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Alberto Zaltzberg - Qualifying Documents RECEIVED APPOINTMENT OF CAMPAIGN TREASURER OFFICE OF THE CITY CLERK AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES APR 2 2 2022 (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) CITY OF AVENTURA NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): ❑E Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3.Address (include post office box or street, city, state, zip Alberto Zaltzberg 20355 ne 34 ct #1827 4. Telephone 5. E-mail address (954 )5887564 azaltzberg@gmail.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if City of Aventura commissioner seat 6 applicable: I ❑ 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. ! have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Romina Anbinder 11. Mailing Address 12. Telephone 20355 ne 34 ct #1827 (954 )5887564 13. City 14. County 15. State 16. Zip Code 17. E-mail address Aventura Miami-dade FI 33180 azaltzberg@gmail.com 18. 1 have designated the following bank as my Ej Primary Depository ❑ Secondary Depository ` t 19. Name of Bank 20. Address Bank of America 19500 biscayne blvd 21. City 22. County 23. State 24. Zip Code Aventura Miami-dade FI 33180 -�-111 } UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FO F R APPOINTMEN CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE STATED IN IT A E RUE. 25. Date 26. Signatur a did to April 13 , 2022 X 27. Treasurer's Acceptance of Appointment (fill in th I ks and check the ppropriate block) Romina Anbinder do he eby accept the appointment (Please Print or Type Name) designated above as: ❑■ Campaign Treasure pu Treas er April 13 2022 Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. i APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN CITY OF AVENTURA DEPOSITORY FOR CANDIDATESrOffice of the City Clerk (Section 106.021(1), F.S.) T of t (PLEASE PRINT OR TYPE) RECEIVED C � NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Alberto Zaltzberg code) 20355 ne34 ct #1827 Aventura , FI 33180 4. Telephone 5. E-mail address (954 ) 5887564 azaltzberg@gmail.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Aventura City commissioner applicable: ❑ My intent is to run as a Write-In candidate. 8. If a candidate fora 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 X❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Alberto Zaltzberg 11. Mailing Address 12. Telephone 20355 ne 34 ct #1827 ( 954 ) 5887564 13. City 14. County 15. State 16. Zip Code 17. E-mail address Aventura Miami Dade Florida 33180 azaltzberg@gmail.com 18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository 19. Name of Bank F2958 0. Address Truist bank NE 199th St Unit 5 21. City 22. County 23. State 24. Zip Code Aventura Miami Dade Florida 33180 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPO MENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS ST IN ARE TRUE. 25. Date 26. Signature of idt June 6 2022 X 27. Treasurer's Acceptance of Appointment (fill in the bl nks and check the appropriate block) Alberto Zaltzberg reby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer LXU uty T surer. June 6 2022 _ X Date SiqKature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. APPOINTMENT OF CAMPAIGN TREASURER CITY OF AVENTURA AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES Office of the City Clerk (Section 106.021(1), F.S.) 6/2022 (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): ❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy 0 Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Alberto Zaltzberg code) 20355 ne 34 ct#1827 Aventura , FI 33180 4. Telephone 5. E-mail address (954 ) 5887564 azaltzberg@gmail.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Aventura City Commissioner seat 6 applicable: ❑ 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 0 Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Alberto Zaltzberg 11. Mailing Address 12. Telephone 20355 ne 34 ct#1827 (954 ) 5887564 13. City 14. County 15. State 16. Zip Code 17. E-mail address Aventura Miami-Dade FI 33180 azaltzberg@gmail.com 18. 1 have designated the following bank as my 0 Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Wells Fargo 2929 NE 199th St 21. City 22. County 23. State 24. Zip Code Aventura Miami-Dade FI 33180 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. 25. Date 26. Signature of Candidate June 16 , 2022 X 27. Treasurer's Acceptance of Appointment(fill in the blanks and the e appr priate block) Alberto Zaltzberg , do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer. 0 Deputy Treasurer. June 16 , 2022 X C7xs��� Date Signature of Campaign ga rer or eputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. APPOINTMENT OF CAMPAIGN TREASURER CITY OF AVENTURA AND DESIGNATION OF CAMPAIGN Office of the City Clerk DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) 6/21/2022 (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): ❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy 0 Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Alberto Zaltzberg code) 20355 ne 34 ct#1827 Aventura , FI 33180 4. Telephone 5. E-mail address (954 ) 5887564 azaltzberg@gmail.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Aventura City Commissioner seat 6 applicable: ❑ 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 0 Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Alberto Zaltzberg 11. Mailing Address 12. Telephone 20355 ne 34 ct#1827 (954 ) 5887564 13. City 14. County 15. State 16. Zip Code 17. E-mail address Aventura Miami-Dade FI 33180 azaltzberg@gmail.com 18. 1 have designated the following bank as my 0 Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Professional Bank 19058 NE 29th Avenue 21. City 22. County 23. State 24. Zip Code Aventura Miami-Dade FI 33180 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. 25. Date 26. Signature of Candidate June 16 , 2022 X 27. Treasurer's Acceptance of Appointment(fill in the blanks and the e appr priate block) Alberto Zaltzberg , do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer. 0 Deputy Treasurer. June 16 , 2022 X C7xs��� Date Signature of Campaign ga rer or eputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. OFFICE USE ONLY STATEMENT OF RECEIVED CANDIDATE OFFICE OF THE CITY CLERK (Section 106.023, F.S.) (Please print or type) APR 2 2 2022 CITY OF "ENTURA 1, Alberto Zaltzberg candidate for the office of city of Aventura commissioner seat 6 ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. -'Y �r X Siqhj(urYo'f Can i to T 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) k City 0f RECEIVED _ _�.. AventuraOFFICE OF THE CITY CLERK 2022 Municipal Election APR 2 2 2022 Access to the Candidate and Campaign Treasurer Handbook and The Election Laws of the Stare of Florida Candidate: A#bv9®Itzberg (Print Name) Office Sought: Mayor Seat ❑ Commissioner Seat 2 ❑ Commissioner Seat 4 ❑ Commissioner Seat 6 Q ri 3 f 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 on the City of Aventura Website (www.cityofaventura.com), including but not limited to: Candidate and Campaign Treasurer Handbook; C,om ilation of the lection Laws of the State of Florida; City of Aventura Charter and Code of 'at Caredin nces; City of ventura Political Sign Code; List of City Vendors; Voter Registration Guide for Sale fro Miami-Dade County Elections Department; Campaign Financing Forms; Fr que tly Asked Q tions; and Common Reporting Compliance Errors; as well as website link t t Miami-Dade ounty Elections Department and State of Florida Division of Elections. Acknowledged by: Signatur ndidate Date: 04/13/2022 Primary Telephone Number: 9545887564 Alternate Telephone Number: E-mail address: azaltzberg@gmail.com P110NF: 305-466-8901 • FAX: 305-466-8919 www.cityofaventura.com WCity of Aventura �. 2022 Municipal Election ITT©face of andidacv I Alberto Zaltzberg (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 20355 n : 34 ct#1827 Aventura', FI 33180 hereby s announce my candidacy for the office of: Mayor Seat ❑ Commissioner Seat 2 Commissioner Seat 4 El Commissioner Seat 6 to be voted for at the election to be held can the gtn day of`November, 2022, and I hereby agree to serve if elected. r Sig r of Can idate Date and hour of filing: Received b RECEIVED Ellisa L. Horvath, MMC4 City Clerk/Supervisor of Elections OFFICE OF THE CITY CLERK U G 1 (City Code Sec.26-31J r PHONE: 305466-8901 Fax: 305-466- www.cityofaventura.com , i CANDIDATE OATH —< RECEIVED NONPARTISAN OFFICE OFFICE OF THE CITY (€?o not use this form if a Judicial or School Board Candidate) Check box omly if you are seeking to qualify as a AUG 1 write-in candidate: El Write-in candidate ICE use oIUI.Y Candidate Oath (Section 99.021(1)(a), Florida Statutes) 1, Alberto Zaltzberg name consists of two or more names but has no (Print name above as you wish it to appear on the ballot. if your last 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 GItY Of AVErltUra C01111SSiOr1E'r ' To fil ce} (District#) G ;►am a qualified elector of Miami-Dade County, Florida; (circuit#) (Group or Seat#) t 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): 127010789 r 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 farm):(Not applicable to write-in candidates.] r f (954)5887564 azaltzberg@gmail.com ;. Telephone Number, Email Address Signa andidate 20355 ne 4 ct#18 7 Aventura Florida 33180 y` State ZIP Code 1 Address city yf 11111* 01 STATE OF FLORIDA Sigr>iature of Notary Public Print,Type,or Stamp Commissioned Name of Notary Public below. COUNTY OF 4 Swam to(or affirmed)and subscribed before me by physical _ or ,p., s* s WOOMMSSIt i#NFi172049 online preser this day of ! 20 :+ 1F'Ir:$ tnt+ 1 2tt2 ` Personally Known: or Produced Identification: .., ,.x= U S Type of Identification'Produ d:` ++� , C1S-tlE 302NP,(Rev.04/20) Rule 1 .2.0001,F.A.C. DECLARATION AND FIRST AMENDMENT WAIVER RECEIVEO FOR CANDIDATES WHO AGREE TO COMPLY W THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PAftlg OF THE CITY CLERK VOLUNTARY STATEMENT OF FAIR CAMPAIGN I " 2 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, and economic problems. Therefore, CITY OF "ENTURA I, I 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. 3. l 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 opponent's patriotism, 5. 1 shall not publish, display, or circulate any anonymous campaign literature or political advertisement, r b. 1 shall not tolerate my supporters engaging in these activities that I condemn, not 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. 7. 1 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. I will neither use nor permit the use of malicious untruths or innuendoes about an opponent's personal life, nor will I make or condone f unfounded accusations discrediting that person's credibility. a 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. r ll. Twill 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 ® ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES, SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS CO�ISSION,AND WAIVE MY FIRST AMENDMENT RIGHTS. a candidate for the office of please print your name In , l elective office sought county,municipality,ai other jurisdiction ' ,< agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-ll 1.1(T))(1)of 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 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 ION 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,I will 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 ry forced,pressured,or otherwise coerced into making this agreement; and(3)that I am aware of the volunta 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 r rights to which I would otherwise be entitled under the First Amendment to the U.S.Constitution and'Article I,Section 4, of the Canstitu ' n of the State of Florida. Once the DECLARATION AND FIRST AMENDMENT WAI ' signed, is deemed irrevocable for the duration of the campaign. Signat Hate . y FORM 1 STATEMENT OF 202 Please printor typo your name,mailing FINANCIAL INTERESTS FOR OFFICE USE QNLY: address,agency name,and position below: LAST NA --FI ST NAME-MIDDL NAME a MAI NG ADDRESS OFFICE OF THE crry CLERK CITY: ZIP COUNTY: airf p AUG 1 G 2022 NAME OF AGEN Y D ' NAME OF OFFICE OR POSITION HELD OR SOUGHT: CITY OF "ENTURA a CHECK ONLY IF CANDIDATE OR ( NEW EMPLOYEE OR APPOINTEE ** THIS SECTION M ST BE COMPLETED DISCLOSURE PERIOD: n THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2021, 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(m t check one}: COMPARATIVE(PERCENTAGE)THRESHOLDS QR_ DOLLAR VALUE THRESHOLDS PART A--PRIMARY SOURCES OF INCOME [Major sources of income is the reporting person-See instructions] (if you have nothing to report,write"Wane"or"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY OF IN OME ADDRESS r f 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 BUSINE S ENTITY OF'BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE PART C--REAL PROPERTY [Land,buildings`awned by the reporting person-See instructions] You are not limped to the space on the %t (1f you have nothing to report,write"none"or"nla") lines on this farm.Attach additional h sheets,if necessary. r FILING INSTRUCTIONS for when 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. r: PAGE 1 i CE FORM 1.Effective:January 1,2022 (Continued on reverse sides 8.202(1),F.A.C. Incorporated by reference in Rule 34 1. i PART Q . INTANGIBLE PERSONAL PROPERTY[Stocks,bands,certificates of deposit,etc.-See instructions] (If you have nothing to report,write"none"or"nla") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES i PART E--LIABILITIES [Major debts'-See instructions] (if you have nothing to report,write'"none'"or"nla") NAME OF CREDITOR ADDRESS OF CREDITOR IN 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"rl BUSINESS ENTITY#1 BUSINESS ENTITY 2 NAME OF BUSINESS ENTITY PU S OF BUSINESS ENTITY ' L BUSINESS ACTIVITY s N HELD WITH ENTITY ORE THAN A 5%INTEREST IN THE BUSINESS °l OF MY OWNERSHIP INTEREST —TRAINING For elected municipal officers,appointed school superintendents,and commissioners of a community redevelopment created under Part Ill,Chapter 163 required to complete annual ethics training pursuant to section 112,3142,F.S. 5 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 10 SIGNATURE OF FILER: A -;ATTt71 NEY SIGNATURE QNLY If a certified public accountant licensed under Chapter 473,or attorney 1gnatUre: in good standing with the Florida Bar prepared this form for you,he or she must complete the following statement: 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 �F disclosure herein is true and correct. Date Signed: CPA/Attorney Signature: Date Signed: FTC TNf INSTLRUCTIClNS: If you were mailed 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 PILING UNNECESSARY:A candidate who files a Form i 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 off cers/emiployees file with the Supervisor of Elections WHEN TO FILE:initially,each local officerlemployee, state officer, ARIIII 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 prier to the Supervisor of Elections may file by mail or email. Contact your confirmation, every if that is lessthan 30'days from the date of their Supervisor of Elections for the mailing address or email address to appointment. use, Do not ema'I our form to the Commissi n on Ethics it will be Candidates must file at the same time they file their qualifying returned. papers. >0, 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 farm to P.O. Drawer 15709, Tallahassee, FL held their positions. 32317-57t)9; physical address: 325 Jahn Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Farm 1 F)' within 60 days of ° Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Farm 1F(Final Statement your completed form and any attachments as a pdf(do not use any of Financial Interests)does no relieve the flier of filing a C Farm 1 other format), send it to CEForm1@leg.stateAus and retain a copy if the filer was in his or her position on December31,2021. far your records,Do 11 file, by both mail and email Choose onlwpne film mg ethod. Farm 6s will not be accepted via email. PAGE 2 CE FORM 9-Effective:January t 2022. Incorporated by reference in Rule 34-8.202(t),F.A.C. n