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Home My Public Portal AboutCampaign Treasurer's Report (9)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Az am OFFICE USE ONLY OW_ CFI' Name (2) 4317 New Broad Street t IE_;T ? t' :,, Address (number and street) Orlando, FL 32814 City, State, Zip Code ❑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 PTV 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 V Original ❑Amendment ❑Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 5,511.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 11,458.88 Transfers to Office Account $ 0.00 Loans $ 5,000.00 Total Monetary $ 10,511.00 Total Monetary $ 11,458.88 In -Kind $ 5 , 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 Individual (only for electioneering commun.) 1 Treasurer Deputy Treasurer p y X 1 Candidate irperson (only for PC, PTY & tioneering commun. organization) nature Signatu DS -DE 12 (Rev. 11/13) CLERK Am 1_1 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 2 9 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 09/01/2017 , Jeff Brooks 733 Stetson St Orlando, FL 32804-5730 I Videograp her INK Film Productio n $1,000. 00 1 09/01/2017 Malik, Razia 710 Governors Ave Orlando, FL 32808-7640 I Physician CHE $500.00 2 09/01/2017 Rezolution Productions 733 Stetson St Orlando, FL 32804-5730 8 Video Editor INK Film Productio n $1,000. 00 3 09/01/2017 Thomas, Bruce 1731 Winchester Dr winter Park, FL 32789- 5858 I Audio Tech INK Film Productio n $350.00 4 09/03/2017 VANDENDRIESSCHE, Me 1801 Reppard Rd Orlando, FL 32803-1928 I Homemaker CHE $50.00 5 09/19/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 $ Attorney INK Office Supplies $64.00 6 09/19/2017 Orlando Professional Fire Fighters, IAFF Local 1365 4005 N Orange Blossom Trl Orlando, FL 32804-2708 O Firefight ers Union CHE $1,000. 00 7 09/21/2017 Baker, Randall 754 Ellwood Ave Orlando, FL 32804-7320 I Architect CHE $50.00 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 3 of 9 (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 09/21/2017 Jacksonville Association of Firefighters 625 Stockton St Jacksonville, FL 32204-3021 O Firefight ers Union CHE $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 NE 1st St Pompano Beach, FL 33060-6608 O Firefight ers Union CHE $1,000. 00 11 09/23/2017 Wright, James 4250 Haws Ct Orlando, FL 32814-6505 I Independe nt Pharmacy Owner CHE $250.00 12 09/24/2017 Hays, Rebecca 1108 Wilkinson St Orlando, FL 32803-1056 I Realtor INK Event Catering $200.00 13 09/25/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Sticker Mule $215.00 14 09/25/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK The Soda Fountain $62.00 15 09/25/2017 H, Jamal 9319 Tibet Pointe Cir Windermere, FL 34786- 5632 I Physician /Hospital Administr at CHE $250.00 16 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 4 of 9 (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 09/25/2017 Miami Firefighters PAC 2980 NW South River Dr Miami, FL 33125-1146 0 Firefight ers Union CHE $1,000. 00 17 09/26/2017 Carlin, Jacqueline 900 Vassar St Orlando, FL 32804-4925 I journalis t CHE $50.00 18 09/28/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 5 Attorney INK Advertise ment $38.62 19 09/28/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 $ Attorney INK Office Supplies $63.64 20 09/29/2017 Azam, Asima 4317 New Broad St Orlando, FL 32614-6045 5 Attorney INK Vista Print $76.19 21 10/02/2017 , Jeff Brooks 733 Stetson St Orlando, FL 32804-5730 I Videograp her INK Film Productio n $1,000. 00 22 10/02/2017 O'Regan, Mike 825 Chichester St Orlando, FL 32803-1005 1 PA/Grip INK Film Productio n $350.00 23 10/02/2017 Reel World Productions 2701 Oberlin Ave Orlando, FL 32804-4519 8 Videograp her INK Film Productio n $500.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 5 of 9 (5) Date (7) Full Name (Last, Sufflx, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupatlon (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 10/02/2017 Waterman, Mike 905 Alton Ave Orlando, FL 32804-2005 I Productio n Assistant INK Film Productio n $500.00 25 10/04/2017 Radenhausen- Cowan, Jane 6 Carrie 3208 E Colonial Dr # 196 Orlando, FL 32803-5127 I Sales CHE $50.00 26 10/04/2017 Tellam, Suzanne 1622 Gay Dr Orlando, FL 32803-1913 I Real estate sales CHE $50.00 27 10/05/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney LOA $5,000. 00 28 10/05/2017 Larson, Karen 1352 Fern Ave Orlando, FL 32814-6066 I retired CHE $30.00 29 10/05/2017 Peterson, Scott 524 W Princeton St Orlando, FL 32804-5326 I CHE $11.00 30 10/06/2017 Jones, John 803 Park Lake St Orlando, FL 32803-4025 I Planner CHE $200.00 31 10/06/2017 Kramer, Anjali 973 Hanley Aly Orlando, FL 32814-6026 I stay at home mom INK Event Food $18.72 32 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 6 of 9 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Purpose (add otflce sought If contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 09/04/2017 Mack -Sumner Communications, LLC 3100 Clarendon Blvd Ste 200 Arlington, VA 22201- 5302 Flyers MON $2,647.25 09/05/2017 City of Orlando PO Box 4990 Orlando, FL 32802-4990 Qualifying Fee MON $1,740.02 2 09/06/2017 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 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Digital Enablement 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 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 7 of 9 (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 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Data Integrity MON $0.20 8 09/30/2017 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 09/30/2017 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 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Discount MON $16.93 13 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 Checkcard MON $2.30 14 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 8 of 9 (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 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per /tem/AUTHS MON $2.60 15 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD Rate 3 MON $24.30 16 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 FANF CNP MON $7.00 17 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AM Discount MON $7.23 18 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 PCI DSS Annual Fee MON $94.75 19 10/02/2017 Colling, Casey 1850 E Adams Dr Maitland, FL 32751- 5858 Assistant MON $1,770.00 20 10/02/2017 Gallego, Jazlyn 768 Silverwood Dr Lake Mary, FL 32746- 4945 Staff MON $240.00 21 DS•DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 9/1/2017 To 10/6/2017 (2) ID Number: (4) Page 9 of 9 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Purpose (add office sought 11 contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 10/02/2017 Mack -Sumner Communications, LLC 3100 Clarendon Blvd Ste 200 Arlington, VA 22201- 5302 Mailers MON $2,662.25 22 10/02/2017 Millstone Group, LLC P.O. 1239 Winter Park, FL 32789 Consultant MON $1,000.00 23 DS -DE 14 (Rev. 11/13)