Simon Cruz - 1999' 'FORM 1 STAT~ENT OF FINANCIAL~TERESTS 1998
THIS STATEMENT REFLECTS MY FINANCIAL INTERESTS FOR THE
PRECEDING TAX YEAR ENDING:
CHECK EITHER OR SPECIFY TAX YEAR [F OTHER
DECEMBER 3l, I998 ~ THAN THE CALENDAR YEAR: NAME OF YOUR AGENCY:
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LAST NAME - FIRST NAME -MIDDLE NAME: CHECK ONE OF THE FOLLOWING CATEGORIES: `' ,~~
kNDIDATE
TE OFFICER
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ER ^ ST
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MAILING ADDRESS:
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LOCAL OFF
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^ SPECIFIED STATE EMPLOYEE C~
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LIST OFFICE OR POSITION HELD OR SOUGHT: -~~~1~sS/U~l~~
CITY: Z[P: COUNTY: `ry
NOTICE: Under provisions of Sec. 112.317, Florida Statutes, a failure to make any required dis-
closure constitutes grounds for and may be punished by one or more of the following: disquali-
fication from being on the ballot, impeachment, removal or suspension from office or employ-
ment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000.
PART A -PRIMARY SOURCES OF INCOME [Sources exceeding 5% of gross income]
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
L~~•.Q Ld i.tl s .t C . 3 C L7~LiD 0 /. /yB . /'~O~r' .~P c ~CJ.~K r / - ~a)JV~
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PART B -SOURCES OF INCOME TO BUSINESS ES OWNED BY THE REPORTING PERSON [Ma jor customers, clients, etc.]
NAME OF SOURCE OF
BUSINESS ENTITY'S INCOME SOURCE'S
ADDRESS DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
PARTC-REAL PROPERTY [Land, buildings] FILING INSTRUCTIONSforwnen
t the bot-
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and where to file this
tom of page 2.
INSTRUCTIONS on who must file this
form and how to fill it out begin on page 3 of this
packet
.
OTIiER FORMS you may need to file
are described on page 6.
(Continued on p.2) ~'
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CE FORM 1 -REV. 1/99 rte"`
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PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.)
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
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PART E -LIABILITIES IN EXCESS OF NET WORTH [Major debts]
AD
PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses)
BUSINESS ENTITY # 1 ~ BUSINESS ENTITY # 2 ~ BUSINESS ENTITY # 3
NAME OF
ADDRESS OF
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY PARTS OF A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0
SI
WHAT TO 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: You also
may be required to file Form 10, which is
the last page of this packet. Please see that
form for detailed instructions.
NOTE: MULTIPLE FILING
UNNECESSARY: Generally, a per-
son 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 can-
didate 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.
FILING INSTRUCTIONS FOR FORM 1
WHERE TO FILE: Local offi-
cersfile 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 head-
quarters.) State officers or specified
state employees file with the Department
of State, Room 1802, The Capitol,
Tallahassee, Florida 32399-0250.
Candidates file this form together with
your qualifying papers. To determine
what category your position falls under,
see the "Who Must File" Instructions on
page 3. If you were mailed the form by
the Secretary of State or a County
Supervisor of Elections for your annual
disclosure filing, return the form to that
location.
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 fess than 30 days from the date of
their appointment.
Thereafter, local officers, state officers,
and specified state employees are
required to file by July 1st following each
calendar year they hold their positions.
Candidates for publicly-elected state or
local office must file at the same time they
file their qualifying papers.
(Continued on p.3)~'
Gf= FOHM 1 -REV. 1/99 PAGE 2