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Davis, William rl- O •. • r� OFFICIAL USE —0 Certified Mail Fee $ 3d 35 Extra Services&Fees(check box,add fees aperop'are) O K213etum Receipt(hardcopy) $ .L p E D ❑Return Receipt(electronic) $ '�� Ostmark •` ❑Certified Mail Restricted Delivery $ Here l E ❑Adult Signature Required $ Q E]Adult Signature Restricted Delivery$ I� .0 Postage L1j (J L -^ $ S Y 1 V ra Tota Postage and Fees u1 $ �' 9M�SHORE`' ri Sent Tor3b,J c-wi P` y� l T3px o. ----------------------------------------- Sheet a Or —i l V_..----�- S r A! ------------------------------ c;ry srerB �iCt m► S C�r�s 33 5c) Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique Identifier for your mailpiece. associate for assistance.To receive a duplicate,- ■Electronic verification of delivery or attempted return receipt fof no additional fee,present this- delivery. USPS®-postmarked Certified Mail receipt to theA ■A record of delivery(Including the recipients retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or.. to the addressee's authorized agent lmportantReminders: -i_ Adult signature service,which requires the ■You may purchase Certified Mail service with 1-- y P signee To be at least 21 years of age(not First-Class Mail®,First-Class Package Service•, available at retail). �' or Priority Mail*service. Adult signature restricted delivery service,which, ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified 1 ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent, with Certified M411 service.However,the purchase (not available at retail). of Certified Mail sT-11 s not change the ■To ensure that your Certified Mail receipt is Insurance cove r la a�fically included with accepted as legal proof of mailing,it should bear a certain Priority Mall items. / I USPS postmark,If you would like a postmark ons ■For an additional fee,and with a proper this Certified Mag receipt,please present your p ., endorsement on the mallplece,you may request Certified Mail gem at a Post Office"'for the following services:., ' poshnarldng.if you don't need a postmark on this,I -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion,, of delivery(Including the recipient's signature). of this label,affix it to the mailplece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this recelirt for your records. PS Form.3800,Apra 2015(Reverse)PSN 7530-02-000-9047 Elections 2700 NW 87th Avenue M 1 A M I•DADE Miami, Florida 33172 T 305-499-8683 F 305-499-8547 TTY: 305-499-8480 miamidade.gov March 3, 2017 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 Bill Davis, a candidate for Council for the Miami Shores Village. A total of 53 petitions were reviewed for verification; of which 50 were certified. For purposes of signature verification, my office follows the directives given by the municipality. You are encouraged to ensure compliance with municipal charter or code requirements. Please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact Michelle McClain, Deputy Supervisor of Elections for Voter Services at 305-499-8302. Sincerely, Christina White Supervisor of Elections Enclosure (1) Elections 2700 NW 87th Avenue M I AM I•DADE Miami, Florida 33172 T 305-499-8683 F 305-499-8547 TTY: 305-499-8480 miamidade.gov CERTIFICATION STATE OF FLORIDA) COUNTY OF MIAMI-DADE) I, Christina White, Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 50 signatures submitted by Bill Davis for the office of Council for 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 3rd DAY OF MARCH, 2017 Chri ina White Supervisor of Elections CANDIDAL--_TITION ` We,the undersigned electors of Miami Shores Village, do hereby nominate &L-L —t)A'V L!�' for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Reg.# Address City/County/Zip Code Signature Signed ��s�cr (d1�t��/ S Sr � �"J NE l Z�i,E, l�ii'INtr S/r��s ��C�a"C'✓ �� 1/ ►5 � gol.�?� leo Sf � -� ,n� .�ti��� �����h� 2 X23-i7 7 Cx q c (crv►s 11 -7 l q 8 1S vic 12 4�c M�'�--•,r s+-�o,�r ' Zf� I r1 -7a ;i o z S The undersigned is the circulator of the foregoing paper containing dsignatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. �I �,,�// Signature of Circulator: Address: qC3 ��� /L/E 1Z /�✓s: /�NPn?i S/�aQ�J 33/3 ACCEPTANCE OF NOMINATION I hereby r4txept the nomination for the Village Council and agree to serve if elected. Q Signature of Candidate: �� it CANDIDAL__TITION We,the undersigned electors of Miami Shores Village,do hereby nominate `\ 0�0 k 5 for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Reg.# Address City/County/Zip Code Signature D�jgSiened ?yo N`/oS.l-#;Z tIce �2 gd6. Zb4 /7 A")Is S$ l6 au r./al5,7 57- ng14Aoi Stlo prST er '-;)� The undersigned is the circulator of the foregoing paper containing It signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it7r orts to be. Signature of Circulator: � -� Address: �p 22 �E � lA /�(�� 6�p S ACCEPTANCE OF NOMINATION 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candida ti C/ CANDIDA 'ITION C We,the undersigned electors of Miami Shores Village,do hereby nominate(U -DrA,J l S for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature I Signed --r� 00V�bw✓ ` )R" .q' . 02 ?-ClZOI c�r.s.S��� S�-�-�l� � ���.l r� s'�✓� yvu -s�=>�l �' � ;� ��.�-r ��s�c�r vl�S ,����►2 ✓1 es -�4/2Y& 31 '7,�G /OY re-5 _ 'kt//R zo/� / The undersigned is the circulator of the foregoing paper containing { D signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it pur-port be. a 7 Signature of Circulator: �'� a Address• ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: ����\ cvv�-ai4 CANDIDAL _TITION We,the undersigned electors of Miami Shores Village,do hereby nominate � ���c�y for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Reg.# Address City/County/Zip Code Signature Signed 17S �� . . . + f � �o ZZ NF. �i�`!Q✓� �Z ��a•�r SN���s 3338 � Z z3 �x Xt 4. /J17. Io2si �Sl ✓�S����/3 2 42 q o S i\3E 9 L5t.C- es Z-1 DAV '-s g,,r:- zw f• 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: ---`� �,�1 o�.v� Address: (:�koZZ 6*' AUL S .±ti`C�,,,j j5�c,� -5 3315 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: � 'o-v�.� CANDIDA TITION We,the undersigned electors of Miami Shores Village,do hereby nominate LA—__1__')&vt-2� for a position on the Miami Shores Village Council. Printed Birth Date or ate Name Voter Ree.# Address City/County/Zip Code Signature Sieved a3� A( 91 r-pm )' Jigrnkswkos,OAtC3XI ��JLZ �/ /1 010 .1 /Qz 1� f— 0), , r LZ) zoa�r�i� s - /nlanl S�aw 3)134 -22 Cz JlLu' / 1; 4 '54 �e L,rt o, Al 6 v i zr4 goo 10 _VL- lhi C-7' The undersigned is the circulatorf the foreg ng a r cont ming E5� signatures. Each appended thereto was made-in my presence and is the genuine signature of the person whose p rp -t" e. Signature of Circulator: . Address: 3o&Y uC 4el ST 51,(A fi 33/3G ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: i . '� 4 CAN D I DAI.—_TITION We,the undersigned electors of Miami Shores Village,do hereby nominate for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature Signed l e e 101 zo �Yr-qvk.- 1�)11`16ej //4/Z/ U IIJ6 3 2 / 4 AD LotE� , OZ-OL W 1 —1 ST� YhesT ���2�fOtrl�m� 051:2" 6-1 bb 0 V r0-1 sr The undersigned is the circulator of the foregoing paper containing 0 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it 11pur orts to be. Signature of Circulator: n �V lb' Address: 6 ACCEPTANCE OF NOMINATION Al 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: c� _ CANDIDAI.`.:TITION _ We,the undersigned electors of Miami Shores Village, do hereby nominate % `--aQ-\J I S for a position on the Miami Shores Village Council. Printed Birth Date orQ' Date Name Voter Reg.# . Address City/County/Zip CodeSin ure Si ned 10 lug-19 it WA_ EWA h p- A4AAj2&,C-, Cv- C 3 v, 7 -tiA��i 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: J Address: ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candida4- --- ALICE BURCH SNORES G MAYOR STEVEN ZELKOWITZ VICE MAYOR s� uIm Ca// i O/ ejVilla 4 HERTA HOLLY COUNCILWOMAN r o, N � 10050 N.E.SECOND AVENUE MAC GLINN FTESIN`' MIAMI SHORES, FLORIDA 33138-2382 COUNCILMAN �Z0R11D)P TELEPHONE: (305) 795-2207 FAX: (305) 756-8972 IVONNE LEDESMA COUNCILWOMAN TOM BENTON VILLAGE MANAGER BARBARA ESTEP, MMC VILLAGE CLERK RICHARD SARAFAN VILLAGE ATTORNEY March 3, 2017 Bill Davis 9022 N.E. 8th Avenue, #2S Miami Shores, FL 33138 Dear Bill: Congratulations on becoming a qualified candidate for the upcoming Miami Shores Village Council election! Please be advised that as a candidate for the Village Council, you are required to file Campaign Treasurer's Reports on the dates shown below: Reporting Period Due Date Account Opening — February 24, 2017 March 10, 2017 February 25— March 17, 2017 March 24, 2017 March 18 — March 31, 2017 April 7, 2017 April 1 —April 13, 2017 April 14, 2017 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 July 15, 2017 Reports shall be filed no later than 5:00 PM on the designated day, however, any report postmarked by the U.S. Postal Service prior to midnight on the designated day shall be deemed to have been filed in a timely manner. Bill Davis March 3, 2017 Page Two 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 is scheduled for 10:00 AM on Thursday, April 13th and will be held at the County's Division of Elections office, located at 2700 N.W. 87th Avenue, Doral, Florida. At your earliest convenience, can you please forward to me a couple of paragraphs that will tell Village residents why you are running for office. In addition, a photo that can be printed along with your write-up. I ask that you keep the statement to approximately 200 words. Your information will be put on our website and carried in our Village Newsletter prior to the election. Please have the information to me no later than Friday, March 10th 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, 44vW c, , A Barbara A. Estep, MMC Village Clerk Candidate qualifying letter Elections i, 2700 NW 87th Avenue M I AM I.DADE Miami, Florida 33172 T 305-499-8683 F 305-499-8547 TTY:305-499-8480 miamidade.gov March 3, 2017 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 Bill Davis, a candidate for Council for the Miami Shores Village. A total of 53 petitions were reviewed for verification; of which 50 were certified. -For purposes of signature verification, my office follows the directives given by the municipality. You are encouraged to ensure compliance with municipal charter or code requirements. Please find the certification for the petition enclosed. Should you have any questions or concerns, please feel free to contact Michelle McClain, Deputy Supervisor of Elections E for Voter Services at 305499-8302. Sincerely, Christina White Supervisor of Elections i Enclosure (1) 1 i i l { Elections 2700 NW 87th Avenue MIAMI•DADE Miami, Florida 33172 T 305-499-8683 F 305-499-8547 TTY:305-499-8480 miamidade.gov CERTIFICATION I STATE OF FLORIDA) COUNTY OF MIAMI-DADE) , I, Christina White, Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 50 signat&res submitted by Bill Davis for the office of Council for the Miami Shores Village matched the signatures on the voter files. t i WITNESS'MY HAND I AND OFFICIAL SEAL, AT,MIAMI, MIAMI-DADE COUNTY, FLORIDA, ON THIS 3`d''DAY OF ! L. i MARCH, 2017 Chri iha'White Supervisor of Elections m � r _ - t ^r - .-.rte _ i a_Kc-y�-rr• �.- ,#+-- X+�+—s•--r•....... ,. a VCi L ... _ ,,,,.M ca�nc re iE� Ho�Y ..>..:. .COUNClLYMOMAN, r, a�E looso N.E.SECOND AVENUE el'res IS MIAMI SHORES,FLORIDA 33138=2382 OUNCLL'"MA"N tORlDp' TELEPHONE:(305)795-2207 FAX:(305) 756-8972 "+- 7 = IVONNE;LEDESMA COUNCILWOMAN, TOW'BENTON , VILLAGE MANAGER BARBARA ESTEP, MMC VILLAGE CLERK- RICHARD SARAFAN VILLAGE ATTORNEY March 2, 2017 Ms. Michelle McClain Miami-Dade County Elections Department 2700 N.W. 87th Avenue Miami, FL 33172 Dear Ms. McClain: Enclosed are the original petition forms for Bill Davis. These.petition forms are for a candidate seeking to qualify for office in the Miami Shores Village Council election. The Village Charter, under Section 24, requires the verification of fifty (50) valid signatures in order for the petition to be sufficient. Please verify signatures in accordance with the Village Charter provision. Bill Davis filed intent to run for office on February 23, 2017. i The Village Charter, under Section 24, requires the Village Clerk to notify the candidate within ten (10) days whether the required number of valid signatures was obtained. However, the candidate qualifying period expires at 5:00 PM on Friday, March 1,2617. Please return the original petition forms to my office, along with a certificate.certiOrng the number of valid signatures. If you have any questions, please do not hesitateto '' contact me directly at 305-762-4851. Sincerely, ' (a x: Co Barbara A. Estep, MMC Village Clerk N t Enclosures (7 pages) k± I '1 Y� 4 Cii• HW.. 4�. � V •11' ALICE BURCH SNORES MAYOR 1 0C.191_ G� STEVEN ZELKOWITZ = VICE MAYOR �^ �0 n-ov al uuM Iniamt O/ Gji tact HERTA HOLLY O COUNCILWOMAN r o�� 10050 N.E.SECOND AVENUE MAC GUNN FNTES N5 MIAMI SHORES, FLORIDA 33138-2382 COUNCILMAN LO.RID TELEPHONE: (305) 795-2207 FAX:(305) 756-8972 IVONNE LEDESMA COUNCILWOMAN TOM BENTON VILLAGE MANAGER BARBARA ESTEP, MMC VILLAGE CLERK RICHARD SARAFAN VILLAGE ATTORNEY March 2, 2017 Ms. Michelle McClain Miami-Dade County Elections Department 2700 N.W. 87th Avenue Miami, FL 33172 Dear Ms. McClain: Enclosed are the original petition forms for Bill Davis. These petition forms are for a candidate seeking to qualify for office in the Miami Shores Village Council election. The Village Charter, under Section 24, requires the verification of fifty (50) valid signatures in order for the petition to be sufficient. Please verify signatures in accordance with the Village Charter provision. Bill Davis filed intent to run for office on February 23, 2017. The Village Charter, under Section 24, requires the Village Clerk to notify the candidate within ten (10) days whether the required number of valid signatures was obtained. However, the candidate qualifying period expires at 5:00 PM on Friday, March 3, 2017. Please return the original petition forms to my office, along with a certificate certifying the number of valid signatures. If you have any questions, please do not hesitate to contact me directly at 305-762-4851. Sincerely, 6e�za 6,- `WL Barbara A. Estep, MMC Village Clerk Enclosures (7 pages) CANDIDAI..__TITION We,the undersigned electors of Miami Shores Village,do hereby nominate � 5 for a position on the Miami Shores Village Council. Printed Birth Date or Date Name _ Voter Ree.# Address City/County/Zip Code Signature Signed l�f fI�i .f'iofLFt /�Gr/lC J7 ,.t c� �2 /0 C91-0 co ii 3q 6RR,v4 R dLI tJrS 4-116A15 ?3j ( — ��� -4(7," nc The undersigned is the circulator of the foregoing paper containing I 1 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose enname it r orts to be. / Signature of Circulator:' e +,C----" Address: -14' A/,L7 GY---Tas ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candida CANDIDAI :TITION We, the undersigned electors of Miami Shores Village,do hereby nominate\ �� q for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Reg.# Address City/County/Zip Code Signature Signed . � i� Ills 9 5 �5� �?138 a a3 f? Zs` e foZ2- N �`fQ✓� �2iar�S�a��s 33538 Z z3 C ,1 (��a (VCO 1'�(0 � q 6o N�_ �l�( Si l S�c�( Z Z� f C�l'� Ips yg $Is 1y °lqtS �loA% k6 ILIA , The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator: �--`� ��1 ca rv��o�y Address: El U LZ N 8� A t)� S �(1`G..tit S�t o reS .33 I� ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDAI`__,_TITION We,the undersigned electors of Miami Shores Village, do hereby nominate 1�\Ll.� t for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree. # Address City/County/Zip Code Signature Siened ��sxr 1dZ A.,e lyih`rtt s is 1/ 15 7 ��� It��1D0 f T •�,� Sti ��vS 2a?3-17 ��+� Av►' o? 73 3�Sy NJ-�`/`�S� la.v,i Nvr�S 2 ! c 7 fJ v 1 -,39 A)t I Sr (f�N IJ(�dIL�CS 2JZ31$I IT Lem= 10 Pay qC Davis 1_1 -7 b ct8jS inc )2 M�'��--,�f SLney--rN h In 70 c)Z 7 �(-'�Cil►-�/-�,r�T G' �.I �6 /sit� r�� I os-�.s; /h�,,,,.� s,4,�,.�� The undersigned is the circulator of the foregoing paper containing r Osignatures. 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: 40" 7Z�� �/E )2 kc q- ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. r Signature of Candidate: CANDIDAL. _TITION We,the undersigned electors of Miami Shores Village,do hereby nominate for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Reg.# Address City/County/Zip Code Signature I Signed A42Vf l - 1 -S C� 1,7 --,4 r-,-s �� es 31 ?,A)G /d res The undersigned is the circulator of the foregoing paper containing i-O signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports-to be. Signature of Circulator: � `°� Address: 2 C 2- Z- Q `� � ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDAL -TITION We,the undersigned electors of Miami Shores Village, do hereby nominate ` for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature Signed gVG S7� t="S7I3 R y l . � / � q3O V6 9/ M PIA MA"k SV0k6S 1J)Nff 33j ��JLZAk /Qz 12 2.00N6'Io z �-�+— �1'1i�rni .��iu'tis.� )3I--V -22�� J 5i4�►1 Ao ro /+Y �-�`��L z n II-- 10(1 The undersigned is the circulator of the fore g ng a r cont ming signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose p rp rt t' e. G Signature of Circulator: . Address: 34Y fill qet, Sr /t/gw, 51yogrs 3313`' ACCEPTANCE OF NOMINATION hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDAI,—_TITION We,the undersigned electors of Miami Shores Village,do hereby nominate �� fora the' Miami on theMiami --�-1 � � N Shores Village Council. Printed Birth Date or Date Name Voter Ree. # Address City/County/Zip Code Signature Si ned e 101 70 9 �1 - a� 1�2i a►m1'� oc� l 1-7 *-RYNi'rn-0�MJ12--6LUW IG-1 ST nqwn�ks�ovv_s w .fYhE'-4 D-4efor"'m'z� 0512-.116-1 bb 13W Io71 sr jLksgrnis\-kores The undersigned is the circulator of the foregoing paper containing 60 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose nit spur orts to be. Signature of Circulator: v� v � Address: ACCEPTANCE OF NOMINATION � I I hereby accept the nomination for the Village Council and agree to serve if elected. Candidate: Si nature of g CAN DIDAI.__._TITION We,the undersigned electors of Miami Shores Village,do hereby nominate � k :'L�� CL�Yy for a position on the Miami Shores Village Council. Printed Birth Date or © � i�' Date Name Voter Ree. #101 Address City/County/Zip Code Sin ure Signed Z // 33/L b p- A A/75*1 En 10 M 2' 7 orelle�hr 5 X55 tQ15- a� -. ul �1 �s 33► �� 7 < �r 5Y2- z q_-as NE S ,t i r� e 1� / I Z�y-� �G � �' i 1�1+'�6CLs ��a� The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. Signature of Circulator: J � Address: ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candida CANDIDA TITION We,the undersigned electors of Miami Shores Village,do hereby nominate for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Si natull Signed �AVLC-g Qi2772 .3 qqt) eyr 9a (-Sr /tmw/S-d3 sJ3139 7 1tsr 3 1S 3 1020 A)F"_ 104 51 M�,OAA► 511cyPS � :2. 2 nn /O -7a 411�4�Cur4o cZAo wF 43 d S-(- /&;g i, c The undersigned is the circulator of the foregoing paper containing �E signatures. Each appended thereto was made in my presence and is the genuine signature of the person who a name it purports to be. "Signature of Circulator: Address: ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. ` Signature of Candidate: CAN DI DAI.—_TITION J We,the undersigned electors of Miami Shores Village,do hereby nominate 1! J for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature Signed IRA P 0142,- -;721 � 3 -33(33 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 orts to be. Signature of Circulator: Address: Z2 S r c ACCEPTANCE OF NOMINATION G,u( 1 /�6 I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDAI..J_TITION We,the undersigned electors of Miami Shores Village, do hereby nominate a���O.�j�� for a position on the Miami Shores Village Council. Printed. Birth Date or Date Name Voter Reg.# Address City/County/Zip Code Signature Signed d20 S" 6i�;Oe "'AMe5 � G r _6A 17 1F;���) ��V�M L`� �s���,/(J V `\6i�1 r /\i V �� _ /�� 'T�����1�•�C����7i� � ��'�.�.�� C 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. c Signature of Circulator: L"-)L Gv✓�, ��-' Address: d Z2 �`�� f�V ACCEPTANCE OF NOMINATION I heMeby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidates- rr�r CAN DI DAl.,__TITION We,the undersigned electors of Miami Shores Village,do hereby nominatey L for a position on the Miami Shores Village Council. Printed Birth Date or Date Namel Voter Reg.# Address �y Ciity/County/ZipCode , Signature Signed 1.-� 3g /a6/o ruE Marm Sh&8 / 117 IFA crncr�A)"K 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: ��ALt o.e%, V t S Address: X10 2-Z ,M a w� f<►02�s F L - 3 i3$ ACCEPTANCE OF NOMINATION 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candida e: - — APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN _ DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) � L - NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. HECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: d Treasurer/Deputy I Depository Ef Office (Ef Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) c107z Z N E ���' AO& Co.1(io S7- 4. Telephone 5. E-mail address M ��"y ► S o t e S �- (3c5- ) coq--1571 I Vofe b'%Ik A� )`,s cQ_9"7c; 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if SPOIZeZS I/ if 426 904'Alalli 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 E] Write-In No Party Affiliation ® Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer vim ori 11. Mailing Address 12. Telephone e (78o ) 3 - ,9 13. City 14. County 15. State 16. Zip Code 17. E-mail address iii s�o � �rDe � ' � ��se�fG�• e 18. 1 have designated the following bank as my Primary Depository �] Secondary Depository 19. Name of Bank_ 20. Address Th Q 1�7V Mf �( ,V iUlr4/lrt/ 3 21. City 22. County 23. State 24. Zip Code A �,9DE 00/10e 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 FAC TED IN IT ARE TRUE. 25. Date 26. Signature of Ca 27. Treasurer'4 Acceptance of Appointment (fill in the blanks and check the appropri a block) I, ZAtI161-2 Qkr`/Z do hereby accept the appointment (Please Print or Type Name) designated above as: Ef Campaign Treasurer Deputy Treasurer. Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. CANDIDATE OATH - NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021,Florida Statutes) r ' (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 nonpartisan office of /U/�/ (office) (district#) I am a qualified elector of 01,&Ix4l 2>A-pe 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; 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; and I will support the Constitution of the United States and the Constitution of the State of Florida. 75- 1 1 Signature of Can ' ate Telephone Number Email Address t�22 NV - S-11 Address City State ZIP Code Candidate's Florida Voter Registration Number(located on your voter information card): Ll- 00 Sq- 1.� `l * 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): el L C.-._ n A / - V 1 S STATE OF FLORIDA COUNTY OF 1 1 I (�1'�1 -JE Sworn to (or affirmed)and subscribed before me this day of F Yh" 20 Personally Known: or Q : `:'i;''• LESLIE RACKL Signature of Notary Public MY COMMISSION#EE 883409 Produced Identification: EXPIRES:March 13,2017 Print,Type,or Stamp Commissioned Name of Notary Public ^,,•. •�4f��4Q'- Bonded Thru Notary Public Underwriters Type of Identification Produced: DS-DE 25(Rev.5111) Rule 1S-2.0001,F.A.C. 15t1oREs Gr! t else googol" L� oy� �LORVA-- MIAMI SHORES VILLAGE COUNCIL CANDIDATE INFORMATION RECEIPT Candidate: W ko M Tn1) This is to acknowledge receipt of the following documents relating to the 2017 Miami Shores Village Council Election to be held on Tuesday, April 11, 2017. Informational Letter from the Village Clerk Petition Forms Village Ordinances relating to Village Election Qualifying Forms Treasurer Report Forms Items and Documents available from Miami-Dade County Absentee Ballot Information Poll Watcher Information Candidate and Campaign Treasurer Handbook State Statute Chapters.97— 106 Received By: Date: 2 - SNORES L!` �LORiDp' NOTICE OF CANDIDACY AND RESIDENCY I, o M 4re-L-DAV 1 ,5 __�2 , hereby file this Notice of Candidacy this t Li day Of , 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 office as required by Section 23 of the Village Charter. Signa ure Print Name 90 zz IVE ts01 /qye- U 2 Address 30S - pro Li - -7 1 Telephone Number ✓Vj 0 dh D (_ o t_-,n 0,_O Let117 E-Mail ss STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) BEFORE ME personally appeared U I Alm Ja". who executed this Notice of Candidacy and Residency this 1'0"* day of 2017. Notary Public k Personally Known Produced the following Identification Seal/Commission Expires: BARBARA ESTEP MY COMMISSION A FF 073975 EXPIRES:March 29,2018 Bonded Thru Notary Public Underwriters OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) candidate for the office of have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. ,A C X 2 Signature of Candi to Da e 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(05/11) FORM 1 STATEMENT OF 2016 Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: ddress,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: 00..x'%5 �+�. K��-�e r" 2 MAILINGADDRESS: Ino res 33 C>,a e CITY: ZIP: COUNTY: NAME OF AGENCY: S\V\cries J \� NAME OF OFFICE OR POSITION HELD OR SOUGHT: jar e5 q c' K C. You are not limited to th space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR,WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER( ust check one): DECEMBER 31, 2016 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE ABSOLUTE DOLLAR VALUES,WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS,WHICH ARE USUALLY BASED ON PERCENTAGE VALUES(see instructions for further details). CHECK THE ONE YOU ARE USING(must check one): / ❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR 19 DOLLAR VALUE THRESHOLDS PART --PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY t A4 103(5"/ Alt .4 E-D ca a J'C Alow/�(6�DkeJ X3/3 ,Afl? NF 60,4-6H r 33/G/ PART B-- SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or'Wa") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESSINCOME OF SOURCE ACTIVITY OF SOURCE PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or'Wa") FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1-Effective:January 1,2017 (continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1),F.A.C. PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions] (If you have nothing to report,write"none"or"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions] (If you have nothing to report,write"none"or"n/a") BUSINESS ENTITY#1 BUSINESS ENTITY#2 NAME OF BUSINESS ENTITY 0 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 PART G—TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142,F.S. ❑ I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473,or attorney Signature: in good standing with the Florida Bar prepared this form for you,he or she must complete the following statement: I, , prepared the CE \ Form 1 in accordance with Section 112.3145, Florida Statutes,and the instructions to the form.Upon my reasonable knowledge and belief,the disclosure herein is true and correct. Date Signed: CPA/Attorney Signature: Date Signed: 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 officer, signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet(pages 1 and 2)for filing, your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officers/employees file with the who must be confirmed by the Senate must file section,write"none"or"n/a"in that section(s). Supervisor of Elections of the county in which they prior to confirmation, even if that is less than permanently reside. (If you do not permanently 30 days from the date of their appointment. NOTE: reside in Florida, file with the Supervisor of the Candidates must file at the same time they file MULTIPLE FILING UNNECESSARY: county where your agency has its headquarters.) their qualifying papers. A candidate who files a Form 1 with a qualifying State officers or specified state employees Thereafter,file by July 1 following each calendar officer is not required to file with the Commission file with the Commission on Ethics, P.O. Drawer year in which they hold their positions. or Supervisor of Elections. 15709, Tallahassee, FL 32317-5709; physical Finally, file a final disclosure form (Form 1F) address: 325 John Knox Road, Building E, Suite within 60 days of leaving office or employment. Facsimiles will not be accented. 200,Tallahassee,FL 32303. Filing a CE Form 1 F(Final Statement of Financial Interests)does not relieve the filer of filing a CE Candidates file this form together with their Form 1 if the filer was in his or her position on qualifying papers. December 31,2016. To determine what category your position falls under,see page 3 of instructions. CE FORM 1-Effective:January 1,2017. PAGE 2 Incorporated by reference in Rule 34-8.202(1),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— • 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, U)1 U1 &6r4 U OY71/� , a candidate for the office of please print your name in ti1/4/kf t 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 ;�3 - Signatu e D to COE,revised 4/2010 2017 Candidate Name: l 1 I 1 tWA 0DIA s . JKL- E-Mail Address: M �, (n0A v Address: q0),1 N C E' I�f a S Telephone Numbers: �QS -C10kA - 75 CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION JNotice of Candidacy and Residency J Campaign Account &Treasurer's Appointment y Form 1 Financial Disclosure Loyalty& Candidate's Oath v Statement of Candidate 50 Signatures on Nominating Petition Confirmed by Miami-Dade County Elections `/`.6-A -��d(, G(_Ater' CAMPAIGN TREASURER'S REPORT SUMMARY (1) -b"If 74 OFFICE USE ONLY Name Address (number and street) City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) ck appropriate box(es): Ch9andidate Office Sought: N- SAIVE6 (//4�A6�619011/GIL ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From / / To / ;3 / Report Type: Ivoriginal ❑Amendment ❑ Special Election Report ,(6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 00 Expenditures $ Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ , (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) �j / ,�/� (Typ name) _ ey1V ❑Individual(only for IE &freasurer ❑Deputy Treasurer ftrcandidate ❑Chairperson(only for PC and PTY) or electioneering comm.) e SignatiIre Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name IL�LI ,�/ `�( , \rK (2) I.D. Number (3) Cover Period Y / / through 0 V / I l /7 (4) Page of (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 1-7 'wxa 7,--6.00 7-ev c 7V70 s Gtr; 7S'40•06 1/ l / 17 � s�i� �: /;SU•as 3 / l / �tla,�M GPOur /iYD2N Gil a4' W/5 WCe2 aA1 M/.4 Sf��rC, 301 I4abeX71- Su/tel l F /17 776 Alr ?b a QST iiwa W A1''�..D ✓o UoNN�LL ,,101,3/ f2 �itaa�itl OW l�LJ DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /,, CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Olz-&I4 (2) I.D. Number (3) Cover Period _/ / / 7 through b 4 / 1 - (4) Page / of (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 City,State,Zip Code candidate) Type Amendment Amount y9y�/V� 2 A145 plN,uX-77C/,/� M/'�// n �31�7 3o C.�iC, Lam-/V45' -9 'S/CICS 7.pv-r Svc �Z' f-,1,57 /1i1i iI-M l � TZ 3 �I3 8 oZ L3 1 3 (, 7 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) /C.L% /f 1'- D,�t D OFFICE USE ONLY Name (2) f>TA .+{/C_ ' S Address (number and street) ktA'w s1w6T, fL '3089 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) ck appropriate box(es): Ch7andidate Office Sought: 0,5. ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From l J l J 7 To & / 'ff/ / Z-L Report Type: Voriginal ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 00 Expenditures $ 1_oans $ Transfers to Office Account $ Total Monetary $ , Total Monetary $ In-Kind $ , (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Tye name) �/ d,074 (Type name) A M—XILM Individual(only for IE ❑Treasurer I]Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X Taw Signature Signature DS-DE 12(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name ��ZfLI,//h1i( ,�, �¢�/,�� (2) I.D. Number (3) Cover Period / / through / / 7 (4) Page of (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 / H /-7 (7,OWSOA119X-Nb" /q�_C) NE /Oz 17' � (:�✓� o��J FG 33��g Ply s#0401 q_ �© C2 33lag Iq 117 3 •s 33138 /P 71 Mr- vs-a fr So IV/,o cy�ItKa,k.33OR LWWN 11 410&V W JC IdIA (fi -clICi 33/36 ghRas" A 46w10s coo folK /i(Wf louv,4 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period 17 through (4) Page of (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 km&Ae-A C L 17 '3 Me- 57 �O 1_2S117 �&?ONc M 14 S#Mg 3 31 3g 9 ma cwPea,& ,q3 toA L rh*-46 jVt1A0,4 01-7 N.0 YI,4 'fhtr {,rz33/3 - mghg_<EaV/a5 Or 60 11 TaWj��4 ;,v& Lti 1,62,e_ NC It9Y-SIr. Z2 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C MPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name A �t��. (2) I.D. Number (3) Cover Period 3 /�/��through_ 2 �/ / /7 (4) Page _of (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 City,State,Zip Code candidate) Type Amendment Amount a011.7 l7 � 3 u 1,417 A/e q4 Ave VV/p/ WAM/ 016.3 Poa-o s cilwlzret PTsA 1 1/30/ Nw 52.9Ye SpOA(jol EWX,(AC7 A41 JMVAT/ GL 33/1F6 trvrN 6041910W �0 7. DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) /�,`T� OFFICE USE ONLY Name (2) 9a2a VC SIS,�ye Address (number and street) City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): lvcandidate Office Sought: lu_f. /GL19 E 601VAlG1(— ❑ Political Committee(PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure(IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cov Period: From / as / 17 To 3 / 1-7 / j 1 Report Type: Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , p j D� Expenditures $ ' 661 . jS Loans $ Transfers to Office Account $ Total Monetary $ , Total Monetary $ , In-Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss.839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete/: c7i �,,/ ��� (Type name) �N DZ kU (Type name) !/J[! � �- �) /z ❑ Individual(only for IE Treasurer ❑ Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electi Bering comm.) X X Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name 0/a2 '*y A. 4WY , (2) I.D. Number (3) Cover Period / / through / / 7 / (4) Page of (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 /g" m7 99?h -s'T: SN4 �® 11 r-1, 33t38 cm B N& wasrbra �RaocccTiv Phv /-S,xw- t:. 911,,4 AX -ST- 3 3 M/.ttiuS 3,�i . 117 a7-7 ArE- 69i f M%�Mr X#000,` G- 1- C b1J 33f3� s�aDptl�t'L� �rC„y4-� , / eA-nit r S H04ti;'AL 3313 17 pG�NI�I� 7 <SaSATI 113q Gmd C01jeo ,G1/,9 y1 f A%w DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES e CAMPAIGN TR SURER'S REPORT - ITEMIZED EXPENDITURES (1) Name �I�fLGI�/t7 , 7,97/7 7a (2) I.D. Number (3) Cover Period �22 / D /1"through �,6_/ 1'7 / l/ (4) Page- of I (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 City,State,Zip Code candidate) Type Amendment Amount 8"3 ZJ"N�✓ 30 3� 1pfl, DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY {1) ww ;4, oh1,(,e ��� OFFICE USE ONLY Name (2) 6?0,p,:q E Address(number and street) _til/' el z ,Pa k- _ City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Chuck appropriate box(es): Candidate Office Sought: /,�/litl dAjOZ 14 � ❑Political Committee(PC) ❑ Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) ❑Check here if PTY has disbanded ❑ Independent Expenditure(IE) (also covers an ❑Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: -From 2 / 3 / YZ To' ), / ),,// 1'7 Report Type: J ❑Original ❑Amendment ❑ Special Election Report (6j Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , /0,9 • Expenditures $ , Loans $ -- Transfers to Office Account $ Total Monetary $ 6f9 Total Monetary $ In-Kind $ -' (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ (11)Certification It is a first degree misdemeanor for any person to falsify a public record (ss.839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: f �� (Type name) � QTJ ,� Z (Type�rtame) /�M A_A& ❑Individual(only for IE terreasurer ❑Deputy Treasurer IlKandidate ❑Chairperson(only for PC and PTI) or el7ziai X � Xcxr/l.+ Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name I�j /1 (2)A Q,f�'UA'T)2 (2) I.D. Number (3) Cover Period / -z3 / through c)- /o�q / (4) Page �_ of (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 l bv/kOm bHI1 t'0A PD �Oaee� L #44 rp4q/f �313 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY X. OFFICE USE ONLY Name c2) 902 �v� 2 �� Address (number and street) /1c�/ /1/AVI cS�2.� 4Z—, d 3�13 07-18-171 ,7 :56RCVD City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Che appropriate box(es): Candidate Office Sought: 111U-A645_4 LAYAlel ❑ Political Committee(PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From / 113 To C�. / / 7 / / 7 Report Type: Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ (3 :Sar p p I..aans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ � . �� $ . (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Ty name) JT'V /PF--09-7 Z (Type name),-- 'v�,g. Individual(only for IE Vfreasurer ❑ Deputy Treasurer ❑Candidate ❑ Chairperson(only for PC and o4ctfibneedring mmx �.) � 6 tit < Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUC S 0 7-18-1 '7 1 7 :57 CAMPAIGN TREASURER'SBEPORT - ITEMIZED EXPENDITURES (1) Name 101-ZW4714 A - I 1 7 f �- (2) I.D. Number (3) Cover Period / 17 through 1 / l 7 lZ7 (4) Page 1 of _ (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 City,State,Zip Code candidate) Type Amendment Amount 00 C, f e 3 IS AV e- 33L34- C'"w . 33i 3 fo c7 d COV co Cw 17 S-}-CA. OC ROS' 500 5 tP e N sd fs b� � O s� (A.-t vi f at- CW ��6 OAS DS-DE 14(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES v �; CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period Z through / /7 /7 (4) Page of (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 City,State,Zip Code candidate) Type Amendment Amount l? /9 TOr& F Com/ a� DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES