The URL can be used to link to this page

Home My Public Portal AboutCampaign Treasurer's Report (20)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Azam OFFICE USE ONLY ORL CITY CI Name (2) 4317 New Broad Street Address (number and street) Orlando, FL 32814 AY1d'17P( City, State, 21p Code ❑CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): District (3) ID Number: 3 ✓ 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 In 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 4 / 1 / 2017 To 4 / 30 / 2017 Report Type M4 ❑ Independent Expenditure Report V Original I Amendment ❑ Special Election Report (6) CONTRIBUTIONS THIS REPORT Cash 8 Checks $ 10, 600.00 (7) EXPENDITURES Monetary Expenditures Transfers Account Total Monetary THIS REPORT $ 2, 463.23 Loans $ 0.00 to Office $ 0.00 Total Monetary $ 10, 600.00 $ 2,463.23 In -Kind $ 2,484.72 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 55,799.72 (10) TOTAL Monetary Expenditures To Date $ 13,135.37 (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 C Id a �lChairperson (only for PC, PTV 8 electioneering commun.organization) Individual (only for I ✓Treasurer Deputy Treasurer electiiooneeeerinnggcommun.) X gnature Sign a DS -DE 12 (Rev. 11113) .ERK 8.44 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 2 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (18) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 04/02/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 8 Attorney INK Catering $167.55 1 04/02/2017 DeToma, Frank PO Box 967 Winter Park, FL 32790- 0967 I Consultan t CHE $50.00 2 04/05/2017 Ali, Satre 11012 Bridge House Rd Windermere, FL 34786- 5404 I Physician CHE $250.00 3 04/05/2017 Elevation Development,LLC 121 S Orange Ave Ste 1230 Orlando, FL 32801-3239 B Real Estate CHE $1,000. 00 4 04/05/2017 Sarvotham, Grace 918 Canton St Orlando, FL 32803-3207 I Physician CHE $250.00 5 04/06/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Dancing on the Drive $40.67 6 04/06/2017 Shaikh, Maliha 5372 Bay Side Dr Orlando Orlando, FL 32819-4070 I Realtor CHE $500.00 7 04/07/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 5 Attorney INK Vista Print $119.99 8 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) Cover Period From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 3 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 04/09/2017 Khanani, Kulsoom 13415 Fossick Rd Windermere, FL 34786- 7364 I HR Consultan t CHE $100.00 9 04/10/2017 DePriest, Cherie 4400 New Broad St Orlando, FL 32814-6046 1 Homemaker CHE $250.00 10 04/10/2017 Shaikh, Zakir 2030 Roberts Point Dr Windermere, FL 34786- 5807 I Surgeon, DMD, MD CHE $1,000. 00 11 04/12/2017 Prather, Russ 210 Stirling Ave Winter Park, FL 32789- 5747 I Physician CHE $200.00 12 04/12/2017 Purkey, William 545 Pine Hollow Trail Oviedo, FL 32765 I Physician CHE $100.00 13 04/12/2017 Thornton, Curtis 35 NE Ivanhoe Blvd Orlando, FL 32804-5961 I Retired CHE $100.00 14 04/13/2017 Bristol, Alexis 4526 Enders St Orlando, FL 32814-6022 I Real Estate Agent CHE $250.00 15 04/15/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Sticker Mule $760.00 16 DS -DE 13 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS CO Name Asima Azam (3) CoverPeriod From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 4 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, hip Code (S) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 04/17/2017 DBA Attitude Specialty Lighting 1509 E Jefferson St Orlando, FL 32801-2143 B Specialty Lighting CHE $50.00 17 04/17/2017 Kennedy, Jessica 3074 Stanfield Ave Orlando, FL 32814-6779 I Attorney CHE $50.00 18 04/18/2017 Borglum, Chris 4083 Belle Meade Ct Casselberry, FL 32707- 6325 I Professor CHE $100.00 19 04/18/2017 Broussard, Mike 380 Lakeview St Orlando, FL 32804-6883 I Attorney CHE $500.00 20 04/18/2017 Garcia, Manny 705 Lake Davis Dr Orlando, FL 32806-1342 I Writer CHE $50.00 21 04/18/2017 Halpern, Will 1810 University Dr Orlando, FL 32804-5854 I Attorney CHE $100.00 22 04/18/2017 Powell, Aaron 804 Vassar St Orlando, FL 32804-4923 I Professor CHE $100.00 23 04/18/2017 Ramsier, Jill 916 E Pine St Orlando, FL 32801-3054 I Business Owner CHE $100.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPerlod From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 5 of 10 (5) Date (1) Full Name (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code (6) Contributor Type Occupation (9) Contributlon Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 04/18/2017 Richardson, Philip 407 Peachtree Rd Orlando, FL 32804-6812 I Attorney INK Event Catering $640.62 25 04/18/2017 Ruffier, Bill 927 W Harvard St Orlando, FL 32804-5205 I Attorney CHE $100.00 26 04/18/2017 Ruffier, John 3701 Lake Sarah Dr Orlando, FL 32804-3427 I Attorney CHE $100.00 27 04/18/2017 Seagle, Joe 407 Peachtree Rd Orlando, FL 32804-6812 I Attorney INK Event Valet $582.33 28 04/18/2017 Springer, Nicolette 10236 Chorlton Cir Orlando, FL 32832-6166 I Homemaker CHE, $100.00 29 04/18/2017 Suarez, Mark 11 W Yale St Orlando, FL 32804-5946 I Transport ation Engineer CHE $50.00 30 04/18/2017 U.S. Design Source Inc. PO Box 541528 Orlando, FL 32854-1528 B Flooring Company CHE $250.00 31 04/19/2017 Eliscu, A PO Box 547478 Orlando, FL 32854-7478 I Public Relations CHE $250.00 32 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 6 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Contributor Type Occupation (S) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 04/19/2017 Shelburne, Dayna 1632 Oriole Ave Orlando, FL 32803-2332 I Retired CUE $100.00 33 04/20/2017 Petersen, Donald 2293 Osprey Ave Orlando, FL 32814-6523 I Retired CHE $200.00 34 04/20/2017 Pollock, Sandy 1408 Bluebird P1 Orlando, FL 32803-23D3 I Psycholog ist CHE $100.00 35 04/21/2017 Peters, Phil 804 Alameda St Orlando, FL 32804-7203 I Professor CHE $500.00 36 04/21/2017 Sutton, Dusty 804 Alameda St Orlando, FL 32804-7203 I Broker- Owner CHE $1,000, 00 37 04/24/2017 Anderson, Brian 1508 Lake Shore Dr Orlando, FL 32803-1305 I Retired CHE $1,000. 00 38 04/24/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Vista Print $137.49 39 04/24/2017 Dover International Company, Inc. 1307 S International Pkwy Ste 1091 Lake Mary, FL 32746 - B Real Estate Broker CHE $250.00 40 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 7 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Contributor Type Occupation (6) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 04/24/2017 Nayyar, Elizabeth 11774 Lake Aston Ct Apt 102 Tampa, FL 33626-3134 I Retired CHE $100.00 41 04/25/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Event Food $36.07 42 04/25/2017 Fones, Alana 1225 Bryn Mawr St Orlando, FL 32804-4907 I Stay home mom CHE $100.00 43 04/25/2017 Godorov, Susan 832 Ellwood Ave Orlando, FL 32804-7251 I Business ConSultan t CHE $100.00 44 04/25/2017 Hurd, Patricia 2247 Snow Rd Orlando, FL 32814-6558 I Engineer CHE $100.00 45 04/25/2017 Lutfi Rental Collection 720 5 Orange Blossom Trl Orlando, FL 32805-3144 B Real Estate CHE $1,000. 00 46 04/25/2017 Thornton, Curtis 35 NE Ivanhoe Blvd Orlando, FL 32804-5961 I Retired CHE $100.00 47 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPerlod From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 8 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address 8, City, Stale, Zip Code (8) Purpose (add office sought If contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 04/02/2017 Colling, Casey 1850 E Adams Dr Maitland, FL 32751- 5858 Campaign Assistant MON $138.00 04/02/2017 Millstone Group, LLC P.0. 1239 Winter Park, FL 32789 Consultant MON $1,000.00 2 04/19/2017 Colling, Casey 1850 E Adams Dr Maitland, FL 32751- 5858 Campaign Assistant MON $348.00 3 04/27/2017 Observer Media Group, Inc. 720 5 Dillard St Winter Garden, FL 34787-3908 Advertisement MON 5803.00 4 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VS Discount MON $23.90 5 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Discount MON $21.89 6 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AM Discount MON $40.47 7 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 4/1/2017 To 4/30/2017 (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) (6) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 NON SWIPED AMEXCN MON $4.89 8 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 FANF CNP MON $7.00 9 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Acquirer Processing Fee MON $0.08 10 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Data Integrity MON $0.30 11 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Digital Enablement MON $0.11 12 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX ACTH MON $1.40 13 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX NETWORK FEE MON $2.10 14 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Asima Azam (3) Cover Period From 4/1/2017 To 4/30/2017 (2) ID Number: (4) Page 10 of 10 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (9) Purpose (add office sought If contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD ASSESSMENTS MON $1.52 15 09/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VISA ASSESSMENTS MON 51.57 16 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX Rate 2 MON $15.00 17 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD Rate 3 MON 530.10 18 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 MON 519.90 19 04/30/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per Item/AUTHS MON $4.00 20 DS -DE 14 (Rev. 11/13)