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Treasurer Report_M12_Frank D'Ambra_1/10/2018 CAMPAIGN TREASURER'S REPORT SUMMACV OFFI Name � Address(number and street) City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): rr _ Candidate Office Sought: �.��1� ��t ``` C ❑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) (6) Report Identifiers Cover Period: From / / z o 11 To (Z / 31 / 20 I1 Report Type: ET10riginal ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ Expenditures $ Loans $ ,� O 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 $ $ , (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) �WA u� -(� -�-T (Type name) r(L1��Nk- ✓/��11 ❑Individual(only for IE Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) Signature Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name --�)Arr6c i (2) I.D. Number (3) Cover Period � / a1-j through (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suff),First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type occupation Type-- Description Amendment Amount IDS-0E 113(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1-n CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3)Cover Period / /Zc` )through 1 2 (4) Page-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 ��exef- AD 0o RECfEIVED JA 1 6 201 VILLAGE CLERKS 01 FICE �` •�� DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Village of 'Tequesta 345 Tequesta Drive 561-768-0700 Tequesta, FL 33469 www.tequesta.org Mr. Frank D'Ambra 375 Beach Road Tequesta, FL 33469 Dear Mr. D'Ambra: Thank you for submitting your M12 Campaign Treasurer's Report on 1/10/18 at 4:30 p.m. Florida Statutes 106.07(2)(b)1 governs that, "Any report that is deemed to be incomplete by the officer with whom the candidate qualifies shall be accepted on a conditional basis" to allow me time to review for completeness and accuracy. I am required to send a certified letter notifying you of any issues that need to be corrected and/or amended. Upon review of your report,please amend the following minor item: • Campaign Treasurer's Report—Itemized Expenditures (DS-DE 14) o Please change Item #7 to read Village of Tequesta, 345 Tequesta Drive, Tequesta, FL 33469 as this is who the expenditure was made to. o Please change Item#8 to read candidate qualifying fee as that was the purpose of the expenditure (it was not a contribution to a candidate). o Please fill in Item #9 showing the type of expenditure that was made on 12/19/17 to the Village of Tequesta (CAN for candidate expense). Please submit amendments within seven (7) days of receipt of this notice for the two above reports. Please feel free to contact me if you have any questions, I understand these reports can be confusing. Sincerely, 0 is rn c..ek� Lori McWilliams,MMC Village Clerk Enclosure: DS-DE 14 report Vice-Mayor Frank D'Ambra Mayor Abby Brennan Council Member Tom Patemo Council Member Steve Okun Council Member Vince Arena Village Manager Michael R.Couzzo,Jr. CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name (2)I.D.Number r (3)Cover Period 1 Z / 1 /ZO17 through 1 2 / / i~j (4) Page _of t (5) M (8) (9) (10) (11) Data Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought N Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candWate) TYPe Amendment Amount 1-7 DEL Ere of DS-DE 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates 01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number- Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure(if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign effective 11/1/13 DPP Disposition of Funds to Political Pa effective 11/1/13 DPV Disposition of Funds to Petition Verification effective 11/1/13 ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary Not to a Candidate PCW PettyCash Withdrawn PCs PettyCash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter"ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Amount of expenditure.