HomeMy Public PortalAboutCampaign Treasurer's Report (5)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
2 086 00
0 00
2 086 00
0 00
3 023 06
0 00
3 023 06
37 286 00
0 00
11 928 14
07 01 19 07 31 19
BAF54734-BAD0-4A9B-A1A1-6A9CB9C7C2A4
08/12/19 - 07:12:20
08/12/19 - 07:12:20
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 12
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 12
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 12
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 12
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 12
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 12
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 12
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 12
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 12
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 12
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 CashOrCash
iersCheck
$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 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 12 12
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
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