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Home My Public Portal AboutCampaign Treasurer's Report (3)1 1. {� ( CAMPAIGN TREASURER'S REPORT (1) n -Con to Dirt-) Z , 1'C SUMMARY 4 OFFICE USE folth.FRK DEC4'15 Pm3:48 Name (2) ((, J ?, Iii(l are.s f" St- Address (number and street) D r (u,,-io cc- 3 io DRL CITY CLERK City, State, Zi6 Code ❑ Check here if address has changed (3) (4) Check appropriate box(es): ❑ Candidate Office Sought: ID Number:4n - osa LEI g ( ❑ 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 fa / / 7 Q0/ s- To /d\ / 0(/ ',-2-/S T Report Type: R Election Report V Original • Amendment ❑ Special (6) Contributions This Report / Cash & Checks $ --- , 34, 4 '& cry (7) Expenditures Monetary Expenditures Transfers to Office Account Total Monetary This Report,/ $ , i . / 5 Loans $ , (2 • 0 Q $ 3 . �� I / Total Monetary $ --, 3T 486. $ , /�a /5 r0 587 -` In -Kind $ , , -• 5 (� (8) Other $ Distributions • (9) TOTAL Monetary Contributions To Date $ , 1 , 9___ (10) TOTAL $ Monetary Expenditures To Date ,G,t3 qa (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name) \01/`111\1\ Cla to falsify a public record (ss. 839.13, F.S.) an complete: R.ffsrjiON/CJ t P "rig ❑ Individual (only fff{{��,,,��„�� jTreasurer ■ Deputy Treasurer ■ Candidate • Chairperson (only fe PC and PTY) or electioneering comm.) X Calsr Signat ignat EaEVEF2S FORINSTRUCTION DS -DE 12 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 1 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) ------__— Street -Address& --- --- City, State, Zip Code Contributor Type (8) (9) (10) In -kind (11) (12) (6) Sequence - Number Occupation Contribution Typo Description Amendment --- -- Amount 11/30/2015 Carr, John M. 2214 E Concord St Orlandio, FL 32803-0000 1 CFO REF $ -169.22 1 11/30/2015 Haddock, Edward E. 3300 University Blvd Ste 218 Winter Park, FL 32792-0000 I Attorney REF $ -169.22 2 11/30/2015 Tobin, Jennifer 1884 Turnberry Ter Orlandoo, FL 32804-0000 I Attorney REF $ -67.69 3 11/30/2015 Zucker, Steven J. 1238 Scandia Ter Oviedo, FL 32765-0000 I Attorney REF $ -101.53 4 11/30/2015 Johnston, James F. 616 Langholm Winter Park, FL 32789-0000 I Attorney REF $ -67.69 5 11/30/2015 Glass, Scott 2417 Ridgewind Way Windermere, FL 34786-0000 I Attorney REF $ -101.53 6 11/30/2015 Grindstaff, Michael J. 300 S Orange Ave STE 1000 Orlando, FL 32801-0000 I Attorney REF $ -169.22 7 11/30/2015 Willard, James G. 298 W 7TH AVE Windermere, FL 34796-0000 I Attorney REF $ -338.43 8 utanl Workshop, Inc.- Campaign Tooloox This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 -12/04/2015 (2) I.D. Number 47-3524881 (4) Page 2 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) Contributor Type (8) (9) (10) In -kind (11) (12) (6) -- -Sequence"- - Number - - __ --- --Street Address& City, State, Zip Code ---Contribution Occupation Type Description Amendment Amount 11/30/2015 SHUTTS & BOWEN LLP 300 S Orange Ave STE 1000 Orlando, FL 32801-0000 B Attorney REF $ -338.43 9 11/30/2015 Pugh, James H. 359 Carolina Ave Suite 200 Winter Park, FL 32789-0000 1 Develope r REF $ -676.87 10 11/30/2015 Massey Services 315 Groveland St Orlandodo, FL 32804-0000 B Pest Preventio n REF $ -169.22 11 11/30/2015 Orlando Professional Fire Fighters Local 1365 4006 N Orange Blossom Trail Orlandondo, FL 32804-0000 B Union REF $ -676.87 12 11/30/2015 Lee, Wesley & Asso LLC P 0 Box 540687 Orlando, FL 32854-0000 B Consulta nt Group REF $ -338.43 13 11/30/2015 Tapp Room At Dubsdread LLC 549 W Par St Orlando, FL 32804-0000 B Restaura nt REF $ -169.22 14 11/30/2015 Golay, Thomas A. 6471 Mackenzie St Orlando, FL 32807-0000 I Fire Fighter REF $ -67.69 15 11/30/2015 Fiskum, David L. 5019 Shelley Ct Orlando, FL 32807-1372. I Contracto r REF $ -50.76 16 Adjutant Workshop, Inc. - Campaign ToolBox This form is based on DS'DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTION S (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 -12/04/2015 (2) I.D. Number (4) Page 47-3524881 3 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) —__-- -----Street Address - — - City, State. Zip Code Contributor Type (8) (9) (10) In -kind (11) (12) ----. --- Amount (6) ------Sequence"-- Number ------ Occupation Description -- Amendment 11/30/2015 Adams, Louis 4400 Cranston St Orlando, FL 32812-0000 I Aviation REF $ -101.53 17 11/30/2015 Atkins -Bradley, Vernice 1049 Petal Court Orlando, FL 32818-0000 I CEO REF $ -169.22 18 11/30/2015 Magic Kingdom Inc 49/ N Buena Vista Dr Orlando, FL 32830-0000 B Tourism Theme Park REF $ -676.87 19 11/30/2015 Walt Disney Travel Company 220 Celebration PI Suite 4000 Celebration, FL 34747-0000 B Travel Company REF $ -676.87 20 11/30/2015 The Law Offices of Astrid Vellon P A 1500 S Semoran Blvd Orlando, FL 32807-2920 B Attorney REF $ -101.53 21 11/30/2015 Mears Distination Services Inc P 0 Box 3227 Orlando, FL 32802-0000 B Transport ation REF $ -338,43 22 11/30/2015 City Cab Company of Orlando Inc P 0 Box 3227 Orlando, FL 32802-0000 B Transport ation REF $ -338.43 23 11/30/2015 Bowden, William J. 4515 Jamerson Orlando, FL 32807-0000 I Retired REF $ -67.69 24 Mutant Workshop, Inc. - Oampaigo 1 oolBox This form la based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 4 of 14 (5) Date (7) Full Name (Last, Suffix, First. Middle) ----__--- -Street Addressb--- --- City, State, Zip Code Contributor ---- Type (8) (9) Type (10) In -kind (11) (12) --- ---- Amount (6) --- Sequence -- Number --Contribution— Occupation Description — Amendment 11/30/2015 Northside Management Corp 120 Carr 582 Dorado, PR 00646-0000 B Manage ment Company REF $ -338.43 25 11/30/2015 Florida Blue P O Box 2210 Jacksonville, FL 32203-2210 B Healthcar e Provider REF $ -676.87 26 11/30/2015 Rigo Warehouse 1301 N Goldenrod Rd STE 8 Orlando, FL 32807-0000 B Warehou se REF $ -338.43 27 11/30/2015 Rocha Financial Group 390 N Orange Ave Suite 2300 Orlando, FL 32801-0000 B Fiancial REF $ -338.43 28 11/30/2015 WBQ Design & Engineering Inc 201 N Magnolia Ave STE 200 Orlando, FL 32801-0000 B Engineeri ng Firm REF $ -169.22 29 11/30/2015 Christiansen, Patrick T. 500 Ivanhoe Plaza Orlando, FL 32804-0000 I Attorneyn ey REF $ -169.22 30 11/30/2015 Swygert, Craig 2365 Hammock View Dr Winter Garden, FL 34787-0000 I Governm ent Affairs REF $-33.84 31 11/30/2015 Asher, Steven D. 1708 Morningbird Dr Orlando, FL 32806-0000 I Real Estate REF $ -67.69 32 Ijutant Workshop. Inc. - Campaign ToolBox This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 -12/04/2015 (2) I.D. Number (4) Page 47-3524881 5of14 (5) Date (7) Full Name (Lest, Suffix, First, Middle) (8) -- Contributor - (9) Contdbution— Type (10) In -kind Description (11) -- •mendrneni — (12) ----- Amount (6) - Sequence' - Number -- _-- — --Street Address& — City, State, Zip Code --- Type Occupation 11/30/2015 Adamczyk, Lynn M. 209 Robin Lee Rd Oveido, FL 32765-0000 1 banking REF $ -135.37 33 11/30/2015 NELSON, BRYAN 1157 OAKPOINT CIRCLE Apopka, FL 32712-0000 1 County Commiss ioner REF $-101.53 34 11/30/2015 Saavedra, Oswald 9818 Mohrs Cove Ln Windermere, FL 34786-8009 1 Physician REF $ -203.06 35 11/30/2015 City Beverage P O Box 621808 Orlando, FL 32862-1808 B Business Beverage Distribut or REF $-676.37 36 11/30/2015 Dunhill Management Cor 520 Semoran Blvd Orlando, FL 32807-0000 B Real Estate REF $ -676.87 37 11/30/2015 Orllando Sports Holding LLC 618 South St Ste 510 Orlando, FL 32801-0000 B Sports Team REF $ -338.43 38 11/30/2015 Raminez, Alicia 741 Little Wekiva Cir Altamonte Springs, FL 32714-0000 1 Director REF $ -67.69 39 11/30/2015 Martinez, Maglardi PA 540 S Semoran Blvd Orlando, FL 32807-0000 B Attorney REF $-676.87 40 This form i3 based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign Tooleox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 6 of 14 (5) Dale (7) Full Name (last, Suffix, First, Middle) Contributor - -- Type (8) -- - Occupation (9) (10) In -kind (11) (12) (6) _- _-- Sequence - Number - -__-- -- --- _Street Address &— -- - - -- City, State, Zip Code —Contribution Type Description Amendment -- ---- Amount 11/30/2015 Rock Springs Ridge 401 Ferguson Dr Orlando, FL 32805-0000 B Real Estate Manage ment REF $ -338.43 41 11/30/2015 1405 South Orange Partnership P 0 Box 560862 Orlando, FL 32856-0000 B Real Estate Manage ment REF $ -676.87 42 11/30/2015 Souladrd,LM 3202 Candleridge Dr Orlando, FL 32822-0000 I Retired REF $-33.84 43 11/30/2015 Mercado, Josephine 2026 W Euclio Ave Orlando, FL 32720-0000 1 Executive Director REF $ -33.84 44 11/30/2015 LeBeau, Paul 5368 Brosche Rd Orlando, FL 32807-0000 I Retired REF $ -16.92 45 11/30/2015 Trabold, Blanca E. 900 Old English Ave Winter Park, FL 32789-0000 1 Executive Director REF $-67.89 46 11/30/2015 Cohen, Kelly 100 S Eola Dr Unit 51 Orlando, FL 32801-0000 1 Governm ent Affairs REF $-338.43 47 11/30/2015 Kress Building LLC 130 S Orange Ave St 300 Orlando, FL 32801-0000 B Property Manage ment REF $-338.43 48 jutanl Workshop, Inc -Campaign ToolBox This fonn is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS ' (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 7 of 14 (5) Date (7) Full Name (Last, Suffix, First Middle) ----- ---St, Siote,Zips&--___-- - city, State, zip Code (8) Contributor (9) (10) In -kind (11) (12) -------- Amount (6) - Sequence Number -- Type Occupation Contdbulion Type Description Amendment 11/30/2015 WAWA 260 W Bslyimor Pikr Wawa, PA 19063-0000 B Gas Station REF $-676.87 49 11/30/2015 Baggage Airline Guest Services 5751 Forum Dr Suite 200 Orlando, FL 32521-0000 B Guest Services REF $ -676.87 50 11/30/2015 Segal, William 1177 Louisianna Ave Winter Park, FL 32789-0000 I Develope r REF $ -135.37 51 11/30/2015 Realtors Political Advocacy Committee 7025 Augusta National Dr Orlando, FL 32822-5017 B Real Estate REF $-676.87 52 11/30/2015 Clear Channel P 0 Box 659512 San Antonio, TX 78265-9512 B Billboard Advertisi ng REF $ -338.43 53 11/30/2015 Ohrablo, Robert .. 415E Pine St Orlando, FL 32801-0000 1 Executive Mgr REF $ -101.53 54 11/30/2015 Din -On Sun, D.O. 5806 Lk Underhill Rd Orlando, FL 32807-0000 B Doctor REF $-676.87 55 11/30/2015 Christmas Creek Ranch LLC 622 W Central Blvd Orlando, FL 32805-0000 B Property Manage ment REF $ -169.22 56 ltulant 4Jorkshop, Inc. - campaign TooISox 1 This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 8 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) - --- Street Address 8— -- -- City, State, Zip Code Contributor Type (8) --- ---. _---Contribution— Occupation (9) Type (10) In -kind (11) (12) - -_-- — Amount (6) _- - Sequente Number Description - Amendment 11/30/2015 Baker & Hostetler Florida PAC 200 S Orange Ave Orlando, FL 32801-0000 B Law Firm REF $ -338.43 57 11/30/2015 Lee, Gregory 2005 Orange Ave Ste 2300 Orlando, FL 32801-0000 I Attorney REF $ -169.22 58 11/30/2015 Forbes Taubman Orlando LLC 100 Galleria Officentre Suite 424 Southfield, MI 48034-0000 B Contracto r REF $ -338.43 59 11/30/2015 Everett, Dykes 822 W Central Blvd Orlando, FL 32805-0000 I Property Mgr REF $-169.22 60 11/30/2015 Orlando Magic LTD 8701 Maitland Summit Blvd Orlando, FL 32810-0000 B Sports Team REF $ -676.87 61 11/30/2015 Wilson, Mary 420 Cherockee Dr Orlando, FL 32801-0000 I Attorney REF $-101.53 62 11/30/2015 Fitzgerald, Miranda 9602 Sloane St Orlando, FL 32827-0000 I Attorney REF $ -169.22 63 11/30/2015 Bortz, Marc 440 N Halsted Ste 306 Chicago, IL 60642-0000 I Develope r REF $ -676.87 64 Adjutant Workshop, Inc. - Campaign ToolBox Thisfonn is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 9 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) __ --- _-Street-Address&— ---- --- City, State Zip Code Contributor -- - - Type (8) (9) (10) In -kind (11) (12) — - Amount (6) Sequence Number Occupation Contribution Type Description Amendment 11/30/2015 Rosen Hotels & Resort 2494 Rose Spring Dr Orlando, FL 32825-0000 B Hotel REF $-338.43 65 11/30/2015 Florida Engineering Group, Inc 5127 S Orange Ave Ste 200 Orlando, FL 32809-0000 B Engineer REF $ -338.43 66 11/30/2015 Sebaali, Samir 5127 Orange Ave STE 201 Orlando, FL 32801-0000 I Engineer REF $-236.90 67 11/30/2015 Harrold, Jan 1966 Commons Way Rd Orlando, FL 32814-0000 I Entertain ment REF $ -338.43 68 11/30/2015 Venue 578 578 North Orange Ave Orlando, FL 32801-0000 8 Entertain ment REF $ -338.43 69 11/30/2015 Complete Production Resources 1930 Commercial Oak Ave Orlando, FL 32808-0000 B Entertain ment REF $ -338.43 70 11/30/2015 Star Over Orlando Inc D/B/A 357 Ocean Shore Blvd Ormond Beach, FL 32176-0000 B Radio Station REF $ -67.69 71 11/30/2015 Leonhardt, Frederick W. 1317 Spring Lake Dr Orlando, FL 32804-0000 I Attorney REF $ -169.22 72 Man l Workshop, Inc. - Campaign ToolBox This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2)1.D. Number (4) Page 47-3524881 10 of 14 (5) Date (7) Full Name (Last. Suffix, First, Middle) - - _- - Street Address& City, State, Zip Code Contributor Type (8) --- -__ _--Contributio Occupation (9) n Typo (10) In -kind Description (11) (12) __-------- Amount (6) Sequence Number Amendment 11/30/2015 Five Management 100 Wilshire Blvd Suite 940 Sena Monica, CA 90401-0000 B Property Manager REF $ -67.69 73 11/30/2015 SeaWorld Parks & Enter INc 9205 Southpark Center Loop #400, Orlando, FL 32819-0000 B Theme Park REF $ -338.43 74 11/30/2015 Sullivan, Thomas 4502 Patricia Ann Ct Orlando, FL 32839-0000 1 Attorney CHE $ -338.43 75 11/30/2015 Grayrobinson PA 301 E Pine St Suite 1400 Orlando, FL 32801-0000 6 Attorney CHE $ -338.43 76 11/30/2015 Tannath Designs Inc 2494 Rose Spring Dr Orlando, FL 32825-0000 B Civil Engineer CHE $ -338.43 77 11/30/2015 Dick Batchelor Management Group 210 S Orange Ave Ste 960 Orlando, FL 32801-0000 B Property Manager CHE $ -67,69 78 11/30/2015 Portigliatti, Bruno 8812 Elliotts Ct Orlando, FL 32810-0000 1 Executive CHE $ -676.87 79 11/30/2015 Teco Energy 702 N Franklin St Tampa, FL 33602-0000 B Public Utility CHE $ -338.43 80 This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 11 of 14 (5) Dale (7) Full Name (Last, Suffix, First, Middle) Street Address& _ -- City, State, Zip Code Contributor _-- Type (8) (9) - DWI -Mutton Type (10) In -kind Description (11) (12) ----- -_-- Amount (6) _- - Sequence Number - _ Occupation - Amendment 11/30/2015 Portigliatti, Anthony 8812 Elliotts Ct Orlando, FL 32836-0000 I Executive CHE $-676.87 81 11/30/2015 Excellence Assisted Living Facility LLC 5950 Lakehurst Dr Ste 182 Orlando, FL 32819-0000 B Asst Living Facility CHE $ -676.87 82 11/30/2015 Rhodes+Brito Architects 605 E Robinson St Ste 750 Orlando, FL 32801-0000 B Architect CHE $ -169.22 83 11/30/2015 Central Fl Hotel & Lodging Assoc Inc 6675 Westwood Blvd Suite 210 Orlando, FL 32821-0000 B Hotel CHE $ -338.43 84 11/30/2015 Tobin, Larry 3087 N Alafaya Trail Orlando, FL 32826-0000 I Executive CHE $ -338.43 85 11/30/2015 H J High Construction Company 1015 W Amelia St Orlando, FL 32805-0000 B Construct ion CHE $ -338.43 86 11/30/2015 Swann, Richard R. 750 Gatlin Ave Orlando, FL 32806-0000 1 Attorney CHE $ -169.22 87 11/30/2015 Ksionek, Ken P. 16142ellamy Way Montverde, FL 34756-0000 I Executive CHE $ -338.43 88 Adjutant Workshop, Inc. - Campaign ToolBox This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 12 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) ---_-_---Street Address Si- -_-- City, State, Zip Code Contributor _-- - Type (8) (9) (10) In -kind (11) (12) ---- -- Amount (6) - Sequence_ - Number _ - — Occupation —Contribution Type Description Amendment 11/30/2015 Dirk Bill and Gary's Inc 33 W Church St Orlando, FL 32801-0000 B Entertain ment CHE $ -338.43 89 11/30/2015 Church Street Ventures, Inc 41 W Church St Orlandodo, FL 32801-0000 B Entertain ment CHE $ -338.43 90 11/30/2015 Avcon Inc 5555 E Michigan St Suite 200 Orlando, FL 32822-0000 B Engineer CHE $ -338.43 91 11/30/2015 Waste Management Inc of Orlando 2700 NW 48th St Pompano Beach, FL 33073-0000 B Trash Pick Up CHE $ -338.43 92 11/30/2015 Downtown Entertainment LLC 33 W Church ST Orlando, FL 32801-0000 B Entertain ment CHE $ -338.43 93 11/30/2015 ACP-Laurich Partnership LTD 390 N Orange Ave Ste 2400 Orlando, FL 32801-0000 B Legal CHE - $ -676.87 94 11/30/2015 Intram Investments Inc 5656 S Kirkman Rd Suite 201 Orlando, FL 32819-0000 B Develope r CHE $ -338.43 95 11/30/2015 Heistand, James R. 390 N Orange Ave STE 2400 Orlando, FL 32801-0000 I Real Estate CHE $ -676.87 96 Adjulent Workshop, Inc. - Campaign ToolBox This form Is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 13 of 14 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address& --- City, Stale, Zip Code Contributor __- Type (8) (9) Contritiulial Type (10) — In -kind Description (11) (12) Amount (6) Sequence Number Occupation Amendment 11/30/2015 Heistand, James R. 390 N Orange Ave STE 2400 Orlando, FL 32801-0000 I Real Estate CHE $ -676.87 97 11/30/2015 ACP-JRL 390 N Orange Ave Ste 2400 Orlando, FL 32801-0000 B Legal CHE $-676.87 98 11/30/2015 Burr & Forman LLP 420 N 20th Street STE 3400 Birlingham, AL 36203-0000 B Legal CHE $ -338.43 99 11/30/2015 Laurich LLC 390 N Orange Ave STE 2400 Orlando, FL 32801-0000 B Legal CHE $ -676.87 100 11/30/2015 McCree Inc 500 E Princeton St Orlando, FL 32803-0000 B Contracto r ARchitect CHE $ -338.43 101 11/30/2015 Florida EMMI LLC 109 Anderson ST Suite 200 Marietta, GA 32860-0000 B Engineeri ng CHE $ -67.69 102 11/30/2015 Callan Law Firm PA 921 Bradshaw Terrace Orlando, FL 32806-0000 6 Law Firm CHE $ -676.87 103 11/30/2015 Y & J Enterprises LLC 921 Bradshow Terrace Orlando, FL 32806-0000 B Business Manage ment CHE $ -676.87 104 Ijulant Workshop, Ina - Campaign ToolBox This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTION S (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number (4) Page 47-3524881 14 of 14 (5) Date (7) Full Name (Last, Suffix. First Middle) Contributor - - Type (8) (9) —Contribution Type (10) In -kind - Description (11) (12) --- - Amount (6)._ Sequence Number _ _ -- - - Street Address& — -- - -- City, Slabs Zip Code Occupation — - Amendment 11/30/2015 Sear!, Jason W. 1127 Shorewood Dr Orlando, FL 32806-0000 I Attorney CHE $ -33.84 105 11/30/2015 Carmody, Christopher L. 1359 Meeting Place Orlando, FL 32814-0000 I Attorneyn ey CHE $ -67.69 106 11/30/2015 Goltz, Jeffrey W. 9477 Southern Garden Circle Altamonte Springs, FL 32714-0000 I Educatio n CHE $ -67.69 107 11/30/2015 Carr, Alexander 10075 Waterfront Dr Woodbury, MN 55129-0000 I Web Designer and Graphics INK In -Kind Refund $ -304.58 108 Ijulanl Workshop, Inc. - Campaign ToolBox This form is based on DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 -12/04/2015 2) I.D. Number 4) Page 47-3524881 1 of 1 (5) Date (7) Full Name (Lest, Suffix, First, Middle) -_- ----Street-Address &---- _- City, State, Zip Code - (8) Purpose (9) —Expenditure -- Type (10) (11) - — - Amount (6) Sequence-- Number (add office sought if -- contdbution to a candidate) ------ Amendment 10/17/2015 Ember meeting MON $ 78.20 42 W Central Blvd Orlando, FL 32801-0000 1 10/17/2015 Fairwinds Credit Unin NSF & bank fees MON $ 23.70 3087 N Alafaya Trail Orlandfo, FL 32826-0000 2 11/01/2015 Bettter Business Services, Inc montlhly service MON $ 300.00 1621 E Hillcrest St Orlando, FL 32803-0000 3 11/30/2015 BBS Charities Charity donation MON $ 20.00 P 0 Box 780637 San Antonio, TX 78278-0637 4 11/30/2015 Bettter Business Services, Inc montly service MON $ 300.00 1621 E Hillcrest St Orlando, FL 32803-0000 5 12/04/2015 In Touch Strategies Inc services rendered MON $ 420.25 526 RugbySt Orlando, FL 32804-0000 6 utanl Workshop, Inc. - Campaign ToolBox This form is based on DS -DE 14 (Roy. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 - 12/04/2015 (2) I.D. Number 47-3524881 (4) Page 0 of 0 (5) Date (7) Full Name (Last, Suffix, First, Middle) _ - - —Street Address & - - - _ City, Slate, Zip Code (8) Purpose ---(add office sought if - contribullon to a candidate) (9) Related— Expenditures (10) (11) ---- - - - - Amount (8) - _ Sequence - Number — Amendment Nothing to report on this form 7ulanl Software, Inc. - Ca mpaign Tooloox This form Is based on DS -DE 14A (Rev. 08/03) (Note about Committee8 hes been removed., CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name Antonio Ortiz (3) Cover Period 10/17/2015 -12/04/2015 (2) I.D. Number (4) Page 47-3524881 0 of 0 (5) Date (7) Name of Financial Institution - - - - -- SIreet Afldress& --- - City, State, Zip Code (8) _Transfer_ Type (9) Nature_ of (10) (11) -- - -- Amount (6) Sequence - Number _— _ - Account Amendment Nothing to report on this form Ad utant Workshop, no. - Campaign ToolBox This form is based on DS -DE 13A (Rev. 11/13)