G4CAMPAIGN 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-4
4
4
13 145 10
0 00
13 145 10
0 00
6 297 59
0 00
6 297 59
28 840 10
0 00
6 948 29
03 19 21 04 01 21
11967C78-5D53-4496-AC09-888313FCD703
04/02/21 - 04:45:09
04/02/21 - 04:45:09
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
03 204 11
04 Eric Brakken
Individual
Part owner Check
$1,000.001
Business
Bank Check
$0.102
Individual
Real Estate Check
$1,000.003
Individual
Retired Check
$150.004
Individual
Retired Check
$150.005
Individual
Law
enforcement
sales
Check
$150.006
Individual
Developmen
t
Check
$100.007
19 21 01 21
01 21
03 31 20
03 31 21
03 31 21
03 31 21
03 30 21
03 30 21
4121 Northwest 5th
Street #207
Plantation, FL 33317
Wells Fargo Bank
9899 NE 2 Avenue
Miami Shores, FL 33138
Connie Nappier
9301 Northeast 4th
Avenue
Miami Shores, FL 33138
Clark Reynolds
69 Northeast 102nd
Street
Miami Shores, FL 33138
Elizabeth Cowen
321 NE 93rd St
Miami Shores, FL 33138
stefanie epstein
631 Euclid Ave #5
Miami Beach, FL 33139
69 Northeast 102nd
Street
Miami Shores, FL 33138
Dennis Leyva
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
03 304 11
03 Dan Suarez
Individual
Sales Check
$100.008
Individual
Realtor Check
$50.009
Individual
Real Estate
Broker
Check
$150.0010
Individual
Attorney Check
$100.0011
Individual
Labor
Politics
Check
$50.0012
Individual
Program
Manager
Check
$100.0013
Individual
Exec.
Director
Check
$250.0014
19 21 01 21
30 21
03 30 21
03 26 21
03 26 21
03 26 21
03 26 21
03 25 21
11522 Southwest 126th
Terrace
Miami, FL 33176
Linda Julien
81 NW 205 terrace
Miami Gardens, FL
33169
Marcus James
16477 Southwest 32nd
Street
Miramar, FL 33027
Noel Johnson
3701 North 32nd Terrace
Hollywood, FL 33021
Steven Dobie
290 NE 101st Street
Miami Shores, FL 33138
Rasha Cameau
266 Northwest 92nd
Street
Miami Shores, FL 33150
1750 James Avenue
Miami Beach, FL 33139
jeremy wilson
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
03 404 11
03 Patricia Braynon
Individual
Retired Check
$200.0015
Individual
State
Director
Check
$100.0016
Individual
Owner Check
$100.0017
Individual
Sr. Political
Advisor
Check
$100.0018
Individual
Attorney Check
$300.0019
Individual
Attorney Check
$500.0020
Individual
LMHC Check
$250.0021
19 21 01 21
25 21
03 24 21
03 24 21
03 24 21
03 24 21
03 24 21
03 23 21
1701 NW 191 Street
Miami Gardens, FL
33056
Corryn Freeman
811 Mockingbird Lane
#1050
Plantation, FL 33324
Siottis Jackson
P.O. Box 43266
Jacksonville, FL 32203
Dwight Bullard
15900 SW 95th Ave.
#308-S
Miami, FL 33157
Stephen Johnson
170 ne 159th street
Miami, FL 33162
Melissa Braynon
19010 Nw 14 Rd
Miami gardens, FL
33169
10015 SHORTWOOD
LN
ORLANDO, FL 32836
CHANNA LLOYD
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
03 504 11
03 Edgar Castro
Individual
Consultant Check
$250.0022
Individual
Educator Check
$150.0023
Business
Consulting Check
$250.0024
PoliticalCommittee
Political Check
$250.0025
PoliticalCommittee
Political Check
$500.0026
PoliticalCommittee
Political Check
$1,000.0027
Individual
Real Estate
Investor
Check
$100.0028
19 21 01 21
23 21
03 22 21
03 22 21
03 22 21
03 22 21
03 22 21
03 22 21
6235 SW 112th Street
Pinecrest, FL 33156
Nyce Daniel
15000 S. Biscayne River
Dr.
Miami, FL 33168
BL Consulting
685 NE 126 Street
North Miami, FL 33161
The Miami Woman's
PAC
1742 W Flagler Street
Miami, FL 33135
Restoring Integrity
PO Box 30265
Fort Lauderdale, FL
33303
Gloria Romero Roses
808 Brickell Key Drive
#1001
Miami, FL 33131
120 S. Monroe
Tallahassee, FL 32301
Committee for Progress
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
03 604 11
03 Corryn Freeman
Individual
State
Director
Check
$500.0029
Individual
Vice
President
Check
$100.0030
Individual
None Check
$100.0031
Individual
Realtor Check
$100.0032
Individual
Attorney Check
$500.0033
Individual
Chief of staff Check
$50.0034
Individual
Director Check
$500.0035
19 21 01 21
22 21
03 22 21
03 22 21
03 21 21
03 21 21
03 21 21
03 21 21
811 Mockingbird Lane
Plantation, FL 33324
Melissa Morales
314 E CAPITOL ST NE
#405
Washington, DC 20003
Anna Hochkammer
"7628 , SW 102 ST"
Pinecrest, FL 33156
Maria Barth
9343 NW 10th St
Plantation, FL 33322
Petula Burks
306 Monaco Court
Evans, GA 30809
Andrea Mercado
1104 Waterbrook Lane
Weston, FL 33326
4167 Afton Court
West Palm Beach, FL
33409
Sean Pittman
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
03 704 11
03 Phillip Singleton
Individual
Govt Affairs
Consultant
Check
$500.0036
Individual
Consultant Check
$100.0037
Individual
Retired Check
$200.0038
Individual
Government
Relations
Check
$250.0039
Individual
Attorney Check
$350.0040
Individual
Lobbyist Check
$100.0041
Individual
Field Check
$100.0042
19 21 01 21
21 21
03 21 21
03 20 21
03 20 21
03 20 21
03 20 21
03 19 21
12015 Bridgehampton
Road
Jacksonville, FL 32218
Mikhail Scott
6909 49th Court East
Ellenton, FL 34222
Charles Calaman
20414 Northwest 8th
Avenue
Miami, FL 33169
Stephanie Zauder
2481 Eagle Watch Court
Weston, FL 33327
Joe Anne Hart
5469 Caddo Drive
Tallahassee, FL 32311
Kimberly Scott
620 Wagon Bend Road
Berthoud, CO 80513
4521 Northwest 70th
Avenue
Lauderhill, FL 33319
Salisu Richardson
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
03 804 11
03 Rodney Jacobs
Individual
Lawyer Check
$150.0043
Individual
Communicat
ions
Check
$100.0044
Individual
Political
Committee
Check
$250.0045
Individual
Physician Check
$500.0046
Individual
Ops Check
$20.0047
Individual
Political
coordinador
Check
$50.0048
Individual
Retired Check
$100.0049
19 21 01 21
19 21
03 19 21
03 19 21
03 19 21
03 19 21
03 19 21
03 19 21
2706 SW 129th ave
Miramar, FL 33027
Eunic Ortiz
2757 East Ridge Drive
Palm Harbor, FL 34683
Ruth's List
100 E Madison St #302
Tampa, FL 33602
Jean-Philippe Austin
720 Northeast 69th
Street #25N
Miami, FL 33138
Coyuca Jones
992 Encourte Green
Apopka, FL 32712
Alex Sink
PO Box 219
Thonotosassa, FL 33592
2 NE 47th st
Miami, FL 33137
Asriele Stubbs
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
03 904 11
03 Raymond Paultre
Individual
Executive
Director
Check
$500.0050
Individual
Deputy
Director
Check
$50.0051
Individual
Political
Director
Check
$25.0052
Individual
Organizer Check
$50.0053
Individual
Lobbyist Check
$500.0054
Individual
Chief of Staff Check
$100.0055
Individual
Part owner Refund
$100.0056
19 21 01 21
19 21
03 19 21
03 19 21
03 19 21
03 19 21
03 19 21
04 01 21
25550 SW 152nd Ave
Homestead, FL 33032
Tenesha Martin
2578 Floridiane Dr
Melbourne, FL 32935
Amy Busefink
8177 129th Lane
Seminole, FL 33776
Helene OBrien
14311 Southwest 154th
Court
Miami, FL 33196
Matthew Van Name
1111 Pine Street
Tallahassee, FL 32303
Eric Brakken
4121 Northwest 5th
Street #207
Plantation, FL 33317
555 Northeast 34th
Street #1608
Miami, FL 33137
Mario Bailey
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
03 19 21 04 01 21 10 11
03 20 21 Fed Ex Office CandidateEx
pense $13.36
1 12395 Biscayne Blvd.
Miami, FL 33181
Dollar Tree
03 20 21 CandidateEx
pense $13.91
2
10801 Biscayne Blvd.
Miami, FL 33161
Dollar Tree
04 20 21 CandidateEx
pense $48.15
3
10801 Biscayne Blvd.
Miami, FL 33161
Publix
03 20 21
CandidateEx
pense $51.4512800 Biscayne Blvd.
North Miami, FL 331814
Publix
03 22 21 CandidateEx
pense $101.8612800 Biscayne Blvd.
North Miami, FL 331815
Call Hub
03 22 21 CandidateEx
pense $250.00340 S Lemon Ave, #7468
Walnut, CA 917896
Preferred Party Rental CandidateEx
pense $236.47032221
4040 SW 94th Ave
Miami, FL 331657
Party City CandidateEx
pense $29.93032221
3401 N Miami Ave
Miami, FL 331278
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
03 19 21 04 01 21 11 11
03 22 21 Party City CandidateEx
pense $255.86
9 3401 N Miami Ave
Miami, FL 33127
Print Giants
03 22 21 CandidateEx
pense $535.00
10
155 NE 73rd St
Miami, FL 33138
Accurate Business Systems
03 22 21 CandidateEx
pense $4,278.50
11
15725 NW 15th Ave.
Miami, FL 33169
Anedot Inc.
04 01 21
CandidateEx
pense $483.101340 Poydras Street, Suite 1770
New Orleans, LA 7011212
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