HomeMy Public PortalAboutCampaign Treasurer's Report (8)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Asima Azam
OFFICE USE ONLY )O L
,�
) E i
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):
0 Candidate (office sought): Orlando City Commissioner District
(3) ID Number:
3
❑ 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 G1
❑Independent Expenditure Report
❑Original ✓ 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.
Anjali Kramer
Asima Azam
Chairperson for PC, PTY &
❑Individual (only for
151 Treasurer Deputy❑ Treasurer }
(only
1 Candidate mi electioneering commun. organization)
electioneering commun.)
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X `�-�
Signature
Signature l
DS -DE 12 (Rev. 11/13)
TY CLERK
.3Ph44: 0
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) Cover Period From 9/1/2017 To 10/6/2017
(2) ID Number:
(4) Page
2
of
2
(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
DEL
$0.00
1
DS -DE 13 (Rev. 11/13)