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Meltz, Jonathan
FORM 1 STATEMENT OF 2016 Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY' address,agency name,and position below: LAST NAME--FIRST NAME--MIDDLE NAME: MELTZ JONATHAN SCOTT MAILING ADDRESS: 157 NE 104 STREET MIAMI SHORES, 33138 MIAMI-DADE CITY: ZIP: COUNTY: NAME OF AGENCY: MIAMI SHORES NAME OF OFFICE OR POSITION HELD OR SOUGHT: VILLAGE COUNCIL You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF 4 CANDIDATE OR LJ NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR,WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(must check one): 5( 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): I( COMPARATIVE (PERCENTAGE)THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A—PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] (If you have nothing to report,write"none"or'Wa") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY JONATHAN MELTZ, P.A. 1900 SW 3RD AVENUE, MIAMI FL 33129 LAW FIRM 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"Na") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE N/A 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 N/A 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 348.202(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"ril TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES N/A PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR CITIMORTGAGE PO BOX 6728, SIOUX FALLS, SD 57117 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 FENWAY BUSINESS GROUP ADDRESS OF BUSINESS ENTITY 157 NE 104 ST, MIAMI SHORES, FL PRINCIPAL BUSINESS ACTIVITY Investments POSITION HELD WITH ENTITY VP I OWN MORE THAN A 5%INTEREST IN THE BUSINESS yes NATURE OF MY OWNERSHIP INTEREST Dormant investment company. 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, sianina 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 IF) address: 325 John Knox Road, Building E, Suite within 60 days of leaving office or employment. Facsimiles will not be accepted. 200,Tallahassee,FL 32303. Filing a CE Form 1F(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. NAC o (( Q r APPOINTMENT OF CAMPAIGN TREASURER A (7 AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: Treasurer/Deputy ® Depository ❑ Office ❑ Party 2. Name of Candidate (in this order:A Fiirrsst, Middle, Last) 3. Address (include post office box or street, city, state, zip rZ code) _ J 4. Telephone 5. E-mail address ( 30s) _757 yk77 IZ-C 33/38 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if / applicable: AlAti/' sb(/LE-S ❑ My intent is to run as a Write-In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a D Write-In ❑ No Party Affiliation ❑ Party candidate. 9. 1 have appointed the following person to act as my ❑ Campaign TreasurerA—" Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 1N 11. Mailing Address 12. Telephone /.�7 Nr Io y S Tlc-er° f ( 3os-) 7S7- 76 77 13. City 14. County 15. State 16. Zip Code 17. E-mail address lM��r�xl Sho l��-s M�o*1 0�1� �C �3/ 7/v7 Z Z 18. 1 have designated the following bank as my ❑ Primary Depository Secondary Depository 19. Name of Bank20. Address _ 40 a 4r el_ 144-1C. yetiv 21. City 22. County �� 23. State �� 24. Zip Code M�a rkrk� Sh�.trs ofr C 3 3/.35 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Signature of Candidate 22-1/1'7 X /JL9� W14E-9T 27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block) 1, JDhG I`Wll �G do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer ( Deputy Treasurer. Z/a / // 7 X -� �� &)�— Date Signature of Campaign Treasurer or Dep ty Treasurer n.R-nF A 1RPv_ 1171111711 Rule 1S-2.0001, F.A.C. Elections 2700 NW 87th Avenue a MI-DADE Miami, Florida 33172 T 305-499-8683 F 305-499-8547 TTY: 305-499-8480 miamidade.gov March 2, 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 Jonathan Meltz, a candidate for Council for the Miami Shores Village. A total of 56 petitions were reviewed for verification; of which 51 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, Z411�1' Christina White Supervisor of Elections Enclosure (1) 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 STATE OF FLORIDA) COUNTY OF MIAMI-DADE) I, Christina White, Supervisor of Elections of Miami-Dade County, Florida, do hereby certify that 51 signatures submitted by Jonathan Meltz 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 02"d DAY OF MARCH, 2017 C ristina White Supervisor of Elections CANDIDX JITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan M2ItZ for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature Signed ((,�M (J� Z � 7 err �a Ke IN�T �-l.Shor���- tclQ.3�8 I �7 _x�� 7 3 11 NE lo4�t• vn.Sho�eS , 1� c33��8 4� CgLcs q €yxes- 9/.z t b?4g 3 117AIc lay * � s YL 3 13P C• 4Asw 9 yfM I �t �►�t IG�(Q G� GJP.bGr` � �y����� JAp.as �. - < v�L IL 1 07 �/s e AA — WoS Z) 4!zz �_t-, !L 7I 14� E Al- 111,1420 The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is the genuine signature of the person whose name it purports to be. A// i s IVs- I G`f 57 /0/g f l %47) Orf Y/yf Signature of Circulator: Address: 1 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: .:......... r..,..a.-..... --.w:....r _.....men;-..- . .. ..._ter.- .... ...�. _. _...„ ...-... .., .. �.-. _.. CANDiD'A''� 'TITION We the undersigned electors of Miami Shores Village,do hereby nominate 6qA-[H'#4' kv-Moraosition on the Miami Shores Village Council. g g , YP Printed Birth Date or ate Name Voter Rea.# Address City/County/Zlu Code Slanature Signed /s4 a; �past, �s� s I�r1 -�� 3�3� )7 l.�.ri3 c ( l 1 lSga 165 S- - NAkavy,, r46 ors rz ? 'V6 � , roc Iv Et,Je c d ( 1 N t 4 ��{,� Psi o� fof �i90 zZ Sri f 33i31� z 7 /7 Z- -7-/ 7 on� r1 l sic CJ E , �,,1�-wt� 5�►b,r�-� 33 i 3Q - �fY�e�S�e 60 33, An A 6dhLVL—G—YMA azglo 127 lye /03. 5 1 �l AThe undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto was made in my presence and is t109e gen ine signature of the person)mbosa name it purports to be. / Signature of Circulator: t�� Address: /� � STS /- OVJA-(� p,5C-G r d f 1T ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDA'. 71TION We,the undersigned electors of Miami Shores Village,do hereby nominate vv�� ky-1 fora position on the Miami Shores Village Council. g g . Y Printed Birth Date or Date Name Voter Ree.## Address CIWZCounty/Zia/Code Sianature ® Si ned 1VE 102"'fl �— a'C-N'Q-Irj 5=/(Q ICJ 12tQ4NE9gf" .t/�►arn► a¢� / 3�3d q217 .Scor i? Lin ►� . s . 33(L3 9' • Z� . M Al Ao L4 I l�p 1 of`b 2a v.7�. C�'W L, VLA S -c- 33 G✓1 1 14gcl N61m 5� iv`► nKx, �6 CtZ,3!3 � � li�Z`� I 1--)`.ave I_ IIrl'�< �o� � 4 l y9� �e 1�1P �� All 4'"; s �r "C 330tZ �Y l7 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: lSq ACCEPTANCE OF NOMINATION 331 I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDA'. JITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan Meltz for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Reg.# Address City/County/Zip Code _ ure Signed P4 011[012y 34I &C I W �f- �3� -ztZ?!!7 �C-k) Aiy" Acwq 93 /f 4j c�s�' i`Ls� �sru�►..P�rr�a. alts 1°►ro3 3t$ nr� t��►- 33 i�� 6�Z.r ?� I� linV(A' F- fl)JI 140 31�Kt jogcT- .�" �A)IE /O si 33/ 3r o t�oa.<.. �� z 33y�/�/y�si, 33139 � rr� �•. �3 3 w �n-�Lo Sst' 3 313 f� � Z!z� � owl s 7�� i" F C-A The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto wa de' m nce and is the genuine signature of the person w sg name it purports o Signature of Circulator: Address:V 0 ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. i Signature of Candidate: CANDIDX. XITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan McItz for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip CodeSi ed y M114 ILTOA139den Si natur 5 �13-�5 Nuo- w� h'71 N � z -�I.so�� (��r��a� Ir0-►�BZ. �4 ��Rs"s�-- I�ca.,wc S#�33�� � '� rvr-"d� Ccs D�q i�c- 9-1 5T Alex C NYv-e,�6yd 5-5-2 8 Ices r.Y,� 2"`'C m a m A 3313? �mVr) Comaer v1LS�7v /V5Lo� u�' � �• 1019Afer :, 006 - -�7 a-° �,°� &A ����U_y�l /7 J QiV l nS�y� ,=�3(72- �Iy-�S�C�e f� M ���re� ��►3� -- - a� V��i►nMe IZ t -'�_(.eCe 15") fie j0gk 5JC7 M'�av�� <S-AqG-s The undersigned is the circulator of the foregoing paper containing-L signatures. Each appended eto was made in my presence and is the genuine signature of the person whose name it purports to /s-� A/ 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: CANDIDX, JITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan Meltz for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature Sinned 17d� ,�,��, ,� ►�' 2v`1 135v N l I 'MiGmi �n�re� 33138 _ '�. k4� a11 IGIn`I0� �1e lG RQ is 03 by 93'D n� • 13c.,.iilaQY-C-)ST �-k;o►mi SkON-l-A 1 2 ZS Cavo% 'QyYnCnGtG. M1;> b 3 (, u 93-W i1117.a br, '•��bh+� S�v,n,�, 33138 Z�LS/�7 M UCL Rb( _w ac 6(130 TJS ISM 0E,`l I < n&-eS 33 R) �1- God rug. MOL Mk 5 3314� , `2-{Z�j Z C 0\ I I to muOftll �1 doofec, 331 lad 35 13-g t1 E r� S-�- I�lcg�-► < i o I 3T ti , 1t72 �wi� The undersigned is the circulator of the foregoing paper containing <5 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whosq name it purports to be. Signature of Circulator: -dinAddress: ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: - ' - - / � - - - '- ' ^ ^ . . ° ~ ` ~ ' ~ � v . , ^ ° - _ ` - ' � . ' ' , .. - ^ ' + - - ' - _ ' . . ^ . � - - _ _ � \/\ Y ��\� ~ - - - '- �V \ \ ` �- �� ^� � �1 � � , �' �� - -` / [� , ' `��� . � � � ~� ' ^` ' u � ~'-' ^ ' , �^ -- -- - - ` � ~^ ' � ` . , . - ` - . ' ~r � ' ` ~ ^ � '- . .. - _ ` . - . ~, ^ ' . � - ~ ^ . ` . ' °- - � ^ . � � . . � - - � / . .. � ^ . . . . � _ , / � � ^ rv^i1^, ' ` -/ � ' - � ,` ` ` �� . �- - . , /, . ' ' . ' - � / ^ ,- ' ^ ~ ^ ^ -` � - , . � ' . . ` ', . . - l . . � � � . � ' �, ` ' ` '' , _' ' ' - ^ . �� . ' ~ ' ` ~ _ ' ^ - ~ ~ ' ' _ � ` - - ^r '~ � ^ . ' - � � � ^ .�� - ` � ^ . . ' � ' .' ' _ ' } . . ^ ! ' ' ' � � , ' / . -� . � � ` . � � / ''� . ' ' � `� - � , ' � �� .. ~ ^, . ^ . . ' -v ~ ^ ` . � ' � ` � � ^ � ` ' . ^ . - ~ . � , ^ - � � ` ' - ^ � ` ' .. . ^ ^ - ' / ~ � . . - ' ° , . . ' . ALICE BURCH ♦SHORES Gi MAYOR �1�• �` STEVEN ZELKOWITZ �/'��/� /� //t VICE MAYOR {./(.//(.(� O/ a3 CIla e HERTA HOLLY nn ::u. uwT COUNCILWOMAN r owe 10050 N.E.SECOND AVENUE MAC GUNN FNrE8�N5 MIAMI SHORES, FLORIDA 33138-2382 COUNCILMAN F�0RIDP 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 Jonathan Meltz 157 N.E. 104`h Street Miami Shores, FL 33138 Dear Jonathan: 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. Jonathan Meltz 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, lam' Q 1 44(c Barbara A. Estep, MMC Village Clerk Candidate qualifying letter Elections MIAMI-DADE 2700 NW 87th Avenue Miami, Florida 33172 T 305-499-8683 F 305-499-8547 TTY:305-499-8480 miamidade.gov March 2; 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 Jonathan Meltz, a candidate for Council for the Miami Shores Village. A total of 56 petitions were reviewed for verification; of which 51 were certified. I For purposes of signature verification, my,office follows the, directives given by the ,mu11hicipality. You are encouraged to ensure compliance with municipal charter or code requirements. Please find the certification fog theetition enclosed. 'Should you have any y questions or concerns, please feel free to:contact Michelle McClain, Deputy Supervisor of Elections for Voter'Services at 305-499-8302. Sincerely, Christina White Superv&r.of'Elections d, Enclosure (1) 11E S y. I 7 I r 7 d �' Elections M I A M I-DADE 9 2 700 NW 87th Avenue Miami, Florida 33172 T 305499-8683 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 i certify that S signatures submitted by Jonathan lWeltz for the office of Council for the ,Miami-Shores Village matched the signatures on the voter files. WITNESS MY HAND j AND OFFICIAL SEAL, AT MIAMI, MIAMI-DADE' COUNTY, FLORIDA, ON THIS 02"d DAY OF t MARCH, 2017 C ristina White j Supervisor of Elections _ x i 9 -• 7 a i _- d ALICE BURCH MAYOR Vic.19.12ORES `` � STEVEN ZELKOWITZ Villa VICE MAYOR 1. �_ ��wm G�//L� ope-4 I HERTA HOLLY E'' COUNCILWOMAN gore 10050 N.E.SECOND AVENUE MAC GLI poNrEs INS MIAMI SHORES, FLORIDA 33138-2382 COUNCILMAN �0RID� 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 1, 2017 Ms. Michelle McClain Miami-Dade County Elections Department 2700 N.W. 87"' Avenue = Miami, FL 33172 ^� Dear Ms. McClain: Enclosed are the original petition forms for Jonathan Meltz. 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. Jonathan Meltz filed intent to run for office on February 21, 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, lavlda(�' / Qac_ Barbara A. Estep, MMC Village Clerk Enclosures (6 pages) ' ALICE BURCH ORES MAYOR STEVEN ZELKOWITZ �0 [/� /� '� /� VICE MAYOR umM iami ®/ �J i//IIiG�E�i HERTA HOLLY COUNCILWOMAN , a1oo5o N.E.SECOND AVENUE MAC GLINN ANTES Ng MIAMI SHORES, FLORIDA 33138-2382 COUNCILMAN (0Rib 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 1, 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 Jonathan Meltz. 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. Jonathan Meltz filed intent to run for office on February 21, 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, A � � Barbara A. Estep, MMC Village Clerk Enclosures (6 pages) CANDIDX JITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan Meltz for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code Signature 1\ Signed 1-fV �a Ke 104 �� q,S)res CcIQ, 8 t '7 N E t04`..S'�• oces 7 mNNf� //,zOlng .3��I n/F /vy r�• �j,.� �' ��FL 3�/ Apt W1 Iq-YJ llae AIA :'!0,5 e Arcs 1) ire �r�� 67 �0 � � �y to A t7 The undersigned is the circulator of the foregoing paper containingsignatures. 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: �L I A ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDID'A''�.� JITION We the undersigned electors of Miami Shores Village,do hereby nominate ..,owty 4&-14.ra osition on the Miami Shores Village Council. g g . YP Printed Birth Date or Date Name Voter Ree.## Address City/County/Zip Code Sienature Signed G t-;J)041zrT n/eas-ft- sr !''�/�S v�FS A;V r^a.-D-40433 3� � 7 kc- - l 7 1.7i6/nk are/ (1r'tv 01J4 t r ( 11 t 12 Ce 1 Nts` Ps4o4Z � zZ Sri f Ut rS 3313L- 424 fufr�ma7 I o7 -/ E S or 7 44 Q�-p F 44L 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 osq nae it purports to be. Signature of Circulator: i Address: A y ajF Jbtgk `rTi /moi Z41"Li -c"U FL 3i P CbV-)*V P.bC-6 C*d4AROT ACCEPTANCE OF NOMINATION 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDID'X TITION We,the undersigned electors of Miami Shores Village,do hereby nominate �+a4161-TH*1*V kar'.r aosition on the Miami Shores Village Council. p g Printed Birth Date or Date Name Voter Ree.# Address CiWLCountv/Zio Code Sienature Signed l G� �(_M'7 !yNE 102"'41 70 z(_Qq r\)e \ !LiaAr _ S S 3 313 b' �, • z .�� M bo Ac` L4 '�(Q �� Of-b -0tof- C-;,A, aa- �l/�� �7�tt,c. 32x.3 T 2 I 49cl NP 5� ► ,, xi qt,eyc,A-3'3i �� ';VA 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 whosa name it purports to be. Signature of Circulator: Address: N AUL 4 V /. ACCEPTANCE OF NOMINATION -331 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDX JITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan Meltz for a position on the Miami Shores Village Council. Printed Birth Date or Date Name Voter Ree.# Address City/County/Zip Code _ ure Signed Q� O l h o bA 341 KcJ 13�5 jz?!l 7 ��3lu I 3( 7q 350 ,tJr_- 0 5f - 3.3/39 d� a 9-f/-W �sru�►..P�rr#�a. �I l51 �� 3!$ � tv���f- 33 t�� � ?� �� qw ��- 16 A)l lob si 331 a17 T-� S rr� t• 3 3 � ��.4.LaSs�' 33t3 Z/z , _ Fnceand 7C �- �The undersigned is the circulator of the foregoing paper containing signatures. Each appended thereto wa de ' mthe genuine signature of the person w sq name it purZL- Signature of Circulator: LAddress: � ( � V U i ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDX. XITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan McItz for a position on the Miami Shores Village Council._ Printed Birth Date or Date Name Voter Rea.# Address City/County/Zip Code G Si natur Si ed 9-5-25 J38 (r'j, ,A"� �t-I "82- dr,8IIje-gs�s�- lu4"U s 33(!i�5 '21 33C� C a 9-) 5T 5-- + �- Nl�x ��d�e✓ r'UI. Go��.v �� � 3©- �� l�� Nw 2 �� nil ��vti sL►n�c s 3�i�tt� 2 � 2� � �� V T— vr )-7Vf05(05 u�' Cj-- M101M l %hrife_lr It 2 /7 .1 P�► ns � 3 V�1 7D- The ski 2- /V-�" �e� M S�,f,►re� �313� a a� The undersigned is the circulator of the foregoing paper containing signatures. Each appended�Welto was made in my presence and is the genuine signature of the person whosg name it purports to Signature of Circulator: Address: �(/ A�' �l g , ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDIDX. JITION We,the undersigned electors of Miami Shores Village,do hereby nominate Jonathan M@ItZ for a position on the Miami Shores Village Council.• Printed Birth Date or Date I �Name Voter Reg.# Address City/County/Zip Code Signature Signed (35v N9 10 I t�. �G a i11t' I G RQ Iv o3 by qac D J • 1-6. t t o rr )sr �Aioami S 3313$ N 2- Z S C4v�oS �w�crnu MT� b 3 NJ V u '1300 �f - Qa,,�t1 a_ Dr, ''��aa,� S�wv� 33138 ZAS 7 M Uttb{"� (Cp ISO WE`1 I I S�oreS 33(3$ -5 rut je4Sb )MjkYlAkgw, 13I 2{2 UAL G of ( mu o#fill m. dnofecv 331 lob J -4 t 13-9 L.S Z 1 Q h yt 7 c7� o Z 5 IV E S4` ��( S� /t P� 1�T`L- ! O Z Z-7 &x 64 ,S6� 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 whosq name it purports to be. Si `r Signature of Circulator: Address: s2 A ��' S-� g �� 0J- L- , ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: - [A0D!0A' TITiON We, the undersigned electors ofMiami Shores Village, dohereby nominate for aposition onthe Miami Shores Village Council. Printed Birth Date or Date Name - Voter Reg. # Address Signature Signed Rebek 4,Lqongy� bb z 93(),04 M)&M 16 W JW5 M/D-330 Ave 14ja�- o ov:v' 0 f t AOX40L4 4 M P 050 � -7/115-2, (4qQ o�c i o li St 3-jp 13 s, Ng5 9 JV,3(p /I The undersigned is the circulator of the foregoing palper containing--4-signatures. Each appended thereto was modpinmypresence and isthe genuine signature ofthe person whose name itpurports to be. Signature mfCirculator: Address: ACCEPTANCE OFNOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. ' ` / Signature of Candidate: CANDID'X TITION We the undersigned electors of Miami Shores Villa do hereby nominate 1040) 60 4amor a position on the Miami Shores Village Council. g �, Y Printed Birth Date or Date Name Voter Ree.# Address Citvf County/Zlp Code Si nature Signed El�zc�h����, k,✓vn t �`� Ib� '� N� 10`5 5t. +� S (- 3 ����" � i� � �� d�— / The undersigned Is the circulator of the foregoing paper containing 3 signatures. Each appended thereto was made in my presence and is the genuine signature of the person whosg name it purports to be. 1 Signature of Circulator: Address: / A/E ACCEPTANCE OF NOMINATION 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: AOL— CANDIDX 'TITION We the undersigned electors of Miami Shores Village,do hereby nominate v���7H�W kazfor a position on the Miami Shores Village Council. g g . . Y p , Printed Birth Date or Date Name Voter Ree.# Address Clty/County/Zip Code Signature Signed 14!Doa k 5-2t-`- 2 10 11 E( (to lJ � V"L vv�_�14'1-3 11 I NE kl �Y) .5 33 IJ ? }UC F1,25 �� Nom. jai ��� _5 f+6(Z 1 #aMA)W l! o-7y .�� NE 9(0sf ✓�J��9�t �lo/lS a z�/ Aa cll U ©Z-24-73 /460 PE ql Tom. M%aM,'S�o�f z7 /� r 1"Z� 10�5� rte► S�l� `_ �i�lt 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: Q44 90 Address: � ) / 'V L `D/ J oo�� ACCEPTANCE OF NOMINATION 1 hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: CANDiD'A''� 71TION We,the undersigned electors of Miami Shores Village,do hereby nominate 1044 tH*IJV 4aftforaosition on the Miami Shores Village Council. g YP Printed Birth Date or Date Name Voter Ree.# Address Cit Y]County/Zip Code Signature Ste_ 3 .1zk r1L 7 A L ,3vv� xs ✓ 146 1 CIL7TW ` Y�'1 t��"t 1 � !i rl- < /z� `f 7 r TO a(IC��ez 91a1L /06-s+— ISI ium� S��o�es I�I a/as//7 roe, The undersigned is the circulator of the foregoing paper containing .1!L 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: jJ / UVC A� S7Cf�/� ACCEPTANCE OF NOMINATION i hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: r CANDIDA*' JITION 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 Cit y/Coun ?jp_.Code Signature Signed 1-7 2-12 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 npaitt purports to be. Signature of Circulator: Address: V 'la� ACCEPTANCE OF NOMINATION I hereby accept the nomination for the Village Council and agree to serve if elected. Signature of Candidate: A/M ! Nr ()i llr�saje CGer APPOINTMENT OF CAMPAIGN TREASURER Jd AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) - (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): 99 Initial Filing of Form Re-filing to Change: �@ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate(in this order: First, Middle, Last) 3. Address (include post office box or street, city, state,zip Jonathan Scott Meltz code) 157 NE 104 Street 4. Telephone 5. E-mail address Miami Shores, FL 33138 (305 )757-9677 Jmeltz@meltzlaw.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if Miami Shores a Villa Council applicable: Village ❑ 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 0 Write-in ❑ No Party Affiliation ❑ Party candidate. 9. 1 have appointed the following person to act as my Q Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Marc O'Connor 11. Mailing Address 12. Telephone 15175 Eagle Nest Lane, Suite 102 (786 ) 802-2266 13. City 14. County 15. State I 16. Zi Code 17. E-mail address Miami Lakes Miami-Dade FL 3014 Marc@MEO-CPA.com 18. 1 have designated the following bank as my ❑X Primary Depository Secondary Depository 19. Name of Bank 20. Address Bank of America 9499 NE 2nd Avenue 21. City 22. County 23. State 24. Zip Code Miami Shores Miami-Dade FL 33138 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Signature of Candidate 2/21/17 X 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) - Marc O'Connor do hereby accept the appointment (Please Print or Type Name) designated above as: ® Campaign Treasurer Deputy Treas L1zl12,0 -7 X Date Signature of Campaign Treasurer or Deputy Treasurer ne nc o to. 4n14m Riap 1S-2nnn1. 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) T MELTZ, (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT"-- DAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of V.X-L,L 19& E Coll PIC)'L > (office) (district#) I am a qualified elector of 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. Tm 7S7-(70 7CCIrz&r) gnature of Candidat Telephone Number Email AddressvV EIT&VIV „'//GG 11 . 1 S T 14E ID 5-Rerf 14(4m I Slety�. & 3 5/4 Address City State ZIP C de Candidate's Florida Voter Registration Number(located on your voter information card): 10q 3a a O O I ' 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): 73;n Lt'Z STATE OF FLORIDA COUNTY OF Mj -j Sworn to(or affirmed) and subscribed before me this ISS day of20�. Personally Known: V or fd&- Signature of Notary Public of Produced Identification: Print,Type,or Stamp Commissioned Name of Notary Public Type of Identification Produced: tiBARBARA A.ESTEP MY COMMISSION#FF 073975 EXPIRES:March 29,2018 Bonded Thru Notary Public Underwriters DS-DE 25(Rev.5111) Rule 1S-2.0001,F.A.C. OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) candidate for the office of 0 have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X 31 � ignature 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(05/11) 5HOR9�S ones sesnM NOTICE OF CANDIDACY AND RESIDENCY I� Jonathan Meltz hereby file this Notice of Candidacy this 21st day of February , 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. Jonathan Meltz Si ature Print Name 157 NE 104 Street, Miami Shores, FL 33138 Address (305) 757-9677 Telephone Number JMeltz@meltzlaw.com E-Mail Address STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) BEFORE ME personally appeared Jonathan Meltz who executed this Notice of Candidacy and Residency this 21 St day of February 2017. V Notary Public X Personally Known Produced the following Identification Seal/Commission Expires: •° BARBARAVIUMUEVA V: MY COMMISSION A FF 233296 •. EXPIRES:May 20,2019 %�tj Bonded Thru Notary Public Underwriters 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. vU N Mccrz_ a candidate for the office of V11 1041r please print your nameAJC in 1(Cl M - dive 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 � Signature Date COE,revised 4/2010 2017 Candidate Name: Cj Cf AMa A Me_+,f L E-Mail Address: MC I�Z Vv�e«Z VCA LO., C0ytn Address: 1 C)`(.+v, Telephone Numbers: , a(oq - S ks - Jos_ 7s _9 (7 2 CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION Notice of Candidacy and Residency Campaign Account &Treasurer's Appointment JForm 1 Financial Disclosure Loyalty&Candidate's Oath ✓ Statement of Candidate V/ 50 Signatures on Nominating Petition Confirmed by Miami-Dade County Elections CAMPAIGN TREASURER'S REPORT SUMMARY (1) JONATHAN SCOTT MELTZ CAMPAIGN OFFICE USE ONLY Name (2) 157 NE 104 ST Address (number and street) MIAMI SHORES, FL 33138 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): p Candidate Once sought: VILLAGE COUNCIL ❑ 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 04 / 01 / 17 To 04 / 13 / 17 Report Type: ❑✓ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 2 , 470 00 Expenditures $ 2 , 284 11 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 $ 10 970 00 $ 5 198 53 (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) JONATHAN SCOTT MELTZ (Type name) JONATHAN SCOTT MELTZ ❑ Individual only for IE ❑Treasurer ❑� Deputy Treasurer ❑� Candidate ❑Chairperson(only for P and T)O , or electionGa X X Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 04 01 17 04 13 17 1 3 (3) Cover Period / / 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 TVpe Occupation Type Description Amendment Amount PHONEDOCTOR. COM LLC 04 02 17 595 NW 91 STREET MIAMI, FL 33150 1 B TELECOM CHE 250.00 04 / 03 ,17 LONGMAN ELECTRIC, INC. 844 NE 98TH STREET, 2 MIAMI SHORES, FL 33138 B ELECTRICIANS CHE 200.00 NEWMAN, MARY 04 / 03 /17 140 NE 95 STREET MIAMI SHORES, FL 33138 3 I RETIRED CHE 100.00 HORNSTEIN, FRANK A 04 03 17 9800 NE 5TH AVENUE RD MIAMI SHORES, FL 33138 4 I APPRAISER CHE 100.00 MACLELLAN, FRANCOIS 04 03 17 1209 NE 96TH STREET MIAMI SHORES FL 33138 5 I CONTRACTOR CHE 50.00 PALMITER, JAMES 04 03 17 140 RIVERSIDE BLVD NEW YORK, NY 10069 6 I FINANCE CHE 250.00 QUESADA, MARCO 04 04 17 10731 NW 4 STREET PLANTATION, FL 33324 7 I ATTORNEY CHE 250.00 DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 04 01 17 04 13 17 2 3 (3) Cover Period / / 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 -Tvpe Occupation Type Descri tion Amendment Amount PIPER, MARK 04 04 17 1311 NE 103 STREET MIAMI SHORES, FL 33138 8 I INSURANCE CHE 50.00 CARRANZA, MORRIS 04 04 17 628 OAK AVE MT. DORA, FL 32757 9 I ATTORNEY CHE 200.00 CARNEIRO DA CUNHA,JOSE 04 / 06 / 17 1643 BRICKELL AVE #3205 10 MIAMI,FL 33129 I EXECUTIVE CHE 120.00 FINKELSTEIN, MICHAEL 04 06 17 565 GRAND CONCOURSE, MIAMI SHORES, FL 33138 11 I CONTRACTOR CHE 50.00 MATRIX DEVELOPMENT 04 08 17 GROUP, LLC 9825 NE 2ND AVE 12 MIAMI SHORES, FL 33138 B REAL ESTATE CHE 250.00 COMERFORD, SAMUEL 04 10 17 10565 NW 2ND COURT MIAMI SHORES, FL 33138 13 I EDUCATOR CHE 250.00 LANCE A. HARKE P.A. 04 10 17 9699 NE SECOND AVENUE MIAMI SHORES, FL 33138 14 B LAW FIRM CHE 100.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 04 01 17 04 13 17 3 3 (3) Cover Period / / 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 WEBER, STEVEN 04 10 17 1214 NE 92 ST MIAMI SHORES, FL 33138 15 I ATTORNEY CHE 150.00 COIA, GLADYS 04 / 13 /17 1400 NE 101 ST MIAMI SHORES, FL 33138 16 I ATTORNEY CHE 100.00 DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2) I.D. Number (3)Cover Period 04 / 01 /2017 through 04 / 13 / 2017 (4) Page I of 3 (5) (7) (8) (9) (1 0) (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 MIAMI SHORES RECREATION DEPARTMENT EVENT FEE 040 1 17 9617 PARK DR Miami SHORES, FL 33138 US MON 50.00 1 04 01 17 CAMPAIGN SUPPLIES ACKLEY, SUSAN 1119 NE 99TH ST MIAMI SHORES, FL 33138 RMB 462.80 2 MIAMI SHORES PROPERTY OWNER EVENT FEE 04 01 17 ASSOCIATION 9840 NE 2ND AVENUE MIAMI SHORES, FL 33138 US MON 20.00 3 MIAMI DADE COUNTY ELECTIONS DEPT. VOTER INFORMATION 04 01 17 P.O. BOX 521550 MIAMI, FL 33152 MON 20.00 4 PAYPAL MERCHANT FEES 04 02 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 7.55 5 PAYPAL MERCHANT FEES 04 03 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 7.55 6 GREATER MIAMI SHORES CHAMBER OF EVENT FEE 04 03 17 COMMERCE, INC 9701 NE 2nd Avenue MIAMI SHORES, FL 33138 US MON 30.00 7 ZIP MAILER, INC PRINTING AND 04 03 17 5137 SW 8 ST POSTAGE MIAMI, FL 33134 MON 838.98 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2) I.D. Number (3)Cover Period 04 / 01 /2011 through 04 / 13 / 2017 (4) Page 2 of 3 (5) (7) (8) (9) (1 0) (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 MINUTEMAN PRESS PRINTING 04 04 17 273 NE166TH ST MIAMI, FL 33162 MON 217.53 9 04 04 17 PAYPAL MERCHANT FEES 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 7.55 10 PAYPAL MERCHANT FEES 04 04 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 1.75 11 PAYPAL MERCHANT FEES 04 04 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 6.10 12 EVENT COSTS 04 06 17 FUENTEOVEJUNA, LLC 9802 NE 2ND AVE MIAMI SHORES, FL 33138 MON 235.40 13 PAYPAL MERCHANT FEES 04 10 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 4.65 14 MIAMI SHORES COUNTRY CLUB EVENT FEE 04 10 17 10000 BISCAYNE BLVD Miami Shores, FL 33138 US MON 20.00 15 GRAPHIC IMAGES INC PRINTING 04 10 17 2301 NW 33RD CT POMPANO BEACH, FL 33069 MON 316.80 16 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MEL TZ CAMPAIGN (2) I.D. Number (3) Cover Period 04 / 01 2017 through o4 13 / 2017 (4) Page 3 of 3 (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 MINUTEMAN PRESS PRINTING 0410 17 273 NE 166TH ST MIAMI, FL 33162 MON 37.45 17 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4. CAMPAIGN TREASURER'S REPORT SUMMARY (1) JONATHAN, SCOTT MELTZ CAMPAIGN OFFICE USE ONLY Name (2) 157 NE 104 ST Address (number and street) MIAMI SHORES, FL 33138 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): F71 Candidate Office Sought: V I L LAG E COUNCIL ❑ 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 03 / 18 / 17 To 03 / 31 / 17 Report Type: ❑✓ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Y4 ,200 . 00 Expenditures $ 1 , 126 72 Loans $ Transfers to Office Account $ , Total Monetary $ > Total Monetary $ , In-Kind $ > (8) Other Distributions $ f (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 8 ' _500 00 $ 3 073 28 (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)JONATHAN SCOTT MELTZ (Type name)JONATHAN SCOTT MELTZ ❑Individual(only for IE ❑Treasurer El Deputy Treasurer M Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X X Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR 198 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 03 18 17 03 31 17 1 3 (3) Cover Period / / 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 Tvpe Description Amendment Amount O-DONNELL, EDWARD 03 19 17 9830 NE STH AVENUE ROAD, MIAMI SHORES, FL 1 33138 I ATTORNEY CHE 250.00 COMPASS CLAIM 03 / 20 / 17 CONSULTANTS 1175 NE 125TH ST STE 2 316, MIAMI, FL 33161 B REAL ESTATE CHE 150.00 CB ACCOUNTING 03 / 21 / 17 9999 NE 2ND AVENUE, MIAMI SHORES, FL 33138 3 B CCOUNTING CHE 100.00 COHEN, JEFFREY 03 /23 /17 14 SUNRISE DRIVE, ARMONK, NY 10504 4 I EXECUTIVE CHE 1000.00 BRITO, ALEX 03 23 17 100 S.E. 2ND STREET, SUITE 2700, MIAMI, FL 5 33131 I FTTORNEY CHE 100.00 SWANN, ROBERT 03 24 17 770 NE 98TH ST. MIAMI SHORES, FL 33138 6 I RETIRED CHE 125.00 KWIC, INC. 03 24 17 330 NE 104 STREET, MIAMI SHORES, FL 33138 7 B INVESTIGATIC CHE 200.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 03 18 17 03 31 17 2 3 (3) Cover Period / / 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 03 24 17 KERCHER, BILL 9134 SW 65TH STREET, / MIAMI, FL 33173 8 I SALES CHE 250.00 LIBBY, JONATHAN 03 / 24 / 17 234 S. FIGUEROA STREET #1642, 9 LOS ANGELES, CA 90012 I ATTORNEY CHE 1000.00 FARSHCHIAN, JENNIE 03 / 27 /17 3001 NE 185 STREET #128, AVENTURA, FL 10 33180 I ITTORNEY CHE 25.00 MENNES, CHARLES 03 / 27 /17 317 NE 104 STREET, MIAMI SHORES, FL 33138 11 I SALES CHE 100.00 WASSERMAN & THOMAS 03 27 17 15150 NW 79TH CT, #195, MIAMI LAKES, FL 12 33016 B LAW FIRM CHE 250.00 POCHUREK, LYNNE 03 28 17 / 11600 SW 61 COURT, MIAMI,FL 33156 13 1 TTORNEY CHE 100.00 ENDSLEY, ROY 03 28 17 413 NORTH CARPENTER STREET, 2E, CHICAGO, 14 IL 60642 I REAL STATE CHE 100.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 03 16 17 03 31 17 3 3 (3) Cover Period / / 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 03 29 17 PUGLISI, SABRINA 1020 NE 104 STREET, MIAMI SHORES, FL 33138 15 I ATTORNEY CHE 150.00 FLORIDA FACILITATORS 03 / 29 /17 LLC 12000 N BAYSHORE 16 DRIVE, #403, B REAL ESTATE CHE 200.00 NORTH MIAMI, FL 33181 ENGEL, SARAH 03 / 29 /17 351 NE 105 STREET, MIAMI SHORES, FL 33138 17 I rTTORNEY CHE 100.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2) I.D. Number (3) Cover Period 03 / is / 201 through 03 31 2017 (4) Page I of 2 (5) (7) (8) (8) (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 GRAPHIC IMAGES INC PRINTING 03 19 17 2301 NW 33RD CT, POMPANO BEACH, FL 33069 MON 142.35 1 03 19 17 PAYPAL MERCHANT FEES 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 7.55 2 MIAMI DADE COUNTY VOTING INFORMATION 03 21 17 P.O. BOX 521550 RECORDS MIAMI, FL 33152 MON 40.00 3 PAYPAL MERCHANT FEES 03 23 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 32.50 4 MINUTEMAN PRESS PRINTING 03 23 17 273 NE 166TH ST, MIAMI, FL 33162 MON 519.11 5 PAYPAL MERCHANT FEES 03 24 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 36.85 6 USPS POSTAGE 03 24 17 9825 NE 2ND AVE. MIAMI SHORES, FL 33153 MON 25.48 7 PAYPAL MERCHANT FEES 03 27 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 1.03 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2) I.D. Number (3)Cover Period 03 / 18 / 211JI through 03 / 31 / 2017 (4) Page 2 of 2 (5) (7) (8) (9) (1 0) (1 1) Date Full Name Purpose (6) (Last,Suffix, First,Middle) (add office sought if Expenditure Sequence Street Address& contribution to a Pe Number City,State,Zip Code candidate) Type Amendment Amount HAPPY ENDINGS T-S PRINTING 03 2717 651 NW 106TH ST, MIAMI, FL 33150 MON 312.25 9 03 28 17 PAYPAL MERCHANT FEES 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 6.40 10 PAYPAL MERCHANT FEES 03 29 17 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 3.20 11 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) JONATHAN SCOTT MELTZ CAMPAIGN OFFICE USE ONLY Name (2) 157 NE 104 ST Address (number and street) MIAMI SHORES, FL 33138 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): p candidate Once sought: VILLAGE COUNCIL ❑ 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 02 / 25 / 17 To 03 / 17 / 17 Report Type: ❑✓ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 1 , 800 . 00 Expenditures $ 1 , 787 . 70 Loans $ 2 , 000 .00 Transfers to Office Account $ , Total Monetary $ , Total Monetary $ 0 . 00 In-Kind $ (8) Other Distributions $ , , 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 4 , 300 . 00 $ 1, 787 . 70 (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)JONATHAN SCOTT MELTZ (Type name) JONATHAN SCOTT MELTZ ❑ Individual(only for IE ❑Treasurer ❑Deputy Treasurer (]Candidate ❑Chairperson(only for PC and PTY) or electioneers comm.) YK akX X Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 02 25 17 03 17 17 1 2 (3) Cover Period / / 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 Des cri tion Amendment Amount MELTZ, JONATHAN SCOTT 03 03 17 157 NE 104 STREET MIAMI SHORES,FL 33138 1 S ATTORNEY LOA 2000.00 GRAHAM, JANICE 03 06 17 8000 WEST DRIVE, APT 318, NORTH BAY VILLAGE, FL I EDUCATOR CHE 150.00 2 33141 HORNSTEIN, FRANK 03 08 17 9800 NE 5 AVENUE ROAD, MIAMI SHORES, FL 33138 3 I APPRAISER CHE 50.00 RHETT TRABAND 03 10 17 42 NW 107TH STREET, MIAMI SHORES, FL 33138 4 I ATTORNEY CHE 150.00 GODFREY, KAREN 03 10 17 1481 NE 102ND ST MIAMI SHORES, FL 33138 5 I REALTOR CHE 400.00 LAW OFFICES OF CLAUDIA 03 10 17 M. IMA, P.A. 15175 EAGLE NEST IN, 6 STE 102 B LAW FIRM CHE 250.00 MIAMI LAKES, FL 33014 BALDWIN, JOHN 03 11 17 160 NE 104th STREET, J / MIAMI SHORES, FL 33138 7 I EXECUTIVE CHE 150.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 02 25 17 03 17 17 r Z 2 (3) Cover Period / / 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 I Description Amendment Amount CHRISTOPHER P. KELLEY, 03 11 17 P.A. 1481 NE 102ND ST. 8 MIAMI SHORES, FL 33138 B LAW FIRM CHE 150.00 INDORF, SCOTT A 03 12 17 1259 NE 99TH ST MIAMI SHORES, FL 33138 9 I APPRAISER CHE 100.00 COCCHI, PATRICIA A 03 14 17 1099 NE 104TH ST MIAMI SHORES, FL 33138 10 I RETIRED CHE 100.00 HOWELL, WILLIAM 03 15 17 1441 NW 102 STREET J / MIAMI SHORES, FL 33138 11 I ATTORNEY CHE 100.00 PACHECO, MARIO 03 15 17 10418 NE 2ND AVE. MIAMI, FL 33138 12 I REALTOR CHE 50.00 BAJO, MARYBELL 03 16 17 2691 E OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 33306 13 I ATTORNEY CHE 150.00 DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ COMPAIGN (2)I.D. Number 02 25 2017 03 17 (3)Cover Period / / 2017 1 through / / (4) Page of 2 (5) (7) (8) (9) (1 0) (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 RAPPOPORT,DAVID PHOTOGRAPHY 02 27 17 8855 Collins Ave., Miami, FL 33154 MON 150.00 1 Marilyn Hawkridge Photo Retouching PHOTOGRAPHY 02 28 17 693 Grove Street, Montclair, NJ 07043 MON 50.00 2 GREATER MIAMI SHORES CHAMBER OF LUNCHEON 03 03 17 COMMERCE 9701 NE 2nd Avenue Miami Shores, FL 33138 US MON 35.00 3 GREATER MIAMI SHORES CHAMBER OF ADVERTISING 03 03 17 COMMERCE. 9701 NE 2nd Avenue Miami Shores, FL 33138 US MON 545.00 4 Office Max OFFICE SUPPLIES 03 06 17 12255 BISCAYNE BLVD NORTH MIAMI, FL 33181 MON 41.47 5 GREATER MIAMI SHORES CHAMBER OF CANDIDATES FORUM 03 06 17 COMMERCE. FEE 9701 NE 2nd Avenue Miami Shores, FL 33138 US MON 30.00 6 Graphic Images Inc ADVERTISING 03 07 17 2301 nw 33rd Court, #105 Pompano Beach, F1 3306 MON 846.90 7 BANK OF AMERICA CHECK PRINTING 9499 NE 2nd Ave, 03 09 17 Miami Shores, FL 33138 MON 35.00 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ COMPAIGN (2)I.D. Number 02 25 2017 03 17 2017 2 2 (3)Cover Period through (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 PRINTING 03 14 17 95 Haiden Avenue, Lexington, MA 02421 MON 31.98 9 03 16 17 Paypal Merchant Fees 2211 North First Street San Jose, CA 95131 MON 20.35 10 DS-DE 14(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) JONATHAN SCOTT MELTZ CAMPAIGN OFFICE USE ONLY Name (2) 157 NE 104 STREET Address (number and street) MIAMI SHORES, FL 33138 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): p Candidate office Sought: VILLAGE COUNCIL ❑ 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 02 / 22 / 17 To 02 / 24 / 17 Report Type: l ❑✓ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ , Loans $ 500. 00 Transfers to Office Account $ , Total Monetary $ , Total Monetary $ 0 . 00 in-Kind $ (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 500 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 complete: (Type name)JONATHAN SCOTT MELTZ (Type name)JONATHAN SCOTT MELTZ ❑Individual(only for IE ❑Treasurer El Deputy Treasurer 0 Candidate ❑Chairperson(only f r PC and TY) or electioneering comm.) �k7W X X Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN (1) Name (2) I.D. Number 02 22 17 02 24 17 1 1 (3) Cover Period / / 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 MELTZ, JONATHAN SCOTT 2 24 17 1 S ATTORNEY LOA 500.00 DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES - i STATE OF FLORIDA ) MIAMI SHORES VILLAGE ) I, Jonathan Meltz , do solemnly swear (or affirm) that I will support the Constitution and will obey the laws of the United States and of the State of Florida, that I will, in all respects, observe the provisions of the Charter and Ordinances of Miami Shores Village, and will faithfully discharge the duties of the office of Council Member. So help me God. SUBSCRIBED AND SWORN to before me: This 2nd day of May, 2017. Richard Sarafan CAMPAIGN TREASURER'S REPORT SUMMARY (1) JONATHAN SCOTT MELTZ CAMPAIGN OFFICE USE ONLY Name 07-14-17 10 :57- RrV[ (2) 157 NE 104 ST Address (number and street) 07-14-1 7 ! ; :5 MIAMI SHORES, FL 33138 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): M Candidate Once sought: VILLIAGE COUNCIL ❑ 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 04 / 14 / 17 To 07 / 15 / 17 Report Type: ❑✓ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 . 00 Expenditures $ 3, 271 . 47 Loans $ (2 , 500 . 00) Transfers to Office Account $ , Total Monetary $ Total Monetary $ 3 271 . 47 In-Kind $ > (8) Other Distributions $ • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 81 470 00 $ , 8 , 470 .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 complete: (Type name) JONATHAN SCOTT MELTZ (Type name) JONATHAN SCOTT MELTZ ❑ Individual(only for IE ❑Treasurer 0 Deputy Treasurer ❑� Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X �� X Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS JONATHAN SCOTT MELTZ CAMPAIGN 07-14-17 1 C :52 Rr (1) Name (2) I.D. Number 04 14 17 07 15 17 1 1 (3) Cover Period / / 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 PATRICK LONGMAN 04 14 17 1499 NE 104th St, Miami Shores, FL 33138 1 I CINEMATOGRAF CHE 250.00 PATRICK LONGMAN 04 / 14 / 17 1499 NE 104th St, Miami Shores, FL 33138 2 I CINEMATOGRA REF (250.00) ACTIVE CAMERA SYSTEMS 04 / 14 / 17 1499 NE 104th St, Miami Shores, FL 33138 3 B CINEMATOGRAF CHE 250.00 ACTIVE CAMERA SYSTEMS 04 14 17 1499 NE 104th St, Miami Shores, FL 33138 4 B CINEMATOGRA REF (250.00) ACTIVE CAMERA SYSTEMS 04 14 17 1499 NE 104th St, Miami Shores, FL 33138 5 B CINEMATOGRAF CHE 250.00 04 14 17 ACTIVE CAMERA SYSTEMS 1499 NE 104th St, Miami Shores, FL 33138 6 B CINEMATOGRA REF (250.00) 04 25 17 MELTZ, JONATHAN SCOTT 157 NE 104TH ST MIAMI SHORES, FL 33138 7 I ATTORNEY LOA (2500.00) DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � 7-1 /,-ii RrV� CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2)I.D. Number (3)Cover Period 04 14 /2017 through 07 15 / 2017 (4) Page 1 of 4 (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 VILLIAGE OF MIAMI SHORES MEETING EXPENSES 04 14 17 10050 NE 2ND AVE MIAMI SHORES, FL 33138 MON 50.00 1 04 14 17 PAYPAL MERCHANT FEE 2211 NORTH FIRST STREET SAN JOSE, CA 95131 MON 0.90 2 DUNKIN' DONUTS VOLUNTEER MEALS 04 17 17 658 NW 103rd STREET MIAMI, FL 33150 MON 146.38 3 HAPPY ENDINGS T-S PRINTING 04 18 17 651 NW 106TH ST, MIAMI, FL 33150 MON 62.00 4 FACEBOOK ADVERTISING 04 18 17 1 HACKER WAY MENLO PARK, CA 94025 MON 25.17 5 FACEBOOK ADVERTISING 04 20 17 1 HACKER WAY MENLO PARK, CA 94025 MON 50.08 6 MILIC, ANDREJ ADVERTISING 04 24 17 1450 16th Street Unit 3 Miami Beach, F1 33139 MON 200.00 7 ZIP MAILER INC PRINTING 04 24 17 5137 SW 8th St, Coral Gables, FL 33134 MON 510.00 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 0 7-14-1 7 1 0 :52 2C VD CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2) I.D. Number (3)Cover Period 04/ 14 / 2017 through 07 15 / 2017 (4) Page 2 of 4 (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 MELTZ, JONATHAN SCOTT CAMPAIGN SUPPLIES 04 25 17 157 NE 104TH ST REM13URSEMENT MIAMI SHORES, FL 33138 RMB 214.38 9 05 01 17 FACEBOOK ADVERTISING 1 HACKER WAY MENLO PARK, CA 94025 MON 1.07 10 ROTARY CLUB MIAMI SHORES LUNCH EVENT 05 05 17 9999 NE 2nd Ave, Suite 200 Miami Shores, Florida 33136 MON 20.00 11 MIAMI SHORES CHAMBER DUES AND 05 08 17 9701 NE 2nd Ave, SUBSCRIPTIONS Miami Shores, FL 33138 MON 125.00 12 BANK OF AMERICA MONTHLY BANK FEE 06 01 17 9499 NE 2nd Ave, Miami Shores, FL 33138 MON 17.00 13 MIAMI SHORES CHAMBER ADVERTISING 06 15 17 9701 NE 2nd Ave, Miami Shores, FL 33138 MON 475.00 14 BANK OF AMERICA MONTHLY BANK FEE 07 03 17 9499 NE 2nd Ave, Miami Shores, FL 33138 MON 17.00 15 MELTZ, JONATHAN SCOTT 17 157 NE 104TH ST REMBURSEMENTS 07 11 MIAMI SHORES, FL 33138 CONSTANT CONTRACT RMB 255.000 16 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 07-14-17 1 :72 RC Vo CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2)I.D. Number (3) Cover Period 04/ 14 / 2017 through 07 / 15 / 2017 (4) Page 3 of 4 (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 BANK OF AMERICA BANK FEES 07 1117 9499 NE 2nd Ave, Miami Shores, FL 33138 MON 100.000 17 07 11 17 SAINT ROSE OF LIMA CHURCH CHARITABLE 425 NE 105TH STREET CONTRIBUTION MIAMI SHORES, FL 33138 MON 102.49 18 CHABAD OF MIAMI SHORES CHARITABLE 07 11 17 0626 NE 11TH COURT CONTRIBUTION MIAMI SHORES,FL 33138 MON 100.00 19 MIAMI SHORES WOMAN'S CLUB CHARITABLE 07 11 17 1089 NE 104TH STREET, CONTRIBUTION Miami Shores, FL 33138 MON 100.00 20 KIWANIS CLUB MIAMI SHORES CHARITABLE 07 11 17 P.O. BOX 530216 CONTRIBUTION MIAMI SHORES, FL 33153 MON 100.00 21 ROTARY CLUB OF MIAMI SHORES CHARITABLE 07 11 17 140 NE 95TH STREET CONTRIBUTION MIAMI SHORES, FL 33138 MON 100.00 22 MIAMI SHORES COMMUNITY CHURCH CHARITABLE 07 11 17 9823 NE 4TH AVENUE, CONTRIBUTION MIAMI SHORES, FL 33138 MON 100.00 23 SAINT MARTHA CONCERTS CHARITABLE 17 1235 NE 96TH STREET, CONTRIBUTION 07 11 MIAMI SHORES, FL 33136 MON 100.00 24 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 0 7-14-1 7 1 C :52 RC VD CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name JONATHAN SCOTT MELTZ CAMPAIGN (2)I.D. Number (3)Cover Period 04/ 14 / 2017 through 07 / 15 / 2017 (4) Page 4 of 4 (5) (7) (8) (9) (1 0) (11) Date Full Name Purpose (6) (Last,Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Type Number City,State,Zip Code candidate) T yP Amendment Amount SAVING SAGE ANIMAL RESCUE CHARITABLE 07 11 17 9526 NE 2ND AVENUE #104 CONTRIBUTION MIAMI SHORES, FL 33138 MON 100.000 25 07 11 17 MIAMI SHORES PROPERTY OWNERS CHARITABLE ASSOCIATION CONTRIBUTION 9300 NE 4TH AVENUE, MIAMI SHORES, FL 33138 MON 100.00 26 MIAMI SHORES FINE ARTS COMM.., CHARITABLE 07 11 17 9617 PARK DRIVE, CONTRIBUTION MIAMI SHORES, FL 33138 MON 100.00 27 28 29 30 f 31 32 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES