HomeMy Public PortalAboutCampaign Treasurer's Report (11)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Asima Azam
USE ONLY
N} V .
Name
(2) 4317 New Broad St
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 10 /21 /2017 To 11 /2 /2017 Report Type 03
❑Independent Expenditure Report
1 Original ❑Amendment ❑Special Election Report
(6) CONTRIBUTIONS THIS REPORT
Cash 8 Checks $ 6, 000.00
(7) EXPENDITURES
Monetary
Expenditures
Transfers
Account
Total Monetary
THIS REPORT
$ 13,759.64
Loans $ 7,000.00
to Office
$ 0.00
Total Monetary $ 13, 800.00
$ 13, 759.64
In -Kind $ 982.41
(8) Other
Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date
$ 117,925.72
(10) TOTAL Monetary Expenditures To Date
$ 96,008.30
(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 al Kramer
Asima Azam
Candi,. alrperson (only for PC, PTY 8
el:tbneering common. organization)
1 I
Individual (only for ,
Treasurer Deputy Treasurer
❑ p y
1
electioneering commun.)
v
Signature —"
Signature
DS -DE 12 (Rev. 11/13)
17 PH4: al
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) CoverPerlod From 10/21/2017 To 11/2/2017
(2) ID Number:
(4) Page
2
of
7
(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
10/22/2017
DeJesus, Edwin
1518 Poinsettia Ave
I
Physician
CHE
$1,000.
00
Orlando, FL 32804-5809
1
Azam, Asima
5
Attorney
INK
Advertise
$50.01
10/24/2017
4317 New Broad St
ment
Orlando, FL 32814-6045
2
Greater Orlando
0
Home
CHE
$1,000.
10/24/2017
Builders Association
Builder
00
1953 Clayton Heritage
Trade
Way
Associati
3
Maitland, FL 32751-
4551
on
Jones, Jennifer
I
Therapist
CHE
$1,000.
10/26/2017
9 Hopkins Cir
00
Orlando, FL 32804-5909
4
Farris, Christopher
I
Construct
CHE
$500.00
10/27/2017
109 W Hazel St
ion
Orlando, FL 32804-3827
5
Farynowski, Kathryn
I
Engineer
CHE
$50.00
10/27/2017
8251 Lake Serene Dr
Orlando, FL 32836-5022
6
Smyrk, Donald
I
CPA
CHE
81,000.
10/27/2017
2537 Morningside Dr
00
Mount Dora, FL 32757-
6601
7
Azam, Asima
L
Attorney
INK
Kidtoberf
$60.74
10/28/2017
4317 New Broad St
est
Orlando, FL 32814-6045
Supplies
8
DS -DE 13 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Asima Azam
(3) CoverPeriod From 10/21/2017 To 11/2/2017
(2) ID Number:
(4) Page
3
of
7
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address & City,
State, Zip Code
(8)
Contributor
Type Occupation
(8)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(8)
Sequence
Number
10/30/2017
Hammond, Daphne
1508 Lake Shore Dr
Orlando, FL 32803-1305
I
Retired
CHE
$1,000.
00
9
10/31/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
INK
Advertise
ment
$296.07
10
10/31/2017
Firefighters &
Paramedics for Public
Safety
740 Commerce Dr
Ste 1
Venice, FL 34292-1743
0
Firefight
ers Union
CHE
$1,000.
00
11
11/02/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
5
Attorney
INK
Event
Supplies
$25.59
12
11/02/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
5
Attorney
INK
Advertise
ment
$50.00
13
11/02/2017
Azam, Asima
4317 New Broad St
Orlando, FL 32814-6045
S
Attorney
LOA
$7,000.
00
14
11/02/2017
Romero Roses, Gloria
13431 Old Sheridan St
Southwest Ranches, FL
33330-3752
I
Real
Estate
Investor
CHE
$250.00
15
DS -DE 13 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima Azam
(3) CoverPerlod From 10/21/2017
To
11/2/2017
(2) ID Number:
(4) Page 4 of
7
(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
10/24/2017
Mack -Sumner
Communications, LLC
3100 Clarendon Blvd
Ste 200
Arlington, VA 22201-
5302
Advertisiny
MON
$10,971.21
10/29/2017
Anthony, Michael
317 Dublin Dr
Lake Mary, FL 32746-
3316
Staff
MON
$180.00
2
10/29/2017
Shaheen, Olivia
2167 Lake Baldwin Ln
Unit 308
Orlando, FL 32814-6946
Staff
MON
$80.00
3
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MASTERCARD
ASSESSMENTS
MON
$0.02
4
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa Acquirer
Processing Fee
MON
$0.10
5
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
AMEX AOTH
MON
$0.20
6
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa Data
Integrity
MON
$0.40
7
DS -DE 14 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima Azam
(3) CoverPeriod From 10/21/2017
To
11/2/2017
(2) ID Number:
(4) Page
5
of
7
(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
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MC Discount
MON
$0.40
8
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
MASTERCARD Rate 3
MON
$0.70
9
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
VISA ASSESSMENTS
MON
$1.19
10
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
AMEX NETWORK FEE
MON
$1.50
11
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa Rate 3
MON
$10.40
12
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
VS Discount
MON
$18.15
13
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5850
Visa Rate 3
Checkcard
MON
$2.03
14
DS -DE 14 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima Azam
(2) ID Number:
(3) CoverPeriod From 10/21/2017 To 11/2/2017 (4)Page 6 of
7
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8. City,
State, Zip Code
(6)
Purpose
(add office sought If
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Merchant Location
Fee for
Mastercard
MON
$2.50
15
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
AM Discount
MON
$28.90
16
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
NON SWIPED AMEXCN
MON
$3.50
17
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
Visa/MC Per
Item/AUTHS
MON
$3.80
18
10/31/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
AMEX Rate 2
MON
$30.00
19
11/01/2017
Coiling, Casey
1850 E Adams Dr
Maitland, FL 32751-
5858
Campaign
Assistant
MON
$870.00
20
11/01/2017
Millstone Group, LLC
P.O. 1239
Winter Park, FL 32789
Consultant
MON
$1,000.00
21
DS -DE 14 (Rev. 11/13)
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Asima Azam
(3) Cover Period From 10/21/2017
To
11/2/2017
(2) ID Number:
(4) Page
7
of
7
(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
11/02/2017
Gallego, Jazlyn
768 Silverwood Dr
Lake Mary, FL 32746-
4945
Staff
MON
$180.00
22
11/02/2017
Simon, Jonathan
4268 Centergate Ln
Apt 101
Orlando, FL 32814-6099
hdvertising
MON
$374.64
23
DS -DE 14 (Rev. 11/13)