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Home My Public Portal AboutCampaign Treasurer's Report (15)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Azam OFFICE USE ONLY ORL CITY CL FE89'17 AM -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): (3) ID Number: 1 Candidate (office sought): City Commissioner 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 1 / 12 / 2017 To 1 / 31 / 2017 Report Type M1 Expenditure Report 151 Original ❑Amendment ❑ Special Election Report II Independent (6) CONTRIBUTIONS THIS REPORT Cash &Checks $ 10,900.00 (7) EXPENDITURES Monetary Expenditures Transfers Account Total Monetary THIS REPORT $ 2,450.00 Loans $ 2,500.00 to Office $ 0.00 Total Monetary $ 13, 400.00 $ 2,450.00 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 $ 2,450.00 (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. Anja1i Kramer Asima Azam ❑✓ Ca le Chairperson (only for PC, PTV & 9 9 ) ` eclioneerin commun. organization) X -." Intlividual (only for ii electioneering commun.) Q Treasurer Deputy Treasurer Xc 7./ Signature f V Signature DS -DE 12 (Rev. 11/13) ERK :38 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 1/12/2017 To 1/31/2017 (2) ID Number: (4) Page 2 of 7 (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 01/13/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney LOA $500.00 1 01/13/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK purchase domain name $40.00 2 01/19/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney LOA $2,000. 00 3 01/21/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 8 Attorney INK catering $96.00 4 01/21/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK office supplies $23.19 5 01/21/2017 Foodie Catering 2419 Flowering Dogwood Dr Orlando, FL 32828-4829 B Catering INK catering for campaign $800.00 6 01/22/2017 Bosch, Michele 2419 Flowering Dogwood Dr Orlando, FL 32828-4829 I Caterer CHB $500.00 7 01/22/2017 Curry, Melissa 1201 Fern Ave Orlando, FL 32814-6065 I Substitut e teacher CBG $200.00 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 1/12/2017 To 1/31/2017 (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 (9) Contribution Type (1D) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 01/22/2017 Da1a1, Kshitij 2024 Robin Rd Orlando, FL 32814-6544 I Neuroradi ologist CHE $400.00 9 01/22/2017 Downing, Gail 4216 Wardell P1 Orlando, FL 32814-6143 I Retired CUE $1,000. 00 10 01/22/2017 Guitron, Frederic 3792 Lower Park Rd Orlando, FL 32814-6385 I Informati on Requested CHE $50.00 11 01/22/2017 Halon, Matt 1117 Bennett Rd Orlando, FL 32814-6008 I Medical Sales CHE $250.00 12 01/22/2017 Hammond, Keith 1120 Palma Dr Orlando, FL 32805-7166 1 Attorney CHE $100.00 13 01/22/2017 Headrick, Nathan 3912 Lower Park Rd Orlando, FL 32814-6308 i Managing Director CHE 51,000. 00 14 01/22/2017 Kramer, Anja I 973 Hanley Aly Orlando, FL 32814-6026 I stay at home mom CHE $150.00 15 01/22/2017 Lonan, Matthew 2502 Depauw Ave Orlando, FL 32804-5029 I Professor CHE $50.00 16 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 1/12/2017 To 1/31/2017 (2) ID Number: (4) Page 4 of 7 (S) 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 (S) Sequence Number 01/22/2017 Luther, Stephan 4528 Virginia Dr Orlando, FL 32814-6643 I Attorney CHE $100.00 17 01/22/2017 Malchow, Jessica 3700 Branton Dr Oviedo, FL 32765-8606 I Attorney CITE $1,000. 00 18 01/22/2017 Martinez, Keersten 1200 Fern Ave Orlando, FL 32814-6064 I Attorney CHE $250.00 19 01/22/2017 McLeod, Collin 932 Vassar St Orlando, FL 32804-4925 I Attorney CHE $150.00 20 01/22/2017 Michaels, Whitney 3632 Beech Tree Dr Orlando, FL 32835-2677 I Stay at home mom CHE $200.00 21 01/22/2017 Moorjani, Jean 1041 Lake Davis Dr Orlando, FL 32806-1367 I Physician CHE $500.00 22 01/22/2017 Mount, Ann 821 N sole Dr Orlando, FL 32803-3937 I Retired CHE $250.00 23 01/22/2017 Pritts, Chad 4673 New Broad St Orlando, FL 32814-6049 I Physician CHE $250.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 1/12/2017 To 1/31/2017 (2) ID Number: (4) Page 5 of 7 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (8) Contributor Type Occupation (8) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 01/22/2017 Randolph, Susannah 701 Delaney Park Dr Orlando, FL 32806-1321 I Consultan t CHE $250.00 25 01/22/2017 Siddigi, Atif 2527 Lake Baldwin Ln Orlando, FL 32814-6764 I Client Results Executive CHE $300.00 26 01/22/2017 Silliman, Bill 4397 New Broad St Orlando, FL 32814-6045 I Homebuild er/develo per CHE $1,000. 00 27 01/22/2017 Storey, Jamie 4564 Burke St Orlando, FL 32814-6017 I Attorney CITE $1,000. 00 28 01/22/2017 Suits, Yvonne 2900 Lolissa Ln Winter Park, FL 32789-0909 I Office Manager CHE $100.00 29 01/22/2017 The Orange Way, LLC 4884 New Broad St Apt 301 Orlando, FL 32814-6635 8 Developer CHE 51,000. 00 30 01/22/2017 Tisdale, Ellen 2775 Meeting P1 Orlando, FL 32814-6136 I Software developer CHE $500.00 31 01/22/2017 Vetelino, Frida 3699 Derran Ln Orlando, FL 32814-6527 I Research and Developme nt CHE $250.00 32 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 1/12/2017 To 1/31/2017 (2) ID Number: (4) Page 6 of 7 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, Stale, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 01/22/2017 Wankelman, Karen 4501 New Broad St Orlando, FL 32814-6048 I Attorney CHE $100.00 33 01/31/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Promotion al items $165.49 34 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 1/12/2017 To 1/31/2017 (2) ID Number: (4) Page 7 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 01/19/2017 Millstone Group, LLC P.O. 1239 consulting MON $2,000.00 Winter Park, FL 32789 1 Millstone Group, LLC refund check REF -$2,000.00 01/25/2017 P.0. 1239 Winter Park, FL 32789 2 Millstone Group, LLC consulting MON $2,000.00 01/25/2017 P,0. 1239 Winter Park, FL 32789 3 NGP Van purchase campaign MON $450.00 01/25/2017 1445 New York Ave NW software Ste 200 Washington, DC 20005-2158 4 DS -DE 14 (Rev. 11/13)