statement of candidate

13
STATEMENT OF CANDIDATE (Section 1 06.023, F.S.) (Please print or type) OFFICE USE ONLY I Sunshine Linda-Marie Grund I candidate for the office of Orlando Mayor have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X 3 Sep 2015 Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree rr~isdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(l)(c), 106.265(1), Florida Statutes). DS-DE 84 (0511 1)

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STATEMENT OF CANDIDATE

(Section 1 06.023, F.S.)

(Please print or type)

OFFICE USE ONLY

I Sunshine Linda-Marie Grund I

candidate for the office of Orlando Mayor

have been provided access to read and understand the requirements of

Chapter 106, Florida Statutes.

X 3 Sep 201 5 Signature of Candidate Date

Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree rr~isdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(l)(c), 106.265(1), Florida Statutes).

DS-DE 84 (0511 1)

DS-DE 25 (Rev. 511 1) Rule 15-2.0001, F.AC.

CANDIDATE OATH - NONPARTISAN OFFICE

(Not for use by Judlcial or

School Board Candidates) OFF ICE USE ONLY

OATH OF CANDIDATE (Section 99.021, Florida Statutes)

1 , \ n (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * - NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)

am a candidate for the nonpartisan office of Of\andQ - ~ V ( L C , , (office)

, ; I am a qualified elector of (clrcult #) (group or seat #)

Acqe dIorida;

I am qualitied under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida.

(3a\ )a7 b-5339 qrurdsrmsh\ne~qmI I. b q - Signature of ~ X d l d a t e Telephone Number Email Address

FI~~;& .yaw 7 Address ' State ZIP Code

Candidate's Florida Voter Registration Number (located on your voter information card): \ \a 4) bq 529

Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form):

H n - A Al'n LII-( ,V - d uh m ~h r EE ~ I ~ I I H ~ J STATE OF FLORIDA

c o u N n OF 0RItJ366

Sworn to (or affirmed) and subscribed before me this + day of s k * ~ ~ b ~ , 2 0 \5 .

Personally Known: or

Produced Identification: 6. Type of Mentitication Produced: F 1 . 0 R \ a L I C ~ 5&

APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES

(Section 106.021 (I), F.S.)

I (PLEASE PRINT OR TYPE) I NOTE: Thls form must be on flie with the quaiifylng off icer before opening the campaign account. OFFICE USE ONLY

I 2. Name of Candidate (in this order: First, Middle, Last) Linda Marie Grund aka Sunshine Linda Marie ~ r u d

6. Office sought (include district, circuit, group number) Orlando Mayor

1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: TreasurerIDeputy Depository Office Party

3. Address (include post office box or street, city, state, zip

dqg) Landing St. I 7. if a candidate for a non~artlsan off ice, check if

applicable:

My intent is to run as a Write-In candidate.

Orlando, FL 32827 4. Telephone (321 ) 276-5339

1 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a 1

5. E-mail address [email protected]

Write-In No Party Affiliation Party candidate.

9.1 have appointed the bliowing person to act as my Campaign Treasurer Deputy Treasurer

I 10. Name of Treasurer or Deputy Treasurer Linda Marie Grund aka Sunshine Linda Marie Grund

I 11. Mailing Address 8577 Bradley's Landing St.

12. Telephone

321 ) 276-5339 I 13. City Orlando

22. County 1 orange

19. Name of Bank Bank of America

24. Zip Code 132832 I

18.1 have designated the following bank as my Primary Depository Secondary Depository

14. County Orange

20. Address 1041 9 Narcoossee Rd

I UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. I

15. State FL

1 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I

25. Date

3 Sep 201 5

Linda Marie Grund aka Sunshine Linda Marie Grund , do hereby accept the appointment

(Please Print or Type Name) I

16. Zip Code 32827

26. Signature of Candidate

I Date

17. E-mail address [email protected]

tr. 7

I L

-Signature of Campaign reds surer or Deputy Treasurer

DSDE 9 (Rev. 1 Oflo) Rule 1 S2.0001, F.A.C.

FORM 1 STATEMENT OF Ploaar print or typo your namr, maillng addms, agrncy namr, and porltlon blow:

FINANCIAL INTERESTS

i-!cd! .:- ..: -. - .. .. v i':. 2- 2 : ~ ;

,..;,-':.1. i . -.<:- >- , , ,;.. f "

.-->- . : +. :,"..-: :: - - . : . : . .t ' '- . .. -. -

- NAME OF AGENCY :

, 6~ orbdo NAME bF OFFICE OR POSITION HELD OR SOUGHT :

a [\a J .0 Mavar You am not llrnlted to the s&ce on the llnes on this form. Attach addltlonal sheets, if necessary.

CHECK ONLY IF a CANDIDATE OR NEW EMPLOYEE OR APPOINTEE I **" BOTH PARTS OF THlS 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 THlS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one):

/ d DECEMBER 31,2014 0 SPEClPl TAX YEAR IF OTHER THAN M E CALENDAR YEAR: I

MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING:

d COMPARATIVE (PERCENTAGE) THRESHOLDS 0 DOLLAR VALUE THRESHOLDS

PART A - PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothlng to report, write "none" or "nla")

NAME OF SOURCE OF INCOME I SOURCE'S

ADDRESS DESCRIPTION OF THE SOURCE'S I PRINCIPAL BUSINESS ACTNIM I

PART B - SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, mfte "none" or "nla")

PART C - REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothlng to report, write "none" or "nla")

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS

FILING INSTRUCTIONS for when and where t o flle th ls form are located at the bottom of page 2.

INSTRUCTIONS on who must file th l s form and how t o flll it out begin o n page 3.

ACTIVITY OF SOURCE BUSINESS ENTITY

CE FORM 1 - EUcdlve: January 1.2015 Adopted by reference In Rule 34-8.202(1). F.A.C.

I I I

(Continued on n v m e side) PAGE 1

OF BUSINESS INCOME OF SOURCE

I PART E - LIABILITIES [Major debts - See instructions] (If you have nothlng to report, wrlte "none" or "nla")

PART D -INTANGIBLE PERSONAL PROPERM [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, write "none" or "nla") \

TYPE OF INTANGIBLE

PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions In certaln types of buslnesses -See Instructions] (tf you have nothlng to report, write "none" or "nla")

BUSINESS ENTITY # 1 I BUSINESS ENTITY # 2 I

BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

I

I

NAME OF CREDITOR

I I

I OWN MORE THAN A 5% INTEREST IN THE BUSINESS I I I

ADDRESS OF CREDITOR

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTlVlTY

POSITION HELD WTH ENTITY

I NATURE OF MY OWNERSHIP INTEREST I

I

h

SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or

Signature: attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement:

1, , prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct.

Date Signed: [ CPAlAttomey Signature:

I Date Signed: I

FILING INSTRUCTIONS; WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: Afler completing all parts of this form, includino If you were mailed the form by the Commission Initlelly, each local officer/employee, state officer,

send back only the first on Ethics or a County Supervisor of Elections for and spedfied state employee must file within sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to 30 days of the date of his or her appointment

that location. or of the beginning of em~lovrnent. Aooointees who mwt be confirmed by the senate' Aust file If you have nothing to report in a Particular ~ o c a l officerdemployees file with the prior to confirmation, wen if that is less man section, you must write "none" or "nla" in that Supervisor of Elections of the county in which they 30 days tom the dak of their appoinbnent. section(s). permanently reside. (If you do not permanently

reside in Flo"da, file with the Supervisor of the C ~ ~ t e s for puMid~4eded local office must NOTE: county where your agency has its headquarters.) file at the same time file their qualifying

MULTIPLE FILING UNNECESSARY: Papers. State 'IRCBC3 Or 'IJecified Thereafler, local ~fficerslemployees, state Acandidate who previously filed F0tTn 1 because file the Commission on Ethics, p.0. Drawer of another public position must at least file a copy 15709, Tallahassee, FL 32317-5709; physical officers, and specified state employees are

required to file by J u ~ lstfollawing each calendar of his or her original Form 1 vhen qualifying. A address: 325 John Knox Road, Building E. Suite year in which they hold wr candidate who files a Form 1 with a qualifying 200, Tallahassee, FL 32303. officer is not required to file with the Commission Finally, at the end of office or employment, each or Supervisor of Elections. Candldetes file this form together with their local officer/employee, state officer, and speded

qualifying papers. state employee is required to file a final disclosure To determine what category your position falls under, see the 'Who Must File" Instructions on page 3. Statement of Financial Interests) does ZlQt relieve

Facs~m~les w . . the filer of filing a CE ken 1 if he or she was in ill not be acce~ted. their position on December 31, 2014. I

I J CE FORM 1 - EffeQive: January 1,2015. PAGE 2 Adapted by reference in Rule 34-8.202(1:. F.A.C.

AFFIDAVIT OF FINANCIAL HARDSHIP !-a . <->': -; $ j c, ;= ;> zA-

(Section 99.093(2), Florida Statutes) : . . . . . . . . . . . . . . . :, :: , ......

1, k t & dcxi;~ 6fdd a h nSYn5htn~ ,acandidotcfortheofficeof Rint Nune

do hereby certify, pursuant

to Section 99.093(2), Florida Statutes, that I am unable to pay the 1% election assessment of

S 1 7 39 96 to qualify for nomination or election to public office h w pctying the

assessment would be an undue burden on my personal financial resources or on the financial

murces available to me. Under penalty of perjury, I declare that I have read the foregoing and

that it is a true and correct statement.

7- a\ t; Date I Signature of Candidate

Address: 7

state: FL Zip : ,72dr3?

Sworn to (or affnned) a d subscribed before me this fL day of fiepv* 6m

or Produced Idmtificnion_d_ P d l y Knom

Type of identification h~duad&&&&d& &W X - --.. -- ---.-7.--

Received by:

Name: Telephone:-

City Date of Election: Remit within 30 days of close of qualifying to:

Florida Elections Commission 107 West Gaines Stmt, Suite 224

Tallahassee, Florida 32399 Telephone: 850.922.4539 Fax: 850.921.0783