HomeMy Public PortalAboutCampaign Treasurer's Report (G-1)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) OFFICE USE ONLY
Name
(2)
Address (number and street)
City, State, Zip Code
Check here if address has changed (3)ID Number:
(4)Check appropriate box(es):
Candidate Office Sought:
Political Committee (PC)
Electioneering Communications Org. (ECO) Check here if PC or ECO has disbanded
Party Executive Committee (PTY) Check here if PTY has disbanded
Independent Expenditure (IE) (also covers an Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From / / To / / Report Type:
Original Amendment Special Election Report
(6)Contributions This Report (7)Expenditures This Report
Monetary
Expenditures Cash & Checks $ , , . $ , , .
Loans $ , , . Transfers to
Office Account $ , , .
Total Monetary $ , , .
Total Monetary $ , , .
In-Kind $ , , .
(8)Other Distributions
$ ,, .
(9)TOTAL Monetary Contributions To Date (10)TOTAL Monetary Expenditures To Date
$ , , .$ , , .
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) (Type name)
Individual (only for IE Treasurer Deputy Treasurer Candidate Chairperson (only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
By City Clerk
Regina Hill
4630 S. Kirkman Road, Suite 107
Orlando, FL 32811
2021D5001
4 District 5, Orlando City Commissioner
G-1
4
4
11 040 63
0 00
11 040 63
766 92
13 134 39
0 00
13 134 39
82 382 68
0 00
40 223 61
09 01 21 10 01 21
DF138076-C84C-4169-B398-F892E7709529
10/07/21 - 08:47:21
10/07/21 - 08:47:21
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 210 11
09 R L Burns
Business
Construction Check
$500.001
Business
Paint
Company
Check
$500.002
Business
Construction Check
$1,000.003
Business
Construction Check
$200.004
Business
Check
$100.005
Business
Check
$100.006
Business
Check
$100.007
01 21 01 21
28 21
09 28 21
09 28 21
09 28 21
09 28 21
09 28 21
09 28 21
1203 W Gore St
Orlando, FL 32805
Paintsmart USA Inc
5036 Dr. Phillips Blvd
Suite 318
Orlando, FL 32819
Interstruct Orlando ILLC
814 W Church St
Orlando, FL 32805
WCC Services Inc
1971 Lee Rd Suite 202
Orlando, FL 32789
Orlando Food Truck
Rental
3450 Rio Vista Ave
Orlando, FL 32805
Howard C Cigars LLC
8712 The Esplanade #21
Orlando, FL 32836
6752 Limpkin Drive
Orlando, FL 32810
Freeman House
Residential Assisted
Living
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 310 11
09 Ronnie Oats
Individual
Construction Check
$250.008
Individual
Attorney Check
$300.009
Business
Flooring Check
$160.0010
Individual
Check
$100.0011
Individual
Business
Executive
Check
$200.0012
Business
Plumbing Check
$500.0013
Business
Construction
Managemen
t
InKind
$766.9214
01 21 01 21
28 21
09 28 21
09 28 21
09 28 21
09 28 21
09 28 21
09 28 21
6703 Merrick Landing
Blvd
Windermere, FL 34786
Rebecca Wilson
647 Bourne Pl
Orlando, FL 32801
Prentiss II Flooring LLC
20850 S Buckhill Rd
Clermont, FL 34715
Robert Utsey
150 Laurel Oak Dr.
Orlando, FL 32779
The Leak Doctor
421 W Robinson St
Orlando, FL 32801
Jessica Burn/ R L Burns
(RLB)
1203 W Gore St
Orlando, FL 32805
7555 Saint Stephens Ct
Orlando, FL 32835
Byron & Sandra Brooks
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 410 11
09 Bernice Cook
Individual
Retiree Check
$250.0015
Individual
Check
$100.0016
Business
Education Check
$500.0017
Business
Media Check
$1,000.0018
Individual
Business
Owner
Check
$1,000.0019
Business
Law Firm Check
$250.0020
Business
Media Check
$1,000.0021
01 21 01 21
28 21
09 28 21
08 28 21
09 25 21
09 28 21
09 28 21
09 28 21
3356 Mahalia Place
Orlando, FL 32805
Joyce Jones
1300 Coretta Way
Orlando, FL 32805
Fund For Children and
Public Education
1020 Webster Ave
Orlando, FL 32804
Touch MI LLC
ABC
Orlando, FL 32805
Akerman LLP
495 N Keller Rd Suite
300
Maitland, FL 32751
ESP Media Production
Company
1028 East Park Avenue
Tallahassee, FL 32301
124 Hager Dr
Riverdale, FL 30274
Solomon Vereen
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 510 11
09 Niko B Jones
Individual
Check
$50.0022
Individual
Check
$100.0023
Individual
Check
$100.0024
Individual
Check
$100.0025
Individual
Check
$100.0026
Individual
Retired Fire
Chief
Check
$200.0027
Individual
Check
$20.2128
01 21 01 21
08 21
09 08 21
09 05 21
09 16 21
09 14 21
09 13 21
09 12 21
344 Appaloosa Court
Sanford, FL 32773
Chevelle Teague
8309 Village Green
Road
Orlando, FL 32818
Pearl Ings
505 Vern Dr
Orlando, FL 32805
Lelia Allen
7749 Debeaubien Drive
Orlando, FL 32835
LaRon Graham
3578 Cheswick Drive
Ocoee, FL 34761
Dawn Herman
5285 Champagne Circle
Orlando, FL 32808
921 Spring Island Way
Orlando, FL 32828
Eric Gray
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 610 11
09 Gail Hill
Individual
Check
$25.0029
Individual
Check
$35.0030
Individual
Check
$20.2131
Individual
Check
$50.0032
Individual
Check
$100.0033
Business
Construction Check
$250.0034
Individual
Check
$100.0035
01 21 01 21
12 21
09 10 21
09 10 21
09 10 21
09 09 21
09 10 21
09 16 21
6531 Redwood Oaks Dr
Orlando, FL 32818
Terri Hargrove
595 W Church St 425
Orlando, FL 32805
Taiwana Bell
710 Alma st
Kissimmee, FL 34741
Sonya Hill
1834 Aaron Ave
Orlando, FL 32811
Anderson Hill/HZ
Construction
220 N KIRKMAN RD,
Suite A
Orlando, FL 32811
Marie-Jose Francois
2542 Fletch Court
Lake Mary, FL 32746
4117 Booker St
Orlando, FL 32811
Michael Hampton
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 710 11
09 Byron Brooks
Individual
Administrato
r Orange
County
Check
$250.0036
Individual
Cert. Analyst
Orlando
Housing
Authority
Check
$10.0037
Individual
Director
Housing
Check
$250.0038
Individual
CashOrCash
iersCheck
$100.0039
Individual
Executive
Director
TVO
Check
$500.0040
Individual
Architect Check
$250.0041
Individual
Check
$20.2142
01 21 01 21
17 21
09 17 21
09 17 21
09 21 21
09 23 21
09 25 21
09 28 21
7555 St. Stephen's Court
Orlando, FL 32835
Lacary Williams
659 West Jefferson
Street a
Orlando, FL 32805
Camille Lewis
109 Smokerise
Boulevard
Longwood, FL 32779
Anthony Robinson
11047 Fairhaven Way
Orlando, FL 32825
Ruffin Rhodes
3030 Randleman Court
Oviedo, FL 32765
Sharon Pride
2311 Laudedale Ct
Orlando, FL 32804
2325 Roat Drive
Orlando, FL 32835
Allen Wiggins
CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1) Name (2)I.D. Number
(3)Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Regina Hill 2021D5001
09 810 11
09 Jaja Wade
Individual
Check
$50.0043
Individual
Finance Check
$250.0044
01 21 01 21
28 21
09 30 21
6104 Twain Street unit
106
Orlando, FL 32835
Brandon Lee
PO Box 540687
Orlando, FL 32854
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Regina Hill 2021D5001
09 01 21 10 01 21 9 11
09 01 21 Shell Service Station CandidateEx
pense $50.20
1 5004 Old Winter Garden Rd
Orlando, FL 32811
Sandra Lewis-Field Director
09 03 21 CandidateEx
pense $1,000.00
2
3320 Lennox Blvd
Orlando, FL 32811
Sandra Lewis-Canvassers
09 03 21 CandidateEx
pense $1,246.00
3
3320 Lennox Blvd
Orlando, FL 32811
Wal-Mart
09 07 21
CandidateEx
pense $28.852500 S Kirkman Rd
Orlando, FL 328114
7-11
09 09 21 CandidateEx
pense $56.51938 W Colonial Drive
Orlando, FL 328045
Capital Grille
09 13 21 CandidateEx
pense $172.584200 Conroy Rd A146
Orlando, FL 328396
In Touch Strategies Inc CandidateEx
pense $2,000.00091321
526 Rugby St
Orlando, FL 328047
Sandra Lewis-Canvassers CandidateEx
pense $816.00091321
3320 Lennox Blvd
Orlando, FL 328118
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Regina Hill 2021D5001
09 01 21 10 01 21 10 11
09 16 21 All Graphics CandidateEx
pense $375.00
9 6130 Edgewater Drive
Orlando, FL 32810
FASTSIGNS
09 17 21 CandidateEx
pense $214.00
10
6192 Edgewater Drive
Orlando, FL 32805
Sandra Lewis-Field Director
09 17 21 CandidateEx
pense $2,000.00
11
3320 Lennox Blvd
Orlando, FL 32811
Restaurant Depot
09 20 21
CandidateEx
pense $1,370.603451 W Princeton St
Orlando, FL 3280812
DJ Ray
09 20 21 CandidateEx
pense $204.201227 W Washington St.
Orlando, FL 3280513
Chef Zeff
09 20 21 CandidateEx
pense $122.99Elese St
Orlando, FL 3281114
Shell Service Station CandidateEx
pense $64.46092021
5004 Old Winter Garden Rd
Orlando, FL 3281115
Sandra Lewis-Field Director CandidateEx
pense $258.00092021
3320 Lennox Blvd
Orlando, FL 3281116
CAMPAIGN TREASURER’S REPORT – ITEMIZED EXPENDITURES
DS-DE 14 (Rev. 11/13)
(1)Name ______________________________________________________
(3) Cover Period ______/______/______ through ______/______/______
(2) I.D. Number _____________________
(4) Page ____________ of _____________
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Date Purpose
(add office sought if
contribution to a
candidate) Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Expenditure
Type Amendment
(6)
Sequence
Number
(7) (8) (9) (10) (11)
Regina Hill 2021D5001
09 01 21 10 01 21 11 11
09 23 21 Home Depot CandidateEx
pense $42.03
17 7022 West Colonial Drive
Orlando, FL 32818
City of Orlando
09 23 21 CandidateEx
pense $1,977.30
18
400 S Orange Ave
Orlando, FL 32801
Sandra Lewis-Canvassers
09 27 21 CandidateEx
pense $800.00
19
3320 Lennox Blvd
Orlando, FL 32811
Carribean Sunshine Bakery
09 27 21
CandidateEx
pense $85.672528 W Colonial Drive
Orlando, FL 3280420
Angela Hill
09 30 21 CandidateEx
pense $250.00930 Arlington St
Orlando, FL 3280521
Instructions for Campaign Treasurer’s Report Summary
(1)Name: full name of the candidate, political committee, party executive committee, electioneering
communications organization, or individual making an independent expenditure or electioneering
communication.
(2)Address: the full address or post office box, city, state, and zip code.
Check the box if the address has changed since the last report filed.
(3)ID Number: identification number assigned by the filing officer.
(4)Check the appropriate box(es).
(5)Report Identifiers
Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate
cover period dates as published by the filing officer.
Report Type: refer to the filing officer’s calendar of reporting dates for the correct codes to be used for
each reporting period. If report is for a special election add “S” in front of the report code (i.e., SG3).
Check one of the appropriate boxes:
Original: first report filed for this reporting period.
Amendment: must summarize only contributions/fund transfers and expenditures/distributions being
reported as additions or deletions. Read instructions for sequence numbers and amendment types on
the back of Forms DS-DE 13A and 14A.
Special Election Report: Important: once a special election report is filed, the entity is required to file all
remaining reports due for the special election.
(6)Contributions This Report:
Cash and Checks: total amount for this reporting period.
Loans: total amount for this reporting period.
Total Monetary: sum of Cash and Checks and Loans.
In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period.
(7)Expenditures This Report:
Monetary Expenditures: total amount of monetary expenditures for this reporting period.
Transfers to Office Account: total amount transferred to an office account by elected candidates only.
Total Monetary: sum of Monetary Expenditures and Transfers to Office Account.
(8)Other Distributions: the total amount of goods and services contributed to a candidate or other
committee by a PC, ECO, or PTY.
(9)TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(10)TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(11)Type or print the required officer’s name and have them sign the report:
Candidate report: treasurer and candidate must sign.
PC report: treasurer and chairperson must sign.
PTY report: treasurer and chairperson must sign.
ECO report: organization’s treasurer must sign.
IE or EC report: individual must sign (this applies when an individual acts alone to make these
expenditures)
AMENDMENT REPORTS: An amendment report summary should summarize only
contributions, expenditures, distributions, & fund transfers being reported as additions or
deletions. Read the instructions for the sequence number & amendment type fields on
the back of forms DS-DE 13, 14, 14A and 94.
INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – ITEMIZED CONTRIBUTIONS
(1)Candidate’s full name or name of the political committee (PC), electioneering communications organizations
(ECO) or party executive committee (PTY).
(2)The identification number assigned by the filing officer.
(3)Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar for
appropriate year and cover periods.)
(4)Page numbers (e.g., 1 of 3 ).
(5)Date contribution was RECEIVED (Month/Day/Year).
(6)Sequence Number – Each detail line shall have a sequence number assigned to it. Sequence numbers
are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail
line type, and sequence number will combine to uniquely identify a specific contribution, expenditure,
distribution or fund transfer. This method of unique identification is required for responding to requests from
the filing officer and for reporting amendments.
For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next
report (M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on
amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with
sequence number 41. See the Amendment Type instructions below.
(7)Type full name and address of contributor (including city, state and zip code).
(8)Enter the type of contributor using one of the following codes:
Occupation of contributor for contributions over $100 only. (If a business, please indicate nature of
business.)
I Individual
B Business (also includes corporations, organizations, groups, etc.)
E Electioneering Communications Organizations
F Political Committee (federal or state)
(includes federal, state and county executive P Political Parties committees)
O Other (e.g., candidate surplus funds to party, etc.)
S Candidate to Self
(9)Enter Contribution Type using one of the following codes:
NOTE: Cash includes cash and cashier’s checks.
Code Description
CAS Cash or Cashier’s Check
CHE Check
COF Carryover Funds from Previous Campaign
INK In-Kind
INT Interest
LOA Loan
MO Money Order
MUC Multiple Uniform Contributions
RCT Other Receipts
REF Refund (Negative Amount Only)
(10)Typ e the description of any in-kind contribution received.
Candidate’s Only – If in-kind contribution is from a party executive committee and is allocable
toward the contribution limits, type an “A” in this box. If contribution is not allocable, type an “N”.
(11)Amendment Type (required on amended reports) – To add a new (previously unreported) contribution for
the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required
data.
The sequence number for contributions with amendment type “ADD” will start at one plus the number of
contributions in the original report. For example, amending an original M1 report that had 75 contributions
means the sequence number of the first contribution having amendment type “ADD” will be 76; the second
“ADD” contribution would be 77, etc. When amending an original M2 report that had 40 contributions, the
sixth “ADD” contribution would have sequence number 46.
To correct a previously submitted contribution use the following drop/add procedure. Enter “DEL” in
amendment type on a line with the sequence number of the contribution to be corrected. In combination
with the report number being amended, this sequence number will identify the contribution to be dropped
from your active records. On the next line enter “ADD” in amendment type and ALL of the required data
with the necessary corrections thus replacing the dropped data. Assign the sequence number as described
above.
(12)Type amount of contribution received. Political Committees ONLY: Multiple uniform contributions from the
same person, aggregating NMT $250 per calendar year, collected by an organization that is the affiliated
sponsor of a PC, may be reported by the PC in an aggregate amount listing the number of contributors
together with the amount contributed by each and the total amount contributed during the reporting period.
The identity of each person making such uniform contribution must be reported to the filing officer by July 1
of each calendar year, or, in a general election year, NLT the 60th day immediately preceding the primary
election.
INSTRUCTIONS FOR CAMPAIGN TREASURER’S REPORT – FUND TRANSFERS
(1)Type candidate’s full name or name of the political committee (PC), electioneering communications
organization (ECO), or party executive committee (PTY).
(2)Type identification number assigned by the filing officer.
(3)Type cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer’s reporting dates calendar
for appropriate cover periods.)
(4)Type page numbers (e.g., 1 of 3).
(5)Type date of fund transfer (Month/Day/Year).
(6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to
be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and
sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund
transfer. This method of unique identification is required for responding to requests from the filing officer and for
reporting amendments.
For example, a M1 report having 2 fund transfers would use sequence numbers 1 thru 2. The next report (M2),
comprised of 4 fund transfers would use sequence numbers 1 thru 4. Fund transfers on amended M1 reports
would begin with sequence number 3 and on amended M2 reports would begin with sequence number 5. See the
Amendment Type instructions below.
(7)Type full name and address of financial institution (including city, state and zip code).
(8)Enter Transfer Type using one of the following codes:
DESCRIPTION
Transfer FROM identified account to campaign account
Transfer TO identified account from the campaign account
CODE
F
T
(9)Nature of Account (e.g., certificate of deposit, money market, etc...)
(10)Amendment Type (required on amended reports) - To add a new (previously unreported) fund transfer for
the reporting period being amended, enter “ADD” in amendment type on a line with ALL of the required data.
The sequence number for fund transfers with amendment type “ADD” will start at one plus the number of fund
transfers in the original report. For example, amending an original M1 report that had 75 fund transfers, means
the sequence number of the first fund transfer having amendment type “ADD” will be 76; the second “ADD” fund
transfer would be 77, etc. When amending an original M2 report that had 40 fund transfers, the sixth “ADD” fund
transfer would have sequence number 46.
To correct a previously submitted fund transfer use the following drop/add procedure. Enter “DEL” in
amendment type on a line with the sequence number of the fund transfer to be corrected. In combination with
the report number being amended, this sequence number will identify the fund transfer to be dropped from your
active records. On the next line enter “ADD” in amendment type and ALL of the required data with the
necessary corrections thus replacing the dropped data. Assign the sequence number as described above.
(11)Type amount of fund transfer.
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO),
or party executive committee (PTY).
(2)Identification number assigned by the filing officer.
(3)Cover period dates (01/01/15 through 01/31/15). (See filing officer’s reporting dates calendar for appropriate cover
periods.)
(4)Page numbers (e.g., 1 of 3).
(5)Date of expenditure (Month/Day/Year).
(6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be
assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and
sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer.
This method of unique identification is required for responding to requests from the filing officer and for reporting
requirements.
For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report
(M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1
reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31.
See Amendment Type instructions below.
(7)Full name and address of entity receiving payment (including city, state and zip code).
(8)Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate).
PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other
candidates from campaign funds. However, PCs (supporting candidates) and party executive committees
contributing to candidates must report office sought (Section 106.07, F.S.).
(9)Enter Expenditure Type using one of the following codes:
Code Description
CAN Candidate Expense
DIS Disposition of Funds
DFC Disposition of Funds to Future Campaign (effective 11/1/13)
DPP Disposition of Funds to Political Party (effective 11/1/13)
DPV Disposition of Funds to Petition Verification (effective 11/1/13)
ECC Electioneering Communication
IEC Independent Expenditure Regarding a Candidate
IEI Independent Expenditure Regarding an Issue
MON Monetary (Not to a Candidate)
PCW Petty Cash Withdrawn
PCS Petty Cash Spent
PPD Pre-paid Distribution
REF Refund (Negative Amount Only)
RMB Reimbursements
TOA Transfer to Office Account (Disposition of Funds)
(10)Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the
reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for expenditures with amendment type "ADD" will start at one plus the number of
expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means
the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD"
expenditure would have sequence number 39.
To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment
type on a line with the sequence number of the expenditure to be corrected. In combination with the report number
being amended, this sequence number will identify the expenditure to be dropped from your active records. On the
next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing
the dropped data. Assign the sequence number as described above.
(11) Amount of expenditure.
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
THIS FORM IS USED TO REPORT DISTRIBUTIONS OF GOODS OR SERVICES CONTRIBUTED TO A CANDIDATE
OR COMMITTEE, INDIRECT EXPENDITURES AND REIMBURSEMENTS.
(1)Name of the entity.
(2)Identification number assigned by the filing officer.
(3)Cover period dates (e.g., 03/01/14 through 03/31/14). (See the filing officer’s reporting dates calendar for
appropriate cover periods.)
(4)Page numbers (e.g., 1 of 3).
(5)Date of distribution (Month/Day/Year).
(6)Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be
assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and
sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer.
This method of unique identification is required for responding to requests from the filing officer and for reporting
amendments.
For example, a M1 report having 40 distributions would use sequence numbers 1 through 40. The next report
(M2), comprised of 30 distributions would use sequence numbers 1 through 30. Distributions on amended M1
reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number
31.See Amendment Type instructions below.
(7)Full name and address of entity receiving distribution (including city, state and zip code).
(8)Purpose of distribution (if distribution is a contribution to a candidate, also type the office sought by the candidate).
(9)For each distribution that is related to an itemized expenditure previously listed on Itemized Expenditures (Form
DS-DE 14), enter the Year, Report Type and Sequence Number associated with the expenditure.
*PARTY EXECUTIVE COMMITTEES ONLY - If distribution is allocable toward the contribution limits, type
an "A" in this box. If distribution is nonallocable, type and "N".
(10)Amendment Type (required on amended reports) - To add a new (previously unreported) distribution for the
reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for distributions with amendment type "ADD" will start at one plus the number of
distributions in the original report. For example, amending and original M1 report that had 75 distributions, means
the sequence number of the first distribution having amendment type "ADD" will be 76; the second "ADD"
distribution would be 77, etc. When amending an original M2 report that had 30 distributions, the ninth "ADD"
distribution would have sequence number 39.
To correct a previously submitted distribution use the following drop/add procedure. Enter "DEL" in amendment
type on a line with the sequence number of the distribution to be corrected. In combination with the report number
being amended, this sequence number will identify the distribution to be dropped from your active records. On the
next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus
replacing the dropped data. Assigns the sequence number as described above.
(11)Amount of distribution.
(12)Distribution Type
Code Description
PPD Pre-paid Distribution
RMB Reimbursements
CCP Credit Card Purchase
INK In-Kind Distribution