HomeMy Public PortalAboutCampaign Treasurer's Report (G-1) (2)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
Shaniqua "Shan" Rose
P.O. Box 550163
Orlando, FL 32855
2021D5002
4 District 5, Orlando City Commissioner
G-1
4
4
7 248 82
3 000 00
10 248 82
800 00
2 330 56
0 00
2 330 56
22 621 96
0 00
7 641 15
09 01 21 10 01 21
44EC84C6-6741-4FD6-A8C1-EC4C3DA6C87A
10/04/21 - 01:37:17
10/04/21 - 01:37:17
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
Shaniqua "Shan" Rose 2021D5002
09 210 12
09 Zoe Colon
Individual
Associate
Director
Check
$50.001
Individual
retired Check
$20.212
Individual
truck driver Check
$20.213
Individual
decorator Check
$20.214
Individual
retired Check
$20.215
Individual
counselor Check
$20.216
Individual
retired Check
$20.217
01 21 01 21
03 21
09 03 21
09 06 21
09 06 21
09 06 21
09 09 21
09 09 21
273 Muscogee Ln
Orlando, FL 32825
Ronaa Ali
545 Vern Drive
Orlando, FL 32805
Gary Leonard
3113 Herbert Lane
Orlando, FL 32805
Beverly Shatteen
300 W. Washington
Street
Orlando, FL 32805
Shante Munns
3701 lasson st
Orlando, FL 32835
crystal gibbs
2015 pine st
Orlando, FL 32805
308 N. Lakeland Avenue
Orlando, FL 32805
Latoya Jones
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
Shaniqua "Shan" Rose 2021D5002
09 310 12
09 Rodney Echols
Individual
Marketing Check
$20.218
Individual
chaplain Check
$20.219
Individual
self-
employed
Check
$1,000.0010
Individual
Consultant Check
$500.0011
Individual
self-
employed
Check
$50.0012
Individual
sales Check
$20.2113
Individual
home-maker Check
$20.2114
01 21 01 21
09 21
09 08 21
09 09 21
09 11 21
09 13 21
09 12 21
09 12 21
3050 C R Smith Apt 917
Orlando, FL 32805
Spanser Polica
259 Palm Park Circle
Longwood, FL 32779
Brendan Rose
19815 Horace Harding
Expy
Fresh Meadows, FL
11365Kevin Lewis
618 E South Street Suite
500
Orlando, FL 32801
Shaquisha Brown
5402 Karen Court
Orlando, FL 32811
Shalor Brown
5402 Karen Court
Orlando, FL 32811
2122 Piedmont St
Orlando, FL 32805
Andre Smart
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
Shaniqua "Shan" Rose 2021D5002
09 410 12
09 Miguel Magione
Individual
Sales Check
$20.2115
Individual
cook Check
$20.2116
Individual
Manager Check
$100.0017
Individual
self-
employed
Loan
$3,000.0018
Business
graphic InKind campaign
shirts
$200.0019
Individual
self-
employed
InKind Facebook
Ads
$600.0020
Individual
home-maker Check
$20.2121
01 21 01 21
12 21
09 15 21
09 16 21
09 20 21
09 14 21
09 30 21
09 20 21
1301 W Robinson St
Orlando, FL 32805
Lonnie Leonard
3113 Herbert lane
orlando, FL 32805
Michelle Birmingham
3007 Whimsical Lane
Kissimmee, FL 34744
Shaniqua Rose
3239 Old Winter Garden,
Suite 10
Orlando, FL 32805
Cynthia Kelty
5533 Telipa Drive
Orlando, FL 32839
Aja Warner
5102 balboa st
Orlando, FL 32808
1700 34th Street
St. Petersbnurg , FL
33711
Kustom Kyngz
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
Shaniqua "Shan" Rose 2021D5002
09 510 12
09 Audrey Hunt
Individual
engineer Check
$20.2122
Individual
truck driver Check
$20.2123
Individual
property
manager
Check
$20.2124
Individual
retired Check
$20.2125
Individual
retired Check
$20.2126
Individual
self-
employed
Check
$50.0027
Individual
retired Check
$50.0028
01 21 01 21
20 21
09 20 21
09 20 21
09 20 21
09 20 21
09 22 21
09 22 21
2771 ELmhurst st
Orlando, FL 32810
Cedric Harris
3113 Herbert Lane
Orlando, FL 32805
Jay Williams
1308 W Concrod St
Orlando, FL 32805
Mae Chester
1100 Bethune Dr
Orlando, FL 32805
Valerie Campbell
18 Hudson St
Bangor, ME 04401
Pat Roberts
35 Willow Drive
Orlando, FL 32807
562 Hartley St
Orlando, FL 32805
Mary Longstreet
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
Shaniqua "Shan" Rose 2021D5002
09 610 12
09 Crystal Rose
Individual
manager Check
$100.0029
Individual
School
Administrato
r
Check
$20.2130
Individual
retired Check
$50.0031
Individual
Museum
Director
Check
$100.0032
Individual
pastor Check
$20.2133
Individual
welder Check
$20.2134
Individual
retired Check
$20.2135
01 21 01 21
22 21
09 21 21
09 22 21
09 23 21
09 24 21
09 24 21
09 24 21
118 Cassino Way
Kissimmee, FL 34758
Lawrence Johnson
PO Box 250275
New York, NY 10025
Waynetta Johnson
1500 Fort Meade Pl
Kissimmee, FL 34759
Pasha Baker
PO Box 544
Sanford, FL 32772
John Weyrick
2852 W Hardwood St
Orlando, FL 32805
Jabez Park
7101 Presidents Dr Ste
350
Orlando, FL 32809
1440 Pine Hills St
orlando, FL 32805
Tawana Gary
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
Shaniqua "Shan" Rose 2021D5002
09 710 12
09 Anits Gibbs
Individual
retired Check
$20.2136
Individual
retired Check
$20.2137
Individual
contractor Check
$100.0038
Business
Construction Check
$250.0039
Individual
sales Check
$20.2140
Individual
retired Check
$20.2141
Individual
retired Check
$20.2142
01 21 01 21
24 21
09 24 21
09 24 21
09 26 21
09 26 21
09 26 21
09 26 21
5402 Karen court
Orlando, FL 32808
Winston Griffin
1200 willow bend circle
Orlando, FL 32808
Jessica Burns
832 Driver Ave
Winter Park, FL 32789
R L Burns Inc.
1203 W Gore St,
Orlando, FL 32805
Orlando, FL 32805
Latasha Cooper
1516 Guinyard Way
Orlando, FL 32805
Pearl Redding
320 N Tampa Ave
Orlando, FL 32805
508 South Cottage Hill
Rd
Orlando, FL 32805
Kimberly Jenkins
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
Shaniqua "Shan" Rose 2021D5002
09 810 12
09 Regina Clark
Individual
cook Check
$20.2143
Individual
inspector Check
$250.0044
Individual
realtor Check
$100.0045
Business
real estate Check
$500.0046
Business
real estate Check
$500.0047
Individual
retired Check
$20.2148
Individual
engineer Check
$20.2149
01 21 01 21
26 21
09 26 21
09 27 21
09 27 21
09 27 21
09 28 21
09 28 21
6116 Jialeah Street
Orlando, FL 32808
Calvin Spencer
12046 Georgia Woods
Ct
Orlando, FL 32824
Brian Agard
2423 AURORA COURT
Kissimmee, FL 34744
Bishop Beale Duncan
Realty LLC
250 N. Orange Ave Suite
1500
Orlando, FL 32801
Marcus Bolden
1810 Arlington St
Orlando, FL 32805
Whitney Baker
122 23rd St
Orlando, FL 32805
1321 Edgewater Drive
Orlando, FL 32804
Beale Commercial
Realty Services
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
Shaniqua "Shan" Rose 2021D5002
09 910 12
09 Ester Timber
Individual
retired Check
$20.2150
Individual
retired Check
$20.2151
Individual
retired Check
$20.2152
Individual
Construction Check
$1,000.0053
Individual
home-maker Check
$1,000.0054
Individual
retired Check
$20.2155
Individual
retired Check
$20.2156
01 21 01 21
28 21
09 28 21
09 28 21
09 28 21
09 28 21
09 30 21
09 30 21
705 Woods Street
Orlando, FL 32805
Carter Alexander
1000 Miller Ave
Orlando, FL 32805
Sebastian Knowles
1029 Colyer St
Orlando, FL 32805
Derrick Wallace
254 S. Ortman Drive
Orlando, FL 32811
Jennifer Jones
217 S. Laurel Avenue
Orlando, FL 32805
Cupid Green
5015 Nassau Circle
Orlando, FL 32808
254 S. Ortman Drive
Orlando, FL 32811
Sharon Wallace
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
Shaniqua "Shan" Rose 2021D5002
09 1010 12
09 Arthur Poisley
Individual
DJ Check
$20.2157
Individual
daycare
worker
Check
$20.2158
Individual
retired Check
$20.2159
Individual
bank teller Check
$20.2160
Individual
retired Check
$100.0061
Individual
retired Check
$20.2162
Individual
retired Check
$20.2163
01 21 01 21
30 21
09 30 21
09 30 21
09 30 21
09 30 21
09 30 21
09 30 21
1316 - 37th St
Orlando, FL 32805
Tanisha Wynn
4523 Barley Street
Orlando, FL 32811
Tangela Grier
4410 Scenic Lake Drive
Orlando, FL 32808
Samuel Williams
1316 - 37th St
Orlando, FL 32805
Juanita Cool
4322 Clarinda Street
Orlando, FL 32805
Gayle Whittied
902 - 24th Street
Orlando, FL 32805
310 N. Orange Ave Apt 6
Orlando, FL 32801
Charlie Piston
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
Shaniqua "Shan" Rose 2021D5002
09 1110 12
09 Nicole Parker
Individual
sales Check
$20.2164
Individual
accountant Check
$50.0065
Individual
real estate Check
$250.0066
Individual
accountant Check
$250.0067
01 21 01 21
30 21
10 01 21
10 01 21
10 01 21
260 N. Cottage Hill Rd
Orlando, FL 32805
Jessica Rodriguez
744 Short Avenue
Orlando, FL 32805
Jimy Metrune
1317 Wood Lake Cir
St. Cloud, FL 34772
Alfredo Williams
14930 Etowoah street
Winter Garden, FL
34787
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)
Shaniqua "Shan" Rose 2021D5002
09 01 21 10 01 21 12 12
09 06 21 Kaplan Strategies Inc CandidateEx
pense $600.00
1 2602 Lounsbury Court
Kissimmee, FL 34746
Office Depot
09 10 21 CandidateEx
pense $4.56
2
2847 S Orange Avenue
Orlando, FL 32806
Kaplan Strategies Inc
09 20 21 CandidateEx
pense $400.00
3
2602 Lounsbury Court
Kissimmee, FL 34746
Domino's Pizza
09 27 21
CandidateEx
pense $100.274250 W Plaza Dr
Orlando, FL 328164
Office Depot
09 27 21 CandidateEx
pense $30.002847 S Orange Avenue
Orlando, FL 328065
Stripe
09 30 21 CandidateEx
pense $140.23510 Townsend Street
San Francisco, CA 941036
Just Yard Signs, INC CandidateEx
pense $541.50101721
2235 Mercator Dr.
Orlando, FL 328077
Just Yard Signs, INC CandidateEx
pense $514.00102421
2235 Mercator Dr.
Orlando, FL 328078
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