HomeMy Public PortalAboutCampaign Treasurer's Report (13)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. (Qualified) Burns
P.O. Box 551109
Orlando, FL 32855
2019D6002
District 6, Orlando City Commissioner
R-1
4
20 475 00
0 00
20 475 00
0 00
22 822 59
0 00
22 822 59
70 962 00
0 00
54 929 42
11 01 19 11 21 19
7BAC2364-BB83-463B-82B1-8A5114AFF21A
11/27/19 - 12:26:12
11/27/19 - 12:26:12
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. (Qualified) Burns 2019D6002
11 211 14
11 Oscar Joyner
Individual
Business
Executive
Check
$100.001
Individual
Consultant Check
$50.002
Individual
Geneaology Check
$250.003
Individual
Retired Check
$500.004
Individual
usiness
Executive
Check
$200.005
Individual
Retired Check
$1,000.006
Individual
Retired Check
$300.007
01 19 21 19
06 19
11 05 19
11 06 19
11 06 19
11 07 19
11 06 19
11 10 19
13760 Noel Road
Dallas, TX 75240
Sarah Elbadri
1520 Arlington St.
Orlando, FL 32805
Orlando, FL 32805
Jessica Danzey
3983 Queen Anne Dr.
Orlando, FL 32839
Doug Head
1415 W. Robinson St.
Orlando, FL 32805
Barbara Burns
3204 Gulf Stream Blvd.
Orlando, FL 32805
Alzo Reddick
2116 Monte Carlo Trail
Orlando, FL 32805
8929 Poplar Pike
Germantown, TN 38138
Quincy McGlown
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. (Qualified) Burns 2019D6002
11 311 14
11 I Beleive Corp
Enterprises
Business
Business
Developmen
t
Check
$500.008
Individual
Clergy Check
$250.009
Individual
Retired Check
$50.0010
Individual
Logistics Check
$50.0011
Individual
Research
Manager
Check
$500.0012
Individual
Insurance Check
$100.0013
Individual
Business
Executive
Check
$100.0014
01 19 21 19
07 19
11 09 19
11 05 19
11 07 19
11 11 19
11 07 19
11 08 19
PO Box 540687
Orlando, FL 32854
Titus Deas Jr.
225 Quail Roost Dr.
Qunicy, FL 32353
James Q. Mitchel
PO Box 555003
Orlando, FL 32855
Lawson Robinson
5612 Pine Chase Dr.
Orlando, FL 32808
Greg Bradley
1410 NW 13th St.
Gainesville, FL 32601
Ron Sims
1616 Piedmont Ave. NE
Atlanta, GA 30324
4596 Town Manor Drive
Douglasville, GA 31035
Jennifer Highsmith
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. (Qualified) Burns 2019D6002
11 411 14
11 Ernest Page Jr.
Individual
Physician Check
$1,000.0015
Individual
Law
Enforcement
Check
$75.0016
Business
Construction Check
$500.0017
Individual
Educator Check
$50.0018
Individual
Clergy Check
$500.0019
Business
Property
Managemen
t
Check
$500.0020
Individual
Logistics Check
$50.0021
01 19 21 19
11 19
11 12 19
11 13 19
11 14 19
11 14 19
11 14 19
11 14 19
11030 Ullswater Lane
Windermere, FL 34786
Richard Albert Jr.
4318 W. Corona Street
Tampa, FL 33629
RL Burns, Inc.
1203 W Gore St.
Orlando, FL 32805
Nicola Duva
6710 Fairway Cove
Orlando, FL 32835
Bishop Beale Duncan
Realty, LLC
250 N Orange Ave.
Orlando, FL 32801
Sheldon Watson
4285 Owens St.
Orlando, FL 32811
899 Bloomington CRT
Ocoee, FL 34761
Terence Gray
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. (Qualified) Burns 2019D6002
11 511 14
11 Malcolm Davis
Individual
Business
Executive
Check
$100.0022
Individual
Mortgage
Broker
Check
$100.0023
Individual
Educator Check
$25.0024
Individual
Education Check
$25.0025
Individual
Law
Enforcement
Check
$500.0026
Individual
Attorney Check
$150.0027
Individual
Political
Consultant
Check
$250.0028
01 19 21 19
14 19
11 15 19
11 15 19
11 18 19
11 19 19
11 19 19
11 21 19
1341 Fallsbrook Dr. NW
Acworth, GA 30101
Marcus Robinson
6336 Buford St.
Orlando, FL 32835
Roderic Christian
5713 Brambleton Ave.
Raleigh , NC 27610
Charles HArgreove
834 Underwood
Lane Celina, TX 75009
Kamlilah Perry
280 Rangeline Road
Longwood, FL 32750
Jason Henry
612 Canon Ridge Road
Orlando, FL 32818
555 Harriswood Court
Davenport, FL 33837
Stan Lee Rice
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. (Qualified) Burns 2019D6002
11 611 14
11 Keith Council
Individual
Insurance Check
$100.0029
Individual
Developmen
t
Check
$300.0030
Individual
Business
Executive
Check
$500.0031
Individual
Health Care Check
$250.0032
Individual
Telecommun
ications
Check
$500.0033
Individual
Business
Executive
Check
$1,000.0034
Individual
Retired Check
$1,000.0035
01 19 21 19
15 19
11 15 19
11 15 19
11 14 19
11 18 19
11 16 19
11 16 19
PO Box 1103
Gotha, FL 34734
Chaney Gordy
101 S. Eola Dr.
Orlando, FL 32801
Micheal Beale
2017 Companero Ave
Orlando, FL 32804
Victoria Fitzgerald
1114 Magnolia Blossom
Ct.
Apopka, FL 32712
Louise Gill
2025 Barrett Lakes
Kennesaw, GA 30144
Vanice Mosley
3804 Aspen Springs
Kennesaw , GA 30144
6313 Lakewood Dr.
Hamilton , OH 45011
Keith Bronston
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. (Qualified) Burns 2019D6002
11 711 14
11 SEK Advisors, Inc
Individual
Consuting Check
$150.0036
Individual
Attorney Check
$1,000.0037
Individual
Retired Check
$100.0038
Individual
Educator Check
$100.0039
Individual
Retired Check
$100.0040
Individual
Clergy Check
$200.0041
Individual
Educator Check
$200.0042
01 19 21 19
15 19
11 18 19
11 14 19
11 14 19
11 14 19
11 14 19
11 14 19
300 N. Ney York Ave.
Winter PArk, FL 32790
Deveron Brown
PO Box 3781
Tallahassee, FL 32315
Beverly Mitchell
1320 Derby Ave.
Orlando, FL 32808
Krista Jackson
5457 Gamluer Ct.
Orlando, FL 32839
Rudolph Cleare
7808 Lil WIl Ave.l
Orlando, FL 32809
Romani Ali
545 Vern Drive
Orlando, FL 32805
3205 Mable Butler Blvd
Orlando, FL 32811
Mable Butler
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. (Qualified) Burns 2019D6002
11 811 14
11 Jacquee Moore
Individual
Educator Check
$100.0043
Individual
Educator Check
$200.0044
Individual
Retired Check
$100.0045
Individual
Retired Check
$1,000.0046
Individual
Construction Check
$1,000.0047
Individual
Business
Executive
Check
$1,000.0048
Individual
Retired Check
$300.0049
01 19 21 19
14 19
11 14 19
11 15 19
11 18 19
11 19 19
11 18 19
11 18 19
4139 Jewel Terrace
Conoley , GA 30288
Busara Pitts
2007 59th Circle SW
St. Petersburgh, FL
33701
Lorraine Harris
2701 Windward Ct
Orlando, FL 32805
Ernest Page Sr.
5839 Strada Capri Way
Orlando, FL 32839
Curtis Smith
3245 Piedmont Dr.
Atlanta , GA 30301
Doris Burns
1001 First St. South
Winter Haven, FL 32880
2920 Clear way
orlando, FL 32805
Bitar Burns
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. (Qualified) Burns 2019D6002
11 911 14
11 C. Bruce Gordy
Individual
Dentist Check
$500.0050
CandidateToSelf
Health Care Check
$1,000.0051
Business
Union Check
$1,000.0052
Business
Business
Developmen
t
Check
$1,000.0053
01 19 21 19
11 19
11 21 19
11 11 19
11 15 19
1209 Country Ln
Orlando, FL 32804
Bakari Burns
2920 Clear way
orlando, FL 32805
1199 SEIU - UHWE
Florida Region
2881 Corp[orate Way
Miramar, FL 33025
TRG Leasing, LLC
2760 Twin Palms Circle
Las Vegas, NV 89117
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. (Qualified) Burns 2019D6002
11 01 19 11 21 19 10 14
11 01 19 Crawford Designs Graphic Design CandidateEx
pense $200.00
1 3729 South Lake Orlando Pkwy
Orlando, FL 32808
Sylvia Williams
11 04 19 GOTV CandidateEx
pense $480.00
2
4327 Solomon Drive
Orlando, FL 32811
Valeria Jenkins
11 04 19
GOTV CandidateEx
pense $420.00
3
2525 Leaning Pine Street
Ocoee, FL 34761
Thomas Jenkins
11 04 19
GOTV CandidateEx
pense $420.002525 Leaning Pine Street
Ocoee, FL 347614
Joseph Smith
11 04 19
GOTV CandidateEx
pense $440.005515 Painted Oak Ave.
Orlando, FL 328085
Jean Baptiste
11 04 19
GOTV CandidateEx
pense $440.00481 Wekiva Crest Dr.
Apopka, FL 327126
Maureen Lewis GOTV CandidateEx
pense $1,600.00110419
586 Smokemont Ct.
Apopka, FL 327037
David Rucker GOTV CandidateEx
pense $180.00110519
4557 Frisco Cir.
Orlando, FL 328088
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. (Qualified) Burns 2019D6002
11 01 19 11 21 19 11 14
11 05 19 Jean Batiste GOTV CandidateEx
pense $180.00
9 481 Wekiva Crest Dr.
Apopka, FL 32712
Anthony Smith
11 05 19 GOTV CandidateEx
pense $180.00
10
4785 Pleasant Valley Ct.
Orlando, FL 32811
Joseph Smith
11 05 19
GOTV CandidateEx
pense $180.00
11
5515 Painted Oak Ave.
Orlando, FL 32808
Alvin Royal
11 05 19
GOTV CandidateEx
pense $180.004490 King Cole Blvd.
Orlando, FL 3281812
Laura Royal
11 05 19
GOTV CandidateEx
pense $180.004490 King Cole Blvd.
Orlando, FL 3281813
Lajuan Henderson
11 05 19
GOTV CandidateEx
pense $180.004566 Lighthouse Circle
Orlando, FL 3280814
Jalen Glasford GOTV CandidateEx
pense $180.00110519
7234 Blair Dr.
Orlando, FL 3281815
Walmart Neighborhood Market Election Day
Supplies
CandidateEx
pense $103.00110419
1101 S. Goldwyn Ave.
Orlando, FL 3280516
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. (Qualified) Burns 2019D6002
11 01 19 11 21 19 12 14
11 05 19 Walmart Neighborhood Market Election Day
Supples
CandidateEx
pense $129.80
17 1101 S. Goldwyn Ave.
Orlando, FL 32805
Creative Printing
11 05 19 Campaign Mail CandidateEx
pense $1,532.54
18
2300 Old Lake Mary Road
Sanford, FL 32771
Creative Printing
11 05 19
Campaign Mail CandidateEx
pense $1,682.05
19
2300 Old Lake Mary Road
Sanford, FL 32771
Estabilshed in 1951
11 05 19
Campaign
Consultation
CandidateEx
pense $3,000.00612 Canon Ridge Road
Orlando, FL 3281820
Bloodhound Brewery
11 05 19
Election Viewing
Event
CandidateEx
pense $269.445801 Conroy Road
Orlando, FL 3283521
City of Orlando
11 12 19
Fees CandidateEx
pense $150.00400 S. Orange Ave.
Orlando, FL 3280122
Ford Media Group Graphic Design CandidateEx
pense $25.00111319
4100 Evans Ave. Fort Myers
Fort Myers, FL 3390123
Ford Media Group Graphic Design CandidateEx
pense $125.00111819
4100 Evans Ave.
Fort Myers, FL 3390124
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. (Qualified) Burns 2019D6002
11 01 19 11 21 19 13 14
11 18 19 Show Stoppers Enterprises Campaign Literature CandidateEx
pense $1,389.83
25 1024 S. Orange Blossom Trail
Orlando, FL 32805
Creative Printing
11 18 19 Campaign Mail CandidateEx
pense $1,653.15
26
2300 Old Lake Mary Road
Sanford , FL 32771
Valarie Jenkins
11 18 19
GOTV CandidateEx
pense $120.00
27
2525 Leaning Pine Street
Ocoee, FL 34761
Tony Jenkins
11 18 19
GOTV CandidateEx
pense $120.002525 Leaning PineStreet
Ocoee, FL 3476128
Sylvia Williams
11 18 19
GOTV CandidateEx
pense $120.004327 Solomon Drive
Orlando, FL 3281129
Ray Jones
11 18 19
GOTV CandidateEx
pense $225.0024 Dorces Court
Orlando, FL 3281130
Maureen Lewis GOTV CandidateEx
pense $1,600.00111819
586 Smokemont Ct.
Apopka, FL 3270331
LaRonda Allen GOTV CandidateEx
pense $225.00111819
6206 Med Ford Drive
Orlando, FL 3280832
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. (Qualified) Burns 2019D6002
11 01 19 11 21 19 14 14
11 05 19 Tim Adams GOTV CandidateEx
pense $60.00
33 2404 Monte Carlo Trail
Orlando, FL 32805
Good Guys Signs
11 20 19 Campaign Signs CandidateEx
pense $1,041.06
34
1032 E. HillsboroughAve.
Tampa, FL 33604
Good Guys Signs
11 21 19
Campaign Literature CandidateEx
pense $45.00
35
1032 E. HillsboroughAve.
Tampa, FL 33604
Creative Printing
11 21 19
Campaign Mail CandidateEx
pense $3,588.782300 Old Lake Mary Road
Sanford, FL 3277136
Fifth Third Bank
11 13 19
Service Charge CandidateEx
pense $25.50200 E. Robinson St.
Orlando, FL 3280137
Paypal
11 21 19
Transaction Fees CandidateEx
pense $152.44211 N. First Street
San Diego, CA 8513938
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