HomeMy Public PortalAboutCampaign Treasurer's Report (2)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Tom Keen
OFFICE USE ONLY
Name
(2) 8326 Laureate Blvd
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
•
❑
•
■
individual
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
making electioneering communications)
(5) Report Identifiers
Cover Period: From 10 / 21 / 2017 To 11 / 02 / 2017 Report Type: G3
❑ Original
n
Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $175 , 00 ,
(7) Expenditures This Report
Monetary
Expenditures $ 2 389 09 •
Loans $ 63 , 34 •
Transfers to
Office Account $ -0- ,
Total Monetary $ 175 , 00 , •
Total Monetary $ 2 38,9 09,
In -Kind $ 226 , 92 ,
(8) Other Distributions
$ -0- , .
(9) TOTAL Monetary Contributions To Date
$ , 27, 718 . 34
(10) TOTAL Monetary Expenditures To Date
$ 26 674 01
(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) Tyler Smith
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name) Tom Keen
❑ Individual
or electioneering
(only for IE la Treasurer • Deputy Treasurer
comm.)
'. Candidate 0 Chairperson (only for PC and PTY)
_"</�, Th Leit//
Signature
Signature
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Tom Keen
(3) Cover Period 10/21/2017 through
(2) I.D. Number
11/02/2017 (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)
Amendment
(12)
Amount
(6)
Sequence
Number
10/29/2017
Mel Lopez
19263 Lake Pickett Rd
Orlando, FL 32820
I IT
Technician
CHE
$ 125.00
1
11/01/2017
Nikki Edenfield
13847 Briand Ave
Orlando, FL 32827
I
Business
Manager
CHE
$ 25.00
2
11/01/2017
Ramon De Garcia
13451 Davenham Pt
Orlando, FL 32827
I
Retired
CHE
$ 25.00
3
11/02/2017
Orange County
Democratic Executive
Committee
PO Box 1648
Orlando, FL 32802
P
Political
Committee
INK
Communications
$ 226.92
4
11/01/2017
Tom Keen
8326 Laureate Blvd
Orlando, FL, 32827
5
Manager
LOA
Amendment
$ 63.34
5
DS -DE 13 (Rev. 111 3)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES