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Qualifying documents~' OFFICE USE ONLY LOYALTY OATH ~ ~f * ~ CANDIDATES WITN NO PARTY AFFILIATION R ~ ~ (Sections 1176.05-876.10. Florida Statutes) ~__ EP - s a~+ ~ i = 2s Nlt~~~~ ~~` ~ ~~ ~ ~OUNTY . STATE OF FLORIDA PLEASE PRINT First Name Middle NameAnidal Last Name a citizen of the State of Florida and of the United States of America, ... and a candidate for public office ... do hereby solerr~~~l;; sv,-aar or affir~~~ :tiat I will support the Constitution of the United States and of the State of Fkxida. .OATH OF CANDIDATE (Section 99.021, Florida Statutes) ~ ~~~~ ~ L~ I - 1 , T TO A-PEAR ON TIIE d11LlOT -NAME IIA1/ NOT eE CHANGED AFTER T1/E END OF QUALIFYING) N I (PLEASE PRINT NAME AS YOU 1MS / T am a candidate for the office of l ' C~ 1(Ul ~~ t ~ l C~,J~2__ _ ~ N!A NIA • toMke) (dl~trict) (circuit) _~ I am a qualified elector of _ ~1 ~A~l l - Ll ~ County, Florida. loroup) 1 am a qualified elector of the City of Miami Beach, Florida, residing within the City at least one year before qualifying for City of Miami Beach elected office, with my legal residence bt:ing:~~~ ~~-1t~-+E= ~~lV ~ I am qualified under the ordinances and Charter of said City and under the Constitution and the Florida Miami t3each , . laws of Florida to hold the office to which I desire b 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 1 seek; and 1 have resigned from n ffi from which I am reouired to -esiQn Dursuant b Section 99.012, Florida Statutes. ING LOYALTY OATH AND OATH OF O UNDER PENALTIES OF PERJURY,1 DECLARE THAT 1 HAVE READ THE FOREG ATED IN EACH ARE TRUE. H; F ACTS T CAN IDAT AND THAT T S E ~ ~ %~~ ~ ~~- ~ ~ , a „ ~~3 ~ ~ ,, ~ ~~~ ~Iltitu ,, ~~, uWM R. -WFtEto - SWORN TO ANDS befo m i 'day ' ~~ r ' ' • j ` = N°t°'y t ~-e ~ ~ ~, ttb~lc -stale of FlortOo of~~~a~~007, Notary Name: ' ~ ~tE70D4 Notary Public, State of Florida / _~ ''~„ bttttlWj,~eDOS7~IYrn Commission Expires: `` Personally Knowh'' roduced ID: SIGN HERE gnature of Candidate / ~ ~67 /~Ol~ ~.~ry~ ~©S~ ~/D ~- ~3 ~l~ ~~ ~~~ ~f~Diz~ S-~v ~'/ , . L , -- - Mallinp Address day Phone Faz Number I ~i>~~~~ ~~~~~ ~~ ~3~y/ ~ ~ 7 City State Lip Code Oat ign 08-OE 216 (Rev. 08:03) FORM 1 STATEMENT OF 2006 PNassprintortypeyowname,maiHny FINANCIAL INT'EREST'S i i b l dd d pos on e ow: rsss, agency name, an t s LAST NAME --FIRST NAME -- MIDDLE NAME . - FOR OFFICE USE ONLY: MAILING ADDRESS ~ t ~ tir ~ ~~~6z~. ~ ~~ ,i, Code CITY : i~ , ZII' COUN I Y 1~ (QCt,l,l i ~L-~l--l ~ ~ 1 ~I ~ ~ ~,~µ ~ _ ~jF Ire rao NAME OF AGENCY . N C f C d ~ on . o e p ,~ NAME OF OFFICE OR F'OSITIUN HELD UR SOUGHT : "'~ ~ !"T"t P. Req. Code ~ - - ~ c ~ m. i .-~ You an not limked to the ace on the lines on this form. Attach additional sheets, if necessary. -~, V'1 _ CHECK ONLY IF CANDIDATE OR ~ NEW EMPLOYEE OR APPOINTEE '": gDF 2QQ6 c.^ "BOTH PARTS OF THIS SECTION MUST BE COMPLETED'` -,-- . ;~ DISCLOSURE PERIOD: -r. THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CAL~ENDA~EAR OR ON " A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHERcheck one): DECEMBER 31, 2006 QR ~ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES. WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS. WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). PLEASE STATE BELOW WHETHER TH15 STATEMENT REFLECTS EITHER (check one}: COMPARATIVE (PERCENTAGE) THRESHOLDS Q$ ~ DOLLAR VALUE THRESHOLDS PART A -PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE 50URCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINE55 ACTI`/ITY ~ ~ ~ 1 ~ ~1 PART B -SECONDARY SOURCES OF INCOME (Major t~stomers, 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' INCOME OF SOURC ACTIVITY OF SOURCE Ael ~ l: /7~~'~ E '/ ~ S r ~ S/IC~JI C- !', / ~~n y~Ci~l ~,~,iH,rc-- / fi %~ ~' ~~< i PART C -REAL PROPERTY (Land, buildings owned by the reporting persons F{LING INSTRUCTIONS for when and where to file thi f " \k ~ ,~ ~ ~~ '~'~ ` Ll~ s orm are locat- ed at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. ~.~ ~ vn,n ~ - cn. vcuur t~.vnunuea on reverse stoe} PAGE 1 PART D -INTANGIBLE PERSONAL PROPERTY (chocks. bonds. cen+f+ca~es of deposit etr_ TYPE OF INTANGIBLE BUSWESS Er~iTITY TO V:+HtCH THE P'ROP'ERTY F?E LFTE~ C~ ~ ~ +~ ate- ~~~`~ I PART E -LIABILITIES (Major debts] NAME OF CREDITOR , ADDRESS OF CREDITOR - C~ • i~C~k. 1 Z 6 ~ l PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or pos+tions in certain types of bustnessesj BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS. NTITY # 3 NAME OF ~) `_,,, BUSINESS ENTITY r ~;~ C~l-F' E,~y ~;y`f5' c=1 (' ,t~z,, 1-~-1t„~.( yr ' `' ~ ~ ~ a~),,:t ADDRESS OF .- e BUSINESS ENTITY 1 S ~~ ~~~~~ ~ 1 ~] ut-~CS1~.E `~~ ~ _ d~ , ~~,- j~; PRINCIPAL BUSINESS AcTwITY ~~-~~~~3 ~ C`c.~h..~ rho v'~ 1t~..~a~~ ~. _ r POSITION HELD _ WITH ENTITY ~ ~'lD~t~f' i ~~S I I OWN MORE THAN A 5% INTEREST IN THE BUSINESS ~,/ ~/~ NATURE OF MY OWNERSHIP INTEREST V ~J ti ~~ >~~ L.% lr~ ~~~~ IF ANY OF PARTS A THROUGH F ARE SIGNATURE ON A SEPARATE SHEET, PLEASE CHECK HERE DATE SIGNED [required): ~/5/Q F1LIN~INSTRUCTIONS: WHAT TO FILE: After completing all parts poi this form, including signing and dating il, send back only the first sheet (pages 1 and 2) for filing. It you have nothing to report in a particular section, you must write "none" or "n/a" in that section(s). Facsimiles will not be accepted. NOTE: MULTIPLE FILING UNNECESSARY: Generally, a person who has filed Form 1 for a calendar or fiscal year is not required to file a second Form 1 for the same year. However, a candidate 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. WHERE TO FILE: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual discbsure filing, return the form to that bation. Local ofIicen/employees file with the Supervisor of Elecdona of the county in which they perma- nently reside. (If you do not permanently reside in Florida, fik with the Supervisor of the county where your agency has its headquarters.) State o@)leers or specked state employees file with the Commission on Ethics, P.O. Drawer 15709, TaNahassee. FL 32317-5709; physical address: 3600 MaGay Boulevartf, South, Suite 201, Tallahassee, FL 32312. Candidates file this form together with their qualifying papers. To determine what category your position falls under, see the "Who Must File" Instructions on page 3. WHEN TO FILE: Initially, each local officerlemployee, state o~cer, and specified state employee must file within 30 days of the date of his or her appointment or of the Oeginning of employ- ment. 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 qualifying papers. Thereafter, local officers/employees, state officers, and specified state employees are required to fife by July 1st following each calendar year in which they hold their posi- tions. Finally, at the end of office or employment, each local officer/employee, state officer, and specified state employee is required to file a final disclosure form (Form 1F) within 60 days of leaving office or employment- PAGE 2 .~~ ~ O~'9 ~~; O ~~ ~O~ ~; ~ Il ms i~ h ~ i~ O m ' ~ T ~j 1 ~, i I~ O -- ~ ;i Or ~~~ ~r 1 ~ C ~~ O p~ g ~ s / ' N ~ gy~~~ - n ~~ 3 g D j ~ r j ~~~ I^~ O "' ~ Apr J ~'*1 m ~ i n -a g ~ ~ ik o !~ n u, , Z G .n i ~i r ~ n .. ~~ n rQ c o i' ~ -~ j ~ o ~l j '-- !~~l 0 1 I', .[] ~ kl r ° ~' i D ~.~ ~' l ~ I~ ~c-~ ~~ ~a ~`~ ~~~ o; ~ ~ !~a /~ a W b o ~ ~. o ~; •~ N 4 T ~ 4 - ~: o rn ~~ ~~ ,~ -- ~_ ,~_~ M CITY OF MIAMI BEACH No. (THIS INFORMATION MUST BE COMPLETED) ~ ` ~ '~ ,/ Office 1 ' ce Director / BY ~ ,~~ Account Number: ~ ~. (~ , X5`7-~, ~~J ~ . ,-, Preparor: ~ ; ~; f ,~ ~' /'/i~. ~~~ Dept. c .~` ,' f : _ ~ '~ ~ l~ /,, ~ ~/;~ , - , -~-- ,g ^ casn ^ credit ca~a neck # ~~ ~' ~~' ~> ~, 20 ~/i:. Received of ~./ .~-~ (k ~ ~~~-~