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OATH 9/5/2001 LOYALTY OATH CANDIDATES WITH NO PARTY AFFILIATION (S<lCtiCflS 876.0!>876.10, F'>COda Statutes) c..- .,. , . '() .. \", ;.....- STATE OF FLORlDA Miami-Dade COUNTY (PlEASE PRJNT) I, ~me NHtJ Cu~vELO Middle HameIInlllal La< Name a citizen of the Stale of Florida and of the United Stales of America, ' .. and a candidate for public office, " do hereby solemnly swear or affirm thall will support the Constitution of the United States and of the State of Florida, OATH OF CANDIDATE I, ~tJ~ CUR\)fWSCa1(13,CI21.FaidaSt3lAes) (PUASE PRiHT NAME AS YClC.l v.tSH IT TO APPEAR ON lME BAU-CT _ JrW4 MAY HOT BE CM.ANGED Af"nR TME END OF QUAUF"nNG) 3 . I am a qualified elector of COmm;~s;PoJSe~ (otnce) Miami-Oade NJA NJA (dlstr1ct) (clreu~) County. Florida, am a candidate for the office of (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. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE. 5tJS eoU;1AA ~.1FCJ& Mailing Address "" SIGN :B:ER.E Day Phone L-brJ f68~ Fu Number (~f> g'[f3rclO ~c;a City tL- '33J!r 0 Zip Code o&" Or-. 0 I Det8 Signed Stat8 OS-DE 204B (Re.. ~9) FORM 1 STATEMENT OF 2000 FINANCIAL INTERESTS . LAST NAME - FIRST NAME - MIDDLE NAME: NAME OF REPORTING PERSON'S AGENCY: ." C(j~'~ lc ,- ~ct-J'I - MAILING ADDRESS: . , - Sf.::15 ('..1)/ I ;',\.G;, AiI~ *CJ~ CHECK QM; OF THE FOLLOWING (see "Who Must File" on page 3): 0 LOCAL OFFICER 0 STATE OFFICER " CANDIDATE 0 SPECIFIED STATE EMPLOYEE CITY: ~c""flDLl ZIP: COUNTY: LIST OFFICE OR POSITION HELD OR SOUGHT: j}J/;; /J:? ;" (YhAm; \=l. 33/~(] ~C' !? P...1C r-I 0vY-u?/'::s./bIJEP-...- 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): I:il 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 (check one): 0 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 DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY ,.~ A.2.c1h l:E ilGl CoA ':" S~( G~f i: .Aw ,if,.Cj e. H i A U: ]) " 0. fYl;:;:.},i c.. j MilS\: C.cmmulJ. , I 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 ACTIVITY OF SOURCE , , I " ,\ ~ ~\\.~ \. \ \ ,~ \ \ % .>- 't-' \ ' \ , \ 1'-J \ II 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. 1\ INSTRUCTIONS on who must file t'J l " 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 - Eff. 112001 (Continued on reverse side) PAGEl PART D -INTANGIBLE PERSONAL PROPERTY [Slocl<s, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PR \ \'v- ,,\.\~ '\ '-' \ PART E - LIABILITIES [Major debts] NAME OF CREDITOR \\X ~)\ ' V i.. \\ i \ RELAT~" ADDRESS OF CREDITOR ('0. ,,\\(" \ ' PART F -INTERESTS IN SPECIFIED BUSINESSES [OWnership or positions in certain types of businesses] BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 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 \k 'W\ \ , \l'\..-- f.. \\ I" ' ~ \ BUSINESS ENTITY # 3 ~ ~I\ '" \ \ IF ANY OF'F'j.\RTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE Cl ( ~ ilj'v1L 'Jl FILING INST.R.UCTIONS: I WHERE TO FILE: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the farm to that location. Local officers file with the Supervisor of Elections of the county in which you permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) State officers or specified state employees file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, FL 32317-5709. Candidates file this form together with your qual- ifying papers. To determine what category your position falls under, see the 'Who Must File" Instructions on page 3. SIGNATURE:.~ WHAT ~O FILE: ( After completing all parts of this form, including signing and dating it, send back only the first sheet (pages 1 and 2) for filing. NOTE: MULTIPLE FILING UNNECES- SARY: Generally, a person who has filed Form 1 for a calendar or fiscal year is not required to file a sec- ond Form 1 for the same year. However, a candi- date who previously filed Form 1 because of another public position must at least file a copy of his or her original Form 1 when qualifying. CE FORM 1 - Elf. 1/2001 DATE SIGNED: 9-6 -01 WHEN TO FILE: Initially, each local officer, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates for publicly-elected local office must file at the same time they file their quali- fying papers. Thereafter, local officers, state officers, and speCified state employees are required to file by July 1 st following each calendar year in which they hold their positions. Finally, at the end of office or employment each local officer, state officer, and specified state employee is required to file a final disclo- sure form (Form 1 F) within 60 days of leaving office or employment. PAGE 2