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Home My Public Portal AboutCampaign Treasurer's Report (2)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Azam Name (2) 4317 New Broad Street Address (number and street, Orlando, FL 32814 City, State, Zip Code OFFICE USE ONLY ['CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ❑✓ Candidate (office sought): Orlando City Commissioner, District 3 ❑Political Committee (PC) ❑CHECK IF PC OR ECO HAS DISBANDED ❑Electioneering Communication Org. (ECO) ❑CHECK IF PTY HAS DISBANDED ['Party Executive Committee (PTY) In Independent Expenditure (IE) (also covers an individual making electioneering communications) ❑ CHECK IF NO OTHER IE OR EC REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 7 / 1 / 2017 To 7 / 31 / 2017 Report Type M7 ❑✓ Original ❑Amendment ❑Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 12,440.00 Loans $ 0.00 Total Monetary $ 12, 440.00 In -Kind $ 465.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 1,509.52 Transfers to Office Account $ 0.00 Total Monetary $ 1,509.52 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 82,659.72 (10) TOTAL Monetary Expenditures To Date $ 18,857.29 (11) CERTIFICATION It Is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 1 certify that I have examined this report and it is true, correct, and complete. Anjali Kramer ❑Individual (only for Treasurer ['Deputy Treasurer electioneering commun.) Signature Anima Azam Q Candidate X ,1.(1 Signature Chairperson (only for PC, PTV & electioneering commun. organization) DS -DE 12 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page 2 of 8 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (6) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number Azam, Asima 3 Attorney INK Event $45.00 07/06/2017 4317 New Broad St Food Orlando, FL 32814-6045 Azam, Asima 3 Attorney INK Event $210.00 07/11/2017 4317 New Broad St Food Orlando, FL 32814-6045 2 Cirillo, Brian I Real CHE $200.00 07/11/2017 4425 Trapp Ln Estate Orlando, FL 32814-6053 Investor 3 Foodie Catering e Catering INK Event $150.00 07/12/2017 2419 Flowering Dogwood Catering Dr Orlando, FL 32828-4829 4 Corrente, Marissa I Coordinat CHE $20.00 07/13/2017 2878 Plaza Terrace Dr or Orlando, FL 32803-2820 5 DeFoe, Elisa I Business CHE $100.00 07/19/2017 2212 Amherst Ave Owner Orlando, FL 32804-5459 6 Ruth's List Florida, F Support CHE $1,000. 07/20/2017 Inc. Women 00 2203 N Lois Ave Ste M650 Candidate s 7 Tampa, FL 33607-2304 Williams, Caroline I Loan CHE 81,000. 07/20/2017 1128 W Princeton St Partner DO Orlando, FL 32804-5249 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page of 8 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (Si Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 07/20/2017 Williams, Mark 1128 W Princeton St Orlando, FL 32804-5249 I Chiroprac tor CHE $1,000. 00 9 07/21/2017 Eskamani, Anna 857 Spring Oak Cir Orlando, FL 32828-6990 I Senior Director CHE $20.00 10 07/21/2017 Gardner, Jerol M 2305 Edgewater Dr Apt 1201 Orlando, FL 32804-5323 I Retired CHE $100.00 11 07/21/2017 Gardner, Winston 2305 Edgewater Dr Apt 1201 Orlando, FL 32804-5323 I Retired CHE $100.00 12 07/21/2017 Jensen, Sara 726 Tam 0 Shanter Dr Orlando, FL 32803-6951 I Finance Director CHE 850.00 13 07/21/2017 Poe, Bob 1507 Anchor Ct Orlando, FL 32804-2822 I Investor CHE 81,000. 00 14 07/22/2017 Line, Kaci 1390 Fern Ave Orlando, FL 32814-6066 I Attorney CHE 850.00 15 07/23/2017 Beers, Matthew 3000 Helen Ave Orlando, FL 32804-3833 I Internati onal Tax Manager CHE $1,000. 00 16 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page 4 of 8 (5) 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 07/23/2017 Beers, Megan 3000 Helen Ave I Operation s CHE $1,000. 00 Orlando, FL 32804-3833 Administr ator 17 McMann, Jessica I Dentist CHE $1,000. 07/23/2017 252 Snowfields Run 00 Lake Mary, FL 32746- 4125 18 Williams, Thomas I Accountan CHE $1,000. 07/23/2017 2930 N Westmoreland Dr t 00 Orlando, FL 32804-3632 19 Zeledon, John I Managing CHE $1,000. 07/25/2017 1525 Wilbar Cir Director 00 Winter Park, FL 32789- 2059 20 Azam, Asima S Attorney INK Event $60.00 07/26/2017 4317 New Broad St Food Orlando, FL 32814-6045 21 Hendren, Carol I Unemploye CHE $500.00 07/27/2017 1060 Terrace Blvd d Orlando, FL 32803-3223 22 Miller, Chris I Physical CHE $1,000. 07/30/2017 1816 Palm Ln Therapist 00 Orlando, FL 32803-1536 23 Miller, Jessie I Physician CHE $1,000. 07/30/2017 1816 Palm Ln Assistant 00 Orlando, FL 32603-1536 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page 5 of 8 (6) 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 07/31/2017 Kabrawala, Chirag 517 Shady Lane Dr Orlando, FL 32804-5812 I Restauran teur CHE $100.00 25 07/31/2017 Powell, Aaron 804 Vassar St Orlando, FL 32804-4923 I Professor CHE $50.00 26 07/31/2017 Schleier, Cindy 618 Woodward St Orlando, FL 32803-3916 I Retired CHE $50.00 27 07/31/2017 Ventura, Jessica 4440 Anson Ln Orlando, FL 32814-6003 I Sales CHE $100,00 28 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page 6 of 8 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 07/05/2017 Millstone Group, LLC P.O. 1239 Winter Park, FL 32789 Consultant MON $1,000.00 1 07/09/2017 Colling, Casey 1850 E Adams Dr Maitland, FL 32751- 5858 Campaign Assistant MON $323.00 2 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Digital Enablement MON $0.06 3 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Misuse of Authorization Fee MON $0.09 4 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Acquirer Processing Fee MON $0.12 5 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD ASSESSMENTS MON $0.66 6 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX AUTH MON $1.20 7 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPerlod From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page 7 of 8 (5) Date (7) 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 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VISA ASSESSMENTS MON $1.68 8 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Discount MON $10.95 9 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD Rate 3 MON $16.70 10 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX NETWORK FEE MON $2.21 11 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VS Discount MON $25.78 12 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per Item/AUTHS MON $3.00 13 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX Rate 2 MON $30.00 14 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 7/1/2017 To 7/31/2017 (2) ID Number: (4) Page 8 of 8 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 MON $39.45 15 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AM Discount MON $42.49 16 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 NON SWIPED AMEXCN MON $5.13 17 07/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 FANF CNP MON $7.00 18 DS -DE 14 (Rev. 11/13)