Qualifying Materials LibbinLOYALTY OATH OFFICE USE ONLY
CANDIDATES WITH NO PARTY AFFILIATION ~~ ~° R.~,, ;~- ~ ~~ ~ ~~g,
(Sections 876.05-876.10, Florida Statutes)
STATE OF FLORIDA 2009 SEP -9 AM 9~ OS
/°?,i9~'T!_/l~/l~ ,COUNTY ~1~ ~' t;I_=.,,s'~''~ u~F fl.:~.
Please Print
I, `-' C ~~ a L i L f r~ J L~ j 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)
I, ~J ~2/z y ~. i /~~~N
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT -NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the office of Gvnr,~:ss.'orP/L N/A N/A
~
~
(office)
(district)
(circuit)
% I am a qualified elector of r~.'~yr-1~'- ~~~ 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: j~? ,'~'s/oec~ .D,2- ~~~
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 (1'U~ ) ~~5 v7i~ TP~~f~c ~c/~'
tgnature of Candidate Telephone Number Email Address
/l2 > y J'~v2e /,J.C~ - ~'!.' ~ BP.Qt- f-r /r/o2, ll -1'1'/x/
Address City State ZIP Code
Sworn to (or affirmed) and subscribed before me this ~ ~ day of~~6~~ 200.
Personally Known: V or ~~~~tttiiiiiilf~/f//
H A T F j F ~ ~ ,,
~ \ \
~
~ ~~
~~~
•
~ Q~
~~ ~, SSION ~
Produced Identification: ~ ~~ ~~J F,Yp~
t8
, 2p~'9F~ ~ Z
~o ~Ja~l
Type of Identification Produced: _ : ~ ,.~~ `~ :* ~_ ~~`'
~~c : ~•~ •
o~ ignature of Notary P - S of Florida
; #DD 832?
~`:: o` Print, Type or Stamp Commissioned Name of Notary Public
2
o~~.
/~~9
~~~Bii iii i N~
DS-DE 246 (Rev. 05/08)
FORM 1 STATEMENT. OF 2008
Plsasepirrto.typ.yournam.,maNirp FINANCIAL INTERESTS ' ~.. `~ t~ a ~~ ~ ~;
sddress, agency Warta, and posltla- below:
LAST NAME -FIRST NAME --MIDDLE NAME :
E ~~~~ S~~ ~ 9 ~~ ~• OS
USE ONLY:
MAILING ADDRESS : ; ~ T ~' (~ , C; I t ", •;,, r 1'
1
, f ~
,
.
._
v ~ CvtivP,~.T- v / Cc'.~ Cs2 D/1-
ID Code
CITY : ZIP : COUNTY
~~ ~, /7i /?~ ~ Li ID No.
NAME OF AGENCY
1.,0~ ~ Conf. Code
NAME OF OFFICE OR POSITION HELD OR SOUGHT : P. Req. Code
You are not Ifmlbd to tfu spsce ort the Nnes on this form. Attach additbnd sheets, if necessary.
CHECK ONLY IF (j~ANDIDATE OR ^ NEW EMPLOYEE OR APPOINTEE
"'BOTH PARTS OF THIS SECTK3AI MUST BE COMPLETED"
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASSO ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
^ DECEMBER 31, 2iX~ Q$ ^ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATINt3 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 BASSO ON PERCENTAGE VALUES (see
instructions for further details}. PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
^ COMPARATIVE (PERCENTAGE) THRESHOLDS Q$ ^ DOLLAR VALUE THRESHOLDS
PART A -PRIMARY SOURCES ~ INCOME [Major sources of income to the roporting person]
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
/- .~- :~ y.~Pr:~,~w~r~ : i~z ~ .,f a ~ ..y a. ~/ ~~iy i f~iE off ° P~ ~-~
.L~i e' C~cv ; _~ r lief • ;SAD l %,¢~ /°~u. IT.!'l:t/'~1~4P?G /' ~4~/~ ~F .rc~~R iTi'Pl F D.YiO~...~
ORC ~' f/ ~/~~ ~/~ ~OC~¢ I
PART B --SECONDARY SOURCES OF INCOME [Major arstorr>ers, diems, and other sources of income to twsinesses owned by the reporting person]
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
PART C -REAL PROPERTY (land, buildings owned by the reporting person) FILING INSTRUCTIONS for when
a
d
h
n
w
ere to fife this form are locat•
~ '- _ ~~~ y /
` ed at the bottom of page 2.
rr ~ n: ~~
.S~W D C- 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.
rtF Fr1RM ~ _ t=s ~ nnne
_••• ••_--~ t~.onanuea on rovsrse side) PAGE 1
PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certficates of deposk, etc.)
TYPE OF INTANGIBLE I BUSINESS ENTI
a
PART E -LIABILITIES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
•N 0 P!l ~ cR- r0. Qa Z/p~ 6,r?~P.~ R C z 7y-to ~/
PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses)
BUSINESS ENTITY ~ 1
rrz, .y-r~va p D~ -~ ~ ~,'~~
ACTMTY
fG
OWNERSHIP INTEREST
BUSINESS ENTITY #~ 2
BUSINESS ENTITY ~ 3
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ^
SIGNATURE
WHAT TO FILE:
After completing aH parts of this form, including
signing and daring it, send back only tha first
sheet (pages 1 and 2) for filing.
If you have nothing to report in a particular
section, you must write "none" or "n/a" in that
section(s).
Facslmlles will rwt be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has flied 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 fib a copy
of his or her original Forrn 1 when qualifying.
n~ enou . rs ..........
DATE SIGNED
FILING 1NSTRrUCTIONS:
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 form to
that location.
Local olflcsrs/amployeasflle with the Supervisor
of Elections of the county in which they perma-
nently reside. (If you do not permanently reside
in Florida, file with the Supervisor of the county
where your agency has its headquarters.)
State offices or specified ataEa en-ployess
fik with the Commission on Ethics, P.O. Drawer
15709, Tallahassee, FL 32317-5709; physical
address: 3600 Macey Boulevard, South, Suite
201, Tallahassee, FL 32312.
CanaMdatea file this form together with their
qualifying papers.
To determine what category your position
falls under, see the "tNlmo Must File" Instructions
on page 3.
D
WHEN TO FILE:
/nldslly, each local officer/empbyee, state
officer, and spektified state employee must
file wld-!n 30 Jaya of the date of ha or her
appointment or of the beginning of empby-
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 thefr
appointment.
Candidates for publicly-elekxad local office
must file at the same time they file their
qualifying papers.
Thereafter, local officerslemployees, state
officers, and specified state employees are
required to file by Juty 1st folbwing each
calendar year in which they hold their posi-
tions.
Finally, at the end of office or employment,
eacm local officer/empbyee, state oifroer, and
specified state empbyee is required to file a
final disclosure form (FOnn 1F) within 60 days
of leaving office or employment.
PAGE 2
2009 SEP -9 Q~ 9~ Q6
t~ 1.. t. f ~ t :J ~~ i~ f j : ~=
1'008 <.
JE~ZR~ LiB$IN °C~MP~iIGN ACGC4I7NT ea-ossrcai
h-~~
DATE
PAY TO THE /' .;~ 1 mc.+.c
ORDER OF~~
~~
~~~~+C~NS
.FOR ~~R~~~~~~~-] ~
/ ~
fmrm~acw~