Cindy Orlinsky - Qualifying Documents OFFICE USE ONLY
STATEMENT OF RECEIVED
CANDIDATE OFFICE OF THE CITY CLERK
(Section 106.023, F.S.)
(Please print or type) AUG 7 2024
CITY OF AVENTURA
Vt
candidate for the office of nA&j2_have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X PA
Signat e of tandidateu '-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(05111)
_ARECEIVED
City of
-ura OFFICE OF THE CITY CLERK
AvenA
2024 Special Election A U G 7 2024
CrTYINFAVENTURA
Access to the Candidate and Campaign TreasurerHandbook
d
e Election Laws of the State of Florida
Candidate: k JC�A
(Print Name)
Office Sought:
Commissioner Seat 2 FV
I acknowledge that it is my responsibility to read, understand and follow the
requirements described in the City of Aventura Special Election Candidate
Information resources available on the City of Aventura Website
( aciyoavenuraaco ), including but not limited to:
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 Elec s.
i
Acknowledged by: _
Signature of Can ate
Date: � � 2 �
Primary Telephone Number: 30 — ±(,,o — Z2
Alternate Telephone Number: g
E-mail address:
PHONE: 305-466-8901 Fax: 305-466-8919
www.cityofaventura.com
.1 j k-lity o RECEIVED
.. 3R� iNl�`Hp1X43splXfi#�
Aventura OFFICE OF THE CITY CLERK
ion 60
CITY OF AVENTURA
Notice
I p (the undersigned), an elector of the City of
Aventura, who has resided contin ously 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
1 �, hereby
announce my candidacy for the office of:
Commissioner Seat 2 71
to be voted for at the election to be held on the 5 th day of November, 2024, and I hereby agree
to serve if elected.
"-ureofte
Date and hour of filing: f , .-q
Cj
Deceived by:
Ellisa L. Horvath C
City Clerk/Supervisor of Elections
[City Code Sec.25-31]
PHONE: 305-466-8901 FAX: 305-466-8919
www.cityofaventura.com
CANDIDATE OATH
NONPARTISAN OFFICRECEIVED
(Do not use this form if a Judicial or School Board Candidate) OFFICE OF THE CITY CLERK
Check box only if you are seeking to qualify as a write-in
candidate:
Write-in candidate
1
OFFICE USE ONLY
Candidate OathCITY
Name to appear on ballot: V�EL
Check box if two last na es without hyphen. ❑ (Name ca not;be changed after qualifying.)
Check box if name includes nickname. ❑ (For use of a nickname,you must complete the Nickname Affidavit on reverse side.)
I swear or affirm that I am a candidate for the nonpartisan office of
( rce) (District#)
I am a qualified elector of � ,U1. County,, Florida
(Circuit#) (Group or Seat#)
I 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 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.
Statement of Outstanding Fines, Pees, or Penalties
I owe outstanding fines, fees, or penalties,that cumulatively exceed$250,for ethics or campaign finance violations (s. 99.021(1)(d), F.S.).
YES,t Do NO,l Do Not
If you do,you must also specify the amount owed and each entity that levied the same on the reverse side.
� o
Signature of Candida elephone Number F6ail Address
�iIS YD
Address of Legal Residence City State ZIP Code
STATE OF FLORIDA
COUNTY®F &t Signature of Notary Publi
Print, Type,or Stamp Commissi ed Name of Notary Public below:
Sworn to(or affirmed}and subscribed before me by means o{
online notarization ❑ OR physical presence
vID
this 1Q day of 20 �s"�°°` ELLISAL.HORVATH
* *_ W COMMISSION#HH 301736
Personally Known OR Produced Identification ❑ 4'.o¢Fao°= EXPIRES:August 17,2026
Type of Identification Produced
DS-DE 302NP(Eff. 10/2023) Rule 1S-2.0001, F.A.C.
Phonetic spelling for the audio ballot(not required for qualifying purposes): Print the 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 3 of this form):
�5 �e o #adrn+ Frs� � esrM t#>I
Pursuant to Section 99.021(1)(d), F.S., each candidate, whether a party candidate, a candidate with no party affiliation, or a write-in
candidate, shall, at the time of subscribing to the oath or affirmation,state in writing whether he or she owes any outstanding fines,fees,
or penalties that cumulatively exceed$250 for any violations of s.8,Art. II of the State Constitution,the Code of Ethics for Public Officers
and Employees under part III of chapter 112, any local ethics ordinance governing standards of conduct and disclosure requirements,or
chapter 106.
Amount
N>I+ ktaqutrd trcmer balat}
r-
,,
My legal name is 1 am over the age of eighteen (18)and the contents of this
affidavit are true and correct.
My nickname is I am generally known by this nickname or have used it as part
of my legal name. I have not created the nickname to mislead voters. My nickname does not imply I am some other person, constitute
a political slogan or otherwise associate me with a cause or issue, or that is obscene or profane.
Signature of Candidate:
STATE OF FLORIDA
COUNTY OF
Signature of Notary Public
Sworn to (or affirmed)and subscribed before me by means Print,Type,or Stamp Commissioned Name of Notary Public below:
of online notarization ❑ OR physical presence ❑
this day of ,20
Personally Known ❑ OR Produced Identification ❑
Type of Identification Produced:
DS-DE 302NP(Eff. 1012023) Rule 1S-2.0001, F.A.C.
DECLARATION AND FIRST AMENDMENT WAIVER RECEIVED
FOR CANDIDATES WHO AGREE TO COMPLY WITH
THE VOLUNTARY STATEMENT OF FAIR CAMPAIGNOREIMPF THE CITY CLERK
VOLUNTARY1
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.
2. 1 shall not make my opponent's race, religion, national origin, gender, physical disability, or sexual orientation an issue in my campaign.
3. 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 opponent's patriotism.
5. 1 shall not publish, display, or circulate any anonymous campaign literature or political advertisement.
6. 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.
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. 1 will neither use nor permit the use of malicious untruths or innuendoes about an opponent's personal life, nor will I make or condone
unfounded accusations discrediting that person's credibility.
10. 1 will take personal responsibility for approving or disavowing the substance of attacks on my opponent that may come from third parties
supporting my candidacy.
11. 1 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
• ABIDE BY THE VOLUNTARY STATEMENT OF FAIR CAMPAIGN PRACTICES,
• SUBMIT TO THE COMPULSORY JURISDICTION OF THE ETHICS COMMISSION,AND
• WANE MY FIRST AMENDMENT RIGHTS.
I, w , a candidate for the office of
please p t your n
—�-A, (�,0 in y� V k( U t4 6 LT�
I hve o. ce so ht coun municipality,_C'" l n P tY,or other jurisdiction
agree to abide by the voluntary Statement of Fair Campaign Practices as provided in Section 2-11.1.1(D)(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 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
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 under the First Amendment to the U.S. Constitution and Article
1, Section 4, of the Constitution of the State of Florida. Once the DECLARATION AND FIRST
AMEND NT WAIVER is si d,it is deemed irrevocable for the duration of the campaign.
Signal re Date
2023 Form I - Statement of Financial InterestsRECEIVED
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Name: Cindy Orlinsky
Address: 20051 NE 37TH CT,AVENTURA, FL 33180 CITY OF AVENTURA
County:
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Cindy Orlinsky LLC 20051 NE 37th Court Aventura, Florida
33180 Rea! Estate
Scott Orlinsky 20051 NE 37th Court Aventura Florida Business
33180
Printed from the Florida EFDMS System Page 1 of 3
2023 Foy - Statement of Financial Interests
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3 For - Statement of Financial Interests
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Digitally signed:08/07/2024
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