HomeMy Public PortalAboutCampaign Treasurer's Report (14)CAMPAIGN TREASURER'S REPORT
(1) Asima Azam
SUMMARY
OFFICE USE ONLY
Name
(2) 4317 New Broad Street
Address (number and street)
Orlando, FL 32814
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
(3)
Commissioner,
ID Number:
District 3
GI Candidate Office Sought: Orlando City
• Political Committee (PC)
here if PC or ECO has disbanded
here if PTY has disbanded
here If no other IE or EC reports will be filed
• Electioneering Communications Org. (ECO) ■
Check
■ Party Executive Committee (PTY) •
Check
• Independent Expenditure (IE) (also covers an IN
Check
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 1 / 12 /2017 To 1 / 31 /2017 Report Type: M1
Election Report
❑ Original M Amendment • Special
(6) Contributions This Report
Cash & Checks $ , 10,900 .00
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , 2 ,477 .95
Loans $ 2,500 .00
to
$ , , 0. 00
Total Monetary $ , 13,400.00
$ , 2, 477.95
In -Kind $ 1, 124.68
(8)
Other Distributions
$ , , 0 . 00
(9) TOTAL Monetary Contributions To Date
$ , 13,400 .00
(10)
TOTAL Monetary Expenditures To Date
$ , 2,477 .95
(11) Certification
It Is a first degree misdemeanor for any person
I certify that 1 have examined this report and it is true, correct,
(Type name) Anjali Kramer
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name) Asima Azam
❑ Individual (only for IE O Treasurer ■ Deputy Treasurer
IS Candidate
chairperson (only for PC and PTY)
1 .i _- -j
or electioneering comm.)
X s---►
X
Signature
Signature (I
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Anima Aram
(3) Cover Period 01/ 12 / 2017 through 01/ 31 / 2017
(2) I.D. Number
(4) Page
2
of
2
(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
01/25/2017
SunTrust Bank
PO Box 79282
Baltimore MD 21279-0282
Checks
MON
ADD
$27.95
5
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DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES