OATH 9/5/01
LOYALTY OATH
CANDIDATES WITH NO PARTY AFFILIATION
(Sec::ions 876.os-a76.10, F1crida Statutes)
STATE OF FLORIDA
Miami-Dade
COUNTY
I, I )JA~f!:te
(?\.EASE ProHTl
1 t../ 1;"811 /l1J
L..st Name
Mk1dle NamQ(lnltial
a citizen of the State of Florida and of the United States of America. ' .. and a candidate for public office, " do
hereby solemnly swear or affirm that I will support the CorIstitution of the United States and of the State of Florida,
OATH OF CANDIDATE
(Sedicn 99,021, F1crida Stautes)
I, t1~
(P\..E.A$E PRl.NT NAME N5 OU WSIi rr TO APPEAA ON n4E BAL.l..C'f _ foiAME MAY MOT Ella OWQD AFTER Tl1E END a: ClUAlJfY1NGI
am a candidate for the office of I.)n,,/rJI' sf Ulaml ~"'h NJA,' N/A
4( (office) (district) (circuit)
. I am a qualified elector of Miami-Dade County. Florida.
(group), .
I am a qualified elector of the City of Miami Beach, Florida. I am qualified under the ordinances and Charter
of said City and under the Constitution and the Laws of Florida to hold the office to which I desire to be
nominated or elected. I have qualified for no other public office in the state, the term of which office or any
part thereof runs concurrent with ,the office I seek; and I have resigned from any office from which I am
reqUired to resign pursuant to Section 99.012, Florida Statutes.
'_, _ r-,
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY. OATH:ANDQATH OF
CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE. ,.n _~c~
. " .1
'J
,
(5,
'. ;
.;
.
C'!
-
-~.
"
-.---
\'1
.-,
-~
lid -r;tuu/ ~
MalllPl(i\dd.-s
., 0'l
;"'T1
SIGN
~E:R.E
J)rr 5r3rr-(X)~ clJ"1~-~}6
Cay Phone Fax Humber
ii/~( ~A
fL.
Sta18
~!;;I
lAiD!
OS-DE :l4B (Re.. 1lI99)
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
2000
LAST NAME - FIRST NAME - MIDDLE NAME:
Ll~ vf-M)c
NAME OF REPORTING PERSON'S AGENCY:
z. .33/3
COUNTY: _
j)f(j)E
CHECK OF HE FOLLOWING (see "Who Must File" on page 3):
~OCAL OFFICER 0 STATE OFFICER
o CANDIDATE 0 SPECIFIED STATE EMPLOYEE
LIST OFFICE OR POSITION HELD OR SOUGHT: J4.l:I-j ~ /(
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (checl< one):
o DECEMBER 31, 2000 QB 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
PRIOR TO 2001, THE THRESHOLDS FOR REPORTING FINANCIAL INTERESTS WERE COMPARATIVE, USUALLY BASED ON PERCENTAGE VAL-
UES. BEGINNING IN 2001, THE LEGISLATURE HAS ALLOWED FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE
DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS (see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATE-
MENT REFLECTS EITHER (checl< one):
o COMPARATIVE (PERCENTAGE) THRESHOLDS (old method) QB 0 DOLLAR VALUE THRESHOLDS (new method)
PART A - PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
NAME OF SOURCE SOURCE'S
OF INCOME ADDRESS
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
e.-
PART B - SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person]
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE ACTlvrrY:OF SOURCE
=--'2 ~':~ '
-";")
"
.-.-.-,
PART C - REAL PROPERTY [Land, buildings owned by the reporting person]
FILING INSTRUCTIONS for
when and where to file this form are
located at the bottom of page 2.
INSTRUCTIONS on who must file
this form and how to fill it out begin
on page 3 of this packet.
OTHER FORMS you may need to
file are described on page 6.
CE FORM 1 - Elf. 1/2001
(Continued on reverse side)
PAGE 1
PART D - INTANGIBLE PERSONAL PROPERTY [Slocl<s, bonds, certificates of deposit, etc.]
TYP~ OF INTANC::IRI ~. ""-' Bll"'INES:~ ENTITY Tn W1-l1f"H TH" PRnp""TY R"LATE"
"'" t\ /1
"i.. \ ,/
r i'- .
" ~
J \J ~
.
PART E - LIABILITIES [Major debts) "" /
NAME OF CREDITOR ADDRESS OF CREDITOR
'" .~ .,/'
. \.\.
,\ '"
\
PART F -INTERESTS IN SPECIFIED BUSINESSES [OWnership or positions in certain types of businesses]
BUSINI;SS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3
NAME OF \. ,
BUSINESS ENTITY
ADDRESS OF '" /
BUSINESS ENTITY
PRINCIPAL BUSINESS \ "" \
ACTIVITY
POSITION HELD . \ \ '"
'WITH ENTITY
I OWN MORE THAN A 5% '- '"
INTEREST IN THE BUSINESS
NATURE OF MY \
OWNERSHIP INTEREST
IF Atf'9f PARTS A THROUqI'i F ARE CONTINUED ON ~ SEPARATE SHEET, PLEASE CHECK HERE Cl
SIGNATURE: ~ (~~ DATE SIGNED:
I f FILING INSTRUCTIONS:
WHAT TO FILE: WHERE TO FILE: WHEN TO FILE:
After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer, state of'{icer, and
signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for specified state employee must file within 30
sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to days of the date of his or her appointment or of
that location. the beginning of employment. Appointees who
Local officers file with the Supervisor of must be confirmed by the Senate must file prior
to confirmation, even if that is less than 30
Elections of the county in which you permanently days from the date of their appointment.
reside. (If you do not permanently reside in
NOTE: MULTIPLE FILING UNNECES- Florida, file with the Supervisor of the county Candidates for publicly-elected local office
SARY: where your agency has its headquarters.) must file at the same time they file their quali-
Generally, a person who has filed Form 1 for a State officers or specified state employees file lying papers.
calendar or fiscal year is not required to file a sec- with the Commission on Ethics, P.O. Drawer Thereafter, local officers, state officers, and
and Form 1 for the same year. However, a candi- 15709, Tallahassee, FL 32317-5709. specified state employees are required to file
date who previously filed Form 1 because of Candidates file this form together with your qual- by July 1 st following each calendar year. in
another public position must at least file a copy of which they hold their positions.
his or her original Form 1 when qualifying. ifying papers. Finally, at "the end of office or employment
To determine what category your position - each local officer, state officer, and specified
falls under, see the "Who Must File" Instructions state employee is required to file a final disclo-
on page 3. sure form (Form 1 F) within 60 days of leaving
office or employment.
CE FORM 1 - Elf. 112001
PAGE 2