HomeMy Public PortalAboutCampaign Treasurer's Report (9)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
R-1
4
4
26 450 00
0 00
26 450 00
0 00
30 849 09
0 00
30 849 09
179 350 00
0 00
151 557 87
11 01 19 11 21 19
B97237D6-9439-4DB0-B66F-5EA0B4BEE7DF
11/22/19 - 11:05:45
11/22/19 - 11:05:45
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 (Qualified) Siplin 2019D6001
11 211 17
11 RBN CONSTRUCTION
Business
CONSTRUC
TION
Check
$250.001
Business
REAL
ESTATE
Check
$1,000.002
Individual
SENIOR
ADVISOR
Check
$500.003
Individual
CONSULTA
NT
Check
$100.004
Business
TRUST Check
$250.005
Individual
TRUST Check
$250.006
Individual
TRUST Check
$250.007
01 19 21 19
06 19
11 06 19
11 06 19
11 06 19
11 07 19
11 07 19
11 07 19
PO BOX 402
CRAWFORDVILLE, FL
32326
MAX KING REALTY
8240 EXCHANGE
DRIVE, SUITE CLOUD 9
ORLANDO, FL 32809
KENDRICK MEEK
14441 NW 13TH
COURT
MIAMI, FL 33167
ZULMA
VELEZ-ESTRADA
PO BOX 422536
KISSIMMEE, FL 34742
LEE CHIRA REV
TRUST
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
MICHELLE CARLTON
REV TRUST
1143 PRESERVE
POINT DRIVE
WINTER PARK, FL
32789
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
VANDERBILT
EDUCATIONAL 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 (Qualified) Siplin 2019D6001
11 311 17
11 LAUREN WAROT 2012
GIFT TRUST
Individual
TRUST Check
$250.008
Individual
TRUST Check
$250.009
Individual
TRUST Check
$250.0010
Individual
REAL
ESTATE
Check
$250.0011
Business
INVESTME
NT
Check
$250.0012
Business
INVESTME
NT
Check
$250.0013
Business
REAL
ESTATE
Check
$250.0014
01 19 21 19
07 19
11 07 19
11 07 19
11 07 19
11 07 19
11 07 19
11 07 19
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
ABIGAIL CARLTON
2005 GIFT TRUST
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
ALEXANDER WAROT
2012 GIFT TRUST
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
CAROLINE CARLTON
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
HIGHLAND POINTE
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
VALUE HOME FUND
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
SBS GLOBAL
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 (Qualified) Siplin 2019D6001
11 411 17
11 PAUL HOFFINE
Individual
GENERAL
MANAGER
Check
$50.0015
Business
CONSTRUC
TION
Check
$1,000.0016
Individual
RETIRED Check
$100.0017
Individual
ATTORNEY Check
$1,000.0018
Business
REAL
ESTATE
Check
$1,000.0019
Business
INVESTME
NT
Check
$1,000.0020
Business
ENGINEERI
NG
Check
$1,000.0021
01 19 21 19
08 19
11 10 19
11 11 19
11 12 19
11 12 19
11 12 19
11 12 19
8201 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
CONSTRUCT TWO
MANAGERS
30 SOUTH IVEY LANE
ORLANDO, FL 32811
DAISY LYNUM
411 ROCK LAKE DRIVE
ORLANDO, FL 32805
WESLEY WHITE
2579 OAK STREET
JACKSONVILLE, FL
32204
SEMINOLE2
INVESTMENTS
5535 OSPREY ISLE
LANE
ORLANDO, FL 32819
GCI
2290 NORTH RONALD
REAGAN BOULEVARD,
SUITE 100
LONGWOOD, FL 32750
7575 DR. PHILLIPS
BOULEVARD, SUITE
265
ORLANDO, FL 32819
AMERICAN LAND
SERVICES
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 (Qualified) Siplin 2019D6001
11 511 17
11 CHU-TZU HSU
Individual
ARCHITECT Check
$500.0022
PoliticalCommittee
PAC Check
$1,000.0023
Individual
FOOD
SERVICE
Check
$100.0024
Business
TOWING Check
$500.0025
Individual
ATTORNEY Check
$500.0026
Business
REAL
ESTATE
Check
$500.0027
Business
LODGING Check
$500.0028
01 19 21 19
12 19
11 12 19
11 13 19
11 13 19
11 14 19
11 14 19
11 14 19
559 EAST LAKE SUE
AVENUE
WINTER PARK, FL
32789FLORIDA LEADERSHIP
COMMITTEE
610 SOUTH
BOULEVARD
TAMPA, FL 33606
GHENET SEQUAR
8616 CHICORY COURT
ORLANDO, FL 32825
PROFESSIONAL
WRECKER
OPERATORS OF
FLORIDA4718 EDGEWATER
DRIVE
ORLANDO, FL 32804
WINTER PARK
PROPERTY
DEVELOPMENT
1301 WEST
FAIRBANKS AVENUE
WINTER PARK, FL
32789AVANTI RESORT
8738 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
4502 PATRICIA ANN
COURT
ORLANDO, FL 32839
THOMAS SULLIVAN
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 (Qualified) Siplin 2019D6001
11 611 17
11 PARAMOUNT
HOSPITALITY
MANAGEMENT Business
HOSPITALI
TY
Check
$500.0029
Business
LODGING Check
$500.0030
Business
ENGINEERI
NG
Check
$500.0031
Business
MEDIA Check
$1,000.0032
Business
TRANSPOR
TATION
Check
$1,000.0033
Business
CONSULTIN
G
Check
$500.0034
Individual
ATTORNEY Check
$500.0035
01 19 21 19
14 19
11 14 19
11 15 19
11 15 19
11 15 19
11 15 19
11 18 19
12550 FLORIDAYS
RESORT DRIVE
ORLANDO, FL 32821
AVANTI PALMS
RESORT
6515 INTERNATIONAL
DRIVE
ORLANDO, FL 32819
ALFAVISION
3807 WOODROFFE
COURT
TAMPA, FL 33618
NBCUNIVERSAL
MEDIA
100 UNIVERSAL CITY
PLAZA
UNIVERSAL CITY, CA
91608
CENTRAL FLORIDA
STRATEGIES
8815 CONROY
WINDERMERE ROAD,
SUITE 143
ORLANDO, FL 32835HAL KANTOR
215 NORTH EOLA
DRIVE
ORLANDO, FL 32801
1000 UNIVERSAL
STUDIOS PLAZA, B2
ROOM 322
ORLANDO, FL 32819
UNIVERSAL TRAVEL
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 (Qualified) Siplin 2019D6001
11 711 17
11 TYRONE NABBIE
Individual
HOSPITALI
TY
Check
$500.0036
Individual
EDUCATIO
N
Check
$500.0037
Individual
PASTOR Check
$100.0038
Business
LAW FIRM Check
$400.0039
PoliticalCommittee
PAC Check
$1,000.0040
PoliticalCommittee
PAC Check
$1,000.0041
PoliticalCommittee
PAC Check
$1,000.0042
01 19 21 19
18 19
11 18 19
11 18 19
11 19 19
11 19 19
11 19 19
11 19 19
9168 BALMORAL
MEWS SQUARE
WINDERMERE, FL
34786TALMADGE FAIR
880 NE 69TH STREET,
UNIT 8L
MIAMI, FL 33138
STOVELLEO STOVALL
3416 COLEMAN PLACE
ORLANDO, FL 32805
BOGIN, MUNNS &
MUNNS
PO BOX 2807
ORLANDO, FL 32802
CFHLA POLITICAL
COMMITTEE
6675 WESTWOOD
BOULEVARD, SUITE
210
ORLANDO, FL 32821REALTORS PAC
7025 AUGUSTA
NATIONAL DRIVE
ORLANDO, FL 32822
6675 WESTWOOD
BOULEVARD, SUITE
210
ORLANDO, FL 32821
CENTRAL FL HOTEL &
LODGING
ASSOCIATION - PAC
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 (Qualified) Siplin 2019D6001
11 811 17
11 CARLOS NAZARIO, JR.
Individual
CONSULTA
NT
Check
$500.0043
Business
TRUST Check
$200.0044
Individual
TRUST Check
$200.0045
Individual
TRUST Check
$200.0046
Business
INVESTME
NT
Check
$200.0047
Business
INVESTME
NT
Check
$200.0048
Individual
EDUCATIO
N
Check
$1,000.0049
01 19 21 19
20 19
11 20 19
11 20 19
11 20 19
11 20 19
11 20 19
11 20 19
1865 NORTH
ECONLOCKHATCHEE
TRAIL
ORLANDO, FL 32817VANDERBILT
EDUCATIONAL TRUST
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
LEE CHIRA REV
TRUST
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
MICHELLE CARLTON
REV TRUST
1143 PRESERVE
POINT DRIVE
WINTER PARK, FL
32789
HIGHLAND POINTE
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
JOHN KIRTLEY
511 WEST BAY
STREET, SUITE 363
TAMPA, FL 33606
800 HIGHLAND
AVENUE, SUITE 200
ORLANDO, FL 32803
SBS GLOBAL
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 (Qualified) Siplin 2019D6001
11 911 17
11 CHARLES HAWKINS, II
Individual
ATTORNEY Check
$100.0050
Business
CONSTRUC
TION
Check
$500.0051
Individual
ATTORNEY Check
$250.0052
PoliticalCommittee
PAC Check
$1,000.0053
01 19 21 19
20 19
11 20 19
11 20 19
11 20 19
2215 WEST GORE
STREET
ORLANDO, FL 32805
PSA CONSTRUCTORS
3540 EAST
BROOKWOOD COURT
PHOENIX, AZ 85048
ANTHONY SUAREZ
517 WEST COLONIAL
DRIVE
ORLANDO, FL 32804
FLORIDA HEALTH
CARE PAC
307 WEST PARK
AVENUE
TALLAHASSEE, FL
32301
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 01 19 11 21 19 10 17
11 01 19 THE ORLANDO TIMES CAMPAIGN
ADVERTISEMENT
Monetary
$1,397.00
1 4403 VINELAND ROAD, SUITE B5
ORLANDO, FL 32811
ROSALYN ROBINSON
11 01 19 CAMPAIGN
CONTRACT LABOR
Monetary
$1,410.00
2
3138 CR SMITH STREET
ORLANDO, FL 32805
MICHELLE PEART
11 01 19
CAMPAIGN
CONTRACT LABOR
Monetary
$1,350.00
3
800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 32805
JILL SLATER
11 01 19
CAMPAIGN
CONTRACT LABOR
Monetary
$1,395.005417 KAREN COURT
ORLANDO, FL 328114
MICHELLE JOHNSON
11 01 19
CAMPAIGN
CONTRACT LABOR
Monetary
$1,176.00809 SOUTH IVEY LANE, UNIT B
ORLANDO, FL 328115
SANDRA LEWIS
11 01 19
CAMPAIGN
REIMBURSEMENT
Monetary
$150.004236 LENOX BOULEVARD
ORLANDO, FL 328056
RADIO HAITI TROPICAL CAMPAIGN
ADVERTISEMENT
Monetary
$500.00110119
749 SOUTH BLUFORD AVENUE
OCOEE, FL 347617
OLEY'S KITCHEN CAMPAIGN FOOD
FOR VOLUNTEERS
Monetary
$92.56110119
2700 SOUTH RIO GRAND AVENUE
ORLAND, FL 328058
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 01 19 11 21 19 11 17
11 03 19 BJ'S WHOLESALE CAMPAIGN DRINKS
AND SNACKS
Monetary
$165.09
9 4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
OFFICE DEPOT
11 04 19 CAMPAIGN
SUPPLIES
Monetary
$22.82
10
1744 SAND LAKE ROAD, SUITE
A-120
ORLANDO, FL 32809
BJ'S WHOLESALE
11 04 19
CAMPAIGN FOOD
FOR VOLUNTEERS
Monetary
$219.10
11
4697 MILLENIA PLAZA WAY
ORLANDO, FL 32839
MCDONALD'S
11 05 19
CAMPAIGN FOOD
FOR VOLUNTEERS
Monetary
$23.745400 SOUTH KIRKMAN ROAD
ORLANDO, FL 3281912
MAVIS WALCOTT
11 05 19
CAMPAIGN POLL
WORKER
Monetary
$120.001661 AARON AVENUE
ORLANDO, FL 3281113
LAVELL JONES
11 05 19
CAMPAIGN POLL
WORKER
Monetary
$120.003677 CHALET COURT
ORLANDO, FL 3281814
GREGORY SIPLIN CAMPAIGN POLL
WORKER
Monetary
$120.00110519
4120 SOUTH RIO GRANDE
AVENUE, UNIT 3104
ORLANDO, FL 3283915
SABIAN BONES CAMPAIGN POLL
WORKER
Monetary
$120.00110519
9403 COMEAU STREET
GOTHA, FL 3473416
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 01 19 11 21 19 12 17
11 05 19 VIOLA DOZIER CAMPAIGN POLL
WORKER
Monetary
$120.00
17 550 SOUTH JOHN YOUNG
PARKWAY, UNIT 3
ORLANDO, FL 32805
CARISA WILLIS
11 05 19 CAMPAIGN POLL
WORKER
Monetary
$120.00
18
910 GRAND STREET
ORLANDO, FL 32805
GEORGE JACKSON
11 05 19
CAMPAIGN
CONTRACT LABOR
Monetary
$220.00
19
1661 AARON AVENUE
ORLANDO, FL 32811
GLENN A. FOSTER
11 05 19
CAMPAIGN
ENTERTAINMENT
Monetary
$350.0050 SOUTH CLARKE ROAD
OCOEE, FL 3476120
CRE8TIVE MEE
11 05 19
CAMPAIGN
DECORATIONS
Monetary
$684.25428 AZORES AVENUE
ORLANDO, FL 3281121
VELVA BADAL
11 05 19
CAMPAIGN
CONTRACT LABOR
Monetary
$350.005127 LESCOT LANE
ORLANDO, FL 3281122
TERRI HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$750.00110519
2048 ATTUCKS AVENUE
ORLANDO, FL 3281123
PAULA CARTER CAMPAIGN
CONTRACT LABOR
Monetary
$570.00110519
1512 MABLE BUTLER AVENUE
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 01 19 11 21 19 13 17
11 06 19 KMORAN PHOTOGRAPHY CAMPAIGN
PROFESSIONAL
SERVICES
Monetary
$150.00
25 2025 CABO SANLUCAS DRIVE,
UNIT 105
ORLANDO, FL 32839
JILL SLATER
11 06 19 CAMPAIGN
CONTRACT LABOR
Monetary
$650.00
26
5147 KAREN COURT
ORLANDO, FL 32811
MICHELLE JOHNSON
11 06 19
CAMPAIGN
CONTRACT LABOR
Monetary
$270.00
27
809 SOUTH IVEY LANE, UNIT B
ORLANDO, FL 32811
MICHELLE PEART
11 06 19
CAMPAIGN
CONTRACT LABOR
Monetary
$660.00800 SOUTH IVEY LANE, UNIT A
ORLANDO, FL 3281128
ROSALYN ROBINSON
11 06 19
CAMPAIGN
CONTRACT LABOR
Monetary
$570.003138 CR SMITH STREET
ORLANDO, FL 3280529
SANDRA LEWIS
11 07 19
CAMPAIGN
CONSULTING
SERVICES
Monetary
$500.004236 LENOX BOULEVARD
ORLANDO, FL 3281130
WYCHE & ASSOCIATES CAMPAIGN
CONSULTANT
Monetary
$2,257.50110719
431 WOODCREST STREET
WINTER SPRINGS, FL 3270831
JASON CRAWFORD CAMPAIGN
PRINTING
Monetary
$2,150.00110719
855 WILLIE MAYS PARKWAY
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 01 19 11 21 19 14 17
11 07 19 HEDDER PIERRE-JOSEPH CAMPAIGN OFFICE
STAFFER
Monetary
$1,000.00
33 10363 KRISTEN PARK DRIVE
ORLANDO, FL 32832
PAYPAL
11 08 19 CAMPAIGN
PROCESSING FEE
Monetary
$1.75
34
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
OLEY'S KITCHEN
11 08 19
CAMPAIGN FOOD
FOR VOLUNTEERS
Monetary
$29.79
35
2700 SOUTH RIO GRAND AVENUE
ORLANDO, FL 32805
RAY SHACKELFORD
11 11 19
CAMPAIGN
CONTRACT LABOR
Monetary
$150.002082 CARPATHIAN DRIVE
APOPKA, FL 3271236
WALMART
11 12 19
CAMPAIGN
SUPPLIES
Monetary
$205.441101 SOUTH GOLDWYN AVENUE
ORLANDO, FL 3280537
PAYPAL
11 12 19
CAMPAIGN
PROCESSING FEE
Monetary
$29.302211 NORTH 1ST STREET
SAN JOSE, CA 9513138
PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$3.20111319
2211 NORTH 1ST STREET
SAN JOSE, CA 9513139
THEODORE BURGESS CAMPAIGN
CONTRACT LABOR
Monetary
$1,000.00111319
5420 OAK CREEK STREET, UNIT
212
ORLANDO, FL 3283540
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 01 19 11 21 19 15 17
11 14 19 ERIC BROWN CAMPAIGN
CONTRACT LABOR
Monetary
$100.00
41 2503 NORTH ALAFAYA TRAIL
ORLANDO, FL 32826
PAYPAL
11 15 19 CAMPAIGN
PROCESSING FEE
Monetary
$14.80
42
2211 NORTH 1ST STREET
SAN JOSE, CA 95131
DOLLAR GENERAL
11 15 19
CAMPAIGN
SUPPLIES
Monetary
$39.67
43
928 SOUTH IVEY LANE
ORLANDO, FL 32805
MISSION CONTROL, INC
11 15 19
CAMPAIGN MAILER Monetary
$3,863.74624 HEBRON AVENUE, SUITE 200
GLASTONBURY, CT 0603344
VIOLA DOZIER
11 15 19
CAMPAIGN
CONTRACT LABOR
Monetary
$282.00550 SOUTH JOHN YOUNG
PARKWAY, UNIT 3
ORLANDO, FL 3280545
LATRICE JAMES
11 15 19
CAMPAIGN
CONTRACT LABOR
Monetary
$300.007668 SAINT STEPHENS COURT
ORLANDO, FL 3283546
ROSALYN ROBINSON CAMPAIGN
CONTRACT LABOR
Monetary
$345.00111519
3138 CR SMITH STREET
ORLANDO, FL 3280547
MICHELLE PEART CAMPAIGN
CONTRACT LABOR
Monetary
$345.00111519
800 SOUTH IVEY LANE, UNIT A
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 01 19 11 21 19 16 17
11 15 19 SHIRLEY HAWKS CAMPAIGN
CONTRACT LABOR
Monetary
$570.00
49 4798 DANZIQ STREET
ORLANDO, FL 32811
MICHELLE MCCOY
11 15 19 CAMPAIGN
CONTRACT LABOR
Monetary
$570.00
50
4619 EDGEMOOR STREET
ORLANDO, FL 32811
URSULA SINGLETON
11 15 19
CAMPAIGN
CONTRACT LABOR
Monetary
$585.00
51
1460 HEBER COURT
ORLANDO, FL 32811
SHARON REED
11 15 19
CAMPAIGN
CONTRACT LABOR
Monetary
$663.004619 EDGEMOOR STREET
ORLANDO, FL 3281152
SANDRA LEWIS
11 15 19
CAMPAIGN
CONSULTING
SERVICES
Monetary
$500.004236 LENOX BOULEVARD
ORLANDO, FL 3281153
WAL-MART
11 16 19
CAMPAIGN
SUPPLIES
Monetary
$136.502500 SOUTH KIRKMAN ROAD
ORLANDO, FL 3281154
PAYPAL CAMPAIGN
PROCESSING FEE
Monetary
$44.40111819
2211 NORTH 1ST STREET
SAN JOSE, CA 9513155
SANDRA LEWIS CAMPAIGN
CONSULTING
SERVICES
Monetary
$500.00111819
4236 LENOX BOULEVARD
ORLANDO, FL 3281156
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 01 19 11 21 19 17 17
11 20 19 JASON CRAWFORD CAMPAIGN
PRINTING
Monetary
$335.00
57 855 WILLIE MAYS PARKWAY
ORLANDO, FL 32811
COPYFAX ORLANDO
11 20 19 CAMPAIGN
PRINTING
Monetary
$482.44
58
4109-A 34TH STREET
ORLANDO, FL 32811
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