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Qualifying Documents S.RobertsLOYALTY OATH OFFICE USE ONLY CANDIDATES WITH NO PARTY AFFILIATION [-? `~ .' (Sections 876.05-876.10, Florida Statutes) __ ° ~' ~ _~ STATE OF FLORIDA ;' ~r -° ~~ `~ /C(uM ' ~~ COUNTY ~. ~ ~~ ' ~ , .y..~ ' 1 Please Print * ~ ---~ ~~~12 ~' cx~ .~S` ~o~2K I . First Name Middle Name/Initial Last Name 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 Constitution of the United States and of the State of Florida. OATH OF CANDIDATE -~-~ (Section 99.021, Florida Statutes) (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) `G~/eG~ ! S S ~~ f am a candidate for the office of t~f~l N/A N/A ~ ~ (office) (district) (circuit) .~' I am a qualified elector of ~'1 /~~~ - ~ i4 ~~ County, Florida. (group) I am a qualified elector of the City of Miami Beach, Fla., residing within the City at least one year before qualify- ing for the City of Miami Beach elected office, with my legal residence being: I o ~ ~~ N~o I^f R,( P~ a ~'?;~ ~3 $ Miami Beach, Fla. I am qualified under the ordinances and Charter of said City and under the Constitution and the Laws of Florida to hold 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. X s / © (3('J S )~~ 020 3D ~' ~ ~' o~/ltkK,~~a~e~c{~-~ gna ure of Candidate Telephone Number Email Address ~ D o ; ~~ /.~ ~~ ti a iQ~u;, ~ ;~ ~ l 3 9 Address City State ZIP Code Sworn to (or affirmed) and subscribed before me this ~ day of S 00~. P ll K !/ ersona y nown: Or Produced Identification: Type of Identification Produced: Signatur Public -State of da Print, Ty or Stamp Comml a of tary Public ~~~' ^~~~ KERRY HERNANDQ B :`- MY COMMISSION # DD 626373 _~~= EXPIRES: May 3, 2011 or ~,°,. Bonded Thru Notary Public Underwriters ~~ DS-DE 24B (Rev. 05/08) FORM 1 STATEMENT OF 2008 ~~ri~.>~.nam.'~~ FINANCIAL INTERESTS ~~ ~, address, agency name, and poeNion bNow: ~ ~ `~fii FIRST NAME - MIDDLE FOR OFFICE r-' `~ ~°"'` ` - '~ • ~~~~ USE ONLY: ; ~/ `-C~ 1 ~" GiC }• 6 3 MAILING ADDR S : - ~_ ,~' . ~° loo ; Nc~ /.~ ~ ~~ ~ o ~j~ , ! > ,, /J c~ ID Code ~' r.°'; ~,. CITY : ZIP : COUNTY ID No. NAME OF AGENCY: Conf. Code NAME OF OFFICE OR POSITION HELD OR SOUGHT P. Req. Code C..©~x~ tss, a.~ ~~2a 1 J You an not limited to the tM Mies on this form. Attach ad~tioriN si»eb, ff necessary. CHECK ONLY IF CANDIDATE OR ~ NEW EMPLOYEE OR APPOHVTEE "'BOTH PART8 OF TH18 SECTION MUST ~ COMPLETED"' DISCLOSURE PERIOD: THIS STATEM ENT~LECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON , A FISCAL ~/~~"`. ,-`~"SE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one): QC DECEMBER 31, 2008 Q$ ^ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCUL.ATt1+K3 REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS Fb.ERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR Vi4l.UES WHICH , REQUIRES FEWER CALCULATIONS, OR USING COMPI4RATNE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instru further datai~). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): COMPARATIVE (PERCENTAGE) THRESHOLDS Q$ ^ DOLLAR VALUE THRESHOLDS PART A -PRIMARY SOtMtCES OR INCOME )Major souroes of income to the reporting person) NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY ~,ho ~o ? -214-h1,t~ ~}cn ~~ ~ 9 f~i9vt1C. Ems- . yL, a~R W~< ~f -~`~4 ~i -C r~ ~ ,e~. y07 oC r Al ~ /-~ ~ '" ~ p}L ~S7`7~rE~ PART B -SECONDARY SOURCES OF INCOME [Major custcxrrers, clierNa, and other sources of income to businesses owned by the reporting person) NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSMiESS' INCOME OF SOURCE ACTIVITY OF SOURCE ., PART C -- REAL PROPERTY [Land, buildings owned by the person) FILING INSTRUCTIONS for when d an where to file this form aro locat- O /' ~ ed/[.J ~, ~(~ ~~ ~ sd at the bottom of page 2. ~ ~ ~/ .30 ~ .~„t j INSTRUCTIONS on who must file this form and how to fill it out begin on page S. OTHER FORMS you may need to file are described on page 8. CF FARM 1 _ Fn ~ nro~c ta.°n°nu°° °n rowrse slcM) PAGE 1 PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of depose, etc.] TYPE OF INTANGIBLE I BUSINESS ENTI a P~hr wt S `2c~ K s i rt ru S /~ PART E -LIABILITIES (Major debts] NAME OF CREDITOR S ADDRESS OF CREDITOR 8 ~ ~~ 8 3 e ~ ~~ ' Ida-l~ - ~u~ a i?-~.,~ ~ti x Vitro -~ ~ J/ I PART F - INT~RE8TS IN SPECiFiED BUSiNE88ES (Owrrsrship or positions in certain typos of businesses] ~. _ BUSINESS ENTITY #~ 1 ~ BUSINESS ENTITY #~ 2 ! BUSHVESS ENTITY * 3 OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ^ SIGNATURE WHAT TO FILE: ARer completing aA parts of this forrrr, inducting signing and datkrg it, send bads only the first sheet (pages 1 and 2) for fikng. ff you haw rwthinp to spat in a particular section, you must write "none" or "Na" in that sedan(s). FacsimiNs will not be accepbd NOTE: MULTIPLE FILING UNNECESSARY: Generstiy, a person who has filed Form 1 for a calendar a fiscal year ~ not roquMsd to file a second Form 1 for the same year. However, a candidate who previously filed Form 1 bequse of another public position must at least fife a Dopy of his or her original Form 1 when qualifying. /~C GAO\! A L-et ~ Mnnw DATE SIGNED WHERE TO FILE: if you wero mailed fhe form by the Commission on Ethics or a County Supervisor of Electans for your annual disdosuro filing, return the form to that location. Load ofllwrahrnployess fib w~h the Superv'raor of Elections of the oau>xy in which they penrra- nently reside. (If you do not pem-arkrrrty reside in Farida, file with the Supervisor of the county where your agency has its headquarters.) State ofl9cers or spscMed stars employees file with the Commission on Ethics, P.O. Drawer 15709, TaHshassee, FL 32317-5709; physical address: 3800 Malay Boubvard, South, Sufis 201, Tallahassee, Ft 32312. Candldsras file this form together with their qualifying papers. To determine what category your position falls under, see the "UVho Must File" Instructions on page 3. WHEN TO FILE: Inld~fy, each acal offroerlemployee, stela officer, and spedfied stabs employee must file wmNn 3D dryrs of the date of his or her appointment or of the beginning of empay- ment. Appointees who must be corrfirrned by the Senate moat fib prior Eo oonfarnatan, wen ff that is le~ than 30 days from the date of their appointment. Candfdatas for publidy-elected focal ofice must file at the same time they file their qualifying papers. Iberosafter, local officero/employees, state offioen, and spsafied state empayess aro required to file by Joy 1st folbwing each calendar year in which they hold their posi- tans. Finally, at the end of office or empayment, each local officer/empbyee, state olRoer, and spectfied state errpbyee is required to fib a final disclosure form (Form 1F) within 60 days of having office or empayment. PAGE 2 SYlerry RQbertS 00/0 BANK of AMERICA, NA i O 3 S Campalgri ACCOLiTit MIAMI BEACH, FL 33139 ..:100 Lincoln'Road PH 2 &~-ov/s31 Miami Beach, FL 33139 305-205-2030 n ~'\ PAY TO THE ORDER OF - -!-~"`j~ DOLLARS ~ ~~ wr Sherry Roberts 1 ~ 3 8 ~/, oao - 4