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Lewis, Eddie Enclosed is My endorsement contribution of: []$25 []$100 []$200 []$300 []$400 []$500 []Other Make Checks Payable to:Campaign Account of Eddie Lewis P.O.Box 53-1171 Miami Shores,Florida 33153 1 want to sive Eddie's Campaign that additional winning edge: []Distribution of Eddie's Newspaper []Distribute Eddie's campaign literature []Host a coffee,cocktail party or fundraiser for Eddie []Help Eddie on Election Day []Other POLITICAL ADVERTISEMENT PAID FOR AND APPROVED BY EDDIE LEWIS FOR MIAMI-DADE COUNTY MAYOR Yes,I want to help Eddie Lewis Mayoral Campaign 1 support EDDIE LEWIS Mayoral Campaign and authorize the use of my name or photo in their campaign advertising and literature. Signature Date Name Address City State Zip Code Bus Tel Home Tel. Fax Email: Occupation (Required for all contributions) Eddie Lewis Campaign Account P.O. Box 53-1171 Miami Shores FL 33153 Elections 2700 NW 87th Avenue MIAMI-DAD-0) 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 29 signatures submitted by Eddie Lewis 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 7th DAY OF MARCH, 2011 Le ter S Supery or 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 M I AM I•DADE Miami, Florida 33172 T 305-499-VOTE F 305-499-8547 947=k TTY: 305-499-8480 miamidade.gov March 7, 2011 Barbara A. Estep, MMC Village Clerk Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Ms. Estep: The Miami-Dade Elections Department has completed the verification of the petitions for Eddie Lewis, a candidate for Council in the Miami Shores Village. A total of 55 petitions were submitted and all of the petitions were reviewed for verification. Of the total 55 petitions, 29 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, L ter Sola Supervisor of Elections Miami-Dade Elections Department Enclosure (1) ►r '' ``" "mit' ''t � �� �' r�g� t, PETITION We, the undersigned electors of Miami Shores Village, hereby nominate' for a position on the Village Council. ' P T NAME ADDRESS SIGN DATE ar A-, Jill I/ ztj 3 , / eco ��asr 2Z / 3 "'�i 166`13 NL7, /zI c7 ��• ��/��'G�-�r/�r /2 s� ��lam' _ �� _. ��j Z/i�s 201- AL1 , 14L���� LIZ 9 �l Pvc d4L The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is th enuine signature of the person whose name it purports to'be. Signature of Circulator Address Acceptance ofNomination 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 � for a position on the Village;Council. i PRINT NAME ADDRESS SIGNATURE,: DATE ©Q c � %��� u ✓no�a3 a st p Fn,� i W +4 rti� c4A Lq_ w L] ti' fs —7�J_K15 3 2� r Al� 116 C( - Ll1 < 09 IL�:�/V:,21:d� /vlaQ►^ I �i 5 <�f�5 �l-e � �z _4a A I?ef G 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. �) a '-j . Signature of Circulator C�c�/���-- � �P.�� S � Address � �" � � ' I l Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate 4 PETITION We, the undersigned electors of Miami Shores Village, hereby nominate %%e i� for a position on the Village Council. PRINT NAMEDRESS SIGNATURE :. DATE ELI// Tx, q ke lad t� '-1C�- �_)Q)O(vice. 7-3 S w-E , 1135 z- oh� Layln zq I [qe- 87 � a►�c� ion � � �gs-� � .Z. , c Z- lit00 LAn`IU�iSr k n '� 312 .. Go - OJ t ° , 4-- 3 L [ N (z140c_ (k ®Os-0 Y2 is A�O 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 �� e Address Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if electe Signature of Candi —� PETITION We, the undersigned electors of Miami Shores Village, hereby nominate ,e�014 �Pwi S for a position on the Village Council. IRINTME ADDRES SIGNATURE DATE �o N� I b*L -35i 3-6 N r L'Ml 1 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 ofNomination I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate Barbara Estep From: Postmaster[postmaster@worldnet.att.net] Sent: Monday, March 07; 2011 11:23 AM To: Barbara Estep Subject: Delivery Notification Attachments: ATT54621.txt; ATT54622.txt Your message was successfully relayed via mx.att.yahoo.com for delivery to: Edlewis99(@att.net The Remote mail system does not support confirmation of actual delivery. Unless delivery fails, this will be the only delivery status notification sent. Barbara Estep From: Barbara Estep Sent: Monday, March 07, 2011 11:23 AM To: 'Ediewis99@att.net' Subject: FW: Petition Signatures From: Barbara Estep Sent: Monday, March 07, 2011 11:22 AM To: 'Ediewis99@att.net' Subject: Petition Signatures Eddie—I just received word that only 29 of the signatures you received were valid. You have not qualified for the Village Council election. Barbara A. Estep, MMC Village Clerk Miami Shores Village 3h/o - S�oLe wlf� Ec e Lewis @, gprvx(W44 X U 0 IPM ad advised Wm m +k2 GDVn V u-qO4-d 6 me_ 4,01 o(\l�A as stoma fes were. ua�T T told � & 4W kase� o 464- mkxma�m, he- JJ W� qua Uq 6 Edd( ,O-kkc a , �a�c , ono p COW-M ' 46� -qou Barbara Estep From: McClain, Michelle (Elections) [MGILES@miamidade.gov] Sent: Monday, March 07, 2011 10:56 AM To: Barbara Estep Subject: RE: Eddie Lewis Petitions Good morning, Barbara, was just preparing an email to you. Mr. Lewis did not pass. He only received 29 valid signatures. The certification will be processed today. Thanks, Michelle G. McClain Assistant Deputy Supervisor, Voter Services Miami-Dade County Elections 2700 NW 87th Avenue, Miami, FL 33172 (305)499-8302 Phone (305)468-2542 Fax (www.miamidade.gov/elections "Delivering Excellence Every Day" Miami-Dade County is a public entity subject to Chapter 119 of the Florida Statutes concerning public records. E-mail messages are covered under such laws and thus subject to disclosure. From: Barbara Estep [mailto:estepb@miamishoresvillage.com] Sent: Monday, March 07, 2011 10:53 AM To: McClain, Michelle (Elections) Subject: Eddie Lewis Petitions Good Morning Michelle—I hope you had a good weekend. Can you let me know when you have completed the certification for Eddie Lewis? Thank you. Barbara S t%C-1932ORES Goc aixxam Com. waa 4, P-/ (-0/ff . 011 ...,.� FLORIDA X0050 C/ '9, QQ6MMW GA-acme C9", COY m-as FILM LICENSE �� Gl � EAk is authorized to engage in commercial film (Na a &Production Company production at (RA N E Cl 1 d'�- 1 e.l'M(� e- in Miami Shores Village on (Location) yl cal �� between the hours of (Date/Dates) (No work including positioning or removal of equipment will take place prior to or after specified). Police presence required during authorized hours? 1� This permit must be displayed upon request by Miami Shores Police or Code Enforcement Officers. �bhf (Date) Barbara A. Estep, MM Village Clerk U cw r l - ()I ✓l G�12 I a �fione: 605,)795-2209 (05)756-899.2 g'o-C /�nuamua/cax���n 81r U130 MIAMI`SHORES VILLA[9= + 9306604399.3 hIO.QW ti091 �' IIAIiA1N'SfldRl=.81RL.1,lkG� � MM UCENNIAPK CATK>N � li t (nlaMI -Tv 851 . F RroWV OWW Names" - galac r -CK -SqWx mAt b°be Used In Nu>lnher in cr+aw: v - ,ype o�sron�a��oduc�on: T CYC ' oi C i)r't Q h , I A&Iatndt at aid Bm,-alias*adnWw" &sW tie cwnW m s SfiomVftp Ctxles!wW Ord lnmxw, /4VM�M- NdM�81&. Data t a: t t 'd 566E-i►tl9-.SOE` ?SHS 1:3rS3SU I dW WHO I-:Ti, LOGE 62 uer CERTIFICATE OF LIABILITY INSURANCE DATE //22011011Y) 04/0066 PRODUCER LIC #A187033 1-305-798-4396 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Worldwide Entertainment Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10980 S.W. 91 Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami, FL 33176 Isabel Te eda INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Great Divide Insurance Company Board of Directors Propaganda Marketing Enterprises, LLC INSURERS: 1749 NE Miami Court INSURER C: Miami, FL 33132 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDI POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONTYPE OF INSURANCE DATE(MMIDDNYYYI DATE(MM/DDNYYY) LIMITS A GENERAL LIABILITY CNA1036743-12 04/01/11 04/01/12 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS MADE 51OCCUR MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000 X I POLICY PRO-jECT F7 LOC A AUTOMOBILE LIABILITY CNA1036743-12 04/01/11 04/01/12 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) XHIRED AUTOS BODILY INJURY $ 1X NON-OWNED AUTOS (Per accident) X $125,000 PER VEHICLE PROPERTY DAMAGE $ X $500,000 AGGREGATE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F_]CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER A Phys Dam Ded $1000min CNA1036743-12 04/01/11 04/01/12 $7500 max ded A Rented Equipment Limit $750,000 2,500Deductibl A Third Party Property Damage I Limit $1,000,000 2,500Deductibl DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is considered additional Insured as respects to General Liability claims arising out of the negligence of the named insured and Loss Payee as respects to short term equipment and/or auto rental. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Miami Shores Village DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 10050 N8 2nd Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR USA ;r „ i REPRESENTATIVES. 1/t//1} ..� Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE \\:��v .�'��� `\ """`J ACORD 25(2009/01)board ©1988-2009 ACORD CORPORATION. All rights reserved. 20604017 The ACORD name and logo are registered marks of ACORD April 6, 201 1 Barbara Estep Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 Dear Barbara: Please accept this letter as confirmation that I have given permission to Proganda Marketing Enterprises use my home as a location for a TV Commercial shoot for KFC to take place this coming Tuesday April 12, 201 1. Thank you so much for your assistance, Liliana Kondracki 864 NE 91 Ter Miami Shores FL 33138 305-608-0854 Barbara Estep From: Liliana Kondracki [liliscout@mac.com] Sent: Wednesday, April 06, 2011 11:16 AM To: Barbara Estep Subject: Film permit for KFC commercial Attachments: Mlami Shores KFC permit appl.pdf Good Morning Barbara, I am attaching a permit application for a company called Propaganda Marketing Enterprises LLC. that is planning on filming at my house this coming Tuesday April 12. I had a company (Letca Films) approach me about filming last month on Sunday March 13, they cancelled the shoot on Friday March 11 in the afternoon. I don't know if they got the permit or not, but if they did, it should be voided, as they did not shoot or even notify the neighbors. I will have Propaganda distribute notices to my neighbors tomorrow or Friday. Please email me or call me if you have any questions or comments, Thank you so much as always for all your help, Liliana Kondracki Assistant Location Manager TVM Productions - "The Glades - Season 2" 954-518-0740 off 305-608-0854 cell 305-436-3739 fax liliscout0mac.com 1 OR BaW w W� -49 to ORtDA 70050 P,4/W. PA.amc P%xw, COY 2011 Candidate Name: dd ceINIS Address: q Ao (1) i0, Ave, Telephone Numbers: LO'S ) 7S6 - 7� E-Mail Address: e_ 1 Ie0if S � I Q a4 • Aj CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION Confirm Address and Voter's Registration Information Confirm Length of Residence in Miami Shores J Campaign Account &Treasurer's Appointment v Form 1 Financial Disclosure Loyalty&Candidate's Oath Statement of Candidate 50 Signatures on Nominating Petition Confirmed by Miami-Dade County Elections �, (80S)79.E-2207 CO- - (805)M-8972 @� �. S [�l �C�S �� �' gSl b' F i OR Eggs 01 live.M �,�� 01 FLORIDA too 70050 C'4•w. March 4, 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 (4) from Eddie Lewis, in reference to the Miami Shores Village April 12, 2011 Council Election. Mr. Lewis opened his campaign account on February 28, 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 9,(—: 805)9.95-2207' C�aa (305,)756-8972 PETITION We, the undersigned electors of Mimi Shores Village, hereby norninate ��✓�'�' Zug for a position on the Village Council. ' PRINT NAME ADDRESS SIGN DATE 311, Ow 47 A-4 L 1 jormlCC�Y' ✓ ��J(� rJ -���,z-c SCI ��-✓�`ti 3 , Z�L LIU, The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is th enume signature of the person whose name it purports to be. Sigfature of Circulator Address Acceptance ofNomination 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 no minate �r for a position on the Village Council. ' PRINT NAME ADDRESS SIGNATURE- .. DATE ti p 1 lu�au 59 tic R 7553 6: 0 , LQwcj-f_� YC� Atxfli� ,Az_ /00 SD/1/.IgAml AIS � i- iu W, 44 a C64 C? Px%L o t V' .mac, 3/2-/ /5b/ ti /01 �{ - L4&� q7 5 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 'C C_yLllr— L S S��-o N Address Acceptance ofNomination I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate PETITION We, the undersigned electors of Miami Shores Village, hereby nominate Z�611 e i� for a position on the Village Council. ' PRINT NAME ADDRESS SIGNATURE DATE �G 19 �� lad Oro e L21 no c ) �� ,Y- -87 / _z zz Z N c l,.UySf �Gr12� E'f tP�. �I r7 Ll 2vvl i. qx) �JIG of� L- 1 , �-- -A' A e, A2�".Je 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 ��9'G�e C�� �r s Address Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if electe ' Signature of Candia - -` PETITION We, the undersigned electors of Miami Shores Village, hereby nominate /l V'10 �Pwi S for a position on the Village Council. ' PRINT NAME ADDRESS SIGNATURE :. DATE LJ d'KO?-) { 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 a �� Address (4) Acceptance of Nomination I hereby accept the nomination for the Village Council and agree to serve if elected. fi Signature of Candidate LOYALTY OATH (Sections 876.05-876.10,Florida Statutes) CANDIDATE WITH NO PARTY AFFILIATION OFFICE USE ONLY -T T First Name Middle NamelInitial 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 govemmental agency prior to the approval of payment of salary, expenses, or other compensation. OATH OF CANDIDATE (Section 99.021,Florida Statutes) (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 C 3 u PvC( , (office) (district#) I am a qualified elector of til t 4'.'k I, A 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. A Signa 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): STATE OF FLORIDA COUNTY OFt— J.(4, L D*)E \\411i111iN1////� �+ Sworn to(or affirmed)and subscrib ` a�� i day 20 / y •OMMISSlO,.•.• ,p •iG 25,20' Personally Known: /signatur4of Notaryublic Produced Identification: �' #D0967352 ` Print,Tyr ,or Stamp Commissioned Name of Notary Public Type of Identification Produced: ✓d <i 2j7 STATE DS-DE 246(Rev.10/10) Rule 1S-2.0001,F.A.C. FORM 1 STATEMENT OF 2010 Please print or type your name,mailing FINANCIAL INTERESTS address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: FOR OFFICE 6—'d-d (e— �(� USE ONLY: MAILING ADDRESS: qq Vtl, ID Code CITY: ZIP: COUNTY: ID No. NAME OF AGENCY: M l CSIL—S Conf.Code NAME OF OFFICE OR POSITION HELD OR SOUGHT: P. Req.Code You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF Q 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 0 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): 0 COMPARATIVE(PERCENTAGE)THRESHOLDS QB ❑ 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'Wa") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY PART B-- SECONDARY SOURCES OF INCOME[Major customers,clients,and other sources of income to businesses owned by the reporting person] (If you have nothing to report,you must write"none"or'Wa") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE PART C-REAL PROPERTY [Land,buildings owned by the reporting person] FILING INSTRUCTIONS for (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. / ( f `f 12 5 l file STRs INSTRUCTIONS how t fillitust out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1-Effective:January 1,2011.Refer to Rule 34-8.202(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"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E—LIABILITIES [Major debts] (If you have nothing to report,you must write"none"or'Wa") NAME OF CREDITOR ADDRESS OF CREDITOR 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"n/a") BUSINESS ENTITY#1 BUSINESS ENTITY#2 BUSINESS ENTITY#3 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROU H F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE(required): DATE SIGNED(required): ILING 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 the olewiththeSupervisor section, you must write "none" or 'Wa" in that Localofficers/ unty iof Elections of the county in which they perms- 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 officers/employees, state calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are second Form 1 for the same year. However, a 201,Tallahassee,FL 32312. required to file by July 1st following each candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their posi- of another public position must at least file a copy qualifying papers. tions. of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment, falls under, see the"Who Must File"Instructions each local officer/employee, state officer, and on page 3. specified state employee is required to file a final disclosure form(Form 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 OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) candidate for the office of V �1q�� have received, read and understand the requirements of Chapter 106, Florida Statutes. X 2g P i Signature o ndidate 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) 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 ONLY 1. CHECK APPROPRIATE BOX(ES):, ❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate(in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip �9,7__E_ L..��/rs code) Cj 4C�D Al-. W, I 4. Telephone 5. E-mail address M PL (3,651 75_b 7 y7 teles 19 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: ❑ 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 JEL No Party Affiliation ❑ Party candidate.- 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 b (365-) 751 -7 �f 13. City 14. County 15. State 16. Zip Code 17. E-mail address l / &x-- A"=__ V_-�A � [ Sb L LL1­S © NC 18. 1 have designated the following bank as my Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address 21. City 122. County 23. State 24. Zip Code UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Signature of idate F27. Treasurer's Acceptance of Appointme ill in the blanks and check the appropriate block) I, e_ -r J h S 4-Ijd �`s Cep-; i S do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer ❑ Depu Treasurer. 1 ly� I X,1 J, Date Signature of Ca"p ign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. 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— o 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, L d `� Q C`� , a candidate for the office of please print your name ( l c- VNCc ( in /� laM( til?0 (zt , 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. X ov0 [-`4 )/ Sig ture Date COE,revised 4/2010 Barbara Estep From: Postmaster[postmaster@world net.att.net] Sent: Thursday, March 03, 2011 1:46 PM To: Barbara Estep Subject: Delivery Notification Attachments: ATT47773.txt; ATT47774.txt Your message was successfully relayed via mx.att.yahoo.com for delivery to: Edlewis99(@att.net The Remote mail system does not support confirmation of actual delivery. Unless delivery fails, this will be the only delivery status notification sent. Barbara Estep From: Barbara Estep Sent: Thursday, March 03, 2011 1:46 PM To: 'Edlewis99@att.net' Subject: Candidate Qualifying Packet Good Afternoon—Just a quick reminder that the deadline for submitting candidate qualifying paperwork is tomorrow, March 4th at 5:00 PM. Thank you. Barbara A. Estep, MMC Village Clerk Miami Shores Village 1 SNoREs � 1pC.1932 G1� Fit" ormr ���Iila �ZoR[pA X oso PAI.W. '01 QAa tm CS", 69Y mas MIAMI SHORES VILLAGE COUNCIL CANDIDATE INFORMATION RECEIPT Candidate: 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 L_- Received By: Dater �iEare: 305,)995-2209' CO— ?'305,)756-8972 �P-C "^�"��p ntiamria�iozeavcl`a�e.com ♦S�ORFS GfNP �loRiDp' -1005'0 Q*�p. , t NOTICE OF CANDIDACY AND RESIDENCY hereby file this Notice of Candidacy this—,L day of2011, 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-6f alifying for office as required by Section 23 of the Village Charter. nature g Print Name Address ?6 T—ellephone Number E-Mail Address STATE OF FLORIDA ) COUNTY OF MIAM I-DADE ) BEFORE ME personally appeared Eddie eLlm who executed this Notice of Candidacy and Residency this � day of 2011. Barbara A. Estep Notary Public _X Personally Known _ 4 Produced the following Identification `f _10MA€A p,�,STEP tP* es•h 29 2014 _ .014 31m hru Notary Pubk Undenvdt@r ,Oris:iader0ters (305,)995--2209' faa (305,)756-897.2 C�a�l ef/�a ua�Foge.obm