The URL can be used to link to this page

Home My Public Portal AboutCampaign Treasurer's Report (19)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Azam OFFICE USE ONLY ORL Ms APR11'1- I Name (2) 4317 New Broad Street Address (number and street) Orlando, FL 32814 City, State, Zip Code III CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): District (3) ID Number: 3 I Candidate (office sought): Orlando City Commissioner, 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 3 / 1 / 2017 To 3 / 31 / 2017 Report Type M3 ❑ Independent Expenditure Report 0 Original 1111 Amendment In Special Election Report (8) CONTRIBUTIONS THIS REPORT Cash 8 Checks $ 12,500.00 (7) EXPENDITURES Monetary Expenditures Transfers Account Total Monetary THIS REPORT $ 2,682.69 Loans $ 0.00 to Office $ 0.00 Total Monetary $ 12, 500.00 $ 2,682.69 In -Kind $ 406.47 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 45,199.72 (10) TOTAL Monetary Expenditures To Date $ 10,672.14 (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 Q Candidate ❑Chairperson (only for PC. PTV 8 electioneering commun. organization) ❑ Individual (onlye for ✓Treasurer ❑Deputy Treasurer electioneering ommun.) X Signature Signatu DS -DE 12 (Rev. 11/13) LERK m9:07 CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 2 of 10 (5) Date (T) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Contributor Type Occupation (9) Contribullon Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 03/01/2017 Williams, Gregory 11300 4th St N Ste 250 Saint Petersburg, FL 33716-2918 I Investor CHE $1,000. 00 1 03/02/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Eola Wine Company Even $189.49 2 03/02/2017 Dutt, Nathaniel 1249 Lake Willisara Cir Orlando, FL 32806-5584 I Attorney CHE $50.00 3 03/02/2017 The Heskin Martinez Law Group 800 N Magnolia Ave Ste 1500 Orlando, FL 32803-3269 B Law Practice CHE $200.00 4 03/03/2017 Thomas, Celeste 1938 Foxboro Dr Orlando, FL 32812-8657 I Sales CHE $50.00 5 03/04/2017 Dr. Hajira Shujaat & Associates, LLC 15457 Belle Meade Dr Winter Garden, FL 34787-5515 B Optometry CHE $200.00 6 03/04/2017 Khan, Nishad 1335 Chapman Cir Winter Park, FL 32789- 5951 I Attorney CHE $250.00 7 03/04/2017 Shaikh, Naazli 8987 Bevington Ln Orlando, FL 32827-7058 I Physician CHE $1,000. 00 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 3 of 10 (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 03/05/2017 Ahmed, Sarnia 8815 Southern Breeze Dr Orlando, FL 32836-5034 I Business Owner CHE 5500.00 9 03/05/2017 Asrar, Faraz 10474 Lavande Dr Orlando, FL 32836-8871 I Physician CHE $500.00 10 03/05/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Event Supplies $91.89 11 03/05/2017 Beg, Mirza 2036 Sultan Cir Chuluota, FL 32766- 8429 I Physician CHE $500.00 12 03/05/2017 Hafeez, Umbreen 2808 Pinnacle Ct Windermere, FL 34786- 8219 I Engineer CHE $250.00 13 03/05/2017 Khan, Umbreen 5648 Water Pier Ln Winter Garden, FL 34787-6398 I Attorney CHE $300.00 14 03/05/2017 Mirza, Rais 2524 Kissam Ct Belle Isle, FL 32809- 3587 I Physician CHE $200.00 15 03/05/2017 Qadri, Yasmeen 4668 Hickory Stone Cir Orlando, FL 32829-8239 I College Professor CHE $100.00 16 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 4 of 10 (6) Date (D) 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 (72) Amount (6) Sequence Number 03/05/2017 Razak, Farah 9149 Southern Breeze Dr Orlando, FL 32836-5053 I Stay -at- Home Mom CBE $1,000. 00 17 03/05/2017 Shaikh, Shoaib 6455 Swanson St Windermere, FL 34786- 4120 I Professor CHE $250.00 18 03/07/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Vista Print $107.10 19 03/07/2017 Ijlaluddin Baber, Sadie 4320 Lower Park Rd Orlando, FL 32814-6393 I Physician CHE $500.00 20 03/07/2017 Sheik, Khurram 5819 Emerington Cres Orlando, FL 32819-4079 I Executive CHE $1,000. 00 21 03/07/2017 Usmani, Shahid 9005 Great Heron Cis Orlando, FL 32836-5484 I Physician CHE $250.00 22 03/09/2017 Green, Caryn 1000 Legion P1 Ste 1650 Orlando, FL 32801-1025 I Lawyer CHE $150.00 23 03/14/2017 Asad, Sarah 7739 Markham Bend P1 Sanford, FL 32771-8107 I Attorney CHE $200.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 5 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (5) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 03/14/2017 Basso, Walter 1340 Chestnut Ave Winter Park, FL 32789- 1602 I CEO CHE $250.00 25 03/14/2017 Siddiqui, Humera 7443 Lake Albert Dr Windermere, FL 34786- 5920 I Optometri st CHE $100.00 26 03/15/2017 Qureshi, Sajeela 3220 Saint Augustine Ct Kissimmee, FL 34746- 3517 I Event Planner CHE $100.00 27 03/16/2017 Naqvi, Habib 255 S Orange Ave Ste 1240 Orlando, FL 32801-3407 I Investor CHE $1,000. 00 28 03/17/2017 Azam, Mishael 212 Douglas Ave Haddonfield, NJ 08033- 1627 I Attorney CHE $500.00 29 03/17/2017 Sattar, Sumbal 8833 Trout Rd Orlando, FL 32836-6550 I Physician CHE $500.00 30 03/26/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Event $17.99 31 03/28/2017 Hasan, Muhammad 10609 Lago Bella Dr Orlando, FL 32832-6034 I Physician CHE $500.00 32 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 6 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, Stale, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 03/28/2017 Lucky Gus, LLC 2014 Edgewater Dr f 179 Orlando, FL 32804-5312 B Home Builder CHE $500.00 33 03/28/2017 Murphy, William 840 Kenilworth Ter Orlando, FL 32803-3903 I residenti al contracto r CHE $500.00 34 03/30/2017 Mycoff, Amelia 2305 Edgewater Dr Apt 1309 Orlando, FL 32804-5331 I Retired CHE $100.00 35 DS -DE 13 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 7 of 10 (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 03/01/2017 Millstone Group, LLC P.0. 1239 Consultant MON $1,000.00 Winter Park, FL 32789 1 Colling, Casey Campaign MON $258.00 03/05/2017 1850 E Adams Dr Assistant Maitland, FL 32751- 5858 2 03/05/2017 Tamarind Indian Cuisine Event Catering MON $322.50 501 N Orlando Ave Winter Park, FL 32789- 7313 3 College Park Main Membership MON $250.00 03/07/2017 Street PO Box 547744 Orlando, FL 32854-7744 4 Publix Catering MON $62.50 03/12/2017 PO Box 407 Lakeland, FL 33802- 0407 5 United States Postal Mail Supplies MON 519.60 03/13/201] Service 475 Lenfant Plz SW Washington, DC 20260- 0001 6 Coiling, Casey Campaign MON $420.00 03/17/2017 1850 E Adams Dr Assistant Maitland, FL 32751- 5858 7 DS.DE 14 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 3/1/2017 To 3/31/2017 (2) ID Number: (4)Page 8 of 10 (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) (8) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Discount MON $30.85 8 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Mastercard Discount MON $20.90 9 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 American Express Discount MON $102.61 10 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 FANF CNP MON $9.00 11 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 NON SWIPED AMEXCN MON $12.41 12 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Acquirer Processing Fee MON $0.08 13 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Misuse of Authorization Fee MON $0.09 14 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Aram (3) Cover Period From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 9 of 10 (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 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Data Integrity MON $0.20 15 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Digital Enablement MON $0.11 16 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX ACTH MON $1.40 17 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX NETWORK FEE MON $5.33 18 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD ASSESSMENTS MON $1.46 19 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VISA ASSESSMENTS MON $2.02 20 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Business MON $8.33 21 DS•DE 14 (Rev. 11/13) ) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPerlod From 3/1/2017 To 3/31/2017 (2) ID Number: (4) Page 10 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX Rate 2 MON $90.00 22 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MasterCard Rate 3 MON $31.70 23 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 MON $30.20 24 03/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per Item/AUTHS MON $3.40 25 DS -DE 14 (Rev. 11113)