HomeMy Public PortalAboutCampaign 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
Samuel B. Ings
P.O. Box 551306
Orlando, FL 32855
2019MC006
4 Orlando City Mayor
M-3
4
4
16 775 19
0 00
16 775 19
3 658 46
192 69
0 00
192 69
16 875 19
0 00
192 69
03 01 19 03 31 19
E4190EBB-722F-455E-90DF-F014E38390BC
04/09/19 - 08:15:04
04/09/19 - 08:15:04
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
Samuel B. Ings 2019MC006
03 103 10
03 Samuel B. Ings
S
CHE
$25.001
I
Retired CAS Cashier
Check
Refunded
3/29/19 $400.002
I
CHE
$100.003
I
CHE
$100.004
I
CHE
$100.005
I
CHE
$25.006
I
CHE
$100.007
01 19 31 19
03 19
03 04 19
03 04 19
03 04 19
03 06 19
03 09 19
03 11 19
P. O. Box 551306
Orlando, FL 32855
Gail Parker
6640 Andrea Rose Dr
Orlando, FL 32835
Tony Thomas
626 Jeanette Lane
Santa Ana, CA 92705
Deborah Stroud
P. O. Box 882
Southfield, MI 48037
Clifton Mattison
5612 Springwick Ct
Powell, OH 43065
Yolanda Powell
1901 Youmans Street
Tifton, GA 31794
P. O. Box 560771
Orlando, FL 32856
Adrain Humphrey
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
Samuel B. Ings 2019MC006
03 203 10
03 Philippe Villain
I
Hospitality
Consultant
CHE
$1,000.008
B
INK T-Shirts
$207.969
B
INK Event
$999.5010
B
CHE
$1,000.0011
I
CHE
$50.0012
I
CHE
$60.0013
B
CHE
$500.0014
01 19 31 19
11 19
03 11 19
03 13 19
03 14 19
03 14 19
03 14 19
03 14 19
3420 Starline Drive
Rancho Palos Verdes,
CA 90275
J&K Designs (T-Shirts)
36204 Dominion Circle
Sterling Heights, MI
48310
I-Drive NASCAR
5228 Vanguard Street
Orlando, FL 32819
CINO International
(Realty)
620 E Colonial Dr Ste A
Orlando, FL 32803
Evan K. Franco
P. O. Box 536794
Orlando, FL 32803
The Bronze Kingdom Art
Gallery/Museum
3201 E Colonial Dr M16
Orlando, FL 32803
16407 Woodlane
Fraser, MI 48026
Tifanie Heard
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
Samuel B. Ings 2019MC006
03 303 10
03 Gail Parker
I
Retired MO
$400.0015
I
CAS
$50.0016
B
CHE
$350.0017
B
CHE
$300.0018
B
CHE
$350.0019
B
CHE
$300.0020
I
CHE
$65.1921
01 19 31 19
14 19
03 14 19
03 14 19
03 14 19
03 14 19
03 14 19
03 14 19
6640 Andrea Rose Dr
Orlando, FL 32835
Gladys Hill
1849 S Ivey Lane
Orlando, FL 32811
Perfumeland of Orlando
Inc
5161 International Dr
Orlando, FL 32819
New Creative Tours Inc
5449 S Semoran Blvd
Ste 227
Orlando, FL 32822
GAM Sporting Goods Inc
5157 International Dr
Orlando, FL 32819
Russell M. Drake
4434 Bradley Ave
Orlando, FL 32839
5216 Vanguard St
Orlando, FL 32819
Orlacross (Development)
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
Samuel B. Ings 2019MC006
03 403 10
03 Vernon Brown
I
Retired CHE
$200.0022
I
Manager CHE
$200.0023
I
CHE
$100.0024
I
Realtor CHE
$200.0025
I
CHE
$100.0026
I
CEO CHE
$1,000.0027
I
CAS
$50.0028
01 19 31 19
14 19
03 14 19
03 14 19
03 14 19
03 14 19
03 14 19
03 14 19
583 Sandwedge Loop
Apopka, FL 32712
Merritt R. Martin
1036 Gwyn Cir
Oviedo, FL 32765
Bernice S. Edwards
439 Ventura Ave
Orlando, FL 32805
Robert P. Lynch
9409 Palm Tree Dr
Windermere, FL 34786
The Fernando Cotta
Pereira & Claudia
Menezes Rev. Trust
10747 Rocket Blvd.
Orlando, FL 32824
Keith Council
3933 Shadowind Way
Gotha, FL 34734
121 Peace River Ct
Groveland, FL 34736
Bradley Hebert
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
Samuel B. Ings 2019MC006
03 503 10
03 Beverly T. Council
I
CAS
$50.0029
B
CHE
$1,000.0030
I
CHE
$50.0031
I
Retired CHE
$300.0032
I
Driver CHE
$200.0033
I
Administrato
r
CHE
$200.0034
B
CHE
$500.0035
01 19 31 19
14 19
03 15 19
03 15 19
03 15 19
03 15 19
03 15 19
03 16 19
3933 Shadowind Way
Gotha, FL 34734
Hill Top Real Estate
36 Capen St., Un 3B
Hartford, CN 06120
Helen C Lamb
6656 Andrea Rose Dr
Orlando, FL 32835
Kelvin A. Williams
11892 Wayburn St
Detroit, MI 48224
Gaither Smith
7979 Central Park Cir
Alexandria, VA 22309
Pine Hills
Commerce/Warehouse
P. O. Box 585567
Orlando, FL 32858
7979 Central Park Cir
Alexandria, VA 22309
Eugene Smith
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
Samuel B. Ings 2019MC006
03 603 10
03 Waltheria Jeanne
Williams
I
Retired CHE
$1,000.0036
B
CHE
$1,000.0037
B
CHE
$1,000.0038
I
Property
Manager
CHE
$500.0039
I
CHE
$50.0040
I
CHE
$100.0041
I
CHE
$100.0042
01 19 31 19
16 19
03 18 19
03 18 19
03 26 19
03 27 19
03 27 19
03 28 19
28057 Mavis Dr
Warren, MI 48088
Lutfi Rental Collection
720 S. OBT Trl
Orlando, FL 32805
Vacation Lodge
720 S OBT Trl
Orlando, FL 32805
Linda R Cortez
524 S. Lakeland Ave.
Orlando, FL 32805
Naomi Quinn
6948 Wickersham Road
Fayetteville, NC 28314
Cora Miles Jefferson
5254 Crisfield Court
Orlando, FL 32808
1828 Daytona Lane
North
Jacksonville, FL 32218
James E. Ings
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
Samuel B. Ings 2019MC006
03 703 10
03 Lee Powell
I
CHE
$100.0043
I
CHE
$100.0044
I
CHE
$100.0045
S
Elected
Official
CHE
$375.0046
I
Retired REF
($400.00)47
B
CHE
$1,000.0048
B
CHE
$1,000.0049
01 19 31 19
28 19
03 28 19
03 28 19
03 29 19
03 29 19
03 29 19
03 29 19
1316 N Pine Hills Rd
Orlando, FL 32808
Clifton Manus
17266 Puritan Drive
Clinton Township, MI
48038
Frederick Davenport
5003 NW 51st Terrace
Tamarac, FL 33319
Samuel B. Ings
P. O. Box 551306
Orlando, FL 32855
Ida Mae Inc (DBA
McDonald's)
1711 35th Street
Orlando, FL 32839
Peter C. Barr Family
Trust
514 Palmer St.
Orlando, FL 32801
6640 Andrea Rose Dr
Orlando, FL 32835
Gail Parker
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
Samuel B. Ings 2019MC006
03 803 10
03 Horng (Andrew) Jeng
I
Business
Owner
CHE
$200.0050
I
CHE
$100.0051
I
CHE
$50.0052
I
CHE
$50.0053
I
Consultant CHE
$250.0054
I
CHE
$25.0055
I
CHE
$50.0056
01 19 31 19
29 19
03 29 19
03 29 19
03 29 19
03 30 19
03 30 19
03 30 19
P O Box 772351
Orlando, FL 32787
Samantha Ings
494 Goldenmoss Loop
Ocoee, FL 34761
June Ings
6648 Andrea Rose Drive
Orlando, FL 32835
Linda Hartley
5520 Avenue H, Apt. 5B
Brooklyn, NY 11210
Michael Capps
Marland Street
Southwest 14C
Olympia, WA 98502
Juanita Ings
1828 Daytona Lane
North
Jacksonville, FL 32218
P. O. Box 2574
Orlando, FL 32802
Leah Shepherd
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
Samuel B. Ings 2019MC006
03 903 10
03 Jerome Ings
I
CHE
$100.0057
I
CHE
$25.0058
I
CHE
$25.0059
I
CHE
$50.0060
S
INK Stamps
$55.0061
I
Marketing INK Marketing
$550.0062
B
INK Videography
$350.0063
01 19 31 19
31 19
03 31 19
03 31 19
03 31 19
03 31 19
03 31 19
03 31 19
4221 Old House Drive
Conley, GA 30288
Shawna McGee
202 South Oxford St
Bronx, NY 10018
Terri Underwood
9704 Piney Point Circle
Orlando, FL 32825
June Ings
6648 Andrea Rose Drive
Orlando, FL 32835
Jason Anderson
5838 E 11 Mile Road
Warren, MI 48091
Ty Young Films
7678 High Pine Road
Orlando, FL 32819
P O Box 551306
Orlando, FL 32855
Samuel B. Ings
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
Samuel B. Ings 2019MC006
03 1003 10
03 MCN Productions
B
INK Music
Production
$1,000.0064
B
INK Printing
$96.0065
I
Self-Employ
ed
INK Social
Media/Data
Collection &
Analysis $400.0066
01 19 31 19
31 19
03 31 19
03 31 19
4435 Old Winter Garden
Road
Orlando, FL 32811
Media Innovations.Com
132 Estates Circle
Lake Mary, FL 32746
Sandra Lewis
4236 Lenox Blvd
Orlando, FL 32811
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)
Samuel B. Ings 2019MC006
03 01 19 03 31 19 1 1
0303 0101 1919 Axiom Bank Card Activity Charge
CAN $12.00
1 715 S. Goldwyn Ave
Orlando, FL 32805
Square Space
0303 2727 1919 Monthly Fee
CAN $26.00
2
510 Townsend St.
San Francisco, CA 94103
Stripe
0303 3131 1919 Transaction Fees
CAN $154.69
3
510 Townsend St.
San Francisco, CA 94103
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