HomeMy Public PortalAboutCampaign Treasurer's Report (M-6)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) OFFICE USE ONLY
Name
(2)
Address (number and street)
City, State, Zip Code
Check here if address has changed (3)ID Number:
(4)Check appropriate box(es):
Candidate Office Sought:
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 / / To / / Report Type:
Original Amendment Special Election Report
(6)Contributions This Report (7)Expenditures This Report
Monetary
Expenditures Cash & Checks $ , , . $ , , .
Loans $ , , . Transfers to
Office Account $ , , .
Total Monetary $ , , .
Total Monetary $ , , .
In-Kind $ , , .
(8)Other Distributions
$ ,, .
(9)TOTAL Monetary Contributions To Date (10)TOTAL Monetary Expenditures To Date
$ , , .$ , , .
(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:
(Type name) (Type name)
Individual (only for IE Treasurer Deputy Treasurer Candidate Chairperson (only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
By City Clerk
Robert F. Stuart
P.O. Box 547353
Orlando, FL 32854
2021D3002
4 District 3, Orlando City Commissioner
M-6
4
4
21 225 21
0 00
21 225 21
856 24
4 686 65
0 00
4 686 65
30 625 21
0 00
5 321 86
06 01 21 06 30 21
3A71995A-D489-4340-A199-E6E926A68295
07/12/21 - 03:54:00
07/12/21 - 03:54:00
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 206 12
06 Joan Milligan
Individual
Check
$100.001
Individual
Corporate Check
$100.002
Individual
Consultant Check
$55.003
Individual
Real Estate Check
$100.004
Individual
Attorney Check
$500.005
Individual
Gen Sales
Mgr
Check
$300.006
Individual
Counselor Check
$250.007
01 21 30 21
05 21
06 05 21
06 05 21
06 06 21
06 06 21
06 08 21
06 08 21
805 Nottingham St.
Orlando, FL 32803
Miguel Gallegos
P. O. Box 204
Indianapolis, IN 46206
Charlie Stuart
523 Bryn Mawr
Orlando, FL 32804
Tom Cook
2305 Edgewater Drive,
#1205
Orlando, FL 32804
Stokes Wallace
857 Greens Ave.
Orlando, FL 32804
C. Dwight Bain
2150 Greystone Trail
Orlando, FL 32818
500 Ivanhoe Plaza
Orlando, FL 32804
Patrick Christiansen
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 306 12
06 Charles Gray
Individual
Attorney Check
$100.008
Individual
Consulting Check
$50.009
Individual
Attorney Check
$500.0010
Individual
Attorney Check
$150.0011
Individual
Executive Check
$1,000.0012
Individual
Check
$100.0013
Individual
Lawyer Check
$500.0014
01 21 30 21
09 21
06 09 21
06 10 21
06 13 21
06 15 21
06 15 21
06 17 21
301 E Pine St.
Orlando, FL 32801
Barbara Stuart
523 Bryn Mawr St.
Orlando, FL 32804
Jacob Stuart Jr.
1601 E Amelia St.
Orlando, FL 32803
James E. Cheek
1019 Bryn Mawr St.
Orlando, FL 32804
Grace Chewning
214 Wekiva Park Drive
Sanford, FL 32771
Kathleen Skambis
2305 Edgewater Drive,
#1708
Orlando, FL 32804
P. O. Box 941242
Orlando, FL 32794
J. Wallace Henderson
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 406 12
06 Paul Demetree
Individual
Real Estate Check
$500.0015
Individual
Construction Check
$500.0016
Individual
Dairy
Industry
Check
$1,000.0017
Individual
Real Estate
Broker
Check
$500.0018
Individual
Attorney Check
$100.0019
Individual
Sales
Consultant
Check
$100.0020
Individual
Insurance Check
$100.0021
01 21 30 21
21 21
06 23 21
06 25 21
06 25 21
06 27 21
06 27 21
06 28 21
731 Vassar St.
Orlando, FL 32804
Brian Butler
89 Interlaken Rd.
Orlando, FL 32804
Richard T. Lee
PO Box 2113
Orlando, FL 32802
William Tew
1015 Lancaster Dr.
Orlando, FL 32806
Georgia Lee Stuart
1300 Arthur St.
Orlando, FL 32804
William Palmer
2122 Forest Club Drive
Orlando, FL 32804
3870 Ethan Lane
Orlando, FL 32814
Kyle Shepherd
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 506 12
06 Marc Levine
Individual
Attorney Check
$200.0022
Individual
Attorney Check
$1,000.0023
Individual
Business Check
$1,000.0024
Individual
Retired Check
$100.0025
Individual
Attorney Check
$250.0026
Individual
Manager Check
$100.0027
Business
Catering InKind Kickoff Event
$856.2428
01 21 30 21
29 21
06 29 21
06 29 21
06 29 21
06 29 21
06 29 21
06 29 21
923 Yates St.
Orlando, FL 32804
Mayanne Downs
821 E. Kaley Street
Orlando, FL 32806
Craig Mateer
615 E. Harding St.
Orlando, FL 32806
Mary Margaret Aprile
71 Howard Lane
Tonawanda, NY 14150
Lillian Payne
942 N. Westmoreland
Dr.
Orlando, FL 32804
Dubsdread Catering
549 W. Par St.
Orlando, FL 32804
P.O. Box 944
Orlando, FL 32802
William Wieland
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 606 12
06 Laura Martinez
Individual
Office Mgr Check
$100.0029
Individual
Consultant Check
$250.0030
Individual
Accountant Check
$100.0031
Individual
Banker Check
$50.0032
Individual
Retired Check
$20.2133
Individual
Retired Check
$100.0034
Individual
Govt
Relations
Check
$250.0035
01 21 30 21
30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
919 Valencia Ave.
Orlando, FL 32804
Alan Byrd
2144 Hidden Pine Lane
Apopka, FL 32712
Susan Sackett
320 Niblick Way
Orlando, FL 32804
David Wooten
2801 Norfold Rd.
Orlando, FL 32803
Andy McDonald
3613 N. Westmoreland
Dr.
Orlando, FL 32804
Robert F. Stuart
1408 Knollwood St.
Orlando, FL 32804
350 E. Jackson St.,
#1001
Orlando, FL 32801
Jackie Heaps
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 706 12
06 Leslie Scales-Holloway
Individual
Retired Check
$100.0036
Individual
Real Estate Check
$500.0037
Individual
Retired Check
$300.0038
Business
Investment
Company
Check
$500.0039
Individual
Consultant Check
$500.0040
Individual
Consultant Check
$250.0041
Individual
Attorney Check
$500.0042
01 21 30 21
30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
1616 Lake Shore Drive
Orlando, FL 32808
Maribeth Ball
1721 Espanola Dr.
Orlando, FL 32804
Richard Hunter
630 Vassar St., #2508
Orlando, FL 32804
Sun Charm Ranch, Inc.
1209 Edgewater Drive
Orlando, FL 32804
George Stuart
4012 Maguire Blvd.,
#4214
Orlando, FL 32803
Glen Wieland
3309 Raeford Road
Orlando, FL 32806
100 S. Eola Drive, #607
Orlando, FL 32801
Kelly Cohen
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 806 12
06 Tom Cook
Individual
Real Estate Check
$200.0043
Individual
Attorney Check
$500.0044
Business
Consulting Check
$200.0045
Individual
Consultant Check
$100.0046
Individual
Insurance Check
$200.0047
Individual
Consultant Check
$100.0048
Individual
Childcare Check
$500.0049
01 21 30 21
30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
2305 Edgewater Drive,
#1205
Orlando, FL 32804
Randolph Rush
2110 Shaw Lane
Orlando, FL 32814
Sutton Business
Consulting LLC
5319 Lake Jassamin Dr
Orlando, FL 32839
Mayra Uribe
2480 E. Michigan St.
Orlando, FL 32806
Matt Broffman
3616 Neptune Drive
Orlando, FL 32804
Allie Loveland
11 E. Evans St.
Orlando, FL 32804
1157 Oakpoint Circle
Apopka, FL 32712
Bryan Nelson
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 906 12
06 Jan McPherson
Individual
Housewife Check
$1,000.0050
Business
Tourism
Industry
Check
$1,000.0051
Business
Travel
Company
Check
$1,000.0052
Individual
Planner Check
$100.0053
Individual
Building Check
$200.0054
Individual
Physician Check
$125.0055
Individual
Self-
Employed
Check
$200.0056
01 21 30 21
30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
1278 Country Club Oaks
Circle
Orlando, FL 32804
NBC Universal Media
LLC
1000 Universal Studios
Plaza
Orlando, FL 32819
Universal City Travel Co.
1000 Universal Studios
Plaza
Orlando, FL 32819
Grace Harrison
801 Oak St.
Orlando, FL 32804
Frederick Hartker
6289 Blakeford Dr.
Winderemere, FL 34786
Helen Crittenden
1023 Pinar Dr.
Orlando, FL 32825
1218 N. Westmoreland
Dr.
Orlando, FL 32804
Rita Flatherty
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 1006 12
06 Earl Crittenden
Individual
Attorney Check
$250.0057
Individual
Attorney Check
$100.0058
Business
Appraiser Check
$250.0059
Individual
Advertising Check
$100.0060
Business
Advertising Check
$1,000.0061
Business
Traffic
Engineering
Check
$500.0062
Individual
Teacher Check
$500.0063
01 21 30 21
30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
06 30 21
116 Annie St.
Orlando, FL 32806
Katherin Flury
1015 Riviera Blvd.
Oviedo, FL 32765
Pinel & Carpenter
1390 Hope Rd., #100
Maitland, FL 32751
Craig Swygert
2365 Hammock View
Drive
Winter Garden, FL
34787
Belden & Associates,
LLC
707 Nicolet Ave., #100-B
Winter Park, FL 32789
Leigh O'Donoghue
4650 Enders St.
Orlando, FL 32814
P. O. Box 659512
San Antonio, TX 78265
Clear Channel Outdoor,
Inc.
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Robert F. Stuart 2021D3002
06 1106 12
06 Sally Wieland
Individual
Teacher Check
$125.0064
Individual
Retired Check
$200.0065
01 21 30 21
30 21
06 30 21
3309 Raeford Rd.
Orlando, FL 32806
Dean Grandin
2189 Lake Baldwin
Lane, #D402
Orlando, FL 32814
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Robert F. Stuart 2021D3002
06 01 21 06 30 21 12 12
06 02 21 InTouch Strategies, Inc.Website Design Monetary
$1,110.00
1 526 Rugby St.
Orlando, FL 32804
USPS
06 10 21 Stamps Monetary
$27.50
2
1705 Edgewater Drive
Orlando, FL 32804
USPS
06 15 21 Stamps Monetary
$55.00
3
1705 Edgewater Drive
Orlando, FL 32804
The Fund
06 15 21
Stationery Monetary
$244.95P. O. Box 628601
Orlando, FL 328624
Robert F. Stuart Sr.
06 24 21 Website Update Reimbursem
ents $79.991300 Arthur St.
Orlando, FL 328045
InTouch Strategies, Inc.
06 25 21 Website Design Monetary
$1,040.00526 Rugby St.
Orlando, FL 328046
BeatCreative Marketing LLC Video Monetary
$1,750.00062921
1302 Olympia Park Circle
Ocoee, FL 347617
Anedot, Inc.Online Giving Monetary
$379.21063021
1340 Poydras St., #1770
New Orleans, LA 701128
Instructions for Campaign Treasurer’s Report Summary
(1)Name: full name of the candidate, political committee, party executive committee, electioneering
communications organization, or individual making an independent expenditure or electioneering
communication.
(2)Address: the full address or post office box, city, state, and zip code.
Check the box if the address has changed since the last report filed.
(3)ID Number: identification number assigned by the filing officer.
(4)Check the appropriate box(es).
(5)Report Identifiers
Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate
cover period dates as published by the filing officer.
Report Type: refer to the filing officer’s calendar of reporting dates for the correct codes to be used for
each reporting period. If report is for a special election add “S” in front of the report code (i.e., SG3).
Check one of the appropriate boxes:
Original: first report filed for this reporting period.
Amendment: must summarize only contributions/fund transfers and expenditures/distributions being
reported as additions or deletions. Read instructions for sequence numbers and amendment types on
the back of Forms DS-DE 13A and 14A.
Special Election Report: Important: once a special election report is filed, the entity is required to file all
remaining reports due for the special election.
(6)Contributions This Report:
Cash and Checks: total amount for this reporting period.
Loans: total amount for this reporting period.
Total Monetary: sum of Cash and Checks and Loans.
In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period.
(7)Expenditures This Report:
Monetary Expenditures: total amount of monetary expenditures for this reporting period.
Transfers to Office Account: total amount transferred to an office account by elected candidates only.
Total Monetary: sum of Monetary Expenditures and Transfers to Office Account.
(8)Other Distributions: the total amount of goods and services contributed to a candidate or other
committee by a PC, ECO, or PTY.
(9)TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(10)TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(11)Type or print the required officer’s name and have them sign the report:
Candidate report: treasurer and candidate must sign.
PC report: treasurer and chairperson must sign.
PTY report: treasurer and chairperson must sign.
ECO report: organization’s treasurer must sign.
IE or EC report: individual must sign (this applies when an individual acts alone to make these
expenditures)
AMENDMENT REPORTS: An amendment report summary should summarize only
contributions, expenditures, distributions, & fund transfers being reported as additions or
deletions. Read the instructions for the sequence number & amendment type fields on
the back of forms DS-DE 13, 14, 14A and 94.
INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1)Candidate’s full name or name of the political committee (PC), electioneering communications organizations
(ECO) or party executive committee (PTY).
(2)The identification number assigned by the filing officer.
(3)Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar for
appropriate year and cover periods.)
(4)Page numbers (e.g., 1 of 3 ).
(5)Date contribution was RECEIVED (Month/Day/Year).
(6)Sequence Number – Each detail line shall have a sequence number assigned to it. Sequence numbers
are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail
line type, and sequence number will combine to uniquely identify a specific contribution, expenditure,
distribution or fund transfer. This method of unique identification is required for responding to requests from
the filing officer and for reporting amendments.
For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next
report (M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on
amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with
sequence number 41. See the Amendment Type instructions below.
(7)Type full name and address of contributor (including city, state and zip code).
(8)Enter the type of contributor using one of the following codes:
Occupation of contributor for contributions over $100 only. (If a business, please indicate nature of
business.)
I Individual
B Business (also includes corporations, organizations, groups, etc.)
E Electioneering Communications Organizations
F Political Committee (federal or state)
(includes federal, state and county executive P Political Parties committees)
O Other (e.g., candidate surplus funds to party, etc.)
S Candidate to Self
(9)Enter Contribution Type using one of the following codes:
NOTE: Cash includes cash and cashier’s checks.
Code Description
CAS Cash or Cashier’s Check
CHE Check
COF Carryover Funds from Previous Campaign
INK In-Kind
INT Interest
LOA Loan
MO Money Order
MUC Multiple Uniform Contributions
RCT Other Receipts
REF Refund (Negative Amount Only)
(10)Typ e the description of any in-kind contribution received.
Candidate’s Only – If in-kind contribution is from a party executive committee and is allocable
toward the contribution limits, type an “A” in this box. If contribution is not allocable, type an “N”.
(11)Amendment Type (required on amended reports) – To add a new (previously unreported) contribution for
the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required
data.
The sequence number for contributions with amendment type “ADD” will start at one plus the number of
contributions in the original report. For example, amending an original M1 report that had 75 contributions
means the sequence number of the first contribution having amendment type “ADD” will be 76; the second
“ADD” contribution would be 77, etc. When amending an original M2 report that had 40 contributions, the
sixth “ADD” contribution would have sequence number 46.
To correct a previously submitted contribution use the following drop/add procedure. Enter “DEL” in
amendment type on a line with the sequence number of the contribution to be corrected. In combination
with the report number being amended, this sequence number will identify the contribution to be dropped
from your active records. On the next line enter “ADD” in amendment type and ALL of the required data
with the necessary corrections thus replacing the dropped data. Assign the sequence number as described
above.
(12)Type amount of contribution received. Political Committees ONLY: Multiple uniform contributions from the
same person, aggregating NMT $250 per calendar year, collected by an organization that is the affiliated
sponsor of a PC, may be reported by the PC in an aggregate amount listing the number of contributors
together with the amount contributed by each and the total amount contributed during the reporting period.
The identity of each person making such uniform contribution must be reported to the filing officer by July 1
of each calendar year, or, in a general election year, NLT the 60th day immediately preceding the primary
election.
INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – FUND TRANSFERS
(1)Type candidate’s full name or name of the political committee (PC), electioneering communications
organization (ECO), or party executive committee (PTY).
(2)Type identification number assigned by the filing officer.
(3)Type cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar
for appropriate cover periods.)
(4)Type page numbers (e.g., 1 of 3).
(5)Type date of fund transfer (Month/Day/Year).
(6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to
be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and
sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund
transfer. This method of unique identification is required for responding to requests from the filing officer and for
reporting amendments.
For example, a M1 report having 2 fund transfers would use sequence numbers 1 thru 2. The next report (M2),
comprised of 4 fund transfers would use sequence numbers 1 thru 4. Fund transfers on amended M1 reports
would begin with sequence number 3 and on amended M2 reports would begin with sequence number 5. See the
Amendment Type instructions below.
(7)Type full name and address of financial institution (including city, state and zip code).
(8)Enter Transfer Type using one of the following codes:
DESCRIPTION
Transfer FROM identified account to campaign account
Transfer TO identified account from the campaign account
CODE
F
T
(9)Nature of Account (e.g., certificate of deposit, money market, etc...)
(10)Amendment Type (required on amended reports) - To add a new (previously unreported) fund transfer for
the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required data.
The sequence number for fund transfers with amendment type “ADD” will start at one plus the number of fund
transfers in the original report. For example, amending an original M1 report that had 75 fund transfers, means
the sequence number of the first fund transfer having amendment type “ADD” will be 76; the second “ADD” fund
transfer would be 77, etc. When amending an original M2 report that had 40 fund transfers, the sixth “ADD” fund
transfer would have sequence number 46.
To correct a previously submitted fund transfer use the following drop/add procedure. Enter “DEL” in
amendment type on a line with the sequence number of the fund transfer to be corrected. In combination with
the report number being amended, this sequence number will identify the fund transfer to be dropped from your
active records. On the next line enter “ADD” in amendment type and ALL of the required data with the
necessary corrections thus replacing the dropped data. Assign the sequence number as described above.
(11)Type amount of fund transfer.
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO),
or party executive committee (PTY).
(2)Identification number assigned by the filing officer.
(3)Cover period dates (01/01/15 through 01/31/15). (See filing officer’s reporting dates calendar for appropriate cover
periods.)
(4)Page numbers (e.g., 1 of 3).
(5)Date of expenditure (Month/Day/Year).
(6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be
assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and
sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer.
This method of unique identification is required for responding to requests from the filing officer and for reporting
requirements.
For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report
(M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1
reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31.
See Amendment Type instructions below.
(7)Full name and address of entity receiving payment (including city, state and zip code).
(8)Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate).
PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other
candidates from campaign funds. However, PCs (supporting candidates) and party executive committees
contributing to candidates must report office sought (Section 106.07, F.S.).
(9)Enter Expenditure Type using one of the following codes:
Code Description
CAN Candidate Expense
DIS Disposition of Funds
DFC Disposition of Funds to Future Campaign (effective 11/1/13)
DPP Disposition of Funds to Political Party (effective 11/1/13)
DPV Disposition of Funds to Petition Verification (effective 11/1/13)
ECC Electioneering Communication
IEC Independent Expenditure Regarding a Candidate
IEI Independent Expenditure Regarding an Issue
MON Monetary (Not to a Candidate)
PCW Petty Cash Withdrawn
PCS Petty Cash Spent
PPD Pre-paid Distribution
REF Refund (Negative Amount Only)
RMB Reimbursements
TOA Transfer to Office Account (Disposition of Funds)
(10)Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the
reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for expenditures with amendment type "ADD" will start at one plus the number of
expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means
the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD"
expenditure would have sequence number 39.
To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment
type on a line with the sequence number of the expenditure to be corrected. In combination with the report number
being amended, this sequence number will identify the expenditure to be dropped from your active records. On the
next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing
the dropped data. Assign the sequence number as described above.
(11) Amount of expenditure.
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
THIS FORM IS USED TO REPORT DISTRIBUTIONS OF GOODS OR SERVICES CONTRIBUTED TO A CANDIDATE
OR COMMITTEE, INDIRECT EXPENDITURES AND REIMBURSEMENTS.
(1)Name of the entity.
(2)Identification number assigned by the filing officer.
(3)Cover period dates (e.g., 03/01/14 through 03/31/14). (See the filing officer’s reporting dates calendar for
appropriate cover periods.)
(4)Page numbers (e.g., 1 of 3).
(5)Date of distribution (Month/Day/Year).
(6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be
assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and
sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer.
This method of unique identification is required for responding to requests from the filing officer and for reporting
amendments.
For example, a M1 report having 40 distributions would use sequence numbers 1 through 40. The next report
(M2), comprised of 30 distributions would use sequence numbers 1 through 30. Distributions on amended M1
reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number
31.See Amendment Type instructions below.
(7)Full name and address of entity receiving distribution (including city, state and zip code).
(8)Purpose of distribution (if distribution is a contribution to a candidate, also type the office sought by the candidate).
(9)For each distribution that is related to an itemized expenditure previously listed on Itemized Expenditures (Form
DS-DE 14), enter the Year, Report Type and Sequence Number associated with the expenditure.
*PARTY EXECUTIVE COMMITTEES ONLY - If distribution is allocable toward the contribution limits, type
an "A" in this box. If distribution is nonallocable, type and "N".
(10)Amendment Type (required on amended reports) - To add a new (previously unreported) distribution for the
reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for distributions with amendment type "ADD" will start at one plus the number of
distributions in the original report. For example, amending and original M1 report that had 75 distributions, means
the sequence number of the first distribution having amendment type "ADD" will be 76; the second "ADD"
distribution would be 77, etc. When amending an original M2 report that had 30 distributions, the ninth "ADD"
distribution would have sequence number 39.
To correct a previously submitted distribution use the following drop/add procedure. Enter "DEL" in amendment
type on a line with the sequence number of the distribution to be corrected. In combination with the report number
being amended, this sequence number will identify the distribution to be dropped from your active records. On the
next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus
replacing the dropped data. Assigns the sequence number as described above.
(11)Amount of distribution.
(12)Distribution Type
Code Description
PPD Pre-paid Distribution
RMB Reimbursements
CCP Credit Card Purchase
INK In-Kind Distribution