G3CAMPAIGN 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
Katia Saint Fleur
9314 NW 2nd Avenue
Miami Shores, FL 33150
4 Council Member
G-3
4
4
15 660 00
0 00
15 660 00
0 00
650 70
0 00
650 70
15 695 00
0 00
650 70
02 26 21 03 18 21
22B95734-B6E7-459D-BAAD-6788903A0C12
03/19/21 - 09:23:45
03/19/21 - 09:23:45
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
Katia Saint Fleur
02 203 14
03 Jose Diaz
Individual
Lobbyist Check
$500.001
Individual
Lobbyist Check
$100.002
Individual
Lobbyist Check
$250.003
Individual
Consultant Check
$250.004
Individual
Program
Director
Check
$100.005
Individual
Managing
Partner
Check
$250.006
Individual
Attorney Check
$50.007
26 21 18 21
18 21
03 18 21
03 18 21
03 18 21
03 18 21
03 18 21
03 18 21
8906 Southwest 69th
Street
Miami, FL 33173
Cesar Fernandez
480 ne 30th st
Miami, FL 33137
Jonathan Kilman
5600 Pine Tree Drive
Miami Beach, FL 33140
Da-Venya Armstrong
8004 Northwest 154th
Street
Miami Lakes, FL 33016
Kaven Jean-Charles
"3250 NE 1st Avenue,
Suite 305"
Miami, FL 33137
Gera Peoples
8239 Northeast 8th
Place
Miami, FL 33138
4490 Camrose Lane
West Palm Beach, FL
33417
Afifa Khaliq
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
Katia Saint Fleur
02 303 14
03 Emma Collum
Individual
Attorney Check
$50.008
Individual
President &
CEO
Check
$100.009
Individual
Lobbyist Check
$100.0010
Individual
Consultant Check
$100.0011
Individual
Executive
Director
Check
$100.0012
Individual
Communicat
ions Dir.
Check
$50.0013
Individual
Chief of Staff Check
$150.0014
26 21 18 21
18 21
03 18 21
03 18 21
03 18 21
03 18 21
03 18 21
03 18 21
"1700 E Sunrise Blvd,
#1412"
Fort Lauderdale, FL
33304Lucy Sedgwick
3050 8th Street North
St. Petersburg, FL 33704
Joseph Salzverg
333 S.E. 2nd Avenue
Miami, FL 33131
Ria Khan
6332 NW 173rd Terrace
Miami Lakes, FL 33015
Cheryl Waide
312 NE 211th Terrace
Miami, FL 33179
Victricia Simmons
1001 Southwest 75th
Avenue
Plantation, FL 33317
6809 Southwest 12th
Street
Pembroke Pines, FL
33023
Evan Fancher
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
Katia Saint Fleur
02 403 14
03 Debra Owens
Individual
Government
Relations
Check
$100.0015
Individual
Executive
Director
Check
$250.0016
Individual
Asst. Project
Manager
Check
$100.0017
Individual
Realtor Check
$50.0018
Individual
Execuitive
Director
Check
$50.0019
Individual
Consultant Check
$1,000.0020
Individual
Co
Executive
Director
Check
$50.0021
26 21 18 21
18 21
03 17 21
03 17 21
03 17 21
03 17 21
03 17 21
03 17 21
"555 NE 34th Street, Apt
1407"
Miami, FL 33137
Donna Stewart
915 Northeast 96th
Street
Miami Shores, FL 33138
Aaron McKinney
1790 Northwest 51st
Street
Miami, FL 33142
Andreana Jackson
1801 South Treasure
Drive
North Bay Village, FL
33141
Heather Turnbull
4564 Grove Park Drive
Tallahassee, FL 32311
Stephanie Porta
1835 Palm Lane
Orlando, FL 32801
910 Bay Drive
Miami Beach, FL 33141
marialegria rodriguez
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
Katia Saint Fleur
02 503 14
03 Eric Brakken
Individual
Consultant Check
$100.0022
Individual
Account
Executive
Check
$100.0023
Individual
Consultant Check
$250.0024
Individual
Managing
Director
Check
$250.0025
Individual
Nursing
Professor
Check
$150.0026
Individual
National
Sales
Executive
Check
$50.0027
Individual
Gov
Consultant
Check
$50.0028
26 21 18 21
16 21
03 16 21
03 16 21
03 16 21
03 16 21
03 15 21
03 15 21
620 Forest Street
Windermere, FL 34786
Peter-John Barr
1146 Northwest 132nd
Avenue
Pembroke Pines, FL
33028Todd Wilder
2132 Orleans Drive
Tallahassee, FL 32308
fabiano aguilar
9935 Northeast 13th
Avenue
Miami Shores, FL 33138
Lili Bach
301 P Street
Sacramento, CA 95814
Tiffany Bowers
1423 South Gadsden
Street
Tallahassee, FL 32301
19830 Northeast 14th
Avenue
Miami, FL 33179
Marie Etienne
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
Katia Saint Fleur
02 603 14
03 Giselle Kovac
Individual
Executive
Director
Check
$250.0029
Individual
Customer
Service
Agent
Check
$50.0030
Individual
Owner Check
$10.0031
Individual
Teacher Check
$200.0032
Individual
Adminstrator Check
$100.0033
Individual
Adminstrator Check
$25.0034
Individual
Attorney Check
$100.0035
26 21 18 21
15 21
03 12 21
03 12 21
03 11 21
03 10 21
03 10 21
03 09 21
290 Northeast 98th
Street
Miami Shores, FL 33138
Malaysiah Adams
"1108 Bartow Rd, Apt
G78"
Lakeland, FL 33801
Ace Tucker
335 Alderman Trace
Southwest
Austell, GA 30168
Adrian Carter
8147 Lagos de Campo
Blvd
Tamarac, FL 33321
Kassandra Timothe
PO Box 611274
Miami, FL 33261
Theresa Jean-Pierre Coy
317 Fern Gulley Drive
Seffner, FL 33584
7857 Briarcreek Road
West
Tallahassee, FL 32312
KENNETH PRATT
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
Katia Saint Fleur
02 703 14
03 Carlecia Collins
Individual
Consultant Check
$100.0036
Individual
Attorney Check
$250.0037
Individual
Retiree Check
$25.0038
Individual
Consultant Check
$250.0039
Individual
Coordinator Check
$25.0040
Individual
College
Adminstrator
Check
$100.0041
Individual
Architect Check
$50.0042
26 21 18 21
09 21
03 09 21
03 09 21
03 08 21
03 07 21
03 07 21
03 06 21
1942 Celtic Road
Tallahassee, FL 32317
Yolanda Jackson
8339 Northwest 195th
Terrace
Hialeah, FL 33015
William Eaton
12712 Buckingham Drive
Bowie, MD 20715
Christian Ulvert
29 Northeast 102nd
Street
Miami Shores, FL 33138
Koren Bedeau
2323 Race St Unit 918
Philadelphia, PA 19103
Rafeeq Asad
822 East Washington
Avenue
Madison, WI 53703
333 NE 24 St.
Miami, FL 33137
Kalynn Cook
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
Katia Saint Fleur
02 803 14
03 Jason Blank
Individual
Attorney Check
$250.0043
Individual
Retiree Check
$100.0044
Individual
Organizer Check
$250.0045
Individual
Adminstrator Check
$250.0046
Individual
Retiree Check
$200.0047
Individual
Attorney Check
$100.0048
Individual
Non-Profit
Administrato
r
Check
$50.0049
26 21 18 21
05 21
03 05 21
03 04 21
03 04 21
03 04 21
03 02 21
03 02 21
888 S Andrews Ave
Ft Lauderdale, FL 33316
LaVon Bracy
5315 Woodstead Way
Orlando, FL 32819
Angela Nixon
5571 Longspur Avenue
Jacksonville, FL 32219
Travaris McCurdy
PO Box 555454
Orlando, FL 32855
Byrnes Guillaume
9209 Delemar Court
Wellington, FL 33414
Leonie Hermantin
6321 Southwest 63rd
Terrace
South Miami, FL 33143
1701 NW 191 Street
Miami Gardens, FL
33056
Oscar J Braynon
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
Katia Saint Fleur
02 903 14
03 Santra Denis
Individual
Non-Profit
Administrato
r
Check
$100.0050
Individual
Executive Check
$1,000.0051
Individual
Retiree Check
$500.0052
Individual
Entrepeneur Check
$1,000.0053
Individual
Non-Profit
Adminstrator
Check
$25.0054
Individual
Organizer Check
$200.0055
Individual
Church
Adminstrator
Check
$50.0056
26 21 18 21
02 21
03 02 21
03 01 21
03 01 21
02 28 21
02 26 21
02 26 21
5835 Washington Street
Hollywood, FL 33023
Russell Benford
4944 Windward Way
Fort Lauderdale, FL
33312
Janet Taylor
POB 764
Clewiston, FL 33440
Claudel Beauplan
41 Scott Drive Southeast
Marietta, GA 30067
Anne Pierre
1852 Southeast
Carvalho Street
Port St. Lucie, FL 34983
Lynda Jean
638 Northeast 141st
Street
North Miami, FL 33161
1011 Bay Drive
Miami Beach, FL 33141
Rebecca Pelham
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
Katia Saint Fleur
02 1003 14
02 Rodney Murray
Individual
Retired
Veteran
Check
$500.0057
Individual
Aide Check
$50.0058
Individual
Attorney Check
$500.0059
Individual
Retiree Check
$100.0060
Individual
Entrepeneur Check
$150.0061
Individual
Accountant Check
$150.0062
Individual
Consultant Check
$500.0063
26 21 18 21
26 21
02 26 21
02 26 21
02 26 21
02 26 21
02 26 21
02 26 21
14801 Northwest 5th
Avenue
Miami, FL 33168
tajmaus johnson
8205 White Falls Blvd
Jacksonville, FL 32256
Kemay Jackson
2330 Scenic Highway
South
Snellville, GA 30078
Patricia Braynon
1701 NW 191 ST
Miami Gardens, FL
33056
Stephen Nesi
11980 Northwest 4th
Court
Plantation, FL 33325
Oscar Braynon II
19010 NW 14th Ave Rd
Miami Gardens, FL
33169
11980 Northwest 4th
Court
Plantation, FL 33325
Shareeke Edmead-Nesi
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
Katia Saint Fleur
02 1103 14
02 Alecia Collins
Individual
Adminstrator Check
$50.0064
Individual
Adminstrator Check
$1,000.0065
Individual
Organizer Check
$100.0066
Individual
Retiree Check
$50.0067
Individual
IT
Professional
Check
$250.0068
Individual
Adminstrator Check
$100.0069
Individual
Consultant Check
$100.0070
26 21 18 21
26 21
02 26 21
02 26 21
02 26 21
02 26 21
02 26 21
02 26 21
1942 Celtic Road
Tallahassee, FL 32317
Sandy Dorsainvil
18708 Northwest 14th
Street
Pembroke Pines, FL
33029Jamecia Gray
7856 Hidden Hollow Dr
Orlando, FL 32822
Gloria Battle
1240 Southwest 6th Way
Deerfield Beach, FL
33441
Carlos Nathan
826 West Georgia Street
Tallahassee, FL 32304
Joy Friedman
7521 Diven Street
Norfolk, VA 23505
164 Deep Woods Way
Ormond Beach, FL
32174
Derby Johnson
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
Katia Saint Fleur
02 1203 14
02 Alia Leroy
Individual
Aide Check
$200.0071
Individual
Delegate Check
$200.0072
Individual
Campaign
Director
Check
$100.0073
Individual
Attorney Check
$250.0074
Individual
Organizer Check
$50.0075
Individual
Consultant Check
$100.0076
Individual
Organizer Check
$100.0077
26 21 18 21
26 21
02 26 21
02 26 21
02 26 21
02 26 21
02 26 21
02 26 21
1225 Northwest 186th
Street
Miami, FL 33169
Marcia Price
935 Shore Drive
Newport News, VA
23607
Whitney Murray
1521 Millbrook Court
Orange Park, FL 32003
Michele Rayner
3605 1st Avenue South
St. Petersburg, FL 33711
Maya Brown
1326 W Hiawatha St
Tampa, FL 33604
Roxey Nelson
600 63rd St. N
St Peterburg, FL 33710
275 NW 157th St
Miami, FL 33169
Linda Joseph
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
Katia Saint Fleur
02 1303 14
02 Jasmen Rogers
Individual
Consultant Check
$100.0078
Individual
Director Check
$50.0079
Individual
Adminstrator Check
$100.0080
Individual
Adminstrator Check
$500.0081
26 21 18 21
26 21
02 26 21
02 26 21
02 26 21
514 NE 26th Drive
Wilton Manors, FL 33334
Kilan Ashad- Bishop
201 SE 2nd Ave
Miami, FL 33131
Ryan Hawkins
8955 Nw 1st Ave
El Portal, FL 33150
Larry Spring
16477 Southwest 32nd
Street
Miramar, FL 33027
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)
Katia Saint Fleur
02 26 21 03 18 21 14 14
03 18 21 Anedot Inc.CandidateEx
pense $650.70
1 1340 Poydras Street, Suite 1770
New Orleans, LA 70112
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