for the mailing address or address to appointment. use. Do not your form to the Commission on Ethics, it will be returned. State officers or specified state employees who file with the pp Candidates must file at the same time they file their qualifying papers. Commission on Ethics may file by mail or . To file by mail, Thereafter, file by July 1 following each calendar year in which they send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions ; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form ( Form IF) within 60 days of Tallahassee, FL To file with the Commission by , scan leaving office or employment. Filing a CE Form IF ( Final Statement your completed form and any attachments as a pdf ( do not use any of Financial Interests) does not relieve the filer of filing a CE Form 1 other format) and send it to CEForm1@leg. state.fl. us. Do not file by if the filer was in his or her position on December 31, both mail and . Choose only one filing method. Form 6s will not be accepted via . CE FORM 1- Effective: January 1, 2018, PAGE 2 Incorporated reference by in Rule ( 1), F.A.C.