HomeMy Public PortalAboutCampaign Treasurer's Report (7)(1)
CAMPAIGN TREASURER'S REPORT
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SUMMARY
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(4) Check appropriate
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Political Committee
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❑ Party Executive
❑ Independent
Individual making
Code
address has changed (3)
box(es): �
Office Sought: rn M i s io lie/ ,
ID Number 1407 --55e2 eliggy
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Communications vrg. (ECO) here •• • C -• -__ ..—_ _.___..___
Committee (PTY) ❑ Check here if PTY has disbanded
Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
electioneering communications)
(5) Report Identifiers
Cover Period: From
' ij Original
��11
�0
y / / ,206 To p/r(i / 3 / / .7,0/5-- Report Type: 71
❑ Amendment • Special Election Report
(6) Contributions
Cash & Checks
Loans
Total Monetary
In -Kind
This Report
$ , AA , //5d• Q a
(7)
Monetary
Expenditures
Transfers
Office
Total Monetary
Expenditures This Report
4,811.
$ , 96
$ , , 0. 6 ()
to
Account $ , , o . 6 0
$ , A2, L6--6 do
$ ��
$ , , %% • U
- .
(8)
Other Distributions
$ •
(9) TOTAL
$
Monetary Contributions To Date
, X ,tea .00
(10)
TOTAL Monetary Expenditures To Date
$ , '7 ,5/7 . 9l,
It is a first
I certify that I have
(Type name) 1v'tt+
(11) Certification
degree misdemeanor for any person
examined istrue,trp correct,
``this report and it
)M CITIt+`
to falsify a public record (ss. 839.13, F.S.)
and complete: r
An° L- 0,---n
❑ Individual (only
or electioneering comm
X
for IE
17greasurer ■ Deputy Treasurer
0 Candidate
II Chairperson (only for PC an PTY)
r
A.A.G3%)r.
Signature 1
Signal
DS -DE 12 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Antonio Ortiz
(3) Cover Period 08/01/2015 - 08/31/2015
(2) I.D. Number
(4) Page
47-3524881
1 of 6
(5)
Dele
(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) 1
Amount
(6)
Sequence
Number
08/05/2015
Orlando Magic LTD
B
Sports
CHE
$ 1000.00
8701 Maitland Summit Blvd
Team
Orlando, FL 32810-0000
1
08/05/2015
Wilson, Mary
I
Attorney
CHE
$ 150.00
420 Cherockee Dr
Orlando, FL 32801-0000
2
08/05/2015
Fitzgerald, Miranda
1
Attorney
CHE
$ 250.00
9602 Sloane St
Orlando, FL 3282/-UU00
3
08/11/2015
Bortz, Marc
440 N Halsted Ste 306
I
Develope
r
RCT
$ 1000.00
Chicago, IL 60642-0000
4
08/18/2015
Five Management
B
Property
CHE
$ 100.00
100 Wilshire Blvd Suite 940
Manager
Sana Monica, CA 90401-0000
5
08/18/2015
Sear!, Jason W.
I
Attorney
CHE
$ 50.00
1127 Shorewood Dr
Orlando, FL 32806-0000
6
08/18/2015
Leonhardt, Frederick W.
1
Attorney
CHE
$ 250.00
1317 Spring Lake Dr
Orlando, FL 32804-0000
7
08/18/2015
Carmody, Christopher L.
1359 Meeting Place
I
Attorneys
ey
CHE
$ 100.00
Orlando, FL 32814-0000
8
This form is based on DS -DE 13 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Antonio Ortiz
(3) Cover Period 08/01/2015 - 08/31/2015
(2) I.D. Number
(4) Page
47-3524881
2 of 6
(5)
Date
(7)
Full Name
(Lest, Suffix, First, Middle)
Street Address &
City, State. Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Typo
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08/18/2015
Sullivan, Thomas
I
Attorney
CHE
$ 500.00
4502 Patricia Ann Ct
Orlando, FL 32839-0000
9
08/18/2015
Grayrobinson PA
B
Attorney
CHE
$ 500.00
301 E Pine St Suite 1400
Orlando, FL 32801-0000
10
08/18/2015
Tannath Designs Inc
B
Civil
CHE
$ 500.00
2494 Rose Spring Dr
Engineer
Orlando, I -L 32825U0U0
11
08/18/2015
Rosen Hotels & Resort
B
Hotel
CHE
$ 500.00
2494 Rose Spring Dr
Orlando, FL 32825-0000
12
08/18/2015
Dick Batchelor Management Group
B
Property
CHE
$ 100.00
210 S Orange Ave Ste 960
Manager
Orlando, FL 32801-0000
13
08/18/2015
SeaWorld Parks & Enter INc
B
Theme
CHE
$ 500.00
9205 Southpark Center Loop #400,
Orlando, FL 32819-0000
Park
14
08/18/2015
Florida Engineering Group, Inc
6
Engineer
CHE
$ 500.00
5127 S Orange Ave Ste 200
Orlando, FL 32809-0000
15
08/18/2015
Star Over Orlando Inc D/B/A
B
Radio
CHE
$ 100.00
357 Ocean Shore Blvd
Station
Ormond Beach, FL 32176-0000
16
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 08/01/2015 - 08/31/2015
(2) I.D. Number
(4) Page
47-3524881
3 of 6
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, state, zlp Code
Contributor
Type
(8)
Occupation
(9)
Coninbulion
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08/18/2015
Firestone Live
578 Orange Ave
Orlando, FL 32801-0000
B
Entertain
ment
CHE
$ 500.00
17
08/18/2015
Complete Production Resources
1930 Commercial Oak Ave
Orlando, FL 32808-0000
B
Entertain
ment
CHE
$ 500.00
18
08/18/2015
Venue 578
578 North Orange Ave
B
Entertain
ment
CHE
$ 500.00
Orlando, FL 32801-0000
19
08/18/2015
Harrold, Jan
1966 Commons Way Rd
Orlando, FL 32814-0000
I
Entertain
ment
CHE
$ 500.00
20
08/18/2015
Sebaali, Samir
5127 Orange Ave STE 201
Orlando, FL 32801-0000
I
Engineer
CHE
$ 350.00
21
08/27/2015
Firestone Live
578 Orange Ave
Orlando, FL 32801-0000
B
Entertain
ment
REF
$ -500.00
22
08/28/2015
Avcon Inc
5555 E Michigan St Suite 200
Orlando, FL 32822-0000
B
Engineer
CHE
$ 500.00
23
08/28/2015
Downtown Entertainment LLC
33 W Church ST
Orlando, FL 32801-0000
B
Entertain
ment
CHE
$ 500.00
24
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 08/01/2015 - 08/31/2015
(2) I.D. Number
(4) Page
47-3524881
4 of 6
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, Slate, Zip code
Contributor
Type
(8)
Occupation
(9)
Contdbution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08/28/2015
Church Street Ventures, Inc
41 W Church St
Orlandodo, FL 32801-0000
B
Entertain
ment
CHE
$ 500.00
25
08/28/2015
Dirk Bill and Gary's Inc
33 W Church St
Orlando, FL 32801-0000
B
Entertain
ment
CHE
$ 500.00
26
08/28/2015
Ksionek, Ken P.
16142ellamy Way
I
Executive
CHE
$ 500.00
Montverde, FL 34756-0000
27
08/28/2015
Swann, Richard R.
750 Gatlin Ave
Orlando, FL 32806-0000
I
Attorney
CHE
$ 250.00
28
08/28/2015
H J High Construction Company
1015 W Amelia St
Orlando, FL 32805-0000
B
Construct
ion
CHE
$ 500.00
29
08/28/2015
Waste Management Inc of Orlando
2700 NW 48th St
Pompano Beach, FL 33073-0000
B
Trash
Pick Up
CHE
$ 500.00
30
08/28/2015
Portigliatti, Bruno
8812 Elliotts Ct
Orlando, FL 32810-0000
I
Executive
CHE
$ 1000.00
31
08/28/2015
Central Fl Hotel & Lodging Assoc Inc
6675 Westwood Blvd Suite 210
Orlando, FL 32821-0000
B
Hotel
CHE
$ 500.00
32
This fort) is 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 08/01/2015 - 08/31/2015
(2) I.D. Number
(4) Page
47-3524881
5 of 6
(5)
Date
(7)
Full Name
(Leal, Suffix, First, Middle)
Street Address &
City, Slate, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contbution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08/28/2015
Rhdes+Brito Architects
B
Architect
CHE
$ 250.00
605 E Robinson St Ste 750
Orlando, FL 32801-0000
33
08/28/2015
Excellence Assisted Living Facility
CO
Asst
CHE
$ 1000.00
LLC
Living
5950 Lakehurst Dr Ste 182
Facility
Orlando, FL 32819-0000
34
08/28/2015
Portigliatti, Anthony
1
Executive
CHE
$ 1000.00
8812 Elliotts Ct
0rl icio, FL32836-0000
35
08/28/2015
Teco Energy
B
Public
CHE
$ 500.00
702 N Franklin St
Utility
Tampa, FL 33602-0000
36
08/28/2015
Tobin, Larry
1
Executive
CHE
$ 500.00
3087 N Alafaya Trail
Orlando, FL 32826-0000
37
08/31/2015
Burr & Forman LLP
B
Legal
CHE
$ 500.00
420 N 20th Street STE 3400
Birlingham, AL 36203-0000
38
08/31/2015
ACP-Laurich Partnership LTD
B
Legal
CHE
$ 1000.00
390 N Orange Ave Ste 2400
Orlando, FL 32801-0000
39
08/31/2015
ACP-JRL
B
Legal
CHE
$ 1000.00
390 N Orange Ave Ste 2400
Orlando, FL 32801-0000
40
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 08/01/2015 - 08/31/2015
(2) I.D. Number
(4) Page
47-3524881
6 of 6
(5)
Data
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, Slate. Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
08/31/2015
Laurich LLC
390 N Orange Ave STE 2400
Orlando, FL 32801-0000
B
Legal
CHE
$ 1000.00
41
08/31/2015
Heistand, James R.
390 N Orange Ave STE 2400
Orlando, FL 32801-0000
I
Real
Estate
CHE
$ 1000.00
42
08/31/2015
Heistand, James R.
390 N Orange Ave STE 2400
I
Real
Estate
CHE
$ 1000.00
Orlando, FL 32801-0000
43
08/31/2015
Intram Investments Inc
5656 S Kirkman Rd Suite 201
Orlando, FL 32819-0000
B
Develope
r
CHE
$ 500.00
44
This form is based an DS -DE 13 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio Ortiz
(3) Cover Period 08/01/2015 - 08/31/2015
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
(add office sought if
contribution to a candidate)
(9)
Expenditure
Type
(10)
Amendment
(1 1)
Amount
(6)
Sequence
Number
08/01/2015
In Touch Strategies Inc
526 RugbySt
Orlando, FL 32804-0000
Consulting
MON
$ 2500.00
1
08/05/2015
Bettter Business Services, Inc
1621 E Hillcrest St
Orlando, FL 32803-0000
Accounting
MON
$ 1200.00
2
08/11/2015
Paypal Fees
P.O. Box 105658
Credit card processing
fee
MON
$ 29.30
Atlanta, GA 30348-5658
3
08/20/2015
Paypal Fees
P.O. Box 105658
Atlanta, GA 30348-5658
Credit card processing
fee
MON
$ 14.80
4
08/28/2015
City of Orlando
400 Orange Ave
Orlando, FL 32802-0000
Qualifyting Fees
MON
$ 1067.86
5
This form is based 011 DS -DE 14 (Rev. 11/13)
nc. -campaign i ooltlox
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name Antonio Ortiz
(3) Cover Period 08/01/2015 - 08/31/2015
2) I.D. Number
4) Page
47-3524881
0 of 0
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8,
Cily, Stale, Zip Code
(8)
Purpose
(add office sought if
contribution to a candidate)
(9)
Related
Expenditures
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
Ijutant Software, Inc. - Campaign ToolBox
This form is based on DS -DE 14A (Rev. 08/03) [Note about Committees has been remo ed.)
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Antonio Ortiz
(3) Cover Period 08/01/2015 - 08/31/2015
(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