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Home My Public Portal AboutCampaign Treasurer's ReportFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1)Asima Azam OFFICE USE ONLY ' ;1 1 , ill 1-I 1• O-Ir-I ! �„ M -' IIQ P3t V Name (2) 4317 New Broad Street j Address (number and street) Orlando, FL 32814 City, State, Zip Code III CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): 4Candidate (office sought): Orlando City Commissioner, District (3) ID Number: 3 Political Committee (PC) II CHECK IF PC OR ECO HAS DISBANDED ■ Electioneering Communication Org. (ECO) CHECK IF PTY HAS DISBANDED ■ Party Executive Committee (PTY) CHECK IF NO OTHER IE OR EC REPORTS WILL BE FILED Independent Expenditure (IE) (also covers an individual making electioneering communications) (5) REPORT IDENTIFIERS Cover Period: From 6 / 1 / 2017 To 6 / 30 / 2017 Report Type M6 Expenditure Report 0 Original Amendment 111 Special Election Report Independent (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 4,160.00 (7) EXPENDITURES Monetary Expenditures $ Transfers Account Total Monetary THIS REPORT 1,474.19 Loans $ 0.00 to Office $ 0 VO Total Monetary $ 4,160.00 $ 1, 474.19 In -Kind $ 991.27 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 70,219.72 (10) TOTAL Monetary Expenditures To Date $ 17,347.77 (11) CERTIFICATION It is a flrst degree misdemeanor for any person to falsify a public record (se. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. Anj al Kramer Asima Azam Ca Idate Chairperson (only for PC, PTV 8 eleclioneenng commun. organization) ' Indlvldual (only for elecfioneering commun.) 0 Treasurer Deputy Treasurer ma �` Ai`� L �/ X Signature Signature DS -DE 12 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 2 Of 9 (S+) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) in -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/01/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Lunch Meeting $38.76 1 06/05/2017 Mathews, Francesca 615 Delaney Park Dr Orlando, FL 32606-1319 I Retired CHE $200.00 2 06/07/2017 Elbadri, Sarah 335 N Magnolia Ave Apt 1509 Orlando, FL 32801-1783 I Urban Planner CHE $20.00 3 06/12/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 5 Attorney INK Stickers $124.88 4 06/12/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Fans $167.01 5 06/15/2017 Abide, Ellis 340 Bunker P1 Orlando, FL 32804-3010 I Entrepren eur CHE $100.00 6 06/15/2017 Burrus, Robert 3721 Neptune Dr Orlando, FL 32804-3559 I Investor CHE $100.00 7 06/15/2017 Hill, Mike PO Box. 541528 Orlando, FL 32854-1528 I Business Owner INK Event Catering $514.45 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (2) ID Number: (3) CoverPerlod From 6/1/2017 To 6/30/2017 (4) Page 3 of 9 (5) Date In Full Name (last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (S) Contribution Type (10) In -kind Description (1f) Amendment (12) Amount (6) Sequence Number 06/15/2017 Travis, Mary 2021. University Dr Orlando, FL 32804-5345 I Psycholog ist CHE $50.00 9 06/21/2017 Asad, Sarah 7739 Markham Bend P1 Sanford, FL 32771-8107 I Attorney CHE $100.00 10 06/21/2017 Chase, Charles 2065 Venetian Way Winter Park, FL 32789- 1216 1 Physician Anesthesi ologist CHE $500.00 11 06/21/2017 Cocotas, Vivian 400 E Colonial Dr Apt 1603 Orlando, FL 32803-4522 I Attorney CHE $100.00 12 06/21/2017 Fernandez, Eileen 3423 Wilder Ln Orlando, FL 32804-3529 I Attorney - INK Event Catering $82.53 13 06/21/2017 Jadoon, Sadia 5539 Emerson Pointe Way Orlando, FL 32819-4055 I Homemaker CHE $250.00 14 06/21/2017 Kielkucki, Sue 2922 Lake Pineloch Blvd Orlando, FL 32806-5574 I Insurance CHE $20.00 15 06/23/2017 Mount, Ann 821 N Bola Dr Orlando, FL 32803-3937 I l Retired CHE $50.00 16 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 4 of (5) Date IT/ Full Name (Last, Suffix, First, Middle) Street Address & City, Stete, Zlp Code (8) Contributor Type Occupation ON Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/25/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 3 Attorney INK Event Catering $35.31 17 06/25/2017 Carr Management Group 732 Edgewater Dr Orlando, FL 32804-6865 8 Consultin g Agency CHE $50.00 18 06/26/2017 Azam, Asima 4317 New Broad'St Orlando, FL 32814-6045 3 Attorney INK Records Request $28.33 19 06/26/2017 Fernandez, Eileen 3423 Wilder Ln Orlando, FL 32804-3529 I Attorney CHE $50.00 20 06/26/2017 Matthews, Daniel 400 Lakeview St. Orlando, FL 32804-6827 I Attorney CHE $1,000. 00 21 06/27/2017 Traffic & Mobility Consultants LLC 3101 Maguire Blvd Ste 265 Orlando, FL 32803-3720 B Engineeri ng Company CHE $500.00 22 06/28/2017 Koehnemann, Kristen 225 E New Hampshire SL Apt 19 Orlando, FL 32804-6439 I Landscape Architect CHE $20.00 23 06/28/2017 Osterman, Beverly 517 W Harvard St Orlando, FL 32804-5321 I Retired CHE 875.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 5 of 9 (5) Dale (T) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 06/28/2017 Shafts & Bowen 200 S Biscayne Blvd Ste 4100 Miami, FL 33131-2362 8 Law Practice CHE $500.00 25 06/29/2017 James, Juli 3770 Kinsley P1 Winter Park, FL 32792- 6233 I Attorney CHE $100.0D 26 06/30/2017 Brownsord, John 822 Stetson St Orlando, FL 32804-5731 I Analyst CHE $25.00 27 06/30/2017 Flentke, Jacob 3106 Ardsley Dr Orlando, FL 32804-3506 I Attorney CHE $50.00 28 06/30/2017 NcCammon, Donald 1200 Gunnison Ave Orlando, FL 32804-6326 I Senior Manager, Global Trade CHE $50.00 29 06/30/2017 Sheikh, Anita 7661 Sentry Oak Cir E Jacksonville, FL 32256-2323 I Education CHE $250.00 30 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 6 of 9 ()e Dat (7) Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 06/02/2017 Millstone Group, LLC P.O. 1239 Winter Peek, FL 32789 Consultant MON $1,000.00 1 06/20/2017 Culling, Casey 1850 E Adams Dr Maitland, FL 32751- 5858 Campaign Assistant MON 8350.00 2 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Discover Data Usage MON $0.04 3 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Digital Enablement MON $0.05 4 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX NETWORK FEE MON $0.08 5 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Acquirer Processing Fee MON $0.10 6 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Data Integrity MON $0.10 7 DS -DE 14 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 7 of 9 (5) Date (T) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd NON SWIPED AMEXCN MON $0.17 Ste 500 Reston, VA 20190-5858 8 Sage Payment Solutions AMEX AUTH MON $0.20 06/30/2017 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 9 Sage Payment Solutions Discover MON $0.36 06/30/2017 12120 Sunset Hills Rd Assessments Ste 500 Reston, VA 20190-5858 10 Sage Payment Solutions Discover Auth MON $0.40 06/30/2017 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 11 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd MASTERCARD ASSESSMENTS MON $0.56 Ste 500 Reston, VA 20190-5858 12 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd AM Discount MON $1.45 Ste 500 Reston, VA 20190-5858 13 Sage Payment Solutions FANF CNP MON $1.46 06/30/2017 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 14 DS -DE 14 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPerlod From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 8 of 9 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (S) Purpose (add office sought If contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VISA ASSESSMENTS MON $2.20 15 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per Item/AUTHS MON $3.B0 16 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VS Discount MON $33.64 17 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Pate 3 MON $48.20 18 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 D5 Discount MON $5.47 19 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Discover Rate 3 MON $8.25 20 06/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD Rate 3 MON $8.30 21 DS -DE 14 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name lima Azam (3) Cover Period From 6/1/2017 To 6/30/2017 (2) ID Number: (4) Page 9 of 9 (5) (1) (8) (9) (10) (11) Date Full Name Purpose (5) (Last, Suffix, First, Middle) (add office sought If Sequence Number Street Address & City, State, Zip Code contribution to a candidate) Expenditure Type Amendment Amount 06/30/2017 Sage Payment Solutions 12120 Sunset I1il1s Rd MC Discount MON $9.36 Ste 500 Reston, VA 20190-5858 22 DS -DE 14 (Rev. 11113)