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HomeMy WebLinkAboutCannon, Kevin Qualfiying Packet - 2022 08 30 i 3,I�NTER CITY OF WINTER SPRINGS, FLORIDA FORM A F sA 2022 GENERAL MUNICIPAL ELECTION u napo+ u * THIS COMPLETED 1959 AFFIDAVITOFACCEPTANCE FORM MUST BE PROVIDED TO THE CITY CLERK DURING CITY COMMISSION: MAYOR EEE) DISTRICT FOUR QUALIFYING Circle which applies to candidacy NAME: Date&Time �4ti(w.5-r36 ,W-z2I Review Started Page lof2 10 4M The following information is provided toyou 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 applicant accepting this document and the attachmentsshould initial after each section as it is reviewed QUALIFYING DOCUMENTS The documents in this section are due to the CityClerk/Designee no later than 12.•00 p.m.on the last day of Qualifying which is Friday,September 2,2022. "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" (WITH a check drawn from campaign account for the Application Fee AND the applicable 1%Assessment OR"Notice of Undue Burden") 3 "Notice of Testing Tabulating Equipment" 4 "Notice of Political Campaign Advertisements/Signs" QUALIFYING DOCUMENTS 5 "Schedule of Campaign Finance Reporting Periods/Due Dates" WITH AN *ASTERISK MUST 6 "Notice of Access to Campaign Finance Forms" BE COMPLETED IN FRONT 7 "Candidate Petition" OF THE CITY *Candidate Oath CLERK/DESIGNEE DURING- "Notice to Federal Government Employees (If applicable) QUALIFYING "Form 1"- "Statement of Financial Interests 2021" Accepted: STATE OF FLORIDA INFORMATION "The Florida Election Code,Chapter 97-106, Florida Statutes(includes Chapter 106 which addresses Political Advertising and Disclaimers,etc. Candidate and Campaign Treasurer Handbook" (04/27/22) (Which includes"Chapter 12: Political Advertising"and "Chapter 13:Other Disclaimers" "Electioneering Communications Organization Handbook" State of Florida Election Iaformation Contacts Accepted: / Revised 08/29/2022 RECEIVED AUG 3 0 7.077 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK ��N*erzs CITY OF WINTER SPRINGS,FLORIDA A v-- 2020 GENERAL MUNICIPAL ELECTION FORM F � z n AFFIDAVITOFACCEPTANCE THIS COMPLETED FORM MUST BE PROVIDED TO THE CITY CLERK DURING CITY COMMISSION:MAYOR DISTRICTTW DISTRICT FOUR QUALIFYING 0lewhichapp/iestocand/dacy NAME: , v i6) C 4/A/C_? Page2of2 CAMPAIGN FINANCE/ELECTRONIC FILING INFORMATION "Contributions Returned" [DS-DE-2] Envelope of Checks/Receipts Accepted: CITY OF WINTER SPRINGS INFORMATION City of WintEyr Springs 2022 District Map Accepted: MISCELLANEOUS INFORMATION "Statement of Ethical Campaign Practices" (From the Seminole County Supervisor of Elections "Foreign nationals" -from the Federal Election Commission Legal Refere ces for Qualifying Documents Accepted: NOTE: The Candidate SHOULD NOT closeout 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 2022 Election Qualifying Packet including the above referenced documents I, t�Z V]Al) (�,?7 AINON have on this date received the forms and information Name ofCandidate(Print or Type) noted o these two(2)pages,and agr Yat I will read all of the Election Qualifying packet materials that have been provided to and uhdersta t i/s my responsibility to comply with all Laws as they apply to the 2022 Election. signature Date es StreetAddress city O Zip Code State ofFlorida Countyof NM/h O l� Sworn to(or af Zrmeed)andsubscribed before me by means of( ]physical presence or( )online notarization] this rv'J Q'th /dayofZ0 z Z by !` V i`,I (.,_Ll 11/1 Lf h �-/ Personally known: OR Provided identification: .� (Printnameofperson makingstatement) R E C 1E I V E® Type ofldentificationproduc =09/15/2023 tureofNotaryPublic-State of Florida Y� AUG 3 0 202?. Al �or n CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK Revised 08/29/2022 µ�NrERsCITY OF WINTER SPRINGS, FLORIDA o l 2022 GENERAL MUNICIPAL ELECTION FORM z " 9"5'9 AFFIDAVITOFQUALIFIED VOTERSTATUSAND •ry 55 CITYANDDISTRICTRESIDENCY THISCOMPLETED cob wE.�Q� FORM MUST BE PROVIDED TO THE CITY COMMISSION:MAYOR/ ISTRICTTW DISTRICT FOUR CITY CLERK DURING Circle which applies to candidacy QUALIFYING I, V-�N (_- /a Al IV t A/ do hereby state that I seek election to the City Name of Candidate(Print or Type) of Winter Springs' City Commission: Mayor District Two District Four for a four(4)year term applies to candidacy in the election to be held in the City of Winter Springs,Florida on Tuesday,November 8,2022.I further swear or affirm: (1.) 1 am a qualified voter in the City of Winter Springs (2.) My legal place of residence is: Wertz k sYZ �X� StreetAddress City I State zip Code (3.) Length of time of residency in the City of Winter Springs is: (4.) Length of time of residency in Winter Springs District: is (5.) 1 am attaching two(2)documents,one to be a Florida Driver's License,as verification of my residency in the CitY9K.Winter prings.The second e entis: � tsr c� 1'�R r�En► T�T/&N Cad D rgnature Date Vq 191 •'Ve-5 Z- Cg StreetAddress City / State Zip Code State ofFlorida Countyof S M),n 0 le Sworn to(or affirmed)and subscribed before me by means off X)physical presence or[ )onlline notarization) this 3V I h dayof 2022 14 by 12 VI ir? � n 1-2 CJS Personally known: OR Produced Identification JJ (Printnameofpersonmakingstatement) `Prr,1,,e 0- )j -_p/2.S-P z> 2 �tl Type ofldentification produced SignatureofNotaryPublic-StateofFlorida E =) Notary Public State of Florida Christian D Gowan AUG 3 0 2022 K ) My Commiatien GG 913234 w^ Expires 0911512023 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK FOR OFFICE USE ONLY opy of Florida Driver's License provided for Item(5) ther documentation provided for Item(S) IL Pf4 cal- Revised 08/29/2022 �NNTel? CITY OF WINTER SPRINGS, FLORIDA FORM 2 � mA 2022 GENERAL MUNICIPAL ELECTION o ~ " \ THISCOMPLETED O 1959 APPLICATIONFOPOFFICE FORM MUST BE •ti�oo ,y� AND ELECTIONASSESSMENT PROVIDED TO THE WEYP CITYCLERK DURING CITY COMMISSION: MAYOR 4EECTTWO ISTIR ICT FOUR QUALIFYING Circle which applies to candidacy I, _kx-,vi, C-+Al t✓oAl do hereby state that I am a registered and qualified Elector of the Name of Candidate(Print or Type) C"tt f Winter Springs;and I am applying for the Office of City Commission: Mayor District Tw /District Four for a four(4)year term,in the Election to be held Circle which app res to candidacy in the City of Winter Springs, Florida on Tuesday, November 8,2022. 1 further agree to pay the following Qualifying Fee AN D 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 x12 months=$12,000.00 annually The 1%Assessment amounts to:$120.00 ELECTION ASSESSMENT—MAYOR:$144.00 The Mayor receives:$1,200.00 per month $1200.00 x 12 months=$14,400.00 annually The 1%Assessment amounts to:$144.00 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. Signature Date 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# J Q I f A 1%ASSESSMENT-Commissioner:Campaign Account Check in the amount of$120.00 attached OR Mayor:Campaign Account Check in the amount of$144.00 attached (Check should be made payable to the City of Winter Springs) ?E (� Z OR,IF APPLICABLE PECEI Completed"Notice of Undue Burden"Attached AUG 3 01022 Revised 08/29/2022 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK `��rtrEgCITY OF WINTER SPRINGS,FLORIDA s 4 2022 GENERAL MUNICI PAL ELECTION FORM 3 0 °19S9 y NOTICEOF tir ,5�• TESTING OF TABULATING EQUIPMENT THIS COMPLETED 00 WEsa FORM MUST BE PROVIDED TO THE CITY COMMISSION:MAYOR DISTRICTTWO ISTRICT FOUR CIN CLERK DURING Circle which applies to candidacy QUALIFYING NOTICE Please accept this notice thatthe tabulating equipment to be utilized in the City of Winter Springs,Florida's 2022 General Municipal Election will betested on: DATE:Friday,October 14,2022 TIME:10:00 a.m. The aforementioned test will be held at: TH E OFFICE OFTHE SUPERVISOR OF ELECTIONS FOR SEMINOLE COU NTY 1500 East Airport Boulevard,Sanford,Florida,32773 (407)585-VOTE[8683] City of Winter Springs Municipal Elections Official/Designee Revised 08/09/2022 ' RECEIVE® AUG 3 0 2022 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK �y�NTeR CITY OF WINTER SPRINGS,FLORIDA FORM 4 ok-- sAb 2022 GEN ERALMUNICIPALELECTION u � P1g59 APPLICATIONFOROFFICE THIS COMPLETED AND ELECTIONASSESSMENT FORM MUST BE ih 000 WEIVL PROVIDED TO THE CITY CLERK DURING CITY COMMISSION:MAYOR EEEEOp ISTRICT FOUR QUALIFYING Circle which applies to candidacy Please find the following documents/information/references related to Political Campaign Advertisements/Signs in this Notice: Copies related to Political campaign Advertisement/Signsattached: (1) Copy of Florida Statutes 106.1435 Information/References related to Political Campaign Advertisements/Signs: (2) "The Florida Election Code,Chapters 97-106,Florida Statutes"(included in Qualifying Packet) (3) "Candidate and Campaign Treasurer Handbook"-(Whichincludedinformationfrom "Chapterl2: Political Advertising"and "Chapter13:Other Disclaimers") [Included in Qualifying Packet] ACKNOWLEDGMENT LEDG M ENT KV)W �1,6V©!✓ do hereby acknowledge on this date of /} Name of Candidate(Print or Type) 30 2022 with my signature below that I received a copy of Florida Statutes 106.1435 and with my signature affixed below, I understand that it is MY responsibility as a Candidate for Elected Office to comply with all laws, especially 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 Elepti Code Chapters 97-106, Florida Statutes"and the"Candidate and Campaign Treasurer Handbook." �d Signature Date FOR OFFICE USE ONLY Attachment:Copy of Florida Statutes 106.1435 Revised 08/29/2022 7CEIVE® AUG 3 0 2022 I V Or WINTER SPRINGS v E OF THE CITY CLERK I `N�NT�RS CITY OF WINTER SPRINGS,FLORIDA 2022 GEN ERALMUNICIPAL ELECTION FORM S F * z ;' APPLICATIONFOROFFICE 1959 N�oa wets°y~ ANDELECTIONASSESSMENT THISCOMPLETED FORM MUST BE PROVIDEDTOTHE CITY COMMISSION: MAYOR<ISTRICTTWO DISTRICT FOUR CITYCLERKDURING Circle which applies to candidacy QUALIFYING SCHEDULE DURING/AFTER QUALIFYING*,THE FOLLOWING CAMPAIGN FINANCE REPORTS ARE DUE: Report Due Date.,October ll,2022 -shall contain information regarding all previously unreported contributions and expenditures from September 1,2022- September 30,2022 Report Due Date:October 14,2022 -shall contain information regarding all previously unreported contributions and expenditures from October 1,2022- October 7,2022 ReportDue Date:October28,2022 -shall contain information regarding all previously unreported contributions and expenditures from October 8,2022- October 21,2022 Report Due Date.*No"mber4,2022 -shall contain information regarding all previously unreported contributions and expenditures from October 22,2022- November 3,2022. A Final Reportshall be filed 90 days after the General Election-on orbefore February6,2022 -shall contain information regarding all previously unreported contributions and expenditures from November 4,2022 - February 6,2022 *For Unopposed Candidates Report Due Date.-December 1,2022 -shall contain information regarding all previously unreported contributions and expenditures from September 1, 2022- December 1,2022 ACKNOWLEDGMENT 1, ���� do hereby acknowledge that on this date of Name or Candidate Print or Type) 2022 with my signature below that I received a written "Schedule of.,Cqmpaign Finance Reportin iods/Due Dates" (as noted above on this form). Signature Date �. Revised 08/09/2022 RECEIVED AUG 3 0 2022 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK ��NT�RS CITY OF WINTER SPRINGS,FLORIDA a— 2022 GEN ERALMUNICIPAL ELECTION FORM 6 a 2 1959 �' NOTICE OFA CCESS TO • CAMPAIGNFINANCEFORMS THIS COMPLETED Cpb WET FORM MUST BE PROVIDED TO THE CITY COMMISSION: MAYOR EETW DISTRICT FOUR CITY CLERK DURING Circle which applies to candidacy QUALIFYING NOTICE Please note that Campaign Finance forms are available at the following State of Florida Website address: https://dos.myflorida.com/elections/forms-publications/forms/ 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 Name GVf� �T '^ fiZ, n ate not or Type) ri c, ���� �� 2022 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." Signature Date Revised 08/09/2022 RECEIVED AUG 3 0 2011 CITY OF WINTER SPRIN;;S OFFICE OF THE (-I:""..' -av CANDIDATE PETITION FORM 'All information on this form becomes a public record upon receipt bythe supervisor ofElectlons '/t Is a crime to knowingyslgn more than one petition fora candidate./Section 704.185 Florida Statutes) '1fa11re requested lnfarma on on this form Is t c m feted,the form will not be valldasa Candidate Petition Form. THIS COMPLETED q p q 'P vl,, FORM MUST BE I, -DAVI V ! ►1 j, the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a[check/complete box,as applicable] __L_ Nonpartisan N/q No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (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/YYW) 0 3 [1-7 0 -7 0 /,e City County state Zip Code i° e ry S � �,� .� S�►mi����. '�- .39,7® 8 Signature of Voter Date Signed(MM/DD/YYYY) [To be completed by Voter] oa 6A 41 ®�� Rule 75.2.045,FAC. CANDIDATE PETITION FORM *A 11 information on this form becomes a public record upon receipt bythe Supervisor of Elections It Is crime to knowingyslgn more than one petition fora candidate./Section 704.165 Florida Statutes) •/fallrequested1wormationonthisformIsnotcompleted,theformwillnotbetalidasaCandidatePetitionForm, THIS COMPLETED FORM MUST BE I, I the Undersigned, a registered PROVIDED TO THE (Please print name as It appears on our voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable] Nonpartisan N A No party affiliation FA71 Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (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/YYW) Clt/4 County �101 � State Zip Code Signature of S Date Signed(MM/DD/YY1N) [to be completed by Voter) Rule 15-2.0 F.A.C. AUG 3 0 7077 CITY— c,PRINGS < t % CAN DI DATE PETITION FORM 7 'All information on this form becomes a public recofd upon receipt by the Supervisor of Elections #1t is a crime to lrnowinglyslgn more than one petition for a candidate.]Section 104.185 Florldo statutes] '!fall requested Information on this form Is not completed,the form will not be valldas a Candidate Petition Form. THIS COMPLETED FORM MUST BE l 4A a \p-e, 0.�9,A`A71,-- the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter-Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (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/WY1) City County State Zip Code Signature of Voter Date Signed(MM/DD/� _ [To be completed by Voter) Rule 1S-2.045,F.A.C. (~ 1 CAN DI DATE PETITIONr7 FORM 'All Information on th/sform becomes public record upon rece/pt by the Supervisor of Elections 'It is a crime to knowing/ysign more than one petition fora candidate.[Section 104.I85FIorlda Statutes) 'ffallrequestedlnformationo tit form isnot comp/eted,the formwlllnotbevalldasaCandidate Petition Form. THIS COMPLETED FORM MUST BE 1. -kethe undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable) Nonpartisan N A No party affiliation N/A Not Applicable Part Y Candidate for the Office of City of Winter Springs-City Commission District Two (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/YYW) / CityCounty / �� gtal�� ZIp�d� Signature of Voter Date Signed(MM/DDAAM) [To be completed by Voter) Rule 1S-2.045,F. .C. AUG 3 0 1011 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK CANDIDATE PETITION FORM 7 'All information on this form becomes a public record upon receipt by the Supervisor olElectlons •It/s a crime to knowinglysign more than one petitlon fora candidate/Section 104.185 Florlda Statutes) 'lfall requested Information on this form is not compteted,the form will not be valldas a Candidate Petition Form. THIS COMPLETED FORM MUST BE the undersigned, a registered PROVIDED TO THE (Please print name as it appears on your voter information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable) Nonpartisan N/q No party affiliation N/A Not Applicable Part Y Candidate for the Office of City of Winter Springs-City Commission District Two (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" City County State Zip Code Signat f Voter Date Signed(MM/DD/YYYYJ (To be completed by Voter) Rule 1S•2.045,F.A.C. ~ I CANDIDATE PETITION FORM 'A#Informat/on on this form becomes a public record upon receipt by the Supervisor ofFleclions It is crime to knowingiysign more than one petition fora candidate./Section 704.16S Florlde Statutes) •ifallrequested Information onthis form Is not completed the form willnotbevalldasaCandidate Petition Form. THIS COMPLETED FORM MUST BE the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable) L� Nonpartisan N A No party affiliation F71 Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (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) Clly 7 runty State Zip Code �14 Signature of Voter Date Signed(MM/DDA-yw) [Tobe completed y Vote J el Rule 1S•2.045,F.A.C. CV '�. AUG 3 0 2022 CITY C''vnr.tTr^ OFriC" CANDIDATE PETITION FORM 'All information on this form becomes a public record upon recelpt bythe Supervisor of Elections ,It Is a crime to knowingnrslgn more than one petition fora candidate./Sectlon 104.185 Florlda Statutes/ 'If all requested information on this form is not completed,the form will not be valid as a Candidate Petition Form. THIS COMPLETED FORM MUST BE V1-Ly �'d(�— the Undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (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" City h County Stale Zip Code Signature of Voter Date signed(I�IM/DD" f (To be completed by Voter) Rule 1S-2.045,RAC. (~, >l CAN DI DATE PETITION FORM 'Alllnformatlon on this form becomes a public record upon recelpt bythe Supervisor of Elections ,It Ise crime to knowinglyslyn more than one petition(ora candidate.[Section 104.785FIorlda Statutes] '/fall requested Information on this form Is not completed,the form will not be t alid as a candidate Petition Form, THIS COMPLETED FORM MUST BE d i d the undersigned, a registered PROVIDED TO THE (Please print name as it appears on your voter Informatlo card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a (check/complete box,as applicable] Nonpartisan N A No party affiliation F7771 Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (Please insert the title of Office and Include District,Circuit,Group,seat Number,If applicable) Date of Birth OR Voter Registration Number Address f (MM/DD" l City County SI` Zip Code Signature of voter Date Signed(MM/DDA,'yW) (To be completed by Voter) Role Is-2.045,F.A.C. AUG 3 0 7.077. CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK CANDIDATE PETITION FORM 7 'All informatlon on this form becomes a public record upon recelpt bythe Supervisor ofElectlons ,It is a crime to knowinglysign more than one petition fora candidate.[Section 704.185 Florida Statutes] 'lfallrequueessted Information on this form Is not completed,the form will not be val/d as a Candidate Petition Form. THIS COMPLETED / JJ FORM MUST BE the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (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" _ Clty.. JJ county State Zip Code Signatur Voter Date Signed(MM/DD/YYYY) J _ [To be completed by Voter] Rule 1S-2.045,RAC. CAN DI DATE PETITION FORM 7 'Alllnforrnatlon on this form becomes a public record upon recelpt bythe Supervisor ofElectlons 'It Ise crime to knowlaglysign more than one petition fora candidate./Section 704.185FIorlda Statutes] 'tfallrequestedinformationonthisformIsnotcompleted,theformwillnotbetalidasaCandidatePetitionForm. THIS COMPLETED 1 FORM MUST BE Z,r C�yl ( CTI,V\ \j\��A, the undersigned, a registered PROVIDED TO THE (Please print name(as it appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (Please Insert the title of Office and Include District,circuit,Group,Seat Number,If applicable) Date of Birth OR Voter Registration Number Address (� V CL Clty1 q County State Zlp Code Signature of Voter Date Signed(MM/DDNWY) (To 6e completed by Voter) cx 7Z 6 Rule 1S-2.045,F.!\.C. AUG 3 0 1027 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK ?`2 CAN D I DATE P ETITI O N FORM 7 'Alllnformadon on this form becomes a public record upon receipt bytheSupervlsor ofE/ectlons It is a crime to knowingyslgn more then one petitlon fore candidate./Section 104.185 Florida Statutes/ •!fall requested Information on this form Is not completed,the form wlll not be valid asa Candidate Pet/tion Form. THIS COMPLETED FORM MUST BE 1�2 t l�— t-'P`� V"� the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable] u Nonpartisan N/A No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (Please Insert the title of Office and Include District,Circuit,Group,Seat Number,If applicable) Date of Birth OR Voter Registration Number Address (� J (MM/DD/W" L4 I `( City County Slate Zip Code w �;��� SPY, -'D Signature of Voter Date Signed(MM/DDiYYYY) [To be 7pleted by Voter) Rule 1S-2.045,FAC. CANDIDATE PETITION FORM f *AllInformation on this form becomes public record upon receipt bytheSupervisor ofE/ectlons It Is crime to knowinglys/gn more than one petition fora candidate./Section 704.185FIorida Statutes] •Ifalllr'equestedlnflormatlononth/sformIsnotcomp/eted,theforr»wlllnotbevalldasaCandidatepetitionForm, THIS COMPLETED I, Y 1 CV n -�o n the undersigned, a registered FORM MUST 8E (Please print name as it appears on your voter Information card) PROVIDED TO THE CIN CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (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/YYW) op tolz6ii ,� 10 CityZip Cod County State (.IJ ; /ifier S2-vh; sl�ie ( �z� ✓r3 Signature of Voter Date Signed(MM/DD/YYYY) (To be completed by Voter) Pkkj � iZ� � zO2 � Rule iS-2.045,F.A.C. AUG 3 0 1021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK It CAN DI DATE PETITION FORM It 'All information on this form becomes a public record upon receipt by the Supervisor ofE/ect/ons 'It Is a crime to knowinglyslgn more then one petition for a candidate/Section 704.185 Fiorlds Statutes] ffaZIrequestedInformation on this form Is not completed,the form K111not be validas a CanoidatePetition Form. THIS COMPLETED �i r1 0,f u ,irk FORM MUST BE �; � the undersigned, a registered PROVIDED TO THE (Please print name as it appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (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) City County State Zip Code 92--706 Signature of Voter Date Signed(MM/DD/YYYY) (To be completed by Voter) 499/-u) Rule 1S-2.045,FAC. CANDIDATE PETITION FORM "A11 information on th/s form becomes a public recordupon rece/ptbythe Supervisor ofFlactions 'it/sa crime to know/nglyslgn more than one petition fora cand/date.[Section 104.18sFlorlda statutes] 'lfallrequestedinformationonthisformIsnotcompleted,theformwlllnotbevalldasaCendidatePetitionForm. THIS COMPLETED '7 FORM MUST BE to the undersigned, a registered PROVIDED TO THE (Please print name as it appears on youl voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Kevin Cannon QUALIFYING 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 Two (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/Yl'W) 0-7 2. t�6L(-)JiinG City County State Zlp Code WIkGr % -S V- L 27U Signature of Voter Date Signed(MM/DD/WM [To be completed by Voter) (� 4 08 /2S Rule 1S-2.045,F.A.C. AUG 3 0 2022 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK CANDIDATE PETITION FORM 7 'Aliinformalion'on this form becomes a public record upon recelpt by the Supervisor of Elections *It Is crime to knowinglysign more then one petition fora candidate.(Section 104.165 Florida Statutes] *11'alli,equestedInrormatlon on thtstl=n Is not completed,the form K411 not be valld as a Cand1datePatition Form, THIS COMPLETED u f FORM MUST BE I, 30r GC' " W rl T I� — the undersigned, a registered PROVIDED TO THE (Please print name as it appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of JK a� ew QUALIFYING 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 Two (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/ 7 3�3d �p 0 City CountyState Zip Code w, s � 0 a,ROOF- signatur of Voter Date signed(MM/DDAYW) [To be completed y Voter] Rule1S-2.045,RAC. CAN D I DATE P ETITI O N FORM 'All informatlon on this form becomes a public record upon receipt bythe SupervkorofElections It Is crime to knowingiyslgn more than one petition fora candidate.[Section 704.76S Florida Statutes] ff all requested Informa tion on this form Is not completed,the form will not be valid as a Candidate Petition Form. THIS COMPLETED �V I`A ��N v g g FORM MUST BE c. ClJl/ the undersigned, a registered PROVIDED TO THE Please print name as it appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of ��/Vi��Q/ QUALIFYING 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 Two (Please Insert the title of Office and Include District,Circuit,Group,Seat Number,if applicable) Date of Birth OR Voter Registration Number Address City 1 County Stat Zip Cade SignatuWofe, Date Signed(MM/DDNYYY) /o [To be completed by voter] ule IS-2.0/S,F.A.C. AUG 3 0 2011 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK CAN D I DATE P ETITI O N FORM 7 ,All informatlon'on this form becomes a public record upon receipt by the Supervisor of Elections *It Is crime to knowingysign more than one petition fora candidate.(Section 104.185F/oride Statutes) 'lfailrequested/nrormationonthis form/s not completed,the form will not bevalldasaCandidate Petition Form. THIS COMPLETED FORM MUST BE I. -hot),�d w��� the undersigned, a registered PROVIDED TO THE v (Please print name as It appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of �-az\jlw C tv0N QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable] F X7 Nonpartisan N/A No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (Please Insert the title of Office and Include District,Circuit,Group,Seat Number,If applicable) Date of Birth OR Voter Registration Number Address n (MM/DD City County State Zip Code GUin 2 s IS7*" Signature of Voter Date Signed(MM/DD/YYYY) [To be completed by Voter] 2'0.?a Rule 1S•2.045,F.AC. t CAN DI DATE PETITION FORM 7 'Alllnformatlon on this form becomes a public record upon recelpt by the SupervlsorofElections *It Ise crime to know1ng6,s1gn more than one petition fora candidate.(Section 104.185Fiorida Statutes) 'lfallrequestedinformatlononthisformIsnotcompleted,theformwllinotbevalldasaCandidatePetitionForm. THIS COMPLETED r f FORM MUST BE I, �C�n-P' �i Y�Q the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter information card) CITY CLERK DURING voter in said state and county,petition to have the name ofV QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable) Nonpartisan N A No party affiliation FA71 Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (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 d-0 0 07 I b ndUr,a j'rra L'e-- city Wi r \k`� i ,n f- qS County , Stvte-L Zip Code 70 Slgna ure of Voter Date Signed(MM/DD/YYYY) r [To be completed by Voter] Rule IS-2.045,RAC. ' AUG 3 0 7011. CITY OF VNNTER SPRINGS OFFICE OF THE CITY CLERK Cz�.J CANDIDATE PETITION FORM 7 •All Information on this form becomes a public record upon recelpt by the Supervisor ofElectlons *It Is crime to knowinglysign more than one petition fora candidate.(Section 704,78S Florida Statutes] •ifa/lrequested/nformationonthis for I not completed,the form willnotbevalldasa Candidate Petition Form. THIS COMPLETED FORM MUST BE I, the undersigned, a registered PROVIDED TO THE (Please print narbe aslt pears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of Q �t QUALIFYING 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 Two (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/YW() -30 -6 of-11 A)w1'N ' 1 of f6i e Ityi County �� St teZip Code l �I— Signature of Voter Date Signed(MM/DDA^M) [ro be completed by Voter] 1-8A Rule 1S-2.045,F. C. CAN D I DATE P ETITI O N FORM f •All information on this form becomes a public record upon recelpt bythe Supervisor ofEfections •lt isa crime to knowinglysign more than one petition fora candidate.(Sectlon 704.185Flarlda Statutes] •IfallrequestedinformatlononthisformIsnotcompleted,theformwlllnotbevalidasaCandidatePetitlonForm. THIS COMPLETED �' / FORM MUST BE tC," R� f�2 ���(� the undersigned, a registered PROVIDED TO THE (Please print name as Ifappears on your voter Informatlon card) , CITY CLERK DURING voter in said state and county,petition to have the name ofkl�--V) dV C;;Nr110AI QUALIFYING placed on the General Election Ballot as a [check/complete box,as applicable] I Nonpartisan N A No party affiliation N/A Not Applicable Party Candidate for the Office of City of Winter Springs-City Commission District Two (Please Insertthe title of Office and Include District,Circuit,Group,Seat Number,if appl(cable) Date of Birth OR Voter Registration Number Address (MM/DD") -AA 0 , 617 11! t 9 A-10 14A1 CI Cou y State Zlp Code 1 > i Signature of r Date Signed(MM/DDAIYW) . [To be com letedby Vot`F] t Rule 1S- .045,FAC. v AUG 3 0 2022 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK CAN D I DATE P ETITI O N FORM 7 'All lnformatlon'on this form becomes a public record upon recelpt by theSupervlsor of Electlons, 'it /sa crime to knowinglysign more than one petldon fora cand/date./Sect/on 104 WSFlo r1da Statutes) •If a#requested lnforma don on th/s form/s not completed,the form w111 not be valld as Candidate Petition Form. THIS COMPLETED FORM MUST BE I, L.ao-, � U-�A\t)c, the undersigned, a registered PROVIDED TO THE (Please print name as it appears on your voter Information card) CITY CLERK DURING voter in said state and county,petition to have the name of P-viw lMOVIV QUALIFYING 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 Two (Please Insert the title of Office and include District,Circuit,Group,Seat Number,If applicable) Date of Birth OR Voter Registration Number Address Oct/ 01 6gx<k city County State Zip Code Signature of Voter Date Signed(MM/DD/Y(YY) [To be completed by Voter] Rule 1S-2.045,F.A.C. >` CAN D I DATE P ETITI O N FORM 7 'All lnformatlon on this form becomes a public record upon recelpt by the Supervisor ofElectlons *It Ise crime to knowinglysign more than one petltlon fora candidate./Sectlon 104.185Florlda Statutes) •IfallrequestedlnformatlononthlsformIsnotcompleted,theformw111notbevalldasaCandldatePetltlonForm. THIS COMPLETED FORM MUST BE I, the undersigned, a registered PROVIDED TO THE (Please print name as It appears on your voter information card) CITY CLERK DURING voter in said state and county,petition to have the name ofvjvi QUALIFYING 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 Comr-hission District Two (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") City County State Zip Code Signature of Voter Date Signed(MM/DD/VYW) [To be completed by Voter] Rule 15-2.045,F.AC, AUG 3 0 1011 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK CANDIDATE OATH NONPARTISAN OFFICE RECEIVED (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a AUG 3 0 2022 write-in candidate: CITY OF WINTER SPRINGS ❑ Write-in candidate OFFICE OF THE CITY CLERK 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 ��-�� �,��, (';'7.y C r��n1<<,�ia� 5X-_�,•j -2 , (Office) (District#) I am a qualified elector of _�S r- en r'NO 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): ( 13 1 331_3 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):[Notapplicable to write-in candidates.] Kul) SN — V44 Al L2 -6- na re ofCandidate Telephone Number Email Address Address City State ZIP Code STATE OF FLORIDA Signature of Notary Public COUNTY OF �r•/>�/`��'�� Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to(or affirmed)and subscribed before me by means of online notarization ❑ OR physical presence ,00 Notary Pwft Stab of Fi rxM this 3 o day of 20 Christian D Gowan My commiwion G0 913434 Personal/ Known � Expires 09/1U2023 Personally ❑ OR Produced Identification Type of Identification Produced: FL Dr,` A�- DS-DE 302NP(Rev.0812021) Rule 1S-2.0001, F.A.C. FORM 1 STATEMENT OF 2021 Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: MAILING ADDRESS RECEIVED C51 AUG 3 0 1021 CITY OF WINTER SPRINGS OFF'CE OF THE CITY CLERK CITY: ZIP: COUNTY: NAME OF AGENCY: NAME OF OFFICE OR POSITION HELD OR SOUGHT: CHECK ONLY IF ❑ CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2021. 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 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"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME. ADDRESS PRINCIPAL BUSINESS ACTIVITY 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"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] You are not limited to the space on the (If you have nothing to report,write"none"or"n/a") lines on this form.Attach additional sheets,if necessary. FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1-Effective:January 1,2022 (Continued on reverse side) PAGE 1 Incorporated by reference In Rule 34-8.202(1),F.A.C. PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions] (If you have nothing to report,write"none"or'Wa") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or'Wa") NAME OF CREDITOR 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 BUSINESS ENTITY#2 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,appointed school superintendents,and commissioners of a community redevelopment agency created under Part III,Chapter 163 required to complete annual ethics training pursuant to section 112.3142, F.S. ❑ I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473,or attorney Signature: 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. Date Signed: CPA/Attorney Signature: Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers. Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY:A candidate who files a Form form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission under, see page 3 of instructions. or Supervisor of Elections. Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially, each local officer/employee, state officer, of the county in which they permanently reside. (If you do not and specified state employee must file within 30 days of the permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment. where your agency has its headquarters.) Form 1 filers who file with Appointees who must be confirmed by the Senate must file prior to the Supervisor of Elections may file by mail or email. Contact your confirmation, even if that is less than 30 days from the date of their Supervisor of Elections for the mailing address or email address to appointment. use. Do not email your form to the Commission on Ethics, it will be returned. Candidates must file at the same time they file their qualifying State officers or specified state employees who file with the papers. Commission on Ethics may file by mail or email. To file by mail, Thereafter,file by July 1 following each calendar year in which they send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions. 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form IF) within 60 days of Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1 F(Final Statement your completed form and any attachments as a pdf(do not use any of Financial Interests)does not relieve the filer of filing a CE Form 1 other format), send it to CEForml@leg.state.fl.us and retain a copy if the filer was in his or her position on December 31,2021. for your records. Do not file by both mail and email.Choose only one filing method. Form 6s will not be accepted via email. CE FORM 1-Effective:January 1,2022. PAGE 2 Incorporated by reference in Rule 34-8.202(1),F.A.C.