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Challenor, John o6v\ CWlcvor ca the [oqklx 365 30I -6?3d (16C � e�tw k1b _ cep . TAC'1932 cams 34ort 10050 N.E.SECONI �LOR1Dp' MIAMI PFLORIDA HONE 305)7. FAX(305)756-! i 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. I, \ 1 0 r!b) lC,f 1 1% � , a candidate for the office of (( II ' /,� please print your name ��nn� .�� (G��, ly� A4-C � �Q u C� in 1 tYO 1 241 0 2-e-i / 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. 4Z Signature Date COE,revised 4/2010 15�►OREjNc.1932 S. Gr �t ■u mnM ORiDp' NOTICE OF CANDIDACY AND RESIDENCY C fit'I �< <-�ar�hereby file this Notice of Candidacy this i341-day of y-g-Kn ar , 2017, for the Village Council election of Miami Shores Village to be held on April, 11, 2017. 1 affirm that I have resided in Miami Shores Village for at least six (6) months prior to the date of qualifying for offic as required by Section 23 of the Village Charter. GIT17, Sign at Print Name air /V Address 3 0.5' -30 /- © 7 Telephone Number o h ® onte�� �. gail Address Com_ STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) 1- BEFORE ME personally appeared YWW e who executed this Notice of Candidacy and Residency this day of 12017. / Notary Public Personally Known Produced the following Identification Seal/Commission Expires: BARBARA A.ESTEP MY COMMISSION#FF 073975 a*€ EXPIRES:March 29,2018 a�Rf Bonded Thru Notary Public Underwriters 43h? xktc 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 K1. C CK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip C Hft U e9 code) ca GU l OcF • 4. Telephone 5. E-mail address pi ( 5 mw-e� r ��) �ir� ® ons ec?o�� 6. Office sought(include dhdrict, circuit, group number) 7. If a candidate for a nonpartisan office, check if �Ct N u L applicable: ❑ My intent is to run as a Write-In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write-in Ef"No Party Affiliation ® Party candidate. 9.1 have appointed the following person to act as my ]R 'ampaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer T_*V2_0W 0Ve-f pN 11. Mailing Address 12. Telephone 9999 air - "219 rM ) gd,3 -7q 13. City 14. County 15. State 16. Zip Code 17. E-mail address I A M I PL V1,79 18. 1 have designated the following bank as my rimary Depository ❑ Secondary Depository 19. Name of Bank 20.Address 21. City � I 22. County �/ � 23. State � 24. Zip Code�� orUNDER 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 C 113117 X 27. Treasurer's Acceptance of Appointment(fill in the blm<s and check the appropriate block) I, Yeou E L. cayr ojo do hereby accept the appointment (Please Print or Type Name) designated above as: ® Campaign Treasurer ❑ Deputy Tr surer. X Date Signature of C/* er or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. ' 2017 Candidate Name: Oct\Y\ CYURI,Cw( E-Mail Address: C C0 %0`\Ooc f . com Address: aG lel F_ loci fl" 3 sko Telephone Numbers: 30S- MOl'o732. CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION Notice of Candidacy and Residency Campaign Account &Treasurer's Appointment Form 1 Financial Disclosure \ � Loyalty& Candidate's Oath Statement of Candidate 50 Signatures on Nominating Petition Confirmed by Miami-Dade County Elections OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) candidate for the office of V ro a C( have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x 3HO S' natu' reX 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(05111)