HomeMy Public PortalAboutCampaign Treasurer's Report (3)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-7
4
4
19 250 00
0 00
19 250 00
0 00
16 931 20
0 00
16 931 20
120 875 00
0 00
58 952 06
07 01 19 07 31 19
C28617F9-82EA-43C8-A73B-4E3EA9FF57FF
08/09/19 - 05:41:05
08/09/19 - 05:41:05
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 Siplin 2019D6001
07 207 13
07 VELIZ KATZ LAW
Business
LAW FIRM Check
$250.001
Individual
PHYSICIAN Check
$200.002
Individual
PHILANTHR
OPIST
Check
$1,000.003
Individual
LAND
SURVEYOR
Check
$500.004
Individual
CONSTRUC
TION
Check
$200.005
Individual
TREE
SERVICES
Check
$500.006
Individual
RETIRED Check
$150.007
01 19 31 19
01 19
07 05 19
07 05 19
07 05 19
07 09 19
07 08 19
07 10 19
425 WEST COLONIAL
DRIVE, SUITE 104
ORLANDO, FL 32804
GERALD PIERRE
9435 SW 144TH
STREET
MIAMI, FL 33176
JAMES PUGH, JR.
359 CAROLINA
AVENUE, SUITE #200
WINTER PARK, FL
32789MICHAEL SOLITRO
480 NEEDLES TRAIL
LONGWOOD, FL 32779
WINSTON JOHNSON
3600 MANDALAY
COURT
ORLANDO, FL 32818
DOROTHY WYNN
1700
WINDERMEREDOWN
PLACE
WINDERMERE, FL
34786
2122 LILYPAD LANE
WINDERMERE, FL
34786
ROBERT BAKER, JR.
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
07 307 13
07 JOHN SMOGOR
Individual
RETIRED Check
$250.008
Business
LAW FIRM Check
$1,000.009
Individual
ATTORNEY Check
$500.0010
Individual
ATTORNEY Check
$500.0011
Individual
ATTORNEY Check
$200.0012
Individual
ATTORNEY Check
$500.0013
Business
INVESTME
NT
Check
$500.0014
01 19 31 19
11 19
07 12 19
07 12 19
07 12 19
07 12 19
07 12 19
07 12 19
619 EAST CONCORD
STREET
ORLANDO, FL 32803
SHUTTS & BOWEN
300 SOUTH ORANGE
AVENUE, SUITE 1600
ORLANDO, FL 32801
DANIEL O'KEEFE
11068 BAYSHORE
DRIVE
WINDERMERE, FL
34786JAMES WILLARD
228 WEST 7TH
AVENUE
WINDERMERE, FL
34786
MICHAEL GRINDSTAFF
300 SOUTH ORANGE
AVENUE, SUITE 1600
ORLANDO, FL 32801
CHM
2405 WEST
PRINCETON STREET,
SUITE 2
ORLANDO, FL 32804
295 TORPOINT GATE
ROAD
LONGWOOD, FL 32779
ROBERT SAVILL
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
07 407 13
07 BIO-TECH
CONSULTING
Business
ENVIRONM
ENTAL
CONSULTIN
G
Check
$1,000.0015
Individual
ENVIRONM
ENTAL
CONSULTA
NT
Check
$1,000.0016
Individual
CONSTRUC
TION
Check
$100.0017
Business
INVESTME
NT
Check
$1,000.0018
Business
INVESTME
NT
Check
$1,000.0019
Business
GOVERNM
ENTAL
CONSULTIN
G FIRM
Check
$500.0020
Business
BEVERAGE Check
$1,000.0021
01 19 31 19
12 19
07 12 19
07 12 19
07 12 19
07 12 19
07 12 19
07 22 19
3025 EAST SOUTH
STREET
ORLANDO, FL 32803
JOHN MIKLOS
3025 EAST SOUTH
STREET
ORLANDO, FL 32803
TONY BENGE
1157 TOM GURNEY
DRIVE
WINTER PARK, FL
32789ROBRIDDLEV
3911 ORANGE LAKE
DRIVE
ORLANDO, FL 32817
SOUTHERN
STRATEGY GROUP OF
ORLANDO
PO BOX 10570
TALLAHASSEE, FL
32302
ABC LIQUORS
PO BOX 593688
ORLANDO, FL 32859
3911 ORANGE LAKE
DRIVE
ORLANDO, FL 32817
AMERICAN ORANGE
COUNTY
INVESTMENTS
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
07 507 13
07 VERONICA ANDERSON
Individual
ATTORNEY Check
$200.0022
Business
LODGING Check
$500.0023
Business
HOSPITALI
TY
Check
$500.0024
Business
ADVERTISI
NG
Check
$1,000.0025
Individual
PASTOR Check
$250.0026
PoliticalCommittee
PAC Check
$1,000.0027
PoliticalCommittee
PAC Check
$1,000.0028
01 19 31 19
22 19
07 25 19
07 25 19
07 29 19
07 30 19
07 30 19
07 30 19
225 NORTH FRENCH
AVENUE
SANFORD, FL 32771
POINT ORLANDO
RESORT
7389 UNIVERSAL
BOULEVARD
ORLANDO, FL 32819
PARAMOUNT
HOSPITALITY
MANAGEMENT
12550 FLORIDAYS
RESORT DRIVE
ORLANDO, FL 32821
OUTFRONT
635 WEST MICHIGAN
STREET
ORLANDO, FL 32805
CFHLA POLITICAL
COMMITTEE
6675 WESTWOOD
BOULEVARD, SUITE
210
ORLANDO, FL 32821CENTRAL FL HOTEL &
LODGING
ASSOCIATION PAC
6675 WESTWOOD
BOULEVARD, SUITE
210
ORLANDO, FL 32821
360 EAST VINE
STREET
BARTOW, FL 33830
GERALDINE WILLIAMS
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
07 607 13
07 THE THOMAS
KORNEGARY FAMILY
TRUST Individual
TRUST Check
$500.0029
Business
HOUSING Check
$1,000.0030
Business
OUTLET
MALL
Check
$1,000.0031
Business
CONSULTIN
G
Check
$200.0032
Individual
DENTIST Check
$250.0033
01 19 31 19
30 19
07 31 19
07 31 19
07 31 19
07 31 19
2133 WINTERMERE
POINTE DRIVE
WINTER GARDEN, FL
34787VENETIAN ISLES
7940 VIA DELLAGIO
WAY, SUITE 200
ORLANDO, FL 32819
MARKETPLACE
CENTER
7940 VIA DELLAGIO
WAY, SUITE 200
ORLANDO, FL 32819
HALL DEVELOPMENT
SERVICES
1302 OSPREY AVENUE
ORLANDO, FL 32803
2501 CARIBBEAN
COURT
ORLANDO, FL 32805
TOMMY J. DORSEY,
SR.
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
07 01 19 07 31 19 7 13
07 02 19 ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$217.00
1 3138 CR SMITH STREET
ORLANDO, FL 32805
SHIRLEY HAWKS
07 02 19 CAMPAIGN
CONTRACT LABOR
Monetary
$259.00
2
4798 DANZIG COURT
ORLANDO, FL 32811
WILSEY CHERISME
07 02 19
CAMPAIGN
CONTRACT LABOR
Monetary
$240.00
3
3200 WEST COLONIAL DRIVE
ORLANDO, FL 32808
JILL SLATER
07 02 19
CAMPAIGN
CONTRACT LABOR
Monetary
$240.005417 KAREN COURT
ORLANDO, FL 328114
SANDRA LEWIS
07 02 19
CAMPAIGN
CONSULTING
SERVICES
Monetary
$2,000.004236 LENOX BOULEVARD
ORLANDO, FL 328115
BOYS 2 MEN
07 03 19
CAMPAIGN
SPONSORSHIP
FOR EVENT
Monetary
$500.00PO BOX 581106
ORLANDO, FL 328586
OFFICE DEPOT CAMPAIGN
SUPPLIES
Monetary
$144.70070319
7174 WEST COLONIAL DRIVE
ORLANDO, FL 328187
VELVA BADAL CAMPAIGN
CONTRACT LABOR
Monetary
$360.00070519
5127 LESCOT LANE
ORLANDO, FL 328118
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
07 01 19 07 31 19 8 13
07 05 19 TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
9 2048 ATTUCKS AVENUE
ORLANDO, FL 32811
SHERON TREASURE
07 05 19 CAMPAIGN
CONTRACT LABOR
Monetary
$240.00
10
291 GARDENIA ROAD
KISSIMMEE, FL 34743
PAYPAL
07 05 19
CAMPAIGN
PROCESSING FEE
Monetary
$14.80
11
2211 NORTH FIRST STREET
SAN JOSE, CA 95131
BJ'S WHOLESALE
07 07 19
CAMPAIGN
DRINKS, SNACKS &
SUPPLIES
Monetary
$259.954697 MILLENIA PLAZA WAY
ORLANDO, FL 3283912
T34LIFE
07 08 19
CAMPAIGN
GRAPHIC DESIGN
Monetary
$50.006387 WEST COLONIAL DRIVE
ORLANDO, FL 3281813
VERIZON WIRELESS
07 08 19
CAMPAIGN
TELEPHONE
Monetary
$322.11PO BOX 4001
ACWORTH, GA 3010114
ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$406.00070919
3138 CR SMITH STREET
ORLANDO, FL 3280515
WILSEY CHERISME CAMPAIGN
CONTRACT LABOR
Monetary
$324.00070919
3200 WEST COLONIAL DRIVE
ORLANDO, FL 3280816
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
07 01 19 07 31 19 9 13
07 09 19 JILL SLATER CAMPAIGN
CONTRACT LABOR
Monetary
$276.00
17 5417 KAREN COURT
ORLANDO, FL 32811
MICHELLE PEART
07 09 19 CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
18
800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 32811
US 1844672 ONTARIO
07 09 19
CAMPAIGN RENT Monetary
$2,500.00
19
6900 SILVER STAR ROAD, SUITE
206A
ORLANDO, FL 32818
VELVA BADAL
07 12 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.005127 LESCOT LANE
ORLANDO, FL 3281120
TERRI HAWKS
07 12 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.002048 ATTUCKS AVENUE
ORLANDO, FL 3281121
PAULA CARTER
07 12 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.001512 MABLE BUTLER AVENUE
ORLANDO, FL 3280522
ULINE CAMPAIGN
SUPPLIES
Monetary
$99.72071219
PO BOX 88741
CHICAGO, IL 6068023
JASON CRAWFORD CAMPAIGN
PRINTING
Monetary
$275.00071519
855 WILLIE MAYS PARKWAY
ORLANDO, FL 3281124
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
07 01 19 07 31 19 10 13
07 15 19 BJ'S WHOLESALE CAMPAIGN
EQUIPMENT
Monetary
$911.60
25 4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
ROSALYN ROBINSON
07 16 19 CAMPAIGN
CONTRACT LABOR
Monetary
$238.00
26
3138 CR SMITH STREET
ORLANDO, FL 32805
WILSEY CHERISME
07 16 19
CAMPAIGN
CONTRACT LABOR
Monetary
$108.00
27
3200 WEST COLONIAL DRIVE
ORLANDO, FL 32808
JILL SLATER
07 16 19
CAMPAIGN
CONTRACT LABOR
Monetary
$204.005417 KAREN COURT
ORLANDO, FL 3281128
MICHELLE PEART
07 16 19
CAMPAIGN
CONTRACT LABOR
Monetary
$168.00800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 3281129
VELVA BADAL
07 19 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.005127 LESCOT LANE
ORLANDO, FL 3281130
TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$360.00071919
2043 ATTUCKS AVENUE
ORLANDO, FL 3281131
PAULA CARTER CAMPAIGN
CONTRACT
Monetary
$300.00071919
1512 MABLE BUTLER AVENUE
ORLANDO , FL 3280532
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
07 01 19 07 31 19 11 13
07 22 19 PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$6.10
33 2211 NORTH FIRST STREET
SAN JOSE, CA 95131
ROSALYN ROBINSON
07 23 19 CAMPAIGN
CONTRACT LABOR
Monetary
$210.00
34
3138 C.R. SMITH STREET
ORLANDO, FL 32805
WILSEY CHERISME
07 23 19
CAMPAIGN
CONTRACT LABOR
Monetary
$96.00
35
3200 WEST COLONIAL DRIVE
ORLANDO, FL 32808
MICHELLE PEART
07 23 19
CAMPAIGN
CONTRACT LABOR
Monetary
$266.00800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 3281136
JILL SLATER
07 23 19
CAMPAIGN
CONTRACT LABOR
Monetary
$204.005417 KAREN COURT
ORLANDO, FL 3281137
GRAND BOHEMIAN
07 24 19
CAMPAIGN
PARKING FEE
Monetary
$8.00325 SOUTH ORANGE AVENUE
ORLANDO, FL 3280138
WYCHE & ASSOCIATES CAMPAIGN
CONSULTING
SERVICES
Monetary
$1,000.00072519
431 WOODCREST STREET
WINTER SPRINGS, FL 3270839
PAULA CARTER CAMPAIGN
CONTRACT LABOR
Monetary
$240.00072619
1512 MABLE BUTLER AVENUE
ORLANDO, FL 3280540
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
07 01 19 07 31 19 12 13
07 26 19 VELVA BADAL CAMPAGN
CONTRACT LABOR
Monetary
$360.00
41 5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
07 26 19 CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
42
2048 ATTUCKS AVENUE
ORLANDOI, FL 32811
BJ S WHOLESALE
07 26 19
CAMPAIGN DRINKS
AND SNACKS FOR
VOLUNTEERS
Monetary
$116.03
43
4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
FLYERS WINGS & GRILL
07 26 19
CAMPAIGN FOOD
FOR VOLUNTEERS
Monetary
$71.195621 WEST COLONIAL DRIVE
ORLANDO, FL 3280844
ROSALYN ROBINSON
07 30 19
CAMPAIGN
CONTRACT LABOR
Monetary
$280.003138 CR SMITH STREET
ORLANDO, FL 3280545
WILSEY CHERISME
07 30 19
CAMPAIGN
CONTRACT LABOR
Monetary
$48.003200 WEST COLONIAL DRIVE
ORLANDO, FL 3280846
MICHELLE PEART CAMPAIGN
CONTRACT LABOR
Monetary
$280.00073019
800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 3281147
JILL SLATER CAMPAIGN
CONTRACT LABOR
Monetary
$260.00073019
5417 KAREN COURT
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 Siplin 2019D6001
07 01 19 07 31 19 13 13
07 30 19 GRAND BOHEMIAN CAMPAIGN
PARKING FEE
Monetary
$8.00
49 325 SOUTH ORANGE AVENUE
ORLANDO, FL 32801
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