HomeMy Public PortalAboutCampaign Treasurer's Report (14)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-8
4
4
4 890 00
20 000 00
24 890 00
890 00
19 254 97
0 00
19 254 97
68 365 19
0 00
50 029 53
08 01 19 08 31 19
933F27A6-FDCA-4C2A-89B9-058BA844DB37
09/10/19 - 11:13:57
09/10/19 - 11:13:57
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
08 208 13
08 Alain Tang
Business
Realtor Check
$300.001
Business
Writer Check
$700.002
Business
Healthcare Check
$500.003
Business
Construction Check
$500.004
Individual
CashOrCash
iersCheck
$50.005
Individual
CashOrCash
iersCheck
$50.006
Individual
Check
$100.007
01 19 31 19
02 19
08 02 19
08 06 19
08 06 19
08 08 19
08 08 19
08 09 19
5114 W. Colonial Dr.
Orlando, FL 32808
Marie June & Associates
5405 S. Kirkman Rd.,
Ste. 310
Orlando, FL 32819
Excellence Assisted
Living Facility LLC
5950 Lakehurst Dr., Ste.
152
Orlando, FL 32819
Lakehurst Bldg. LLC
5950 Lakehurst Dr., Ste.
152
Orlando, FL 32819
Edward L. Ings
1214 W. Conley St.
Orlando, FL 32805
Jaret D. Ings
5805 Fifer Drive
Aleandria, VA 22303
1214 W. Conley St.
Orlando, FL 32805
Mattie 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
08 308 13
08 Charles T. Winfield
Individual
Check
$100.008
Business
Bus.
Developmen
t
Check
$500.009
Individual
CashOrCash
iersCheck
$40.0010
CandidateToSelf
Elected
Official
Loan
$20,000.0011
Individual
Check
$100.0012
Individual
Retired Check
$200.0013
Business
Bd. Chmn. -
FSA
Check
$1,000.0014
01 19 31 19
09 19
08 14 19
08 18 19
08 20 19
08 22 19
08 25 19
08 25 19
4818 Courville
Detroit, MI 48224
Biz Center USA LLC
6000 Metrowest Blvd.,
Ste. 200
Orlando, FL 32835
Sherry Ings Grady
4313 Georgetown Dr.
Orlando, FL 32808
Samuel B. Ings
P.O. Box 551306
Orlando, FL 32855
Clifton Manus
17266 Puritan Dr.
Clinton Township, MI
48038
John Arie
7558 Pointe Venezia Dr.
Orlando, FL 32836
1686 Brandywine Dr.
Bloomfield Hills, MI
48038
Jennifer Webb
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
08 408 13
08 Helen L. Lynch
Individual
Realtor Check
$200.0015
Individual
Check
$25.0016
Individual
Check
$50.0017
Business
Transportati
on
InKind Signage
$480.0018
Individual
Driver InKind Signage
$410.0019
Individual
Check
$25.0020
Individual
Registered
Nurse
Check
$200.0021
01 19 31 19
26 19
08 27 19
08 28 19
08 28 19
08 28 19
08 30 19
08 30 19
6601 Cristina Marie Dr.
Orlando, FL 32835
Rudolph Cleare
7808 Lillwill Ave.
Orlando, FL 32809
Ernest Bradley, Jr.
2127 Monte Carlo Trl.
Orlando, FL 32805
Images Limo & Sedan
Svc.
P. O. Box 8644
Alexandria, VA 22309
Mavis Walcott
1661 Aaron Ave.
Orlando, FL 32811
Lorvena Salomon
2632 Robert Trent Jones
Dr., Un. 117
Orlando, FL 32835
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
08 508 13
08 Marcus Webster
Individual
Business
Owner
Check
$250.0022
01 19 31 19
31 19
P. O. Box 88
Beltsville, MD 20704
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
08 01 19 08 31 19 6 13
08 01 19 Sandra Lewis GOTV CandidateEx
pense $500.00
1 4236 Lenox Blvd.
Orlando, FL 32811
Gravis Marketing
08 02 19 Marketing Materials CandidateEx
pense $500.00
2
910 Belle Ave., #1180
Winter Springs, FL 32708
Angela James
08 06 19
GOTV CandidateEx
pense $260.00
3
4619 Edgemoor St.
Orlando, FL 32811
Shirley Hawks
08 06 19
GOTV CandidateEx
pense $195.004798 Danzig Ct.
Orlando, FL 328114
Christine Knox
08 06 19
GOTV CandidateEx
pense $112.003029 Cumler Ct.
Orlando, FL 328115
Ursula Singleton
08 06 19
GOTV CandidateEx
pense $195.001460 Heber Cir.
Orlando, FL 328116
Michelle McCoy GOTV CandidateEx
pense $312.00080619
4619 Edgemoor St.
Orlando, FL 328117
Sharon Reed GOTV CandidateEx
pense $360.00080619
4619 Edgemoor St.
Orlando, FL 328118
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
08 01 19 08 31 19 7 13
08 06 19 Mable Wilson GOTV CandidateEx
pense $238.00
9 6913 Outlaw Ct., #206
Orlando, FL 32818
Hotcards.com
08 08 19 Marketing Materials CandidateEx
pense $636.47
10
2400 Superior Ave. East
Cleveland, OH 44114
Sandra Lewis
08 09 19
GOTV CandidateEx
pense $500.00
11
4236 Lenox Blvd.
Orlando, FL 32811
Shirley Hawks
08 13 19
GOTV CandidateEx
pense $221.004798 Danzig Ct.
Orlando, FL 3281112
Angela James
08 13 19
GOTV CandidateEx
pense $221.004619 Edgemoor St.
Orlando, FL 3281113
Christine Knox
08 13 19
GOTV CandidateEx
pense $238.003029 Cumler Ct.
Orlando, FL 3281114
Mable Wilson GOTV CandidateEx
pense $238.00081319
6913 Outlaw Ct., #206
Orlando, FL 3281815
Sharon Reed GOTV CandidateEx
pense $255.00081319
4619 Edgemoor St.
Orlando, FL 3281116
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
08 01 19 08 31 19 8 13
08 13 19 Michelle McCoy GOTV CandidateEx
pense $221.00
17 4619 Edgemoor St.
Orlando, FL 32811
Ursula Singleton
08 13 19 GOTV CandidateEx
pense $221.00
18
1460 Heber Cir.
Orlando, FL 32811
Gravis Marketing
08 15 19
GOTV CandidateEx
pense $1,095.00
19
910 Belle Ave., #1180
Winter Springs, FL 32708
Uline
08 15 19
Marketing Materials CandidateEx
pense $239.4412575 U-Line Dr.
Pleasant Prairie, WI 5315820
Zoolix
08 16 19
Marketing Materials CandidateEx
pense $150.005401 S. Kirkman Rd., Ste. 680
Orlando, FL 3281921
Sandra Lewis
08 16 19
GOTV CandidateEx
pense $500.004236 Lenox Blvd.
Orlando, FL 3281122
Hotcards.com Marketing Materials CandidateEx
pense $817.87081919
2400 Superior Ave. East
Cleveland, OH 4411423
Shirley Hawks GOTV CandidateEx
pense $156.00082019
4798 Danzig Ct.
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. Ings 2019MC006
08 01 19 08 31 19 9 13
08 20 19 Ray Jones GOTV CandidateEx
pense $225.00
25 74 Dorcas Ct.
Orlando, FL 32811
Sharon Reed
08 20 19 GOTV CandidateEx
pense $240.00
26
4619 Edgemoor St.
Orlando, FL 32811
Michelle McCoy
08 20 19
GOTV CandidateEx
pense $208.00
27
4619 Edgemoor St.
Orlando, FL 32811
Gregory Jordan
08 20 19
GOTV CandidateEx
pense $225.001503 Dess Dr.
Orlando, FL 3281828
Vicki Jordan
08 20 19
GOTV CandidateEx
pense $330.001503 Dess Dr.
Orlando, FL 3281829
Maureen Lewis
08 20 19
GOTV CandidateEx
pense $330.00586 Smokemont Ct.
Apopka, FL 3271230
LaRonda Allen GOTV CandidateEx
pense $225.00082019
6206 Medford Dr.
Orlando, FL 3280831
Sandra Lewis GOTV CandidateEx
pense $600.00082019
4236 Lenox Blvd.
Orlando, FL 3281132
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Samuel B. Ings 2019MC006
08 01 19 08 31 19 10 13
08 20 19 Ursula Singleton GOTV CandidateEx
pense $221.00
33 1460 Heber Cir.
Orlando, FL 32811
Christine Knox
08 20 19 GOTV CandidateEx
pense $168.00
34
3029 Cumler Ct.
Orlando, FL 32811
Mable Wilson
08 20 19
GOTV CandidateEx
pense $210.00
35
6913 Outlaw Ct. #206
Orlando, FL 32818
Darrell Hairston
08 20 19
GOTV CandidateEx
pense $225.007719 Senjill Ct.
Orlando, FL 3281836
Angela James
08 20 19
GOTV CandidateEx
pense $156.004619 Edgemoor St.
Orlando, FL 3281137
Webelect.net
08 21 19
Voter Database CandidateEx
pense $360.001256 Vinetree Dr.
Brandon, FL 3351038
Momentum Marketing Solutions T-Shirts CandidateEx
pense $437.50082119
P. O. Box 3468
Orlando, FL 3280239
Office Max/Office Depot Office Supplies CandidateEx
pense $50.58082219
2847 S. Orange Avenue
Orlando, FL 3280640
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
08 01 19 08 31 19 11 13
08 22 19 Gravis Marketing Marketing Materials CandidateEx
pense $1,635.00
41 910 Belle Ave., #1180
Winter Springs, FL 32708
Uline
08 22 19 Marketing Materials CandidateEx
pense $284.82
42
12575 U-Line Dr.
Pleasant Prairie, WI 53158
Home Depot
08 24 19
Sign Posting
Materials
CandidateEx
pense $363.81
43
7022 W. Colonial Dr.
Orlando, FL 32818
Office Max/Office Depot
08 26 19
Office Supplies CandidateEx
pense $15.342847 S. Orange Avenue
Orlando, FL 3280644
Allan Aksell
08 26 19
Reimbursement For
Printing Supplies
CandidateEx
pense $165.24P. O. Box 607734
Orlando, FL 3286045
Shirley Hawks
08 27 19
GOTV CandidateEx
pense $260.004798 Danzig Ct.
Orlando, FL 3281146
Maureen Lewis GOTV CandidateEx
pense $400.00082719
586 Smokemont Ct.
Apopka, FL 3271247
Sandra Lewis GOTV CandidateEx
pense $500.00082719
4236 Lenox Blvd.
Orlando, FL 3281148
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Samuel B. Ings 2019MC006
08 01 19 08 31 19 12 13
08 27 19 Ray Jones GOTV CandidateEx
pense $300.00
49 74 Dorcas Ct.
Orlando, FL 32811
LaRonda Allen
08 27 19 GOTV CandidateEx
pense $300.00
50
6206 Medford Dr.
Orlando, FL 32808
Ursula Singleton
08 27 19
GOTV CandidateEx
pense $286.00
51
1460 Heber Cir.
Orlando, FL 32811
Angela James
08 27 19
GOTV CandidateEx
pense $260.004619 Edgemoor St.
Orlando, FL 3281152
Gregory Jordan
08 27 19
GOTV CandidateEx
pense $300.001503 Dess Dr.
Orlando, FL 3281853
Vicki Jordan
08 27 19
GOTV Sign
Installation
CandidateEx
pense $500.001503 Dess Dr.
Orlando, FL 3281854
Vicki Jordan GOTV CandidateEx
pense $400.00082719
1503 Dess Dr.
Orlando, FL 3281855
Christine Knox GOTV CandidateEx
pense $280.00082719
3029 Cumler Ct.
Orlando, FL 3281156
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Samuel B. Ings 2019MC006
08 01 19 08 31 19 13 13
08 29 19 Orange Co. Supv. of Elections Precinct Maps CandidateEx
pense $30.00
57 119 W. Kaley St.
Orlando, FL 32806
CVS Pharmacy
08 30 19 GOTV Office
Supplies
CandidateEx
pense $15.77
58
2351 S. Hiawassee Rd.
Orlando, FL 32835
Sam Service Station
08 31 19
Gas/GOTV CandidateEx
pense $227.40
59
1208 Bruton Blvd.
Orlando, FL 32805
Square Space
08 31 19
Monthly Fee CandidateEx
pense $26.00510 Townsend St.
San Francisco, CA 9410360
STRIPE
08 31 19
Transaction Fees CandidateEx
pense $112.73510 Townsend St.
San Francisco, CA 9410361
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