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Home My Public Portal AboutCampaign Treasurer's Report (TRG)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) (5) Report Identifiers Cover Period: From / / To / / Report Type: Original Amendment Special Election Report (6)Contributions This Report (7)Expenditures This Report Monetary Expenditures Cash & Checks $ , , . $ , , . 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 By City Clerk Jim (Qualified) Gray 9798 Blandford Rd Orlando, FL 32827 2021D1001 4 District 1, Orlando City Commissioner TRQ 4 4 0 00 0 00 0 00 0 00 26 066 09 0 00 26 066 09 63 870 00 0 00 63 870 00 10 28 21 12 27 21 3A745ED7-E0B1-4F8E-9DC9-424AA17E1101 12/28/21 - 12:12 PM 12/28/21 - 12:12 PM CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 2 13 11 05 21 Whitson Digital Strategies Electioneerin gCommunica tion $1,880.00 1 2013 Coulson Alley Orlando, FL 32814 Jim Gray 12 01 21 loan repayment Monetary $10,000.00 2 9798 Blandford Rd Orlando, FL 32827 Jim Gray 12 02 21 Postage and office supplies Monetary $65.43 3 9798 Blandford Rd Orlando, FL 32827 Election Connections, Inc 11 03 21 Electioneerin gCommunica tion $483.43P.O. Box 10866 Tallahassee, FL 323024 Fraternal Order of Police 12 27 21 DispositionOf Funds $253.155505 Hansel Ave Orlando, FL 328095 Jakub Heji 12 27 21 DispositionOf Funds $253.15701 Brickell Ave, Suite 1550 Miami, FL 331316 Richard Fildes DispositionOf Funds $253.15122721 2514 Gatlin Ave Orlando, FL 328067 Deborah Fildes DispositionOf Funds $253.15122721 2514 Gatlin Ave Orlando, FL 328068 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 3 13 12 27 21 Kenneth Robinson DispositionOf Funds $253.15 9 230 Varsity Circle Altamonte Springs, FL 32714 Westside Property Management LLC 12 27 21 DispositionOf Funds $253.15 10 701 Brickell Ave Miami, FL 33131 Lake Orlando Land Owner, LLC 12 27 21 DispositionOf Funds $253.15 11 701 Brickell Ave, Suite 1550 Miami, FL 33131 Westside Capital, LLC 12 27 21 DispositionOf Funds $253.15701 Brickell Ave, Suite 1550 Miami, FL 3313112 Blue Ox Enterprises,LLC 12 27 21 DispositionOf Funds $253.15500 North Way Sanford, FL 3277313 John M Hall Company 12 27 21 DispositionOf Funds $253.151400 Martin Luther King Jr. Blvd Sanford, FL 3277114 Ground Preserve Landscape Contractors LLC DispositionOf Funds $253.15122721 3400 South Orange Blossom Trail, Suite B Orlando, FL 32839 15 Primo Development DispositionOf Funds $253.15122721 12233 Tillinghast CIrcle Palm Beach Gardens, FL 3341816 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 4 13 12 27 21 JK2 Construction DispositionOf Funds $253.15 17 PO Box1270 Zellwood, FL 32798 Loma Endeavors, Inc 12 27 21 DispositionOf Funds $253.15 18 3663 Upper Union Road Orlando, FL 32814 Beachline North Residential, LLC 12 27 21 DispositionOf Funds $253.15 19 12233 Tillinghast CIrcle Palm Beach Gardens, FL 33418 Atlantic Pipe Services, LLC 12 27 21 DispositionOf Funds $253.151420 Martin Luther King Jr. Blvd Sanford, FL 3277120 GOBA PAC 12 27 21 DispositionOf Funds $253.151953 Clayton Heritage Way Maitland, FL 3275121 Shawn and Lorrayne Barrow 12 27 21 DispositionOf Funds $253.154916 Oak Island Road Orlando, FL 3280922 Tommy Lee II DispositionOf Funds $253.15122721 1000 Winderley Place #234 Maitland, FL 3275123 Richard Lee DispositionOf Funds $253.15122721 PO Box 2113 Orlando, FL 3280224 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 5 13 12 27 21 Baker & Hostetler DispositionOf Funds $253.15 25 200 South Orange Ave, Suite 2300 Orlando, FL 32801 Realtors Political Action Committee 12 27 21 DispositionOf Funds $253.15 26 7025 Augusta National Drive Orlando, FL 32822 James Wiseman 12 27 21 DispositionOf Funds $253.15 27 9799 Blandford Rd Orlando, FL 32827 355 N Orange LLC 12 27 21 DispositionOf Funds $253.15130 S Orange Ave, Suite 300 Orlando, FL 3280128 Kress Building, LLC 12 27 21 DispositionOf Funds $253.15130 S Orange Ave, Suite 300 Orlando, FL 3280129 Mark Wilf 12 27 21 DispositionOf Funds $253.15820 Morris Tpke, suite 301 Shore Hills, NJ 0707830 Orlando Sports Holdings LLC DispositionOf Funds $253.15122721 655 W Church St Orlando, FL 3280531 Dan O;Keefe DispositionOf Funds $253.15122721 11068 Bayshore Dr Windermere, FL 3478632 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 6 13 12 27 21 Jacob Khotoveli DispositionOf Funds $253.15 33 2028 Harrison St Hollywood, FL 33020 Eric Gleit 12 27 21 DispositionOf Funds $253.15 34 3101 S Ocean Dr,#1208 Hollywood, FL 33019 John Miklos 12 27 21 DispositionOf Funds $253.15 35 3025 E South St, Orlando, FL 32803 Michael Rem 12 27 21 DispositionOf Funds $253.151800 South Ocean Dr, #1004 Hallandale Beach, FL 3300936 Voice of Florida Business 12 27 21 DispositionOf Funds $253.15PO Box 784 Tallahassee, FL 3230237 Sullivan Properties 12 27 21 DispositionOf Funds $253.15130 S Orange Ave, Suite 300 Orlando, FL 3280138 DGRY Exchange LLC DispositionOf Funds $253.15122721 101 S Garland Ave, #101 Orlando, FL 3280139 Vista Promenade LLC DispositionOf Funds $253.15122721 130 S Orange Ave, Suite 300 Orlando, FL 3280140 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 7 13 12 27 21 Floridians For a Stronger Democracy DispositionOf Funds $253.15 41 PO Box 10085 Tallahassee, FL 32302 Floridians United For Our Children's Future122721 DispositionOf Funds $253.15 42 PO Box 10085 Tallahassee, FL 32302 Associated Industries of Florida 12 27 21 DispositionOf Funds $253.15 43 PO Box 10085 Tallahassee, FL 32302 Florida Prosperity Fund 12 27 21 DispositionOf Funds $253.15PO Box 10085 Tallahassee, FL 3230244 Craig Mateer 12 27 21 DispositionOf Funds $253.15615 E Harding St orlando, FL 3280645 Hal Kantor 12 27 21 DispositionOf Funds $126.58150 E. Robinson st Orlando, FL 3280146 scott zimmerman DispositionOf Funds $126.58122721 501 North Magnolia Ave Orlando, FL 3280147 Peter Schaefer DispositionOf Funds $126.58122721 9533 Blandford Rd Orlando, FL 3282748 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 8 13 12 27 21 Adam Wonus DispositionOf Funds $126.58 49 3256 W. Lake Mary Blvd, Suite 1110 Lake Mary, FL 32746 Bill Dymond 12 27 21 DispositionOf Funds $126.58 50 2080 W Fawsett Rd Winter Park, FL 32789 Intram Investments 12 27 21 DispositionOf Funds $126.58 51 5555 S Kirkman Rd, suite 201 Orlando, FL 32819 Skyline advisors 12 27 21 DispositionOf Funds $126.58P.O. Box 560156 Orlando, FL 3285652 Central Florida Championship Karate, Inc122721 DispositionOf Funds $126.583662 Avalon Park E. Blvd, Suite 201 Orlando, FL 3282853 Vision Development and Management 12 27 21 DispositionOf Funds $126.583662 Avalon Park E. Blvd, Suite 201 Orlando, FL 3282855 Gregory Lee DispositionOf Funds $126.58122721 200 S Orange Ave, Suite 2300 Orlando, FL 3280156 Jacob Stuart, Jr.DispositionOf Funds $126.58122721 8655 Randal Park Blvd Orlando, FL 3283257 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 9 13 12 27 21 CFHLA Political Committee DispositionOf Funds $126.58 58 6675 Westwood Blvd, Suite 210 Orlando, FL 32821 Central FL Hotel & Lodging Assn, Inc. 12 27 21 DispositionOf Funds $126.58 59 6675 Westwood Blvd, Suite 210 Orlando, FL 32821 The Southern Group Of Florida Political Committee122721 DispositionOf Funds $126.58 60 PO Box 10570 Tallahassee, FL 32302 Kelly Cohen 12 27 21 DispositionOf Funds $126.58100 S Eola Dr Orlando, FL 3280161 NAIOP Central Florida 12 27 21 DispositionOf Funds $126.58200 S Orange Ave, suite1200 Orlando, FL 3280162 James Kattleman 12 27 21 DispositionOf Funds $88.603953 Wardell Place Orlando, FL 3281463 Mike Ryan DispositionOf Funds $75.84122721 215 N Eola Dr Orlando, FL 3280164 Rachel Gebaide DispositionOf Funds $63.29122721 1639 Choctaw Trail Maitland, FL 3275165 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 10 13 12 27 21 Scott Thopmpson DispositionOf Funds $63.29 66 421 Briarwood Dr Winter Park, FL 32789 Sandy Hostetter 12 27 21 DispositionOf Funds $63.29 67 41 E Kings Way Winter Park, FL 32789 Anthony Massey 12 27 21 DispositionOf Funds $63.29 68 1018 Temple Grove Pl Winter Park, FL 32789 Jason Palinkas 12 27 21 DispositionOf Funds $63.299479 Becker Ct Orlando, FL 3282769 Ustler Development, Inc 12 27 21 DispositionOf Funds $63.29800 North Orange Ave, Suite 200 Orlando, FL 3280170 Rick Fitzgerald 12 27 21 DispositionOf Funds $63.2910260 Kensington Shore Drive Orlando, FL 3282771 Miranda Fitzgerald DispositionOf Funds $63.29122721 10260 Kensington Shore Drive Orlando, FL 3282772 Frederick and Carol Ermel DispositionOf Funds $63.29122721 9372 Thurloe Place Orlando, FL 3282773 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 11 13 12 27 21 Stephen and Constance Feldman DispositionOf Funds $63.29 74 10371 Kensington Shore Dr, Orlando, FL 32827 Robert Webb 12 27 21 DispositionOf Funds $63.29 75 901 Alba Dr Orlando, FL 32804 Tom Cavanaugh 12 27 21 DispositionOf Funds $50.63 76 730 Bonnie Brae St Winter Park, FL 32789 Jennifer Cerasa 12 27 21 DispositionOf Funds $37.971470 Glencoe Rd Winter Park, FL 3278977 Miranda Fitzgerald 12 27 21 DispositionOf Funds $37.9710260 Kensington Shore Drive Orlando, FL 3282778 John Ruffier 12 27 21 DispositionOf Funds $25.323701 Lake Sarah Dr Orlando, FL 3280479 Brian Smith DispositionOf Funds $25.32122721 410 Sheridan Blvd Orlando, FL 3280480 Peter and Melinda Lopez DispositionOf Funds $25.32122721 1857 Lake Grove Lane Orlando, FL 3280681 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 12 13 12 27 21 Thomas Francis DispositionOf Funds $25.32 82 1015 Brookvilla Ave Orlando, FL 32806 George Collins 12 27 21 DispositionOf Funds $25.32 83 2585nCorbyton Ct Orlando, FL 32828 Yog Melwani 12 27 21 DispositionOf Funds $25.32 84 PO Box 394 Windermere, FL 34786 Jason Rimes 12 27 21 DispositionOf Funds $18.992606 Saginaw Trail Maitland, FL 3275185 James Toscano 12 27 21 DispositionOf Funds $12.66795 Overspin Dr Winter Park, FL 3278986 Adam Lewis 12 27 21 DispositionOf Funds $12.66215 N Eola Dr Orlando, FL 3280187 Andrew Kelly DispositionOf Funds $12.66122721 1206 Burning Tree Lane Winter Park, FL 3279288 Karen Cuccaro DispositionOf Funds $12.66122721 415 Songbird Lane Apopka, FL 3271289 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Jim (Qualified) Gray 2021D1001 10 28 21 12 27 21 13 13 12 27 21 Walter Lewis DispositionOf Funds $12.66 90 7411 Chelsea Harbour Dr Orlando, FL 32829 Eugene Mahn 12 27 21 DispositionOf Funds $6.33 91 10451 Kristen Park Dr. Orlando, FL 32832 Christine Kimble 12 27 21 DispositionOf Funds $5.06 92 13870 Briand Ave Orlando, FL 32827 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., SG3). Check one of the appropriate boxes: 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. 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 3 ). (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) (includes federal, state and county executive P Political Parties committees) O 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)Typ e 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. INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – FUND TRANSFERS (1)Type candidate’s full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2)Type identification number assigned by the filing officer. (3)Type cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar for appropriate cover periods.) (4)Type page numbers (e.g., 1 of 3). (5)Type date of fund transfer (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 2 fund transfers would use sequence numbers 1 thru 2. The next report (M2), comprised of 4 fund transfers would use sequence numbers 1 thru 4. Fund transfers on amended M1 reports would begin with sequence number 3 and on amended M2 reports would begin with sequence number 5. See the Amendment Type instructions below. (7)Type full name and address of financial institution (including city, state and zip code). (8)Enter Transfer Type using one of the following codes: DESCRIPTION Transfer FROM identified account to campaign account Transfer TO identified account from the campaign account CODE F T (9)Nature of Account (e.g., certificate of deposit, money market, etc...) (10)Amendment Type (required on amended reports) - To add a new (previously unreported) fund transfer for the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required data. The sequence number for fund transfers with amendment type “ADD” will start at one plus the number of fund transfers in the original report. For example, amending an original M1 report that had 75 fund transfers, means the sequence number of the first fund transfer having amendment type “ADD” will be 76; the second “ADD” fund transfer would be 77, etc. When amending an original M2 report that had 40 fund transfers, the sixth “ADD” fund transfer would have sequence number 46. To correct a previously submitted fund transfer use the following drop/add procedure. Enter “DEL” in amendment type on a line with the sequence number of the fund transfer to be corrected. In combination with the report number being amended, this sequence number will identify the fund transfer 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)Type amount of fund transfer. 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 Party (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 Petty Cash Withdrawn PCS Petty Cash 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. CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS THIS FORM IS USED TO REPORT DISTRIBUTIONS OF GOODS OR SERVICES CONTRIBUTED TO A CANDIDATE OR COMMITTEE, INDIRECT EXPENDITURES AND REIMBURSEMENTS. (1)Name of the entity. (2)Identification number assigned by the filing officer. (3)Cover period dates (e.g., 03/01/14 through 03/31/14). (See the filing officer’s reporting dates calendar for appropriate cover periods.) (4)Page numbers (e.g., 1 of 3). (5)Date of distribution (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 40 distributions would use sequence numbers 1 through 40. The next report (M2), comprised of 30 distributions would use sequence numbers 1 through 30. Distributions 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 distribution (including city, state and zip code). (8)Purpose of distribution (if distribution is a contribution to a candidate, also type the office sought by the candidate). (9)For each distribution that is related to an itemized expenditure previously listed on Itemized Expenditures (Form DS-DE 14), enter the Year, Report Type and Sequence Number associated with the expenditure. *PARTY EXECUTIVE COMMITTEES ONLY - If distribution is allocable toward the contribution limits, type an "A" in this box. If distribution is nonallocable, type and "N". (10)Amendment Type (required on amended reports) - To add a new (previously unreported) distribution for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for distributions with amendment type "ADD" will start at one plus the number of distributions in the original report. For example, amending and original M1 report that had 75 distributions, means the sequence number of the first distribution having amendment type "ADD" will be 76; the second "ADD" distribution would be 77, etc. When amending an original M2 report that had 30 distributions, the ninth "ADD" distribution would have sequence number 39. To correct a previously submitted distribution use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the distribution to be corrected. In combination with the report number being amended, this sequence number will identify the distribution 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. Assigns the sequence number as described above. (11)Amount of distribution. (12)Distribution Type Code Description PPD Pre-paid Distribution RMB Reimbursements CCP Credit Card Purchase INK In-Kind Distribution