AFFIDAVlT OF CANDIDATE

CITY OF MIAMI FLORIDA

STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) CITY OF MIAMI )

(hereinafter affiant) being first duly sworn deposes and says --1AltJ ~ g I Ak Z--shyI My name is _ _ _Psv--_8-2-_ lt2--_~Le~ l _ -=-----==-tu- __--=-=2=----____ _

I

2 For those candidates seeking the office of Mayor please check the appropriate subsection (a) below Those candidates seeking the office of Commissioner please check and fill in the blank in subsection (b) below

D(a) I am offering myself as a candidate for the office of Mayor of the City of Miami Florida If elected I fully understand that I must maintain an actual and real residence within the City of Miami for

ation of my term of office

~(b) I am offering myself as a candidate for the office of Commissioner in District Number Z-of the City of Miami Florida If elected I fully understand that I must maintain an actual and real residence within the district for the duration of my term of office

3 I have resided in the City of Miami for a minimum of one year before qualifying if applying for Mayor and one year in the district if applying for the Commission and I am a registered voter a~ qualified elector of the City of Miami Florida presently registered to vote in Precinct No~~

~e-h I presently reside at the following address (must include zip code)

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which is my legal address and I have resided continually at said address from the day of

-~ (1gtJ=2-=--_ _ __ to the present -9----=------~-shy4 Immediately prior to residing at the above-stated address I have resided at the hereinbelow listed

addresses for the cited periods of time (list hereinbelow all addresses at which you have resided for the past five years as well as the length of time at each address)

Prior Addresses For the Period

5 In addition to the residence that I have listed as my present address I al so reside at the following listed addresses on a temporary basis as a secondary domicile or domiciles

~L 6 Affiants spouse resides at the following address (must include city state and zip code)

CM-AC (Rev 08115) Page 1

7 Affiant s minor children reside at the following address (must include city state and zip code)

N~ 8 At the present time affiant (is) ( registered to vote in any city county or state other than as

stipulated in subparagraph 3 above

9 Name and business address of affiants employer

KW AL kDl ~ ~lni 11-10 SvJ oS1 -H -A-J ~ amp-YTr ~u-t--~ - fL- ~4~ --~~~~~~~~~--------~~----~~-------------------------shy

~L~~ A C ~shy

ro r (Note In the event the occupation of affiant has been for a period of less than one ye or dbe employment period with the same employer has been for a pedod of less than one yea~affi~t shall give the name(s) and address(es) of hislher employer(s) and occupation(s) for the period of one year prior to the date of this affidavit)

10 Affiants occupation

Affiants business telephone number(s) t20 -444-- t

11 Affiant has been employed in the above-cited capacity for the following period of time

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12 Affiant represents tha~he (is) ~currently holding another elective or appointive office shywhether city county or municipal - the term of which or any part thereof runs concurrently with that of the office heshe seeks and that heshe has resigned from any office from which heshe is required to resign pursuant to FS 99012 andor the City of Miami Charter

13 Affiant represents that as of this dat~he (is) ~ seeking to qualify for public office which is ~ntly held by an officer who has authority to appoint employ promote or otherwise supervise ~er and who has qualified as a candidate for reelection to that office

(Note If affiant is an employee of the City of Miami (other than city manager city attorney independent auditor general or city clerk) or member of a city board of the City of Miami Florida (other than a city commissioner or mayor) affiant in the case of an employee shall take a leave of absence without pay from hisher employment during the period in which affiant is seeking election to public office or in the case of a board member such member shall resign and such leave of absence or resignation to be effective upon whichever occurs first

(a) such employee or board member receives contributions or makes expenditures or gives her or his consent for any other person to receive contributions or make expenditures with a view to bringing about his or her nomination or election to public office or

(b) at the time such employee or board member appoints a campaign treasurer and designates a primary depository or

(c) at the time such employee or board member files qualification papers and subscribes to a candidates oath as required by law

The definition of city board is found in Section 2-882 of the Miami City Code

CM-AC (Rev 0815) Page 2

14 Affiants campaign headquarters address and telephone number

J1 ~N- middotL l)2gt 3c)f ~ -0 ~ Affiants campaign treasurer s name

~L-~e A~lNL Affiants campaign treasurers address

2~ ~ODo- AJE- -) ~DNplusmnL -)~-J

Telephone numbers (work) 1COlo- 4=12 -12-1

(home)________ ______

15 Affiant represents that if elected()she shall serve in the elective office to whicQshe seeks election

16 Following is the exact way in which affiant would like to hav~er name printed on the official ballot J

AN EtL 1lt

~A QD~ Ltgt- LcLshy

SIGNEDTHIS__--------DAYOF ~~~ ~~

BEFORE ME the undersigned authority personally appeared __~__I__e_v-__G--~----_Zo_=____k_-z___

who after first being duly sworn deposes and states that be executed the foregoing to the best

of h~s knowledge and belief

c~0--CIT OF MIAMI FLORIDA

y~ Notary Public State of Florida Sandra Forges My Commission EE 877365

(SEAL) ~~) Expires 02121120170 Did take an oath

Produced identification

Type of identification produced fL Dn i((S Lc-(Il ampe

-- U1n~ en ~ -0

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CM-AC (Rev 0811 5) Page 3

FORM 1 STATEMENT OF 2014 Please print or type your name mailing I FINANCIAL INTERESTS I FOR OFFICE USE ONLY address agency name and position below

o middot -LAST ~ME -- FIRST NXE -- MIDDLE NA~ tJl

~ b N7--A 22 -Av ~ 0 cfgt 1 MAILiIlG ADDRESS _____ shy q ()

p 22shy ~O~--Jb- ~o G - 11---1 --~ - --0

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CITY~ ZIP NCO= ~ ~ ~~1) IA-~

~~ r- ~ 0 NAME OF AGENC f ~

D-F kA ~

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NAME OF OFFICE OR POSITIUN HELD OR SOUGHT

t-c AN ~ D~ 6~ p StLc Z--You are not limited to~e on the lines on this fonn Attach additional sheets if necessary

CHECK ONLY IF CANDIDATE OR 0 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 EITHE7 check one)

DECEMBER 31 2014 OR 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR

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 furt7i1S) CHECK THE ONE YOU ARE USING

COMPARATIVE (PERCENTAGE) THRESHOLDS QR 0 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 nono or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

~ ~-JP--YB-~ 3 1-2(26v-l- sect-J AvB 6 -t-1A-tA --h- l~ ~ ~

1~1 ~Bt2-shy _Q tu~ 2- p p 1~lL ~4q)~ -eo v1ArV L- ~ -7_ ~ [ - ~

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PART B - SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instruc~ons) (If you have nothing to report write none or nal

NAME OF NAME OF MAJOR SOURCES ADDRESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE

- ~--- ~c~

~

PART C bullbull REAL PROPERTY [Land buildings owned by the reporting person - See instructions) (If you have nothing to report write none or nal

4--r ~ 1f0r ~LDD Wl A-tAl -n= 5=VQ

PRINCIPAL BUSINESS ACTIVITY OF SOURCE

FILING INSTRUCTIONS for when and where to file this form are 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 1 Effdive January 12015 (Continued on reverse side) PAGE 1 Adopted by reference in Rule 348202(1) FAC

PART D - INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na)

TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

40 t ~~ -~(cgt

PART E - LIABILITIES [Major debts - See instructions) (If you have nothing to report write none or na)

NAME OF CREDITOR I ADDRESS OF CREDITOR

--- 11

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 na)

BUSINESf ENTITY 2BUSINESS ENTITY 1 --4

NAME OF BUSINESS ENTITY n ltn -n ADDRESS OF BUSINESS ENTITY I

-

~ rn-lt PRINCIPAL BUSINESS ACTIVITY -- 1 -POSITION HELD WITH ENTITY N l gt- - r --

1 ---7 ~

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS I 3 if lt NATURE OF MY OWNERSHIP INTEREST ~r rshy 11 ~

IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HIteE 0 SIGNATURE OF FILER ~PA Qr ATTORNEY SI~~ATURE ONLY

Signature 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

I prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable--- )L ~ )(Date Signed

q14 L~

WHAT TO FILE

After completing all parts of this form including signing and dating it send back only the first sheet (pages 1 and 2) for filing

If you have nothing to report in a particular section you must write none or na in that section(s)

NOTE 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

knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature

Date Signed

FILING INSTRUCTIONS WHERE TO FILE WHEN TO FILE If you were mailed the fonn by the Commission Initialy each local officerlemployee state officer on Ethics or a County Supervisor of Elections for and specified state employee must file within 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

Local officersemployees file with the who must be confinned by the Senate must file

Supervisor of Elections of the county in which they prior to confinnation even if that is less than

pennanently reside (If you do not pennanently 30 days from the date of their appointment

reside in Florida file with the Supervisor of the Candidates for publicly-elected local office must county where your agency has its headquarters) file at the same time they file their qualifying

State officers or specified state employees papers

file with the Commission on Ethics PO Drawer Thereafter local officersemployees state

15709 Tallahassee FL 32317-5709 physical officers and specified state employees are

address 325 John Knox Road Building E Suite required to file by July 1 st following each calendar

200 Tallahassee FL 32303 year in which they hold their positions

Candidates file this fonn together with their Finally at the end of office or employment each local officerlemployee state officer and specified

qualifying papers state employee is required to file a final disclosure To detennine what category your position falls fonn (Fonn 1 F) within 60 days of leaving office or under see the Who Must File Instructions on employment However filing a CE Fonn 1 F (Final page 3 Statement of Financial Interests) does not relieve

Fa~sectiIili1sect will DQt bi1 5c~el2ted the filer of filing a CE Fonn 1 if he or she was in their position on December 31 2014

CE FORM 1 bull EHeclve January 12015 PAGE 2 Adopted by reference in Rule 34-8202(1) FAC

CANDIDATE OATH -NONPARTISAN OFFICE

(Not for use by Judicial or

School Board Candidates)

bull I ~ I

fMt ~ f L

OFFICE USE ONLY

OATH OF CANDIDATE (Section 99021 Florida Statutes)

I ~AJ 4

I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BAL OT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of din of tJ1 At c)N Mb7 ~cIL 2shy I (office) (district )

------shy I am a qualified elector of t- l ~~ - DPcp - 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 99012 Florida Statutes and I will support the Constitution of the United States and the Constitution of the State of Florida

x Telephone Number Email Address

City State ZIP Code

Candidates Florida Voter Registration Number (located on your voter information card) lcF -2Z 074 bull 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

COUNTYOF Mlaml-~ ~ C _

Sworn to (or affirmed) and subscribed before me this ----__I_day of lt=2e=gt=tfoox c 20~

Personally Known _ _ __ or

Produced Identification _ y----_ Type of Identification Produced -r-L-_])~(v~e=r_s-----G-C-(-LCL$)lf____

iIJ~ NolaI Public State of Florida bull bull Sandra Forges ~ C I My Commission EE 877365 ~ ~ Expires 0212112017

OS-DE 25 (Rev 511) Rule 15-20001 FAC

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

7 Affiant s minor children reside at the following address (must include city state and zip code)

N~ 8 At the present time affiant (is) ( registered to vote in any city county or state other than as

stipulated in subparagraph 3 above

9 Name and business address of affiants employer

KW AL kDl ~ ~lni 11-10 SvJ oS1 -H -A-J ~ amp-YTr ~u-t--~ - fL- ~4~ --~~~~~~~~~--------~~----~~-------------------------shy

~L~~ A C ~shy

ro r (Note In the event the occupation of affiant has been for a period of less than one ye or dbe employment period with the same employer has been for a pedod of less than one yea~affi~t shall give the name(s) and address(es) of hislher employer(s) and occupation(s) for the period of one year prior to the date of this affidavit)

10 Affiants occupation

Affiants business telephone number(s) t20 -444-- t

11 Affiant has been employed in the above-cited capacity for the following period of time

-n

12 Affiant represents tha~he (is) ~currently holding another elective or appointive office shywhether city county or municipal - the term of which or any part thereof runs concurrently with that of the office heshe seeks and that heshe has resigned from any office from which heshe is required to resign pursuant to FS 99012 andor the City of Miami Charter

13 Affiant represents that as of this dat~he (is) ~ seeking to qualify for public office which is ~ntly held by an officer who has authority to appoint employ promote or otherwise supervise ~er and who has qualified as a candidate for reelection to that office

(Note If affiant is an employee of the City of Miami (other than city manager city attorney independent auditor general or city clerk) or member of a city board of the City of Miami Florida (other than a city commissioner or mayor) affiant in the case of an employee shall take a leave of absence without pay from hisher employment during the period in which affiant is seeking election to public office or in the case of a board member such member shall resign and such leave of absence or resignation to be effective upon whichever occurs first

(a) such employee or board member receives contributions or makes expenditures or gives her or his consent for any other person to receive contributions or make expenditures with a view to bringing about his or her nomination or election to public office or

(b) at the time such employee or board member appoints a campaign treasurer and designates a primary depository or

(c) at the time such employee or board member files qualification papers and subscribes to a candidates oath as required by law

The definition of city board is found in Section 2-882 of the Miami City Code

CM-AC (Rev 0815) Page 2

14 Affiants campaign headquarters address and telephone number

J1 ~N- middotL l)2gt 3c)f ~ -0 ~ Affiants campaign treasurer s name

~L-~e A~lNL Affiants campaign treasurers address

2~ ~ODo- AJE- -) ~DNplusmnL -)~-J

Telephone numbers (work) 1COlo- 4=12 -12-1

(home)________ ______

15 Affiant represents that if elected()she shall serve in the elective office to whicQshe seeks election

16 Following is the exact way in which affiant would like to hav~er name printed on the official ballot J

AN EtL 1lt

~A QD~ Ltgt- LcLshy

SIGNEDTHIS__--------DAYOF ~~~ ~~

BEFORE ME the undersigned authority personally appeared __~__I__e_v-__G--~----_Zo_=____k_-z___

who after first being duly sworn deposes and states that be executed the foregoing to the best

of h~s knowledge and belief

c~0--CIT OF MIAMI FLORIDA

y~ Notary Public State of Florida Sandra Forges My Commission EE 877365

(SEAL) ~~) Expires 02121120170 Did take an oath

Produced identification

Type of identification produced fL Dn i((S Lc-(Il ampe

-- U1n~ en ~ -0

j shy

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11shyrshy c r r ~ I cgt

D

CM-AC (Rev 0811 5) Page 3

FORM 1 STATEMENT OF 2014 Please print or type your name mailing I FINANCIAL INTERESTS I FOR OFFICE USE ONLY address agency name and position below

o middot -LAST ~ME -- FIRST NXE -- MIDDLE NA~ tJl

~ b N7--A 22 -Av ~ 0 cfgt 1 MAILiIlG ADDRESS _____ shy q ()

p 22shy ~O~--Jb- ~o G - 11---1 --~ - --0

~ ~ l1

CITY~ ZIP NCO= ~ ~ ~~1) IA-~

~~ r- ~ 0 NAME OF AGENC f ~

D-F kA ~

1l1 -

NAME OF OFFICE OR POSITIUN HELD OR SOUGHT

t-c AN ~ D~ 6~ p StLc Z--You are not limited to~e on the lines on this fonn Attach additional sheets if necessary

CHECK ONLY IF CANDIDATE OR 0 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 EITHE7 check one)

DECEMBER 31 2014 OR 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR

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 furt7i1S) CHECK THE ONE YOU ARE USING

COMPARATIVE (PERCENTAGE) THRESHOLDS QR 0 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 nono or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

~ ~-JP--YB-~ 3 1-2(26v-l- sect-J AvB 6 -t-1A-tA --h- l~ ~ ~

1~1 ~Bt2-shy _Q tu~ 2- p p 1~lL ~4q)~ -eo v1ArV L- ~ -7_ ~ [ - ~

~

PART B - SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instruc~ons) (If you have nothing to report write none or nal

NAME OF NAME OF MAJOR SOURCES ADDRESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE

- ~--- ~c~

~

PART C bullbull REAL PROPERTY [Land buildings owned by the reporting person - See instructions) (If you have nothing to report write none or nal

4--r ~ 1f0r ~LDD Wl A-tAl -n= 5=VQ

PRINCIPAL BUSINESS ACTIVITY OF SOURCE

FILING INSTRUCTIONS for when and where to file this form are 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 1 Effdive January 12015 (Continued on reverse side) PAGE 1 Adopted by reference in Rule 348202(1) FAC

PART D - INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na)

TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

40 t ~~ -~(cgt

PART E - LIABILITIES [Major debts - See instructions) (If you have nothing to report write none or na)

NAME OF CREDITOR I ADDRESS OF CREDITOR

--- 11

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 na)

BUSINESf ENTITY 2BUSINESS ENTITY 1 --4

NAME OF BUSINESS ENTITY n ltn -n ADDRESS OF BUSINESS ENTITY I

-

~ rn-lt PRINCIPAL BUSINESS ACTIVITY -- 1 -POSITION HELD WITH ENTITY N l gt- - r --

1 ---7 ~

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS I 3 if lt NATURE OF MY OWNERSHIP INTEREST ~r rshy 11 ~

IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HIteE 0 SIGNATURE OF FILER ~PA Qr ATTORNEY SI~~ATURE ONLY

Signature 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

I prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable--- )L ~ )(Date Signed

q14 L~

WHAT TO FILE

After completing all parts of this form including signing and dating it send back only the first sheet (pages 1 and 2) for filing

If you have nothing to report in a particular section you must write none or na in that section(s)

NOTE 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

knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature

Date Signed

FILING INSTRUCTIONS WHERE TO FILE WHEN TO FILE If you were mailed the fonn by the Commission Initialy each local officerlemployee state officer on Ethics or a County Supervisor of Elections for and specified state employee must file within 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

Local officersemployees file with the who must be confinned by the Senate must file

Supervisor of Elections of the county in which they prior to confinnation even if that is less than

pennanently reside (If you do not pennanently 30 days from the date of their appointment

reside in Florida file with the Supervisor of the Candidates for publicly-elected local office must county where your agency has its headquarters) file at the same time they file their qualifying

State officers or specified state employees papers

file with the Commission on Ethics PO Drawer Thereafter local officersemployees state

15709 Tallahassee FL 32317-5709 physical officers and specified state employees are

address 325 John Knox Road Building E Suite required to file by July 1 st following each calendar

200 Tallahassee FL 32303 year in which they hold their positions

Candidates file this fonn together with their Finally at the end of office or employment each local officerlemployee state officer and specified

qualifying papers state employee is required to file a final disclosure To detennine what category your position falls fonn (Fonn 1 F) within 60 days of leaving office or under see the Who Must File Instructions on employment However filing a CE Fonn 1 F (Final page 3 Statement of Financial Interests) does not relieve

Fa~sectiIili1sect will DQt bi1 5c~el2ted the filer of filing a CE Fonn 1 if he or she was in their position on December 31 2014

CE FORM 1 bull EHeclve January 12015 PAGE 2 Adopted by reference in Rule 34-8202(1) FAC

CANDIDATE OATH -NONPARTISAN OFFICE

(Not for use by Judicial or

School Board Candidates)

bull I ~ I

fMt ~ f L

OFFICE USE ONLY

OATH OF CANDIDATE (Section 99021 Florida Statutes)

I ~AJ 4

I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BAL OT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of din of tJ1 At c)N Mb7 ~cIL 2shy I (office) (district )

------shy I am a qualified elector of t- l ~~ - DPcp - 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 99012 Florida Statutes and I will support the Constitution of the United States and the Constitution of the State of Florida

x Telephone Number Email Address

City State ZIP Code

Candidates Florida Voter Registration Number (located on your voter information card) lcF -2Z 074 bull 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

COUNTYOF Mlaml-~ ~ C _

Sworn to (or affirmed) and subscribed before me this ----__I_day of lt=2e=gt=tfoox c 20~

Personally Known _ _ __ or

Produced Identification _ y----_ Type of Identification Produced -r-L-_])~(v~e=r_s-----G-C-(-LCL$)lf____

iIJ~ NolaI Public State of Florida bull bull Sandra Forges ~ C I My Commission EE 877365 ~ ~ Expires 0212112017

OS-DE 25 (Rev 511) Rule 15-20001 FAC

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

14 Affiants campaign headquarters address and telephone number

J1 ~N- middotL l)2gt 3c)f ~ -0 ~ Affiants campaign treasurer s name

~L-~e A~lNL Affiants campaign treasurers address

2~ ~ODo- AJE- -) ~DNplusmnL -)~-J

Telephone numbers (work) 1COlo- 4=12 -12-1

(home)________ ______

15 Affiant represents that if elected()she shall serve in the elective office to whicQshe seeks election

16 Following is the exact way in which affiant would like to hav~er name printed on the official ballot J

AN EtL 1lt

~A QD~ Ltgt- LcLshy

SIGNEDTHIS__--------DAYOF ~~~ ~~

BEFORE ME the undersigned authority personally appeared __~__I__e_v-__G--~----_Zo_=____k_-z___

who after first being duly sworn deposes and states that be executed the foregoing to the best

of h~s knowledge and belief

c~0--CIT OF MIAMI FLORIDA

y~ Notary Public State of Florida Sandra Forges My Commission EE 877365

(SEAL) ~~) Expires 02121120170 Did take an oath

Produced identification

Type of identification produced fL Dn i((S Lc-(Il ampe

-- U1n~ en ~ -0

j shy

-I -

-J Z

11shyrshy c r r ~ I cgt

D

CM-AC (Rev 0811 5) Page 3

FORM 1 STATEMENT OF 2014 Please print or type your name mailing I FINANCIAL INTERESTS I FOR OFFICE USE ONLY address agency name and position below

o middot -LAST ~ME -- FIRST NXE -- MIDDLE NA~ tJl

~ b N7--A 22 -Av ~ 0 cfgt 1 MAILiIlG ADDRESS _____ shy q ()

p 22shy ~O~--Jb- ~o G - 11---1 --~ - --0

~ ~ l1

CITY~ ZIP NCO= ~ ~ ~~1) IA-~

~~ r- ~ 0 NAME OF AGENC f ~

D-F kA ~

1l1 -

NAME OF OFFICE OR POSITIUN HELD OR SOUGHT

t-c AN ~ D~ 6~ p StLc Z--You are not limited to~e on the lines on this fonn Attach additional sheets if necessary

CHECK ONLY IF CANDIDATE OR 0 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 EITHE7 check one)

DECEMBER 31 2014 OR 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR

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 furt7i1S) CHECK THE ONE YOU ARE USING

COMPARATIVE (PERCENTAGE) THRESHOLDS QR 0 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 nono or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

~ ~-JP--YB-~ 3 1-2(26v-l- sect-J AvB 6 -t-1A-tA --h- l~ ~ ~

1~1 ~Bt2-shy _Q tu~ 2- p p 1~lL ~4q)~ -eo v1ArV L- ~ -7_ ~ [ - ~

~

PART B - SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instruc~ons) (If you have nothing to report write none or nal

NAME OF NAME OF MAJOR SOURCES ADDRESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE

- ~--- ~c~

~

PART C bullbull REAL PROPERTY [Land buildings owned by the reporting person - See instructions) (If you have nothing to report write none or nal

4--r ~ 1f0r ~LDD Wl A-tAl -n= 5=VQ

PRINCIPAL BUSINESS ACTIVITY OF SOURCE

FILING INSTRUCTIONS for when and where to file this form are 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 1 Effdive January 12015 (Continued on reverse side) PAGE 1 Adopted by reference in Rule 348202(1) FAC

PART D - INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na)

TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

40 t ~~ -~(cgt

PART E - LIABILITIES [Major debts - See instructions) (If you have nothing to report write none or na)

NAME OF CREDITOR I ADDRESS OF CREDITOR

--- 11

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 na)

BUSINESf ENTITY 2BUSINESS ENTITY 1 --4

NAME OF BUSINESS ENTITY n ltn -n ADDRESS OF BUSINESS ENTITY I

-

~ rn-lt PRINCIPAL BUSINESS ACTIVITY -- 1 -POSITION HELD WITH ENTITY N l gt- - r --

1 ---7 ~

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS I 3 if lt NATURE OF MY OWNERSHIP INTEREST ~r rshy 11 ~

IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HIteE 0 SIGNATURE OF FILER ~PA Qr ATTORNEY SI~~ATURE ONLY

Signature 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

I prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable--- )L ~ )(Date Signed

q14 L~

WHAT TO FILE

After completing all parts of this form including signing and dating it send back only the first sheet (pages 1 and 2) for filing

If you have nothing to report in a particular section you must write none or na in that section(s)

NOTE 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

knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature

Date Signed

FILING INSTRUCTIONS WHERE TO FILE WHEN TO FILE If you were mailed the fonn by the Commission Initialy each local officerlemployee state officer on Ethics or a County Supervisor of Elections for and specified state employee must file within 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

Local officersemployees file with the who must be confinned by the Senate must file

Supervisor of Elections of the county in which they prior to confinnation even if that is less than

pennanently reside (If you do not pennanently 30 days from the date of their appointment

reside in Florida file with the Supervisor of the Candidates for publicly-elected local office must county where your agency has its headquarters) file at the same time they file their qualifying

State officers or specified state employees papers

file with the Commission on Ethics PO Drawer Thereafter local officersemployees state

15709 Tallahassee FL 32317-5709 physical officers and specified state employees are

address 325 John Knox Road Building E Suite required to file by July 1 st following each calendar

200 Tallahassee FL 32303 year in which they hold their positions

Candidates file this fonn together with their Finally at the end of office or employment each local officerlemployee state officer and specified

qualifying papers state employee is required to file a final disclosure To detennine what category your position falls fonn (Fonn 1 F) within 60 days of leaving office or under see the Who Must File Instructions on employment However filing a CE Fonn 1 F (Final page 3 Statement of Financial Interests) does not relieve

Fa~sectiIili1sect will DQt bi1 5c~el2ted the filer of filing a CE Fonn 1 if he or she was in their position on December 31 2014

CE FORM 1 bull EHeclve January 12015 PAGE 2 Adopted by reference in Rule 34-8202(1) FAC

CANDIDATE OATH -NONPARTISAN OFFICE

(Not for use by Judicial or

School Board Candidates)

bull I ~ I

fMt ~ f L

OFFICE USE ONLY

OATH OF CANDIDATE (Section 99021 Florida Statutes)

I ~AJ 4

I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BAL OT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of din of tJ1 At c)N Mb7 ~cIL 2shy I (office) (district )

------shy I am a qualified elector of t- l ~~ - DPcp - 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 99012 Florida Statutes and I will support the Constitution of the United States and the Constitution of the State of Florida

x Telephone Number Email Address

City State ZIP Code

Candidates Florida Voter Registration Number (located on your voter information card) lcF -2Z 074 bull 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

COUNTYOF Mlaml-~ ~ C _

Sworn to (or affirmed) and subscribed before me this ----__I_day of lt=2e=gt=tfoox c 20~

Personally Known _ _ __ or

Produced Identification _ y----_ Type of Identification Produced -r-L-_])~(v~e=r_s-----G-C-(-LCL$)lf____

iIJ~ NolaI Public State of Florida bull bull Sandra Forges ~ C I My Commission EE 877365 ~ ~ Expires 0212112017

OS-DE 25 (Rev 511) Rule 15-20001 FAC

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

FORM 1 STATEMENT OF 2014 Please print or type your name mailing I FINANCIAL INTERESTS I FOR OFFICE USE ONLY address agency name and position below

o middot -LAST ~ME -- FIRST NXE -- MIDDLE NA~ tJl

~ b N7--A 22 -Av ~ 0 cfgt 1 MAILiIlG ADDRESS _____ shy q ()

p 22shy ~O~--Jb- ~o G - 11---1 --~ - --0

~ ~ l1

CITY~ ZIP NCO= ~ ~ ~~1) IA-~

~~ r- ~ 0 NAME OF AGENC f ~

D-F kA ~

1l1 -

NAME OF OFFICE OR POSITIUN HELD OR SOUGHT

t-c AN ~ D~ 6~ p StLc Z--You are not limited to~e on the lines on this fonn Attach additional sheets if necessary

CHECK ONLY IF CANDIDATE OR 0 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 EITHE7 check one)

DECEMBER 31 2014 OR 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR

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 furt7i1S) CHECK THE ONE YOU ARE USING

COMPARATIVE (PERCENTAGE) THRESHOLDS QR 0 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 nono or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

~ ~-JP--YB-~ 3 1-2(26v-l- sect-J AvB 6 -t-1A-tA --h- l~ ~ ~

1~1 ~Bt2-shy _Q tu~ 2- p p 1~lL ~4q)~ -eo v1ArV L- ~ -7_ ~ [ - ~

~

PART B - SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instruc~ons) (If you have nothing to report write none or nal

NAME OF NAME OF MAJOR SOURCES ADDRESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE

- ~--- ~c~

~

PART C bullbull REAL PROPERTY [Land buildings owned by the reporting person - See instructions) (If you have nothing to report write none or nal

4--r ~ 1f0r ~LDD Wl A-tAl -n= 5=VQ

PRINCIPAL BUSINESS ACTIVITY OF SOURCE

FILING INSTRUCTIONS for when and where to file this form are 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 1 Effdive January 12015 (Continued on reverse side) PAGE 1 Adopted by reference in Rule 348202(1) FAC

PART D - INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na)

TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

40 t ~~ -~(cgt

PART E - LIABILITIES [Major debts - See instructions) (If you have nothing to report write none or na)

NAME OF CREDITOR I ADDRESS OF CREDITOR

--- 11

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 na)

BUSINESf ENTITY 2BUSINESS ENTITY 1 --4

NAME OF BUSINESS ENTITY n ltn -n ADDRESS OF BUSINESS ENTITY I

-

~ rn-lt PRINCIPAL BUSINESS ACTIVITY -- 1 -POSITION HELD WITH ENTITY N l gt- - r --

1 ---7 ~

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS I 3 if lt NATURE OF MY OWNERSHIP INTEREST ~r rshy 11 ~

IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HIteE 0 SIGNATURE OF FILER ~PA Qr ATTORNEY SI~~ATURE ONLY

Signature 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

I prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable--- )L ~ )(Date Signed

q14 L~

WHAT TO FILE

After completing all parts of this form including signing and dating it send back only the first sheet (pages 1 and 2) for filing

If you have nothing to report in a particular section you must write none or na in that section(s)

NOTE 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

knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature

Date Signed

FILING INSTRUCTIONS WHERE TO FILE WHEN TO FILE If you were mailed the fonn by the Commission Initialy each local officerlemployee state officer on Ethics or a County Supervisor of Elections for and specified state employee must file within 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

Local officersemployees file with the who must be confinned by the Senate must file

Supervisor of Elections of the county in which they prior to confinnation even if that is less than

pennanently reside (If you do not pennanently 30 days from the date of their appointment

reside in Florida file with the Supervisor of the Candidates for publicly-elected local office must county where your agency has its headquarters) file at the same time they file their qualifying

State officers or specified state employees papers

file with the Commission on Ethics PO Drawer Thereafter local officersemployees state

15709 Tallahassee FL 32317-5709 physical officers and specified state employees are

address 325 John Knox Road Building E Suite required to file by July 1 st following each calendar

200 Tallahassee FL 32303 year in which they hold their positions

Candidates file this fonn together with their Finally at the end of office or employment each local officerlemployee state officer and specified

qualifying papers state employee is required to file a final disclosure To detennine what category your position falls fonn (Fonn 1 F) within 60 days of leaving office or under see the Who Must File Instructions on employment However filing a CE Fonn 1 F (Final page 3 Statement of Financial Interests) does not relieve

Fa~sectiIili1sect will DQt bi1 5c~el2ted the filer of filing a CE Fonn 1 if he or she was in their position on December 31 2014

CE FORM 1 bull EHeclve January 12015 PAGE 2 Adopted by reference in Rule 34-8202(1) FAC

CANDIDATE OATH -NONPARTISAN OFFICE

(Not for use by Judicial or

School Board Candidates)

bull I ~ I

fMt ~ f L

OFFICE USE ONLY

OATH OF CANDIDATE (Section 99021 Florida Statutes)

I ~AJ 4

I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BAL OT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of din of tJ1 At c)N Mb7 ~cIL 2shy I (office) (district )

------shy I am a qualified elector of t- l ~~ - DPcp - 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 99012 Florida Statutes and I will support the Constitution of the United States and the Constitution of the State of Florida

x Telephone Number Email Address

City State ZIP Code

Candidates Florida Voter Registration Number (located on your voter information card) lcF -2Z 074 bull 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

COUNTYOF Mlaml-~ ~ C _

Sworn to (or affirmed) and subscribed before me this ----__I_day of lt=2e=gt=tfoox c 20~

Personally Known _ _ __ or

Produced Identification _ y----_ Type of Identification Produced -r-L-_])~(v~e=r_s-----G-C-(-LCL$)lf____

iIJ~ NolaI Public State of Florida bull bull Sandra Forges ~ C I My Commission EE 877365 ~ ~ Expires 0212112017

OS-DE 25 (Rev 511) Rule 15-20001 FAC

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

PART D - INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na)

TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

40 t ~~ -~(cgt

PART E - LIABILITIES [Major debts - See instructions) (If you have nothing to report write none or na)

NAME OF CREDITOR I ADDRESS OF CREDITOR

--- 11

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 na)

BUSINESf ENTITY 2BUSINESS ENTITY 1 --4

NAME OF BUSINESS ENTITY n ltn -n ADDRESS OF BUSINESS ENTITY I

-

~ rn-lt PRINCIPAL BUSINESS ACTIVITY -- 1 -POSITION HELD WITH ENTITY N l gt- - r --

1 ---7 ~

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS I 3 if lt NATURE OF MY OWNERSHIP INTEREST ~r rshy 11 ~

IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HIteE 0 SIGNATURE OF FILER ~PA Qr ATTORNEY SI~~ATURE ONLY

Signature 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

I prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable--- )L ~ )(Date Signed

q14 L~

WHAT TO FILE

After completing all parts of this form including signing and dating it send back only the first sheet (pages 1 and 2) for filing

If you have nothing to report in a particular section you must write none or na in that section(s)

NOTE 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

knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature

Date Signed

FILING INSTRUCTIONS WHERE TO FILE WHEN TO FILE If you were mailed the fonn by the Commission Initialy each local officerlemployee state officer on Ethics or a County Supervisor of Elections for and specified state employee must file within 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

Local officersemployees file with the who must be confinned by the Senate must file

Supervisor of Elections of the county in which they prior to confinnation even if that is less than

pennanently reside (If you do not pennanently 30 days from the date of their appointment

reside in Florida file with the Supervisor of the Candidates for publicly-elected local office must county where your agency has its headquarters) file at the same time they file their qualifying

State officers or specified state employees papers

file with the Commission on Ethics PO Drawer Thereafter local officersemployees state

15709 Tallahassee FL 32317-5709 physical officers and specified state employees are

address 325 John Knox Road Building E Suite required to file by July 1 st following each calendar

200 Tallahassee FL 32303 year in which they hold their positions

Candidates file this fonn together with their Finally at the end of office or employment each local officerlemployee state officer and specified

qualifying papers state employee is required to file a final disclosure To detennine what category your position falls fonn (Fonn 1 F) within 60 days of leaving office or under see the Who Must File Instructions on employment However filing a CE Fonn 1 F (Final page 3 Statement of Financial Interests) does not relieve

Fa~sectiIili1sect will DQt bi1 5c~el2ted the filer of filing a CE Fonn 1 if he or she was in their position on December 31 2014

CE FORM 1 bull EHeclve January 12015 PAGE 2 Adopted by reference in Rule 34-8202(1) FAC

CANDIDATE OATH -NONPARTISAN OFFICE

(Not for use by Judicial or

School Board Candidates)

bull I ~ I

fMt ~ f L

OFFICE USE ONLY

OATH OF CANDIDATE (Section 99021 Florida Statutes)

I ~AJ 4

I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BAL OT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of din of tJ1 At c)N Mb7 ~cIL 2shy I (office) (district )

------shy I am a qualified elector of t- l ~~ - DPcp - 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 99012 Florida Statutes and I will support the Constitution of the United States and the Constitution of the State of Florida

x Telephone Number Email Address

City State ZIP Code

Candidates Florida Voter Registration Number (located on your voter information card) lcF -2Z 074 bull 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

COUNTYOF Mlaml-~ ~ C _

Sworn to (or affirmed) and subscribed before me this ----__I_day of lt=2e=gt=tfoox c 20~

Personally Known _ _ __ or

Produced Identification _ y----_ Type of Identification Produced -r-L-_])~(v~e=r_s-----G-C-(-LCL$)lf____

iIJ~ NolaI Public State of Florida bull bull Sandra Forges ~ C I My Commission EE 877365 ~ ~ Expires 0212112017

OS-DE 25 (Rev 511) Rule 15-20001 FAC

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

CANDIDATE OATH -NONPARTISAN OFFICE

(Not for use by Judicial or

School Board Candidates)

bull I ~ I

fMt ~ f L

OFFICE USE ONLY

OATH OF CANDIDATE (Section 99021 Florida Statutes)

I ~AJ 4

I (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BAL OT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of din of tJ1 At c)N Mb7 ~cIL 2shy I (office) (district )

------shy I am a qualified elector of t- l ~~ - DPcp - 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 99012 Florida Statutes and I will support the Constitution of the United States and the Constitution of the State of Florida

x Telephone Number Email Address

City State ZIP Code

Candidates Florida Voter Registration Number (located on your voter information card) lcF -2Z 074 bull 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

COUNTYOF Mlaml-~ ~ C _

Sworn to (or affirmed) and subscribed before me this ----__I_day of lt=2e=gt=tfoox c 20~

Personally Known _ _ __ or

Produced Identification _ y----_ Type of Identification Produced -r-L-_])~(v~e=r_s-----G-C-(-LCL$)lf____

iIJ~ NolaI Public State of Florida bull bull Sandra Forges ~ C I My Commission EE 877365 ~ ~ Expires 0212112017

OS-DE 25 (Rev 511) Rule 15-20001 FAC

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

LOY AL TY OATH

STATE OF FLORIDA COUNTY OF MIAMI-DADE

~ Av t= a- ~ON 2A-t2--I ____________________________________~----~--~------~~~-----------------First Name Middle Initial Last Name

a citizen of the State of Florida and of the United States of America and a candidate for public office do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida

CITY OF MIAMI OATH OF CANDIDATE

OFFICE OF CITY OF MIAMI COMMISSIONER _ o r

Before me an officer authorized to administer oaths personally appeared )- r --0 -

A-J pound3t2- cy~~ZA- ~ 1--~

~l r ~ (PLEASE PRINT NAME)

0 D

who being sworn says heshe is a candidate for the office of City of Miami Commissioner Ofstrict 2-- for the City of Miami Florida that heshe is a qualified elector of the City of Miami Florida that heshe is qualified under the Constitution the Laws of Florida and City of Miami Charter to hold the office to which heshe desires to be elected that heshe has taken the oath required by Section 99021 Florida Statutes that heshe has qualified for no other public office in the State the term of which office or any part thereof runs concurrent with that of the office heshe seeks and that heshe has resigned or taken a leave of absence from any office from which heshe is required to resign or take a leave of absence pursuant to Section 99012 Florida Statutes

Address City State ZIP Code

The Loyalty Oath and Oath of Candidate are sworn to (or affirmed) and subscribed before me this day

5epkrlbec 20 b

Personally Known _______ OR Produced Identification _______

Type of Identification Produced --1pound--1_-blt-Y--LIL-e--(~bulls--LJCe-LLOu5pound

Notary PubliC Stale of Florida Sandra Forges My Commission EE 877365 Expires 0212112017

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

ACKNOWLEDGMENT BY CANDIDATES COVERED BY THE MANDA TORY PROVISION

OF THE ETHICAL CAMPAIGN PRACTICES ORDINANCE

The Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance automatically extend to candidates and their respective campaign staffs for the Miami-Dade County Commission or Mayor candidates and their respective campaign staffs for Miami-Dade Corrununity Councils candidates and their respective campaign staffs for any municipal elective office within Miami-Dade County candidates and their respective campaign staffs for the Property Appraiser of Miami-Dade County and any candidate and his or her campaign staff for elective office with a constituency in whole or in part in Miami-Dade County

As provided in the Miami-Dade County Code at Sec 2-1111 (C) I shall notshy

(a) With actual malice make or cause to be made any untrue oral statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned avoided or injured in his or her business or occupation

(b) With actual malice publish or cause to be published by writing printing picture effigy sign or otherwise than by mere speech any untrue statement about another candidate or a member of his or her family or staff which exposes said person to hatred contempt or ridicule or causes said person to be shunned or avoided or injured in his or her business or occupation

(c) Willfully injure deface or damage or cause to be injured defaced or damaged by any means any campaign poster sign leaflet handbill literature or other campaign material of another candidate

(d) Knowingly obtain or cause to be obtained the campaign property of another candidate with the intent to temporarily or permanently deprive the candidate of a right to the property or a benefit thereof or

(e) Knowingly file with the Ethics Commission a groundless or frivolous complaint against another candidate

I ~A--J ~ ~bt-J -gt- Lc ) a candidate for the office of ~ase print your name

pound O MN7D ~euroAr DI 6y L1 2 In ~D pound Nvmiddotf- WIAN -~~ Lo 1 elective office sought bull COUnly municipality or1other jurisdiction ~

acknowledge that the Mandatory Fair Campaign Practices as provided in the Miami-Dade County Code at Sec 2-1111 (C)( I) applies to me throughout this campaign period regardless of when I sign this acknowledgment I recognize as compulsory the jurisdiction of the Ethics Commission The Ethics Commission has the authority to decide whether I have violated the Mandatory Fair Campaign Practices of the Ethical Campaign Practices Ordinance and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any

Candidates for county ce file w th the Miami-Dade County Elections Department Candidates for municipal office file with their respective municipal clerks For further information please contact the Miami-Dade County Office of Governmental Affairs at 305 499-8410

Miami Dade County Elections Dept 2700 NW 87 th Ave or PO Box 521550 Miami FL 33172 Miami FL 33152-1550

COE revised 420 I 0

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

AFFIDAVIT OF NICKNAME STATE OF (101( ~

~

COUNTY OF -00 - bDde nc -

V1

~i rT1 rl1-lt

BEFORE ME the undersigned personally appeared CJ -0

-r -I~A-J 812- ZAlpound 2shyg 0 ()

p 0(write legal name of candidate) t ~

r who being first duly sworn or plced under affinnation says- r r 0

1 My legal name is ~A- ~ Q0 ALe2-- Ugt

I am over the age of eighteen (18) and the contents of this affidavit are true and correct

2 I am a candidate for the office of ~1V1 oE tJ~~ ~SR~ 2- C-cSlO~ iZ_ ~ I ~ I

3 My nickname is ~~ ~1 ---0LA IfZ- I am generally known by this nickname or ave used It as part of my legal name I have not created the nickname to mislead voters I plan to designate this nickname on my candidate oath as the same name I wish to have printed on the ballot when I submit the candidate oath fonn during the qualifying period for the above office

4 Attached are documents that show that my nickname is one by which I am generally known or one that I have used as a part of my legal name [List the title of any documents or affidavits from other persons reflecting that the candidate is generally known by the nickname or that it has been used as part of the candidates legal name]

A

B

c

Printed jTyped Name of Affiant

Notary Public State of Floride Sandra Forges My Commission EE 877365 Expires 0212112017

Uersonally known ~ Produced Identification

Type of Identification Produced f L b(~if s L~ Lev) s-e-

Sworn to me this_-+-~__

oa -J - C)O l1 My Commission Expires

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

DECLARA TION AND FIRST AMENDMENT WAIVER ISJ~ ~ FOR CANDIDATES WHO AGREE TO COMPLY WITH v PITHEVOLUNTARYSTATEMENTOFFAIRCAMPAIGNPRACTICES C-middot ) A - ()

I)~ r r 11 1 _ YIO

AN EXPLANATION REGARDING YOUR RIGHTS tlt I G bull ( (r~

r---------------------------------------------------------------~--~----~~~ Section 2-11 11 (D)(2) of the Code of Miami-Dade County Florida provides that any candidate for public office in Miami-Dade County may at any time voluntarily declare that he or she agrees to abide by the voluntary Statement of Fair Campaign Practices In agreeing to abide by the voluntary Statement of Fair Campaign Practices the candidate recognizes as compulsory the authority of the Miami-Dade County Commission on Ethics and Public Trust to decide whether the candidate has violated the voluntary Statement of Fair Campaign Practices and if so to impose the appropriate penalty if any

Before agreeing to abide by the voluntary Statement of Fair Campaign Practices you should carefully read the voluntary Statement of Fair Campaign Practices included with this DECLARATION AND FIRST AMENDMENT WAIVER as well as the fOllowing information regarding your rights

The Statement of Fair Campaign Practices is voluntary You are under no obligation to agree to the voluntary Statement of Fair Campaign Practices If you decide not to agree to the voluntary Statement of Fair Campaign Practices you may still run for elective office in Miami-Dade County if you are qualified There is NO PENALTY if you decide not to sign the voluntary Statement of Fair Campaign Practices

If you decide to agree to the voluntary Statement of Fair Campaign Practices you should know that you will be WAIVING YOUR FIRST AMENDMENT RIGHTS TO FREE SPEECH because certain speech prohibited by the voluntary Statement of Campaign Practices is protected by the First Amendment to the US Constitution and Article I Section 4 of the Florida Constitution Prior to agreeing to comply with the voluntary Statement of Fair Campaign Practices you should consider consulting an attorney to ensure that you understand the consequences of signing the DECLARATION AND FIRST AMENDMENT WAIVER

Before signing this DECLARATION AND FIRST AMENDMENT WAIVER you have the right to request and receive from the Ethics Commission an advisory opinion as to whether your planned campaign activities (e g campaign advertisement or statements) are likely to violate the voluntary Statement of Fair Campaign Practices In the event that you sign the DECLARATION AND FIRST AMENDMENT WAIVER you will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that you may be considering

A determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER shall not be construed by Miami-Dade County or the Ethics Commission to mean that the candidate is unethical in any way Further a determination by a candidate not to execute the DECLARATION AND FIRST AMENDMENT WAIVER should not be construed by any candidate or any other person or entity to mean that the candidate is unethical in any way

INSTRUCTIONS

The DECLARATION AND FIRST AMENDMENT WAIVER which includes the voluntary Statement of Fair Campaign Practices can be found on page 2 of this form If you are a candidate for county office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign the DEC LARA TION AND FIRST AMENDMENT WAIVER and file with the Miami-Dade Commission on Ethics and the Miami-Dade Elections Department If you are a candidate for municipal office and agree to abide by the voluntary Statement of Fair Campaign Practices please sign and file with the Miami-Dade Commission on Ethics and your respective municipal clerk For further information contact the MiamishyDade Office of Governmental Affairs at 305 499-8410

Miami-Dade Commission on Ethics Miami-Dade Elections Department 19 W Flagler St Suite 820 2700 NW 87th Ave or PO Box 521550 Miami FL 33130 Doral FL 33172 Miami FL 33152-1550

COE revi sed 520 I 0 10f2

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

~

s- f1 DECLARATION AND FIRST AMENDMENT W AIVER ~

FOR CANDIDATES WHO AGREE TO COMPLY WlTH C- ~ j THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES f-o ~

~ 7 VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTIC~ - gtO

~lt lt As a candidate for public office in Miami-Dade County I believe that political issues can be freely debated without appealing to racial ethnk (~4 religious sexual or other prejudices I recognize that such negative appeals serve only to divide this community and create long-term moral social and economic problems Therefore

I I shall not make my race religion national origin gender physical disability or sexual orientation an issue in my campaign 2 I shall not make my opponents race religion national origin gender physical disability or sexual orientation an issue in my campaign 3 I will condemn any appeal to prejudice based on race creed national origin religion gender physical disability or sexual orientation 4 I shall not without just cause attack or question my opponents patriotism S I shall not publish display or circulate any anonymous campaign literature or political advertisement 6 I shall not tolerate my supporters engaging in these activities that I condemn nor shall I accept their continued support if they engage in

such activities I will not permit any member of my campaign organization to engage in these activities and will immediately and publicly repudiate the support of any other individual or group that resorts to the methods and tactics I condemn

7 I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern 8 I will limit my attacks on an opponent to legitimate challenges to that persons record qualifications and positions 9 I will neither use nor permit the use of malicious untruths or innuendoes about an opponents personal life nor will I make or condone

unfounded accusations discrediting that persons credibility 10 I will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties

supporting my candidacy II I will not use or permit the use of campaign material that falsifies distorts or misrepresents facts

BY SIGNING THIS DECLARATION AND FIRST AMENDMENT WAIVER I AGREE TO ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION AND WAIVE MY FIRST AMENDMENT RIGHTS

I - ~~j ~ S~~-A lc- L- a candidate for the office of ~ kgtlease print your name

~MNLcDD ~ Sgt~)~ 2- in tJljgt~N- D electi ve offi ce sought l c--ouLnt- ic- o-r o er--ju-ri-- c------gt-=-= y-mun- ipali--ty- -th-- sdCCitio-n-+-lshy

agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-1111 (D)(1) of the Code of Miami-Dade County Florida and to recognize as compulsory the jurisdiction of the Ethics Commission I further agree that the Ethics Commission will have the authority to decide whether I have violated the voluntary Statement of Fair Campaign Practices and if a violation is found the Ethics Commission has the authority to impose the appropriate penalty if any which may include an admonition or public reprimand I recognize that I have the right before signing this DECLARATION AND FIRST AMENDMENT WAIVER to consult my own legal counsel and to request and receive from the Ethics Commission an advisory opinion as to whether my planned campaign activities are likely to violate the voluntary Statement of Fair Campaign Practices I also recognize that after signing this agreement I will continue to have the right to request and receive from the Ethics Commission an advisory opinion regarding any future campaign activities that I may be considering I hereby proclaim (1) that my agreement to abide by the Statement of Fair Campaign Practices is voluntary knowing and intelligent (2) that I have not been forced pressured or otherwise coerced into making thi s agreement and (3) that I am aware of the voluntary nature of thi s agreement I recognize that there is no penalty for refusing to agree to abide by the voluntary Statement of Fair Campaign Practices I also recognize that in signing this agreement I will be forfeiting rights to which I would otherwise be entitled under the First Amendment to the US Constitution and Article I Section 4 of the Constitution of the State of Florida Once the DECLARATION AlJD FIRST AMENDMENT WAIVER is signed it is deemed irrevocable for the duration of the campaign

~--~ Date

COE revised 5120 to 20f2

X

City of Miami OFFICIAL RECEIPT

cL-

449767No

Date q I tJ IaOLS ~

--- - 00 1100 Dollars

Received from 0 ft-ey G 01

Address 2ip d-J- amp ICtc4 Ruod I Mtom I t EL 3333 For QAo~~OOCy feelS-kAe~G~J Reference No Cbe~L- - ~ ThiS Receipt not hJD unless dated By 5ai~ ~wfv-~filled in and signed by authorized em- ployee of department or division des- Department --=l-+-1--~JJL-----------ignated hereon and until the City has collected the proceeds of any checks Division ____~~~~______________ tendered as payment herein

I C I FNTM 402 Rev 0303 I Distribution White - Customer Canary - Finance Pink - Issuing Department

131 63-466631JAVIER GONZAELZ

(campaign-District 2)

~ DATE

PAY TO THE c lA -- 1$~OR~D~E~R~OLF~_~==~middot~~~~O~~__~[~ ~~~~_______~~~~~t - -

0t v- fui00ltJo e ltfu( ~o ~~OLLA R S

~~ REGIONS

Harland Clattle j

-

- ~ - ltn

~ C)-lt r- a I -0 t bull - )

-J )gt ~ --shyr x -ry r- C rshy

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