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Treasurers Reports I FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY l ~ ,,-0. rt K. Edwa,dS . ) OFFICE USE ONLY Name 0fI0I. tile CIty Clerk (2) 629 A).E. q-t-h Ave. Ad~ess (number and street) .$:-Q5 ~m tnv '/a5PD frf C> 'f11 rO/l J5ea.~. /l 33'!J5 , City, State, Zip Code o CHECK IF ADDRESS HAS CHANGED (3) 10 Number: (4) Check appropriate box(es): - ~ or if \6o~ft+~ Be:b:~ 181 Candidate (office sought): t- 0'( o Political Committee o CHECK IF PC HAS DISBANDED o Committee of Continuous Existence o CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From --L- I -=L I .l...cL To -L I .1:.L I ~ Report Type GLLf IKI Original o Amendment o Special Election Report o Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT ~75.~ Monetary 0 ash & Checks $ / Expenditures $ Loans $ } 0 D. 00 ,/ Transfers to Office Account $ {i Total Monetary $ q 75:00 ./ Total yi Monetary $ rt In-Kind $ (8) Other Distributions <I $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ g75.~ ./ $ 0 , (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) ~ r 1,~1I\. k. EJW€1,dS- (Type name) e" ~o.lf\. k. Edwa.rds- Dlndividual (only for gjTreasurer D Deputy Treasurer I25'J Candidate o Chairperson (only for PC, PTY & ~ctioZ~:U~ &LJ electioneering commun. organization) X-/Lr_/~_ I Signature Signature OS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) 1.0. Number (3) Cover Period 1 4 10 through 1 21 10 (4) Page 1 of 1 (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 Brian Edwards I Senior LOA $100.00 1 I 8 110 629 NE 9th Ave Planner Boynton Beach,FL 33435 1 1 16 ;0 Nancy Chandler I School CHE $100.00 I 914 N.E. 7th St. Dist. Boynton Beach, FL Empl 33435 2 Louise M. Da I Retired CHE $100.00 1 I 17 Ip Camara 836 East Drive Boynton Beach, FL 3 33435 Dolores Burke I Retired CHE $50.00 1 I 18 110 7293 Wailea Ave. Boynton Beach,FL 33437 4 Rose & Stephen I Nursery CHE $500.00 1 I 18 I 10 Homrich Owner 690 N.E. 15th Pl. Boynton Beach, FL 5 33435 1 18 to Genevieve Morris I Soft CHE $100.00 I 660 South Road ware Boynton Beach, FL Eng. 33435 6 1 18 ?-O Herbert E. & I Retired CHE $25.00 I Isabel Suss 1711 Woodfern Dr. Boynton Beach, FL 7 33436 / 1 ~ \\\e I ~c~ . O'f"! ~~ "V p.;1 ..~~:.8.6 · tI\ OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Pt' teL"'" '\::.~ W 0..'1"6 S. (2) I.D. Number _ (3) Cover Period -L-!-.!i-J~ through ---L-/~~ (4) Page I of I (7) (8) (9) (10) (11) Full Name Purpose (Last, Suffix, First, Middle) (add office sought if Expenditure Street Address & contribution to a City, State, Zip Code candidate) Type Amendment Amount OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Brian K. Edwards OFFICE USE ONLY Name (2) 629 NE 9th Ave. Address (number and street) ("") ...... (")~ Boynton Beach, FL 33435 0 ::::j-< .." -<0 City, State, Zip Code !:::! ..... ." D CHECK IF ADDRESS HAS CHANGED (3) ID Number: N M,CD N ;::00 ::x" (4) Check appropriate box(es): :tilt .z (/)~ [l] Candidate (office sought): :x 0 For Mayor of Boynton Beach Oz ~ -n D Political Committee D CHECK IF PC HAS DISBANDED -r,CD 0 -f'T1 C->;> D Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED N "'0 D Party Executive Committee :::t: D Electioneering Communication D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 2 / 5 / 10 To 2 / 18 / 10 Report Type E3 - - - - - - Ii] Original D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 3,875.00/ Monetary Cash & Checks $ Expenditures $ 544.72/ Loans $ 0.00 Transfers to Office Account $ 0.00 Total Monetary $ ./ Total 3,875.00 Monetary $ 544.72./ In-Kind $ 0.00 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 8,430.00 / $ 1,982.09 vi (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Brian K. Edwards (Type name) Brian K. Edwards Dlndividual (only for o Treasurer o Deputy Treasurer o Candidate o Chairperson (only for PC, PTY & eleCtiO~mun.) ~~~-- A-_ electioneering commun. organization) X ~ X /;~-/ Signature Signature OS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number 2 5 10 2 18 10 1 (3) Cover Period / / through / / (4) Page of 6 (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 Tvpe Occupation Type Descriotion Amendment Amount Schroeter Services B Medical CHE $100.00 2 / 5 /10 2936 Everson Ridge Bill Ct. Processi Snellville, Ga ng 1 30039 2 5 10 Lucille Parris I Recepti CHE $100.00 / 2769 Ashley Dr. onist West Palm Beach, Fl 33415 2 BHS B Hospita CHE $250.00 2 / 5 1p PB Credit Adjsutor 1 2815 S. Seacrest Blvd. Boynton 3 Beach, FL 33435 Richard Guidotti I Tele-Co CHE $100.00 2 / 5 /10 7195 Bruswick Cir. mmunica Boynton Beach, FL tions 33435 4 Michael I Fire CHE $100.00 2 I 5 / 10 Fitzpatrick Fighter 175 SW 2nd St. & Boynton Beach, FL Paramed 5 33435 ic 2 5 to The Tomorrow B Owner CHE $200.00 / Connctions 807 Ocean Inlet Dr. Boynton Beach, 6 Fl 33435 2 5 10 Otto Spielbichler I Retired CHE $25.00 / 621 Shore Drive Boynton Beach, FL 33435 7 Michelle Gonzalez I N/A CHE $35.00 2 / 6 J-O 58 Heather Cove Dr Boynton Beach, FL 33436 8 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number (3) Cover Period 2 / 5 / 10 through 2 / 18 / 10 (4) Page 2 of 6 (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 Occuoation Tvoe Description Amendment Amount Jon E. Schmidt B Landscap CHE $50.00 2 I 8 ,10 Associates, Inc. ing 2247 PB Lakes Blvd., West Palm 9 Beach, FL 33409 2 8 10 Brian Reeves I Counsel CHE $100.00 I 2840 South Ocean or Blvd., Palm Beach, FL 33430 10 Albert C. Williams I PR CHE $150.00 2 I 8 1p 230 Caravelle Dr. Media Jupi ter , FL 33458 11 PBMT.COM, LLC B Road CHE $50.00 2 I 8 110 P.O. Box 7086 Racing West Palm Beach, Coach FL 33405 12 Steele The Show PR B PR CHE $35.00 2 I 8 I 10 3960 N. Flagler Media Dr. , West Palm Beach, FL 33407 13 2 B to Laureen Hunter I Realtor CHE $100.00 I 2165 Regents Blvd. West Palm Beach, FL 33409 14 2 B ;-0 Deborah Diamond I Exec. CHE $35.00 I 801 Crosswinds Dr. Asst. West Palm Beach, FL 33413 15 Lori Miller I Marketi CHE $50.00 2 I 8 J-O 6388 Belvedere Rd. ng West Palm Beach, FL 33413 16 OS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number 2 5 10 2 5 18 3 6 (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, Zio Code Type Occuoation Type Descriotion Amendment Amount Robert F. I Engineer CHE $50.00 2 I 8 110 Rennebaum 928 Shore Dr. North Palm Beach, 17 FL 33408 2 8 10 Stephen Basore I Farmer CHE $175.00 I 11825 Greenbriar Dr. Wellington, FL 18 33414 Dianne Lavado I CPA CHE $50.00 2 I 8 1p 14341 Evelyn Drive Palm Beach Gardens, FL 33410 19 Bennie Drain I Unemplo CHE $35.00 2 I 8 110 5524 55th Way yeed West Palm Beach, FL 33409 20 Dianne Laubert I Market CHE $35.00 2 I 8 I 10 10789 N. Military ing Trail, West Palm Beach, FL 33410 21 2 8 to Scott Maulsby I Manager CHE $50.00 I 600 N. US 1 N. Palm Beach, FL 33408 22 2 8 10 Kelly Fanelli I PR CHE $25.00 I 445 Inlet Rd. N. Palm Beach, FL 33408 23 Greg Rice I Market CHE $100.00 2 I 8 J-O 6360 Belvedere Dr. ing West Palm Beach, Directo FL 33413 r 24 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number 2 5 10 2 18 10 4 6 (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 Monica Manolas I HR CHE $100.00 2 I 8 110 1111 Grand Bahama Manager Lane Singer Island, FL 25 33404 2 8 10 Robert Deviney I Financi CHE $100.00 I 309 Vallette Way al West Palm Beach, Advisor FL 33401 26 Bernadette O'Grady I Media CHE $50.00 2 I 8 1p 1104 N M Street Lake Worth, FL 33460 27 Michele Delong I CFO CHE $100.00 2 I 8 110 11940 Banyan Non-Pro Street fit Palm Beach 28 Gardens, FL 33410 Daniel Gibson I Manager CHE $50.00 2 I 8 I 10 307 SW 27th , Terrace Non-Pro Delray Beach, FL fit 29 33445 2 8 to Linda Culbertson I Comp CHE $50.00 I 6168 Royal troller Birkdale Dr., Lake Worth,FL 33463 30 2 8 to Gregg Weiss I PR CHE $50.00 I 615 Kanuga Dr. West Palm Beach, FL 33401 31 Al Flores Jr. I Non-Pro CHE $50.00 2 I 8 J-O 2565 Acklins Rd. fit West Palm Beach, FL 33406 32 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number (3) C p d 2 / 5 / 10 th h 2 / 18 / 10 (4) P 5 f 6 over erio roug age 0 (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 Descriotion Amendment Amount Eric Stern I School CHE $35.00 2 I 8 110 913 2 Dupont PL. District Wellington, FL Manager 33414 33 2 8 10 Barry Kennedy I Gas CHE $100.00 I 5341 Edenwood LN. Utiliti Palm Beach es Gardens, FL 33418 Manager 34 Turn Key B Consult CHE $175.00 2 I 8 Ip Consulting, Inc. ing 2000 S. AlA, N308 Manager Jupiter, FL 33477 35 Linda Roman I Non-Pro CHE $25.00 2 I 8 110 7838 Nile River fit Rd. West Palm Beach, 36 FL 33411 Cheryl Crowley I PR CHE $35.00 2 I 9 I 10 11865 Banyan St. Palm Beach Gardens, FL 33410 37 2 9 to Thomas Jensen I Engi CHE $250.00 I 1727 Farmington neer Cir. Wellington,FL 38 33414 2 9 10 Tish Mccutchen I Non CHE $50.00 I 908 N. Royal St. Profit Alexandria, VA 22314 39 Edward Tedtmann I Realtor CHE $100.00 2 I 10 J-O 869 NW 8th Ave. Boynton Beach, Fl 33426 40 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number 2 5 10 2 18 10 6 6 (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 Christian Macoviak I Insuranc CHE $50.00 2 I 11 110 9670 Aloe Rd. e Boynton Beach, Fl 33436 41 2 11 10 Lisa King I Sheriff CHE $50.00 I 629 NE 9th Ave. 's Boynton Beach, Fl Office 33435 42 Diana Tedtmann I Un em CHE $100.00 2 111 1p 869 NW 8th Ave. ployeed Boynton Beach, Fl 33426 43 Michael w. Bowden I Funeral CHE $200.00 2 I 11 110 4283 Fox Trace Service Boynton Beach, FL s Owner 33436 44 Janet Devries I N/A CHE $30.00 2 I 12 I 10 208 S. Seacrest Blvd. Boynton Beach, FL 45 33435 2 16 to G Donald Fenton I Financi CHE $100.00 I 2556 SW 23 al Cranbrook Advisor Boynton Beach, FL 46 33436 2 17 10 Tom Benson I N/A CHE $25.00 I 26 Bay tree Circle Boynton Beach, FL 33436 47 I I OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number (3) Cover Period 2 / 5 / 10 through 2 / 18 / 10 (4) Page 1 of 1 (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 Related Number City, State, Zip Code candidate) Expenditures Amendment Amount Ruth's Chris Campaign Meeting MON N/A $344.79 651 Okeechobee Blvd and Supporter 2 / 8 /10 West Palm Beach, Fl Rally 33401 1 PBC Supervisor of Voting History MON N/A $21. 75 Elections Lists 2 / 9 /10 240 S. Military Trail West Palm Beach, FL 33415 2 Gun Club Cafe Campaign Mailing MON N/A $18.07 4631 Gun Club Road List Meeting 2 / 11 /10 West Palm Beach, FL 33415 3 Publix Campaign Cabinet MON N/A $60.57 Quantum Village Meeting 2 / 11 /10 Gateway Blvd. Boynton Beach, FL 33426 4 FedEx Kinko's Campaign Mailing MON N/A $66.47 2208 N. Congress Ave. and Walking Lists 2 / 15 /10 Boynton Beach, FL 33426 5 FedEx Kinko's Campaign Voter MON N/A $6.28 2208 N. Congress Ave. List Copies 2 / 15 /10 Boynton Beach, FL 33426 6 Gun Club Cafe Campaign Mailing MON N/A $26.79 4631 Gun Club Road List Follow-up 2 / 16 /10 West Palm Beach, FL Meeting 33415 7 / / OS-DE 14A (Rev. 12/07) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Brian K. Edwards Name (2) 629 NE 9th Ave. Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code o CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ~ Candidate (office sought): For Mayor of Boynton Beach o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED OFFICE USE ONLY c-) --. n:=j <:;) =t-< :x -<0 :x:- :::0 n~ r em - ~-< -0 ..2: U')-l :x 00 .c:- ..".2: .. 2:!~ 0 en n> fT1n ::J: (5) REPORT IDENTIFIERS Cover Period: From 2 J 19 J 10 To 3 J 4 J 10 Report Type E4 --- --- ~ Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ 665.00/ Monetary Expenditures $ 5,466.43/ Loans $ Total Monetary $ o . 00 Transfers to Office Account $ 665.00/ Total Monetary $ 0.00 5,466.43 J In-Kind $ 466.43 j (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 9,095.00/ (10) TOTAL Monetary Expenditures To D:/ $ 7,448.52 - (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true. correct, and complete. correct, and complete. (Type name) Brian K. Edwards Dlndividual (only for 0 Treasurer 0 Deputy Treasurer eIecIioneering commun.) ../ X xf~t;~ Signature OS-DE 12 (Rev. 08104) x4~ Brian K. Edwards o Chairperson (only for PC. PTY & -Z._"0ati0n1 rcF~ (Type name) o Candidate Signature (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES Brian K. Edwards (2) J.D. Number (3) Cover Period ~~~ through ~/~~ (4) Page 1 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount /19 /10 W.P.I. Pins MaN $296.25 2 310 Lantana Road Lantana, FL 33462 1 Banyan Printing tt'l&..i I...., M6J01 $1,183.74 2 /22 /10 1937 10th Ave. North Lake Worth, FL 33461 2 Pt'ZZ(). J(wr C-,o~ MON $21. 30 2 /24/10 Ie. 25 S. FeJel..{ H....,~ ,.". C f! .,. ,''''-J I /lor"''f.~ ~~..~r.,F~ EI/~kt- 3 'T 1 '/ ,1. Banyan Printing pt ~'I(", J jt.(.r)N $3,102.27 2 /25/10 1937 10th Ave. North Lake Worth, FL 33461 4 Starbucks ~ tl.llt-/~^ MON $11.56 2 /25/10 Gateway Blvd. 13563 Boynton Beach, FL 33426 ~ erlt'.4, 5 Office Depot c"CM', ~ f'IItoN $42.89 2 /26 /10 260 N. Congress Ave. Boynton Beach, FL 33426 ~t4e'i'I\Q, \ s 6 Staples C..." G..4.~ Y'iUN $53.23 2 /27 /10 6488 Lake Worth Road ,...... J e rl Q, I.s- Lake Worth, FL 33467 7 Banyan Printing JV\~ I':f\ q MorJ $375.87 3 / 1 /10 1937 10th Ave. North Lake Worth, FL 33461 8 OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Brian K. Edwards (2) J.D. Number (3) Cover Period ~/~~ through ~/~~ (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number A /10 Costco Campaign Event MON $47.55 3 1873 West Lantana Road Lantana, FL 33462 9 Hurricane Alley f0J'-1" t:....Jt~1t + PtdN $149.95 /1 /10 529 East Ocean Ave. 3 Boynton Beach, FL 33435 10 FE/)E~ f(J,lJc.o ~ ea. -/' c.o'f A J1-CoN $57.68 3 /4 /10 :J~{)' ^'. ~O"f'C~ ,lve, /"J~~,...lr /.1-.,"fo ... 4~4C"1 Fl 11 7,V2(. Chick-Fil-A Mc~f I~e Mo,v $80.68 3 / 4 /10 1560 West Boynton Beach Cq, ",Jc 'rfJ.e Blvd. Boynton Beach, FL 33436 Ct/~ 12 #01703 Chick-Fil-A /"f~~t f{ o(f! t'tDN $43.46 3 /4 /10 1560 West Boynton Beach ~.. Jc '''Joe Blvd. Boynton Beach, FL 33436 Fv<,"'-T- 13 #01703 / / / / / / OS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Brian K. Edwards (2) I.D. Number (3) Cover Period 2 I 19 10 through 3 I 4 10 (4) Page 1 of 1 (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, ZiD Code Tvoe OccuDation Tvoe DescriDtion Amendment Amount Karen Farruggia I Business CHE $25.00 2 I 19 110 6502 Leslie St. Manager Jupiter, FL 33458 1 Brent Ion I Non-Pro CHE $50.00 2 1 22 10 725 Charlestown fit Cir. Develop Palm Beach ment 2 Gardens, FL 33410 Dir. CEMEX Materials B Cement CHE $200.00 2 1 25 1p 1501 Belvedere Blvd. West Palm Beach, 3 FL 33406 patricia I Massage INK Photograp $466.43 2 1 25 110 Fitzpatrick hy and 415 S. Seacrest Thearap Posters Blvd. ist Boynton Beach, FL 4 33435 Chere Brodi I Marketi CHE $40.00 2 1 28 I 10 107 Spruce St. ng Boynton Beach, FL 33426 5 Asoka Veeravagu I Compute CHE $200.00 3 1 1 to 3607 Stratton Lane r Boynton Beach, FL Analyst 33436 6 3 Alexandria I Strategi CHE $100.00 1 1 10 Douglas-Bartolone st 8037 Pelican Harbour Drive 7 Boynton Beach, FL 33467 Cathy Peters I Pest CHE $50.00 3 1 3 }-O 3000 High Ridge Control Road Boynton Beach, Fl 8 33426 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Brian K. Edwards Name (2) 629 NE 9th Ave. Address (number and street) Boynton Beach, FL 33435 City, State, Zip Code o CHECK IF ADDRESS HAS CHANGED Check appropriate box(es): IZI Candidate (office sought): For Mayor of o Political Committee o Committee of Continuous Existence o Party Executive Committee o Electioneering Communication (4) OFFICE USE ONLY ,.') -... D--i <:> :::4-< > "'0 ;;:0 C")"TI N r-m fTlo N :::0-< :r:- ~z ()') ..... :x 0 <<?? Oz "TIco ~ ~f"Tl ("')> - (Tl~ ..&. (3) ID Number: Boynton Beach o CHECK IF PC HAS DISBANDED o CHECK IF CCE HAS DISBANDED o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 3 I 5 I 10 To 3 I 19 I 10 Report Type TR --- --- o Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 0.00 Loans $ 0.00 Total Monetary $ 0.00 In-Kind $ 0.00 (9) TOTAL Monetary Contributions To Date $ 9,095.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 1,646.48 Transfers to Office Account $ Total Monetary 0.00 $ 1,646.48 (8) Other Distributions $ 0.00 (10) TOTAL Monetary Expenditures To Date $ 9,095.00 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Brian K. Edwards Dlndividual (only for [{]Treasurer 0 Deputy Treasurer ~ctionee:;r~~ f bL~ Signature OS-DE 12 (Rev. 08104) (Type name) Brian K. Edwards [{] Candidate 0 Chairperson (only for PC, PTY & electioneering commun. organization) X 4_~~ Signature (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Brian K. Edwards (2) I.D. Number (3) Cover Period 3 I 5 I 10 through 3 I 19 I 10 --- --- (4) Page 1 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number /5 /10 Costco Campaign MON $50.82 3 1873 West Lantana Road Events Lantana, FL 33462 1 Starbucks Campaign MON $20.40 3 /6 /10 Gateway Blvd., 13563 Meeting Boynton Beach, FL 33426 2 Chili's Campaign MON $120.99 3 /8 /10 1550 West Boynton Beach Election Day Blvd. , Organizational Boynton Beach, FL 33436 Meeting 3 Banana Boat Election Day MON $187.63 3 / 9 /10 739 E. Ocean Ave. Finale Event Boynton Beach, FL 33435 4 Shell Fuel for MON $59.89 3 /9 /10 2360 N. Federal Hwy. Transporting Boynton Beach, FL 33435 Voters and Precinct 5 Workers Brian Edwards Reimbursement MON $100.00 3 /12 /10 629 NE 9th Ave. of Campaign Boynton Beach, FL 33435 Loan 6 Lora Edwards Reimbursement MON $136.95 3 /14 /10 701 S. F Street for Campaign Lake Worth, FL 33460 Shirts 7 Banyan Printing Mail ing MON $635.78 3 /14/10 1937 10th Ave. North Lake Worth, FL 33461 8 OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Brian K. Edwards (2) I.D. Number (3) Cover Period ---2-1_~__L!.::._ through ~~~ (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount A5 /10 patricia Fitzpatrick Campaign MON $290.02 3 415 S. Seacrest Blvd. Consultant Boynton Beach, FL 33435 9 U.S. Post Office Stamps for MON $44.00 3 /15 /10 3200 Summit Blvd. Thank You West Palm Beach, FL 33416 Notes 10 I I / / / / I I / / / I OS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES