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Home My WebLink AboutFORM 1FORM I STATEMENT OF 2012 Please print or type your name, mailing � FINANCIAL l 1 address, agency name, and position below: FOR OFFICE USE ONLY: LAST NAME - FIRST NAME -- MIDDLE NAME MpSebdStlan Vice Mayor REC E�V�� Don Wright 720 N Fischer Cir JUN ,. z zo13 ty cnSebastian FL 32958 4623 �� Cft Clefk t /on o <ffi�e NAiv.- 0 i NAME OF OFFICE OR POSITION HELD OR SOUGHT cYou are not limited to the space on the lines on this form. Attach additional sheets, if necessary. �o CHECK ONLY IF ® CANDIDATE OR ® NEW EMPLOYEE OR APPOINTEE - -�«r� * * ** 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): DECEMBER 31, 2012 OR ® 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). CHECK THE ONE YOU ARE USING: • L 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, you must write "none" or 'Wa ") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY / �" 2f�f1C��J�r;��i` ��au!' ��Ji�' -�J � ��-•�, -tom• .� ��i � "r G•�� -z, ��c-er �-J %'�-a.�,� %i�—� SJv v� i r1 Y2%"•v -� �G�:vy. ri •,Pa` 'J �J'LQi1�i'--`r 91t ?S�s"��T -�- �.,ri.''•rr'� f"•;lir �Z- �'[c�'t': f ",: i -fit "a /� -F`=`� 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 "n /a ") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE 7 PART C -- REAL PROPERTY [Land, buildings owned by the reporting person -.See instructions] (If you have nothing to report, you must write "none" or "n /a ") INSTRUCTIONS for en and where to file this / _ 7,) '/Ip lf_111,e `�r�< � �y m are located at the bottom [FILING page 2. 1' TRUCTIONS on who must this form and how to fill it begin on page 3. CE FORM 1 - Effective: January 1, 2013. Refer to Rule 34- 8.202(1), F.A.C. (Continued on reverse side) PAGE 1 PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (if you have nothing to report, you must write "none" or "n /a ") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES -- 1 %i .,� r C /Y /•W- ?-��r �ii �lta' �'�/1f~ (l E, PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, you must write "none" or "n /a ") NAME.OF CREDITOR ADDRESS OF CREDITOR PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, you must write "none" or 'Wall BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3 NAME OF BUSINESS ENTITY r j �� - ADDRESS OF BUSINESS ENTITY �.7 S" Sc� �` �Z.� �er } �? r PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY rr I OWN MORE THAN A 5% INTEREST IN THE BUSINESS led ° NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH FARE CONTINUED 6N A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE (requiredl: DATE SIGNED (required): ` FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, If you were mailed the form by the Commission Initially, each local officer /employee, including signing and dating it, send back on Ethics or a County Supervisor of Elections state officer, and specified state employee only the first sheet (pages 1 and 2) for filing. for your annual disclosure filing, return the must file within 30 days of the date of form to that location. his or her appointment or of the beginning If you have nothing to report in a particular Local officers /employees file with the of employment. Appointees who must be "none" confirmed by the Senate must file prior to "n section, you must write or /a" in that Supervisor of Elections of the county in confirmation, even if .that, less than 30 section(s). which they permanently reside. (If you do not days from the date of their appointment. permanently reside in Florida, file with the NOTE: Supervisor of the county where your agency Candidates for publicly - elected local office MULTIPLE FILING UNNECESSARY: has its headquarters.) must file at the same time they file their Generally, a person who has filed Form 1 State officers or specified state employees qualifying papers. for a calendar or fiscal year is not required file with the Commission on. Ethics, P.O. Thereafter, local officers /employees, . state to file a second Form 1 for the same year. Drawer 15709, Tallahassee, FL 32317 -5709. officers, and specified state employees However, a candidate who previously filed Candidates file this form together with their are required to file by July 1st following Form 1 because of another public position each calendar year in which they hold their qualifying ying _papers. must at least file a copy of his or her original positions. Form 1 when qualifying. To determine what category your position falls Finally, at the end of office or employment; under, see the "Who Must File" Instructions on each local officer /employee, state officer, and page 3. specified state employee is required to file a final disclosure form (Form 1 F) within 60 days Facsimiles will not be accepted. of leaving office or employment. However. filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in their position on December 31, 2012. CE FORM 1 - Effective: January 1, 2013. Refer to Rule 34 -8.202 (1), F.A.C. - PAGE 2