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Home My Public Portal AboutCampaign Treasurer's Report (6)CAMPAIGN TREASURER'S REPORT SUMMARY (1),2 11-VOn i 0 C)fr+I OFFICE USE ONLY Name (2) ) (I, al 1 11 °A -es Address (number arid street) Of L -VL '3;� City, State, Zip Code ❑ Check here if address has changed (3) ID Number:40- .,35..:.?"I- (FA/ (4) Check appropriate box(es): - [, Candidate Office Sought: � O%") -?/fl / S s JOn _ L-)l,4i(c.f. ❑ ■ ❑ • individual Political Committee (PC) Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded Party Executive Committee (PTY) 0 Check here if PTY has disbanded Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed making electioneering communications) (5) Report Identifiers Cover Period: From Lc / 01 / f 5 To CGS / a) / / 5 Report Type: -�j 0— ■ Original 0 Amendment ❑ Special Election Report -+� (6) Contributions This Report Cash & Checks $ , ) ) 425 • Lib (7) Expenditures This Report Monetary Expenditures $ V .1 0 Loans $ , - Transfers to ll Office Account $ , 0. lJ Q Total Monetary $ , ) 3 , 7 5 (46 1 Total Monetary $ , , ( � . C� 0 !n -Kind $ • (8) Other Distribution! $ , 0,.D (9) TOTAL Monetary Co(nrpi-butions To Date $ ,)`'� ,-I); 00 (10) TOTAL Monetary Expe $ , ,` 0. ditures To Date (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this reportandnnit is true, correct, (Type name) 1g.� J Cikge . to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) ❑ Individual (only for IE rkreasurer ❑ Deputy Treasurer or electioneering comm.) ❑ Candid e ❑ Ch rson (only for PC an 'TY) A a. Signature Signatur DS -DE 12 (Rev. 11/13) SEE REV INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 1 of 5 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/09/2015 Haddock, Edward E. 3300 University Blvd Ste 218 Winter Park, FL 32792-0000 1 Attorney CHE $ 250.00 1 06/09/2015 Tobin, Jennifer 1884 Turnberry Ter Orlandoo, FL 32804-0000 I Attorney CHE $ 100.00 2 06/09/2015 Zucker, Steven J. 1238 Scandia Ter Oviedo, FL 32765-0000 1 Attorney CHE $ 150.00 3 06/09/2015 Johnston, James F. 616 Langholm Winter Park, FL 32789-0000 I Attorney CHE $ 100.00 4. - 06/09/2015 Glass, Scott 2417 Ridgewind Way Windermere, FL 34786-0000 I Attorney CHE $ 150.00 5. . .06/09/2015 Grindstaff, Michael J. 300 S Orange Ave STE 1000 Orlando, FL 32801-0000 I Attorney CHE $ 250.00 6 06/09/2015 Willard, James G. 298 W 7TH AVE Windermere, FL 34796-0000 I Attorney CHE $ 500.00 7 , ,, 06/09/2015 SHUTTS & BOWEN LLP 300 S Orange Ave STE 1000 Orlando, FL 32801-0000 B Attorney CHE $ 500.00 8 This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 2 of 5 (5) Data (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) in -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/19/2015 Orlando Professional Fire Fighters Local 1365 4006 N Orange Blossom Trail Orlandondo, FL 32804-0000 B Union CHE $ 1000.00 9 06/19/2015 Pugh, James H. 359 Carolina Ave Suite 200 Winter Park, FL 32789-0000 1 Develope r CHE $ 1000.00 10 06/19/2015 Massey Services 315 Groveland St Orlandodo, FL 32804-0000 B Pest Preventio n CHE $ 250.00 11 06/19/2015 Lee, Wesley & Asso LLC P 0 Box 540687 Orlando, FL 32854-0000 B Consulta nt Group CHE $ 500.00 12 .06/26/2015 Tapp Room At Dubsdread LLC 549 W Par St Orlando, FL 32804-0000 B Restaura nt CHE $ 250.00 13.. 06/30/2015 City Beverage P O Box 621808 Orlando, FL 32862-1808 B Business Beverage Distribut or CHE $ 1000.00 1.4 06/30/2015 Rigo Warehouse 1301 N Goldenrod Rd STE 8 Orlando, FL 32807-0000 B Warehou se CHE $ 500.00 - 15 06/30/2015 Florida Blue P O Box 2210 Jacksonville, FL 32203-2210 B Healthcar e Provider CHE $ 1000.00 .. .. 16. .. . This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 3 of 5 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address& City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/30/2015 Rocha Financial Group 390 N Orange Ave Suite 2300 Orlando, FL 32801-0000 B Fiancial CHE $ 500.00 17 06/30/2015 WBQ Design & Engineering Inc 201 N Magnolia Ave STE 200 Orlando, FL 32801-0000 B Engineeri ng Firm CHE $ 250.00 18 06/30/2015 Christiansen, Patrick T. 500 Ivanhoe Plaza Orlando, FL 32804-0000 I Attorneyn ey CHE $ 250.00 19 06/30/2015 Swygert, Craig 2365 Hammock View Dr Winter Garden, FL 34787-0000 I Govemm ent Affairs CHE $ 50.00 20. 06/30/2015 Asher, Steven D. 1708 Morningbird Dr Orlando, FL 32806-0000 I Real Estate CHE $ 100.00 21 06/30/2015 Adamczyk, Lynn M. 209 Robin Lee Rd Oveido, FL 32765-0000 I banking CHE $ 200.00 - 22 06/30/2015 Saavedra, Oswald 9818 Mohrs Cove Ln Windermere, FL 34786-8009 I Physician CHE $ 300.00 23 06/30/2015 NELSON, BRYAN 1157 OAKPOINT CIRCLE Apopka, FL 32712-0000 I County Commiss ioner CHE $ 150.00 24 This fore is based on DS -DE 13 (Rev. 11/13) Adjutant Worlcshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 4 of 5 (5) Date (7) Full Name (Lest, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/30/2015 Goltz, Jeffrey W. 9477 Southern Garden Circle Altamonte Springs, FL 32714-0000 I Educatio n CHE $ 100.00 25 06/30/2015 Fiskum, David L. 5019 Shelley Ct Orlando, FL 32807-1372 I Contracto r CHE $ 75.00 26 06/30/2015 Golay, Thomas A. 6471 Mackenzie St Orlando, FL 32807-0000 I Fire Fighter CHE $ 100.00 27 06/30/2015 Northside Management Corp 120 Carr 582 Dorado, PR 00646-0000 B Manage ment Company CHE $ 500.00 28 - 06/30/2015 Bowden, William J. 4515 Jamerson Orlando, FL 32807-0000 I Retired CHE $ 100.00 29 .06/30/2015 City Cab Company of Orlando Inc P 0 Box 3227 Orlando, FL 32802-0000 B Transport ation CHE $ 500.00 30 06/30/2015 Mears Distination Services Inc P 0 Box 3227 Orlando, FL 32802-0000 B Transport ation CHE $ 500.00 31 06/30/2015 The Law Offices of Astrid Vellon P A 1500 S Semoran Blvd Orlando, FL 32807-2920 B Attorney CHE $ 150.00 -32 This form is based on DS -DE 13 (Rev, 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 08/30/2015 (2) I.D. Number 47-3524881 (4) Page 5 of 5 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/30/2015 Walt Disney Travel Company 220 Celebration PI Suite 4000 Celebration, FL 34747-0000 B Travel Company CHE $ 1000.00 33 06/30/2015 Magic Kingdom Inc 49/ N Buena Vista Dr Orlando, FL 32830-0000 B Tourism Theme Park CHE $ 1000.00 34 06/30/2015 Atkins -Bradley, Vernice 1049 Petal Court Orlando, FL 32818-0000 I CEO CHE $ 250.00 35 06/30/2015 Adams, Louis 4400 Cranston St Orlando, FL 32812-0000 I Aviation RCT $ 150.00 • 36 This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign Tooleox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 0 of 0 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, Stele, Zip Code (8) Purpose (add office sought If contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number Nothing to report on this form This form is based on DS -DE 14 (Rev. 11113) Ad utant Workshop, Inc. - Campaign ToolOox CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 0 of 0 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add once sought if contribution to a candidate) (9) Related Expenditures (10) Amendment T (11) Amount (6) Sequence Number Nothing to report on this form Thls form is based on DS -DE 14A (Rev. 08/03) [Note about Committees has been removed.] Adjutant Software, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name Antonio Ortiz (3) Cover Period 06/01/2015 - 06/30/2015 (2) I.D. Number (4) Page 47-3524881 0 of 0 (5) Date (7) Name of Financial Institution Street Address & City, state, zip code (8) Transfer Type (9) Nature of Account (10) Amendment (11) Amount (6) Sequence Number Nothing to report on this form This form is based on DS -DE 13A (Rev. 11/13) Ad utant Workshop, Inc. - Campaign ToolBox