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Lewis, Eddie FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) EDDIE LEWIS OFFICE USE ONLY Name (2) 9490 NW 1st AVENUE Address(number and street) MIAMI SHORES, FL 33153 City, State,Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Q Candidate(office sought): Councilman - Miami Shores Village Council ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 03 / 06 / 2007 To 03 / 16 / 2007 Report Type F1 ® Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ Expenditures $ 156. 82 Loans $ 455.27 Transfers to Office Account $ Total Monetary $ 455.27 Total Monetary $ 156. 82 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 455.27 $ 156. 82 (11)CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record(ss.839.13,F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. ,� (Type name) Leroy Bradshaw (Type name) Gag/-'a- 5 ❑Individual(only for (Z]Treasurer ❑Deputy Treasurer 21 Candidate ❑Chairperson(only for PC,PTY& electioneering commun.) lectioneering commun.organization) X X Signature Sign e DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name EDDIE LEWIS (2) I.D. Number (3)Cover Period 03 / 06 / 2007 through 03 / 16 / 2007 (4) Page 1 Of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix, First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount Lewis, Eddie 455.27 03 / 06 /2007 9490 NW 1st Avenue I Retired LOA Miami Shores, FL 33153 1 DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name EDDIE LEWIS (2)I.D.Number (3)Cover Period 03 / 06 / 2007 through 03 / 16 / 2007 (4)Page 1 of 1 (5) (7) (8) (9) (1 0) (1 1) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Board of County CD w/Miami DIS $26.92 03 08 07 Commissioners Shores mailing 2700 NW 87th Ave addresses 1 Miami, FL 33172 Gerald's Graphics & Printing Deposit for DIS $100.00 03 /08 /07 939 NW 3rd Avenue signs & Miami, FL 33138 posters 2 Greater Miami Shores Chamber's DIS $29.90 03 14 07 Chamber of Commerce "Candidate 9701 NE 2nd Avenue Forum" Miami Shores, FL 33138-2310 breakfast 3 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) EDDIE LEWIS OFFICE USE ONLY Name (2) 9490 NW 1st AVENUE Address (number and street) MIAMI SHORES, FL 33153 City, State,Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): councilman - Miami Shores Village Council ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 03 / 17 / 2007 To 04 / 05 / 2007 Report Type Fl Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ -100. 000 Expenditures $ 100. 00 Loans $ Transfers to Office Account $ Total Monetary $ 300. 00 Total Monetary $ 100. 00 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 755.27 $ 256. 82 (11)CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record(ss.838.13,F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Leroy Bradshaw (Type name) ❑Individual(only for [Z]Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC,PTY& electioneering commun.) electioneenn com nizaUon) X Signature ature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name EDDIE LEWIS (2) I.D. Number (3)Cover Period 03 / 17 / 2007 through 04 / 05 / 2007 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix, First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation T e Description Amendment Amount Crawford, E. J 100.00 03 / 30 /2007 2495 Alibaba Ave I County CHE Opa Locka, FL 33054 1 OL{ l 05 Uo re" SQ ro"oo— )00, d a lveaueY/ �t6+dk TCGFfE IGD•4l� oy /a5 /zoo's DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1)Name EDDIE LEWIS (2)I.D.Number (3)Cover Period 03 / 17 / 2007 through 04 / 05 / 2007 (4)page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Gerald's Graphics & Printing Final payment DIS $100.00 0 07 939 NW 3rd Avenue for signs & Miami, FL 33138 posters 1 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) EDDIE LEWIS OFFICE USE ONLY Name (2) 9490 NW 1st AVENUE Address(number and street) MIAMI SHORES, FL 33153 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): councilman - Miami Shores Village Council ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 04 / 06 / 2007 To 06 / a- / 2007 Report Type TR (2) Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 6 . 55 Expenditures $ 305. 00 Loans $ Transfers to Office Account $ Total Monetary $ 6 .55 Total Monetary $ 305. 00 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 761. 82 $ 761 . 82 (11)CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record(ss.839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Leroy Bradshaw I (Type name) Eddie Lewis ❑Individual(only for OTreasurer [:]Deputy Treasurer [ZZ]Candid ❑Chair�eononly forPC,PTY 8 electioneering commun:) eiectionm X Signature J ignature DS-DE 12�(Rev.,08;11:) CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1)Name EDDIE LEWIS (2)I.D.Number (3):CoverPeriod 04 / 06 / 2007 through 06 / 22 / 2007 (4)Page 1 of 1 (5} (7) M (9) 11 0) 111) Date Full Name Purpose (6) (Last,,Suffix,First,Middle) (add office.sought.if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Gerald's Graphics & Printing Signs DIS $100.00 04 10 0.7 939 NW 3rd Avenue & Miami, FL 33138 Posters 1 An Image Advertising Postcards DIS $100.00 04 15 07 10501 S. Dixie Hwy Miami, FL 33156 Gerald's Graphics & Printing Signs DIS 04 25 07 939 NW 3rd Avenue & Miami, FL 33138 Posters 3 -Bank of America Service DIS 1 $17.00 04 30 - 07 9499 .NE 2nd Avenue Charge Miami .Shores, FL 3.313.8 4 I f An Image Advertising Postcards DIS $21.00 05 . 18 .07 10501 S. Dixie Hwy Miami, FL 33156 c Bank of America Service DIS $17.00 : 05 31 07 9499 NE 2nd Avenue Charge Miami Shores, FL 33138 6 I DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name EDDIE LEWIS (2) I.D. Number (3)Colter Period 04 / 06 / 2007 through 06 j 22 j 2007 (4) Page 1 of 1 (5) (7) C$) Cg) (i 0) (11) (12) Date Full Name (6) (Last,Suffix, First,Middle) Sequence Street Address& Contributor Contribution In-kind Number Cit, State,Zip Code Type occupation Type Description Amendment Amount Bradshaw, Leroy 6.55 06 / 22 /2007 3980 NW 176th St I Retired CAS I Miami, Gardens FL 33055 !. 1 f i I ! ! DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) EDDIE LEWIS OFFICE USE ONLY Name (2) 9490 NW 1St AVENUE Address (number and street) MIAMI SHORES, FL 33153 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): councilman - Miami Shores Village Council ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 03 / 17 / 2007 To 04 / 05 ! 2007 Report Type F3 ❑ Original [0 Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 200 . 00 Expenditures $ 200. 00 Loans $ Transfers to Office Account $ Total Monetary $ 200. 00 Total Monetary $ 200. 00 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 755 .27 $ 456 . 82 (11)CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss.839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Leroy Bradshaw (Type name) Eddie Lewis r-1 individual(only for OTreasurer ❑Deputy Treasurer ❑✓ Candidate Chairperson(only for PC,PTY& etectioneering commun_) I electioneer mmun.organization) Signaturea ure DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name EDDIE LEWIS (2) I.D. Number (3)Cover Period 03 / 17 / 2007 through 04 / 05 / 2007 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occu ation Type Description Amendment Amount Lewis, Eddie ADD 200.00 04 05 2007 9490 NW 1st Avenue I Retired LOA Miami Shores, j FL 33153 2 � E I DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1)Name EDDIE LEWIS (2)I.D. Number (3)Cover Period 03 / 17 / 2007 through 04 05 / 2007 (4)Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (8) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount An Image Advertising Postcards DIS ADD $200.00 04 05 07 10501 S. Dixie Hwy Miami, FL 33156 2 1 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES LOYALTY OATH OFFICE USE ONLY CANDIDATES WITH NO PARTY AFFILIATION (Sections 876.05-876.10,Florida Statutes) STATE OF FLORIDA MIAMI-DADE COUNTY PLEASE PRIN I, EDDIE LEWIS First Name Middle Name/initial Last Name a citizen of the State of Florida and of the United States of America. . . . and a candidate for public office . . . do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. OATH OF CANDIDATE (Section 99.021,Florida Statutes) I� EDDIE LEWIS (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT—NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the office of MIAMI SHORES COUNCILMAN 140 1 (office) (district) (circuit) I am a qualified elector of MIAMI-DADE County, Florida. I am qualified (group) under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected. I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes. UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE. SIGN HERE Signature of Candidate 9490 N. W. 1st AVENUE 305.812.8516 3 >� Sy/S— Mailing Address Day Phone Fax Number MIAMI SHORES FL 33153 3 /zS City State Zip Code Date Signed DS-DE 24B(Rev.08/03) U.SPostal,ServiceTM CERTIFIED�MAILRECEIyPT y (Domestic Mail Only No'Insurance Coverage Provided).; '. For delivery information visit our website at www.usps.com"RA Q Fa • or PO ftx No. PS Form 3800;`J une 2002 a `'� See Reverse for Instructions Certified Mail Provides: fase�ed)zoozeunr'008Euualsd ■ A mailing receipt ■ A unique Identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery:To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailplece Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt Is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted-DeliveV. • If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt Is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an Inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. Elections 2700 NW 87th Avenue M I AM I•DADE Miami, Florida 33172 � $ T 305-499-VOTE F 305-499-8547 ® TTY: 305-499-8480 ADA Coordination miamidade.gov Agenda Coordination Animal Services Art in Public Places Audit and Management Services Aviation Building Building Code Compliance Business Development Capital Improvements Citizens'Independent Transportation Trust Commission on Ethics and Public Trust Communications CERTIFICATION Community Action Agency Community&Economic Development Community Relations STATE OF FLORIDA) Consumer Services COUNTY OF MIAMI-DADE) Corrections&Rehabilitation Cultural Affairs Elections I, Lester Sola, Supervisor of Elections of Miami-Dade County, Florida, Emergency Management hereby certify that 50 signatures submitted by Eddie Lewis for Council Employee Relations in the Village of Miami Shores match the signatures on the voter files. Empowerment Trust Enterprise Technology Services Environmental Resources Management Fair Employment Practices Finance Fire Rescue General Services Administration Historic Preservation Homeless Trust Housing Agency WITNESS MY HAND AND Housing Finance Authority OFFICIAL SEAL AT Human Services Independent Review Panel Lest •Sola MIAMI,.MIAMI-DADE International Trade Consortium Supervisor of Elections COUNTY, FLORIDA, ON Juvenile Services Miami-Dade County THIS 9th DAY OF MARCH Medical Examiner 2007. Metro-Miami Action Plan Metropolitan Planning Organization Park and Recreation Planning and Zoning ' Police Procurement Management - Property Appraisal Public Library System Public Works Safe Neighborhood Parks Seaport Solid Waste Management Strategic Business Manage-Rease submit a check for$5.40 to our office payable to the "Board of Team Metro County Commissioners"for the cost of verifying signatures. Transit Task Force on Urban Economic Revitalization r _ Vizcaya Museum And Gardens r`s`° f" 'd" t Water&Sewer Date:03-08-2007 Petition: EDDIE LEWIS Time: 13:37:00 Contact :COUNCIL Address Phone Party Needed#:50 Total Processed 54100.00% Total Valid 50 92.59% Total Invalid 4 7.41% Not Registered 0 0.00% Illegible 0 0.00% Invalid District 3 5.56% Purged 0 0.00% Unidentified 0 0.00% Signature Differs 1 1.85% Not Signed 0 0.00% Deceased 0 0.00% Previously Signed 0 0.00% Not In County 0 0.00% No Sig On File 0 0.00% Wrong Party 0 0.00% Invalid Address 0 0.00% Deleted 0 0.00% Invalid Date 0 0.00% Notary Problem 0 0.00% No Date 0 0.00% No Addr or Precinct 0 0.00% No DOB or VoterlD# 0 0.00% CYSH CITY:MIAMI SHORES 50 PETITION We, the undersigned electors of Miami Shores Village, hereby nominate a oosition on the Village Council. T NAME_ ADDRESS SIGNATURE DATE lro Zl- c�qpi ( 13 SU �,j -9 3 3 J 0 7 12 /z toP`*S `7t3 S' TavOof � 1(/1 �� 0 JAL� 4� 1 N�-7 10 S� � sa•�/ � 35A) QlS� � ( 7 G 1-75 E Ian s WL 3 12_40-C' The undersigned is the circulator of the foregoing paper containing / 7 signatures. Each appended thereto was made in my presence and is nuine signature of the person.whose name it purports to be. Signature of Circulator Addtess Acceptance of Nomination I hereby accept.the nomination for the Village Council and agree to serve if elected. Signature of Candidate { PETITION s— We, the undersigned electors of Miami Shores Village, hereby nominate �-o- a position on the Village Council. PPUT NAME ADDRESS siGAkTURE DATE LI 6 _ ?o ke- Y6I/ --- I . "kj bOtO- tAzarf 16 3 J *�6-7 i1 4tl04 9Z(9 � o I �I 3�3-a7 �a-f �5�3 `Jt' (cYO 5--, -07 �,)� #W-f'S ��z q3 �- 3-7 1 � ik-v a( ,t-T -- 7 kt ft2�ak J�ffl'mjoyv 1-go Nr jo? 7617 Va— The undersigned is the circulator of the foregoing paper containing _6Vjatures. Each appended thereto ljl� Vi was made in my presence and is th n nuine signature of the person whose ameA't purports to be. Signature of Circulator < Address 'Al /,f/, �{ Acceptance ofNomination , I hereby accept,the nomination for the Village Council and agree to serve if elec ed. Signature of Candidate - _ PETITION We, the undersigned electors of Miami Shores Village, hereby nominate for a position on the Village Council. _ NAIv1E ADDRESS SIGNATURE DATE 69 r-L-14-2�-- - rn Pte►�z (el AM 10 1 S4- yo ;j. r car 33 -Lv -&� sap -� - c l ® sr e- /2� r 6� The undersigned is the circulator of the foregoing paper containing i 1 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose rename it purports to be. Signature of Circulator Address 1 (q.y 'q. &J Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate PETITION We, the undersigned electors of Miami Shores Village, hereby nominate f/ C position on the Village Council. ' DP NAME ADDRESS SIGNATURE DATE L� - (41 Ki �- 1 ST 3 a-(J (LA IL(O'D a t �z 5-r 3 --3 r-D-7 Q A- n.A,a-cz 9l?� a 175 04 ins V"V' 2 0 lel3 r '1� lbw 1 35 07 AJ AA t oz., S� 3 The undersigned is the circulator of the foregoing paper containing si atures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator Address 9V70 A(• 6-✓ • Acceptance of Nomination I hereby accept.the nomination for the Village Council and agree to serve if elected. Signature of Candidate --- PETITION We, the undersigned electors of Miami Shores Village, hereby nominate Z;10/� for a position on the Village Council. ' PRINT NAME ADDRESS SI NATURE DATE h S-U.L! NE t01 s7 (33 13 Zf27/0r . V6� J11 A—) K14t w3-3 GyGv 9 - 20 44 13`8 07 J P-.Cp ry)v J C)rA! 114 The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the gen ' e signature of the person whose name it purports to be. Signature of Circulator ;Z:;ddress y `/�U /5/. �,u • p �- Acceptance of Nomination I hereby accept.the nomination for the Village Council and agree to serve if elected. Signature of Candidate ' �S�oRES Gil ✓VG�i7�'L C� ���efi, C%�C�2� l ICON FLs 10 ORIDA 0'0050 QiY.Tp. 2' QW4*mce G>r2�ainu C�raxPs, CC�� �,�',38 March 8, 2007 Mr. Eddie Lewis 9490 N.W. 1s`Avenue Miami Shores, FL 33150 Dear Mr. Lewis Congratulations on becoming an announced candidate for Miami Shores Village! Please be advised that as a candidate for the Village Council, you are required to file Campaign Treasurer's Reports on the dates shown below: Due Date Period Ending First Treasurer's Report 03/23/07 03/16/07 Second Treasurer's Report 04/06/07 04/05/07 Within ninety (90) days after having been elected, eliminated, or withdrawing your candidacy, you must dispose of your campaign fund account and file a final report. Final Treasurer's Report Due 07/09/07 Reports shall be filed no later than 5:00 PM on the designated day, however, any report postmarked by the U.S. Postal Service no later than midnight on the designated day shall be deemed to have been filed in a timely manner. TX.- r 05)795-2207 CV.- (805)756-8972 Mr. Eddie Lewis March 8, 2007 Page Two At 10:00 AM on April 5, 2007, in accordance with Section 101.5612, Florida Statutes, a logic and accuracy test will be conducted on the automatic tabulating equipment to be used in the Miami Shores Village Council election. The test will be held at the County's Division of Elections office, located at 2700 N.W. 87th Avenue, Doral, Florida. If I can be of any assistance during your campaign, please do not hesitate to contact me. I look forward to working with you in the coming weeks. Sincerely, &, 60 C ,M/zc. Barbara A. Estep, MMC Village Clerk Certified Mail — Return Receipt Requested Candidate qualifying letter S�oRlogo Egg?" Es ua�e O �LR 0 mosso C�ii'. (P• 2, Qw4www QAaWW 2007 COUNCIL ELECTION Candidate Name: Ead- Q, Address: cf�go NW 14- I VI MS Telephone Numbers: 33S - Si a gsl 6 (UR) 30S- S 6 `I 7'( �nOrw�2 CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION Confirm Voter's Registration —( Confirm Length of Residence in Miami Shores Campaign Account & Treasurer's Appointment J_ Form 1 Financial Disclosure Loyalty & Candidate's Oath Statement of Candidate 50 Signatures on Nominating Petition Confirmed by Miami-Dade County Elections �, (805)X95-2209' c.• (805) 3054998401 FROM FAX N0. :3054998401 Mar. 08 2007 02:06PM P1 Elections Department 2700 NW 87th Avenue Miami, Florida 33172 Phone: 305-4998509 Fax: 305-499-8501 FA-Xi Date: h'( .i_t - a`7 No. of Pages: (Ind.cover shoot) To: Fax#: -� Co./Dept: _ Phone#: From, (A Lester Sola, Supervisor of Elections 0 Christina Sacogiannis, Assistant to the Supervisor of Elections fi� Carmen Da.Cruz, Senior Executive Secretary Comments: FROM FRX NO. :3054998401 Mar. 08 2007 02:06PM P2 Elections 2706 NW 871:11 Avenue 172 `MIAMI-DADE C)TF ti, Florida -8547 1305-49y•VC�TF F 3�]5-499-ti547 iTY: �io5-199-8480 miamid;tde.gov AIM C,wrdlnitlon Agenda(:!mw inaliurl Aninldl Snlwiucx Ail In Public Placoc Audis:roil Menegcnlenl$nrvira�r; Aviation tiuilillno Building Cade Compliance 6uslllrs Devclulhllont Capital Improvements Cllhnns'Indcpe0ilenl li:inaportaliurl 11115t C.nmrnixsioll np Fthira;and l'llbllr.F1110 Cammonir:atir'r'x CERTIFICATION CunnllUnty Action hynncy Community&Cctmomir I w-loprnrnt l'(Immuuily ROMIn"' STATE OF FLORIDA) (:nn¢mmrr Services COUNTY OF MIAMI-DADE) Coirnntinns•$RchabilllMlnn COMM Electinns I, Lester Sola, Supervisor of Elections of Miami-Dade County, Florida, Flections F.nlnr�rnr:y M;trl:egerrrerrl hereby certify that 54 signatures submitted by Eddie Lewis for Council [,,,ploy.?.RnIntiom in the Villaa e_of Miami Shores match the signatures on the voter files. Fmpnwanne:nl7iUsl Lnterprites li dlnningy Snrvires Errvll'ollltlnnhl Rm.ourre::,Vleriago110111 rair Employlllnnl Prnctir'. Finance Fire Rep w? General Services Adminlctrntinn I bxroric rrexervetiun i lomr•.Irs;Truxl I low.,ing Agency WITNESS MY HAND AND IlnnxingFinance Authority` f OFFICIAL SEAL, AT llrrmanal ` - Inde,,orrNlenl.Revieww Vdn'l est 'Sola MIAMI, MIAMI-DARE hlleillAUUnai Il'adr t':nn.s`nrriun, Supervisor of Elections COUNTY, FLORIDA, QN. Juvenile Sel'vlres Miami-Dade County THIS 9th DAY OF MARCH MCChrdl Fvan,lnrr 2407. Metro-Mlaml Artinn Plan �— MrAmpnlhan Plenning Chg;miceliuu lark end Knnlratinn Planning end Zunitig . Fol Irr I'f?rllrrtrl,rnt Manegnlnmil Properly Appm6al I'llbllc.I,tl,rary Syaom Public works Sate Ne•.ighbur'hood Picks Scraped gnhd Mwv Mauagemer,l Shah�gic;ltur:inexx MdlSd�nn,�t1®ase submit a check for$5.40 to our office payable to the "Board of County Commissioners"for the cost of verifying signatures. Irnnxil Tlik Fui4e un UI'h,,n Frnnnmin Revitali2aliun Vixc;rya Muxeunl And i:;arrlrrx ... ...:.; W iter?r Sewe.Y FROM FAX NO. :3054998401 Mar. 08 2007 02:07PM P3 Date:03-082007 Petition : EDDIE LEWIS Time 13:37:00 Contact : COUNCIL Address Phone Party Needed#:50 Total Processed 54100,00% Total Valid 50 92.59% Total Invalid 4 7.41% Not Registered 0 0.00`Y0 Illegible 0 0.000/0 Invalid District 3 5.56% Purged 0 0.00"/0 Unidentified 0 0.00% Signature Differs 1 1.85% Not Signed 0 0.00% Deceased 0 0.00% Previously Signed 0 0.00% Not In County 0 0.00% No Sig On File 0 0.00% Wrong Party 0 0.00% Invalid Address 0 0.00% Deleted 0 0.00% Invalid Date 0 0.00% Notary Problem 0 0.00`Yo No Date 0 0.00% No Addr or Precinct 0 0.00% No DOB Or VoterlD# 0 0.00% CYSH CITY:MIAMI SHORES 50 S URES Gr 96aO& C9t. 44, K•u sM ipazG w (e" nn� v _)a �L0rE R1Up' X0050 Q'r•V. ame �, COY ����8 March 6, 2007 Ms. Ivy Korman Miami-Dade County Elections Department 2700 N.W. 87th Avenue Miami, FL 33172 Dear Ivy: Enclosed please find Petition Forms (5) from Eddie Lewis in reference to the Miami Shores Village April 10, 2007 Council Election. Per our Charter, prospective candidates must obtain fifty (50) signatures of qualified electors in order to qualify for our election. Please verify the signatures on the attached petitions at your earliest convenience. If you have any questions, please do not hesitate to contact me directly at 305-795- 2207. Sincerely, /LAWW 6? I ANC Barbara A. Estep, MMC Village Clerk �lco�ee: (805)995-2207 CO. x805,)756-8972 PETITION We, the undersigned electors of Miami Shores Village, hereby nominate � elk for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE EON A E)V i6 AIV 3 S Sv"- � ,r vn gc.x11�t'for 3 3 0 �k: � ilK aw l3 (`-7 ME 10 U 1, s G 0 s7 T �v S27 N/Qk /3 v�y e rd' 601 .6 G The undersigned is the circulator of the foregoing paper containing i 7 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator Address . 60 . //}-vim• Acceptance of Nomination I hereby accept.the nomination for the Village Council and agree to serve if elected. Signature of Candidate E PETITION We, the undersigned electors of Miami Shores Village, hereby nominate 001 Vj I io_ a position on the Village Council. PRR,;T NA-NM ADDRESS SIGNATURE DATE TH [21 MIA1 WqS (11 1qOOAJe-1'D2- ST l , kA -1 t 02- s-r _ `3 -C)7 ,2 a A -44-1. ;?[?s ti1 �7S%✓ 3 67 318' �L i6s 3 3 0 � W I�1 7 F t o U —72TI lerAA oma, Sl The undersigned is the circulator of the foregoing paper containing �� s atures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator Address ���/�� &t L`` • '� Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate �_---' PETITION E We, the undersigned electors of Miami Shores Village, hereby nominate % for a position on the Village Council. PR11tiT NAME ADDRESS SIG . TURE DATE LC Li N i0o 0 APA(7.626 //C- Ab(W 2- r SIP `Zyg Q u o ! K4 iafnL/Y3 A(06 'l AV& S is UfA 1. 7 30 JOE,. 1015 �r �r"30 Y 07 The undersigned is the circulator of the foregoing paper containing ('� es. Each appended thereto was made in my presence and is th nuine signature of the person whosgt purports to be. Signature of Circulator a Address9d w• /�'�`�- Acceptance of Nomination I hereby accept.the nomination for the Village Council and agree to serve if ele% d. Signature of Candidate PETITION We, the undersigned electors of Miami Shores Village, hereby nominate for a position on the Village Council. PPdi',q'T NAME: ADDRESS SIGNATURE DATE ( 13 3 3g-J' D 7 ST h C l< ) 1 C`4r e, L..Con e&j(SP_ )07 ✓SOS n-1 1 14 0 rU brio 5�, 3 3 o) -A cLv'x 10 f-k' AASaA/ P35A) C--cit Irl O aijl (��c- goy SF.. 175 /�H 1 L)L> St f .� -,a The undersigned is the circulator of the foregoing paper containing / 7 signatures. Each appended thereto was made in my presence and is nuine signature of the person.whose name it purports to be. Signature of Circulator ~— Address Acceptance of Nomination I hereby accept.the nomination for the Village Council and agree to serve if elected. Signature of Candidate ``� I PETITION We, the undersigned electors of Miami Shores Village, hereby nominate for a position on the Village Council. ' PR1NT NAME ADDRESS SI NATURE DATE Ish SOL) 1VE 01 ST 3313 j,OaE:::i --:O�--2kbba 52- lt/(�,/ !2-2, 5-1 Mf- a a 3 a N �3` 'cT- i� h j e"(P MRi J C)r-AP NYJ 11)0 Sk � Qr �n� �S � u � uJ6r o The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the gen ' e signature of the person whose name it purports to be. Signature of Circulator ;Z� ddtess `T r1 U �/. �u • �. Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if elected. �.. Signature of Candidate ' FORM I STATEMENT OF 2006 Please nnaename,tiieaddressagecy m ,aiionblow: FINANCIAL INTERS STS LAST NAME—FIRST NAME—MIDDLE NAME: FOR OFFICE LEWIS EDDIE USE ONLY: MAILING ADDRESS: 9490 N. W. 1 AVE ID Code MIAMI SHORES VILLAGE 33153 MIAMI-DADE CITY: ZIP: COUNTY: MIAMI SHORES VILLAGE ID No. NAME OF AGENCY: MIAMI SHORES VILLAGE COUNCIL Conf.Code NAME OF OFFICE OR POSITION HELD OR SOUGHT: P.Req.Code 1 S cootAc1l. You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF Z CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE PDF 2006 —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(check one): ✓❑ DECEMBER 31,2006 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS 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). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER(check one): ❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR DOLLAR VALUE THRESHOLDS PART A—PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY SELF-EMPLOYEE HOME POLITICAL/COMMUNITY ORGAN 17d PART B—SECONDARY SOURCES OF INCOME[Major customers,clients,and other sources of income to businesses owned by the reporting person] 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] FILING INSTRUCTIONS for when and where to file this form are locat- HOME 6PB 10-39LOTS 1&2 BLK 132 OR 14929-638-15005-64445-03911 ed at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1 -Eff. 1/2007 (Continued on reverse side) PAGE 1 PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PIONEER FUND STOCKS ACCT#90220934 32,369.70 NACO ACCT#261061686 401 K 200,000.00 PART E—LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR NONE PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] BUSINESS ENTITY#1 BUSINESS ENTITY#2 BUSINESS ENTITY#3 NAME OF NONE 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 IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE(required): DATE SIGNED(required): – ^ FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must sheet(pages 1 and 2)for filing. your annual disclosure filing, return the form to file within 30 days of the date of his or her that location. appointment or of the beginning of employ- If you have nothing to report in a particular ment. Appointees who must be confirmed by section, you must write "none" or 'Wa" in that Local tions rof the o couneesty i le with the Supervisor the Senate must file prior to confirmation,even section(s). of Elections . the county t while they perms- if that is less than 30 days from the date of their nently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county appointment. Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly-elected local office NOTE: State officers or specified state employees must file at the same time they file their MULTIPLE FILING UNNECESSARY: file with the Commission on Ethics, P.O. Drawer qualifying papers. Generally, a person who has filed Form 1 for a 15709, Tallahassee, FL 32317-5709; physical Thereafter, local officers/employees, state calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are second Form 1 for the same year. However, a 201,Tallahassee,FL 32312. required to file by July 1st following each candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their posi- of another public position must at least file a copy qualifying papers. tions. of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment, falls under, see the'Who Must File" Instructions each local officer/employee, state officer, and on page 3, specified state employee is required to file a final disclosure form(Form 1 F)within 60 days of leaving office or employment. CE FORM 1 -Eff. 1/2007 PAGE 2 OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) 1, MR. EDDIE LEWIS , candidate for the office of MIAMI SHORES COUNCILMAN have received, read and understand the requirements of Chapter 106, Florida Statutes. Signatndidate Date 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(Rev.08/03) Le ,V"v Q ie�'qp to afris-,r ijo:r ortt t i 31r-�-f­or b,,,;:%, b-,-jv j i fi=t.( I.)--- 0 "l, "I'v 111ii, --1 ;0 If t'.0 ;r, 1 1(-t 4. F. f, iFi -A -).k Pi ItrJG STATE OF FLORIDA OFFICE USE ONLY APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(11),F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: 0 Original Appointment ❑ Deputy Treasurer ❑ Reappointment of Treasurer ❑ Secondary Depository Name of Candidate 1.Address(include post office box or street,city,state,zip code) MR. EDDIE LEWIS 9490 N. W. 1st AVENUE MIAMI SHORES, FL 33153 Telephone(optional) 2. Party(Partisan candidates only) 3.Office(add district,circuit,group number) 305 812-8516 IIII&INGOW I MIAMI SHORES COUNCILMAN I have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer LEROY BRADSHAW 5.Mailing Address(If post office box or drawer add street address) 6.Telephone 3980 N. W. 176th STREET 1305.625.2515 7.City 8.County 9.State 10.Zip Code MIAMI GARDENS MIAMI DADE FLORIDA 1 33055-3842 1 have designated the following named bank as my ✓❑ Primary Depository ❑ Secondary Depository 11.Name of Bank 12.Street Address BANK OF AMERICA 1 9499 N. E. 2nd AVENUE 13.City 14.County 15.State 16.Zip Code MIAMI SHOR MIAMI-DADE FLORIDA 33138 17.XSignature of ate Date ampaign Treasurer's Acceptance of Appointment 1 LEROY BRADSHAW do hereby accept the appointment as (Please Print or Type) ❑✓ Campaign Treasurer ❑ Deputy Treasurer for the campaign of MR. EDDIE LEWIS who is seeking nomination or election as a candidate to the office of (Party) MIAMI SHORES COUNCILMAN As a duly registered voter in MIAMI-DADE County,Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY,I DECLARE THAT 1 HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. � - a'3 , ado x6A40L9"Ct11J Date Signature of Ompaign Treasurer or Deputy Treasurer DS-DE 9(Rev.02106) STATE OF FLORIDA OFFICE USE ONLY APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1),F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: ❑ Original Appointment ❑✓ Deputy Treasurer ❑ Reappointment of Treasurer ❑ Secondary Depository Name of Candidate 1.Address(include post office box or street,city,state,zip code) MR. EDDIE LEWIS 9490 N. W. 1st AVENUE MIAMI SHORES, FL 33153 Telephone(optional) 2. Party(Partisan candidates only) 3.Office(add district,circuit,group number) 305 812-8516 1 1 MIAMI SHORES COUNCILMAN I have appointed the following person to act as my ❑ Campaign Treasurer ❑✓ Deputy Treasurer 4.Name of Treasurer or Deputy Treasurer MR. EDDIE LEWIS 5. Mailing Address(If post office box or drawer add street address) 6.Telephone 9490 N. W. 1st AVENUE 305.812.8516 7.City 1 8.County 9.State 10.Zip Code MIAMI SHORES MIAMI-DADE I FLORIDA 33153 1 have designated the following named bank as my ❑✓ Primary Depository ❑ Secondary Depository 11.Name of Bank 12.Street Address BANK OF AMERICA 1 9499 N. E. 2nd AVENUE 13.City 14.County 15.State 16.Zip Code MIAMI SHOR S MIAMI-DADE FLORIDA 1 33138 17.Si nature of t Date Campaign Treasurer's Acceptance of Appointment 1, MR. EDDIE LEWIS do hereby accept the appointment as (Please Print or Type) ❑ Campaign Treasurer ❑✓ Deputy Treasurer for the campaign of MR. EDDIE LEWIS who is seeking nomination or election as a candidate to the office of (Party) MIAMI SHORES COUNCILMAN As a duly registered voter in MIAMI-DADE County, Florida,I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY,I DECLARE THAT 1 HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT TH FCRTS STATED ARE TRUE. 2,3 t�lo cS Date Signature of Ca gn Treasurer or Deputy Tre urer DS-DE 9(Rev.02/06)