HomeMy Public PortalAboutCampaign Treasurer's Report (4)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) OFFICE USE ONLY
Name
(2)
Address (number and street)
City, State, Zip Code
Check here if address has changed (3)ID Number:
(4)Check appropriate box(es):
Candidate Office Sought:
Political Committee (PC)
Electioneering Communications Org. (ECO) Check here if PC or ECO has disbanded
Party Executive Committee (PTY) Check here if PTY has disbanded
Independent Expenditure (IE) (also covers an Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From / / To / / Report Type:
Original Amendment Special Election Report
(6)Contributions This Report (7)Expenditures This Report
Monetary
Expenditures Cash & Checks $ , , . $ , , .
Loans $ , , . Transfers to
Office Account $ , , .
Total Monetary $ , , .
Total Monetary $ , , .
In-Kind $ , , .
(8)Other Distributions
$ ,, .
(9)TOTAL Monetary Contributions To Date (10)TOTAL Monetary Expenditures To Date
$ , , .$ , , .
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) (Type name)
Individual (only for IE Treasurer Deputy Treasurer Candidate Chairperson (only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
By City Clerk
Buddy Dyer
P.O. Box 2208
Orlando, FL 32802
2019MC006
4 Orlando City Mayor
M-6
4
4
47 485 00
0 00
47 485 00
0 00
12 275 72
0 00
12 275 72
402 878 00
0 00
91 588 84
06 01 19 06 30 19
B02BE3AE-8EA4-4016-AC48-380418A82180
07/10/19 - 10:01:04
07/10/19 - 10:01:04
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
Buddy Dyer 2019MC006
06 206 15
06
Individual
attorney Check
$500.001
Business
bar Check
$500.002
Business
convenience
store
Check
$250.003
Business
entertainme
nt group
Check
$1,000.004
Business
entertainme
nt group
Check
$1,000.005
Business
Beverage
Distributor
Check
$1,000.006
Individual
real estate
sales
Check
$250.007
01 19 30 19
19 19
06 19 19
06 19 19
06 19 19
06 19 19
06 26 19
06 07 19
228 W. 7th Ave.
Windermere, FL 34786
100 E. Central Blvd.,
LLC
18605 Detroit Ave.
Lakewood, OH 44107
55 West Convenience
Store LLC
869 Cynthianna Cir
Altamonte Springs, FL
32701
6064 NOA LLC
46 N. Orange Ave.
ORlando, FL 32801
ABC Liquors Inc.
8989 South Orange Ave.
Orlando, FL 32824
Jay Ballard
P. O. Box 1506
Winter Park, FL 32790
33 W. Church St.
Orlando, FL 32801
861 North Orange
Avenue LLC
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
Buddy Dyer 2019MC006
06 306 15
06 Bar Concept LLC
Business
bar Check
$250.008
Individual
Check
$10.009
Business
real estate
investment
Check
$500.0010
Individual
commercial
real estate
Check
$500.0011
Individual
SVP -
Orlando
Health
Check
$100.0012
Individual
Owner -
Orange
Cycle
Check
$500.0013
Individual
event
director
Check
$100.0014
01 19 30 19
19 19
06 06 19
06 19 19
06 14 19
06 30 19
06 30 19
06 21 19
19 S. Orange Ave.
Orlando, FL 32801
Jasbir Bhatia
512 Fern Lake Dr.
Orlando, FL 32825
Blurock Commercial
Real Estate LLC
3408 South Orange
Ave., Suite B
Orlando, FL 32806
Jared Bonshire
369 Crystal Ridge Way
Lake Mary, FL 32746
Deena Breed
1020 W. Par St.
ORLANDO, FL 32804
Dana Brown
8062 S Cadiz Ct
Orlando, FL 32836
2527 Pershing Oaks Pl.
Orlando, FL 32806
John Bozard
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
Buddy Dyer 2019MC006
06 406 15
06 Clint Bullock
Individual
CEO - OUC Check
$500.0015
Business
investment
company
Check
$500.0016
Individual
real estate
investment
Check
$500.0017
Business
Real Estate Check
$1,000.0018
Business
engineering Check
$100.0019
Individual
CEO Check
$1,000.0020
Individual
CEO Check
$1,000.0021
01 19 30 19
30 19
06 19 19
06 19 19
06 19 19
06 12 19
06 30 19
06 30 19
4739 Rosewood Dr.
Orlando, FL 32806
Cameron Group
Associates LLP
600 E. Colonial Dr.,
Suite 100
Orlando, FL 32803
Daryl Carter
P. O. Box 568821
Orlando, FL 32856
Church Street Ventures
Inc.
33 W. Church St.
Orlando, FL 32801
Daniel DeVos
126 Ottawa Ave. NW Ste
500
Grand Rapids, MI 49503
Douglas L. DeVos
126 Ottawa Ave NW Ste
500
Grand Rapids, MI 49503
1812 Arbor Park Dr.
Winter Park, FL 32789
DB Engineering
Consultants LLC
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
Buddy Dyer 2019MC006
06 506 15
06 Maria P DeVos
Individual
homemaker
and
philanthropis
t
Check
$1,000.0022
Individual
VP Art
Museum
Check
$1,000.0023
Individual
VP
Corporate
Affairs
Check
$1,000.0024
Business
Restaurant Check
$1,000.0025
Business
Entertainme
nt
Check
$1,000.0026
Business
commercial
real estate
Check
$1,000.0027
Individual
attorney Check
$250.0028
01 19 30 19
30 19
06 30 19
06 30 19
06 19 19
06 19 19
06 19 19
06 30 19
129 Ottawa Ave NW Ste
500
Grand Rapids, MI 49503
Pamella G DeVos
126 Ottawa Ave NW Ste
500
Grand Rapids, MI 49503
Suzanne Cheryl DeVos
126 Ottowa Ave. NW Ste
500
Grand Rapids, MI 49503
Dirk Bill and Gary IV Inc.
33 W. Church St.
Orlando, FL 32801
Drummond Leasing
P. O. Box 10246
Birmingham, AL 35202
Carolyn Evora
1626 Spring Lake Dr.
Orlando, FL 32804
33 W. Central Blvd.
Orlando, FL 32801
Downtown Entertainment
LLC
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
Buddy Dyer 2019MC006
06 606 15
06 Florida Source Inc.
Business
bar Check
$500.0029
Business
entertainme
nt group
Check
$1,000.0030
Individual
health care Check
$100.0031
Individual
Retired Check
$100.0032
Individual
retired Check
$100.0033
Individual
attorney Check
$1,000.0034
Business
construction Check
$500.0035
01 19 30 19
19 19
06 19 19
06 21 19
06 24 19
06 24 19
06 19 19
06 30 19
70 N. Orange Ave.
Orlando, FL 32801
Foundation Presents
46 North Orange Ave.
Orlando, FL 32801
Marie-Jose Francois
2542 Fletch Ct.
Lake Mary, FL 32746
Jerol Gardner
2305 Edgewater Dr Apt
1201
Orlando, FL 32804
Michael Grindstaff
300 S. Orange Avenue,
Ste. 1000
Orlando, FL 32801
H. J. High Construction
Company
1015 West Amelia St.
Orlando, FL 32805
2305 Edgewater Dr. Apt
1201
Orlando, FL 32804
Winston Gardner
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
Buddy Dyer 2019MC006
06 706 15
06 Jamal Hakim
Individual
physician Check
$500.0036
Business
travel
services
company
Check
$1,000.0037
Individual
construction Check
$500.0038
Individual
Check
$25.0039
Business
restaurant Check
$250.0040
Business
food investor Check
$1,000.0041
Business
Check
$50.0042
01 19 30 19
30 19
06 30 19
06 30 19
06 07 19
06 26 19
06 19 19
06 19 19
9219 Tibet Pointe Cir
Windermere, FL 34786
Hello! Destination
Management
3840 Vineland Road,
Suite 200
Orlando, FL 32811
Robert J. High
542 W. Yale St.
Orlando, FL 32804
Bryan Homayouni
11525 Swift Water Circle
Orlando, FL 32817
Intram Investment Inc.
5555 S. Kirkman Rd.
Ste. 201
Orlando, FL 32819
Joseph T. Angley LLC
1003 Fleck Ave.
Orlando, 32804
20 S. Orange Ave.
Orlando, FL 32801
IDC Concepts LLC
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
Buddy Dyer 2019MC006
06 806 15
06 Knight
Business
creative
agency
Check
$500.0043
Business
restaurant Check
$1,000.0044
Business
real estate
group
Check
$500.0045
Individual
Retired Check
$100.0046
Individual
real estate Check
$100.0047
Individual
Check
$50.0048
Individual
transportatio
n exec
Check
$1,000.0049
01 19 30 19
19 19
06 19 19
06 30 19
06 26 19
06 13 19
06 08 19
06 30 19
130 S. Orange Ave.
Orlando, FL 32801
Kress Restaurant LLC
17 W. Church Street
Orlando, FL 32801
Liberty Investment
Properties Inc.
824 Highland Ave.
Orlando, FL 32803
John S Lord
1083 McKean Cir
Winter Park, FL 32789
Monica McCown
1793 Summit Chase
Ave.
Apopka, 32703
Paul S. Mears III
324 W Gore St
Orlando, FL 32806
103 Red Sky Ct.
Lake Mary, FL 32746
Anthony Martin
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
Buddy Dyer 2019MC006
06 906 15
06 Francois Didier Menard
Individual
engineer Check
$100.0050
Business
Electrical/Lig
hting
Check
$1,000.0051
Individual
Check
$25.0052
Individual
attorney Check
$500.0053
Individual
sales
professional
Check
$250.0054
Individual
SVP -
Orlando
Health
Check
$250.0055
Business
Food
SErvice
Check
$1,000.0056
01 19 30 19
02 19
06 12 19
06 21 19
06 19 19
06 23 19
06 30 19
06 19 19
11867 Batello Lane
Orlando, FL 32827
Murphy Lighting
Systems
5113 Forsyth Commerce
Rd.
Orlando, FL 32807
Marc Narine
150 E. Robinson St.
Orlando, FL 32801
Daniel T. O'Keefe
11068 Bayshore Drive
Windermere, FL 34786
Gregory Ohe
87 Beckingham Place
Orlando, FL 32836
One80 Orlando LLC
33 W. Church St.
Orlando, FL 32801
6894 Hidden Glade Pl.
Sanford, FL 32771
Tim O'Leary
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
Buddy Dyer 2019MC006
06 1006 15
06 OPGSE, LLC
Business
entertainme
nt group
Check
$1,000.0057
Business
restaurant Check
$500.0058
Business
private
estate group
Check
$1,000.0059
Individual
Check
$25.0060
Business
restaurant Check
$100.0061
Business
parking Check
$1,000.0062
Business
real estate
group
Check
$1,000.0063
01 19 30 19
19 19
06 19 19
06 19 19
06 07 19
06 19 19
06 26 19
06 30 19
33 W. Church St.
Orlando, FL 32801
Orange Ave. Consultants
LLC
116 S. Orange Ave.
Orlando, FL 32801
Orange Family Partners
LLC
116 S. Orange Ave.
Orlando, FL 32801
Stephanie Pike
2420 Jamie Circle
Orlando, FL 32803
Platinum Parking East
LLC
719 Olive St.
Dallas, TX 75201
PMJ Properties II LLC
3840 Vineland Road,
Suite 200
Orlando, FL 32811
14 W. Washington
Orlando, FL 32801
Planet Pizza Orlando
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
Buddy Dyer 2019MC006
06 1106 15
06 Brett Renton
Individual
attorney Check
$100.0064
Business
bar Check
$1,000.0065
Individual
professor Check
$100.0066
Individual
attorney Check
$500.0067
Individual
self
employed
Check
$500.0068
Business
bar Check
$500.0069
Individual
real estate
consultant
Check
$500.0070
01 19 30 19
19 19
06 19 19
06 19 19
06 14 19
06 12 19
06 19 19
06 30 19
2517 Saint Ignatius Ct.
Orlando, FL 32835
Room 22 LLC
116 S. Orange Ave.
, 32801
MaryJo Ross
690 S. Lakemont Ave.
Winter Park, FL 32792
Joel H. Sharp
PO Box 726
Windermere, FL 34786
Side Bar Orlando LLC
119 S. Orange Ave.
Orlando, FL 32801
Andrew Snyder
1323 Chapman Circle
Winter Park, FL 32789
444 E. Muriel St.
Orlando, FL 32806
Patricia Sharp
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
Buddy Dyer 2019MC006
06 1206 15
06 Andrew Snyder
Individual
SVP -
Orlando
Health
Check
$250.0071
Individual
CFO -
Orlando
Health
Check
$250.0072
Business
production
group
Check
$500.0073
Business
bar Check
$250.0074
Individual
housewife Check
$500.0075
Individual
healthcare Check
$500.0076
Business
entertainme
nt group
Check
$1,000.0077
01 19 30 19
30 19
06 30 19
06 19 19
06 19 19
06 30 19
06 30 19
06 19 19
2743 Summerfield Rd.
Winter Park, FL 32792
Bernadette Spong
1429 Holts Grove Circle
Winter Park, FL 32789
Step Up Productions
LLC
2171 Poinsetta Dr.
Longwood, FL 32779
STM FL LLC
50 East Central Blvd.,
Ste C
Orlando, 32801
Matthew S Taylor
2305 Edgewater #1505
Orlando, FL 32804
Team Market Group
1026 W. Central Blvd.
Orlando, FL 32805
995 Grosvenor Pointe
Cir
Windermere, FL 34786
Grace Strong
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
Buddy Dyer 2019MC006
06 1306 15
06 The Beacham
Business
theater Check
$1,000.0078
Business
restaurant Check
$500.0079
Business
bar Check
$250.0080
Business
bar Check
$250.0081
Individual
COO -
GOAA
Check
$100.0082
Business
CREATIVE
AGENCY
Check
$1,000.0083
Business
construction Check
$200.0084
01 19 30 19
19 19
06 19 19
06 19 19
06 19 19
06 21 19
06 19 19
06 19 19
46 N. Orange Ave.
Orlando, FL 32801
The Hanson Building
LLC
119 S. Orange Ave.
Orlando, FL 32801
The Lodge - Orlando
LLC
49 N. Orange Ave.
Orlando, FL 32801
The Woods - Orlando,
LLC
49 N. Orange Ave.
Orlando, FL 32801
three.two.one
121 S. Orange Ave. Ste
980N
ORLANDO, FL 32801
TPWIV Consulting LLC
1646 33rd St. Suite 301
Orlando, FL 32839
7746 Lower Gateway
Loop Unit 1623
Orlando, FL 32827
Stan Thornton
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
Buddy Dyer 2019MC006
06 1406 15
06 Twenty 8 South LLC
Business
bar Check
$250.0085
Business
entertainme
nt group
Check
$250.0086
Individual
engineer Check
$150.0087
Business
food market Check
$1,000.0088
Individual
Check
$50.0089
Individual
Information
Requested
Check
$100.0090
Business
Transportati
on
Check
$1,000.0091
01 19 30 19
26 19
06 26 19
06 02 19
06 19 19
06 19 19
06 19 19
06 12 19
28 S. Orange Ave.
Orlando, FL 32801
Upstairs Investments
LLC
17 South Orange Ave.
Orlando, FL 32801
Katus Watson
2807 Coco Palm Cir
Wesley Chapel, FL
33543
Wawa
260W. Baltimore Pike
Media, PA 19063
Steven Zucker
1238 Scandia Ter
Oviedo, FL 32765
ZWB Holdings Inc.
6751 Forum Dr. Suite
230
Orlando, FL 32821
13321 Roskin Ln.
Windermere, FL 34786
Keith Wolling
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)
Buddy Dyer 2019MC006
06 01 19 06 30 19 15 15
06 12 19 fundraising
consulting
Monetary
$2,563.00
1 951 Brickell Ave. #410
Miami, FL 33131
Catecomm
06 05 19 media production Monetary
$7,000.00
2
4640 Grove Park Drive
Tallahassee, FL 32311
Tasi Hogan
06 12 19
office supplies Monetary
$828.95
3
1409 Chapman Cir.
Winter Park, FL 32789
Tasi Hogan
06 26 19
postage and office
supplies
Monetary
$153.791409 Chapman Cir.
Winter Park, FL 327894
Impact Politics LLC
06 19 19
software Monetary
$838.0022393 Cass Avenue
Woodland Hills, CA 913645
Joan Jennings
06 12 19
consulting services Monetary
$800.00106 E Harvard St
Orlando, FL 328046
Stripe credit card
processing
Monetary
$91.98063019
185 Berry Street Ste 550
San Francisco, CA 941077
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