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Treasurer Report_TR_Basil Dalack_1/5/2018 Village of Tequesta 345 Tequesta Drive 561-768-0700 Tequesta,FL 33469 www.tequesta.org January 5,2018 Mr. Basil Edward Dalack 225 Golfview Drive Tequesta,FL 33469 Dear Mr.Dalack: On December 6,2017,you submitted an Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates for the March 13, 2018 municipal election. Since you submitted this form and designated a financial depository, per F.S. 106.141(1), "...is eliminated as a candidate...shall, within 90 days, dispose of the funds on deposit in his or her campaign account and file a report reflecting the disposition of all remaining funds." Please file, with my office, your TR report covering 12/6/17 —3/19/18 by 5:00 p.m. on March 19, 2018. If you have any questions,please feel free to call me at 561-768-0443. Sincerely, Auk, Lori McWilliams,MMC Village Clerk Enclosures: • F.S. 106.141 • Campaign Treasurer Reports Vice-Mayor Frank D'Ambra Mayor Abby Brennan Council Member Tom Paterno Council:Member Steve Okun Council Member Vince Arena Village Manager Michael R.Couzzo,Jr. DELIVERYZENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON 1 Complete items 1,2,and 3. AMSe (? ■ Print your name and address on the reverse C}c� gent so that we can return the card to you. �)� Addresses ■ Attach this card to the back of the mailpiece, n4f� ived by 6 rin� Na e) C. Date of Deliver or on the front if space permits. L/ L , y I. Article Addressed to: Is delivery address ifferent from ite 1 es rn� 13QC// C aGk If YES,enter delivery address below: ❑No a a S 6o/�vi:&J& TL 3 347 I I I I I III III I II I III II I I I I I I I I I 3. Service Type ❑Priority Mail Expresso 11 f�Adult Signature ❑Registered MaiIT"' ❑Adult Signature Restricted Delivery ❑Registered Mail Restrict 9590 9402 2216 6193 2094 74 %Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service/abet) ❑Collect on Delivery Restricted Delivery Signature Confirmation' ❑Signature Confirmation 7 015 3430 0000 3709 6891 Restricted Delivery Restricted Delivery CAMPAIGN TREASURER'S REPORT SUMMARY (1) OFFICE USE ONLY Name (2) Address (number and street) City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ 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) (6) Report Identifiers Cover Period: From / / To / / Report Type: ❑ 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 $ $ , (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) (Type name) ❑Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X X Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee,electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box,city, state,and zip code. ❑Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. 4 Check the appropriate box es . (5) Report Identifiers Cover Period: the dates this report covers(i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add"S"in front of the report code(i.e., S . Check one of the appropriate boxes: 23) ❑Original: first report filed for this reporting period. ❑Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. ❑Special Election Report: Important:once a special election report is filed,the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures:total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions:the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: ❑Candidate report: treasurer and candidate must sign. ❑PC report: treasurer and chairperson must sign. ❑PTY report: treasurer and chairperson must sign. ❑ECO report: organization's treasurer must sign. ❑IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, &fund transfers being reported as additions or deletions. Read the instructions for the sequence number&amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (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 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee(PC), electioneering communications organizations (ECO)or party executive committee(PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers(e.g., 1 of 1. (5) Date contribution was RECEIVED(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 amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2),comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city,state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) I Individual B Business also includes corporations,organizations, groups, etc. E Electioneering Communications Organizations F Political Committee federal or state P Political Parties (includes federal, state and county executive committees 0 Other (e.g., candidate surplus funds to party, etc. S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund(Negative Amount Only) (10) Type the description of any in-kind contribution received. Candidate's Only—If in-kind contribution is from a party executive committee and is allocable toward the contribution limits,type an "A" in this box. If contribution is not allocable,type an"N". (11) Amendment Type(required on amended reports)—To add a new(previously unreported)contribution for the reporting period being amended,enter"ADD" in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment type"ADD"will start at one plus the number of contributions in the original report. For example, amending an original M1 report that had 75 contributions means the sequence number of the first contribution having amendment type"ADD"will be 76;the second "ADD"contribution would be 77, etc. When amending an original M2 report that had 40 contributions,the sixth"ADD"contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter"DEL"in amendment type on a line with the sequence number of the contribution to be corrected. In combination with the report number being amended,this sequence number will identify the contribution 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. (12) Type amount of contribution received. Political Committees ONLY: Multiple uniform contributions from the same person,aggregating NMT$250 per calendar year, collected by an organization that is the affiliated sponsor of a PC, may be reported by the PC in an aggregate amount listing the number of contributors together with the amount contributed by each and the total amount contributed during the reporting period. The identity of each person making such uniform contribution must be reported to the filing officer by July 1 of each calendar year, or, in a general election year, NLT the 60th day immediately preceding the primary election. CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name (2)I.D. Number (3)Cover Period / / through / / (4)Page of (5) (7) (8) (9) (10) (1 1) Date Full Name Purpose (5) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number- Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30, Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (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 Moneta Not to a Candidate PCW I 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. 1/4/2018 Statutes&Constitution:View Statutes:Online Sunshine Select Year: 20-1-71-1&i The 2017 Florida Statutes Title IX Chapter.106 View Entire Chapter ELECTORS AND ELECTIONS CAMPAIGN FINANCING (1) Except as provided in subsection (6), who withdraws his or her candidacy; becomes an unopposed candidate, or elected to office shalt, he Such candidate may not accept any contributions, nor may any person accept contributions on behalf of such candidate, after the candidate withdraws his or her candidacy, becomes unopposed, or is eliminated or elected. However, if a candidate receives a refund check after all surplus funds have been disposed of, the check may be endorsed by the candidate and the refund disposed of under this section. An amended report must be filed showing the refund and subsequent disposition. (2) Any candidato,required to dispose of funds pursuant to this section may, before such disposition, be reimbursed by the campaign, In full or in part, for any reported contributions by the candidate to the campaign. (3) The campaign treasurer of a candidate who withdraws his or her candidacy, becomes unopposed, or is eliminated as candidate or elected to,office and who.has funds on deposit in a separate interest-bearing account or certificate of deposit shall, within mays after the date of becoming unopposed or the date of such withdrawal, elimination, or election,transfer such funds and the accumulated interest earned thereon to the campaign account of the candidate for disposal under this section. However, if the.funds are in an account in.which penalties will apply for withdrawal within the 7-day period, the campaign treasurer shall transfer such funds and the accumulated interest earned thereon as soon as the funds can be withdrawn without p6natty, or within 90 days after the candidate becomes unopposed, withdraws his or her candidacy, or is eliminated or elected,whichever comes first. (4),(A) Except as provided in paragraph(b), any candidate required to dispose of funds pursuant to this section shall, at the option of the candidate, dispose of such funds by any of the following means.,or any combination thereof: 1. Return.pro rata to each contributor the funds that have not been spent or obligated. 2. Donate the funds that have not been spent or obligated to a charitable organization or organizations that meet the qualifications of s, 501(c)(3)of the Internal Revenue Code. 3. Give not more than$25,000 of the funds that have not been spent or obligated to the affiliated party committee or political,party of which such candidate is a member. 4. Give the funds that have not been spent or obligated; a. In the case of a candidate for state office,to the state, to be deposited in either the hLection Campaign Financing Trust Fund or the Generat Revenue Fund, as designated by the candidate; or b. in thecase.of acand.fdote for an,office of a political subdivision, to such,political subdivision', to be deposited in the general fund thereof. (b) Any candidate required,to dispose of funds pursuant to this section who has received contributions pursuant to the Florida Election Campaign Financing Act shalt, after all monetary commitments pursuant to s.106.,11(5)(b) and(c)have been met, return all surplus campaign funds to the General Revenue Fund. d. rl (5) A candidate elected to office or a candidate who will be elected to office by virtue of his or her being unopposed may, in addition to the disposition methods provided in subsection (4), transfer from the campaign http:/A~.Iog,owto.gius/Statuwindox.ofm?App—mocle=oisplay—Statuto&searctLSbing=&URL-OlOG-0199/010813ecoons/0106.141.htiTil 1/3 1/4/2018 Statutes&Constitution:View Statutes:Online Sunshine account to an office account any amount of the funds on deposit in such campaign account up to: (a) Fifty thousand dollars, for a candidate for statewide office. The Governor and Lieutenant Governor shall be considered separate candidates for the purpose of this section. (b) Ten thousand dollars, for a candidate for multicounty office. (c) Ten thousand dollars multiplied by the number of years in the term of office for which elected,for a candidate for legislative office. (d) Five thousand dollars multiplied by the number of years in the term of office for which elected, for a candidate for county office or for a candidate in any election conducted on less than a countywide basis. (e) Six thousand dollars, for a candidate for retention as a justice of the Supreme Court. (f) Three thousand dollars, for a candidate for retention as a judge of a district court of appeal. (g) Three thousand dollars, for a candidate for county court judge or circuit judge. The office account established pursuant to this subsection shall be separate from any personal or other account. Any funds so transferred by a candidate shall be used only for legitimate expenses in connection with the candidate's public office. Such expenses may include travel expenses incurred by the officer or a staff member; personal taxes payable on office account funds by the candidate or elected public official; professional services provided by a certified public accountant or attorney for preparation of the elected public official's financial disclosure filing pursuant to s. 112.3144 or s. 1 3145; costs to prepare, print, produce, and mail holiday cards or newsletters about the elected public official's public business to constituents if such correspondence does not constitute a political advertisement, independent expenditure, or electioneering communication as provided in s. 106.011; fees or dues to religious, civic, or charitable organizations of which the elected public official is a member; items of modest value such as flowers, greeting cards, or personal notes given as a substitute for, or in association with, an elected public official's personal attendance at a constituent's special event or family occasion, such as the birth of a child, graduation, wedding, or funeral; personal expenses incurred by the elected public official in connection with attending a constituent meeting or event where public policy is discussed, if such meetings or events are limited to no more than once a week; or expenses incurred in the operation of the elected public official's office, including the employment of additional staff. The funds may be deposited in a savings account; however, all deposits, withdrawals, and interest earned thereon shall be reported at the appropriate reporting period. If a candidate is reelected to office or elected to another office and has funds remaining in his or her office account, he or she may transfer surplus campaign funds to the office account. At no time may the funds in the office account exceed the limitation imposed by this subsection. Upon leaving public office, any person who has funds in an office account pursuant to this subsection remaining on deposit shall use such funds to pay for professional services provided by a certified public accountant or attorney for preparation of the elected public official's final financial disclosure filing pursuant to s. 11 2.3144 or s. 112.3145, or give such funds to a charitable organization that meets the requirements of s. 501(c)(3) of the Internal Revenue Code or, in the case of a state officer, to the state to be deposited in the General Revenue Fund or, in the case of an officer of a political subdivision, to the political subdivision to be deposited in the general fund thereof. (6)(a) For purposes of this subsection, the term "same office"with respect to legislative office means an office in the same legislative body, irrespective of district number or designation or geographic boundary. (b) A candidate elected to state office or a candidate who will be elected to state office by virtue of his or her being unopposed after candidate qualifying ends, may retain up to$20,000 in his or her campaign account, or in an interest-bearing account or certificate of deposit, for use in his or her next campaign for the same office, in addition to the disposition methods provided in subsections (4) and (5). All requirements applicable to candidate campaign accounts under this chapter, including disclosure requirements applicable to candidate campaign accounts, limitations on expenditures, and limitations on contributions, apply to any retained funds. (c) If a candidate who has retained funds under this subsection does not qualify as a candidate for reelection to the same office, all retained funds shall be disposed of as otherwise required by this section or s. 106.11(5)within 90 days after the last day of candidate qualifying for that office. Requirements in this section applicable to the disposal of surplus funds, including reporting requirements, are applicable to the disposal of retained funds. http:/Mww.leg.state.fl.us/Statutesfindex.cfm?App mode=Display_Statute&Search_String=&URL=0100-0199/0106/Sections/0108.141.htm] 213 1/4/2010 Statutes&ConOtitvilon View Statutes;Online Sunshine (7) Before disposing of funds pursuant to subsection (4), transferring funds into an office account pursuant to subsection (5), or retaining funds far reelection pursuant to subsection (6), any candidate who filed an oath stating that he or she was unable to pay the fee for verification of petition signatures without imposing an undue burden h oi,i is or her personal resources or on resource's otherwise available to him or her, shalt reimburse the state or local governmental entity, whichever is Applicable, for such waived fee. If there are insufficient funds in the account to pay the full amount of the fee, the.remaining funds shalt be disbursed in the above manner until.no funds,remain. Alt funds disbursed pursuant to this subsection shalt be remitted to..the qualifying officer-Any reimbursement for petition verification costs which are reimbursable,by the state shalt be forwarded by the qualifying officer to the state for deposit in the General Re-venue Fund. (8)(a) Any candidate required to,.dispose.of campaign funds pursuant to this section.1:04 do so within the time required by this section and, on or before the dote by which such disposition is to have been made, shalt file with the officer with whom reports are required to be filed pursuant to s. 106.07 a form prescribed by the Division of Elections lfsting: 1. The name.and, address of each person-or unit of government to whom any of the funds were distributed and the amounts thereof; I The name and address of each person to whom an expenditure was made, together with the amount thereof and purpose therefor; 3. The amount of such funds transferred to,an office account by the candidate, together with the name and address of the bank,savings and loan association, or credit union in which the office account it located; and 4. The amount of such funds retained pursuant to subsection (6), together with the name and address of the bank,savings and loan association, or credit union in which the retained funds re located. ated. Ot Such report shalt be signed by the candidate and the campaign treasurer and certified as true and correct pursuant to s. 106.07. (c) Any candidate,fai I ling to file,a report on the designated due date shalt be subject to afine as provided in s. JOJX for submitting late termination reports. (9) Any candidate elected to,office who transfers surplus.campaign funds into an office account pursuant to subsection.(S)s.hattfife a report on the 10th day following the end of each eatendar quarter kintit,the account is closed.Such reports shalt contain the,name and address,of each person to whom any disbursement of funds was made, together,with the amount thereof and the purpose therefor, and the name and address of any-person from whom the elected candidate receivedanyrefund or reimbursement and the amount thereof. Such repOrts,shall,be on forms prescribed by the Division of Elections,, signed by the elected candidate,certified as true and correct, and filed with the officer with whom campaign reports were filed,pursuant to s,.JQAM(2). (10) Any candt0ate, or any person on behalf of a candidate,,who accepts contributions after'such candidate has withdrawn his or hericandidacy, ot ter the candidate has become an unopposed candidate, or after the candidate has been eliminated as a candidate or elected to.office commits a misdemeanor of the first degree, punishable as provided in s. 775.002 or s, 775..P_83. (11) Any candidate who is required by the provisions of this section to dispose of funds,inhisor her campaign account and who falls t"U , a dispose,of the funds inthe manner provided in this section,commits a misdemeanor of the first degree, punishable as provided in s.. 7Z5. or s. 77.5.0&3. Histary.-g:50,ch.77w1 76;s.6,ch-10-37k S.60,6i 794014 s.1,ch.80-292;s.54,Ch.81-259;4.28,,ch..81-304;s.1,ch,82.404;s. 30,ch.84402,s. I O,ch-65-226*s,,2,ch*86-7is.2.ch.46 276;s. 11,ch.97-363;s. 15,ch,89-256;s,34,ch.90-31 S;S.15,ch,91-107; s,645,ch.95v 1470:ss. IS,160,53,ch'97-13 c 6,ch"'2002-197;s.20,ch.2OD4-252,•s.70,"th.2005.277 z'16,30,ch.2011-6; 65,ch. 2011.40;HJR 7105,2011 Regular Session;c 15,Bch.2013-37. NoW.-The trust fund expAredi effe.Wve November 4,IM,by operation of s. 19(f),Art. 111of the State Constitution. Copyright 01"S-201 8 The Florida Legislature Pri Statement,r ContarA..U� http://wtivw.leg,state.0.us/Statuteslndex.ofm?App html 3/3