tim vaccaro - florida election commission...estero, fl 33928 . the honorable kathy hall : 9401...

19
NOH FEC # 19-385 STATE OF FLORIDA FLORIDA ELECTIONS COMMISSION In Re: Patty Backos Whitehead _____________________________________________/ Case No.: FEC 19-385 TO: Patty Backos Whitehead 20791 Tanglewood Lane Estero, FL 33928 The Honorable Kathy Hall 9401 Corkscrew Palms Circle Estero, FL 33928 NOTICE OF HEARING (AUTOMATIC FINE) A hearing will be held in this case before the Florida Elections Commission on, November 19, 2019 at 8:30 am, or as soon thereafter as the parties can be heard, at the following location: Senate Office Building, 404 South Monroe Street, Room 110- S, Tallahassee, Florida 32399. Due to heightened security access requirements, please bring only essential items into the building and plan to arrive early to allow for delays coming through security. Failure to appear in accordance with this notice will constitute a waiver of your right to participate in the hearing. Continuances will be granted only upon a showing of good cause. This hearing will be conducted pursuant to Section 106.25, Florida Statutes, which governs your participation as follows: If you are the Respondent, you may attend the hearing, and you or your attorney will have 5 minutes to present your case to the Commission. However, some cases (including those in which consent orders or recommendations for no probable cause are being considered) may be decided by an en masse vote and, unless you request to be heard or the Commission requests that your case be considered separately on the day of the hearing, your case will not be individually heard. If you are the Complainant, you may attend the hearing, but you will not be permitted to address the Commission. In addition, some cases (including those in which consent orders or recommendations for no probable cause are being considered) may be decided by an en masse vote and, unless the Respondent requests to be heard or the Commission requests that the case be considered separately on the day of the hearing, the case will not be individually heard. If you are an Appellant, and you have requested a hearing, you may attend the hearing, and you or your attorney will have 5 minutes to present your case to the Commission. Please be advised that both confidential and public cases are scheduled to be heard by the Florida Elections Commission on this date. As an Appellant, Respondent or Complainant in one case, you will not be permitted to attend the hearings on other confidential cases. The Commission will electronically record the meeting. Although the Commission’s recording is considered the official record of the hearing, the Respondent may provide, at his own expense, a certified court reporter to also record the hearing. If you require an accommodation due to a disability, contact Donna Ann Malphurs at (850) 922-4539 or by mail at 107 West Gaines Street, The Collins Building, Suite 224, Tallahassee, Florida 32399, at least 5 days before the hearing. See further instructions on the reverse side. Tim Vaccaro Executive Director Florida Elections Commission November 1, 2019

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Page 1: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

NOH FEC # 19-385

STATE OF FLORIDA FLORIDA ELECTIONS COMMISSION

In Re: Patty Backos Whitehead _____________________________________________/

Case No.: FEC 19-385

TO: Patty Backos Whitehead 20791 Tanglewood Lane Estero, FL 33928

The Honorable Kathy Hall 9401 Corkscrew Palms Circle Estero, FL 33928

NOTICE OF HEARING (AUTOMATIC FINE)

A hearing will be held in this case before the Florida Elections Commission on, November 19, 2019 at 8:30 am, or as soon thereafter as the parties can be heard, at the following location: Senate Office Building, 404 South Monroe Street, Room 110-S, Tallahassee, Florida 32399. Due to heightened security access requirements, please bring only essential items into the building and plan to arrive early to allow for delays coming through security.

Failure to appear in accordance with this notice will constitute a waiver of your right to participate in the hearing.

Continuances will be granted only upon a showing of good cause. This hearing will be conducted pursuant to Section 106.25, Florida Statutes, which governs your participation as follows: If you are the Respondent, you may attend the hearing, and you or your attorney will have 5 minutes to present your

case to the Commission. However, some cases (including those in which consent orders or recommendations for no probable cause are being considered) may be decided by an en masse vote and, unless you request to be heard or the Commission requests that your case be considered separately on the day of the hearing, your case will not be individually heard.

If you are the Complainant, you may attend the hearing, but you will not be permitted to address the Commission. In

addition, some cases (including those in which consent orders or recommendations for no probable cause are being considered) may be decided by an en masse vote and, unless the Respondent requests to be heard or the Commission requests that the case be considered separately on the day of the hearing, the case will not be individually heard.

If you are an Appellant, and you have requested a hearing, you may attend the hearing, and you or your attorney will have 5 minutes to present your case to the Commission.

Please be advised that both confidential and public cases are scheduled to be heard by the Florida Elections Commission

on this date. As an Appellant, Respondent or Complainant in one case, you will not be permitted to attend the hearings on other confidential cases.

The Commission will electronically record the meeting. Although the Commission’s recording is considered the official

record of the hearing, the Respondent may provide, at his own expense, a certified court reporter to also record the hearing. If you require an accommodation due to a disability, contact Donna Ann Malphurs at (850) 922-4539 or by mail at 107

West Gaines Street, The Collins Building, Suite 224, Tallahassee, Florida 32399, at least 5 days before the hearing.

See further instructions on the reverse side. Tim Vaccaro Executive Director

Florida Elections Commission November 1, 2019

Page 2: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

NOH FEC # 19-385

Please refer to the information below for further instructions related to your particular hearing: If this is a hearing to consider an appeal from an automatic fine, the Filing Officer has imposed a fine on you for your failure to file a campaign treasurer’s report on the designated due date and, by filing an appeal, you have asked the Commission to consider either (1) that the report was in fact timely filed; or (2) that there were unusual circumstances that excused the failure to file the report timely. You are required to prove your case. If the Commission finds that the report was filed timely or that there were unusual circumstances that excused the failure, it may waive the fine, in whole or in part. The Commission may reduce a fine after considering the factors in Section 106.265, Florida Statutes. If the Commission finds that the report was not timely filed and there were no unusual circumstances, the fine will be upheld.

If this is a hearing to consider a consent order before a determination of probable cause has been made, the Commission will decide whether to accept or reject the consent order. If the Commission accepts the consent order, the case will be closed and become public. If the Commission rejects the consent order or does not make a decision to accept or deny the consent order, the case will remain confidential, unless confidentiality has been waived. If this is a hearing to consider a consent order after a determination of probable cause has been made, the Commission will decide whether to accept or reject the consent order. If the Commission accepts the consent order, the case will be closed. If the Commission rejects the consent order or does not make a decision to accept or deny the consent order, the Respondent will be entitled to another hearing to determine if the Respondent committed the violation(s) alleged. If this is a probable cause hearing, the Commission will decide if there is probable cause to believe that the Respondent committed a violation of Florida’s election laws. Respondent should be prepared to explain how the staff in its recommendation incorrectly applied the law to the facts of the case. Respondent may not testify, call others to testify, or introduce any documentary or other evidence at the probable cause hearing. The Commission will only decide whether Respondent should be charged with a violation and, before the Commission determines whether a violation has occurred or a fine should be imposed, Respondent will have an opportunity for another hearing at which evidence may be introduced. If this is an informal hearing, it will be conducted pursuant Sections 120.569 and 120.57(2), Florida Statutes; Chapter 28 and Commission Rule 2B-1.004, Florida Administrative Code. At the hearing, the Commission will decide whether the Respondent committed the violation(s) charged in the Order of Probable Cause. The Respondent will be permitted to testify. However, the Respondent may not call witnesses to testify. Respondent may argue why the established facts in the Staff Recommendation do not support the violations charged in the Order of Probable Cause. At Respondent’s request, the Commission may determine whether Respondent’s actions in the case were willful. The Respondent may also address the appropriateness of the recommended fine. If Respondent claims that his limited resources make him unable to pay the statutory fine, he must provide the Commission with written proof of his financial resources at the hearing. A financial affidavit form is available from the Commission Clerk.

Page 3: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing
Page 4: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

June 18, 2019

Dear Florida Election Commission:

My name is Patty Whitehead, I ran for Estero Village Council district 4 for the election held on March 5th• 2019. My opponent, who was an incumbent won the election.

I am writing this hardship letter to request that late fees incurred due to the 3 day late filing of my TRV2 Campaign Treasurers Report (filed on July 6°' 2019) be waived in light of personal family circumstances in the time prior to the filing due date of June 3rd 2019.

On May 91h 2019 my Father, Nicholas Sackos, passed away suddenly of a heart attack in Patras Greece. My Father who was not feeling well at the time insisted on making a special trip to Greece to attend his deceased Sister's memorial service. My Family not only experienced the overwhelming shock and grief of my Father's sudden loss but the circumstances of having to plan a funeral abroad. My Brother and I scrambled to make arrangements for leave and travel in addition to arranging to bury my Father beside his Sister. When an American Citizen dies abroad it is not an easy situation to navigate. When we returned from Greece my Brother and I again had to travel to deal with the

disposition of our Dad's property and belongings in Philadelphia, PA.

It goes without saying that because of these circumstances my mind was not focused on keeping track of the deadline for the final Campaign Treasurers Report (my Mother by the way was my Treasurer). I was reminded of the due date by the Estero Village Clerk after I attended an important Village Council hearing on June s•h. I beg your forgiveness and understanding of my circumstances and ask for amnesty requesting that the $33.31

fine for the late filing be waived.

Thank you for your time and consideration of this matter.

Sincerely,

7>dI; &J1v-W~ Patty Sackos Whitehead 20791 Tanglewood Lane Estero, FL 33928 [email protected]

Page 5: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

Attachments:

Notice of Automatic Fine Death Certificate of Nicholas Backos (Greek and Translation) Patty Whitehead Travel Itinerary to Greece Please note travel to Philadelphia was by personal automobile (05/25-05/31)

Page 6: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

frompersonal funds

Commission’s address is 107 West Gaines Street, Suite 224, Tallahassee

William Ribble MayorDistrict One

Katy ErringtonVice Mayor District Four

Howard LevitanDistrict Two

Jon McLainDistrict Three

James BoeschDistrict Five

Nick BatosDistrict Six

Jim WilsonDistrict Seven

Steve SarkozyVillage Manager

Burt SaundersVillage Attorney

Page 7: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

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Page 9: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

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Page 11: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

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Page 12: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

www.Estero-fl.gov

William Ribble

Mayor District One

Katy Errington Vice Mayor District Four

Howard Levitan

District Two

Jon McLain

District Three

James Boesch District Five

Nick Bates District Six

Jim Wilson District Seven

Steve Sarkozy Village Manager

Burt Saunders Village Attorney

June 10, 2019

Patty Backos Whitehead 20791 Tanglewood Lane Estero, FL 33928

Re: Notice of Automatic Fine TRV2 Campaign Treasurer's Report Due: June 3, 2019 Fine: $33.91

Dear Patty:

The campaign treasurer's report TRV2, that was due June 3, 2019, was not fi led until June 6, 2019.

Accordingly, you are fined in the amount of $33.91. The fine must be paid, from personal funds, to Village ofEstero within 20 days of receipt of this notice unless app~aled to the Florida Elections Commission. Remit payment to Village ofEstero, 9401 Corkscrew Palms Circle, Estero, FL 33928, Attention: Village Clerk's Office.

If you wish to appeal the fine, you must submit a notice of appeal to the Florida Elections Commission within 20 days of the date ofreceipt of this notice. (See Rules 2b-l.005, 2b­l.0052 and 2b-1.0055, Florida Administrative Code.) The Florida Elections Commission's address is 107 West Gaines Street, Suite 224, Tallahassee, FL 32399-0100.

If you appeal the fine, please send a copy of your notice of appeal to me either by email to: [email protected] or USPS: Village of Estero, Village Clerk's Office, 9401 Corkscrew Palms Circle, Estero, FL 33928. ·

If you have any questions, do not hesitate to contact me at 239-221-5033 or hall@estero­fl.gov .

Sincerely,

--f'CbtA4 IA Jfav_ Kathy &ll;MMC Village Clerk [email protected] 239-221-5035

9401 Corkscrew Palms Circle, Estero, Florida 33928

Page 13: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

Kathy Hall

From: Sent: To: Cc: Subject:

Kathy Hall Thursday, June 06, 2019 8:15 AM 'P. Whitehead' [email protected] RE: Campaign Treasurer Reports

Attachments: DS-DE 12 Campaign Treasurer's Report Summary.pdf; DS-DE 13 Campaign Treasurer's Report - Itemized Contributions.pdf; DS­DE 14 Campaign Treasurer's Report - Itemized Expenditures.pdt, Calendar of Campaign Treasuer's Reporting Dates - 2019.pdf

Good morning Patty,

Per the election reporting information provided below on January 25, 2019, your Termination Report was due on Monday, June 3, 2019.

Pursuant to the Candidate and Campaign Treasurer Handbook, page 45, candidates failing to file the termination report on the due date are subject to a fine of $50 per day for each late day, not to exceed 25 percent of the total receipts or expenditu_res, whichever is greater for the period covered by the late report. All fines must be paid from the candidate's personal funds, not campaign funds.

Please file your report as soon as possible along with a check payable to Village of Estero in the amount of the appropriate fee.

I have attached reporting forms and another copy of the reporting calendar.

Best regards, Kathy

K~ Ho.-U., fv1 fv1 C Village Clerk

~ERO . 9401 Corkscrew Palms Circle Estero, FL 33928 (239) 221-5033 [email protected] www.Estero-fl.gov

From: P. Whitehead [mailto:[email protected]] Sent: Friday, January 25, 2019 12:16 PM To: Kathy Hall <[email protected]> Cc: [email protected]

Subject: Re: Campaign Treasurer Reports

Thank You Kathy. Also I wanted to schedule with you either for next Thursday or next Friday in the later afternoon of either of those days for the briefing on the candidate.'s binder.

Thank You again, 1

Page 14: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

\ .

Patty

Sent from my Verizon 4G LTE Smartphone On Jan 25, 2019 12:11 PM, Kathy Hall <[email protected]> wrote: Good afternoon, Patty:

I just wanted to reach out to you today regarding upcoming campaign treasurer's reports. I have attached the most frequently used report forms along with a copy of the Calendar of Campaign Treasurer's Reporting Dates.

• First report (Vl) is due on February 8, 2019 for the period 1/1/2019 through 2/1/2019.

• · Second report (V2) is due on February 22, 2019 for the period 2/2/2019 through 2/15/2019.

• Third report (V3) is due on March 1, 2019 for the period 2/16/2019 through 2/28/2019.

• Termination report (TRV2) is due on June 3, 2019 for the period 3/1/2019 through 6/3/2019.

Please let me know if you have any questions.

Best regards, Kathy

K~ Ho.Li> fll(fll(C,

Village Clerk

~RO 9401 Corkscrew Palms Circle Estero, FL 33928 (239) 221-5033· [email protected] www.Estero-fl.gov

Email which is created or received by a Village ofEstero employee or official in connection with the transaction ofofficial business of the Village ofEstero is considered public record and is subject to inspection and/or copying in accordance with Chapter 119, Florida Statutes and is subject to applicable state retention laws, unless exempted by law.

2

Page 15: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

., .

CAMPAIGN TREASURER'S REPORT SUMMARY

(1) Patty Sackos Whitehead OFFICE USE ONLY

Name RECEIVED (2) 20791 Tanglewood Lane /l:tk)0,.r1.

Address (numberand street) JUN O 6 2019 Estero, FL 33928

BY:Jc~. City, State, Zip Code

D Check here if address has changed (3) ID Number: 4-002-2019 (4) Check appropriate box(es):

0 Candidate Office Sought: Village of Estero Council District 4 D Political Committee (PC) D Electioneering Communications Org. (ECO) □ Check here if PC or ECO has disbanded D Party Executive Committee (PTY) □ Check here if PTY has disbanded D Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be flied individual making electioneering communications)

(5) Report Identifiers

Cover Period: From 03 I 01 ' 12019 To 06 I 03 / 2019 Report Type: TRV2 -- -- -- -- --

0 Original D Amendment D Special Election Report

(6) Contributions This Report (7) Expenditures This Report

. . Monetary 135. 63 Cash & Checks $

' ' Expenditures $

' ' -- -- -- -- -- -- -- --

Loans $ ' ' Transfers to -- -- - - --

Office Account $ ' ' $

~- -- -- --Total Monetary ' ' - - -- -- --

Total Monetary $ ' ' -- -- -- --In-Kind $

' I -- -- -- --(8) Other Distributions

$ -- ' -- ' -- --

(9) TOTAL Monetary Contributions To Date (10) . TOTAL Monetary _Expenditures To Date $

' 1, 100 00 $ 1

I 100 00 -- -- -- -- I -- --

( 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:

(Jype nlf '4 7Hl?I< //4) IZ. &ctros (Type name) ·p /\::fT:/ B~c.k,bS iJ /j/T£-t}t:-~T) 0 Individual (only for IE 0 Treasurer D Deputy Treasurer 0 Candidate D Chairperson (only for PC and PTY)

:·~;d/wJ X ·??JI;_ '"6u1_ w~ Signature Signature

. OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS

Page 16: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Patty Whitehead (2) I.D. Number __ 4-_0_0_2 -_2_0_1_9 ___ _

(3), Cover Period _03 __ /~~ through _0_6 _1_!:__1~ 1

(4) Page ____ of ____ _ 1

(5) (7) (8) (9) (10) (11)

Date Full Name · Purpose

(6) (Last, Suffix, First, Middle) (add office sought if

Sequence Street Address & 1

contribution to a Expenditure

Number City, State, Zip Code candidate) Type Amendment Amount

06 /06 /2019 Patty Whitehead Loan Repayment 20791 Tanglewood Lane Estero, FL 33928

$135.63 DIS

l

I I

I I

I I

I I

' I I

I I

'

I I

DS-DE 14 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

Page 17: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

Patty Whitehead Campaign Treasurer's Report Filing History

Report Due Date Date Received Report Cover Period Report Type 2/8/2019 2/6/2019 1/1/2019 through 2/1/2019 V1

2/22/2019 2/22/2019 2/2/2019 through 2/15/2019 V2 3/1/2019 3/1/2019 2/16/2019 through 2/28/2019 V3 6/3/2019 6/6/2019 3/1/2019 through 6/3/2019 TRV2

Page 18: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

CALENDAR OF CAMPAIGN TREASURER'S

REPORTING DATES Florida Statutes §106-.07

ELECTION CYCI,E ~PORTJNG DATES fPR MARCH .5 . 20i9·REGULAR ELECTION

REPORT DUE DATE TIJIB

J anuary 10, 2019 5:00pm

.. Februa ry 8, :l019 5:00pm

February 22, 2019 5:00pm

RBPORT I ffp£ , '

Ml 2

VI

V2

. REPORTDWG PERIOD COVERED

12-01-18 through 12-31-18

0 1-0 1-19 through02-l-19

02-02-19 through 02-15-1.9

CONTRIBUTION DEADLINE

SPECIAL INSTRUCTIONS

MontJily Report

Election Report 25th Day Prior to 03-05, 19

Election ••See Termination Report Due

Dates for Apri1 J 8, 2019

Election Report 11th Day Prior to 03-05-19

Election

LAST ·nAY TO ACCSPT A C~PAIG.N CONTRIBUTION FOR THE · MARCH .5; 2019. REGULAR ELECTION IS:

MIDNIGHT 111:59·_p.m.). THU-RSDAY. FEBRUARY 28, 2019 _

March 1, 2019 5:00pm V3 02-16-19 through 02-28~19 411> Day Prior to 03-05-19

Election

THE V3 REPORT IS DUE IMMEDIATEI.N THE NEXT DAY FOLLOWING THE February 28, 2019 CONTRIBUTION DEADLINE

REPORT DUE DATE

••April 18, 2019

.TERMINATION REPORT DUE DATES

TIii£

5:00pm

'~R.T TYPE

TRVl

. REPORTING PERIOD . COVERED

0 1-01-19 through 04-18-19

SPECIAL lRSTRUCTlONS

90-day Tennination Report Unopposed Arter Qua lifying

Ends on 0 1-18-19 I

-A ciiDdldate that la_ llllopposed at the close ofquaW)ria,g OD 01018-19 la Dot requJred to Ille the Vl Report that la due 02/0fJ/ 19.

TJae caudldate la requued to Jlle the TRVl TermillatJ011. Report U..t la,due 04-18-19.

J une 3,2019 5:00pm TRV2 03-01-19 through 06-03-19 90-day Termination Report Elected or Defeated After

03-05-19 Election

Avoid a significant fine and flle your report on time I

Page 19: Tim Vaccaro - Florida Election Commission...Estero, FL 33928 . The Honorable Kathy Hall : 9401 Corkscrew Palms Circle . Estero, FL 33928 . NOTICE OF HEARING (AUTOMATIC FINE). A hearing

APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN RECEIVED DEPOSITORY FOR CANDIDATES ,~~ 35''f',rt•

(Section 106.021(1), F.S.) JAN 1 7 2019

(PLEASE PRINT OR TYPE) BY: ... Jf./.1~ ......

NOTE: This form must be on flle with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES):

181 Initial Filing of Form Re-filing to Change: 0 Treasurer/Deputy D Depository □ Office □ Party

2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip

Patty Sackos Whitehead code)

20791 Tanglewood Lane Estero, FL 33928 4. Telephone 5. E-mail address

(239 ) 2894000 [email protected]

6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if

Estero Village Council District 4 applicable:

□ My intent is to run as a Write-In candidate.

8. If a candidate for a partisan office, check block and fill In name of party as applicable: My intent is to run as a

□ Write-In D No Party Affiliation □ Party candidate.

9. I have appointed the following person to act as my l&J Campaign Treasurer □ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer

Catherine A. Sackos 11. Mailing Address 12. Telephone 21275 Estero Vista Court ( 238 ) 2806862 13. City 14. County 15. State 16. Zip Code 17. E-mail address Estero Lee FL 33928 [email protected] 18. I have designated the following bank as my □ Primary Depository D Secondary Depository

19. Name of Bank 20. Address Fifth Third Bank 21321 South Tamiami Trail 21. City 22. County 23. State 24. Zip Code Estero Lee Florida 33928 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND

DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT AR.E TRUE,

25. Date I I /t I If

26. Signature of Candklate

X ?~ w~ 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)

I, Catherine A. Sackos , do hereby accept the appointment (Please Print or Type Name)

designated above as: □ CampaignT;su~,p~

1-/7- If_ Date Signature of Campaign Treasurer or Deputy Treasurer

DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.