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Home My Public Portal AboutCampaign Treasurer's Report (9)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-5 Campaign Treasurer's Report 4 13 275 00 0 00 13 275 00 0 00 2 947 28 0 00 2 947 28 29 960 00 0 00 7 253 68 05 01 19 05 31 19 B747AC7B-4357-4AA3-8C07-90EB1CDAC30A 06/10/19 - 07:51:48 06/10/19 - 07:51:48 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 05 205 11 05 Dr C. Bruce Gordy Individual Dentist Check $1,000.001 Individual Educator Check $50.002 Individual Dietitian Check $250.003 Individual Pastor Check $100.004 Individual Minister Check $50.005 Individual Retired Check $25.006 Individual Vice President Check $100.007 01 19 31 19 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 1209 Country Lane orlando, FL 32804 Dawn Higgs P.O. Box 647 Clarcona, FL 32710 Roniece Weaver 3027 Porto Largo Court Windermere, FL 34786 Pastor Charles Williams 840 Charingstone Court Apopka, FL. 32712 Apopka, FL 32712 Joslyn Robinson Rasheed 3703 South Lake Orlando PKWY orlando, FL 32808 LeMoyne Adams 1243 Arden Oaks Drive Ocoee, FL. 34761 Ocoee, FL 24761 P.O. Box 1251 Windermere, FL. 34786 Windermere, FL 34786 Dr. Pam Powell 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 05 305 11 05 Picerne Development Corp Business Developmen t Check $500.008 Business Managemen t Check $500.009 Individual Attorney Check $1,000.0010 Individual Health Executive Check $1,000.0011 Individual Para Professional Check $50.0012 Business Chiropractor Check $50.0013 Individual Sales Administrato r Check $25.0014 01 19 31 19 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 247 N. Westmonte Drive Altamonte Springs, FL. 32714 Altamonte Springs, FL 32714 Picerne Management Corp 247 N. Westmonte Drive Altamonte Springs, FL. 32714 Altamonte Springs, FL 32714 Gregorio Francis 6226 Cartmel Lane Windermere, FL. 34786 Windermere, FL 34786 Keisha Francis 6226 Cartmel Lane Windermere, FL. 34786 Windermere, FL 34786 World Health Wellness, Inc. 927 S. Goldwyn Avenue orlando, FL 32802 Gail Hill 6531 Redwood Oaks Dr. orlando, FL 32818 3939 Wilts Street orlando, FL 32805 Armor Evans 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 05 405 11 05 Yumeko Motley Individual Attorney Check $100.0015 Individual Attorney Check $200.0016 Individual Engineer Check $200.0017 Individual Insurance Agent Check $100.0018 Individual Retired Check $300.0019 Individual Retired Check $50.0020 Individual Employee relations manager Check $50.0021 01 19 31 19 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 6185 Raleigh St. orlando, FL 32835 Hope Newsome 16836 Broadwater Avenue Winter Garden Winter Garden, FL 34787Russell Drake 4434 Bradley Avenue Orlando, FL. 32839 orlando, FL 32839 Patrick Gray 10404 Oakview Pointe Terrace Gotha, FL. 34734 Gotha, FL 34734 Roderick Williams 13881 Jomatt Loop Winter Garden Winter Garden, FL 34787Sadaris Cheatham 16220 Great Blue Heron Court Winter Garden, FL. 34787 Winter Garden, FL 34787 2116 Monte Carlo Trail orlando, FL 32805 Alzo Reddick 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 05 505 11 05 Sandra McClellan Individual Executive Assistant Check $50.0022 Individual Transportati on manager Check $50.0023 Individual Legislative assistant Check $100.0024 Individual Project manager Check $50.0025 Individual Building Contractor Check $200.0026 Individual Pastor Check $200.0027 Individual Educator Check $350.0028 01 19 31 19 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 05 24 19 4405 Beagle Street Orlando orlando, FL 32818 Sheldon Watson 4285 Owens Street orlando, FL 32811 Carolyn Austin 6185 Raleigh St. orlando, FL 32835 Sean Bradford 4095 W. Washington Street orlando, FL 32805 Sharon Riley 2121 S. Hiawasee Road orlando, FL 32835 Busara Pitts 2007 59th Circle South St. Petersburg, FL. 33712 St. Petersburgh, FL 33712 1707 E. 29th Avenue Tampa, FL. 33605 Tampa, FL 33605 Benjamin Gainer 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 05 605 11 05 Ernest Page Sr. Individual Retired Check $500.0029 Individual Retired Check $100.0030 Individual Medical Professional Check $300.0031 Individual Bishop Check $250.0032 Individual Retired Check $1,000.0033 Individual Retired CashOrCash iersCheck $50.0034 Individual Banking Executive Check $100.0035 01 19 31 19 24 19 05 24 19 05 06 19 05 06 19 05 03 19 05 05 19 05 09 19 5839 Strada Capri Way orlando, FL 32835 Mable Jordan 467 Chicago Woods Circle orlando, FL 32824 Carmen Lucas 3793 Millenia Blvd. orlando, FL 32839 Allen Wiggins 2325 Roat Dr. Orlando, FL 32835 orlando, FL 32835 Frank Spalding 843 Keats Ave. Orlando Fl 32809 orlando, FL 32809 Cathy Steward 3720 Westwood Rd. Orlando, Fl 32808 orlando, FL 32808 4006 Caribon Street Mitchellville, MD Mitchellville, MD 20721 Dr. Artie Polk 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 05 705 11 05 Camille Evans Individual Attorney Check $500.0036 Individual Attorney Check $500.0037 Individual Attorney Check $500.0038 Business Consulting Check $250.0039 Individual Business Man Check $100.0040 Individual Construction Check $500.0041 Individual Law Enforcement Check $50.0042 01 19 31 19 29 19 05 24 19 05 24 19 05 24 19 05 22 19 05 23 19 05 24 19 7542 Saint Stephens Ct Orlando, FL 32835 orlando, FL 32835 Jeffery Jones P.O. Box 3045 Orlando FL 32802 orlando, FL 32802 Anthony Hall 878 Wood Briar Loop Sanford, Fl 32771 Sanford, FL 32771 Community Ideas 7749 Debeaubien Dr. Orlando, Fl 32835 orlando, FL 32835 Provisions Construction & Development 3401 Lake Breeze Dr. 32808 orlando, FL 32808 Richard Albert Jr. 4318 W. Corona St. Tampa, FL 33629 2700 Rio Grande Ave. orlando, FL 32805 Clover Brown 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 05 805 11 05 Jared Brooks Individual Attorney Check $50.0043 Individual Architect Check $100.0044 Individual Consultant Check $100.0045 Individual Executive Check $50.0046 Individual Engineer Check $200.0047 Individual Administrato r Check $100.0048 Individual Health Care Executive Check $50.0049 01 19 31 19 24 19 05 24 19 05 24 19 05 24 19 05 21 19 05 25 19 05 24 19 648 Dunbar St. Winter Park, FL 32789 Lonnie Bass 1617 Pickard Cir Apopka, FL 32703 Sarah Elbadri 1520 Arlington St. orlando, FL 32805 Sherry Parramore 1644 Whitney Isles Dr. Windermere , FL 34786 Barbara Woods-Morrison 601 Bay Bridge Circle Apopka, FL 32703 Carla Jackson 1871 Lake Hill Circle Orlando, FL 32818 P.O. Box 676 Jessup, MD 20794 Tony Greene 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 05 905 11 05 Angela Davis Individual Retired Check $300.0050 Individual Hospital Executive Check $100.0051 Individual Executive Check $50.0052 Individual Logistics Check $100.0053 Individual Retired Check $100.0054 Individual Educator Check $75.0055 Individual Educator Check $100.0056 01 19 31 19 24 19 05 24 19 05 24 19 05 24 19 05 09 19 05 09 19 05 17 19 1418 Plumgrass Circle Ocoee, FL 34761 Nigel Bowman 7525 Brightwater Place Oviedo, FL 32765 Sonya Hill 1834 Aaron Ave orlando, FL 32805 Donte Kendrick 4274 Cynthia Street orlando, FL 32811 Sarieta Pollard 25 Gilmore - Shelby Rd. Laurel, MS 39443 Tessilia Daniels 65 W. 27th St. Jacksonville, FL 32206 25 Gilmore - Shelby Rd. Laurel, MS 39443 Marcus Pollard 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 05 1005 11 05 Gail Hill Individual Sales Administrato r Check $25.0057 Individual Health Executive Check $100.0058 Individual Retired Check $50.0059 Business Tax Service Check $100.0060 Individual Educator Check $25.0061 Individual Educator Check $100.0062 01 19 31 19 24 19 05 24 19 05 23 19 05 24 19 05 09 19 05 05 19 6531 Redwood Oak Dr. orlando, FL 32818 Chianta Lindsey 5508 White Heron Pl. Oviedo, FL 32765 Lavon Bracy 5315 Woodstead Way orlando, FL 32819 Loose Ends Tax Service 1000 East Robinson Street orlando, FL 32805 Cheryl Thomas 3055 Willie Mays Parkway orlando, FL 32811 8913 Ristau Ct. Antioch, TN Antioch, TN 37013 Erica Rudolph 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 05 01 19 05 31 19 11 11 05 02 19 United Sates Postal Office Postage CandidateEx pense $55.00 1 440 S. Orange Blossom Trail orlando, FL 32805 Federal Express 05 06 19 Print Material CandidateEx pense $146.43 2 47 E. Robinson St orlando, FL 32805 Metro West Golf Club 05 16 19 Campaign Kickoff CandidateEx pense $300.00 3 2100 S. Hiawassee Rd. Orlando, FL 32835 Show Stopper Apparel 05 22 19 Campaign Shirts CandidateEx pense $538.89610 S. Orange Blossom Trail orlando, FL 328054 Metro West Golf Club 05 30 19 Campaign Kick Off CandidateEx pense $706.962100 S. Hiawassee orlando, FL 328355 Est. in 1951, Inc. 05 07 19 Consulting CandidateEx pense $1,200.00612 Cannon Ridge Drive orlando, FL 328186 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