HomeMy Public PortalAbout2012District1GrayOFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
Jim Gray
candidate for the office of Orlaodo City Commissioner, District 1
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X
/--- /S- o?o / Z_,.-
Signature f Candidate 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 file 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, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS -DE 84 (05/11)
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account.
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
El Initial Filing of Form Re -filing to Change:
■
Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last)
10,4iL
3. Address (include post office box or street, city, state, zip
code)
9770 e5144:1 ,41.1=:, /PI.4.
Dk'�,vvo 1 32# 7
Telephone
(yo 7) .71#-‘,23:51 �orz
t. E-mail address
e ezot . Cam
6. Office sought (include distrldt, cir6uit, group number)
AitAi.ed lL' (,OV'0vas vas/twee" 2 er .7-
i —� r',
7. If a candidate for a nonpartisan office, check if
applicable:
❑ My intent is to run as a Write -In candidate.
8. If a candidate fll a partisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write -In ❑ No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my E Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
fY-- 0¢A / S
11. Mailing Address
390 N. a E /PE,. ,,c€,> -z 9'CV
12. Telephone
(98 7)37/- ..,?9,,
13. City
e
d,64-dt I
14. County
0,e Gs
15. State
C.
16. Zip Code
..�.za/
17. E-mail address
S Q yam. ca),
18. I have designated the following bank as my Primary Depository
■ Secondary Depository
19. Name of Bank
SAVX o-P/9,,q4,c-q
20. Address
D N. Ds2✓4-Nee AlE.
21. City
ei4.4-et-W a
22, County
C9,6440 E
23. State
F"l.
24. Zip Co e
.3.. Off
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date
/ -- (s - 0201.7--
26. Signatur- of C- didate
X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the a ropriate block)
I, /r-- ,�f-A.)e/.$ , do hereby accept the appointment
(Please Print or Type Name)
designated above as: M Campaign Treasurer
/ r ($ — e?a / 2 X
ig Deputy Treasurer.
1 3..,,
Date Signature of Campaign Treasurer or Deputy Treasurer
DS -DE 9 (Rev. 10/10)
Rule 15-2.0001, F.A.C.
CANDIDATE OATH -
NONPARTISAN OFFICE
•
(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
�� (Section 90.021, Florida Statutes)
._�./fr
I, _i /e/
or
to
cal
!
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of 614e/tier)C/ , P4OficjiliAlF�
(office) (district ft)
; I am a qualified elector of c ',9'1%6E, County, Florida;
(circuit #) (group or seat q)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated
elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs
concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant
Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the
State of �lor1T�
X ( 10 ,3y/— eS,sl Go a 1, hog.
Signature Candidate Telephone Number Email Address
97/f 6l,4Nph).eP ,i. A° ,1.0a AZ. 3 -?E ?7
Address Alty State ZIP Cods
Candidate's Florida Voter Registration Number (located on your voter Information
card): /7D0 -47S 4a0 ?
* Please print name phonetically on the line below as you wish It to be pronounced on the audio ballot for persons
with disabilities (see Instructions on page 2 of this form):
— Lih 6.7ZA
STATE OF FLORIDA
COUNTY OF V\k Q v -P,
1 v) day of J A V\ V C V) , 2Q_j
Sworn to (or affirmed) and subscribed before ma this
Personally Known: `r or
\
Y� '� ' \ i NOW\
Produced Identification:
Signature
Print, Type,
of Notary Public (�
or Stamp Commissioned Name ofNalgry P'ibtio
Type of Identification Produced:
w NICOLE E VAUGHAN
_• ` 1 '•, MY COMMISSION # EE028102
�+• : EXPIRES September 21, 2014
h , .,,SecyiiitGom
DS•DE 25 (Rev. 5/11)
Rule 13.2.0001, F.A.C.
FORM 1 STATEMENT OF 2011
Please print or type your name, mailing
address, agency name, and position below:
FINANCIAL INTERESTS
LAST NAME -- FIRST NAME -- MIDDLE NAME : j /j %
G RA �'/ .... /':/lies Y r r i.c fe%YJ
FOR OFFICE
USE ONLY:
MAILING ADDRESS :
4 D
?7S •✓E'FdRD
ID Code
CITY : ZIP : COUNTY :
e/% /✓, 0 3,2CG .A 7 O/CrfNd E
ID No.
NAME OF AGENCY :
o, d e..011Ai��p
GIry
Conf.Code
NAME OF OFFICE ITION HELD OR SOUGHT :
PQ
*L.L
C%
P. Req. Code
Ce0114/55/aofefed2 ^— P/S-7-/CT
You are not Ilmited# o the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF x CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE
**** 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 (must check one):
g DECEMBER 31, 2011 Qizt U SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCLILATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (must check one):
❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR CI DOLLAR VALUE THRESHOLDS
PART A -- PRIMARY SOURCES OF INCOME
(If you have nothing to report, you
NAME OF SOURCE
OF INCOME
[Major sources of income to the reporting person - See instructions
must write "none" or "n/a")
SOURCE'S
ADDRESS
p. 4]
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
fl Jp77.C5
390 N 4.21 ,4. 6 Ara., Suirt •tyro
0ww/ eiem�2. a�
y
O.PC . oo, .c! 3-78-c /
Office ba:1:4V
r
PART B -- SECONDARY SOURCES
[Major customers, clients,
(If you have nothing to report
NAME OF
BUSINESS ENTITY
OF INCOME
and other sources of income to businesses
, you must write "none" or "n/a")
NAME OF MAJOR SOURCES
OF BUSINESS' INCOME
owned by the reporting person - See
ADDRESS
OF SOURCE
instructions p. 4]
PRINCIPAL BUSINESS
ACTIVITY OF SOURCE
PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions p. 4]
(If you have nothing to report, you must write "none" or "n/a")
FILING INSTRUCTIONS for
when and where to file this form
are located 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.
NON
GE FORM 1 - Effective: January 1, 2012. Refer to Rule 34-8.202(1), F,A,C. (Continued on reverse side)
PAGE 1
PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions p. 5]
(If you have nothing to report, you must write "none" or "n/a")
TYPE OF INTANGIBLE
BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
Name
PART E — LIABILITIES [Major debts - See instructions p. 5]
(If you have nothing to report, you must write "none" or "n/a")
NAME OF CREDITOR
ADDRESS OF CREDITOR
A/40/vv
PART F - INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions p. 5]
(If you have nothing to report, you must write "none" or "n/a")
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 ❑
S URE (required):
WHAT TO FILE:
After completing all parts of this form, jncluding
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).
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):
/—
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 permanently
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.
Facsimiles will not be accepted.
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 employment.
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 positions.
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. However, filing
a CE Form 1F (Final Statement of Financial
Interests) does not relieve the filer of filing a
CE Form 1 if he or she was in their position on
December 31, 2011.
CE FORM 1 - Effective: January 1, 2012. Refer to Rule 34-8.202 (1), F.A.C.
PAGE 2
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
[
Check
X
Jim Gray
OFFICE USE ONLY
-� i"C!'-r_ FEB yt,`.4 =
Name
P. O. Box 3069
Address (number and street)
Orlando, FL 32802
City, State, Zip Code
(3) I.D. Number: 00000
Political Committee L Check if PC has DISBANDED
Cover
X
(5) REPORT IDENTIFIERS
Period: From 01/01/2012 To 02/10/2012 Report Type: G1
Original [ Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $4,825.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$3,957.98
$10,000.00
to Office
$0.00
Monetary $14,825.00
Monetary $3,957.98
$0.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$14,825.00
(10)
TOTAL Monetary Expenditures to Date
$3,957.98
(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
true, correct and complete
Scott Francis
I certify that I have examined this report and it is
true, correct and complete
Jim Gray
X
I
Individual (only for electioneering X Treasurer L,1 Deputy Treasurer
LX Candid Chairman (only for PC, PTY &
electioneering commun. organization)
X �,..
Signature
Signature
This form is based on DS -DE 12 (Rev. 08/04)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 01/01/2012 - 02/10/2012
(2) I.D. Number 00000
(4) Page
1 of 3
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8i
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
01/25/2012
Gray, James W.
9798 Blandford Road
Orlando, FL 32827-7036
S
Real
Estate
LOA
$
10000.00
1
02/03/2012
Evora, Orlando L.
1626 Spring Lake Drive
Orlando, FL 32804-0000
I
Attorney
CHE
$ 500.00
2
02/08/2012
Willerer, Nicole
322 Monticello Drive
Altamonte Springs, FL 32701-0000
I
Leasing
Associate
CHE
$ 100.00
3
02/08/2012
Greenberg Traurig
450 S. Orange Avenue, Suite 650
Orlando, FL 32801-0000
B
Law Firm
CHE
$ 500.00
4
02/08/2012
Pratt, Henry F.
8454 Royal Lakes Drive
Jacksonville, FL 32256-0000
I
Real
Estate
CHE
$ 500.00
5
02/10/2012
Sullivan, Thomas R.
4502 Patricia Ann Ct.
Orlando, FL 32839-0000
I
Attorney
CHE
$ 100.00
6
02/10/2012
Thompson, Scott C.
215 N. Eola Drive
Orlando, FL 32801-0000
I
Attorney
CHE
$ 100.00
7
02/10/2012
Furman, Rebecca
1355 Pelham Road
Winter Park, FL 32789-0000
I
Attorney
CHE
$ 100.00
8
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 01/01/2012 - 02/10/2012
(2) I.D. Number 00000
(4) Page
2 of 3
(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
02/10/2012
Lopez, Peter L.
3406 Bellington Drive
Orlando, FL 32835-0000
I
Attorney
CHE
$ 100.00
9
02/10/2012
Ryan, Michael A.
139 W. Fwsett Road
Winter Park, FL 32789-0000
I
Attorney
CHE
$ 300.00
10
02/10/2012
McNeill, Greg
4382 Tidewater Drive
Orlando, FL 32812-0000
I
Attorney
CHE
$ 150.00
11
02/10/2012
Dymond, Jr., William T.
2080 W. Fawsett Road
Winter Park, FL 32789-6068
I
Attorney
CHE
$ 300.00
12
02/10/2012
Brenner, Matthew G.
1330 Radclyffe Road
Orlando, FL 32804-4824
I
Attorney
CHE
$ 75.00
13
02/10/2012
Fildes, Richard J.
2514 Gatlin Avenue
Orlando, FL 32806-0000
I
Attorney
CHE
$ 500.00
14
02/10/2012
Kantor, Hal H.
815 Cordova Drive
Orlando, FL 32804-7317
I
Attorney
CHE
$ 250.00
15
02/10/2012
Pope, Nicholas A.
2200 W. Fawsett Road
Winter Park, FL 32789-6066
I
Attorney
CHE
$ 250.00
16
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 01/01/2012 - 02/10/2012
(2) I.D. Number 00000
(4) Page
3 of 3
(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
02/10/2012
Elsberry, Michael V.
1521 Harris Circle
Winter Park, FL 32789-0000
I
Attorney
CHE
$ 250.00
17
02/10/2012
Fitzgerald, Miranda F.
9602 Sloane Street
Orlando, FL 32827-7044
I
Attorney
CHE
$ 250.00
18
02/10/2012
Kattelmann, James G.
3953 Wardell Place
Orlando, FL 32814-6138
I
Attorney
CHE
$ 200.00
19
02/10/2012
Gorovitz, Aaron Jay
2006 Wayhaven Court
Maitland, FL 32751-0000
I
Attorney
CHE
$ 200.00
20
02/10/2012
Toscano, Wendy & Jim
1812 Pepperidge Drive
Orlando, FL 32806-0000
I
Attorney
CHE
$ 100.00
21
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 01/01/2012 - 02/10/2012
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
01/31/2012
City of Orlando
400 S. Orange Avenue
Orlando, FL 32801-0000
Filing fee - City
Commission District 1
MON
$ 1438.34
1
02/08/2012
PCS Marketing Group LLC
2534 Commerce Blvd.
Cincinnati, OH 45241-0000
yard signs
MON
$ 2519.64
2
This form is based on DS -DE 14 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 01/01/2012 - 02/10/2012
(2) I.D. Number 00000
(4) Page
0 of 0
(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)
Related
Expenditures
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
This form is based on DS -DE 14A (Rev. 08/03) [Note about Committees has been removed.)
Adjutant Software, Inc. - Campaign ToolBox
"
C A M P A I G N T R E A S U R E R ' S R E P O R T - F U N D T R A N S F E R S
( 1 ) N a m e J i m G r a y
( 3 ) C o v e r P e r i o d 0 1 / 0 1 / 2 0 1 2 - 0 2 / 1 0 / 2 0 1 2
( 2 ) I . D . N u m b e r 0 0 0 0 0
( 4 ) P a g e
0 o f 0
( 5 )
D a t e
( 7 )
N a m e o f F i n a n c i a l
I n s t i t u t i o n
S t r e e t A d d r e s s &
C i t y , S t a t e , Z i p C o d e
( 8 )
T r a n s f e r
T y p e
( 9 )
N a t u r e o f
A c c o u n t
( 1 0 )
A m e n d m e n t
( 1 1 )
A m o u n t
( 6 )
S e q u e n c e
N u m b e r
N o t h i n g t o r e p o r t o n t h i s
f o r m
T h i s f o r m i s b a s e d o n D S - D E 9 4 ( R e v . 0 8 / 0 3 )
A d j u t a n t S o f t w a r e , I n c . - C a m p a i g n T o o l B o x
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
Jim Gray
OFFICE USE ONLY
_> . .. , ..__.
Name
P. O. Box 3069
Address (number and street)
Orlando, FL 32802
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): Orlando City Council, District 1
(3) I.D. Number 00000
Political Committee Check if PC has DISBANDED
Cover
X
(5) REPORT IDENTIFIERS
Period: From 02/11/2012 To 02/24/2012 Report Type: G2
Original Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $34,030.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$8,103.53
$0.00
to Office
$0.00
Monetary $34,030.00
Monetary $8,103.53
$0.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$48,855.00
(10)
TOTAL Monetary Expenditures to Date
$12,061.51
(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
Scott Francis
I certify that I have examined this report and it is
true, correct and complete
Jim Cray
X
I
Individual (only for Treasurer lIDeputy Treasurer
Candidat Chairman (only for PC, PTY &
X electioneering commun. organization)
�/
X
Signature
Signature
This form is based on DS -DE 12 (Rev. 08/04)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
1 of 13
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8.
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
02/13/2012
Jamieson, Julia B.
9840 Covent Garden Drive
Orlando, FL 32827-0000
I
Housewif
e
e
CHE
$ 500.00
1
02/13/2012
Turchi, Ralph P.
12519 Westfield Lakes Circle
Winter Garden, FL 34787-0000
I
Broker
CHE
$ 500.00
2
02/13/2012
McCormick, Nan B.
1310 Chichester Street
Orlando, FL 32803-0000
I
Real
Estate
Broker
CHE
$ 500.00
3
02/13/2012
Lee, Richard T.
P.O. Box 2113
Orlando, FL 32802-0000
I
Investor
CHE
$ 500.00
4
02/13/2012
Scanlon, Thomas D.
102 Cove Colony Road
Maitland, FL 32751-0000
I
Lawyer
CHE
$ 250.00
5
02/13/2012
Brewer, III., Denny H.
628 Ellen Drive
Winter Park, FL 32789-2902
I
Investor
CHE
$ 200.00
6
02/13/2012
Barrow, Shawn L.
4916 Oak Island Road
Orlando, FL 32809-0000
I
Real
Estate
Investor
CHE
$ 500.00
7
02/14/2012
Jamieson, P. Gregor
9840 Covent Garden Drive
Orlando, FL 32827-0000
I
Golf
Professio
nal
CHE
$ 500.00
8
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign Toolbox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
2 of 13
(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
02/14/2012
Benscher, Julian
5165 Isleworth Country Club Drive
Windermere, FL 34786-0000
I
Investme
nts
CHE
$ 200.00
9
02/14/2012
Bonsai!, Sally
101 E. Sioux Rd., #906
Pharr, TX 78577-0000
I
Retired
MO
$ 500.00
10
02/14/2012
Accola, Kevin D,
5243 Cranes Point Ct.
Orlando, FL 32839-2009
I
Physician
CHE
$ 500.00
11
02/15/2012
SEF Enterprises Inc.
P.O. Box 560306
Orlando, FL 32856-0000
B
Consulta
nt
CHE
$ 500.00
12
02/15/2012
McGee, Jerry Michael
9132 Sun Terrace Cir Apt D
Palm Beach Gardens, FL 33403-
4106
I
Sports
Manage
ment
CHE
$ 500.00
13
02/16/2012
Lipsey, Michael J.
505 NW Ivanhoe Blvd
Orlando, FL 32804-5844
I
Real
Estate
Executive
CHE
$ 500.00
14
02/16/2012
Caligiuri, Daniel A.
1140 Woodmere Drive
Winter Park, FL 32789-0000
I
Broker
CHE
$ 100.00
15
02/16/2012
Poole, Nicholas L.
2951 Lindale Ave.
Orlando, FL 32814-6768
I
Leasing
Broker
CHE
$ 100.00
16
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
3 of 13
(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
02/16/2012
Bell, Scott D.
738 Hardman Drive
Orlando, FL 32806-0000
I
Real
Estate
Broker
CHE
$ 100.00
17
02/16/2012
Envi By Design
528 E. Washington St.
Orlando, FL 32801-0000
B
Interior
Design
CHE
$ 100.00
18
02/16/2012
Dowless, Donna R.
1055 Lancaster Drive
Orlando, FL 32806-2314
I
Artist
CHE
$ 100.00
19
02/16/2012
Hall, C. R. Shipley
2899 Dorell Avenue
Orlando, FL 32814-0000
I
Leasing
Broker
CHE
$ 100.00
20
02/16/2012
Lloyd, William S.
1715 Colleen Drive
Orlando, FL 32809-6874
I
Property
Manage
ment
CHE
$ 100.00
21
02/16/2012
Veasey, Rhonda S.
64 Camino Real
Howey-In-The-Hills, FL 34737-0000
I
Property
Manage
ment
CHE
$ 100.00
22
02/16/2012
Kellogg, Robert R.
100 S. Eola Dr., Unit 1614
Orlando, FL 32801-0000
I
Real
Estate
Leasing
CHE
$ 100.00
23
02/16/2012
Gray, Aaron
150 E. Robinson St., Unit 1912
Orlando, FL 32801-0000
I
Leasing
Broker
CHE
$ 100.00
24
This form is based on DS -DE 13 (Rev 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
4 of 13
(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
02/16/2012
Barnes, Thomas Brent
100 S. Eola Dr., Unit 1510
Orlando, FL 32801-6601
I
Investme
nt Sales
CHE
$ 150.00
25
02/16/2012
LoCascio, Larry
109 Smokerise Blvd.
Longwood, FL 32779-0000
I
Property
Manage
ment
CAS
$ 30.00
26
02/16/2012
Gay, John L.
601 Westminster Street
Orlando, FL 32803-0000
I
Leasing
Broker
CHE
$ 200.00
27
02/16/2012
Phipps, Michael C.
325 Brantley Club Place
Longwood, FL 32779-5873
I
Leasing
Broker
CHE
$ 200.00
28
02/16/2012
Golemme, Marilyn
14602 Wishing Wind Way
Clermont, FL 34711-0000
I
Administr
ative
Asst.
CHE
$ 200.00
29
02/16/2012
Schaefer, Peter R.
9021 Dancy Tree Ct,
Orlando, FL 32836-5059
I
Insuranc
e
CHE
$ 200.00
30
02/16/2012
Terrace 390 LLC
390 N. Orange Ave., Suite 110
Orlando, FL 32801-0000
B
Hospitalit
y
CHE
$ 200.00
31
02/16/2012
Guitar, John A.
919 Valencia Avenue
Orlando, FL 32804-7029
I
Real
Estate
CHE
$ 250.00
32
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
5 of 13
(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
02/16/2012
Watson, Brian Alan
9599 Sloane Street
Orlando FL 32827-0000
I
Attorney
CHE
$ 250.00
33
02/16/2012
Florida Office Group LLC
1035 Primera Blvd., Suite 1042
Lake Mary, FL 32746-0000
B
Property
Manage
ment
CHE
$ 300.00
34
02/16/2012
Daniel R. DeRango & Company, Inc.
1601 E. Amelia Street
Orlando, FL 32803-0000
B
Real
Estate
Appraiser
s
CHE
$ 250.00
35
02/16/2012
W B Q Design & Engineering, Inc.
201 N. Magnolia Ave., Suite 200
Orlando, FL 32801-1827
B
Engineeri
ng
CHE
$ 250.00
36
02/16/2012
Rossi, Joseph L.
732 Mayfair Circle
Orlando, FL 32803-6629
I
Investme
nt Sales
CHE
$ 300.00
37
02/16/2012
Bauerle, Kurtis T.
507 Palmer Street
Orlando, FL 32801-3918
I
Attorney
CHE
$ 500.00
38
02/16/2012
Kiene, Ford W.
P. O. Box 621808
Orlando, FL 32862-1808
I
Beverage
Distribut
or
CHE
$ 500.00
39
02/16/2012
Rogg, Ronald J.
2174 Talman Mews Court
Winter Park, FL 32792-0000
I
Investme
nt Sales
CHE
$ 500.00
40
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
6 of 13
(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
(5)
Sequence
Number
02/16/2012
Baker, Ann Yvonne
612 Spring Valley Road
Altamonte Springs, FL 32714-0000
I
Leasing
Broker
CHE
$ 500.00
41
02/16/2012
Fildes, Deborah D.
2514 Gatlin Avenue
Orlando, FL 32806-0000
I
Homema
ker
CHE
$ 500.00
42
02/16/2012
Dixon, James W.
1207 Vassar Street
Orlando, FL 32804-0000
I
Real
Estate
Broker
CHE
$ 500.00
43
02/16/2012
Zinaich, Peter J.
446 Raymond Avenue
Longwood, FL 32750-0000
I
Attorney
CHE
$ 500.00
44
02/16/2012
Zinaich, Emily
446 Raymond Avenue
Longwood, FL 32750-0000
I
Leasing
Broker
CHE
$ 500.00
45
02/16/2012
Morrison, Kathleen
200 S. Shadowbay Blvd.
Longwood, FL 32779-0000
I
Realtor
CHE
$ 500.00
46
02/16/2012
Reeves, Catherine A.
1500 Delaney Avenue
Orlando, FL 32806-2152
I
Broker
CHE
$ 500.00
47
02/16/2012
Morrison, Gregory Neal
200 S. Shadowbay Blvd.
Longwood, FL 32779-4870
I
Real
Estate
CHE
$ 500.00
48
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
7 of 13
(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
02/16/2012
Hartley, Barbara B.
1732 Mizell Avenue
Winter Park, FL 32789-0000
I
Exec.
Director
CHE
$ 50.00
49
02/16/2012
Quigley, Jennifer R.
P. O. Box 621808
Orlando, FL 32862-1808
I
Engineer
CHE
$ 500.00
50
02/16/2012
MCRE, LLC
255 S. Orange Avenue, Suite 1545
Orlando, FL 32801-0000
B
Real
Estate
CHE
$ 500.00
51
02/17/2012
Rawls, Loyd H.
1700 W. Colonial Drive
Orlando, FL 32804-0000
I
Consulta
nt
CHE
$ 500.00
52
02/17/2012
Cohen, Harold
8176 Terraza Court
Orlando, FL 32836-8715
I
Real
Estate
CHE
$ 100.00
53
02/17/2012
Moskowitz, Deborah
8849 Silk Bay Place
Orlando, FL 32827-0000
I
Lawyer
CHE
$ 500.00
54
02/17/2012
Reid, John
3110 Carmia Drive
Orlando, FL 32806-5572
I
Lawyer
CHE
$ 100.00
55
02/17/2012
Echavarria, Jorge
10524 Moss Park Rd., Ste 204-207
Orlando, FL 32832-0000
I
Manufact
uring
CHE
$ 200.00
56
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
8 of 13
(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
02/21/2012
Bieberbach, Bill
9632 Bryanston Drive
Orlando, FL 32827-7064
I
Consulta
nt
CHE
$ 300.00
57
02/21/2012
Siegel, Darlene
9856 Covent Garden Drive
Orlando, FL 32827-0000
I
Retiree
CHE
$ 50.00
58
02/21/2012
Lyons, Bradley
10133 Sweetleaf Street
Orlando, FL 32827-0000
I
APPRAIS
ER
CHE
$ 100.00
59
02/21/2012
Randall, Janice R.
9355 Bevington Lane
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 100.00
60
02/21/2012
Lallos, Richard A.
9220 Cromwell Gardens Court
Orlando, FL 32827-0000
I
Retired
CHE
$ 100,00
61
02/21/2012
Streibig, Martha H.
9606 Tavistock Court
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 100.00
62
02/21/2012
Thomas, Gail M.
9508 Sloane Strete
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 100.00
63
02/21/2012
Bies, Lorraine M.
10355 Kensington Shore Drive, Unit
102
Orlando, FL 32827-0000
I
Retired
CHE
$ 100.00
64
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
9 of 13
(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
02/21/2012
Bos, Helen Raska
9501 Tavistock Road
Orlando, FL 32827-7012
I
Homema
ker
CHE
$ 100.00
65
02/21/2012
Powell, Sherry)
10509 Cromwell Grove Terrace
Orlando, FL 32827-7013
I
Homema
ker
CHE
$ 200.00
66
02/21/2012
Kerr, David
9107 Sloane Street
Orlando, FL 32827-7025
I
Medical
Sales
CHE
$ 250.00
67
02/21/2012
Senkler, Jr„ George H.
9825 Covent Garden Drive
Orlando, FL 32827-0000
I
Professor
CHE
$ 250.00
68
02/21/2012
Cullen Development LLC
1969 S. Alafaya Trail, Ste 160
Orlando, FL 32828-0000
B
Investme
nts
CHE
$ 300.00
69
02/21/2012
Kuchar Consulting, LLC
10142 Chiltern Garden Drive
Orlando, FL 32827-0000
B
Consulta
nt
CHE
$ 300.00
70
02/21/2012
Kriss, Cheryl A.
9348 Thurloe Place
Orlando, FL 32827-7003
I
Homema
ker
CHE
$ 500.00
71
02/21/2012
Stewart, Carey P.
9108 Sloane Street
Orlando, FL 32827-0000
I
Investor
CHE
$ 500.00
72
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
10 of 13
(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
02/21/2012
Engel, Frank P.
9563 Blandford Rd.
Orlando, FL 32827-0000
I
Retired
PhD
CHE
$ 500.00
73
02/21/2012
Lewis, Steven M.
9054 Mayfair Pointe Drive
Orlando, FL 32827-0000
I
Restaurat
eur
CHE
$ 500.00
74
02/21/2012
Sudden, James W.
10457 Cromwell Grove Terrace
Orlando, FL 32827-0000
I
Retired
CHE
$ 500.00
75
02/21/2012
Lyons, Trustee., James R.
9873 Covent Gardens Drive
Orlando, FL 32827-7031
I
Real
Estate
Investme
nts
CHE
$ 500.00
76
02/21/2012
O'Shane, Kathleen L.
9693 Sloane Street
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 500.00
77
02/21/2012
Butrick, Glen M.
9841 Covent Garden Drive
Orlando, FL 32827-0000
I
Medical
Consultin
9
CHE
$ 500.00
78
02/21/2012
Smith, Stanley W.
9222 Sloane Street
Orlando, FL 32827-0000
I
Investme
nt
Advisor
CHE
$ 500.00
79
02/21/2012
Conte, Melissa A.
9219 Cromwell Woods Square
Orlando, FL 32827-0000
I
Physician
CHE
$ 500.00
80
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
11 of 13
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
02/21/2012
Conte, Ronald J.
9219 Cromwell Woods Square
Orlando, FL 32827-0000
I
Lawyer
CHE
$ 500.00
81
02/21/2012
Lightsey & Associates, P.A.
2105 N. Park Avenue
Winter Park, FL 32789-2309
B
Law Firm
CHE
$ 500.00
82
02/22/2012
Laudermilk, J. E.
5784 Chickasaw Lane
Braselton, GA 30517-0000
I
Homema
ker
CHE
$ 250.00
83
02/22/2012
Johnson, Randall D.
6731 Matchett Road
Orlando, FL 32809-0000
I
Real
Estate
Investor
CHE
$ 500.00
84
02/22/2012
Laskowski, Susan M.
9624 Bryanston Drive
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 300.00
85
02/23/2012
Sawruk Management, Inc.
1410 Alberta Drive
Winter Park, FL 32789-0000
B
Investor
CHE
$ 500.00
86
02/23/2012
Lee, Kathleen
P.O. Box 2113
Orlando, FL 32802-0000
I
Investor
CHE
$ 500.00
87
02/23/2012
Picerne, Robert M.
310 Sandleworth Place
Heathrow, FL 32746-0000
I
Real
Estate
Investor
CHE
$ 500.00
88
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
12 of 13
(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
02/23/2012
Willow Key Apartments
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Manage
ment
CHE
$ 500,00
89
02/23/2012
River Oaks Apartments
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Manage
ment
CHE
$ 500.00
90
02/23/2012
Stratford Pt.
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Mgmt.
CHE
$ 500.00
91
02/23/2012
Ashton Lake Apartments
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Mgmt.
CHE
$ 500.00
92
02/23/2012
Tower Point Apartments
247 N. Westmonte Drive
Altamonte Spings, FL 32714-0000
B
Property
Mgmt.
CHE
$ 500.00
93
02/23/2012
Picerne Management Corp.
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Mgmt
CHE
$ 500.00
94
02/23/2012
Palm Key
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Manage
ment
CHE
$ 500.00
95
02/23/2012
Lake Weston Apartments
247 N. Westmonte Drive
Altamonte Springs, FL 32714-0000
B
Property
Mgmt.
CHE
$ 500.00
96
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc, - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(2) I.D. Number 00000
(4) Page
13 of 13
(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
02/23/2012
Picerne, Gwyn R.
310 Sandleworth Place
Heathrow, FL 32746-0000
I
Homema
ker
CHE
$ 500.00
97
02/24/2012
Brandon Partners, Inc.
200 Pasadena Place
Orlando, FL 32803-0000
B
R.E.
Develope
r
CHE
$ 500.00
98
02/24/2012
Gale, Jeffrey
1108 Andover Forest Drive
Lexington, KY 40509-0000
I
Investor
CHE
$ 250.00
99
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 02/11/2012 - 02/24/2012
(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)
B4 B'dtue
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
02/22/2012
The Printers
2098 Sprint Boulevard
Printing -
business/note cards
MON
$ 336.54
Apopka, FL 32703-0000
1
02/22/2012
Consensus Communications, Inc.
Brochures
MON
$ 1450.00
P. O. Box 2898
Winter Park, FL 32790-0000
2
02/22/2012
Consensus Communications, Inc.
Web design
MON
$ 5000.00
P. 0. Box 2898
Winter Park, FL 32790-0000
3
02/22/2012
Bonsall, Sally
101 E. Sioux Rd., #906
Refund money order
accepted in error
REF
$ 500.00
Pharr, TX 78577-0000
4
02/23/2012
Terrace 390 LLC
2/15/12 Fund Raising
MON
$ 620.00
390 N. Orange Ave., Suite 110
Event
Orlando, FL 32801-0000
5
ihsfomishaaedrnI CE14(Fty 0303)
A Ltart S 8re ( tpagiTcdeck
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
Jim Gray
OFFICE USE ONLY
2012 HfR 16 PM 2:38
Name
P. O. Box 3069
Address (number and street)
Orlando, FL 32802
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought). Orlando City Council, District 1
(3) I.D. Number 00000
Political Committee Check if PC has DISBANDED
Cover
X
(5) REPORT IDENTIFIERS
Period: From 02/25/2012 To 03/09/2012 Report Type G3
Report
Original Amendment Special Election
Independent Expenditure Report
Cash
Loans
Total
In -Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $15,050.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$13,259.54
$0.00
to Office
$0.00
Monetary $15,050.00
Monetary $13,259.54
$13,300.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$63,905.00
(10)
TOTAL Monetary Expenditures to Date
$25,124.06
(11) CERT
It is a first degree misdemeanor for any person
FICATION
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
Scott Francis
I certify that I have examined this report and it is
true, correct and complete
Jim Gray
X
I
Individual (only for Treasurer Deputy Treasurer
Candidate
X
Chairman (only tor PC, PTY
electioneering common. organization)
�/
X
Signature
Sign e
This form is based on DS -DE 12 (Rev. 08/04)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(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
02/27/2012
Clark, James Rodgers
12069 Jewel Fish Lane
Orlando, FL 32827-0000
I
Retired
CHE
$ 100.00
1
02/27/2012
Bedell, Darren M.
10224 Kensington Shore Drive
Orlando, FL 32827-7306
I
Engineer
CHE
$ 150.00
2
02/27/2012
Deeley, Jr., Thomas E.
9580 Sloane Street
Orlando, FL 32827-7043
I
Retired
CHE
$ 200.00
3
02/27/2012
Moorman, David J.
9444 Thurloe Place
Orlando, FL 32827-7003
I
Sports
Agent
CHE
$ 250.00
4
02/27/2012
Keller, Dixie Leigh
9218 Cromwell Park Place
Orlando, FL 32827-7001
I
Homema
ker
CHE
$ 250.00
5
02/27/2012
Keller, Gray
9218 Cromwell Park Place
Orlando, FL 32827-7001
I
PhD
Philanthr
opy
CHE
$ 250.00
6
02/27/2012
Fernandez, Marguerite A.
9428 Thurloe Place
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 250.00
7
02/27/2012
Paine, Eustis Barton
9213 Cromwell Gardens Court
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 250.00
8
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(2) I.D. Number 00000
(4) Page
2 of 6
(5)
Dale
(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
02/27/2012
Donnelly, Lane F.
9725 Blandford Road
Orlando, FL 32827-7039
I
Doctor
CHE
$ 300.00
9
02/27/2012
Smith, Susan L.
9120 Sloane Street
Orlando, FL 32827-0000
I
Retired
CHE
$ 300.00
10
02/27/2012
McCleery, Jennifer D.
9784 Covent Garden Drive
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 300.00
11
02/27/2012
Harms, Kenneth A.
8662 Blandford Road
Orlando, FL 32827-0000
I
Golf
Caddie
CHE
$ 300.00
12
02/27/2012
Galbraith, Cecilia
9575 Blandford Road
Orlando, FL 32827-7008
I
Homema
ker
CHE
$ 400.00
13
02/27/2012
Fernandez, Maria M.
10339 Kensington Shore Dr., Unit
J101
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 500.00
14
02/27/2012
Duke, Thomas P.
4510 37th Street N.
Arlington, VA 22207-4305
I
Investme
nt Banker
CHE
$ 500.00
15
02/27/2012
Morehead, James M.
10473 Cromwell Grove Terrace
Orlando, FL 32827-0000
I
Contracto
r
CHE
$ 500.00
16
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(2) I.D. Number 00000
(4) Page
3 of 6
(5)
Dote
(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
02/27/2012
Jardon, Renee A.
10169 Tavistock Road
Orlando, FL 32827-0000
I
Business
Owner
CHE
$ 500.00
17
02/27/2012
Jardon, I I ., James E.
10169 Tavistock Road
Orlando, FL 32827-0000
I
Business
Owner
CHE
$ 500.00
18
02/27/2012
Stanchina, Mary Lynn
9655 Blandford Road
Orlando, FL 32827-0000
I
Homema
ker
CHE
$ 500.00
19
02/27/2012
Arnold, M.D., Daniel L.
9132 Sloane Street
Orlando, FL 32827-0000
I
Doctor
CHE
$ 500.00
20
02/27/2012
Bergevin, Real
9801 Blandford Road
Orlando, FL 32827-0000
I
Investor
CHE
$ 500.00
21
02/27/2012
Eldridge, Dan
10387 Kensington Shore Dr., Unit
202
Orlando, FL 32827-7302
I
Insuranc
e
CHE
$ 500.00
22
02/27/2012
Sidhu, Rupinder S.
10229 Tavistock Road
Orlando, FL 32827-0000
I
Investor
CHE
$ 500.00
23
02/27/2012
Lake Nona Golf & Country Club, Inc.
9100 Chiltern Drive
Orlando, FL 32827-0000
B
Golf
business
CHE
$ 500.00
24
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(2) I.D. Number 00000
(4) Page
4 of 6
(5)
Date
(7)
Full Name
(Lest, 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
02/27/2012
Watson, Julie A.
9599 Sloane Street
Orlando, FL 32827-7046
I
Homema
ker
CHE
$ 250.00
25
02/27/2012
Deal, Larry P.
1941 Lake Markham Preserve Trail
Sanford, FL 32771-0000
I
Title
Insuranc
e
CHE
$ 250.00
26
02/27/2012
Gray, John
7408 Willesden Lane
Charlotte, FL 28277-0000
I
Retired
CHE
$ 500.00
27
02/29/2012
Republican Party of Florida
P. 0. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
campaign
staff
$1500.00
28
02/29/2012
Republican Party of Florida
P. 0. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
campaign
staff
$ 5000.00
29
02/29/2012
Republican Party of Florida
P. 0. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
Consulting
$ 2500.00
30
03/05/2012
Republican Party of Florida
P. O. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
Polling
$ 4300.00
31
03/06/2012
Mills, Trustee., Jonathan
9203 Cromwell Woods Sq.
Orlando, FL 32827-0000
I
Event
Promoter
CHE
$ 500.00
32
This form is based on DS -DE 13 (Rev. 08103)
Adjutant Software. Inc. -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(2) I.D. Number 00000
(4) Page
5 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
03/06/2012
Trevett, Dr., Mildred T.
10501 Cromwell Grove Terrace
Orlando, FL 32827-0000
1
Physician
CHE
$ 200.00
33
03/06/2012
Garrity, Steve J.
1628 Elizabeths Walk
Winter Park, FL 32789-5946
I
Real
Estate
Exec.
CHE
$ 100.00
34
03/06/2012
Writers, David A.
1251 Palmer Avenue
Winter Park, FL 32789-0000
I
Broker
CHE
$ 100.00
35
03/06/2012
Kerr, Whitney L.
5023 Honeynut Lane
Windermere, FL 34786-0000
I
Interior
Designer
CHE
$ 50.00
36
03/06/2012
Picerne, Ronald R.S.
75 Lambert Lind Highway
Warwick, RI 02886-0000
I
Real
Estate
Investor
CHE
$ 500.00
37
03/07/2012
O'Reilly, David R.
5001 Latrobe Drive
Windermere, FL 32786-8914
I
Real
Estate
Exec.
CHE
$ 500.00
38
03/07/2012
Humphries, J. Gregory
1444 Sweetbriar Road
Orlando, FL 32806-0000
I
Attorney
CHE
$ 100.00
39
03/07/2012
Tobin, Jennifer S.
1884 Turnberry Terrace
Orlando, FL 32804-6013
I
Lawyer
CHE
$ 100.00
40
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(2) I.D. Number 00000
(4) Page
6 of 6
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, Stale, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
03/07/2012
Zucker, Steven J.
1238 Scandia Terrace
Oviedo, FL 32765-0000
I
Attorney
CHE
$ 100.00
41
03/07/2012
Schrimsher, J. Steven
3340 Carla Street
Orlando, FL 32806-0000
I
Lawyer
CHE
$ 500.00
42
03/07/2012
Grindstaff, Michael J.
300 S. Orange Ave., Suite 1000
Orlando, FL 32801-0000
I
Attorney
CHE
$ 500.00
43
03/07/2012
Willard, James G.
228 West 7th Avenue
Windermere, FL 34786-8709
I
Lawyer
CHE
$ 500.00
44
03/07/2012
Shutts & Bowen LLP
1500 Miami Center, 201 S. Biscayne
Blvd
Miami, FL 33131-0000
B
Law F
Irm
CHE
$ 500.00
45
03/09/2012
Gray, John L.
101 E. Sioux Road, #1040
Pharr,'TX 78577-0000
I
Retired
CHE
$ 250.00
46
03/09/2012
Duncan, Robert Whitney
1120 Belleaire Circle
Orlando, FL 32804-6706
I
Broker
CHE
$ 500.00
47
03/09/2012
Bonsall, Sarah L.
101 E. Sioux Road, #1040
Pharr, TX 78577-0000
I
Retired
CHE
$ 250.00
48
This form Is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
(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
(8)
Purpose
(add office sought if
contribution to a candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
02/27/2012
Consensus Communications, Inc.
mailings
MON
$ 4519.17
P. O. Box 2898
Winter Park, FL 32790-0000
1
02/27/2012
Miranda, Antori
Reimburse Home
MON
$ 44.15
707 Forestgreen Ct.
Depot expense
Orlando, FL 32828-0000
2
02/28/2012
Falzone, Joshua
3849 Percival Road
Stamps and mailing
supplies
MON
$ 174.38
Orlando, FL 32826-0000
3
03/02/2012
Falzone, Joshua
3849 Percival Road
Postage and mailing
supplies
MON
$ 498.75
Orlando, FL 32826-0000
4
03/05/2012
Falzone, Joshua
Reimb. postage
MON
$ 246.28
3849 Percival Road
Orlando, FL 32826-0000
5
03/05/2012
Election Connections, Inc.
Phone calls
MON
$ 279.90
P. O. Box 10866
Tallahassee, FL 32302-0000
6
03/05/2012
TWO Technologies
Campaign Software
MON
$ 1500.00
2305 Beach Blvd., Ste 102
Jacksonville Beach, FL 32250-0000
7
03/05/2012
Falzone, Joshua
3849 Percival Road
reimburse office
supplies
MON
$ 196.99
Orlando, FL 32826-0000
8
This form is based on DS -DE 14 (Rev. 08/03)
A julant Software, Inc. - Campaign ToolSox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 02/25/2012 - 03/09/2012
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
(8)
Purpose
(add office sought if
contdbution to a candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
03/07/2012
Standard Parking
parking
MON
$ 234.32
201 S. Orange Ave., Ste 101
Orlando, FL 32801-3435
9
03/07/2012
Gray, Jim
9798 Blandford Rd.
Orlando, FL 32827-0000
Reimb for
photos/postage/PObo>
rental
MON
$ 252.78
10
03/07/2012
Miranda, Antori
grassroots activity
MON
$ 50.00
707 Forestgreen Ct.
Orlando, FL 32828-0000
11
03/07/2012
Ruiz, Martha E.
translation
MON
$ 90.00
2813 Hoffner Avenue
Orlando, FL 32812-0000
12
03/08/2012
U. S. Postal Service
purchase stamps
MON
$ 765.00
Jefferson Street
Orlando, FL 32801-0000
13
03/08/2012
Falzone, Joshua
mailing envelopes
MON
$ 179.99
3849 Percival Road
Orlando, FL 32826-0000
14
03/08/2012
Consensus Communications, Inc.
mailings
MON
$ 4227.83
P. O. Box 2898
Winter Park, FL 32790-0000
15
This form is based on DS -DE 14 (Rev. 08/03)
A jutant Software, Inc. - Campaign ToolBox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
Jim Gray
OFFICE USE ONLY
Z ...-.. . ac 0 PH i A-..--._, -
Name
P. O. Box 3069
Address (number and street)
Orlando, FL 32802
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): Orlando City Council, District 1
(3) I.D. Number: 00000
Political Committee Check if PC has DISBANDED
Cover
X
(5) REPORT IDENTIFIERS
Period: From 03/10/2012 To 03/29/2012 Report Type: G4
Original Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $8,050.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$13,294.57
$0.00
to Office
$0.00
Monetary $8,050.00
Monetary $13,294.57
$23,230.52
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$71,955.00
(10)
TOTAL Monetary Expenditures to Date
$38,418.63
(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
true, correct and complete
Scott Francis
I certify that I have examined this report and it is
true, correct and complete
Jim Gray
X
I
Individual (only for Treasurer I IDeputy Treasurer
Candid Chairman (only for PC, PTY &
X electioneering commun. organization)
X
Signature
Signature
This form is based on DS -DE 12 (Rev. 08/04)
Adjutant Software, Inc. - Campaign Toolbox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 03/10/2012 - 03/29/2012
(2) I.D. Number 00000
(4) Page
1 of 4
(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
03/12/2012
Beverly, Charlie S.
1000 Willa Drive
Oviedo, FL 32765-6429
I
Banker
CHE
$ 300.00
1
03/12/2012
Mealy, Don C.
9216 Sloane Street
Orlando, FL 32827-0000
I
Auto
Dealer
CHE
$ 500.00
2
03/12/2012
Mattia, Gerald R.
9684 Blandford Road
Orlando, FL 32827-0000
I
Doctor
CHE
$ 500.00
3
03/15/2012
Cavanaugh, Casey
1922 Old Colony Lane
Maitland, FL 32751-0000
I
Lawyer
CHE
$ 50.00
4
03/15/2012
400 North Orange LLC
3120 Southwest Freeway, Ste 200
Houston, TX 77098-0000
B
Develope
rs
CHE
$ 500.00
5
03/22/2012
O'Keefe, Daniel T.
1821 Maple Leaf Drive
Windermere, FL 34786-0000
I
Lawyer
CHE
$ 250.00
6
03/22/2012
Brumback, Jr., Charles T.
1309 Country Lane
Orlando, FL 34804-0000
I
Lawyer
CHE
$ 50.00
7
03/22/2012
Christiansen, Patrick T.
500 Ivanhoe Plaza
Orlando, FL 32804-0000
I
Attorney
CHE
$ 200.00
8
This form is based on D5 -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 03/10/2012 - 03/29/2012
(2) I.D. Number 00000
(4) Page
2 of 4
(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
03/22/2012
Goldsmith, James F.
2020 E. Jefferson Street
Orlando, FL 32803-0000
I
Lawyer
CHE
$ 50.00
9
03/22/2012
O'Brien, John A.
7617 Mount Carmel Drive
Orlando, FL 32835-8164
I
Golf
professio
nal
CHE
$ 500.00
10
03/22/2012
O'Brien, Julia Ann
7617 Mount Carmel Drive
Orlando, FL 32835-8164
I
Doctor
CHE
$ 500.00
11
03/22/2012
Izzi, Robert J.
10106 Chiltern Garden Drive
Orlando, FL 32827-0000
I
Equipme
nt Sales
CHE
$ 500.00
12
03/22/2012
Hudson, Arthur J.
9155 Sloane Street
Orlando, FL 32827-7025
I
Consume
r Sales
CHE
$ 500.00
13
03/26/2012
Nodarse, Leila Jammal
510 Genius Drve
Winter Park, FL 32789-0000
I
Engineer
CHE
$ 250.00
14
03/26/2012
Mateer, Craig
6751 Forum Drive, Ste 230
Orlando, FL 32821-0000
I
Transport
ation
Services
CHE
$ 500.00
15
03/26/2012
Baggage Airine Guest Services
6751 Forum D;ve, Suite 230
Orlando, FL 32821-8089
B
Transport
ation
Services
CHE
$ 500.00
16
This form is based on OS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 03/10/2012 - 03/29/2012
(2) I.D. Number 00000
(4) Page
3 of 4
(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
03/26/2012
Home Sery Delivery, LLC
6751 Forum Drive, Suite 230
Orlando, FL 32821-8089
B
Transport
ation
Services
CHE
$ 500.00
17
03/27/2012
Hanin, Stanley
499 N. State Road 434, Ste 2009
Altamonte Springs, FL 32714-2170
I
Retired
CHE
$ 250.00
18
03/27/2012
Merrell, Stanley D.
365 Osprey Lakes Cricle
Chuluota, FL 32766-0000
I
Insuranc
e Broker
CHE
$ 50.00
19
03/27/2012
Francis, Thomas E.
649 Cherokee Circle
Orlando, FL 32801-0000
I
Attorney
CHE
$ 100.00
20
03/27/2012
City Cab Ccrripany of Orlando Inc.
P. O. Box 3227
Orlando, FL 32802-0000
B
Transport
ation
CHE
$ 500.00
21
03/28/2012
Florida Realtors Political Action
Committee
7025 Augusta National Drive
Orlando, FL 32822-5017
F
Realtors
PAC
CHE
$ 500.00
22
03/29/2012
Republican Party of Florida
P. O. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
Prof.
Consulting
$
16706.25
23
03/29/2012
Republican Party of Florida
P. O. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
Campaign
staff
$ 6500.00
24
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 03/10/2012 - 03/29/2012
(2) I.D. Number 00000
(4) Page
4 of 4
(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
03/29/2012
Republican Party of Florida
P. 0. Box 311
Tallahassee, FL 32301-0000
P
Political
Party
INK
Postage
$ 24.27
25
03/29/2012
RP Altamonte II LLC
1999 Avenue of The Stars #1260
Los Angles, CA 90067-0000
B
Real
Estate
Investors
CHE
$ 500.00
26
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 03/10/2012 - 03/29/2012
(2)1.0. Number 00000
(4) Page
1 of 2
(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
03/12/2012
U. S. Postal Service
Purchase stamps
MON
$ 450.00
Jefferson Street
Orlando, FL 32801-0000
1
03/16/2012
Plaudits
t -shirts
MON
$ 409.69
1002 S. Dillard Street, #110
Winter Garden, FL 34787-0000
2
03/16/2012
Consensus Communications, Inc.
Mailings
MON
$ 2138.40
P. O. Box 2898
Winter Park, FL 32790-0000
3
03/22/2012
Gray, Kathy
9798 Blandford Road
Lunch/drinks for
volunteers
MON
$ 514.63
Orlando, FL 32827-7036
4
03/22/2012
TWG Tec".no'cgies
Software
MON
$ 500,00
2305 Beach Blvd., Ste 102
Jacksonville Beach, FL 32250-0000
5
03/22/2012
Miranda, Antoci
Reimb for 2 phones
MON
$ 194.68
707 Forestgreer, Ct.
Orlando, FL 32828-0000
6
03/22/2012
The Printers
Printing/lapel stickers
MON
$ 146.97
2098 Sprint Bculevard
Apopka, FL 32703-0000
7
03/23/2012
Consensus Ccnrmunications, Inc.
mailings
MON
$ 8026.00
P. O. Box 2898
Winter Park, FL 32790-0000
8
This form is based on DS -DE 14 (Ray. 08/03;
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 03/10/2012 - 03/29/2012
(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
(8)
Purpose
(add office sought if
contribution to a candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
03/23/2012
Election Connections, Inc.
P. O. Box 10866
Tallahassee, FL 32302-0000
Calls made
MON
$ 519.52
9
03/28/2012
Falzone, Jos: -L a
3849 Percval Road
Orlando, FL 32826-0000
Reimb for postage
and mailing supplies
MON
$ 151.03
10
03/29/2012
Gray, Kathy
9798 Blandford Road
Orlando, FL 32827-7036
refreshments/food for
volunteers
MON
$ 243.65
11
This form is based on DS -DE 14 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1)
(2)
(4)
Check
X
Jim Gray
OFFICE USE ONLY
Name
P. O. Box 3069
Address (number and street)
Orlando, FL 32802
City, State, Zip Code
Check box if address has changed
appropriate box(es):
Candidate (office sought): Orlando City Council, District 1
(3) I.D. Number 00000
Political Committee Check if PC has DISBANDED
Committee of Continuous Existence
Party Executive Committee Check if CCE has DISBANDED
Electioneering Communication Check if no other electioneering communication reports will be filed
Cover
X
(5) REPORT IDENTIFIERS
Period: From 03/30/2012 To 06/27/2012 Report Type: TR
Original L� Amendment Special Election Report Independent Expenditure Report
Cash
Loans
Total
In Kind
(6) CONTRIBUTIONS THIS REPORT
& Checks $0.00
Monetary
Expenditures
Transfers
Account
Total
(7) EXPENDITURES THIS REPORT
$33,536.37
$0.00
to Office
$0.00
Monetary $0.00
Monetary $33,536.37
$0.00
(8) Other
Distributions $0.00
(9) TOTAL
Monetary Contributions to Date
$71,955.00
(10)
TOTAL Monetary Expenditures to Date
$71,955.00
(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
true, correct and complete
Scott Francis
I certify that I have examined this report and it is
true, correct and complete
Jim Gray
X
I
Individual (only for Treasurer Deputy Treasurer
Ca idate Chairman (only for PC, PTY &
�X electioneering commun, organization)
X
Signature
Signatur
This form is based on DS -DE 12 (Rev. 08/04)
l Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 03/30/2012 - 06/27/2012
(2) I.D. Number 00000
(4) Page
0 of 0
(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
Nothing to report on
this
form
This form is based on DS -DE 13 (Rev. 08/03)
Adjutant Software, Inc. - Campaign Too Box
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 03/30/2012 - 06/27/2012
(2) I.D. Number 00000
(4) Page
1 of 3
(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
03/30/2012
TWG Technologies
Software
MON
$ 1500.00
2305 Beach Blvd., Ste 102
Jacksonville Beach, FL 32250-0000
1
03/30/2012
Consensus Communications, Inc.
Mailings
MON
$ 13242.40
P. O. Box 2898
Winter Park, FL 32790-0000
2
04/04/2012
Election Connections, Inc.
Calls made
MON
$ 1616.15
P. O. Box 10866
Tallahassee, FL 32302-0000
3
04/04/2012
Consensus Communications, Inc.
Misc. expenses
MON
$ 48.99
P. O. Box 2898
Winter Park, FL 32790-0000
4
04/05/2012
Gray, Jim
9798 Blandford Rd.
Reimb for volunteer
refreshments
MON
$ 135,46
Orlando, FL 32827-0000
5
04/05/2012
Gray, Jim
9798 Blandford Rd.
Reimb for check &
deposit tix order
MON
$ 128.90
Orlando, FL 32827-0000
6
04/06/2012
Gray, Jim
9798 Blandford Rd.
Volunteer
refreshments
MON
$ 407.06
Orlando, FL 32827-0000
7
04/06/2012
Falzone, Joshua
Signage removal
MON
$ 200.00
3849 Percival Road
Orlando, FL 32826-0000
8
This form is based on OS -DE 14 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 03/30/2012 - 06/27/2012
(2) I.D. Number 00000
(4) Page
2 of 3
(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
04/06/2012
Dickerson, Blake
Signage removal
MON
$ 150.00
1700 Waterwitch Drive
Orlando, FL 32806-0000
9
04/06/2012
Darin, Patrick
Signage removal
MON
$ 150.00
4096 Winterwood Ct
Orlando, FL 32812-0000
10
04/06/2012
Gray, Jim
9798 Blandford Rd.
Volunteer
refreshments 4/1/12
MON
$ 172.69
Orlando, FL 32827-0000
11
05/03/2012
Gray, James W.
Loan Repayment
MON
$ 10000.00
9798 Blandford Road
Orlando, FL 32827-7036
12
05/09/2012
Golemme, Lynn
Administrative support
MON
$ 1000.00
14602 Wishing Wind Way
Clermont, FL 34711-0000
13
05/11/2012
PKY Fund II Orlando I, LLC
Rent
MON
$ 475.00
390 N. Orange Ave., Ste 2400
Orlando, FL 32801-0000
14
06/26/2012
Coalition for the Homeless of Central
Charitable Contributior
DIS
$ 1000.00
Florida
639 W. Central Blvd.
Orlando, FL 32801-0000
15
06/26/2012
Christian Service Center of Central
Charitable Contribution
DIS
$ 1000.00
Florida
808 W. Central Blvd
Orlando, FL 32805-0000
16
This form is based on DS -DE 14 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Jim Gray
(3) Cover Period 03/30/2012 - 06/27/2012
(2) I.D. Number 00000
(4) Page
3 of 3
(5)
(late
(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
06/26/2012
Nap Ford Community School, Inc.
648 W. Livingston Street
Orlando, FL 32801-0000
Charitable Contributior
DIS
$ 1000.00
17
06/26/2012
Back to Nature Wildlife, Inc.
P. O. Box 4117
Winter Park, FL 32793-4117
Charitable Contributior
DIS
$ 654.86
18
06/27/2012
Downtown Arts District
29 S. Orange Avenue
Orlando, FL 32801-0000
Charitable Contributior
DIS
$ 654.86
19
This form is based on DS -DE 14 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name Jim Gray
(3) Cover Period 03/30/2012 - 06/27/2012
(2) I.D. Number 00000
(4) Page
0 of 0
(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)
Related
Expenditures
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
This form is based on DS -DE 14A (Rev. 08/03) [Note about Committees has been removed.]
Adjutant Software, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Jim Gray
(3) Cover Period 03/30/2012 - 06/27/2012
(2) I.D. Number 00000
(4) Page
0 of 0
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
This form is based on DS -DE 94 (Rev. 08/03)
Adjutant Software, Inc. - Campaign ToolBox