FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY. (3) ID Number: q CHECK IF PC HAS DISBANDED
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3 (1) Tin-Adams (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY 5262'IilleniBlvd. Address (number and street) OrlandoFL32839 City, State, Zip Code q CHECK IF ADDRESS HAS CHANGED (3) ID Number: OFFICE USE ONLY (4) Check appropriate box(es): Candidate (office sought): Mayor of Orlando q Political Committee q CHECK IF PC HAS DISBANDED q Committee of Continuous Existence q CHECK IF CCE HAS DISBANDED q Party Executive Committee q Electioneering Communication q CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 1o I 01 I 07 To 12 I 07 I 07 Report Type Original q Amendment q Special Election Report q Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 4, (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 0.0 Loans $ 4,348. Total Monetary $ 4,348. Transfers to Office Account $ Total Monetary In-Kind $ 0.0 (8) Other Distributions $ 0.0 (9) TOTAL Monetary Contributions To Date $ 4,348. (10) TOTAL Monetary Expenditures To Date $ 0.0 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report, and it is true, I certify that I have examined this report and it is true, correct, and complete..,,_ orrect, and comple'7 A' (Type name) TirrAdams (Type name) q individual (only for electioneering commun.) X q Treasurer eputy Treasurer Candidate ^ Chairpeg Chairperson (only I X Signature Signature DS-DE 12 (Rev. 08/04) atop)
4 CAMPAIGN TREASURER' S REPORT - ITEMIZED CONTRIBUTIONS (1) Name TircAdams (2) I.D. Number 3) Cover Period through / 07 4) Paae 1 of 1 (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 Descri ption Amendment Amount 11 / Tim Adams I Business CHE $ Develope 11 / tim adams business the $ develope tim adams business cas $ / develope 11/ Tim Adams busines: re-entry cas city $ develope balance refuses check tim adams business cas $ / 07 develope 11 / tim adams busines: cas $20.00 develope 11 / 30 P 7 Tim Adams Business cas $10.00 develope / / DS-DE 13 (Rev ) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
5 CAMPAIGN TREASURER ' S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Tim Adams (2) I.D. Number (3) Cover Period 10 / 11 / 07 through 12 / 07 / 07 (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle ) (add office sought if Sequence Street Address & contribution to a Related Number City, State, Zip Code candidate ) Expenditures Amendment Amount / / 03 /07 Eric and Holly Campaign CHE $ of 1190 AM Radio Promotion and 15 N Tampa Ave. Advertising Orlando, FL John Perez Photos and DVDs CHE $ Eart Preston St. Orlando, FL / 03 / / 04 / 07 Orlando Media Studios Campaign CHE $ N Tampa Ave Statement Orlando, FL Brochures and Flyers Design Johnson's Diner Dining for CHE $ W Church St. Orlando, FL Campaign Meeting 12 12/ 04 / 07 Tim Adams Petty Cash for CHE $ Millenia Suite Copies and Flyers 204 Orlando, FL / / / / DS-DE 14A (Rev. 12/07) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
6 (1) Name CAMPAIGN TREASURER ' S REPORT - ITEMIZED EXPENDITURES Tim Adams (2) I.D. Number (3) Cover Period 10 / 01 / 07 through 12 / 07 / 07 (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount City of Orlando For Qualifying CHE Check $3, /15 / S Orange Ave. Fee Mayor Re- City Hall, Orlando, FL fused 01 By City City of Orlando Copies of CHE $ S Orange Ave. Public Records Orlando, FL Sandra Lewis Photos of CHE $ W. Columbia St. Qualifying O r l ando, FL Submission 03 Forms Tim Adams Petty Cash for CHE $ /19/ Millenia Blvd Office Or l ando, FL Supplies 04 Copies Fred Oneal Attorney Filing Legal CHE $2, /25 / West Conroy Action to Windermere, FL Obtain Listing Ballot 05 Jeremiah Williams Research for CHE $ N Tampa Ave Campaign Or l ando, FL Coordinating 06 Leonel Colmacho Research for CHE $ /07 15 N Tampa Ave Advertisement Orlando, FL Campaign 07 Translaion Wendell Simpson Research CHE $ /30/07 30 N Coburn Ave. Writing For Orlando, FL Campaign 08 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
7 (1) (2) Tim Adams Name 5262 Millenia Blvd Address (number and street) Orlando, FL City, State, Zip Code FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY E] CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): 3) D Number: [Z Candidate (office sought): Mayor of Orlando E] Political Committee q CHECK IF PC HAS DISBANDED q Committee of Continuous Existence q CHECK IF CCE HAS DISBANDED q Party Executive Committee q Electioneering Communication q CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 12 / 07 / 2007 To 12 / 21 / 2007 Re port Type G1 Original q Amendment El Special Election Report El Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ Loans $ Tota l M onetary $ In-Kind $ Moneta ry 5, Expenditures $ 5, Transfe rs to Office Account $ 5, Total Monetary $ 0.00 (9) TOTAL Monetary Contributions To Date $ 5, I certify that I have examined this report and it is true, correct, and complete. q Individual (only for electioneeri^commun,) (11) CERTIFICATION (8) Other Distributions $ 0.00 (10) TOTAL Monetary Expenditures To Date $ 4, It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete. Tim Adams - (Type name) Tim Adams q Treasurer q Chairperson (only for PC, PTY & electioneering common. organization) DS-DE 12 (Rev. 08/04) Signature
8 CAMPAIGN TREASURER ' S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Tim Adams (2) I.D. Number (3) Cover Period / 2007 through 12 / 21 / 2007 (5) (7) (8) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Number City, State, Zip Code Type Occupation 12 Tim Adams I / 10 /2007 Business Develope r Public Rel (9) Contribution Type I (4) Page 1 of 1 (10) (12) In-kind Description CAS Amendment Amount ?007 ittle Rae's Christian Center, Inc W Central Blvd., Orlando, FL B B CHE / 17 2A07 City View Pharmacy B B CHE C & C Community p007 Pharmacy, Inc. 200 Bruton Blvd. Orlando, FL B B CHE / 20 Tim Adams 2007 I Busines s Develop er Public I CAS / 4 Tim Adams?007 I Busines s Develop er Public I CAS ?007 Tim Adams I Business Develope r Public I CAS / 6 p007 DS-DE 13 (Rev. 08/03 ) Tim Adams I Busines s I CAS Develop er Public SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
9 (1) Name CAMPAIGN TREASURER ' S REPORT - ITEMIZED EXPENDITURES TIM ADAMS (2) I.D. Number (3) Cover Period 12 / 08 / 2007 through 12 / 21 / 2007 (4) Page 1 of 1 (5) Date (6) Sequence Number (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) (9) (10) (11) P urpose (add ofi ice sought if contri bution to a caiididate ) Expenditure Type Amendment Amount /07 Fred Oneal, PA 4000 W Conroy Orlando, FL At :orney CHE $ /21 /07 Fred Oneal, PA 4000 W Conroy RD Orlando, FL Att orney CHE $ LI U L-1 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
10 (1) Tim Adams Narr e (2) 5262 Milienia blvd Address (number and street) Or:..a do, FL 328:9 City, State, Zip Code FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY (: HECK IF ADDRESS HAS CHANGED (3) ID Number: OFFICE USE ONLY (4) Check appropria ':e box(es): q^ (::andidate (office sought): Mayor of Orlando _ E Political Committee q Committee of Continuous Existence q I' arty Executive Committee q CHECK IF PC HAS DISBANDED q CHECK IF GCE HAS DISBANDED [- Electioneering Communica tion [] CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From / 2007 To Report Type GI Origin.tl q Amendment q Special Election Report q Independent Expenditure Report (6) Ct_IPITRIBUTION i THIS REPORT ( 7) EXPENDITURES THIS REPORT Cash & Ciecks $ 5, Monetary Expenditures $ Loans $ Total M,1r etary $ 5, In-Kind $ 0.00 Transfers to Office Account $ 00:' Total Monetary $ (8) Other Distributions $ 0.00 (9) T(',,I'AL Monetary Contributions To Date ( 10) TOTAL Monetary Expenditures To Date $ 5, $ (11) CERTIFICATION It Is a first degree misdemeanor for any pers on to falsify a public record (ss F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, a -id complete. correct, and complete. (Type n^ rne) 'r.m Adams (Type name) Tim Adams q Inov,dual (only ror q Treasurer q3 Deputy Treasurer 0 91 Candidate q Chairperson (only for PC. PTY f: e*c'io,&- electi eringcommun ogsni:ation) Signw.,re n) mmuun..)) Signature DS-DE 12 i Rev ) its,.'%ow.-s r 000/1001[] lyd 09:9T I2;:3 RWII-TT/T0
11 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Narne Tim Adams (2) I.D. Number 'Vier Period 12 / 22 / 2007 through 01 / 04 / 2007 (4) Page 1 of 1 (7) (8) (9) (10) (11) (12) Cali: Full Name "0") (Last. Suffix, First, Middle) Sequ e ice! 3treet Address & Contributor Contribution In-kind Nutt: ar Cl.y, Slate, Zli1 Code Type Occupation Type Descri ption Amendment Amount Tim Adams I Business 12 / Develope r Public Rel I CAS / ^1 /2007 Tim Adams I Busines CAS Develop er Public 12 / Tim Adams I Busines I CAS Develop er Public 12 / 2'7 X007 Ti)n Ad zns Busines s Develop or Public I CHE / / I DS-DE '13 (Rev ) SEE REV ERSE FOR INSTRUCTIONS AND CODE VALUES i -' r ac;b *Www -w. qr, e r-' ti, a; ' c C00/C00Jj TVd T5:9T IUd 800;3%TT/T0
12 CAMPAIGN TREASURER 'S REPORT - ITEMIZED EXPENDITURES r.. fw% D ^) Name TI'ri AiA 4 (2 f i.. t4untuci (3) Cover Period 12 / 22 / 2007 through 01 / 04 / (4) Page 1 of (5) Data (6) Sequence Number (7) Fuii Name (Last. Suffix, First, Middle ) Street Address & City, State, Zip Code (8) Purpose (add offi ce sought if contribution to a candidate) (9 ) (10) (11) Expenditure Typo Amendment Amount Fred Oneal, PA 4000 W Conroy Orlando, FL Attorney CHE $ /24 07 JONES HS ALUMNI TICKETS/ MARKETIrG CHE $ ^
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