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Home My Public Portal AboutCampaign Treasurer's Report (7)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 (Qualified) Siplin PO BOX 585884 Orlando, FL 32858 2019D6001 4 District 6, Orlando City Commissioner TRR 4 4 0 00 0 00 0 00 0 00 37 024 86 0 00 37 024 86 193 200 00 0 00 193 200 00 11 29 19 03 02 20 4483B142-3130-4F12-9875-9EA7D2635A34 02/28/20 - 02:54:17 02/28/20 - 02:54:17 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 (Qualified) Siplin 2019D6001 11 29 19 03 02 20 2 8 11 29 19 VIOLA DOZIER CAMPAIGN CONTRACT LABOR Monetary $234.00 1 550 SOUTH JOHN YOUNG PARKWAY, UNIT 3 ORLANDO, FL 32805 ERIC BROWN 11 29 19 CAMPAIGN CONTRACT LABOR Monetary $240.00 2 2503 NORTH ALAFAYA TRAIL ORLANDO, FL 32826 RADIO HAITI TROPICAL 11 30 19 CAMPAIGN ADVERTISEMENT Monetary $1,500.00 3 749 SOUTH BLUFORD AVENUE OCOEE, FL 34761 RADIO TEMPO 11 30 19 CAMPAIGN ADVERTISEMENT Monetary $1,000.001001 NORTH PINE HILLS ROAD Orlando, FL 32808-48324 MONT GARIZIM BAPTIST CHURCH 11 30 19 CAMPAIGN EVENT TICKETS Monetary $100.001900 WAKULLA WAY ORLANDO, FL 328395 IKJ GOVERNMENTAL AFFAIRS SERVICES120119 CAMPAIGN ROBO CALLS Monetary $1,604.40115 NW 167TH STREET, 1ST FLOOR NORTH MIAMI BEACH, FL 331696 SIR SPEEDY CAMPAIGN PRINTING Monetary $300.38120219 976 FLORIDA CENTRAL PARKWAY, SUITE 140 LONGWOOD, FL 327507 SABIAN BONES CAMPAIGN POLL WORKER Monetary $120.00120419 9403 COMEAU STREET GOTHA, FL 347348 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 (Qualified) Siplin 2019D6001 11 29 19 03 02 20 3 8 12 04 19 GREGORY SIPLIN CAMPAIGN POLL WORKER Monetary $120.00 9 4120 SOUTH RIO GRANDE AVENUE, UNIT 3104 ORLANDO, FL 32839 MILAGROS MORALES LOPEZ 12 04 19 CAMPAIGN POLL WORKER Monetary $120.00 10 9403 COMEAU STREET GOTHA, FL 34734 REHANNA ABID 12 04 19 CAMPAIGN POLL WORKER Monetary $120.00 11 9403 COMEAU STREET GOTHA, FL 34734 TYREKE MILLER 12 04 19 CAMPAIGN POLL WORKER Monetary $120.004402 KING COLE BOULEVARD Orlando, FL 3281112 COURTNEY KILPATRICK 12 04 19 CAMPAIGN POLL WORKER Monetary $120.004402 KING COLE BOULEVARD Orlando, FL 3281113 ALTON BELL 12 04 19 CAMPAIGN POLL WORKER Monetary $120.004645 PARMA COURT Orlando, FL 3281114 DONTAVIS ROZIER CAMPAIGN POLL WORKER Monetary $120.00120419 931 AMAROS AVENUE Orlando, FL 3281115 VELVA BADAL CAMPAIGN CONTRACT LABOR Monetary $350.00120419 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 (Qualified) Siplin 2019D6001 11 29 19 03 02 20 4 8 12 04 19 TERRI HAWKS CAMPAIGN CONTRACT LABOR Monetary $350.00 17 2048 ATTUCKS AVENUE ORLANDO, FL 32811 PAULA CARTER 12 04 19 CAMPAIGN CONTRACT LABOR Monetary $350.00 18 1512 MABLE BUTLER AVENUE ORLANDO, FL 32805 CARISA WILLIS 12 04 19 CAMPAIGN POLL WORKER Monetary $120.00 19 910 GRAND STREET ORLANDO, FL 32805 LUIS MERCED OLIVERAS 12 04 19 CAMPAIGN POLL WORKER Monetary $240.0056 SAN JOSE CIRCLE WINTER PARK, FL 3279220 ALFONZA GANTT 12 04 19 CAMPAIGN POLL WORKER Monetary $120.001401 WEST MICHIGAN STREET Orlando, FL 3280521 VICKY WILLIAMS 12 04 19 CAMPAIGN POLL WORKER Monetary $120.004283 CLARINDA STREET Orlando, FL 3281122 LAVELL JONES CAMPAIGN POLL WORKER Monetary $120.00120419 3677 CHALET COURT ORLANDO, FL 3281823 VIOLA DOZIER CAMPAIGN POLL WORKER Monetary $120.00120419 550 SOUTH JOHN YOUNG PARKWAY, UNIT 3 ORLANDO, FL 3280524 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 (Qualified) Siplin 2019D6001 11 29 19 03 02 20 5 8 12 04 19 GEORGE JACKSON CAMPAIGN POLL WORKER Monetary $120.00 25 1661 AARON AVENUE ORLANDO, FL 32811 ERIC BROWN 12 04 19 CAMPAIGN POLL WORKER Monetary $120.00 26 2503 NORTH ALAFAYA TRAIL Orlando, FL 32826 RAMDINE WALCOTT 12 04 19 CAMPAIGN POLL WORKER Monetary $120.00 27 1661 AARON AVENUE ORLANDO, FL 32811 MAVIS WALCOTT 12 04 19 CAMPAIGN POLL WORKER Monetary $120.001661 AARON AVENUE ORLANDO, FL 3281128 RAY SHACKELFORD 12 04 19 CAMPAIGN POLL WORKER Monetary $120.002082 CARPATHAN DRIVE APOPKA, FL 3271229 EARLENE WATKINS 12 04 19 CAMPAIGN CONTRACT LABOR Monetary $262.001056 ROYAL OAKS DRIVE APOPKA, FL 3270330 URSULA SINGLETON CAMPAIGN CONTRACT LABOR Monetary $805.00120419 1460 HEBER COURT ORLANDO, FL 3281131 SANDRA LEWIS CAMPAIGN CONSULTING SERVICES Monetary $500.00120419 4236 LENOX BOULEVARD ORLANDO, FL 3281132 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 (Qualified) Siplin 2019D6001 11 29 19 03 02 20 6 8 12 04 19 THE ORLANDO TIMES CAMPAIGN ADVERTISEMENT Monetary $798.50 33 4403 VINELAND ROAD, SUITE B5 ORLANDO, FL 32811 WYCHE & ASSOCIATES 12 05 19 CAMPAIGN CONSULTANT Monetary $4,635.65 34 431 WOODCREST STREET WINTER SPRINGS, FL 32708 ANTONIO KERSAINT 12 05 19 CAMPAIGN CONTRACT LABOR Monetary $5,000.00 35 PO BOX 680282 Orlando, FL 32868 WOKB 12 06 19 CAMPAIGN ADVERTISEMENT Monetary $1,000.0050 SOUTH CLARKE ROAD OCOEE, FL 3476136 GLENN A. FOSTER 12 06 19 CAMPAIGN ADVERTISEMENT Monetary $100.0050 SOUTH CLARKE ROAD OCOEE, FL 3476137 GARFIELD GREEN 12 06 19 CAMPAIGN POLL WORKER Monetary $120.007674 SAINT STEPHENS COURT Orlando, FL 3283538 IKJ GOVERNMENTAL AFFAIRS SERVICES CAMPAIGN ROBO CALLS Monetary $939.12120619 115 NW 167TH STREET, 1ST FLOOR NORTH MIAMI BEACH, FL 3316939 CRAWFORD DESIGNS CAMPAIGN GRAPHICS Monetary $125.00120619 1320 North Pine Hills Road Orlando, FL 32808-483240 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 (Qualified) Siplin 2019D6001 11 29 19 03 02 20 7 8 12 07 19 VERIZON WIRELESS CAMPAIGN TELEPHONE Monetary $609.51 41 PO BOX 4001 ACWORTH, GA 30101 AVANT PALMS RESORT AND CONFERENCE CENTER121619 CAMPAIGN EVENT Monetary $1,530.72 42 6515 INTERNATIONAL DRIVE ORLANDO, FL 32819 CRAWFORD DESIGNS 12 20 19 CAMPAIGN GRAPHICS Monetary $2,000.00 43 3361 SOUTH KIRKMAN ROAD, UNIT 823 Orlando, FL 32811 BEST BUY 12 27 19 CAMPAIGN TONER Monetary $630.404155 MILLENIA BOULEVARD ORLANDO, FL 3283944 PUBLIX 01 02 19 CAMPAIGN STORAGE BINS Monetary $174.315265 SOUTH JOHN YOUNG PARKWAY ORLANDO, FL 3283945 VERIZON WIRELESS 01 18 20 CAMPAIGN TELEPHONE Monetary $285.59PO BOX 4001 ACWORTH, GA 3010146 MICROSOFT STORE CAMPAIGN COMPUTER SOFTWARE Monetary $100.00012120 ONE MICROSOFT WAY REDMOND, WA 9805247 CRAWFORD DESIGNS CAMPAIGN GRAPHICS Monetary $1,500.00020520 3361 SOUTH KIRKMAN ROAD, UNIT 823 ORLANDO, FL 3281148 CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES DS-DE 14 (Rev. 11/13) (1)Name ______________________________________________________ (3) Cover Period ______/______/______ through ______/______/______ (2) I.D. Number _____________________ (4) Page ____________ of _____________ Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Date Purpose (add office sought if contribution to a candidate) Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Expenditure Type Amendment (6) Sequence Number (7) (8) (9) (10) (11) Gary (Qualified) Siplin 2019D6001 11 29 19 03 02 20 8 8 02 07 20 OMYGA CAMPAIGN DONATION Monetary $3,500.00 49 708 JACKSON STREET ORLANDO, FL 32805 SAVING OUR DAUGHTERS 02 07 20 CAMPAIGN DONATION Monetary $3,980.28 50 2805 COPPER RIDGE COURT LAKE MARY, FL 32746 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