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HomeMy WebLinkAboutRick Brown - Seat Two - Qualifying DocumentsAPPOINTMENT OF CAMPAIGN TREASURER FteceiveD AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES AUG 15 2014 (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) Gi fY Of- WINTER SPRINGS -c'FtCE '7F tHF rry rl Fcir/ 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, Middy, last) 3. Andress ((include post office bctx or street; city., state; zip ,i,CJYA'O code) ll A14H 1-A,9- / olrra'ctG &i rOw I�µJ-`� �/a� 4. Telephone 5. E-mail address (YO7 )6q1 G (1 as "R k3--ow4. Cv 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if C',T%6T— o applicable:C )MmiraftgWMy intent is to run as a Write -In candidate. C l kh .47,e. &i 8. ff a candidate for a partisan office, check block and ffff 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 j' Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer (--i4-!kiw-S 11. Mailing Address 12. Telephone 13. City 14. County vle 15. State �L 16. Zip Code 3� �08 17. E-mail address AIWKA �00,1' ►� 18. f have desfgnat the foffowfng bank as my Primary Depository 0 Secondary Depository 19./Name of Bank v Lc /�i� 20_ Address s-6 ab 2o.q f (S Lie4� C (/ c 21. City V22. County 23. State 24. Zip Code Se 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 26. Signature of Candidate is 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, &�L,Zqk &- lN/����n�s , do hereby accept the appointment (Please Print or Type Name) designated above as: � Campaign Treasurer Deputy Treasurer. X jWMI) APPOINTMENT OF CAMPAIGN TREASURER Riscei eir) AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES AUG 15 20N (Section 106.021(1), F.S.) 311Y OF WIN IER SPRINGS -ccICE CIF Tt-E CiTV CI ERK (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 / 'GZq�' �voc.ej code) / o%lI /�/Ar!'it$ J¢i�rscL �c%, H� wS�p��� f h'L 3a -70F 4. Telephone 5. E-mail address ( �'01 )3Y/ G a 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: C ( for c� i n �Z 6 My intent is to run as a Write -In candidate. 8. If a candidate fora artisan office, check block and fill in name of party as applicable: My intent is to run as a Write -In 0 No Party Affiliation ® Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer R/C� va 11. Mailing Address AI - ��� 12./Telephone % O'111 A -a (76 13. City Z, AA-1rc 14. County 6eA,�t0 15. State i�L 1 16. Zip Code 22 C- a U 17. E-mail address J d /er' 4- 18. 1 have designated the following bank as my ® Primary Depository Secondary Depository 19. Name of Bank 20. Address 21. City �Jl x�, ,� '� 22. County �,h,ue�� 23. State =� 24. Zip Code 3.276 UNDER PENALTIES OF PERJURY, 1 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 26. Signat f Can idate x C 27. Treasurer's Acceptance of Appointment (fill in the blanks and chec the appropriate block) I, /1 ��G 444v,t/ C �y� �,�( do hereby accept the appointment (Please Print or Type Name) designated above as: 0 Campaign Treasurer Deputy Treasurer. Date nature of Ca ign Treasurer or Deputy Treasurer Us-Ut V (Kev. 1U/10) Rule 1S-2.0001, F.A.C. STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) 1, H I0— k OFFICE USE ONLY RECEIVED AUG 15 2014 CI I v OF %MN I ER SPRINGS IFFICE or THE CITY CI, ERW candidate for the office of have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. Signatu Candidate Date I Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign 3vea5urer and of Campaign Depository is Jibed. Wi44ful 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, FLC DA RECEIVED C014 GENERAL MUNICIPAL ELECTION AUG 15 2014 1- AFFIDA VIT OF A CCEPTANCE Page 1 of 3 Ct TY OF WINT ER SPRINGS MAYOR -CITY COMMISSION SEAT TW / SEAT FOUW'CE of THE CITv Cl ERK Circle Which Applies To Can tdacy 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: Date/Time Review Began Date/Time Review Concluded "'Paper Version 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) Appointment Of Campaign Treasurer And Designation Of Campaign Depository For Candidates" [DS-DE 9] J&Lri) ` Statement Of Candidate" [DS-DE 84] o' T " 1 - "Affidavit Of Acceptance" t(Must be completed/signed in front of the City Clerk/Designee). 2 - "Affidavit Of City Residency And Qualified Voter Status" ii Must be completed/signed in front of the City Clerk/Designee DURING THE QUALIFYING PERIOD). 3 - "Affidavit Of Residency - District" (If Applicable) NJ 1: (Must be completed/signed in front of the City Clerk/Designee DURING THE QUALIFYING PERIOD). tL ` 4 - "Application For Office" (With Check drawn from Campaign Account or "Notice of Undue Burden") .Ws 'a `+Z 5 - "Election Assessment" (With Check drawn from Campaign Account or "Notice of Undue Burden") -6 ' 6 - "Oath Of Candidate" "�` (Must be completed/signed in front of the City Clerk/Designee DURING THE QUALIFYING PERIOD). "Loyalty Oath" (Must be completed/signed in front of the City Clerk/Designee DURING THE QUALIFYING PERIOD). •►j' 8 - "Notice Of Testing Of Tabulating Equipment" 9 - "Notice Of Political Campaign Advertisements/Signage" "Schedule Of Campaign Finance Reporting Periods/Due Dates" 1 - "Notice Of Access To Campaign Finance Forms" 2 - Petition "Notice to Federal Government Employees" (If Applicable) R tS. orm V - "Statement Of Financial Interests 2013" �y�NTE fc � SA o � z 19 tiG00 WE'�aJ tee ie rm - 71TY OF WINTER SPRINGS, FLC DA 2014 GENERAL MUNICIPAL ELECTION AUG 15 2014 1- AFFIDAVIT OF ACCEPTANCE CITY OF WINTER SPRINGSe2 of3 IFFICE OF THE CITY CLERK � tate of Florida - Information: (A Compilation of) "The Election Laws of the State of Florida" - August 2013 ,Zi*"Candidate and Campaign Treasurer Handbook" - November 2013 (Which includes Chapter 12 "Political Advertising" and Chapter 13 "Other Disclaimers") "2014 Public Campaign Financing Handbook" A" M rA`- ,`Electioneering Communications Organization Handbook" (April 2014) of Florida Election Information/Contacts" Fate of Florida - Division of Elections Campaign Finance Information: Contributions Returned [DS-DE 21 [Florida Statutes 106.07 (4)(c)] J��E,�A�Receipts Envelope G�tkctronic Filing Information: etter from the Winter Springs City Clerk to "Candidates for Elected Office" (Re: Electronic Filing FWV of Campaign Finance Reports) ,�1' 'Online Treasurer Reporting System" [Guidelines for Campaign Finance Electronic Filing of U�Reports] from the Seminole County Supervisor of Elections `Miscellaneous Information: "GUIDE to the SUNSHINE AMENDMENT and CODE of ETHICS for Public Officers and A Employees" (2014) )reign Nationals" - July 2003 atement of Ethical Campaign Practices" (from the Seminole County Supervisor of Elections) 14 "Voter Guide & Florida Voter Registration Application" (from the Seminole County Supervisor V1 Elections) Revised 8/12/2014 JytwTE� k SA Z u rn Inceepennd 1959 HOOD WF'T .A 'ITY OF WINTER SPRINGS, FLC DA 2014 GENERAL MUNICIPAL ELECTION I - AFFIDA VIT OF ACCEPTANCE Information: of the City Of Winter Springs RECEIVIED AUG 15 2014 Page 3 of 3 CI I Y OF WIN I �-R SPRINGS -%PFICF OF TIHF CITY Gl.FRK 2 - Administration" from the City of Winter Springs Code of Ordinances of Winter Springs Ordinance Number 2008-16 (also noted in Chapter 2 of the City of Winter igs' Code of Ordinances) 16 X�' - 'City of Winter Springs Ordinance Number 2009-14 (also noted in Chapter 2 of the City of Winter i, prings' Code of Ordinances) 2014 General Municipal Election "Information" �y 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 refere ced/docjuments: I, 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 Laws as they apply to the 2014 Election. e Signature of Candidate Street Address Ci State Zip Code Da STATE OF FLORIDA COUNTY OF 62Vtksa� Swo to (or affirmed) and subscribed, under penalties of perjury, before me this ay of 20 Vo - by � q (Print Name of Person Making Statement) Notary Public - State of Florida p4o 4 or AMoty1 rr�yPu UG; u4 OEE0871671 b �� x'A `0/020155 F. (Print Name of Notary Public) Produced OR Personally Identification Known L/' Type of Identification Produced Revised 8/12/2014 XNTERS C1I'Y OF WINTER SPRINGS, FLORIDA A 2 7 2014 -4 2014 GENERAL MUNICIPAL ELECTION >- % �'6 -0 " ""*K' u 0 2 -AFFIDAVIT OF CITY RESIDENCY AND or 7n—'i959 • QUALIFIED VOTER STATUS MAYOR -CITY COMMISS�Appes �,an TWO SEAT FOUR lire e �ccy "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, Ri C 4 We 0WA( do hereby state that I seek election to the City of Winter Name of Candidate (Please Print or Type) Springs', Mayor - City C�Ckcle sion Seat Two / Seat Four - a four (4) year term, in the Election to be held WhichApphes o 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: „2// .%VAML1.4 a .ae(. WiiJTlr c . ;tg /`L 3,770,�- Street Address Citv State Zio Code (3) Length of time of residency in the City of Winter Springs is: / S-yr 9 .y o (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: STATE OF FLORIDA � ( COUNTY OF <�t` C✓ C,* rY UdTP, -Z t gnature Street Address City State Zip Code �7 i1/ Date ` S�w%om tto— (or affirmed) and subscribed, under penalties of peijurybefore me this !� v day of , 201, by�C >t / (Print Name of Person Making Statement) (8W1>➢1y)Pub4ie State of Florldi Andrea Lorenzo-Luaces `n My Commission EE087574 "d Expires 06109/2015 Type of Identification Produced Notary Public - State of Florida Name of Notary Public) OR Personally Known FOR OFFICE USE ONLY Copy Of Florida Driver's License Provided For Item (4). f� Other Documentation Provided For Item (4). Revised 8/12/2014 RID NTE,4S CITY OF WINTER SPRINGS, FLORIDA AUG 2 7 2014 2014 GENERAL MUNICIPAL ELECTION CITY OF V'J:`}`r:-FZ ;,;iat?1tGS 1* 3 -AFFIDAVIT OFRESIDENCY -DISTRICT OFFICE OF THE CITY CLERK U to 1959 '~coovvetF`vy� CITY COMMISSION EAT TW / SEAT FOUR Circle Which Applies To Candidacy "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..." 14.01. (b) Charter, City of Winter Springs] I, AI' 1t ��'yty.�( do hereby state that I seek election to the City of Winter Name of Candidate (Please Print or Type) Springs City Commission eat Two / Seat Four - a four (4) year term, in the Election to be held Circle Which Applies To Candidacy in the City of Winter Springs, Florida, on Tuesday, November 4, 2014. I, further swear or affirm: (1) My legal place of residence is: .-2j/ Al no, i1 g G/rAct� 1�%, ��li r sp.[,'ec� /,�Z- 32 70,E Street Address Citv State Zio Code (2) Length of time of residency in the City of Winter Springs is: 13-p-.f 9 nt n-s (3) Length of time of residency in Winter Springs District 11v<j is: /S iJ�j g ,r a f (4) I am attaching two (2) documents, one to be a Florida Driver's License, as verification of my / 7 residency in the City of Winter Springs. The second document is: L),4:T eo, d� r �% - Ci � U IV Sign re ,4P A44,,D,,!i.4 ew.4ct° Street Address e 3d 70�1' City State Zip Code STATE OF FLORIDA C� Date COUNTY OF Swom to (or affirmed) and subscribed, under penalties of perjury, b ore me this day of � " — , 201�, byL 1141 (Print Name of Person Making Statement) T L Notary Public - State of Florida of Notary Public ((SEAL) r uh State of Florid of 7"t2 L renzo-Luaces t Ivy ,;on r c,sron EE087574 Produced ` s;>< rrr ' cr/ 912015 Type ofldentification Produced Name of Notary Public) OR Personally Known 9e 9e 9r �+e 9r 9r 9e 9e 4r 9e 9r 9e 9e 9e �r 9e tk �r 9e � �r 9e �k �r 9e 9e 9e �e 9e * 9e �r ie 9e a'e �'e 9r �'e � 9e �'e 9e 9e � 9e * 9e 9e 4e 9e * 9e 9e * 9e 9e FOR OFFICE USE ONLY -� Copy Of Florida Driver's License Provided For Item (4). Other Documentation lJ.>�,`�-2�L, `I Provided For Item (4). Revised 7/31/2014 r,F,Vk-frz D ��NTER OF 3,0 0 J to IInt•rp•r9 •\ ti�Op WF- ezR�y CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION AUG 2 7 2014 4 - APPLICATION FOR OFFICE CITY OF WINTER ZPRI,,JGS OFFICE OF THE CITY CLERK MAYOR - CITY COMMISSION E T TW / SEAT FOUR Circle Which Applies To Candidacy 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] d cd4 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 eat Two Seat Four Circle Which Applies 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: QUALIFYING FEE: $150.00 N of Candidate FOR OFFICE USE ONLY Campaign Account Check in the amount of $150.00 attached (Check should be made payable to the "City of Winter Springs") or, if applicable HCompleted "Notice of Undue Burden" Attached Revised 8/11/2014 RECED .N�NTER y' 2 U iecem 1959 '4,c00 wESaV�•c CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION S - ELECTION ASSESSMENT AUG 2 2 2014 CITY OF VVINTER SPRINGS OFFICE OF THE CITY CLERK MAYOR - CITY COMMISSION EAT TWO / SEAT FOUR Circle Which Applies To an i acy "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 (1) 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 ] I,�• n cv 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 Commissio eat Two / Seat Foul Circle Which Applies 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 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 1 % Assessment amounts to: $120.00 C-- 1 1, ��— Signature�ndidate Date Document Signed 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 $120.00 attached [i (Check should be made payable to the "City of Winter Springs") or, i applicable 1-1 Completed "Notice of Undue Burden" Attached Revised 7/31/2014 RECEIV Jy�NTERSA CITY OF WINTER SPRINGS, FLORIDA AUG 2 7 2014 2014 GENERAL MUNICIPAL ELECTION CITY OF ',MN f E rZ ;�Pk'04G$ OFFICE OF THE CITY CLERK ° � 6 - OATH OF CANDIDATE � �_ 1� 9S9 ~60p W.Vr Ft � MAYOR - CITY COMMISSION SfT TW / 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 S e /h 'n o %L "Before me, an officer authorized to administer oaths, personally appeared ',*z k l?awI4 your name as you wish it to appear on to me well known, who, being sworn, says that he or she is a candidate for the office of Mayor - City Commissio eat Tw / Seat Four; that he or she is a qualified elector of sem. rr o Circle Which Applies 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 C=Signa the State of Florida." UCand�dat Street Address City /� State Zip Code Sworn to and subscribed before me this L, day of , 201 d , at Seminole County, Florida. and Title otOtticer Administenng Oath) Revised 8/12/2014 RECEIVED CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION' 2 ��� 7 - LOYALTY OATH CITY oR vr,e t ER SPRINGS OFFICE OF THE CITY CLERK MAYOR - CITY COMMISSION EAT 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:" 1876.05 (1) Florida Statutes 1 "I, /� 1t-c /, 2, " ",,� , a citizen of the State of Florida and of the United States Name (Please 7rint or Type) of America, and being employed by or an officer of C i 7> j 6Jr***, & k,and a recipient of public funds as such employee or officer, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida." �gnature t-4- Street Address /rlT'`r Caw,ii 4L jL cZ City State Zip Code STATE OF FLORIDA COUNTYOF Sworn to (or affirm ) and subscribed, under penalties of perjury, before me this 6 day of 2014 by �( � (Print Name of Person Making Statement) Notary Public - State of Florida Public sir °�G Nclar i ru 11C State of Flodde � '^ Andrei i,�renzo-Luaces W,y-.;onmisFi7-iEE087574 Expires O:,r;c;'T!5 Type of Identification Produced (Print Name of Notary Public) OR Personally Known Revised 7/31/2014 SEC E IIVA, FMo - Q�,NTERso CITY OF WINTER SPRINGS, FLORIDA AUG 2 7 Z014 2014 GENERAL MUNICIPAL ELECTION CITY Jr WIN i i=k ;3F'!,.-408 u y 8 - NOTICE OF TESTING OF TABULATING EQUIPMENTFFICE OF THE CITY CLERK 1959 ~GOp y„E SRv�� MAYOR - CITY COMMISSIO �TWO SEATFOUR Circle Which Applies To Candidacy "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 Statutesl 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 186831 City of Winter Springs Municipal Elections Official/Designee RECEIPT 1, I-W I' C k ch v o w A'( do hereby acknowledge that on this Name of Candidate (Please Print or Type) date of I,1 = JV , 201--�( - , I received written Notice (as noted above/on this form in the highlighted block of the date, time, and location related to the "Testing of Tabulating Equipment". SigmAlfrRe of Candidate e I S-/y Date Document Signed Revised 7/31/2014 3,�r1TeRs CITY OF WINTER SPRINGS, FLORIDA o� 2014 GENERAL MUNICIPAL ELECTION AUG 2 7 2014 9 -NOTICE OF POLITICAL CAMPAIGN �. I"�"'pO""d y OFFICE OF THE CiTYFCLERK 1959 ADVERTISEMENTS/SIGNS OD WETRJg.( MAYOR -CITY COMMISSION SEAT TWO / SEAT FOUR Circle Which Applies o Candidacy "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 I 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, 2, e C � U tJ ,t,/ do hereby acknowledge that on this date Name of Candidate (Please Print or Type) of Ff — l Ste- / L/ , 201 Ll , 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". "<(�/1 C, Si a of Candidate Date Document Signed ******************************************************** FOR OFFICE USE ONLY Attachment: Copy of Florida Statutes 106.1435 ©/ Attachment: Chapter 16 from our Code of Ordinances Revised 7/31/2014 NTERS CITY OF WINTER SPRINGS, FLORIDA AUG 2 7 2014 o� 2014 GENERAL MUNICIPAL ELECTION y 10 - SCHEDULE OF CAMPAIGN FINANCE CITY OF MNTE:R SPRINGS OFFICE OF -rME CITY CLERK 1959 REPORTING PERIODSIDUE DATES hGOD WE-T MAYOR - ITY COMMISSIOAT TW / SEAT FOUR irc e Which Applies o ,an i acy "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." 1106.07 (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 C k ;Z / O t a l n.% do hereby acknowledge that on this Name of Candidate (Please Print or Type) date of S'— , 201_.�/ , I received a written "Schedule Of Campaign Finance Reporting Periods/Due Dates" (as noted above/on this form) ate Docufnent Signed 7�--,C_� Si atureofCandidate Revised 8/12/2014 6 ,CEIV ��NTERs CITY OF WINTER SPRINGS, FLORIDA AUG 2 7 2014 O� 2014 GENERAL MUNICIPAL ELECTION CITY OF vviN-Ft; ;;j;,NG.S u y 11- NOTICE OFACCESS TO CAMPAIGN FINANCE FORMS of THE cirY CLERK1PCOtP 1959 ~000WF--:,T MAYOR - CITY COMMISSION SEAT TWO / SEAT FOUR Circle Which Applies To Candidacy NOTICE Please note that Campaign Finance forms are available at the following State of Florida Website address: htto://election.dos.state.fl.us/forms/index.shtml#can 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 do hereby acknowledge that on this date Name of Candidate (Please Print or Type) of O — IS , 201'f , 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 Clerk/Designeefor the City of Winter Springs. Attachment: Ordinance 2014-11 FOR OFFICE USE ONLY SignatuWefVandidate Date Document Signed Revised 8/11/2014 .0 `~J0 �J ��NTR m CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION AUG 2 / 2014 12 - PETITION CITY OF WINTER SPRJP,GS U Iaeorporana OFFICE OF THE CITY CLERK 1959 ~�oD WE:lf y� MAYOR - ITY COMMISSION SEAT TW / SEAT FOUR Circle Which Applies To Cant t acy "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" 12-87. Code of Ordinances, City of Winter Springs] I, W C l� &Ry UJ A4 do hereby state that I seek nomination to the City of Winter Name of Candidate (Please Print or Type) Springs', Mayor - City Commission Seat Tw Seat Four a four (4) year term, in the Election to be held Circle Seat Which Applies 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: ,211 /�IgAO;,f,tGl�HjciS-2,,-Asr Street Address Citv State Zio Code (2) Length of time of residence in the City of Winter Springs: J,�vrs 9 M or (3) City of Winter Springs Registered Voter: Yes Ye I No Date / Sign re of Candidate Street Address W ; o%• Syw'j ar Fz tSa 7a� City I- State Zip Code We, the undersigned qualified Electors, residing in the City of Winter Springs, Florida, nominate: Ri, C k -JR R u t.J c,% for the City of Winter Springs' Name of Candidate (Please Print or Type) Mayor - City Co�SeaWhirh �Applie.s �C.. / Seat Four: Circle cy (1) klai4kt) C caru W4 hh (Please Print or Type Name) �411 0 ) * # A --/�Oi4C4 - Street Address (2) X/t,/v1►, "o&ANp-1/c (Please Print or Type Name) /26,/c/c 1?—av cl ele X le- Signa Date Petition Signed County 61lir<, '� J7u1- 3- S-196 City State Zip Code Voter Registration Number OR Date Of Birth FS /bill/ S�1,,.1 Ndlt- Signature Date Petition Signed County �¢ �G FogToe Code Voter Registration Number OR Date Of Birth Revised 8/11/2014 I V FIE D .N�xrER cay OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION AUG 2 7 2014 z 12 - PETITION `' � �1959 'n CITY OF `i1�iWT!i.: k 115P RINGS OFFICE OF THE CITY CLERK '~C'�U WEtRJy.0 NAME OF CANDIDATE: /�J• C R A 0 wd Page 2 of 5 Name of Candidate (Please Print or Type) (3) jMrJAe, M _ K se,111nok, (Please Print or Type Name) lyoe2 TOArnaf Signature t Date Petition Signed County a -al l 4s 1 treet Address City State Zip Code Voter Registration Number OR Date Of Birth (4) �E✓� IJ (-T j- —T ! ci (Please Print or Type Name) ' amre Dat Petition Signed County (, V zl''l I( Street Address City State Zip Code Voter Registration Number OR Date Of Birth (Please Print or Type Name) Signature Date Petition Signed County, /600 3 &1w Y e,* • win b✓Wry p fL 3 a7a�t Street ddress City _y State Zip Code Voter Registration Number OR Date Of Birth (6) 13rc,Aak- �11JCS ��YJ S t� t �iZIM'1 n ul e (Please Print or Type ame) Slgn re Date Petition Signed County 2� I �Glndtfnu I�r�r y Y), � z-1( q 1!se Street Address City State Zip Code Voter Registration Number OR Date Of Birth (7) !f 6 F r*w 14&- Y25 (Please Print or Type Name) !ley (fke'" Street Address (9) 42"fe 6- // o Signature Date Petition Signed On go Iir' County City State Zip Code Voter Registration Number OR Date Of Birth (Please Print or Type Name) Signature ICI r►'%4:ud,. t Street Address City State jTwAKY << I<Nz (Please Print or Type Name) Street Address Signature ?y edj'i s r'`'r`If' r City State _J d y z I_n t I Date Petition Signe Counly/ ;��- -76S' S I`/1g . Zip Code Voter Registration Number OR Date Of Birth !i' AliIVa/f Date Petition Signed County 3 /07 2'-36cl9I Zip Code Voter Registration Number OR Date Of Birth Revised 8/11/2014 CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION 12 - PETITION RECEIVED CITY OF WI(v'7'1- 1 OFFICE OF THE CITY c; ,' i7h NAME OF CANDIDATE: /?I CK & O w Page 3 of 5 Name of Candidate (Please Print or Type) (10) 14kseac, CQL( G caz- (Please Print or Type Name) Signature Date Petition Si ed County fits I41 UL)6 CT MAL� Sl�i4�t 3�7Q� i �-i� .-/ 9�� Street Address City State Zip Code Voter Registration Number OR Date Of Birth gyp" (Please Print or Type Name) Signature Date Petition Signed County 41 LI Street Address City State Zip Code Voter Registration Number OR Date Of Bi (12) GAVC-. 1,,JA,VEK _ (Please Print or Type Name) Signature Street Address fciState (13) 4n.1elk C, 9Reen �er^�V11 (Please Print or Type Name) Signature �L 1� 3S wtir e. tre�bQ W , Street Address City State (14) (J �l�s �� .,Fr',g/11G (Please Print or Type Name) Signature State Z S YsrE ct L. 6- Date Pe ition Signed County 3 R-7og SEM d AJO L4 A-z- Zip Code Voter Registration Number OR Date Of Birth A.'I'w f-,)01c Date Petiti n Signed County 0c /-.t-0 Zip Code Voter Registration Number OR Date Of Birth it --a Z, —10" fry / Aj DZ-.-, Date Petition Signed County Zip Code Voter Registration T umber OR Date Of Birth (15) 44t5 r �� n 1-9-O' S&-)tl1 Vl ejt2. (Please Pnnt or Type Name) Vd - Street Address Signature � ` j ?- Ciry State Date Petition Signed County 32 71)'t /-/g Zip Code Voter Registration Number OR Date Of Birth (16) (Please Print or Type Name) `-7---/ •�f %few Date Petition Signed %7c��d Signature A/Z,�,766 0l� /� County - �� yZ2 Street Address City State Zip Code Voter Registration Number OR Date Of Birth Revised 8/ 11 /2014 .ts�NTERs CITY OF WINTER SPRINGS, FLORIDA 2014 GENERAL MUNICIPAL ELECTION 'Z 12 - PETITION 1959 '~G0U WE--f ( E' CITY OF VY !1 P.'.`'a i+iS OFFICE OF THE CITY CL'2�P: NAME OF CANDIDATE: /< 1 c k 3r a t, ./ Page 4 of 5 Name of Candidate (Please Print or Type) c� (17) f7 (Please Print or Type Name) Signature Date Petition Signed County fig$ n W.nSa 3�7� iaJt3Jc�l� Street Address City State Zip Code Voter Registration Number OR Date Of Birth (18) eX--MQk�- (Please Print or Type Name) Street Address (19) y -ff Lr, (P ease Print or Type 1 me) Street Address (20)a/r4 ICE 7 (Please Print or Type Name) Street Address (21) (22) city ISItate Signature Gtr%Its City State bIs i Date Petition Signed County _Z2 tti 9y Zip Code Voter Registr tion N rmber OR Date Of Birth �-1...6 A. ?ate P0oned 10 // ounty O Zip Code Voter keost(atiAlNumber OR Date Of Birth zp� Date Petition Signed C/unty Zip Code Voter Registration Number OR Date Of Birth (Please Print or Type Name) Date Petition Signed County Street Address i Stsic Zip Code Voter Registration Number OR Date Of Birth t� L� (Please Print or Type Name) Signature '2 , , A" `', to Street Address r (23)a_ Z�sz., (Please Prin or Type Name) Street Address Revised 8/11/2014 Date Petition Signed County '3 z-)a,� re -Zr - 8 l Zip Code Voter Registration Number OR Date Of Birth Date Petition Sif County /1`-` f - - 46 Zip Code Voter Registration Number OR Date Of Birth RECEEVED ��>vTeRs CITY OF WINTER SPRINGS, FLORIDA a ZgJ4 AUG 2 2014 GENERAL MUNICIPAL ELECTION — U* , y l2 - PETITION CITY OF WINTER `aYriaLER OFFICE OF THE CITY CLERK [ncornu1 5u9 00) WE jaJh.( NAME OF CANDIDATE:'Ri C 4 � r 0 W 4 Page 5 of 5 Name of Cand' to (Please Print or Type) plac�l (24)` I to f (Nu 1 i� 3 (Please Print or Type Name) Signature DaUPetrtiJ Signed County by Street Address City I State Zip Code Voter Regi tion umber OR Date Of Birth s (25) Q Ley (Please Print or Type,Name) `�- ! ignature ' Dat Petitio Siignne County / p 73. Street Address Ci State Zip Code Voter Registration Number OR Date Of Birth (26) rr rx t`�w��t�+ $ -3- l�—PY►�t�� Q (PI se Print or Type Name) tvt- L a - Signature ✓ �vt�c r � � Date Petition Signed County 3270 IT c?-1 Street Address City State Zip Code Voter Registration Number OR Date Of Birth (27) fPkase Print or Type Name) 0Signature Street Address City State � �^___c 1 (28) .X 1Ul t"i"1 YIQt'-n (Please Print or Type Name) Signature Street Address City State 23-14 S-e'm> yx ' Date Petition Signed County 2-(� Zip Code Voter Registration Number OR Date Of Birth Date Petition Signed County Zip Code Voter Registration Number OR Date Of Birth (29) 1\lC �rt3"_<.�..,,rJLL_ (Please Print or Type Name) Signature Date Petition Signed County Street Address (Please Print or Type Name) Street Address City Revised 8/11/2014 State Zip Code Voter Registration NurnbeF OR Date Of Birth Date Petition Signed County Zip Code Voter Registration Numbc4 OR Date Of Birth RECE9 + ED AUG 2 7 2014 RINGS FORM 1 STAXEMENT OF CITY VVOFF OE OF" I CLERK Please print or type your name, mailing FINANCIAL INTERESTS address, ageney name, and position below: F FOR OFFICE USE ONLY. 1 LAST NAME — FIRST NAME — MIDDLE NAME; ,Roc.) C,q L MAILING ADDRESS : t,1 /� W /'1 6— - 70 e,W t/ CITY : ZIP : COUNTY: NAME OF AGENCY NAME OF OFFICE OR POSITION HELD OR SOUGHT: You are not limited to the space on the tines on this form. Attach additional sheets, if necessary. CHECK ONLY IF 0 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): 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 Q$ U DOLLAR VALUE THRESHOLDS PART A — PRIMARY SOURCES OF INCOME MMajor sources of income to the reporting person - See instructions) (If you have nothing to report, wrft "none" or "nta") 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 "Ma") NAME OF NAME Vr- MAJOR BOURMB ALgjRE55 PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE ,4)1.4 C�1 PART C — REAL. PROPERTY (Land, buildings owned by the reporting person - See instructions] (lf you have nothing to report, wrde "none" or "rW) fr%-%%G HiSTRUCTiOHIS for whrn and where to file this form ar# located at the bottom of page 3. 10 A ff4 ch INSTRUCTIONS on who must file tbla ions+ and "W to fili it out begin on page 3. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] f tf you have nothing to report. write "none" or "nts") TYP OF INTANGIBLE - � - -- - - - - - BUSINESS ENTITY TO WHICH TH PART E — LIABILITIES [Major debts - See instructions] (if you have nothing to report, write "none" or "nla") RECEIVED OF�VJIN-" LN S:'RINGS 1Wd2FLATES:ITY CLERI F-- - llrtide- I r414 I 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 r BUSINESS ENTITY # 2 =1FANYF PARTS A THROUGH F ARE CONTINUED ON A strAtcAI a OnceE (rewire ): DATE SIGNED (reauiredl:1..--,o I&V r_ a ntant licensed under Chapter 473. or attorney in good standing with the Florida Bar prepared this farm for you, he or she must complete the following statement: I, Ills prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instrt nons to form. Upon my reasonable Knowte0ge and beTnei, the disclosure herein "ns true and correct. WHAT TO FiLE: After completing all parts of this form, includina SyyMM dad 0- WWA "'* sheet (pages i and 2) for filing. If you have nothing to report in a particular section, you must write "none" or "n/a" In that section(s). NOTE: MULTIPLE FILING UNNECESSARY- GentorsWy, a P&MM Who hm S5" Forts+'i im IN calendar or fiscal year is not required to file a second Form 1 for the same year. However, a candidate who previously filed Forth 1 because of another public position must at least file a copy of his or her original Form 1 when qualifying. t - EflectN n6werim F.A.G. WHERE TO FILE: if you were maeed the form by the Commission cn Ej*m at a Cam* SaoQa q- of fAc your annual disclosure filing, return the form to that location. Local officerstemp/ogees file with the Supervisor of Elections of the county in which thev permanently reside. (if you do not permanently reside in Florida, file with ft Supervisor of the county where your agency has Its headquarters.) Stabs officers or spec/lted state emp/otress file with the Commission on Ethics, P.O. Drawer 157og, Tallahassee, FL 32317.5709; physical address: 325 John Knox Road, Building E, Suite 200, Tallahassee, FL 32303. Cano'>'b ms as mis turn together wrtn meY qualifying papers. To determine what category your position fails under, see the "Who Must Fite" Instructions on page 3. FarsitnileS will nt)t be accelOd. Date WHEN TO FILE: lnitralfy, each local ofGceriempioyee, state officer, and specbad stale ampinyes insist US within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must to confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. CandtdMss 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 let following each calendar year in which they hold their positions. Fkia0y, at the and of office or employment, each local offroer/employee, state officar, and specified state employee is requited to fee a final disclosure form (Form 1 F) within 60 days of leaving office or Statement of Financial interests) does nQt relieve the filer of filing a CE Form 1 4 he or she was in their position_ on December 31, 2011 PAGE 2 RECEIVE AUG 2 7 2014 CITY OF WINTCr2 Sf'r<INGS OFFICE OF THE CITY CLERK Part B — continued_ R&81, LLC Restaurant Operations 160 Tuslkawilla Road Winter Springs, FL 32708 Restaurant Operations R&B 2, LLC Restaurant Operaflons 1016 Lockwood Blvd Oviedo, FL 32765 Restaurant Operati ays R&B 3, LLC Restaurant Operations 1024 N. Avalon Park Blvd Orlando, FL 32828 Restaurant Operations R&D 4, LLC Restaurant Operations 3635 Almna Me. Oviedo, FL 32765 Restaurant Operations REGEPVE AUG 2 7 2014 CITY OF VVlty rE ,1 7r'ia i;� OFFICE OF THE CITY CLERK Part C Single Family Home 1427 WhitehaliBlvd Winter Springs, FL 32708 Single Family Home 5442 Tangerine Avenue Winter Park, FL 32792 R&B i, LLC 160 Tuskawilla Road Winter Springs, FL 32708 Restaurant Operations Managing Member Yes Direct R&B 2, LLC 1016 Lockwood Blvd 0-6v o, YL 32765 Restaurant Operations Managing Member Yes DiTcut R&B 3, LLC ] 024 N. Avalon Perk Blvd Orlando, FL 32828 Restaurant Operations Ntaw*ng Member Yes Direct R&B 4, LLC 3635 A1oma Ave. Oviedo, FL 32765 Restaurant operations Managing Member Yes Diet