HomeMy Public PortalAboutCampaign Treasurer's Report (6)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-4
4
4
42 850 00
0 00
42 850 00
1 230 00
3 960 46
0 00
3 960 46
53 200 00
0 00
10 553 96
04 01 19 04 30 19
BAA08EF4-331B-4ECF-8148-5E86EE4C29C7
05/10/19 - 03:33:28
05/10/19 - 03:33:28
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
04 204 17
04 DEREK BRUCE
Individual
ATTORNEY Check
$250.001
Individual
ARCHBISH
OP
Check
$250.002
Business
TRANSPOR
TATION
Check
$500.003
Business
TRANSPOR
TATION
Check
$500.004
Business
REAL
ESTATE
INVESTME
NT
Check
$250.005
Business
ENGINEERI
NG
Check
$1,000.006
Business
AVIATION Check
$1,000.007
01 19 30 19
02 19
04 05 19
04 10 19
04 10 19
04 10 19
04 11 19
04 11 19
4249 CORRINE DRIVE,
UNIT 104
ORLANDO, FL 32814
ALLEN T D WIGGINS
2325 ROAT DRIVE
ORLANDO, FL 32835
MEARS DESTINATION
SERVICES
PO BOX 3227
ORLANDO, FL 32802
CITY CAB COMPANY
OF ORLANDO
PO BOX 3227
ORLANDO, FL 32802
GCI
2290 NORTH RONALD
REAGAN BOULEVARD,
SUITE 100
LONGWOOD, FL 32750HMS HOST
6905 ROCKLEDGE
DRIVE
BETHESDA, MD 20817
5405 DIPLOMAT
CIRCLE, SUITE 100
ORLANDO, FL 32810
CLAYTON
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
04 304 17
04 RL BURNS
Business
CONSTRUC
TION
Check
$500.008
Individual
CONSTRUC
TION
MoneyOrder
$500.009
Business
CONSTRUC
TION
Check
$250.0010
Business
FOOD
SERVICES
Check
$200.0011
Business
ENGINEERI
NG
Check
$200.0012
Individual
ROOFING Check
$200.0013
Individual
ATTORNEY Check
$100.0014
01 19 30 19
11 19
04 11 19
04 11 19
04 11 19
04 11 19
04 11 19
04 11 19
1203 WEST GORE
STREET
ORLANDO, FL 32805
JAJA WADE
801 NORTH PINE HILLS
ROAD
ORLANDO, FL 32808
PSA CONSTRUCTORS
1516 EAST HILLCREST
STREET, SUITE 310
ORLANDO, FL 32803
LEE, WESLEY &
ASSOCIATES
PO BOX 540687
ORLANDO, FL 32854
ERIC JACKSON
808 ALBA DRIVE
ORLANDO, FL 32804
VERONICA ANDERSON
1122 SAINT ALBANS
LOOP
LAKE MARY, FL 32746
201 NORTH MAGNOLIA
AVENUE, SUITE 200
ORLANDO, FL 32801
WBQ DESIGN &
ENGINEERING
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
04 404 17
04 JAMES MCFARLAND
Individual
RETIRED Check
$100.0015
Business
CONSTRUC
TION
InKind FOOD FOR
EVENT
$230.0016
Individual
EDUCATIO
N
Check
$1,000.0017
Business
CONSTRUC
TION
Check
$500.0018
Business
ARCHITECT Check
$1,000.0019
Business
REAL
ESTATE
Check
$500.0020
Business
REAL
ESTATE
INVESTME
NT
Check
$1,000.0021
01 19 30 19
11 19
04 11 19
04 12 19
04 15 19
04 15 19
04 15 19
04 16 19
2901 CONWAY DRIVE
TITUSVILLE, FL 32796
RL BURNS
1203 WEST GORE
STREET
ORLANDO, FL 32805
JOHN KIRTLEY
511 WEST BAY
STREET, SUITE 363
TAMPA, FL 33606
PRAISE
CONTRACTING
PO BOX 781789
ORLANDO, FL 32878
MAX KING REALTY
8240 EXCHANGE
DRIVE, SUITE CLOUD 9
ORLANDO, FL 32809
COPARIO
INVESTMENTS
9350 CONROY
WINDERMERE ROAD
WINDERMERE, FL
34786
820 IRMA AVENUE
ORLANDO, FL 32803
CT HSU &
ASSOCIATES
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
04 504 17
04 SBN INVESTMENTS
Business
REAL
ESTATE
INVESTME
NT
Check
$1,000.0022
Business
REAL
ESTATE
Check
$1,000.0023
Individual
HOUSING Check
$500.0024
Business
FOOD
SERVICES
Check
$500.0025
Business
CONSTRUC
TION
Check
$250.0026
Individual
ATTORNEY Check
$250.0027
Individual
RESTAURA
TEUR
Check
$1,000.0028
01 19 30 19
16 19
04 16 19
04 17 19
04 18 19
04 18 19
04 18 19
04 18 19
9350 CONROY
WINDERMERE ROAD
WINDERMERE, FL
34786MELIX CORPORATION
9350 CONROY
WINDERMERE ROAD
WINDERMERE, FL
34786JONATHAN WOLF
149 HARSTON COURT
HEATHROW, FL 32746
CDN FOOD SERVICE
1865 N
ECONLOCKHATCHEE
TRAIL
ORLANDO, FL 32817
ANTHONY SUAREZ
517 WEST COLONIAL
DRIVE
ORLANDO, FL 32804
JOHNNIE RIVERS
12101 CRESCENT
COVE COURT
WINDERMERE, FL
34786
1516 EAST HILLCREST
STREET, SUITE 310
ORLANDO, FL 32803
PSA CONSTRUCTORS
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
04 604 17
04 KIRK HAZEN
Individual
CONSTRUC
TION
Check
$1,000.0029
Business
REAL
ESTATE
Check
$1,000.0030
Business
PROFESSI
ONAL
SERVICES
Check
$1,000.0031
Individual
ADMINISTR
ATOR
Check
$200.0032
Individual
ATTORNEY Check
$500.0033
Business
LAW FIRM Check
$500.0034
Business
CHIROPRA
CTIC
Check
$1,000.0035
01 19 30 19
19 19
04 19 19
04 23 19
04 24 19
04 24 19
04 24 19
04 24 19
2092 LAKEHAVEN
POINT
LONGWOOD, FL 32779
TESLA HOMES
301 YAMATO ROAD,
SUITE 1240
BOCA RATON, FL
33431EMPLOYER
SOLUTIONS SERVICES
9737 NW 41 STREET,
SUITE 255
DORAL, FL 33178
JANEIRO COULTER
734 NAPLES DRIVE
ORLANDO, FL 32804
GREENBERG TRAURIG
8400 NW 36TH
STREET, SUITE 400
DORAL, FL 33166
CHIROMED INJURY
CENTER
1803 PARK CENTER
DRIVE, SUITE 110
ORLANDO, FL 32835
1626 SPRING LAKE
DRIVE
ORLANDO, FL 32804
ORLANDO EVORA
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
04 704 17
04 NELSON LANDING
CORPORATION
Business
CONSTRUC
TION
Check
$500.0036
PoliticalParties
PAC Check
$500.0037
Individual
ATTORNEY Check
$250.0038
Business
MEDIA Check
$1,000.0039
Individual
CONSTRUC
TION
Check
$1,000.0040
Business
LAW FIRM Check
$1,000.0041
Individual
REAL
ESTATE
Check
$1,000.0042
01 19 30 19
25 19
04 26 19
04 28 19
04 29 19
04 29 19
04 29 19
04 29 19
PO BOX 402
CRAWFORVILLE, FL
32326
GUNSTER PAC
777 SOUTH FLAGER
DRIVE, SUITE 500E
WEST PALM BEACH,
FL 33401DARYL PARKS
240 NORTH MAGNOLIA
DRIVE
TALLAHASSEE, FL
32301CLEAR CHANNEL
OUTDOOR
PO BOX 659512
SAN ANTONIO, TX
78265
LAW OFFICE OF J
BERNARD CHERY
1310 WEST COLONIAL
DRIVE, SUITE 10
ORLANDO, FL 32804
MICHAEL DEZERTZOV
18101 COLLINS
AVENUE, UNIT 5501
SUNNY ISLES BEACH,
FL 33160
2800 LAKE ARNOLD
PLACE
ORLANDO, FL 32806
BENJAMIN
HERNANDEZ
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
04 804 17
04 OMAR & MANUEL
CORP
Business
GROCER Check
$1,000.0043
Business
GROCER Check
$1,000.0044
Business
GROCER Check
$1,000.0045
Business
GROCER Check
$1,000.0046
Business
CONSTRUC
TION
Check
$500.0047
Individual
CONSULTA
NT
Check
$500.0048
Business
CONSULTA
NT
Check
$500.0049
01 19 30 19
29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
1895 SW 8TH STREET
MIAMI, FL 33135
PRESIDENTE
SUPERMARKET NO. 47
1347 EAST VINE
STREET
KISSIMMEE, FL 34744
PRESIDENTE
SUPERMARKET NO. 48
2722 NORTH PINE
HILLS ROAD
ORLANDO, FL 32808
PRESIDENTE
SUPERMARKET NO. 49
4686 EAST MICHIGAN
STREET
ORLANDO, FL 32812
ANGEL DE LA
PORTILLA
121 SOUTH ORANGE
AVENUE, SUITE 1500
ORLANDO, FL 32801
WYCHE &
ASSOCIATES
431 WOODCREST
STREET
WINTER SPRINGS, FL
32708
PO BOX 681554
ORLANDO, FL 32868
MIMIS CONSTRUCTION
CO
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
04 904 17
04 RHODES & BRITO
ARCHITECTS
Business
ARCHITECT Check
$500.0050
Business
CONSTRUC
TION
Check
$500.0051
Individual
PASTOR Check
$500.0052
Individual
PROFESSI
ONAL
SERVICES
Check
$300.0053
Business
CONSTRUC
TION
Check
$300.0054
Individual
CONSULTA
NT
Check
$300.0055
Individual
CONSTRUC
TION
Check
$250.0056
01 19 30 19
29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
605 EAST ROBINSON
STREET, SUITE 750
ORLANDO, FL 32801
JCB CONSTRUCTION
800 WEST GORE
STREET
ORLANDO, FL 32805
WILLIAM PARKER
PO BOX 950028
LAKE MARY, FL 32795
FRANTZ FANFAN
1017 WEST OAK
RIDGE ROAD, SUITE D
ORLANDO, FL 32809
BERTICA MORRIS
2117 FOREST CLUB
DRIVE
ORLANDO, FL 32804
ROBERT UTSEY
150 LAUREL OAK
DRIVE
LONGWOOD, FL 32779
1788 FIRWOOD COURT
ORLANDO, FL 32818
RDC DEVELOPMENT
CORPORATION
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Gary Siplin 2019D6001
04 1004 17
04 MARC ADOLPHE
Individual
PASTOR Check
$250.0057
Business
CONSTRUC
TION
Check
$250.0058
Individual
ENGINEER Check
$250.0059
Individual
PUBLIC
SERVANT
Check
$200.0060
Business
FITNESS Check
$200.0061
Individual
CONSTRUC
TION
Check
$200.0062
Individual
FOOD
SERVICES
Check
$100.0063
01 19 30 19
29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
13121 PHOENIX
WOODS LANE
ORLANDO, FL 32824
VERDE
CONSTRUCTION
MANAGERS
976 LAKE BALDWIN
LANE, SUITE 102
ORLANDO, FL 32814
BRIAN MORRIS
2117 FOREST CLUB
DRIVE
ORLANDO, FL 32804
ALEXANDER SMITH
569 STRATHCLYDE
COURT
APOPKA, FL 32712
MARK LEWIS
450 SOUTH ORANGE
AVENUE, SUITE 150
ORLANDO, FL 32801
ROSE SHAKES
5214 GREENERY
COURT
ORLANDO, FL 32811
181 TOWNE CENTER
CIRCLE
SANFORD, FL 32771
ATHLETIC APEX
HEALTH CLUBS
FLORIDA
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
04 1104 17
04 VIVIAN TINDAL
Individual
EVENT
ORGANIZE
R
Check
$100.0064
Individual
ATTORNEY Check
$100.0065
Individual
PUBLIC
SERVANT
Check
$100.0066
Individual
EXECUTIVE
DIRECTOR
Check
$100.0067
Individual
INSURANC
E AGENT
Check
$100.0068
Individual
ATTORNEY Check
$100.0069
Individual
CONSULTA
NT
MoneyOrder
$100.0070
01 19 30 19
29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
3813 WALKER ROAD
APOPKA, FL 32703
CHARLES HAWKINS, II
2215 WEST GORE
STREET
ORLANDO, FL 32805
EDWARD COLE
545 EATON STREET
MAITLAND, FL 32751
MARIA TRISCARI
8732 GRANADA
BOULEVARD
ORLANDO, FL 32836
WANZO GALLOWAY,
JR
1557 WARRINGTON
STREET
WINTER SPRINGS, FL
32708ZULMA
VELEZ-ESTRADA
PO BOX 422536
KISSIMMEE, FL 34742
10404 OAKVIEW
POINTE TERRACE
GOTHA, FL 34734
PATRICK GRAY
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
04 1204 17
04 ERIC WATTS
Individual
RECYCLIN
G
MoneyOrder
$100.0071
Individual
RETIRED CashOrCash
iersCheck
$50.0072
Individual
RETIRED CashOrCash
iersCheck
$50.0073
Individual
POSTAL
WORKER
CashOrCash
iersCheck
$50.0074
Individual
ADMINISTR
ATOR
CashOrCash
iersCheck
$50.0075
Individual
EDUCATOR CashOrCash
iersCheck
$50.0076
Individual
BUSINESS
EXECUTIVE
Check
$50.0077
01 19 30 19
29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
04 29 19
2550 CLARK STREET
APOPKA, FL 32703
MAVIS WALCOTT
1661 AARON AVENUE
ORLANDO, FL 32811
GEORGE JACKSON
1661 AARON AVENUE
ORLANDO, FL 32811
EUGENE SIMMONS
PO BOX 622124
ORLANDO, FL 32862
DANYELL DAWSEY
708 WEST JACKSON
STREET
ORLANDO, FL 32805
TADAR MUHAMMAD
7547 LAUREL HILL
OAKS CIRCLE
ORLANDO, FL 32818
PO BOX 622124
ORLANDO, FL 32862
LAWANA HENRY
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
04 1304 17
04 I-DRIVE NASCAR
Business
ENTERTAIN
MENT
InKind FOOD &
DRINKS
FOR EVENT $1,000.0078
Individual
RESTAURA
TEUR
Check
$1,000.0079
Individual
PUBLIC
SERVANT
Check
$25.0080
Individual
LOAN
OFFICER
Check
$25.0081
Individual
PASTOR CashOrCash
iersCheck
$50.0082
Individual
NURSE CashOrCash
iersCheck
$50.0083
Business
RESTAURA
NT
Check
$500.0084
01 19 30 19
29 19
04 30 19
04 30 19
04 30 19
04 30 19
04 30 19
04 30 19
5228 VANGUARD
STREET
ORLANDO, FL 32819
JOSHUA WALLACK
8126 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
GEORGE OLIVER
2104 NEW VICTOR
ROAD
OCOEE, FL 34761
DEBORAH OLIVER
2104 NEW VICTOR
ROAD
OCOEE, FL 34761
LATASHA EAST
2224 TWISTED PINE
ROAD
OCOEE, FL 34761
KAFE KALIK USA
9168 BALMORAL
MEWS SQUARE
WINDERMERE, FL
34786
2224 TWISTED PINE
ROAD
OCOEE, FL 34761
TROY EAST
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
04 1404 17
04 STEVEN HOGAN
Individual
BUSINESS
EXECUTIVE
Check
$500.0085
Business
MEDICAL Check
$250.0086
Individual
PASTOR MoneyOrder
$250.0087
Business
REAL
ESTATE
INVESTME
NT
Check
$250.0088
Business
REAL
ESTATE
INVESTME
NT
Check
$250.0089
Business
REAL
ESTATE
Check
$500.0090
Individual
PASTOR Check
$100.0091
01 19 30 19
30 19
04 30 19
04 30 19
04 30 19
04 30 19
04 30 19
04 30 19
606 LAKE HARBOR
CIRCLE
ORLANDO, FL 32809
FIRST CARE
CHIROPRACTIC &
FAMILY PRACTICE
115 EAST LANCASTER
ROAD
ORLANDO, FL 32809
STOVELLEO STOVALL
3416 COLEMAN PLACE
ORLANDO, FL 32805
BP INVESTMENT
PARTNERS
6603 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
MAX KING REALTY
8240 EXCHANGE
DRIVE, SUITE CLOUD 9
ORLANDO, FL 32809
LEROY ROSE, III
2500 ISABELA
TERRACE
KISSIMMEE, FL 34743
7200 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
SB HOLDINGS 1
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
04 1504 17
04 PAX VILLA ORLANDO
Business
FUNERAL
HOME
Check
$500.0092
Individual
CITRUS
GROWER
Check
$500.0093
Business
REAL
ESTATE
Check
$500.0094
Individual
BUSINESS
EXECUTIVE
Check
$150.0095
Individual
CONSTRUC
TION
Check
$500.0096
Business
LAW FIRM Check
$1,000.0097
Business
LAW FIRM Check
$500.0098
01 19 30 19
30 19
04 30 19
04 30 19
04 30 19
04 30 19
04 30 19
04 30 19
1236 WEST KALEY
STREET
ORLANDO, FL 32805
SCOTT BOYD
17801 CHAMPAGNE
DRIVE
WINTER GARDEN, FL
34787PREMIER TITLE OF
CENTRAL FLORIDA
605 EAST ROBINSON
STREET, SUITE 670
ORLANDO, FL 32801
JOHN DAVIS
3604 ORISKANY DRIVE
ORLANDO, FL 32820
DIEZ-ARGUELLES &
TEJEDOR, PA
505 NORTH MILLS
AVENUE
ORLANDO, FL 32803
THE LOUIS LAW FIRM
PO BOX 540354
ORLANDO, FL 32854
611 SOUTH MAIN
STREET, SUITE 409
GRAPEVINE, TX 76051
SIMEON TERRY
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
04 01 19 04 30 19 16 17
04 01 19 CRAWFORD DESIGNS CAMPAIGN
GRAPHICS Monetary $835.00
1 3361 SOUTH KIRKMAN ROAD, UNIT
823
ORLANDO, FL 32811
JASON CRAWFORD
04 01 19 CAMPAIGN
PRINTING Monetary $225.00
2
855 WILLIE MAYS PARKWAY
ORLANDO, FL 32811
WYCHE & ASSOCIATES
04 02 19
CAMPAIGN
CONSULTING Monetary $1,000.00
3
431 WOODCREST STREET
WINTER SPRINGS, FL 32708
THEODORE BURGESS
04 10 19
CAMPAIGN
CONTRACT LABOR Monetary $500.004520 OAK CREEK STREET, UNIT
212
ORLANDO, FL 328354
JASON CRAWFORD
04 18 19
CAMPAIGN
PRINTING Monetary $764.25855 WILLIE MAYS PARKWAY
ORLANDO, FL 328115
VERIZON WIRELESS
04 23 19
CAMPAIGN
TELEPHONE Monetary $322.30PO BOX 4001
ACWORTH, GA 301016
STICKERS BANNERS CAMPAIGN
PRINTING Monetary $167.15042519
3770 PEACHTREE CREST DRIVE
DULUTH, GA 300977
ANGELA JOHNSON CAMPAIGN
CONTRACT LABOR Monetary $100.00042519
310 AMADOR CIRCLE
ORLANDO, FL 328108
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
04 01 19 04 30 19 17 17
04 28 19 PAYPAL CAMPAIGN
PROCESSING FEE Monetary $7.55
9 2211 NORTH 1ST STREET
SAN JOSE, CA 95131
PAYPAL
04 29 19 CAMPAIGN
PROCESSING FEE Monetary $7.85
10
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
PAYPAL
04 30 19
CAMPAIGN
PROCESSING FEE Monetary $31.36
11
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