Joshua Mandall - Qualifying Documentsa • F ■Y s F
AND DESIGNATION OF CAMPAIGN
DEPOSITORY CANDIDATES
(Section•
(PLEASE PRINT OR TYPO
NOTE: This farm must be on file with the qualifying
officer before openina the carnDalan account. I OFFICE USE ONLY
1. CHECK APPROPRIATE :O
JoshuaInitial Filing of Form Re -filing to Change: 0 Treasurer/Deputy Depository Office Pa
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
- Mandall *West Country Club Drive, ,
pt. 1034
4. TelephoneI� address F „ Florida,'►
City of Aventura Commissioner,
7If 1.candidatefor
.nonpartisan office,
applicable:
Ej My intent is tocandidate.
8. If a candidate for a partisan office, check block and fill In name of party as applicable: My intent isi to run as a
Write-in 0 No Party Affiliation# # r
10. Name of Treasurer or " •
Joshu a Manda 11
Mailing11. Address
#
20379 West Country Club Drive, Apt. 1034
Campaign .r .. Deputy Treasurer
12. Telephone
( 305 )910-174
13. City 14. County 15. State 16. Zip Code 17. E-mail address
AventuraIMiami-Dade Florida 33180 joshuamandall@gmaii.com
16.1 have designated the following bank as my Z Primary Depository Secondary Depositary
19. Name of Sank 20. .address
TD, Bank 20495 BiscayneBlvd
21. City�22County 23, State 24. Zip Cade
alttara mi- ado Florida 1333180
5, Date 26. Sig tore of andida
005020 �LL
27. Treasurer's Acceptance of Appointment (f ? the blanks and check the appropriate block)
1 Joshua Mandall do hereby accept the appointment
(Please Print or Type Name)
designated above as, Campaign Treasurer Deputy Treasurer,
08/05/2020
wu w�.e.nee Gate Signature of arnpalgn Treasurer or ep�aty Treasurer
ns. F a tR v_ t1 1 Rule 1S- F0 014 F.A, .
RR
Mi
jqpig�i �1��
I)ODO
I 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(i)(c):, 106.265(l), Florida
Statutes).
DS-DE 84 (05/11)
City of
Aventura
2020 Municipal Election
The Flection Lm of die Stic of
Candidate:
(Print Name)
OffiGg souahL
Commissioner Seat I
Commissioner Seat 3
Commissioner Seat 5
Candidate and Campaign Treasurer Handbook; Compilation of the Election Laws of the State of
Florida,- City of Aventura Charter and Code of Ordinances; City of Aventura Political Sign Code;
List of City Vendors; Voter Registration Guide; Items for Sale from Miami -Dade County Elections
Department" Campaign Financing Forms; Frequently Asked Questions; and Common Reporting
Compliance Errors; as well as website links to the Miami -Dade County Elections Department and
State of Florida Division of Elections.
Date; & � _1L 0
+
Primary Telephone Number:
Alternate Telephone Number:
E-mail address:
(Kindly note your preference for method of contact)
1sHONE: 305-466-8901 , FAX: 305-466-8919
www-cityoi",Iivcllttll,,I,C()IlI
CANDIDATE OATH — RECEIVED
NONPARTISAN OFFICE OFFICE OF THE CITY CLERK
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a AUG 1 4 2020
write-in candidate:
Write-in candidate CITY OF AVFNTI IR
FICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, Joshua Mandall
(Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no
hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.)
am a candidate for the nonpartisan office of City of Aventura Commissioner
(Office) (District#)
Seat 5 ; I am a qualified elector of Miami-Dade 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 99.012, Florida Statutes;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number (located on your voter information card): 120900292
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities(see instructions on page 2 of this form):(Not applicable to write-in candidates.]
JAH-shoo-uh MAN-dahl
X �g�� � ) � (305)910-1784 joshuamandall@gmail.com
Signat' a of Candidate Telephone Number Email Address
20379 West Country Club Drive, Apt. 1034 Aventura Florida 33180
Address City State ZIP Code
�i (/v` >
STATE OF FLORIDA
Signature of ary Publ'
COUNTY OF /// '%1 - >'/9 e_ Print,Type,or a p Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by ig physical or
/ CARIDAD LINARES
n online presence this/X/ day of __ , 2� f' '.0,"c Notary Public.State of Florida
tmi, " Commission#GG 946128
G � UAa
Personally Known: or Producedg� Identification:j� My comm.expires Jan.12.2024
Type of Identification Produced:Ai-5 / /'� W
DS-DE 302NP (Rev. 04/20) Rule 1S-2.0001, F.A.C.
FORM 1 STATEMENT OF 2019
Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY:
address,agency name,and position below:
LAST NAME--FIRST NAME—MIDDLE NAME :
Mandall Joshua Asallie
MAILING ADDRESS :
20379 West Country Club Drive
Apt. 1034
CITY: ZIP : COUNTY
Aventura 33180 Miami-Dade
NAME OF AGENCY:
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
City of Aventura Commissioner, Seat 5
CHECK ONLY IF ✓❑ CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE
**** THIS SECTION MUST BE COMPLETED ****
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2019.
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 (must check one):
❑ COMPARATIVE (PERCENTAGE)THRESHOLDS OR ❑✓ 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"none"or"n/a")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
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,write"none"or"n/a")
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
PART C—REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] You are not limited to the space on the
(If you have nothing to report,write"none"or"n/a") lines on this form.Attach additional
N/A sheets, if necessary.
FILING INSTRUCTIONS for when
N/A and where to file this form are
located at the bottom of page 2.
N/A INSTRUCTIONS on who must file
this form and how to fill it out
N/A begin on page 3.
CE FORM 1-Effective:January 1.2020 (Continued on reverse side) PAGE 1
Incorporated by reference in Rule 34-8.202(1).F.A.C.
PART D—INTANGIBLE PERSONAL PROPERTY[Stocks, bonds, certificates of deposit,etc. -See instructions]
(If you have nothing to report,write"none"or"n/a")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
N/A N/A
N/A N/A
PART E—LIABILITIES [Major debts-See instructions]
(If you have nothing to report,write"none"or"n/a")
NAME OF CREDITOR ADDRESS OF CREDITOR
Navient- U.S. Department of Education P.O. Box 9635, Wilkes-Barre, PA 18773-9635
N/A N/A
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"n/a")
BUSINESS ENTITY# 1 BUSINESS ENTITY#2
NAME OF BUSINESS ENTITY
ADDRESS OF BUSINESS ENTITY N/A N/A
PRINCIPAL BUSINESS ACTIVITY N/A N/A
POSITION HELD WITH ENTITY N/A N/A
I OWN MORE THAN A 5% INTEREST IN THE BUSINESS N/A N/A
NATURE OF MY OWNERSHIP INTEREST N/A N/A
PART G—TRAINING
For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S.
❑ I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING.
IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑
SIGNATURE OF FILER: ' CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473,or attorney
Signature: in good standing with the Florida Bar prepared this form for you, he or
she must complete the following statement:
/ I, , prepared the CE
�(te a' - ,� ,i/ !i/:'( j 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.
C) V /0Date Aned:
CPA/Attorney Signature:
f _ Date Signed:
FILING INSTRUCTIONS:
If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers.
Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY:A candidate who files a Form
form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission
under, see page 3 of instructions. or Supervisor of Elections.
Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially, each local officer/employee, state officer,
of the county in which they permanently reside. (If you do not and specified state employee must file within 30 days of the
permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment.
where your agency has its headquarters.) Form 1 filers who file with Appointees who must be confirmed by the Senate must file prior to
the Supervisor of Elections may file by mail or email. Contact your confirmation, even if that is less than 30 days from the date of their
Supervisor of Elections for the mailing address or email address to appointment.
use. Do not email your form to the Commission on Ethics, it will be
returned. Candidates must file at the same time they file their qualifying
State officers or specified state employees who file with the papers.
Commission on Ethics may file by mail or email. To file by mail, Thereafter,file by July 1 following each calendar year in which they
send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions.
32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1 F) within 60 days of
Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1 F(Final Statement
your completed form and any attachments as a pdf(do not use any of Financial Interests)does not relieve the filer of filing a CE Form 1
other format), send it to CEForm1@leg.state.fl.us and retain a copy if the filer was in his or her position on December 31,2019.
for your records. Do not file by both mail and email. Choose only one
filing method. Form 6s will not be accepted via email.
CE FORM 1-Effective.January 1,2020. PAGE 2
Incorporated by reference in Rule 34-8.202(1),F.A.C.
PART E—LIABILITIES
Name of Creditor:
Navient—U.S. Department of Education
Address of Creditor:
Navient—U.S. Department of Education Loan Servicing
P.O. Box 9635
Wilkes-Barre, PA 18773-9635