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Home My Public Portal AboutCampaign Treasurer's Report (21)FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Asima Azam OFFICE USE ONLY Name (2) 4317 New Broad Street �t JUN12'17 PI Address (number and street) Orlando, FL 32814 City, State, Zip Code API ("TTY c III CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): NI Candidate (office sought): Orlando City Commissioner, District 3 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 me Independent Expenditure (IE) (also covers an individual mil making electioneering communications) (5) REPORT IDENTIFIERS Cover Period: From 5 / 1 / 2017 To 5 /31 / 2017 Report Type M5 O Original •Amendment • Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 10,260.00 (7) EXPENDITURES THIS REPORT Expenditures $ Transfers to Office Account $ 0.00 Loans $ 0.00 Total Monetary $ 2,738.21 Total Monetary $ 10, 260.00 In -Kind $ 708.28 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date $ 66,059.72 (10) TOTAL Monetary Expenditures To Date $ 15,873.58 (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 In itlual (only • electioneering commun.)for x'4 7.--c: ✓Treasurer Deputy Treasurer /� x �/ .n• •ae ��,ylllll Chairperson (only for PC, PTY & ,ate ctioneering commun. organization) A/ Signature Sig DS -DE 12 (Rev. 11/13) i:19 _EERK CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (7) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 2 of 11 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (a) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 05/02/2017 Prime Care Psychiatric Associates PA 8936 Southern Breeze Dr Orlando, FL 32836-5012 B Psychiatr is Office CHE $200.00 1 05/04/2017 Dover International Company, Inc. 1307 S International Pkwy Ste 1091 Lake Mary, FL 32746- 6 Real Estate Broker CHE $250.00 2 05/04/2017 Iftikhar, Quratulann 2221 Wild Tamarind Blvd Orlando, FL 32828-9357 I Physician CHE $100.00 3 05/05/2017 Abbas, Ambreen 9925 Chardonnay Dr Orlando, FL 32832-5609 I Housewife CHE $100.00 4 05/05/2017 Ahmed, Safia 11043 Ullswater Ln Windermere, FL 34786- 5412 I Housewife CHE $150.00 5 05/05/2017 Florida's Best Health Solutions, LLC PO Box 22511 Lake Buena Vista, FL 32830-2511 B Insurance Agency CHE $100.00 6 05/05/2017 Ghobashy, Rasha 656 Shadowmoss Cir Lake Mary, FL 32746- 4421 I Housewife CHE $100.00 7 05/05/2017 Qureshi, Tahira 8767 Southern Breeze Dr Orlando, FL 32836-5010 i Housewife CAS $50.00 8 DS -DE 13 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 3 of 11 (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 05/05/2017 Sattar, Ilunaina 10403 Autumn Glen Ct Orlando, FL 32836-5978 I Housewife CHE $100.00 9 05/05/2017 Shaikh, Dr. Saad 8987 Bevington Ln Orlando, FL 32827-7058 I Physician INK Fundraise r Catering $150.00 10 05/05/2017 Shaikh, Maliha 5372 Bay Side Dr Orlando Orlando, FL 32819-4070 I Realtor CHE $100.00 11 05/05/2017 The Lung Clinic PA 1115 N Central Ave Kissimmee, FL 34741- 4405 B Medical Group CHE $250.00 12 05/07/2017 Dell'01io, Agata 5335 Brady Ln Orlando, FL 32814-6752 I Director Analysis and Planning CHE $100.00 13 05/08/2017 Chaudhry, Mona 10730 Boca Pointe Dr Orlando, FL 32836-5856 I Photograp her CHE $50.00 14 05/08/2017 Jaspon, Jeremiah 7586 Park Springs Cir Orlando, FL 32835-2626 I Attorney CHE $250.00 15 05/08/2017 Vilmos, Nicolette 1221 Dorchester St Orlando, FL 32803-1119 I Attorney CHE $250.00 16 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 4 of 11 (5) Date (T) 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 05/08/2017 Wilk ins on, Amy 7708 Red River Rd West Palm Beach, FL 33411-5813 I Retired - School Administr ator CHE $20.00 17 05/10/2017 El Awadi., Mahmoud 1236 Royal Saint George Dr Orlando, FL 32828-8026 I Financial Advisor CHE $500.00 18 05/10/2017 Lazarus, Susan 1412 Nottingham St Orlando, FL 32803-1106 I Student CHE $100.00 19 05/11/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Catering $26.97 20 05/12/2017 Aggarwal, Joya 2906 Lincroft Ave Orlando, FL 32814-6766 I Consultan t CHE $100.00 21 05/12/2017 Hill, Mike PO Box 541528 Orlando, FL 32854-1528 I Business Owner INK Flyers $31.52 22 05/13/2017 Lawler, Thomas 800 Highland Ave Ste 200 Orlando, FL 32803-3907 I Real Estate Developme nt CHE $100.00 23 05/14/2017 Khan, Kiran 2326 Northern Leaf St Orlando, FL 32817-3424 1 Customer Service CHE $50.00 24 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 5 of 11 (5) Date (T) 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 05/14/2017 Moon, Musarrat 9125 Southern Breeze Dr Orlando, FL 32836-5053 I Physician CHE $100.00 25 05/15/2017 Danna, Kathy 1410 Bluebird 01 Orlando, FL 32803-2303 I Project Manager CHE $200.00 26 05/15/2017 Vicaruddin, Nausheen 4272 town center blvd Orlando, FL 32837-6192 I Business Manager CHE $100.00 27 05/16/2017 Keating, Lisa 2550 Lake Shore Dr Orlando, FL 32803-1316 I Housewife CHE $100.00 28 05/17/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK The Soda Fountain $287.50 29 05/17/2017 Collins, Viktoria 1250 Park Pointe Ln Winter Park, FL 32789- 1326 I Mediator CHE $100.00 30 05/17/2017 Randolph, Susannah 701 Delaney Park Dr Orlando, FL 32806-1321 I Senior Campaign Represent ative CHE $250.00 31 05/19/2017 King, Kristen 1802 Stonehurst Rd Winter Park, FL 32789- 5813 I Housewife CHE $500.00 32 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 6 of 11 (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 05/22/2017 Agrawal, Anuja 4301 New Broad St Orlando, FL 32814-6045 I TT Web Developme nt CITE $500.00 33 05/22/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Lunch Meeting $58.75 34 05/22/2017 Hussain, Diana 9239 Bayway Dr Orlando, FL 32819-4087 I Medical Doctor CHE $100.00 35 05/22/2017 Naessens, Maria- Christina 2843 Stanfield Ave Orlando, FL 32814-6776 1 Stay at home Mom CHE $100.00 36 05/24/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 5 Attorney INK Records Request $77.54 37 05/24/2017 Bose, Emily 2503 Lake Baldwin Ln Orlando, FL 32814-6764 1 Chef CHE $100.00 38 05/24/2017 Del.1'olio, Agata 5335 Brady Ln Orlando, FL 32814-6752 I Director Analysis and Planning CITE $20.00 39 05/25/2017 Ali, Sarah 518 Springcreek Dr Longwood, FL 32779- 3353 I Artist CITE $150.00 40 DS -DE 13 (Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 7 of 11 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Contributor Type Occupation 19) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 05/25/2017 Misbah, Nudrat 9127 Point Cypress Dr Orlando, FL 32836-5478 I Housewife CHE $250.00 41 05/25/2017 Misbah, Sitwat 8838 Zeeland Archer Blvd Orlando, FL 32836-8836 I Housewife CHE $150.00 42 05/26/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Office Supplies $30.00 43 05/26/2017 Malik, Iram 765 Markham Woods Rd Longwood, FL 32779- 2821 I DPT CHE $100.00 44 05/26/2017 McCartney & Company, Inc. 1109 W Church St Orlando, FL 32805-2217 B Contracto r CHE $500.00 45 05/28/2017 Miller, Jan 2500 Norfolk Rd Orlando, FL 32803-1343 I Retired CHE $100.00 46 05/29/2017 Williams, Warren 312 Wing Ln Winter Park, FL 32789- 6150 I Developer /Attorney CHE $500.00 47 05/30/2017 Azam, Asima 4317 New Broad St Orlando, FL 32814-6045 S Attorney INK Kelly's Homemade Ice C $46.00 48 DS -DE 13 (Rev. 17113) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 8 of 11 (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 05/30/2017 Cats of Orlando, LLC 6167 Harbour Town Ct Orlando, FL 32819-4441 8 Real Estate Investmen t CUE $1,000. 00 49 05/30/2017 Crescent Ventures Unlimited, LLC 6167 Harbour Town Ct Orlando, FL 32819-4441 B Medical Practice CHE $1,000. 00 50 05/30/2017 Razack-Malik, Nasreen 6167 Harbour Town Ct Orlando, FL 32819-4441 I Psychiatr ist CHE $1,000. 00 51 05/30/2017 Schrampfs, Stephanie 1007 Lake Highland Dr Orlando, FL 32803-2513 I Tutor CHE $20.00 52 05/30/2017 Shah, Farwah 11000 Bridge House Rd Windermere, FL 34786- 5404 I Housewife CHE $100.00 53 05/31/2017 Ahmed, Nadia 509 Barclay Ave Altamonte Springs, FL 32701-6323 I Professso r CHE $200.00 54 DS -DE 13 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (2) ID Number: (3) CoverPeriod From 5/1/2017 To 5/31/2017 (4) Page 9 of 11 (5) Date (T) 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 05/01/2017 Colling, Casey 1850 E Adams Dr Campaign Assistant MON $300.00 Maitland, FL 32751- 5858 7. Millstone Group, LLC Consultant MON $1,000.00 05/01/2017 p,0. 1239 Winter Park, FL 32789 2 NGP Van, Inc. Campaign Software MON $450.00 05/03/2017 PO Box 392264 Pittsburgh, PA 15251- 9264 3 Coiling, Casey Campaign MON $388.00 05/23/2017 1850 E Adams Dr Assistant Maitland, FL 32751- 5858 4 Boom Marketing & Marketing MON $500.00 05/24/2017 Events 5703 Red Bug Lake Rd Ste 161 Winter Springs, FL 5 32708-4969 Sage Payment Solutions MC Digital MON $0.05 05/31/2017 12120 Sunset Hills Rd Enahlement Ste 500 Reston, VA 20190-5858 6 Sage Payment Solutions Visa Acquirer MON $0.16 05/31/2017 12120 Sunset Hi11s Rd Processing Fee Ste 500 Reston, VA 20190-5858 7 DS -DE 14 (Rev. 11/13) 3 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPerlod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 10 of 11 (5) Date IN 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 (16) Amendment (11) Amount (6) Sequence Number 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Data Integrity MON $0.30 8 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD ASSESSMENTS MON $0.54 9 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VISA ASSESSMENTS MON $1.26 10 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX NETWORK FEE MON $1.61 11 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 FANF CNP MON $1.80 12 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AMEX AUTH MON $1.80 13 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa Rate 3 MON $17.70 14 DS -DE 14 (Rev. 11/13) CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Asima Azam (3) CoverPeriod From 5/1/2017 To 5/31/2017 (2) ID Number: (4) Page 11 of 11 (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 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 VS Discount MON $19.31 15 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD Rate 3 MON 03.10 16 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MASTERCARD BUSINESS MON $3.35 17 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 NON SWIPED AMEXCN MON $3.74 18 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 AM Discount MON $30.93 19 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Visa/MC Per Item/AUTHS MON 05.60 20 05/31/2017 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MC Discount MON 08.96 21 DS -DE 14 (Rev. 11/13)