Qualified Candidates for the November 3, 2015 General ElectionCity of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305.673.7 411 Fax: 305.673.7254 Email: RafaeiGranado@mlamibeachfl.gov
September 11, 2015
Penelope "Penny" Townsley, Supervisor of Elections
Miami-Dade County Elections Department
2700 N.W. 87 Avenue
Doral, Florida 33172
Dear Ms. Townsley:
Attached are the Candidate Oaths (DS-DE 25) for the following candidates who qualified for the
November 3, 2015 City of Miami Beach General Election.
MAYORAL CANDIDATES
• Philip Levine
• David S. Wieder
COMMISSION CANDIDATES, GROUP IV
• Michael DeFilippi
• Scott Diffenderfer
• Isaiah Mosley
• Jonathan Parker
• Betsy Perez
• Kristen Rosen Gonzalez
COMMISSION CANDIDATES, GROUP V
• Ricky Arriola
• Mark Weithorn
COMMISSION CANDIDATES, GROUP VI
• John Elizabeth Aleman
• Mark Samuelian
If you have any questions, please contact me at 305.673.7 411.
Re~
Rafael E. Granado, Esq.
City Clerk
Enclosure
cc: Ms. Zeida Reyes-Elections Coordination Manager
F:\CLER\CLER\OOO_ELECTION\0000_2015 GENERAL AND SPECIAL ELECTIONS\Quallfylng\Qualifying Candidate Oaths transmitted to the Supervisor of Elections 2015 final.doox
MAYOR
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates)
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, f\4\L.\P t.€.~\N~
F c· .. F ~ \, F f,
OFFICE USE ONLY
(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 nonpartisan office of N/A
(office) (district #)
N/A N /A ; I am a qualified elector of __ M!...-.::....!\..!..A.!.!.t-..~\..:-1 _ .. _,b:::.:A..!;t>:=...:::.f-___ County, Florida;
(circuit#) (group or seat#)
I 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, w~h my legal residence being: V-\2-S N. \J lE~W bfZ. \\1 e ' 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 wj)ie , . ed to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of
the United States and the C ~itu State of Florida.
( ~os) fo1~ .. «15oo
X Telephone Number
33\40
Address City state ZIP Code
Candidate's Florida Voter Registration Number (located on your voter Information card): \0 91 '1 \ '\ ?> '&
n.r""'-r'"me on the e below as you wish it to be pronounced on the audio lot for persons
with disabilities (see instructions on page 2 of this form):
Type of Identification Produced: _\J_,.,_,r._~_J_,t""':>.J'.!I--..(1.___t=·-~"-'(...,. £1~:u:.l\-~-f:J2."'-1p.._.,)
OS-DE 25 (Rev. 5/11) Rule 18-2;0001, F.A.C.
CANDIDATE OATH -
NONPARTISAN OFFICE
(Not for use by JudiCial or
School Board Candidates)
,.,,. '·.:: ~.· '.. I ~. :.: ;I· I t-~· -. .
\,
2UI5 SEP I I Pt'\ 12: 35
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, DA\J\D S~ W\ ~')f::£_
(PLEASE PRINT NAME AS YOU WISf-1 11 TOAPPE:AR ON THE ElALLOT * •-NAME MAY NOT ElECHANGED AFTER THE EI\ID OF QUA\.JFYING)
am a candidate for the nonpartisan office of \'J\ f'.'::\0\Z:.. ()J? )'-l)l f'wvj j \?.:6A(j:\-, _N_IA_
(office) (eli strict #)
N/A lJ} fr ; I am a qualified elector of _ __._1':_,_1'-'-1 fr_,_Yl.,_,_,I_---""[Yl::.:__:s:::t;_=··r. ____ County, Florida;
{groJp or seat#) (circuit#)
I am a qualifiE!d elector of the City of Miami B~~ch, Fl9_ric(a, residtrg within the City <:~t l~r;s/ pne year before qualifying for City of Mi;:tmi Beach
.e,lebted office, with my legal resldehce beingL ~ 9 (f) 13.4J D/L, YI4Jl1/ Pl-1-1 53w"$1i Beach, Florida. I ani 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 nom.inated or elected; I have
qualified for no other public offi~ the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have
resigned from ?.et{Jce from w)li~.~-am required to resign pursuant to Section .99.012, Florida Statutes; and I will support the Constitution of
'the United St tes an~ tile C~~tqtion of the State. of Florida.
/..---7
i ~
State ZIP Code
Candidate's Florida Voter Registration Number (located on yourvoter information card): \O<s?llq tiL\ 56
*Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
\IV C:~Dt::P-.
STATE OF FLORIDA
COUNTYOF 'flzit.PA'·-~
Sworn to (or affirmed) and subscribed before me this 11
Personally Known: or
Produced Identification: __,/,___ __
DS-OE 25 {Rev. 5/11)
dayof ~~ ,20 1~.
~i~
SEP 1) llDtl!
Rule 1 S-2.0001, F.A.G.
COMMISSION
GROUP IV
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates)
•.1
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, I
AR ON THE BALLOT*~ NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of M t'timi Bt.'tc h (,a (Y}"1/ .J s/tJne r , N/A
(office) (district#)
N/A .::}:!/ ; 1 am a qualified elector of /V1 1'alll I -01 Je County, Florida;
(circuit#} (group or seat#)
I am a qualified elector of the City of Miami Beach, Florida, res· in within th City at least one year before qualifying for City of Miami Beach
elected office, with my legal residence being: I) C(J /i If.. , Miami Beach, Florida. I am qualified under the ordinances
and Charter of said City and under the Constitution and the Laws of Flori a 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; and I will support the Constitution of
the United States and the Constitution of the State of Florida.
Telephone Number
fL
Address State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): / J fl J37:J a?
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
STATE OF FLORIDA
COUNTY OF f}1 1111 i ""Dwfe
Sworn to (or affirmed) and subscribed before me this /(J
Personally Known: .. ----or
,.-
day of 7 ~Jv' , 20&_.
~rJG_~
.~~~~!'.:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!l'ISignature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public Produced Identification:
DS-DE 25 (Rev. 5/11)
UUAM A. HATFIELD
MY COMMISSION # EE 844S55
EXPIRES: February 18, 2017
Bonded Thru Notary PubUc UndeJII1ilers SEP 1 0 2015
Rule 1 S-2.0001, F.A.C.
I,
CANDIDATE OATH-
NONPARTISAN OFFICE
(Notfof.U$~ by JucU~i.ai or
School Board candidate.s)
· Scott Diffenderfer
OATH OFCANDIDATE
(:3ection·99.o21, Florida Statutes)
am a cariqidate for the nonpartisan .office of . Miami Beach City Commission
(offh:e)
N/A __ ___,4 ___ : I am a qualified elector of Miami-Dade
(circuit #l _(grqup ot.se<!t #)
OFFICE USE dNL Y
NIA
(district#)
County, Florida;
I am a qualified ~~~cl<;>r.Qf t.ne City of Mi<Jnii Beach; Florida.r r.E\sldlng l,'iit~)n the ·clty·at lea lilt Qne year:before qu\llifyfng for City of f\lli<Jml B.each
elected office, with my legai residence being: 20 Island Ave. #402 ·· , Miami Beach, Florida. I a·m tiualified un·der the ordinances
and Charl!!r oJ.s~ld City and. 4nder.t~e Cor).stitutlon,an~'the,Laws>o.f Florida \o hold the offic;eto which I de1;!ireJo .~E\ norninated .. or ele~ted;· 1 have
.qualified for no other public offic;e in ·•the stat~; ·the ,term of which pffice·or•.any part thereof runs CCI) current with ihe office 1. seek; anq I have
resigned from' any Qffice from whiqh I am required to resign pursuant to Section 99.012, Fl<:~ri<;la s.tatutes;· and 1 will support the .. Cqnstitution of
the United ·States and.the Constitution of'the' S\ate·of Florida. . r .
305·458·3334 scott@scottdiff.com
Telephone Number
20 Island Aye.· #402 Miami Beach EL 33139
f\.ddress City State ZIP Code
Candidate's Florida Voter Registration Number(located .on your·voter informafion card).: _1;;..;0::;,;9;;.;2:;;,.6=-8=-8"'"4.:..9=-------
* Please print name phonetically on the line below :as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
SKAHT DIF~en~DUHR~fuhr
STAtE.Qf i=LORlbA.
COUNTYOi=~~ -4./,e
Sworn to(or affirmed) and subscribed before me this. tJ!:! day of v~ , 20 I 5.
Personally Known:. · /or
Produced Identification: ___ _
UUAM R. HATFIELD
MY COMMISSION # EE 844865
. EXPIRES: February 18,2017 ignature ~f NcitaryP\li)Hc
ill,;;;;~~ .... a;;;on;;;de;;;;d T;:;hru;;;N;;;oto;ary0P;;;ub;;;llc;;\Ja;;nd;;;erwr;;;i;;;;ters~rint, Type, Qr St!lmp CoJTiniissioned N;;u:ne .of N<:~!!lry Public
'"\t...
··~---... Type of Identification Proquced: -.,-,------+-~.,.,.--,_,__,----,'7--,--,-~-SEP 9 2015
D.S·DE 25 (Rev. 5/11)
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates)
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I J I s A I 4 ~-1 ;V1 £) s LE... j
OFFICE USE ONLY
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAA ON THE BALLOT*·· NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of """ I (!\ """ I 13 E-A c:...l-/ c;_ i 7'"lj <:::"' ""' ,vi. ' s.,. ' 6 AI ~Sit. ' __ N_I_A __
N/A
(office) (district #)
tf ; I am a qualified elector of M' t\ IV'\' -D '-\ OE... County, Florida; -------
(circuit#) (group or seat#)
I 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 being: /o.?:,g II s·m.e.e:r # 18 , 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; and I will support the Constitution of
the United States and the Constitution of the State of Florida.
te
Address City
.3os~ s-1'-1 ·-1-'i<Dt<
Telephone Number
/.5A t4.J./LJ/NS f'6rAAIL(.oiV\
Email Address
State ZIP Code
Candidate's Florida Voter Registration Number (located onyour voter information card): / D (L) 6 tJ 3 I 8 I
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
STATE OF FLORIDA ,
COUNTY OF /v(/tl/111 ·-1x:de_.
Sworn to (or affirmed) and subscribed before me this /O
Personally Known: _Lor
Produced Identification: ___ _
Type of Identification Produced: _______ _
DS-DE 25 (Rev. 5/11) Rule 18-2.0001, F.A.C.
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates)
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, JONATHAN PARKER
OFFICE USE ONLY
(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 nonpartisan office of COMMISSIONER N/A --------------------------------------(office) (district#)
N/A _I_V ____ ; I am a qualified elector of _M_I_A_M_I-_D_A_D_E _______ County, Florida;
(circuit#) (group or seat#)
I am a qualified elector of the City of Miami Beach, Florida, residin_g within the City at least one year before qualifying for City of Miami Beach
elected office with my legal residence being: 560 W 51ST ~TREET , Miami Beach, Florida. I am qualified under the ordinances
and Cha o aid 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 n other public office In I he state, the term of which office or any part thereof runs concurrent with the office I seek; and I have
_ resigned rom ny office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of
!he l'iite ta es e Constitution of the State of Florida.
305-865-6888
X Telephone Number
MIAMI BEACH FL 33140
City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): 1 0924 7554
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
"JOHN-A-THIN PARK-ER"
STATE OF FLORIDA
COUNTYOF MIAMI-DADE {\t
Sworn to (or affirmed) and subscribed before me this* day of,""--+----::::::o-=-r-' zoJ2._.
-----------~PersonallyKnewn~~
DS.DE 25 (Rev. 5111) Rule 18-2.0001, F.A.C.
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
sc::nool Board candidat~s)
' ' '
OATH OF CANDIDATE
($ectlon.S9.02i, Florid's statutes)
Betsy Perez
am a candidate for the nonpartisan office of Miami Beach Commission NM
{office) (distrlet t,t)
NIA 4 Miami Dade d _______ ; I am a qualified elector of----------~~-County, Flori EJ;
(gi(lup ¢r seat #)
I am a qualifl~\'.l ~le¢t<;~r of.the c1ty \if rv1J\l~l Be?o/'r/:t<glclade1'g wlthlri.K'e Ci!Y al tea.st one yea,r b¢fo~e qtt<i!I\Yihg forGilY of Miami Be~ch
elected .offioe, wrth my legal resJctence ~mg: 0 ° ln s ve ' , Miami Beach., Fll'lncta. l am quatlfli!id under the ofcjlnan~s
.:md Cha.rterofsaid Clty and un<tef the Copsilll!tion and!(le l.:.a.ws offlqridfl to hold the¢(ftgo tr.rwhichl desin:~ to be (K<mlnated or.e!ecllld; (have
qualifte'\1; tOr no oiher public; office in the state, .the Jerm of which of'fio~ pr ;;~ny partihereofi:unspOJlCUrrent ;xlth the ofllc~ I setek; and I ha:ve
resigned. from :any .. oftict;! from whioh.l.mm required lo ,r~slgn f~Ursuanno '$eotlori 99.012, Fro tid a Statute.s; and I will support the ConJ>fltutio.li of
.the Unft¢d'Sla:tesand the Constitution of the State·cfflorlda;
305-794-4020 betsy®betsyperezmiamibeach.com
--:-:;--~':'7":;::7"-;~~:--"l~I----.,Te-.ie_p..,.h~o-ne-N"'·u"""m'""'b,_e_r___ Email .Address ---
7605 Collins Avenue, Miami Beach Florida 33141
~ctdress State Zl:PCocte
Candidate's FlotidaVoter R.egistration Nu·mber (!ocated·on your voter ktforina.tlon card): __ 1_0_9_3_2_,4_4_2_2 ___ _
*Please print marne phonetlcaHy on the Hne below as you wish' ltto be pronounced on the audio ballot for persons
with disabilities (sse instructions on page :!. ofthis form):
BET see per EZ
STATE OF .FLORIDA
COUNTYOF Miami-Dade
DS-DE 26 (Rev; 5111) Rule 18-2.0001, F.AC.
CANDIDATE OATH -~\: ~-. -;_ -: -·-. -"·-
"'' ~ 1 --' ' ' '
NONPARTISAN OFFICE PI' '). 15 2UI5SEF·-9 IJ ,J•
(Not for use by Judicial or err-~' :_;L_[ ,~ . :.:i-ll•.;
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
Kristen Rosen Gonzalez
I,
(PLEASE PRINT NAME AS YOU WISH IT TO APPE:AR ON THE BALLOT*-NAME MAY NOT ElE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of
Miami Beach Commissioner
' N/A '
(office) (district#)
N/A ' 4 ; I am a qualified elector of Miami Dade County, Florida;
(circuit#) (group or seat#)
I am a qualified elector of the City of Miami Be.ft;(loriftJi~dlng lftln the City at least one year before qualifying for City of Miami Beach
elected office, with my legal residence being: R . 1) n I ' 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 fro~~ty)l.ffice from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I Will support the Constitution of
the United St s'anq the Constitution of the State of Florida.
t r () t./ ;3os-..l=J 0f ~ triL) g r1 ~(J r 0 ~e~11>t~Zqfe&,
X s~at~~can ~idate Telephone Number t:.man Aaaress '"
/ '·~ c' lt\Nl
Lf~ 16_ Al-h)vlre~ Yl!vb ~-\L ~~-~3; {tJ-o
Address City state ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): l\0'2</~ so 0
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
-1 -.
k.yiHs~t v~ h. r 0+{-z. ul V) C\ Jn ~'\-sftf ·-) ~~ s
STATE OF FLORIDA
COUNTY OF 'ttu4Mci-~
Sworn to (or affirmed) and subscribed before me this fl/j day of ~ '20 ;5,
I -
Personally Known: .L__ or I ~AA1tDL~ ,,,•'1?-Y'r!J.-t·· UUAM A. HATFIELD Jrt•L/t f.~'E~t~ MY COMMISSION# EE 84486~ ~~~riature of Notary Public
Produced Identification: ;0, -~f EXPIRES: February 18, 2017 . F ~nt, Type, or Stamp Commissioned Name of Notary Public <:.t,t~r;;r,-~·· Bonded Thru Notary Public Underwrite~ , S E p 9 2 0 j5
Type of Identification Produced:
OS-DE 25 (Rev. 5/11) Rule 18-2.0001, F.A.C.
COMMISSION
GROUPV
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates) ·
2015 SEP I Pi'i 3: 26
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I Ricky Arriola
!
(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 nonpartisan office of Miami Beach City Commissioner N/A
(office) (district#)
N/A ___ 5 ___ ; I am a qualified elector of _M_i_a_m_i_-_D_a_d_e _______ County, Florida;
(circuit#) (group or seat#)
I 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 offioe, with my legal residence being: 140 Jefferson Ave APT 14010, 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; and I will support the Constitution of
the United States and the Constitution of the State of Florida.
305-523-1115 rickymb2015 @gmail.com
X Telephone Number ress
140 Jefferson Ave APT 14010 Miami Beach Florida 33139
Address City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): 109494447
*Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
--·-~-with-disabilities (see instructions on page 2 of this form):
RIK ee ah ree OH lah
STATE OF FLORIDA
COUNTY OF _M_ia_m_i-D_a_d_e __
I I
Personally Known:
Produced Identification: ___ _
Type of Identification Produced: --------~-----
·----~-DS-DE25 (Rev. 5111)
Sig ature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public
,.·:~~ DOREEN A FERNANDEZ ftr) ···~ MY COMMISSION# EE218812 -. .
..... /''· .··-. "\, \'" .. ~"
·'"""' i ,··· I )
CANDIDATE OATH -
,! '
NONPARTISAN OFFICE 2015SEP 10 Pr, I: 22
Cl I
--~ l_.: :.
• •• ! ~ ,.. ~ ·• > ;,r
(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(section 99.021, Florida Statutes)
I, fV\ frHC-1.-/ l§l1 J../--n-rv
(PLEASE P~INT NAME AS YOU WISH IT TO APPEAR ON TH_E BALLOT •-NAMEliJIAYNOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of j'V} lh/",, r; t5 /1' C-t.J Ct)0·"-/IS_;s /V•V ' N/A '
(office) (district #J
N/A ' _e;-; I am a qualified elector of M I It--; I ...-.D kl> J County, Florida;
(circuit #J (group 9r seat#)
I 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, w~h my legal residence being: 11'~0 9?! ~'-!.-VA -?e•~ ()t-i Vl""; Miami Beach, Florida. ram qualified under the ordinances
and Charter of sai<J City and under the Constitution and the Laws of Florida to hold th_e office to which I desire to be nominated or elected; I have
qualified for no other publlc 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; and I will support the Constitution of
the United States ancj the Constitution of the State of Florida.
~-.:;J 5 0 5 .... <;I? 'f)~ tr !,1 :J /'r.A~-'f<-e 1'-rAr-k-""'G"~'ill"~'<-"-c.-_,
X Signature of Candidate Telephone Number Email Address
tl~o _5' 71 ~ L-v A 7'1.?<~ Pv, /'-!lA-, 1 I] cr..,_-~~· {'L-S 5: /Lj/
Address City State ZIP COde
Candidate's Florida Voter Registration Number(located on your voter information card): foqf?{'66oLj
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
J{ith9J~!)Uities (see instructions on page 2 of this form):
fi/\A IVJL WHt7C i-1 t>(L A/
STATE OJ= F~RI~A
COUNTY OF '>~hk?: -it?Mfl..,
Sworn to (or affirmed) and subscribed before me this ~~Jft day of ~ ,201~
/ 11HIIItt ~ ~~ 'ti) LlUAM R. HATfiElD i
Personally Known: o i*i ~ ~ MY COMMISSION # EE 844865 ' ! >~·· ,: EXPIRES: February 18,2017 1:, ~.9,, .~·· Bonded Thru Notary Public Undenvrlter$ j~ ~7re()f NOtaTYPUbliC
Produced Identification: ~-.,... .... ..,.WPlil":;s•m t li .~;.::~.~·' Print, Type, or Stamp cmsilnO 2o15 of Notary Public
Type of Identification Produced:
OS-DE 25 (Rev. 5/11) Rule 1S-2.0001, F.A.C.
COMMISSION
GROUP VI
CANDIDATE OATH-
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates)
('I~·\/ ·1 .. 1 ~.-· j ,1 f.·~ I.. n c c 1 .l··· ~·. ,,, I I . .;l.L ]'.,[\ ,') ,, I I ·' [_
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes) \
I
I John Elizabeth Aleman
' (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 nonpartisan office of Miami Beach Commissioner N/A
(office) (district#)
N/A __ V:....:1_,(.:;..6)'--__ ; I am a qualified elector of ~M=ia:!.!m.!!.i-...!::D:..:a~d~e ________ County, Florida;
(circuit#) (group or seat#)
I 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 belng:5824 Alton Road 1 Miami Beach , Miami Beach, Florida. 1 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 nominatf3d 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; and I will support the Constitution of
the United States and the Constitution of the State of Florida.
305-968-5220 john@johnaleman.com
Telephone Number
5824 Alton Road · Miami Beach Florida 33140
Address City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): _1.:..;0~9::..::5::..::8:....:4.::2.:.90=----------
" Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
JAHN ee-LIZ-uh-beth ah-leh-MAHN
STATE OF FLORIDA
COUNTY OF M i <AIL{ i -"})q J e__
~~
Sworn to (or affirmed) and subscribed before me this \ day of . ~~ ,2o 1s.
Personally Known: or
Produced Identification: /.-
OS-DE 25 (Rev. 5/11) Rule 18-2.0001, F.A.C.
CANDIDATE OATH-f~~ E. c r:::-l \ · F n
NONPARTISAN .OF.FICE 2015 SEP 10 Pfi ~~: 17
(Nol f.or:us~ b'y ,J~,tqicia_l or .ITY f ... '.,., ..... fTT C .~L.L:·~~··,·J u;· · L-:.
School Board Candidat~s) 6i='F'rcE·!JSE ONLY
OATH OF CANDIDATE
(Section 99.021 '·Florida Statutes)
I, Mark Samuelian
'(PLEASE:PRINT NAI\1E AS YQU WI,SttiT TQ.APPE;"'R 9N THE Bf\.LLQ\ •·,.;. NA!Vlt;;MAY NOJ BE.CHAN9E.0 AI;'TE.R '(HE END 9F Ql)AUFYING)
am a -candidate for the nonpartisan office of Miami Beach Commission .• ?. N/A. '
(Office} (district #J
N/A ' 6 ; I am a qualified elector .of Miami-Dade County, Florida;
(¢i~C\lit #) "(~roup or s~at (f)
I. am<! :q~,Jalifi~;Jd elector of tli!l Qity of Mi9mi Bea~'\llori~a, rr:win~ w~~~~e Qity at lea,~ one-year[)_efore qualifying for Cit('· of Mfarni Beach
.. elected office, with my legarresldence being: 10 ene ian a , Miami Beach, Florida. ram qualified under-the ordinances
.a net. Charter-<;~fsaid Qity·!lnd.unc;ler the constituti 0n:andthe Laws of FIQrida to hoJ.t;l the offi~-to which 1 d~sire to.be nomina.ted or elected;: I have
.qualifil'!d for no pth~r put.Jiic··offi~ in the :state, the t!lrm qfwhi~h .offic:eor !l[)Y part thereof runs cqncurten\ with the o.ffi~e I see.k; and I. have
resigned from any office from whicl) I am required to resign pursuant to s'eQti<m !;1!1.012, Florida··statutes; and I will ~pport the Constitution of
.t.he Un~ed States and the Consi~ution of the State· of Flori!]a. ·
~uL~ 305-915-4316 mark@marksamuelian.com
X Signature of candidate Telephone Number E_ml)ll Add(e!!S
1 0 Venetian Way #1502 Miami Beach FL 33139
Add. res~ City State ZIP C()(!e
Candidate's Florida Voter Registration Number ~located .6n your voter information card): 120851660
"Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities ·(see instructions on page 2 of this form):
Mark Samyalin
STATE bF FLORU)A
COUNTY OF Miami-Dade
Sworn to (or affirmed) and subscribed before me this 1.!2 day of J£~~ ,20 15.
Personally Known: / or ~~~ ~ure of NO~l:!ry P.u:-
ProdUcf!d ldentifica.tion: 'if!""• . r I, Type, or $t:<~r:np Commi~ione.d Name of Notary Public IQ;) L1JA11 A. HAlFIE!D • MY COMMISSION # EE 844865 ~
Type of ldli!n!ificatidn pror;fi.lcE!d;: . EXPIRES: Februarv 18,2017 ·
t10naeo lnruNolal'f~ubllounderwrilers J_j SEP 1 0 2015
DS-D~ 25 (Rev.,5111) Rule 18-2.0001, F.A.C.