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23 addesa, agency nrms, and posltlon below: STATEMENT OF' FINAI\CIAL INTBRESTS ao3g Prrr. t/a//e, I /, "'n'0, [ar,/u 3 ZSlq 4en,vae 'nr4 5{c,/u's -+ NAME OF OFFIEE OR POSITION HELD OR SOUGHT: Cr.t,ir wt k4ztrlc [< You als not llmned to tho lpace on the llnos on thls form. Altach addltlonal rheets, lf nececsary, check only rf fl cnnotonre or $*=* EMpLoyEE orapporntee THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TA)( YEAR, WI-IETHER BASED ON A CALENDAR YEAR OR ON A FISCALIFAR. PLEASE STATE BELow WHETHER THIS STATEMENT ls FOR THE PRECEDING TA)( YEAR ENDING EITHER (check one): F\ DECEMBER g1,2007 AB N SPECIFY TA)( YEAR IF OTHER THAN THE CALENDAR YEAR:- MANNER OF CALCULATING REPORTABLE INTERESTS! THE LEGISI.ATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEVVER CALCULATIONS, OR USING COMPAMTIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instruclions for further detaih). PLEASE STATE BELOW WIiETHER THIS STATEMENT REFLECTS EITHER (check one): ab tr DoLTARVALUETHREsHoLDs PART A - PRIMART SOURCES OF INCOME NAME OF SOURCE OF INCOME [Major sourecs of income to the reporting person] DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTMITY Uaftrtcts PART B - SECONOAFCf SOURCES OF INCOME [Major customers, clients, and other souroes of Income to businesses owned by the reporting person] NAME OF MAJOR SOURCES OF BUSINESS'INCOME PART C - REAL PROPERW [Land, buildings owned by the reportlng personl a*,l (Zcstlen FILING INSTRUCTIONS tor wtren and wh6re to flle thls form are located at the bottom of page 2. INSTRUCTIONS on who must flle thls form and how to fill lt out begln on pago 3. OTHER FORMS you may need to file are descrlbed on page 6, FORM 1 -Ett.1t268 (Gontlnued on rcverce side)
24 PART O - INTANGIBLE PERSONAL PROPERTY lstocks, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE I BUSINESS ENTITYTO WFIICH THE PROPERTY REI.ATES Slor'L 6 c.o* Sc,., t\., ^ Q*',\Q \ PART E - LIABILITIES [MaJor debts] NAME OF CREDITOR Re!r \la*-l Ot lanul.-, ().-,6,n-4ao H.u tao (t K\,..la",,\A.-, \ <\ ("wr'^zr I.a I {3*^-L 6.rta.A.' ADDRESS OF CREDITOR PART F - INTERESTS ln SPECIFIED BUSINESSES [Omership or positions in certain types of businessesl NAIIE OF BUSINESS I BUSINESSENTry#1 I BUSINESSENTmY#2 I BUSINESSENTITY#3 ENTIW (rru{ A*ft*tn A.={L., OI- ENTITY bd35 p,nn LL(('-" 0c BUSINESS --t t"o{ut< ADOREI'S BUSINESS PRINCIPAL ACTMTY POSMON HELD \^, TH FNTITY I OT^JN MORE THAN A 5% INTEREST IN THE BUSINESS Q16s..{oc L(e9 MruRE OF Ifi O\^/NERSHIP INTEREST ioo 4oa--tn-a!F ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE [E SIGMTURE (requlred): /Qor*-/lA DATE SIGNED (requlred): 1/rz/"* 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. lf you have nothing to repoft in a particular sec*ion, you must wrlle "none' or "n/a" in that sec'tion(s). Facslmlles wlll not be accepted. NOTE: MULTIPLE FILING UNNEGESSARY: Generally, a person who has filed Form 1 br a calendar or fiscal year is not required to file a second Form I for the sam6 y ar. Ho\tever, 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 qualfiing. ce FORM 1 - Efi WHERE TO FILE: lf you were mailed the form by the Commisslon on Ethics or a County Supervisor of Eleciions fur your annual disclosure filing, retum the form to that loc tion. Local ofiicedemployees file with the Supervisor of Elec{lons of the county ln which they permanently reside. (lf you do not permanently reside in Florida, lile with the Supervisor of the county where your agency has its headquarters.) State oficers or speclfied state employe* file with lhe Commission on Ethics, P.O, Drawer 157O9, Tallahassee, FL ; physlcal address: 3600 Maclay Boulevard, South, Suite 201, Taflahassee, FL Candidat* file this iorm together with their quailrying papers. To determine what category your position falls under, see the "Who Must Fib" lnstructions on page 3, WHEN TO FILE: lnttally, each local ofiicer/employee, state ofiicer, and specified state employee must file wlthln 30 days of the date of hls or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even lf that is less than 30 days from the date of their appointment. Candldat* for publidy-elected local ofiice must file at the same time they file thek qualirying papers. Thereafter, locel officers/employees, state ofiicers, and specified state employees are required to file by July 1st following eacfi calendar year In which they hold their posf tlons. Hnally, at the end of ofiice or employment, eech local ofiicer/employee, state offcer, and specifcd state employee is required to file e final disclosure form (Form 1F) withln 60 dap of leaving ofiice or employment.
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