HomeMy WebLinkAbout09: M11-17 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
Linda Hodges Holloway
(1)
(2) Mailbox 426
Miami Gardens, FL 33169
City, State, Zip Code
[]:heck here if address has changed
ID Number: ________ _
(4) d appropriate box(es):
OFFICE USE ONLY
RECEIVED
DEC ~017
BY: ..... f.3. ................. .
(3)....._ ___________ .....
c:::Pandidate Office Sought: Miami Gardens Council Member Seat 2
lectioneering Communications Org. (ECO) []:heck here if PC or ECO has disbanded ijolitical Committee (PC)
arty Executive Committee (PTY) []:heck here if PTY has disbanded
dependent Expenditure (IE) (also covers an Ch@ here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
CoverPeriod: From 11 I 01 /17 To 11/30 /17 Report Type: M11-17
11
£Joriginal c:::Amendment
(6) Contributions This Report
Cash &
Checks
$200 .00,
Expenditures $
Loans
Total Monetary
In-Kind
$
$200.00
$
(9) TOTAL Monetary Contributions To Date
$ ' ' . 750.00 ---- -- --
[})pecial Election Report
(7) Expenditures This Report
Monetary
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$
--·
(10) TOTAL Monetary Expenditures To Date
$ ' ' 155.8_7_
(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) Linda H Holloway (Type name) Linda H Holloway
D Individual (only for IE >(]Treasurer D Deputy Treasurer >(]Candidate D Chairperson (only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
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) 10 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.
CAMPAIGN ASURER'S REPORT -ITEMIZED NTRIBUTIONS
(1) Name Linda Hodges Holloway (2) I. D. Number _____ _
(3) Cover Period 11/01/17 through 11 /30/17 (4) Page 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 Description Amendment Amount
Manet, Pricilla I CAS $100.00
11 113 I 17 1400 NW 192 St
Miami Gardens FL 33169
1
Williams, Shirley Sanders I CAS $100.00
11 I 13 117 20352 NW 36 Av
Miami Gardens FL 33056
I I
I I
I I
I I
I I
OS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
INSTRUCTIONS FOR G MPAIGN TREASURER'S REPOR -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 _L).
(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:
I
8
E
F
p
0
s
Occupation of contributor for contributions over $100 only. (If a business, please indicate nature of
business.)
Individual
Business (also includes corporations, organizations, groups, etc.)
Electioneering Communications Organizations
Political Committee (federal or state)
Political Parties (includes federal, state and county executive
committees)
Other (e.g., candidate surplus funds to party, etc.)
Candidate to Self
(9) Enter Contnbut1on Type usmg one of the followmg codes: NOTE: Cash mcludes 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)
0 a
(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.
(10) Type 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, NL T the 60th day immediately preceding the primary
election.