HomeMy Public PortalAboutCampaign Treasurer's Report (5)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
M5
4
4
22 075 00
0 00
22 075 00
250 00
13 115 39
0 00
13 115 39
75 275 00
0 00
23 669 35
05 01 19 05 31 19
DE062CD9-1EDF-49EA-B43A-FFE986A80EE9
06/10/19 - 01:00:02
06/10/19 - 01:00:02
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
05 205 18
05 MOREHOUSE REALTY
Business
REAL
ESTATE
Check
$250.001
Individual
CONSULTA
NT
Check
$1,000.002
Individual
ENGINEER Check
$50.003
Business
WASTE Check
$1,000.004
Business
ARCHITECT Check
$500.005
Individual
PHYSICIAN Check
$250.006
Individual
ADMINISTR
ATOR
Check
$200.007
01 19 31 19
01 19
05 02 19
05 06 19
05 07 19
05 07 19
05 08 19
05 09 19
2281 LEE ROAD, SUITE
200
WINTER PARK, FL
32789DEREK WHITIS
403 PLANTATION
ROAD
TALLAHASSEE, FL
32303RUSSELL DRAKE
4434 BRADLEY
AVENUE
ORLANDO, FL 32839
WASTE MANAGEMENT
INC OF FLORIDA
2700 WILES ROAD
COCONUT CREEK, FL
33073
GENNETT JOHNSON
9068 GREAT HERON
CIRCLE
ORLANDO, FL 32836
WALTER HAWKINS
1401 WEST HARVARD
STREET
ORLANDO, FL 32804
120 NORTH ORANGE
AVENUE
ORLANDO, FL 32801
HHCP
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
05 305 18
05 ROBERT ZLATKISS
Individual
DEVELOPE
R
Check
$1,000.008
Business
CONSTRUC
TION
InKind CAMPAIGN
LUMBER
$250.0010
Business
MEDIA Check
$1,000.0011
Business
TRANSPOR
TATION
Check
$1,000.0012
Individual
TRUST Check
$1,000.0013
Individual
ATTORNEY Check
$250.0014
Business
ENTERTAIN
MENT
Check
$1,000.0015
01 19 31 19
10 19
05 13 19
05 16 19
05 16 19
05 17 19
05 20 19
05 20 19
3911 ORANGE LAKE
DRIVE
ORLANDO, FL 32817
MIMS CONSTRUCTION
PO BOX 681554
ORLANDO, FL 32868
NBCUNIVERSAL
MEDIA
100 UNIVERSAL CITY
PLAZA
UNIVERSAL CITY, CA
91608UNIVERSAL CITY
TRAVEL
1000 UNIVERSAL
STUDIOS PLAZA
ORLANDO, FL 32819
THOMAS SULLIVAN
4502 PATRICIA ANN
COURT
ORLANDO, FL 32839
ORLANDO STARFLYER
7001 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
PO BOX 940925
MAITLAND, FL 32794
ROBERT WAYNE
HARROD TRUST
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
05 405 18
05 ORLANDO SLINGSHOT
Business
ENTERTAIN
MENT
Check
$1,000.0016
Individual
RESTAURA
TEUR
Check
$1,000.0016
Individual
CashOrCash
iersCheck
$10.0017
Individual
CashOrCash
iersCheck
$10.0018
Individual
CashOrCash
iersCheck
$10.0019
Individual
CashOrCash
iersCheck
$10.0020
Individual
CashOrCash
iersCheck
$10.0021
01 19 31 19
20 19
05 24 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
7001 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
YEWSTON PARKER
3870 MILL CREEK
LANE
CASSELBERRY, FL
32707VELVA BADAL
5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
2048 ATTUCKS
AVENUE
ORLANDO, FL 32811
PRESTON HURSEY, JR
6814 WESTBOROUGH
LANE
ORLANDO, FL 32818
ROYCE FLAGER
1820 MABLE BUTLER
AVENUE
ORLANDO, FL 32805
6814 WESTBOROUGH
LANE
ORLANDO, FL 32818
AUDREY SMITH
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
05 505 18
05 LISA CONGRESS
Individual
CashOrCash
iersCheck
$10.0022
Individual
CashOrCash
iersCheck
$10.0023
Individual
CashOrCash
iersCheck
$10.0024
Individual
CashOrCash
iersCheck
$10.0025
Individual
CashOrCash
iersCheck
$10.0026
Individual
CashOrCash
iersCheck
$10.0027
Individual
CashOrCash
iersCheck
$10.0028
01 19 31 19
25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
538 ORANGE DRIVE
ALTAMONTE SPRINGS,
FL 32701
LEWIS GRAY
3605 NORTH LAKE
MANN DRIVE
ORLANDO, FL 32805
BRENDA WILLIAMS
4340 CASSIUS STREET
ORLANDO, FL 32811
AGENS MUNFUS
1975 AARON AVENUE
ORLANDO, FL 32811
EZELL HORACE
1653 AARON AVENUE
ORLANDO, FL 32811
ADELMA WALLACE
3331 FITZGERALD
DRIVE
ORLANDO, FL 32805
1653 AARON AVENUE
ORLANDO, FL 32811
LOYCE HAMLET
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
05 605 18
05 ADNIA HAWKINS
Individual
CashOrCash
iersCheck
$10.0029
Individual
CashOrCash
iersCheck
$10.0030
Individual
CashOrCash
iersCheck
$10.0031
Individual
CashOrCash
iersCheck
$10.0032
Individual
CashOrCash
iersCheck
$10.0033
Individual
CashOrCash
iersCheck
$10.0034
Individual
CashOrCash
iersCheck
$10.0035
01 19 31 19
25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
736 SPRING WEST
ROAD
ORLANDO, FL 32818
SANDRA LEWIS
4236 LENOX
BOULEVARD
ORLANDO, FL 32811
VERA WALKER
2250 PATTERSON
AVENUE
ORLANDO, FL 32811
HILLARY HARRIS
2132 BRUTON
BOULEVARD
ORLANDO, FL 32805
LINDA MANGROO
270 WEATHERVANE
WAY
OCOEE, FL 34761
BADESE MANGROO
270 WEATHERVANE
WAY
OCOEE, FL 34761
PO BOX 617346
ORLANDO, FL 32861
CHERYL KEELEY
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
05 705 18
05 LORETTA HAWKINS
Individual
CashOrCash
iersCheck
$20.0036
Individual
CashOrCash
iersCheck
$20.0037
Individual
CashOrCash
iersCheck
$20.0038
Individual
CashOrCash
iersCheck
$20.0039
Individual
CashOrCash
iersCheck
$20.0040
Individual
CashOrCash
iersCheck
$20.0041
Individual
CashOrCash
iersCheck
$20.0042
01 19 31 19
25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
1401 WEST HARVARD
STREET
ORLANDO, FL 32804
GLORIA SAPP
4285 OWENS STREET
ORLANDO, FL 32811
ANTONIO KERSAINT
7102 CROOKED LAKE
LANE
ORLANDO, FL 32818
THOMAS BAZEMORE
2543 HOLLY PINE
CIRCLE
ORLANDO, FL 32820
NEECI JACKSON
4549 CEPEDA STREET
ORLANDO, FL 32811
DAVID JACKSON
4319 CASSIUS STREET
ORLANDO, FL 32811
3009 HEROLD DRIVE
ORLANDO, FL 32805
RONNIE CARSON
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
05 805 18
05 SHERMAN ADAMS
Individual
CashOrCash
iersCheck
$20.0043
Individual
CashOrCash
iersCheck
$20.0044
Individual
CashOrCash
iersCheck
$20.0045
Individual
CashOrCash
iersCheck
$20.0046
Individual
CashOrCash
iersCheck
$20.0047
Individual
CashOrCash
iersCheck
$20.0048
Individual
CashOrCash
iersCheck
$20.0049
01 19 31 19
25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
2808 MESSINA
AVENUE
ORLANDO, FL 32811
RANITA BROWN
4370 PRINCE HALL
BOULEVARD
ORLANDO, FL 32811
NAOMI BROWN
3416 COLEMAN PLACE
ORLANDO, FL 32805
VICTORIA BRANTLEY
4100 PRINCE HALL
BOULEVARD
ORLANDO, FL 32811
MICHAEL KIMBROUGH
111 LAUREL RIDGE
AVENUE
ORLANDO, FL 34761
BARBARA
KIMBROUGH
111 LAUREL RIDGE
AVENUE
OCOEE, FL 34761
14341 WINDIGO LANE
ORLANDO, FL 32828
DANIEL INGS
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
05 905 18
05 VANN WASHINGTON
Individual
CashOrCash
iersCheck
$20.0050
Individual
CashOrCash
iersCheck
$25.0051
Individual
CashOrCash
iersCheck
$30.0052
Individual
CashOrCash
iersCheck
$40.0053
Individual
CashOrCash
iersCheck
$40.0054
Individual
ADMINISTR
ATOR
CashOrCash
iersCheck
$50.0055
Individual
HEALTHCA
RE
CashOrCash
iersCheck
$50.0056
01 19 31 19
25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 25 19
4344 SOUTH LAKE
ORLANDO PARKWAY
ORLANDO, FL 32808
GEORGE MORNING
4494 REAL COURT
ORLANDO, FL 32808
LYNETTE ORTIZ
5917 WESTON OAKS
DRIVE
ORLANDO, FL 32808
WG KELLY
1411 SUMMIT HILL
DRIVE
DELTONA, FL 32725
QUAN LOVE
15 DISALVO PLACE
APOPKA, FL 32712
ROD LOVE
15 DISALVO PLACE
APOPKA, FL 32712
211 KASSIK CIRCLE
ORLANDO, FL 32824
SHELLEY GRANT
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
05 1005 18
05 KEN HUGHES
Individual
STAFFING Check
$50.0057
Individual
EDUCATOR CashOrCash
iersCheck
$50.0058
Individual
STUDENT CashOrCash
iersCheck
$50.0059
Individual
RETIRED CashOrCash
iersCheck
$50.0060
Individual
RETIRED MoneyOrder
$100.0061
PoliticalCommittee
PAC Check
$500.0062
Business
CONSULTIN
G
Check
$1,000.0063
01 19 31 19
25 19
05 25 19
05 25 19
05 25 19
05 25 19
05 28 19
05 28 19
711 SOUTH
PARRAMORE AVENUE
ORLANDO, FL 32805
HEDDER JOSEPH
10363 KRISTEN PARK
DRIVE
ORLANDO, FL 32832
BRIANNA JOSEPH
10363 KRISTEN PARK
DRIVE
ORLANDO, FL 32832
DEBRA REESE
1001 SOUTH
PARRAMORE AVENUE
ORLANDO, FL 32805
GRAY ROBINSON PA
FLORIDA PAC
301 EAST PINE
STREET, SUITE 1400
ORLANDO, FL 32801
TOP OF THE CLASS
2804 BELCO DRIVE
ORLANDO, FL 32808
3605 NORTH LAKE
MANN DRIVE
ORLANDO, FL 32805
WILLIE MAE OLIVER
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
05 1105 18
05 M JEAN BUTLER
Individual
CONSTRUC
TION
Check
$500.0064
Business
LAW FIRM Check
$1,000.0065
Business
TRUST Check
$1,000.0066
Business
REAL
ESTATE
Check
$1,000.0067
Business
ENTERTAIN
MENT
Check
$1,000.0068
Business
INVESTME
NT
Check
$1,000.0069
Business
RECYCLIN
G
Check
$500.0070
01 19 31 19
30 19
05 30 19
05 30 19
05 30 19
05 30 19
05 30 19
05 30 19
1307 BELFIORE WAY
WINDERMERE, FL
34786
FISHBACK DOMINICK
BENNETT ARDAMAN
AHLERS LANGLEY &
GELLER1947 LEE ROAD
WINTER PARK, FL
32789
MAJOR'S TRUST
2062 CAROLINA
AVENUE
GOTHA, FL 34734
HOLLYWOOD PLAZA
GARAGE REALTY
770 LEXINGTON
AVENUE, 18TH FLOOR
NEW YORK, NY 10065
INTRAM INVESTMENT
5555 SOUTH KIRKMAN
ROAD, SUITE 201
ORLANDO, FL 32819
APPLIED MATERIALS
TRADING
2550 CLARK STREET
APOPKA, FL 32703
770 LEXINGTON
AVENUE, 18TH FLOOR
NEW YORK, NY 10065
SKYPLEX OWNERSHIP
COMPANY
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
05 1205 18
05 JOHN LAMONT
Individual
HOTELIER Check
$1,000.0071
Individual
LOBBYIST Check
$500.0072
Business
LAW FIRM Check
$750.0073
Business
CONSULTIN
G
Check
$300.0074
Individual
LOBBYIST Check
$500.0075
01 19 31 19
30 19
05 30 19
05 31 19
05 31 19
05 31 19
1500 SAND LAKE
ROAD
ORLANDO, FL 32809
NICHOLAS IAROSSI
101 EAST COLLEGE
AVENUE, SUITE 502
TALLAHASSEE, FL
32301SANCHEZ LAW GROUP
605 EAST ROBINSON
STREET, SUITE 650
ORLANDO, FL 32801
BERTICA CABRERA
MORRIS CONSULTING
300 SOUTH ORANGE
AVENUE, SUITE 1565
ORLANDO, FL 32801
28 WEST CENTRAL
BOULEVARD
ORLANDO, FL 32801
KELLY COHEN
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
05 01 19 05 31 19 13 18
05 01 19 FAITH'S FAITHFUL PHOTOGRAPHY CAMPAIGN
PHOTOGRAPHY
Monetary
$199.69
1 PO BOX 616583
ORLANDO, FL 32861
PAYPAL
05 02 19 CAMPAIGN
PROCESSING FEE
Monetary
$29.30
2
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
THEODORE BURGESS
05 02 19
CAMAPIGN
CONTRACT LABOR
Monetary
$1,000.00
3
4520 OAK CREEK STREET, UNIT
212
ORLANDO, FL 32835
SANDRA LEWIS
05 02 19
CAMPAIGN
CONSULTING
SERVICES
Monetary
$1,000.004236 LENOX BOULEVARD
ORLANDO, FL 328114
OFFICE DEPOT
05 02 19
CAMPAIGN OFFICE
SUPPLIES
Monetary
$117.101744 SAND LAKE ROAD, SUITE
A-120
ORLANDO, FL 328095
OFFICE DEPOT
05 02 19
CAMPAIGN OFFICE
SUPPLIES
Monetary
$130.967174 WEST COLONIAL DRIVE
ORLANDO, FL 328186
BJ'S WHOLESALE CAMPAIGN DRINKS
FOR LABORERS
Monetary
$200.76050219
4697 MILLENIA PLAZA WAY
ORLANDO, FL 328397
BERTICA MORRIS CAMPAIGN
RETURN ITEM
CHARGEBACK
Monetary
$300.00050619
2117 FOREST CLUB DRIVE
ORLANDO, FL 328048
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
05 01 19 05 31 19 14 18
05 06 19 BANK OF AMERICA CAMPAIGN
RETURNED ITEM
CHARGEBACK FEE
Monetary
$12.00
9 PO BOX 15285
WILMINGTON, DE 19850
SHERON TREASURE
05 09 19 CAMPAIGN
CONTRACT LABOR
Monetary
$100.00
10
291 GARDENIA ROAD
KISSIMMEE, FL 34743
VELVA BADAL
05 10 19
CAMPAIGN
CONTRACT LABOR
Monetary
$100.00
11
5127 LESCOT LANE
ORLANDO, FL 32811
TERRI HAWKS
05 10 19
CAMPAIGN
CONTRACT LABOR
Monetary
$100.002048 ATTUCKS AVENUE
ORLANDO, FL 3281112
WESLEY CHAPEL NISSAN
05 13 19
CAMPAIGN
TRANSPORTATION
Monetary
$3,000.0028519 FL-54
WESLEY CHAPEL, FL 3354313
BACKPACK GEAR
05 15 19
CAMPAIGN
T-SHIRTS
Monetary
$425.00PO BOX 593235
ORLANDO, FL 3285914
SANDRA LEWIS CAMPAIGN
CONSULTING
SERVICES
Monetary
$500.00051519
4236 LENOX BOULEVARD
ORLANDO, FL 3281115
VELVA BADAL CAMPAIGN
CONTRACT LABOR
Monetary
$330.00051719
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
05 01 19 05 31 19 15 18
05 17 19 TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$330.00
17 2048 ATTUCKS AVENUE
ORLANDO, FL 32811
SHERON TREASURE
05 17 19 CAMPAIGN
CONTRACT LABOR
Monetary
$360.00
18
291 GARDENIA ROAD
KISSIMMEE, FL 34743
SAM'S CLUB
05 23 19
CAMPAIGN FOOD
FOR EVENT
Monetary
$121.24
19
7810 WEST COLONIAL DRIVE
ORLANDO, FL 32818
RESTAURANT DEPOT
05 23 19
CAMPAIGN FOOD &
SUPPLIES FOR
EVENT
Monetary
$211.433451 WEST PRINCETON STREET
ORLANDO, FL 3280820
VELVA BADAL
05 24 19
CAMPAIGN
CONTRACT LABOR
Monetary
$330.005127 LESCOT LANE
ORLANDO, FL 3281121
TERRI HAWKS
05 24 19
CAMPAIGN
CONTRACT LABOR
Monetary
$330.002048 ATTUCKS AVENUE
ORLANDO, FL 3281122
JASON CRAWFORD CAMPAIGN
PRINTING
Monetary
$269.10052419
855 WILLIE MAYS PARKWAY
ORLANDO, FL 3281123
JONES HIGH SCHOOL CLASS OF
'72
CAMPAIGN EVENT
SPONSORSHIP
Monetary
$100.00052419
4285 OWENS STREET
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
05 01 19 05 31 19 16 18
05 24 19 SHERON TREASURE CAMPAIGN
CONTRACT LABOR
Monetary
$300.00
25 291 GARDENIA ROAD
KISSIMMEE, FL 34743
WYCHE & ASSOCIATES
05 24 19 CAMPAIGN
CONSULTING
SERVICES
Monetary
$450.00
26
431 WOODCREST STREET
WINTER SPRINGS, FL 32708
BJ'S WHOLESALE
05 24 19
CAMPAIGN DRINKS
/ FOOD &
SUPPLIES FOR
EVENT
Monetary
$243.72
27
4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
OFFICE DEPOT
05 25 19
CAMPAIGN
SUPPLIES
Monetary
$86.327174 WEST COLONIAL DRIVE
ORLANDO, FL 3281828
WAL-MART
05 25 19
CAMPAIGN FOOD
FOR EVENT
Monetary
$11.161101 SOUTH GOLDWYN AVENUE
ORLANDO, FL 3280529
PAYPAL
05 25 19
CAMPAIGN
PROCESSING FEE
Monetary
$2.632211 NORTH 1ST STREET
SAN JOSE, CA 9513130
PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$0.88052619
2211 NORTH 1ST STREET
SAN JOSE, CA 9513131
ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$300.00052819
3138 CR SMITH STREET
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
05 01 19 05 31 19 17 18
05 28 19 SHIRLEY HAWKS CAMPAIGN
CONTRAT LABOR
Monetary
$300.00
33 4798 DANZIG COURT
ORLANDO, FL 32811
WILSEY CHERISME
05 28 19 CAMPAIGN
CONTRACT LABOR
Monetary
$240.00
34
3200 WEST COLONIAL DRIVE
ORLANDO, FL 32808
DOUG SAUNDERS
05 28 19
CAMPAIGN
CONTRACT LABOR
Monetary
$96.00
35
3200 WEST COLONIAL DRIVE
ORLANDO, FL 32808
DAVID HURST
05 28 19
CAMPAIGN
CONTRACT LABOR
Monetary
$144.003200 WEST COLONIAL DRIVE
ORLANDO, FL 3280836
CRAWFORD DESIGNS
05 29 19
CAMPAIGN
GRAPHICS
Monetary
$400.003361 SOUTH KIRKMAN ROAD, UNIT
823
ORLANDO, FL 3281137
PAYPAL
05 30 19
CAMPAIGN
PROCESSING FEE
Monetary
$44.102211 NORTH 1ST STREET
SAN JOSE, CA 9513138
VELVA BADAL CAMPAIGN
CONTRACT LABOR
Monetary
$330.00053119
5127 LESCOT LANE
ORLANDO, FL 3281139
TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$330.00053119
2048 ATTUCKS AVENUE
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
05 01 19 05 31 19 18 18
05 31 19 SHERON TREASURE CAMPAIGN
CONTRACT LABOR
Monetary
$240.00
41 291 GARDENIA ROAD
KISSIMMEE, FL 34743
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