HomeMy Public PortalAboutCampaign Treasurer's Report (2)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
Gary Siplin
PO BOX 585884
Orlando, FL 32858
2019D6001
4 District 6, Orlando City Commissioner
M-8
4
4
7 750 00
0 00
7 750 00
0 00
17 665 91
0 00
17 665 91
128 625 00
0 00
76 617 97
08 01 19 08 31 19
A355B821-1C0B-4802-ADCE-8435D82D3CD6
09/10/19 - 01:37:00
09/10/19 - 01:37:00
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 Siplin 2019D6001
08 208 12
08 AA ALI, CPA
Business
ACCOUNTI
NG FIRM
Check
$500.001
Business
SUGAR Check
$500.002
Business
AGRICULTU
RE
Check
$500.003
Business
CITRUS Check
$500.004
Business
CITRUS Check
$500.005
Business
CITRUS Check
$500.006
Individual
RETIRED Check
$100.007
01 19 31 19
02 19
08 12 19
08 12 19
08 12 19
08 12 19
08 12 19
08 13 19
1322 NORTH PINE
HILLS ROAD
ORLANDO, FL 32808
UNITED STATES
SUGAR
111 PONCE DE LEON
AVENUE
CLEWISTON, FL 33440
SOUTHERN GARDENS
GROVES
111 PONCE DE LEON
AVENUE
CLEWISTON, FL 33440
SOUTHERN GARDENS
CITRUS NURSERY
111 PONCE DE LEON
AVENUE
CLEWISTON, FL 33440
SOUTHERN GARDENS
CITRUS HOLDING
111 PONCE DE LEON
AVENUE
CLEWISTON, FL 33440
LONZIE WELLON
5135 FRYER ROAD
ST CLOUD, FL 34771
111 PONCE DE LEON
AVENUE
CLEWISTON, FL 33440
SOUTHERN GARDENS
CITRUS PROCESSING
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 Siplin 2019D6001
08 308 12
08 FAISAL SHEIKH
Individual
DEVELOPE
R
Check
$200.008
Business
LAW FIRM Check
$400.009
Individual
CITY
COUNCILM
AN
Check
$100.0010
Business
DESIGN
SERVICES
Check
$100.0011
Individual
PHYSICIAN Check
$100.0012
Individual
CONSTRUC
TION
Check
$100.0013
Individual
CONSTRUC
TION
Check
$100.0014
01 19 31 19
13 19
08 16 19
08 25 19
08 30 19
08 30 19
08 30 19
08 30 19
219 LIME AVENUE
ORLANDO, FL 32805
BOGIN, MUNNS &
MUNNS
PO BOX 2807
ORLANDO, FL 32802
ALIX DESULME
830 NW 133RD
STREET
NORTH MIAMI, FL
33168IQUEST CONCEPTS
PO BOX 493
CLARCONA, FL 32710
MATTHEW SPENCE
219 WHITTIER CIRCLE
ORLANDO, FL 32806
TESKA DILLARD
2783 CULLENS COURT
OCOEE, FL 34761
2122 LILYPAD LANE
WINDERMERE, FL
34786
ROBERT BAKER
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 Siplin 2019D6001
08 408 12
08 THE ORANEVA
CONSULTING GROUP
Business
CONSULTIN
G
Check
$150.0015
Individual
ATTORNEY Check
$250.0016
Business
LAW FIRM Check
$250.0017
Individual
HEALTHCA
RE
Check
$250.0018
Individual
ENGINEER Check
$300.0019
Business
ENVIRONM
ENTAL
CONSULTA
NTS
Check
$350.0020
Business
ENGINEERI
NG
Check
$500.0021
01 19 31 19
30 19
08 30 19
08 30 19
08 30 19
08 30 19
08 30 19
08 30 19
17753 DEER ISLE
CIRCLE
WINTER GARDEN, FL
34787VERONICA ANDERSON
1122 SAINT ALBANS
LOOP
LAKE MARY, FL 32746
ANDERSON AND
ASSOCIATES
225 NORTH FRENCH
AVENUE
SANFORD, FL 32771
ELOISE ABRAHAMS
2605 REEF COURT
ORLANDO, FL 32805
BARNES, FERLAND
AND ASSOCIATES
1230 HILLCREST
STREET, SUITE 100
ORLANDO, FL 32803
AVCON
5555 EAST MICHIGAN
STREET, SUITE 200
ORLANDO, FL 32822
260 SOUTH OSCEOLA
AVENUE, SUITE 809
ORLANDO, FL 32801
WAYNE ALLRED
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 Siplin 2019D6001
08 508 12
08 CHU-TZU HSU
Individual
ARCHITECT Check
$500.0022
Business
ENGINEERI
NG
Check
$1,000.0023
01 19 31 19
30 19
08 30 19
559 EAST LAKE SUE
AVENUE
WINTER PARK, FL
32789SGM ENGINEERING
935 LAKE BALDWIN
LANE
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 Siplin 2019D6001
08 01 19 08 31 19 6 12
08 01 19 BANK OF AMERICA CAMPAIGN CHECK
ORDER FEE
Monetary
$39.76
1 4055 CORPORATE DRIVE
GRAPEVINE, TX 76051
NIKKI'S PLACE
08 02 19 CAMPAIGN
MEETING
Monetary
$125.50
2
742 WEST CARTER STREET
ORLANDO, FL 32805
VELVA BADAL
08 02 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
3
5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
08 02 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.002048 ATTUCKS AVENUE
ORLANDO, FL 328114
PAULA CARTER
08 02 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.001512 MABLE BUTLER AVENUE
ORLANDO, FL 328055
OLEY'S KITCHEN
08 02 19
CAMPAIGN FOOD
FOR VOLUNTEERS
Monetary
$142.032700 SOUTH RIO GRAND AVENUE
ORLANDO, FL 328056
ZOOLIX CAMPAIGN SIGNS Monetary
$552.00080519
5401 SOUTH KIRKMAN ROAD,
SUITE 680
ORLANDO, FL 328197
ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$224.00080619
3138 CR SMITH STREET
ORLANDO, FL 328058
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 Siplin 2019D6001
08 01 19 08 31 19 7 12
08 06 19 MICHELLE PEART CAMPAIGN
CONTRACT LABOR
Monetary
$224.00
9 800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 32811
JILL SLATER
08 06 19 CAMPAIGN
CONTRACT LABOR
Monetary
$156.00
10
5417 KAREN COURT
ORLANDO, FL 32811
SANDRA LEWIS
08 06 19
CAMPAIGN
CONSULTING
SERVICES
Monetary
$2,000.00
11
4236 LENOX BOULEVARD
ORLANDO, FL 32811
LET'S KICK ASTHMA FOUNDATION
08 06 19
CAMPAIGN
SPONSORSHIP
FOR EVENT
Monetary
$500.003737 CHANDLER ESTATES DRIVE
APOPKA, FL 3271212
VERIZON WIRELESS
08 06 19
CAMPAIGN
TELEPHONE
Monetary
$322.18PO BOX 4001
ACWORTH, GA 3010113
BACKPACK GEAR
08 06 19
CAMPAIGN
T-SHIRTS AND
EVENT SUPPLIES
Monetary
$1,697.501307 EAST LANDSTREET ROAD
ORLANDO, FL 3282414
THE BOHEME RESTAURANT CAMPAIGN
MEETING
Monetary
$169.10080819
325 SOUTH ORANGE AVENUE
ORLANDO, FL 3280115
VELVA BADAL CAMPAIGN
CONTRACT LABOR
Monetary
$360.00080919
5127 LESCOT LANE
ORLANDO, FL 3281116
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 Siplin 2019D6001
08 01 19 08 31 19 8 12
08 09 19 TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
17 2048 ATTUCKS AVENUE
ORLANDO, FL 32811
PAULA CARTER
08 09 19 CAMPAIGN
CONTRACT LABOR
Monetary
$300.00
18
1512 MABLE BUTLER AVENUE
ORLANDO, FL 32805
LEGACY PARKING
08 09 19
CAMPAIGN
PARKING FEE
Monetary
$3.00
19
255 SOUTH ORANGE AVENUE
ORLANDO, FL 32801
RESTAURANT DEPOT
08 10 19
CAMPAIGN FOOD
FOR EVENT
Monetary
$170.683451 WEST PRINCETON STREET
ORLANDO, FL 3280820
ROSALYN ROBINSON
08 13 19
CAMPAIGN
CONTRACT LABOR
Monetary
$238.003138 CR SMITH STREET
ORLANDO, FL 3280521
MICHELLE PEART
08 13 19
CAMPAIGN
CONTRACT LABOR
Monetary
$238.00800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 3281122
JILL SLATER CAMPAIGN
CONTRACT LABOR
Monetary
$208.00081319
5417 KAREN COURT
ORLANDO, FL 3281123
T34LIFE CAMPAIGN
GRAPHIC DESIGN
Monetary
$50.00081319
6387 WEST COLONIAL DRIVE
ORLANDO, FL 3281824
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 Siplin 2019D6001
08 01 19 08 31 19 9 12
08 13 19 ASSONTA LYSIUS CAMPAIGN
CONTRACT LABOR
Monetary
$700.00
25 5233 WELLINGTON PARK CIRCLE,
UNIT B42
ORLANDO, FL 32839
ULINE
08 13 19 CAMPAIGN
SUPPLIES
Monetary
$72.61
26
PO BOX 88741
CHICAGO, IL 60680
PAYPAL
08 13 19
CAMPAIGN
PROCESSING FEE
Monetary
$9.30
27
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
VELVA BADAL
08 16 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.005127 LESCOT LANE
ORLANDO, FL 3281128
TERRI HAWKS
08 16 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.002048 ATTUCKS AVENUE
ORLANDO, FL 3281129
PAULA CARTER
08 16 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.001512 MABLE BUTLER AVENUE
ORLANDO, FL 3280530
MAGGIANO'S LITTLE ITALY CAMPAIGN
MEETING
Monetary
$40.00081619
9101 INTERNATIONAL DRIVE,
SUITE 2400
ORLANDO, FL 3281931
BJ'S WHOLESALE CAMPAIGN
SUPPLIES FOR
WORKERS
Monetary
$53.74081819
4697 MILLENIA PLAZA WAY
ORLANDO, FL 3283932
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 Siplin 2019D6001
08 01 19 08 31 19 10 12
08 20 19 ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$210.00
33 3138 CR SMITH STREET
ORLANDO, FL 32805
MICHELLE PEART
08 20 19 CAMPAIGN
CONTRACT LABOR
Monetary
$210.00
34
800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 32811
JILL SLATER
08 20 19
CAMPAIGN
CONTRACT LABOR
Monetary
$156.00
35
5147 KAREN COURT
ORLANDO, FL 32811
DONNA FLETCHER
08 20 19
CAMPAIGN
CONTRACT LABOR
Monetary
$100.005233 WELLINGTON PARK CIRCLE,
UNIT B46
ORLANDO, FL 3283936
VELVA BADAL
08 23 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.005127 LESCOT LANE
ORLANDO, FL 3281137
TERRI HAWKS
08 23 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.002048 ATTUCKS AVENUE
ORLANDO, FL 3281138
PAULA CARTER CAMPAIGN
CONTRACT LABOR
Monetary
$300.00082319
1512 MABLE BUTLER AVENUE
ORLANDO, FL 3280539
PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$3.20082519
2211 NORTH 1ST STREET
SAN JOSE, CA 9513140
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 Siplin 2019D6001
08 01 19 08 31 19 11 12
08 27 19 ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$280.00
41 3138 CR SMITH STREET
ORLANDO, FL 32805
MICHELLE PEART
08 27 19 CAMPAIGN
CONTRACT LABOR
Monetary
$280.00
42
800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 32811
JILL SLATER
08 27 19
CAMPAIGN
CONTRACT LABOR
Monetary
$247.00
43
5417 KAREN COURT
ORLANDO, FL 32811
USPS
08 27 19
CAMPAIGN
SERVICE FEE
Monetary
$53.00811 DEAUVILLE DRIVE
ORLANDO, FL 3280844
US 1844672 ONTARIO
08 27 19
CAMPAIGN RENT Monetary
$2,500.006900 SILVER STAR ROAD, SUITE
206A
ORLANDO, FL 3281845
VERIZON WIRELESS
08 27 19
CAMPAIGN
TELEPHONE
EQUIPMENT
Monetary
$74.543120 SOUTH KIRKMAN ROAD
ORLANDO, FL 3281146
AA ALI CPA CAMPAIGN
PROFESSIONAL
SERVICES
Monetary
$450.00082819
1322 NORTH PINE HILLS ROAD
ORLANDO, FL 3280847
OFFICE DEPOT CAMPAIGN
SUPPLIES
Monetary
$16.65082819
7174 WEST COLONIAL DRIVE
ORLANDO, FL 3281848
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 Siplin 2019D6001
08 01 19 08 31 19 12 12
08 29 19 BJ'S WHOLESALE CAMPAIGN DRINKS
AND SNACKS FOR
VOLUNTEERS
Monetary
$230.12
49 4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
VELVA BADAL
08 30 19 CAMPAIGN
CONTRACT LABOR
Monetary
$300.00
50
5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
08 30 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.00
51
2048 ATTUCKS AVENUE
ORLANDO, FL 32811
PAULA CARTER
08 30 19
CAMPAIGN
CONTRACT LABOR
Monetary
$240.001512 MABLE BUTLER AVENUE
ORLANDO, FL 3280552
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