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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 Patty (Qualified) Sheehan 1213 Minnesota Street Orlando, FL 32803 2019D4001 4 District 4, Orlando City Commissioner G-1 4 4 24 639 99 0 00 24 639 99 0 00 8 869 35 0 00 8 869 35 56 657 99 0 00 24 255 93 09 01 19 10 04 19 44DA9317-EF1B-47AD-B558-9808347AEC5E 10/10/19 - 01:30:49 10/10/19 - 01:30:49 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 (Qualified) Sheehan 2019D4001 09 210 12 09 CFHLA Political Committee PoliticalCommittee Political Committee Check $500.001 Individual Retired Check $100.002 Individual N/A Check $25.003 Individual Administrativ e Support Associate Check $100.004 Individual N/A Check $50.005 Individual Attorney Check $100.006 Individual Therapist Check $50.007 01 19 04 19 09 19 09 12 19 09 12 19 09 12 19 09 12 19 09 12 19 09 12 19 6675 Westwood Blvd Suite 210 Orlando, FL 32821 Rebecca McClure 1401 E Washington St Orlando, FL 32801 Robert Azzarito 2780 Beckwith St Deltona, FL 32738 Linda Cadogan 530 E Central Blvd #1405 Orlando, FL 32801 Larry Smith 1069 Edgewater Dr Orlando, FL 32804 Jean Englund 2313 NE 15th Terrace Wilton Manors, FL 33305 860 N Orange Ave Apt 373 Orlando, FL 32801 Marisa Damico 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 (Qualified) Sheehan 2019D4001 09 310 12 09 Mary Libbey Individual N/A Check $25.008 Individual Artist Check $100.009 Individual Realtor Check $500.0010 Individual N/A Check $25.0011 Individual N/A Check $50.0012 Individual Accountant Check $100.0013 Individual N/A Check $25.0014 01 19 04 19 12 19 09 13 19 09 13 19 09 13 19 09 15 19 09 16 19 09 17 19 2501 Rosedale St Orlando, FL 32803 Patrick Fatica 1913 E Marks St Orlando, FL 32803 Timothy Huskins 641 E Ridgewood St Orlando, FL 32803 Michael Marinaccio 812 E Rollins St Orlando, FL 32803 Stephen Roberts 1003 Lake Bell Dr Winter Park, FL 32789 Jeffrey Garrett 5658 Elizabeth Rose Sq Orlando, FL 32810 1330 Radclyffe Road Orlando, FL 32804 Alana Brenner 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 (Qualified) Sheehan 2019D4001 09 410 12 09 Carlos Carbonell Individual CEO Technology Developmen t Check $150.0015 Individual Administrato r Check $1,000.0016 Individual Physician Check $1,000.0017 Individual VP Utility Engineering Check $1,000.0018 Individual Photographe r Check $100.0019 Individual Executive Check $1,000.0020 Business Developer Check $500.0021 01 19 04 19 17 19 09 18 19 09 18 19 09 18 19 09 18 19 09 18 19 09 18 19 738 Palm Dr Orlando, FL 32803 Gina Todd 4129 Floralwood Ct Orlando, FL 32812 Edwin DeJesus 1516 Poinsettia Ave Orlando, FL 32804 William Durie 2025 Woodlawn Dr Orlando, FL 32803 Melisa Stutz 904 Brightwater Cir Maitland, FL 32751 Jomabo Ventures 2815 7th St Boulder, CO 80304 2934 Northwood Blvd Winter Park, FL 32789 Michael Fried 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 (Qualified) Sheehan 2019D4001 09 510 12 09 Brian Stroo Individual N/A Check $30.0022 Individual Retired Check $300.0023 Individual Owner Winery Check $100.0024 Individual N/A Check $25.0025 Individual CEO Software Developmen t Check $1,000.0026 Individual Research Coordinator Check $1,000.0027 Individual N/A Check $50.0028 01 19 04 19 20 19 09 20 19 09 20 19 09 22 19 09 22 19 09 22 19 09 23 19 3306 Harrison Ave Orlando, FL 32804 Laurie Burns 916 E Pine Street Orlando, FL 32801 David Forrester 800 Westwind Ct Maitland, FL 32751 Rich Kennedy 114 South Thornton Avenue Orlando, FL 32801 Andres Garcia 2449 Myakka Dr Orlando, FL 32839 Lisa Tillmann 743 Edgewater Drive Orlando, FL 32804 2629 Elizabeth Ave Orlando, FL 32804 Andy Green 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 (Qualified) Sheehan 2019D4001 09 610 12 09 Ryan Lopez Individual N/A Check $50.0029 Individual CEO Orlando Magic Check $1,000.0030 Individual Owner United Trophy Check $1,000.0031 Individual Owner Night Club Check $1,000.0032 Business NBA Team Check $1,000.0033 Business Event Production Check $1,000.0034 Business Services Company Check $1,000.0035 01 19 04 19 24 19 09 25 19 09 25 19 09 25 19 09 25 19 09 25 19 09 25 19 26 E Harvard St Orlando, FL 32804 Alex Martins 2703 Phillips Park Rd Winter Park, FL 32789 Lynda Garber 1211 Orange Ave Ste 102 Winter Park, FL 32789 Jan Harrold 2505 Norfolk Rd Orlando, FL 32803 Worldwide Event Productions 2505 Norfolk Rd Orlando, FL 32803 Orlando New Services 2505 Norfolk Rd Orlando, FL 32803 8701 Maitland Summit Blvd Orlando, FL 32810 Orlando Magic 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 (Qualified) Sheehan 2019D4001 09 710 12 09 Complete Production Resources Business Production Company Check $1,000.0036 Business Production Company Check $1,000.0037 Business Production Company Check $1,000.0038 Business Consulting Check $1,000.0039 Individual Owner Landscape Managemen t Check $1,000.0040 Individual Surveyor Check $100.0041 Individual Restaurant Owner Check $999.9942 01 19 04 19 25 19 09 25 19 09 25 19 09 25 19 09 26 19 09 27 19 09 27 19 1930 Commerce Oak Ave Orlando, FL 32808 Harrold Productions Inc 578 N Orange Ave Orlando, FL 32801 Harrold Productions LLC 2505 Norfolk Rd Orlando, FL 32802 Venue Consulting Group 578 N Orange Ave Orlando, FL 32801 Harlan Hanson 1047 Sweetbriar Rd Orlando, FL 32806 Mark Dollard 1621 S Orange Ave Orlando, FL 32806 1001 N Mills Ave Orlando, FL 32803 Christine Chong 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 (Qualified) Sheehan 2019D4001 09 810 12 10 Ed Gardner Individual Retired CashOrCash iersCheck $50.0043 Individual Retired CashOrCash iersCheck $50.0044 Individual Project Manager Check $50.0045 Individual Human Resources Check $50.0046 Individual Sales Check $100.0047 Individual Developer Check $100.0048 Individual Attorney Check $100.0049 01 19 04 19 02 19 10 02 19 10 02 19 10 02 19 10 02 19 10 02 19 10 02 19 821 E Livingston St Orlando, FL 32803 Linda Gardner 821 E Livingston St Orlando, FL 32803 Ellis Searl 1127 Shorewood Dr Orlando, FL 32806 TR Partlow 1216 Lancaster Dr Orlando, FL 32806 Richard DeMarco 518 E Gore St Orlando, FL 32806 Scott Kiernan 441 E Muriel St Orlando, FL 32806 908 S Summerlin Ave Orlando, FL 32806 Bradley Levine 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 (Qualified) Sheehan 2019D4001 09 910 12 10 Casacha Business Dry Cleaners Check $200.0050 Business Consulting Check $500.0051 Business Developer CashOrCash iersCheck $500.0052 Business Developer Refund ($500.00)53 Business Mall Managemen t Check $1,000.0054 Individual N/A Check $50.0055 Individual N/A Check $10.0056 01 19 04 19 02 19 10 02 19 10 02 19 10 02 19 10 02 19 10 02 19 10 04 19 1216 N Mills Ave Orlando, FL 32803 GAI Consultants 618 South St Suite 700 Orlando, FL 32801 MMI Development 100 E Pine St Suite 110 Orlando, FL 32801 MMI Development 100 E Pine St Suite 110 Orlando, FL 32801 Christine Bramuchi 810 Delaney Park Drive Orlando, FL 32806 Susan Brown 1329 Ceylon Dr Orlando, FL 32806 100 Galleria Officentre Suite 427 Southfield, MI 48034 Forbes Taubman Orlando 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 (Qualified) Sheehan 2019D4001 09 1010 12 10 Tere Aleman Individual N/A Check $50.0057 Individual Executive Check $100.0058 Business Art Studio Check $75.0059 Individual Owner Production Company Check $1,000.0060 01 19 04 19 04 19 10 04 19 10 04 19 10 04 19 1115 Briercliff Dr Orlando, FL 32806 Jeffrey Kiser 1609 Hackney Ave Orlando, FL 32806 Atlantis Art Glass Studio 809 Virginia Dr Orlando, FL 32803 Kelly Greene 820 Sweetwater Island Cir Longwood, FL 32779 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 (Qualified) Sheehan 2019D4001 09 01 19 10 04 19 11 12 09 13 19 City of Orlando Qualifying Fee Monetary $1,828.12 1 400 S Orange Ave Orlando, FL 32801 USPS 09 20 19 Postage Monetary $2,315.00 2 611 N Mills Ave Orlando, FL 32803 T-Mobile 09 26 19 Cell Phone Service Monetary $94.73 3 P.O. Box 742596 Cincinnati, OH 45274 Staples 09 27 19 Office Supplies Monetary $141.282774 E Colonial Dr Orlando, FL 328034 American Express 10 01 19 Mailing Supplies & Postage Reimbursem ents $904.63P.O. Box 650448 Dallas, TX 752655 Sign Depot 10 01 19 Custom Signs Monetary $2,050.121100 W Colonial Dr Suite 1 Orlando, FL 328046 Watermark Publishing Advertising Monetary $999.00100219 1300 N Semoran Blvd Suite 250 Orlando, FL 328077 USPS Postage Monetary $275.00100419 611 N Mills Ave Orlando, FL 328038 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 (Qualified) Sheehan 2019D4001 09 01 19 10 04 19 12 12 10 04 19 PayPal Bank Fees Monetary $261.47 9 2211 North First Street San Jose, CA 95131 Instructions for Campaign Treasurer’s Report Summary (1)Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2)Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3)ID Number: identification number assigned by the filing officer. (4)Check the appropriate box(es). (5)Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer’s calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add “S” in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6)Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7)Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8)Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9)TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10)TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11)Type or print the required officer’s name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization’s treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS (1)Candidate’s full name or name of the political committee (PC), electioneering communications organizations (ECO) or party executive committee (PTY). (2)The identification number assigned by the filing officer. (3)Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar for appropriate year and cover periods.) (4)Page numbers (e.g., 1 of 3 ). (5)Date contribution was RECEIVED (Month/Day/Year). (6)Sequence Number – Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report (M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7)Type full name and address of contributor (including city, state and zip code). (8)Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over $100 only. (If a business, please indicate nature of business.) I Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) (includes federal, state and county executive P Political Parties committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9)Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier’s checks. Code Description CAS Cash or Cashier’s Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) (10)Typ e the description of any in-kind contribution received. Candidate’s Only – If in-kind contribution is from a party executive committee and is allocable toward the contribution limits, type an “A” in this box. If contribution is not allocable, type an “N”. (11)Amendment Type (required on amended reports) – To add a new (previously unreported) contribution for the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment type “ADD” will start at one plus the number of contributions in the original report. For example, amending an original M1 report that had 75 contributions means the sequence number of the first contribution having amendment type “ADD” will be 76; the second “ADD” contribution would be 77, etc. When amending an original M2 report that had 40 contributions, the sixth “ADD” contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter “DEL” in amendment type on a line with the sequence number of the contribution to be corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter “ADD” in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (12)Type amount of contribution received. Political Committees ONLY: Multiple uniform contributions from the same person, aggregating NMT $250 per calendar year, collected by an organization that is the affiliated sponsor of a PC, may be reported by the PC in an aggregate amount listing the number of contributors together with the amount contributed by each and the total amount contributed during the reporting period. The identity of each person making such uniform contribution must be reported to the filing officer by July 1 of each calendar year, or, in a general election year, NLT the 60th day immediately preceding the primary election. INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – FUND TRANSFERS (1)Type candidate’s full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2)Type identification number assigned by the filing officer. (3)Type cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar for appropriate cover periods.) (4)Type page numbers (e.g., 1 of 3). (5)Type date of fund transfer (Month/Day/Year). (6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 2 fund transfers would use sequence numbers 1 thru 2. The next report (M2), comprised of 4 fund transfers would use sequence numbers 1 thru 4. Fund transfers on amended M1 reports would begin with sequence number 3 and on amended M2 reports would begin with sequence number 5. See the Amendment Type instructions below. (7)Type full name and address of financial institution (including city, state and zip code). (8)Enter Transfer Type using one of the following codes: DESCRIPTION Transfer FROM identified account to campaign account Transfer TO identified account from the campaign account CODE F T (9)Nature of Account (e.g., certificate of deposit, money market, etc...) (10)Amendment Type (required on amended reports) - To add a new (previously unreported) fund transfer for the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required data. The sequence number for fund transfers with amendment type “ADD” will start at one plus the number of fund transfers in the original report. For example, amending an original M1 report that had 75 fund transfers, means the sequence number of the first fund transfer having amendment type “ADD” will be 76; the second “ADD” fund transfer would be 77, etc. When amending an original M2 report that had 40 fund transfers, the sixth “ADD” fund transfer would have sequence number 46. To correct a previously submitted fund transfer use the following drop/add procedure. Enter “DEL” in amendment type on a line with the sequence number of the fund transfer to be corrected. In combination with the report number being amended, this sequence number will identify the fund transfer to be dropped from your active records. On the next line enter “ADD” in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11)Type amount of fund transfer. INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1)Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2)Identification number assigned by the filing officer. (3)Cover period dates (01/01/15 through 01/31/15). (See filing officer’s reporting dates calendar for appropriate cover periods.) (4)Page numbers (e.g., 1 of 3). (5)Date of expenditure (Month/Day/Year). (6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7)Full name and address of entity receiving payment (including city, state and zip code). (8)Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9)Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party (effective 11/1/13) DPV Disposition of Funds to Petition Verification (effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary (Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds) (10)Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Amount of expenditure. CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS THIS FORM IS USED TO REPORT DISTRIBUTIONS OF GOODS OR SERVICES CONTRIBUTED TO A CANDIDATE OR COMMITTEE, INDIRECT EXPENDITURES AND REIMBURSEMENTS. (1)Name of the entity. (2)Identification number assigned by the filing officer. (3)Cover period dates (e.g., 03/01/14 through 03/31/14). (See the filing officer’s reporting dates calendar for appropriate cover periods.) (4)Page numbers (e.g., 1 of 3). (5)Date of distribution (Month/Day/Year). (6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 40 distributions would use sequence numbers 1 through 40. The next report (M2), comprised of 30 distributions would use sequence numbers 1 through 30. Distributions on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31.See Amendment Type instructions below. (7)Full name and address of entity receiving distribution (including city, state and zip code). (8)Purpose of distribution (if distribution is a contribution to a candidate, also type the office sought by the candidate). (9)For each distribution that is related to an itemized expenditure previously listed on Itemized Expenditures (Form DS-DE 14), enter the Year, Report Type and Sequence Number associated with the expenditure. *PARTY EXECUTIVE COMMITTEES ONLY - If distribution is allocable toward the contribution limits, type an "A" in this box. If distribution is nonallocable, type and "N". (10)Amendment Type (required on amended reports) - To add a new (previously unreported) distribution for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for distributions with amendment type "ADD" will start at one plus the number of distributions in the original report. For example, amending and original M1 report that had 75 distributions, means the sequence number of the first distribution having amendment type "ADD" will be 76; the second "ADD" distribution would be 77, etc. When amending an original M2 report that had 30 distributions, the ninth "ADD" distribution would have sequence number 39. To correct a previously submitted distribution use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the distribution to be corrected. In combination with the report number being amended, this sequence number will identify the distribution to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assigns the sequence number as described above. (11)Amount of distribution. (12)Distribution Type Code Description PPD Pre-paid Distribution RMB Reimbursements CCP Credit Card Purchase INK In-Kind Distribution