HomeMy Public PortalAboutCampaign Treasurer's Report (5)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Asima Azam
OFFICE USE ONLY
'r IIw4._
c_
V I il" /il {'f) (r
ii
Name
(2) 4317 New Broad Street
Address (number and sheet)
Orlando, FL 32814
City, State, Zip Code
• CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
5 Candidate (officesought): Orlando City Connissioner District
43) ID Number:
3
• Political Committee (PC) ❑CHECKIF PGA:M ECD:HASDISBANDED
DEleohoneedng Communica&on Org, (ECO) ❑ CHECK IF PTY HAS DISBANDED
Aga C�ogwt6va Oanrntpee (PTY„) ❑ CHECK IF NO OTHER IE OR EC REPORTS WILL BE FILED
.WelInt f� �a ra an Individual
(5) REPORT IDENTIFIERS
Cover Period: From .9 / 1_/241,7„ To 8^ laii, /12412, Repoli Type ,a8
❑ Independent Expenditure Report
Q Original ■ Amendment • Special Election Report
oI CONTRIBUTIONS THIS REPORT
Cash & Checks $ 10, 315.00
„ (7) EXPENDITURES
I
ry
ExpendituresEx
TurnafeistOffice
Account
Total Monetary
THIS REPORT
$ 3,483.20
Loans $ 0.00
_.. _..
$: 0500
Total Monetary $ 10, 315.00
$' 3,483.2_0
ImlGrrd $ 1, 735.91
(8) Other
Diehibu9cna
$ 0.00
(9) TOTAL Monetary Contributions To Date
$ 92,974.72
(10) TOTAL Monetary Expenditures To Date
$ 22,340.49
(11) CERTIFICATION
It Is a first degree misdemeanor for any person to falsify a public record (as. 83913, F.S.)
I certify that I have examined this report and it is true, cared, and complete.
Anjali Kramer
Asima Azam
/❑kxtWduel (only for ✓ Tmeaurer Deputy Treasurer
v, , ureti 1m/n.)• ,,❑ ❑ Depo Y
Candklate m Chairperson (only for PC, PTY&
Cai�I eladloneering commun. mganirawso)
Q
FA
nature
3' ne re
DS -DE 12 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) CoverPariod From 8/1/2017 To 8/31/2017
(2) ID Number.
(4) Page 2 of 10
(5)
Date
P)
Full Name
(6)
Contributor
Type Occupation
(g)
Contribution
Type
(10)
In4dnd
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address & City,
State, Zip Code
08/02/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Event
$1,000.
00
1
08/02/2017
Khan, Amir
7 Neiman P1
Brookfield, CT 06804-
3964 .
I
Cybersecu
rity
Leader
CAE
$500.00
2
08/0412017
A2sie, agire
4317 New Bread St
Oland'o, i3. 3i8') -60%15
S
Att i±Py
INK
Eat
Sup ulies
$44.83;
3
08/04/2017
Ohnen Richard.
4177 N Orange B'loesein
Trl
Unit 608
Orlando, FL 328.04-2792
I
Banker
CHE
$250.00
4
08/07/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
/NK
Office
Supplies
$116.57
5
08/08/2017
Hasan, Yasmin
1211 S Prairie Ave
Chicago, IL 60605-3645
I
Physician
CHE
$1,000.
00
6
08/09/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Records
Request
$84.99
7
08/09/2017
Crowder, Allen
531 W Harvard St
Orlando, FL 32804-5321
I
Contracto
r
CHE
$100.00
B
DS -0E 13 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) Cover Period From 8/1/2017
To 8/31/2017
(2) ID Number.
(4) Pape
3
of
10
(5)
Date
(7)
Full Name
(6)
ContributorSequence
Type Occupation
(5)
Contribution
Type
(10)
In4dnd
Description
(11)
Amendment
(12)
Amount
(6)
Number
(Last, Suffix, First, Middle)
Street Address & City,
State, Zip Code
Usmani, Shaista
I
Physician
CHE
$1,000.
08/10/2017
9005 Great Heron Cir
00
Orlando, FL 32836-5484
9
Ostrodka, Andrea
I
Planner
CHE
$150.00
08/13/2017
1515 Hanks Ave
Orlando, FL 32814-6705
10
V
Jones, Jerry
1
Retired.
CHE
$20.00
OS/ 102017
2326 Princeton Ct
Ilflando, Fl. 32804-5330
11
Masood, Ahmed
I
MD
CHE
$500.00
08/16/2017
-'4:80$ teen L tid Ci
Orlando, FL 32819-3140
12
Carr Management Group
H
Consultin
CHE
$50.00
08/17/2017
732 Edgewater Dr
g Agency
Orlando, FL 32004-6865
13
Culp, Alicia
I
Professio
CHE
$25.00
08/20/2017
1833 I
nal Coach
Orlando, FL 32804
14
Fox, Andrew
I
Insurance
CHE
81,000.
08/20/2017
1815 Hammerlin Ave
Sales
00
Winter Park, FL 32789-
6627
15
Idrees, Mohammad
I
Retired
CHE
$200.00
08/20/2017
7500 Lindenhurst Dr
Orlando, FL 32836-3729
16
OS -O 13 (Rev.11113)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) CoverPedod From 8/1/2017 To 8/31/2017
(2) ID Number:
(4) Page
4
of 10
(8)
Date
(7)
Full Name
(8)
Contributor
Type Occupation
(8)
Contribution
Type
(10)
In4dnd
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address & City,
State, Zip Code
08/22/2017
Gastroenterology
Consultants of Central
Florida
3000 N Orange Ave
Ste D
Orlando, FL 32804-7613
B
Medical
Practice
CHE
$500.00
17
0'8/22/2017
Sheik, Naushad
11220
Windermere, FL 34786
I
Doctor
CHE
$250.00
18
108/22.3/2017
ESkhari, A89rtir
917 Lotus Vista Dr
Alit 201
Altamonte- prings, EL.
31714-49`26S
I
Ditedtbr.
Informati
on
Security
CBEs
$500.0'➢:.
19
08/23/2017
Bokhari, Qammer
917 Lotus Vista Dr
Apt 201
Altamonte Springs, FL
3271.4-4826
I
Executivei..
Cdf:
$500.00
20
08/24/2017
Lender Legal Services,
LLC
201 E Pine St
Ste 730
Orlando, FL 32001-2763
B
Law
Practice
CHE
$500.00
21
08/25/2017
Powell, Ronald
2360 E Linden Hill Dr
Bloomington, IN 47401-
8179
I
Retired
CHE
$100.00
22
08/25/2017
Storey, John
360 E Reading Way
Winter Park, FL 32789-
5811
I
Realtor
CHE
$1,000.
00
23
08/27/2017
Abney, Dennis
1319 W Smith St
Orlando, FL 32804-4829
I
Dietary
Manager
CHE
$20.00
24
DS -DE 19 (Rev.11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) Coverperlod From 8/1/2017 To 8/31/2017
(5)
Date
(7)
Full Name
(Last, SuSix, First, Middle)
Street Address & City,
Mats, Zip Code
(0)
ContAbutor
Type Occupation
(9)
Contribution
Type
(10)
Inadnd
Description
(17)
Amendment
(72)
Amount
(0)
Sequence
Number
08/27/2017
Gardner, Jerol M
2305 Edgewater Dr
Apt 1201
Orlando, FL 32804-5323
I
Retired
CHE
$100.00
25
08/27/2017
Gardner, Winston
:23'05EEdgewater Dr
Apt 1201
Orlando, FL 32804-5323
I
Retired
CHE
$100.00
26
08'f•27t2017
tehtiee, Bfian
96.;8 Vioirroy Tier
Oviedo, FL 32785-5230
I
W1en'dia
College
EiedutiVe
CHE'.
$100.00
27
08/27/2017
Young, Tom
PO Box 540087
Orlando, FL 32854-0087
I
Attorney
INK
Event
Catering
$265.00
28
08/28/2017
Johnson, Daniel
2830 Norfolk Rd
Orlando, FL 32803-1349
I
Attorney
CHE
$100.00
29
08/28/2017
Sheela, Barinath
2642 Fawnlake Trl
Orlando, FL 32828-7842
I
Physician
CHE
$1,000.
00
30
08/29/2017
Azam, Anima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Office
Supplies
861.77
31
08/30/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Advertise
ment
$41.72
32
(2) ID Number:
(4) page 5 of 10
DS -DE 13 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) Cover Period From 8/1/2017 To 8/31/2017
(2) ID Number.
(4) Page
6
of 10
(5)
Date
(VI
Full Name
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(72)
Amount
(8)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address & City,
State, Zip Code
08/31/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Office
Supplies
$26.60
33
08/31/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Event
Food
$94.43
34
08/3112017
ConeaLvo, Anthony
1224 Chichester St
'Dtlandn. FL 32803-1114
I
Realtor/a!,
roker
CHE
$150.00
35
08/31/2017
Lindeman, William
1116 6* IVdnhhe 8193
Apt 12
Orlando, FL 32804-6323
/
Attorney
CHE
$100.00
36
08/31/2017
Sheikh, Faisal
14808 Lone Eagle Dr
Orlando, FL 32837-7015
I
Investor
CHE
$500.00
37
DS DE 13 (Rev. 11113)
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Nance Asima Azam
(3) CoverPerlod From 8/1/2017
To
8/31/2017
(2) ID Number.
(4) Page
7
of 10
(8)
Date
(7)
Full Name
(8)
Purpose
(add office sought If
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(8)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address & City,
State, Zip Code
00/02/2017
Colling, Casey
1850 E Adams Dr
Campaign
Assistant
MON
$498.00
Maitland, FL 32751-
5858
1
OB/02 /2017
Millstone Group, LLC
P.O. 1239
Consultant
MON
$1,000.00
Winter Park, FL 32789
2
08102!2017
$$P Van ;Pc.
PO Box 3922'64
Campaign Software
MON
$450.00
Pittsburgh., PA 15251-
9264
3
Printmeisters
Yard Signs
MON
$837.09
08/03/2017
10732 William Tell Dr
Orlando, FL 32821-8764
4
Calling, Casey
Campaign
MON
$398.00
08/20/2017
1850 E Adams Dr
Assistant
Maitland, FL 32751-
5858
5
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Discover Data
Usage
MON
$0.02
Ste 500
Reston, VA 20190-5858
6
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
MC Digital
Enablement
MON
$0.03
Ste 500
Reston, VA 20190-5858
7
DS -DE 14 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima Azam
(3) CoverPedod From 8/1/2017
To
8/31/2017
(2) ID Number:
(4)Page 8 of 10
(6)
Date
(T)
Full Name
(Last, Suffix, First, Middle)
Street Address 8: City,
State, Zip Code
(6)
Purpose
(add office sought If
contribution to a
candidate)
(8)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Visa Data
Integrity
MON
$0.20
Ste 500
Reston, VA 20190-5858
8
Sage Payment Solutions
Discover Autb
MON
$0.20
08/31/2017
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
9
Sage Payment Solutions
MAnARD
NON
$0.30
0813172017
12120 Sunset Hills Rd
ASSESSFW.aTS
Ste 580
Reston, VA 20190-5858
1Q
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Visa Acquirer
Processing Fee
MON
$0.30
Ste 500
Reston, VA 20190-5858
11
Sage Payment Solutions
Discover
MON
$0.65
08/31/2017
12120 Sunset Hills Rd
Assessments
Ste 500
Reston, VA 20190-5858 ,
12
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
AMEX AUTH
MON
$0.80
Ste 500
Reston, VA 20190-5858
13
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
AMEX NETWORK FEE
MON
81.88
Ste 500
Reston, VA 20190-5858
14
DS -DE 14 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima. Azam
(3) CoverPedod From 8/1/2017
To
8/31/2017
(2) ID Number:
(4) Page 9 of 10
(5)
Date
(7)
Full Name
(6)
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
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Discover Business
MON
$15.75
Ste 500
Reston, VA 20190-5858
15
Sage Payment Solutions
Visa Rate 3
MON
$2.30
08/31/2017
12120 Sunset Hills Rd
Checkcard
Ste 500
Reston, VA 20190-5858
16
Sage Payment Solutions
AMEX Rate 2
MON
$30.00
0&/31/2017
-
12120 Sunset Rills Rd
Ste 500
Reston, VA 20190-5858
17
Sage Payment Solutions
Visa Business
MON
$32.60
08/31/2017
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
18
Sage Payment Solutions
American Express
MON
$36.13
08/31/2017
12120 Sunset Hills Rd
Discount
Ste 500
Reston, VA 20190-5858
19
Sage Payment Solutions
VISA ASSESSMENTS
MON
$4.31
08/31/2017
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
20
Sage Payment Solutions
NON SWIPED AMEXCN
MON
$4.37
08/31/2017
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
21
DS -DE 14 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima Azam
(3) CoverPedod From 8/1/2017 To 8/31/2017
(2) ID Number:
(4) Page 10 of 10
(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
(8)
Sequence
Number
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MC Discount
MON
$4.98
22
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa/MC Per
Item/AOTHS
MON
$6.40
23
08'/31/2017
Sage Payment Solutions
12120Sn/int Hills Rd
Ste 500
Reston, VA 20190-5858
VS Discount
MON
$65.99
24
08/31/2017
_.
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa Rate 3
MON
$68.35
25
08/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
FANF CNP
MON
$7.00
26
08/31/2017
Sage Payment Solutions MASTERCARD Rate 3
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MON
$7.60
27
08/31/2017
Sage Payment Solutions DS Discount
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MON
$9.95
28
DS -DE 14 (Rev. 11113)