HomeMy Public PortalAboutCampaign Treasurer's Report (16)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
151 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 ❑ Check
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 02 /1 /2017 To 02 / 28 /2017 Report Type: M2
Election Report
■ Original 17 Amendment ■ Special
(6) Contributions This Report
Cash & Checks $ , la 371.00
(7)
Monetary
Expenditures
Transfers
Office Account
Total Monetary
Expenditures This Report
$ , 5 , 397 .25
Loans $ , , 928.72
to
$ , , 0.00
Total Monetary $ , 19, 299.72
$ , 5,397.25
In -Kind $ , 609.38
(8)
Other Distributions
$ , 0 . 00
1
(9) TOTAL Monetary Contributions To Date
$ , 32, 699 .72
(10)
TOTAL Monetary Expenditures To Date
$ , 7 , 875 .20
(11) Certification
It is a first degree misdemeanor for any person
I certify that I 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
o Individual (only for IE O Treasurer ■ Deputy Treasurer
2) Candidate Chairperson (only for PC and PTY)
X• 57
or electioneering comm.)
X 61-0-4.
Signature
Signature
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
Aeima Azam
(3) Cover Period
(2) I.D. Number
02 01 2017 through 02 / xa / zol' (4) Page 2 of 3
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
02
/
09
2017
/
Mime Azam
4317 New Broad St
Orlando, FL 32814
B
Attorney
INK
Records Req.
ADD
$142.80
59
/
/
/
/
/
/
/
/
/
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DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Asima Azam
(3) Cover Period 02 / 01 2017 through 02 / 28 / 2017
(2) I.D. Number
(4) Page 3 of 3
(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
02/02/2017
Sage Payment Solutions
12120 Sunset Hills Rd
Ste 500
Reston, VA 20190-5858
January Processing
Fee
MON
ADD
$0.60
25
02/09 2017
/
Orlando Police Dept.
-Records Unit
PO Box 913
Orlando,FL 32802-0913
MON
DEL
$142.80
5
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DS -DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES