HomeMy Public PortalAboutCampaign Treasurer's Report (18)CAMPAIGN TREASURER'S REPORT
(1) Asima Azam
SUMMARY
OFFICE USE ONLY
Name
(2) 4317 New Broad St
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
0 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 flied
• 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 03 / 01 /2017 To 03 / 31 /2017 Report Type: M3
Election Report
❑ Original 17 Amendment ■ Special
(6) Contributions This Report
Cash & Checks $ 12500 .00
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , 2 ,028 .09
Loans $ , , 0.00
to
$ , , 0.00
Total Monetary $ 12500.00
$ , 2, 028 09
In -Kind $ , 1, 061. 07
(8)
Other Distributions
$ , , 0 . 00
(9) TOTAL Monetary Contributions To Date
$ , 45, 199 . 72
(10)
TOTAL Monetary Expenditures To Date
$ , 9, 903 .29
(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 El Treasurer • Deputy Treasurer
ri Candidate • Chairperson (only for PC and PTY)
or electioneering comm.)
X r 1,------2Signature
Signature
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Anima Azam
(1) Name (2) I.D. Number
03 01
(3) Cover Period / / 2D1. through / / (4) Page
03 31 2017
2
of 3
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(6)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
03
/
05
2017
/
Anima Azam
4317 New Broad St
Orlando, FL 32814
S
Attorney
INK
Catering
ADD
$322.50
36
03
/
07
2017
/
Anima Azam
4317 New Broad St
Orlando, FL 32814
S
Attorney
INK
College Perk
MainStreet
Membership
ADD
$250.00
37
03
/
12
2017
/
Asima Azam
4317 New Broad St
Orlando, FL 32814
S
Attorney
INA
Catering
ADD
$62.50
38
03
/
13
2017
/
Anima Azam
4317 New Broad St
Orlando, FL 32814
S
Attorney
INK
Postage
ADD
$19.60
39
/
/
/
/
/
/
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 o3/ 01 1 2017 through 03 / 31 / 2017
(2) I.D. Number
(4) Page 3 of 3
(5)
Date
(1)
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
(70)
Amendment
(11)
Amount
(6)
Sequence
Number
0Y 05/2017
Tamarind Indian
Cuisine
501 N Orlando Ave
Winter Park, FL 32789-
7313
Catering
MON
DEL
$322.50
26
03/07 2017
/
College Park Main
Street
PO Box 547744
Orlando, FL 32854-7744
Membership
MON
DEL
$250.00
27
03)112i/017
Publix
20 Box 407
Lakeland, FL 33802-
0407
Catering
HON
DEL
$62.50
28
03 13 2017
/
United States Postal
Service
475 Lenfant Plz SW
Washington, DC 20260-
0001
Postage
MON
DEL
$19.60
29
/ /
/ /
/ /
/ /
DS -DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES