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Davis, Robert Huntington III "Hunt Davis" 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 miamidade.gov CERTIFICATION STATE OF FLORIDA) COUNTY OF MIAMI-DADE) I, Tara C. Smith, Chief Deputy Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 67 signatures submitted by Robert Huntington Davis III for the office of Village Council in Miami Shores Village matched the signatures on the voter files. WITNESS MY HAND AND OFFICIAL SEAL, AT MIAMI, MIAMI-DADE COUNTY, FLORIDA, ON THIS 4th DAY OF MARCH 2009 Tara C. S Chief Deputy Supervisor of Elections Miami-Dade County Please submit a check for$5.00 to our ffice p yabM to they"Board of-Cou ty-} Commissioners"for the cost of verifying these signatures. Elections 2700 NW 87th Avenue MIAM I•DADE Miami, Florida 33172 T 305-499-VOTE F 305-499-8547 TTY: 305-499-8480 miamidade.gov March 4, 2009 Barbara Estep, Village Clerk Miami Shores Village 10050 NE 2nd Ave. Miami Shores, FL 33138 Dear Ms. Estep: The Miami-Dade County Elections Department has completed the verification of the petitions for Robert Huntington Davis III, a candidate for Village Council. A total of 79 petitions were submitted and all were reviewed for verification. Of the total 79 petitions, 67 were certified. There will be no charge for the additional petitions that were verified. The Miami-Dade County Charter requires this process to include the following. For purposes of signature verification, however my office does not review this information, and encourages the municipality to ensure compliance with municipal charter or code requirements. • Title not being in English, Spanish, and Creole • Circulator was not a registered voter in Miami-Dade County • Notary did not comply with F.S. 117.05 • Notary was the same person as the circulator • Signatures of the circulator and the notary were dated earlier than any of the dates on which the electors signed the petition As such, please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact me or Michelle Giles, Acting Deputy Supervisor of Elections for Voter Services at 305-499-8302. Sincerely, C Tara C. Smith Deputy Chief Supervisor of Elections Miami-Dade Elections Department Enclosure f //// E'xcezze lie � e-11, )C� PETITION We the undersigned electors of Miami Shores Village, hereby nominate, Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE _DATE :�( . �z9 Air 997_1q Z-1 ► )o A2a BUD -/i 12310 (2 gq cS I � l v . 1->� , y 1 'aa ai�1 995 a�//(07 �AEV4NEY 12bg M .G, gl sT r P. 21 - 8 ✓ A DA vii 4D Atu .qqsr ' (It"Ckr, �Q'rs r_ q0 LZ NG 99i`' S f f Z— 03 - 09 1/ 3ff 4)4C4 / 4?�6 IJ je,5-" x _51 qct a 0 <t SD Nf,- I A, The undersigned is the circulator of the foregoing paper containing 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 Q�7�3 �� lZ/t/✓� ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate w PETITION We the undersigned electors of Miami Shores Village, hereby nominate Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE --`-... i7 3��at N s ���l�� L 5"5 �9�9 7 ST�•--- _ � �_I.� c� S d S c7 cC�NSai2 P(t;r� ��$P•� t I�f� 4^(� `R Sv . ��''s'��zla-- � % d Nora, 1 I l � 3 h/� 42� &YE d W7 d' - f 5er-^pr 0 /V":> tk It. V_)t� -11 R I I __ - R_ I/Y j ��� iz 3 1�� vs' Z_ 4Oda 2;o KIA,5oCcoo (Z61 /✓'E �� /'� _._... vz 6 a b D T r I',*00CIIA5 R , (bt%4 -71 f�e_ 1-5 ,44e- Awk, 1 01 1 0a co 1j, I'S C'I-vo F-r, AJS 13 ku&_� c,,,.L, The undersigned is the circulator of the foregoing paper containing 16 signatures. Each appended thereto was made in my presence and is thegenwe signatu of the person whose name it purports to be. Signature of Circulator j��Address �� � 1U6 lz N�Jre- ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate PETITION R bert Huntington Davis III We, the undersigned electors of Miami Shores Village, hereby nominate �i-` ''f T � V for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE 2S7 170 e) AAT-��Lyl 94?V �All 9V s C-r-ne s f Ale ivy 5-7- V/ 105,,f1&j42o C4-✓�i-ey G &FtZ 91. L.3 fig/ AVft 11 Aoo' e �w k I�l rS�o `I 111 N Ct s C o 1 -2- 3 � kAL4>9F-M F— /`R-�N/' (2 6111E 9�t � Ax, 9✓The undersigned is the cr 1 for of e foregoing paper co g _si afarended thereto was made in my presen and is the genuine signature of the person whose name it purports to be. Signature of Circulator Address 4 v f j-1,6 . Q`i IT' 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 Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE 93� EA -oRkWAO., yevu wtal v� g�7i ies- (27S- :E g 3 °I' L- - -� , st 4!7 -13AC'./ Ldp`- S �' /G� �r`/✓ G 3 i L ri .zrs��S3 NE 92 /'o-A� The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the e e si nature of the erson whose name it purports to be. Signature of Circulator Address A)E /Z 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 Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS eSATU DATE M .S 2456 ti� 2 v N'ratak �'IWW17 SDI 4 C f t I1 The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is_the- ume signat4 tha-person-wrose name it purports to be. Signature of Circulator Address �� 5.A-) ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and afire e 'f ct Signature of Candidate PETITION We the undersigned electors of Miami Shores Village, hereby nominate Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE � Pf Raw p6r,1 y 1�I� i r Ja 4 t-� PVNN. k'�'Q (10 d -'L PeL 6 U !CQ S 140 0 The undersigned is the circulator of the foregoing paper containing 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 Q� �� �z/�✓E P ACCEPTANCE OF NOMINATION I hereby accept &'nomination for the Village Council and agree to serve if elected. 000-1�— Signature of Candidate LOYALTY OATH OFFICE USE ONLY CANDIDATES WITH NO PARTY AFFILIATION (Sections 876.05-876.10,Florida Statutes) STATE OF FLORIDA Miami-Dade , COUNTY I Robert Huntington Davis III 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) 1, Hunt Davis _ (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 Village Council, (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. X (305 ) 775-9287 Signature of Candidate Telephone Number Email Address 9875 NE 12th Avenue Miami Shores FL 33138 Address City State ZIP Code Sworn to(or affirmed)and subscribed before me this day of� 200�. Personally Known: x —or Produced Identification: Type of Identification Produced: Signature of Notary Public—Stat of Florida Print,Type or Stamp Commissioned Name of Notary Public k:,' w Public State of Florda 13-ba a A Esiep Afy C^rnrrc—on DD510584 Ex" DS-DE 24B(Rev.05/08) • t ,i% {� k3 rt p+ ,est .tz*,t Oft" • -• - ,55:i�+ OFFICIAL USE S lti C3 postaw $ . 4a ni Certified Fee r-1 Postmark M Retum Receipt Fee WHere C3 (Endqui orsement Retract) M Restricted Delivery Fee 0 (Endorsement Required) a . O r-Zl �O Total Postage 3 Fees $ 5 rU TO �y � �c .......................................:3de4 PNol l! 1Y or PO Box No. CNy,SYate,ZIP+4 ---- ------------------•---•-- -------------•---------- Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece IN 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 mailpiece"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 Delivery". ■ If a postmark on the Certified Mail receipt is desired;please present the art- cis 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, PS Form 3800,August 2006(Reverse)PSN 7530.02-000-9047 srfnmr COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■_Complete items 1,2,and 3.Also complete A. a item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. eived by(Printed Name c Dat f Delivery ■ Attach this card to the back of the mailpiece, R 2Q�9 or on the front if space permits. 1 ` 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No i 3. Service Type IClA \C 5 W_Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number �,,oD ��,0 �I 1 (Transfer from service labelabel) (,,(� PS Form 3811,February 20041 1 11 1 11 bomestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender. Please print your name, address, and ZIP+4 in this box • MIAMI SHORES VILLAGE 10050 N. E. 2nd Avenue Miami Shores Village, FL 33138 4 = -EOhoora&gyp ♦.: ORES 5 Q 19 l„ rry u1 . cv •o��, QA/" -h FNre�'iN,$ LOR11�A _/005'0 . &low March 6,'2009 Mr.' Hunt Davis • 9875'N.E. 12 'Avenue Miami Shores, FL "33138 Dear Hunt;, , Congratulations on becoming an announced candidate for Mia mi'Shores Village! Please.be-advised that as a candidate for the Vill' 0 Council, you" required`to file _ Campaign Treasurer's Reports on the dates shown'below; Due Date Period Ending First Treasurer's Report' 03/25/09; 03/20%09 Second Treasurer's Report 04/10/09 04/09/09 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. 07/13/09 . 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. honer ., (805)`795=220y Caa �803J y56-8972 �'p-Ciel eate�FG@miauaEax�wa�e com',. Mr. Hunt Davis March 6, 2009 Page Two At 10:00 AM on April'9; 2009, 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 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 l 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, Barbara A. Estop, MMC Village Clerk Certified Mail — Return Receipt Requested Candidate qualifying letter S I193jNC Lrt oc aovlam �logo � Gid wz ,P Es 11 0jvr wo -/0050 P,4/. . 2, C QG"w CJlka�vw P%axes, COY may 2009 Candidate Name: _Robet-� IVA�AnL)o "OD4 " W\K�, IM Address: Telephone Numbers: osl q q S - (953 Nome) (30S)775 -CIAK7 (Cei 1� E-Mail Address: UT) FCXMD:SM ll A-e_o C0M La()S) (.qj _q0q� CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION Confirm Address and Voter's Registration Information Confirm Length of Residence in Miami Shores y Campaign Account&Treasurer's Appointment Form 1 Financial Disclosure Loyalty&Candidate's Oath Statement of Candidate SO Signatures on Nominating Petition Confirmed by Miami-Dade County Elections �iEone: (805)995-2209' C0.7 - (805)986-8972 �p-Gail eate�E/@miamia,�oz�.oam FROM FAX NO. Mar. 06 2009 03:59PM P1 Elections 2700 NW 87[h AvvnUtl MIAMI•DAD Miami, Floridv)3172 T 305-4139-VOTE F 305-499-8517 TTY; '.105 499-8480 miamidide.gov March 4, 2009 Barbara Estep, Village Clerk Miami Shores Village 10050 NE 2nd Ave. Miami Shores, FL 33138 Dear Ms. Estep; The Miami-Dade County Elections Department has completed the verification of the petitions for Robert Huntington Davis III, a candidate for Village Council. A total of 79 petitions were submitted and all were reviewed for verification. Of the total 79 petitions, 67 were certified. There will be no charge for the additional petitions that were verified. The Miami-Dade County Charter requires this process to include the following. For purposes of signature verification, however my office does not review this information, and encourages the municipality to ensure compliance with municipal charter or code requirements. • Title not being in English, Spanish, and Creole • Circulator was not a registered voter in Miami-Dade County • Notary did not comply with F.S. 117.05 • Notary was the same person as the circulator • Signatures of the circulator and the notary were dated earlier than any of the dates on which the electors signed the petition As such, please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact me or Michelle Giles, Acting Deputy Supervisor of Elections for Voter Services at 305-499-8302. Sincerely, '4� Tara C. Smith Deputy Chief Supervisor of Elections Miami-Dade Elections Department Enclosure FROM FAX NO. Mar. 06 2009 03:59PM P2 Electiolis 2700 NW 8711)Avenue. M I A M I-RADE Miami, Florida .33172 T 30.5-49<NCY1 E F305--499-8547 TTY; 305-499-88.80 miamidade.gov CERTIFICATION STATE OF FLORIDA) COUNTY OF MIAMI-DADE) I, Tara C. Smith, Chief Deputy Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 67 signatures submitted by Robert Huntington Davis III for the office of Villane Council in Miami Shores Village matched the signatures on the voter files. WITNESS MY HAND AND OFFICIAL SEAL, AT MIAMI, MIAMI-DADE-- COUNTY, FLORIDA, ON THIS 4th DAY OF MARCH 2009 Tara C. S Chief Deputy Supervisor of Elections Miami-Dade County Please submit a check,for $5.00 to our of c?payable to the "Board gft..'ouh& Commissioners"for the ccs[of verifying these signatures. -FROM FAX NO. :3054998351 Mar. 05 2009 11:59AM P3 Elections 2100 NW Vth Avenue. MIAMI-DADE Miami, rloi��da 33172 l 305.499-V()1'F x:30.5-499-8.547 TTY:305-499-8480 miamidade..gov CERTIFICATION STATE OF FLORIDA) COUNTY OF MIAMI-DADE) I, Tara C. Smith, Chief Deputy Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 67 signatures submitted by Robert Huntington Davis III for the office of Villa s Council in Miami Shores Village matched the signatures on the voter files. WITNESS MY HAND AND OFFICIAL_ SEAL, AT MIAMI, MIAMI-DADE, COUNTY, FLORIDA, ON THIS 4" DAY OF MARCH 2009 Tara C. S Chief Deputy Supervisor of Elections Miami-Dade County Pleasesubmit a check for$5:00�tu " ' "f zc0 payable to the r?Board of County Commissioners",for the cost of verifying these signatures. -FROM FAX NO. :3054998351 Mar. 05 2009 11:59RM P2 I Elections MIAM I-DADE 2700 NW 137th Avenov Miami, 0!)-i la 33*172 .8547 • ! 30.5-49�)-VC1'I't F:3C1'�-�}1�J•8547 I'I Y' .305-�99.8480 miamidade.gov March 4, 2009 Barbara Estep, Village Clerk Miami Shores Village 10050 NE 2nd Ave. Miami Shores, FL 33138 Dear Ms. Estep: The Miami-Dade County Elections Department has completed the verification of the petitions for Robert Huntington Davis III, a candidate for Village Council. A total of 79 petitions were submitted and all were reviewed for verification. Of the total 79 petitions, 67 were certified. There will be no charge for the additional petitions that were verified. The Miami-Dade County Charter requires this process to include the following. For purposes of signature verification, however my office does not review this information, and encourages the municipality to ensure compliance with municipal charter or code requirements. • Title not being in English, Spanish, and Creole • Circulator was not a registered voter in Miami-Dade County • Notary did not comply with F.S. 117.05 • Notary was the same person as the circulator • Signatures of the circulator and the notary were dated earlier than any of the dates on which the electors signed the petition As such, please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact me or Michelle Giles, Acting Deputy Supervisor of Elections for Voter Services at 305-499-8302. Sincerely, '4� C Tara C, Smith Deputy Chief Supervisor of Elections Miami-Dade Elections Department Enclosure -FROM FAX NO. :3054998351 Mar. 05 2009 11:59AM P1 2700 NW Br Avenue Miami-Dade Mlami,FL 33157 (305)499-8304 Elections Department FcAp3x To: Barbara Estep From: Michelle Giles Fam 305 756-8972 Pages: 3, including cover page Phone: Date: 3/5/09 Re: Certification--Robert H.Davis cc: ❑ Urgent ❑ For Review [3 Please Comment ❑ Please Reply ❑Please Recycle • Comments: `S�oREs Gr` Oc dwjam PO wit9 , PZ�(pXffwp 1 `fin �e W44 VC �pIORiDp' 70050 Gi�uce February 25, 2009 Ms: Ivy Korman Miami-Dade County Elections Department 2700'N.W. 87th Avenue Miami, FL 33172 Dear Ivy: Enclosed please find Petition Forms'(6) from Robert Huntington Davis III, in reference to the Miami Shores Village April 14, 2009 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 305-762- 4851. Sincerely, Barbara A. Estep, MMC Village Clerk lone: 805)y95-2,207 . CO..- (305)y56-8972 `�P-Cracl [��iucronia/eaxeavrlla�e.eom PETITION We the undersigned electors of Miami Shores Village, hereby nominate Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE C? ����� �. l-� �Y J ���i�1�995� �Jt,� . �/ Q 0-Mil-7t Opp �j -T, -z_ f 7- ej 14 bEV(+NEY 12D9 IVEA ° ST C2 �C/ A Afivis C jtt.L1'- -qqjsr 10 4L ivc 4G 11 4:74 i&\If- J7 The undersigned is the circulator of the foregoing paper containing 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 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected.. Signature of Candidate PE'T'ITION We the undersigned electors of Miami Shores Village, hereby nominate Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE / P:T�,11, l�rr=�.!k,( l✓�� ice, V~ tH ky�yyi i � e;�/&I/C 00 hvyzlf-Al/IVIV ZY 6�- F �2 Z. V, I I dt �- / r k s 1 Z1 — , Co 1ik; s FVa F-F' jt�74)F—Z i3 ikuE d The undersigned is the circulator of the foregoing paper containing �� signatures. Each appended thereto was made in my presence and is the e signatu of the person whose name it purports to be. �/ Signature of Circulator Address f� — �� lZ 144 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the.Village Council and agree to serve if elected. Signature of Candidate . PE'T'ITION We the undersigned electors of Miami Shores Village, hereby nominate Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE RE8EICKA ' .l�onl � �3��E� �v��vu� V r a! -a(o - oq �� -- " U 1775 lheq/02 �t c� DSV\<, [ i1 13 3 —' L 4) 9........... r ifta LaeMe 3, 3� - q a , n { a 1 jet �• �) � ✓ t. ,� .� � �' 'tel.-/ l` �,�' h `Lv i •_ �/ ....,.) lM1l l..�<3`f The undersigned is the circulator of the foregoing paper containing_ signatures. Each appended thereto was made in my presence and is the e e si nature of the person whose name it purports to be. Signature of Circulator Address `�l��S /Z �rr ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve.if elected. Signature of Candidate PETITION Robert Huntington Davis II We, the undersigned electors of Miami Shores Village, hereby nominate - for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE r, es'` 3 �v > �:1� p%Ir _i._! ,C,a."7�•••.''-�'•"� /T�ir� _��'aL � r �J v C ' - ;14 6GO -3 R f / v. a C ' "—G€ F,,)=6�:%4��'-�•�c_F__ f�i =� /irl� � ,. /•u:v�'r,.4%` t ;�� i"�-•; .-''_� The undersigned is the cu ltor of the foregoing paper co g _S atura61i appended thereto was made in my presen and is the genuine signature of the person whose name it purports to be. Signature of Circulator Address 4 v f ?4, 6 , It q, S v 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 Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNATURE DATE AS AWS1 SCJ0 10 1 04t, _ ®Y The undersigned is the circulator of the foregoing paper containing. 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 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 Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS NATUREV DATE (u 2 (Q-909F t The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the genuine sig!ja -of1he-person whose name it purports to be. f. Signature of CirculatorAddress 7 7 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and a&ig' _sere f ct Signature of Candidate 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: ER Original Appointment Deputy Treasurer Reappointment of Treasurer Name of Candidate 1.Address(include post office box or street,city,state,zip code) 9875 NE 12th. Avenue Robert Huntington Davis III Miami Shores, FL 33138 Telephone(optional) 2. Party(Partisan candidates only) 3.Office(add district,circuit,group number) ( ) N/A Village Council I have appointed the following person to act as my Campaign Treasurer E] Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer Karen C. Davis 5. Mailing Address(if post office box or drawer add street address) 6.Telephone 384 NE 94th Street 305-495-1953 7. City 8.County 9.State 10.Zip Code Miami Shores Miami—Dade FL 33138 I have designated the following named bank as my ® Primary Depository Secondary Depository 11. Name of Bank 12. Street Address Bank of America 9499 NE 2nd Avenue 13. City 14. County 15.State 16. Zip Code Miami Shores Miami—Dade FL 33138 17. Signature of CandidatDate 25 February 2009, 00 Campaign Treasurer's Acceptance of Appointment Karen C. Davis do hereby accept the appointment as (Please Print or Type) Campaign Treasurer El Deputy Treasurer for the campaign of H111]1- nay,;. who is seeking nomination or election as a NSA candidate to the office of (Party) Miami Shores Village Council UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. 25 February 2009 X a Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev.01108) OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) lRobert Huntington Davis III candidate for the office of Miami Shores Village Council have received, read and understand the requirements of Chapter 106, Florida Statutes. X 25 February 2009 Signature of Candidate 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.03/08) DECLARATION FOR CANDIDATES NOT AUTOMATICALLY COVERED BY THE MIAMI-DADE ETHICAL CAMPAIGN PRACTICES ORDINANCE The Ethical Campaign Practices Ordinance may apply to any candidate,and his or her campaign staff, for elective office with a constituency in whole or in part in Miami-Dade County who agrees to abide by the mandatory and/or voluntary fair campaign practices. 1, Robert Huntington Davis III ,a candidate for the office of Miami Shores Village Counci aagree to abide by the mandatory fair campaign practices as provided in Section 2-11.1.1(C)(1)of the Code of Miami-Dade County and recognize as compulsory the jurisdiction of the Ethics Commission. I further agree that the Ethics Commission will have the authority to decide whether said candidate has violated the mandatory campaign practices and, if a violation is found,the Ethics Commission has the authority to impose the appropriate penalty,if any. By signing this declaration, I acknowledge that I will follow the mandatory campaign practices and shall not: a) with actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred, contempt, or ridicule, or causes said person to be shunned or avoided,or injured in his or her business or occupation; or b) with actual malice publish or cause to be published by writing,printing,picture, effigy, sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to be shunned or avoided,or injured in his or her business or occupation;or c) willfully injury,deface or damage or cause to be injured,defaced or damaged by any means any campaign poster,sign, leaflet,handbill,literature or other campaign material of another candidate; or d) knowingly obtain,or cause to be obtained campaign property of another candidate with the intent to,temporarily or permanently, deprive the candidate of a right to the property or a benefit therefrom; or e) knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate; or f) knowingly fail to remove a campaign sign within thirty(30)days of the last election in which the candidate was on the ballot;or g) knowingly erect or cause to be erected a campaign sign within the right-of-way limits of any County-maintained road in Miami-Dade County. Once the declaration is signed it is deemed irrevocable for the duration of the campaign. _25_February_2009 Signature Date In addition to abiding by the Mandatory Campaign Practices,I agree to follow the voluntary Statement of Fair Campaign Practices enumerated in Section 2-11.1(D): 1. I shall not make my race, religion, national origin,gender, physical disability or sexual orientation an issue in my campaign. 2. I shall not make my opponents' race, religion, national origin,gender,physical disability or sexual orientation an issue in my campaign. 3. I will condemn any appeal to prejudice based on race,creed,national origin, religion,gender,physical disability or sexual orientation. 4. I shall not without just cause attack or question my opponent's patriotism. 5. I shall not publish,display or circulate any anonymous campaign literature or political advertisement. 6. I shall not tolerate my supporters engaging in these activities which I condemn nor shall I accept their continued support if they engage in such activities. I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group,which resorts to the methods and tactics I condemn. 7. I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern. 8. I will limit my attacks on an opponent to legitimate challenges to that person's record,qualifications,and positions. 9. I will neither use nor permit the use of malicious untruths or innuendoes about an opponent's personal life,nor will I make or condone unfounded accusations discrediting that person's credibility. 10. I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties supporting my candidacy. 11. I will not use or permit the use of campaign material that falsifies, distorts,or misrepresents facts. I, Robert Huntington Davis III a candidate for the office of Miami Shores Village Councilagree to abide by the Statement of Fair Campaign Practices mandatory fair campaign practices as provided in Section 2-11.1.1(C)(1)of the Code of Miami-Dade County and described on the previous page and recognize as compulsory the jurisdiction of the Ethics Commission. I further agree that the Ethics Commission will have the authority to decide whether said candidate has violated the Statement of Fair Statement Campaign Practices and, if a violation is found,the Ethics Commission has the authority to impose the appropriate penalty, if any. Once the declaration is signed it is deemed irrevocable for the duration of the campaign. 25 Februar 2009 -_-- ------------------- -----------------�'----____-- Signature Date PLEASE FILE FORM(S) WITH THE MIAMI-DADE COMMISSION ON ETHICS AND PUBLIC TRUST AND THE MIAMI-DADE SUPERVISOR OF ELECTIONS. Miami-Dade Commission on Ethics Miami-Dade Supervisor of Elections 19 West Flagler Street 2700 N.W. 87th Avenue Suite 220 Doral,Florida 33172 Miami,FL 33130 Miami-Dade Supervisor of Elections MIAMINS 2700 NW 87th Avenue Miami, FL 33172 (305) 499-8400 RECEIPT OF HANDBOOKS AND THE ELECTION LAW BOOK Candidate: Robert Huntington Davis III First Name Middle Name Last Name Office: Miami Shores Village Council .This is to acknowledge my receipt of the following documents: �7 The Election Laws of the State of Florida August 2006 ® 2006 Candidate and Campaign Treasurer Handbook ® 2008 Miami-Dade County Qualifying Handbook Received by. Candidate Signature Date: 25 February 2009 Phone No.: 305-775-9287 Fax No.: E-mail address: MD-ED 2 (Rev.03/07) Miami-Dade Supervisor of Elections Miami-Dade= 111 NW 1 Street, Suite 1910 ZC7roas Miami, FL 33128-1962 (305) 375-5553 RECEIPT Candidate: Robert Huntington Davis TTT First Name Middie Name Last Name Office: Miami Shores Village Council This is to acknowledge my receipt of the following documents: U Qualifying Handbook for Municipal Cabdidates Received by: Y � Candidate Signature Date: 25 February 2009 TAPackets\2002 Packes\New Municipalitylmunipal qtW fYmg mformat-Ldoc CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Hunt Davis (2) I.D. Number N/A (3) Cover Period 3 / 21 / 09 through 4 / 9 / 09 (4) Page 1 of I l5) (7) (8) (9) (10) (11) Date Full Name Purpose (Last,Suffix,First,Middle) (add office sought if (s) Street Address& contribution to a Expenditure Sequence Number City,State,Zip Code candidate) Type Amendment Amount 3 24 09 Magnolia Outdoor Media T-Shirts DIS 736.00 405 NE 99 St 1 Miami Shores, FL 33138 Football Sandwich Shop Food for Block DIS 120.00 4 3 09 8484 NE 2 Ave. Party Miami, FL 33138 2 Magonolia Outdoor Media Cards DIS 400.00 405 NE 99 St 4 7 09 Miami Shores, FL 33133 3 Robert H. Davis I11 Kinko's, Home DIS 137•56 + ,� �9 9875 NE 12 Ave. Depot. PublLsc Miami Shoes, FL 33138 Ch of Coram. 4 Breakfast Magnolia Outdoor Media Signs 70TS 1300.,00 4 9 09 405 NE 99:-,St Miami Shoes, FL 331.38 5 DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES . G,CC•►c�.��cnl� ON►'�� 'Ft61.. d�u c.�� • --Lf �S r1 refb"+ , C.� a rvi.ss•�• 0(R �ra' . � � 4 r - FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Hunt:PDavis OFFICE USE ONLY Name (2) 9875 :TTS 12 Avenin Address (number and street) Miami Shores, FT, 33138 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A (4) Check appropriate box(6s): N Candidate (office sought): Miami Shores V i 1 ap a Cn„nr i t ❑ 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 4 / 10 / T) To 5 / 8 / 09 Report Type TR U Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 586.44 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ 586.44 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 3280.09 $ 3280.,00 (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) Karen C. Davis (Type name) IfLnt D^,»G ❑Individual(only for ETreasurer ❑Deputy Treasurer ❑.Candidate ❑Chairperson(only for PC,PTY& electioneeri commun.) �--- eI ctioneerin om � ) Signature Signature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Haat Davis (2) I.D. Number Tfa (3) Cover Period 4 / 10 / 09 through 5 / g / 09 (4) Page of (5) (7) (8) (9) (10) (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 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Hunt Davis (2) I.D. Number N/A (3) Cover Period 4 / 10 / 09 through 5 / 8 / 09 (4) Page 3 of 3 (5) (7) (8) (9) (10) (��) Date Full Name Purpose (5) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Sandra Carlson Block Party DIS 122.28 4 13 09 1450 NE 102 St Supplies 1 Miami Shores, FL 33138 St Rose of Lima Church Financial Aid DIS 464.16 5 8 09 425 NE 125th St Donation Miami Shores, FL 33138 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) Hunt Davis OFFICE USE ONLY Name (2) 9875 NE 12th Avenue Address (number and street) Miami- Shores, FL 33138 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A .(4) Check appropriate box(es): ® Candidate (office sought): 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 3 / .21 / 09 To 4 / _9 / )g Report Type 2 ® Original ❑ Amendment ❑ Special Election.Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $2,180.00 Expenditures $ 2;693.56 Loans $ Transfers to Office Account $ Total Monetary $2,180.00 Total Monetary $ 2,693.56_ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 3,280.00 $ 2,693.56 (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) Karen. C. Davis (Type name) Hunt Davis Individual(only for 0 Treasurer [:]Deputy Treasurer ®Candidate ❑Chairperson(only for PC,PTY& 7 electioneerin commun.) „r le rr-organization) X dz"6 e, C_'2e�� Signature Signature 4r DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D. Number N/A (3) Cover Period 3 / 21 / 09 through 4 / 9 / 09 (4) Page 1 of (5) (7) (8) (9) (10) (12) Date Full Name (6) (Last,Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type I occupation Type Description Amendment Amount Chester H Morris I Retired CHE 50.00 3 / 21 / 09 734 NE 119 St Biscayne Park, FL :1 33161 William D Tenney I Real CAS 20.00 3 / 27 / 09 1183 NE 99 St Estate Miami Shores, FL 2 33138 Alice Burch I Housewife CHE 250.00 3 / 28 / 09 1440 NE 101 St Miami Shores, FL 3 33138 Karen D. Godfrey I Housewife CHE 35.00 3 / 28 / 09 1.481 NE 102 St Miami Shores, FL 4 33138 Penn E. Davis I ComputerE CHE 500.00 3 / 28 / 09 54 NW 94 St Miami Shores, FL 5 33150 Donna C Hurtak I Attorney CHE 100.00 3 / 28 / 09 533"Grand Concourse Miami Shores, FL 6 33138 Albert R Toussaint I Retired CHE 50.00 3 / 29 / 09 1:421. NE 103 St iami. Shores, FL 7 33138 illy S Batcheld'er I Attorney CHE 100.00 3 / 31 / 09 848 NE 100 St MiamiShores, FL 8 531-38 . DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D. Number N/A (3) Cover Period 3 / 21 / 09 through 4 / 9 / 09 (4) Page 9of (5) (7) (8) (9) (10) (12) Date Full Name (6) (Last, Suffix, First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code rTe Occu ation T e Descri tion Amendment Amount Robert F Swan JrRetired CHE 50.00 3 / 19 / 09 770 NE 98 St. Miami Shores, FL 9 33138 Lucille M Clum I HousewifE CHE 50.00 3 / 30 / 09 1430 NE 102 St Miami Shores, FL 10 33138 Robert M. Levy & B Ldbbyist CHE 500.00 4 / 3 / 09 Associates 780 NE 69 St #170 11 Miami, FL 33138 William G Mercer I Retired CHE 25.00 4 / 4 /09 990 NE 97 St Miami Shores, FL 12 33138 ade M. Davis I Sales Rep CHE 200.00 4 / 7 /09 384 NE 94 St Miami Shores, FL 1.3 33138 Obert H Davis III I Executive CHE 250.00 4 / 9 /09 9875 NE 12 Ave. iami Shores, FL 14 33138 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 OFFICE USE ONLY (1) Hunt Davis Name (2) 9875 NE 12th Avenue Address (number and street) Miami Shores FL •33138 City, State,Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A (4) Check appropriate box(es): F1 Candidate (office sought): 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 2 / 25 / 09 To 3 / 20 / 09 Report Type 1 @ Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) 'EXPENDITURES THIS REPORT Monetary Cash & Checks $ 1,100.00 Expenditures $ Loans $ Transfers to Office Account $ Total Monetary $ 1,100.00 Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary.Expenditures To Date $1,100.00 $ (i I) 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) Karen C. Davis (Typename) Hent navig Treasurer Candidate ❑Chairperson(only for PC,PTY 8 Individual(only for ©Treasurer ❑Deputy © •electionge' ew=u►f.organization) electioneers commun.) '1 —T X Signature Signature DS-0E 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D. Number N/A (3) Cover Period 2 / 25 / 09 through 3 / 20 / 09 4) Page 1 of 1 (5) (7) (t3) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zi Code T Occupation T Description �menam«u Amount Robert H Davis I I I Exec. CHE 100.00 2af 25 09 9875 NE 12 Ave. 1 Miami Shores, FL 33138 C Martin Mennes I FPL Exec . CHE 50.00 3 / 5 09 317 NE 104 St 2 Miami Shores, FL 33138 Melbourne Teigla d I Retired CHE 50.00 3 7 09 9780 NE 5 Ave Rd 3 Miami Shores, FL 33138 Audree K Duval I Retired CHE 100.00 3 8 09 9876 NE 12 Ave. 4 Miami Shores, FL 33138 John L Stokesber y I Retired CHE 50.00 3 1 11 09 934 NE 91 Ter 5 Miami 'Shores, FL 33138 Dion R. Sena I CHE 500.00 3 / 13 / 09 1301 NE 104 St 6 Miami Shores, FL 33138 John H Holly I Real CHE 200.00 3 / 14 / 09 9660 NE 5 Ave Rd Estate 7 Miami Shores, FL 33138 Karen C Davis I Office CHE 50.00 3 / 19 / 09 384 NE 94 :3t Manager 8 Miami Shores, FL 33138 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES