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Home My Public Portal AboutCampaign Treasurer's ReportCAMPAIGN 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 Gary (Qualified) Siplin PO BOX 585884 Orlando, FL 32858 2019D6001 4 District 6, Orlando City Commissioner G-1 4 4 8 100 00 0 00 8 100 00 0 00 25 194 74 0 00 25 194 74 136 725 00 0 00 101 812 71 09 01 19 10 04 19 BA52DFDB-4445-4E09-B100-57582106B955 10/11/19 - 11:31:05 10/11/19 - 11:31:05 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 Gary (Qualified) Siplin 2019D6001 09 210 11 09 CALVIN LANG Individual RETIRED Check $100.001 Individual AIRPORT LOGISTICS Check $500.002 Individual ENGINEER Check $500.003 Individual CHIROPRA CTOR Check $1,000.004 Business TECHNOLO GY Check $1,000.005 Business LAW FIRM Check $1,000.006 Business ENGINEERI NG / CONSTRUC TION Check $100.007 01 19 04 19 09 19 09 10 19 09 11 19 09 11 19 09 13 19 09 13 19 09 13 19 7017 SLATE STREET ORLANDO, FL 32810 GERALD MONTGOMERY 2045 BLACK LAKE BOULEVARD WINTER GARDEN, FL 34787ROBERT PAYMAYESH 1308 BRIERCLIFF DRIVE ORLANDO, FL 32806 LUIS CRUZ 3535 SOUTH OCEAN DRIVE, UNIT 2301 HOLLYWOOD, FL 33019 TODD E. COPELAND & ASSOCIATES, PA 338 NORTH MAGNOLIA AVENUE, SUITE B ORLANDO, FL 32801 BASE CONSULTANTS, INC. 1214 EAST CONCORD STREET ORLANDO, FL 32803 9400 AMBERGLEN BOULEVARD, BUILDING C AUSTIN, TX 78729 AECOM TECHNOLOGY CORPORATION 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 Gary (Qualified) Siplin 2019D6001 09 310 11 09 VERNICE ATKINS-BRADLEY Individual CONSTRUC TION Check $250.008 Business PROPERTY MANAGEM ENT Check $500.009 Business FIREFIGHT ER Check $1,000.0010 Business ENGINEERI NG Check $500.0011 Individual TEACHER Check $100.0012 Business INVESTME NT Check $300.0013 Business FIREFIGHT ER Check $1,000.0014 01 19 04 19 15 19 09 17 19 09 18 19 09 25 19 09 27 19 09 27 19 10 01 19 711 WEST AMELIA STREET ORLANDO, FL 32805 FORBES TAUBMAN ORLANDO, LLC 100 GALLERIA OFFICENTRE, SUITE 427 SOUTHFIELD, MI 48034ORANGE COUNTY FIREFIGHTERS ASSOCIATION - LOCAL 20576969 VENTURE CIRCLE ORLANDO, FL 32807 GAI CONSULTANTS, INC 618 EAST SOUTH STREET, SUITE 700 ORLANDO, FL 32801 GOOD CAPITAL GROUP, INC 174 WEST COMSTOCK AVENUE WINTER PARK, FL 32789ORLANDO PROFESSIONAL FIREFIGHTERS, LOCAL 13654005 NORTH ORANGE BLOSSOM TRAIL ORLANDO, FL 32804 1212 NORTH WESTMORELAND DRIVE ORLANDO, FL 32804 KRISTIN STUART 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 Gary (Qualified) Siplin 2019D6001 09 410 11 10 MARCHENA AND GRAHAM, PA Business LAW FIRM Check $250.0015 01 19 04 19 02 19 976 LAKE BALDWIN LANE, SUITE 101 ORLANDO, FL 32814 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 5 11 09 03 19 ROSALYN ROBINSON CAMPAIGN CONTRACT LABOR Monetary $168.00 1 3138 CR SMITH STREET ORLANDO, FL 32805 MICHELLE PEART 09 03 19 CAMPAIGN CONTRACT LABOR Monetary $168.00 2 800 SOUTH IVEY LANE, UNIT A ORLANDO, FL 32811 JILL SLATER 09 03 19 CAMPAIGN CONTRACT LABOR Monetary $156.00 3 5147 KAREN COURT ORLANDO, FL 32811 SANDRA LEWIS 09 03 19 CAMPAIGN CONSULTING SERVICES Monetary $2,000.004236 LENOX BOULEVARD ORLANDO, FL 328114 VELVA BADAL 09 06 19 CAMPAIGN CONTRACT LABOR Monetary $180.005127 LESCOT LANE ORLANDO, FL 328115 TERRI HAWKS 09 06 19 CAMPAIGN CONTRACT LABOR Monetary $180.002048 ATTUCKS AVENUE ORLANDO, FL 328116 PAULA CARTER CAMPAIGN CONTRACT LABOR Monetary $180.10090619 1512 MABLE BUTLER AVENUE ORLANDO, FL 328057 BAGS CAMPAIGN PARKING FEE Monetary $16.00090619 325 SOUTH ORANGE AVENUE ORLANDO, FL 328018 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 6 11 09 09 19 CITY OF ORLANDO CAMPAIGN QUALIFYING FEE Monetary $1,828.12 10 400 SOUTH ORANGE AVENUE ORLANDO, FL 32811 BAGS 09 09 19 CAMPAIGN PARKING FEE Monetary $10.00 10 325 SOUTH ORANGE AVENUE ORLANDO, FL 32801 ROSALYN ROBINSON 09 10 19 CAMPAIGN CONTRACT LABOR Monetary $180.00 11 3138 CR SMITH STREET ORLANDO, FL 32805 MICHELLE PEART 09 10 19 CAMPAIGN CONTRACT LABOR Monetary $180.00800 SOUTH IVEY LANE, UNIT A ORLANDO, FL 3281112 JILL SLATER 09 10 19 CAMPAIGN CONTRACT LABOR Monetary $180.005147 KAREN COURT ORLANDO, FL 3281113 WOKB 09 10 19 CAMPAIGN ADVERTISEMENT Monetary $2,000.0050 SOUTH CLARKE ROAD OCOEE, FL 3476114 GLENN A. FOSTER CAMPAIGN TECHNICAL SERVICES Monetary $200.00091019 50 SOUTH CLARKE ROAD OCOEE, FL 3476115 MISSION CONTROL, INC CAMPAIGN MAILER Monetary $3,619.80091019 624 HEBRON AVENUE, SUITE 200 GLASTONBURY, CT 0603316 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 7 11 09 10 19 PAYPAL CAMPAIGN PROCESSING FEE Monetary $14.80 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 USPS 09 11 19 CAMPAIGN POSTAGE Monetary $1,177.00 18 3200 NORTH HIAWASSEE ROAD ORLANDO, FL 32818 T34LIFE 09 11 19 CAMPAIGN GRAPHICS Monetary $305.00 19 6387 WEST COLONIAL DRIVE ORLANDO, FL 32818 VERIZON WIRELESS 09 12 19 CAMPAIGN TELEPHONE Monetary $427.16PO BOX 4001 ACWORTH, GA 3010120 VELVA BADAL 09 13 19 CAMPAIGN CONTRACT LABOR Monetary $150.005127 LESCOT LANE ORLANDO, FL 3281121 TERRI HAWKS 09 13 19 CAMPAIGN CONTRACT LABOR Monetary $150.002048 ATTUCKS AVENUE ORLANDO, FL 3281122 ZOOLIX CAMPAIGN PRINTING Monetary $1,675.00091319 5401 SOUTH KIRKMAN ROAD, SUITE 680 ORLANDO, FL 3281923 BEST BUY CAMPAIGN EQUIPMENT Monetary $441.95091519 4155 MILLENIA BOULEVARD ORLANDO, FL 3283924 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 8 11 09 15 19 PAYPAL CAMPAIGN PROCESSING FEE Monetary $7.55 25 2211 NORTH FIRST STREET SAN JOSE, CA 95131 GRAND BOHEMIAN 09 16 19 CAMPAIGN MEETING Monetary $123.03 26 325 SOUTH ORANGE AVENUE ORLANDO, FL 32801 BAGS 09 16 19 CAMPAIGN PARKING FEE Monetary $20.00 27 325 SOUTH ORANGE AVENUE ORLANDO, FL 32801 OFFICE DEPOT 09 16 19 CAMPAIGN OFFICE SUPPLIES Monetary $127.557174 WEST COLONIAL DRIVE ORLANDO, FL 3281828 ROSALYN ROBINSON 09 17 19 CAMPAIGN CONTRACT LABOR Monetary $300.003138 CR SMITH STREET ORLANDO, FL 3280529 MICHELLE PEART 09 17 19 CAMPAIGN CONTRACT LABOR Monetary $300.00800 SOUTH IVEY LANE, UNIT A ORLANDO, FL 3281130 JILL SLATER CAMPAIGN CONTRACT LABOR Monetary $300.00091719 5147 KAREN COURT ORLANDO, FL 3281131 ZOOLIX CAMPAIGN PRINTING Monetary $1,210.00091719 5401 SOUTH KIRKMAN ROAD, SUITE 680 ORLANDO, FL 3281932 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 9 11 09 18 19 OFFICE DEPOT CAMPAIGN OFFICE SUPPLIES Monetary $21.29 33 1744 SAND LAKE ROAD, SUITE A-120 ORLANDO, FL 32809 OFFICE DEPOT 09 18 19 CAMPAIGN OFFICE SUPPLIES Monetary $63.87 34 2847 SOUTH ORANGE AVENUE ORLANDO, FL 32806 FIRST HAITIAN FREE CHURCH OF NAZARENE091819 CAMPAIGN EVENT SPONSORSHIP Monetary $400.00 35 220 SOUTH ORANGE BLOSSOM TRAIL ORLANDO, FL 32805 VELVA BADAL 09 20 19 CAMPAIGN CONTRACT LABOR Monetary $100.005127 LESCOT LANE ORLANDO, FL 3281136 TERRI HAWKS 09 20 19 CAMPAIGN CONTRACT LABOR Monetary $100.002048 ATTUCKS AVENUE ORLANDO, FL 3281137 BIG LOU'S SINGLE WING EX 09 21 19 CAMPAIGN FOOD FOR VOLUNTEERS Monetary $86.194283 BOOKER STREET ORLANDO, FL 3281138 ROSALYN ROBINSON CAMPAIGN CONTRACT LABOR Monetary $300.00092419 3138 CR SMITH STREET ORLANDO, FL 3280539 MICHELLE PEART CAMPAIGN CONTRACT LABOR Monetary $300.00092419 800 SOUTH IVEY LANE, UNIT A ORLANDO, FL 3281140 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 10 11 09 24 19 JILL SLATER CAMPAIGN CONTRACT LABOR Monetary $285.00 41 5147 KAREN COURT ORLANDO, FL 32811 MICHELLE JOHNSON 09 24 19 CAMPAIGN CONTRACT LABOR Monetary $280.00 42 809 SOUTH IVEY LANE, UNIT B ORLANDO, FL 32811 THEODORE BURGESS 09 24 19 CAMPAIGN CONTRACT LABOR Monetary $1,000.00 43 4520 OAK CREEK STREET, UNIT 212 ORLANDO, FL 32835 PAYPAL 09 27 19 CAMPAIGN PROCESSING FEE Monetary $3.202211 NORTH FIRST STREET SAN JOSE, CA 9513144 VERIZON WIRELESS 10 01 19 CAMPAIGN TELEPHONE Monetary $655.46PO BOX 4001 ACWORTH, GA 3010145 SANDRA LEWIS 10 01 19 CAMPAIGN CONSULTING SERVICES Monetary $2,000.004236 LENOX BOULEVARD ORLANDO, FL 3281146 ROSALYN ROBINSON CAMPAIGN CONTRACT LABOR Monetary $300.00100119 3138 CR SMITH STREET ORLANDO, FL 3280547 MICHELLE PEART CAMPAIGN CONTRACT LABOR Monetary $315.00100119 800 SOUTH IVEY LANE, UNIT A ORLANDO, FL 3281148 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) Gary (Qualified) Siplin 2019D6001 09 01 19 10 04 19 11 11 10 01 19 JILL SLATER CAMPAIGN CONTRACT LABOR Monetary $300.00 49 5147 KAREN COURT ORLANDO, FL 32811 MICHELLE JOHNSON 10 01 19 CAMPAIGN CONTRACT LABOR Monetary $280.00 50 809 SOUTH IVEY LANE, UNIT B ORLANDO, FL 32811 WALMART 10 02 19 CAMPAIGN SUPPLIES Monetary $429.67 51 2500 SOUTH KIRKMAN ROAD ORLANDO, FL 32811 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