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HomeMy WebLinkAboutKevin Cannon - Seat 2 - Qualifying DocumentsDS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. AEG APPOINTMENT OF CAMPAIGN TREASURER AUG 2 6 2014 AND DESIGNATION OF CAMPAIGN CITY OF WitvTmK 6Pt^2iNGS DEPOSITORY FOR CANDIDATES OFFICE OF THE CITY CLERK (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re- filing to Change: 0 Treasurer /Deputy Depository E] Office Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip `n/ C01:11 rV n/o Al code) 1P0 o rc 1 °t Li !P q8 evrlo:-2 Se I';'/"/ F13�2Q-���i� 4. Telephone 5. E -mail address (y � �') 3$ 3 -� 3G� Kyfvt �vclf •n�/oi✓ �CF1N�vo — � wok � i c � r C®rYl 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if C",' r% p r= W " R S 1o, -�YvC, 5 applicable: D 5'r- R1c.T'% rve) w'OvinI -s -, E] My intent is to run as a Write -in candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a Write -In E] No Party Affiliation 0 Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer ,j Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer lei �/ ►�N Cq� t/0"v 11. Mailing Address 12. Telephone o iBo 7c 1°t 5� q g (fib ?� ) 5573 13. City 14. County 15. State 16. Zip Code 17. E -mail address lei >nrr e Sic S �,_�✓Y)iNdL �� ?)a �) (�" K,."vr-,,,/ (fl Ivalc�at/� c :AVavoev ^Lr1YL'01 J'JCtu= .GO,'►') 18. 1 have designated the following bank as my ,® Primary Depository F1 Secondary Depository 19. Name of Bank W t. z LS � X00 t} !V }�/ dVe� 20. Address lof�0 ice' 1' �)G>� o (� 21. City 22. County 23. State 24. Zip Code W,NVTaK S, UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 1260 f-20 1 '7 26. Sign re of !date X �- 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, CAS ,-Vo C✓ do hereby he y acce t p appointment (Please Print or Type Name) designated above as: Campaign Treasurer Deputy Tr urer. Date ature of Campaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. W DS -DE 9 (Rev. 10/10) Rule 15- 2.0001, F.A.C. RECEIVED APPOINTMENT OF CAMPAIGN TREASURER AUG 12 2014 AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES CIIYUF WINIERSPRINGS ,-IFFIQF OF TNF (,4,ry Cl FPW (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re- filing to Change: ❑ Treasurer /Deputy Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip t�-V 1�1v C`� N n10 N code) P f ox [ q. .6 re b W 1-A,7 TJCP s A 1 gj6s PL 3a?-j g - 56 IF 4. Telephone 5. E -mail address (�% ) ��5'�- �\ Cf► CAM I rrV 11r�/ nM/pN - co o 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if o F Wow7-yP_ 5p �0YVGS applicable: ri'In'11� �S�O: V ❑ My intent is to run as a Write -In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write -In ❑ No Party Affiliation ❑ Party candidate. 9. 1 have appointed the following person to act as my E7 Campaign Treasurer ❑ Deputy Treasurer 10. of Treasurer or Deputy Treasurer °Name o 4�,4 4 b^ Lt 11. Mailing Addr ss P�4� �r 12. Telephone I q56 IvCA t� v'D ( L/67 ) -ScfS. ZG01c,011 13. City 14. County 15. State 16. Zip Code 17. E -mail address 18. 1 have designated the following bank as my AN Primary Depository ❑ Secondary Depository 19. Name of Bank /14 20. Address t�_ 6 00 R►Z Z W lews i' I�IZGO J94A) ; 21. City 22. County 23. State 24. Zip Code UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FA TS STATED IN IT ARE TRUE. 25, Date 26. Sicinalur e f didate , 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) 1, A4bA �� f� %V Ct,,1/ L f "° do hereby accept the appointment (Please Print or Type Name) designated above as: �j Campaign Treasurer putt' Treasurer. C z�� x Date Sig ature of Campaign Treasurer or Deputy Treas er DS -DE 9 (Rev. 10/10) Rule 15- 2.0001, F.A.C. I STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) U candidate for the office of 0 MlV C' , • T O )� w! !v' T`, �jy��S have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. /-2::, Dat Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS -DE 84 (05/11) ^ITY OF WINTER SPRINGS, FL DA RECEIVED "014 GENERAL MUNICIPAL ELEION z AUG 1 8 ZQty U y I - AFFIDA VIT OF ACCEPTANCE Page 1 of 3 isss , • TY OF WINTER SP414N $S • ~C110 WE'r6J9 MAYOR -CITY COMMISSIO SEAT TW /SEAT FO ICE OF THE CITY CLERK Circle Which Applies To NOTE: The information provided to you in this packet, and the documents listed on this sheet, are provided to you to assist you in your campaign for Elective Office, however, the documents in this packet of materials are not intended to be a complete digest of the Elections Laws. IT IS YOUR RESPONSIBILITY TO READ AND UNDERSTAND THE ELECTION CODE AND COMPLY WITH ALL APPLICABLE REQUIREMENTS. The Applicant accepting this document and the attachments, and the Municipal Elections Official /City Clerk/Designee providing these documents, should each initial by each item (in each block) as reviewed: it, i b-1 1-1 - 2 el rAA ghiz,4 C,': 14 r!�— Date /Time Review Began Date /Time Review Concluded Electronic Version (Every document shown highlighted will be provided electronically - via a CD) Qualifying Documents: (The documents in this section are due to the City Clerk/Designee no later than 12:00 Noon on the last day of Qualifying - Friday, August 29, 2014) Gco�e "Appointment Of Campaign Treasurer And Designation Of Campaign Depository For Candidates" [DS -DE 91 lY V "Statement Of Candidate" [DS -DE 84] �r 1 - "Affidavit Of Acceptance" (Must be completed /signed in front of the City Clerk/Designee). FT-501 2 - "Affidavit Of City Residency And Qualified Voter Status" (Must be completed /signed in front of the City Clerk /Designee DURING THE QUALIFYING PERIOD). i1 Sly 3 - "Affidavit Of Residency - District" (If Applicable) (Must be completed /signed in front of the City Clerk/Designee DURING THE QUALIFYING PERIOD). 4 - "Application For Office" (With Check drawn from Campaign Account or "Notice of Undue Burden ") t t 5 5 - "Election Assessment" (With Check drawn from Campaign Account or "Notice of Undue Burden ") OT7M 6 - "Oath Of Candidate" (Must be completed /signed in front of the City Clerk/Designee DURING THE QUALIFYING PERIOD). t$ >I 7- "Loyalty Oath" (Must be completed /signed in front of the City Clerk /Designee DURING THE QUALIFYING PERIOD). 5 (3 8 - "Notice Of Testing Of Tabulating Equipment" % t? '_j 9 - "Notice Of Political Campaign Advertisements /Signage" 10 - "Schedule Of Campaign Finance Reporting Periods/Due Dates" 11 - "Notice Of Access To Campaign Finance Forms" $ 3 12 - Petition �t "Notice to Federal Government Employees" (If Applicable) t S "Form 1" - "Statement Of Financial Interests 2013" Revised 8/12/2014 �%NTr•.R iete y tiGOO WEti;J� 71TY OF WINTER SPRINGS, FL DA L014 GENERAL MUNICIPAL ELE` ION I - AFFIDA VIT OF ACCEPTANCE e QJr .6e� State of Florida - Information: I, 1' (A Compilation of) "The Election Laws of the State of Florida" - August 2013 RFC :; AUG 18 2014 Page 2 of 3 CITY OF WIN-rER 13F RING S OFFICE OF THE CITY CLERK } "Candidate and Campaign Treasurer Handbook" - November 2013 (Which includes Chapter 12 "Political Advertising" and Chapter 13 "Other Disclaimers ") "2014 Public Campaign Financing Handbook" R `r►3 "Electioneering Communications Organization Handbook" (April 2014) 1I "State of Florida Election Information/Contacts" State of Florida - Division of Elections Campaign Finance Information: iY 5►� "Contributions Returned" [DS -DE 21 [Florida Statutes 106.07 (4)(c)] - 1 5fl Receipts Envelope Electronic Filing Information: 'L_J i I S(1 Letter from the Winter Springs City Clerk to "Candidates for Elected Office" (Re: Electronic Filing of Campaign Finance Reports) EE"Online Treasurer Reporting System" [Guidelines for Campaign Finance Electronic Filing of Reports] from the Seminole County Supervisor of Elections Miscellaneous Information: i i4 Std "GUIDE to the SUNSHINE AMENDMENT and CODE of ETHICS for Public Officers and Employees" (2014) 6� 5m "Foreign Nationals" - July 2003 i "Statement of Ethical Campaign Practices" (from the Seminole County Supervisor of Elections) �i 543 2014 "Voter Guide & Florida Voter Registration Application" (from the Seminole County Supervisor of Elections) Revised 8/12/2014 �%N1TER " C ITY OF WINTER SPRINGS, FLC -DA RECEIVED o`` s (014 GENERAL MUNICIPAL ELE ION u rn 1- AFFIDAVIT OF ACCEPTANCE AUG 18 2014 Page 3of3 '•�P 1959 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK coa wetaJ �cp City Information: "Charter" of the City Of Winter Springs "Chapter 2 - Administration" from the City of Winter Springs Code of Ordinances 1�6i 5r City of Winter Springs Ordinance Number 2008 -16 (also noted in Chapter 2 of the City of Winter Springs' Code of Ordinances) City of Winter Springs Ordinance Number 2009 -14 (also noted in Chapter 2 of the City of Winter Springs' Code of Ordinances) 2014 General Municipal Election "Information" City of Winter Springs [November] 2013 District Map The following signature area is to be signed upon receiving the 2014 Election Qualifying packet, including the above referenced documents: I, ).� 1'k v 1 #%j have on this date received the forms and information, noted on these Name of Candidate (Please Print or Type) three (3) pages, in addition to any other Election materials that I may have previously received from the Office of the City Clerk for Winter Springs; and agree that I will read all of the Election packet materials that have been provided to me; and I also agree that it is my responsibility to comply with all La Revised 8/12/2014 2014 Election. v / ���,• Signature of Candidate 1 ' Street Address City State Zip Code rlty T-M r , Rl/li � f Date STATE OF FLORIDA COUNTYOFav�l"� Sw m to (or affirm ) and subscribed, under penalties of perjury, (before me this day of , 2011A— 'by 1 f (Print Name of Person Making Statement) " Notary Public State or Florida Andrea LorenZo-Luaces # c. c" MY Commiaaion EE087574 ^ g., oa M& Expires 05/08/2015 -- - r — _ —1.. -% ,r Identification Type of Identification Produced Notary Public - State of Florida (Print Name of Notary Public) Personally Known 1 � %STERS CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION '= 2 - AFFIDA VIT OF CITY RESIDENCY AND U to �• '"`°' 1959 QUALIFIED VOTER STATUS i\OD wr -1C RECERVEID MAYOR - ITY COMz ��App EAT TWO / SEAT FOUR To an i acy "Eligibility. Only qualified voters of the city shall be eligible to hold the office of mayor or commissioner." AUG 2 6 2014 `!FG'iT:JLERk: "Each candidate seeking the office of city commissioner or mayor or any other elective office of the city shall have resided in the city one (1) year prior to the time of qualifying. Each candidate seeking the office of city commissioner shall be a resident of a designated commission district established by ordinance and shall have resided in the designated commission district six (6) months prior to the time of qualifying." "All candidates for offices in municipal elections shall be registered and qualified electors of the city at the time of their qualifying as a candidate with the city clerk..." 14.01.(b) Charter, City of Winter Springs] I, L y 1,tj Ce w NO N do hereby state that I seek election to the City of Winter Name of Candidate (Please Print or T Springs', Mayor - City Commission Seat Two / Seat Four - a four (4) year term, in the Election to be held ire a is pp ies To Candidacy in the City of Winter Springs, Florida, on Tuesday, November 4, 2014. I, further swear or affirm: (1) I am a qualified Voter of the City of Winter Springs (2) My legal place of residence is: ] 't°J N, ,V6. "m > op P , w„v rah P R,tv(� , FL 3 a Street Address Citf State Zip Code (3) Length of time of residency in the City of Winter Springs is: 4-- �z y as.,4R5 (4) I am attaching two (2) documents, one to be a Florida Driver's License, as verification of my residency in the City of Winter Springs. The second document is: Revised 8/12/2014 C� ►S J-R A TON C.4 A, D Signature Street Address T a4z S P Q r6U(oS , Cityu State Zip Code Date STATE OF FLO DA COUNTYOF uranae, Sworn to (or affirmed) and subscribed, under penalties of perjury, before me this day of I-I 201 , by Al—,CM Cd4%2421"I (Print Name of Person Making Statement) Notary Public - State of Florida ublic s (Print Name of Notary Public) Pro &4d, OEE082142 • * OR Personally r9 • • 4 ldentrl� Known Type oi4�+��A,;ii STATE FOR OFFICE USE ONLY Copy Of Florida Driver's License Provided For Item (4). Other Documentation 6`,it Provided For Item (4). ���NTEn, SA CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 2014 GENERAL MUNICIPAL ELECTION * 0 3 - AFFIDAVIT OF RESIDENCY- DISTRICT CITY or WINTER 11FUNGS U mro.v.raea �/! OFFICE OF THE CITY CLERK • 1959 1VQ00 WF-.'( yC CITY OMMIS�Crce �,,App �..hdiid.c'y V. SEAT FOUR "Eligibility. Only qualified voters of the city shall be eligible to hold the office of mayor or commissioner." "Each candidate seeking the office of city commissioner or mayor or any other elective office of the city shall have resided in the city one (1) year prior to the time of qualifying. Each candidate seeking the office of city commissioner shall be a resident of a designated commission district established by ordinance and shall have resided in the designated commission district six (6) months prior to the time of qualifying." "All candidates for offices in municipal elections shall be registered and qualified electors of the city at the time of their qualifying as a candidate with the city clerk..." [4.01. (b) Charter, City of Winter Springs] I, I.— y , W CF►- ry nleAj do hereby state that I seek election to the City of Winter Name of Candidate (Pleas i e) Sprin s City Commission Seat Two / Seat Four - a four (4) year term, in the Election to be held Which A li idacy in the City of Winter Springs, Florida, on Tuesday, November 4, 2014. I, further swear or affirm: (1) My legal place of residence is: IV N p I" 7-Le P- 2 . wr ov ra-�R SpA jAzy 1 Fz— 3.:) 3�'Go Street Address CifV State Zin Code (2) Length of time of residency in the City of Winter Springs is: ^ ye-.4 o_s (3) Length of time of residency in Winter Springs District ?two is: , � YL (4) I am attaching two (2) documents, one to be a Florida Driver's License, as verification of my residency in the City of Winter Springs. The second document is: v T r +si f� 4 t_ Signature Street Address Wi N 7—e R 5pitt;y6S FL City State Zip Code z4"6,V o�y STATE OF FLORIDA Date COUNTY OF Sworn to (or affirmed) and subscribed, under penalties of perjury, before me this day of �� 201, by lge O Q0 n n on (Print Name of Person Making Statement) Notary Public -State of Florida U lie �� •IAN �92�� ! �'�'�1�/ K/`-�G/� ;G�yy 21, (Print Name of Notary Public) Prod�� �"� : * = OR Personally Ident io #EE082142 Known Type o1j: n'^• f fllfiltltt��� ' FOR OFFICE USE ONLY Copy Of Florida Driver's, License\ Provided For Item (4). Other Documentation Provided For Item (4). Revised 7/31/2014 �ITY OF WINTER SPRINGS, FLORIDA R 1E C 1E 1 2014 GENERAL MUNICIPAL ELECTION AUG 2 6 2014 4 -APPLICATION FOR OFFICE CITY OF W N7ER SYRtNGS OFT HE .0 C1TaL�RkC MAYOR CITY COMMISSION SEAT TWO SEAT F'R y All candidates for offices in municipal elections shall be registered and qualified electors of the city at the time of their qualifying as a candidate with the city clerk and shall file qualifying papers in accordance with state statutes and pay the qualifying fee and election assessment provided for in section 2 -88. Such application shall be filed and the qualifying fee paid during regular business hours any time after 12:00 noon on the first filing date, which shall be seventy -one (71) calendar days prior to the municipal election, but not later than 12:00 noon on the sixty- seventh (67) calendar day prior to the municipal election. 14.01.(b) Charter, City of Winter Springs] 12 -87. Code of Ordinances, City of Winter Springs] "All candidates for city commission and mayor, qualifying as provided in this Code, shall pay a qualifying fee of one hundred fifty dollars ($150.00). The qualifying fee and the election assessment shall be paid to the city clerk and be paid by the clerk into the general fund of the city." 12-88. (a) Code of Ordinances, City of Winter Springs] "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." 12 -88. (b) Code of Ordinances, City of Winter Springs] I, >=V) YV Ceq-N.,vO N do hereby state that I am a registered and qualified Elector of the Name of Candidate (Please Print or Type) City of Winter Springs; and am applying for the Office of Mayor - City Commission Seat Two / Seat Four plies To Candidacy - a four (4) year term, in the Election to be held in the City of Winter Springs, Florida, on Tuesday, November 4, 2014. I further agree to pay the following Qualifying Fee: �NG FEE: $150.00 Z Signature of Candidate Date Docu(nent Signed FOR OFFICE USE ONLY Campaign Account Check in the amount of $150.00 attached (Check should be made payable to the IR "City of Winter Springs ") or, if applicable ❑ Completed "Notice of Undue Burden" Attached Revised 8/11/2014 O t 9 9 CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION S - ELECTION ASSESSMENT AUG 2 6 2014 CITY OF 1 OJ I i "R aPRINeGS OFFICE OF THE ctry CLERK MAYOR CITY COMMISSION SEAT TWO / SEAT FOUR cn, a -'Vb'mctrgppnes- rtr�ene,um -y-- '` "Each person seeking to qualify for nomination or election to a municipal office shall pay, at the time of qualifying for office, an election assessment. The election assessment shall be an amount equal to 1 percent of the annual salary of the office sought." 199.093 (l) Florida Statutes] "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." 199.093 (2) Florida Statutes 1 I, V, •r )�n� CO eV4,t l do hereby state that I am a registered and qualified Elector of the Name of Candidate (Please Print or Type) City of Winter Springs; and am applying for the Office of Mayor City Commission Seat Tw / Seat Foul Circle Which Applies To Can - a four (4) year term, in the Election to be held in the City of Winter Springs, Florida, on Tuesday, November 4, 2014. I further agree to pay the following applicable Election Assessment: ELECTION ASSESSMENT - MAYOR: $144.00 The Mayor Receives: $1,200.00 per month $1,200.00 x 12 months = $14,400.00 annually The 1% Assessment amounts to: $144.00 OR ELECTION ASSESSMENT - COMMISSIONER: $120.00 Each Commissioner Receives: $1,000.00 per month $1,000.00 x 12 months = $12,000.00 annually The I% Assessment amounts to: // $120.00 Signature of Candidate Date Document Signed * 9e * * 9c * * 9t 9t 9c �'e 9e 9t 9c 9t 9e 9e �t 9c * 9c �t ie 9t 9e ie 9t 9e 9c at 9t 9c 9c * * * 9e 9t 9e 9t 9e 9t 9t 9t �F * �t do * 9t 9e 9e 9e 9e de 9e FOR OFFICE USE ONLY For Office of Mayor - Campaign Account Check in the amount of $144.00 attached (Check should be made payable to the "City of Winter Springs ") or For Office of Commissioner - Campaign Account Check in the amount of $120.00 attached (Check should be made payable to the "City of Winter Springs ") or, 1 applicable 1-1 Completed "Notice of Undue Burden" Attached Revised 7/31 /2014 ��NTE�p OQ SA h u u�i +1959 r~GDD wE tQ Jyc CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 2014 GENERAL MUNICIPAL ELECTION CITY OF WINTER SPRINGS 6 -OATH OF NDIDATE OFFICE OF THE CITY CLERK MAYOR - ITY COMMISSION SEAT TWO / SEAT FOUR Circle Which Applies To Candidacy "Each candidate, whether a party candidate, a candidate with no party affiliation, or a write -in candidate, in order to qualify for nomination or election to any office other than a judicial office as defined in chapter 105 or a federal office, shall take and subscribe to an oath or affirmation in writing. A copy of the oath or affirmation shall be made available to the candidate by the officer before whom such candidate seeks to qualify and shall be substantially in the following form:" 199.021 (1) (a) 1. Florida Statutes ] STATE OF FLORIDA COUNTY OF Or -a'1Q 'Before me, an officer authorized to administer oaths, personally appeared V /'A.,) CQ (Please print your name as you wish it to appear on the to me well known, who, being sworn, says that he or she is a candidate for the office of Mayor - City Commission Seat Tw / Seat Four; that he or she is a qualified elector of 7 &r✓I Ylfo Circle Which A 'es To Candidacy County, Florida; that he or she is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to be nominated or elected; that he or she has qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with that of the office he or she seeks; that he or she has resigned from any office from which he or she is required to resign pursuant to s. 99.012, Florida Statutes; and that he or she will support the Constitution of the United States and the ns ' n o he State of Florida." Signature of Candidate Sworn to and subscribed before me this 2 vtd at Seminole County, Florida. `! ii. rip '��• ,,, � • MISSIO 'Sr �, G 21,,? pE1 6sA9 Revised 8/12/2014 Zz #EE 082142 CN Ci rr��'rrr�C STATE���.�a•, Street Address T i-ilz 1L,S 0 P?— 3 a- City 'State Zip Code day of , 201_, ' a 0 f�igna n" Title of Officer pctbll?, ~ ti rJ � CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 o �. 2014 GENERAL MUNICIPAL ELECTION t CITY of vv Iv U 7 - LOYALTY OATH OFFICE OF THE CITY CLERK fo • r 1959 '4, 00 WE'raJ� MAYOR -CITY COMMISSION SEAT TWO / SEAT FOUR Circle Which Applies To Candidacy "All persons who now or hereafter are employed by or who now or hereafter are on the payroll of the state, or any of its departments and agencies, subdivisions, counties, cities, school boards and districts of the free public school system of the state or counties, or institutions of higher learning, except candidates for federal office, are required to take an oath before any person duly authorized to take acknowledgements of instruments for public record in the state in the following form:" [876.05 (])Florida Statutes] "h >V--v "&/ C-1 !V !V O A/ , a citizen of the State of Florida and of the United States Name (Please Print or Type) <:7—A 1/CJ C�`T of INT+� RINGS of America, and being employed by or an officer of �� ►' nd a recipient of public funds -r 6L P c 7- 7-1-V as such employee or officer, do hereby solemnly swear or affirm that I will support the Constitution of th_ , United States and of the State- of Florida." / Signature 1 �� li/�►rvD�rv�r 7: �- Street Address �/, • �� 3, W�rrr.rci f52g,'6uGs ity State Zip Code STATE OF FLORIDA COUNTY OF Swo�m to (or affirmed) and subscribed, under penalties of perjury, before me this r- �' day of s , 201 , by Kai !� l.. ezm,- r" (Print Name of Person Making Statement) Notary Public - State of Florida Stgn r of Notary Public Notary public State of Florida • per. Andrea Lorenzo - Luaces c_F K Expires rn ni 9ion E5 087574 Type of Revised 7/31/2014 (Print Name of Notary Pubji.i OR Personally Known ✓ RE, 0.7 IF RV E wTZRSA CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 o --1 -- • �� 2014 GENERAL MUNICIPAL ELECTION CITY of y U 8 - NOTICE OF TESTING OF TABULATING EQUIPMENT • ' 1959 ----- "000 WEtR�y` • MAYOR - ITY COMMISSION SEAT TWO /SEAT FOUR ------ ene�w�cnxpptre�-ra-t✓anaf as �y". "On any day not more than 10 days prior to the commencement of early voting as provided in s. 101.657, the supervisor of elections shall have the automatic tabulating equipment publicly tested to ascertain that the equipment will correctly count the votes cast for all offices and on all measures. If the ballots to be used at the polling place on election day are not available at the time of the testing, the supervisor may conduct an additional test not more than 10 days before election day. Public notice of the time and place of the test shall be given at least 48 hours prior thereto by publication on the supervisor of elections' website and once in one or more newspapers of general circulation in the county or, if there is no newspaper of general circulation in the county, by posting the notice in at least four conspicuous places in the county. The supervisor or the municipal elections official may, at the time of qualifying, give written notice of the time and location of the public preelection test to each candidate qualifying with that office and obtain a signed receipt that the notice has been given." 1101.5612 (2) Florida Statutes] NOTICE Please accept this Notice that the tabulating equipment to be utilized in the City of Winter Springs, Florida's 2014 General Municipal Election will be tested on: DATE: FRIDAY, OCTOBER 10, 2014 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 (407) 585 -VOTE [8683] City of Winter Springs Municipal Elections Official /Designee RECEIPT do hereby acknowledge that on this Name of Candidate (Please Print or Type) date of A 144P LAS 201 , I received written Notice (as noted above /on this form in the highlighted block of the date, time, and location related to the "Testof Tabu gipment ". Signature of Candidate (/`'I uGrt5i —1�LZ �� Date Docutfient Signed Revised 7/31 /2014 RECEIVED d1jNTER s CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 a �, 2014 GENERAL MUNICIPAL ELECTION CITY r; ~ 9 - NOTICE OF POLITICAL CAMPAIGN OFFt <-E, :XF THE "',7" Gi,- 119 9 y ADVERTISEMENTS /SIGNS N00 WE'T A. MAYOR -CITY COMMISSION SEAT TWO / SEAT FOUR Circle Which Applies To Candidac "The officer before whom a candidate qualifies for office shall notify the candidate, in writing, of the provisions in this section. 1106.1435 (4) Florida Statutes] NOTICE Please find the following documents /information/references related to Political Campaign Advertisements/ Signs in this Notice: Copies related to Political Campaign Advertisements /Signs attached: (1) Copy of Florida Statutes 106.1435 (2) Copy of City of Winter Springs Signage information (Chapter 16 from our Code of Ordinances) Information/References related to Political Campaign Advertisements /Signs: (3) "The Election Laws" - August 2013 [Chapters 97, 98, 99, 100, 101, 102, 103, 104, 105 and 106] (i.e. "Florida Election Code ") [Included in Qualifying packet] (4) "Candidate & Campaign Treasurer Handbook" - November 2013 (Which includes "Chapter 12: Political Advertising" and "Chapter 13: Other Disclaimers ") [Included in Qualifying Packet] ACKNOWLEDGEMENT I, V 1 -/U C-q rV Nc7 N do hereby acknowledge that on this date Name of Candidate (Please Print or Type) of a� U G K 5 7—c,,201� , I received a copy of Florida Statutes 106.1435 and a copy of Chapter 16 from our 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, especially as related to Political Campaign Advertisements /Signs. Also with my signature below, I acknowledge that I will comply with all Laws related to Disclaimers as explained/noted in "The Election Laws" and the "Candidate & Campaign Treasurer Handbook ". Signature of Candidate d4 91 4 f Date Document Signed FOR OFFICE USE ONLY tAttachment: Copy of Florida Statutes 106.1435 u Attachment: Chapter 16 from our Code of Ordinances Revised 7/31/2014 E IAf E D ��NTER CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 a� s 2014 GENERAL MUNICIPAL ELECTION ary of 4vIa: � r -,r< sakUNGs L y 10 - SCHEDULE OF CAMPAIGN FINANCE OFFICE of THE CITY CLERK ' 1959 REPOR TING PEPJODSID UE DATES ti�Op we sav'� MAYOR -CITY COMMISSION SEAT TWO SEAT FOUR Circle, Which Candidacy "The filing officer shall provide each candidate with a schedule designating the beginning and end of reporting periods as well as the corresponding designated due dates." [106.07 (1) (e) Florida Statutes ] "Any candidate or political committee failing to file a report on the designated due date is subject to a fine..." 1106.07 (8) (a) Florida Statutes SCHEDULE DURING /AFTER QUALIFYING *, THE FOLLOWING CAMPAIGN FINANCE REPORTS ARE DUE: Report Due Date: September 10, 2014 - shall contain information regarding all previously unreported contributions and expenditures from August 1, 2014 - August 31, 2014 Report Due Date: October 10, 2014 - shall contain information regarding all previously unreported contributions and expenditures from September 1, 2014 - September 30, 2014 Report Due Date: October 24, 2014 - shall contain information regarding all previously unreported contributions and expenditures from October 1, 2014 - October 17, 2014 Report Due Date: October 31, 2014 - shall contain information regarding all previously unreported contributions and expenditures from October 18, 2014 - October 30, 2014 A Final Report shall be filed 90 days after the General Election - on or before February 2, 2015. - shall contain information regarding all previously unreported contributions and expenditures from October 31, 2014 - February 2, 2015 *For Unopposed Candidates Report Due Date: November 28, 2014 - shall contain information regarding all previously unreported contributions and expenditures from September 1, 2014 - November 28, 2014 ACKNOWLEDGEMENT bra N ,?'-r0Af do hereby acknowledge that on this Name of Candidate (Please Print or Type) date of a(9; 1�- , 201J , I received a written "Sched Of Campaign Finance Reporting Periods/Due Dates" (as noted above /on this form). Date Document Signed Signature of Candidate Revised 8/12/2014 � �y�NrERS CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 o � �� 2014 GENERAL MUNICIPAL ELECTION * 1 11- NOTICE OF A CCESS TO CAMPAIGN FINANCE FO [������y,' t �CH: (;:f- Trrifi 6:1 i f CLERK 'ern 1959 �000wEta�y . MAYOR - CITY COMMISS�App EAT TWO / SEAT FOUR Circle WhicTo Cand idacy NOTICE Please note that Campaign Finance forms are available at the following State of Florida Website address: http: / /election.dos.state.fl.us /forms /index.shtmI #can AND /OR through the Seminole County Supervisor of Elections Office when using their "Online Treasurer Reporting System" /may be requested from the City of Winter Springs' Municipal Elections Official /City Clerk/Designee. ACKNOWLEDGEMENT I, K is V ) "i C,�rVelov do hereby acknowledge that on this date Name of Candidate (Please Print or Type) of 1/ u G LA 5 � o�.,r� 201 , with my signature below, I acknowledge that I understand that I am to comply with the provisions in Ordinance 2014 -11; and in addition, I acknowledge that I have received this Notice that Campaign Finance forms can be accessed at the above noted State of Florida Website; and I also understand that State of Florida Campaign Finance forms are accessible through the Seminole County Supervisor of Elections Office when using their "Online Treasurer Reporting System" and understand that State of Florida Campaign Finance forms can also be requested from the City lerk/Designeefor the City of Winter Springs. Signature of Candidate Date Document Signed Attachment: Ordinance 2014 -11 Revised 8/11/2014 FOR OFFICE USE ONLY Rte' C FEZ.! V E D ��NTERS CITY OF WINTER SPRINGS, FLORIDA AUG 2 6 2014 2014 GENERAL MUNICIPAL ELECTION �- z CITY of WINTER Sfki>yGsa U* 12 — PETITION OFFICE OF THE CITY CLERK Ineoryo1959 �jcApplies COO WE-T MAYOR - CITY COMM�To AT TWO / SEAT FOUR Circle didacy " Each candidate seeking the office of city commissioner or mayor or any other elective office of the city shall file a petition signed by fifteen (15) registered voters of the city with the city clerk." [2-87. Code of Ordinances, City of Winter Springs] I, ,;--V )`ti) CAey 6veA.) do hereby state that I seek nomination to the City of Winter Name of Candidate (Please Print or Type) Springs', Mayor - City Commission Seat Two Seat Four a four (4) year term, in the Election to be held Circe SeaTWInch App ies To Candidacy in the City of Winter Springs, Florida, on Tuesday, November 4, 2014. I, further state that: (1) My legal place of residence is: 1 i`i v ), vnt&a�-,we,s rL 3a :3o7a Street Address fcitv I State Zio Code (2) Length of time of residence in the City of Winter Springs.. ti �z v A2S (3) City of Winter Springs registered Voter: Yes No I o/ _�xc-eg Date Signature of Candidate i H AZA / n ,-eyA % �t2-} c Street Address VrizxS(J2,(V&5 9 City� State Zip Code We, the undersigned qualified Electors, residing in the City of Winter Springs, Florida, nominate: K V I, 6v C"r ev ov Oev for the City of Winter Springs' Name of Candidate (Please Print or T e) Mayor City Commission Seat Two Seat Four: Circle Seat Which Applies To Candidacy (1) -Tara 5 3a.A \t jakossl,�_ (Please Print or Type Name) Signature v Date PeDate id County cu 7�--c F � L S�`1 p8 118 55 y Z2 8 Street Address City State Zip Code Voter Registration Number OR Date Of Birth (2) M ZC/ 120) 'f SeI"A0 (Please Print or Type Name) s ifi Signa re Date Petition Signed County 17 Z NA�►�,Nfa ��- VAP144W SeL44 — 527V® l Iii 1Lf $ ( S 8 Street Address City State Zip Code Voter Registration Number OR Date Of Birth Revised 8/11/2014 NAME OF CANDIDATE: C1 fY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION 12 - PETITION 1�� c"qAttvewV M=; %.&mss w %- err AUG 2 6 2014 CITY OF vilij.Il is :.it' RINGS OFFICE OF THE CITY CLERK Page 2 of 5 Name of Candidate (Please Print or Type) 1 ll ,�,,,, (3) -T) ta- e- �� ��£e _ (r�v�sZ. �,tJ.r�[ - o�y -1y SPmt►7OI� (Please Print or Type Name) Signature Date Petition Signed County 7 klAnA i rta 7,2'1 0 kce l - n }Pr f'ligS 7 8 02-20-70 Street Address City V State Zip Code Voter Registration Number OR Date Of Birth (4) QYaa Q t--ta 1 (Please Print or Type Name) l 76" p(or• d fi g Ter Street Address (5) C e � ?�a b c &-ns // (Please Print or /Type Name) IV)f ) of I N iq 7—e !L Street Address (6) CICA(-� M e.rej t (Please Print or Type Name) Street Address (7) 4JAnc a&ed,4\ � ,/I (Please Print or Type Name) t -1 N "� -T;—Pr Street Address Signature W,'nter <gjfgAs F1 State city , 1�-,2 5em if) Ole, Date Petition Signed County �z70 Am IO729i298 Zip Code Voter Registration Number OR Date Of Birth 2-2q- 11 f Date Petition Signed County City State Zip Code Voter Registration N tuber OR Date Of Birth Lcl A�a Signature City State Signature T -ZU -lq Date Petition Signed )e �� County 3i?W 11- Z3--1609" Zip Code Voter Registration Number OR Date Of Birth 's t -40- Date Petition Signed County LO f - Q- l I(wil I:] S i City 1 0 State Zip Code Voter Registration Number OR Date Of Birth (g) 1 C f (Please Print or Type Name) Signature Date Petition Signed 3d 7a"Y County 6-22 Street Address City State Zip Code Voter Registration Number OR Date Of Birth j (9) 4Ca. P *t (Please Print or Type Name) Signature ate Peti A n Si ed County Street Address Address r State Zip Code Voter Registration Number Ok Date Of Birth Revised 8/11/2014 .iyANTER Q U h •\ ' )WF ~C'OD WESRJy CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION 12 - PETITION NAME OF CANDIDATE: tee t//'n C4 nn o n Name of Candidate (Please Print or Type) AUG 2 6 2034 CITY OF a1a\_, E.q :S", - OFFICE Cw THE Gil„ C -k�c ;v, Page 3 of 5 (Please Print or Type Name) Signature Date Petition Signed County Street Address City I V State Zip Code Voter Registration Number OR Date Of Birth (11) SuSa rt lKA ✓ W �ISOn ��- �y�.tl�,,, A q ! Se�n�no% (Please Priti or Type Name) Si re Date Petition Signed County 2 S 5 A)A l d', A4- %e rraL c c A.V n & ✓,5 "na < ICZ 32 708 /0 74,5 5 977 e Street Address City State Zip Code Voter Registration Number OR Date Of Birth (12) tbVid (Please Print or Type Name) Sign a Date Peti mn Signed County 05 M6"�r"& — b , A"� — Street Address City State Zip Code Voter Registration Number OR Date Of Birth (13) Je,-} — V J. 130 e-cJ'c/ /S 81a9111131- (Pleast Print or Type Name) Signature to Petitron Signed v12M• ne County 7S /l/,tak, UGC 12-711 rcl 52S �G8 Street Address City State Zip Code Voter Regis on Nurql4r OR Date Of Birth ����g �u(du ,� � U� 6y) (14) (Please Print or Type Name) TwG�C' ` Signature Date Petition Signed County Street Address City State Zip Code Voter Registration Number OR Date Of Birth -' <40110 (15) �GZJ OL F (Please Print or Type Name) Signature Dat etitio igned County "14 /,0,d`LF6,jPR fj)1tj-f4&m5e. -10 /19 Street Address City State Zip Code Voter Re@gtration NuAber OR Date Of Birth (16) ( Please Print or Type Name ) Signature County z ?4 A,,A d� -/--Z -o- �rz-e5104 , z� /s6 Street Address City State Zip ode Voter Registration Number OR Date Of Birth Revised 8/11/2014 ��NTER u y • t —m1959 01D WE TaJy4 NAME OF CANDIDATE: Ci fY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION 12 - PETITION REc _ CCTV OF -''i OFFICE OF THE cllr" - -i-. Page 4 of 5 Name of Candidate (Please Print or Type) 1 � S� Z'/J L £ J -69AIs J �(17) .. (Please Print or Type Name) ignature Date Petition Signed County 7 �017ElYSR41 T t"T, c�C Wty�-'crz SPRsv6-3 FL 3270 6//7 Street Address City State Zip Code Voter Registration Number OR Date Of Birth (18) ka' J l'(Please Prim[ or Type Name) 1 Signature Street Address City State (19) (Please Print or Type Name) Signature Street Address City State Date Petition Signed County 3� 0 zog //Vfy Zip Code Voter Registrat on Number OR Date Of Birth � Date Petition Signed County `J ,)' 1 G c5-7 1 -� c �( 11 q 6d'. 1 / Zip Code Voter Registration Number OR Date Of Birth (Please Print or Type Name) Signature Date etition S ed County treet Address i 9 State Zip Code Voter Regis tion tuber OR Date Of Birth (21) 15� V I N MN�6�J (Please Print or Type Name) (22) (23) �l /Ety AMA sRi}c� r 7-ac Street Address City State (Please Print or Type Name) Street Address (Please Print or Type Name) Revised 8/11/2014 Date Petition Signed County Zip Code Voter Registration Number OR Date Of Birth Signature Date Petition Signed County City State Zip Code Voter Registration Number OR Date Of Birth Signature Date Petition Signed County Street Address City State Zip Code Voter Registration Number OR Date Of Birth FORM 1 STATEMENT OF 2013 Please print or type your name, mailing FINANCIAL INTERESTS _ address, agency name, and position below: FOR OFFICE USE ONLY: LAST NAME -- FIRST NAME -- MIDDLE NAME: C-"9 "Vev a „u k ) YU 2 6 2014 MAILING ADDRESS 19569S CITY Oh VVINTFFi 6Nr-211,,JGS OFFICE OF THE CITY CLERK T e R �In/lo5 �� ���),�. -Y1 �Ch C�Z CITY: ZIP: COUNTY: NAME OF AGENCY: q' `c ry )- �)' T. o W NAME Or OFFICE OR POSITION HELD OR SOUGHT: aw r -- P- Iz,�VloS C'! Cp sY►•YIISSiO{t/ �f5 rfzlCi /I��O You are not limited to the space on the lines cn this form. Attach additional sheets, if necessary. CHECK ONLY IF CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE * * ** BOTH PARTS OF THIS SECTION MUST BE COMPLETED * * ** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): d DECEMBER 31, 2013 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: 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: ❑ 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 `i FiCL 22= icVfAJ ry n T7 f vV "f20 t2L x411! ©o � O 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] (If you have nothing to report, write "none" or "n /a ") FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. F ©g INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1 - Effective: January 1, 2014. (Continued on reverse side) PAGE 1 Adopted by reference in Rule 34- 8.202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPEL [Stocks, bonds, certificates of deposit, etc. - See ir'-' .tions] (If you have nothing to report, write "none" or "n /a ") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE P P PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "n/a ") NAME OF CREDITOR ADDRESS OF CREDITOR AUG 2 6 2014 SPRINGS Le P014 2;-. c�,>r�a�. T,rNSrg� �a�xa �. � . (�-_,457-LtZ 0 , rva PZ- Sr,.,,,;-r --. RL 3V'79-? 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 I IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE (required): -L_ DATE SIGNED (required): 44 K -1, r �� 11/1 If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: 1, , 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. Signature WHAT TO FILE: After completing all parts of this form, including signing and dating it, send back only the first sheet (pages 1 and 2) for filing. If you have nothing to report in a particular section, you must write "none" or 'Wa" in that section(s). NOTE: MULTIPLE FILING UNNECESSARY: Generally, a person who has filed Form 1 for a calendar or fiscal year is not required to file a second Form 1 for the same year. However, a candidate who previously filed Form 1 because of another public position must at least file a copy of his or her original Form 1 when qualifying. FILING INSTRUCTIONS: WHERE TO FILE: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. Local officers /employees file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) State officers or specified state employees file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, FL 32317 -5709; physical address: 325 John Knox Road, Building E, Suite 200, Tallahassee, FL 32303. Candidates file this form together with their qualifying papers. To determine what category your position falls under, see the "Who Must File" Instructions on page 3. Facsimiles will not be accepted. Date WHEN TO FILE: Initially, each local officer /employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates for publicly - elected local office must file at the same time they file their qualifying papers. Thereafter, local officers /employees, state officers, and specified state employees are required to file by July 1st following each calendar year in which they hold their positions. Finally, at the end of office or employment, each local officer /employee, state officer, and specified state employee is required to file a final disclosure form (Form 1 F) within 60 days of leaving office or employment. However, filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in their position on December 31, 2013. CE FORM 1 - Effective: January 1, 2014. PAGE 2 Adopted by reference in Rule 34- 8.202(1), F.A.C.