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Home My Public Portal AboutCampaign Treasurer's Report (17)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Azam OFFICE USE ONLY ORL CITY HAR9r17 I Name (2) 4317 New Broad Street Address (number and street) Orlando, FL 32014 City, State, Zip Code ❑CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): O Candidate (office sought): Orlando City Commissioner, District (3) ID Number: 3 III Political Committee (PC) CHECK IF PC OR ECO HAS DISBANDED ❑Electioneering Communication Org. (ECO) El 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 eiectioneednq communications) (5) REPORT IDENTIFIERS Cover Period: From 2 / 1 / 2017 To 2 / 20 / 2017 Report Type 142 ❑ Independent Expenditure Report 0 Original • Amendment Special Election Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 18, 371.00 (7) EXPENDITURES Monetary Expenditures Transfers Account Total Monetary THIS REPORT $ 5/539' 45 Loans $ 928.72 to Office $ 0.00 Total Monetary $ 19, 299.72 $ 5,539.45 In -Kind $ 466.50 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 32,699.72 (10) TOTAL Monetary Expenditures To Date $ 7,989.45 (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 Chairperson (only for PC, PTY & J erMidate electioneering commun. organization) X ir-------) Individual (only for electioneering commun.) is Deputy Treasurer X ClGi Signature Signa tire DS -DE 12 (Rev, 11113) LERK M9:25 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 2 of 13 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (9) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (1 1) Amendment (12) Amount (6) Sequence Number Estes, Ted I Attorney CHE $500.00 02/01/2017 1479 Glencoe Rd Winter Park, FL 32789- 5735 1 Fu, Leah I Housewife CHE $500.00 02/01/2017 4081 Upper Union Rd Orlando, FL 32814-6535 2 Goetz, Greg I Pest CHE $100.00 02/01/2017 1587 Arrowroot P1 Control Oviedo, FL 32765-7284 Business Owner 3 Kobert, Roy I Attorney CHE $100.00 02/01/2017 1215 Delaney Ave Orlando, FL 32806-1232 4 Richman, Scott I Attorney CHE $250.00 02/01/2017 2018 Lake Fischer Cove Ln Gotha, FL 34734-4502 5 Idle, Kristen I Attorney CHE $250.00 02/03/2017 370 E Lake Sue Ave Winter Park, FL 32789- 5831 6 Verna, Shivani I Physician CHE $150.00 02/03/2017 1825 Lake Baldwin Ln Orlando, FL 32814-6720 7 Moses, Wendi I Housewife CHE $100.00 02/04/2017 3686 Lower Union Rd Orlando, FL 32814-6506 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 3 of 13 (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 02/05/2017 Jensen, Sara 1835 Palm Ln Orlando, FL 32803-1535 I Finance Director CHE $100.00 9 02/05/2017 Thompson, Melissa 2101 Snow Rd Orlando, FL 32814-6556 I Housewife CHE $250.00 10 02/06/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Shirts $90.53 11 02/07/2017 Lang, Stephen 1300 E Michigan St Orlando, FL 32806-4815 I Realtor/B roker CHE $200.00 12 02/08/2017 Brown, Tom 4058 Oak St Orlando, FL 32814-6129 I Attorney CHE $150.00 13 02/08/2017 Chen, Cynthia 1411 Elizabeth Dr Winter Park, FL 32789- 2777 I Pediatric Otolaryng ologist CHE $500.00 14 02/08/2017 Khan, Safina 1523 Hanks Ave Orlando, FL 32814-6705 I Attorney CHE $500.00 15 02/08/2017 Lake Baldwin Dental 950 Lake Baldwin Ln Orlando, FL 32814-6651 B Family and Cosmetic Dentistry CHE $250.00 16 DS -DE 13 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 4 of 13 (6) 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 02/08/2017 Penne-Tringas, Nicole 422 Main St Windermere, FL 34786- 8605 I Property Manager CHE $500.00 17 02/09/2017 Ali, Hana 2005 E Stirling Ct Hendersonville, TN 37075-9415 I Research Director CHE $100.00 18 02/09/2017 Coleman, Catherine 8713 Lake Tibet Ct Orlando, FL 32836-5481 I Stay -at- Home Mom CHE $250.00 19 02/09/2017 Tongson, Eileen 3201 Corrine Drive Suite 201 0/0 East End Market Orlando, FL 32803 I Flower Shop Owner CHE $1,000. 00 20 02/10/2017 Moorjani, Jean 1041 Lake Davis Dr Orlando, FL 32806-1367 I Physician INK Infusion Tea Catering $238.42 21 02/12/2017 Kabrawala, Chirag 517 Shady Lane Dr Orlando, FL 32804-5812 I Restauran teur CHE $151.00 22 02/12/2017 Kropp, Steve 8 Interlaken Rd Orlando, FL 32804-3418 I Real estate CHE $500.00 23 02/12/2017 Spriggs Strates, Suzan PO Box 411 Winter Park, FL 32790- 0411 I Executive CHE $250.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 5 of 13 (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 02/13/2017 Ashy, Mary 4474 Enders St Orlando, FL 32814-6021 I Real Estate Developer CHE $200.00 25 02/13/2017 Bhaysar, Arti. 520 Richmond St Orlando, FL 32806-1353 I Pharmacis t CHE $100.00 26 02/14/2017 Commercial Building Consultants, LLC 590 N Semoran Blvd Orlando, FL 32807-3374 B Building Consultan is CHE $250.00 27 02/14/2017 Patel, Jaye 1241 Munster St Orlando, FL 32803-1134 I Unemploye d CHE $100.00 28 02/14/2017 Ventura, Jessica 4440 Anson Ln Orlando, FL 32814-6003 1 Sales CHE $250.00 29 02/16/2017 Beg, Mirza 2036 Sultan Cir Chuluota, FL 32766- 8429 1 Physician CHE $20.00 30 02/17/2017 Chase, Charles 2065 Venetian Way Winter Park, FL 32789- 1216 1 Physician Anesthesi ologist CHE $100.00 31 02/17/2017 Safder, Sara 6743 Valhalla Way Windermere, FL 34786- 5627 1 Neuroradi ologist CHE $500.00 32 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 6 of 13 (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 02/17/2017 Siddiqi, Sultan 10153 Tierra Bella Dr I Retired CHE $1,000. 00 Orlando, FL 32825-7726 33 Siddiqi, Zia -- I Retired CHE. $1,000. 02/17/2017 10153 Tierra Bella Dr 00 Orlando, FL 32825-7726 34 Wilkinson, Amy I Retired - CHE $100.00 02/18/2017 7708 Red River Rd School West Palm Beach, FL 33411-5813 Administr ator 35 Azam, Asima 5 Attorney INK Event $29.49 02/19/2017 4317 New Broad St Food Orlando, FL 32814-6045 36 Azam, Asima S Attorney INK Event $11.99 02/19/2017 4317 New Broad St Drinks Orlando, FL 32814-6045 37 Azam, Asima S Attorney LOA $928.72 02/20/2017 4317 New Broad St Orlando, FL 32814-6045 38 Azam, Qazi I Retired CHE $1,000. 02/20/2017 3909 Isle Vista Ave 00 Belle Isle, FL 32812- 2219 39 Azam, Tehmina 1 Retired CHE $1,000, 02/20/2017 3909 Isle Vista Ave 00 Belle Isle, FL 32812- 2219 40 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: 14) Page 7 of 13 (6) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (6) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 02/21/2017 KIERNAN, SCOTT 441 E Muriel St Orlando, FL 32806-4032 I Attorney CHE $250.00 41 02/23/2017 Bissessar, Ravi 11313 Shandon Park Way Windermere, FL 34786- 6063 I Medical Doctor CHE $200.00 42 02/23/2017 Carlsen MD, James 1519 Lake Baldwin Ln Apt A Orlando, FL 32814-6693 I Physician CITE $500.00 43 02/23/2017 Siddiqi, Atif 2527 Lake Baldwin Ln Orlando, FL 32814-6764 I Client Results Executive CHE $700.00 44 02/23/2017 Siddiqi, Yung 2527 Lake Baldwin Ln Orlando, FL 32814-6764 I Physician CHE $1,000. 00 45 02/24/2017 Carlin, Jacqueline 900 Vassar St Orlando, FL 32804-4925 I Journalis t CHE $250.00 46 02/24/2017 Malik, Imran 400 E Lake Sue Ave Winter Park, FL 32789- 5802 I Attorney CHE $500.00 47 02/25/2017 Schroeder, Rita 3280 Lake Shore Dr Orlando, FL 32803-1123 I Stay -at- Home Mom CITE $200.00 48 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asime Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (5) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 02/26/2017 Acosta, Lorena 1551 Conway Isle Cir Belle Isle, FL 32809- 3301 I Medical Doctor CHE $100.00 49 02/26/2017 Azam, Asima 4317 New BIoad St Orlando, FL 32814-6045 S Attorney INK Armando's Event $96.15 50 02/26/2017 Baker, Kristy 1810 Bridgewater Dr Heathrow, FL 32746- 6906 1 Physician CHE $250.00 51 02/26/2017 Brown, Jessica 3063 Kasell Aly Orlando, FL 32814-6781 I Marketing Consultan t CHE $50.00 52 02/26/2017 Kropp, Tom 59 Hoawaa Way Kihei, HI 96753-7708 I Physician CHE $100.00 53 02/26/2017 Popkins, Ned 2001 Harrison Ave Orlando, FL 32804-5447 I Retired CHE $100.00 54 02/26/2017 Powelll, Aaron 804 Vassar St Orlando, FL 32804-4923 I Professor CHE 5250.00 55 02/26/2017 Shaikh, Bina 2030 Roberts Point Dr Windermere, FL 34786- I Engineer CHE $1,000. 00 56 5807 (2) ID Number: (4) Page 8 of 13 DS -DE 13 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 2/1/2017 To 2/28/2017 (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 (72) Amount (6) Sequence Number 02/26/2017 Young, Tom PO Box 540087 Orlando, FL 32854-0087 I Attorney CHE $150.00 57 02/28/2017 LLB Convenience. & Gas, Inc. 4484 SW 34th St Orlando, FL 32811-6441 B Convenien ce Store CHE $500.00 58 (2) ID Number: (4) Page 9 of 13 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 10 of 13 (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 02/04/2017 Coiling, Casey 1850 E Adams Dr Campaign Assistant MON $264.00 Maitland, FL 32751- 5858 1 New Media Campaigns Web Creation MON $2,164.00 02/06/2017 7.10 E Main St Ste 200 Carrboro, NC 27510- 2308 2 i-Social Page Consultant MON 51,000.00 02/07/2017 6185 Lake Lizzie Dr Saint Cloud, FL 34771- 8523 3 Millstone Group, LLC Consultant MON $1,000.00 02/08/2017 P.O. 1239 Winter Park, FL 32789 4 Orlando Police Records Request MON $142.80 02/09/2017 Department- Records Unit PO Box 913 Orlando, FL 32802-0913 5 College Park Sunday in the MON 5250.00 02/13/2017 Neighborhood Park Booth Association PO Box 540859 Orlando, FL 32854-0859 6 Colling, Casey Campaign MON $324.00 02/17/2017 1850 E Adams Dr Assistant Maitland, FL 32751- 5858 7 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 11 of 13 (6) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Purpose (add oNice sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX processing fee MON $5.24 8 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Acquirer Processing Fee MON $0.34 9 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa processing fee MON $0.30 10 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Digital Enabiement MON $0.15 11 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX processing fee MON $1.40 12 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX NETWORK FEE MON $2.25 13 D 2/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD ASSESSMENTS MON $2.02 14 DS -DE 14 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 2/1/2017 To 2/28/2017 (2) ID Number: (4) Page 12 of 13 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, Stale, Zip Code (8) Purpose (add office sought If contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VISA ASSESSMENTS MON $6.51 15 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa processing fees MON $57.18 16 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX Rate 2 processing fee MON $15.00 17 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 Checkcard processing fee MON $7.60 18 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD processing fee MON $45.90 19 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 processing fee MON $70.20 20 02/28/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per Item/Fees MON $7.40 21 DS•DE 14 (Rev. 11/13) (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (2) ID Number: Asima Azam (3) CoverPerlod From 2/1/2017 To 2/28/2017 (4) Page 13 of 13 (5) Date (6) Sequence Number (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 Amount 02/28/2017 22 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Discount processing fees MON 599.53 02/28/2017 23 Sage Payment Solutions 12120 Sunset Hi11s Rd Ste 500 Reston, VA 20190-5858 Mastercard processing fees MON 530.25 02/28/2017 24 Sage Payment Solutions 12120 Sunset Hi11s Rd Ste 500 Reston, VA 20190-5858 American Express Processing fees MON 543.38 DS•DE 14 (Rev. 11/13)