TOWN OF OCEAN BREEZE, FLORIDA CANDIDATE INFORMATION  ELECTION: Tuesday, November 5, 2024  QUALIFYING PERIOD: Thursday, August 1, 2024 through REQUIRED FORMS & SUGGESTED READING:  Wednesday, August 21, 2024  1. Statement of Candidate (DS-DE 84) Candidate Oath (notarized)(DS-DE 302NP) 3. Form I Instructions and e-filing Sample  2.  Note: When e-filing Form I on the Commission of Ethics website ntps/diselosure.loridnethesgov),. if you are filing as a new Candidate click on "lam a Candidate." Ifyou are filing as a new Candidate, but already a municipal official, log on to) your account at the Commission of Ethics and print or otherwise provide thev verification reeiptofyoure-filing to the Town Clerk who is the Qualifying Officer fort the Memo Re: Campaign Treasurers Appointment and Reports (DS-DE 9, DS-DE 12 & DS-DE 87)  election.  4. 5. 6. 8.  Affidavit for Campaign Accounting Logic & Accuracy Test Notice Receipt  7. The Florida Election Code (2022) FL Statutes Chapter 106 Florida Political Committee Handbook (Revised: 2021) 9. The Florida Municipal Officials Handbook (2022) 10. Government in Sunshine Manual  htpAvww.leg.statel fl.us/st statucvindesclm/App.made-Daplav. Statute&URL 019A0VP01A0I0éhm tps/leslloridadosgovmadin703091politigaksommittee-handbok 202-1L16,02lahbpar tps/Aww.lelles.cosaS-rEsuResethicsciviliy Hard copy available at Town Office. ltps/mylloridalegalegalcom/cbilssnsI/FMNOS-B900/95fle-sunshinelManual.pdr  Upon request, the Town Clerk will provide hard copies ofany oft the material found at the Please file all forms with the Town Clerk's office by 2PM Wednesday, August 21, 2024. The Town office is located at: 1508 NE. Jensen Beach Boulevard, Jensen Beach.  above-referenced links.  Kim Stanton, Town Clerk Town of Ocean Breeze Telephone: (772)334-6826 ovnelerxtownoloceanbreeze-org  Fax:  (772)334-6823  Monday - Friday, 9:00 a.m. - 2:00 p.m. updated 5/1/2024    OFFICE USE ONLY  STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type)  I,  candidate for the office of  Town.ofOcean Breeze ;  have been provided access to read and understand the requirements of  Chapter 106, Florida Statutes.  X  Signature of Candidate  Date  Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida  Statutes).  DS-DE 84(05/11)    CANDIDATE OATH NONPARTISAN OFFICE  (Do not use this form ifa. Judicial or School Board Candidate) Check box only if you are seeking to qualify as awrite-in  candidate:  Write-in candidate  OFFICE USE ONLY  Candidate Oath  Name to appear on ballot:_  Check box if two last names without hyphen.  (Name cannot be changed after qualifying.)  Check box ifname includes nickname.  (For use ofa nickname, you must complete the Nickname Affidavit on reverse. side.)  Iswear or affirm that lam a candidate for the nonpartisan office of Town Council - Town of Ocean Breeze  N/A (District #) County, Florida  (Office)  N/A (Circuit #)  N/A (Group or Seat #)  lam a qualified elector of Martin  - am a qualified elector 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 int the state, the term of which office or any part thereof runs concurrent with the officelseek; andI have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the  Constitution oft the United States and the Constitution of the State of Florida.  Statement of Outstanding Fines, Fees, or Penalties  lowe outstanding fines, fees, or penalties, that cumulatively exceed $250, for ethics or campaign finance violations (s. 99.021(1)(d), F.S.).  YES,IDo  NO,1Dol Not  Ify you do, you must also specify the amount owed and each entity that levied the same on the reverse side.  X  ) Telephone Number City  Signature of Candidate Address ofLegal Residence STATE OF FLORIDA COUNTYOF online notarization this Personally Known Type of Identification Produced: DS-DE 302NP (Eff. 10/2023)  Email Address  State  ZIP Code  Signature of Notary Public  Print, Type, or Stamp Commissioned Name of Notary Public below:  Sworn to (or affirmed) and subscribed before me by means of  OR physical presence OR Produced Identification  day of  20  Rule 1S-2.0001, F.A.C.    Phonetic Spelling of Name  Phonetic spelling for the audiol ballot (not required for qualifying purposes): Print the name phonetically on the line below as you wishi itt to be pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page: 3 oft this form):  Statement of Outstanding Fines, Fees or Penalties  Pursuant to Section 99.021(1)(d), FS., each candidate, whether a party candidate, a candidate with no party affiliation, or a write-in candidate, shall, att thet time of subscribing tot the oath or affirmation, state iny writing whether he or she owes any outstanding fines, fees, orp penalties thato cumulatively exceed $2501 for any violations ofs. 8, Art. lloft the State Constitution, the Code of Ethics for Public Officers and Employees under partl III of chapter 112, any local ethics ordinance governing standards of conduct and disclosure requirements, or  chapter 106. Amount  Entity  Affidavit of Nickname (Only required if using nickname for the ballot.)  My legal namei is affidavit are true and correct. Myr nicknameis_  lam over the age ofe eighteen (18) and the contents of this lam generally known byt this nickname or have usedi ita as part  of my legal name. lhave not created the nickname to mislead voters. My nickname does noti imply lam some other person, constitute  ap political slogan or otherwise associate me with a cause ori issue, ort thati is obscene or profane.  Signature of Candidate: STATE OF FLORIDA COUNTY OF.  Signature of Notary Public  Print, Type, or Stamp Commissioned Name of Notary Public below:  Sworn to (or affirmed) and: subscribed before me by means  ofc online notarization this Personally Known Type of Identification Produced: DS-DE 302NP (Eff. 10/2023)  OR physical presence OR Produced Identification  day of  20_  Rule 1S-2.0001, F.A.C.    DO NOT SUBMIT THIS PAGE TOTHE FILING OFFICER Guide for Designating Phonetic Spelling of Candidate's Name for Audio Ballot  1. Use thet tables below. 3. Use dashes (-)t to separate syllables. Stressed Vowel. Sounds EE - E A AH AH UH UH AW U 00 OU 0 EI AI OI YOO B D F G H HW K L M N NG P  2. Use upper case for "stressed" syllables. Use lowercase for "unstressed" syllables. 4. Add any notes such as rhyming examples, silent letters, etc.  Vowels uh  Unstressed Vowel Sounds  (FEET)feet (FIT) fit (BED) bed (KAT) cat (KAD) cad (FAH-thur) father( (PAHR) par (HAHT) hot (TAH-dee) toddy (FUHJ) fudge (FLUHD) flood (CHUHRCH) church (FAWN) fawn (FUL) full (FOOD) food (FOUND) found (FO) foe (FEIT) fight (FAIT) fate (FOIL) foil (FYOOR-ee-uhs) furious (BED) bed (DET) debt (FED) fed (GET)get (HED) head (WHICH) which (JUHG)jug (KAD) cad (LAIM) lame (MAT) mat (NET) net (SING-uhr) singer (PET)pet  (SO-fuh)sofa (FING-guhr) finger  Certain Vowe! Sounds with R  AHR ER IR OR OOR UHR  (PAHR) par (PER) pair (PIR) peer (POR) pour (POOR) poor (PUHR) purr  Consonants R S T V Y W CH SH TS TH TH ZH Z  (RED) red (SET) set (TEN) ten (VET) vet (YET) yet (WICH) witch (CHUCRCH) church (SHEEP) sheep (ITS) its (PITS-feeld) Pittsfield (THEI) thigh (THEI) thy (A-zhuhr) azure (Vi-zhuhn) vision (GOODZ) goods( HUH-buha-tuhn) Hubbardston  Examples of Phonetically Spelled Names  NAME ON BALLOT Mishaud Jahn Beauprez Maniscalco Tangipahoa Monte Tanya  PRONOUNCED AS mee-SHOld'iss silent) HAHN (rhyme: fawn) boo-PRAI (rhyme: hooray) man-uh-SKAL-ko TAN--pah-HO-uh Mahn-TAI TAWN-yuh (not TAN)  DO NOT SUBMIT THIS PAGE TOTHE FILING OFFICER    2023 Form 1-Statement of Financial Interests  General Information  Name: Address: County:  DISCLOSURE FILER SAMPLE ADDRESS SAMPLE COUNTY  PID SAMPLE  AGENCY INFORMATION Organization SAMPLE  Suborganization SAMPLE  SAMPLE  Disclosure Period  THISSTATEMENT REFLECTS YOURI FINANCIAL INTERESTS FOR CALEN YEAR NDING DECEMBER31, 2023.  Primary Sources of Income PRIMARY: SOURCE OF INCOME (Over $2,50 (Ify youl have nothing to report, write "n"la") Name of Source ofincome  çes of income to the reporting person)  Description of theSource's PrincpalBusiness Activity  Sope'sAddress  SAMPLE Printed from the Florida EFDMS System  Page    2023 Form 1- Statement of Financial Interests  Secondary Sources of Income  SECONDARY: SOURCES OF INCOME (Major customers, clients, and other sources of income to businesses owned by the reporting  person) (lfy you have nothing to report, write "none" or "n/a")  Name of Business Entity  Name of Major Sources Address of Source  Principalsiness Activin  of Business' Income  ce  Real Property  REAL PROPERTY (Land, buildings owned by the reporting person) (lfy you! have nothing to report, write "none" or "n/a")  Location/Deseription  Intangible Personal Property  INTANGIBLE PERSONAL PROPERTY Btcerlfcatese of deposit, etc. over $10,000)  (Ify you! have nothing to report, write "none "ner)  Typeofintangible  Business Entity to Which the Property Relates  SAMPLE Printed from the Florida EFDMS System  Page 2of4    2023 Form 1- Statement of Financial Interests  Liabilities  LIABILITIES (Major debts valued over $10,000): (lfy you have nothing to report, write "none" or' "n/a")  Name of Creditor  Address of Creditor  Interests in Specified Businesses  INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in certain types of bus  (Ifyoul have nothing to report, write' "none"or"n/a")  Business Entity#1  Training  Based on the office or position you! hold, berification oft training required under Section 112.3142, F.S., is not applicable to  you for this form year.  SAMPLE Printed from the Floridal EFDMS System  Page3of4    2023 Form 1- Statement of Financial Interests  Signature of Filer  Digitally signed: Filed with COE:  SAMPLE Printed from the Florida EFDMS System  Page 4of4    2023 Form 11 Instructions Statement of Financial Interests  Notice  Thea annual Statement ofF Financial Interest is due: July 1,2 2024. Ift the annual formi isr not submitted vial thee electronic filing system created and maintained byt the Commission! September: 3. 2024, an automatic fine of $25 for eacho dayl late will be imposed, upt to ar maximum penalty of $1,500. Failure tot file also can resulti in removal from public office ore employment. [s. Ina addition, failure tor make anyr required disclosure constitutes grounds for and may be punished by one or more of the following: disqualification fromt being ont the ballot, impeachment, removal or suspension from office or employment, demotion, reduction! ins salary, reprimand, orac civil penaltyr not exceeding! $10.000. [s. 112.317.F.S.  112.3145, F.S.]  When To File:  Initially, each! locald officer/employee. state officer, and specified state employee must file within 30 days of the date of his or her appointment ord oft the! beginning ofe employment. Appointees who must be confirmed by the Senate must file priort to  confirmation, eveni ifthat isl less than 30 daysf fromt the date oft their appointment. Candidates must file att the samet time they filet their qualifying papers. Thereafter, file by July1following each calendar yeari inv whichi theyl holdt theirp positions.  Finally. fite at final disclosure form (Form 1F) within 60 days ofl leaving office ore employment. Filing a CE Form 1F (Final Statement off Financial Interests) does not relieve thet filer off filinga a CE Form 1ift thet filerv was inl his ort her position on  December 31, 2023. Who Must File Form 1  1.6 Elected public officials not servingi inap political subdivision oft the statea and any person appointed tof filla ay vacancyin 2. Appointed members ofe each board. commission, authority. or council having statewide jurisdiction, excluding those required tof filet full disclosure on! Form 6 as wella as members ofs solely advisory! bodies, buti includingi judicial nominating commission members: Directors of Enterprise Florida, Scripps Florida Funding Corporation, and Career Source Florida; and members oft the Council ont the Social Status of Black Men and Boys; the Executive Director, Governors, and senior managers of Citizens Property Insurance Corporation: Governors and senior managers of Florida Workers' Compensation: Joint Underwriting Association; board members oft the! Northeast Fla. Regional Transportation Commission; boardr members of1 Triumph Gulf Coast, Inc: board members of Floridal Is For Veterans. Inc.: and members oft thel Technology Advisory Council within theA Agency for State Technology. 3.1 The Commissioner ofE Education, members oft the! State Board of Education. the Board of Governors, the local Boards ofTrustees and Presidents ofs state universities, andt the Florida Prepaid College Board. 4.F Persons electedt to office ina any political subdivision (such as municipalities, counties, and special districts) and any persona appointed tof filla a vacancy ins such office. unless required tot file Form6 6. 5. Appointed members of thet following boards. councils, commissions, authorities, ord othert bodies ofc county. municipality, school district. independent special district. or otherp political subdivision: the governing body ofthe subdivision; community college or junior college district boards oft trustees; boards having thep powert toe enforce local code provisions: boards ofa adjustment: community redevelopment: agencies: planning or zoning boards having the power to recommend, create. or modify land planning or zoning within a political subdivision, except for citizen advisory committees. technical coordinating committees, and similar groups who only! havet the power tor make recommendationst to planning or zoning boards, and except for representatives ofar military installation acting on behalf of all militaryi installations within thatj jurisdiction: pension orr retirement boards empowered toi invest pension orr retirement funds or determine entitlement to ora amount of pensions or other retirement benefits, andi the Pinellas 6. Anya appointed member ofal local government board whoi is required tot file as statement of financial interests by the appointing authority ort thee enabling! legislation, ordinance, orr resolution creating the board. 7. Persons holding anyo oft these positions inl local government: county ord cityr manager: chiefa administrative employee or finance director ofa a county. municipality. or other political subdivision: county or municipal: attorney: chiefo county or municipall building inspector: county or municipal water resources coordinator; county or municipal pollution control director: countyo or municipal environmental control director; county or municipal administrator with power to grant or denya al land development permit: chief of police: fire chief: municipal clerk: appointed districts schools superintendent; community college president: district medicale examiner: purchasing agent (regardless oft title) having the authorityt to  such office, unless requiredt tot filet fullo disclosure on Form 6.  County Construction! Licensing Board.  make any purchase exceeding $35,000 for thel local governmental unit.  1/4    8. Officers ande employees of entities serving as chief administrative officer ofa political subdivision. 9.N Members of governing! boards of charter schools operated byac city ord other public entity. 10. Employeesi int the office oft the Governor or ofa Cabinet member who are exempt from the Career Service! System, 11. The following positions ine each state department. commission, board. or council: Secretary, Assistant or Deputy Secretary. Executive Director. Assistant or Deputy Executive Director, and anyone having the power normally 12. Thef following positions ine eachs state department ord division: Director, Assistant or Deputy Director, Bureau Chief. and 13. Assistant: State Attorneys. Assistant Public Defenders, criminal conflict. and civil regional counsel, and assistant criminal conflict and civil regional counsel, Public Counsel, full-time state employees serving as counsel or assistant 14. The Superintendent or Director ofas stater mental healthi institute established fort training and researchi int the mental health field, ora anyr majors statei institution or facility established for corrections, training. treatment, or rehabilitation. 15. State agency Business Managers, Finance and Accounting! Directors, Personnel Officers. Grant Coordinators, and purchasing: agents (regardless of title)v with power tor make a purchase exceeding! $35,000. 16.1 Thet following positionsi inl legislative branch agencies: eache employee (other than those employedi in maintenance, clerical, secretarial, ors similar positions andI legislative assistants exempted byt thep presiding officer oft their house); 17.Each member of the governing! body ofa" "large-hub commercial service airport," as defined in Section 112.314400lc). Florida! Statutes, except for members required to comply with thet financial disclosure requirements ofs.8.Articlellof ATTACHMENTS: Af filerr mayi include and submit attachments or others supporting documentation whent filing disclosure. PUBLICE RECORD: The disclosure formi isa a public record and isr required by! law tol be posted to the Commission's website.Your: Social Securitynumber. bank account. debit. charge.and credito carinumher.madougaat brokerage account numbers. personali identification numbers. ort taxpayeri amntisatimnmumbansana required and should not be included. Ifs suchi information! isi included int thef fling. itr may! be made available for public inspection and copying unless redaction isr required by thet filer, without any! liabilityt tot the Commission. Ify you are an active or former officer ore employee listedi in Section" 119.071, F.S., whosel home address or otheri information is exempt from disclosure, the Commission will QUESTIONSaboutt this form ort the ethics laws may! be addressed to the Commission on Ethics, Post Office Drawer 15709. Tallahassee, Florida 32317-5709: physical address: 325: John! Knox Road. Building E. Suite 200, Tallahassee, FL32303:  excluding secretarial, clerical, and similar positions. conferred upons such persons. regardless oft title.  any person! havingt thep power normally conferred upon such persons. regardless oft title. counselt toa as state agency, administrative lawj judges, and! hearing officers.  and eache employee oft the Commission on Ethics.  the State Constitution.  maintain that confidentiality ifyous submit a written andi notarized request.  telephone (850) 488-7864. Instructions for Completing Form 1 Primary Sources of Income [Required! bys s.1 112.3145(3,0).FS)  This sectioni isi intended tor require the disclosure of your principal sources ofi income during the disclosure period. Youc do not havet to disclose any.public salary OLR public position(s). Thei income ofy your spouse needr not be disclosed: however, if therei isj jointi income toy you and your spouse from property you ownj jointly (such asi interest ord dividends froma al bank account ors stocks). yous should disclose thes source oft thati income ifite exceeded the threshold. Pleasel listi int this part oft thet form ther name. address. and principal business activity of each source of youri income which exceeded: $2,500 of grossi income received by) youi iny your own name or by any other person for your use orb benefit. "Gross income" means the same asi itd doesf fori income tax purposes, eveni ift thei income is not actuallyt taxable, sucha as interest ont tax-freel bonds. Examples include: compensation for services, income from business, gains from property dealings. interest, rents, dividends. pensions, IRA distributions. socials security, distributive share ofp partnership gross  income, anda alimonyi ifc considered grossi income underf federall law, but not child support.  Examples:  Ifyouy were employed bya a company that manufactures computers and received more than $2,500, list the name of Ify youv werea a partneri ina al law firm andy your distributive share ofp partnership gross income exceeded $2,500, list the Ify your weret thes soie proprietor ofa ar retail gift business andy your grossi income from the business exceeded: $2.500. list Ifyour receivedi income from investments ins stocks and! bonds. list eachi individual company from whichy you derived  the company, its address. andi its principal business activity (computer manufacturing). name oft thet firm, its address, andi its principal business activity (practice oflaw). the name oft the business, its address, andi its principal business activity (retail gift sales). moret than $2,500. Dor nota aggregate all ofy youri investment income.  2/4    Ifmoret than $2,500 ofy your grossi income was gain from the sale of property (not) just the selling price). list asa source ofi income they purchaser's name, address and principal business activity. Ift the purchaser's identityis unknown. such as where securities listed on an exchange are sold through al brokerage firm, the source ofi income Ifn more than $2.500 of your grossi income was int the form ofi interest from one particular financial institution (aggregating interest froma all CD's. accounts, etc., at that institution). list the name oft the institution, its address, and  should be listed as "sale of(name of company) stock," for example.  its principal business activity. Secondary Sources of Income [Required bys.1 112.3145(3)0)2.F FS.]  This parti isi intended tor require the disclosure of major customers, clients, and other sources ofi income to businesses in whichy you own ani interest. Itis not forreporting! income froms second jobs. That kind ofi income should ber reported in "PrimarySources of! Income." ifit meets the reporting threshold." Your will not have anything to report unless, during the 1.You owned (either directly ori indirectly int the form ofa an equitable or beneficial interest) more than! 5% ofi thet total assets or capital stock ofat business entity (a corporation, partnership, LLC. limited partnership, proprietorship, joint 2. You received more than! $5,000 ofy your gross income during the disclosure period from that business entity. Ify youri interests and gross income exceeded these thresholds, then for that business entity you must! list every source of income tot the business entity whiche exceeded' 10% of the business entity'sg gross income (computed on the basis oft the business entity's most recently completed fiscaly year). the source's address. and the source's principal business activity. You are the sole proprietor ofac dry cleaning business, from which) your received more than $5,000. If fonly one customer, a uniform rental company, provided more than 10% ofy youro dry cleaning business, you must list the name of the uniform rental company. its address. and its principal business activity (uniform rentals). You are a 20% partneri in aj partnership that owns as shopping mall and your partnership income exceeded the above thresholds. List each tenant of the mall that provided more than 10% oft the partnership's gross income and the  disclosure period:  venture, trust, firm, etc., doing business in Florida): and,  Examples:  tenant's address and principal business activity.  Real Property [Requiredt bys.1 12.314513)0)3,FS  Int this part, list thel location or description of all real propertyin Floridai in which you owned directly or indirectly at any time duringt the disclosure period ine excess of 5% of the property's value. Youare notrequired tol styourmsidenes.lous should Indirect ownershipi includes situations where you are al beneficiary of a trust that owns the property. as well as situations where you own more than! 5% ofa partnership or corporation that owns the property. The value oft the property may be determined by the most recently assessed valuet for tax purposes, int the absence ofar more accurate fair market value. The location or description of the property should be sufficient to enable anyone who looks at the form toi identify the  lista any.vacation homesi ifyou derive income fromt them.  property. AS street address should be used, ifone exists. Intangible Personal Property [Required! bys.1 12.3145(3,0)3.FS.  Describe any intangible personal property that, at any time during the disclosure period, was worth more than $10,000 and statei the business entity to which the property related. Intangible personal propertyi includes things such as cash onl hand, stocks. bonds, certificates of deposit, vehicle leases, interests inl businesses, beneficial interests int trusts, money owed you (including. but not limited to, loans made as a candidate toy your own campaign). Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts in which youl have an ownership interest. Intangible personal property also includes investment; products heldi in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained! in Labrokerage account. IRA. ort the Florida College Investment Planisyourasset-not: the account oL plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating tot the same business entity may be aggregated; for example, CDs and savings accounts with the same bank. Property owned as tenants by the entirety or as joint tenants with right of survivorship, including bank accounts ownedi ins sucha a manner, should be valued at1 100%. The value ofal leased vehicle ist the vehicle's present value minus the  lease residual (a number found on the lease document). PAdHPATEMEGDAFS  Liabilities  3/4    List the name anda address ofe each creditor to whomy you owed more than $10.000 at any time during the disclosure period. The amount oft the liability ofav vehicle lease is the sum of any past-due payments anda all unpaid prospective lease payments. You are not required tol list the amount of any debt. You do not have to disclose credit card andi retail installment accounts. taxes owed (unless reduced to aj judgment). indebtedness onal life insurance policy owed to the company of issuance, or contingent liabilities. A "contingent liability" is one that will become an actual liability only when one or more future events occur orf fail to occur, sucha as where you are liable only as a guarantor, surety, ore endorser on a promissory note. Ifyou are a "co-maker and are jointly liable orj jointly and severally liable. then iti is not a contingent liability.  Interests in Specified Businesses [Required bys.12314507.FS)  Thet types of businesses coveredi int this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies: insurance companies: mortgage companies; credit unions; small loan companies; alcoholic beverage licensees: pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted at franchise to operate by either a city ora a county government. Disclose in this part the fact that you owned during the disclosure period ani interest in, or held any of certain positions with the types of businesses listed above. Your must make this disclosure if you own or owned (either directly or indirectlyi int the form of an equitable or beneficial interest) at anyt time during the disclosure period more than! 5% oft the total assets or capital stock ofone oft the types of business entities listed above. You also must complete this part of thet form for each of theset types of businesses for whichy you are, or were at any time during the disclosure period, an officer, director, partner, Ifyoul have orl held such ap position or ownership interest in one of these types of businesses. list the name of the business, its address and principal business activity, and the position held with the business (if any). Ifyou own(ed) more thana a 5%  proprietor, or agent (other than a resident agent solely for service of process). interest int the business, indicate that fact and describe the nature ofy your interest.  Training Certification [Required bys. 112.3142,F.S.  Ifyou are a Constitutional ore elected municipal officer appointed school superintendent. a commissioner ofac community redevelopment agency created under Part III, Chapter 163, whose service began on or before March 31 of the year for which you are filing. you are required to completei four hours ofe ethics training which addresses Article II, Section 80 of thel Florida Constitution. the Code of Ethics for Public Officers and Employees. and the public records and open meetings laws oft the  state. You are requiredt to certify ont this form that youl have taken such training. Incorporated by referencel in Rules 34-8.001(2) and 34-8.202(1). F.A.C  CE FORM1- Effective: April 11, 2024  4/4    Town of Ocean Breeze  MEMORANDUM  DATE: TO: FROM: SUBJECT:  August 1,2024 All Candidates Kim Stanton, Town Clerk Campaign Treasurer's Report  IfCandidate is NOT opening a campaign account or hiring a Campaign Treasurer, Candidate must filea  WAIVER OF REPORT/DS-DEST.  The Campaign Treasurer's Reports (Form DS-DE 12) are due as follows:  Due Date August 30 September13 September 27 October 11 October 25 November1 November 19 February3 3  Period Covered August 16 -A August 23 August 24- -September 6 September 7 - September 20 September 21-C October 4 October! 5- October 18 October 19 -October 31 File Termination Report by due date ifr no election because of no opposition. File Termination Report by due date ifa an  Report Type G1 G2 G3 G4 G5 G6 TR TR  election is held.  All reports (G1 - G6 & TR) must be filed even ifyou have neither collected nor spent any money. Please note  that this form needs to be signed by the candidate and the campaign treasurer. Ifthere is no activity for the reporting period, a waiver of report must be filed.  Ifyou opened a Campaign Account, remember to save all receipts and cancelled checks as "they must be preserved until the expiration oft the term oft the office the candidate seeks." (FS 106.06)(3) All forms are available at the Town Clerk'so office, Town website: ntps/www.lownoloceanbreezc-org and Whether you spend money or your campaign or not, everyone must file a DS-DE9 with the Town Clerk!  tps/www.dos.mlondacomcleekctions/omms-publications/orms  O.Box1025 . Jensen Beach, FL 34958  Office: 772-334-6826 e Fax 772-334-6823 e toungfoceambrezaorg    APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1),FS.) (PLEASE PRINT OR TYPE)  NOTE: This form must be on file with the filing officer before  opening the campaign account. 1.CHECK APPROPRIATE BOX(ES): JI Initial Filing of Form ORe-fling to Change: 2. Name of Candidate (in this order: First, Middle, Last):  OFFICE USE ONLY  Treasurer/Deputy  Depository  JOffice  Party  3.Address (include PO Box or Street, City, State, Zip Code):  (Please Print orl Type Name)  4. Telephone: )  5.0 Candidate's Voter Registration #: 6. Email Address:  (notr required for qualifying purposes)  7.Office Sought (include district, circuit, group, or seat #):  8. lfacandidate for a nonpartisan office, check the box lintend to run as al Write-In Candidate.  Ifapplicable:  9.Ifa candidate for partisan office, check the box and filli in the name of the party as applicable: li intend to run as a  Write-in Candidate. No Party Affiliation Candidate. 11. Name of Treasurer or Deputy Treasurer:  Party candidate.  10. Ihave appointed the following person to act as my: Campaign Treasurer  Deputy Treasurer 13. Email Address:  12. Telephone: )  14. Mailing Address:  15. City:  16. State:  17. Zip Code:  18. Ihave designated the following bank as my (check appropriate box): Primary Depository Secondary Depository  19. Name of Bank: 21. City:  20. Address:  22. County:  23. State:  24. Zip Code:  UNDERI PENALTIES OF PERJURY, IDECLARE THATIHAVE READ THE FOREGOING FORM FOR' THE APPOINTMENT OF THE CAMPAIGN TREASURER ANDI DESIGNATION OF THE CAMPAIGN DEPOSITORY AND THATTHE FACTS STATED INIT ARE1 TRUE.  26. Signature of Candidate:  25. Date: 27.  X  Treasurer's Acceptance of Appointment (filli in the blanks and check the appropriate box)  do hereby accept the appointment designated above as:  (Please Print or Typel Name)  Campaign Treasurer.  Deputy Treasurer.  29. Signature of Campaign Treasurer or Deputy Treasurer  28. Date: DS-DE 9 (Rev. 09/23)  X  Rule 15-2.0001,FA.C.    CAMPAIGN TREASURER'S REPORT SUMMARY  (1) Name (2)  OFFICE USE ONLY  Address (number and street) City, State, Zip Code (4) Check appropriate box(es):  Ocian Bauze EL34957 Check here if address has changed  (3) IDI Number:  Candidate Office Sought: Town Council - Town of Ocean Breeze  Political Committee (PC) Electioneering Communications Org. (ECO) Party Executive Committee (PTY) Independent Expenditure (IE) (also covers an individual making electioneering communications)  Check here if PC or ECO has disbanded Check here if PTY has disbanded Check here if no other IE or EC reports will be filed  (5) Report Identifiers To  Cover Period: From DOriginal  Report Type:  JAmendment  Special Election Report  (6) Contributions This Report  (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ (8) Other Distributions  Cash & Checks Loans Total Monetary In-Kind  $ e $  $ $  (9) TOTAL Monetary Contributions To Date  (10) TOTAL Monetary Expenditures To Date  $  (11) Certification  Itis a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)  Icertify that Ihave examined this report and iti is true, correct, and complete:  (Type name) ore electioneering comm.) X Signature DS-DE 12 (Rev. 11/13)  (Type name)  Candidate X Signature  D Individual (only for IE Treasurer Deputy Treasurer  Chairperson (only for PC and PTY)  SEE REVERSE FOR INSTRUCTIONS    Instructions for Campaign Treasurer's Report Summary  (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering  communication.  (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) IDNumber: identification number assigned by the filing officer.  (4) Check the appropriate box(es). (5) Report Identifiers  Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for aspecial election add' "S" in front of the report code (i.e., SG3). Amendment: must summarize only contributions/fund transfers and expendituresdsributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on Special Election Report: Important: once a special election report is filed, the entity is required to file all  cover period dates as published by the filing officer. Check one of the appropriate boxes: Original: first report filed for this reporting period. the back of Forms DS-DE 13A and 14A. remaining reports due for the special election. Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans.  (6) Contributions This Report:  In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary. sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the (11) Type or print the required officer's name and have them sign the report:  (7) Expenditures This Report:  committee by al PC, ECO, or PTY. termination report. termination report.  Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign.  IEorEC report: individual must sign (this applies when an individual acts alone to make these AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on  expenditures)  the back of forms DS-DE 13, 14, 14A and 94.    WAIVER OF REPORT (Section 106.07(7),F.S.) (PLEASE TYPE)  OFFICE USE ONLY  Name Address  Office Sought  City  State Zip Code  Candidate  Political Committee  Party Executive Committee  NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report (nota waiver) that no reportable contributions or expenditures were made during thei reporting period (s. 106.0703(6), F.S.).  Check herei ifaddress has changed since last report.  Check here if PC has DISBANDED and will no longer file  reports.  TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)  QUARTERLY REPORT Indicate report# Q.  PRIMARY ELECTION Indicate report#  GENERALI ELECTION Indicate report#  OTHER REPORTTYPE Indicate report type and # as applicable:  TERMINATION REPORT  SPECIAL ELECTION  NOTIFICATION OF NO ACTIVITY IN CAMPAIGN. ACCOUNT FOR THE REPORTING PERIOD OF  THROUGH  X X  Signature Signature  Date Date  REQUIRED SIGNATURES FOR: Candidates:  Candidate and Campaign Treasurer or Deputy Treasurer (s. 106.07/5),F.S.) Chairman and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)  Political Committees: Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) reporting date that no report is being filed.  Except as noted above for an ECO, in any reporting period when there has been no activity in the account (no funds expended or received) thef filing oft the required report is waived. However, the filing officer must be notified in writing on the prescribed  DS-DE 87 (Rev. 10/2023)    Ch.1 106  CAMPAIGN FINANCING  F.S.2006  (6). Prior to disposing of funds pursuant to subsec- amount thereof. Such reports shall be on forms tion (4) or transferring funds into an office account pur- scribed by the Division of Elections, signed pre- the suant to subsection (5), any candidate who filed an elected candidate, certified as true and correct, by and oath stating that he or she was unable to pay the elec- filed with the officer with whom campaign reports were tures without imposing an undue burden on his or her (9) Any candidate, or any person on behalf of a personal resources or on resources otherwise avail- candidate, who accepts contributions after such candi- able to him or her, or who filed both such oaths, or who date has withdrawn his or her candidacy, after the can- qualified by the petition process and was not required didate has become an unopposed candidate, or after to pay an election assessment, shall reimburse the the candidate has been eliminated as a candidate or state or local govemmental entity,whichever is applica- elected to office commits a misdemeanor of the first ble, for such waived assessment or fee or both. Such degree, punishable as provided in S. 775.082 or S. tion verification and then, iff funds are remaining, fort the (10) Any candidate who is required the amount of the election assessment. Ift there are insuffi- of this section to dispose of funds in by his or provisions her cam- cient funds in the account to pay the full amount of paign account and who fails to dispose of the funds in either the assessment or thet fee or both, the remaining the manner provided in this section commits a misde- funds shall be disbursed in the above manner until no meanor oft the first degree, punishable as funds remain. All funds disbursed pursuant to this sub- 775.082 or s. 775.083. section shall be remitted to the qualifying officer. Any History -s. 50, ch. 77-175:5.6.ch. 79-378; S. 60, ch. 79-400;s.2,ch. 80-292; reimbursement for petition verification costs which are 5.54. 85-226: ch. S. 81-259; 2,ch. 86-7:s.2,ch. s. 28. ch. 81-304: 86-276: S. $.11, 1,ch. ch. 82-404;. 87-363;. 38, ch. 84-302;. 10, ch. reimbursable by the state shall be forwarded by the ch. 90-315;. 15, ch. 91-107:s. 645, ch. 95-147:5s. 15,1 16,5 53,ch. 15,ch. 97-13:5.6,ch. 89-256:5.34, qualifying officer to the state for deposit in the General 2002-197:S. 'Note. -The 20, trustf ch. fund 2004-252;S. expired, offective 70, ch. 2005-277. November 4, 1996, Revenue Fund. All reimbursements for the amount of 19(), Art. lloft the State Constitution. qualifying officer to the Department of State for deposit 106.143 Political advertisements circulated prior (7)(a) Any candidate required to dispose of cam- (1)(a) Any political ispadlty paign funds pursuant to this section shall do sO within acandidate and that is published, displayed, orcircu- the time required by this section ands shall, on or before lated priorto, oront the day of, anyeectionmustpromi: the date by which such disposition is to have been nently state: "Political advertisement paid for-ande 1. The name and address of each person or unit of displayed, or circulated prior to, or on the day of, any an expenditure was made, together with the amount 2. State the name and address of the persons 3. The amount of such funds transferred to an 3.a.() State whether the advertisement and the office account by the candidate, together with the name cost of production is paid for or provided in kind byorat and address of the bank in which the office account is the expense of the entity publishing, displaying, broad- Such report shall be signed by the candidate and the ment (II) State who provided or paid for the advertise- (b) The filing officer shall notify each candidate at of the sponsorship is patently clear from apply the content ignated due date shall be subject to a fine as provided This subsection does not apply to campaign messages (8) Any candidate elected to office who transfers those messages are designed to bey worn by a person. surplus campaign fundsi into an office account pursuant (2). Any political advertisement of a candidate run- to subsection (5) shall file a report on the 10th day fol- ning for partisan office shall express the name of the lowing the end of each calendar quarter until the political party of which the candidate is seeking nomi- account is closed. Such reports shall contain the name nation or is the nominee. If the candidate for partisan and address of each person to whom any disburse- office is running as a candidate with no party affiliation, ment of funds was made, together with the amount any political advertisement of the candidate must state thereof and the purpose therefor, and the name and that the candidate has no party affiliation. address of any person from whom the elected candi- (3). It is unlawful for any candidate or person on date received any refund or reimbursement and the behalf of a candidate to represent that any person or  tion assessment or fee for verification of petition signa- filed pursuant to S. 106.07(2).  reimbursement: shall be made first for the cost of peti- 775.083.  provided ins.  by operation ofs.  the election assessment shall be forwarded by the  in the General Revenue Fund.  toelection; requirements.-  made, file with the officer with whom reports are approvedby. required to be filed pursuant to S. 106.07 a form pre- sought scribed by the Division of Elections listing: andt the amounts thereof; thereof and purpose therefor; and  liation) for tofficer  (b) Any other political advertisement published, 1. Be marked' "paid political advertisement" or with  government to whom any of the funds were distributed election must prominently: 2. Ther name and address of each person to whom the abbreviation "pd. pol. adv."  sponsoring the advertisement.  located.  casting, or circulating the political advertisement; or and cost of production, ifc different from the source b. This subparagraph does not if the source format of the political advertisement. used by a candidate and the candidate's supporters if  campaign treasurer and certified as true and correct least 14 days before the date the report is due. (c) Any candidate failing to file a report on the des- ins. 106.07 for submitting late termination reports.  of sponsorship.  pursuant to S. 106.07.  or  112    AFFADAVIT  I,.  am a candidate  for the office of  ("Town Council" or "Mayor")  of the Town of Ocean Breeze, Florida, for the election to be held Tuesday, November 5, 2024 at Langford Park, 2369 NE Dixie  Highway, Jensen Beach, FL 34957.  Ihereby declare l'am not opening a campaign account, aslwill not be accepting contributions, and I will have no expenditures, aslwill not be conducting a campaign by advertising with signs,  brochures, literature, etc.  Signature  Date    TOWN OF OCEAN BREEZE  NOTICE TO QUALIFYING CANDIDATES  The Public Logic and Accuracy test for the November 5, 2024 election will be held on Wednesday, October 16, 2024 at 8:30 a.m. at Martin County Supervisor of Elections office:  Martin County Supervisor of Elections 135 SE Martin Luther King Boulevard Stuart, FL 34994 Telephone: (772)288-5637  Please sign and date below and return to:  Town of Ocean Breeze Post Office Box 1025 Jensen Beach, FL 34958 1508 NE Jensen Beach Blvd. Jensen Beach, FL 34957  Signature  Date