HomeMy Public PortalAboutCampaign Treasurer's Report (20)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
Aretha Janine (Qualified) Simons
P.O. Box 550415
Orlando, FL 32855
2019MC002
4 Orlando City Mayor
G-1
4
4
2 110 00
0 00
2 110 00
1 500 00
12 200 79
0 00
12 200 79
47 531 90
0 00
46 427 67
09 01 19 10 04 19
C0102191-BFC1-4FF0-A42E-B251C4D435BC
10/10/19 - 12:44:19
10/10/19 - 12:44:19
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
Aretha Janine (Qualified) Simons 2019MC002
09 210 10
09 Martha Agramonte
Individual
Self
Employed
Check
$50.001
Individual
Navy Check
$25.002
Individual
Real Estate
Investor
Check
$10.003
Individual
Sales
Manager
Check
$1,000.004
Individual
Banquet
Manager
Check
$25.005
Individual
IT
Professional
Check
$10.006
Individual
Unemployed Check
$25.007
01 19 04 19
01 19
09 02 19
09 04 19
09 06 19
09 06 19
09 06 19
09 07 19
202 S Parker St
Tampa, FL 33606
Jamarcus Bell
Po Box1532
Port Hueneme, CA
93044
Lori Wheeler
11854 VIA LUCERNA
CIR
Windermere, FL 34786
Tabitha Nelson
14416 Lake Underhill Rd
Orlando, FL 32828
Darryl Matthews
9204 Mountain Magnolia
Dr.
Riverview, FL 33578
Edna Ulysse
2319 Savoy Drive
Orlando, FL 32808
3714 Daleford Rd
Orlando, FL 32808
Jonathan Hacker
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
Aretha Janine (Qualified) Simons 2019MC002
09 310 10
09 Sarai Martin
Individual
Self
Employed
Check
$100.008
Individual
Non Profit
Director
Check
$50.009
Individual
Land
Surveyor
CashOrCash
iersCheck
$50.0010
Individual
Hotel
Manager
Check
$25.0011
Individual
Real Estate
Investor
Check
$10.0012
Individual
Project
Manager
Check
$25.0013
Individual
Dietary Aide Check
$100.0014
01 19 04 19
08 19
09 08 19
09 08 19
09 08 19
09 08 19
09 09 19
09 09 19
PO BOX 121273
Ft. Lauderdale, FL
33312
Katrina Shadix
1133 Covington St.
Oviedo, FL 32765
Kim Buchheit
6500 Swain Rd
Sorrento, FL 32766
Angela Pittman
3152 Integra Lakes Lane
#420
Casselberry, FL 32707
Sharonda Steverson
2132 Eagle Rock Road
Virginia Beach, VA
23456
Betty Hart
2241 Brookridge Trail
Sanford, FL 32773
11854 VIA LUCERNA
CIR
Windermere, FL 34786
Lori Wheeler
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
Aretha Janine (Qualified) Simons 2019MC002
09 410 10
09 Thomas Campbell
Individual
Marketing
Specialist
Check
$10.0015
Individual
Medical
Support
Assistant
Check
$100.0016
Individual
Construction
Laborer
Check
$25.0017
Individual
Consultant Check
$10.0018
Individual
Nurse Check
$10.0019
Individual
Publisher-Gr
aphic
Designer
Check
$50.0020
Individual
Corrections
Officer
Check
$25.0021
01 19 04 19
10 19
09 10 19
09 11 19
09 15 19
09 19 19
09 19 19
09 19 19
1101 Montana Street
Orlando, FL 32803
Brenda Dixon
4430 Capital Blvd
St. Cloud, FL 34769
Donovan Boyd
100 Sabal Palm Lane
Chesapeake, FL 23320
Scheretta Jeffries
12401 holborn
Cleveland, OH
44105-2618
Tarsha Campbell
815 Daisy Hill Ct
Apopka, FL 32717
Jacquelyn Dixon
P.O. Box 203
Arcadia, FL 34265
3548 Hage Way
Orlando, FL 32805
Angela Lowe
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Aretha Janine (Qualified) Simons 2019MC002
09 510 10
09 Likisha Gilliam
Individual
Unemployed Check
$10.0022
Individual
Corporate
Trainer
Check
$25.0023
Individual
Unemployed Check
$25.0024
Individual
Social
Worker
Check
$25.0025
Individual
Marketing
Agent
Check
$100.0026
Individual
Pharmacy
tech
Check
$10.0027
Individual
Self
Employed
Check
$50.0028
01 19 04 19
20 19
09 20 19
09 20 19
09 21 19
09 21 19
09 23 19
09 23 19
1423 Oak Street
Nile, MI 49120
William Craig III
13004 Mears Court
Upper Marlboro, MD
20774
Belinda Szymanski
383 Emerson Plz 617
Altamonte, FL 32701
Mirlande Francois
3112 Erskine Drive
Orlando, FL 32825
Tericho Dericho
PO BOX 243
Clarcona, FL 32710
Joel Ramjohn
8537 Abbotsbury Drive
Windermere, FL 34786
5156 Creusot Court
Orlando, FL 32839
Linda Higgins
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
Aretha Janine (Qualified) Simons 2019MC002
09 610 10
09 Kimberly Butler
Individual
Marketing
Analyst
Check
$5.0029
Individual
Retired CashOrCash
iersCheck
$20.0030
Individual
Retired CashOrCash
iersCheck
$10.0031
Individual
Credit
Repair
Agent
Check
$25.0032
Individual
Licensed
Insurance
Agent
Check
$10.0033
CandidateToSelf
Consultant InKind $1,500 of
Consulting
Services
from Meyers
&
Washington
1105 E.
Concord St.
Orlando, FL
32803
$1,500.0034
Individual
Director of
Young Adult
Ministry
Check
$10.0035
01 19 04 19
23 19
09 25 19
09 25 19
09 25 19
09 26 19
09 26 19
09 30 19
777 N. Orange Ave 101
Orlando, FL 32801
George Hill
551 Dollins Ave
Orlando, FL 32805
James Richet
937 Seburn Rd
Apopka, FL 32703
Laquita Clark
8 Elmer Miller Rd
Trenton, TN 38382
Aretha Simons
552 N Dollins Ave
Orlando, FL 32805
Johnine Mowatt
1011 Red Dandy Drive
Orlando, FL 32818
5882 N.W. 41st Lane
Coconut Creek, FL
32861
Audrey Folson
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
Aretha Janine (Qualified) Simons 2019MC002
09 710 10
10 Jamarcus Bell
Individual
Military Check Add
$25.0036
Individual
Investigator Check Add
$25.0037
01 19 04 19
02 19
10 02 19
Po Box1532
Port Hueneme, CA
93044
Mercedes Bigelow
7928 Hatteras Rd
Orlando, FL 32822
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)
Aretha Janine (Qualified) Simons 2019MC002
09 01 19 10 04 19 8 10
09 01 19 Community Staple Media,LLC Advertisement CandidateEx
pense $14.99
1 4208 W. Jackson St
Orlando, FL 32811
Meyers & Washington
09 03 19 Consulting CandidateEx
pense $1,500.00
2
1105 E. Concord St
Orlando, FL 32803
All about Art
09 04 19
Post Card Design CandidateEx
pense $103.00
3
1910 Arroyo Ave
Oceanside, CA 92056
Actblue
09 05 19
credit card fee
processing fee
CandidateEx
pense $18.94PO Box 441146
Somerville, MA 021444
Stephanie Bowman
09 06 19
Canvassing CandidateEx
pense $500.00914 almond tree cr
Orlando, FL 328355
Jamice Lewis
09 08 19
Makeup CandidateEx
pense $110.001722 Elsie Park Ct
Kissimmee, FL 347446
Sandra Thomas Canvassing CandidateEx
pense $160.00090819
4443 King Love Blvd
Orlando, FL 328117
In The Mirror Video CandidateEx
pense $200.00090919
4500 Ring Neck Rd
Orlando, FL 328088
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)
Aretha Janine (Qualified) Simons 2019MC002
09 01 19 10 04 19 9 10
09 08 19 Lisa Mays Canvassing CandidateEx
pense $160.00
9 4443 King Love Blvd
Orlando, FL 32811
Pamela Gaines
09 08 19 Canvassing CandidateEx
pense $160.00
10
4402 King Love Blvd
Orlando, FL 32811
City of Orlando
09 09 19
Qualifying Fee CandidateEx
pense $3,914.78
11
400 S. Orange Ave
Orlando, FL 32801
Veterand Canteen
09 09 19
Flag CandidateEx
pense $16.995201 Raymond St.
Orlando, FL 3280312
FastSpring
09 12 19
Facebook Video
Promotion
CandidateEx
pense $7.98801 Garden St.
Santa Barbara, CA 9310113
Eric Brown
09 12 19
Canvassing CandidateEx
pense $75.002503 N Alafaya Trail #1
Orlando, FL 3282614
All About Art Post Card Design CandidateEx
pense $62.00091319
1910 Arroyo Ave
Oceanside, CA 9205615
Henry Halbert Signs CandidateEx
pense $500.00091819
2711 East Michigan St.
Orlando, FL 3280616
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)
Aretha Janine (Qualified) Simons 2019MC002
09 01 19 10 04 19 10 10
09 19 19 Wardell Harp Signs CandidateEx
pense $300.00
17 7818 Holmes Dr.
Orlando, FL 32808
Jamice Lewis
09 24 19 Makeup CandidateEx
pense $65.00
18
1722 Elsie Park Ct
Kissimmee, FL 34744
US Post Office
09 24 19
Stamps CandidateEx
pense $55.00
19
440 S. Orange Blossom Trail
Orlando, FL 32805
Constant Contact
09 29 19
Marketing Fee CandidateEx
pense $95.003675 Precision Drive
Loveland, CO 8053820
Suntrust
09 30 19
Paper Statement
Fee
CandidateEx
pense $3.004582 S Kirkman Road
Orlando, FL 3280121
Direct One
10 01 19
Printing/Mailing CandidateEx
pense $4,152.517213 Sandscove Ct, #1
Winterpark, FL 3279222
Actblue Credit Card
Processing Fee
CandidateEx
pense $11.61100319
PO Box 441146
Somerville, MA 0214423
Community Staple Media,LLC Advertisement CandidateEx
pense $14.99100419
4208 W. Jackson St
Orlando, FL 3281124
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