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Davis, Robert Huntington III "Hunt Davis" FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TR + • - SUMMARY (1) Hunt Davis OFFICE USE ONLY Name (2) 9875 NE 12th Avenue Address(number and street) Miami Shores, FL 33138 City,State,Zip Code ❑CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A (4) Check appropriate box(es): ® Candidate(office sought): Miami Shores Village Council ❑ Political Committee ❑CHECK IF PC HAS DISBANDED 0 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 / 8 / 07 To 3 / 1.6 / 07 Report Type 1 ® Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 345 00 Expenditures $ 0 00 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions $ 0 . 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 345 00 $ 0 • 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, and I certify that I have examined this report and it is true,correct, and complete. complete. (Type name) Karen C. Davis (Type name) Hunt Davis ❑Individual(o for Tre r ❑Deputy Treasurer X]Candidate ❑Chairperson(only for PC,PTY& electioneeri ommun.) �— electio _ring commun.organization) Signature Signat e DS-DE 12(Rev.08104) 69 INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY (1) Type full name of candidate,political committee,committee of continuous existence,party executive committee, or individual or organization filing an electioneering communication report. rr ' (2) Type the address(include city,state,and zip code).You may use a post office box. If the address has changed since the last report filed, check the appropriate box. (3) Type identification number assigned.by the Division of Elections. (4) Check one of the appropriate boxes: ,r , Candidate(type office sought-include district, circuit, or group numbers) Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication " - If PC or CCE has disbanded and will no longer file reports;check appropriate:box. If individual or organization will no longer file electioneering communication reports,check appropriate box. (5) Type the cover period dates(e.g., From 07/01/03 To 09/30/03) Enter the report type using one of the following abbreviations(see Calendar of Election and Reporting Dates). If report is for a special election,add"S"in front of the re ort code(e.g., SG3 . Quarterly Reports General Election Reports January Quarterly Q4 46th Day Prior G1 April Quarterly Q1 32nd Day Prior G2 July Quarterly Q2 18th Day Prior G3 October Quarterly Q3 4 t Day Prior G4 Primary Reports 32"d Day.Prior F1 90-Day Termination Reports(Candidates Only) 18th Day Prior F2 Termination Report TR 4 th Day Prior F3 Check one of the appropriate boxes: Original(first report filed for this reporting period) Amendment(an amendment to a previously filed report) Special Election Report k Independent Expenditure Report(see Section 106.071, F.S.) (6)_ Type the amount of all contributions this report: Cash&Checks Loans Total Monetary(sum of Cash&Checks and Loans) In-kind(a fair market value must be placed on the contribution at the time it is given) (7) Type the amount of all expenditures this report: Monetary Expenditures Transfers to Office Account(elected candidates only) Total Monetary(sum of Monetary Expenditures and Transfers to Office Account) (8) Type the amount of other distributions(goods&services contributed to a candidate or other committee by a PC, CCE or PTY). (9) Type the amount of TOTAL monetary contributions to date(parties keep cumulative totals for 2 year periods at a time(e.g.,01/01/02—12/31/03). Candidates keep cumulative totals from the time the campaign depository is -opened through the termination report): - (10) Type'the amount of TOTAL monetary expenditures to date(parties keep cumulative totals for 2 year periods at a time(e.g.,01/01/02—12/31/03). Candidates keep cumulative totals from the time the campaign depository is opened through the termination report). (11) Type or print the required officer's name and have them sign the report: Candidate report(treasurer&candidate must sign) I e PC report(treasurer&chairperson-must sign) CCE report(treasurer must sign) PTY report(treasurer&chairperson must sign) Electioneering Communication report individual or organization's treasurer&chairperson must sign) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions,&fund transfers being reported as additions or deletions. Read the instructions for the sequence number&amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. The Division will summarize all reports submitted for each reporting period and for the filer to date. 70 INSTRUCTIONS FOR CAMPAIGN.TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence(CCE)or party executive committee(PTY). (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates(e.g., 7/1/03 through 9/30/03 ). (See Calendar and Election Dates for appropriate year and cover periods.) (4) Type page numbers(e.g., 1 'of 3 ). (5) Type date.contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it.Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required.for responding Co requests from the Division and for reporting amendments. For example, a Q1 report having 75 contributions would use sequence numbers 1 through 75. The next report (Q2), comprised of 40 contributions would use sequence numbers l'through 40. Contributions on amended Q1 reports would begin with sequence number 76 and on amended Q2 reports would begin with sequence number 41. See the Amendment Type instructions below. ' -t ° ° r (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: ' A s' Individual = Business = B (also includes corporations,organizations,groups,etc.) Committees = C (includes PC's,CCE's.and federalcommittees) r Political Parties = P (includes federal,state ad county executive committees) Other = O (e.g.,candidate surplus funds to Party,`etc. Type occupation of contributor for contributions over$100 only. (Iia business,please indicate nature of business.) (9) Enter Contribution Type using one of the following DESCRIPITION CODE codes: r NOTE:Cash includes cash and cashier's checks. Cash ` r , CAS Check f CHE In-kind INK Interest INT Loan Jr( LOA Membership dues DUE Refund REF (10) Type the description of any in-kind contribution received. Candidate's Only-If in-kind contribution is from a party executive committee and is allocable toward the contribution limits,type an"A"In this box. If contribution is not allocable,type an"N". (11) Amendment Type (required on amended reports) —To add a new(previously unreported) contribution for the reporting period being amended,enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment. type "ADD" will start at one plus the number of contributions in the original report. For example, amending an original Q1 report that had 75 contributions,means the sequence number of the first contribution having amendment type "ADD" will be 76; the second "ADD" contribution would be 77, etc. When amending an original Q2 report that had 40 contributions, the sixth "ADD" contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter"DEL" in amendment type on a line with the sequence number of the contribution to be.corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter "ADD" in amendment type.and ALL of the required data with the necessary corrections thus replacing the dropped data.Assign the sequence number as described above. (12) Type amount bf contribution received. Committees of continuous existence ONLY: Any contribution which represents the payment of dues by a member in a fixed amount pursuant to the schedule on file with the Division of Elections need only list the aggregate amount of such contribution, together with the number of members paying such dues and the amount of membership dues. 72 INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE)or party executive committee(PTY). 1 (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates (e.g., 7/1/03 through 9/30/03). (See Calendar and Election Dates for appropriate cover periods.) (4) Type page numbers(e.g., 1 of 3 ). (5) Type date of expenditure(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund ,transfer. This method of unique identification is required for responding to requests from the Division and for reporting requirements. For example, a Q1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of.30 expenditures would use sequence numbers 1 through 30. Expenditures on amended Q1 reports would begin with sequence number 41 and on amended Q2 reports would begin with sequence number 31. See the Amendment Type instructions below. (7) Type full name and address of entity receiving payment(including city,state and zip code). (8) Type purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates), CCEs and'party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Ex enditure Type using one of the following codes: DESCRIPTION CODE Disposition of Funds(Candidate) DIS Monetary MON Petty Cash Withdrawn PCW Petty Cash Spent PCS Transfer to Office Account TOA Refund REF (10) Amendment Type (required on amended reports) —To add a new (previously unreported) expenditure for the f reporting period being amended,enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example,amending an original Q1 report that had 75 expenditures,means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. s To correct a previously submitted expenditure use the following drop/add procedure. Enter"DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data-with the necessary corrections thus replacing the dropped data.Assign the.sequence number as described above. (11) Type amount of expenditure. 74 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN REPORT SUMMARY (1) Hunt Davis OFFICE USE ONLY Name (2) 9875 NE 12th Avenue Address(number and street) Miami Shores, FL 33138 City,State,Zip Code ❑CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A (4) Check appropriate box(es): [N 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 17 / 07 To 4 5 / 07 Report Type 2 ® Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT' (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 4 930 00 Expenditures $ 3 - 695 74 Loans $ Transfers to Office Account $ Total Monetary $ 4 930 00 Total Monetary $ 3 695 74 In-Kind $ 150 00 (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 5 , 275 00 $ 3 , 695 74 (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, and I certify that I have examined this report and itis true,correct,and complete. complete. (Type name) Karen C. Davis (Type name) Hunt Davis ❑Individual(only for Treasurer ❑Deputy Treasurer (N Can ' ❑Ch ' rson(only for PC,PTY& electione..9ring commun.) n rin co mim�oroanization) X -a X Signature Signature DS-DE 12(Rev.08104) 69 INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY (1) Type full name of candidate,political committee,committee of continuous existence,party executive committee, or individual or organization filing an electioneering communication report. (2) Type the address(include city,state, and zip code).You may use a post office box. If the address has changed since the last report filed, check the appropriate box. (3) Type identification number assigned by the Division of Elections. (4) Check one of the appropriate boxes: Candidate(type office sought-include district, circuit, or group numbers) Political Committee Committee of Continuous Existence Party Executive Committee Electioneering'Communication If PC or CCE has disbanded and will no longer file reports,check appropriate box. If individual or organization will no longer file electioneering communication reports,check appropriate box. (5) Type the cover period dates(e.g., From 07/01/03 To 09/30/03) Enter the report type using one of the following abbreviations(see Calendar of Election and Reporting Dates). If report is for a special election,add"S"in front of the re ort code(e.g., SG3 . Quarterly Reports General Election Reports January Quarterly Q4 46th Day Prior G1 April Quarterly Q1 32nd Day Prior G2 July Quarterly Q2 18th Day Prior G3 October Quarterly Q3 4th Day Prior G4 Primary Reports T 32nd Day Prior F1 90-Day Termination Reports(Candidates Only) 18th Day Prior F2 Termination Report TR 4 1h Day Prior F3 Check one of the appropriate boxes: Original(first report filed for this reporting period) Amendment(an amendment to a previously filed report) Special Election Report Independent Expenditure Report(see Section 106.071, F.S.) (6) Type the amount of all contributions this report: Cash&Checks , Loans Total Monetary(sum of Cash&Checks and Loans) In-kind(a fair market value must be placed on the contribution at the time it is given) (7) Type the amount of all expenditures this report: Monetary Expenditures Transfers to Office Account(elected candidates only) Total Monetary(sum of Monetary Expenditures and Transfers to Office Account) (8) Type the amount of other distributions(goods&services contributed to a candidate or other committee by a PC; CCE or PTY). (9) Type the amount of TOTAL monetary contributions to date(parties keep cumulative totals for 2 year periods at a time(e.g.,01/01/02—12/31/03). Candidates keep cumulative totals from the time the campaign depository is -opened through the termination report): (10) Type the amount of TOTAL monetary expenditures to date(parties keep cumulative totals for 2 year periods at a time(e.g.,01/01/02—12/31/03). Candidates keep cumulative totals from the time the campaign depository is opened through the termination report). (11) Type or print the required officer's name and have them sign the report: Candidate report(treasurer&candidate must sign) , PC report(treasurer&chairperson.must sign) CCE report(treasurer must sign) PTY report(treasurer&chairperson must sign) Electioneering Communication report individual or organization's treasurer&chairperson must sign) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions,&fund transfers being reported as additions or deletions. Read the instructions for the sequence number&amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. The Division will summarize all reports submitted for each reporting period and for the filer to date. 70 INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Type candidate's full name or name of the political committee(PC), committee of continuous existence(CCE)or party executive committee(PTY). (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates(e.g., 7/1/03 through 9/30/03 ). (See Calendar and Election Dates for appropriate year and cover periods.) (4) Type page numbers(e.g., 1 of 1. (5) Type date.contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and " sequence number will combine to,uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the Division and for reporting amendments. c i For example, a Q1 report having 75 contributions would use sequence numbers 1 through 75. The next report (Q2), comprised of 40 contributions would use sequence numbers'l through 40. Contributions on amended Q1 reports would begin with sequence number 76 and on amended Q2 reports would begin with sequence.number 41. See the Amendment Type instructions below:. (7) Type full name and address of contributor(including city,state and zip code). (8) Enter the type of contributor using one of the following codes: Individual = I Business = B (also includes corporations,organizations,groups,etc.) Committees = C (includes PC's,CCE's and federal committees) Political Parties = P (includes federal,state ad county executive committees) Other = O (e.g.,candidate surplus funds to party,etc.) Type her of contributor for contributions over$100 only.(If a business,please indicate nature of business.) " (9)' Enter Contribution Type using one of the following DESCRIPITION c CODE codes: NOTE:Cash includes cash and cashier's checks. Cash CAS Check CHE In-kind INK " Interest a INT Loan . LOA Membrship dues, DUE Refund REF (10) Type the description of any in-kind contribution received. Candidate's Only—' If in-kind contribution is from a party executive committee and is allocable toward the contribution limits,type an"A"in this box. If contribution is not allocable,type an"N". (11) Amendment Type (required on amended reports)—To add a new (previously unreported) contribution for the reporting period being amended,enter"ADD"in amendment type on aline with ALL of the required data. The sequence number for contributions with amendment type "ADD" will start at one plus the number of contributions in the original report. For example,amending an original Q1 report that had 75 contributions,means the sequence number of the first contribution having amendment type "ADD" will be ,76; the second "ADD" contribution would be 77, etc. When amending an original Q2 report that had 40 contributions, the sixth "ADD" contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter"DEL" in amendment. type on a line with the sequence number of the contribution to be.corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data.Assign the sequence number as described above. (12) Type amount of contribution received. Committees of continuous existence ONLY: Any contribution which represents the payment of dues by a member in a fixed amount pursuant to the schedule on file with the Division of Elections need only list the aggregate amount of such contribution, together with the number of members paying such dues and the amount of membership dues. 72 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D. Number N/A (3)Cover,Period 3 / 17 / 07 through 4 / 5 / 07 (4) Page 2 of 5 (5) (7) (8) (9) (10) (I1) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 3 / 25 / 07 Carlson, Sandra I CHE 30.00 9 1450 NE 102nd' St Miami Shores, FL 33138 / 28 / 07 Johnson, Steven B CHE 50.00 10 9165 Park Dr. Miami Shores, FL 33138 3 / 29 / 07 Luebke, Margaret I CHE !�?f) 100.00 11 323 NE 91st St Miami Shores, FL 33138 3 / 29 / 07 Bennett, George 1 . I Retired CHE 200.00 12 10007 NE 4th Ave Miami Shores, FL 33138 3 / 29 / 07 Levy, Robt.M.&As oc.B Attorney CHE 250.00 13 780 NE 69th St #1703 Miami, FL 33138 3 / 30 / 07 Newman, Leon I CHE 100.00 14 187 NW 95th St Miami Shores, FL 33138 3 / 30 / 07 Rubini, Gunnard I CHE 100._00 15 1420 NE 101st St Miami Shores, FL 33138 3 / 30 / 07 Stobs, Carol Sue I CHE 50.00 16 9969 NE 4th Ave.Rd Miami Shores, FL 33138 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 71 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D.Number N/A (3)Cover Period 3 / 17 / 07 through 4 / 5 / 07 (4) Page 3 of 5 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 3 / 30 / 07 Hurtak, Donna, I CHE 75.,00 17 533 Grand' Concou se Miami Shores, FL . 33138 3 / 30 / 07 Bernheim, Melissa I CITE 50.00 18 2801 Florida Ave 46202 Coconut Grove, F 33133 3 / 30 / 07 Bourne, Robert J I Realtor CHE 200.00 19 285 NE 100th St Miami Shores, FL 33138 3 / 30 / 07 Batchelder, MiI13 I CHE 100.00 20 848 NE 100th St Miami Shores, FL 33138 3 / 30 / 07 Blakeman, Kathryn I CHE 100.00 21 10331 NE 6th Ave Miami Shores, FL 33138 3 / 30 / 07 Stokesberry,Mary e CHE 50.00 22 934 NE 91st Ter. Miami Shores, FL 33138 3 / 30 / 07 Fann,Jr, William I CHE 50.00 23 PO Box 530404 Miami, FL 33153 3 / 30 / 07 Calhoun, Cheryl I CHE 50.00 24 10610 NE 10th P1 Miami Shores, FL 33138 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 71 CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D.Number N/A (3)Cover Period 3 / 17 / 07 through 4 / 5 / 07 (4) Page 4 of 5 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type I Occupation Type Description Amendment Amount 3 / 30 / 07 Collins, Martha I CHE 50.00 25 525 NE 101st St Miami Shores, FL 33138 3 / 30 / 07 Duffy, Patrick I CHE 100.00 26 501 Grand Concourse Miami Shores, FL 33138 3 / 30 /07 Jade Davis I Sales Re INK Party Supplies 150.00 27 384 NE 94th St Miami Shores, FL 33138 3 / 31 /07 Duval, Audrey I CHE 100.00 28 9876 NE 12th Ave. Miami Shores, FL 33138 3 / 31 /07 Padres, Gustavo I CHE 100.00 29 100 Golden Isles r. Hallandale, FL #1403 33009 4 / 3 / 07 Egner, Mark A. B Attorney CHE 200.00 30 1 SE 3rd Ave. #1230 Miami, FL 33131 . 4 / 3 / 07 Burch, Alice I Housewifa CHE 200.00 31 1440 NE 101st St Miami Shores, FL 33138 4 / 4 / 07 Dade County PBA C Labor Un on CHE 500.00 off.. Action Com. 32 10680 NW 25th St Miami, FL 33172 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 71 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D.Number N/A (3)Cover Period 3 / 17 / 07 through 4 / 5 / 07 (4) Page 5 of 5 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 4 / 4 / 07 Dade County PBA C Labor Union CHE 500..00 33 om.of Cont.Exist 6680 NW 25th St iami, FL 33172 4 / 4 / 07 14cCoy, Frank I Retired CHE 200.00 34 5 NE 94th St iami Shores, FL 33138 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 71 CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1) Name Hunt Davis (2) I.D.Number N/A (3)Cover Period 3 / 17 / 07 through 4 / 5 / 07 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number Cit StatClZip Code candidate) Type Amendment Amount 3 / 20 / 07 Miami Shores Mailing DIS 350.00 1 Chamber of Commerce 9701 NE 2nd Ave. Miami Shores, FL 33138 4 / 4 / 07 Miami Shores Village Rent 1 tent, 1 DIS 65.00 2 9617 Park Dr. table, 10 chaff s Miami Shores, FL 33138 4 / 5 / 07 Village Cafe Deposit - Supportey DIS 662.04 3 9450 NE 2nd Ave. Appreciation Party Miami Shores, FL e 33138 4 / 5 /07 Magnolia Outdoorrl Signs, T-shirts, DIS 2250.00 4 405 NE 99th St flyers Miami Shores, FL 33138 4 / 5 / 07 Davis, Karen Wine for party DIS 202.62 5 84 NE 94th St iami Shores, FL 33138 4 / 5 / 07 avis, Jade Beer for party DIS 166.08 6 84 NE 94th St iami Shores, FL 33138 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 73 C INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1) Type candidate's full name or name of the political committee(PC), committee of continuous existence (CCE)or " party executive committee(PTY):. (2) Type the identification number assigned by the Division of Elections. (3) Type cover period dates(e.g., 7/1/03 through 9/30/03). (See Calendar and Election Dates.for appropriate cover periods.) (4) Type page numbers(e.g., 1 of 3 ). _ (5) Type date of expenditure(Month/Day/Year). -.f r I `r r. r (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail•line type, and sequence number will combine to uniquely identify a specific contribution, .expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests'from the Division and for reporting requirements. For example, a Q1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of 30'expend itures would dse'sequence numbers 1 through 30. Expenditures ori amended Q1 reports would begin with sequence number 41 and on amended Q2 reports would begin with sequence number 31. See the Amendment Type instructions below. r (7) Type full name and address of entity receiving payment(including city,state and zip code). (8) Type purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the " candidate). PLEASE NOTE: This column does not'apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates), CCEs and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Ex enditure Type using one of the following codes: DESCRIPTION CODE Disposition of Funds(Candidate) DIS- Monetary MON Petty Cash Withdrawn PCW Petty Cash Spent PCS Transfer to Office Account - ' TOA T T Refund REF- ' (10) Amendment Type (required on amended reports) — To add a new(previously'unreported) expenditure for the reporting period being amended,enter"ADD°in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example,amending an original Q1 reportthat had 75 expenditures,means ° the sequence number of the first expenditure having amendment type "ADD will-be 76; the second "ADD" expenditure would have sequence number 39. To correct a previously submitted expenditure use the following drop/add procedure. Enter"DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data.Assign the sequence number as described above. (11) Type amount of expenditure. 74 FLORIDA + OF +TE DIVISION OF • CAMPAIGN .SUREWS REPORSUMMARY (1) Hunte Davis OFFICE USE ONLY Name (2) 9875 NE 12th Avenue Address (number and street) Miami Shores, FL 33138 City,State,Zip Code ❑CHECK IF ADDRESS HAS CHANGED (3) ID Number: N/A (4) Check appropriate box(es): [�Ca'ndidate(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 1 6 1 07 To 5 3 07 Report Type TR ® Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 1 579 26 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ 1 579 26 In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 5 , 275 00 $ 5 , 275 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, and I certify that I have examined this report and it is true,correct,and complete. complete. (Type name) Karen C. Davis (Type name) Hunt Davis ❑ Individual only for )KI Treas r ❑Deputy Treasurer ®Candidate ❑Chairperson(only for PC,PTY& electionee commun.) election commun. ion) X 0c�tcc ., Lr X Signature Sign dture DS-DE 12(Rev.08/04) 69 i INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY (1), Type full name of candidate, political committee, committee of continuous existence, party executive committee, or individual or organization filing an electioneering communication report. (2) Type the address(include city,state,and zip code).You may use a post office box. If the address has changed since the last report filed, check the appropriate box. (3) Type identification number assigned by the Division of Elections. (4) Check one of the appropriate boxes: Candidate(type office sought-include district,circuit,or group numbers) Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication If PC or CCE has disbanded and will no longer file reports, check appropriate box. If individual or organization will no longer file electioneering communication reports,check appropriate box. (5) Type the cover period dates(e.g., From 07/01/03 To 09/30/03) Enter the report type using one of the following abbreviations(see Calendar of Election and Reporting Dates). If report is for a special election, add"S"in front of the re ort code(e.g., SG3 . Quarterly Reports General Election Reports January Quarterly Q4 46n'Day Prior G1 April Quarterly Q1 32"d Day Prior G2 July Quarterly Q2 18th Day Prior G3 October Quarterly Q3 4th Day Prior G4 Primary Reports 32"d Day Prior F1 90-Day Termination Reports(Candidates Only) 18th Day Prior F2 Termination Report TR 4 Day Prior. F3 Check one of the appropriate boxes: Original(first report filed for this reporting period) Amendment(an amendment to a previously filed report) Special Election Report Independent Expenditure Report(see Section 106.071, F.S.) (6) Type the amount of all contributions this report: Cash&Checks Loans -Total Monetary(sum of Cash&Checks and Loans) In-kind(a fair market value must be placed on the contribution at the time it is given) (7) Type the amount of all expenditures this report: Monetary Expenditures Transfers to Office Account(elected candidates only) Total Monetary(sum of Monetary Expenditures and Transfers to Office Account) (8) Type the amount of other distributions(goods&services contributed to a candidate or other committee by a PC; CCE or PTY). (9) Type the amount of TOTAL monetary contributions to date(parties keep cumulative totals for 2 year periods at a time(e.g.,01/01/02—12/31/03). Candidates keep cumulative totals from the time the campaign depository is -opened through the termination report), (10) Type the amount of TOTAL monetary expenditures to date(parties keep cumulative totals for 2 year periods at a time(e.g.,01/01/02—12/31/03). Candidates keep cumulative totals from the time the campaign depository is opened through the termination report). (11) Type or print the required officer's name and have them sign the report: Candidate report(treasurer&candidate must sign) PC report(treasurer&chairpersonmust sign) CCE report(treasurer must sign) PTY report(treasurer&chairperson must sign) Electioneering Communication re` ort individual or or anization's treasurer&chairperson must sign) AMENDMENT REPORTS: An amendment report summaryshould summarize only contributions, expenditures, distributions,&fund transfers being reported as additions or deletions. Read the instructions for the sequence number&amendment type fields on the back of forms DS-DE 13, 14, 14A and 94. The Division will summarize all reports submitted for each reporting period and for the filer to date. 70 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Hunt Davis (2) I.D. Number NSA (3)Cover Period 4 / 6 / 07 through 5 / 3 / 07 (4) Page 2 of 3 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State Zip Code Type Occupation Type Description . Amendment Amount e DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 71 CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1) Name Hunt Davis (2) I.D.Number N/A (3) (3)Cover Period 4 / 6 / 07 through 5 / 3 / 07 (4) Page 3 of 3 (5) (7) (8) (9) .Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State Zip Code candidate) Tvoe Amendment Amount 4 / 9 / 07 Davis, Paige Party supplies, DIS 216.33 1 9875 NE 12th Ave paper & envelopes, Miami Shores, FL Chamber of Commerce 33138 breakfast 4 / 10 / 07 Village Cafe Balance due - DIS 662.00 2 9450 NE 2nd Ave. Supporter Apprec. Miami Shores, FL party 33138 Medi 4 / 17 / 07 Magnolia Outdoor Supplies for DIS 187.00 3 405 NE 99th St, election day Miami Shores, FL a 33138 4 / 17 / 07 Karen Davis Ice, food, drinks DIS 256.07 4 384 NE 94th St' for Supporter Miami Shores, FL Appreciation Party 33138 5 / 2 / 07 Doctores 89ar?erMS Donation - close out DIS 257.86 5 11301 NW 5th Ave. account Miami Shores, FL 33150 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 73 INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES 7 r+ (1)'I Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE)or party executive committee(PTY). (2) i Type the identification number assigned by the Division of Elections. (3) Type cover period dates(e.g., 7/1/03 through 9/30/03).'(See Calendar and Election Dates for appropriate cover periods.) (4) Type page numbers(e.g., 1 of 3 ). (5) Type date of expenditure(Month/Day/Year). r (6) Sequence Number—Each detail line shall have a sequence number assigned to it Sequence numbers are to be assigned within each reporting period and for each type'of detail line. Thus.the report,type, detail line type, and sequence number will combine"to'uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is'required for responding to requests from the Division and for reporting requirements. For example, a Q1 reporthaving 40 expenditures would use sequence numbers 1 through 40. The next report (Q2), comprised of_30 expenditures°would use sequence'numbers 1 through 30. Expenditures on amended 01 reports would begin with sequence number 41 and on amended Q2 reports would begin with sequence number 31. See the Amendment Type instructions below. r • - (7) Type full name and address of entity receiving payment(including city,state and zip code). -• ° (8) Type purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates),-CCEs and party executive committees contributing to candidates must report office sought'(Section 106.07, F.S.). (9) Enter Ex enditure Type using one of the following codes: ° DESCRIPTION e_ CODE- ' Disposition of Funds(Candidate)„ DIS Monetary �,'_t MON Petty Cash Withdrawn PCW ' Petty Cash Spent . PCS Transfer to Office Account— � _ TOA- ` Refund - REF+ t (10) , Amendment Type (required on amended reports) — To add a new (previously unreported) expenditure for the reporting period being amended,enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example,amending an original Q1 report that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. To correct a previously submitted expenditure use the following drop/add procedure. Enter"DEL" in amendment type on a line with the sequence inumber of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data.Assign the sequence number as described above. (11) Type amount of expenditure. 74 :E022 29E9-12000 D5E'In�+�DD?,' _ ■ Complete items 1,2,and 3.Also completeA. Si natur item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. ceived by Printed Name) Date pf Delivery ■ Attach this card to the back of the mailpiece, P — ! vv or on the front if space permits. j� 2007n7 D. Is delivery address different from item 1? 11 Yes 1. Article Addressed to: If-YES,enter delivery address below: 11No mr, R2�be� Huh�N6 Davis 1�-?S N E- lad` A-ve. 3. Service Type � Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ) -700y t35a OOo� 63lok aap3 ransfer from service label PS Foam 381 1,August 2001' i Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address„and ZIP+4 in this box • �rnL Clea� e ►ooso WE a P-v I I U S Postal,ServiceTM�i CERTIFIEDMAILTM ,RECEIPT. x (Domestic Mail Only No Insurance Coverage Provided) For delivery information visit our website at www.usps.com ' ; ? z A: PS Form 3800:June 2002' ", An, s^ See Reverse for Instructions' Certified Mail Provides: ia�anad)a�a euor Dose�,o�sa ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. ■ Certifieda mailable for any class of international mail. ■ NO I �i��]� ERAGE IS PROVIDED with Certified Mail. For values, please oonsider'lnsured or Registered Mail. ■ Fors rt additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811 to the article and add applicable postage to cover the fee.Endorse mailpiece Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is regdlied.\ ■ For antedditional.fee,delivery may be restricted to the addressee or addressee's"euthori ed agent.Advise the clerk or mark the mailpiece with the endorsementµ note elive ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. •F �t MEIN JJ C�2�u� C���,a• �a�� ORIDA '0050 QAI* . 2, aq/�e QA.a;pu P9", COY March 9, 2007 Mr. Robert Huntington Davis III 9875 N.E. 12th Avenue Miami Shores, FL 33138 Dear Mr. Davis: Congratulations on becoming an announced candidate for Miami Shores Village! Please be advised that as a candidate for the Village Council, you are required to file Campaign Treasurer's Reports on the dates shown below: Due Date Period Ending First Treasurer's Report 03/23/07 03/16/07 Second Treasurer's Report 04/06/07 04/05/07 Within ninety (90) days after having been elected, eliminated, or withdrawing your candidacy, you must dispose of your campaign fund account and file a final report. Final Treasurer's Report Due 07/09/07 Reports shall be filed no later than 5:00 PM on the designated day, however, any report postmarked by the U.S. Postal Service no later than midnight on the designated day shall be deemed to have been filed in a timely manner. (805)795-2207 Ca (805)756-8972 c3�acL eat@nciamuo%rea„i�a�e,cam Mr. Hunt Davis March 9, 2007 Page Two At 10:00 AM on April 5, 2007, in accordance with Section 101.5612, Florida Statutes, a logic and accuracy test will be conducted on the automatic tabulating equipment to be used in the Miami Shores Village Council election. The test will be held at the County's Division of Elections office, located at 2700 N.W. 87th Avenue, Doral, Florida. If I can be of any assistance during your campaign, please do not hesitate to contact me. I look forward to working with you in the coming weeks. Sincerely, &XV Q ,MML Barbara A. Estep, MMC Village Clerk Certified Mail — Return Receipt Requested Candidate qualifying letter Elections 2700 NW 87th Avenue M I AM I•DADE Miami, Florida 33172 ® T 305-499-VOTE F 305-499-8547 TTY: 305-499-8480 ADA Coordination miamidade.gov Agenda Coordination Animal Services Art in Public Places Audit and Management Services Aviation Building Building Code Compliance Business Development Capital Improvements Citizens'Independent Transportation Trust Commission on Ethics and Public Trust Communications Community Action Agency CERTIFICATION Community&Economic Development Community Relations STATE OF FLORIDA) Consumer Services Corrections&Rehabilitation COUNTY OF MIAMI-DADE) Cultural Affairs Elections I, Lester Sola, Supervisor of Elections of Miami-Dade County, Florida, Emergency Management hereby certify that 50 signatures submitted by Robert Huntington Employee Relations Davis III for Cit[ Council in Miami Shores match the signatures on the Empowerment Trust Enterprise Technology Services voter files. Environmental Resources Management Fair Employment Practices Finance Fire Rescue General Services Administration Historic Preservation Homeless Trust Housing Agency Housing Finance Authority WITNESS MY HAND AND Human Services Independent Review Panel OFFICIAL SEAL, AT International Trade Consortium - Leste .Sola MIAMI, MIAMI-DADE Juvenile Services Supervisor of Elections COUNTY, FLORIDA, ON Medical Examiner THIS 8th DAY OF MARCH Metro-Miami Action Plan Miami-Dade County Metropolitan Planning Organization 2007. Park and Recreation Planning and Zoning Police Procurement Management Property Appraisal Public Library System Public Works Safe Neighborhood Parks Seaport Solid Waste Management Strategic Business Management Team Metro TransiP/ease submit a check for$6.20 to our office payable to the "Board of Task Force on Urban Economic Revitalization County Commissioners"for the cost,of verifying signatures., Vizcaya Museum And Gardens Water&Sewer L Zl i L I �{7 l✓ Date : 03-08-2007 Petition : ROBERT HUNTINGTON DAVIS III Time . 14 : 39 : 49 Contact COUNCIL (MIAMI SHORES) Address Phone Party Needed # 50 Total Processed 62 100 . 00% Total Valid 50 80 . 65% Total Invalid 12 19 . 35% Not Registered 5 8 . 06% Illegible 0 0 . 00% Invalid District 0 0 . 00% Purged 0 0 . 00% Unidentified 0 0 . 00% Signature Differs 6 9 . 68% Not Signed 1 1 . 61% Deceased 0 0 . 00% Previously Signed 0 0 . 00% Not In County 0 0 . 00% No Sig On File 0 0 . 00% Wrong Party 0 0 . 00% Invalid Address 0 0 . 00% Deleted 0 0 . 00% Invalid Date 0 0 . 00% Notary Problem 0 0 . 00% No Date 0 0 . 00% No Addr or Precinct 0 0 . 00% No DOB or VoterID# 0 0 . 00% CYSH CITY:MIAMI SHORES 50 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 a ?cK i g C— a••1 S Qt 51 l S n ►Z /4 L, �*--�� l S 0-7 a j rc, Ca.f- (5o, 1 So n�_ 10-2-. S+- 45 ✓ a'(7-d '7 t�Pvis 38� 1�� R Sr a,�-� 3 -a -o7 '�'- a 6rf b eC-kP-f- 17-23 ,0& 99)q- QP- 3 ©- L 64 o &e Af6 poi W -0� s Q -- ► c� 07 -sl 1 0 U40'VoRk- rnv bo lot C) 0 (AAAF th b fJt Rvr"- 'S� 3 3 v The undersigned is the circulator of the.foregoing paper containing signatures. Each appended thereto was made in my presence and is re o on 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 s ted. 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 -F490le ( Ll i I V L' 102- . V A27 l�= %'� �� 7 jC'� r�,� C'ha�� is s4s sur-- C� CQ -3 - -7 N�S�P h► � �g�l.CS �� 3� � -07 Cf-► to t'7-4-ti Y&A 2rc� r'?n 5 ho J ��7� �l �`� _ CoWW« N�� Bisc�os 3�U-67 J 14801- SWFL16L,4-- rtm es The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is t nume sign ture of the person whose name it purports to be. �f Signature of Circulator. Address ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to se 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 f J I�►�s �� � ►Zoe t�E- 16" 236 5/j/07 Js �'� ► q 6fi U �� 3 67 (2 V"� - qC1 - �.,�-�y�� Cj Nt �- V-eveH T T AhsoH 11-13-IVF 95 sf 3 Z42o7 G� 0 .� �1�z1 5 e 35 o 15 tS l � r L4 tic �T�� • //x..5" UE —D The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and if the person whose name it purports to be. Sign o f Circulator ,/ j .A Address q 1 l�N✓E ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve 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 l 'T3/11,/ 3v `l 4conQYd �" too S4� Rtk The undersigned is the circul of the foregoing paper containing�_ signatures. Each appended thereto was made in my presence a d the genuine signature of the person whose name it purports to be. Signature of Circulator r Address 4B f ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to s to Signature of Candidate 'f LOYALTY OATH OFFICE USE ONLY CANDIDATES WITH NO PARTY AFFILIATION (Sections 876.05-876.10,Florida Statutes) STATE OF FLORIDA Miami—Dad'e COUNTY PLEASE PRINT) I Robert Huntington Davis III First Name Middle Name/Initial Last Name a citizen of the State of Florida and of the United States of America. . . . and a candidate for public office . . . do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. OATH OF CANDIDATE (Section 99.021,Florida Statutes) 1, Hunt Davis (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT--NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the office of Village Council I I , (office) (district) (circuit) I am a qualified elector of Miami—Dad'e County, Florida. I am qualified (group) under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected. I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and l have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes. xU11DEFk ENAL'I,TIES O PI=1 JUS YTM'I6E�L I� ;T AT¢I MAGI )* [53 TI(E�=OIiE Q1NG I;O AL OATIirANb OATH dF �t� .k ...-1... ,:t's•�t�'fir.,,•.,k.,dl„� g td^i r5 . '�Yy],.+1',� iYAy. A 4T SIGN HERE Signature of Candidate 9875 NE 12th Avenue (305 )691-9090 ( 305 ) 694-8270 Mailing Address Day Phone Fax Number L Miami Shores FL 33138 8 March 2007 City State Zip Code Date Signed DS-DE 24B(Rev.08/03) 3054682542 FRbM FAX N0. :3054682542 Mar. 09 2007 04:44PM P1 Elections 2700 NW 87th Avenue IM I,A,M I-DADE Miami, Flui ida 33 172 1-305-499-VOTE F305-499­8547 TTY: 305-.499-8430 ADA(:(Aordination miamidade.gov Agenda Coordlnallan Anlrnal S,7,0ccs Arl in Iruhlic Places Audlt and Man.ignment Srrvirns Avi.a;un rwildirg Building Code Cuulpliance 13usiness UevelVplllenl Cdpl lA 111111?rgV411,41115 1:1IIZ4115'Illdel??Il[b+lll II'a1151)Or1 a10p Irusl t"nnvnlasinq nn Hhlra and Puhlir Trust Couuuunicnliuns (W1,n,unl(y Artinn A�Pnnry CERTIFICATION Community R economic Development CommunilyRelalitln.'s STATE OF FLORIDA) C'rolaumrr Snrvirrs Corrnctinns.y Rehabilitation COUNTY OF MIAMI-DADE) C:ullurul Allain Elections I, Lester Sola, Supervisor of Elections of Miami-Dade County, Florida, ErliergrncyManAgeMC11l hereby certify that 50 signatures submitted by Robert Huntington En�powov en, , l�l Davis III for Q"itt Council in Miami.Shores match the signatures on the 1'r1nrpriwAnrhn(,1nKy;nrvicr; voter files. Enviro1llin:l)W11(01 -ICQS ManaRnmrnl coir rmploymrnt Prarticas Finance Hn7 Nesrur 1�rllrl'J!.rirlYlre:Adminicirntion l i::hlric Preee-6.... Hr,morsc I'n,al I lousing Agency r Housing Finance Akdhorl()' Services �' WITNESS MY HAND AND H1.1111,111 Independent Rr..vlrw Panrl OFFICIAL SEAL,-.AT Intrrnatlonal Irar3rC'msnrthm Leste .,Sola MIAMI, MIAMI-DADE ,Iwrnily Svrvicn'' Supervisor of Elections COUNTY, FLORIDA", ON Medical tion l";' THIS 8th DAY OF MARCH- Mrrrn..P,AimniArticn Plan Miami-Dade County /�► 77 M4Un1?glllap Plannln�;t7lpanlntlnn 2001_. Park and Recreation I'lunniuh and ZOW119 1'n11ir F'rorurrnlrnt Manalimmmt Prgpnrly A1111ea1W PIIJ)k Li�,l'my 5YAii- l r ublii:Wurla Sale Neighbuthood Parks Srapnrt Solid Woe:t<:Maunlgumam Slrllegic fiusinrs::Managumeul Cdl17 M011l? Tear..Please submit a check for$6.2o to our office payable to the "Board of 'lazlc I`nrrr on I Irhnn I-rnnnmlr.wwitnlizarinr County Commissioners"for the cost of verifying signatures. :. V17raya Musrnm Anrd S larrlens 1 Wd0?1 R`.+ewer FR.QM "' FAX N0. :3054682542 Mar. 09 2007 04:44PM P2 Date : 03-08-2007 Petition : ROBERT HUNTINGTON •DAVIS III Time : 14 : 39 : 49 Contact COUNCIL (MIAMI SPORES) Address Phone Party Needed # 50 Total, Processed 62 100 . 00% Total Valid 5C 80 . 65% Total Invalid 12 19 . 35% Not Registered 5 8 . 06% TIlegible 0 0 . 00` Invalid District 0 0 . 00% Purged 0 0 . 00% Unidentified 0 0 . 00% Signature Differs 6 9 . 68% Not :3igned 1 1 . 61% Deceased 0 0 . 00% Previously Signed 0 0 . 00% Not In County 0 0 . 00% No Sig On File 0 0 , 00% Wrong Party 0 0 . 00% Invalid Addross 0 0 . 00% Deleted 0 0 . 00% Invalid Date 0 0 . 00% Notary Problem 0 0 . 00% No Date 0 0 . 00% No Addr or PreC.inCt 0 0. 00% No DOS or. VoterlD4 0 0 . 00% CYSH CITY:MTAMI SHORES 50 STATE OF FLORIDA OFFICE USE ONLY APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1),F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: ® Original Appointment ❑ Deputy Treasurer ❑ Reappointment of Treasurer ❑ Secondary Depository Name of Candidate 1.Address(include post office box or street, city, state,zip code) 9875 NE 12th Avenue Robert Huntington Davis III Miami Shores, FL 33138 Telephone(optional) 2. Party(Partisan candidates only) 3. Office(add district,circuit or group number) ( ) N/A Village Council I have appointed the'following person to act as myX❑ Campaign Treasurer ❑ Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer Karen C. Davis 5. Mailing Address(If post office box or drawer add street address) 6.Telephone 384 NE 94th Street 305-495-1953 7. City 8. County 9. State 10.Zip Code Miami Shores Miami—Dade FL 33138 I have designated the following named bank as my R1 Primary Depository ❑ Secondary Depository 11. Name of Bank 12. Street Address Bank of America 9499 NE 2nd Avenue 13. City. 14.County 15. State 16.Zip Code Miami Shores Miami—Dade FL 33138 17. Signature of Ca Date 8 March 2007 Campaign Treasurer's Acceptance of Appointment I, Karen C. Davis do hereby accept the appointment as (Please Print or Type) ® Campaign Treasurer ❑ Deputy Treasurer for the campaign of Hunt Davis who is seeking nomination or election as a N/A candidate to the office of (Party) Village Council As a duly registered voter in Miami—Dad'e County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATE RE TRUE. 8 March 2007 X Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev.08103) 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 8 March 2007 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.08/03) 73 DECLARATION FOR CANDIDATES NOT AUTOMATICALLY COVERED BY THE MIAMI-DADE ETHICAL CAMPAIGN PRACTICES ORDINANCE The Ethical Campaign Practices Ordinance may apply to any candidate,and his or her campaign staff, for elective office with a constituency in whole or in part in Miami-Dade County who agrees to abide by the mandatory and/or voluntary fair campaign practices. I, Robert Huntington Davis I.II ,a candidate for the office of Village Cnnnri 1 , agree to abide by the mandatory fair campaign practices as provided in Section 2-11.1.1(C)(1)of the Code of Miami-Dade County and recognize as compulsory the jurisdiction of the Ethics Commission. I further agree that the Ethics Commission will have the authority to decide whether said candidate has violated the mandatory campaign practices and, if a violation is found,the Ethics Commission has the authority to impose the appropriate penalty, if any. By signing this declaration, I acknowledge that I will follow the mandatory campaign practices and shall not: a) with actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred,contempt,or ridicule,or causes said person to be shunned or avoided, or injured in his or her business or occupation; or b) with`actual malice publish or cause to be published by writing,printing,picture, effigy,sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to be shunned or avoided, or injured in his or her business or occupation; or c) willfully injury,deface or damage or cause to be injured, defaced or damaged by any means any campaign poster,sign, leaflet,handbill,literature or other campaign material of another candidate;or d) knowingly obtain,or cause to be obtained campaign property of another candidate with the intent to,temporarily or permanently,deprive the candidate of a right to the property or a benefit therefrom; or e) knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate; or f) knowingly fail to remove a campaign sign within thirty(30)days of the last election in which the candidate was on the ballot; or g) knowingly erect or cause to be erected a campaign sign within the right-of-way limits of any County-maintained road in Miami-Dade County. Once the declaration is signed it is deemed irrevocable for the duration of the campaign. 8 March 2007 Signature Date In addition to abiding by the Mandatory Campaign Practices,I agree to follow the voluntary Statement of Fair Campaign Practices enumerated in Section 2-11.1(D): 1. I shall not make my race,religion,national origin, gender,physical disability or sexual orientation an issue in my campaign. 2. I shall not make my opponents' race,religion,national origin, gender,physical disability or sexual orientation an issue in my campaign. 3. I will condemn any appeal to prejudice based on race,creed,national origin, religion,gender,physical disability or sexual orientation. 4. 1 shall not without just cause attack or question my opponent's patriotism. 5. 1 shall not publish,display or circulate any anonymous campaign literature or political advertisement. 6. I shall not tolerate my supporters engaging in these activities which I condemn nor shall I accept their continued support if they engage in such activities. I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group,which resorts to the methods and tactics I condemn. 7. 1 shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern. 8. I will limit my attacks on an opponent to legitimate challenges to that person's record, qualifications, and positions. 9. I will neither use nor permit the use of malicious untruths or innuendoes about an opponent's personal life,nor will I make or condone unfounded accusations discrediting that person's credibility. 10. I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties supporting my candidacy. 11. I will not use or permit the use of campaign material that falsifies, distorts, or misrepresents facts. I, Robert Huntington Davis III , a candidate for the office of Vi l lnRp Cniinri 1 agree to abide by the Statement of Fair Campaign Practices mandatory fair campaign practices as provided in Section 2-11.1.1(C)(1)of the Code of Miami-Dade County and described on the previous page and recognize as compulsory the jurisdiction of the Ethics Commission. I further agree that the Ethics Commission will have the authority to decide whether said candidate has violated the Statement of Fair Statement Campaign Practices and, if a violation is found,the Ethics Commission has the authority to impose the appropriate penalty, if ariy. Once the declaration is signed it is deemed irrevocable for the duration of the campaign. 8 March 2007 Signature Date PLEASE FILE FORM(S)WITH THE MIAMI-DADE COMMISSION ON ETHICS AND PUBLIC TRUST AND THE MIAMI-DADE SUPERVISOR OF ELECTIONS. Miami-Dade Commission on Ethics Miami-Dade Supervisor of Elections 19 West Flagler Street. 2700 N.W. 87th Avenue Suite 220 Doral,FL 33172 Miami,FL 33130 FORM 1 STATEMENT OF 2006 Please print or type your name,mailing FINANCIAL INTERESTS address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: FOR OFFICE Davis III Robert Huntington USE ONLY: MAILING ADDRESS: 9875 NE 12th Avenue ID Code CITY: ZIP: COUNTY: Miami Shores 33138 Miami-Dade IDNo. NAME OF AGENCY: Miami Shores Village Conf.Code NAME OF OFFICE OR POSITION HELD OR SOUGHT: P.Req.Code Village Council You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF ❑X CANDIDATE OR [] NEW EMPLOYEE OR APPOINTEE PDF 2006 **BOTH PARTS OF THIS SECTION MUST BE COMPLETED** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR,WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(check one): ❑X DECEMBER 31,2006 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(check one): F1 COMPARATIVE(PERCENTAGE)THRESHOLDS 93 ❑X DOLLAR VALUE THRESHOLDS PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS. PRINCIPAL BUSINESS ACTIVITY Rampmaster, Incorporated 6600 NW 32nd' Avenue Manufacturing PART B--SECONDARY SOURCES OF INCOME[Major customers,clients,and other sources of income to businesses owned by the reporting person] NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE Rampmaster, Inc. Metro-North Comm. RR Grand Ctrl Sta, NY, Transportation Rampmaster, Inc. Safe Rack LLC 71'2 Bultman Dr, Sumter, SC Sales PART C--REAL PROPERTY [Land,buildings owned by the reporting person] FILING INSTRUCTIONS for when and where to file this form are locat- ed at the bottom of page 2. INSTRUCTIONS pn who must file this form and how t&-fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1 -Eff. 1/2007 (Continued on reverse side) PAGE 1 PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES Stock Ram master, Incorporated PART E—LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR Chase PO Box 36520, Louisville, KY American Honda Fin. Corp. PO Box 105027, Atlanta, GA PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] BUSINESS ENTITY#1 BUSINESS ENTITY#2 BUSINESS ENTITY#3 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE(required): DATE SIGNED(required): 8 March 2007 FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must sheet(pages 1 and 2)for filing. your annual disclosure filing, return the form to file within 30 days of the date of his or her that location. appointment or of the beginning of employ- If you have nothing to report in a particular ment. Appointees who must be confirmed by section, you must write "none" or "n/a" in that Local tions rof the o couneesty i le with the Supervisor the Senate must file prior to confirmation,even section(s). of Elections . the county t which they perma- if that is less than 30 days from the date of their nently reside. (If you do not permanently reside appointment. in Florida, file with the Supervisor of the county 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, each local officer/employee, state officer, and falls under, see the"Who Must File"Instructions 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 -Eff. 1/2007 PAGE 2 Miami-Dade Miami-Dade Supervisor of Elections ..� 111 NW 1 Street, Suite 1910 31Y C"O...s Miami, FL 33128-1962 (305) 375-5553 °RECEIPT Candidate: Robert Huntington Davis KKK First Name Middle Name last Name Office: Village Council This is to acknowledge my receipt of the following documents: Qualifying Handbook for Municipal Cabdidates Received by: Candidate Signature Date: 8 March 2007 TAP=kets12002 Packe New Munic*lirylmunipal quBdifymg informatiomdcc OR rrrr 6g a= rrur� ES I 70050 Q*. 2, QA-awu 9%oo , COY .YJAY8 March 8, 2007 Ms. Ivy Korman Miami-Dade County Elections Department 2700 N.W. 87th Avenue Miami, FL 33172 Dear Ivy: Enclosed please find Petition Forms (4) from Robert Huntington Davis III in reference to the Miami Shores Village April 10, 2007 Council Election. Per our Charter, prospective candidates must obtain fifty (50) signatures of qualified electors in order to qualify for our election. Please verify the signatures on the attached petitions at your earliest convenience. If you have any questions, please do not hesitate to contact me directly at 305-795- 2207. Sincerely, >edm �?e�4 Barbara A. Estep, MMC Village Clerk �leane: (805)995-2209' (805)7'56-897',2 tP-C-/KatG: uG�'a�U mimmic�eoxeavc�a�e,care 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 Iia i g L p a.,t s At 5l 5 r►t ► Z AvL, 1� �--- 2. S 07 S�dr ra CQ �5a-, 1�5 o n e to-2- Is+- (2, a a-17-L7 KA-�P_L,'jt�Prvi s C-1 �� ST xa bcrf be-c-Ler- 17-23 99� Q'� 63-07- to AypaOe _ k ) 01 3 V / 07 -- (Q ( Rkwo gcj1019-F r 1��� �r ' 33 _l6p�N (,AAA The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is re on 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 sff ted. 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 I _ -3- `f -a7 0. ydo gpq t�jc A�16 71 k E: tS,Q _ Cikojr-P 41¢801 Sr�4rv4-,�� 1- 1 Mies Z�- 1 6 yV c m( RVA ( -7 f vo� 7Z�A'77,asap � g�cq'c 3 a A06'7 'The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is t nuine sign ture of the erson whose name it purports to be. Signature of Circulator Address ��' A"�c ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council.and agree to se ' 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 6>?I q!61"I ST. a i 1 2361 ye "1;V)NAk_A 07 /6 7 (A_) 11/113A,j /�. � ��z has �l�C . g� sr 3 _ r- el 3- :5 - � — SI-Rveij J AnsoN 11 1VF e7 SIL 3 S"o7 G-ra Js eto C IN 533 G Cmc. 1_/07 3 � ��l��.P/l//�/1effj('/r'��CG/,�✓�1J.S`DD /1/� 5�- l!E 'Biu ,��-d' The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is t e s�gnature of the person whose name it purports to be. Sign e f Circulator " : .,� Address �C! >"S l�lQ✓E 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 1--.1 D ef N 63 #/4- 5''t Sr- qj. —_I�_> Mrt?CM 99oNE__ * t CcsnQ✓d c ,,'� Koo o , e T7t goy' 4-R LPE -(Zj — I 1AJC- S 2 WL 1d5 S The undersigned is the circul of the foregoing paper containing_�signatures. Each appended thereto was made in my presence a d ' the genuine signature of the person whose name it purports to be. Signature of Circulator Address `�`e f Al. E , g g s t ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to servLr1r53Mt.,1. 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 URE DATE rZd er-P�.1�AGil �f�'. �L/ AUf g fist L� 75' Elie C65i 3 -6 —o -7 ogleT �,. lUl 9k 7s NE IZ d vf- -7 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 ! its 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 ADDRE S S NA DATE tC �z J ® 04 N %YEtirrl,q The undersigned is the circulato of the foregoing paper containing _ signatures. Each appended thereto was-made in my presence and 's the enuine signature of the person whose name it purports to be. Signature of Circulator Address 4s- Ate 9l sr Y s ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree 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 S URE °DATE e.�(sya SC0.5Se�►r� �,Z 103,-G� a x rak\ ,( erre 1 I L,q 5tlct Ju �fo C7 E AvE_ quo S- _ 3 a I 6 Rao or �1� �� '' � The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence an s the genuine signature of the person whose name it purports to be. Signature of Circulator Address Afe— /0-O 5 ACC ANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree tlected. Signature of Candidate v