HomeMy Public PortalAboutCampaign Treasurer's Report (3)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
Patty Sheehan
1213 Minnesota Street
Orlando, FL 32803
2019D4001
4 District 4, Orlando City Commissioner
M-3
4
4
11 335 00
0 00
11 335 00
2 149 63
278 55
0 00
278 55
12 190 00
0 00
305 10
03 01 19 03 31 19
DAF3F390-DCCC-4BB4-9748-4725A68BC5E4
04/10/19 - 07:30:38
04/10/19 - 07:30:38
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
Patty Sheehan 2019D4001
03 103 10
03 The Great Escape
B
Art Store CHE
$50.001
B
Custom
Printing
INK Sign In Cards
$25.752
I
HR Manager CHE
$100.003
I
IT Engineer CHE
$50.004
I
CPA CHE
$150.005
I
Chief of Staff CHE
$100.006
I
Retired CHE
$500.007
01 19 31 19
04 19
03 04 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
1207 N Mills Ave
Orlando, FL 32803
Shelbie Press
1203 N Mills Ave
Orlando, FL 32803
Barbara Rama
1204 Altaloma Ave
Orlando, FL 32803
David Staub
812 E Livingston St
Orlando, FL 32803
William Billingsley III
3312 Renlee Pl
Orlando, FL 32803
Holly Hussey
1011 E Jefferson St
Orlando, FL 32801
356 Royal Liverpool Ln
Orlando, FL 32828
Teresa Walker
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
Patty Sheehan 2019D4001
03 203 10
03 Gary Baron
I
Real Estate
Investor
CHE
$100.008
I
Nurse CHE
$50.009
I
Retired CHE
$500.0010
I
Electrical
Engineer
CHE
$100.0011
I
Executive CHE
$100.0012
I
Consultant CHE
$100.0013
I
Corporate
HR
CHE
$500.0014
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
718 S Lake Davis Dr
Orlando, FL 32806
Lisa Bates
1325 N Ferncreek Ave
Orlando, FL 32803
James Savko
390 Waterfall Ln
Winter Park, FL 32789
Joseph Territo II
441 Enterprise St
Ocoee, FL 34761
Nancy Jacobson
1730 Reppard Rd
Orlando, FL 32803
Anthony Sandonato
150 E Robinson St Unit
2407
Orlando, FL 32801
1223 Palmer St
Orlando, FL 32801
Jason Lowe
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
Patty Sheehan 2019D4001
03 303 10
03 Scott Ruiz
I
Real Estate
Investor
CHE
$100.0015
I
Realtor CHE
$50.0016
I
Banker CHE
$50.0017
I
Organizer CHE
$100.0018
I
Realtor CHE
$100.0019
I
Retired CHE
$250.0020
I
Retired CHE
$100.0021
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
715 E Ridgewood St
Orlando, FL 32803
Reymundo Perez Jr
2815 Hargill Dr
Orlando, FL 32806
William Halpern
1810 University Dr
Orlando, FL 32804
James Bott
1600 Magnolia Ave
Orlando, FL 32789
Tom Cook
400 E Colonial Dr Apt
510
Orlando, FL 32803
Paul Skomsky
1226 E Ridgewood St
Orlando, FL 32803
1700 Nela Ave
Belle Isle, FL 32809
George Vogt Jr
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
Patty Sheehan 2019D4001
03 403 10
03 Terry Sondgeroth
I
Manager CHE
$100.0022
I
Mental
Health
CHE
$50.0023
I
Marketing CHE
$250.0024
I
Attorney CHE
$50.0025
I
Retired CHE
$100.0026
I
Artist CHE
$200.0027
I
Executive
Director
CHE
$25.0028
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
2011 Linda St
Orlando, FL 32803
Robert Russell Jr
2750 Nancy St
Orlando, FL 32806
Jennifer Chap
3208-C E Colonial Dr,
285
Orlando, FL 32803
J.D. Boulden
2 Spruce St West
Orlando, FL 32804
Donna Dowless
1055 Lancaster Dr
Orlando, FL 32806
Lisa Cuatt
1700 Bridlewalk Ct
Gotha, FL 34734
1708 Briercliff Dr
Orlando, FL 32806
William Spinelli
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
Patty Sheehan 2019D4001
03 503 10
03 Tasi Hogan
I
Consultant CHE
$100.0029
I
Realtor CHE
$500.0030
I
Commission
er
CHE
$150.0031
I
Retired CHE
$50.0032
I
Executive
Director
CHE
$200.0033
I
Attorney CHE
$100.0034
I
Magazine
Owner
CHE
$100.0035
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
1409 Chapman Cir
Winter Park, FL 32789
Edward Johnston
400 S Park Ave Suite
210
Winter Park, FL 32789
Mary Johnson
4405 Haylock Dr
Orlando, FL 32807
James Shepp
PO Box 1357
Winter Park, FL 32790
James Lussier
1730 Reppard Rd
Orlando, FL 32803
Shally Wong
2358 Twilight Dr
Orlando, FL 32825
1227 Pine Needle Ct
Altamonte Springs, FL
32714
Candice Crawford
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
Patty Sheehan 2019D4001
03 603 10
03 Pauline Ho
I
CPA CHE
$100.0036
I
Executive
Assistant
CHE
$100.0037
B
Interior
Design
CHE
$150.0038
B
Law Firm CHE
$100.0039
I
Banker CHE
$150.0040
I
Developer CHE
$500.0041
B
Florist CHE
$50.0042
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
4525 Seafarer Way
Orlando, FL 32817
Wendy Rossie
812 Maple Ave
Burlingame, CA 94010
Eric Horner Interiors
3129 Corrine Dr
Orlando, FL 32803
Tangel-Rodriguez &
Associates PA
222 Weber St
Orlando, FL 32803
James Pugh Jr
359 Carolina Ave Suite
200
Winter Park, FL 32789
Kelly Shannon Floral
821 Virginia Dr
Orlando, FL 32803
537 Sunrise Dr
Orlando, FL 32803
Jeffrey Dry
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
Patty Sheehan 2019D4001
03 703 10
03 Park Plaza Hotel
B
Hotel CHE
$200.0043
B
Designer CHE
$50.0044
I
Retired CHE
$50.0045
I
CFO City of
Orlando
CHE
$250.0046
I
Partner CHE
$50.0047
I
Finance CHE
$250.0048
I
Banker CHE
$200.0049
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
307 Park Ave S
Winter Park, FL 32789
Blue Daze Designs
3131 Corrine Dr
Orlando, FL 32803
David Kaminsky
401 E Robinsion St Apt
605
Orlando, FL 32801
Chris McCullion
738 Palm Dr
Orlando, FL 32803
Margaret Lezcano
530 E Central Blvd
Orlando, FL 32801
Chuck Beverly
530 E Central Blvd
#1405
Orlando, FL 32801
21 N Shine Ave
Orlando, FL 32801
Alex Corzo
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
Patty Sheehan 2019D4001
03 803 10
03 Scott Newbern
I
Attorney CHE
$50.0050
I
Attorney CHE
$150.0051
I
Owner VIP
Valet
CHE
$300.0052
I
Political
Strategist
CHE
$250.0053
I
Retired CHE
$10.0054
I
Sales CHE
$100.0055
B
Winery INK Event Space
$973.8856
01 19 31 19
06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
03 06 19
609 Worthington Dr
Winter Park, FL 32789
John Ruffier
215 N Eola Dr
Orlando, FL 32801
John Fantozzi
1045 Montcalm St
Orlando, FL 32806
Kelly Cohen
28 W Central Blvd
Orlando, FL 32801
Dorothy Benson
10 N Summerlin Ave #46
Orlando, FL 32801
Quantum Leap Winery
1312 Wilfred Dr
Orlando, FL 32803
1906 Park Lake St
Orlando, FL 32803
Olivia Ariaudo
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
Patty Sheehan 2019D4001
03 903 10
03 VIP Valet
B
Valet
Company
INK Event Valet
$500.0057
B
Restaurant INK Event
Catering
$500.0058
B
Florist INK Event Floral
$150.0059
B
Pool Hall CHE
$500.0060
I
Owner
Nightclub
CHE
$300.0061
I
Owner
Restaurant
CHE
$1,000.0062
I
Executive
Director
CHE
$100.0063
01 19 31 19
06 19
03 06 19
03 06 19
03 15 19
03 15 19
03 15 19
03 15 19
424 E Central Blvd Suite
535
Orlando, FL 32801
Bites & Bubbles
912 N Mills Ave
Orlando, FL 32803
Kelly Shannon Floral
821 Virginia Dr
Orlando, FL 32803
Sportstown Billiards
2414 E Robinson St
Orlando, FL 32803
Henry Dixon
400 E Colonial Dr Apt
1409
Orlando, FL 32803
George Wallace
712 Nicolet Ave #14
Winter Park, FL 32789
1615 Lorena Dr
Orlando, FL 32806
Victoria Dore
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
Patty Sheehan 2019D4001
03 1003 10
03 Derek Burke
I
Engineer CHE
$100.0064
B
Construction CHE
$1,000.0065
I
Owner
Wildlife
Sanctuary
CHE
$150.0066
01 19 31 19
15 19
03 28 19
03 28 19
2168 Talman Ct
Winter Park, FL 32792
CornerStone
Construction Services
4205 Edgewater Dr
Orlando, FL 32804
James Bronzo
805 Baron Rd
Orlando, FL 32828
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)
Patty Sheehan 2019D4001
03 01 19 03 31 19 1 1
0303 0101 1919 Staples Office Supplies
MON $35.13
1 2774 E Colonial Dr
Orlando, FL 32803
Square
0303 0707 1919 Credit Card Fees
MON $45.69
2
1455 Market St Suite 600
San Francisco, CA 94103
CFE Credit Union
0303 1313 1919 Deposit Supplies
MON $93.55
3
947 N Mills Ave
Orlando, FL 32803
Olivia Ariaudo
0303 2121 1919
Office Supplies
RMB $104.181906 Park Lake St
Orlando, FL 328034
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