HomeMy Public PortalAboutCampaign Treasurer's Report (12)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 (Qualified) Dyer
P.O. Box 2208
Orlando, FL 32802
2019MC005
4 Orlando City Mayor
G-3
4
4
40 460 00
0 00
40 460 00
191 17
125 893 40
0 00
125 893 40
611 169 00
0 00
519 711 81
10 19 19 10 31 19
CC845CA0-47F1-4B63-B306-C7D7D2967209
11/26/19 - 03:36:27
11/26/19 - 03:36:27
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 (Qualified) Dyer 2019MC005
10 210 22
10 Albu & Associates Inc.
Business
contractor InKind facility rental
for ev
$191.171
Individual
hosp
professional
Check
$100.002
Individual
hosp
professional
Check
$200.003
Individual
Check
$50.004
Individual
hosp
professional
Check
$100.005
Individual
real estate Check
$150.006
Individual
property
manager
Check
$500.007
19 19 31 19
30 19
10 23 19
10 23 19
10 26 19
10 23 19
10 22 19
10 23 19
2711 W. Fairbanks Ave.
Winter Park, FL 32789
Dante Alzamora
106 E HARVARD ST
ORLANDO, FL 32837
Rosemarie Aponte
5342 Tortuga Dr.
Orlando, FL 32837
Joyce Arbucias
722 E. Amelia St.
Orlando, FL 32803
Frank Ayers
1900 E. Marks St.
Orlando, FL 32803
Jay Berlinsky
1389 Campbell St.
Orlando, FL 32806
3368 Parkchester Sq
Blvd., Apt 202
Orlando, FL 32835
Jose Arroyo
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 (Qualified) Dyer 2019MC005
10 310 22
10 Andres Borja
Individual
hosp prof Check
$100.008
Individual
self
employed
Check
$50.009
Individual
hosp prof Check
$100.0010
Individual
Attorney Check
$200.0011
PoliticalCommittee
PAC Check
$1,000.0012
Individual
hosp prof Check
$100.0013
Business
law firm Check
$1,000.0014
19 19 31 19
23 19
10 24 19
10 23 19
10 23 19
10 23 19
10 23 19
10 23 19
11792 Bentry St.
Orlando, FL 32824
Will Bosserman
634 E. Harwood St.
Orlando, FL 32803
Michael Brown
1034 Crestwood
Commons Ave.
Ocoee, FL 34761
Nicholas Buoniconti
5 East Vanderbilt St
Orlando, FL 32804
Maureen Cahill
224 Avenue A
Ronkonkoma, NY 11779
Calan Law Firm PA
921 Bradshaw Terrace
Orlando, FL 32806
1900 Summit Tower
Blvd. Suite 650
Orlando, FL 32810
Business Force PC
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 (Qualified) Dyer 2019MC005
10 410 22
10 Margie Camacho
Individual
hosp
professional
Check
$100.0015
Business
construction Check
$1,000.0016
Business
PAC Check
$1,000.0017
Individual
hosp prof Check
$100.0018
Business
construction Check
$1,000.001
Individual
Check
$50.0019
Individual
physician Check
$1,000.0020
19 19 31 19
23 19
10 23 19
10 30 19
10 23 19
10 30 19
10 24 19
10 25 19
2842 Youngford St.
Orlando, FL 32824
Carlilyan Inc.
7575 Dr. Philips Blvd.,
Suite 390
Orlando, FL 32819
Carlton Fields Political
Committee
P. O. Box 190
Tallahassee, FL 32302
Esperanza Castro
943 Counts Crest Circle
Apopka, FL 32712
Maria Ceccareli
10245 Cypress Trail
Drive
ORLANDO, FL 32825
Joseph Chapman
2520 W. 33rd St.
Panama City, FL 32406
450 South Orange AVe.
Orlando, FL 32801
CCG of Central Florida
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 (Qualified) Dyer 2019MC005
10 510 22
10 Pamela Chapman
Individual
homemaker Check
$1,000.0021
Business
Check
$10.0022
Business
construction Check
$1,000.002
Business
construction Check
$500.003
Individual
managemen
t consultant
Check
$1,000.0023
Individual
hosp prof Check
$100.0024
Business
Human
Resources
company
Check
$150.0025
19 19 31 19
25 19
10 26 19
10 30 19
10 30 19
10 22 19
10 23 19
10 23 19
2520 W. 33rd St.
Panama City, FL 32406
Cindy White Art Co.
806 East Amelia Street
Orlando, FL 32803
Coastal Construction
Serv. Group
5959 Blue Lagoon Dr.
Suite 200
Miami, FL 33126
Coastal Homes
5959 Blue Lagoon Dr.
Suite 200
Miami, FL 33126
Shane Coleman
7755 Wandering Way
Orlando, FL 32836
Cor-Com Inc
100 E. Ventris Ave.
MAitland, 32751
3215 Greens Ave.
Orlando, FL 32804
Cari Coats
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 (Qualified) Dyer 2019MC005
10 610 22
10 Andrae Crayton
Individual
hosp prof Check
$100.0026
Business
Check
$50.0027
Individual
real estate Check
$500.0028
Business
hosp prof Check
$200.0029
Business
auto dealer Check
$100.0030
Business
real estate Check
$250.0031
Business
financial
managemen
t
Check
$250.0032
19 19 31 19
23 19
10 23 19
10 23 19
10 23 19
10 23 19
10 25 19
10 25 19
708 Gentry Ct.
Gotha, FL 34734
CZA Inc.
1660 Huron Trail
Maitland, FL 32751
Brent Daubach
8641 Vista Point Cv
Orlando, FL 32836
David Caban PA
2148 Cedar Garden
Drive
Orlando, FL 32824
Dix Developments LLC
103 Commerce St., Ste.
140
Lake Mary, FL 32746
Dix Financial Inc.
103 Commerce St., Ste.
140
Lake Mary, FL 32746
397 Enterprise St., Suite
E
Ocoee, FL 34761
Delsa Auto Brokers
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 (Qualified) Dyer 2019MC005
10 710 22
10 Dorian Coley LLC
Business
hosp
professional
Check
$200.0033
Business
optometrist Check
$200.0034
Business
developer Check
$500.0035
Business
financial
services
Check
$1,000.0036
Individual
hosp prof Check
$100.0037
Individual
non-profit
executive
Check
$250.0038
Individual
hosp prof Check
$100.0039
19 19 31 19
23 19
10 23 19
10 23 19
10 23 19
10 23 19
10 22 19
10 23 19
1798 Veterans Dr.
Kindred, FL 34744
Eola Eyes
519 North Mills Ave.
Orlando, FL 32803
Equity Crown LLC
777 South Flagler Drive
Suite 800W
West Palm Beach, FL
33401Equity Maintenance
Group Inc.
7575 Dr. Phillips Blvd.,
Suite 390
Orlando, FL 32819
Jennifer Foster
435 North Orange Ave.
Orlando, FL 32801
Robert Fusik
10818 Woodchase Cir
Orlando, FL 32836
7343 W. Sand Lake Rd.
Apt. 137
Orlando, FL 32819
Sam Estelle
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 (Qualified) Dyer 2019MC005
10 810 22
10 Joseph Garcia
Individual
hosp
professional
Check
$125.0040
Individual
Check
$50.0041
Individual
hosp
professional
Check
$100.0042
Individual
Attorney Check
$100.0043
Individual
real estate Check
$1,000.0044
Business
law firm Check
$500.0045
Individual
hosp
professional
Check
$100.0046
19 19 31 19
23 19
10 22 19
10 23 19
10 23 19
10 23 19
10 22 19
10 23 19
5609 Donnelly Circle
Orlando, FL 32821
Kimberly Godber
Bryn Mawr Street
Orlando, FL 32804
Carlos Gonzalez
1231 Wright Circle #205
Celebration, FL 34747
J. Charles Gray
PO Box 3068
Orlando, FL 32802
Greenspoon Marder LLP
201 East Pine Street
Orlando, FL 32801
Ken Grimes
7726 Apple Tree CIrcle
Orlando, FL 32819
2457 Collins Ave. Apt
701
Miami Beach, FL 33140
Brett Green
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 (Qualified) Dyer 2019MC005
10 910 22
10 Guillermo Casalini PA
Business
real estate Check
$100.0047
Individual
public
speaking
coach
Check
$500.0048
Individual
construction Check
$250.0049
Individual
hosp prof Check
$250.0050
Individual
real estate Check
$500.0051
Business
construction Check
$250.0052
Individual
yoga
instructor
Check
$175.0053
19 19 31 19
23 19
10 23 19
10 24 19
10 23 19
10 22 19
10 23 19
10 23 19
8801 Parliament Ct.
Kissimmee, 34747
Anne-Marie Hayward
709 American Holly
Place
Oviedo, FL 32765
Harrison Hodges
150 East Robinson St.
Orlando, FL 32801
Patrick Hughes
1601 Summerland Ave.
Winter Park, 32789
Infiniti Homes LLC
976 Lake Baldwin Lane,
Suite 102
Orlando, FL 32814
Rachel Loran Israel
1 NW Ivanhoe Blvd.
Orlando, FL 32804
1011 East Jefferson St.
Orlando, FL 32801
John Hussey
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 (Qualified) Dyer 2019MC005
10 1010 22
10 Joseph R. Doher PA
Business
attorney Check
$250.0054
Business
attorney Check
$500.0055
Individual
hosp
professional
Check
$100.0056
Individual
hosp
professional
Check
$100.0057
Business
hosp prof Check
$100.0058
Individual
hosp prof Check
$100.0059
Individual
attorney Check
$1,000.004
19 19 31 19
25 19
10 23 19
10 23 19
10 23 19
10 23 19
10 23 19
10 30 19
P. O. Box 1587
Orlando, FL 32802
Julie Walbroel PA
1030 N. Orange Ave.,
Ste 210
Orlando, FL 32801
Yoines Keml
9731 Pineolo Dr.
Orlando, FL 32836
Lorraine Lawrence
1375 Beechwood Dr.
Saint Cloud, FL 34772
Judy Levy
1325 Lake Whitney Dr.
Windermere, FL 34786
Caesar Lopez
655 W. Church St.
Orlando, FL 32805
8037 Bowery Dr.
Winter Garden, FL
34787
Leonardo Luis Rodriguez
PA
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 (Qualified) Dyer 2019MC005
10 1110 22
10 Benjamin Luke Jr.
Individual
hosp
professional
Check
$100.0060
Individual
homemaker Check
$250.0061
Individual
real estate Check
$100.0062
Business
real estate Check
$200.0063
Business
real estate Check
$250.0064
Individual
government
employee
Check
$100.005
Individual
construction Check
$250.0065
19 19 31 19
23 19
10 23 19
10 25 19
10 23 19
10 23 19
10 30 19
10 22 19
525 S. Conway Rd.
Condo #7
Orlando, FL 32807
Nancy Marchena
8535 Chichasaw Farms
Lane
Orlando, FL 32825
John M Martinez
2808 N. Westmoreland
Dr.
Orlando, FL 32804
Matik Clobal Realty LLC
8531 Bowden Way
Windermere, FL 34786
Reginald McGill
1417 Addle Ave
Orlando, FL 32816
Frederick Mellin
354 MAshie Lane
Orlando, FL 32804
8240 Exchange Drive
Ste Cloud 9
Orlando, FL 32809
Max King Realty 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 (Qualified) Dyer 2019MC005
10 1210 22
10 Mohamad W, Elfakir PA
Business
hosp prof Check
$200.0066
Individual
hosp
professional
Check
$100.0067
Individual
real estate
developer
Check
$1,000.0068
Individual
hosp
professional
Check
$100.0069
Individual
banker Check
$1,000.0070
Individual
banker Check
$500.0071
Individual
financial
advisor
Check
$100.0072
19 19 31 19
23 19
10 23 19
10 22 19
10 23 19
10 25 19
10 25 19
10 24 19
13844 Granger Ave.
Orlando, FL 32827
Antonio Moreno
1507 Place Picardy
Winter Park, FL 32789
Michael Mulhall
100 S. Eola Drive, Unit
611
Orlando, FL 32801
Danilo Novak
5150 Vistamere Ct.
Orlando, FL 32819
Sal Nunziata
2351 Forrest Dr.
Winter Park, FL 32789
Scott Peelan
201 West Canton Ave.
Winer Park, FL 32789
119 N. Hyer Ave.
Orlando, FL 32801
Robert G. Nunziata
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 (Qualified) Dyer 2019MC005
10 1310 22
10 Presidente Supermarket
#49
Business
supermarket Check
$1,000.0073
Business
supermarket Check
$1,000.0074
Business
construction Check
$1,000.0075
Business
construction Check
$1,000.0076
Business
real estate Check
$100.0077
Individual
hosp prof Check
$100.0078
Individual
insurance Check
$500.0079
19 19 31 19
25 19
10 25 19
10 25 19
10 23 19
10 23 19
10 23 19
10 24 19
4686 East Michigan
Street
Orlando, FL 32812
Presidente Supermarket
No. 50 Inc.
695 S. Semoran Blvd.
Orlando, FL 32807
RAFS Inc.
1002 W. 23rd St., Ste
400
Panama City, FL 32405
RBK3 LLC
1105 Kensington Park
Drive
Altamonte Springs, FL
32714
Jocelyne Rivera
13507 Tea Rose Way
Orlando, FL 32824
Scott Rose
907 East Washington
Street
Orlando, FL 32801
34017 Forest Ridge
Lane
Kissimmee, FL 34741
REPVAA investment
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 (Qualified) Dyer 2019MC005
10 1410 22
10 Royal American
Construction Co.
Business
construction Check
$1,000.0080
Business
construction Check
$1,000.0081
Individual
labratory
tech
Check
$1,000.0082
Individual
financial
planner
Check
$150.0083
Individual
hosp
professional
Check
$150.0084
Individual
hosp prof Check
$100.0085
Individual
hospitality
professional
Check
$100.0086
19 19 31 19
25 19
10 25 19
10 24 19
10 23 19
10 23 19
10 23 19
10 23 19
1002 W. 23rd St., Ste
400
Panama City, FL 32405
Royal American
Management Inc.
1002 W. 23rd St., Ste
400
Panama City, FL 32405
Davian Santana
3705 South Highway 27
Clermont, FL 34711
Conrad Santiago
5086 Sailwind Circle
Orlando, FL 32810
Maria Santiago
4120 Napa Ct.
Orlando, FL 32817
Steven Siegel
5524 Sail Ct.
Orlando, FL 32819
5086 Sailwind Circle
Orlando, FL 32810
Joanne Santiago
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 (Qualified) Dyer 2019MC005
10 1510 22
10 Robert J S Snow
Individual
urban
developer
Check
$250.0087
Individual
hospitality
professional
Check
$200.0088
Individual
hosp
professional
Check
$200.0089
Individual
Sr. VP
operations
Check
$200.0090
Individual
attorney Check
$100.0091
Individual
construction Check
$250.0092
Business
electrician Check
$1,000.0093
19 19 31 19
26 19
10 23 19
10 23 19
10 22 19
10 23 19
10 23 19
10 23 19
29 East Copeland Drive
Orlando, FL 32806
Luis Sosa
2890 Tanzanite Ter
Kissimmee, FL 34758
Diomedes Soto
2121 Hiawassee Rd.,
Apt 4662
Orlando, FL 32835
Tom Sparks
3618 Rothbury Drive
Orlando, FL 32812
Andrew Swadel
925 Stetson St.
Orlando, FL 32804
Terry's Electric Inc.
800 N. Thacker Ave.,
Suite A
Kissimmee, FL 34741
220 N. Rosalind Ave.
Orlandof, FL 32801
Robert Stovash
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 (Qualified) Dyer 2019MC005
10 1610 22
10 Robert Tritchel
Individual
hosp prof Check
$100.0094
Business
business
consultant
Check
$200.0095
PoliticalCommittee
PAC Check
$1,000.0096
Business
construction
manager
Check
$250.0097
Individual
hosp
professional
Check
$100.0098
Individual
attorney Check
$100.0099
Individual
hosp prof Check
$200.00100
19 19 31 19
23 19
10 23 19
10 25 19
10 23 19
10 23 19
10 22 19
10 23 19
2474 Tybee Rd.
Saint Cloud, FL 34769
Truespace LLC
100 E. Pine St. 100
Orlando, FL 32801
UHWE Political
Committee, Florida
Region
2881 Corporate Way
Miramar, FL 33025
Verde Construction
Managers LLC
976 Lake Baldwin Lane
Ste 102
Orlando, FL 32814
Robert Walters
112 Sugar Plum Drive
Tallahassee, FL 32312
Karen Waltrip
9212 Island Lake Ct.
Orlando, FL 32836
5520 Rockwood Ave.
Orlando, FL 32839
Guiseppe Vicari
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 (Qualified) Dyer 2019MC005
10 1710 22
10 Bradley Watkins
Individual
construction Check
$250.00101
Individual
service
contractor
Check
$1,000.00102
Individual
hosp prof Check
$100.00103
Business
real estate Check
$200.00104
Individual
attorney Check Add
$300.00110
Individual
financial
advisor
Check Add
$200.00111
Individual
ED -
Orlando
Science
Schools
Check Add
$100.00112
19 19 31 19
23 19
10 23 19
10 23 19
10 23 19
10 31 19
10 31 19
10 12 19
111 Talmeda Trail
Maitland, FL 32751
Donald Westtbrock
9102 N. Bay Blvd.
Orlando, FL 32819
Shannon Yasin
4705 Greycliff Prairie Dr.
Kissimmee, FL 34758
Your Real Estate Zone
Inc.
8865 Commodity Circle
Ste 4
Orlando, FL 32819
Christina Pinto
800 N. Magnolia Ave.
Orlando, FL 32803
Yalcin Akin
14536 Caplock Drive
Orlando, FL 32837
827 North Bayshore
Drive
Safety Harbor, FL 34695
Dan Malasky
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 (Qualified) Dyer 2019MC005
10 1810 22
10 Ed Fouche
Individual
retired Check Add
$100.00113
19 19 31 19
31 19
6234 Blakeford Drive
Windermere, FL 34786
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 (Qualified) Dyer 2019MC005
10 19 19 10 31 19 19 22
10 31 19 Anedot credit card
processing
Monetary
$300.70
1 1920 McKinney Ave. 7th floor
Dallas, TX 75201
Connor Darwish
10 23 19 parking Monetary
$35.00
2
8202 Corkfield Avenue
Orlando, FL 32832
Connor Darwish
10 23 19
office staff Monetary
$135.00
3
8202 Corkfield Avenue
Orlando, FL 32832
Connor Darwish
10 30 19
office staff Monetary
$255.008202 Corkfield Avenue
Orlando, FL 328324
Antoine Fields
10 30 19
office staff Monetary
$100.003813 Gathering Dr.
Orlando, FL 328175
Tasi Hogan
10 23 19
office supplies Monetary
$238.851409 Chapman Cir.
Winter Park, FL 327896
Tasi Hogan office supplies Monetary
$609.14103019
1409 Chapman Cir.
Winter Park, FL 327897
IHeartMedia advertising Monetary
$4,497.00102919
2500 Maitland Center Parkway
Maitland, FL 327518
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 (Qualified) Dyer 2019MC005
10 19 19 10 31 19 20 22
10 30 19 Nora Jones office staff Monetary
$200.00
9 4010 Ford St.
Orlando, FL 32811
Daniel Lopez
10 30 19 office staff Monetary
$295.00
10
274 Sandestin Drive
Haines City, FL 33844
Mad Dog Mail
10 23 19
media production Monetary
$52,438.37
11
5542 First Coast Highway Suite 300
Fernandina Beach, FL 32034
Mad Dog Mail
10 25 19
media production Monetary
$24,943.345542 First Coast Highway Suite 300
Fernandina Beach, FL 3203412
Mad Dog Mail
10 25 19
media production Monetary
$24,610.305542 First Coast Highway Suite 300
Fernandina Beach, FL 3203413
Emily Nole
10 30 19
transportation Monetary
$100.004125 Iveyglen Ave.
Orlando, FL 3282614
Wanda Ramos translation Monetary
$96.50103019
10325 Dylan St. #932
Orlando, FL 3282515
Stephanie Richardson ASL Interpreter Monetary
$100.00102519
971 Pineland Drive
Rockledge, FL 3295516
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 (Qualified) Dyer 2019MC005
10 19 19 10 31 19 21 22
10 30 19 Banti Rumpf office staff Monetary
$200.00
17 5904 Lemos Court
Orlando, FL 32808
Larry Rumph
10 30 19 office staff Monetary
$200.00
18
4561 Columbia St.
Orlando, FL 32811
Shemuwel Russ
10 30 19
transportation Monetary
$100.00
19
903 Jamestown Dr.
Winter Park, FL 32792
Seacoast Bank
10 31 19
bank service charge Monetary
$27.001031 W. Morse Blvd
Winter Park, FL 327891
Winning Connections
10 23 19
consulting services Monetary
$7,941.00317 Pennsylvania Ave.
Washington, DC 2000320
Winning Connections
10 30 19
consulting services Monetary
$7,642.00317 Pennsylvania Ave.
Washington, DC 2000321
Darlene Zackery office staff Monetary
$200.00103019
2111 Warrens Ave.
Maitland, FL 3275122
Rizwan Zaman refund of over
contribution
Monetary
$500.00102619
P. O. Box 948606
Maitland, FL 3279423
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 (Qualified) Dyer 2019MC005
10 19 19 10 31 19 22 22
10 31 19 Brian Butler return of excess
contrib
Monetary
Add $100.00
25 800 West Gore Street
Orlando, FL 32805
Anedot
10 31 19 credit card fees Monetary
Add $29.20
26
1920 McKinney Ave.
Dallas, TX 75201
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