e ty of naples city clerk el...address (number and street) mar - 4 2016 naples, fl 34102 e ty of...

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CAMPAIGN TREASURER'S REPORT SUMMARY (1) Teresa L. Heitmann OFFICE USE ONLY Name RECEIVED (2) 2350 Forrest Lane Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, Zip Code CITY CLERK q Check here if address has changed (3) ID Number: (4) Check appropriate box(es): q3 Candidate Office Sought: Mayor q Political Committee (PC) q Electioneering Communications Org. (ECO) q Check here if PC or ECO has disbanded q Party Executive Committee (PTY) El Check here if PTY has disbanded q Independent Expenditure (IE) (also covers an q Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 2 / 13 / 16 To 2 / 26 / 16 Report Type: 11th Day q3 Original q Amendment q Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 5, 175 . 00 Expenditures $ , 3 , 150 . 71 Loans $ Transfers to Office Account $ Total Monetary $ 5 , 175 . 00 Total Monetary $ , 3 150 . 71 In-Kind $ (8) Other Distributions $ 1 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 13 , 075 00 $ 6 , 089 09 (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) Tara A. Norman (Type name) Teresa L. Heitmann El Individual (only for IE El Treasurer q Deputy Treasurer El Candidate q Chairperson (only for PC and PTY) or electioneering comm.) X X Signs ure Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS

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Page 1: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT SUMMARY

(1) Teresa L. Heitmann OFFICE USE ONLY

Name RECEIVED(2) 2350 Forrest Lane

Address (number and street) MAR - 4 2016

Naples, FL 34102 E TY OF NAPLES

City, State, Zip Code CITY CLERK

q Check here if address has changed (3) ID Number:

(4) Check appropriate box(es):

q3 Candidate Office Sought: Mayorq Political Committee (PC)q Electioneering Communications Org. (ECO) q Check here if PC or ECO has disbandedq Party Executive Committee (PTY) El Check here if PTY has disbandedq Independent Expenditure (IE) (also covers an q Check here if no other IE or EC reports will be filedindividual making electioneering communications)

(5) Report Identifiers

Cover Period: From 2 /13 /16 To 2 / 26 /16 Report Type: 11th Day

q3 Original q Amendment q Special Election Report

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

Monetary

Cash & Checks $ 5, 175 . 00 Expenditures $ , 3 ,150 .71

Loans $ Transfers toOffice Account $

Total Monetary $ 5 , 175 .00Total Monetary $ , 3 150 .71

In-Kind $

(8) Other Distributions

$ 1

(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date$ , 13 ,075 00 $ 6 ,089 09

(11) CertificationIt 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) Tara A. Norman (Type name) Teresa L. HeitmannEl Individual (only for IE El Treasurer q Deputy Treasurer El Candidate q Chairperson (only for PC and PTY)or electioneering comm.)

X X

Signs ure Signature

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

Page 2: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES(1) Name Teresa L. Heitmann (2) I.D. Number

(3) Cover Period 2 / 13 16 through

2 / 26 / 16 (4) Page of

(5) (7) (8) (9) (10) (11)Date Full Name Purpose

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

Street Address & contribution to a ExpenditureSequence

City, State, Zip Code candidate) Type Amendment AmountNumber

Jeff Heitmann Brochure printing

2I 16 16 2350 Forrest Lane and mailing

Naples, FL 34102RMB 594.09

10

St. Patrick's Day Foundation Parade application2I 16 16300 Fifth Avenue South, #101 feeNaples, FL 34102

DIS 300.00

11

Jeff Heitmann Postage2350 Forrest Lane2/ 19 16Naples, FL 34102

RMB 91.12

12

Chandler Heitmann Fliers2 19 16 2150 Forrest Lane

Naples, FL 34102RMB 60.99

13

Henry and Bernice Heitmann Postage5636 Whisperwood Drive2/ 19 16Naples, FL 34110

RMB 49.49

14

Hinson Studio Yard signs and2 24 16 546 Tenth Street North t-shirts

Naples, FL 34102DIS 1,313.40

15

James Boula Fliers, labels and2 29 16 P.O. Box 946 postage

Naples, FL 34106RMG 643.07

16

Tara Norman Thank You notes3520 19th Avenue SW

2 24 16 Naples, FL 34117RMB 69.80

17

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

Page 3: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES(1) Name Teresa L. xeitmann (2) I.D. Number

(3) Cover Period 2 / 13 16 through

2 / 26 / 16 (4) Page 2 of 2(5)

Date(7)

Full Name(Last, Suffix, First, Middle)

Street Address &City, State, Zip Code

(8)

Purpose(add office sought if

contribution to acandidate)

(9)

ExpenditureYpType

(10)

Amendment

(11)

Amount

(6)

SequenceNumber

2 23 16Pay PalP.O. Box 96080Orlando, FL 32896-0080

Collection andtransfer services

DIS 28.75

II

II

II

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

Page 4: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS

Teresa L. Heitmann(2) I.D. Number(1) Name

(3) Cover Period2 / 13 / 16

through2 26 26 1 4/

(4) Page of

(5) (7) (8) (9) (10) (11) (12)

Date Full Name(Last, Suffix, First, Middle)(6)

Sequence Street Address & Contributor Contribution In-kind

Number City, State, Zip Code jype Occupation Type Description Amendment Amount

B. Uttek2 14 16 995 Ninth Avenue South

1 1 Naples, FL 34102I CAS 50.0024

A. Uttek2 14 16 995 Ninth Avenue South

1 1 Naples, FL 34102I CAS 50.0025

S. Travalia2 15 16 5093 Starfish Avenue

1 1 Naples, FL 34103I Physician CHE 250.0026

J. Irons2 13 16 422 West Street

1 1 Naples, FL 36106

27 I Banking CHE 250.00

.3. Francoeur2 13 16 700 21st Avenue South

1 Naples, FL 34102I Retired CHE 200.0028

E. Hirsch2 13 16 3215 Gulf Shore Blvd

1 1 Naples, FL 34103I Publisher CHE 200.0029

J, Hirsch 12 13 16 626 Regatta Road1 1

Naples, FL 34103I Publisher CHE 250.0030

DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

Page 5: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS

Teresa L. Heitmann(2) I.D. Number(1) Name

(3) Cover Period2 / 13 / 16

through2 26 16,

(4) Page2 4

of

(5) (7) (8) (9) (10) (11) (12)

Date Full Name(Last, Suffix, First, Middle)(6)

Sequence Street Address & Contributor Contribution In-kind

Number City, State, Zip Code T e Occupation Type Description Amendment Amount

B.Rossi2 13 16 3995 Bering Court

/ / Naples, FL 34119I Homemaker RCT 300.0031

Chandler Heitmann2 22 16 2350 Forrest Lane

Naples, FL 34102I INK Flag 14.7032

Lori Raleigh2 19 16 411 Sixth Street South

/ / Naples, FL 34102I INK Postcards 50.0033

2 25 16 Whitehall Publishing/ 4244 Corporate Square

Naples, FL 34104-4753 B INK Printing 99.0034

2 25 16 Wholesome Hound %100c^/ / 198 N. Tamiami Trail

Naples, FL 34102 B INK Reception/1JN

35

Dorothy Hirsch2 25 16 626 Regatta Road

Naples, FL 34102I INK Food/Recptn 42.8836

Cindy Lautenback 172 16 1801 Galleon Drive

Naples, FL 34102I Homemaker INK Reception 800.0037

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

Page 6: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS

Teresa L. Heitmann(1) Name (2) I.D. Number

42 13 16 2 26 16 3

(3) Cover Period / / through / / (4) Page of

(5) (7) (8) (9) (10) (11) (12)

Date Full Name(Last, Suffix, First, Middle)(6)

Sequence Street Address & Contributor Contribution In-kind

Number City, State, Zip Code jype Occupation Type Description Amendment Amount

Earl W. Berry2 18 16 627 12th Avenue South

/ / Naples, FL 34102I CHE 50.0038

Donald C. Jensen2 18 16 3971 Gulf Shore Blvd.

/ / Naples, FL 34103I CHE 100.0039

Mary Gahagan2 18 16 6724 Old Banyan Way / /

Naples, FL 34109I CHE 75.0040

Nalin T. Master df^Ci^2 18 16 5200 North Tamiami Tr. ^Y

/ Naples, FL 34103

41 1 . CHE 350.00

Equity Research Serv. 7)Kr,2 22 16

/ /5003 Falls of NeuseRd.Raleigh, NC 27609 B CHE 250.0042

Ned Lautenbach2 22 16 1801 Galleon Drive

Naples, FL 34102

43 I Retired CHE 1,000.00

Susan R. Anderson2 24 16/ / 667 Park Shore Drive

Orr,it^^Naples, FL 341031 CHE 100.0044

DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

Page 7: E TY OF NAPLES CITY CLERK El...Address (number and street) MAR - 4 2016 Naples, FL 34102 E TY OF NAPLES City, State, ... Street Address & City, State, Zip Code (8) Purpose (add office

CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS

Teresa L. Heitmann(1) Name (2) I.D. Number

2 13 16 2 26 16 4 4(3) Cover Period / / through / / (4) Page of

(5 )Date

(7)Full Name

(Last, Suffix, First, Middle)Street Address &

City, State, Zip Code

(8)

ContributorType Occupation

(9)

ContributionType

(10)

In-kindDescription

(11)

Amendment

(12)

Amount

(6)SequenceNumber

2 24 16/ /

Annette van Dongen655 16th Avenue SouthNaples, FL 34102

I Homemaker CHE 500.0045

2 20 16/

Robert J. Janese159 15th Avenue SouthNaples, FL 34102

I j*qw CHE 500.0046

2 24 16/ /J. MillerP.O. Box 01427Naples, FL 34101

I

k)C7ipEo

CHE 1,000.0047

/ /

/ /

/ /

/ /

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