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Michael Stern - Qualifying Documents 5; RECEIVED r APPOINTMENT OF CAMPAIGN TREASUREROFFICE OF THE CITY CLERK AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) CITY OF "ENTUM NOTE: This form must be on file with the qualifying officer before cr enin the cam ai n account. OFFICE USE ONLY 1.CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository Cj Office Party 2,Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Michael Stern code) 20730 NE 30 Place, Aventura FL 33180 4.Telephone 5. E-mail address (786 ) 556-5657 aventuramagazine@aol.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: Commissioner Seat 2 ❑ My intent is to run as a Write-In candidate. 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 Write-In No Party Affiliation ® Party candidate. 9 1 have appointed the following'person to act as my Campaign Treasurer Deputy Treasurer 10, Name of Treasurer or Deputy Treasurer Michael Stern 11. Mailing Address 12. Telephone 20730 NE 30 PI ( 786 ) 556-5657 13. City 14. County 15. State 16. Zip Code 17. E-mail address Aventura Dade FL 33180 aventuramagazine@aol,com ` 18. 1 have designated the following bank as my Primary Depository ® Secondary Depository 19. Name of Bank 20. Address First Horizon Bank 20295 NE 29th PI 21. City 22. County 23. State 24. Zip Code Aventura Dade FL 33180 ` UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE REACT THE FOREGOING FORM FOR APPOINT MEN OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT RUE. 25. Date 26. Signature of di ate 1/13/2020 27. Treasurer's Acceptance of Appointment (fill in the bl nks and check the pprapriate block} 1, Michael Stern do hereby acc t the appointment (Please Print or Type Name) designated above as: Campaign Treasurer rl Deputy Treas er. 1/13/2020 X Date Signature of C a gn Treasure Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1 S-2.0001, F.A.C. OFFICE USE ONLY STATEMENT OFRECEIVED CANDIDATE OFFICE OF THE CITY (Section 106.023, F.S.) (Please print or type) J A N 1 6 2020 CITY OF AVENTURA Michael Stern candidate for the office of Comm r Seat have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x 1 /1_3/2020 Signature of Ca date 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) rye hRECEIVED City of Aventura OFFICE OF THE CITY CLERK 022 Municipal Election J A N 1 6 2020 Ices Lo the- Candidater o gf- Stig of Florida IV Candidate.: (Print Name) offlia aoslit Mayor Seat U Commissioner Seat 2 Commissioner Seat 4 D Commissioner Seat i acknowledge that it is my responsibility to read, understand and follow the requirements described in the City of Aventura Municipal Candidate Election resources available can the City of Aventura Website .oit n a entura ), including but not limited to: Candidate and Campaign Treasurer Handbook; Compilation of the Election laws of the State o Florida; City of Aventura Charter and Code of Ordinances; City of Aventura Political Sign Cade'; List of City Vendors, Voter Registration Guide; Items for Sale from iami-Cade County Elections Department, Campaign Financing Forms; Frequently Asked Q ns; 'and Common Deporting Compliance Errors; as well as website links to th l ' rni-T ad Elections department and State of Florida Division of Elections. Acknowledged by: Signature of Candidate /3 Date: Primary Telephone Number: Alternate Telephone Number: E-mail address: - l /,r PHONE: 305- 6 -8901 • FAX: 305-466-8919 www ity f ventur .corn Cit of Ft ,rpgyl� o/ Aventura ,.: 2022 Municipal Election Notice of Candid I Michael Stern (the undersigned), an elector of the City of Aventura, who has resided continuously in the City for at least one (1) year preceding the date of filing of this Notice of Candidacy, whose residence in the City of Aventura is 20730 NE 30th Place hereby 9 announce my candidacy for the office of: Mayor Seat ❑ Commissioner Seat 2 Commissioner Seat 4 ❑ Commissioner Seat 6 ❑ is to be voted for at the election to be held on the 8t" day of November, 2022, and I hereby agree to serve if elected. 3 Signature ofa Date and hour of filing:_ Received by' ' Ellisa L. Horvath, MMOF THE CITY CLERK City Clerk/Supervisor of Elections OFFICE ., AU G 1 5 2022 (City Code Sec.26-311 i U RA PHONE: 305-466-8901 FAX: 305-466-89 www.cityofaventura.com CANDIDATE OATH -- RECEIVED NONPARTISAN OFFICE OFFICE OF THE CITY CLERK (©o not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a UG 1 5 2022 write-in candidate: Q Write-in candidate E USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) I, Michael Stern (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 D. (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 Commissioner (office) (District#) 2 ; I am a qualified elector of Miami-Dade F71- 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): 09257567 Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as maybe used by persons with disabilities(see instructions on page 2 of this form):(Not applicable to write-in candidates,] My-Kale Stern (786)556-5657 aventuramagazine@aol.com Signature of Can e Telephone Number Email Address 20730 NE 30th Place Aventura FL 33180 r Address City State ZIP Code STATE OF FLORIDA Signature of Notary Public r Print,Type,or Stamp Commissioned Name of Notary Public below: COUNTY OF Sworn to(or affirmed)and subscribed before me by physical'zor online _presence this i day of s L-t faJ-`s 20 � '� i M 1T2049 -- r ✓ IRE$:SqAwnber1,2026 Personally Known: td' or Produced Identification: ' o:w�"? 8, 0Ttw�F PutikUndd*Mws' Type of Identification Produced: DS-DE 302NP(Rev.04/20) Rule 1 S-2.0001,F.A.C. i DECLARATION AND FIST AMENDMENT WAIVER RECEIVED FOR CANDIDATES WHO AGREE TO COMPLY TETYx THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PWA�gOF CLERK VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRA TICF.!*02 As a candidate for public office in Miami-Dade County, I believe that political issues can be freely debated without appealing to racial, ethnic, religious, sexual, or other prejudices. I recognize that such negative appeals serve only to divide this community and create long-term moral, social, CITY OF AVENTURA and economic problems. Therefore, 1. 1 shall not make my race, religion, national origin, gender, physical disability, or sexual orientation an issue in my campaign. 1 1 shall not make my opponent's race, religion, national origin, gender, physical disability, or sexual orientation an issue in my campaign. 1 1 will condemn any appeal to prejudice based on race, creed, national origin, religion, gender, physical disability, or sexual orientation. 4. 1 shall not, without just cause, attack or question my opponents patriotism. 5. 1 shall not publish, display, or circulate any anonymous campaign literature or political advertisement. b. 1 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. i. I shall run a positive campaign emphasizing my qualifications for office and positions on issues of public concern. 8. 1 will limit my attacks on an opponent to legitimate challenges to that person's record, qualifications, and positions. 9. 1 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 person credibility. l0. 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. !!, l 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 x ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES, SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION,AND WAIVE MY FIRST AMENDMENT RIGHTS. 11 a candidate for the office of i please print your name r in county,municipality,or other jurisdiction elective office sought r i agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 21(D)(1}of 'rt 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 11 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,Z will i 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 this agreement; and(3) that I am aware of the voluntary nature of this 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 del'the First Amendment to the U.S. Constitution and Article I, Section 4, of the Constitution of the St a rids. Once the DECLARATION AND FIRST ` signed, it' ed irrevocable for the duration of the campaign. AMENDMENT WAIVER f Signature ' Date i gry OFFICE [g ONLY: FINANCIAL INTERESTS ®R(}FFICEU$E VNLY: STATEMENT OF 2021 FORM 1 IJ Please print or t7name, name,mailing address,agencynd position below: LAST NAME--FIRST NAME--MIDDLE NAME: Stern, Michael Lawrence RECEIVED MAILING ADDRESS : 20730 NE 30 Place tCLERK CITY: ZIP: COUNTY : A U G 1 5 2022 Aventura 33180 Miami-Dade NAME OF AGENCY: City of Aventura CITY OF AVENTURA NAME OF OFFICE OR POSITION HELD OR SOUGHT: Commissioner r CHECK ONLY IF ❑✓ CANDIDATE OR NEW EMPLOYEE OR APPOINTEEOEM THIS SECTION LUST BE COMPLETED DISCLOSURE PERIOD: NCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2021. THIS STATEMENT REFLECTS YOUR FINA MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES,WHICH REQUIRES FEWER CALCULAT ARE USUALLY BASED ON PERCENTAGE VALUES IONS, OR USING COMPARATIVE THRESHOLDS, WHICH (see instructions for further details). CHECK THE ONE YOU ARE USING (must check one): COMPARATIVE(PERCENTAGE)THRESHOLDS t}R DOLLAR VALUE THRESHOLDS 1 PART A..PRIMAFZY SOURCES(7F INCOME [Major sources of income to the reporting person See instructions] (►f you have nothing to report,write"Wane"or'°nta") SOURCE'S DESCRIPTION OF THE SOURCE'S NAME OF SOURCE ADDRESS PRINCIPAL BUSINESS ACTIVITY OF INCOME Stern Bloom Media 20454 NE 34th Ct Photography(Graphic Design >r 121, pART B-- SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person See instructions] 4/1 (if you have nothing to report,write"none"or"n/a") ADDRESS PRINCIPAL BUSINESS NAME OF NAME OF MAJOR SOURCES ACTIVITY OF SOURCE BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE r NA t sr C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] You are not limited to the space on the PART fines on this form.Attach additional (if you have nothing to report,write"none"or"nla") sheets,if necessary. NA FILING INSTRUCTIONS for when r .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. PAGE 1 i (continued on reverse sides 1,2012 l incorporated by references in e 34-8.202(1),F.A.C. s t 1 PART D—INTANGIBLE PERSONAL PROPERTY[Stocks, bonds,certificates of deposit,etc.-See instructions] (if you have nothing to report,write"none"or'Wa") BUSINESS ENTITY TO WHICH THE PROPERTY RELATES TYPE OF INTANGIBLE NA NUMMINEMM PART E—LIABILITIES [Major debts-See instructions] (if you have nothing to report,write"none"or"n1a") NAME OF CREDITOR ADDRESS OF CREDITOR NAP4—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 NA ADDRESS OF BUSINESS ENTITY rF PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY {OWN MORE THAN A 5%INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST ' PART G—TRAINING For elected municipal officers,appointed school superintendents,and commissioners of a community redevelopment agency created under Part Ill,Chapter 163 required to complete annual ethics training pursuant to section 1123142, F.Ll S. I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. r IF ANY OF PARTS A THROUGH G ARE CONTINUED ON 4 SEPARATE SHEET, PLEASE CHECK HERE CF' or T EY SIE3NATURE ONLY SIGNATURE o 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 Signature: she must complete the following statement: I 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: , CPR/Attorney Signature: 8/15/22 Date Signed: Sol t 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. �- IVlULTIPLE FILING UNNECESSARY:A candidate who files a Form Supervisor of Elections for your annual disclosure filing, return the 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. p WHEN TO FILE: Initially, each local officer/employee, state officer, Local officers/employees file with the Su ervisor of Elections of the county in which they permanently reside. (If you do not and specified state employee must file within 30 days of the side in Florida, file with the Supervisor permanently reisor 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 our form to the Commission an Ethics it will be Candidates must file at the same time they file their qualifying returned. papers. State officers or specified state employees who file with the 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. 32317-57t?9;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 r and any attachments as a p Your completed form df(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 31,2021. for your records. Do not file b both mail and email Choose only one filing_ � method. Form 6s will not be accepted via email. PAGE 2 GE FORM 1-Effective:January 1,2022. Incorporated by reference in Rule 34-8.202(1),F.A.C. i