HomeMy Public PortalAboutCampaign Treasurer's Report (10)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. (Qualified) Ings
P.O. Box 551306
Orlando, FL 32855
2019MC006
4 Orlando City Mayor
G-3
4
4
5 565 00
12 900 00
18 465 00
1 000 00
10 278 70
0 00
10 278 70
110 665 19
0 00
104 333 65
10 19 19 10 31 19
061124B7-2880-4201-927F-82BB63E73F0C
11/01/19 - 11:45:22
11/01/19 - 11:45:22
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. (Qualified) Ings 2019MC006
10 210 11
10 Pete Clarke
Individual
Retired Check
$400.001
Individual
Check
$100.002
Individual
Check
$100.003
Individual
Hotelier Check
$500.004
CandidateToSelf
Elected
Official
Loan
$2,000.005
Individual
Check
$100.006
CandidateToSelf
Elected
Official
Loan
$3,500.007
19 19 31 19
19 19
10 20 19
10 21 19
10 22 19
10 22 19
10 22 19
10 24 19
2607 Overlake Avenue
Orlando, FL 32806
Bishop Quan L. Miller
5184 Millenia Waters
Dr., #3102
Orlando, FL 32839
Rickey Lumpkin
3774 Pinnacle Place
Hephizah, GA 30815
Raman Rama
8060 Ludington Circle
Orlando, FL 32836
Arnold D. Fraser
2880 Silver Ridge Drive
Orlando, FL 32818
Samuel B. Ings
P.O. Box 551306
Orlando, FL 32855
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. (Qualified) Ings 2019MC006
10 310 11
10 John Dicosolo
Individual
Business
Owner
Check
$1,000.008
Individual
Check
$100.009
Individual
Check
$100.0010
Individual
Realtor Check
$250.0011
Individual
Check
$25.0012
Individual
Physician Check
$500.0013
Individual
Consultant Check
$500.0014
19 19 31 19
27 19
10 27 19
10 27 19
10 27 19
10 28 19
10 28 19
10 28 19
11737 Waterstone Loop
Drive
Windermere, FL 34786
Jerome Ings
4221 Old House Drive
Conley, GA 30288
Samuel Williams
6649 Andrea Rose Drive
Orlando, FL 32835
Faisal Sheikh
219 Lime Avenue
Orlando, FL 32805
Sydel Legrande
114 Braelock Drive
Ocoee, FL 34761
Jan Gautam
5401 S. Kirkman Rd.,
Ste. 740
Orlando, FL 32819
717 N. Union St., #168
Wilmington, DE 19805
Stephen Patterson
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. (Qualified) Ings 2019MC006
10 410 11
10 Zenova Miller
Individual
Pastor Check
$200.0015
Individual
Hospitality Check
$200.0016
Individual
Check
$25.0017
Individual
Check
$25.0018
CandidateToSelf
Elected
Official
Loan
$2,000.0019
CandidateToSelf
Elected
Official
Loan
$500.0020
Business
Check
$100.0021
19 19 31 19
28 19
10 28 19
10 28 19
10 28 19
10 29 19
10 29 19
10 29 19
7018 Ironwood Drive
Orlando, FL 32818
Cynthia Crotty
1012 Wilks Avenue
Orlando, FL 32808
Jeffrey Ultee
1650 N. Mills Avenue,
Apt. 258
Orlando, FL 32803
Eddie L. Harris, Jr.
6472 Long Breeze Road
Orlando, FL , FL 32810
Samuel B. Ings
P. O. Box 551306
Orlando, FL 32855
The Group of 68
5850 Lokey Dr.
Orlando, FL 32810
P. O. Box 551306
Orlando, FL , 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. (Qualified) Ings 2019MC006
10 510 11
10 Marcia H. Voorhis
Individual
Check
$40.0022
Individual
Check
$100.0023
Individual
Check
$100.0024
Business
Check
$25.0025
Individual
Check
$50.0026
CandidateToSelf
Elected
Official
Loan
$4,500.0027
Individual
Financial
Systems
Project
Manager
Check
$150.0028
19 19 31 19
29 19
10 29 19
10 29 19
10 30 19
10 30 19
10 31 19
10 31 19
1224 Ayrshire
Orlando, FL 32803
Ledia Bonhomme
445 Cortona Dr.
Orlando, FL 32828
Ernest White
2417 Center Ave.
Orlando, FL 32806
Biddle & Associates, Inc.
6723 Fairway Cove Dr.
Orlando , FL 32835
Samuel B. Ings
P. O. Box 551306
Orlando, FL 32855
Eguaseki Agbantaen
1002 S. Harbour Island
Blvd., Un. 1302
Tampa, FL 33602
5254 Crisfield Ct.
Orlando, FL 32808
Cora Miles Jefferson
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. (Qualified) Ings 2019MC006
10 610 11
10 Robin Scales-Wooten
Individual
Engineering
& Architect
President
Check
$250.0029
Individual
Check
$25.0030
CandidateToSelf
Elected
Official
Loan
$400.0031
Individual
Pastor Check
$150.0032
Individual
Case
Manager
Check
$200.0033
Individual
CashOrCash
iersCheck
$25.0034
Individual
CashOrCash
iersCheck
$5.0035
19 19 31 19
31 19
10 31 19
10 31 19
10 31 19
10 31 19
10 31 19
10 31 19
27212 Meadowbrook Rd
Redford, MI 48239
Daniel Malcolm
6638 Whirlaway Circle
Orlando, FL 32818
Samuel B. Ings
P. O. Box 551306
Orlando, FL 32855
Arnold D. Fraser
2880 Silver Ridge Dr.
Orlando, FL 32818
Debbie Howe
32537 Oak Park Drive
Leesburg, FL 34748
Patricia Richards
9759 Pecky Cypress Ln.
Orlando, FL 32836
583 Sand Wedge Loop
Apopka, FL 32712
Gwendolyn Ings-Brown
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. (Qualified) Ings 2019MC006
10 710 11
10 Pastor Peter Campbell
Individual
CashOrCash
iersCheck
$20.0036
Individual
Sales MoneyOrder
$200.0037
Individual
Vice Pres.InKind Bus
Marketing
$1,000.0038
19 19 31 19
31 19
10 31 19
10 31 19
12403 Scottish Pine
Clermont, FL 34711
Junon Brutus
8277 Emerald Forest Ct.
Sanford, FL 32771
Claudia
Menezes/Pegasus
Transportation
10747 Rocket Blvd
Orlando, FL 32824
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. (Qualified) Ings 2019MC006
10 19 19 10 31 19 8 11
10 22 19 Michelle McCoy GOTV CandidateEx
pense $255.00
1 4619 Edgemoor St.
Orlando, FL 32811
Angela James
10 22 19 GOTV CandidateEx
pense $45.00
2
4619 Edgemoor St.
Orlando, FL 32811
Ursula Singleton
10 22 19
GOTV CandidateEx
pense $330.00
3
1460 Heber Circle
Orlando, FL 32811
Sharon Reed
10 22 19
GOTV CandidateEx
pense $289.004619 Edgemoor St.
Orlando, FL 328114
Shirley Hawks
10 22 19
GOTV CandidateEx
pense $105.004798 Danzig Court
Orlando, FL 328115
Vicki Jordan
10 22 19
GOTV CandidateEx
pense $500.001503 Dess Dr.
Orlando, FL 328186
Maureen Lewis GOTV CandidateEx
pense $500.00102219
586 Smokemont Ct.
Apopka, FL 327127
Gregory Jordan GOTV CandidateEx
pense $300.00102219
1503 Dess Dr.
Orlando, FL 328188
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. (Qualified) Ings 2019MC006
10 19 19 10 31 19 9 11
10 22 19 Darrell Hairston GOTV CandidateEx
pense $300.00
9 7719 Senjill Ct.
Orlando, FL 32818
LaRonda Allen
10 22 19 GOTV CandidateEx
pense $300.00
10
6206 Medford Dr.
Orlando, FL 32808
Ray Jones
10 22 19
GOTV CandidateEx
pense $300.00
11
74 Dorcas Ct.
Orlando, FL 32811
Office Max/Office Depot
10 22 19
Office Supplies CandidateEx
pense $79.682847 S. Orange Avenue
Orlando, FL 3280612
ABC Signs USA
10 22 19
Signage Stakes CandidateEx
pense $69.2254 N. Tampa Avenue
Orlando, FL 3280513
Sandra Lewis
10 25 19
GOTV CandidateEx
pense $650.004236 Lenox Blvd.
Orlando, FL 3281114
Sam Service Station GOTV Gas & Food CandidateEx
pense $749.87102619
1208 Bruton Blvd.
Orlando, FL 3280515
Gravis Marketing Yard Signs CandidateEx
pense $1,095.00102819
920 Belle Ave., Ste. 1330
Winter Springs, FL 3270816
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. (Qualified) Ings 2019MC006
10 19 19 10 31 19 10 11
10 29 19 Vicki Jordan GOTV CandidateEx
pense $500.00
17 1503 Dess Drive
Orlando, FL 32818
Maureen Lewis
10 29 19 GOTV CandidateEx
pense $500.00
18
586 Smokemont Ct.
Apopka, FL 32712
Gregory Jordan
10 29 19
GOTV CandidateEx
pense $300.00
19
1503 Dess Drive
Orlando, FL 32818
Darrell Hairston
10 29 19
GOTV CandidateEx
pense $300.007719 Senjill Ct.
Orlando, FL 3281820
LaRonda Allen
10 29 19
GOTV CandidateEx
pense $300.006206 Medford Dr.
Orlando, FL 3280821
Ray Jones
10 29 19
GOTV CandidateEx
pense $300.0074 Dorcas Ct.
Orlando, FL 3281122
Vicki Jordan GOTV CandidateEx
pense $500.00102919
1503 Dess Drive
Orlando, FL 3281823
Ursula Singleton GOTV CandidateEx
pense $405.00103019
1460 Heber Cir.
Orlando, FL 3281124
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. (Qualified) Ings 2019MC006
10 19 19 10 31 19 11 11
10 30 19 Shirley Hawks GOTV CandidateEx
pense $210.00
25 4798 Danzig Court
Orlando, FL 32811
Sharon Reed
10 30 19 GOTV CandidateEx
pense $459.00
26
4619 Edgemoor St.
Orlando, FL 32811
Michelle McCoy
10 30 19
GOTV CandidateEx
pense $345.00
27
4619 Edgemoor St.
Orlando, FL 32811
STRIPE
10 31 19
Transaction Fees CandidateEx
pense $265.93510 Townsend St.
San Francisco , CA 9410328
Square Space
10 31 19
Monthly Fee CandidateEx
pense $26.00510 Townsend St.
San Francisco, CA 9410329
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