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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)