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HomeMy Public PortalAbout2014-CA-003721 Plaintiff's Exhibit F of Robert Ganger Depo (01/31/2018)DS -DE 9 (Rev. 10/10) Rule 1S 2.0001, F.A.G. EX APPOINTMENT OF CAMPAIGN TREASURER DEP' AND DESIGNATION OF CAMPAIGN DATE -L� / FC 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. of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip rme ""tl 14V-D G A CF-2 code) 1L}�-I3 iWC�. QGcer1l�Vd L)-F Shrriro F 33+E' 3 4. Telephone 5. E-mail address `l C 6. Office sought (include district, circuit, group number) 7. If a candidate fora nonpartisan office, check if syn m i 5 S! brl e-r applicable: 'Cott) ti C)' - G-M I-P'sfi-rurn ❑ My intent is to run as a Write-In candidate. 8. If a candidate fora partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write-in ❑ No Party Affiliation ❑ Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name pf Treasurer or Deputy Treasurer 11. Mailing Address Ij II ! { Nit). A-eael i�1,j 12. Telephone 13 City 6;X­ � Siyca ro 14. County Raw Read-, 15. State f--c- 16. Zip Code 13-34-83 17. E-mail address 1W hl-eUS aUt 1, r1 e 18. 1 have designated the following bank as my M Primary Depository ❑ Secondary Depository 19. Name of Ban 20. Address 7Z 6 A4 raetf4,L 111MV, I Al- & 4t.c A-'v. e 21. Ity Jr 2u 2Count l�ct AL 23. State 24. Zip Code 3.3A 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 1A8 26. Si ure of Candi to 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, R©gE Rr w, , do hereby accept the appointment (Please Print or Type Name) y designated aboveas: ( Campaign Treasurer Deputy T asurer. c 1/V I J� X T Date Signature of CaFfipaign Trea rer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S 2.0001, F.A.G. FORM 1 STATEMENT OF 2013 Please print or type your name, mailingFINANCIAL INTERESTS address, agency name, and position below: FOR OFFICE USE ONLY: LAST NAME -- FIRST NAME — MIDDLE NAME: GANGC R, k0BER.T WARD MAILINGADDRES/Yp• Ocen o S©tu'-2.VGl(-d- iTul-e ST 9 Cir 1V\ RL 33Y83 irlwq P CITY: ZIP: COUNTY: NAME OF AGENCY: 706614 Commis 1 oN NAME OF OFFICE OR POSITION HELD OR SOUGHT: Cofnrnl ss1oN E P. You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): xDECEMBER 31, 2013 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: ❑ 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 "nla") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY DEUTGHE(3 N pL ' 2� N 6-D�,�m LOW �C_ 33 Lw) c srob��c z -1>z ant ro�era c M f ILL- u Nr—L4 -7-77 E-�Sr ATI -p NTIG AVG AS CUS'Tob IAN OM -P -AY ' �Acc H FL- 204483 �US�oPiA� Aec� a2d1rE2� 6� 1,CRQFT FOOP,5 �'r`T fh't'f1�E �(" Ne2Yl} t KED 1 L- PE-NS1©N pEDekft C- 6,0V`T Sun Tr-usi- Ban L ces os r SQC 1 Art- 5nCUp-(,r\-1 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 "nla") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE n lo— PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (if you have nothing to report, write "none" or "nla") FILING INSTRUCTIONS for when and where to file this form are P b-sone4 j'j 1C. c -s t Gt jeoce 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 t - Effective: January t, 2014. (Continued on reverse side) PAGE 1 Adopted by reference in Rule 34.8:202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (if you have nothing to report, write "none" or "n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RE9LATES A 1Rtt CC U,/1�a ' 7>ft tGS j`�,tC�S � / Var tow-S — Pt✓E.'sI��C� 6tG,110 O PLA- )lGl 1tL. Aluj ets oyn LoLrEe+ o 0to",e_5 ht� ���" 0 r 1 l� a F a`y SUS S S rtSilte 2vt Linc nU s1V c O"c PART E — LIABILITIES [Major debts - See instructions] (if you have nothing to report, write "none" or "nla") CREDITOR ADDRESS OF CREDITOR . \N%AME,OF �V 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 "nia") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY VV/ I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH FARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE Ll SIGNATURE fre uired • DATE SIGNED (required)`: if a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: 1, , 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. Signature Date FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state officer, signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officers/employees file with the who must be confirmed by the Senate must file section, you must write "none" or "n/a" in that Supervisor of Elections of the county in which they prior to confirmation, even if that is less than section(s). permanently reside. (If you do not permanently 30 days from the date of their appointment. reside in Florida, file with the Supervisor of the Candidates for publicly-elected local office must NOTE: county where your agency has its headquarters.) file at the same time they file their qualifying MULTIPLE FILING UNNECESSARY: State officers or specified state employees papers. Generally, a person who has filed Form 1 for a file with the Commission on Ethics, P.O. Drawer calendar or fiscal year is not required to file a 15709, Tallahassee, FL 32317-5709; physical Thereafter, local officers/employees, state and specified state employees are second Form 1 for the same year. However, a address: 325 John Knox Road, Building E, Suite required July 1st following each calendar candidate who previously filed Form 1 because required to file P Y 200, Tallahassee, FL 32303. of another public position must at least file a copy he year in which they hold their positions. Candidates file this form together with their of his or her original Form 1 when qualifying, Finally, at the end of office or employment, each qualifying papers. local officer/employee, state officer, and specified To determine what category your position falls state employee is required to file a final disclosure under, see the "Who Must File" Instructions on form (Form 1F) within 60 days of leaving office or page 3. employment. However, filing a CE Form 1 F (Final Facsimiles will not be accepted. 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, 2013. CE FORM 1 - Effective: January 1, 2014, Adopted by reference in Rule 34.8.202(1), F.A.C. PAGE 2 Candidate Name Pronunciation Request `rbuM CIMnIM�ss�otvi� OFFICE SOUGHT: Name On Ballot Pronounced As William Mishaud 1 Pronunciation Guide In the "NAME ON BALLOT" column, enter the name as it appears on your ballot (First, Middle, Last). • In the "PRONOUNCED AS" column, enter the breakdown using the PRONUNCIATION KEY below. Capitalize STRESSED syllables, use lower case for unstressed syllables. • You should also add any notes such as rhyming examples, silent letters, etc. Also provide pronunciations for ambiguous place names, first names and surnames. Use dashes (-) to separate syllables. Samples NAME ON BALLOT PRONOUNCED AS William Mishaud mee-SHO (V is silent) Sue Jahn HAHN (rhyme: fawn) Tim Beauprez boo -PRAT (rhyme: hooray) Robert Maniscalco man-uh-SKAL-ko Tangipahoa TAN ji-pah-HO.-uh Monte Anthony Mahn TAI Tanya Smither TAWN-yuh .(not TAN) DS -DE 105 07/10 PRONUNCIATION KEY Stressed Vowel Sounds EE (FEET) feet I (FIT) fit E (BED)'bed A (KAT) cat (KAD) cad AH (FAH-thur) father (PAHR) par AH (HAHT) hot (TAH -dee) toddy UH (FUHJ) fudge (FLUHD) flood UH (CHUHRCH) church AW (FAWN) fawn U (FUL) full 00 (FOOD) food OU (FOUND) found O (FO) foe EI (FELT) fight Al (FAIT)fate 01 (FOIL) foil Y00 (FYOOR-ee-uhs) furious Unstressed Vowel Sounds uh (SO-fuh) sofa (FING-guhr) finger Certain Vowel Sounds with R AHR (PAHR) par ER (PER) pair IR (PIR)peer OR (POR)pour OOR (POOR) poor UHR (PURR) purr Consonant Sounds B (BED) bed TS (ITS) its (PITS-feeld) Pittsfield D (DET) debt TH (THEI) Thigh F (FED) fed TH .(THEI) Thy G (GET) get ZH (A-zhuhr) azure (VI-zhuhn) vision H (HED) head Z (GOODZ) goods (HUH-buhz-tuhn) Hubbardston HW (HWICH) which J (JUHG) jug K (KAD) cad L (LAIM) lame M (MAT) mat N (NET) net NG (SING-uhr) singer P (PET) pet R (RED) red S (SET) set T (TEN) ten V (VET) vet Y (YET) yet W (1NICH) witch CH (CHUCRCH) church SH (SHEEP) sheep (Section 106.023, F.S.) (Please print or type) 1, CGBE97— 6,(let N G!E2—. I candidate for the office of T-OCO N 0 0 (0 Y1)5! i Q N j have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. Signature of Candidate 2%fJq 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 (05111) TOWN OF GULF STREAM, FLORIDA ELECTION -MARCH 11, 2014 NOTICE TO CANDIDATES The Logic and Accurace (L & A) Test of the tabulating equipment that will be used to tabulate the ballots will be held at 3:00 F.M. on Friday, February 21, 2014, at the Supervisor of Elections Facility at 7835 Central Industrial Drive, Riviera Beach, Florida, 33404. If you plan to have a poll watcher/s, the name/s must be turned in to the Gulf Stream Town Clerk's Office, 100 Sea Road, Gulf Stream, Florida 33483 no later than February 25, 2014, Tuesday, at 12:00 Noon. The deadline for receiving campaign contributions is midnight, March 6, 2014 for opposed candidates. The deadline for receiving campaign contributions is noon, February 11, 2014 for unopposed candidates. This is to acknowledge that I have received a copy of this NOTICE TO CANDIDATES. Vz-8 IekF�oj U�,V� Date Signature of Candidate CANDIDATE OATH - NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021, Florida Statutes) (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT ` — NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of t ow n ��rn y SSS r7rl > (office) (district #) I am a qualified elector of &oA gc¢yic)t 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. X 7Y7j all el Signature of CandidateV Telephone NumberEmail ddress J-.3 /Ud . Cereal s Address city St to ZIP Code Candidate's Florida Voter Registration Number (located on your voter information card): J 1Z' -Sq 2—C3Q * 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): GANG - e r- arrre, it N-AMGEAY- STATE OF FLORIDA COUNTY OF 1,1 Sworn to (or affirmed) and subscribed before me this J-4 day of -,Eh , 20 , Personally Known: I.-- orotaryPIZV, 4Type, Produced Identification: Print, or Stamp Commisme of Notary Public Type of Identification Produced: h':'I&O RITA L. TAYLOR 'l7 * MY COMMISSION # DD 9498 DS -DE 25 (Rev. 5111) cr Lo��O` O'WThni8W9eIN�yz1�2014 ev9fi-2.0001, F.A.C. 7� INSTRUCTIONS: INSERTING PHONETIC SPELLING OF CANDIDATE'S NAME FOR AUDIO BALLOT Use the PRONUNCIATION KEY below to provide pronunciations for ambiguous first names and surnames. Capitalize STRESSED syllables, use lower case for unstressed syllables. Use dashes (-) to separate syllables. You should also add any notes such as rhyming examples, silent letters, etc. PRONUNCIATION KEY Stressed Vowel Sounds PRONOUNCED AS EE1Fr-PTN feet ER FI fit E BED bed A KAT cat (KAD) cad AH (FAH-thur) father (PAHR par AH (HAHT) hot (TAH - dee) toddy UH (FUHJ) fudge (FLUHD) flood UH (CHUHRCH) church AW (FAWN) fawn U FUL) full 00 (FOOD) food OU (FOUND) found O FO foe EIFEI fight Al FAI fate OI FOIL foil YOO (FYOOR-ee-uhs) furious Unstressed Vowel Sounds uh (SO-fuh) sofa (FING- uhr) fin er Certain Vowel Sounds with R PRONOUNCED AS AHR PAHR) par ER (PER) pair IR (PIR) ear OR (POR) pour OOR (POOR) poor UHR ID1 It - Samples: NAME ON BALLOT PRONOUNCED AS Mishaud mee-SHO ('d' is silent) Jahn HAHN (rhyme: fawn) auprez boo -PRAT (rhyme: hooray) niscalco man-uh-SKAL-ko gipahoa r TANji-pah-HO-uh nte Mahn -TAI Tanya TAWN-yuh (not TAN) Consonant Sounds B (BED) bed D (DET) debt TS TH (ITS) its (PITS-feeld) Pittsfield (THEI) Thigh F FED fed TH (THEI) Th G (GET) get H (HED) head HW HWICH which ZH Z (A-zhuhr) azure (VI-zhuhn) vision (GOODZ) goods (HUH-buhz-tuhn) Hubbardston J (JUHG) jug K (KAD) cad L CLAIM) lame M MA mat N NET net NG SING-uhr singer P (PET) pet R RED red S SET set T TEN ten V VET vet Y YE et W ICH) witch CH CHUCRCH church SH SHEEP sheep • •I NayW aIwu:u ::v} ue suuurn►[eu w uie ming orricer. Page 2, DS -DE 25 (Rev. 5/11) Rule 1S-2.0001, F.A.C. Date/Time 02-26-2014 01:35:48p.m. Local ID 1 5617370188 Transmission Report Transmit Header Text Local Name 1 Fax This document: Confirmed (reduced sample and details below) Document size: 8.5 "x11 " APPOINTMENT OF CAMPAIGN TREASURER Total Pages Confirmed : 2 AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES Remote Station (Section 1013.021(1), F.S.) (PLEASE PRINT OR TYPE) Line NOTE: This form must be an rile with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): pJ lnkiai Filling of Form Re -riling to Change: 0 Treasurer/Deputy ❑ Depository ❑ Office I] Party 2. gime of Candidate (in this order. First, Middle, Last) 3. Address (include past otTice box or street, city, state, zip �/1_g JA�-•D A C� code) W -s jqo, Olean si j4 GW -F St"=.>7, f`L s5q-e3 A. Telephone P 5. Email address ( 563 ) 5L7» -7'f75 Ir"UJ art er`G�)a�t�saw+i,, ec 6. Office sought (include district, circuit, group number) 7. Its candidate for n nonnanlson office, check If Wrrl!)1155/driC/' applicable: I I-oton of- CTu W -s4- Lira i ❑ My Intent Is to run as a Write -In candidate. S. If a candidate for aap rtisan office, check block and fill in name of party as applicable: My intent is to run as e ❑ Write-in ❑ No Party Affiliation ® Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer ❑ DaprdyTreasurer 10. NameTreasurer or Deputy Treasurer Robert ( m cr 11.MailinAddressA tt I 12. Telephone 3 IVO. ( ft]/1 Aid ('$61 )v6-7473 13 Cit Gi �5 }Cgrn 14, County Will Beac% 15, tate � 10. Zi Cod 33 .8� 17. E-mail address ��lrS'1111 � r 11 U f 10.1 have dealpnated the following bank as my Primary Depository [� Secondary Depository 19. Name of Ban 20. ILIA -&Sf- 1 Address "7? O 114la. Ate.. p'h la ,AL Ave 21. Ity f �euc�n 2 Count 23. Slate airy Jnr f - 24. Zip Code 3 -T83 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER ANn DEGIONA770H OF CAMPAIGN OEPOSITORYAND THATYHE FACTS STATED IN IT ARE TRUE. 25. Data )/A8 7) r' r 2�0�. 5 M, Me 27. Treasurer's Acceptance of Appolntmeht (fill In the blanks and check the appropriate block) I, RAE R -r W, 6-A N l? - do hereby accept the appointment (Please Print at Type Name) designated above as: Campaign Treasurer DeputyT asurer. I Date Signature ofCoMpaignTreng0rerorDepalyTressurer Ott -DE 0 (Rev.10f10) Kula 16.2,00137, F.A.C. Total Pages Scanned : 2 Total Pages Confirmed : 2 No. I Job Remote Station Start Time I Duration Pages Line Mode I Job Type Results 001 1556 12726222 01:34:04 p.m. 02-26-2014 00:01:05 2/2 11 JEC IHS ICP14400 Abbreviations: H5: Host send PL: Polled local MP: Mailbox print CP: Completed TS: Terminated bysystem HR: Host receive PR: Polled remote RP: Report FA: Fall G3: Group WS: Waiting send MS: Mailboxsave FF: Fax Forward TU: Terminated by user EC: Error Correct Palm Beach County SUSAN SUCHER Supervisor of Elections CERTIFICATION 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 3341 B TELEPHONE: (561) 656-6200 FAX NUMBER: [5B11 B5B-6287 WEBSITE : www.pbcelections.org 1, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that Robert Ganger submitted 8 petition signatures for the office of Gulf Stream Town Commissioner, I further certify that 5 of those signatures are registered electors in the Town of Gulf Stream, according to the registration records on file in this office. This is to further certify that Robert Ganger is a registered voter in Precinct 4072, in the Town of Gulf Stream, Florida. S' ed, this the 10th day of February, 2014. _ b-te� SUSAN BUCHER SUPERVISOR OF ELECTIONS PAU JM -REACH COUNTY (SEAL), CANDIDATE PETITION Notes. -All information on this form becomes a public record upon receipt by the Supervisor• of Elections. -1t is a crime to knowingly sign more than one petition for` a candidate. [Section IO4.185, Florida Statutes) - Ifall requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 6Al2: "- f k, -S OA/ the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of �i� RE K' T GA IU G F_ t _ placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate fotthe office of Tmom comms ss iom (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address,390 0 i9a '—= p4 "' (MMIDDIYY) City County State Zip Code Signature of Voters Date Signed (MMIDDNY) [to be omplet d by Voter] CANDIDATE PETITION Notes: -All information on this forret becomes a public record upon receipt by the Supervisor of Elections. - It 1s a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter informa i card) � in said state and county, petition to have the name of R' 6 F, = R T- (�A W64E'er placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of TOW1\1 coma e' [,tel„ (insert title of office and district, circuit, group, seat if Date of Birth or Voter Registration Number AddressZ (MMl V 2 6 N) S �Y`�E'GZ Yj� zi 3 1/di City County State Zip Code (suL,4 STP -C --'AM PA -I -M l3Cit--C4+P-1D-A '3S48S . Signature of Voter Date Signed (MM/DDNY) [to be completed by Voter] J�, CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor- of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 101.185, Florida Statutes] - If all requestea�if formation on this f(orm is not completed, the form will not be valid as a Candidate Petition form. �Cthe undersigned, a registered voter (print name as it appears on your voter information caT) in said state and county, petition to have the name of R6t3i5=-Rr GA placed on the Primary/General Election Ballot as a: [cheek/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ TC WIM COMM1 SS IbNJ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth Vote Registration Number res _y (^� �l } (MMIDDIYY jq,49c", or a city County State Zip Code GULP STP -Giem PAI -M )30A—Ct+ 3548 `3 Signature of Voter Date Signed (MMIDDNY) [fo vz leted by Voter] CANDIDATE PETITION Notes: -All information on this forth becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statlltes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of('af.' T� GA NG F—R„ placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of '7'ot. Nk - COMM) SS 10 M (insert title of office and include district, circuit, group; seat number, if applicable) Date of Birth or Voter Registration Number Address (� (� (MMIDDIYY) O Lo CxA k �'tY2 C1L PX 1 ` LO a cb City County State Zip Code Signature of V r (� Date Signed (MMIDDNY) [to be completed by Voter] C7> a/c 4 I-)-c)i< 4- �i CANDIDATE PETITION Notes. -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. (print name as it appears on your voter information card) in said state and county, petition to have the name of R6 (3E K_ GA placed on the Primary/General Election Ballot as a: [check/comp/ate box, as applicable] Nonpartisan ❑ No party affiliation ❑ the undersigned, a registered voter Party candidate for the office of Towm coma ss_lom (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 4S S F city County State Zip Code GUL.= STPei` M P,hl...CA-Cff FLOP.ID av 3 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 1�4 41 as=, Rule 1S-2.046, .A. DS -DE 104 (Eff. 09111) CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of E=lections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, !�AIJ qt -IC Al jM—1 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of R6 Fr~ RT Cs f�ti N C, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Towm Comtni SS ipiy (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDNY) D6' //33 ' ry' vG F r--1- 33Yk:3 rte/ City County State Zip Code Signature of Voter Date Signed (MMIDDNY) [to be coinpleted Oy Voter] 6,ILO�IZ 271 DS -DE 104 (Eff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of L• lection. -It is a crane to knotivingly sign more than one petition for a candidate. [Section 104.18j, Florida Stat:ttes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. t, % G Q p (/�/I t x G', C.�,✓ the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of R6 F6 K_F GANGES- placed ANGE-placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of -Fowj\1 corylf i Ss.jr-) I (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address '2 Q'� U ,C/) C'} Q CICU t (MMIDDNY) Y'2 c9 q,\ �' 274 tl e � city GuL,I STQeAM County Pki-M )30A State Zip Code -C+-}- 3948` Signature of Voter A��t4�C4__4_ Date Signed (MMIDDNY) [to beco plete y Voter] CANDIDATE PETITION Notes: -All information on this form becorues a public record upon receipt by the Supervisor of Elections.. It is a crime to knowingly sign more than one petition for a candidate. [Section 101:18.5, Florida Statutes] If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, S , .r .r e p 4 ,� r -.t. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1�,696R T GANG F_ K placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of ToLom Comn ssj o m (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDiYY) (l j0 -4-1 / `% 6 G `7' Z `Y' a N • Cc> V lu ry T471> City County State Zip Code GuL_P STRC-AM PALM BCA -Cl+ 3sgsS Signature of Voter Date Signed (MMIDDNY) (to be c mp eted by Voter] DS•DE 104 (Eff. 0911