HomeMy Public PortalAboutCampaign Treasurer's Report (7)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Jim Gray
OFFICE USE ONLY
Name
(2) 9798 Blandford Rd
Address (number and street)
Orlando, FL 32827
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4)
Check appropriate box(es):
✓ Candidate Office Sought: Orlando City Council - District #1
❑ Political Committee (PC)
■ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
• Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
• Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 05 / 01 / 2017 To 05 / 31 / 2017 Report Type: M5
✓
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , 1, 000 .00
(7) Expenditures This Report
Monetary
Expenditures $ , 375 .00
Loans $ ,
Transfers to
Office Account $
Total Monetary $ 1, 000 .00
Total Monetary $ , , 375.00
- --- ---- ----
_
In -Kind $
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date
$ 11 , 000 00
(10) TOTAL Monetary Expenditures To Date
$ , , 533 • 64
(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) Melissa Gray
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name) Jim Gray
❑ Individual (only for IE I2 Treasurer 0 Deputy Treasurer
or electioneering comm.)
0 Candidate 0 Chairperson (only for PC and PTY)
-'-'---l---•''''47
X r ,
X
Sign id
Signatu
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Jim Gray
(1) Name
05 01 2017 05
(3) Cover Period / / through
(2) I.D. Number
31 2017
(4) Page 1 of
1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendmem
(12)
Amount
(6)
Sequence
Number
05
/
04
2017
/
Maurice Chao
2549 Rose Spring Or
Orlando, £L 32825
I
Doctor
CHE
$500.00
1
05
/
04
2017
/
E T S Inc
13960 Lake Mary Jane
Rd
Orlando, FL 32832
a
Logistics Cc
CHE
$500.00
2
05
/
04
2017
/
Sonya Labosco
10741 Tyson Rd
Orlando, PL 32832
I
Retired
CHE
$500.00
3
05
/
05
2017
/
Sonya Labosco
10741 Tyson Rd
Orlando, FL 32832
I
Retired
CHE
($500.00)
4
/
/
/
/
/
DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray (2) I.D. Number
05 01 2017 05 31 2017 1
(3) Cover Period / / through (4) Page
of
1
(5)
Date
h)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(S)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
05/ 22/2017
//
WebDesign499, LLC
1033 Goldenrod Rd
wellington, FL 33414
Web Design
MON
$375.00
1
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES