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HomeMy WebLinkAboutAssessmentELECTION ASSESSMENT (One Percent) IC County Indian River City Iebastian Election Date INovember2, 2021 Qualifying End Date ISeptember3,2021 A. Office B. Candidate C. Party F Mayor (Name) IDamienGllliams r Democrat F Republican F- City Clerk (Address) It 623 US Hwy 1, Suite A-5 F- Minor Parry r- No Party Affiliation Fx City Commissioner I r Nonpartisan r Write In F- Other (City,ST ISebastian, FL 32958 D. Annual Salary $ 3,600• 1 % Assessment $ 6'00 Undue Burden F- Yes r No A. Office B. Candidate C. Party r Mayor (Name) (Fred Jones F- Democrat r Republican F City Clerk (Address) IExemptPer F.5.119.071 F Minor Parry F No Party Affiliation r City Commissioner I Fx- Nonpartisan r Write In F- Other (CitysT) D. Annual Salary $ 1 % Assessment $ 6'00 Undue Burden F- Yes r No A. Office B. Candidate F- Mayor (Name) (Sherrie Matthews r- City Clerk (Address) (Exempt Per F.S.119.071 City Commissioner I F Other (City.sT) I D. Annual Salary $ 13,600. 1 % Assessment $ �16,00 A. Office B. Candidate I F Mayor (Name)8ob McPartlan F- City Clerk (Address) (Exempt Per F.S.119.071 City Commissioner I f Other (aty,sT) I C. Party F Democrat r- [- Minor Party r Fx Nonpartisan F- Republican No Party Affiliation Write In Undue Burden 1- Yes r No C. Patty F- Democrat Republican F Minor Party F- No Party Affiliation Nonpartisan i- Write In D. Annual Salary $ I3,600. 1 % Assessment $ 6.00 Undue Burden F- Yes Fx No A. Office B. Candidate C. Party • Mayor (Nare) IChristopherRobert Nunn F- Democrat F- Republican r City Clerk (Address) 1709 Jordan Avenue F- Minor Party (- No Party Affiliation Fx City Commissioner I r Nonpartisan 1- Write In I- Other (City,s'n ISebastian, FL 32958 D. Annual Salary $ ,600. 1 % Assessment $ 6.06 Undue Burden r Yes Fx- No Submitted By: Name ('eanetteWilliams, City Clerk Phone Number I(772)388'-8215 Address ICity of Sebastian, 1225 Main Street City (Sebastian Zip 325i58 Remit to: Florida Elections Commission. 107 West Gaines Street_ Suite 224. Tallahassee. Florida 32399 ELECTION ASSESSMENT (One Percent) County(Indian River City ebastian Election Date (November 2, 2021 Qualifying End Date (September 3, 2021 A. Office B. Candidate C. Party • Mayor (Name) KlintPhippsr Democrat F r City Clerk (Address) 1722 S. Easy Street r Minor Party F rx- City Commissioner I r Nonpartisan F- r OtheI (City,ST (Sebastian, FL 32958 D. Annual Salary $ F600- 1 % Assessment $ 6.00 A. Office B. Candidate F- Mayor (Name) r City Clerk (Address) F City Commissioner I r' Other (Citv.ST) D. Annual Salary $ F 1 % Assessment $ A. Office r Mayor F- City Clerk F City Commissioner I- Other D. Annual Salary $ I B. Candidate (Name) (Address) I (Citv.ST) F- 1 % Assessment $ I Republican No Party Affiliation Write In Undue Burden C. Party F- Democrat F- F- Minor Party F F- Nonpartisan F r Yes r No Republican No Party Affiliation Write In Undue Burden F- Yes r No C. Party (- Democrat F r Minor Party r (- Nonpartisan i- Republican No Party Affiliation Write In Undue Burden r Yes r No A. Office B. Candidate C. Party F- Mayor (Name) I F Democrat F- Republican r City Clerk (Address) I r Minor Party r No Party Affiliation F City Commissioner I F- Nonpartisan F- Write In r Other (Citv.ST) I D. Annual Salary $ I 1 % Assessment $ F Undue Burden r Yes F- No A. Office B. Candidate r Mayor (Name) r City Clerk (Address) I City Commissioner I F Other (Citv.ST) D. Annual Salary $ F- 1 % Assessment $ C. Party F- Democrat r r Minor Party r F- Nonpartisan F- Republican No Party Affiliation Write In Undue Burden F- Yes No Submitted By: Name Ileanette Williams, City Clerk Phone Number I(772) 388-8215 Address ICityof Sebastian, 1225 Main Street City ebastlan Zip 32958 Remit to: Florida Elections Commission. 107 West Gaines Street. Suite 224. Tallahassee. Florida 32399 HIS DOCUMENT CONTAINS MICROPRINT SIGNATURE LINES, A VOID PANTOGRAPH, AND A WATERMARK ON BACK ;�� Clry OF 63 515 IR9 CITY OF SEBASTIAN 104170 ':.® Seacoast CHECK 7 0 104 s�o ,ymw 1225 MAIN STREET NATIONAL BANK '°°^snnr+. aowon aznsa SEBASTIAN, FL 32958 - _� GENERALACCOUNT HOME OF PELICAN ISLAND NNpppp I�pq.T,E �Y( ( VE6Sb2l OT,,W L02J �N7 CHECK AM�HIS. 0� ********216 DOLLARS AND NO CENTS PAY Florida Elections Commission 107 West Gaines Street The Collins Bldg. Suite 224 TOTHE Tallahassee FL 32399-0250 ORDER OF III 104L7011' I:067005L58I: 104170 CITY OF SEBASTIAN SEBASTIAN, FL 32958 VOID IF NQT ID WITHIN 90 DAVS pip xr TWO SIGNATURES REQUIRED 432710388LII' INVOICE DATE " INVOICE NUMBER " INVOICE DESCRIPTION 09/07/21 Nov 2021 Election Assessment Nov 2 IL04170 NET INVOICE AMOUNT P NO O '�}� 216.00 145844 63020 Florida Elections Commission 216.00 104170