HomeMy Public PortalAboutCampaign Treasurer's Report (8)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
2019MC005
4 Orlando City Mayor
M-2
4
4
31 233 00
5 000 00
36 233 00
0 00
7 543 86
0 00
7 543 86
36 233 00
0 00
7 543 86
02 01 19 02 28 19
C46D6448-7793-4FC7-9343-504DCE4B4AFD
03/09/19 - 11:19:17
03/09/19 - 11:19:17
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 2019MC005
02 102 9
02 Akash Enterprises
B
marketing
group
CHE
$1,000.003
I
attorney CHE
$1,000.004
I
CHE
$3.005
I
engineer CHE
$500.006
B
environment
al consulting
CHE
$1,000.007
I
self
employed
CHE
$100.008
I
interior
designer
CHE
$500.009
01 19 28 19
28 19
02 27 19
02 21 19
02 27 19
02 27 19
02 27 19
02 28 19
10376 E. Colonial Dr.
Ste 135
Orlando, FL 32817
Randal M Alligood
923 W. 2nd Ave
Windermere, FL 34786
Rene Alvarez
981 NE 113th St
Biscayne Park, FL 33161
Leonard Arnold
461 Watts Way
Cocoa Beach, FL 32931
Will Bosserman
634 E. Howard St.
Orlando, FL 32803
Mark Calvert
444 W. New England
Ave. Ste 103
Winter Park, FL 32789
3025 E. South St.
Orlando, FL 32803
Bio-Tech Consulting Inc.
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 2019MC005
02 202 9
02 City Beverages
B
beverage
distributer
CHE
$1,000.0010
I
community
volunteer
CHE
$500.0011
I
real estate CHE
$1,000.0012
I
attorney CHE
$100.0013
I
mayor LOA
$5,000.0014
I
PR
professional
CHE
$100.0015
I
retail
managemen
t
CHE
$100.0016
01 19 28 19
15 19
02 27 19
02 27 19
02 27 19
02 01 19
02 27 19
02 27 19
P. O. Box 620006
Orlando, FL 32862
Gail Clark-Bittman
1706 Shandwick Court
Longwood, FL 32779
Tom Cook
400 E Colonial Dr Suite
510
Orlando, FL 32803
Lacey Corona
215 E. Monroe St. #400
Tallahassee, FL 32301
Andrea Eliscu
PO Box 547478
Orlando, FL 32854
Gary Grimes
303 E Altamonte Dr Ste
1225
Altamonte Springs, FL
32701
1013 Bryn Mawr St
Orlando, FL 32804
John Dyer
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 2019MC005
02 302 9
02 Gary Grimes
I
retail
managemen
t
CHE
$100.0017
I
government
official
CHE
$500.0018
I
attorney CHE
$100.0019
I
CHE
$5.0020
B
marketing
group
CHE
$1,000.0021
B
real estate
developer
CHE
$1,000.001
I
President -
Deseret
Ranches
CHE
$200.0022
01 19 28 19
27 19
02 27 19
02 27 19
02 21 19
02 28 19
02 27 19
02 27 19
303 E Altamonte Dr Ste
1225
Altamonte Springs, FL
32701Robert Hartnett
2121 Camden Rd Ste B
Orlando, FL 32803
Gregory Herbert
1315 Fern Ave.
Orlando, FL 32814
Tasi Hogan
1409 Chapman Cir.
Winter Park, FL 32789
J Mine Properties
401 Ferguson Drive
Orlando, FL 32805
Kenneth Jacobsen
4155 Deer Park Road
Saint Cloud, FL 34773
P. O. Box 1908
Windermere, FL 34786
Indigo Creative
Productions
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 2019MC005
02 402 9
02 Ford W. Kiene
I
owner CHE
$1,000.0023
I
engineer CHE
$500.0024
I
Consultant CHE
$1,000.0025
I
CEO CHE
$100.0026
I
CEO/UCF
Foundation
CHE
$100.0027
I
Community
Association
Manager
CHE
$100.0028
I
retired CHE
$500.0029
01 19 28 19
15 19
02 27 19
02 27 19
02 25 19
02 27 19
02 27 19
02 27 19
PO Box 621808
Orlando, FL 32862
George Kramer
2254 Robin Rd.
Orlando, FL 32814
Shelley Lauten
1115 Shorewood Dr
Orlando, FL 32806
Ronald Legler
3503 O'Donnell St..
Canton Hill
Baltimore, MD 21224
Greg Reynolds
322 E. Central Blvd. Unit
903
Orlando, FL 32801
Gwen Rich
2187 S. Countryside Cir.
Orlando, FL 32804
805 Euclid Ave.
Orlando, FL 32801
Michael Morsberger
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 2019MC005
02 502 9
02 Wayne Rich
I
attorney CHE
$500.0030
B
attorney CHE
$250.002
B
Attorney CHE
$1,000.0031
I
President -
Nova
Charge
CHE
$250.0032
I
RE
Developmen
t/Tupperwar
e
CHE
$100.0033
I
CHE
$50.0034
B
developer CHE
$1,000.0035
01 19 28 19
27 19
02 27 19
02 27 19
02 27 19
02 27 19
02 27 19
02 27 19
2187 S. Countryside Cir.
Orlando, FL 32804
Richard N. Milian PA
722 S. Lake Adair Blvd.
Orlando, FL 32804
Robert Alfert Jr. PA
390 N. Orange Ave.
Suite 1400
Orlando, FL 32801
Helda Rodriguez
155 S. Court Ave. Unit
2902
Orlando, FL 32801
Tom Rosenberry
610 Ramona Lane
Orlando, FL 32805
RSC Equity LLC
390 North Orange Ave.
Suite 1400
Orlando, FL 32801
651 N. Park Ave.
Winter Park, FL 32789
Tom Roehlk
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 2019MC005
02 602 9
02 Maria Ruiz-Hays
I
SVP/Sales &
Training
CHE
$1,000.0036
I
attorney CHE
$100.0037
I
engineer CHE
$1,000.0038
I
dentist CHE
$1,000.0039
B
Organization
al
managemen
t cons
CHE
$1,000.0040
I
attorney CHE
$500.0041
I
attorney CHE
$250.0042
01 19 28 19
27 19
02 27 19
02 25 19
02 27 19
02 27 19
02 27 19
02 27 19
314 E. Amelia St.
Orlando, FL 32801
Karen Mae Ryan
12807 Austin Cove Ct.
Clermont, FL 34711
Toni Shanami
1251 Preserve Pt. Dr.
Winter Park, FL 32789
Paul Skomsky
338 N Magnolia Avenue
Orlando, FL 32801
James Slater
209 Riverbend Ct.
Longwood, FL 32779
Kathlein Stangle
1159 East Lakeshore
Blvd.
Kissimmee, FL 34744
P. O. Box 560156
Orlando, FL 32856
Skyline Advisors
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 2019MC005
02 702 9
02 Joseph B Stanton
I
attorney CHE
$1,000.0043
I
attorney CHE
$1,000.0044
I
Information
Requested
CHE
$500.0045
B
consulting
engineers
CHE
$1,000.0046
I
retired CHE
$1,000.0047
I
VP - Levy
Restaurants
CHE
$100.0048
B
marketing
group
CHE
$1,000.0049
01 19 28 19
27 19
02 27 19
02 27 19
02 28 19
02 27 19
02 25 19
02 28 19
17 Dartmouth St.
Orlando, FL 32804
Douglas E Starcher
1115 Belleaire Cir
Orlando, FL 32804
Samuel Stephens
2218 Venetian Way
WInter Park, FL 32789
Steven Feller PE, LLC
NE 3rd Ave.
Fort Lauderdale, FL
33301
Jan Michael Taylor
101 Lake Ave. Apt. 1913
Orlando, FL 32801
TransFirst Media
9101 International Drive
Ste 1152
Orlando, FL 32819
14431 SE 266th St.
Kent, WA 98042
Susan Stroomer
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 2019MC005
02 802 9
02 Nicolette Vilmos
I
CHE
$25.0050
I
engineer CHE
$1,000.0051
I
consultant CHE
$1,000.0052
I
real estate CHE
$500.0053
I
VP - Deseret
Ranches
CHE
$200.0054
I
attorney CHE
$300.0055
I
chiropractic
physician
CHE
$1,000.0056
01 19 28 19
27 19
02 27 19
02 25 19
02 27 19
02 27 19
02 27 19
02 25 19
1221 Dorchester St.
Orlando, FL 32803
Jon Vollet
521 Rugby St.
Orlando, FL 32804
W. N. Wallace
1030 Lake Adair Blvd, N
Orlando, FL 32804
John Webb
1312 Country Ln
Orlando, FL 32804
Leigh M Williams
1270 Via Lugano
WInter Park, FL 32789
Wayne Wolfson
1266 Via Salerno
Winter Park, FL 32789
7104 Indian Grass Rd.
Saint Cloud, FL 34773
William White
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 2019MC005
02 902 9
02 ZOM Holding Inc.
B
real estate
developer
CHE
$500.0057
01 19 28 19
27 19
2001 Summit Park Dr.
Orlando, FL 32810
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 2019MC005
02 01 19 02 28 19 1 1
0202 2727 1919 Tasi Hogan post office box and
telephone MON $405.59
1 1409 Chapman Cir.
Winter Park, FL 32789
In Touch Strategies Inc.
0202 2727 1919 consulting services
MON $5,250.00
2
526 Rugby St.
Orlando, FL 32804
NGP VAN
0202 1919 1919 database software
MON $4.50
3
1101 15th St. NW Suite 500
Washington, DC 20005
NGP VAN
0202 1919 1919
database software
MON $300.001101 15th St. NW Suite 500
Washington, DC 200054
NGP VAN
0202 2727 1919
database software
MON $1,350.001101 15th St. NW Suite 500
Washington, DC 200055
Stripe
0202 2828 1919
credit card
processing MON $233.77185 Berry Street Ste 550
San Francisco, CA 941076
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