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STATEMENT OF CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY - "
. -9
, ,; - i . - . - -
candidate for the office of I I
have been provided access to read and understand the requirements of
Chapter 1 06, Florida Statutes.
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 misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(l)(c), 106.265(1), Florida Statutes).
DS-DE 84 (0511 1 )
CANDIDATE OATH - NONPARTISAN OFFICE
I (Not for use by Judicial or I School Board Candidates) I OFFICE USE ONLY
I OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
am a candidate for the nonpartisan office of Py 6p 0- (off ice) (district #) I
; I am a qualified elector of 0-c County, Florida; (circuit #) (group or seat #) I
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.
Signature of Candidate Telephone Number Email Address I Address City
k State
32ga ZIP Code
I Candidate's Florida Voter Registration Number (located on your voter information card): (1 3 13 7 7 f 7 I * 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 FLORIDA
COUNTY OF Or-
I Sworn to (or affirmed) and subscribed before me this 3 / day of I Personally Known: 1/ or
Produced Identification:
Type of Identification Produced:
Commlsslon # FF 213177
,,..A
DS-DE 25 (Rev. 511 I ) f l . 0 0 0 1 . F.A.C.
FORM 1 STATEMENT OF
- -
You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF a CANDIDATE OR a NEW EMPLOYEE OR APPOINTEE I
Please print or type your name, mailing address, agency name, and position below:
FI.NANCIAL INTERESTS
**** BOTH PARTS OF THlS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THlS 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 THlS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one):
FOR OFFICE USE ONLY:
I 56 DECEMBER 31,2014 OR U SPECIFYTAX YEAR IF OlHER THAN THE CALENDAR YEAR: I I MANNER OF CALCULATING REPORTABLE INTERESTS:
FILERS HAVE 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:
LAST NAME -- FIRST NAME -- MIDDLE NAME :
PAULSON, NEIL GEORGE "PAUL" AKA t f i ~ ~ ' A ~ c s o ~ J MAILING ADDRESS :
161 3 E. LIVINGSTON ST.
CITY : ZIP : COUNTY :
ORL 32803 ORANGE NAME OF AGENCY :
ClTY OF ORLANDO NAME OF OFFICE OR POSITION HELD OR SOUGHT :
MAYOR
I Cl COMPARATIVE (PERCENTAGE) THRESHOLDS d DOLLAR VALUE THRESHOLDS I
.- - .. :, * - . : . .:... . , . . ,..,., ,: - ::-< = - .. . . . . , . . , -. -. : 5 L , :7 : - . . . .. . . ._ _,_ -- - .
I 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")
I NAME OF SOURCE OF INCOME I SOURCE'S
ADDRESS DESCRIPTION OF THE SOURCE'S 1 PRINCIPAL BUSINESS ACTIVITY I
I HELP THE VETS. INC. 1 161 3 E. LIVINGSTON ST. ORL. FL 32803 1 CHARITY NON-PROFIT 1
I PART B -- SECONDARY SOURCES OF INCOME [Major customers, dients, and other sources of income to busrnesses owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "nla")
I NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY 1 OF BUSINESS INCOME 1 OF SOURCE 1 ACTIVITY OF SOURCE I
NONE
nla per page 4 of instructions. residence not required. 1 INSTRUCTIONS o n who must f i le 1
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "nla")
this fo rm and how t o f i l l it out beg in o n page 3. I
FILING INSTRUCTIONS for when and where t o f i le th is form are located a t the bo t tom of page 2.
CE FORM 1 - Effective: January 1. 2015 AdDpted by reference In 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, write "none" or "nla") \
TYPE OF INTANGIBLE I BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
certificates of deposit 1 Colorado Federal 1
IRA 1 Equity Trust Co. custodian
PART E - LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "nla")
NAME OF CREDITOR I ADDRESS OF CREDITOR
l none
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 "nla")
BUSINESS ENTITY # 1 I
BUSINESS ENTITY # 2
PRINCIPAL BUSINESS ACTIVITY
POSITION HELD N T H ENTITY
I OWN MORE THAN A 5% INTEREST IN THE BUSINESS
NATURE OF MY OWNERSHIP INTEREST I I
n/a NAME OF BUSINESS ENTITY
ADDRESS OF BUSINESS ENTITY
n/a
, prepared m@d- the CE Form 1 in accordance with Section 112.3145, Florida Statutes. and the instructions to the form. U ~ o n mv reasonable I "
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
knowledge and belief, the disclosure herein \s true-and correct.
Date Signed:
SIGNATURE OF FILER:
Signature:
CPAIAttorney Signature:
8121 11 5 Date Signed:
CPA or ATTORNEY SIGNATURE ONLY 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:
FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, jncludinq If you were mailed the form by the Commission Initially, each local officerlemployee, state officer. ~ianina and dat in~ i t 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 who must be confimled by the ena at^ must file If You have nothing to report in a Particular Local officers/employees file with the prior to even if that is less than section, you must write "none" or "nla" in that Supervisor of Elections of the county in which they
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 publidyelected local office must NOTE: county where your agency has its headquarters.) file at the same time they file their qualifying MULTIPLE FILING UNNECESSARY: 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. A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections.
CE FORM 1 - Eftecl~ve January I . 201 5 Adopted by reference In Rule 34-8 202(1). F A C
- .
State officers or specified state employees file with the Commission on Ethics, PO. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Road. Building E, Suite 200. Tallahassee, FL 32303.
Candidates file this form together with their qualifying papers.
To determine what category your position falls mder, see the 'Who Must File" Instructions on page 3.
papers. Thereaner, local officerslemployees, state officers, and specified state employees are required to file by July 1st following each calendar year in which they hold their positions. 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 IF) within 60 days of leaving office or employment. However, filing a CE Form 1 F (Final Statement of Financial Interests) does relieve the filer of filing a CE Form 1 if he or she was in their position on December 31. 2014.
APPOIN'TMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE) I 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: 0 TreasurerIDeputy [7 Depository Office Party
1 2. Name of Candidate (in this order: First, Middle, Last) 1 3. Address (include post office box or street, city, state, zip I
8. If a candidate for a 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 [7 Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
sherwood A / h n & h o g j fr. 11. Mailinn Address 1 12. Tele~hone
code) lbl3 E- Lhbfbb4 P On4 32B3
4 Telephone
(~0.7 ) 3 7 ~ - 7 0 0 ,
5. E-mail address
, e i l p & ~ W v d ' 6. Office sought (include district, circuit, group number)
A&o+ d d 6'8.d-L
13. City Ocoee
I 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. I
7. If a candidate for a nomartisan office, check if applicable:
My intent is to run as a Write-In candidate.
21. City
o d d 1 25. Date 1 26. Signature of Candidate
14. County
O r a q e
I 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
18. 1 have designated the following bank as my Primary Depository a Secondary Depository
22. County
ha l .7~
e ~ d a o d A. 6h0& , do hereby accept the appointment (Pleasvrint or Type Name)
15. State I="
19. Name of Bank
W&J 6 0
designated above as: d Campaign Deputy Treasurer.
8 - 30 - 15 Date
20. Address
23. State
F L
I I
DS-DE 9 (Rev. 10110) Rule IS-2.0001, F.A.C.
16. Zip Code
3 4 ~
24. Zip Code
32803
17. E-mail address r ~ ~ o d ) d # @ ~ o L & d m
APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES
(Section 106.021 (l), F.S.)
I (PLEASE PRINT OR TYPE) I
( 2. Name of Candidate (in this order: First, Middle, Last) 1 3. Address (include post office box or street, city, state, zip
NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY
( q37 ) 326-2a0 I f l e l t @ I 6. Office sought (include district, circuit, group number) 1 7. If a candidate for a nonpartisan office, check if
1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: TreasurerlDeputy Depository Office 0 Party
applicable: My intent is to run as a Write-In candidate.
code)
lH3 6. L P / L ~ s ~ @ 0 d 328103
ha/ &qc &mI Ah ,&&~~Jcv\
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
Write-In No Party Affiliation [7 Party candidate.
4. Telephone
person to act as my Campaign Treasurer Deputy Treasurer
5. E-mail address
1 1. Mailing Address 1 12. Telephone
/6(3 e. L . L ~ @ S ~ ~ Sj 1 ( ((07 227- Y77o 13. City 1 14. County 1 15. State I 16. Zip Code ( 17. E-mail address
I 19. Name of Bank
lu& F 4 y e
o&-
20. Address 1 Z ' c a y E . G(J Dy,
18.1 have designated the following bank as my Primary Depository 0 Secondary Depository Owe
25. Date 1 26. Signature of Candidate
1 3-28~3 I B n ~ ~ ! ~ t . & c ~ ,
21. City
d& k
Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) h
- p1&fl 1 % > % J s ~ c ~ , do hereby accept the appointment
(Please Print or Type Name) r...,,
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.
22. County
~~
designated above as: Campaign Treasurer
q e r zf &9r5 X Date W a t u r e of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 1011 0) Rule 1 S-2.0001, F.A.C.
23. State
w 24. Zip Code
3 2803
APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
I (PLEASE PRINT OR TYPE) I OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES): a Initial Filing of Form Redling to Change: a TreasurerIDeputy Depository Office 0 Party
2. Name of Candidate (in this order: First, Middle, Last) 1 3. Address (include post office box or street, city, state, zip
I 8. If a candidate for a partisan office, check block and fill i n 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 of Treasurer ~ r f i ~ ~ u t ~ r e a s u r e r
code) /&I3 2? &'~lk4sfh.++iL
d?!, FL 32g.03
Net/ 6-c P 2 m k. AKA fa/ P ~ J M 4. Telephone
( yo7 ) 376 -7000 5. E-mail addres;
na>p&,@hu.- 6. Office sought (include district, circuit, group number)
. .
k2-2- =
7. If a candidate for a nonpartisan office, check i f applicable:
My intent is to run as a Write-In candidate.
1 1. Mailing Address
/ E. CLl.r;L.Js~p
1 25. Date 1 26. Signature of Candidate I
12. Telephone
13. City
0 4
19. Name of Bank wQ& +o
8/11 - I T 1 -
27. Treasurer's Acceptance of Appointment (fill in the blanks anxheck the appropriate block)
20. Address
a'f3y E . cb(& h..
1, p~ul & - L ~ L S ~ , do hereby accept the appointment (Please Print or Type Name)
designated above as: Campaign Treasurer Deputy Treasurer.
18. 1 have designated the following bank as my a Primary Depository 0 Secondary Depository
8- 3 1 - / 5 X Date Signature of Campaign Treasurer cfbeputy yreasurer I
14. County
G ? ~
DS-DE 9 (Rev. 10110) u u l e IS-2.0001, F.A.C.
16. Zip Code
3 L @ 3 15. State
B
24. Zip Code
3=3 21. City
O ~ R
17. E-mail address - ~ e ; i d * a hU.-
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.
22. County 23. State
h