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Bodon William R 11-4-08
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY 1 ` OFFICE USE ONLY Name _ (2) Cn ~y ~ C~Sti S l Address (number and street) °J. J ~~ ~a~ 7~ ~P~, ~~- 3z~' i ~ -- _ City, State, Zip Code -~' ~~ ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: rya (4) Check appropriate box(es): -~- ^ Candidate (office sought): C-~ ~ ~ cA. t. ~ ~ ~'-1 ~i~2 ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From ~ / 3 i / p ~ To ~ / ~ / a ~ Report Type T~ , ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (ti) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary ~ ~2• ~ ~ Cash & Checks $ Expenditures $ Loans $ Transfers to Office Account $ .2 ,5~. v i Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions 5 ~ a'- • ~ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ r,o~~a. ~~ $ t ~ 1,a,,,,, (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Typ name) (Typ ame) Individual {only for ^Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY & electioneering commun.) C~ ~-~---- e ec ng commun. organization) ' __ _ ~ Signature Signature DS-DE 12 (Rev. 08104) rCAMPAIGN T EASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ ~ \ l ~ ~,~ ~"^~~ u~j ~ ~ (2) I.D. Number (3) Cover Period ~/~/~ through ~1 /~/ ~ ~ (4) Page of (5) Date (7) Full Name (8) Purpose (9) (10) (11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount ~ I d~f a c ~ ~.~~11~~v"~ ~:\.'OGNCN~ ~ ~ o ' c 7 ~7 `y Q RTC czr8y . - 03 0 , ~ ~ , ~ ~ a v.,,~ 7Y o ~., . ~ J ~1 v`l d~ ~ ~~ `~ ~ )~ S ~~'~ ~ 1. yY j - DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES cm ~~ ~~E~1A~V -~ .:_ HOME OF PELICAN ISLAND November 3, 2008 William D. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: 1225 Main Street Sebastian, Florida 32958 {772} 388-8214 phone - (772} 589-5570 fax In accordance with Florida Statutes 106.07, following the election a campaign treasurer's termination report (TR) must be filed with me by February 2, 2009. The TR report (blank forms enclosed) will include a summary page showing the amount of your expenditures since 10/31/08 and an equal amount of total contributions and total expenditures for the entire campaign period. It will also include an expenditure page showing all lawful expenditures in accordance with 106.11(5) and 106.141(4) (enclosed}. You need not wait until February to submit the TR report. Once your funds are closed out you can bring in the completed form at any time. If you have any questions or if there is anything I can do to assist you, please do not hesitate to contact me at 388-8214. Sincerely, - ,~-~''v \\ Sally A. M o, MMC City Clerk sam Enclosures (2) r: r~ • FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) `~ `~ ~ ~~~ ~ ~ a~ v ~: OFFICE USE ONLY Name ~[ c ~~ ~ U Address (number and street) `L~ ~-S ~ ~ L ~J L~1D.) .:~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): , ^ Candidate (office sought): ~ :. ~ ;.. c , L M ~ M ~~-~~ ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From Iv ~-~ ~' ~ / p ~ To j c / ~ ~ / ~~ ~~ Report Type (i- ~ `~ ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT ~ Monetary Cash & Checks $ <~ 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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Ty name) (Typepame) Individual (only for ^ Treasurer ^ Deputy Treasurer ~Tandidate ^ Chairperson (only for PC, PTY & electioneerin co p1J11.~__ ~ l--" -__- ~ -~t___ electioneering commun. organization) _,_ ~_.... v /~ ~ Signature Signature DS-DE 12 (Rev. 08/04) • • • CAMPAIGN TREASURER'S REPORT -ITEMIZED-CONTRIBUTIONS (1) Name .w ;~'rt, o-w.~ .~~ 79 ,~ (31 Cover Period l v / (~ / o ~ through i ~ / 7 ~-~ / r,~ (d1 PaaP of (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri lion Amendment Amount / / / / / / / / / / / / ti_.J. -, ~. - / / ~^ , ,~ `~ / / DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (2) LD. Number • • • --=CAMPAIGN TREASURE 'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ . 1 , , ,.~ R ~ ~~ v ~ (2) I.D. Number (3) Cover Period ~ Q / ~ ~ / ~~ ~ through % ~ / ~ ~ / y ~ (4) Page of (5) Date (~) Full Name (8) Purpose (9) (10) (77) (s) Sequence Number (Last, Suft'ix, First, Middle) Street Address 8~ City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount - ~ _ .~ ~~ DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CfiY OF SE~STL'~V _. _ .__ r HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772} 589-5570 fax October 20, 2008 William D. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period October 11, 2008 through October 30, 2008 is due in the Office of the City Clerk no later than 5 pm on Friday, October 31, 2008 (G4). No further contributions can be accepted after midnight on Thursday, October 30, 2008. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Please read FS 106.07(2)(a) for further details. Please familiarize yourself at this time as to proper disbursement of remaining campaign funds in accordance with FS 106. A termination report (TR) will be due once all funds are disbursed properly. The TR report submittal deadline is February 2, 2009. If you have any questions, please do not hesitate to contact me at 388-8214 or e- mail me at smaio@cityofsebastian.org. Sinc~r~ly, , ~%L f Sally A. io, MMC City Clerk sam C] FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ~~~ - 1 fl a P ~'+~ .~ ~ ~ c5 *-) OFFICE 115 ONLY Name c-;,-;i 3 ~~ `~ ~ Address (number and stree p s :. ~ f~ ~ `~ A .~ ~ ~ ~ { S City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Cheek appropriate box(es): . (Candidate (office sought): C ~ ~ ~:~ e - L Ml c r--~ ~ c n ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From ~ / aZ7 / p ~ To ~ d / ~ J / 6 ~ Report Type ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT i Cash & Checks $ ~ ,~~ Monetary Expenditures $ ~ ~~ cis 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 $ `C ~~.o~ $ ~$~Z. S3 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Typ ame) (Type name) Individual (only for ^ Treasurer ^ Deputy Treasure r andidate ^ Chairperson (only for PC, PTY & e --° ~- ctioneering commun. organization) X X ~_, Signature Signature DS-DE 12 (Rev. 08104) CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS i• (31 Cover Period Ch 9 / ~7 / d ~ through C ~ / ! ~ / 4 ?~ (41. Page of (1) Name V.~ . ~ 1 . A .~~~ ~7 a -1 (2) I.D. Number (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount ~ ~ n l..U ~ 11, ~+~ d0.aC~NO J~ C~rSUlu~7 S= ~~7,,~~ ~ L ~ ~ / ~ ~ ~ ~ ~ ~ ~ __~, ~_..A ;.. ,a i,•-' r - / DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TRH SURER'S REPORT -ITEMIZED EXPENDITURES • (3) Cover Period ~/ 01 7 / d ii through ~/ / r7 / 4~ (2) LD. Number (4) Page of (5) Date (~) Full Name (8) Purpose (9) (10) (~~) (s) Sequence Number (Last, Suffix, First, Middle) .Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount EO v~ e~ (J.1A`. ~9-(l~~r S ~ !'~KCan~'~,~t:+.. S~~nli~y 22 ~~ ~ ~~~ 5~~A5'l~~r ~~~- ~A~G2 ~vrS~4 ~.. J :; _ 1 ....J '.__\ ~..._\ - f.i j DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES cm ~~ ~~~~~~~~ .~_.~ HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772} 589-5570 tax October 6, 2008 William D. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period September 27, 2008 through October 10, 2008 is due in the Office of the City Clerk no later than 5 pm on Friday, October 17, 2008. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Please read FS 106.07(2)(a) for further details. If you have any questions, please do not hesitate to contact me at 388-8214 or a-mail me at smaio@cityofsebastian.org. Sincerely, C ~' ~' ~` - ~~ _ ~~ ~_ Sally A. aio, MMC City Clerk FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ~~ ~ ~ I ~ ~ ~~ , ~ ~ "~ a rJ OFFICE USE ONLY Name r_' i , s i ~_ _ (2) (o t ~ S ~'ASti s Address (number and st re et) ~ ^ SC SAS ~ fl!/ 1- L ~ ~~ .~~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Cheer appropriate box(es): Candidate (office sought): L a ~ <~ e ~ t_ ~ ~ ,M (~ti Q ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From ~ / ~ ~ / d ~ To ~ l Z ~ l fj ~ Report Type ~j Z '~» ..( ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ ~ Monetary Expenditures $ ` Loans $ Transfers to Office Account $ Total Monetary $ Total ~~~ Monetary $ ~i //rr~~ ~~ In-Kind $ -+d`~ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ~ a o ~" $ .7~,D. a8 (11) CERTIFICATION It is a first degree misdemeanor for any pers on to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) (Type n e) ^ Individual (only for ^ Treasurer ^ Deputy Treasurer andidate ^ Chairperson (only for PC, PTY ~ electioneering commun.) Bring commun. organization) Signature Signature DS-DE 12 (Rev. 08/04) (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (2) I.D. Number (3) Cover Period _~/~/~_ through ( /~~/~~ (4) Page of (5) Date (7) Full Name (8) Purpose (9) (10) (11) (6) Sequence Number {Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYf~ Amendment Amount c ._ t- ; = DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number ~. (3) Cover Period _``! !1~/~ through 9 / ~ ~ / ~ (4) Page of (g) Date (7) Full Name ($) Contributor (9) (~~) (~~) (12) (g) Sequence Number (Last, Suffix, First, Middle) Street Address 8~ City, State, Zip Code type Occupation Contribution Type In-kind Descri tion Amendment Amount rv ~r - _.v - r~ ~_. ~~~ ~. C~ I it DS-DE 13 (7/98) Stt KEVtKSt tUK INS I KUG I IONS ANU GUUt VALUES crn ~~ ~~~ HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org September 25, 2008 William D. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: In accordance with Florida Statutes Section 106.07, the G2 campaign treasurer's (32~d day) report for your campaign for the period September 13, 2008 through September 26, 2008 is due in the Office of the City Clerk by 5 pm on Friday, October 3, 2008. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Please read FS 106.07(2)(a) for further details. If you have any questions, please do not hesitate to contact me at 388-8214. Sincerely, _ „_ ~ ,, ,~ .__~ Sally A. io, MMC City Clerk • • FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ~, I) -- W 4 l ! ~ ~ +~-~ ~ . l~~ ~ a ;~ ,,_ O~FIC~' US~`ONLY Name _. ` ~. ~ ~ ~ ~i i `~ ress (number and street) Ad d ( ~ C Sz ¢j a~4 ~i n J \~ ' City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Candidate (office sought): t,? ~ ~ ,., c , l M e M ~ 4 n. ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From o J / n - l ~ ~ To ~ / ~ L / p ~ Report Type t~6''i~ ~,~ ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 1~,~~~ ,~~ Loans $ ~8~~~~~ Transfers to Office Account $ Total Monetary $ ~0 D - ®~ Total Monetary $ ~ ~', ~p In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ~ao,a~ $ 7~®,7~ (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) (Type name) Individual (only for ^ Treasurer ^ Deputy Treasurer andidate ^ Chairperson (only for PC, PTY & election ne_er_in~c commun. ctioneering commun. organization) ~~ Signature Signature DS-DE 12 (Rev. 08104) ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS • (1) Name \,~ ~ ~ - , ~-, N. ~'°'~~ 7 0 ~ (2) LD. Number 7 :~ (3) Cover Period 2 / ~ / ~~ through Q / 1 Y l i~r~ (41 Paae of (5) Date (~) Full Name ($) (9) (10) (~~) (~Z) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount / ~ /p~ W ~il~A~ ~. fl~o S ..~ ~r /~llr J L~~~ ~, vJ / / / / / / / / / / cr :: ;n ~. -- ;. / / u-~ / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES • (1) Name • • CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (2) LD. Number (3) Cover Period ~ / t / ~~ through ~ / ,t 2 /~ (4) Page of DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (5) Date (7) Full Name (8) Purpose (9) (10) (11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount g~ ~ T~ 7.~~ ~~,~7 ~~-~- ~~~ ~~ t3 2. US I S~ ,~~ l0 ~ S-~~s~~s rs ~ ~ v Pay,; f c~~ s~~,~s ` Q~ Y ~ ~ ~ ~ fl C i t .A ~f` J~~v7iSi / /' ~ 1 F# G ~~W C. 1~*/'f~~ ~ V !~ ~-~ r'f~ ! ~ I O ~ 1 ~ ~ z C.i i1 L c~/ S O .~ CS ,. . c, f > . ~ f~ f ! 4i f ~ l ~~ C ' ~ -~ CITY OF HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org September 10, 2008 William D. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: In accordance with Florida Statutes Section 106.07, the G-1 (46t" day) campaign treasurer's report for your campaign for the period July 1, 2008 through September 12, 2008 is due in the Office of the City Clerk by 5 pm on Friday, September 19, 2008. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. Just a reminder, in accordance with the Land Development Code, political signs can be posted beginning on October 5, 2008, however, based on an opinion from the City Attorney regarding a challenge to the thirty day time limit for installation of signs, City Council passed a motion on a 4-1 vote "that the time frame for the installation of political signs be suspended indefinitely in code section 54-3-16.5 If you have any questions, please do not hesitate to contact me at 388-8214. Sincerely, Jl Sally A. Maio, City Clerk ~' )rr-- MMC sam LOYALTY OATH FOR OFFICE usE ONLY NON-PARTISAN OFFICE .. .~ ~; ~ ~ I `r' ~ ~~:; (Sections 876.05-876.10, Florida Statutes) ...~~~, ,_~~;, Zl Aid ~ `~2 ~ ~ ~ ~ ~ ~~ STATE OF FLORIDA 4 ~ 1 ~' D ~ A ~ R. /~.000NTY I, w:Ir,~A,~ '~, 1~~t7c~~a First Name Middle Name/Initial Last Name a citizen of the State of Florida and of the United States of America, ... and a candidate for public office ... do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. OATH OF CANDIDATE (Section 99.02 1, Florida Statutes) ~~ y~l~ . l I, ~~ Jai I I ~e/ ~~ f~i "~ (PLEASE PRINT NAME AS YOU WISH IT TO BE WRITTEN IN ON THE BALLOT -NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the office of e v ~ .~ c' . L +~`'1 ~ +`~ ~ L,•t"L (office) (district) (group) My legal residence is (, (y , s .~sAS N S j County, Florida. 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. Signature of Candidate Daytime Telephone Number t ~ ~`f s• C~~ ~ ~ 5~~~ ~ ~ ~ ~L 3tq i ~ Address City State ZIP Code Sworn to (or affirmed) an subscribed before me thisJC ~ ~ day of ld`(; 200 ~ . Personally Known: or _ Produced Identification: ~ (~~~ Type of Identification Produced: Signature of Not Public -State of Florida Print, Type or amp Commissioned Name of Notary Public ,~~.:dU,~., Sally A. Maio , :;t H Commission # Dp595269 Expires October 5, 2010 ~g ~ i~fh Ballad Troy Fain Ugopnca, Int. Opp.~BSJ019 DS-DE 25 (08107) CITY OF SEBASTIAN CITY CLERK'S OFFICE /, ~ ~` C? RECEIPT `+ t~ U Name ~~y"`~` 1`" L "- ' ` No. 001001 208001 001501322900 001501 341920 ~. 001501 341910 001501 341930 601010343800 001501 343805 ^ Cash eck # /u Amount Paid Sales Tax Garage Sales CopieslBid Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots LotMiche ,Block , Unft Cemetery Fees ~,2~ ~ ' , . -~~ c~ ~ col-~~ Total Paid ~ /" ~'v White -Dept. of Origin • Yellow -Finance • Pink -Applicant FORM 1 STATEMENT OF 2007 Please print or type your name, mailing FINANCIAL INTERESTS ki b l ~ '' ~ - address, agency name, and pos on e ow: - J L S A T NAME -- FIRST NAME --MIDDLE NAME : FOR OF'F.1C~ ; ,I ~ j' ~?;;I r ti ~ J ~ ~_ - i .. - ; ~ ~„ USE ONLY: f< 1 .~ ~~CG iy MAILING ADDRESS ~ t S ~~s .~ ID Code a ~+ ~ 3~g•~~3 l~2_ CITY : ZIP : COUNTY ID No. NAME OF AGENCY Conf. Code NAME OF OFFICE OR POSITION HELD OR SOUGHT : P. Req. Code You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. PDF 2007 CHECK ONLY IF ~ANDIDATE OR 0 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 YE>~R. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one): L~1i'/ DECEMBER 31, 2007 Qf3 ~ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): COMPARATIVE (PERCENTAGE) THRESHOLDS OR ~ DOLLAR VALUE THRESHOLDS PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S ADDRESS PRINCIPAL BUSINESS ACTIVITY OF INCOME /~ . S• ~ ~~ v I~ C ~ ~C ~ i fZC i~wT~.. ~ ~i. Ys~ 6f~ Sic ~~L ~., ', l i2~T.rzc Mti~"r. PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person] NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when and where to file this form are locat- i ~ ~ ~~ ~-• .^' ~~ ,t L ed at the bottom of page 2. , ~~ ~ N L SC~ ~ L INSTRUCTIONS on who must fife hi f t s orm and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1 - Eff. 1/2008 (Continued on reverse side) PAGE 1 I PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, cert+ficates of deposit, etc.] I TYPE OF INTANGIBLE 1 BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E -LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] BUSINESS ENTITY # 1 I BUSINESS ENTITY # 2 BUSINESS ENTITY BUSINESS ENTITY ACTIVITY WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST BUSINESS ENTITY # 3 IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE (required): WHAT TO FILE: After completing all parts of this form, including signing and dating it, send back only the first sheet (pages 1 and 2) for filing. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section(s). Facsimiles will not be accepted. NOTE: MULTIPLE FILING UNNECESSARY: Generally, a person who has filed Form 1 for a calendar or fiscal year is not required to file a second Form 1 for the same year. However, a candidate who previously filed Form 1 because of another public position must at least file a copy of his or her original Form 1 when qualifying. DATE SIGNED (required): FILING INSTRUCTIONS: WHERE TO FILE: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. Local o~cers/employees file with the Supervisor of Elections of the county in which they perma- nently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) State officers or specified state employees file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 3600 Maclay Boulevard, South, Suite 201, Tallahassee, FL 32312. Candidates file this form together with their qualifying papers. To determine what category your position falls under, see the "Who Must File" Instructions on page 3. WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employ- ment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates for publicly-elected local office must file at the same time they file their qualifying papers. Thereafter, local officers/employees, state officers, and specified state employees are required to file by July 1st following each calendar year in which they hold their posi- tions. Finally, at the end of office or employment, each local officer/employee, state officer, and specified state employee is required to file a final disclosure form (Form 1F) within 60 days of leaving office or employment. CE FORM 1 - Eff. 1/2008 PAGE 2 INSTRUCTIONS FOR COMPLETING FORM 1 WHO MUST FILE FORM l: All persons who fall within the categories of "state officers," "local officers/employees," "specified state employees," as well as candidates for elective local office, Positions within these categories are listed below. Persons required to file full financial disclosure (Form 6) and officers of the judicial uired to file Form 1 re . are q branch do not file Form 1 (see Form 6 for a list of persons who must file that form). STATE OFFICERS include the following positions for state officials: 4) Persons holding any of these positions in local government: Mayor; 1) Elected public officials not serving in a political subdivision of the state county or city manager; chief administrative employee of a county, municipal- and any person appointed to fill a vacancy in such office, unless required to ity, or other political subdivision; county or municipal attorney; chief county or file full disclosure on Form 6. municipal building inspector; county or municipal water resources coordinator; 2) Appointed members of each board, commission, authority, or council county or municipal pollution control director; county or municipal environmen- having statewide jurisdiction, excluding members of sole advisory bodies; f tal control director; county or municipal administrator with power to grant or deny a land development permit; chief of police; fire chief; municipal clerk; the but including judicial nominating commission members; Directors o Florida Black Business Investment Board, Enterprise Florida, Scripps Florida appointed district school superintendent; community college president; district Funding Corporation, Workforce Florida, and Space Florida; Members of the medical examiner; purchasing agent (regardless of title) having the authority Florida Commission on Tourism, Florida Substance Abuse and Mental Health to make any purchase exceeding $15,000 for the local governmental unit. Corporation, and the Council on the Social Status of Black Men and Boys; and SPECIFIED STATE EMPLOYEES include the following positions Governors and senior managers of Citizens Property Insurance Corporation for state employees: and Automobile Joint Underwriting Association. 1) Employees in the office of the Governor or of a Cabinet member who 3) The Commissioner of Education, members of the State Board of are exempt from the Career Service System, excluding secretarial, clerical, Education, the Board of Governors, and the local Boards of Trustees and and similar positions. Presidents of state universities. 2) The following positions in each state department, commission, board, LOCAL OFFICERS/EMPLOYEES include the folloving positions or council: Secretary, Assistant or Deputy Secretary, Executive Director, for officers and employees of local government: Assistant or Deputy Executive Director, and anyone having the power nor- 1) Persons elected to office in any political subdivision (such as munici- malty conferred upon such persons, regardless of title. counties, and special districts) and any person appointed to fill a palities 3) The following positions in each state department or division: Director, , vacancy in such office, unless required to file full disclosure on Form 6. Assistant or Deputy Director, Bureau Chief, Assistant Bureau Chief, and any 2) Appointed members of the following boards, councils, commissions, person having the power normally conferred upon such persons, regardless authorities, or other bodies of any county, municipality, school district, inde- pendent special district, or other political subdivision: the governing body of of title. 4) Assistant State Attorneys, Assistant Public Defenders, Public the subdivision; an expressway authority or transportation authority estab- Counsel, full-time state employees serving as counsel or assistant counsel to lished by general law; a community college or junior college district board of a state agency, administrative law judges, and hearing officers. trustees; a board having the power to enforce local code provisions; a board 5) The Superintendent or Director of a state mental health institute estab- of adjustment; a planning or zoning board having the power to recommend, lished for training and research in the mental health field, or any major state create, or modify land planning or zoning within the political subdivision, institution or facility established for corrections, training, treatment, or rehabili- except for citizen advisory committees, technical coordinating committees, and similar groups who only have the power to make recommendations to tation. 6) State agency Business Managers, Finance and Accounting Directors, planning or zoning boards; a pension board or retirement board empowered Personnel Officers, Grant Coordinators, and purchasing agents (regardless of to invest pension or retirement funds or to determine entitlement to or amount title) with power to make a purchase exceeding $15,000. of a pension or other retirement benefit. 7) The following positions in legislative branch agencies: each employ- 3) Any other appointed member of a local government board who is ee (other than those employed in maintenance, clerical, secretarial, or similar required to file a statement of financial interests by the appointing authority or positions and legislative assistants exempted by the presiding officer of their the enabling legislation, ordinance, or resolution creating the board. house); and each employee of the Commission on Ethics. INSTRUCTIONS FOR COMPLETING FORM 1: INTRODUCTORY INFORMATION (At Top of Form): If your name, mailing address, public agency, and position are already printed on the form, you do not need to provide this informa- tion unless it should be changed. To change any of this information, write the correct information on the form, then contact your agency's financial disclosure coordinator. Your coordinator is identified in the financial disclosure portal on the Commission on Ethics website: www.eth ics.state.fl. us. NAME OF AGENCY: This should be the name of the governmental unit which you serve or served, by which you are or were employed, or for which you are a candidate. For example, "City of Tallahassee," "Leon County," or "Department of Transportation." OFFICE OR POSITION HELD OR SOUGHT: Use the title of the office or position you hold, are seeking, or held during the disclosure period (in some cases you may not hold that position now, but you still would be required to file to disclose your interests during the last year you held that position). For example, "City Council Member," "County Administrator," "Purchasing Agent," or "Bureau Chief." If you are a candidate for office or are a new employee or appointee, check the appropriate box. MAILING ADDRESS: If your home address appears on the form but you prefer another address be shown, change the address as described above If you are an active or former officer or employee listed in Section 119.071(4)(d), F.S., whose home address is exempt from disclosure, the Commission is required to maintain the confidentiality of your home address ,you submit a written request for confidentiality. Persons listed in Section 119.071(4)(d), F.S., are encouraged to provide an address other than their home address. DISCLOSURE PERIOD: The tax year for most individuals is the calendar year (January 1 through December 31). If that is the case for you, then your financial interests should be reported for the calendar year 2007; just check the box and you do not need to add any information in this part of the form. However, if you file your IRS tax return based on a tax year that is not the calendar year, you should specify the dates of your tax year in this portion of the form and check the appropriate box. This is the time frame or "disclosure period" for your report. MANNER OF CALCULATING REPORTABLE INTERESTS: As noted in this portion of the form, the Legislature has given filers the option of report- ing based on either thresholds that are comparative (usually, based on percentage values) or thresholds that are based on absolute dollar values. The instructions on the following pages specifically describe the different thresholds. Simply check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form. (CONTINUED on page 4) ~ CE FORM 1 - Eff. 1/2008 rHVr= ~ PART A -PRIMARY SOURCES OF INCOME [Required by Sec. 112.3145(3)(a)1 or (b)1, Fla. Stat.] PartA is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received. The sources should be listed in descending order, with the largest source first. Please list in this part of the form the name, address, and principal business activity of each source of your income which (depending on whether you have chosen to report based on percentage thresholds or on dollar value thresholds) either: exceeded five percent (5%) of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period, or exceeded $2,500.00 (of gross income received during the disclosure period by you in your own name or by any other person for your use or benefit). You need not list your public salary received from serving in the position(s) which requires you to file this form, but this amount should be included when calculating your gross income for the disclosure period. The income of your spouse need not be disclosed. However, if you are reporting based on percentage thresholds and if there is joint income to you and your spouse from property held by the entireties (such as interest or dividends from a bank account or stocks held by the entireties), you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the 5% threshold. "Gross income' means the same as it does for income tax purposes, inGuding all income ftom whatever source derived, such as compensation for services, gross income from business, gains from property dealings, interest, rents, dividends, pensions, social security, distributive share of partnership gross income, and alimony, but not child support. Examples: - If you were employed by a company that manufactures computers and received more than 5% of your gross income (salary, commissions, etc.) from the company (or, alternatively, $2,500), then you should list the name of the company, its address, and its principal business activity (computer manufacturing). - If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5% of your gross income (or, altematively, $2,500), then you should list the name of the firm, its address, and its principal business activity (practice of law). - If you were the sole proprietor of a retail gift business and your gross income from the business exceeded 5% of your total gross income (or, alternatively, $2,500), then you should list the name of the business, its address, and its principal business activity (retail gift sales). - If you received income from investments in stocks and bonds, you are required to list only each individual company from which you derived more than 5% of your gross income (or, alternatively, $2,500), rather than aggregating all of your investment income. - If more than 5% of your gross income (or, alternatively, $2,500) was gain from the sale of property (not just the selling price), then you should list as a source of income the name of the purchaser, the purchaser's address, and the purchaser's principal business activity. If the purchaser's identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed simply as "sale of (name of company) stock;' for example. - If more than 5% of your gross income (or, alternatively, $2,500) was in the form of interest from one particular financial institution (aggregating interest from all CD's, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity. PART B -SECONDARY SOURCES OF INCOME [Required by Sec. 112.3145(3)(a)2 or (b)2, Fla. Stat.] This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. You will not have anything to report unless: (a) If you are reporting based on percentage thresholds: (1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) during the disclosure period more than five percent (5%) of the. total assets or capital stock of a business entity (a corporation, partnership, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and (2) You received more than ten percent (10%) of your gross income during the disclosure period from that business entity; and (3) You received more than $1,500 in gross income from that business entity during the period. (b) If you are reporting based on dollar value thresholds: (1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) during the disclosure period more than five percent (5%) of the total assets or capital stock of a business entity (a corporation, partnership, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and (2) You received more than $5,000 of your gross income during the disclosure period from that business entity. If your interests and gross income exceeded the appropriate thresholds listed above, then for that business entity you must list every source of Income to the business entity which exceeded ten percent (10%) of the business entity's gross income (computed on the basis of the business entity's most recently completed fiscal year), the source's address, and the source's principal business activity. Examples - You are the sole proprietor of a dry cleaning business, from which you received more than 10% of your gross income (an amount that was more than $1,500) (or, altematively, more than $5,000, if you are using dollar value thresholds). If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). - You area 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above. You should list each tenant of the mall that provided more than 10% of the partnership's gross income, the tenant's address and principal business activity. - You own an orange grove and sell all your oranges to one marketing cooperative. You should list the cooperative, its address, and its principal business activity if your income met the thresholds. PART C -REAL PROPERTY [Required by Sec. 112.3145(3)(a)3 or (b)3, Fla. Stat.] In this part, please list the location or description of all real property (land and buildings) in Florida in which you owned directly or indirectly at any time during the previous tax year in excess of five percent (5%) of the property's value. This threshold is the same, whether you are using percentage thresholds or dollar thresholds. You are not required to list your residences and vacation homes; nor are you required to state the value of the property on the form. Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you are more than a 5% partner in a partnership or stockholder in a corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal. The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. Although a legal description of the property will do, such a lengthy description is not required. Using simpler descriptions, such as "duplex, 115 Terrace Avenue, Tallahassee' or 40 acres located at the intersection of Hwy. 60 and I-95, Lake County" is sufficient. In some cases, the property tax identification number of the property will help in identifying it: "120 acre ranch on Hwy. 902, Hendry County, Tax ID # 131-45863." (CONTINUED on page 5) ~ Examples: - You own 1/3 of a partnership or small corporation that owns both a vacant lot and a 12% interest in an office building. You should disclose the lot, but are not required to disclose the office building (because your 1/3 of the 12% interest-which equals 4%--does not exceed the 5% threshold). - If you are a beneficiary of a trust that owns real property and your interest depends on the duration of an individual's life, the value of your interest should be determined by applying the appropriate actuarial table to the value of the property itself, regardless of the actual yield of the property. PART D -INTANGIBLE PERSONAL PROPERTY [Required by Sec. 112.3145(3)(a)3 or (b)3, Fla. Stat.] Provide a general description of any intangible personal property that, at any time during the disclosure period, was worth more than: (1) ten percent (10%) of your total assets (if you are using percentage thresholds), of (2) $10,000 (if you are using dollar value thresholds), and state the business entity to which the property related. Intangible per- sonal property includes such things as money, stocks, bonds, certificates of deposit, interests in partnerships, beneficial interests in a trust, promissory notes owed to you, accounts receivable by you, IRA's, and bank accounts. Such things as automobiles; houses, jewelry, and paintings are not intan- gible property. Intangibles relating to the same business entity should be aggregated; for example, two certificates of deposit and a savings account with the same bank. Where property is owned by husband and wife as ten- ants by the entirety (which usually will be the case), the property should be valued at 100%. Calculations: In order to decide whether the intangible property exceeds 10% of your total assets, you will need to total the value of all of your assets (including real property, intangible property, and tangible personal property such as automobiles, jewe-ry, furniture, etc.). When making this calculation, do not subtract any liabilities (debts) that may relate to the property-add only the fair market value of the property. Multiply the total figure by 10% to arrive at the disclosure threshold. List only the intangibles that exceed this threshold amount. Jointly owned property should be valued according to the percentage of your joint ownership, vrith the exception of property owned by husband and wife as tenants by the entirety, which should be valued at 100%. None of your calculations or the value of the property have to be disclosed on the form. If you are using dollar.value thresholds, you do not need to make any of these calculations. Examples for persons using comparative (percentage) thresholds - You own 50% of the stock. of a small corporation that is worth $100,000, according to generally accepted methods of valuing small businesses. The estimated fair market value of your home and other property (bank accounts, automobile, furniture, etc.) is $200,000. As your total assets are worth $250,000, you must disclose intangibles worth over $25,000. Since the value of the stock exceeds this threshold, you should list "stock" and the name of the corporation. If your accounts with a particular bank exceed $25,000, you should list "bank accounts" and bank's name. - When you retired, your professional firm bought out your partner- ship interest by giving you a promissory note, the present value of which is $100,000. You also have a certificate of deposit from a bank worth $75,000 and an investment portfolio worth $300,000, consisting of $100,000 of IBM bonds and a variety of other investments worth between $5,000 and $50,000 each. The fair market value of your remaining assets (condominium, automobile, and other personal prop- erty) is $225,000. Since your total assets are worth $700,000, you must list each intangible worth more than $70,000. Therefore, you would list "promissory note" and the name of your former partnership, "certificate of deposit" and the name of the bank, "bonds" and "IBM," but none of the rest of your investments. PART E -LIABILITIES [Required by Sec. 112.3145(3)(a)4 or (b)4, Fla. Stat.] In this part of the form, list the name and address of each private or governmental creditor to whom you were indebted at any time during the disclosure period in an amount which exceeded: (1) your net worth (if you are using percentage thresholds), of (2) $10,000 (if you are using dollar value thresholds). You are not required to list the amount of any indebtedness or your net worth. You do not have to disclose any of the following: credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebted- ness on a life insurance policy owed to the company, of issuance, contingent liabilities, and accrued income taxes on net unrealized appreciation (an accounting concept). A "contingent liability" is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you area "co-maker" and have signed as being jointly liable or jointly and severally liable, then this is not a contingent liability; if you are using the $10,000 threshold and the total amount of the debt (not just the percentage of your liability) exceeds $10,000, such debts should be reported. Calculations for persons using comparative (percentage) thresholds: In order to decide whether the debt exceeds your net worth, you will need to total all of your liabilities (including promissory notes, mortgages, credit card debts, lines of credit, judgments against you, etc.). Subtract this amount from the value of all your assets as calculated above for Part D. This is your "net worth." You must list on the form each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the para- graph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are "jointly and severally liable," meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations based upon your percentage of liability, with the following exception: joint and several liability with your spouse for a debt which relates to property owned by both of you as "tenants by the entirety' (usually the case) should be included in your calculations by valuing the asset at 100% of its value and the liability at 100% of the amount owed. Examples for persons using comparative (percentage) thresholds: - You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with your spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth $20,000. Since your net worth is $20,000 ($100,000 minus $80,000), you must report only the name and address of the savings and loan. - You and your 50% business partner have a $100,000 business loan from a bank, for which you both are jointly and severally liable. The value of the business, taking into account the loan as a liability of the business, is $50,000. Your other assets are worth $25,000, and you owe $5,000 on a credit card. Your total assets will be $50,000 (half of a business worth $50,000 plus $25,000 of other assets). Your liabilities, for purposes of calculating your net worth, will be only $5,000, because the full amount of the business loan already was included in valuing the business. Therefore, your net worth is $45,000. Since your 50% share of the $100,000 business loan exceeds this net worth figure, you must list the bank. PART F - INTERESTS IN SPECIFIED BUSINESSES [Required by Sec. 112.3145(5), Fla. Stat.] The types of businesses covered in this disclosure are only: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies (including insurance agencies); mortgage companies; credit unions; small loan companies; alcoholic bever- age licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government. (CONTINUED on page 6) ~ CE FORM 1 - Eff. 1!2008 rH~t a You are required to disclose in this part of the form the fact that you owned during the disclosure period an interest in, or held any of certain posi- tions with, particular types of businesses listed above. You are required to make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than five percent (5%) of the total assets or capital stock of one of the types of business entities granted a privilege to operate in Florida that are listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). If you have or held such a position or ownership interest in one of these types of businesses, list (vertically for each business): the name of the busi- ness, its address and principal business activity, and the position held with the business (if any). Also, if you own(ed) more than a 5% interest in the business, as described above, you must indicate that fact and describe the nature of your interest. (End of Instructions.) PENALTIES A failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following: dis- qualification from being on the ballot, impeachment, removal or suspension from office or employment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. (Sec. 112.317, Florida Statutes) Also, if the annual form is not filed by September 1st, a fine of $25 for each day late will be imposed, up to a maximum penalty of $1,500. (Section 112.3145, F.S. ], OTHER FORMS YOU MAY NEED TO FILE IN ORDER TO COMPLY WITH THE ETHICS LAWS In addition to filing Form 1, you may be required to file one or more of the special purpose forms listed below, depending on your particular position, business activities, or interests. As it is your duty to obtain and file any of the special purpose forms which may be applicable to you, you should carefully read the brief description of each form to determine whether it applies. Form 1 F - Final Statement of Financial Interests: Required of local officers, state officers, and speci- fiedstate employees within 60 days after leaving office or employment. This form is used to report financial interests between January 1st of the last year of office or employment and the last day of office or employ- ment. [Sec. 112.3145(2)(b), Fla. Stat.] Form 1X -Amended Statement of Financial Interests: To be used by local officers, state officers, and speci- fied state employees to correct mistakes on previously filed Form 1's. [Sec. 112.3145(9), Fla. Stat.] Form 2 -Quarterly Client Disclosure: Required of local officers, state officers, and specified state employees to disclose the names of clients represented for compensation by them- selves or a partner or associate before agencies at the same level of government as they serve. The form should be filed by the end of the calendar quarter (March 31, June 30, Sept. 30, Dec. 31) following the calendar quarter in which a reportable representation was made. [Sec. 112.3145(4), Fla. Stat.] Form 3A -Statement of Interest in Competitive Bid for Public Business: Required of public officers and public employees prior to or at the time of submission of a bid for public business which otherwise would violate Sec. 112.313(3) or 112.313(7), Fla. Stat. [Sec . 112.313(12)(b), Fla. Stat.] Form 4A -Disclosure of Business Transaction, Relationship, or Interest: Required of public officers and employees to disclose certain business transactions, relationships, or interests which otherwise would violate Sec. 112.313(3) or 112.313(7), Fla. Stat. [Sec. 112.313(12) and (12)(e), Fla. Stat.] Form 8A -Memorandum of Voting Conflict for State Officers: Required to be filed by a state officer within 15 days after having voted on a measure which inured to his or her special private gain (or loss) or to the special gain (or loss) of a relative, busi- ness associate, or one by whom he or she is retained or employed. Each appointed state officer who seeks to influence the decision on such a measure prior to the meeting must file the form before undertaking that action. [Sec. 112.3143, Fla. Stat.] Form 8B -Memorandum of VotingglI Conflict for County, Municipal, and Other 1,ocal Public Officers: Required to be filed (within 15 days of abstention) by each local officer who must abstain from voting on a measure which would inure to his or her special private gain (or loss) or the special gain (or loss) of a relative, business associate, or one by whom he or she is retained or employed. Each appointed local official who seeks to influ- ence the decision on such a measure prior to the meeting must file the form before undertaking that action. [Sec. 112.3143, Fla. Stat.] Form 9 -Quarterly Gift Disclosure: Required of local officers, state officers, specified state employees, and state procurement employees to report gifts over $100 in value. The form should be filed by the end of the calendar quarter (March 31, June 30, September 30, or December 31) following the calendar quarter in which the gift was received. [Sec. 112.3148, Fla. Stat.] Form 10 -Annual Disclosure of Gifts from Governmental Entities and Direct Support Organizations and Honorarium Event Related Expenses: Required of local officers, state officers, specified state employees, and state procurement employees to report gifts over $100 in value received from certain agencies and direct support organizations; also to be utilized by these persons to report honorarium event-related expenses paid by certain persons and entities.The form should be filed by July 1 following the calendar year in which the gift or honorarium event-related expense was received. [Sec. 112.3148 and 112.3149, Fla. Stat.] AVAILABILITY OF FORMS; FOR MORE INFORMATION Conies of these forms are available from the Supervisor of Elections in your county; from the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709; telephone (850) 488-7864 (Suncom 278-7864); and at the Commission's web site: www.ethics.state.fl.us. Questions about any of these forms or the ethics laws may be addressed to the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709; telephone (850) 488-7864 (Suncom 278-7864). CE FORM 1 - Eff. 1/2008 F'ACit ti FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMM~t~Y , :. (1) ~ ~ l I -- W - l 1 ~ a M~ . ~'~Da i~ -'OF'i=~GE l`tSiE=~'tifLY Name •u' 2 ~~ ~ 55 (2) 61 ~' `S. SASH S ~ . _.. 4 ._ Address (number and street) 3 z9 ~~ ' L ~ a~ ~ n .S ~ ~ H-S~ ~..~ ~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Candidate (office sought): C~ ~ N c, L r`'1 c~~ z 2 ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cov r Period: From y / I / O~ To 6 / 3 O / o~ Report Type ~ - Z [Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ Monetary Expenditures $ ~j Z ~ • Z Loans $ (,,~ ®• ° `~ Transfers to Office Account $ Total Monetary $ ~ ~, 0 • o ~ Total ~J Z 5 • Z Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ~~~, n o $ 3~5~ 2.~j (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) (Type name) Individual (only for ['`Treasurer ^ Deputy Treasurer [~C Candidate ^ Chairperson (only for PC, PTY & electioneering commun.) _~lesti mmun. organization) Y ~ Signature Signature DS-DE 12 (Rev. 08104) CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period / / through / / (4) Page of (5) Date (~) Full Name ($) (9) (10) (~~) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount a, o$ ~ 1 1 .~,~,,A~. a. ~~or•> ~ a ~, L lap.oa ~ -~r S . SAS ~{ S7 S~PjArjT~ A'/ ~ ~- ,.Q f o 1 1 1 1 1 1 ,., ~~y L__ r..._ / / r ~ _~ ' CA CJ'1 C7 -;- 1 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name (2) LD. Number (3) Cover Period / / through / / (4) Page of (5) Date (~) Full Name l8) Purpose (9) (10) (~~) (8) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount r ' S; ~~~ I . ~~ ~ L v ~ ~ IQL. 1'~,~-7 twL l ~~~ic l~l S t-3L ~J S~~S _ , S ~ 3~ c o.. ~= ~- ~- -__ ~~ - Ul DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CfiY OF SE~T!~1 HOME OF PELICAN ISLAND 1225. Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org June 27, 2008 William R. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period April 1, 2008 through June 30, 2008 is due in the Office of the City Clerk no later than 5 pm on Thursday, July 10, 2008. You may submit the report beginning July 1St Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. The official qualifying period for the November election will begin on August 21, 2008 and run through September 5, 2008. The qualifying fee and all other forms not submitted during pre-qualifying should be filed at this time. Please call me at 388-8214 or contact me by e-mail at smaio(c~cityofsebastian.org if you have any questions. Si Merely, Sally A. Maio, MMC City Clerk sam FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SU Y, ~: (1) l.~ t ~ l ~ A M ~. ~oD a _ ,,,~ OFFICE USE O Y 1 F9(~ 10 ~~ . ;~ F ~ Name ~~ °'` °~' (2) S. C-aS S ~' . Address (number a d street) 32 g s8 City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): , ^ Candidate (office sought): G ~ ., r c. L M r.~+ ~c 2 ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From I / / / ~_ To ~ / ~ / D ~ Report Type Ca? ~ [~riginal ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 7j ov, s ~ ~^ Expenditures $ Loans $ '~" Transfers to Office ~~ Account $ Total Monetary $ aJ OO • o D Total Monetary $-~--- In-Kind $ ~^ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 300, d ~ $ -->~-- (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) (Type name) ^ Individual (only for Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY & electio electioneering commun. organization) _.___ X ~._ ---_ ~ ~ X ~,- Signature Signature DS-DE 12 (Rev. 08104) i~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name W ~ - 1 ~ ~s ~.-~ . 1-.~ c~ 17 0 *J (31 Cover Period 1 / / / 02~ through .3 / 31 (2) I.D. Number / O~ (41. PadP_ ~ of I (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount w~~l~.a.~. R.~cD~J (~cT,Aa» G~ccrK St (;SAj t~~ ~v ~LoR+ Dh 3 / ~ ~ l o$ fa{`'ILltvr ~'`t'~'~M~S Q, o ,3~n ~$a8~ /1 •J Bn~I.~CR h~~~ r G4,~CK iJ ~ boa o-~ ?~a ~ Ski - t L5'1 / / / / / / / / / / / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CITY OF 5~~ _~'~N y; HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 (772) 388-8214 phone - (772) 589-5570 fax smaio@cityofsebastian.org . March 31, 2008 William D. Bodon 614 Easy Street Sebastian, FL 32958 Dear Mr. Bodon: In accordance with Florida Statutes Section 106.07, the campaign treasurer's report for your campaign for the period January 29, 2008 (the date you became a candidate) through March 31, 2008 is due in the Office of the City Clerk no later than 5 pm on Thursday, April 10, 2008. You may submit the report beginning April 1St. Any report postmarked by the United States Postal Service no later than midnight of the due date, shall be deemed to have been submitted in a timely manner. For your information, I am scheduled for knee replacement surgery and may be out of the office for several weeks. Either of my staff members will be able to take your report in my absence. I will be available by phone at home at 589-0020 or by a-mail at smaio ~cityofsebastian.orq during my absence if you have any questions. Sincer.,ely, _ ~,~ '~~ - ~~~~~ ~~ Sally A. io, MMC City Clerk sam at STATE OF FLORIDA OFFICE USE ONLY APPOINTMENT OF CAMPAIGN TREASURER f ~ ~~ ~~ ~- ~= AND DESIGNATION OF CAMPAIGN , , ,,! ,, I ~ ~ ~~ ~ ~~ DEPOSITORY FOR CANDIDATES ~ ~ = ~~ (Section 106.021(1), F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: Q Ori inal A ointment ^ De Treas rer ^ R u i t t f T ^ S d D i g pp p ty u eappo n men o reasurer econ ary epos tory Name of Candidate 1. Address (include post office box or street, city, state, zip code) r S~~As ~ ~aa ~'1`.. 3z~35~ Telephone (optional) 2. Parry (Partisan candidates only) 3.Office (add district, circuit, group number) I have appointed the following person to act as my Campaign Treasurer ^ Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer .1 ~ '~..:~ i~~.n-. ~o ~? 5. Mailing Address (If post office box or drawer add street address) 6. Telephone ~ ~ 3 _~ 10 ... `~ i 1 a j s~. ,rw ~ ~.,.,~~.~,- 7. City 8. County 9. State 10. Zip Code I have designated the following named bank as my Primary Depository ^ Secondary Depository 11. Name of Bank 12. Street Address ~~ ~' ~ a+H~ +~ `, c p, ~ i 2 13. City ,, 14. County 15. State 16. Zip Code Sc (3~a s 1 a ~.i 1. iZ . ~ l Q c2. +7 /~ L ~ ~ ,~ 17. Si nature. ..._.___,~ Date ~_ m paig C a n Treasurer's Acceptance of Appointment ~~ ~ - - -~ I, ~5 ~ , 1 ~ ,~ ,h,~ t< "y7 ~ ~j .~ ,c._i , do hereby accept the appointment as (Please Print or Type) ~ampaign Treasurer ^ Deputy Treasurer for the campaign of 'h~ ~, ~ 1 ~ ,p, iu~ . [~ y `'~ w who is seeking nomination or election as a candidate to the office of (Party) .- C ~ 1 .~ ~--c7 e~ ~ C . 1. M ~. ~f~1 ~c ~ As a duly registered voter in ( County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. ..~.--.• )( ..... 1 - 2 ~ ~ o ~ ~.. - _~ -~.._----------...~_ . Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 02/06) ., ~ I i U ~. 1 .. . STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) I, wit-,n.M~- b7~~ candidate for the office of C ~ ~ ;.~ c. + ~ ~t ~ ~ c3 c 2 ~,,,.. have received, read and understand the requirements of Chapter 106, Florida Statutes. X ~~ ~^ Signature of Candidate -2~-© Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84 (Rev. 08/03) ctn a HbME o~ PEitCAN ISIJSNt1 ELIGIBILITY TO HOLD OFFICE OF COUNCILMEMBER Charter Section 2.02 -ELIGIBILITY "No person shall be eligible to hold the office of council member unless he or she is a qualified elector in said city and actually continually resided in said city for a period of one (1) year immediately preceding the final date for qualification as a candidate for said office." -"~J~© I, W 4 ~ ~ ~ A. ~ ~ ,candidate for the office of Council Member, meet the eligibility qualifications to hold office as required in Section 2.02 of the City of Sebastian Charter, above. Sworn to and subscribed before me this 2v~ ~~ ~' ._ Notary Pub State of FI rida SEAL wp-elect) eligible. wpd ~~ day of , ,,,,,,, ,Q:~a=PLC: Sally A. Maio ~~~ Commission # DD595269 =~r,q~~~:' Expires October €~i~F,~'(~' ~w rro 5, 2010 Y fain ~nwr~nw, ~~. OOii-39,5-?079 signature or ~,anaiaate