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HomeMy WebLinkAboutKendrick, Geoff Qualifying Packet - 2020 08 24 °;rrE�p CITY OF WINTER SPRINGS, FLORIDA 0 2020 GENERAL MUNICIPAL ELECTION FORM 7 ""IDAW�"��" ��1 ° NC Na /.� ' T�II �caM�� T cs FORM MUST BE �...� PROVIDED TO THE l'����II` I�1 III'""II ,� CI CLERK DURING llllllll�l�w II�Tllllt�'`T w'ni 1�T°l°�1 " 1'g...[I 'II II" "�-�" QUALI FYI N G NAME: g Date& ime �r Review Started R Page 1 of 2 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 ALLAPPLICABLE 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 Clerllf.?esignee no later than 72,00 p.m.on the last day ofQualifyinc_}which is Friday,A ug ust 28,2020. "Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates"[DS-DE 91 "Statement of Candidate"[DS-DE€41 1 *.'Affidavit of Qualified Voter Status and City Residency" 2 "Application for Office and Election Assessment"(WITH 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" 4 "Notice of Political Campaign Advertisements/Signs" QUALIFYING DOCUMENTS S "Schedule of Campaign Finance Reporting Periods/Due Dates" WITH AN*ASTERISK MUST 6 "Notice of Access to Campaign Finance Forms" BE COMPLETED IN FRONT I, 7 "Candidate Petition" OF THE CITY *Candidate Guth CLERK/DE SIGNEE DURINC;.11 I "Notice to Federal Government Employees(If applicable) "Form 1"-"Statement of Financial Interests 2019" Accepted: STATE OF FLORIDA INFORMATION "The Florida Election Code,Chapter 97-106,Florida Statutes [0€3/2019] (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 Handbook" (State of Florida Election Information Contacts Accepted: "t,I� Reviser)07/27/2020 ��Pox� �NreRs„ CITY OF WINTER SPRINGS,FLORIDA day= ^4 2020 GENERAL MUNICIPAL ELECTION i:�oizm �ry Era'` AF 0,4V 17 OF CCEP74NC wH!S('01r41PI o-I ED FORM MUST Z�c tini�'VID D O HE .{VirR:'A�eil�Pu�lll;k;?ul�Yll•Ibllo;31114,.11i�:`81,41 �I,kG:i�"Ilfil�„( V]II�I I :f�,IlfId�V" I fug ,, (.I IN, Mi-CII �Yll�llhl�, NAME: �.• L- CAMPAIGN FINANCE/ELECTRONIC FILING INFORMATION "Contributions Returned"[DS-DE-2] Envelopes of Checks/Receipts(2) Accepted: CITY OF WINTER SPRINGS INFORMATION City of Winter Springs 2019 District Map Accepted: _� MISCELLANEOUS INFORMATION I� "Statement of Ethical Campaign Practices"(From the Seminole County Supervisor of Elections AeVi eu) en4 e J "Foreign nationals"-from the Federal Election Commission(6/23/2017) Legal References for Qualifying Documents g�fz yze72A Z' �7PM Accepted: 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 � � have on this date received the forms and information Name ofCandi 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 understand that it is my responsibility to comply with all Laws as they apply to the 2020 Election. 7 i ., ».m^^ ....... �. .�,Z .............�............................._.�..............................................._ .............._. �r ....�.�.._.....A ..� ........ ._.. .... ... Signature Date r ZZ � a M .ram +� JQ StreetAddress Qty Zip Code State of Florida Countyof i zail V V°?�J Sworn to(or affirmed)and subscribed before me by means of(,,Aphysical presence or_onlline notarization) this fi day of i 0G� .n " by (a�,. a..t �timr °-_'?a Y"j,rt¢ k Personally known: (Print name of person making statement) - r d Ali � h Type of Identification produced Signature of Notary Public-State orF/odda Revised 07/27/2020 awlte of Flonde A ]anG 913234 � i r i. i[i i ,, ,i 3 <,! (I)IF i t it l�f 3 y P i tX. ti �u CITY OF WINTER SPRINGS,FLORIDA 2020 GENERAL p MUNICIPAL ELECTION ay T,,,w, p TII IIIIS iTllll II ClC 7 ,rIpPk M,,'�M..r'd...:C P A'"N.#uw. IMSI.F"'�dA�. ' TAT-IIIA IAU S11"LI,: TT�'V"II•)II':.. SS u a aI�RI V V i'6 V iC 111 1II� II DV YIG,cIION,NC i.�.11'"I' COII IIr� V.S III I " II I."r V .Vd.:°"I iI II'�I��II�.. If"'lip I""„II LII 611 II..II II II II I it � F1i11 Afl;d AII . ..... do hereby state that I seek election to the City of Winter Springs' Cit,;y 01 r1Ir i,Shv,1! 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: (1.) I am a qualified voter in the City of Winter Springs (2.) My legal place of residence is: �- Op (3.) Length of time of residency in the City of Winter Springs is: (4.) Length of time of residency in Winter Springs District: `"" is ( ) City of Winter Springs.The second document is:I a�attaching two 9)documents,one to be a Florida Driver's License,as verification of__My� r. ray residency In the / ell �2���m .. ........ ..... 0 i �� ti� sP f �.. .,.......... .. ....... ......- State of Florida County of 1 e Sworn to(or affirmed)an/d,subscribed before me by means of(�'",,physical presence or—on/fine notarization) this p day of 2020 by 4 �e"`1 �`� 1`' ,�tlU`n� �fy,,. Personally known: e"�°„ OR Produced Identification (Print name ofperson making statement) * ° r T p / f r r Type of Identification produced Signature of Notary Public-State of Florida a Notary public State of Florida If Christian D Gowan „ My Commission GG 913234 Expires 0 9/1 51202 3 FOR OFFICE USE ONLY i g CoIIpy of P"It.rrlds IDrdvAr's ILicense provided for Rem(5) P „o� Other documentation 3 ,y �"J provided for Item(5) Revised 07/27/2020 d„( ,., pu "r, ZT,�J W, I r, t :C. era r � CITY OF WINTER SPRINGS, FLORIDA 2020 GENERAL MUNICIPAL ELECTION N, MUM L DE'LE "7/C� I( ��m�..S5AfEN7 Fo Il Tklllq InII� l')II[!z0" II IDlii;.11) U 4" IL N II 1 fl" VI �� II II�I�II,..� ��uQ llmU� V�:I�. IV11�1 9 �..11i°ill!: .��f �11�Z1 „1" iII°°91��1i"°� ��� v :IITY(� llI14.11VFI[NPIf�llINC 'h s A"" IR W rt" ......_.... k" U IL.IT"4 Ill U I G I, e,o rF eeh do hereby state that I am a registered and qualified Elector of the City of Winter Springs; rj( am applying for the Office of [U,� . trice �Cir)e / District liiree iSVI I U eve 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 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. r FOR OFFICE USE ONLY 22�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%ASSESSMENT-Commissioner:Campaign Account Check in the amount of$120.00 attached (Check should be made payable to the City of Winter Springs) Check# OR,IF APPLICABLE E=Completed"Notice of Undue Burden"Attached (G i�l/Ilii �r% Revised 07/27/2020 AUG ZKO cj Rs CITY OF WINTER SPRINGS,FLORIDA of p 2020 GENERAL MUNICIPAL ELECTION 011I 1%d 1Nr h 195 0 .�� .® m q (Q NOTICF OF II II1IIT 'R:'DII II 111 TI 'E 7 PV Off! TABULAPNG,EQUIPMENT u PVrrb0V )II IlD T 0 TI.I ".ro lI rz �l T IV! p1L�i ill II F@ IL A.➢IG°Illl p :a u Q,A 11l...II II--y l l'�J 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 TIME: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 lilvii Revised 07/27/2020 7p 1u� ���,�E 1 ,,r 4Kr� " CITY OF WINTER SPRINGS, FLORIDA — R 2020 GENERAL MUNICIPAL ELECTION I-•ORiw1 4 u 'P- •y ' NI ?01 kG .. ... "THIS C01ARL_E"PED �w ... I1.::'OIZIA IIdS1i'°BE Pf:Z p'VID ID"I".O.i THE i q .� 1 if CIf11"Y Ci IERK Ii�4.Nl IN P i ii lh �� ii"11111: III II III'lll' i `i II� II i II'� Il��m i V HIV "'i II 11' Z I � III 7�� ZIII ' I Q UAIL..JI FYII N "irr,;a, �,tit It�LytRi !rt .,rrrltr,r�}i 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 106.143S (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 "Chapter 12: Political Advertising" and "Chapter 13:Other Disclaimers") [Included in Qualifying Packet] ACKNOWLEDGMENT I, , do hereby acknowledge on this date of ........ � rr�� ......r.. ....m� .w�.... Oar YC C k[Cl14 +w;t ype) m^ 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." �,d l�linll l � �n lrJCL i FOR OFFICE USE ONLY Attachment:Copy of Florida Statutes 106.1435 D. ri'Au, Is ,�✓ W u Yet Attachment:Chapter 16 from the City of Winter Springs'Code of Ordinances Revised 07/27/2020 ^,4"14 Vt,Pllltl C,tlT rir,.,l:-cj i 1- L C pj 3, RS CITY OF WINTER SPRINGS,FLORIDA o � 2020 GENERAL MUNICIPAL ELECTION FOPIq 1II NVS CO PLh 7II If::orzII'I MUST II3II:". )l1�OVIIDII;II)TO F0IIII:: i"All��i.,) "f°��II II' IIM�° fl °III W� II, �p�,.��w ii"�I fw l l�° /I':;II,".m "II II °a'"V �'I1 11�4��ial U"Ili"n P &� I li G'�/`Il �:ILA m III:V''I u. �'111111C Q,UALIIII'"+lJNG SCHEDULE DURING/AFTER QUALIFYING*,THE FOLLOWING CAMPAIGN FINANCE REPORTS ARE DUE: 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 JO,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 y" do hereby acknowledge that on this date of © 2020 with my signature below that I received a written 011 "Schedule of Campaign Finance Reporting Periods/Due Dates"(as noted above on this form). r Revised 07/27/2020j°I ,�y� AUG ' /r"N i , CITY OF WINTER SPRINGS, FLORIDA ® 0 2020 GENERAL MUNICIPAL ELECTION u nw �� r: . a... ..m �b. �- ��� TO J' '�i�s �".. �n �o .� (... ).. G)RO "ilEX D l 011...lE 'mlll III"' ' 'III IIw ll� ITV"A" II 14' III III � II III„� I I '""II" III III ' ° C:II Iw Ill IK DL!'II�IYIYlIIt" II i' II QUA] 11l7YH'4G NOTICE Please note that Campaign Finance forms are available at the following State of Florida Website address: 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 - .. ......... 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." �,r Revised 07/27/2020 u� �� ai w{{� � ��u p ��Y'�Vj�4g�"�� �����low �'� n, i .............. ......... CAN PETITION oilI'M U 0 il %, 71 �AR m1cnrrcDrn ara this fear becon7praipuMk r&"ArrJ up.an recerpt ID/I+wS upwaAw ufilrxglans I hr a ,,kncnvarg,�ysig"",or,"ao""" rara r' clh:,,MKI135 FkWda Sakaeo if e 8 rccuested h7forma,11on on rhl"kyM 13 M V ir"WrnpWed,thn form w0l nut ft-wafld as r Car odidare,Pee rNbn 11:orm T1 U:5 COMPL11.761) POPM III US 11 B111l: the undersigned, a registered 11�40Vi Di:::::D 0 TH E (Please print name as it appears on your voter informatif�card) �,% I I'll ('111TYCILERK X)IRiNG voter in said state and county,petition to have the name of e , 11 placed on the General Election Ballot as a[check/complete box,as applicable] QUALH�YING X Nonpartisan No party affiliation E= Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (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) //0 City county State TZi p Code kjlljl. 5-Y�IAJ Z -30-, ..........— Signature of Voter Date Signed(MM/DD" [To be completed by Voter] Rule IS-2.045,F.A.C. ................... ANDI DATE PETI r i ICIq FOPM 117 'All infofmation on this forma bpromee a public Pecord vpon tecelpe,by the rupervisor of rlections it js a crime to knowingly z,gn more 1.han onepetigiron for as candidame.Plection 104,Y85 r1ofids,Statutes'l "Wall rasa uarted Wbr,7 78t,'"T, Tm th' A isnaff conppleted,the fwm twifinot be vaildas,a randidate Petition Form THiS COMM EMED ,f-rV - 1 , the undersignecl, a iregistered FORIM MUST BE ,)09 , —as Y%4 (PRease pirinh narne it appears on,your voter infornnatk)ncaW) PROMDED TO CiTY C1 EIRK DUPiNG voter in scudstate and county,petition to Ihave the name of R:: QUM U"YIIING placed on the General Ellection 1130ot as a ]c1hec1Vcoirnp1l(..,,te box,as apIpficabIle] =X Nonpartisan t4o party affliatUon NSA Not AppllicaUe Party Candidate for the Office of City of Winter Springs-City Comirr-ilission Dktrict Five QPiease insert thetitlle of Office and include Disulict,Cio:Wt,Gvoup,Seat Nurnber,itapplicabie) Date of Birth,011?Voter d'r.gisu,aUon Nurnber Address (IMM/DD/YYYY) 0 , -711 '? 60 3 City County Zip Code 4 5g net u re o'vote i, M MXIDIYYYYY Date 5g ned(11M ivil. VTobecruiinplW JbyVoter� ""r, Z . ....... 7f YA- Rule 1S-2.045,F.A.C. 2 41 Z�,IZO M j CANDIDATE ON FORN1 7 'All inibrination ion Uih;fbnw becomes a pubfic rm. wrdufrom eeceuPt lay the Supeivisor of Elecdons ft hs a cn?rw to knipwftaql ysion more thsn ane pet.ftion fhf a candidate jY&cX1vn 104,185/lorlda SgartA sj -;a n�FO.... THlS�::,OIIAIPLETED *?f a#reoua��terj ihfi-.,rnaricn on 1M.'s is nor CvrY71-?1eted,the fbirn wIll not be ywild a. candidate pcql�,!,- FORM MUST IBIE he undersigned, a registeved PROVIDED'i"O,'THE d CITY CLURK DURING QUALIFYNG vote ir in sa jp�aced on, �,l NorijparMsain lqopartyafflHadon INot Ai)�.)Hcall.)Ile Part y ................................... Candidate for the,Office of City of Winter, City Corni-nission INstirict Fivs, Date,of Birth OP Vote�Reg su atiion N umilber Address �MlAj11:.)DNYYY) City county Fst—.t-e — Zip Code Signature of Voter Date signed(M MIDDPYY" [To be completed by Voter] I& Rulel S 2.0 CANDIDATE PETITION 111 et rr,U Oh:nI12 90 kf�Ojjd"I '�g'(1/skm rnv�ie tewn one petW'vm fora candbots,j�spctkm WS)"kada SzarulcW if off reque w Is IG ,&le,b�?r not be vidid us a CmWdatv PaOibn Form X I on0ereal 11 T�HS C—AAMAIll'i El[) WC)11l?iA MUST SE the undersigned, a registered jl!ljjl�0Njfjl ED TO THE (Please print name as it appears o—nyor lot'J,� r.) voter in said state and county,petition to have the name of 'E C11 Y CLEPIK DUIll1li'M ? QUAll FMIX placed on the General Election Ballot as a [check/complete box,as applicable] X Nonpartisan N/A No party affiliation H= Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR Voter Registration Number Address Vd(MM/DD 0, M . .............. city, County State 1. Signature of Voter Date Signed(MM/DD/YWY) [To be completed by Voter] L--Pj� �?-- -, .............. Rule I5-2.045,F.A.C. AUG 4, r i:- RM 7 CAINI I DATE P iI::� nr rlo iN r-C An information on this forin becomes,a publIc rerord ql.aon receipt by the Supendsof ofElections Ir is,a coirrye to knowk7giye4gn more thiarr one petWon for a candidate.[Section PO4,185 Flarldl Stan uXes.j 1fah'rvquasrIPd ir!brinati'don on MA form is not romp.eted,the 8`bnrn w,411 not be vslfda.77 a CHne.4idale Pelfthrn Forrm Ti-HIS COMPI F.:::TEID the und(,:�irsigined, a �eglstered P�OPIM MUSI BE iE>QOV11DED"'ro'n (Please())rah,narine as it appears on your voter unfcrrmadorr cvrd) CrrY C11 ERK DUPING voter`sin said state and county, petiflon to have the name of UAL.1IFYING pllaced on the,Geneirai Election Baflot as a [check/coirriiplete box,as alipplicaIL)l1e] Q ....... ..... Nonpairthsan ..........I NiopairtyeffMadoin F14/A I I,,iot ApIpficablie 1::)airty �E= ............. Candidate for t1he Office of City of Wilritei,Springs-City Cornirnissiloin [Xstirict Five (Please insert.the title of Office end include Dnstrict,Clwcuit,Group,Seat Nunibe¢,if appficable) Date of Mirth 01P Voteir Pegistradon Number Address P-f 0' 1 qJVQ- chy Cty Zip CodeT Signature oftroteir Dote Signed(IM M/D r..)IYY'nO' [To be c7o )plet lby Voter] Pule IS-2.045,FA.C. CAN PETITION FORM 7 ssrrW on this krin becoryTes a pu,bfic mccwd q:rodw n%A::dPLf,'the c,l Ehpclions "R iS a CM77e f0 rnory Ourrn orpe,perimon hir a ci:ammyagc,11weVevy 704Ja5 FRorkiz Sfskges� S CW,11M E ELI on th,i5 ft;mr ervA rwroleled�tho tntm 0,M ni:4 be vviltda,a,C�andidWir pletlex'"Fivnr� rM jAME.!( Iq 43 K-Al 1C'--/ the undersigned, a registered i0P11,4 U14USY BE ............... DED1(�)'fl ffi (Please print name as it appears on your voter information card) 11!44(�WVI 0111�"CLEW DR lliflING voter in said state and county,petition to have the name of QU,1M PYING placed on the General Election Ballot as a [check/complete box,as applicable] Nonpartisan No party affiliation Not Applicable Party..... Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of office and include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR Voter Registration Number Address (MM/DDNYYY) 0110M., I Lf Of( w IV 1'V City ;County Zip Code %A� 'N/ -S 'V1 z .......... ...........- A Signature of Voter Date Signed(MM/DDA^NY) [To be completed by voter] :L '3/2*3/764 0 4 I.1S-2 04?1 F.A.C. u. �ov$nnir,rn—1111 1 Ma C 177) 77, 4 Z92,'D 'All i'nformaa:on on this foray becc rase=s a public record upon recet?.t ot,,the Supof visor of Elections crime to n more .#aPlrr is a feaa"r"'r.P r�a„Rl�bnonf.ib formsnWgcarmple�ted,thetoy¢ will notbr aYdasa anai`dWePetitronforrre. 'rIMSC0111 F)II E"I�"IE[."" FORIA MUST BE the uin epr:d ned, aIregostered PROV0ll.::i TO.�Il-pff ( la.a c p'ari¢'aa irnairn��iirc ap.apaeeair�:r.arr,youa oaealCer uru;osrma't'6on ca¢�dl.... ..��"*, ITY Vay'ICa Ir ora aatc �ta'p.c au county,„ etiti p"a to B°navo'tpD unau as of „� � .",. . ' 61). pa aced on the General IE lIec'tpon IBaHot as a [check/'corttplleeate box,as ap:ap8lic ablllej rauonpaardsain Oar p:atarty affElliaUori N�/ Clot Ap IPIII6caE,le IpDau,ty caindi ffaste for the 0fffipt e of City of Winter SjorlingsCity omrr liWon District Five QP waase osert tttue'dflie of ofrlcrr and¢nciijde i sTrict,C irc.uft Grarouup,Seat.Vaasa beir if aplpaftabpep Date of If:.1111irth OR"Voterr Il;egustratiion I¢uurr heii Address pM /D /YWovWl .,.. a� w — to A, ` ed o y CounGyK" w Sraa 7ipC:r e we' VL LIS-2.04S, r y a aa:tiir ned pMM/DD WWYWp Fro ne ca:rrrr a'm. by voteC. CA III II1 III I-E � TIII°°°ri O N n "ABX a"rrlcurrraetdanu r on ZNmfe frtsarra aaA;rirc record a,a,0orr re�e•erpt to,,,the.aarperu°R:Uot ortwya'a^a'uora=a da is a cr nav to mort,than one Pearl ion Vier ar,„ur„i'4y�,tr. I.Sercti'rn f04'J66 Ftrnrleia M.taaertc sj 0,14 request.:Ci s tc 9. 1n ghhr forma(F cc r7t fe tsar'sr'i r form will rrot be,vaild a.,ar candid'stv P aatIon Fo:arr't. rMS COMP11 FTED V II'=C�IRI I�R IM�u "�'S E 1= P. A � i� A Xlh e undersigned, as registered (Please laarint nwne as it appears on your voter information card p and,' VIIII ED TO TH1lp:. 'o.t4kY:elr in said,state ai~Dtnl C':C,1t.dlnt'y, e•t(,piioln to have the lnalme of �. „�, ',„�- tJAll II II='fl IN placed oin the General I.:::lect.ion Ballot as a lchet:cl</cr.rnp:al¢ete box,as aaplpllicablej . " Nonpartisan � IN//� � 114o party affiliation C i 6a Not Applicable PaMy Cand9 date for the Office of My of Winter SpHings... pty IX•o rr•rnii silo n NstiL iict II::iIve Please sns.wt the utle of office and include Dls'tuict`.ircuii,caroup,'eat.Number,if apinlicafnle: Dare of Birth OR Voter l er..latratic i u Niarrtka r Address ........ (City County Code ,.igrot,aree of Voter ,. Date Signed(MM/DD" [To be completed by Voter] —... ... Rule 1S-2.04S,r C. f r, UkNDFDATE � IETITIOIN F!0PI1A 1117 "'All inforntsfirx on this forrn Iwcoirrar a ptiblic ivroro`Lip on eecaral by the SuX)ervisw otfElectiors .11&as cfirrre to knowing&sagas n7o,rw.,tha,7 onepelft.Jon Poi a carnlk"Mfe j'Section YCK785 Flcrldu Statutesi "If all on thhsA`bnn h,not coirtr.,Veted,!he fc—n wfflnof vaylr aF,a Czn(.PM?tf?Petition Fb,-n'. "T 11 HS COM PLEIFIE.I..) 11, EI I FORM MUSIF MZ y-`fi r y k' the t.jindersligned, as registered p:nj:ZOVIDED 1`011 �P�ease printnarne as it a ppearsonyow voter infoirmatilon card] ,�',IITY CLERK DLMUNK."r voter irf.oral state and county, petition to have the inarrie of evEf" A",eke(IM. -&j QUIA11 lIFYUNG �p aced on the Geirnerall Ir...Aecfloin r....,iallk:)t as a box,as appficalble] .......... Nonpartisan affMadoit E]EA No 1party EN/K--L-mm)MioicabIe Party Candidate for Ure of Cll y of Wnter Spirfings-City Coir-Tirnissioin[)Mrict Five lfappllkcaWeQ Date of BlIrth OP Voter Pegrstraflon Nuirnber Ackiiresi:,, (MIIA/DIE)/YYYYp one ............ "2.,,ty 'i p Corle s oty L —7 L YIN Iry')I Irb I b P.r r)C1 S iginature of Voter mare eSligned QAM/DD/IMY� jl. ✓ Ro b:e conoeted by voter{ 001 Ij- 0 i)(` Puie'rS 2 045,F.A,C. C III DIDA PETITION ropm 7 "AN irdbrmaObn on Ods fkun,r publk re.ccPfj'ijpcn receipt Ity Me svvee vhsor of0ectiorrs, it is a cr,rne ro kncwlrtarlysh�gj2 r),70a e Lj)a,r,j 017& Prrra IdIr a ca,%Vdwz�j5ectfon 104385 Ortr)da Flatufrrw, ff 41 rrquested in(banetion a 1, rdwrn Is,rUx C.'IrnpMteoy, v*/ Pace va/lrlim a Candidate Pofftibn forn? rHls COMIN ETED K' the unders�gned, a registered IFOPM MUS'T BE �Nease prir airnp P ROM DE 11'.)TO T'H E 'r"I' it apr.xmii s on you r voter information caird) CLEPIK DLAING voter in said state and County,petfticm to have the name of �&;eo�g4o,— CITY placed on the General Mection Ballot as a Icheck/rornplet.e box,as ajppficalblle� QUAUFMNG N No party affMadon E4 7/,, INot AppIlicable Pally Caindidate for the Office of CIty of Writer Spirlings..01ty Con"imilssion Mstrlct Hve (P:ease iinsertthe t1fle of0ffice and include Nstrict,Circut,Group,Seat Number,il'appik'.mNe) Date of 311rdh OP Voter Registration IMiunibier Address (MM/DDA^(YY) 107(?q City COS�ty Sta Zip Code Signature of Voter Date signed(MM/DDA^NY) [To be completed by Voter] 1;2d,;L49 Rule I5-2.045,4".C. 2 4 ................................... CAN D���� iiOP111,4 'W kAw�"ation on ons fm m bepcornes q�p:�ibfir setond upm�rece�pt bV L�be 5uperv&m of�:'1VCt'qbv r5 11&a crime to knmvh�9+v wavr mors!^rhar?one?,perition for a,ce,%hdati:t lSectirn M5 f/m Idd StatutesJ ff 0 t equeswd wfremaucn ii::,n eh.,s hv ern it tot cm npWed,the�orrn wd#not be vka dasa Candidal e PPP W,"r For,- fl HS COM11i)I l T F011ifliVi 1,4UST Il13E 1, the undersigned, a registered IcROV1111i)11!,::lD To n4E (Please print name me as it a ppea rs on youvioter information ca rd) all re C11 ERK III YU11iII1111",IG 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] QUAII 1111ii)(1111"4C Nonpartisan No party affiliation FN/A NotApplicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of office and include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR Voter Registration Number lAddress (MM/DD/rM) �-e mw city fc-.0 nt�-, 11ilp Code VU -7 LL� r, Q [L 1 Signature of Voter Date Signed(MM/DD" [To be comfleted by Voter] lRule 1S-2.045,F.A.C. ----------- "FD", CANDIDATE PETITION FoRmi 17 "Aflk,ftarnatim On th)�'s Itw?'n recsif..,8 h.y,thc,,'3upvrvls;o o)'riectioi7�F, "Ithsa crime to knowdiig/y.47ign rnoye then oecep.Ytftlan fore candA.Yate/Sectimy If&M,equesred ftfam""th.0"'rhis h""IS"",Completed, he f6m,W11....I co 11.hd Al 47 U111dIIA1117 1.,etwon Fam, 111-111S CCII'Af:110 11D t he undemigned, a reglisteired FOIRM MIUST IBE M2 ['Q(.)VflDED TO 111--lE �PWase piiint nanne as lit appears on youi,voter irftwirraidor, CITY CLIERIK DUPIIINC� votei ln said state and county, petildoin to have the name of QUALIFYING CZ"L 1p�acc�dc)ii-�tlheC;eiiiera�F.Ilec�:�c.)�,iB�.i� lot its a .c,,l-aecVcoipTilpletellDox,asappVlc.,al)Ve) NOnIparflsaii I No 1p any afffliation Not AppIllicialble Party Cana"kJate fov iAhe Office of City of Wintev Spirlings.. City Carriry"hlssion Distrilct IFlive (Ill unsere the title of Office ivid incIude[Nstrict,Circuit croujr�,Sent Nurnbel'r,If appficable) Date of Birth OR Voter Registration Number Address YY) I r),, -12-K/I r? State zi I city County p Code xp Signature of Voter Date Signed(MM/DD" [To be comr�letecl by toter] Aq '0 a� Pule IS-2.045,F.A.C. "FIT, r'41-171"." 7—....... IFORM 7 CANDIDAT`E [Dl[ "'I"'ITION ,A#infitirnation on this fbnnbecewnas as public record by,this,sq/aerivlvm 00"Iecrarms a as crime?1a kryowz?Vy�yz;agn rqore than ewwpelfth�m for a ci,ndAyalx P;CC0r)rw 104,185 1 401ida,Stvdruwfij !;z;l I eqgle�sfeef�170'rrwtdoy wi thh;form h;no 1.compArlety,the Awn wifl no I be�wih.,�"�a t�eiWbn Foren 1"HiS COMPLUIED 0' tl"e tjndersGgined, a registewed FORM MUST BE PPOV111DIED 1'0 THE (1pease arint T)e PIF X"alis On your voter irifonrinalloin cwml� ci"ry E I DUIRAING voter lin said SLate airul counAy, fion to have the iriaryie of Q1iJAU1PMT14G piaced or'6 dw Geneliral Ellecdon Baflot as a [c1hec1k,/coirnjp1e1:e l as appliciable] NonjDal,tisan L:.L1J=A 'to 1pairlyaffiliation Not Applicabile Parl:y Candiidate For the Office of City of Winter Springs-City Corniinission Dilstir I la �� ve HFlieaso inseit.tjrje tjtjaa,,rf Office and include Ustiilct,Cii[cult,Gi[cup,Seat Nurinloer,if apitlilcaUei Date of Lflii th(,)Ilq Voteii rzegistiration Nurrfli:per rili (IwM/DD/YYYY� ............... . .......... ----------------- .. .................... County ",l zilp Code 41� AV "! (05L siginan rep:clvme, Date Signed(MMjDr)jYY'M 1 as The con%7knl by V I Pule IS-2.045,F.A.C. 11 L CANDIDATE PETITION 14,11 fnf�r rw na ide r on U&Avn)be co�nesa An ii wh ccae d upw vco4A bY 9 he 5�,,trw bdkw 4'1'hde;:aoris dt va o cf4mo W b !47'1�mode Ed,wn dn?v pd!:���I Mon Aw a conaWage,I Section 704.05 rfod,ids Malvtes,p ira d/d,aqa meted infod"�n7gibn cin d Mr A::'r d'Ya hi rw'v�cvmf"r e ild,�he A: n��,,E Alt�ix be va M:i1a5a 6 anciddyl e A� f nkr?Fu P rr I l-ill 11 S M N1 i!:" EI E Di 4 , �'eL C e- the undersigned,ned, a registered 44 NIUST BE C �A tc— PPCAA1Dk!D ii,!Z) ME (Please print name as it appears on your voter'-r6rmation card) voter in said state and county,petition to have the name of QUM r ellii 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 Five (Please insert the title of Office and include District,Circuit,Croup,Seat Number,if applicable) Date of Birth OR Voter Registration Number Address (MM/DDNYYY) (94 l f-7 city county kj State---j Zip Code e-,l 141, Signature of Voter Date signed(mm/DD/YYYY) [To be completed by Voter] Pulk;1S�2-��45,F.A.C. 4 1:01PPA 117 CAN D�l -AY#wfbrn'wiw7 an tMF Awry bf..cwny',�c as pubfir a-wd.wrY upon recxdp-yt 1✓r I hE Swparwsor ot`Ekc1.kjn5 'R.is a rf,'me to knowhicb,s; gn mare th,.,.,n or)vpedbbn&)r a candilizue j5ee,I.ion 104.785 Flofida sRa I rteal if F'fl ruquq-?Slf.y4 in fiw'i-a tion cry this etwfn#-rarer canfrji..ted,r.hr=ebrrn wift not bz. vai/d as a".'an didate pas A.+#"doa"a R.Trrq, "T"FUS C01MIl"N IFTED ned, a ieg�stereci F70P11A MUST 13E PIROVIDED1011-iE CRY CLUM 11'"AMING I voteir in said state aind QUALIFYING placed on tl)"re Geineirall Election l as as [check/cor-nIll box,as a1ppficalble] Noinpaii1isain No p.arty afflHatloin NotApIpIlicaNe l:)arty EL/ Candidate for,the Office of 0ty of Wkiteir Spirilings .,City Commissllor'n Five ?P ease rinsert the tWe of Office a nd indude ENsTrict,Clircyjrt,Gwulp,Seat NLriinbw,N:appkable) Date r,",yf Birth Ol:��Volleir PIegastiatllorr Number Address L (11A M/DDA'YYY) z' COU I'lity ZNp Code S ante. ffi -o �S SignatureofrAtter, Date Sigrmml Q1Vf1WjDD/YYN rFo be cornpWted hy VoteirQ A- It Qje IS.r2 045,IF A-C, I 1"I'll"Al I F ri o�N� 7 f--opm Ali cn this 16i'm&-,carnes a putylk recopd iq2on recc,4st by Me Supemisor c,'Erect.1r,75 it Ise cxb ne se knorAdqg4y sUgn more than one pedr.Ion Aw,a candidate.reckon 704.785 Florida Statutes] If all requq "rHIS COMPLE-TED Wbemation on thir Form 1sn 1 0 wt vvill not 15e valid a�,a Calyd;date Petition Form, RAM MUSI BILE Unders�gned, a ireqisteired �PrLase p0nt inanne as rt a ppears on yourvoter hforrnatJorr card� PROVIIIE)ED TO'Ti iE CITY C11 E P K D U P 11 IN G voter ln saud state and cournty,pedt�on to have the naime of "l QUA� UPYUNG � ell placed on the Generai Ellecdoin BaIllot as as [checlk/coirwipiete box,as alp:pficahle] Nonpartisan N d Nopwityalffilhadon IN/A Not A>pficali:Ae Party a ir i didate for the Office of: Chy of Winter Sprit-igs-City Cornmillssion District IFive QMease insert the LiCe of Office and Indude E)ietirlct,Circuk,Group,Seat rquRnIbeii,H appficalb[a) Date of Birth 01F?Voter Pegrsuaflon Nurntyer Addirpss (11AIIA/Di�:.)/Yyyy) 7 �ZeRR a, 7 sir c"U,A ........... Zrp Cocie '7'p Lll—z- 312 W. SIgntyture q Lai) Date Signed Q11,4 MJDEVYYYY� [To Ihe cornplete by Voter A,- Le IS Z045,F�A�C AUG 2 4 1: T 1,4 ..................... ........ FORM 7 'All in toffnation of?1his"fon'n becornes a pubAcrerolejupon fwe�471.by the5usunvijof of Elvctlons It is a of 1, U , fo 0',18.5 rl 16, " ",I........WlY more Mar,one pelition for a c,.w,dida te�5,,c' "sta"', irall mquested m1bre"alion an this,forin 6s �or c�.W?7f.74.lfed I I/W f0f'M 0411 n0I be vaild as a CenrinAste PeUtion Form, D-HS COMPILET'EID V— 9 F01PIrA MIUSTIBIE 3 P"S., 3 12,t-A#�-1 C.) the undersic fined 'a Ira PROWIDIEDTO"T'll UE pi:Iease lsidirit inarne as it appears on youir voter infoii rination cwcq ",,P C11Y CLERK DIUMING votel in said state and county,petiflorf to have 1.he inail ne of jp�aced on the Geneia�Ellectioin Baflc�t as a �Clhedkkornpllete box,as alr'.)pficable) Q UAIL 11 l-Yll IN C I-K-1 Morn pairtisan �EiM�E� Na pany affillaGon E/:A-:= Not Appiicalbie 11:)airtY Cailu.fidate for the office of My of Winter Spriinigcs; - City Cii:iirnmission Nstrfct Five (111ease hnserv.the dfle of Office anci include Dktj,je J,(.Ircuit,Group,&rat Nurnber,if applicable)i Date of F.WL11iii 01�!Voter Registiiatioin Number Address (m 4 UI-0 i-i srl ioc, city, r'tg�jr)t.,y Stal e zilo Go de �-k t,-k C, 1z" L" 5ginature of Voter Date Signed QMM/lEX.)/YYY)l ro be r.,o¢n olleted by Voter] Pule 1S-2.045,F.A.C. ........... CANDIDATE PETITION 07 ,4h0VkwjrwVbnon M&form bccc,,nws i7;rzd,,)k recofd��W��rn reca4ptbV the Sul""cnhar l:)ti lecbl:u,15 '0 Aca cnrnilu to knmidrW,s gn rnore,thRn onie pe&teon Aw a candWim 1 k cdon 104J66 M Arrrva ststuteq Ira fcquegfed inhwenuth7n on ghis Cwnpieted the Jon A,81 not be vol0as a Can6date Vet hon roon 7p HS COMP11 ETED 1, 1 1 the undersigned, a registered lAUS11 13E q i 6-k��14 6- ,�Icz�) PPOVIJII,��ED OTHE (Please print name as it appears on your voter information card) C11"YCLEPW 11��)UPIJNG 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] QUAI 111 YIIMG X Nonpartisan 1:N/A l No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (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) IaFAR '�P'ZitQC5 t,'ZR 7D Od-(I City _:Iu State Zip Co-e J1 ...... .. ..... Signature ofVoter Date Signed(M M/DD" [To be completed by Voter] 26 ...... AI ?(")1� )�I�,,,'�- , ����:?1�,�� (1�1 �H1 � ,� I ............... ............. C,A N I 1,1111,111M rE PE..........1 1 riON 11:01IRM 7 ",Alf infirnnatfian on hiks Form bc- ',wane a pub&rPrard uptw7 racarpW by the Suparvi�vroff-locrlon, U&a chma w knmwnGly,;qrw marry than onv ere dlion,for a candWage 1.5pcti6rr 104?H5kZaneia Statufaq iraii On 0,"fib", n I,M iplated,the form wiff not be va#das a Candidele Perffibn Fam, 1I fils COK���11,ETED r01141111A �ALJST BE the undersigned, a registered (P II!) 0 P ease.print name as it appears on your voter information card) 01Y CLERK [)U IZI ING voter in said state and county,petition to have the name of 22 U Q :Y placed on the General Election Ballot as a[check/complete box,as applicable] UALH ING Nonpartisan No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR Voter Registration Number Address ............. City County FST—ate----1 'Zip Code Ll I Signature of Voter Date Signed(MM/DD" [To be cor 'eted w Voter] Pule IS-2.045,F.A.C. �: CANDIDATE PETITION Form 7 Al on Vyls term buccrrics,a pub�ic rczc�'d Lfp,:,n Peecipt by the Suparvisor vfElections it is a crime to knowing6,sign mote than one pe,titibn for a ca ndfda fe.fSertfcn 7C,,085 Fl,iidv Stalutes] �IfFI�Tqvested ln�crrraticn on th",At T not completed,ff�c form wX nc%be velld es a t,"tion rvrm. THIS COMPLETED 5, FOPM MUST BE the undersigned, a registered PPOVIDED TO THE (Please print name as it appears on your vote,information card) voter in Bald state and county,petition to have the name of CITY CLERK DUPNO PP 6 4;17'� QUAIFY119C placed on the General Election Ballot as a[check/complete box,as alicable] X Nonpartisan No party affiliation Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) ,Date of Birth OR Vote,Registration Number Address (MM/DD/7 ................................. Cit County Zip Code LL,i Si nature of Voter Date Signed(MM/DD" Frobecom le7tdb V I 'y r :P Rule 1f�W645,FA.C. AW,3 2 Y 4 Y } CAN D I DATE PETITION 1 11117 V III �..� ua�� �ul WIm r,fmi:r/o on 0a6;j"r der tosrcou n . .ab&wecora:sh,rp+un jer,red L,u Pdas a Pa"V":( o6 00rrMm.s h:hS 0::IYrrI Vuei'a1,wrs.wrrnq&, S'd"r d mretkwud,rnrprr,eru rare dlir��u,r� i.mdrvykeatc. 5vc1"Y 6ti''ir f ,, , �. i r oy vw� r""1,re�.o"du*,'i��l nlr to n8'� �Ii,rw,r+r V' re te r i.�dr raaard s�„udr r 2 s sr0 iad du. w ° it iPN]dp,ll"i�i=IE ed II . )Pia the undersigned, a register " GN i km''NI (" P i PP Y ) w rM Y p � 'f �- n l''r'QUAII V i pi i "pl voter in said state and county, have the name cardtm "rn,, m� QUA II placed on the General Election Ballot as a [check/complete box,as applicable] XI'I Nonpartisan N/q No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) Date Of MM/DD Birth R Voter Registration Number Addressc'A M xl � . city Cou 11 nty State Zip Code Signature of Voter Date Signed(MM/DD/Y" [To be completed by Voter] Rule 1S-2.045,F.A.C. CANDIDATE PETITIONFcpivI °° 4i'l d u rn "trrri"rwfi,Yu^;rdvr�d'r,t/lyn'"��;M1'�r''rmdrtlri;r�°�.rm';^rw� �s,;� b(fi �s�,::u�iay."raPvru„n;::vrdG`h,&the +dt"ovMuwrir;*+`,ds�.i,:`r'lli,:rrd'Y,t. 4 a t':"J✓YI'VI:.vS'".id'y"1'te:i iv°7uq&sJV7r'f Vricd.lq Ma✓!•"I'Wn/',lie,ytd^"V.id P,n f:;r c::„ YI,'.t!`arate.ISoczbn fo,,u' s V�w" st`PV't'P,VV',`S'wsi � ''aJdr r � li,� rvPnn'((5no rojniheh:'r thin==*, rrr�mu��m��r�r"ru�,�ma!uavu�rr rrirrr"n,,�����•��,:r. ��"��I.dm&wN�MU h ll:, ' m the undersigned, PN I EMUS qml madra atl iku P"V �, m a dersigned, a registered a rt,���r v","aNN) ',GN +�"NIIL.: (Please plint name s it voter in said state and county, petition appears information u�w�;; to have the name of card) gym, r a LERM',;Il'N Ni tiNarku°:,� placed on the General Election Ballot as a [check/complete box,as applicable] �( Nonpartisan N/A No party affiliation. N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR Vote r R9e is tion Number Address (MM/DD/YYYY) g County �� � z�p�Code ... M Signature of Vo) +w� p WY) g � i Date Signed MM/D D/Y o b co i leted b Voter] r Rule 1S-2.045,F.A.C. a,,., T l `IUK i( ,'fr'� �... I �.a ���a T 'aa I T I .. as i=OM ,4f6 darafofmadon on d his form becomes as fsardadr"r,mcorat aspon r c(.-don b.Y the droupe n ep>rar w`NEEe cl'iren s'tr i tvssign a oi'er thaary arse:frerrdtion for a raas�roe id,.'w a 15 er."fian 704Jf35 N df wa GP�7FA;d.a"U.Mwtes sj a m•r9wrra!,to daracau�wAaa "" V �d�v �^�rma at0aasa a^taa tds frt ass dr reset afr J completed,'waedvr w®6Afem be ps'f eNn»o Cra da�ta rfadaaar r ktrra THIS O MP ETIE FORM MUST PIEtip tnaersVal , a. ..2 regusrtsrd PPOVIIIDEID 11O"Si°°HIE it"Ile a elprintnarmee as it a ploears oinyourvotea information card] , ,>s riku n to have tlhe unalrvoe o CV Ty CLERK l�fuVNG voter Ilrri<apuaf paq,¢ zvr tattdrntP .,.�r UAlEIF i �_ ��VIPf°°., ip aced on the Gerce a all Election Ballot as a [c 1l,-wGlk/ca;.rrnp1lle�te Il.nox„as ail[plllkt alkblle] Mon rctrr:flsarI P/ nee party ffiiflatlron, P�/fit Not f�ppV aw ff�lle. Paer'l;yr Can-uff.V'Vanirn�te for,the Office of MY of•Winter SIprilrMgs..Gliidy Coirxin°n,n°issiio n I istirk.,,t.(Five vMkV,isse.a rse n.the thllo of Office,anri d uur ladu,nra Dli„ri ue a.,C:ra:aiun Group,Seat rU4urtl'beJ u6 a aprorrliralPslei Dale d Birth OP VoLe it IRe u. s.tmt:on INuira°be:r A,a,diress Y r^ al b 9 crty County Jupsd duatu t art ,A„ r;ucpur'o alluura od„ease s a d" d. Date uginedd 001rm/C7C:a,/ta'V YY) V � � u CANDIDATE PETITION a amppM *AU,0urra1na�thd,v u," Y.'Mwn Av mbecivnes,a;Yu.dbfia vr,rrr d Itowr a,a,:wa p g n.prt he's 1!q:ie,nu r'rsrffa o tainrp,ou;ns it am.:a r.ahne f.s t rrrraaer rr, r rtln ,t aut ea rn o 0r',a a:.xn of :a r a Pcrk p tn ir 'rd S t uia,M'Sljai trpr^aw'/,t° rr nave°�ra!,��!��wriuda r:nd°:ru t, �tt0miyuresVaiJh 'r�rsrn w,itv:orr te"ma VO - fIOA r*i.rtdud'vsAwn w�p:'d;lfeu:t,bfw,vt,+7yasaCia,"uradmdre�e, iflabnr:drr1. 'rLiiiis 00Pa4piEIE'D Pleas nntna ear the undersigned, a registered IIPr�°rV`i IIaiV.,V1 II�V_a:rEVVri fnfpEll�tl!!'': ( p s it appears onyour voter inforr ation card) Y P EE)wlld'„II'riVVll?iYll''��Vr� voter in said state and county,petition to have the name of " ` 6���y f° e;� �� EVr ,�.�rV_VII placed on the General Election Ballot as a [check/complete box,as applicable] Nonpartisan N/q No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR voter Registration Number Address (M M/D DA-1M) o n.7M ///c td i'a4 e CT City )• a County v State Zip Code 10 signature of voter Date Signed(M M/DD/YYYY) [To be comcl]eted by Voter] Rule 1S-2.045,F.A.C. tCAN DI 'All ar a:,'a ai for r on tf�uts fojn bc,comco as t ub fr•�wc rrd ufsorm:receipt „y t'fai:®niaf ow sce of ash7c¢'rrcaa'ras °It is a crfrm iv f'c ts,nmAdngkq".t 6pn more fhaa.,w ancr pr.R✓'tIon f6d,ar cada"rcdd' wo 1 a°rcthm 0438 r t'OrleYa St:»fute.s] a,If ",Free P`h&tirva°sms is not arrrnat^dns*a.r„(the Sarrrra wr:re'd'M'rca.a trn u:P,am/n e,as f"Wrcrca� taa PoIrtion 17�:narrr. TiflS uf:'OUMPLIii U ED FU�Wvi MUST di i ( r appears t,�Win, t undersigned, registered,a rc he undersl ned, a re f�Il�:��:n �"Ull�dU:`:D Ilr�t IINF Please punt name as it a our formation card) a �voter a petition ne " 0� 41 f W,A.H NNG�) UF qM placed on the Genera Election Ballot as a[check/complete etbox,as applicable] A_j Nonpartisan N/q No party affiliation N/A Not Applicable party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,ifapplicable) Date of Birth OR Voter Registration Number Address J J (MM/DD )0,3 City Count State Zip Code LAI' Te,' Cax//J . .Signature of V . ... Date Signed(MM/DDA YYY) (To be completed by Voter) ..Rule 1S-2.045,F.A.C. F M *Aft information on this f6rrra becomes a public record upon racer�of fly the Supw yhsor of ries:darps' It L,a crime Io aanow rrhgbv sign mare than one petition fear a t;aaadiciate./,Sec don 704.IS.5 F10.6daa St afutf.':51 If ecompleted,the form Ivsrafl not be waflo(as.au Candidate Pelffi'on ronn 'THISCOMM a T BIw: U :ram aaester..in format mps oramrorarrert' � `� theu..RIr40.'.�F"B`:slr:),nf..rt",(, a�V'4'" IStt'rf:3d � (G.xleaa;caUriirrC:man eas rtePp appears mrrcy Gerccxa:er4irafa:rrinrrcaa'uoir card) PPOVU[ D..U. fU"'UIE CU"fib"":B.F:IKfa�„ ING voter Vacedia-at1�aid state the Geinerallll�Ilec;tla Uetiflon to have the name Baillllok as a [a p e6e co mll�dleta~wpFF box,as apAi� � �" �AB....IIFyU119n p Sul.Ue] E=� Ns n1partisan N/ No p arty. a fffifiat.ioin NCA Not AIInpUUcal6 P [Harty/ Candidate folr the Office of 0ty of Wlirwtelr SI):idrngs-City Commission District Five (IG)ieaqe onsert t.lhe tlltle of O fic e nand iraaalaade Gao^,Vruea,t":iira.udt,GroauP,Seat.Nurnher,iif atni:allla:airm�e] _� Dates of E.34th C"alrt Voter IRegi.sV radoin Nutnbeir Address P4 M/DD/YYYY) c City twr:u rce! atatl a Z p Code Si yrastureofVoreir 1.7arca>Signed: (pu°oM/DD/'fYYY" ." i.i as be cam pleted b,Y Vcne r) Rule lS-2.045,F.A.C. Ail it f4 /l;lT I.0 r- F CANDIDATE PETITION 7' w 'A 0iMbrinal ibh?INi i!h&trwri beccvnes a pubrk n::d)9d,I::eupgx'p)vc,c4pX ft"1he, h?c I�bns h,6S'0'1:WmV W kwwmg1p 6u�Pn nuve Man one peril pk�,:Iwjr W431:6 Flori'da qwwtes�' lhis rcwn g:oml WMC Jt 1he d0j,)V,,,04 m:19 bu rLOV Candhdreg:,1erdh:m kwrn 11 0 IONIII!!1111 Ell ED, UHril MUS"T 131: I )'11 DED I (Please print name as it appears on your voter information card) the undersigned, a registered i-1P R PY'11ZAI IIE:A!K 11=1THE11111,4 voter in said state and county,petition to have the name of ���L.2 ,e,,,, do �placed on the General Election Ballot as a [check/complete box,as applic r , A able] X Nonpartisan No party affiliation N/ANot Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Five (Please insert the title of Office and include District,Circuit,Group,Seat Number,if applicable) .......... Date of Birth OR Vote'P t t' Number Address (MM/DD/YYYY) IJY7 W- ^ City ccLn,.Y State---j Zip Code Cir A signature c Date Signed(MM/Do" (To be c mpleted by Voter] Pule IS-2.045,FA C. C.A1q1',,',,')1DA PET111 10N FOR:M7 All inki rnatpbrr or?this For rn becomes e publIc arco rd upt n recelpt taw the Swnerrvkaor cf E/e ctiv,',s It as a cdme to knowingii sign lnore than one petition for a candidate f3ection 704,MU r1crida Statutes] iran requested wormagion on:.he form Is not completed,the form will mg&P vaile.1 as a Candidate Pvtiljbn rornt, THIS C OIL PIIA.::�.TED the t.indeirsigned, a registered FOPM IAUST SE" ............................ (Please prim narne as it appews onyour voter infornnation card PP(,,N11DED'T0 THE) voteir in said state and county,petifloin to heave 1Che iname of CITY Cil 11'.)URIING —'ee—v��' QUAII IFYING jpiaced on dine Geneii-Ed :.Iectin l rnpl�o as a check/romp l as appficable.] E= Nonpart1san =/A:]:: No pairty affiliatiori Not ApIpficalble Party E E=- Can6date foil the office of City of Winter Springs -City Commission IlDistirict l (Please gnsert the t1de of Office and ndude D6svict,C'ImLflt,Group,Seat Nurnber,ifapplicaWe) IDate of Nirtit OIR Voter IRegIsitration lquimber d ress (MlAIIDD�eYYY) 7,7i( 5 Ir gv -1� IleSPI rk,V City County sta Zit,Code Signature ofVoter Date signed QMIIA/DDMYYp Uo be coirnr.Apted by Votpr1l Rule IS-2.045,F.A.C. R11 CEV' A A 2 4 Y F,1,1\4 N'r ,P FZ,IN CANDIDATE OATH — NONPARTISAN OFFICE Rf CEVVE:E3 (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a A raj` 2) 4 02 G write-in candidate: ❑ Write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) (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.) ........... am a candidate for the nonpartisan office of n t F—4, !!��A 4� Police) (District#) I am a qualified elector of -0 1-e 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): Id 7,d? EOO, 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.] ............................. T qtzl 6­,�a.,Q 4's e-&-, Signature of"M 11date Telephone Number 41 Email Address eZJ .......... Address city State ZIP Cod STATE OF FLORIDA Signature of Notary Public COUNTY OF Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to(or affirmed)and subscribed before me this #et 11� Notary Public State of Fionda day of 20',� Christian D Gowan , My Commission GG 913234 Expires o9/15/2023 Personally Known: or Produced Identification: Type of Identification Produced:............................. . ...................... L_ DS-DE 302NP(Rev. 11/17) Rule 1S-2.0001,F.A.C. .I..., 4 ,R1,,N.w�, F E USE ONLY-. u Pno r^ LA .M E ... IIIIII 'lIU .. ..�.,„MIDDLE IVu ,wo�w �u Kendrick Geoffrey. Air .....n. . ........ .. .......... ........................._ ..........— NMAF 0II AGE-,@ Y; �R City of Wind II ...... 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PFUNURRL � FHJSNFSS E FIFTT OF I @ °u IIIV'4c'" NE UK ................. ... .... .......... .. _......... .. �m���� mulouuu�w�u� _ um� �u . umolml�000uooumlmloouoi�� mwwdomw�uu�umlm�u�uWm�ul wool uuuuuuuuuuuumlmlmmlolulmmmmm0000mrwMuuuw��y�w�uwuu���m�nmmmr���u�moaoam�u�ur�uro PART C—t&JULPONVERTY [.2neL biimmad by tie reporft pei see j Vativ we not OnYbd to the Mom I ... FlIa.1firs INSTRUCmaims for when wtni U�eul 1 , run are m ®, llea w a of page 2. .. ....m....... .. UCIMO who minut wiIU thisfarm and how to Will It ovit. neUmu an paq&3. '+In• � NC , 'Inm"�. INIIU39NdImA�il,WW u'N 'n mIIn. Uu xl: c. k l of you hwM m " m� '" stocks .._..............p. ..,„, _ .._. ..., ........ �.....� Bones mo ��� mir�ioioioioioioimommmm�ummm�omomomomw�om i000000�mm www aioi000mmmoimim0000imomummmmio� (Ityaw tww,Inaft to Illowt. m iiouwwmm mwm' mn NAME OF CMINTM ° "°W OF"CREDRUIR °_.......----___----. ............._ i ommmw m lfm ,RIT" ....KFMWM M SPWrifflISUS41KESSM Pmm%Wnm Ill In s"kwbudkMI fff you have tw0bg to yopor#6 uuwmllH Ida) NAME OF BE 8ffFTY AF.M.)RESS OF BUSNIMESS II,��.. ... .. .. ....�.�� .a�,ww.�..�e°°.°�,���„A�..................... ....� .,..._..��...._...._...�,M��..... � °°..°,,,..� II_ , * 'NA / .. ._._......... .... .............°e IKEITIMM WAD WITH EMM TUNA. I OM IAWE T IIIl WMEL � � N MA7IJFOFMYOtIYfR�ffERFST� ....n um �� PrARTG — For a i ll TvWmd to coffqicft wuurd eUm. brdmft st tD sa*in'1123142.,,rXL El I R"II"II FY n"i ' "I'. HAVE COMPLETED 1II34E � I III 'G WUMMMEMKON nw IF ANY OF PAWS A'MROUM-111 GAM CONTINUED OIN A SEPARATE SHEET, PL EASE CHE-CK H�ERE Ll m 1 Of ;III ,,, IF llbwaW undw ChapW 4" fir wKI signahmirs, in, , F101MR ll:Wr PRW&md W " or T r....r ,° form mwmm SedJrm 16 Jr ',oqu*b Sjdutm-,and the m m rw mad the III'" : CPAJAftnW SWmftim ...................................... ........... 1 :: iiw'm m urmm mwm �mm mmm mm w ho Ms a Form wmm n to with dva Comm-Wan Laz-Wm mW mumw m II,,, w u' IIP „ ° ,mmmm m 8 „ m" Th m mrem� m m I i �m mkt m� mm II cm- s -n Musl. mw fle wwiif li w w Me pdw to a IY • mw" mom mww� Ibe I fu wmu�mmm m mmmqu mm II" wmn _ m , m m d m V'm m' w I ,',••... �, '�....L .•..............Il . m., p Ca"CkWasmmmm, file some Vnim they Me their qwdWOM �L�X,23-117 fty swW rwm m rom'm'o I m' �cnn vd„T wm b 'III,,. dM m1CcxrffW m i le� ' l � • , ' dam° in m 'tm •,. " m � h ' ur II � m� "��mm � �mow' mmwN mm 4 . �ut '°Vatr m "l m wQs as uw mw Cmunisms III M uw awrymmk uw d �I, uw ormflmmm.Il nmiiilumwmmmm ft mom and mm3ftdm . .... wwwwwwwwwwwww � ��r� WW�w�°ww°. �w m'a. m m &�wuimuuy� :' m w mrem mkMMMS m"FA . CITY OF WINTER SPRINGS,FLORIDA QUALIFICATION REQUIREMENTS FOR OFFICE OF THE MAYOR AND CITY COMMISSIONER NOTICE TO FEDERAL GOVERNMENT EMPLOYEES As a courtesy,the City of Winter Springs hereby advises Federal Government employees that in some instances,Federal Government employees are not permitted under the Hatch Act to run for elected office. See 5 U.S.C. §7321 et seq. If you are a Federal Government employee,you should consult your employer or attorney to determine that you are permitted to run for the office of Mayor or City Commissioner in the City of Winter Springs,Florida before executing qualification papers to run for said office. By executing the qualification papers for the office of Mayor or City Commissioner,you will be representing that you are duly qualified to run for elected office including,but not limited to,compliance with the Hatch Act. Acknowledgment: RECEIVED elf� j Jl Print Name of Candidate: i � j'