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Home My Public Portal AboutCampaign Treasurer's Report (4)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 Bakari F. Burns P.O. Box 551109 Orlando, FL 32855 2019D6002 District 6, Orlando City Commissioner M-7 4 2 411 00 0 00 2 411 00 0 00 3 102 94 0 00 3 102 94 39 697 00 0 00 12 008 02 07 01 19 07 31 19 CAD45DAA-AD3C-49F6-A645-6C0492D96442 08/19/19 - 04:23:20 08/19/19 - 04:23:20 CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 207 13 07 Marnel Mays Individual Retired CashOrCash iersCheck $6.001 Individual Retired CashOrCash iersCheck $6.002 Individual Retired CashOrCash iersCheck $6.003 Individual Retired CashOrCash iersCheck $6.004 Individual Retired CashOrCash iersCheck $6.005 Individual Retired CashOrCash iersCheck $6.006 Individual Retired CashOrCash iersCheck $6.007 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 4189 Prince Hall Blvd Orlando, FL 32811 Alice Moore 1709 Mercy Drive orlando, FL 32808 James Jones 4683 Summer Oak St. orlando, FL 32835 Jane Byard 3630 Meadow Lake Lane orlando, FL 32808 Ora Lee Carter 5814 Pondwood Ct. orlando, FL 32810 Georgia Tomblin 4649 King Cole Blvd. orlando, FL 32811 392 Cottage Hill Road orlando, FL 32805 Betty Bryant CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 307 13 07 Ymet Lam Individual Retired CashOrCash iersCheck $6.008 Individual retired CashOrCash iersCheck $6.009 Individual Retired CashOrCash iersCheck $6.0010 Individual Retired CashOrCash iersCheck $6.0011 Individual Retired CashOrCash iersCheck $6.0012 Individual retired CashOrCash iersCheck $6.0013 Individual retired CashOrCash iersCheck $6.0014 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 7823 Mallorca Ct. orlando, FL 32836 Qianer Mai 1825 West Pointe Cir. orlando, FL 32835 Chin Pittman 2005 Puritan Rd. orlando, FL 32807 Mary Salter 6101 Ambassord Rd. orlando, FL 32808 Mildred Smith 4927 Raleigh St. orlando, FL 32811 Essie Grant 4539 Weldon Place orlando, FL 32811 1907 S. Ivey Lane orlando, FL 32811 Eloise Larkin CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 407 13 07 Russell Darise Individual Retired CashOrCash iersCheck $6.0015 Individual Retired CashOrCash iersCheck $6.0016 Individual Retired CashOrCash iersCheck $6.0017 Individual retired CashOrCash iersCheck $6.0018 Individual Retired CashOrCash iersCheck $6.0019 Individual Education CashOrCash iersCheck $6.0020 Individual Educator CashOrCash iersCheck $6.0021 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 11 19 07 14 19 4523 Wheatley St. orlando, FL 32811 Winston McGill 526 Eartha Lane orlando, FL 32805 Patricia Major 1265 Poppy Avenue orlando, FL 32811 Louise Law 7447 Bornway Dr. orlando, FL 32819 Lawanza Chareton 1412 Crooms Ave. orlando, FL 32805 Brenda Nelson 3528 Seneca Club Loop orlando, FL 32808 5444 Blueberry Drive orlando, FL 32811 Rudolph Romaine CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 507 13 07 Carie Core Individual Retired CashOrCash iersCheck $6.0022 Individual Retired CashOrCash iersCheck $6.0023 Individual Retired CashOrCash iersCheck $6.0024 Individual Retired CashOrCash iersCheck $6.0025 Individual retired CashOrCash iersCheck $6.0026 Individual Retired CashOrCash iersCheck $6.0027 Individual Retired CashOrCash iersCheck $6.0028 01 19 31 19 14 19 07 11 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 920 Aaron Ave. orlando, FL 32811 Louise Boyd 4612 Miranda Circle orlando, FL 32818 Felix Hayden 1705 Mercy Dr. orlando, FL 32808 Willie Macon 2071 Liston Ct. orlando, FL 32811 Yim Mark 2614 Illinois St. orlando, FL 32803 Yin Fong Leu 2420 Betty Street orlando, FL 32803 7447 Burnway Dr. orlando, FL 32819 Thomas Lam CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 607 13 07 Louise Singelton Individual Retired CashOrCash iersCheck $6.0029 Individual Office Administratio n CashOrCash iersCheck $6.0030 Individual Education CashOrCash iersCheck $6.0031 Individual retired CashOrCash iersCheck $6.0032 Individual Retired CashOrCash iersCheck $6.0033 Individual Business Developmen t CashOrCash iersCheck $6.0034 Individual Educator CashOrCash iersCheck $6.0035 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 928 Wooden Blvd. orlando, FL 32805 Michelle McGill 526 Eartha Lane orlando, FL 32805 Betty Chan 3775 Woodhurst Ct. Oviedo, FL 32766 Shui Chiu 2863 Plaza Terrace Dr. orlando, FL 32803 Eddie Hui 4733 Indian Deer Road Windermere , FL 34786 Lisa Cu Lo 2524 Windsorgate Rd. orlando, FL 32828 7879 Bridgestone Dr. orlando, FL 32835 Lilly MAy CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 707 13 07 Lai Hui Individual Education CashOrCash iersCheck $6.0036 Individual Retired CashOrCash iersCheck $6.0037 Individual Education CashOrCash iersCheck $6.0038 Individual Education CashOrCash iersCheck $6.0039 Individual retired CashOrCash iersCheck $6.0040 Individual retired CashOrCash iersCheck $6.0041 Individual Business Admin CashOrCash iersCheck $6.0042 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 4733 Indian Deer Rd. Windemere , FL 34786 Brenda Taylor 1240 St. James Rd. orlando, FL 32808 Alice Branch 1390 Montheath Cir. Ocoee, FL 34761 Patricia Russell 4400 Malibu ST. orlando, FL 32811 Johnnie Mickle 719 Doby Ave. orlando, FL 32805 Rusaiyah Muhammad 7026 Balboa Dr. orlando, FL 32818 3243 W. Church St. orlando, FL 32805 Almeda Meuse CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 807 13 07 Ada Sims Individual Retired CashOrCash iersCheck $6.0043 Individual Retired CashOrCash iersCheck $6.0044 Individual Retired CashOrCash iersCheck $6.0045 Individual Retired CashOrCash iersCheck $6.0046 Individual Retired CashOrCash iersCheck $6.0047 Individual Retired CashOrCash iersCheck $6.0048 Individual Education CashOrCash iersCheck $6.0049 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 1601 Crooms Ave. orlando, FL 32805 Glenda Killinsworth 4282 Pappy Kennedy orlando, FL 32811 Barbara Pope 1410 Wilton Ave. orlando, FL 32805 Annie Mayhue 910 Aaron Ave. orlando, FL 32811 Wallace Gilchrist Sr. 437 Walter Place orlando, FL 32805 Kenisha Scott 5627 Silver Spruce Dr. orlando, FL 32808 4749 Marbello Blvd. orlando, FL 32811 Arvella Cobaris CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 907 13 07 Sarah Miller Individual Education CashOrCash iersCheck $6.0050 Individual Retired CashOrCash iersCheck $6.0051 Individual Retired CashOrCash iersCheck $6.0052 Individual Retired CashOrCash iersCheck $6.0053 Individual Retired CashOrCash iersCheck $6.0054 Individual retired CashOrCash iersCheck $6.0055 Individual Retired CashOrCash iersCheck $6.0056 01 19 31 19 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 07 14 19 3274 Fitzgerald Dr. orlando, FL 32805 Rebecca Joseph 3850 W.D. Judge #E314 orlando, FL 32808 Mary Gaines 4042 Gaynell Ct. orlando, FL 32811 Elease Burnett 4315 Solomon Drive orlando, FL 32811 Mary Vereen 4957 Raleigh St. orlando, FL 32811 Steven Wongs 1825 Westpointe Dr. orlando, FL 32835 1026 W. Anderson St. orlando, FL 32805 Nathaniel Scarbourgh CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 1007 13 07 Willie McElvin Individual Retired CashOrCash iersCheck $10.0057 Individual retired CashOrCash iersCheck $10.0058 Individual Education CashOrCash iersCheck $10.0059 Individual retired CashOrCash iersCheck $10.0060 Individual Retired CashOrCash iersCheck $10.0061 Individual Retired CashOrCash iersCheck $20.0062 Individual Education CashOrCash iersCheck $20.0063 01 19 31 19 20 19 07 20 19 07 16 19 07 20 19 07 16 19 07 16 19 07 17 19 4327 Chateau Rd. orlando, FL 32808 Valerie Floyd 4662 Vargas St. orlando, FL 32811 Toshiba Alexander 4662 Vargas St. orlando, FL 32811 Mary Elliot 4662 Vargas St. orlando, FL 32811 Evelyn McElvin 4371 Lake Richmond Dr. orlando, FL 32811 Anthony McAlister Jr. 4299 Prince HAll Blvd. orlando, FL 32811 2402 Ashland Blvd. orlando, FL 32808 Nell Tisdale CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 1107 13 07 Ethel Walton Individual retired CashOrCash iersCheck $20.0064 Individual Retired CashOrCash iersCheck $20.0065 Individual Education CashOrCash iersCheck $20.0066 Individual Retired Check $50.0067 Individual Retired Check $500.0068 Individual Educator Check Add $1,000.0069 Individual Retired CashOrCash iersCheck $50.0070 01 19 31 19 16 19 07 16 19 07 16 19 07 14 19 07 30 19 07 31 19 07 07 19 832 Bethune Dr. orlando, FL 32805 Gloria Sears 1016 Shale Trail St. Apopka , FL 32703 Julius Thompson 2217 Lake Sunset Dr. orlando, FL 32805 Anne Broner P.O. Box 1461 Dade City , FL 33526 Beverly Page 5839 Strada Capri Way orlando, FL 32835 Billie Dean 1140 Lexington PKWY Apopka , FL 32712 5839 Strada Capri Way orlando, FL 32835 Ernest Page Sr. CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1) Name (2)I.D. Number (3)Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Bakari F. Burns 2019D6002 07 1207 13 07 Russell Drake Individual Engineer Check Add $25.0071 Individual Engineer Check Add $50.0072 Individual Business Check Add $100.0073 Individual Sales Check Add $25.0074 Individual Educator Check Add $50.0075 Individual Educator Check Add $50.0076 Individual Nurse Check Add $25.0077 01 19 31 19 31 19 07 31 19 07 30 19 07 30 19 07 30 19 07 30 19 07 30 19 4434 Bradley Ave. orlando, FL 32839 Aubrey Perry 7 Edenton Court Ocoee, FL 34761 Jennifer Farmer 1221 Wild Hawthorn Way Reston , VA 20194 Ralph Johnson 489 Friendship Dr. orlando, FL 32835 Tessilia Daniels 65 W. @7th St. Jacksonville, FL 32206 Veronique Mapp 5287 River Birch Court orlando, FL 32808 2425 Kalch Court Ocoee, FL 34761 Robin Broner 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) Bakari F. Burns 2019D6002 07 01 19 07 31 19 13 13 07 31 19 PayPal CandidateEx pense $23.06 1 2211 North First Street San Jose, CA 85139 Established in 1951, Inc. 07 05 19 Consulting CandidateEx pense $3,000.00 2 612 Cannon Ridge Dr. orlando, FL 32818 Kizzy Kreative Koncepts 07 07 19 Digital Advertisement CandidateEx pense $79.88 3 4434 America Street orlando, FL 32811 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