HomeMy Public PortalAboutCampaign Treasurer's Report (6)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Asima Az am
OFFICE USE ONLY
ORL 3.
s]CT2f r
Name
(2) 4317 New Broad Street
Address (number and street)
Orlando, FL 32814
City, State, Zip Code
CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
District
(3) ID Number:
3
1 Candidate (office sought): Orlando City Commissioner
Political Committee (PC) 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 9 / 1 / 2017 To 10 / 6 / 2017 Report Type 61
Independent Expenditure Report
Original 1 Amendment Special Election Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 5,511.00
(7) EXPENDITURES
Monetary
Expenditures
Transfers
Account
Total Monetary
THIS REPORT
$ 11, 458.88
Loans $ 5,000.00
to Office
$ 0.00
Total Monetary $ 10, 511.00
$ 11, 458.88
In -Kind $ 4,438.17
(8) Other
Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date
$ 103,485.72
(10) TOTAL Monetary Expenditures To Date
$ 33,799.37
(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.
Anj all Kramer
Asima Az am
Q Candidate /�_� Chairperson (only for PC, PTY &
� electioneering commun. organization)
Individual (only for
ea Treasurer Deputy Treasurer
electioneering commun.)
X,`E
v�L/ 1
X
Signatur/`�' 1e
Signa
DS -DE 12 (Rev. 11/13)
TY CLERK
7FM4:12
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Anima Azam
(1) Name
09/01/2017
(3) Cover Period /
/
throw h 10/06/ / 17
9
/
(2) I.D. Number
(4) Page 2 of
9
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
09/01/2017
/
/
Brooke, Jeff
733 Stetson St
Orlando, FL 32804-5730
/
Videographer
INK
Film
Production
DEL
$1,000.00
1
09/01/2017
/
/
Malik, Razia
710 Governors AVe
Orlando, FL 32808-7640
I
Physician
CBE
$500.00
2
09/01/2017 /
Resolutions
Productions
733 Stetson St
Orlando, FL 32804-5730
g
Video Editor
INK
Film
production
$1,000.00
3
09/01/2017
/
/
Thomas, Bruce
1731 Winchester Dr
Winter Park, FL
32789-5858
I
Audio Tech
INK
Fill
Production
$350.00
4
09/03/2017
/
/
Vandendriessche, Me
1801 Reppard Rd
Orlando, FL 32803-1928
/
Homemaker
CBE
$50.00
5
09/19/2017
/
/
Aram, Mama
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Office
Supplies
$64.00
6
09/19/2017
/
/
Orlando Professional
Fire Fighters, IAFF
Local 1365
4005 N Orange Blosson
rl
Orlando, F1 32804-2708
0
Firefighters
Union
CBE
$1,000.00
7
DS -OE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Anima Aram
(1) Name (2) I.D. Number
09/01/2017 10/06/2017 3 9
(3) Cover Period / / through / / (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
09/21/2017
/ /
Baker, Randall
754 Ellwood Ave
Orlando, FL 32804-7320
I
Architect
CHE
$50.00
8
09/21/2017
/ /
Jacksonville
Association of
Firefighters
625 Stockton St
Jacksonville, FL
32204-3021
O
Firefighters
Union
CBE
$1,000.00
9
09/21/2017
/ /
Thorp, Steven
740 N Westmoreland Dr
Orlando, FL 32804-7335
I
Urban Planner
CHE
$20.00
10
09/22/2017
/ /
Metro Broward
Professional
Firefighters
304 NB 1st St
Pompano Beach, FL
33060-6608
O
Firefighters
Jnion
CBE
$1,000.00
11
09/23/2017
/ /
Wright, James
4250 Haws Ct
Orlando, FL 32814-6505
I
Indepen
dent
Phazmac
y Owner
CHE
$250.00
12
09/24/2017
/ /
Hays, Rebecca
1100 Wilkinson St
Orlando, FL 32803-1056
I
Realtor
INK
Event
Catering
$200.00
13
09/25/2017
/ /
Aram, Asima
4317 New Broad St
Orlando FL 32814-6045
S
Attorney
INK
Sticker Mule
$215.00
14
DS DE 13 (Rev.11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Anima Azam
(1) Name (2) I.D. Number
09/01/2017 10/06/17 4 9
(3) Cover Period / / through / / (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
Contributor
Type
(S)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
09/25/2017
/ /
Azam, Anima
4317 New Broad St
Orlando, PL 32814-6045
S
Attorney
INR
The Soda
Fountain
$62.00
15
09/25/2017 /
8, Jamal
9319 Tibet Pointe Cir
Windermere, PL 34786-
5632
I
Physician/
Hospital
Admin.
CHB
$250.00
16
09/25/2017 /
Miami Firefighters PAC
2980 NW South River Dr
Miami, FL 33125-1146
0
Firefighters
Union
CHB
$1,000.00
17
09/26/2017
/ /
Carlin, Jacqueline
900 Vassar St
Orlando, FL 32804-4925
I
Journalist
CHB
$50.00
18
09/28/2017
/ /
Azam, Asima
4317 New Broad St
Orlando FL 32814-6045
S
Attorney
INK
Advertisement
$38.62
19
09/28/2017
/ /
Azam, Asima
4317 New Broad St
Orlando FL 32814-6045
S
Attorney
INK
Office
Supplies
$63.64
20
09/29/2017
/ /
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
B
Attorney
INK
Vista Print
$76.19
21
DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Asima Aram
(1) Name (2) I.D. Number
09/01/2017
(3) Cover Period /
10/06/2017
through
9
/ (4) Page
5
of 9
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
10/02/2017
/ /
Brooks, Jeff
733 Stetson St
Orlando, FL 32804-5730
I
Videographer
INK
Film
Production
$1,000.00
22
10/02/2017 /
O'Regan, Mike
825 Chichester St
Orlando, FL 32803-1005
1
PA/Grip
INK
Film
Production
$350.00
23
10/02/2017 /
Reel World Productions
2701 Oberlin Ave
Orlando, FL 32804-4519
B
Videographer
INK
Film
production
$500.00
24
10/02/2017
/ /
Waterman, Mike
905 Alton Ave
Orlando, FL 32804-2005
I
Production
Assistant
INK
Film
Production
$500.00
25
10/04/2017
/ /
Radenhausen- Cowan,
Jane 6 Carrie
3208 E Colonial Dr
# 196
Orlando, FL 32803-5127
/
Sales
CBE
$50.00
26
10/04/2017
/ /
Tellam, Suzanne
1622 Gay Dr
Orlando, FL 32803-1913
I
Real Estate
Sales
CBE
$50.00
27
10/05/2017
/ /
Aram, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
LOA
$5,000.00
28
DS -DE 13 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Aeima Azam
(1) Name (2) I.D. Number
09/01/17
(3) Cover Period
10/06/2017 6
through / / (4) Page of
9
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
10/05/2017
Larson, Karen
1352 Fern Ave
/ /
Orlando, PL 32814-6066
29
I
Retired
CBE
$30.00
Peterson, Scott
10/05/2017 /
524 W Princeton St
Orlando, FL 32804-5326
30
I
CHE
$11.00
Jones, John
10/06/2017 /
803 Park Lake St
Orlando, FL 32803-4025
31
I
Planner
CHE
$200.00
Kramer, Anjali
10/06/2017
973 Hanley Aly
/ /
Orlando, PL 32814-6026
Stay-at-home
32
I
Nom
INK
Event Food
$18.72
/ /
/ /
/ /
DS -DE 13 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name ASima Azam
(3) Cover Period 09/01/,017 / through 10/o6/2on /
(2) I.D. Number
(4) Page 7 of 9
(5)
Date
(T)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(9)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
0 04 {1017
Mack -Sumner
Communications, LLC
3100 Clarendon Blvd
Ste 200
Arlington, VA 22201-
5302
Flyers
MON
$2,647.25
1
0�os/2p 77
!!/
City of Orlando
PO Box 4990
Orlando, FL 32802-4990
Qualifying Fee
MON
$1,740.02
2
09 /Q6 /20}7
/ /
Millstone Group, LLC
P.O. 1239
Winter Park, FL 32789
Consultant
MON
$1,000.00
3
09/07/2017
Gallego, Jazlyn
768 Silverwood Dr
Lake Mary, FL 32746-
4945
Staff
MON
$240.00
4
0/30%.'017
/
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MC Digital
Enabiement
MON
$0.09
5
09/30/2017 ��
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
VISA ASSESSMENTS
MON
$0.09
6
09/30/2017
//
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
AMEX AUTH
MON
$0.20
7
09/305201
/
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston VA 20190-5858
Visa Data
Integrity
MON
$0.20
8
DS -DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Asima Azam
(2) I.D. Number
(3) Cover Period °9101/017 / through 10/06//2017 / (4) Page 8 of 9
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(9)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
09/3Y201'
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
AMEX NETWORK FEE
MON
$0.38
9
09/30/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
NON SWIPED AMEXCN
MON
$0.87
10
09/3 �201�
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MASTERCARD
ASSESSMENTS
MON
$1.02
11
09/30/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
VS Discount
MON
$1.40
12
09/30j201,
//
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MC Discount
MON
$16.93
13
09/3 �201�
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa Rate 3
Checkcard
MON
$2.30
14
09/30/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Rest n, VA 20190-5858
Visa/MC Per
Item/AUTHS
MON
$2.60
15
09/30`201
/
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MASTERCARD Rate 3
MON
$24.30
16
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Asima Azam
(2) I.D. Number
(3)CoverPerlod O9/01T17 / through 10/06/017 / (4) Page 9 of 9
(5)
Date
(1)
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
Sage Payment Solutions
FANF CRP
09/3Y20'/
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MON
$7.00
17
09/30/2017
Sage Payment Solutions
AM Discount
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
HON
$7.23
18
09/30/2017
Sage Payment Solutions
12120 Sunset Hills Rd
PCI DSS Annual
Fee
��
Ste 500
Reston, VA 20190-5858
MON
$94.75
19
Colling, Casey
Assistant
10/02/2017
1850 8 Adams Dr
Maitland, FL 32751-
5858
MON
$1,770.00
20
Gallego, Tazlyn
Staff
10/02�201�
768 Silverwood Dr
//
Lake Mary, FL 32746-
4945
MON
$240.00
21
Mack -Sumner
Mailers
10/02/2017
Communications, LLC
3100 Clarendon Blvd
MON
$2,662.25
Ste 200
Arlington, VA 22201-
22
5302
Millstone Group, LLC
Consultant
10/02/2017
P.O. 1239
Winter Park, FL 32789
MON
$1,000.00
23
/
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES