HomeMy Public PortalAbout2006District5LynumOFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please Type)
2005 JAN 20 PM 1:50
i
candidate for the office of r:
have received, read and understand the requirements of Chapter 106,
Fiorida Statutes.
/,,65
Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to The this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, ( s. 106,19(1)(c), 106.265(1), Florida
Statutes),
DS -DE M {Rev_ n5/03)
73
STATE OF FLORIDA
APPOIITMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN DEPOSITORY
FOR CANDIDATES
(Section 146.021(1), F.5.)
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
OFFICE USE ONLY -
2005 JAN 20 PH 1:50
O
Original Appointment ❑ Deputy Treasurer ❑ Reappointment of Treasurer ❑ Secondary Depository
Name of Candidate
azr IV, y ,,,p--7
1. Address (include post office box or street, city, slate, zip code)
L .1( zig Ho. De
Or 2 ai,ao F 32-g6
-- -
Telephone (optional)
( )
2- Party (Partisan candidates only)
3. Office (add istrict, circuit or gr up number?
'6re'L 137 r fd
I have appointed the following person to act as my Campaign Treasurer
Deputy Treasurer
4. Name of Treasurer er Deputy Treasurer
KIAT.1414 i / Z- SMITH ,
_, _-
5. Mailing Address (If post office box or drawer add street address)
is- 1 f is --,- -it A-8Ey gLo
f. Telephone
iyt7 273 — C2 s--
7- City fI ]
8- County{
9- Stets }'
10, Zip Code q' {
I have designated the following named bank as my
TPrimary
Depository ❑ Secondary Depository
11, Name of Bank .4 �yf y 12, Street Address
Ldl, # 14 Ora C/ �/
—
t3- City f
or /and, ,!!
14- County
C r l de-
15_ State M 16- Zip Code
,`, .
17. Signature of Candidate
Date 0 i / 9, o
42 t'V
—9-117'C
Campaign Tr aSurer's Acceptai ce of Appo tnient
1, f Ti A fJ ( EL i P( Q 1{Z_ . do hereby accept the appointment as
(Please Pnnt or Type) 4 -_du
Campal9n Treasurer ElDeputyTreasurer for the campaign of r7 //6), , „}-j
who is seeking nomination or election as a A/ — candidate to the office of
,q ) ff (Partyf
€i i r7- &� }'�r.S f6r!]r°i# As a duly registered voter in `'} y j 17
.Ora`'}
.
County, Florida, I am qualified to accept this appointment
UNDER PENALTIES OF PERJUKYr I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE,
I
y
f J V S 4
€d
ate • Signature of Campaign Tr surer or eputy Treasurer
DS -DE 9 (Rev. 08103)
7i
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN DEPOSITORY
FOR CANDIDATES
(Section 106.02111 ), F,S,)
(PLEASE TYPE)
CHECK APPROPRIATE BOX
1 Or±gir al Appointment Pl Deputy Treasurer
OFFICE USE ONLY
2005 JAN 20 PH 1:50
U
Reappointment of Treasurer
U
Secondary Depository
Name of Candidate
2)E2. - :-6y « .
Telephone (optional)
1. Address (include post office box or street. city, state, zip code)
le6ir i fe
ccina 32 PeS
2- Party (Partisan candidates only) Office (add district, ciirrJcu,il or group number)
1: J50 C t 4
I have appointed the following person to act as, my
Campaign Treasurer Y beputyTrea firer
4, Name of Treasurer or Deputy Treasurer
a. Mailing Address (If post office box or drawer add street address)
fi- Telephone
7, City
Or Jafao
L County . Skate
I nave designated the following named Dark as my Pdrraary Depository E Secondary Depository
11. Name of Bank/2
1- Street Address
10- Zip Code
32 gdS
13. City
I' &
17. Sijriature. of Candidate
14, County
a�>
�ampaiyn Treasurer's Acceptance of Appo$ntment
vu,
15. State
7E- Zip Cade
3
€a
40. N/72
L(P1eese rim or Type)
Campaign Treasurer 2-15epu.y Treasurer for the campaign of
who is seeking nomination or election as a
arM171e. /
N,4
do hereby accept the appointment as
candidate to the office Dr
{Pa1
As a duly registered voter in
CounIy, Florida, t elm qua:ified to accept this sopo•nttment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
3el--C
Date
x
Signature Q
ampaiork Tre. - `=r or Deputy Treasurer
DS -DE 9 (Rev, a9403)
71
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S URER' REPORT SUMMARY
(1)
(2)
(4)
Daisy W. Lyn u m Campaign
OFFICE USE ONLY
2005 APR S pm 4:O
Name
,ii I Rock Lake € r,
Address (number and street)
Orlando. FL 32805-0GERI
City, State, Zip Code
Check box if address has changed
appropriate hox(es):
Candidate (office sought): City Cain rn i ssiuncr, District 5
I._1
Check
(3) 1-D- plumber. GOON
X
Political Committee Check
If PC has DISBANDED
if CCE has DISBANDED
if no olher electioneering communication reports will be filed
Committee of Continuous Existence
Party Execulive Committee ❑ Check
Electioneering Communication [] Check
Cover
IOriginal
(5) REPORT IDENTIFIERS
Period= From t}l,'d1/2O[)5 TO 41.31/2005 Report Type; QI
Amendment fl Special Election Report
I I independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks X9.5{][�,5[�
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
. ' 8-78
0•C'0
to Office
Monetary X9.50[}. []
- 0-4Q
Monetary S293.9R
$0.00
(8) Other
Distributions S(1.00
(9) TOTAL
Monetary Contributions to Date
$9..500.50
(10)
TOTAL Monetary Expenditures to Date
S298.98
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss, 539.13, F,S,)
I certify that l have examined this report and it is
true. correct and complete
Nathaniel Niertti .p Jr,
I certify that I have examined this report and it is
true. correct and complete
Daisy W. Lynunt
Inmv,atIa,
nlnm]nunn
❑
c �r for r -.l Treasurer Deputy Treasurer
I C
To Candidate
Chgmn {nJy 5' r? PC. PTti
El elect! erring mnumm. ngmlxahani
LO,
X
eri rre., yr
Signature
Signature
D5 -OE 12 ;Rev 65i.+.!
A,1 r+ent Sore .oro -Campaign 1onlR
7005 APR GFMel:O8
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynurn Campaign
(3) Cover Period 010 /20015 - 03131/2005
(2) I.D. Number
(4) Page
00000
1 of 4
(5)
n.E9
(7)
Full Name
(Lasi, tuna. ru,t. middi
Streee frith Lyt. 1.
City, siet, rip c«Ir
Contributor
Type
($)
Occupation
(9)
Conlnbutian
TyPi.
(101
in -kind
Description
(11)
Am.endmen
(12)
Amount
(B)
Sequence
Number
01/30/211115
Rick Berry Design
B
Real
CHE
25g_Qo
P_O_ Box 64-4
Estate
Hickory, NC 28603-0000
000001
01/3012005
Berry, Mary F;,
S65 Grace Chapel
I
Real
Estate
::.-I-
$ 250,00
Hickory, NC 2$601-0000
000002
01/30/2005
Smith, Brad E.
1
Real
CHE
$ 260.00
14300 Ballantyne Country Clud
Estate
Charlotte, NC 28277-0000
000003
01/30/2005
Neill, Eddie
Paving
CHE
$ 250.00
71 40Th Ave Or. NE
Contracto
Hickory, NC 25601-0000
T
000004
o1n (2005
Hagler, Thomas A.
I
Business
CHE
$ 250.00
2626 Flintgrove Rd.
Owner
Charlotte, NC 28226-5619
000005
01/3€/2005.
Brown, Lee G.
P.O. Box 2265
t
Develope
r
C,IHE
$250_4)t]
Hickory, NC 28603-.2285
Business
000006
01I3t}f2005
Brown, Lesley R.
4310 3rd SL NW
I Develope
r
CHE
I
$ 25Q_00
Hickory, NC 28601-0000
Business
000007
01/3047005
Neill, Rita
Paving
C:HE
$ 250.00
714{t 40th Ave. DR. NE
Hickory, NC 26601-0000
Contracto
r
000008
Ds -DE 13 !Rey 013.+03)
Ar11ulanl Softe,iro - Car ,. YD4 1 sx
2005 APR G " 1:02
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 01/0112005 - 03!3112005
(2) 1,0 1. Number 00000
(4) Page
2 of 4
(5)
Date
(7)
Full Norio
ELM SuHiix. First.1..110410
sum,Addrw 8
City. SLuka,7,pCoda
Contributor
Type
(a)
Occupation
19)
Canmot,lrOri
type
(10)
In -kind
aascnpkion
(11)
Amendment
(12)
Amount
(6)
sminikrum
Nurnbor
0113012005
Too/send, Keith R.
I
Business
CHE
$ 2.50.00
6090 Tuckborough Road
Owner
Hickory, NC 2860-0R00
000009
01130/2005
Townsend, Jennifer A.
I
Business
CH E
$ 250.00
6090 Tuckbororgh Road
Owner
Hickory. NC 28602-0000
000010
01130/2005
Ross, Drew
I
Water
CAS
S 500,00
14503 Isle+uiew Drive
Ski
Winter Garden, FL 34787-0001]
Instruct
000011
01/30/2005
Ross, Leigh
1
Wafer
CAS
5 500.00
14503 Isleview Drive
Ski
Winter Garden, FL 34787-0000
Admia3
000012
02/2312005
Lynum. Daisy W.
1
CAS
$ 0.50
411 Rock Lake Drive
Orlando, FL 32805-0.000
000013
03'29;2005
CBS Builders Supply, Inc.
F.3 I
Building
CHE
$ 500.00
P.O. Box 12015
Clermont, FL 34712-0000
I
Contracla
r
000014
03129/2005
Pulie Homes
B
Hone
CHE
$ 500,00
49{}1 Vineland Rd. Ste. 504
Builder
Orlando, FL 32811-0000
000016
03129/2005
Walsh, Stephen R.
134 Meeting Street Suite 110
I
Deuelope
r
CHE
$ 500,00
Charleston. SC 29401-0000
000016
1:13-1:1E 15 (Rev. OHM}
f djuhLnt SuRvrar+r • C-9rrq th I .7oolEox
2005APE BtAi4:E
CAMPAIGN TREASURER'S URER' REPORT RT - ITEMIZED CONTRIBUTIONS
(1) Narne _ Daisy VV. Lynum Campaign
(3) Cover Period 0110112005 - x3/`3112005
(2)1.D, Number 00000
(4) Page
3 of 4
{5)
NI Et
(7)
Full Name
[U.K. SOU, rr t. Male!
sneer Adder -5&
City, slate.. zip cod.
Contributor
Type
(8)
Occupation
(9)
Conlnhuuon
'type
(10)
In -kind
description
(11)
menclmen,
('I2)
Amount
(6)
sngmence
Exuma:Kr
03/29.12005
Kupp, Ken L.
821 Oak Street
I
Develope
r
CHE
500,00
Orlando, FL 32804-6144
000017
03129.12005
The IMMO Group, roc.
E
Real
CHE
$ 500.00
14341 Glencaim Rd-
Miami Lakes, FL 33018-00at]
Estate
lnlrest
000018
0312912005
7453 Universal Boulevard, LLC-
d
Rea
CHE
$ 500.00
14341 Gtencaim Rd,
Miami Lakes, FL 33015-1483
Estate
Ingest
000019
I
0312R+2005
Orlando Southwest Partners
d
Land
CHE
$ 500.00
600 E. Colonial Dr.- Ste. 100
Orlando, FL 32803-0000
Develop
men!
I
000020
03/2912005
Forbes. Nathan M.
r
Shopping
CHE
S 250.00
Suite 427
Cen
I
100 Galleria Officenlre,
Southfield, MI 48034-5205
Owner
000021
031212005
Forbes. Catherine .t,
Suite 427
I
Shopping
Cen
CHE
1
$ 250-00
100 Galleria Oificentre
Owne
Southfirtd, MI 480346295
000022
I
05/20/2005
Forbes. Sidney
Shopping
CHE
$ l00-00
Suite 427 P.O. Box 067
Gen
100 Galleria Offioenlre
Owner
Soulhfeld, MI 48037-0667
000023
03129/2005
I Shutts & Bowen LLP
I e
Attorneys
Cl.ir
$ 500.00
Suite 1000
:300 South Orange Ave.
Orlando. FL 32802-4956
000024
DS -DE 13 (Re.; 497R3r
Adlutytt $oii .m - C vnpni, roolanx
2fl(0! APP E I
CAMPAIGN TREASURERS REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 01/01/2005 - 03/31/2405
(2) La Number 00004
(4) Page 4 of
Date
(7)
FA Flim-Fra
.11-a9A- sufSV. F,J. Waal
5h iE Addross It
city, s+ala.Zip Cade
CorltriE
Type
(8)
Utor
Occupation
(9)
CBrriribullon
T}Fe
(10)
In krnd
Description
(11)
VAmendment
(1 2)
Amount
(8)
S renrn
Number
03/29/2005
GMB Engineers & Planners, Inc
Smite 111
3751 V1aulre Blvd,
Orlando,. FL 32043-0000
B
Engineer
s
CI-IE
$ 250.00
000025
03/29/2005
Southern Land Company
SLIM 1000
20 N. Orange Ave,
Orlando, FL 3281}1-0400
t3
Land
Investme
nt
CHE
$ 500.40
moue
013/29/2005
Merkel, Richard a
4231 Landmark Dr.
Orlando, FL 32817-0000
I
Engineer
CHE
$ 125-00
000027
03/2912005
Merkel, Carol k
423 1 Landmark DI.
Orlando, FL 32817-0000
Engineer
CHE
$ 125-00
000028
1
OS -DE 13 {Ray dll
,4tlJuts1t Software - Lampe. n F ocalEroK
2005 APR G (39
CAMPAIGN TREASURERTS REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. L murn Campaign
(3) Cover Period O1/0'i/2005 - 03131f2005
2) I.D. Number 00000
4) Page
1 of 1
{51
(7)
cull FIRTH!.
[mod_ 5vtfi , -d*, Mitlti }
Samoa! MOWN. &
Cihr,alpIn.Zip Coils
(8)
Pur}Ya9e
{arid QPnce sough if
canlntyHkoroaca,ditlma)
{91
Exionndif ire
Type
{10}
manomen
(11)
Amount
{6)
$ugUranG4
Nurnbar
0212312005
City of Orlando
Copies
MON
5 0.50
400 South Orange Ave
Orlando, FL 3501-0000
004001
02/28/2005
Bank of America
Check Order
MON
$ 35.04
300 Orange Ave
Orlando, FL 32801-0000
000002
03108/2005
US Postal Services Pine Hills
P.O. Box 585727
MCm:
$ 78.00
Branch
Pines Hills Branch
Orlando, FL 32808-7fi21
000003
0313312005
Adxutant Software
Campaign Report
MON
140.98
2055 Bond Road
Software
Deland, FL 32720-4531
000004
03!3012005
Bank of America
Check Stamp Order
MON
$ 44 5[.
390 N. Orange Ave
Orlando, FL 32807-0000
000005
❑ -DE 14. acv Minn
/Ad= Soflwura • Compoigri Tabl9ax
CAMPAIGN TREASURERS REPORT SUMMARY
(1) w. Nnr wMM
mrtusswv
(�
Mwrr(vu�Aar Nrerp
pmW vc
2% 9cC i5 !9-.1L
5M sore.Z Ca
H C
(4)
area(
%avM1Emae
mcux IPSO
fie. Cltl Co mluxev. i) tS
Das& If PC hes DISBANDED
❑ Check
Exd me* mmvvsn ❑CwTrio ells +xmxmv8mimndxmArmYIN mCOW
(5) REPORT IDENTIFIERS
Ill®as vmi eaaTw Q
ToLI—
Ll aexx LI•mm Beam a.m. HMaven ,, .mxwM Repm
(8) CONTRIBUTIONS THIS REPORT
cmnacsur
(I) EXPENDITURES TMS REPCHT
[w $2919B
mx
leans
Ta xvnmy a9Jm.fo
Ta raM Afe.n
mpp woo
(8)OwM1wM¢ 10.00
(9) TOTAL Ma¢Y, Catubcs b ONe
Mfp(II)
(10) TOTP1 Abmbry ETeodiWrta b ONe
Mnw
OERT FICATION
Bea fir degree miWngymrbraay Tench b hBBv a PULYc re¢N (St 839.13, T.S.)
uMwav
3:
Imrtryv l mnxe�Sd IOe Aaimras
uuv
[intr.
Liddcmager �vW mnrcmr
%WeeD2rill
®Mmuv
111DeesY mw
X
)l.-7 Y
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
00000
on
MI (7) M)
(ID)
01)
1 1 I
11603 lelevieve Pm
Skr
Inbula
000011
o�mrzms
�+4�
1403 Seine.. Onv•
I
Water
Ski
Admin
CM
Day
I wow
000012
000029
Dmaw.
Ron. Do,ym
4040 Mden,00 Rd
AS
ADO
s�mw
Dlnmws
Mat OW
x�
ru
noo
s�wm
000032
u�
Iisoxn Dr. xw.
xaur, xc va1.sw
I
CAS
ADD
uww
000033
011302005
AI3IL E°
CAS
CAMPAIGN TREASURERS REPORT -ITEMIZED CONTRIBNRONS
ICI Nan !posy w eryenar
00003
I11
a�nu
cu
Tel
m bm
(9)
aninan
(1O
nsRnn
O➢
pni�u�ue
(12}
mwn
nun
p�nppyy
7'ۥ cx N.E.
I
en
ADD
I�mm
000035
ovuorzoou
wm ne xenN W.
I
CAS
w0
I�mm
FLORIDA DEPARTMENT OF STATE ENVISION OF ELECTIONS
CAMPAIGN TREASURER'S UREI ' REPORT SUMMARY
Daisy W. Lyre* C7 mpaign
Name
411 Ruck Lal4 Dr.
Address {rum and street)
Orlando, FL 05-0000
City, Slate, Zip ode
1.J Check box if dress has changed
(4) Check appropriate box(es):
' Candidate (office sough!); City Commissioner, District 5
Political Committee Checks if PC has !DISBANDED
Committee of Continuous Existence
Party Executive Committee
Electioneering Communication
OFFICE USE ONLY
2005 JUL 8PH2:25
Cover Period:
Original
(3) F.D. Number, 000{00
Check If CCE has DISBANDED
Check if no other electioneering communication reports will be I9ed
(5) REPORT IDENTIFIERS
From 04/01/2005 To 06/30/ 7001$
Amendment
Special Election Report
Report Type: Q2
I 1 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Cheeks
Loans
Total Monetary
In -Kind
$0.00
50.00
$0.00
$0.00
Monetary
Expenditures
Transfers to Office
Account
Total Monetary
4F,? 95.40
$0.00
$4,295.00
(9) TOTAL Monetary Contributions to Date
$9,5410,50
(8) Other Distributions $0.00
(10) TOTAL Monetary Expenditures to Date
54.591.48
(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
Natiutnid Srcphens, Jr_ _
Treasurer I I Deputy Treasurer
I �
IMI', Cuss 14; iI 1w`
elecboneerlr.
oarneninI
Signature
X
k certify that I have examined this report end it is
true, correct and complete
Candldate
US-OC 12!RR', 1:13M-0 I
Signature
Daisy W. Lynum
ChelnnaR {only etr PC, PTY &
lemonDoring crrpr in: or anIL9L8hl
ArylwrI S9flwafe - GenrpWgn TocdB4x
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(I) Name Daisy VV, Lynurn Carrmpaign
(3) Cover Period 04/0112005 - 06/30/2005
(5) (7)
rmie
Full Name
{6) I LAM Sulfur_ F.r, Made)
bequerict, SLGeet ISAd'es r &
Numbe< CJ[y, shin, Tip Cade
(2) J.D. Number 001140
(4)Page 0of0
(8)
Contributor
type
Nothing to report on
Occupation
(9)
Canb b.krh n
Type
(10)
�n-i{irld
Description Amend rnerr
this orm
ArntauMt
DS -DE 13 tRnw. pglp.3
J
Adjulanr Sdtwana - S'arnpaigar Tcal3ux
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynuni Campaign (2) 1.17 Number 00000
(3) Cover Period 14101I2005 - 06!30!2{)8.5
(5)
f iI.
(6}
SOILIErrloal
Nurn6er
04/09/20105
0.00001
(7)
Full Ramo
Sulrik, Frt, wale)
StreetAddems
Cap. Scene, Zip Coifs
Florida Institute for Governmental
Affair
P.O. Box 1201
Christmas. FL 32701.0000
01128/2005
000002
05/19i2005
000003
Bradley, Shirley
2127 Monte Carlo Trail
Orlando, FL 3280-0008
LBS Foundation, Inc.
7228 West Colonial Drive
Orlando, FL 32818-0000
05/26/2005
000004
Florida Notary Association, Inc
1918 East HIlicreal Stree!
Orlando, FL 32803-0000
(4) Page 1 of 1
(8}
PUrySne
(Ggii o + ughF rr
Don Iribuliora to a ei ididatu]
Fslabllsh Web Site
Meeting & Repast
(9) j ('I O) I (11)
Expeektnne
type mane/men Amoun:
MON I $ 1,000.00
MON I I $ 200.00
ErSucation Research 8
Outreach
Notary
MON
$ 3,0,00.0C1
.00
Ml O N
$ 95.00
OS -OF 14 Wow. 4A�0.3y
frjr�'ar.: Snewnm-{'ar,, ,.i ro1lE.
I
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
Daisy W. Lynum Campaign
OFFICE USE ONLY
t �A
Name
411 Rock Lake Dr.
Address (number and street) '
Orlando, FL 32805-0000
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): City Commissioner, District 5
(3) I.D. Number: 00000
Political Committee Check if PC has DISBANDED
Cover
X
(5) REPORT IDENTIFIERS
Period: From 07/01/2005 To 09/30/2005 Report Type: Q3
Original Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $14,250.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$500.50
$0.00
to Office
$0.00
Monetary $14,250.00
Monetary $500.50
$1,650.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$23,750.50
(10)
TOTAL Monetary Expenditures to Date
$5,094.48
(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
Nathaniel Stephens. Jr.
I certify that I have examined this report and it is
true, correct and complete
Daisy W. Lynum
X
I
Individual
electioneering
commun.)
(only for Treasurer Deputy Treasurer
X
R
Candidate Chairman (only for PC, PTY &
X electioneering commun. organization)
X �-
Signature
Signature
DS -DE 12 (Rev. 08/04)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
1 of 6
(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
08/18/2005
Louis Seybold Associates, Inc.
400 New England Ave
Winter Park, FL 32794-0000
B
Real
Estate
INK
Fund
Raiser
$ 500.00
000001
08/18/2005
Seybold, Nicole
P.O. Box 508
Winter Park, FL 32790-0000
I
Real
Estate
INK
Fund
Raiser
$ 500.00
000002
08/18/2005
Seybold, Louis
P.O. Box 508
Winter Park, FL 32790-0000
I
Real
Estate
INK
Fund
Raiser
$ 500.00
000003
08/22/2005
Dynetech Corporation
Suite 600
255 S. Orange Avenue
Orlando, FL 32801-0000
B
Consulta
nt Firm
CHE
$ 500.00
000004
08/22/2005
I Drive Investors, LLC.
Suite 865
2601 S. Bayslhore Dr.
Coconut Grove, FL 33133-0000
B
Real
Estate
Manage
me
CHE
$ 500.00
000005
08/22/2005
Marshall S. Cohn
Suite 222
520 Semoran Blvd
Orlando, FL 32807-0000
B
Real
Estate
Manage.
CHE
$ 500.00
000006
08/22/2005
Patterson, Jeffery D.
7431 Park Springs Cir.
Orlando, FL 32835-0000
I
Property
Manage
ment
CHE
$ 500.00
000007
08/22/2005
Grindstaff, Michael J.
Suite 1000
300 S. Orange Ave
Orlando, FL 32801-0000
I
Attorney
CHE
$ 500.00
000008
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
2 of 6
(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
08/23/2005
Boroughs, Thomas
1242 Saints Tropez Circle
Orlando, FL 32806-5552
I
Attorney
CHE
$ 250.00
000009
09/02/2005
Mitchell, Frank O.
1401 Shadwell Circle
Lake Mary, FL 32746-0000
I
Consulta
nt
CHE
$ 500.00
000010
09/02/2005
AMCS-Asset Management
Consultant Ser. Inc.
6443 Crestmont Glen Ln.
Windermere, FL 34786-6407
B
Consulta
nt
CHE
$ 500.00
000011
09/02/2005
Barr, Jacqueline D.
3707 Fallcrest Circle
Clermont, FL 34711-0000
I
Adminstr
ator
CHE
$ 100.00
000012
09/14/2005
Shue, Michael A.
5223 Winding Way
Merritt Island, FL 32953-0000
I
Reginal
Manager
CHE
$ 500.00
000013
09/14/2005
Atkins -Bradley, Vernice B.
1049 Petal Ct..
Orlando, FL 32818-0000
I
Director,
Comm.
Rela
CHE
$ 500.00
000014
09/14/2005
Civilworks Design and Engineering,
Inc.
157 E. New England Ave.
Winter Park, FL 32789-0000
B
Engineeri
ng Firm
CHE
$ 500.00
000015
09/14/2005
C & M Environmental &
Geotechnical Servicess, Inc.
P.O. Box 915216
Longwood, FL 32791-0000
B
Engineeri
ng Firm
CHE
$ 500.00
000016
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
3 of 6
(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
09/14/2005
PSA Constructors, Inc.
Suite 310
1516 E. Hillcrest St.
Orlando, FL 32803-0000
B
Construct
ion Firm
CHE
$ 500.00
000017
09/14/2005
Nadic Engineering Services. Inc.
601 N. Hart Blvd.
Orlando, FL 32818-0000
B
Engineeri
ng Firm
CHE
$ 500.00
000018
09/14/2005
Legacy Investment Holdings
Company
654 Putnam Avenue
Orlando, FL 32801-0000
B
Real
Estate
Consulta
CHE
$ 500.00
000019
09/14/2005
C.T. Hsu & Associates, P.A.
820 Irma Avenue
Orlando, FL 32803-0000
B
Architect
CHE
$ 500.00
000020
09/14/2005
Anderson and Associates PA
654 Putnam Avenue
Orlando, FL 32801-0000
B
Law Firm
CHE
$ 500.00
000021
09/14/2005
Bridge Builders of Central FI, Inc.
P.O. Box 617407
Orlando, FL 32861-0000
B
Social
Work
CHE
$ 100.00
000022
09/14/2005
Schwab Public Relations
450 S. Orange Ave 16th Fl
Orlando, FL 32801-0000
B
PR Firm
CHE
$ 100.00
000023
09/14/2005
TLC Engineering for Architecture
Suite 300
1717 S. Orange Avenue
Orlando, FL 32806-2953
B
Engineeri
ng Firm
CHE
$ 100.00
000024
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
4 of 6
(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
09/14/2005
Page One Consultants, Inc.
Suite 401
5780 Hoffner Ave
Orlando, FL 32822-0000
B
Engineeri
ng Firm
CHE
$ 100.00
000025
09/14/2005
Ikeji, Chuck C.
Apt. 104
5990 Braemar PL
Orlando, FL 32822-2608
I
CPA
CHE
$ 300.00
000026
09/14/2005
Gilmore, Ella J.
P.O. Box 228
Apopka, FL 32704-0228
I
Dir.
Orange
County
CHE
$ 100.00
000027
09/14/2005
Nordarse, Leila Jamal
510 Genius Dr.
Winter Park, FL 32789-0000
I
Engineer
CHE
$ 350.00
000028
09/14/2005
Citrus Club
255 S. Orange Ave.
Orlando, FL 32801-0000
B
Club/Res
taurant
INK
Breakfast
for Event
$ 150.00
000029
09/15/2005
International Development Co. LCC
110 Osceola Court
Winter Park, FL 32789-0000
B
Develope
r
CHE
$ 500.00
000030
09/15/2005
Gouda, Michael N.
110 Osceola Court
Winter Park, FL 32789-0000
I
Develope
r
CHE
$ 500.00
000031
09/15/2005
Gouda, Katheryn E.
110 Osceola Court
Winter Park, FL 32789-0000
I
Develope
r
CHE
$ 500.00
000032
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
5 of 6
(5)
Date
(7)
Full Name
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address &
City, State, Zp Code
09/15/2005
Florida Income Group, LLC
110 Osceola Court
Winter Park, FL 32789-0000
B
Develope
r
CHE
$ 500.00
000033
09/21/2005
DOrr, Charles S.
1827 Woody Drive
Windermere, FL 34786-0000
I
Building
Contracto
r
CHE
$ 250.00
000034
09/21/2005
Mennello, Michael A.
Villa Bianca, 1311 Via Tuscany
Winter Park, FL 32789-0000
I
Art
Curators
CHE
$ 250.00
000035
09/21/2005
Wallace, Suzanne M.
7052 Hennepin Blvd.
Orlando, FL 32818-0000
I
Consulta
nt
CHE
$ 250.00
000036
09/21/2005
Davis, Sabrina D.
334 Tulane Drive
Altamonte Springs, FL 32714-0000
I
CPA
CHE
$ 300.00
000037
09/21/2005
R. L. Burns, Inc.
316 N. Parramore Avenue
Orlando, FL 32801-0000
B
Contracto
r
CHE
$ 200.00
000038
09/21/2005
Brindley Pieters and Assoc. Inc.
No. 1501
401 Centerpointe Circle
Altamonte Springs, FL 32701-0000
B
Engineeri
ng
CHE
$ 500.00
000039
09/22/2005
Cole, Arthur B.
103 Lionel Ave.
Orlando, FL 32805-0000
I
Retired
CHE
$ 100.00
000040
ev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
6 of 6
(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
09/29/2005
Poitier, Maurice B.
2829 Monte Carlo
Orlando, FL 32805-0000
I
Public
School
Teach
CHE
$ 100.00
000041
09/29/2005
Stephens, Glinder S.
7815 Westminster Abbey Blvd.
Orlando, FL 32835-5955
I
County
Extenion
Dir.
CHE
$ 100.00
000042
09/29/2005
Jennings, Jeff K.
1919 Belford Court
Maitland, FL 32751-0000
I
Architect
CHE
$ 250.00
000043
09/29/2005
Holland & Knight Committee of
Continuous Existence
Suite 600
315 S. Calhoun St.
Tallahassee, FL 32301-1872
B
PAC
CHE
$ 250.00
000044
09/30/2005
Davis, Davell
2743 Clear Cove Lane
Orlando, FL 32805-0000
I
Retired
CHE
$ 200.00
000045
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 07/01/2005 - 09/30/2005
(2) I.D. Number 00000
(4) Page
1 of 1
(5)
Date
(7)
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
07/12/2005
Staples
867 Good Homes Drive
Orlando, FL 32818-0000
Office Printer
MON
$ 500.50
000001
DS -DE 14 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) _ Daisy W, Lynum Campaign
OFFICE USE ONLY
2006 ,JAN 4 ►'i+ "i:5.5
Name
(2) 411 Rock Lake Dr.
Address (number and street)
Orlando, Fl. 32805-0000 "
City, State, Zip Code
5
I I Check box if address has changed
(3) I.D. Number, 00400
(4) Check appropriate box(es):
X Candidate (office sought)_ City Commissioner District
_
Political Committee
pi Check
if PC has DISBANDED
if GCE has DISBANDED
if no other electioneering communication reports will be fried
Committee of Continuous Existence
Marty Executive Committee 7 Check
Electioneering Communication Li Check
(5) REPORT 'IDENTIFIERS
Cover Period: From I4!O1.12003 Tv 12:l1/2005 Report Type: Q4
E] Original ri Amendment U Special Election Report [ -1 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $6,350,00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$6774.37
Loans $0.00
to Office
$0.00
Total Monetary $6,,350.0{1
Monetary $6374.37
In -Kind - . $0.00
(8) Other
Distributions $0.00
(9) TOTAL Monetary Contributions to bate
$36,100-50
(10)
TOTAL Monetary Expenditures to Date
$11,868,85
_
(11) CERTIFICATION
1t is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.)
1 certify that I have examined this report and it is
true, correct and complete
Najaniel Stephe„lf._
`l
I Certify that I have examined this report and It is
true, correct and complete
Daisy W- Lynum
n Candidate I 1 Ch9t1n i {onI for PC, PTY &
d omdWi COIYAMJfl. Orpir1R91Ior)
r-
X ` , 1.,,1 e ft
I =dual y for I Treasurer Deputy Treasurer
rid
oommun.?
1 ,lm
Signature
Signature ( /
DSr6E 12 (RBV. 0@104)
Adanant SaR.Bre - Calfealpl ToolBo%
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaigns (2) I.D. Number 00000
(3) Cover Period 1010112005 - 12!31/2005 (4) Page 1 of 2
(5)
Dale
(1)
Full k'r"e
pot, Suffix. First, Made)
Sired FddreeeS
Ciy. Stale. Zip Code
Contributor
Type
(e)
Occupation
(0)
Cormibu on
Type
(10)
In kind
DesJripticn
(11)
msa idme
(12)
Amount
10/27/2005
000001
Skanska USA Builders Inc.
1633 Littleton Road
Parsippany, NJ 07054-0000
I
Builders
11111111111
$ 500.00
1012712005
Burke, Derek C.
2435 Shoal Creek Cl,
Oviedo, FL 32765-0000
I
Engineer
CHE
1 150,00
000002
10/27/2005
Quigley, Jennifer R.
4408 Steed Terrace
Winter Park, FL 32792-0000
I
111
Engineer
Architect
CHE
NUN
$150.00
1 300.00
000003
10/27/2005
Baker Barrios Architects
Suite 000
300 S. Orange Avenue
Orlando. R 32501-0000
000004
10/2712005
WBQ Design & Engineering
Suite 200
201 N. Magnolia Ave.
Orlando, FL 32801-0000
B
Enginead
ng
CHE
$ 250.00
000005
11104/2005
Malls Corporation
P.D. Box 8800
Windermere, FL 34798-0990
Property
Develop
ment
CI -1E
$ 500.00
000008
11/04/2005
VOsa, Jefferson R.
P.O. Box 305
Oakland, FL 34760.0305
Real
Estate
CHE
$ 500.00
000007
11/04/2005
Trinty Stemmons Land Corp.
P.O.Box 8800
Windermere, FL 34768-0000
B
Property
D lop
mont
1500.00
000008
OS -DE 13 ,w. %3)
Adjy1Wd Whom* . caenpgion TediBGx
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
CO Name Daisy W. Lynum Campaign
(3) Cover Period 10/01/2005 - 12t31/2805
(2) ID. Number
(4) Page
00000 ,
2012 _
(5)
Clats
(7) --
n� FuII Name
(Led. Guth, Firm midd*lSewence Direst
c s�ezp ceae
Conlributvr
Type
(8)
Occupation
(0)
��T abumm
(10)
In -kind
DeschpOtlon IA
(11)
me Amount
(12)
{6}
Number
11104/2005
Atlando Holdings, LLC
B
Real
CHE
$ 500.00
P.O. Box 8800
Estate
Windermere, FL 34786-0000
. 000008
1110412005
Wentworth Holding Company
B
Property
CHE
$ 500.00
P.O. Box 8800
Windermere, FL 34786-0000
Develop
ment
000010
1110412005
Windermere Property Development
B
Property
CHE
$ 500.00
Inc.
P,O. Box 8800
Develop
ment
Windermere, FL 34786-0000
000011
11128/2005
We8t Pines, LLC
8
Reel
CHE
$ 500.00
Suite 1800
Estate
1
111 14. Orange Ave.
Dev
Orlando, FL 32801-0000
000012
11/2812005
Hawkins, 2nd, Charles
I
Attorney
CHE
$ 500.00
2215 W. Gore Street
Orlando, FL 32805-0000
000013
11/2812005
_
Hlawkina, RuyQ H.
I
Attorney
CHE
$ 500.00
2215 W. Gore Street
Orlando, FL 32805-3511
000014
I
11126/2005
Hawkins, Kadette H.
I
Retired
CHE
$ 500.00
2215 W. Gore Street
Orlando, FL 32805-0000
000015
;
1
os-og 13 lam. 09103
Mutant Scams" - CampalQl TOdBOXX
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(2) I.D. Number 00000
(3) Cover Period 10101/2005 - 1.2/31 005 _ _ (4) page .� 1 of 2
(5)
Date
(7)
Full Nrnr
ILast, Sulfix, Fiat. Midds}
ililmenl Menge&
cj,, Male, zip Code
(8)
Finn**
{add dime aoupht if
ex+si6.iosn io s aen6dele}
(9)
EA:andilum
*YP®
(10)
endmenl
(11)
Amount
(6)
seauance
Number •
10/0112005
Florida Citrus Sports Associatidn
400 South Rio Grand Ave
Orlando, FL 32005-0000
Rent Deposit
MON
$ 250.00
000001
10/22/2005
Bradley, Shirley
2127 Monte Carlo Trail
Orlando, FL 32$05-0000
Reps refreshments
MON
$ 350.00
000002
1012512005
Thomas, Ezzie
929 Wooden Blvd.
Orlando, FL 32805-0000
Get Out The Vote
MON
$ 500.00
000003
10126/2005
Postmaster
Pines Hills Branch
Orlando, FL 32808-7621
Stamps
MON
$ 185.00
000004
1012612005
Circuit City Stores, Inc.
Store 3288
Orlando, FL 328188607
Computers Purchase
MON
$ 3,260.71
000005
11/09/2005
Pun Stuff Catering, LLC
158 Lake Avenue
Maitland, FL 32751-0000
Club Suite #19 Depos
MON
$ 654.07
000046
11/10/2005
Bradley, Shirley
2127 Monte Carlo Trail
Orlando, FL 32805-0000
Campaign Staff Ticket
MON
$ 600.00
000007
11130/2005
Staples
867 Good Homes Drive
Orlando, FL 32618-0000
Office Supplies
MON
$ 220.89
000008
os.DG 14 pion, aaros}
Af lIAent satware - Ca :An Tid60lt
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Nome Daisy W. Lynam Campaign
(3) Cover Period 10/01/2005 -12131 ►2005
(2) I.O. Number 00000
(4) Page
2 of 2
(3)
Dabs
(7)
Full Name
asst. Suffix, First, Midds)
Street Aridrew Ciy, S Zia C S,
(8)
?urpoes
Donserema�w } t If
(9)
Tywo
(10) 1
Amendment
(11)
Amount
(6)
SetplantMather
12/13/2005
Thomas, EzzIe
029 Wooden Blvd.
Orlando, FL 32805-0000
Get Out The Vote
MON
$ 500.00
00(i0►39
12121/2005
ABC
Store # 149 P.0 Box 593688
Orlando, FL 32859-0000
Campaign Christmas
Party
MON
$ 223.90
000010
•
DG -DE 14 (Rev NAV)
Adulsi Sellers - Campaign'fooll:ox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
Daisy W. Lynum Campaign
OFFICE USE ONLY
200C; JAN 27 aMl :0
Name
411 Rock Lake Dr.
Address (number and street)
Orlando, FL 32805-0000
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): City Commissioner, District 5
(3) LD.
Number: 00000
Political Committee Li Check if PC has DISBANDED
Cover
X
(5) REPORT IDENTIFIERS
Period: From 01/01/2006 To 01/20/2006
Report Type: G1
Original Amendment Special Election Report
Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $500.00
(7) EXPENDITURES
Monetary
Expenditures
Transfers to Office
Account
Total Monetary
THIS REPORT
$2,296.05
$0.00
$0.00
Monetary $500.00
$2,296.05
$0.00
(8) Other Distributions
$0.00
(9) TOTAL
Monetary Contributions to Date
$30,600.50
(10)
TOTAL Monetary Expenditures to Date
$14,164.90
(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
Nathaniel Stephens, Jr.
I certify that I have examined this report and it is
true, correct and complete
Daisy W. Lvnum
I
Individual (only for electioneering �{ Treasurer [ DeputyTreasurer
Candidate
)(
X A \
Chairman (only for PC, PTY &
elect nearing commun. organization)
it 4
Signature
Signature
DS -DE 12 (Rev. 08/04)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 01/01/2006 - 01/20/2006
(2) I.D. Number 00000
(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
01/16/2006
Orlando Professional Fires Fighters
Local 1365
4005 N. Orange Blossom Trail
Orlando, FL 32804-2708
B
Fire
Fighters
Union
CHE
$ 500.00
000001
DS -DE 13 (Rev. 08/03
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 01/01/2006 - 01/20/2006
(2) I.D. Number 00000
(4) Page
1 of 1
(5)
Date
(7)
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
01/03/2006
Staples
867 Good Homes Drive
Orlando, FL 32818-0000
Computer Supplies
MON
$ 117.12
000001
01/06/2006
City of Orlando
400 South Orange Ave
Orlando, FL 32801-0000
Filing Fee
MON
$ 1,178.93
000002
01/06/2006
Stephens, Jr., Nathaniel
7815 Westminster Abbey Blvd.
Orlando, FL 32835-5955
Accounting/Travel
MON
$ 1,000.00
000003
DS -DE 14 (Rev. 08/03
Adjutant Software - Campaign ToolBox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Daisy W. Lynum Campaign
OFFICE USE ONLY
?CAR F -7-7 - # ' 3•."'
Name
411 Rock Lake Dr.
Address (number and street)
Orlando, FL 32805-0000
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): City Commissioner, District 5
(3) LD. Number: 00000
Check
X
Political Committee Check if PC has DISBANDED
Committee of Continuous Existence
P
Cover
X
(5) REPORT IDENTIFIERS
Period: From 01/01/2006 To 02/07/2006 Report Type: Ci2
Original Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $1,000.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$6,194.44
$0.00
to Office
$0.00
Monetary $1,000.00
Monetary $6,194.44
$0.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$31,100.50
(10)
TOTAL Monetary Expenditures to Date
$18,063.29
(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
Nathaniel StephensJr.
I certify that I have examined this report and it is
true, correct and complete
Daisy W. Lvnum
I
Individual
electioneering
commun.)
(only for Treasurer Deputy Treasurer
X ){
Candidate Chairman
..
X jA ,
(only for PC, PTY &
, , Z 2-%-, 6,
Signature
014.4,4--77"-•
Signature
DS -DE 12 (Rev. 08/04)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 01/01/2006 - 02/07/2006
(2) I,D. Number 00000
(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
01/16/2006
Orlando Professional Fires Fighters
Local 1365
4005 N. Orange Blossom Trail
Orlando, FL 32804-2708
B
Fire
Fighters
Union
CHE
$ 500.00
000001
02/02/2006
Fraternal Order of Police Labor
Committee Lodge 25
514 W. Central Blvd.
Orlando, FL 32801-0000
B
Police
Union
CHE
$ 500.00
000002
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 01/01/2006 - 02/07/2006
(2) I.D. Number 00000
4) Page
1 of 1
(5)
Date
(7)
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
01/03/2006
Staples
Computer Supplies
MON
$ 117.12
867 Good Homes Drive
Orlando, FL 32818-0000
000001
01/06/2006
City of Orlando
Filing Fee
MON
$ 1,178.93
400 South Orange Ave
Orlando, FL 32801-0000
000002
01/06/2006
Stephens, Jr., Nathaniel
Accounting/Travel
MON
$ 1,000.00
7815 Westminster Abbey Blvd.
Orlando, FL 32835-5955
000003
02/01/2006
Supervisor of Election
Voter data
MON
$ 15.00
119 W. Kaley St.
Orlando, FL 32806-0000
000004
02/07/2006
Fergusion-Fergusion Signs
Signs
MON
$ 3,559.76
1314 W. Anderson St.
Orlando, FL 32805-0000
000005
02/07/2006
Home Depot
Signs
MON
$ 323.63
4403 Millenia Blvd..
Orlando, FL 32809-0000
000006
OS -DE 14 (Rev_ 08/03
Adjutant Software - Campaign ToolBox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Cbeck
I
Daisy W. 141mm Campaign
OFFICE USE ONLY
2GUS MIR 10 N) q:46
Name
all l2ockLakern.
Address (number and street)
Orlando, FL 32805-0000
Cp, Stale, lip Cade
Check box it address has tlmn0ed
appropriate boyes}
candidate (office sought): 61Y Commissioner. Districts
(3) ID. Number 00000
POINmI Committee I 1 CheckIt PC has DISBANDED
Conanittee of Continuous Existence
Party Executive Committee Check it CCE has DISBANDED
Electioneering Communication Check If no other electioneering co uneaten reports sell be filed
Cove
(5) REPORT DENTIFIERS
al 3 ••+-
Period: From 0134/2006 To 0233V2006 Report Type', D2
Original n Amendment [ I Special EIaofon Report Independent Expenditure Report
Cash
Loans
TotalMonelary
In -Kind
(6) CONTRIBUTIONS THIS REPORT
&Checks $1.00000
Monetary
Expenditures
Transfers
Account
T tIM
(7) EXPENDITURES THIS REPORT
$6,19444
$0.00
to Office
5000
$100000
try $6,19446
$a 00
(6) Other
Distribution 3000
(9) TOTAL
Monetary Contributions to Date /
(10)
TOTAL Monetary Expenditures to Date
ua6sif
(11) CERT FICATION
It is a first degree misdemeanor for any person to falsify a public record (es. 839.13, F.S.)
rtify that I have examined this report and it is
I morue, correct and complete
Nathaniel Stephens Jr
I certify that I have examined report
this re and itis
wa, correct and complete
Dais,'W I voom
I ^ rI X I Treasurer H Deputy Treasurer
emce
i9 rtad &4Lrra AP 3-9—o 6
U Candidate m m mN. w vo l
X
Signature
signature
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. iLvwm Campaign
(3) Cover Period 01R1/2003 - 02WI2
ie)
Ds) RA
(7)
Name Contributor
yawl ninon&
0y. std msva
Tyre
(8)
omupSBon
(g)
Oweibution
Tye
(10)
e,
Descr Uon
(11)
Amenamen
(12)
Amount
MN
Nu mb
01/1 6/2006
Orlando Protessimel Fires Fighters
Loral 1385
0005 N. Orange Bbssom Trail
Orlando, FL 320042708
B
Fire
Fighters
Union
ONE
DEL
$ 50000
000002
(2) LO. Number 00000
(4) Pe e
I of
Wan P•hp To -piece(
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name oeisyW. Lynom campaign
(3) cover Period 01mr2008- 02/91200o -14t
(3
(7)
Full Nem
Seam, Panne A
ury. vu.nnw
(8)
Pknow
(add office •otgldi a
(9)
Expwalive
(10)
(II)
(e)
&quanta
01/032006
Staples
881 Good Homes Drive
Orlando, FL 32818-0000
Computer Supplies
MON
DEL
$11]12
000002
01105/2008
Olv of ONnda
4005 Orange Ave
Orlando, FL 32801-0000
Filing Fee
MON
DEL
$111803
000035
0111&2006
Step0ens. Jr. Nathaniel
7815 Westminster Abbey Blvd.
Orlando, FL 328355855
Accounting/Travel
MON
DEL
$1000.00
000008
02/07/2006
Fargusion-Fergualon Signs
1314W Anderson St.
Orlando, FL 328050000
Signs
MON
DEL
$3559.18
000009
02(07/2000
None Depot
4403 Mtllenia 8Nd_
Orlando, FL 32809-0030
Signs
MON
DEL
$32383
000011
2)I.0 -Number OW33
(4) Page
10f1
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
_
Daisy W. Lynum Campaign
OFFICE USE ONLY
2006 FEB 21
Name
411 Rock Lake Dr.
Address (number and street)
Orlando, FL 32805-0000
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): City Commissioner, District 5
(3) I.D. Number: 00000
Political Committee n Check if PC has DISBANDED
Committee of Continuous Existence
Cover
X
(5) REPORT IDENTIFIERS
Period: From 02/08/2006 To 02/22/2006 Report Type: G3
Original Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $3,050.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$1,046.50
$0.00
to Office
$0.00
Monetary $3,050.00
Monetary $1,046.50
$0.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$34,150.50
(10)
TOTAL Monetary Expenditures to Date
$19,109.79
(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
Nathaniel Stephens, Jr.
I certify that I have examined this report and it is
true, correct and complete
Daisy W. Lynum
XX%
I
Individual (only for Treasurer Deputy Treasurer
Candidate Chairman (only for PC, PTY &
X electioneering commun. organization)
X j4,e, q)' 444,(4,1"—)
Signhture
Signature
g
DS -DE 12 (Rev. 08/04)
Adjutant Software - Campaign Toolbox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campa n
(3) Cover Period 02/08/2006 - 02/22/2006
(2) I.D. Number 00000
(4) Page
1 of 2
(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
02/11/2006
Pinder, Nelson W.
2632 Marquise Ct.
Orlando, FL 32805-4340
I
Retired
CHE
$ 50.00
000001
02/11/2006
Vereen, Danny
3570 Strachey Ct.
Ocoee, FL 34761-0000
I
Police
Chief
CHE
$ 150.00
000002
02/16/2006
Perkins, Melba J.
P.O. Box 555038
Orlando, FL 32855-0000
I
Retired
CHE
$ 250.00
000003
02/16/2006
Bradley, Shirley
2127 Monte Carlo Trail
Orlando, FL 32805-3520
I
Retired
CHE
$ 100.00
000004
02/21/2006
Unger, Susan
9668 Camberley
Orlando, FL 32836-0000
I
Hotelier
CHE
$ 500.00
000005
02/21/2006
Granatstein, Donald
9668 Camberley Circle
Orlando, FL 32836-0000
I
Hotelier
CHE
$ 500.00
000006
02/21/2006
The Gardens LLC
410 N. Orange Blossom Trail
Orlando, FL 32805-0000
B
Develop
ment
Company
CHE
$ 500.00
000007
02/21/2006
Parliament House
410 North Orange BI Trail
Orlando, FL 32805-0000
B
Hotel
CHE
$ 500.00
000008
DS -DE 13 (Rev. 08!03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 02/08/2006 - 02/22/2006
(2) I.D. Number 00000
(4) Page
2 of 2
(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)
Amendmenl
(12)
Amount
(6)
Sequence
Number
02/21/2006
International Resorts Management,
Inc.
410 N. Orange Blossom Trail
Orlando, FL 32805-0000
B
Time
Sharing
CHE
$ 500.00
000009
DS -DE 13 (Rev. 08/03)
Adjutant Software - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 02/08/2006 - 02/22/2006
(2) I.D. Number 00000
(4) Page 1 of 1
(5)
Date
(7)
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
02/10/2006
Bradley, Shirley
2127 Monte Carlo Trail
Orlando, FL 32805-3520
Repast
MON
$ 200.00
000001
02/10/2006
Ted Holings Photography
10936 Brown Troup Circle
Orlando, FL 32825-0000
Photo Shoot
MON
$ 106.50
000002
02/21/2006
Crawford Design & Promotions
5151 Adair Oak Drive
Orlando, FL 32879-0000
Campaign Mailer
MON
$ 700.00
000003
02/21/2006
United States Postal Service
Pines Hills Branch
Orlando, FL 32858-9998
P.O. Box 585721
MON
$ 40.00
000004
DS -DE 14 (Rev. 08103)
Adjutant Software - Campaign ToolBox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELtGT1ONS
CAMPAIGN TREASURERS REPORT SUMMARY
(1)
(2)
(4)
Daisy W. Lynam Campus's'
ONCE usE ONLY
4006 HRR 10 PEw qF
❑
Check
X
—
Name
411 (IY Late Dr.
Address (L 32 and weep
Orlando, FL31105 000
CAW. State. m Code
Cluck box if address has changed
appaprere box(es):
Candidate (ol6:e sought): City CmmiviOner, District
(3) to Nun bec 00000
Political Comniltae ❑ Check II PC has DISBANDED
Comnalee of Continuous Existence
d has PeMEaaaae ComnNs ❑ ChaNCCE h DISBANDED
Eb Tnnemin9 Canmuntzdm ❑ Check if no other eleoonetdnp cenm00laton rods w* be led
Cover
❑original
y (5) REPORT IDENTIFIERS
Period: From 0241/'1006 To 02/521/21106 Report Type G3
MONNmn1 ❑ Special Election RWoit
II indeptilldent EymNmre Report
(6)
Cash
ISMS
Total
in -Kind
CONTRIBUTIONS THIS REPORT
& Checks 83.050.00
Monetary
Evesimures
Tuneful;
q¢emt
Total
(7) EXPENDITURES THIS REPORT
$1.046.50
*W
to Once
*004
Monetary §3,050.0
Monetary 51,046.50
Stop
(8) other
Disbibu0om m.CO
(9)
TOTAL
(10)
TOTAL Monetary Expenditures to Date
2140 at8< ,.y_
5'"I"y'!9
Monetary Contributions to Date
34 bS do
5 rm�u -nom
(11) CERT FICATION
Itisa first degree misdemeanor for any person to falsify a public record (ss. 839.13. F.S.)
I cetNy 0w I have examined Bds airport and die
hue, coned and complete
Nathaniel Stmt a I'
I certify that I lu%0 moaned this report and It S
hue. Carted and conwlele
---._411/12Y-14220________
Ix Candidate ❑0.1111•0}W•glINIC FITS.
�mo�".��o
X
El.wwue
X`77r
b.]Treasuu III Deputy Treasurer
� .jC14 LFt• -3-4=--=‘
Sgnahue
Signature
CAMPAIGN TREASLartER'S REPORT — ITEMIZED CO.. 4 RIBUTIONS
(1) Name Daisy tN. Lynum Campaign
(3) Cover Period 02100/2008 - 02 0
(5)
Da
(7)
cp, vt z»cvs
Contributor
Type
(8)
Occupation
(0)
Tw
(10)
Oacnotan
(11)
Amend men
(12)
Amount
(8)
wmv
0212112005
Unger. Susan
MN ambedey
Orlando, FL 32&1600000
I
Hotelier
CHE
DEL
$50000
000010
021212000
GrenalsbiR Donald
00085ambedey Circle
Orlando, FL 328360000
I
Ho @Irer
CHE
DEL
$ 500.00
000011
ov2 I2ooe
The Gardens LLO
410 N. Orange Blo som Trail
Orlando, FL 328050000
B
Devebp
men?
Company
CHE
DEL
$50000
000012
02121/2008
Parliament House
010 North Orange Ell Trail
Caliendo, FL 32805-0000
8
Hotel
CHE
DEL
$50000
000013
02Qi12033
Inlemegonal Resa?s Management,
Inc.
010 N. Orange Blossom Trail
Orlando. FL 3280`4000
8
Time
Shang
CHE
DEL
$50000
003310
(2) I D. Number 00000
(0) Page
I oft
CAMPAIGN TREASURER'S REPORT -ITEMIZED EX. ENDITDRES
(1) Name Daisy W. Lynum Campelgn J - 2) ID. Number 00000
(3
) Cover Period OZNO/100002�00fi
(4) Page 1001
(5)
(7)
m.u Peewee
Gr.s ..y`ae
(8)
mneusn m .asxq
(a)
eene
s Type
(10)
Fmendmen
(11)
Amount
S16�
Hume
0&0812035
Home Depot
4403 MOknla Blvd..
Orlando, FL 328080000
Sgns
MON
ADD
$32.53
030007
02JQ8I2005
Fergusgn-Ferguson Signs
1310 W. Anderson St
Orlando. FL 328050000
Signs
MON
ADD
$3,558]5
0000
0212112005
Crawford Design & Promofons
5151 Adair Oak Drive
Orlando. FL 32879-0000
Campaign Mailer
MON
DEL
$70.00
00000
0241/2008
United Slates Postal Service
Pines Hills Branch
Orando, FL 328568$08
P.O. Box 585721
MON
DEL
$00.00
000005
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURERS REPORT SUMMARY
(1) John Daniel Ruttier Cempaian
OFFICE USEONLY
?EEG- NAP, 10 :ye <1:4_
Name
(2) 3701 Lake r a ive
Address (number and street)
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
® Candidate (office sought): Orlando City Council,
(3) ID Number:
District 3
❑ Political Committee 0 CHECK IF PC HAS DISBANDED
❑ Committee of Continuous E%Istence 0 CHECK IF CCE HAS DISBANDED
❑ Party Executive Committee
❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING.
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From / 18 106 To 3 1 9 i 06 Repod Type [Ty
_a_
® Original ❑ Amendment 0 Special Electio Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash&Checks $ 4 . 410. 00
(7)
Monetary
Expenditures
Transfers
Account
Total
Monetary
EXPENDITURES THIS REPORT
$ 4 , 446 . 95
Loans $_
to Office
$
Total Monetary $ 4 , 410 . 00
$ 4 446 95
In -Kind $
(a)
Other Distributions
(9) TOTAL Monetary Contributions To Date
$ 27 . 095 - 00
(10)
TOTAL Monetary Expenditures To Date
$ 12 , 355 80
(II) CERTIFICATION
It Is a first degree misdemeanor for any sere ntofalsity a public record (55.839.13. ES.)
I
I certify that I have examined this repod and it Is true,
correct, and complete:
RYPe name) John Ruttier
certify that I have examined this report and it is true.
correct, and complete.
(Type name) Kra 8 Iola
❑i dams Ionefof El Treasurer O Deputy Treasurer
.ant ant >'e/dv`---
F
x
Candidate O�Chairperspo(aly foe PC e&
as e)
rvro
�Z_:
ature
Signature
DS -DE 12 (Rey. 08104)
n
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Name: John Daniel Ruiner Campaign (2) I.D. Number
Cover Period 2/18/06 through 9/09/06 (4) Page 1 of 2
(5)
Date
(7)
Full Name
(L t, SD ,1R t Mittel )
Street Aeenna
city, RDA Zip code
(8)
Contributor
(9)
Contribution
ryp
(10)
In -Kind
Description
(II)
Amendment
(12)
Amount
Sequence
Number
Type
Occupation
2/23/06
Torroella, Eileen A.
730 W. Yale Street
Orlando, FL 32804
CHE
50.00
1
2/24/06
Voss, Jefferson R.
PO Box 305
Oakland, FL 34760-0305
I
Executive
CHE
500.00
2
2/24/06
Trinity Stemmons Land Corp.
PO Box 8800
Windermere, FL 34786
BUS
Land
Developer
CHE
500.00
3
2/24/06
Atlando Holdings
PO Box 8800
W ndermere, FL 34786
BUS
Land
Developer
CHE
500.00
4
2/24/06
Melia Corporation
PO Box 8800
Windermere, FL 34786
BUS
Land
Developer
CHE
500.00
5
2/24/08
Wentworth Holding Company
PO Box 8800
Windermere, FL 34786
BUS
Land
Developer
CHE
500.00
6
2/26/06
Meeks, Kimberly A.
4486 Twinview Lane
Orlando, FL 32814
I
CHE
50.00
7
2/26/08
Jenkins, Gina M.
4486 Twinview Lane
Orlando, FL 32814
I
CHE
50.00
8
2/26/06 _
Thomas, Sharon
999 Juel Street
Orlando, FL 32814
I
Finance
Director
CHE
100.00
9
2/26/08
Pease, William
1309 Christy Ave.
Orlando, FL 32803
I
CHE
35.00
10
3/1/06
Dellecker, Wilson, King,
McKenna & Rufier, LLP
719 Vassar St.
Orlando, FL 32804
BUS
Law Firm
CHE
500.00
11
3/2/08
Futrelle, David E.
539 Kitiridge Drive
Orlando, FL 32805
I
Political
Consultant
CHE
200.00
10
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Name: John Daniel Ruffler Campaign (2) I.D. Number
Cover Period 2118/06 through 3/09/06 (4) Page 2 of 2
IS)
Dote
m
Full Name
(8)
Contributor
(9)
Contribution
Type
(10)
In -Kind
Description
(H)
Amendment
(12)
Amount
(6)
Sequence
Number
(Lest, Sums, FirstMiddle)
Street Address &
City. State, Zip Code
y),es
D¢uWtiou
3/3/06
Sokmensuer, C Vanki
3902 Dekalb Drive
Orlando, FL 32839
I
Attorney
CHE
250.00
11
3/5/06
Mendiola, Anthony
1724 Reppard Rd
Orlando, FL 32803
I
Executive
CHE
500.00
12
3/5/08
Sos, Anthony F.
604 Sheridan Blvd.
Orlando, FL 32804
CHE
75.00
13
3/5/06
Hill, Margaret R.
1417 Chichester St.
Orlando, FL 32803
I
Realtor
CHE
100.00
15
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name: John Daniel Ruffier Campaign (2) I.D. Number
(3)
Cover Period 2/18/06 through 3/09/06 4) Page 1 of 1
(5)
Date
0)
Name
F(Last,
(1w Suffix. First Middle)
Street Address&
State, Tap Code
(8)
Purpose
(add office sought
contribution to a
candidate)
(9)
Expenditure
Type
(II)
Ad
Amendment
(12)
Amount
(6j
Sequence
Number City,
2/20/08
Futurequest, Inc.
PO Box 989
Franktown, CO 80116
Website Fee
MON
9.95
2/28/06
Melissa Data Corp.
22382 Avenida Empress
Rancho Santa
Margarita, CA 92688
Voter Information
MON
150.00
2
3/4/06
CVS
3502 Edgewater Drive
Orlando, FL 32804
Refreshments for
Volunteers and
Office Supplies
MON
67.16
3
3/5/06
Mercado, Richard
734 Putnam Ave
Orlando, FL 32801
Voter Outreach
MON
90.00
4
3/5/06
Alston, Kyle
462 Lake Bridge Ln
Apopka, FL 32703
Voter Outreach
MON
90.00
5
3/5/06
Adams, Timothy
5530 Pendleton Dr.
Orlando, FL 32839
Voter Outreach
MON
90.00
6
3/5/06
Bradford, Sean
4095 W. Washington St.
Orlando, FL 32839
Voter Outreach
MON
90.00
7
3/5/06
Williams, Judson
214 4a11190 Ave#2
Orlando, FL 32805
Voter Outreach
MON
40.00
8
3/5/06
Cody, Ronald
3726 Meadow Lake Ln
Orlando, FL 32808
Voter Outreach
MON
90.00
9
3/5/06
Bouey, Robin
5640 Century Blvd.
Orlando, FL 32807
Voter Outreach
Coordinator
MON
800.00
10
3/6/06
Mail Unlimited, Inc.
4607 Metric Drive,
Winter Park, FL 32792
Direct
Mail
MON
2,50584
11
3/6/06
Win -Your -Race, LLC
557 Wocdview Drive
Longwood, FL 32779
Automated Phone
Calls
MON
424.00
12
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURERS REPORT SUMMARY
(1)
(2)
(4)
l
Check
X
Daisy W. Lynam Campaign
OFFICE USE ONLY
2'006 JUN 'rg 2 0
Name
411 Rock Lake Dc
Address (number and street)
OAandc,FL 328054000
CM. Slate, Zip Code
Check box if address has changed
appropriate box(es).
Candidate (office Sought): City Commissioner, District 5
(3) I D Number 00000
Political CommlMe I Check if PC has DISBANDED
Commpee of Continuous Eustence
Party EaeoNlve Commltlea LiCheck If CCE has DISBANDED
Electioneering Communication n Check it no other electioneering communication reports coil be Ned
C
LX
(5) REPORT IDENTIFIERS
P Lad F om 03/10/2006 T 06//22006 Report Type: TR
Orglnal Amendment 1 Special Election Report n Independent Expenditure Report
Cash
Loans
Total
in -Kind
(6) CONTRIBUTIONS THIS REPORT
B Checks $1,600.00
Monetary
Ependitures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$20#130$
$000
to Office
$0.00
Monetary $1,800.00
Monetary $20,413.05
$1000.00
(S) Other
Dlshibulions $0.00
(9) TOTAL
Monetary Contributions to Date
$4996050
(10)
TOTAL Monetary Expenditures to Date
$49460.50
(11) CERT FICATION
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
rue, correct and complete
Nathaniel S LymanDhens Jr
Icertey that I have examined this report and it is
true. correct and complete
Doi W. Lyn
r lwr�mem sym, [xi Treasurer ) Deputy Treasurer
gr. ..0 >06�rt—Cc
I1 Candidate Le I.o min Y.6
x1 d) i9nM--
SignaIue
Signature
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 031102008-0011212006
(6)
nue
(7)
6011 Adams 6
ciu,sw,zr cw.
Contributor
Type
(0)
Occupation
(0)
Cmintaan
Tee,
(10)
In -kind
Desorlpcn
(I1)
Amendmen
(12)
Amount
(6)
sequence
norm..
03)102006
Embassy Custom Homes, Inc.
P.O. Box 022903
Ovedio FL 32]82-2903
B
Home
Bunker
CHE
$00000
000001
031102008
Beeler Development Group LLC
3511N. Pinehills Rd.
Orlando. FL 32295-2903
B
Property
Develop
ment
CHE
$50000
000002
031102006
Scott Properly Development, LLC
Suite 350
950 S. Winter Park Drive
CaYBlberry, FL 32707-0000
B
Property
Develom
ent
CHE
$50000
000003
031102008
Stevens, Paul
5016 Aspencrest Ct.
Orlando. FL 32835-0000
I
CHE
$10000
000004
03/102005
City Beverages
10028 Florida Crown Drive
Orlando. FL 32824-0000
B
Distribute
rlSales
INK
Beverages
$ 503.00
Doogos
031102006
Tabu Club - John D. SanFellppo
26529 Atlantis Road
Tavares. FL 32776-0000
B
Night
Club
INK
Rereshme
nmspinb
5250.00
0000.'08
031102036
Tabu Club - George F. MCMms
7520 Duo Lake Drive
Orlando, FL 32810-0000
B
Night
Club
INK
Retreshme
niLipldts
$250.00
000007
04242006
Reniway
Suite IA
6100 West Colonial Drive
Orlando, FL 32800-0000
B
Rental
REF
$20000
000008
(2)1D N b 00000
(4) Pa e
ton
CAMPAIGN TREASURER'S REPORT —ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynam Campaign
(3) Cover Period 03/102006-05/12rz006
(51
(7)
StrtSALOVeaS
(8)
{at Slimm €wighldi
(9)
T1$
(10)
Amendment
(11)
Amount
(6)
gewgaw
03/10/2006
Tomas Essie
Get Out the vote
MON
$80000
929 Wooden Blvd.
Orlando, FL 32805-0000
000001
0.3/122008
Office Depot
Computer
MON
$ 731 08
7174 west Colinil Drive
Components/Supplles
Orlando, FL 32818-0000
000002
0311312005
ABC
Repast
MON
$ 274.15
Store N 149 P.O Box 593688
Orlando, FL 328590000
000003
03/13/2006
KB. SmaRxear Inc.
T Shltls
MON
$287.50
421 W. Robinson Street
Orlando. FL 32801-0000
O7YO. M1
03113/2000
Alore 0118 P.O Box
Repast
MON
$8082
Orlando. FL 32859-0000
000005
0311312005
Cummings. Tuwenall
2130 -13 Jacobs Place
Table
cMBeGOecorarons
MON
$250.00
Orlando, FL 32805000'0
000006
03/13/2006
Rentway
TV
MON
$200.00
Suite IA
6100 West colonial Drive
Orlando, FL 12800 0000
000007
03/13/2000
Stephens, Jr.. Nathaniel
ice Water
MON
$ 100-00
7015 Westminster Abbey Blvd.
ChalMSuppplies
Orlando, FL 32835-5955
000005
(2) I.D. Number 00000
4) Page
IN1
CAMPAIGN TREASURERS REPORT - ITEMIZED EXPENDITURES
(t) Name Dairy W. Lynum Campaign
(3) Cover Period 03/102006-06/122006
(5)
one
(7)
Peii Nave
Steel mine. 6
W'.we,aptm
(0)
rerevere
mnaim m . umM
(0)
Evemenere
ip.
(10)
Fmen]men
(11)
Amount
(6)
rvvns�
03114/2008
Davis, Davell
Breakast for workers
MON
$ 110.25
2743 Clear Cove Lane
Onane*. FL 3250500000
000009
03/14/2000
Nhk'S Place
Lunch for WOMen
MON
$75000
742 Carter Street
Orlando, FL 32805-0000
000010
03/142008
Queen Bea Soul Food
Food Catering
MON
$2000.00
3214 Orange Center Blvd.
Orlando. FL 32505-0300
000011
03/14/2000
Bradley, Shirley
Supplies
MON
$2582
2127 Monte Carlo Trail
Orlando, FL 328053520
000012
03/14/2006
Bradley, Junius
Guest Services
MON
$10000
1049 Petal Court
Orlando. FL 32818-0000
000013
03/14/2008
Williams, McArthur
Guest Services
MON
$ 100.00
4720 Watch Hill Ct.
Orlando FL 325084000
000014
03/14/2006
Williams, Annita
Guest Services
MON
129C East 15th Steel
Apopka, FL 32703-0000
000015
03/142008
Cummings. Tuwanai
Event Manager
MON
$500.03
2130-0 Jacobs Place
Orlando. FL 32805-0000
000016
(2)I,D-Number 06300
(4)Page 20t7
on ToolBon
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 031102000-00/12120_0
Isl
Due
(7)
RA Nara
SirmliAdbasa&
cin.aw.ry cab
(8)
PLICINDSO
(86d Wks swgitill
mxeeumnue me,eml
(9)
Tw
(10)
AmendMem
(11)
Amount
(B}
wevw-
03/142008
Adams, Lary
Guest Services Muuc
MON
$30000
4728 Goldsboro Court
Orlando, FL 32811-0000
000011
031142000
Adams, Minnie
Get out the Vote
MON
$20000
4728 Goldsboro Coun
Orlando, FL 32811-0300
000018
03/142009
Lumpklns, Warren
Photon
MON
$ 50.00
123
Orlando, FL 32805-0000
000819
03/1512005
Fergueion-Ferguson Signs
"Thank You Signs
MON
$200
1314W. Anderson St.
Orlando, FL 32805-0000
000020
03/152008
Thomas, Peter
Get out the Vote
MON
$ 700.00
929 Wooden Blvd.
Orlando, FL 32805-0033
000021
03/10/2006
Sanchee, Desiree
Consultsnt
MON
$ 500.00
524 Peterson Place
Orlando. FL 32005-0000
000022
031152[09
Bradley. Shirley
Repast, Candela.
MON
$ 135.10
2127 Monte Carlo Trail
Supplies
Orlando, FL 32805-3520
0090/13
031212008
Bradley, Shirley
RepaaViceebre4on
MON
$105.72
2127 Monte Carlo Trail
Orlando. FL 32805-3520
000024
(2) LO. Number 00000
(4) Page
3N]
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campagn
(3) Covet Period 03/1012005- 06/12/2003
(5)
(7)
Nil Nprm
(8)
mmmsmm u e mwsl
(9)
Tw.
(10)
Amendment
(11)
Amount
e)
Nn
03/25/2006
Adjutant Software
Campaign Software
MON
$11982
2055 Bond Road
Mena FL 327204531
000025
04/01(2008
Davos, Davell
Sgne IMaIlJRemoval
MON
$70485
2743 Clear Cove Lane
Orlando, FL 32805[000
000028
04/01/2008
Stephens, Jr., Nathaniel
7815 Westminster Abbey Blvd.
Suppl'cylravel/accoun
ling
MON
$1.30000
Orlando, FL 32835-5055
000027
04/012006
Badly, Shiley
AdminisMlbn
MON
$400.00
2127 Monte Carlo Trail
Orlando, FL 328053520
000028
04)012000
BraMoJJr., ErnestCarlo
Administration
MON
$ 435.00
r.,
OMndo, FL 32805-0010
000029
04/01/2006
Cooke Trecle M.
Get Out the Vote
MON
$100.00
408 Domino Or.
Orlando FL 32805-2044
000030
04/012006
Cole. Arthur B.
Gel Out to Vote
MON
$100 C0
103 Lionel Ave.
Orlando, FL 328050000
000031
04/012006
Maurice B.
aaM MCarlo
Get Out the Vote
MON
$100.00
Orlando, FL 32805-0000
000032
2)10.N be CIXCO
(4) Page
4 of 7
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(I) Name Daisy W. Lynum Campaign
(3) Cover Period 06/12/2006
/12I2
5)
(7)
nu MEW
MISS
nary, smu�is_cw
(5)
mmwm+nemaaM
(9)
TWO
(10)
Amandmen
(I1)
Amount
16)
w.mr
04/012006
Finder. Nelson W.
Get ON the Vote
MON
$ 100. W
2632 Marquise Ct.
Odando, FL 32005-4340
00003
0410112006
Stephens. Nathan G.
Get Out the Vote
MON
$100.00
1315 Westminster Abbey Blvd.
Orlando, FL 32535-5955
000034
MN1rz0W
Sadefte, Mary
Get Out the Vote
MON
$100.00
1013 ByMy Way
Odando, FL 32018-0000
BBBms
04/012008
Hill, Margaret
Get Out the Vote
MON
5100,00
536 N Ooglns AL
Orlando, FL 32505-0333
000036
004/012006
New Covenant Baptist Church
Oonabon
MON
$50000
2210 5, Reo Grande
Odando, FL 32005-0000
000037
04/01/2006
Kappa
P. Al ha5Ps8Fratemily. Inc.
Donatbn
MON
$ 200.00
Orlando, FL 3285500030
000035
W016000
South Carolina State National
Oona40ns
MON
$100.00
Alumni Assn.
306 College St. NE
Orangeburg. SC 20117-0001
000039
04/012W5
Lumpkins, Warren
Campaign Pictures
MON
$ 50.00
123
Orlando, FL 32005-0000
000040
(2) I O. Number 00000
(4) Page
5 of7
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W. Lynum Campaign
(3) Cover Period 03/1052000-00/122008
(s) (7)
nee
MI thmat
(8)
(0)
(10)
AmendMerd
(II)
Amount
(0) moms
Tole
04/012008
Cummings, Tuwanal
2130-O Jacobs Place
Orlando, FL 32805-0000
Get Out the Vote
MON
$200.00
000041
04/012000
Bwey. Rohn
411 Rock Lake
Orlando, FL 32805-0000
Get Out the Vote
MON
$300.00
000042
04101/2006
Natlmal Blank Caucus/Local Elected
Officials
1301 Pennayvanie Avenue NW
Washington. C 20034-1763
Donlon
MON
$150000
000043
04/012006
WIIlllams, Loretta
2130 Piedmont St.
Orlando. FL 32805-0000
Get out the vote
MON
$100.00
000044
04/012000
BraCy, Levan
5315 Woodstead Way
Orlando. FL 328100003
Get out the vote
MON
5300.00
000045
04/012008
Lynum, Mercedes
7543 Folk Way
Lakeland, FL 33807.0000
Get ON the vote
MON
$500.00
000046
04/0552008
Orlando Food Service
800 W. Amelia St
Orlando, FL 32805-0000
Campaign Team
Outing
MON
$41484
000047
04/052008
Ascenda, Inc.
Suite 3A108
3251 Pmgmes Odve
Orlando. FL 3200B-0000
Campaign Webalte
MON
$47000
0'0000048
(2) I.D. Number 00000
14) Page
6 of7
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Daisy W Lynum Campaign
(3) Cover Period 031106006-06112/2006
151
(7)
(8)
Puillina
(9)
(10)
(11)
(6)
04/056006
LBS Foundation, Inc.
Education/Research
MON
$1,CCO,00
7226 West Colonial Drive
Outreach
Orlando. FL 32818-0000
000049
05/09200
Florida's. Voter League
Donat n
MON
$ 50000
P.O. Box 550117
Orlando. FL 328550117
aOBnw
05115/2005
Terrell, Shirley
Administrative
MON
$80000
Ask Daisy
Closeout
OMMb. FL 32805-0000
0001051
06/072005
Crawford Design 8 PromWlona
5151 Adair Oak Drive
OmphiC design and
mall -out
MON
$747.15
Orlando. FL 32B]9W00
000052
061072006
Bethune-Cookman College National
Donation
MON
$2400)
Alumni Association
820 N. Kollk Clr.
Daytona Beach, FL 32114-0000
000053
05/072000
BetunoCookman College Alumni
Donation
MON
$100.03
Association
P.O. Box 580645
Orlando, FL 32858-0000
000054
00026006
Stephens, Jr., Nathaniel
Canpaign Close-out
MON
$200.00
7815 VVestmlnster Abbey Blvd.
Orlando, FL 32835-5955
000055
15/10/2006
Stephens. Naat
l Campaign Close
MON
$ 334.05
Weabnr.,
St1 Abbey Bead.
Out
Orlando, FL 328355855
000056
(2) ID. Number 00000
(4) Page
7 of 7
priaolgive
1,
a Citizen
hereby
LOYALTY OATH
CANDIDATES WITH NO PARTY AFFILIATION
lS.ala,s8T6.O ye.m. Roam Swmee
STATE OF FLORIDA
PLEASE
OFFICE USE ONLY
2006 JAN 96x12:23
()range- COUNTY
PRWTI
D0.iFlXName
w.
r Lyvu.n
Middle xamalnM.l Last Name
of the State of Florida and Oft e United States ofAmenca,.. and a candidate for public office... do
solemnly swear or affirm that I wit Support the Constitution of the United States and of the State of Florida.
1,
am
OATH OF CANDIDATE
Isrmn as ml. Ronda emwiesl
!a:ns RONNES
I
.TAS:ou'..n�y
a candidate for the office of
I am a qualified
_n..,MAT eo..C,wae .nes,.,bogreswmab
/.Am ryy155fOJ, el r S ..
elector
Laws of
office
resigned
Idlnnnl (emus,
2 County, Florida. lam qualified
I I
of ream
(growl
under the Constinnlnn and the
have qualified for no other public
with the office I Seek: and I have
99.012, Florida Statutes.
Flnnde to hold the office to which I desire to be nominated or elected.
in the state, the term of which office or any part thereof runs concurrent
from any office from which I am required to resign pursuant to Section
UNDER PENALTIES OFPERJURY.
CANDIDATE AND THAT THE FACTS
SIGN HERE
n
4(///GJGK e4
I DECLARE
STATED
NAT I HAVE
IN EACH ARE
PYp,
READ THE FOREGOING LOYALTY OATH AND OATH or
TRUE.
r//t
X
l (
Kt UQ
4 of
Sian of wawi%
YOj J/%3vvesy gb7j239Vb/
Wiling Address Day Phone Fax Number
/fir/ando PG ,%1Ao5 n/0506
City stab SIPOdda MMelywd
DS# NS (Mv. WAD
IP VP
FORM 1 STATEMENT OF 2005
Please print or type your name, mailing
address, agency name, and position below:
FINANCIAL INTERESTS
LA1T NAME -- FIRST NAME -- MIDDLE NAME :
1 % t'4 d 4 1 SL1 (A) .
FOR OFFICE
USE ONLY:
MAI N ADDRESSSS : :
Koc-k e.
91/ (-rl K.e
Or)cfdv 37._?03~ Orate,
ID Code
CITY : ZIP : COUNTY :
` r / (I �. k7 dO
(t�t�
(-fir (
ID No.
..i
NAME OF AGENCY: `
CO m al , 5 S r Q,
Conf. Code
NAME OF OFFICE OR POSITION HELD OR SOUGHT :
P. Req. Code
CHECK ONLY IF CANDIDATE OR
❑
NEW EMPLOYEE OR APPOINTEE
PDF 2005
**BOTH PARTS OF THIS SECTION MUST BE COMPLETED**
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
❑ DECEMBER 31, 2005 Q$ E SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: 0 0 gj
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
0 COMPARATIVE (PERCENTAGE) THRESHOLDS 23 ❑ DOLLAR VALUE THRESHOLDS
PART A -- PRIMARY SOURCES OF INCOME
NAME OF SOURCE
INCOME
[Major sources of Income to the reporting person]
SOURCE'S
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS1 ACTIVITY
J fOF
f]'I e. F'i PAY t
[� ADDRESS/
! o e61' 36-70 Lai, )�jr SScp.
p
�Ti % #97 ed' -DUI %s' a)--
04 60a/116
krtd S.. e fr, k) 14-1k)) /he/
sA en
i
1. 6110r L fvue0 S2
��
u�t/dcc. IL_
�i y
PART B -- SECONDARY SOURCES
NAME OF
BUSINESS ENTITY
OF INCOME [Major customers, clients,
NAME OF MAJOR SOURCES
OF BUSINESS' INCOME
and other sources of income to businesses
ADDRESS
OF SOURCE
owned by the reporting person]
PRINCIPAL BUSINESS
ACTIVITY OF SOURCE
PART C -- REAL PROPERTY [Land buildings owned by the reporting person]
FILING INSTRUCTIONS for when
and where to file this form are locat-
ed at the bottom of page 2.
INSTRUCTIONS on who must file
this form and how to fill It out begin
on page 3.
OTHER FORMS you may need to
file are described on page 6.
'/ / /) ` zQ,te jDe ` 6- /a /� — 19�
GE - 4C/
a) /dwvi1 eiRfI f✓ e AC/97
Lv a f(4.4/
CE FORM 1 - Eff. 1/2006 (Continued on reverse side)
PAGE 1
PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
0
PART E — LIABILITIES [Major debts]
NAME OF CREDITOR
ADDRESS OF CREDITOR
G alit) tJr jdur a- (F4- .3z - v/
PART F -- INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
BUSINESS ENTITY # 1 BUSINESS ENTITY # 2
BUSINESS ENTITY # 3
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑
SIGNATURE (required):
WHAT TO FILE:
After completing all parts of this form, including
signing and dating it, send back only the first
sheet (pages 1 and 2) for filing.
If you have nothing to report in a particular
section, you must write "none" or "n/a" in that
section(s).
Facsimiles will not be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Form 1 for a
calendar or fiscal year is not required to file a
second Form 1 for the same year. However, a
candidate who previously filed Form 1 because
of another public position must at least file a copy
of his or her original Form 1 when qualifying.
DATE SIGNED (required): Q la
,a6
FILING INSTRUCTIONS:
WHERE TO FILE:
If you were mailed the form by the Commission
on Ethics or a County Supervisor of Elections for
your annual disclosure filing, return the form to
that location.
Local officers/employees file with the Supervisor
of Elections of the county In which they perma-
nently reside. (If you do not permanently reside
in Florida, file with the Supervisor of the county
where your agency has its headquarters.)
State officers or specified state employees
file with the Commission on Ethics, P.O. Drawer
15709, Tallahassee, FL 32317-5709; physical
address: 3600 Maclay Boulevard, South, Suite
201, Tallahassee, FL 32312.
Candidates file this form together with their
qualifying papers.
To determine what category your position
falls under, see the "Who Must File" Instructions
on page 3.
WHEN TO FILE:
Initially, each local officer/employee, state
officer, and specified state employee must
file within 30 days of the date of his or her
appointment or of the beginning of employ-
ment. Appointees who must be confirmed by
the Senate must file prior to confirmation, even
if that is less than 30 days from the date of their
appointment.
Candidates for publicly -elected local office
must file at the same time they file their
qualifying papers.
Thereafter, local officers/employees, state
officers, and specified state employees are
required to file by July 1st following each
calendar year in which they hold their posi-
tions.
Finally, at the end of office or employment,
each local officer/employee, state officer, and
specified state employee is required to file a
final disclosure form (Form 1F) within 60 days
of leaving office or employment.
CE FORM 1 - Eff: 1/2006
PAGE 2