STATEMENT OF CANDIDATE

Transcription

1 STATEMENT OF CANDDATE (Section , F.S.) (Please print or type) OFFCE USE ONLY Sunshine Linda-Marie Grund candidate for the office of Orlando Mayor have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X 3 Sep Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree rr~isdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss (l)(c), (1), Florida Statutes). DS-DE 84 (0511 1)

2 CANDDATE OATH - NONPARTSAN OFFCE (Not for use by Judlcial or School Board Candidates) OFF CE USE ONLY OATH OF CANDDATE (Section , Florida Statutes) 1, \ n (PLEASE PRNT NAME AS YOU WSH T TO APPEAR ON THE BALLOT * - NAME MAY NOT BE CHANGED AFTER THE END OF QUALFYNG) am a candidate for the nonpartisan office of Of\andQ - ~ V ( L C,, (office), ; am a qualified elector of (clrcult #) (group or seat #) Acqe dorida; am qualitied under the Constitution and the Laws of Florida to hold the office to which desire to be nominated or elected; have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office seek; and have resigned from any office from which am required to resign pursuant to Section , Florida Statutes; and will support the Constitution of the United States and the Constitution of the State of Florida. (3a\ )a7 b-5339 qrurdsrmsh\ne~qm. bq - Signature of ~Xdldate Telephone Number Address F~~;&.yaw 7 Address ' State ZP Code Candidate's Florida Voter Registration Number (located on your voter information card): \\a 4) bq 529 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): STATE OF FLORDA counn OF H n - A Al'n L-(,V - d uh m ~h r EE ~ ~ H ~ 0RtJ366 Sworn to (or affirmed) and subscribed before me this + Personally Known: or Produced dentification: 6. Type of Mentitication Produced: F 1. 0 R \ a LC~ 5& day of sk*~~b~,20 \5. J DS-DE 25 (Rev ) Rule , F.AC.

3 APPONTMENT OF CAMPAGN TREASURER AND DESGNATON OF CAMPAGN DEPOSTORY FOR CANDDATES (Section (), F.S.) (PLEASE PRNT OR TYPE) NOTE: Thls form must be on flie with the quaiifylng off icer before opening the campaign account. 2. Name of Candidate (in this order: First, Middle, Last) Linda Marie Grund aka Sunshine Linda Marie ~ r u d 6. Office sought (include district, circuit, group number) Orlando Mayor OFFCE USE ONLY 1. CHECK APPROPRATE BOX(ES): nitial Filing of Form Re-filing to Change: TreasurerDeputy Depository Office Party 4. Telephone (321 ) address grundsunshine@gmail.com 3. Address (include post office box or street, city, state, zip dqg) Landing St. Orlando, FL if a candidate for a non~artlsan off ice, check if applicable: My intent is to run as a Write-n candidate f a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a 1 Write-n No Party Affiliation Party candidate. 9.1 have appointed the bliowing person to act as my Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Linda Marie Grund aka Sunshine Linda Marie Grund 11. Mailing Address 8577 Bradley's Landing St. 13. City Orlando 19. Name of Bank Bank of America 14. County Orange 22. County 1 orange 15. State FL 12. Telephone 321 ) have designated the following bank as my Primary Depository Secondary Depository 20. Address Narcoossee Rd 24. Zip Code UNDER PENALTES OF PERJURY, DECLARE THAT HAVE READ THE FOREGONG FORM FOR APPONTMENT OF CAMPAGN TREASURER AND DESGNATON OF CAMPAGN DEPOSTORY AND THAT THE FACTS STATED N T ARE TRUE. 26. Signature of Candidate 25. Date 3 Sep Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) DSDE 9 (Rev. 1 Oflo) Linda Marie Grund aka Sunshine Linda Marie Grund Date (Please Print or Type Name) -Signature 16. Zip Code L address grundsunshine@gmail.com, do hereby accept the appointment tr. of Campaign reds surer or Deputy Treasurer Rule 1 S2.0001, F.A.C.

4 FORM 1 Ploaar print or typo your namr, maillng addms, agrncy namr, and porltlon blow: STATEMENT OF FNANCAL NTERESTS..: i-!cd!. v i':. 2-2:~;.:-,..;,-':.1. i. -.<:- >-,,,;. f ".->-. : +.. :,"..-: - : :: -.:. t. '' NAME OF AGENCY :, 6~ orbdo NAME bf OFFCE OR POSTON HELD OR SOUGHT : a [\a J.0 Mavar You am not llrnlted to the s&ce on the llnes on this form. Attach addltlonal sheets, if necessary. CHECK ONLY F a CANDDATE OR NEW EMPLOYEE OR APPONTEE **" BOTH PARTS OF THlS SECTON MUST BE COMPLETED *"* DSCLOSURE PEROD: 'THS STATEMENT REFLECTS YOUR FNANCAL NTERESTS FOR THE PRECEDNG TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FSCAL YEAR. PLEASE STATE BELOW WHETHER THlS STATEMENT S FOR THE PRECEDNG TAX YEAR ENDNG ETHER (must check one): / d DECEMBER 31, SPEClPl TAX YEAR F OTHER THAN M E CALENDAR YEAR: MANNER OF CALCULATNG REPORTABLE NTERESTS: FLERS HAVE THE OPTON OF USNG REPORTNG THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHCH REQURES FEWER CALCULATONS, OR USNG COMPARATVE THRESHOLDS, WHCH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USNG: d COMPARATVE (PERCENTAGE) THRESHOLDS 0 DOLLAR VALUE THRESHOLDS PART A - PRMARY SOURCES OF NCOME [Major sources of income to the reporting person - See instructions] (f you have nothlng to report, write "none" or "nla") NAME OF SOURCE OF NCOME SOURCE'S ADDRESS DESCRPTON OF THE SOURCE'S PRNCPAL BUSNESS ACTNM PART B - SECONDARY SOURCES OF NCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (f you have nothing to report, mfte "none" or "nla") NAME OF NAME OF MAJOR SOURCES ADDRESS PRNCPAL BUSNESS BUSNESS ENTTY OF BUSNESS NCOME OF SOURCE ACTVTY OF SOURCE PART C - REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (f you have nothlng to report, write "none" or "nla") FLNG NSTRUCTONS for when and where to flle thls form are located at the bottom of page 2. NSTRUCTONS on who must file thls form and how to flll it out begin on page 3. CE FORM 1 - EUcdlve: January Adopted by reference n Rule (1). F.A.C. (Continued on nvme side) PAGE 1

5 PART D -NTANGBLE PERSONAL PROPERM [Stocks, bonds, certificates of deposit, etc. - See instructions] (f you have nothing to report, write "none" or "nla") \ TYPE OF NTANGBLE BUSNESS ENTTY TO WHCH THE PROPERTY RELATES PART E - LABLTES [Major debts - See instructions] (f you have nothlng to report, wrlte "none" or "nla") NAME OF CREDTOR ADDRESS OF CREDTOR PART F -NTERESTS N SPECFED BUSNESSES [Ownership or positions n certaln types of buslnesses -See nstructions] (tf you have nothlng to report, write "none" or "nla") BUSNESS ENTTY # 1 BUSNESS ENTTY # 2 NAME OF BUSNESS ENTTY ADDRESS OF BUSNESS ENTTY PRNCPAL BUSNESS ACTlVlTY POSTON HELD WTH ENTTY OWN MORE THAN A 5% NTEREST N THE BUSNESS NATURE OF MY OWNERSHP NTEREST h Signature: Date Signed: SGNATURE OF FLER: CPA or ATTORNEY SGNATURE ONLY f 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 , Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. [ CPAlAttomey Signature: Date Signed: FLNG NSTRUCTONS; WHAT TO FLE: WHERE TO FLE: WHEN TO FLE: Afler completing all parts of this form, includino f you were mailed the form by the Commission nitlelly, each local officer/employee, state officer, send back only the first on Ethics or a County Supervisor of Elections for and spedfied 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 em~lovrnent. Aooointees who mwt be confirmed by the senate' Aust file f you have nothing to report in a Particular ~ocal officerdemployees file with the section, you must write "none" or "nla" in that prior to confirmation, wen if that is less man Supervisor of Elections of the county in which they 30 days tom the dak of their appoinbnent. section(s). permanently reside. (f you do not permanently reside in Flo"da, file with the Supervisor of the C ~ ~ tfor epumid~4eded s local office must NOTE: county where your agency has its headquarters.) file at the same time file their qualifying MULTPLE FLNG UNNECESSARY: Papers. State 'RCBC3 Or 'Jecified Acandidate who previously filed F0tTn 1 because Thereafler, local ~fficerslemployees, state file the Commission on Ethics, p.0. Drawer of another public position must at least file a copy 15709, Tallahassee, FL ; physical officers, and specified state employees are of his or her original Form 1 vhen qualifying. A required to file by J u lstfollawing ~ each calendar address: 325 John Knox Road, Building E. Suite candidate who files a Form 1 with a qualifying year in which they hold wr 200, Tallahassee, FL officer is not required to file with the Commission Finally, at the end of ofice or employment, each Candldetes file this form together with their or Supervisor of Elections. local officer/employee, state officer, and speded qualifying papers. state employee is required to file a final disclosure To determine what category your position falls under, see the 'Who Must File" nstructions on page 3. Statement of Financial nterests) does ZlQt relieve.. the filer of filing a CE ken 1 if he or she was in Facs~m~les w ill not be acce~ted. their position on December 31, CE FORM 1 - EffeQive: January 1,2015. PAGE 2 Adapted by reference in Rule (1:. F.A.C. J

6 AFFDAVT OF FNANCAL HARDSHP (Section (2), Florida Statutes)!-a. <->': -; :. $j c, ;= ;> za-... :, :,... 1, kt& dcxi;~ 6fdd a h nsyn5htn~,acandidotcfortheofficeof Rint Nune do hereby certify, pursuant to Section (2), Florida Statutes, that am unable to pay the 1% election assessment of S to qualify for nomination or election to public office hw pctying the assessment would be an undue burden on my personal financial resources or on the financial murces available to me. Under penalty of perjury, declare that have read the foregoing and that it is a true and correct statement. Date 7- a\ t; Address: 7 state: FL Signature of Candidate Zip:,72dr3? Sworn to (or affnned) a d subscribed before me this fl day of fiepv* 6m Received by: Name: City P d l y Knom Type of identification h~duad&&&&d& or Produced dmtificnion_d_ &W X Telephone:- Date of Election: Remit within 30 days of close of qualifying to: Florida Elections Commission 107 West Gaines Stmt, Suite 224 Tallahassee, Florida Telephone: Fax:

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