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Davis, Robert Huntington III "Hunt Davis" FLORIDA DEPARTMENT OF • OF • CAMPAIGN • • (1) Hunt Davis OFFICE USE ONLY Name (2) 9875 NE 12 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): 0 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 4/8/11 to 7/1/11 Report Type TR © Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary 1 933 70 Cash &Checks $ Expenditures $ Transfers to Office Loans $ Account $ Total Monetary $ Total Monetary $ 1 933 70 In-Kind $ (8) OTHER DISTRIBUTIONS (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $ 5 900 00 $ 5 900 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,correct, I certify that I have examined this report and it is true,correct, and complete. and complete. (Type name) Paige Davis (Type name) Hunt Davis ❑ Individual(only for 9 Treasurer ❑ Deputy Treasurer N Candidate ❑ Chairperson(only for PC,PTY& electioneering commun. elec j ne or anization) X X Signature Si to DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis N/A (1) Name (2) I.D. Number 4/8/11 7/1/11 1 1 (3)Cover Period through (4) Page of (5) (7) Date Full Name t tr$buor (9) (10) (11) (g) (Last,Suffix,First,Middle) ConContribution In-Kind Amend- (12)Amount Sequence Street Address& Type Description meet Number City,State,Zip Code Type Occupation DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES Hunt Davis N/A (1) Name (2) I.D. Number (3)Cover Period 4/8/11 through 7/1/11 1 1 g (4) Page of (5) (7) (8) Date Full Name Purpose (9) (10) (6) (Last,Suffix,First,Middle) (add office sought Expenditure Amend- ( Sequence Street Address& if contribution to a Type ment Amount Number City,State,Zip Code candidate) 4/22/11 New Trends Solutions Telephone Calling $100.00 1 4/22/11 Magnolia Outdoor Media Stakes for Signs, Bench Rental $800.00 2 4/22/11 Robert H Davis III Reimbursement 9875 NE 12th Ave (Party decorations, Miami Shores, FL 33138 food, drinks, Bus. $970.20 3 Cards, flyers) 7/1/11 Doctors Charter School of Miami Donation Shores $63.50 4 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) R f 03 t C-0 4e,Q 10, OFFICE USE ONLY Name Address (numbe11r and street) dSPhA% S Ingrc_S, F(-. 33 � City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ['Candidate (office sought): Q �+ {�� .� -� �.,►-, ❑ 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 q / (�- / I ) To -� / Lr- / I I Report Type 9'6riginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 3 9 (j , Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ 3 13 In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (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. Prospero G. Herrera,Il (Type name) (Type name) Prospero G. Herrera,ii ❑Individual(only for ��easurer ❑D uty Treasurer andidate ❑Chairperson(only for PC,PTY& electioneeri mmun.) election ring commun.or nization) lr Sign Kture Sig ature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name ro;C? C�Y� �c� re- (2) I.D. Number (3) Cover Period _/ / t \ through _/`Z S / 1 l (4) Page j of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (Last,Suffix, First, Middle) (add office sought if (6) Street Address & contribution to a Expenditure Sequence Type Number City,State,Zip Code candidate) yP Amendment Amount C` �. t C-AV-.P00 kz ZL{.L(3 19-&- 13 ( Sl (� r YA kA, I..� CC-3, V A\+�5 c. Q C.AM- (h-1 I ry `� S-0. 0� 1 t l l0 �� n r1- �Y`�v2-7 T Ck%5(.V IGnt� -&k VA 6AKAA '� I,n�r.Cl �L 3313 . �L•'l lA twl�ti t boa r�5 4cf 5 C-mac.,c0- A�rl Ar h��cc�ml�� paw Z1�, 1 3 13W DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF • OF • CAMPAIGN . • . SUMMARY (1) Hunt Davis OFFICE USE ONLY Name (2) 9875 NE 12 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 3/21/11 to 4/7/11 Report Type 2 0 Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 2 025 00 Expenditures $ 1 225 50 Transfers to Office Loans $ Account $ Total Monetary $ 2 025 00 Total Monetary $ 1 225 50 In-Kind $ (8) OTHER DISTRIBUTIONS (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $ 5 900 00 $ 3 966 30 (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, correct, I certify that I have examined this report and it is true, correct, and complete. and complete. (Type name) Paige Davis (Type name) Hunt Davis ❑ Individual(only for 9 Treasurer ❑ Deputy Treasurer H Candidate ❑ Chairperson(only for PC,PTY& electioneering commun.) electioneerin co rganization) X �`��/� r X Signature U SigKature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis N/A (1) Name (2) I.D. Number 3/21/11 4/7/11 1 2 (3) Cover Period through (4) Page of (5) (7) Date Full me ( ) (6) (Last,Suffix,First, Middle) Contributor Contribution In-Kind Amend- (12) Street Address& Type Description ment Amount Sequence YP ti p Number City,State,Zip Code Type Occupation 3/24/11 David Bockner I 1199 Ne 99 Street Miami, FL 33138 CHK $100.00 1 3/24/11 Doug Bischoff I 9879 NE 13 Avenue Miami, FL 33138 CHK $25.00 2 3/24/11 Martha Collins I 525 NE 101 Street Miami, FL 33138 CHK $50.00 3 3/24/11 Dade County PBA C Political Political Action Action Committee Committee CHK $500.00 10680 NW 25 Street 4 Miami, FL 33172 4/7/11 R. H. Davis Jr. I 384 NE 94 Street Miami, FL 33138 CHK $100.00 5 4/7/11 Michelle Canero I 888 Brickell Key Dr Miami, FL 33131 CHK $50.00 6 4/7/11 Penn Davis I Business 54 NW 94 Street Owner Miami, FL 33150 CHK $300.00 7 4/7/11 Home Team B 700 NE 90 Street Miami, FL 33138 CHK $100.00 8 DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis. N/A (1) Name (2) 1.D. Number 3/21/11 4/7/11 2 2 (3) Cover Period through (4) Page of (5) (7) Date Full Name t$butor (9) (10) (11) (12) (g) (Last,Suffix,First,Middle) ConContribution In-Kind Amend- Amount Sequence Street Address& Type Description ment Number City,State,Zip Code Type Occupation 4/7/11 Preferred Mortgage B Lenders Group, Inc. CHK $100.00 9400 NE 2 Avenue 9 Miami, FL 33138 4/7/11 Pericles Gregoriou I Miami, FL 33138 CHK $100.00 10 4/7/11 George Burch DVM I Doctor 1440 NE 101 Street vet Med Miami, FL 33138 CHK $500.00 11 4/7/11 John Stokesberry 1 934 NE 91 Street Miami, FL 33138 CHK $50.00 12 4/7/11 Jerome Hurtak I 533 Grand Concourse Miami, FL 33138 CHK $50.00 13 DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES Hunt Davis N/A (1) Name (2) I.D. Number 3/21/11 (3)Cover Period through 4/7/11 (4) Page 1 of 1 (5) (7) (8) Date Full Name Purpose (9) (10) (g) (Last,Suffix,First,Middle) (add office sought Expenditure Amend- ( Sequence Street Address& if contribution to a Type ment Amount Number City,State,Zip Code candidate) 3/21/11 Miami Shores Chamber Commerce Candidate Card Mailing $400.00 1 3/25/11 MS Management Group Yard Signs 490 NE 101 Street Miami,-FL 33138 $805.50 2 3/28/11 Board of County Commissioners Registered Voter List $20.00 3 DS-DE 14(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF • OF • REPORTCAMPAIGN TREASURER'S (1) Hunt Davis OFFICE USE ONLY Name (2) 9875 NE 12 Avenue Address (number and street) Miami Shores, FL 33138 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A 1. (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 2/18/11 to 3/20/11 Report Type 1 M Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 3 875 00 Expenditures $ 2 740 80 Loans $ 0 00 Transfers to Office 0 00 Account $ Total Total Monetary $ 3 875 00 Monetary $ 2 740 80 In-Kind $ 0 00 (8) OTHER DISTRIBUTIONS $ 0 00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $ 3 875 00 $ 2 740 80 (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, correct, I certify that I have examined this report and it is true,correct, and complete. and complete. (Type name) Paige Davis (Type name) Hunt Davis ❑ Individual(only for Treasurer ❑ Deputy Treasurer Candid ❑ Chairperson(only for PC,PTY& electioneers commun.) 4, lectiopserinpimmun.or ization) X X Signature 0 Signafure DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis N/A (1) Name (2) I.D. Number 2/18/11 3/20/11 1 4 (3) Cover Period through (4) Page of (5) (7) Date Full Name (8) (9) (10) (11) (6) (Last,Suffix,First,Middle) Contributor Contribution In-Kind Amend- (12) Street Address& Type Description ment Amount Sequence Yp ti p Number City,State,Zip Code Type Occupation 2/18/11 Hunt Davis I 9875 NE 12 Avenue Miami Shores, FL CHE $100.00 1 33138 3/4/11 George Bennett I Retired 10007NE 4 Ave. Miami Shores, FL CHE $250.00 2 33138 3/4/11 John H Holly I Realtor 9660 5th Avenue Road Miami Shores, FL CHE $250.00 3 33138 3/4/11 J Frank McCoy I Retired 85 NE 94 Street Miami Shores, FL CHE $250.00 4 33138 3/9/11 Gunnard Rubini I Retired Mary Lou Rubini 1420 NE 101 Street CHE $200.00 5 Miami, FL 33138 3/9/11 William Serda I Retired Mary Jo Serda 463 NE 100 Street CHE $150.00 6 Miami, FL 33138 3/9/11 Chester Morris I Sondra Morris 734 NE 119 Street CHE $50.00 7 Miami, FL 33161 3/9/11 C. Martin Mennes I Linda Mennes 317 NE 104 Street CHE $50.00 8 Miami, FL 33138 DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis N/A (1) Name (2) I.D. Number 2/18/11 3/20/11 2 4 (3) Cover Period through (4) Page of (5) (7) Date Full ( ) ) m (6) (Last,Suffix,First,Middle) Contributor b butor Contr ution In-Kind Amend- (12) Street Address& Type Description ment Amount Sequence Yp ti p Number City,State,Zip Code Type Occupation 3/9/11 Melbourne B Teigland I Retired 9780 NE 5th Ave Road Miami, FL 33138 $200.00 9 3/9/11 Jane Hinterkopf I Ernest Hinterkopf 1200 NE 102 Street $100.00 10 Miami, FL 33138 3/9/11 Lucille Clum I 1430 NE 102 Street Miami, FL 33138 $100.00 11 3/9/11 Robert Levy&Assoc. B Attorney 780 NE 69 St#1703 Miami, FL 33138 $250.00 12 3/17/11 Victor Ortegon I Business 950 NE 5th Ave Road Owner Miami, FL 33138 $500.00 13 3/17/11 George Godfrey I Karen Godfrey 1481 NE 102 Street $35.00 14 Miami, FL 33138 3/17/11 Norma Mercer I Bill Mercer 990 NE 97 Street $25.00 15 Miami, FL 33138 3/17/11 Audrey DuVal I Revocable Trust 9876 NE 12 Avenue $100.00 16 Miami, FL 33138 DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis N/A (1) Name {2) I.D. Number 2/18/11 3/20/11 3 4 (3)Cover Period through (4) Page of (5) (7) Date Full Name (8butor (9) (10) (11) (6) (Last,Suffix,First,Middle) Con (12)Contribution In-Kind Amend- Amount Sequence Street Address& Type Description ment Number City,State,Zip Code Type Occupation 3/17/11 Kathleen Canary I 47 NE 93 Street $25.00 Miami, FL 33138 17 3/17/11 William Jones I Banking 379 NE 94 Street Miami, FL 33138 $250.00 18 3/17/11 Carter Saxon I Gloria Saxon PO Box 530247 $100.00 19 Miami, FL 33153 3/17/11 Robert Williamson I Julie Williamson 1235 NE 96 Street $100.00 20 Miami, FL 33138 3/17/11 Rebekkah Leonard 1 9300 NE 4th Ave Rd Miami, FL 33138 $100.00 21 3/17/11 Dion Sena I Business 1301 NE 104 Street Owner Miami, FL 33138 $250.00 22 3/17/11 RJ Bourne P.A. B Realtor 700 NE 90 Street Miami, FL 33138 $250.00 23 3/17/11 Patrick Duffy I 501 Grand Concourse Miami, FL 33138 $100.00 24 DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Hunt Davis N/A (1) Name (2) I.D. Number 2/18/11 3/20/11 4 4 (3) Cover Period through (4) Page of (5) (7) Date Full Name (8) (9) (10) (11) truort ib (g) (Last,Suffix,First,Middle) ConContribution In-Kind Amend- (12) Amount Sequence Street Address& Type Description ment Number City,State,Zip Code Type Occupation 3/17/11 Leon Newman I 187 NW 95 Street Miami, FL 33150 CHE $50.00 25 DS-DE 13(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES Hunt Davis N/A (1) Name (2) I.D. Number 2/18/11 (3) Cover Period through 3/20/11 (4) Page 1 of 1 (5) (7) (8) Date Full Name Purpose (9) (10) (11) (6) (Last,Suffix,First,Middle) (add office sought Expenditure Amend- Amount Sequence Street Address& if contribution to a Type ment Number City,State,Zip Code candidate) 3/17/11 Wrapstars signs and buttons 7520 NE 4th Court# 101A Miami, FL 33138 $1,000.00 1 3/18/11 Magnolia Outdoor Media shirts and 1/2 page 405 NE 99 Street cards Miami, FL 33138 $1,484.00 ,2 3/18/11 MS Management Group Banners 490 NE 101 Street Miami, FL 33138 $256.80 3 DS-DE 14(REV.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FORM 1 STATEMENT OF 2010 Please print or type your name,mailing FINANCIAL INTERESTSaddress,agency name,and position below IAST NAME—FIRST NAME--MIDDLE NAME: FOR OFFICE Davis, Robert Huntington, III USE ONLY: MAILING ADDRESS: 9875 NE 12th Ave ID Code CITY: ZIP: COUNTY Miami Shores FL Miami-Dade ID No. NAME OF AGENCY: Conf.Code NAME OF OFFICE OR POSITION HELD OR SOUGHT: P.Req.Code Miami Shores Village Council You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF ® CANDIDATE OR ® NEW EMPLOYEE OR APPOINTEE "BOTH PARTS OF THIS SECTION MUST BE COMPLETED" DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR,WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(must check one): ® DECEMBER 31,2010 OR 11 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(must check one): ® COMPARATIVE(PERCENTAGE)THRESHOLDS QR ® DOLLAR VALUE THRESHOLDS PART A—PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] (If you have nothing to report,you must write"none"or"Na") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY Rampmaster, Incorporated 1022 East 24th St, Hialeah 33013 Manufacturing PART B— SECONDARY SOURCES OF INCOME[Major customers,clients,and other sources of income to businesses owned by the reporting person] (If you have nothing to report,you must write"none"or"nla") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE Rampmaster, Inc. Solares Florida Corp POB 52-0458, Miami,FL Sales Rampmaster, Inc. Royal Caribbean Cruises POB 02545, Miami,FL Sales Rampmaster, Inc. BAE Systems POB 13308, San Diego,CA Sales iSan Diego "in JJCnajgME12— PART C—REAL PROPERTY (Land,buildings owned by the reporting person] FILING INSTRUCTIONS for (If you have nothing to report,you must write"none"or"n/a!') when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. GE FORM 1-Effective:January 1,2011.Refer to Rule 3411.202(1),F.A.C. (Continued on reverse side) PAGE 1 PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.] (If you have nothing to report,you must write"none"or"We") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES Stock Rampmaster, Incorporated 111111101111111 PART E—LIABILITIES [Major debts] (If you have nothing to report,you must write"none"or"nla") r NAME OF CREDITOR ADDRESS OF CREDITOR F Chase POB 36520, Louisville, KY American Honda POB 105027, Atlanta, GA e PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] (If you have nothing to report,you must write"none"or"nia") BUSINESS ENTITY#1 BUSINESS ENTITY#2 BUSINESS ENTITY#3 NAME OF BUSINESS ENTITY u ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS- NATURE 1 ESNATURE OF MY OWNERSHIP INTEREST AMMMM6 IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE(required): DATE SIGNED(required): 4 March 2011 FILLING 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 Local officers/employeesfiIe with the Supervisor section, you must write "none" or "nla" in that of Elections of the county in which they perma- the Senate must file prior to confirmation,even section's). nently reside. (If you do not permanently reside if that is less than 30 days from the date of their 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 officerslemployees, 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 Forth 1 because Candidates file this form together with their calendar year in which they hold their posi- cf another public position must at least file a copy qualifying papers. tions. of his or her original Form 1 when qualifying. Finally, at the end of office or employment, To determine what category your position each local officer/employee, state officer, and falls under,see the"Who Must File' Instructions specified state employee is required to file a on page 3. final disclosure form(Form 1F)within 60 days of leaving office or employment. CE FORM 1-Effective:January 1,2011.Refer to Rule 34.8.202(1),F.A.C. PAGE 2 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signat item 4'if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B, eceivad by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, I4 U e, MAR 5 or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No H04 bwS {{{ 3:'-,Service.Type,.• `. ' Certified Maid ❑E press Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ah() ^� 0l J 0) C `A, (transfer from service label) 0 ( ^(�1 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I - I I • Sender: Please print your name, address, and ZIP+4 in this box • I I Ott C_ o go LOYALTY OATH (Sections 876.05-876.10,Flodda Statutes) CANDIDATE WITH NO PARTY AFFILIATION OFFICE USE ONLY I Robert Huntington Datis III First Name Middle Name/Initial Last Name a citizen of the State of Florida and of the United States of America, and being [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. Important: If elected, a candidate must retake the loyalty oath as specified in s. 876.05, Florida Statutes, and that oath shall be filed with the records of the governing official or employing governmental agency prior to the approval of payment of salary, expenses, or other compensation. OATH OF CANDIDATE (Section 99.021,Florida Statutes) I 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 with no party affiliation for the office of Village Council I , (office) (district#) I am a qualified elector of Miami—Dade County, Florida; (circuit#) (group or seat#) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; by executing this form, I have taken the oath required by ss. 876.05-876.10, Florida Statutes; 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. c X (3054 775-9287 HuntDavisMSV@gmail.com Signature of Candidate Telephone Number Email Address Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities(see instructions on page 2 of this form): Hunt DAY—vis STATE OF FLORIDA COUNTY OF M My-Nt Sworn to(or affirmed)and subscribed before me this day of "Vo, N1C�_ 20 �( Personally Known: X or �v;WW- 8AR8ARAA ESTEP My COMMISSION#DD 955300 ignature of Notary Public EXPIRES:March 29,2014Produced Identification: SondwThruNotaryPubllcUrw&wdters dnt,Type,or Stamp Commissioned Name of Notary Public Type of Identification Produced: DS-DE 24B(Rev.10110) Rule 1S-2.0001,F.A.C. S�OREs c-og,,ffTp 1pC.1932 Lr� �tii�i1G c 9" orlaz�w 40 �LORiDA 0005"0 PA.. p. 21 Cw". C�u cwao , COY Y.1a8 2011 Candidate Name: HUV\� cul"S Address: __ q�7 S (,141\ Telephone Numbers: 6OS) 77S Q aLy E-Mail Address: _ Hu4a oiswy@ � , nom CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION Confirm Address and Voter's Registration Information v Confirm Length of Residence in Miami Shores Campaign Account &Treasurer's Appointment Form 1 Financial Disclosure Loyalty&Candidate's Oath Statement of Candidate J 50 Signatures on Nominating Petition Confirmed by Miami-Dade County Elections /core. x805)995-2207 805,)766-8972 �' Cr�acl rate�4�mu�ruc/axea�.illa�e.oam Elections 2700 Miami, lorid 33172 • T 305-499-VOTE F 305-499-8547 TTY.305-499-8480 miamidade.gov CERTIFICATION STATE OF FLORIDA) COUNTY OF MIAMI-DADE) I, Lester Sola, Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 62 signatures submitted by Robert Huntington Davis III for the office of Council in the Miami Shores Village matched the signatures on the voter files. I i s WITNESS MY HAND { AND OFFICIAL SEAL, AT MIAMI, MIAMI-DADE COUNTY, FLORIDA, ON THIS 41h DAY OF LLMARCH, 2011 i Lest r Sala upervis r of Elections Miami-Dade County f Please submit a check for$5.00 to orir office payable to the "Board of County Commissioners"for the cost of verifying these signatures. l i i Elections 2700 NW 87th Avenue MIAMI-DADEN Miami, Florida 33172 T 305-499-VOTE F 305-499-8547 EW TTY:305-499-8480 miamidade.gov j March 4, 2011 ` i f Barbara A. Estep, MMC ? Village Clerk Miami Shores Village 10050 NE 2"d Avenue Miami Shores, FL 33138 Dear Ms. Estep: The Miami-Dade Elections Department has completed the verification of the petitions for Robert Huntington Davis III, a candidate for Council in the Miami Shores Village. A total of 108 petitions were submitted and all of the petitions were reviewed for verification. Of the total 108 petitions, 62 were certified. There will be no charge for the additional petitions that were verified. For purposes of petition verification, the Code of Miami-Dade County states that petitions shall be disqualified for the following reasons: 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 However, for municipal petitions, my office does not review this information and encourages the municipality to ensure compliance with municipal charter or code requirements. As such, please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact me at 305-499-8509 or Rosy Pastrana, Deputy Supervisor of Elections for Voter Services at 305-499-8548. Sincerely, Le er Sola Supervisor of ctions Miami-Dade Elections Department Enclosure {1} ;U!S Postalrvicerh CETIFI�EDMAIL� ET L jSe (Dstic Mail Only:No Insurance-ME omecoverage Provided) F 0 For delivery information visit our website at www.uspsxom�;#&: 0. u . -. PST—.111 3800.A.9.SI 2066—YOREME&MRSee Reverse for Instructions Certified Mail Provides: A A mailing receipt, t ■ A unique identifir 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. F ■ NO INSURANCE COVERAGE IS PROVIDED -with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Retum 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' - 9 ■ 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 Mair receipt is not needed,detach and affix label with postage and mail. i t IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530024)00-9047 5�►ORE,s 96awam tt1C.1932 one I �j ..arir+ l_/&moi a" �IORIDp' -/0050 G�41 . ,01 aq" PA". P ", coy March 4, 2011 Mr. Hunt Davis 9875 N.E. 12th Avenue Miami Shores, FL 33138 Dear Hunt: Congratulations on becoming a qualified candidate for the upcoming Miami Shores Village Council election! 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 03/25/11 03/20/11 Second Treasurer's Report 04/07/11 04/06/11 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 07/11/11 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. 594-.• (805)795-2207 CO- (305)756-8972 Hunt Davis March 4, 2011 Page Two At 10:00 AM on April 7, 2011, 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, 4a/WW Barbara A. Estep, MMC Village Clerk Certified Mail — Return Receipt Requested Candidate qualifying tetter �SKORES Gj� ./tJa��x•� C�4�. �p�,�L, C��C�'!�G Tp logo 0 S1 moss 21 �uce 33:f.T8 March 3, 2011 Ms. Michelle McClain Miami-Dade County Elections Department 2700 N.W. 87th Avenue Miami, FL 33172 Dear Ms. McClain: Enclosed please find three (3) additional Petition Forms from Robert Huntington (Hunt) Davis, in reference to the Miami Shores Village April 12, 2011 Council Election. The filing date for this election was February 10, 2011. I cannot thank you and your Department enough for your help and cooperation in trying to get our Village Council candidates qualified. If you have any questions, please do not hesitate to contact me directly at 305-762- 4851. Sincerely, zalwo &4 r Barbara A. Estep, MMC Village Clerk (805)995-2209' CPV-- (805)M-8972 gyp- cL ea s(C�m �P 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 TTI of Z� Ar r' r � 9115 �y The undersigned is the circulVegenuin regoing paper containing_ signatures. Each appended thereto was made in my presence anignature of the person whose name it purports to be. Signature of Circulator Address u ACCEPTANCE OF NOMINATION I hereby accept the nomination for the'Village Council and agree-smvn if elected. Signature of Candidate PETITION 1,�og Alb We the undersigned electors of Miami Shores Village, hereby nominate Robert Huntington Davis III for a position on the Village Council. PRINT NAME ADDRESS SIGNA U E DATE qvv a),! t l d Mom QJC S4e r14 2s3 A lol 1> -- The The undersigned is the circulator of the foregoing paper containing S signatures. Each appended thereto was made in my presence and is t e genuine signature of the person whose name it purports to be. Signature of Circulator Address CCEPTA CE OF NOMINATION 11911 j��I'7'�S �13S,r I hereby accept the nomination for the Village Council and agrae-to-sef�vs 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 j Zi L21ll � CA 'lei Ca� �r1C �►'1 CA ., t�l►�a r►� sY�'Ye`3 3 � 3" � �9 s✓ _ �-i fs (� t,4 m r r. 2 f�S v 3 3=1- f �G a rte' Air) I—A 1 [n 1 Y`JJA\ 10 C r� r The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and isPe-gen ' signature of the erson whose name it purports to be. Signature of Circulator , C�! Address « Yr ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree t if elected. Signature of Candidate Y6 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 The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is_th ne si nature of the erson whose name it purports to be. Signature of Circulator Address k AJ6 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and a rve if elected Signature of Candidate �5 �S' t 'tIAC-1932 �LOR'iDp' X0050 P,41W. , PAamc C9", C 9?Y 3.Y'Y8 February 28, 2011 Ms. Michelle McClain Miami-Dade County Elections Department 2700 N.W. 87th Avenue Miami, FL 33172 Dear Ms. McClain: Enclosed please find Petition Forms (6) from Robert Huntington (Hunt) Davis III, in reference to the Miami Shores Village April 12, 2011 Council Election. The filing date for this election was February 7, 2011. 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 �lcoxe: (805)995--2207 OF=- (805)756-8972 cp-C eate�f/�mioneia/coxeavc�a�e.com 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 4600 hAraj)r'�,Cr 5TA-Nfl 11 b U o c�i o to 6- �6 )DT iaZj 416 ,q y u1-4 Whuun The undersigned is the circulato or the foregoing paper containing signatures. Each appended thereto was made in my presence and ' t e genuine signature of the person whose name it purports to be. ` Signature of Circulator Y—/cAddress 4 0 l SY� ACCEPTANCE OF NOMINATION .I-hereby accept the nomination for the Village Council and agree if elected. ' Signature of Candidate J 4 J2P ' t 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 Iq4o N F Io ( 3f li JCj h P, C�!Cmc �a Z l`E 10, Z Z� // The undersigned is the circulator of the foregoing paper containing 1 n signatures. Each appended thereto was made in my presence and ,iis(the genuine signature of the person whose name it purports to be. L Signature of Circulator v'"y &AlAddress 1 �'� N E b �L 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 SIGNATUHIE DATE 1. C-21 - :;�!-/ el W )!�- -e cIe fi^( Z, J� c.� A-A&rr ���r 1�eo om I-f ore&'- 11�� A'6 104 j�s h- -D O ca G10 sii l�������.� CXR cJ► P� Z• x , Nati C,(, 10-h-- Yo, ; , Cq� �fi nS ` w �-- -- , The undersigned is the circulator of the foregoing paper containing signatures. Each appende thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator �b"CYXT .4 Address Cl 7S 1U6 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and�a s e if elected. Signature of Candidate r � 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 SIGNATUR DATE , h301 N� l0�S-�• �- 9 !� 300 Sema Gtn nt� a C 2 RS S a c 33 0,111-k6JUM0 4-� 7 (UE S ,-4, 1, z /f 1--c PFS c D,v\s 2- 1161 The undersigned is the circulator of the foregoing paper containing_ _j o 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 Ot-i.A-� Address °1 fS-Z-S ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and age rve 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 S N TURE DATE o fi lr'1`5440(1�fiO W N6 q 5 64 ��kaavyie, Vei _ �je as 15+ 5L/, C:, /�t. /�E•�N�s 3i7�V,�toy S� � �. 3 /� j;Alee'e�ic- ;Cs-e X)j- /00 se n/k4, y!��'Si I IZIV 0,00" iLzlz The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the uine 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 SIGNATURE DATE Co l D2d S4 �T,u.- -(�hi s �! M.?Jr4� ,-Al saQ 10 E 3C111— 2rl aE (Tt,sl s'sVi G�L4W4041 2.41- �1�s-r mai / osalsr- 2 T7 cQ -a 7 1 � '05�f x/vL 'f- - �jp-- '4v 3-0 ` -� -/� Al 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 /'�7__'WY� ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree e if elec Signature of Candidate DECLARATION FOR CANDIDATES NOT AUTOMATICALLY COVERED by the Mandatory Provisions of the Miami-Dade Ethical Campaign Practices Ordinance Miami-Dade County Code at 2-11.1.1(C)(1) The Mandatory Fair Campaign Practices Ordinance at Sec. 2-11.1.1(C)of the Miami-Dade County Code extends to— • Candidates, and their respective campaign staffs,for Miami-Dade Co. Commissioners or Mayor; • Candidates,and their respective campaign staffs,for Miami-Dade Co.Community Councils; • Candidates, and their respective campaign staffs,for any municipal elective office within Miami- Dade County; • Candidates, and their respective campaign staffs,for the Co.Property Appraiser. Other candidates for elective office with a constituency in whole or in part in Miami-Dade Co.who are not required to comply with the Mandatory Fair Campaign Practices Ordinance may at any time declare that they agree to abide by the Mandatory Fair Campaign Practices Ordinance. The Mandatory Fair Campaign Practices Ordinance states that a candidate 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 that exposes the person to hatred,contempt,or ridicule or causes the person to be shunned or avoided or injured in his or her business or occupation; (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 that exposes the person to hatred,contempt,or ridicule or causes the person to be shunned or avoided or injured in his or her business or occupation; (c) Willfully injure,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; (d) Knowingly obtain,or cause to be obtained,the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or its benefit;or (e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate. If you are not automatically covered by the Mandatory Fair Campaign Practices Ordinance,but you have a constituency in whole or in part in Miami-Dade County and you would like to abide by the Mandatory Fair Campaign Practices Ordinance,please sign and date below.Once signed,the Declaration is deemed irrevocable for the duration of the campaign. 1, Robert Huntington Davis III , a candidate for the office of please print your name Village Council —in Miami Shores, FL , elective office sought county,municipality,or other jurisdiction understand that I am not automatically bound by the Mandatory Fair Campaign Practices Ordinance of Miami-Dade Co.Nevertheless,I choose to abide by the Mandatory Fair Campaign Practices Ordinance and recognize the compulsory jurisdiction of the Ethics Commission and its authority to decide whether I have violated the ordinance at Sec. 2-11.1.1(C)of the County Code. I further understand that if a violation is found,the Ethics Commission has the authority to impose the appropriate penalty, if any. n 28 February 2011 Signature Date COE,revised 4/2010 OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) Robert Huntington Davis III , candidate for the office of Village Council have received, read and understand the requirements of Chapter 106, Florida Statutes. X 28 February 201:1' 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.03108) APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. _ OFFICE USE ONLI 1. CJ-IECK APPROPRIATE BOX(ES):, [� Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Part,. 2. Name of Candidate(in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) "` �-RV i q�75" PC i Z dve 4. Telephone 7,E-mail address 141I4ml S"rf s 3 3t2,N-TL)Avcsnn5v �Gmceiri �( 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: Mfrvvtf�,r-rz ❑ My intent is to run as a Write-In candidate. 8. If a candidate for aap rtisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write-In ❑ No Party Affiliation ❑ Party candidate. 1. 1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 11. Mailing Address 12. Telephone 13. City 14. County 15. State 16. Zip Code 17. E-mail address ifirA 1/1, Sjq*a%S Ifl I A M c-'bA i�)& -5 513 -e /4uru?6/q v i S 6 rm rt_ 18. 1 have designated the following bank as my Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address am ac. 0� Nfr G L"4 9196 21. City 22. County 23. State 24. Zip Code UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AN[ DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Signature ofid to F27. —�Treasure''r'ss Acceptance of Appointment(fill in the blanks and check the appropriate block) I, Pla 1 til.� ► ) Avis do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer ❑ Deputy Treasurer. oft rs 741� X Date Signature of Camp gn Treasurer or Deputy Treasure pi sin 4c-,2 nnn4 c e r S oREs Grp 'AaoeAa C �p�, owowwp y► Bill ..... "Aire �t0RiUA -l005.0 P,4/' . , gAm" P%axw, COY m)"m NOTICE OF CANDIDACY-AND RESIDENCY hereby file this Notice of Candidacy this _/ day of rJ 2011, for the Village Council election of Miami Shores Village to be held on April, 12, 2011. 1 affirm that I have resided in Miami Shores Village for at least six (6) months prior to the date of qualifying for office as required by Section 23 of the Village Charter. �,�., ►��a-► ���.,� ,ate �-_ Signature Print Name Address 36S - 7 ?_;S7— �iZ�x Telephone Number �-�u rq"1�J✓�s rvc sv OC�/�c,Q/�, C..e`� E-Mail Address STATE OF FLORIDA ) COUNTY OF MIAMI-DADE BEFORE ME personally appeared who executed this Notice of Candidacy and Residency this P" day of b 2011. Barbara A. Estep Notary Public Personally Known y"l , BA WISSI #STEP K MY COMMl5310N k OD 956300 Produced the following Identification Seal/Commissio EXPIRES:March 29,2014 •1,�� Bondad Thru Notary Publle UndarAtars /cone: 305)795-2207 CO—_ - 305)756-8972 Lj�S�,oREs Lrt � c .u. ativ � ..,,.� ORivA X oso PA/W. , GJ ,wm P7", 6? 33:13s MIAMI SHORES VILLAGE COUNCIL CANDIDATE INFORMATION RECEIPT Candidate: Q0oc m' l 6y� This is to acknowledge receipt of the following documents relating to the 2011 Miami Shores Village Council Election to be held on Tuesday, April 12, 2011. Informational Letter from the Village Clerk Petition Forms Village Ordinances relating to Village Election Qualifying Forms Treasurer Report Forms Items and Documents available from Miami-Dade County Absentee Ballot Information Poll Watcher Information Candidate and Campaign Treasurer Handbook State Statute Chapters 97— 106 Received By: Date: 6- 'S Z6 1 l /cone: (805)995-2207 (805)756-8972 -� eate@rniamcialcoreavcl/a8e.com 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, Lester Sola, Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 62 signatures submitted by Robert Huntington Davis III for the office of Council in the Miami Shores Village matched the signatures on the voter files. WITNESS MY HAND AND OFFICIAL SEAL, AT MIAMI, MIAMI-DADE COUNTY, FLORIDA, ON THIS 4t" DAY OF MARCH, 2011 Lest r Sola upervis r of Elections Miami-Dade County Please submit a check for$5.00 to our office payable to the "Board of County Commissioners"for the cost of verifying these signatures. Elections 2700 NW 87th Avenue MIAMI-DAD-E)) Miami, Florida 33172 T 305-499-VOTE F 305-499-8547 TTY: 305-499-8480 miamidade.gov March 4, 2011 Barbara A. Estep, MMC Village Clerk Miami Shores Village 10050 NE 2"d Avenue Miami Shores, FL 33138 Dear Ms. Estep: The Miami-Dade Elections Department has completed the verification of the petitions for Robert Huntington Davis III, a candidate for Council in the Miami Shores Village. A total of 108 petitions were submitted and all of the petitions were reviewed for verification. Of the total 108 petitions, 62 were certified. There will be no charge for the additional petitions that were verified. For purposes of petition verification, the Code of Miami-Dade County states that petitions shall be disqualified for the following reasons: • 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 However, for municipal petitions, my office does not review this information and encourages the municipality to ensure compliance with municipal charter or code requirements. As such, please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact me at 305-499-8509 or Rosy Pastrana, Deputy Supervisor of Elections for Voter Services at 305-499-8548. Sincerely, Le er Sola Supervisor of ctions Miami-Dade Elections Department Enclosure (1) ��;',' Y�1i C,Vt !(ot o- E l'et 'l J . 1 PETITION 'S 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 46'124 1',**'/'--/---12 r&17 /c/ 72dir AS oM <' S4e r14 2s3 IVC— /01 Sl � , r i The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is a genuine signature of the person whose name it purports to be. Signature of Circulator Address fN f- A/C CEPTA CE OF NOMINATION I hereby accept the nomination for the Village Council and agr 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 AzIll- IK aUaS' qoG e' /1 exp f & .11 - r� y r, 71- 2 4N, The undersigned is the circulViis',egenu4 egoing paper containing _signatures. Each appended thereto was made in my presence anignatt►re of the person whose name it purports to be. Signature of Circulator Address & Jv ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and ag if elected. Signature of Candidate r 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 on AA v u�c Gt n Colo 6 C15 -Cc;'P-4 �K—Al �h K:.� .•(. �-•:cam'j /. J, stmr t,�0RfLS 3 131 t r r fi IL J/e r s' t �'�J�� //`�.� ��" ��'� '��?���� -�� ��<< tom• The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is t signature of the person whose name it pp-u-rports to be. Signature of Circulator Address 0 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to sery if elected. _.. � f 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 h,'+�y ,vc - sN-F► 1 � �.r � �Sy hill( G`;L/K,/,e. Z6"C';'16Y"q'61 J The undersigned is the circulate o the foregoing paper containing _ signatures. Each appended thereto was made in my presence and ' the genuine signature of the person whose name it purports to be. Signature of Circulator Address 4 a-'-� a& oI -CT- ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree 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 Gezrae. NE to 1x TO m5 -Loh �dCm4r'5 l �Z /-16 10'5� ILI4CA\ c� Af C� 4-)rt ti•acr—, j�rrC.� ✓ 7.; ( �T .. 0 5�1y. t ;r- 2--2 1 v The undersigned is the circulator of the foregoing paper containing 1 n signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it N it purports to be. L Signature of CirculatorAAddress 1 l 7y E )b i 5L ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree 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 SIGNATUR DATE Oa�ffim &4t,a- 1-aa \Ij 30 a Sera /a Y ['L `� 3 CYC �41KC_ V 3L -2-ZD�QiF-7t D t t"-,-CQ &A)e AIM 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. Circulator :k-J'A-t'6 t Signature of Ci C' Address ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agre rve 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 �) Co d- P'a'� 2ri m 4:�b- - g 5111 2,7 F 13 /7/ V/ 5 L �C t • 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 17 27- ACCEPTANCE ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree e if elec. 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 S N TURE DATE Iv Izl� f.lv rT. C'A' t-� to--3-1 �je ass Z 3 Ai /00 4 X, J x)20 A1,6' 105 J CA'Vl2 W 43AIre df426Q 08AIE/00 -5 s11� n Nr S The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and i ume 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 SIGNATU E DATE -A:.Mk 31 N, -lg Pil, ( t J �1f°7/ Cf CjtA 4 lr>r 7�OUt -'j'2- 5f i ZS' t l - " J 0/4 kx)z, 92 YW I'y ;T Vv - - ' The undersigned is the circulator of the foregoing paper containing signatures. Each appende thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator jPv3 —L)tav t . Address S" � I Z Vit; ACCEPTANCE OF NOMINATION r I hereby accept the nomination for the Village Council and agree-to ser e if elected. Signature of Candidate •�'�—t' 1