HomeMy Public PortalAboutCampaign Treasurer's Report (4)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-6
4
4
26 350 00
0 00
26 350 00
100 00
18 351 51
0 00
18 351 51
101 625 00
0 00
42 020 86
06 01 19 06 30 19
E39677D4-E758-48CD-8B1D-47D7347BD84C
07/09/19 - 09:48:37
07/09/19 - 09:48:37
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
06 206 17
06 HAL KANTOR
Individual
ATTORNEY Check
$500.001
Individual
RESTAURA
TEUR
Check
$100.002
Individual
ATTORNEY Check
$100.003
Business
CHIROPRA
CTIC
Check
$200.004
Business
LAW FIRM Check
$500.005
Business
LAW FIRM Check
$1,000.006
Individual
REAL
ESTATE
DEVELOPE
R
Check
$1,000.007
01 19 30 19
01 19
06 05 19
06 06 19
06 07 19
06 10 19
06 10 19
06 10 19
215 NORTH EOLA
DRIVE
ORLANDO, FL 32801
CLOVER BROWN
PO BOX 1887
ORLANDO, FL 32802
VIVIEN MONACO
3607 GRANT
BOULEVARD
ORLANDO, FL 32804
FULMORE &
ASSOCIATES
CHIROPRACTIC
781 MAITLAND
AVENUE
ALTAMONTE SPRINGS,
FL 32701
ROMANO LAW
801 SPENCER DRIVE
WEST PALM BEACH,
FL 33409
JOHN FLOURNOY
233 12TH STREET,
SUITE 900
COLUMBUS, GA 31901
420 NORTH 20TH
STREET, SUITE 3400
BIRMINGHAM, AL
35203
BURR & FORMAN
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
06 306 17
06 JOHN CROSSMAN
Individual
REAL
ESTATE
Check
$250.008
Business
REAL
ESTATE
Check
$250.009
Business
REAL
ESTATE
DEVELOPM
ENT
Check
$250.0010
Individual
NONPROFI
T
EXECUTIVE
Check
$50.0011
Business
LAW FIRM Check
$1,000.0012
Individual
ATTORNEY Check
$1,000.0013
Individual
CONSULTA
NT
Check
$150.0014
01 19 30 19
13 19
06 13 19
06 13 19
06 14 19
06 17 19
06 17 19
06 17 19
4412 ANSON LANE
ORLANDO, FL 32814
VALUE HOMES FUND
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
LEE CHIRA &
ASSOCIATES
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
SHERRY PARAMORE
1644 WHITNEY ISLES
DRIVE
WINDERMERE, FL
34786
RONALD BOOK
491 COCONUT PALM
TERRACE
PLANTATION, FL 33324
LEX VEECH
PO BOX 355
BANNER ELK, NC
28604
18851 NE 29TH
AVENUE, SUITE 1010
AVENTURA, FL 33180
RONALD BOOK, PA
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Gary Siplin 2019D6001
06 406 17
06 BECKER &
POLIAKOFF, PA
Business
LAW FIRM Check
$200.0015
Business
INVESTME
NT
Check
$1,000.0016
Individual
RESTAURA
TEUR
Check
$100.0017
Business
CONSTRUC
TION
Check
$1,000.0018
Individual
CONSTRUC
TION
Check
$500.0019
Individual
ATTORNEY Check
$200.0020
Business
SPORTS Check
$1,000.0021
01 19 30 19
18 19
06 18 19
06 20 19
06 22 19
06 22 19
06 24 19
06 24 19
ONE EAST BROWARD
BOULEVARD, SUITE
1800
FORT LAUDERDALE,
FL 33301
ZWB HOLDINGS
6751 FORUM DRIVE,
SUITE 200
ORLANDO, FL 32821
KARL BROWN
2700 RIO GRANDE
AVENUE
ORLANDO, FL 32805
BRT CONSTRUCTION
CORP
30 SOUTH IVEY LANE
ORLANDO, FL 32811
MIRANDA FITZGERALD
9602 SLOANE STREET
ORLANDO, FL 32827
FLORIDA CUP
4705 SOUTH APOPKA
VINELAND ROAD
ORLANDO, FL 32819
30 SOUTH IVEY LANE
ORLANDO, FL 32811
DERRICK WALLACE
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
06 506 17
06 GREGORY JACKSON
Individual
ATTORNEY Check
$250.0022
Business
ENGINEERI
NG
Check
$1,000.0023
Individual
EDUCATIO
N
Check
$500.0024
Business
REAL
ESTATE
Check
$500.0025
Individual
REAL
ESTATE
Check
$300.0026
Business
CONSULTIN
G
Check
$500.0027
Individual
ATTORNEY InKind CAMPAIGN
FOOD &
DRINKS
FOR EVENT $100.0028
01 19 30 19
24 19
06 25 19
06 26 19
06 26 19
06 26 19
06 26 19
06 26 19
8292 BAYWOOD VISTA
DRIVE
ORLANDO, FL 32810
TOTAL PROJECT
STRATEGIES
249 COBLE DRIVE
LONGWOOD, FL 32779
ESTATE OF MARY JO
ARDAMAN
1947 LEE ROAD
WINTER PARK, FL
32789
SEVEN POINTS
884 SOUTH DILLARD
STREET
WINTER GARDEN, FL
34787
CENTRAL FLORIDA
STRATEGIES
8815 CONROY
WINDERMERE ROAD,
SUITE 143
ORLANDO, FL 32835KURT ARDAMAN
1947 LEE ROAD
WINTER PARK, FL
32789
PO BOX 1651
WINDERMERE, FL
34786
ROBERT HOLSTON
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
06 606 17
06 CHAD NEWBOLD
Individual
TIMESHAR
E
EXECUTIVE
Check
$500.0029
Business
RETAIL Check
$300.0030
Business
RETAIL Check
$350.0031
Business
PROFESSI
ONAL
SERVICES
Check
$350.0032
Business
GAMING
RETAIL
Check
$1,000.0033
Individual
CONSTRUC
TION
Check
$1,000.0034
Business
CONSTRUC
TION
Check
$1,000.0035
01 19 30 19
27 19
06 27 19
06 27 19
06 27 19
06 28 19
06 28 19
06 28 19
6103 GREATWATER
DRIVE
WINDERMERE, FL
34786GAM SPORTING
GOODS
5157 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
PERFUMELAND OF
ORLANDO
5161 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
ORLACROSS
5216 VANGUARD
STREET
ORLANDO, FL 32819
CAMERON PRITCHARD
401 SOUTH CENTRAL
AVENUE
OVIEDO, FL 32765
KARMIL
CONSTRUCTION
10290 SW 62ND
STREET
MIAMI, FL 33173
5300 POWERLINE
ROAD, SUITE 210
FORT LAUDERDALE,
FL 33309
PRIMETIME
AMUSEMENTS
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
06 706 17
06 AGC CONSULTING
CIVIL ENGINEERS
Business
ENGINEERI
NG
Check
$1,000.0036
Business
ARCHITECT Check
$1,000.0037
Business
ENGINEERI
NG
Check
$1,000.0038
Business
LODGING Check
$1,000.0039
Individual
STAFFING Check
$200.0040
Individual
APOSTLE Check
$500.0041
Individual
PASTOR Check
$100.0042
01 19 30 19
28 19
06 28 19
06 28 19
06 28 19
06 28 19
06 29 19
06 29 19
10305 NW 41ST
STREET, SUITE 115
DORAL, FL 33178
DESIGN TECH
INCORPORATED
12555 ORANGE DRIVE,
SUITE 4029
DAVIE, FL 33330
A&P CONSULTING
TRANSPORATION
ENGINEERS
10305 NW 41ST
STREET, SUITE 115
MIAMI, FL 33178
ROSEN HOTELS &
RESORTS
9840 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
SEDRICK DAVIS
3956 TOWN CENTER
BOULEVARD
ORLANDO, FL 32837
RUSS BEACHAM
5000 SILVER STAR
ROAD
ORLANDO, FL 32808
5564 ELIZABETH ROSE
SQUARE
ORLANDO, FL 32810
MICHAEL SHANNON
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
06 806 17
06 MEKA BEACHAM
Individual
PASTOR Check
$100.0043
Individual
EDUCATOR Check
$50.0044
Individual
AUDIOVISU
AL
Check
$500.0045
Individual
FINANCIAL
ADVISOR
Check
$200.0046
Individual
PEST
CONTROL
Check
$100.0047
Individual
TOURISM
EXECUTIVE
Check
$200.0048
Individual
NONPROFI
T
EXECUTIVE
Check
$50.0049
01 19 30 19
29 19
06 29 19
06 29 19
06 29 19
06 29 19
06 29 19
06 29 19
5000 SILVER STAR
ROAD
ORLANDO, FL 32808
VERNALEE
BICKERSTAFF
8603 SAVORY DRIVE
ORLANDO, FL 32825
LES GOLDBERG
2350 INVESTORS ROW
ORLANDO, FL 32837
JAMEA JACKSON
2965 BREEZY
MEADOW ROAD
APOPKA, FL 32712
LUANN BROOKS
2616 CRESCENT LAKE
COURT
WINDERMERE, FL
34786DWIGHT MITCHELL
13012 CRYSTAL COVE
DRIVE
ORLANDO, FL 32828
6404 SAGEWOOD
DRIVE
ORLANDO, FL 32818
DENNIS 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
06 906 17
06 MARIE-JOSE
FRANCOIS
Individual
PHYSICIAN Check
$200.0050
Individual
FOOD
SERVICES
Check
$100.0051
Individual
ENGINEER Check
$100.0052
Individual
ATTORNEY Check
$1,000.0053
Individual
CONSTRUC
TION
Check
$200.0054
Individual
ATTORNEY Check
$200.0055
Individual
COUNTY
ADMINISTR
ATOR
Check
$100.0056
01 19 30 19
29 19
06 29 19
06 29 19
06 29 19
06 29 19
06 30 19
06 30 19
2542 FLETCH COURT
LAKE MARY, FL 32746
GHENET SEQUAR
8616 CHICORY COURT
ORLANDO, FL 32825
RUSSELL DRAKE
4434 BRADLEY
AVENUE
ORLANDO, FL 32839
STACEY
PRINCE-TROUTMAN
420 SOUTH ORANGE
AVENUE, SUITE 1200
ORLANDO, FL 32801
REBECCA WILSON
215 NORTH EOLA
DRIVE
ORLANDO, FL 32801
BYRON BROOKS
7555 SAINT STEPHENS
COURT
ORLANDO, FL 32835
711 WEST AMELIA
STREET
ORLANDO, FL 32805
VERNICE
ATKINS-BRADLEY
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
06 1006 17
06 LA-ZONDRA
RANDOLPH
Individual
ATTORNEY Check
$50.0057
Individual
AIR
CONDITION
ING
SERVICES
Check
$500.0058
01 19 30 19
30 19
06 30 19
5104 NORTH ORANGE
BLOSSOM TRAIL,
SUITE 117
ORLANDO, FL 32810MICHAEL NEWMAN
1819 BALSAWOOD
COURT
ORLANDO, FL 32818
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
06 01 19 06 30 19 11 17
06 01 19 ASSONTA LYSIUS CAMPAIGN
CONTRACT LABOR
Monetary
$1,300.00
1 5233 WELLINGTON PARK CIRCLE,
UNIT B42
ORLANDO, FL 32839
PAYPAL
06 01 19 CAMPAIGN
PROCESSING FEE
Monetary
$14.80
2
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
ROSALYN ROBINSON
06 03 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.00
3
3138 CR SMITH STREET
ORLANDO, FL 32805
SHIRLEY HAWKS
06 03 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.004798 DANZIG COURT
ORLANDO, FL 328114
WILSEY CHERISME
06 03 19
CAMPAIGN
CONTRACT LABOR
Monetary
$240.003200 WEST COLONIAL DRIVE
ORLANDO, FL 328085
SANDRA LEWIS
06 05 19
CAMPAIGN
CONTRACT LABOR
Monetary
$500.004236 LENOX BOULEVARD
ORLANDO, FL 328116
VERIZON WIRELESS CAMPAIGN
TELEPHONE
Monetary
$323.43060519
PO BOX 4001
ACWORTH, GA 301018
PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$3.20060619
2211 NORTH 1ST STREET
SAN JOSE, CA 951319
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
06 01 19 06 30 19 12 17
06 07 19 VELVA BADAL CAMPAIGN
CONTRACT LABOR
Monetary
$350.00
10 5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
06 07 19 CAMPAIGN
CONTRACT LABOR
Monetary
$350.00
11
2048 ATTUCKS AVENUE
ORLANDO, FL 32811
DONNA FLETCHER
06 07 19
CAMPAIGN
CONTRACT LABOR
Monetary
$80.00
12
5233 WELLINGTON CIRCLE, UNIT
B46
ORLANDO, FL 32839
SHERON TREASURE
06 07 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.00291GARDENIA ROAD
KISSIMMEE, FL 3474313
ZOOLIX
06 10 19
CAMPAIGN YARD
SIGNS
Monetary
$1,000.005401 SOUTH KIRKMAN ROAD,
SUITE 680
ORLANDO, FL 3281914
PAYPAL
06 10 19
CAMPAIGN
PROCESSING FEE
Monetary
$29.302211 NORTH 1ST STREET
SAN JOSE, CA 9513115
ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$232.00061119
3138 CR SMITH STREET
ORLANDO, FL 3280516
SHIRLEY HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$232.00061119
4798 DANZIG COURT
ORLANDO, FL 3281117
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
06 01 19 06 30 19 13 17
06 11 19 KENNETH FAIN CAMPAIGN
CONTRACT LABOR
Monetary
$186.00
18 5614 LEJEUNE DRIVE
ORLANDO, FL 32808
WILSEY CHERISME
06 11 19 CAMPAIGN
CONTRACT LABOR
Monetary
$186.00
19
3200 WEST COLONIAL DRIVE
ORLANDO, FL 32808
SANDRA LEWIS
06 11 19
CAMPAIGN
CONSULTING
SERVICES
Monetary
$2,000.00
20
4236 LENOX BOULEVARD
ORLANDO, FL 32811
JASON CRAWFORD
06 11 19
CAMPAIGN
PRINTING
Monetary
$445.00855 WILLIE MAYS PARKWAY
ORLANDO, FL 3281121
TEMPO COMMUNICATIONS
06 12 19
CAMPAIGN
ADVERTISEMENT
Monetary
$500.001001 NORTH PINE HILLS ROAD
ORLANDO, FL 3280821
ZOOLIX
06 12 19
CAMPAIGN YARD
SIGNS
Monetary
$1,000.005401 SOUTH KIRKMAN ROAD,
SUITE 680
ORLANDO, FL 3281922
ULINE CAMPAIGN OFFICE
SUPPLIES
Monetary
$99.76061319
PO BOX 88741
CHICAGO, IL 6068023
VELVA BADAL CAMPAIGN
CONTRACT LABOR
Monetary
$360.00061419
5127 LESCOT LANE
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
06 01 19 06 30 19 14 17
06 14 19 TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
25 2048 ATTUCKS AVENUE
ORLANDO, FL 32811
SHERON TREASURE
06 14 19 CAMPAIGN
CONTRACT LABOR
Monetary
$300.00
26
291 GARDENIA ROAD
KISSIMMEE, FL 34743
PAYPAL
06 14 19
CAMPAIGN
PROCESSING FEE
Monetary
$1.75
27
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
ROSALYN ROBINSON
06 18 19
CAMPAIGN
CONTRACT LABOR
Monetary
$247.003138 CR SMITH STREET
ORLANDO, FL 3280528
SHIRLEY HAWKS
06 18 19
CAMPAIGN
CONTRACT LABOR
Monetary
$270.004798 DANZIG COURT
ORLANDO, FL 3281129
WILSEY CHERISME
06 18 19
CAMPAIGN
CONTRACT LABOR
Monetary
$222.003200 WEST COLONIAL DRIVE
ORLANDO, FL 3280830
JILL SLATER CAMPAIGN
CONTRACT LABOR
Monetary
$156.00061819
5417 KAREN COURT
ORLANDO, FL 3281131
OFFICE DEPOT CAMPAIGN OFFICE
SUPPLIES
Monetary
$85.18062019
7174 WEST COLONIAL DRIVE
ORLANDO, FL 3281832
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
06 01 19 06 30 19 15 17
06 20 19 PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$3.20
33 2211 NORTH 1ST STREET
SAN JOSE, CA 95131
VELVA BADAL
06 21 19 CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
34
5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
06 21 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
35
2048 ATTUCKS AVENUE
ORLANDO, FL 32811
SHERON TREASURE
06 21 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.00291 GARDENIA ROAD
KISSIMMEE, FL 3474336
ROSALYN ROBINSON
06 24 19
CAMPAIGN
CONTRACT LABOR
Monetary
$169.003138 CR SMITH STREET
ORLANDO, FL 3280537
SHIRLEY HAWKS
06 24 19
CAMPAIGN
CONTRACT LABOR
Monetary
$169.004798 DANZIG COURT
ORLANDO, FL 3281138
WILSEY CHERISME CAMPAIGN
CONTRACT LABOR
Monetary
$204.00062419
3200 WEST COLONIAL DRIVE
ORLANDO, FL 3280839
JILL SLATER CAMPAIGN
CONTRACT LABOR
Monetary
$174.00062419
5417 KAREN COURT
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 Siplin 2019D6001
06 01 19 06 30 19 16 17
06 24 19 PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$13.65
41 2211 NORTH 1ST STREET
SAN JOSE, CA 95131
BJ'S WHOLESALE
06 24 19 CAMPAIGN DRINKS
& SNACKS FOR
WORKERS
Monetary
$39.79
42
4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
RAY SHACKLEFORD
06 25 19
CAMPAIGN
CONTRACT LABOR
Monetary
$250.00
43
2082 CARPATHIAN DRIVE
APOPKA, FL 32712
CLEAR CHANNEL OUTDOOR
06 27 19
CAMPAIGN
ADVERTISEMENT
Monetary
$3,250.005333 OLD WINTER GARDEN ROAD
ORLANDO, FL 3281144
VELVA BADAL
06 28 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.005127 LESCOT LANE
ORLANDO, FL 3281145
TERRI HAWKS
06 28 19
CAMPAIGN
CONTRACT LABOR
Monetary
$360.002048 ATTUCKS AVENUE
ORLANDO, FL 3281146
SHERON TREASURE CAMPAIGN
CONTRACT LABOR
Monetary
$240.00062819
291 GARDENIA ROAD
KISSIMMEE, FL 3474347
PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$6.10062819
2211 NORTH 1ST STREET
SAN JOSE, CA 9513148
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
06 01 19 06 30 19 17 17
06 29 19 PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$102.80
49 2211 NORTH 1ST STREET
SAN JOSE, CA 95131
PAYPAL
06 30 19 CAMPAIGN
PROCESSING FEE
Monetary
$16.55
50
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
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