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Home My WebLink AboutJohnson, Ted Qualifying Packet - 2020 08 24CITY OF WINTER SPRINGS, FLORIDA '4- <)ok 2020 GENERAL MUNICIPAL ELECTION FoRm A - AF IDAVIFOF ACCEPTANCE TH IS CO M PLETE D FORM MUST BE PROVIDED TO THE 0iYCOMWSSKN`qII:'.YSRZ� T(NV:::: Tll 1 11llXs VIlll CITY CLERK DURING QUALIFYING NAME: Date&Time Page 1 of 2 A 14,-r A Review Started F�:i Y/elo 1, i I The following information is provided to you to assist in your campaign for Public Office; however, please note the documents in this packet of materials are not intended to be a complete digest of Florida's Election Laws. IT IS YOUR RESPONSIBILITY TO READ AND UNDERSTAND THE ELECTION CODE AND COMPLY WITH ALL APPLICABLE REQUIREMENTS The appplicant accepting this document and the attachments should initial after each section as it is reviewed QUALIFYING DOCUMENTS The documents in this section are due to the City ClerklDesignee no later than 72.,00 p.m. on the last day of Qualify ing which is Friday, August 28, 2020. "Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates" [DS-DE 9] "Statement of Candidate" [DS-DE 84] 1 * "Affidavit of Qualified Voter Status and City Residency" 2 "Application'for Office and Election Assessment" (WIT[ I a check drawn from campaign account for the Application Fee AND the applicable 1% Assessment OR "Notice of Undue Burden") "Notice of Testing Tabulating Equipment" 5 "Schedule of Campaign Finance Reporting Periods/Due Dates" 6 "Notice of Access to Campaign Finance Forms" 7 "Candidate Petition" * Candidate Oath "Notice to Federal Government Employees (if applicable) "Form V - "Statement of Financial Interests 2019" QUALIFYING DOCUMENTS WITH AN *ASTERISK MUST BE COMPLETED IN FRONT OF' THE CITY CLERK/DESIGNEE DURING QUA-LIEYM STATE OF FLORIDA INFORMATION The Florida Election Code, Chapter 97 - 106, Florida Statutes [08/2019] (includes Chapter 106 which addresses Political Advertising and Disclaimers, etc. ="Candidate and Campaign Treasurer Handbook" (10/3/2019) (Which includes "Chapter 12: Political Advertising" and "Chapter-13: Other Disclaimers" "Electioneering Communications Organization I iandbook" State of Florida Election Information Contacts Revised 07/27/2020 A, 52 111,14 2 U 2 0 Cl ("Y ("J, VW,4 YI I S f I d 11, 4G'11 'y C - E < 7, 1-1 f�: I ar'?eRs, CITY OF WINTER SPRINGS, FLORIDA 0� 2020 GENERAL MUNICIPAL ELECTION � cr u F y m ,,,+ C37 �'":w4�'))i' 9�o�"i�H 'w d, 49 "lu t e V)i:�"d'^i ��!,;w4 h fi.l Vll°i hi 4�4:�dhriPiii9.:'f" ivil::C r . NAME: mm.....".. a u CAMPAIGN FINANCE/ELECTRONIC FILING INFORMATION "Contributions Returned" [DS-DE-2] Envelopes of Checks/'eceipts (2) Accepted: — f —1 CITY OF WINTER SPRINGS INFORMATION of Winter Sorinos 2019 District Mao Accepted: ......._.-----------i4ISCELL �__ __4 AINOUS INFORMATION "Statement of Ethical Campaign Practices" (From the Seminole County Supervisor of Elections "Foreign nationals" - from the Federal Election Commission (6/23/2017) Legal References for Qualifying Documents Accepted: l f"1V.' IM 0111 b1 IlA US II 112 E I)Iil::l'::)V'llII)II I1)1i'0 THE 7.II IN II.LV K DUUUU'VII)liG Q1LJr)I_IIII' 1PIIII^IIC Page 2 NOTE: The Candidate SHOULD NOT close out their Campaign Bank Account before they are invoiced and payment is made to the Seminole County Supervisor of Elections for verification of Petition signatures The following signature area is to be signed upon receiving the 2020 Election Qualifying Packet, including the above referenced documents I, / ✓ J have on this date received the forms and information Name of Candidate (Print or Type) noted on these two (2) pages, and agree that I will read all of the Election Qualifying packet materials that have been provided to me and undetand that it is my responsibility to comply with all Laws as they apply to the 2020 Election. R "Signature ��- Date Street Address City ✓ zip Code State of Florida Count of Sworn to (or armed) and subscribed before me bymeans of( physical presence or_onlline notarization) this g °0t U day of A.GA by ' P r �f r°"�q);o Personally r fn'�; t known: (Print name ofperson making statement) ;e f r Type ofldentirication produced Signature of Notary Public - State of Florida Revised 07/27/2020 uye�ugp if N Notary Public State of Fonda Christian D Gowan My Commission GG 913234 Expires 09115/2023 R E= 011,a s� V� �. f IJG r i ,17" iF V10 1ll E III II 1 l v . ` Li �0Cf"ICI gal':"'ihi oal "¢"E,i IJbtu CITY OF WINTER SPRINGS, FLORIDA 2020 GENERAL MUNICIPAL ELECTION C v 41FHE14 VIT 0F'Q1 IAI IFZED 1/0 7TR S rA TUS AN,11.� 4, ('71YAIVI,�C)ISTAYC'TRE, DEN4-'-Y 1Jjvjl- -�Z!b 'j, � IIAIL A) do hereby state that I seek election to the City 1111 IS C01IMPL i D 11::0PIA I 811E PROO D E: D TO "'fl"II 1111: C I IFY CLE: ll K R 11 IN G QUAll 1111i:)(ING c 0 j , d,�, I I of Winter Springs' (,fty 0.,�rrrr0ssion¢ [,)[strlct Ore r DistilcCrInree r DIstrict i,",'ive a four (4) year term in the election to be held in the City of Winter Springs, Florida on Tuesday, November 3, 2020, 1 further swear or affirm: (I -) I am a qualified voter in the City of Winter Springs (2.) My legal place of residence is: 7-A.,eoL,soL,6rJ, +,-- V7, R n 2 71eYr-- I -1111111111----11711141 --F A(1,'P, (3.) Length of time of residency in the City of Winter Springs is: (4.) Length of time of residency in Winter Springs District: z- is (51) 1 am attaching two (2) documents, one to be a Florida Driver's License, as verification of my residency in the City of Winter Springs. The second document is: .rei— be (ru'-ty, fcler,-J a.. Ve, i-e,- ............... ................................. A " . ........ . . . State of Florida Countyof Sworn to (or affirmed) and subscribed before me by means of physical presence or—onfline notarization) this day of 2020 by Personally known: OR Produced Identification (Print name ofperson making statement) Type of Identification produced Signature of Notary Public - State of Florida Notary Public State of Flonda Christian D Gowan MY " C ion GG 913234 Expire0sT0M91/1 5/2023 -4 FOR OFFICE USE ONLY J, r,"opyofFlorida Driver's License provided for Item (S) Other documentation✓ems, provided for Item FRA! hJj Revised 07/27/2020 A U f,13 1 0 CITY F WNTER SPRINGS, FLORIDA ora;�� m�� 2020 OENEIRAL MUNICIPAL ELECTION 11"6d ��t„ 0 111 1 ?a.. ®we a � � I''-�,� V I11A ��fl u�J S V II„' I[:If:; PI,! W11I)I:,I .Mmll'Jl 0�'w.1� �� fll llf 1 9 V VII II L � II �II'111f: IINI �,,L.1 J IIIL III I II�(�� DURING " '":�II,a111�111m.111�111m' 1��1111��J"111p�"m�N'�".�11111' ,11 N I, �j 0 ti'A)S, 0 A-) do hereby state that I am a registered and qualified Elector of the ........ City of Winter Springs; and I am applying for the Office of Cit )f Corr, rnl xsucr r DST:rl r One strict III "Ire Dst i�,.r f 'uve a four (4) year term, in the Election to be held in the City of Winter Springs, Florida on Tuesday, November 3, 2020. I further agree to pay the following Qualifying Fee AND applicable Election Assessment QUALIFYING FEE: $150.00 AND THE BELOW ELECTION ASSESSMENT ELECTION ASSESSMENT - COMMISSIONER: $120.00 Each Commissioner receives: $1,000.00 per month $1000.00 x 12 months = $12,000.00 annually The 1% Assessment amounts to: $120.00 NOTE: "Any person seeking to qualify for nomination or election to a municipal office who is unable to pay the election assessment without imposing an undue burden on personal resources or on resources otherwise available to him or her shall, upon written certification of such inability given under oath to the qualifying officer, be exempt from paying the election assessment." [99.093 (2) Florida Statutes] Pursuant to F.S. 99.093(2), candidates who are unable to pay the election assessment without imposing an undue burden on their personal resources or resources otherwise available to them shall upon written certification of such inability given under oath to the city clerk be exempted from paying the election assessment. Any candidate exempt from the election assessment shall also be exempt from the city's qualifying fee. e 1 FOR OFFICE USE ONLY APPLICATION FEE: Campaign Account Check in the amount of $150.00 attached (Check should be made payable to the City of Winter Springs) Check # 1 A AN 6✓ rp " �"•- 1%ASSESSMENT -Commissioner: Campaign Account Check in the amount of $120.00 attached p � (Check should be made payable to the City of Winter Springs) Check # OR, IF APPLICABLE E=Completed "Notice of Undue Burden" Attached r� �; ��' �'�w,� �mb', ,,, Y � J tl�i � Jy�� ✓ro i � v'„ � f , Revised 07/27/2020 ill ,,�, L � 0 Z l 1 K CITY OF WINTER SPRINGS, FLORIDA a� — R 2020 GENERAL MUNICIPAL ELECTION r 4 z o ssseN077CECOF 's"p. HIS COW3II II TII If[) bwE' U- II'?IIA MUST II..UII..,;, w�l.i" :� �UV�TII h,,� °."�IIN,d: .UV:�I"l 'W a U III 4:II �u I I i p � 11 II L "II"p Q:,. If 4 I P1l';'. I u�Y F � 11 lIwM _.� U III II I1-"V II IU4G NOTICE Please accept this notice that the tabulating equipment to be utilized in the City of Winter Springs, Florida's 2020 General Municipal Election will be tested on: DATE: Friday, October 9, 2020 TI M E:10:00 a.m. The aforementioned test will be held at: THE OFFICE OF THE SUPERVISOR OF ELECTIONS FOR SEMINOLE COUNTY 1500 East Airport Boulevard, Sanford, Florida, 32773 (407) 585-VOTE [8683] City of Winter Springs Municipal Elections Offical/Designee Revised 07/27/2020 o viaµ CITY OF WINTER SPRINGS, FLORIDA I' f14I� N""' �,s ��` "� � � 2020 GENERAL MUNICIPAL ELECTION u w�w e "° fete -� � M i His CCiC��li I i II II IL) mph ro N N�,ja Pi IIE III"i C01111III'1111S,Ii1. IIIllllll°II IIIII""illW II ii """wipAlll iu ° IYLIIiIY VC i II IIII II IIINSTII° IICII 1:]V,.''; III i Y r::YIR HG Please find the following documents/information/references related to Political Campaign Advertisements/Signs in this Notice: Copies related to Political campaign Advertisment/Signs attached: (1) Copy of Florida Statutes 106.1435 (2) Copy of Winter Springs Signage Information (Chapter 16, City of Winter Springs Code of Ordinances) Information/References related to Political Campaign Advertisements/Signs: (3) "The Florida Election Code, Chapters 97 -106, Florida Statutes" - August 2019 (included in Qualifying Packet) (4) "Candidate and Campaign Treasurer Handbook" - Revised 10/03/2019 (Which included information from "Chapter12: Political Advertising" and "Chapter13: Other Disclaimers") [Included in Qualifying Packet] ACKNOWLEDGMENT IIAJZ 0 do hereby acknowledge on this date of (I. rir'it oi, yfe ) w 2020 with my signature below that I received a copy of Florida Statutes 106.1435 and a copy of Chapter 16 from the City of Winter Springs' Code of Ordinances, and with my signature affixed below, I understand that it is MY responsibility as a Candidate for Elected Office to comply with all laws, specially as related to Political Campaign Advertisements/Signs. Also with my signature affixed below, I acknowledge that I will comply with all laws related to Disclaimers as explained/noted in "The Florida Election Code Chapters 97-106, Florida Statutes" and the "Candidate and Campaign Treasurer Handbook." FOR OFFICE USE ONLY �Ga Attachment: Copy of Florida Statutes 106.1435 Attachment: Chapter 16 from the City of Winter Springs' Code of Ordinances ±` i,P]3, '121 `f 20,Z 47 Revised 07/27/2020 CITY OF WINTER SPRINGS, FLORIDA M 2020 GENERAL MUNICIPAL ELECTION Dis n?,11 ci ' IVE. SCHEDULE DURING/AFTER QUALIFYING*, THE FOLLOWING CAMPAIGN FINANCE REPORTS ARE DUE: F lII�W MUST P:3E C1 C II II IZ< Il)iUPIINCI Report Due Date. October 9, 2020 - shall contain information regarding all previously unreported contributions and expenditures from October 1, 2020 - October 2, 2020 Report Due Date: October 73, 2020 - shall contain information regarding all previously unreported contributions and expenditures from September 1, 2020 - September 30, 2020 Report Due Date: October 23, 2020 - shall contain information regarding all previously unreported contributions and expenditures from October 3, 2020 - October 16, 2020 Report Due Date: October -TO, 2020 - shall contain information regarding all previously unreported contributions and expenditures from October 17, 2020 - October 29, 2020. A Final Report shall be filed 90 days after the General Election - on or before February 1, 2027 - shall contain information regarding all previously unreported contributions and expenditures from October 30, 2020 - February 1, 2021 *For Unopposed Candidates Report Due Date.- November 27,, 2020 - shall contain information regarding all previously unreported contributions and expenditures from August 1, 2020 - November 27, 2020 ACKNOWLEDGMENT l / 1, do hereby acknowledge that on this date of ................__ 2020 with my signature below that I received a written "Schedule of Campaign Finance Reporting Periods/Due Dates" (as noted above on this form). a �r" I f n X nl4 I'+' '`4� IIrY wu. Ntl.:m Revised 07/27/2020 �,� qll �, „ b�ti:q�l i II a°li ✓f71`VPfI .( l 4"� Ins llaf.f Cif r,1'. OI' IIII;:. 4::11 r 4,,E.l..C"'7X �®r►rE CITY OF WINTER SPRINGS, FLORIDA 2020 GENERAL MUNICIPAL ELECTION w z u1 s9 " � ly II II Y CIlllllllS &0l4w DIS, V ��flC T ONE IS II ifllCi II Ni iil II°:)6P111CF FIIV:'I NOTICE • FORM MUST BE Please note that Campaign Finance forms are available at the following State of Florida Website address: Ii1'�f.k�r.r,i,Ir,fP�.,,sl�"ylls��.k �i.r•TrT1��„Ir r,�:��lLt�i�'��Ir�, x�l,,dl.�ll�,f,t�`��;�I�,,/Wfr[:.Cr"i`%� ._ AND/OR through the Seminole County Supervisor of Elections Office when using their "Online Treasure Reporting System." and/or may be requested through the City of Winter Springs' Municipal Elections Official/City Clerk/Designee. _ ACKNOWLEDGMENT do hereby acknowledge that on this date of i�:�I r T,p,"� 7 2020 with my signature below that I am to comply with the provisions of Section 2-97. Winter Springs Code, which states, "All Candidates for elected office in the City of Winter Springs shall electronically file their campaign treasurer's reports required by state law utilizing the Seminole County Supervisor of Elections Office's electronic filing system. The electronic filing deadline for a completed campaign report shall be the same as the deadline established by law for filing an original paper copy of the report with the City's filing officer." I 5/Y ,�",u,,, Revised 07/27/2020 AUG 2 4 tarry al��; QCAN D N��u �� m �uu�w" ou��m�� I ��WV��, �4 "� oB9 6eafd gad°wel'l rru an lfaa:±s lrsr/ra are s„adrdrs: dt f a.sk PAa, ea: rdrrf upon rx^t.a:,l t. by the S'fasaor etor of f"lectaons lC as : crime to l/rdr/awrrdrSlh ^c qn rnrrrr th sad . ^e yua fdtion fair a a druafbbw ee ISr:"ctiora d7 afD"a A paf d 5a:aa ��a r/ 11 ) � :�'9 � ily .ta � � (,� A win vs nor rs rdr fefa.af if/t !stand ww/Bl noe he Y-dilo as as a:wyndirlaafr s a:lda/aurr f axrrn, w i F0i M 1AUL II Il1,3E I,ar/l rldrr�`�,,�, l r the undersigned, a registered P )l`hsaU II of I° IC:Y "i c a f ir) U': M (Please print name as it appears on your voter information card) v P —FC� ®�� 1�.5 ®AJ u° a i � Illy, i )i )PIING voter in said state and county, petition to have the name of Qli.DAi Ilih°YlPfVa"d placed on the General Election Ballot as a [check/complete box, as applicable] XNonpartisan N/A No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number r ss (M M/D D/YYYY) m..° rSa 1 -'A i, '1� � County nee "L" U i 1 \c nature of Voter r M le 1S72.04S, F.A.C. , CANDIDATE PETITION State Zr Code LELJ e Signed (MM/DDA^NYI be complete by Voter] 1 AP la lbr?natfrc: n on ?Ws ft+rm l avi:W'1r S a a :abk . a .t U ,ate -', ri,criAx, ty r he Su w d a Iso), of rd 'alillwns ftasa :WrwtoPu^rroo,inglysig~aamy,a°nOmniwwpetition l racvmura'o"niws./SruwnrdkxsdtKO4S,=larasAoStatutes!l fela a dfr/wf'fraV i'or'wta^ ouatrrdn ads d^ufrr. fxren is dwd t i:orurrrta to d, Me anirmd uw4fl not be 1i:0dd w- as C r/urgbWte lVt/r°ad,n 4darm,. II 44, -'' the undersigned, a registered (please print name as it appears on your voter information card) voter in Said state and county, petition to have -the name of 6 H V 0 placed on the General Election Ballot as a [check/corr'ilplete box, as applicable] THIS COMPLETED FDIPM MUST BE PROVIIDIED TO THE CITY CLEUPIK DUPING U.iALUM- NC Nonpartisan N/A No party affiliation N/A, Not Applicable Pa y Candidate for the Office of City of Winter Springs - City Commission IDistlrict'Thlree (Please insert. the title of Office and include District, Circuit, Group, Seat Number, If applicable) Date of Birth OR Voter Registration Number (M M/D D/YYYY) d (0 1 70 nature of Rule1S-2.045, FA.C. County SEA rev LE cif)(' 2 4 State ZlpCode �L n-7 Date Signed (MM/DD/YYYY) [To be completed by Voter] R A2. CAN D 1 [)A rE Pl� ... . . . . . . F Ilk T ION gold Cr tbrmagion ai r this form becomes a pubfic Y ecord upon receipt by the Supervisor of El&ctiom it & as crime to knowihg&,rgqn more, than one pethion for a candida:a [Section 104, 185 Florida Statutes.j lFall rugquestca o,,forrnatjcn on Mis foryn is cornfAcAed, the rafm will not be pwild as z, Candidate PeUtion Fk7�nry% T F] IS (,:::OMP11...E,.7E11::) l' the undersigned, a re its F 0 R 11A (MUST IB IE . ...... . .... & 2 ............................. I. IC. TO THE ......... . z I.e /.� 2 .eu&� OIL ............. dl.zalma .............. (Pllease print nanne ag it appearT; ojra yc�j�r voter anforrnador card) I " v A) W Ci ERIK MANG voter iri said state and COUnty, petlitioin to have the narne of , D j b H N3 QUALiFYINC piaced on the� G,r�era� Ellection Baflot as a [c11"iei:'i,Ucoimjpiete box, as aplIzAcabIle] 9 Noinpardsairi, No No party afffilation E= NotAlprAicabie Party Candidate ft" the ("'Wice of City of Winteir Spirfings - City Comirniss.-ion [Astrict "T'hree QMezoe finseift the UUe of Office and Cncrude Di-%triCt, OMUIZ, GrOUP, Seat NUrnix,.r, if appficadey Date of Bfirth OR Voter Registirafloirs N7urnlbeir Address QMM/IDDA-M 0 Y, County State FL of Voter Rule IS-2.045, F.A.C. f. CANDIDATE PETITION Date Signed (M M/DD/YYYY) (To be completed by Voter] I I"I on tvi, kqm i*u:omes a publk mcced p P oe n receipt 1&, Mil Supesv�tlwof EMcHons His a C?Pniio pnovt'bviro', S47n mole than ma, juptidoe? hn, a oyncUdei'a ISecram 104 vt5floa kb Stalutay leali requr-steed In Formation on tfus dbrm Fs not completee, the form wMi rot be reild as a ndldatv Petition Form, the undersigned, a registered (Please print name as it appears on your voter information card) voter in said state and county, petition to have the name of er placed on the General Election Ballot as a [check/complete box, as applicable] ) Code 32--7 0g THIS COMPLETED FORM IA U ST BE PqOViDEDTOTHE CITY CLERK L)URINC; QUALJFYiNC X Nonpartisan No party affiliation RA= Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) to of Birth OR Voter Registration Number Address �Y M/DDNYYY) CO I za I I CA (P State Zip Code -Apy% ' �L- 00 -ity S2ss . ..... County F-s- I re of Voter Date Signed (MM/DD/YYYY) (To beco pleted by Voter] cz Rule IS-2.045, FAC. AUG 4 I'l Y F �'N"' N, 7 5 P'R CANDIDATE PETITION 11All r!:1COrd�,Mn nwwpe bp the nd;jerv&vr of HoclAans da h; a rre:fe 1har wwpeedlon''Itir a candkOUjsictjon 704 W5;A,'F&D staleftest U M? eegwRsieny 18 v� 62d, al h; r W z arl up:Aweed th,? torm m4finor tw vqhw as a a )?ndk*?Y0 Prrftkn Fa wrf7y. fll HSCOMP11 M ED 1, 1-N 1w, il M i L Pr B� k,Flit'I 'I � 6� �r% the undersigned, a registered F:OF�!!Nl 1AUST Blll,::::: (Please print name as it appears on your voter information card) M.PADED 10 T iIIE voter in said state and county, petition to have the name of cl re a ERK I)LIFflING 1 0 QUALUNINI'll" placed on the General Election Ballot as a [check/complete box, as applicable] Nonpartisan N/A Not Applicable Party E= No party affiliation Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of office and include District, Circuit, Group, Seat Number, if applicable) Address (MM/DDNYYY) 9, (L e 0 Date of Birth OR Voter Registration Number dl city State Zip Code A Lull Signature of Voter Date Signed (MM/DDA^M) 1 ) ] [To be completed by Voter] 912 0 0 Z Rule IS-2.045, F.A.C. Q CANDIDATE PETITION Fowo 7 "All inbpmarion on M& ftyn becomins a pub r Pcotd upon iwcvOt 4,, Ow Xwpeivim ofElocVLmr it &a cr mmcp to knomrwP wgn mare then one pef,Wbrp for a aendklafe,,GwVon fk,0r1a,S2a1uteq ffpH mquested �rMunnakup on thIstorrn L- noP compOeted, Mc, tbrri vM not t'11111 vaki as a Cand&dbge Por do" Fortin, T� HS IA III LE7 E[N S FOR111A MUST II iP 1, the undersigned, a registered F�ROMEDIO I 11141��:' (Please print name as it appears on your voter information card) voter in said state and county, petition to have the name of y ,T?MA1S`dA) CITY CLEW 1l)UPMG QUALWYNG placed on the General Election Ballot as a [check/complete box, as applicable] Nonpartisan No party affiliation ] X E�EN=Not Applicable/A :l E 1. .. Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number (MM/DDNYYY) County re of Voter le IS-2.045, F.A.C. Address n:1 Date Signed (MM/DD/YYYY] [To be completed by Voter] Code CP "("F V011,41 ( FIF", 6N .,H OF�J:::ICZ THE,,, Y' IaN "Afliriformardicn) on this ronn becomes to pdibfirreconYuprin receifyt by thop5d1ponlisar at Elot.dords &,a cfmw to ArwMrkr7,1ydJ9n ndave thanonapedUon Frn a canrlhYafe. InN1kdn W436514nfidaStsluifn I *if the form will not hn wwildps a UancMJahr Pofwlion Fewn I M CCAIAP( Ell E[) the undersigned, a registered F01411A I ALW'BE, (Please print nary as it appears on your voter information card) CRY CILEAK DUIRINC voter in said state and county, petition to have the name of IZJ) J dPAI, QUALIFYIIAla placed on the General Election Ballot as a [check/complete box, as applicable] X Nonpartisan No party affiliation EN:/A:::— — - ---- Not Applicable Party—" Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number Address (MM/DDA"YW) N 4�' <�'-- , J � ''I �>1)11111 re of Voter Rule 1S-2.045, F.A.C. M County CANDIDATE PETITION IState Zip Code 12 '') 7 7 0 Date Signed (M M/DDNYW) [To be completed by Voter] o 3 /;u) z"—o !!Orflvl 7 *'4 U Ymbnd r32 km i:wl th" r kvy r r bvii!: c*,, t wa pi&&mc ::ij� ri g rXian rvoer L"y the Sudrdd: 1: �� visod, at E hu:: thms fr is: a 1�1 ri::1 A m , d0nga' 'qr,yd' r I r7ale H m ;;Left kn lb ra cad, nfids ra /Sec elo P i Wc WS Fk,rdia MW r r aq tfafi) equested 0AwnMor? an th& form is not compibA&r4 zhe h:ivm vvW not be va&Y asa e!�andWtv i:erMbn Falan HS C0�1111!)LIIETIEI) RDR111l4 MLIM 11:1�,%E I. the undersigned, a registered PROME)ED (Please i name as ii on your voter "Ill C11 l::. !!W UMl NG i voter in said state andprincounty, petitionappears to have the nameinformation card) of 46 1 f 4 U 5 placed on the General Election Ballot as a [check/complete box, as applicable] Q11JAUFYIING E=X=l Nonpartisan No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number (MM/DD/YYYY) n N0t City udN N') le'r!fpo IS-2.045, F.A.C. Coun t Address etas'on / AIIJifl,"'i ',2�, 4 7020 Date Signed (M M/D D/YYYY) [ro be completed lo Voter) C CITr ,'C,F: \AN,4'fER S, F." IR (N D[Vi ()F I I II CITY =,I EC's.K CA, ND[[1)A"'r1E, 131E""n""nON FORM 7 All information on thIs fbirn becalne's a pubh�: rerorcf upon fec�eopt 1.uY the supervis4w offFlections it ij c"fifrpe to knoilvirkqt . !" nPole Hum one Pei. ifArn fm a candkFare fSperun 104. 185 Florida Sfatute�y " _Vs�g THIS COMPLETIJED If;.,# reqa w essferi information on this fiturn is nr! con 1pleted" U'pe fbim well not be va �16'as, a Ceind0a fe i lefftim , Form. the undersigined, �a reg�stered FORM I BE PROVIDED 1`0 TI! lE �Mease print rGirrhe as it appeairs an ymn voter nforrnaUon cardi cirry CLEIRK DUPM.3 voirer In said state and coA.jirity, pevition to have tunenairne of T6 H N,5 41AI QUAl 111I IpIlaced open the Gc:.nerall Eiection 113allot as a [check/cornplete box, as appficat.Ae) Nonipartisain N. ,)arty affifladlon [q�/A Not. All'.)pficalble 77@� . .. .. .. .. .. .. .. . ....... I Candidai.e for the Office of City of Winter SIII - City Corrimlission District "'i'hiree .......... (Please nsert the title of Office and include Mtirict, (Ircuft, Group, Seat Number, !if ajppHcabley of Birth OR Voter Registration Number AddressI 1S-2.045, F.A.C. 0 elllll1-14 r- 4 Cou my IState I I Zip Code I-T.. -3 -- M./ Aleq/-� I �� 1-:-L 1 1: CANDIDATE PETITION Date Signed (MM/DDA^YrYY) [To be completed by Voter) to g I l I /.aD 1112014NI R'7 1/0 lnl�wmiafitm op Mhtfornn brromesa pub& Yacotd upcm a!Me4vg 41the 5upawisor c7f0ecUDns it Zs a ap fma to knowilwbe segirT Twe rl en ane Pwtkbvft a candYdbta i5inWon H04 7&5 F�cre&v Statutepr It on,Ws tbapn is not cxwnpJ&tvC4 UPe 9`lUP77 wM not be vat'dw a Candidage Piatftkn? Faem, rill n coii,an ii) 1,/�/�%5 /t'j. J�A2LZ:fj the undersigned, a registered R)PIA NVUST BE (Please print name as it appears on your voter informationclard) F!IPt; VIDED TO I HE CII I Y CLE P K DI J :q1l INII G voter in said state and county, petition to have the name of j QUAII IFYIN,M placed on the General Election Ballot as a [check/complete box, as applicable] E: Not Applicable X Nonpartisan No party affiliation Party �� N/A F Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) of Birth OR Voter Registration Number /0 1,5,2L. 16761,714,0 nature 19 Rule IS-2.045, F.A.C. County ress ®R f2 4 Zf,M if.-/ r- I State Zip —1-d. FIL 3,;-ur.9 Date Signed (M M/DDIYYYY) [To be completed, by Votey) CANDIDATE PE ri i oIN� ir�!oipm 7 All infairytation orw thk- f6rm becoines a public recarcl iqoar) iecelpt lWfheSqpefyisoof F.Flections 11 b: a cfinuo to knowq1)rsgn iruwe rhan onepethion ior a rainefidate. f5ection 104,785 FlofidaSfatuler,� nsquestec� infvrina6wk on thIS AW717 e.'s not complete d, the ftt,,n M11nol be vaifdas a CanrJidate Polition Farm T'll HS V,",OMPLIETED kAAA.16A) thie und(-.-Nrsfgned, a re.glistered FOPIM MUSI'BE "-b �-5 C...PIROViDED ric.") rFiE (Please print name as !it appears on youir voteir unronmaflon card� CITY CLERK DUPING voter in saW state and county, petifloin to have tife narne of f.) )v QUAILIFYiIii placed on the Genemi 0ection Baflot as a [check/coinplete box, as all-4)ficabie] I Nonpardsan i4opartyaffiflation ��JAApp�ica :]biLFl, ,'_' :�j- 1—� rly CarKildiate for the Office of City of Wilinteii-Spirings - Ch.y Cory) in ission District"Phree QPlease uorLeot.the tulle of Office and [riclude Distrfct, C'ircuit, Gmup, E-x�at Oquiniloer, I applilcal,,Hle� to of Birth OR Voter Registration Number Address -T;7p M/DD/YYYY) H 3.13 V 3-5-- Signature County : j =44;,-'-1 � .4; . 'r- A� 1�1& L- la-- I , " r-, , , 1, CANDIDATE PETITION State-- tate Zip Code r--z, - 1 13 a. ic 9 Date Signed (MM/DD" [To be completed by Voter] T)`.;K j /a 0 ajc> "All infolmaton 4"'j, khAs Porn r becornor a public recorol upcp� raceip.1 ty 4176, Supenvnwi of Etectivrw 'It ir & ViMe slqnnioie than one pefition fiv a uanckisfe, j5eu :Iion M4 W5 r/opiali f1&Wtfs,) [fall fequestmY fnfornqattvrr on this Yb?M 4S rW compkiled, the•fnrin n,vii ool, be vaild es a ranO,Otr Foft,4&n Fornr�, V ,� A r,:)" ., ", A Alalen the undersigned., a registered ; " , J 7 R ',�: )114' A (Please print name as it appears on your voter information card) voter in said state and county, petition to have the name of ,") xw Al placed on the General Election Ballot as a [check/complete box, as applicable] Ficmrim 7 Tp HS MAPLETED 11��0PIM MUST BEr PROVID111::1D IFO rHE 0 -iiY C11, ERK DUIZI l,K� QJM ll:tYNG X j Nonpartisan No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number Address (MM/DDAIYYY) C"5 C> Of Pule IS-2.045, F.A.C. rLou in -ty Zip Code Date Signed (MM/DDtNYY) fro be completed by Voter] o'd FT V,,f, 1,I F �i` CANDIDATE PETITION F%DW4 U, 1 71 ,A)I)�q�'iv rrr,)�t6n,i,ipI,11,14� fwm bthe Sudpveidn:�,, :W,EAqCbo1M I k5a rnom W kq0x4'ff7g&' 5��Xmwz::iro ?S0CtIk7dT 704,05i� AMOM 'P, an lh& kirtrih,not e �wr�pkNcnr4 i1w� ibw� �ilffl nor M:� v0&Y'3!:i q PeUtik7n f orr'�' 1 fill S CIDN411F�� Ell ED aw ;' Y '' / " I , F: OPf,1 IMUST Bll:::� the undersigned, a registered PW:WIIDED"If 0111111::: —FP-1-ase print name as it appears on —your voter information card) 11 I'll i C ' N1 II Ci EIRK 1111,4G voter in said state and county, petition to have the name of �—tj � placed on the General Election Ballot as a [check/complete box, as applicable] 11J I I � hi'l 4 Aj I fl71I(fl4G X Nonpartisan No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, ifapplicable) ate of Birth OR Voter Registration Number rAd d r e 7ss /-�/l / ei, q" 'P" 11:1� 7 :Ity ounty State,, Zip Code 1 7T MAC of Voter '01 Date Signed (MM/DDAIYYY) ....... [To be completed by Votef] Pule IS-2,045, FA.C. CANDIDATE PETITION jl��411117 , Mmfbrnwvbpon ah�s fownn. becomesi, public reewuleipon recegil kapthe it As D c�irne to kncvJV��sCgn rnore fhw� ar* pefibOn fru a candAme IgMazin 10T'31S / laria"I S"taruf0s] I MaY r(agvestwd InfeirmaVon a?7 M& tbrrr, dog, not eh& f0rnq KIM' s $ trr. vwkiasv CrindkMe Petition For�n?, 'I Ii HIS COMP11 El ED 1, / - /'& the undersigned, a registered 111I�0111RIA 111AUS 11' (Please print name as it appears on your voter information card) r110VK)E11Yr0 I'll pE - -1voter in to have the name of To Iq ClITY CLERK DUFMG said state and county, petition "W'5 QUAILIFYI111<1 placed on the General Election Ballot as a [check/complete box, as applicable] Nonpartisan No party affiliation N/A Not Applicable -Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) of Birth OR Voter Registration Number Address Pule IU41,0'45, F.A.C. WA County L - - Date Signed (MM/DC [To be completed by AU1,, 4 M70 Code M7111100-1 0, CANDIDAT��1111111:1 FORM 7 ' A# is fc.,matinn on thhslbrm bocornes a publk fecand upon dere elpttap tide Supeivis,vi of 1.1fecNoars Ile es a cefene to Pnowirkg,4, s�ga rnurto fhan one pet (ghyn roraxwndldafrx P7rctivn 104URS Flonefa ';Wuraq an eh& Ybrm is, noit c4w7'p,',1e,1 I I,v f ... n will not I be wv'ld h,,� E C�wirlffrlite PclRx-a Form, 11 lflS CXAMPILETED FORM lAWS1 BE I - ----- t...."""� he undersigned, a registered P41,10VH)ED i0I 1� �E +formation card) C11-PY CILERK DUMNG (Please print n�' asitap arsonyourvo voter in said state and county, petition to have the name of placed on the General Election Ballot as a [check/complete box, as applicable] QUA� UlAONC - Nonpartisan No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, If applicable) Date of Birth OR Voter Registration Number Address (MM/DD/YWY) 1131 G0379 e- aS oLn+ 6( �r�le City County �Zip Code Signature ofv Date Signed (MM/DDAYYY) f [To be completed by Voter] F.A.C. CANDIDATE PETITION FORIIA *AtJ an Wv 1brn'l becofirwr a pub(lc ?ecorci rece4X t, y 'hir 'Supej, vLar of isectlow, It k, a crime to n7ors than onepetibion for randfdate j5ectmn F04,185FIanda Swuries) Mali requesved )nFormatitm ttr7t}e not corn;71e CIC4. hC form Wfl'nOt &I Wl EM a r.,`e`17dkJ&t0 FWS�,&WY r0m1. 'Tl 111S COMM FIFED FOIRM MUST BIE the undersigned, a registered PIROWDED i! OTH E (lease prInt name as it appears on you Auq information card) --T—L Ihave 07"Y C11 EIRK DUP11ING voter in Said state and couinty petkion 1:0 the Ina r-ne of QUALIF-YUN10, ip8aced oin the Ceneirall l:.:Iection Ballot as a [Check/cornplete box, as applicaWe) Nonpartisan No party affiHation EE= Not Applicable ..... .......... ... ....... IP@rliy Candidate for the Of of City of Winter Spirings - City Cornmlission Nstrict "i"hiree qP: lease insert the title of Office and include District, Orcuit, (3roup, Seat Nurnheii,, H applicabIe) Date of Birth OR Voter Registration Number (MM/DWYYYY) City - wlv4a 3 Signature of Voter le IS-2.045, Address 11 C) ICounty IState Zip C-de Li� Law I R. � 32"708 Date Signed (M M/DD" [To be com letea by Voter] 6, b)2-0 AUG 2 4 �"02G' tmV f Yc5F LNAIQ 'ER, VI, 'PRH,,IGS r)F Ir,I Qi-'I U I Y ',,';LERK C�`.*A 114 D I DAT E i:, rr-rnN FORM 7 A# if? d'OMMVOI I DeI his fomp be r%nnes as pub At, i"ectwcY upon reweyo I by thet Su�mndoy & Elections crhne to knowiR47ty �gn enwe than one pedrion for a candidale P�ection M9, 169 Florida Statates] Ifall requeLsted inibimadon , on thisfbelyp 1.5 not cainpleted, the Awry wffliw�, be vaild as a Candidate FlEsition Fo,,Y�J, IFFIIIS ('.'01MPLE1";aD FOIRM MUSI'113E the undeirsigned, a registeired PROMIDEIDTO THE il3lpase pi,fint narine as it a ppowsonyouir voter Wornnadion card) "" "'7— (ITY CLIERIK DUIRIRNK".'� voteil in salid state and county, pedtion to have the narne of 'J", �� j b H, QUAL.11IFYINC placed on the Geineiral Election Ballot as a [cherWcorinpletca box, as appAicaUe� XN m I pa r i.isa in N/A NO many affiliatlon I/A Not Applicable Flarty Cancfidate for the Office of City of 'If - (..ky Cornirnh;Moni Distilict Thime iNease i inse. irt the tittle of Dffi ce and V nd ude D! slrdct, t cu !I., r; i, ou Seat. IN uRnbe r, ff a pplicable) )ate of Birth OR Voter IRegisf,i!aflon 111li"'MI(n Address City ..... . . . .. ... . Signature of FA.C. County CANDIDATE PETITION Statg Zip Code .. ........ 7 Date Signed (MM/DD/YYYY) [To be completed by Voter) . . .. ...... .. ....... FOIRIA7 ,AY t,W�t"ilpwtn tecoinns, a publef: glee-clud'i"pon Mca�n e5, Livo Sb�j1:wl,v1Sv,' 0rV!:U1Iw1,, rt,'s a twnle 10 k1u:1�wPogIv Fign nwfe thw� onc,plitraibn Awn tw7rdh7ble 10MS F"Ln'I'da st,Maevj sled intbimarMxn ::m Hils form h; rM uvlfloot be telOw a MfMQVMfe Pebtkin 1�6der T� HS 0011',411N ETE11) 161 0 ", ( C:I, k the undersigned, a registered I FCF�fllll ?4L)SI BE I — L, E [ �11 TO TlI 11 E (Please print name as it appears on your voter information card) voter in said state and county, petition to have the name of e A/ I�IlTiii' C� EPK [AJFHll (�),,NLIFYHMG placed on the General Election Ballot as a [check/complete box, as applicable] X Nonpartisan No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number Address (MM/DD/YYYY) .. ..... .. . . . . 4 City Cour�ty,, ...... . . . . ...................... of Voter Date Signed (M M/DD/YYYY) i [To be completed by Voter] IS-2.045, F.A.C. AUG 2, 4 2�UN C r T)" (.� i ¢vva Ft,-, (, ! s f"i 0 F 1! C F�� ID I -", y [ "� - (R K CANDIDATE 1DE"'IrITION FOPIM 17 .Aflintbi,enation on ibis knno sues oenes a pul.,Wc evroidupon rece,4t by theSulwv1sew of Mycrion,; Isa cr in w to knoinqngjvsdgrl 113 cps 6, than one jxdtion fba c i aneiieYafe f5ection 1041115. 1 lorida StaNitewl ff all Y'equesledinformation on Mks fotrn h notcol"Pletery, thefoyin Iwrift not be oIalkfas a CancI FPee.Won Frrin, THIS COMPILVIED FORM MUSTRE ll, I t1he undersigned, a regsteired PROVUEDTOTHE (11P I ease piilnIi naineask a :tpearsorryour vote r h1ori-nation card) , ?,I - --? ("Fy' 11LEPK IDLUHNG voter in said state and cob.lnty, r,)etidoin to have the riarne (A "j ) QLAUPYINIIC 1placed on the Geneirall Ellection Balliol. as a [check/cornplete Ibox, as applilicable] I Noinpairdsain I =/A Ncpairryaffifiafloin INot AppIllicalbie ii rry Candidate fol the Office of of Winter Spr1ings - City Corr rillsWon D11strict7hiree iPllease �nsprtt lie title of Officeand ir,clude Ustirk-ft, Orcu�t, Giraup,Seat '4U1'T1heIf, IHPPIkMblk?l IDate of EITLI'l 0IRVOIreir ReglSLjqjdoin INraciber Address (IMIM03/yYyy -y " -)i, <11" 11 � �'� "O)r " I / Of Pule 1S-2.045, F.A.C. Cour tN j ?5 dsw Q CANDIDATE PETITION State Zip Code f? Date Signed (MM/l [To be completed by Voter] e I /'2 1,1Y hwa)rn awkn on e his 16n Y�r kWi:X1mes a P4Ibhc',reccvct #,upLu j FvWpf by �, he Rocin aruw of F: kc6ans H &,y c) irne gz,w,O rvpvhgl� s7jV7 #nwe ffien 0, w P&Wky? OkM1a�4 .5511 h'Wjl/ ae1q:7Ut'et!:Pd in Irv? r Im�rnra�.ntl� cvnpj�!�tW the �vinr vIer'll nw v be vwbCbruhbWe Ftlhl brM, the undersigned, a registered (Please print name as it appears onyourvoter information card) voter in said state and county, petition to have the name of placed on the General Election Ballot as a [check/complete box, as applicaIIIble) ll `7 i HS COMM EI ED RiMM MI! S'r BE 1!)R0'11fll')ED To, I W IF: 0 1 N, C° E P K 11 ) LJ P l N G QUALF'OHING Nonpartisan No party affiliation L—N—/A—] Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of'office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number (MM/Dl ......... .. .. City Signature ofVoter Rule 1 S--'045, F.A.C. Address . ..... ...... I . . ........ nCounty 1pCod. q L L- Date Signed (M M/Dl [To be completed by Voter] AU'G 2 4 Cl 7 Y C) F: V�11 N l, FLP F", I ) (":n 12 (',F F: I C: F' OF C I ' L C, IY C?t F: JR !,rp CAISU[XDAI'" PE- rr-rioil,4 F-opm 7 A flintoln ?a I ion on I hhw Awn bec-onirns a public recofd upon re(wip I bYthe 5tylxv i .,I!; a ciiaw to knowiruglymjfn n pep) v, thanone„ etaatonApe a candidate. 1,136cwon M 74 RiS I If all requpgded infv.wianian an this fallry nal completed, 9he form i be teafteYiis a Candidafe kl,,rhion Fewry, I HIS COMPLE FE'D Ih trk�) z' C' Lhie Undersigned, a reglistered FOPM MUS7 BE PROVIDED TO THE (Please i nnilrleasitlCRY CLEFW DURING voter oin saidi Sitate and county, peddoin 1:o have the irlarne ot "D -J`� I AlYd it/ QUALUFYi1l4G Fflaced on the Geerall Election Baflot as as [006(eCOM,Aete box, as ajppicabie] Nonpartisan, Nopanyaffifialtion E��AA�prlflcab�W. �ariy 11 . ......... EE andidate for the 0ifice of City of Wintley Springs - City Coin-irnission IlDisi.rliAt'l hiree Q1111eise insert the title of (31fice as nid include Dlstdct, Chcuit, Group, SeM. Nuimlixn, WajppllcaLk� )l of 113lifth OR Voter Peg[stv a, tion Nuiink:seAdchess .... ... ..... �P�' I' . .. ..... .. ... .. . 41 0 c') 5 H '7 IState Zip Code �Mrlltyl."(:wllo =n"'�'el nature of Voter 15-2.045, FAC. 1 :�40' CANDIDATE PETITION Date Signed (MM/DD/YYYY) [To be completed by Voter] I AA hV+ nw Gon or917fs Awn a twCan *s i" pubAc riN%w1upo,,! recxm0f vy the SupenAsor of Ekt'Norw ft is D a:, Pne to a wir*, thw�oidl* P&Hbi::1n fbr a cw nck*iia p5LcUaq RX WS FimkhI SUmIul-11 hl ado requesled h Worn On VIA; fev mi As nw comp4ecr, rhP1hrn7 "Wnat be v0d as a CandWele, Pvrkby u Fon in the undersigned, a registered (Please print name) as it appears on your voter information card) voter in said state and county, petition to have the name of placed on the General Election Ballot as a [check/complete box, as applicable] 11 H ll S 111:1 ) lA P 11 E 7 E ORM MUST 1:3E PPOVIDED i071+j::: 0 IN 0 Ell:Z11< 111[�)URHIG QLJA11 iFYING Nonpartisan No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insertthe title of Office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number Address (MM/DDNYYY) city County State ipCode 117 e"I" t-1 P t'�VO Signature ofVoter Date Signed (MM/DDAIYW) [To be completed by Voter] '7 ...... . ... Rule IS-2.04'.5. F.A.C. MJ'f`i,' 4 207'D I r Y F, 410 I'!: F F 1! r C' S IGN '7 CAINDIII!.:)A 170irw 'Afl Mormation on thiskum beconyes a p¢jblic eecotdqpon mce,�7tpy the Ripervisor of Elections It is a c'fieve to "Pole I han onepef it "��n ro" a caw.ftdaf& !Section 104,185 1; 101ida sfarutej"A "It a 'I? equestediwformalibn On thLOW'ry; & not coonpleted, Me ftxm willnM he vadalas a C�.Trydrdatv Pe I itioe I Foy )Ts, 1 H IS COMI 114111.11.P) '7 the undemigned, a registered FORM MLIST BE '44 PR0VR)ED 10 THIE (Ill pdrit narne as it a ,)pewsoinyourvoter rlforrnat�orl card� CIFTY CLERK DURING voter insaid stale and county, petition to have ILI �e inailly"Ie Of 0 S'd A/ QUAI IFYIINK� p8aced on the Geneirall Decdon Ballot as a 'dheck/roirnp,Iete box, as ajj,.)jp1icab1le] ... . . ... ............ 5� ... . ....... N(Mjowtisarl E= No pa afftablon E72= Not AppHcable lavaty Cam.-fidiate fclii t1he Office of City of Writer SpH ings - City CoirnmIssion DIstrIc.t"niree (Piease ins'eirr the flde of (Wice a nd liirniude Dstiiict, Circuit, Ciroup, Seal: 114urnloer lfapplicable( of Bfirth CP Voter Peglistradon Nurnbeil Zqp Code mm -T j 7'� -6' PAL /,<Ae:,�. County 5Gg natu re lot Vote (IYIIAI[.)E)lyyyyp Ileted I,r�y Voter) Q hjka nark 2.045, F AC CANDIDATE PETITION Mir A# t,MnnnaVbn on rhhs fwm becorneso pubficn.,,,owd Ail..nm a ec&AX oy �, 11je L,jrEkcUDns , It I It &,a olme eo ur nciwvWb,:!i�ra wn meve than ane pplition At) v cani:W010 ('Iacthw� W4 wRorhk- sl&UMEEI an IMs,ibrm hg riae 11:vm0,1104 Pho �brrrw wN not bo vadrf ar �:� Candidb90 Pebbli:�n 0:brnt TI fiS COIAN ETEID rCWHA MUST 11: C� the undersigned, a registered Q (—� - A- � C a "L---' i'�QON,,111DED1 0 T11I (Please print name as it appears on yourvoter information card) voter in said state and county, petition to have the name of —Ij 16� H A.1.545 0TY0 EIII1K DL,1I1IIl:HNR11 ('aUAll 1111II61t4G placed on the General Election Ballot as a [check/complete box, as applicable] — X Nonpartisan F—N/A 7� No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of'Office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR Voter Registration Number Address (MM/DDA-YW) pv'�e O'so (A t- C,(r I nPf- (q q City State Pip C.d. vv o, S Sig natu re of Vote, Date Signed (MM/DDAYW) [To be completed by Voter] MJG 21, 4 C� 7-r i I VIA i J'T 6'� C AN ID I ITIE P ETITS 0 N Eta lip 7 All in f6rin a tion on e.hir kwn brwomnus a pubfir eercudupon eeciviAXI 1)y the'Superv&ew, Of 1.-'jPCtk"'?s it is Apr rerrye to klmovinglijrs�gn nwre I han one pefirion Asia a candldal,e, I.Section 104.18e;lVofida S'nitutc-S] *ItOn thisforn7h, not complegeN4 dheknn will rues i vaildeis'a THIS COMP ILETED FORM MU51- BIE d-w unders�gried, a i g�steirecl . . ... ...... PROMDED TO THE �easp prilint in a voteii �nft)1111T I Dillon cardj CATY CLERK DUMNG votel in said state and cmuinLy, l,'*�t�don to have the inarne of ry"Qt.JALl1FYiNG �Aaced oin the Geneirall Etiection lBaillot as a �.Checkjcrornr.Aete box, as appficabllea Noinpaii Usain 1No pairtry affiflation D =' Lqc)L ApPHCzApie rty Ca ndil date foir I Ve Off ice of Ciltey of Wilinter Spirfings .. Chy C'iornrnissllorn Ustrict"rhiree fPlle,ase Ills. en.. t'.h e altie of Office and include IDstirict.,cirawt, or(mp, seat rdaarwult�e.l u6 appilicalMe% Date of Birth OR Voter Registration Number Address (MM/DD/YYYY) city County State tj Zip Zip Code Signature of Voter Date Signed (M M/DDAYYY) [To be completed by Voter] 0 CANDIDATE PETITION on, ghhs f6fen becomicE a pubfic reconY &fpoonpcerpt by the &W&M.acr ofElerVons tt is a crtme to knowh4g�, siyn mwe., than onep,4JUon thra cmdWare JSection 1104 M6 Horlde Ifsale 'tequcm1rd Mftprir,a on on Mis 1tvn7 is nay compVtod, the form a4fi not be amhd as, a Condidafe PaMbir? Fban le" the undersigned, a registered " (Please print name as it appears on your vaeer information card) voter in said state and county, petition to have the name of 6- D J HAI, placed on the General Election Ballot as a [check/complete box, as applicable] F01liz'M71 T�, flS C011AF)LF ED l"rorti'A iA k J ST 113 lE P F40A D E 11') TO T1 I E Cir,f CILE11iH< DURNG QUM fll:YiNG X Nonpartisan ENED No party affiliation ''N/ANotApplicable Party Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number, if applicable) Date of Birth OR voter Registration Number Address '7 (MM/DDA-YW) city fst—.te---� ZipCocle Le J A/,4_',Y Signature ofVcktyr Date Signed (M M/DD/YYYY) /[o be completed by Voter] 41� J" Rule I5-2.045, F.A.C. I 1(i "I'll 4 20(3 U Y 1: ) F )"I", ":' ' �: " - 1: 7 CANDIDATE PETITION F 11 .7 ,�w. .......... Afln&;rrw0ar� cm th�s(brrnbe:�cm&s apubflr�&co�dupun nece,ug d s a crariw ro know1o0,,s�gn nMr6 thall 01re ?Vd' a Mld�iy�FIC g�:%:Vcvv 104�� Fbn��"'q StatuICS/ UaY cv'r tAmtnrm Snotco?nPMted the ��:I' wH'Ino I be ��vkl a, v 4bncM3�9?e Pew4on Fn,,m 111 HS C(�XAPLII:::TED A-9-r-, w 5 gw-,.,j the undersigned, a registered l:::::Ol::t'M IAUS� B11: (Please print name as it appears on your voter information card) !4:110vil D 10 111 E , — I CM,1' Cll 111::RK DUR111114IG voter in said state and county, petition to have the name of '��b j o H placed on the General Election Ballot as a [check/complete box, as applicable] — Qils'All. III 11::M 11^41G Applicable Nonpartisan F—N /A No party affiliation �Not �Ap �bleParty Candidate for the Office of City of Winter Springs - City Commission District Three (Please insert the title of Office and include District, Circuit, Group, Seat Number. if applicable) .............. Date of Birth OR Voter Registration Number Address (MM/DD/YYYY) W M / 6 6 1 t 13 PI S- C tz - I -ty- L—A-a t /V TY-11L— Signature .fVoter Rule IS-2.045, FA.J IV rc-. ---- - ---- - 1 =f'-65 CAND1 )ATE Date Signed (MM/DD/YYYY) [To be completed by Voter] '?- ) �. zo 1AU didwmatior, on dher fvrm bocomas a publu: rec,wdqpon Meceqcl bj, the Sapervhwu of Ekcuons ft L-a Cr W MOT' than acne petidon 1br 0 CW7dJda te JSvcJ1 an ?04 W FJw Irla.5tatutes] ffakl rpquosOC,�dl rc�rmatkm an 0, ah; 11 pleg ed, 1: d70 Forn i ;vW not bra va Ud vs a C. IrW(da iv Pw Won Sorm. II,I avv the undersigned, a registered (F:Ilease print name as it appears on your voter information card) voter in said state and COUnity, I to have the name of placed cin the General .E.lection 1:5allot as a [check/complete ID07G, as alipplicable Code 11 MS C01101l:11I FOIRIM 111AUS"IF BE PROViDED TO 'THII:::'. CII"TY CLEPIK ii,)UPING QUALIFYING ........ ...... L- Nonpartisan . ......... No jcart y affiliadon FN/A Not Applicable 1:::aarty ............. ................. ............. R Candidate fi)r the Office of City of Winter SlI - City Commission 11::Nstrict Three (Mease insert the title of Office and include District, 0I Gwoup, Seat Nurn ber, if applicable) Date of BIInh OR Voter Regnk:aMI 'Aurnber ArIdirer (Mlv11.x-);"'-q7Y) 3 (r L -/- F- ... .......... . .......... . ............. oU n'L' Y . ............................................. -at ryry .................. ................... " ure of tev Date Signed (I I Mli)r.Pywo ed by\(otpll Pule BS-2,045, I C I Y I F r CANDIDATE o A rH — NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a write-in candidate: ❑ Write-in candidate ;,l pvi1ti %A x" P � �' Illi I qq1a n�451 "��, a "�� u mb ' „��, 1� i� �hs4��w��, °1,1(3' r, Candidate Oath _ (Section 99.021(1)(a), Florida Statutes) OFFICE USE ONLY (Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.) ' � C fyj h ASS D � ---_— �-- am a candidate for the nonpartisan office of "mil° (Office) (District #) I am a qualified elector of �—`,?__A,)` D County, Florida; (Circuit #) (Group or Seat #) I am qualified 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. Candidate's Florida Voter Registration Number (located on your voter information card): %0 7 6 3 r7 V V�... Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.] /j J �p /eDt�dki/e ,ef-t - date Telephone Number Email Address Address city State ZIP Code u.m ...., STATE OF FLORIDA -- �--�-� d�� °' Signature of Notary Public Print, Type, or Stamp Commissioned Name of Notary Public below: COUNTY OF Sworn to (or affirmed) and subscribed before me this day of "i 20 ' Personally Known: w or Produced Identification: Type of Identification Produced: Notary Public State of Florida Christian D Gowan c My commission GG 913234 q ntp Expires 09/15/2023 DS-DE 302NP (Rev. 11/17) Rule 1S-2.0001, F.A.C. FORM I STATEMENT OF 2019 Please print or type your name, mailingFINANCIAL INTEREST FOR OFFICE USE ONLY' address, agency name, and position below: LAST FIRSTNAME-- MIDDLE NAME N�so� 1�J i 07vard MAILING ADDREES(�S : % ®® ........ t�� °mm .......... ...mm. ........._ CITY: .............._ ZIP: COUNTY: _..._ .. R�rt�6-S F-G 0,e_- PH .D...._ . _..__................... __ __ NAMEOFAGEC1y ��°7 '1 CZ /l� C NAME OF OFFICE OR POSITION HELD OR SOUGHT: I''jl, 4 202,E ,iiw OF vvI�It i::�.:I," Id4; ......... �..... �..-.... _ _............... ....�....... _ �.,�u, � �,,,,,m,. �1°r�� ¢ ,i i .r��iK CHECK ONLY IF {'CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE rpmrmmmmmmmm **** THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2019. MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE 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). CHECK THE ONE YOU ARE USING (must check one): ❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS m PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report, write "none" or'Wa") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY .W .. .... �_.. ..__ .. °....�,�.�...1(a.-u.��....�,w.,':»,> �... � .r......� � .. OOD��/G ,�yl"°.�,��a�'o�,E r C. t� z rL)" __ �; r�"t,.....�.��.":;..� 9 vb� ✓^.:�, u .2230CI 'f,�a...:._ �c✓jMrc37?7(.. h ii„✓ �c en C � � Zl.t� �e Y.4.s...t LI . �..4�L!!t -T S FL �e PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, write "none" or'Wa") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE .......... ........................... _. .. ... _ . _ ...... �...._.. �aa .. _.. . ... PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructionTand are not limited to the space on the (If you have nothing to report, write "none" or "n(a") on this form. Attach additional ts, if necessary. ._._...... .. � ,.�.�... ✓ G INSTRUCTIONS for when where to file this form are ......., ,,.., _� ......._...mm...___.—.__......_......ted at the bottom of page 2. ....._RUCTIONS on who must file form and how to fill it out n on page 3. CE FORM 1-Effective: January 1, 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPE [Stocks, bonds, certificates of deposit, etc. - See it :tions] (If you have nothing to report, write "none" or "n/a") TYPE OF INTANGIBLE f ! ?J'finen s .................— %Horn E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or'Wa") NAME OF CREDITOR BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ADDRESS OF CREDITOR PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, write "none" or "n/a") BUSINESS ENTITY # 1 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PART G — TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. BUSINESS ENTITY # 2 I■', • / • , IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE Signature-, 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. To determine what category your position falls under, see page 3 of instructions. Local officers/employees file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Form 1 filers who file with the Supervisor of Elections may file by mail or email. Contact your Supervisor of Elections for the mailing address or email address to use. Do_.not ..email ..._,vour form .,tothe _Commission on Ethics, itwill .__be returned. State officers or specified state employees who file with the Commission on Ethics may file by mail or email. To file by mail, send the completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL 32303. To file with the Commission by email, scan your completed form and any attachments as a pdf (do not use any other format), send it to CEForml @leg.state.fl.us and retain a copy for your records. Do,,,,not„f],e b.,.both,,,,mailndemaj[,.,.C,hooseent,on.e fll.ing.method,. Form 6s will not be accepted via email. If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, , prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. CPA/Attorney Signature: Date Signed: Candidates file this form together with their filing papers. MULTIPLE FILING UNNECESSARY: A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections. WHEN TO FILE: Initially, each local officer/employee, 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 less than 30 days from the date of their appointment. Candidates must file at the same time they file their qualifying papers. Thereafter, file by July 1 following each calendar year in which they hold their positions. Finally, file a final disclosure form (Form 1 F) within 60 days of leaving office or employment. Filing a CE Form 1 F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31, 2019. CE FORM 1 - Effective: January 1, 2020. PAGE 2 Incorporated by reference in Rule 34-8.202(1), F.A.C.