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HomeMy WebLinkAboutDocumentation_Workshop_Tab 2e_03/24/2008OVERVIEW OF "GIFTS LAW' (§112.3148, FLA. STAT.) NOTE: Two other provisions of the Code of Ethics prohibit solicitation and acceptance of gifts in certain situations. As these laws [§112.313(2) and (4), Fla. Stat.] apply to all public officers and employees, it is suggested that you read them as well. §112.3215, Fla. Stat., prohibits officials, members, or employees of the State Executive Branch required by law to file full or limited public disclosure of financial interests from accepting any expenditure from a lobbyist or a lobbyist's principal. Legislative members and employees should refer to §11.045, Fla. Stat., which contains a similar restriction. GIFT SOLICITATION PROHIBITIONS Each person required to file annual financial disclosure Form 1 or Form 6, including candidates for office, and each State procurement employee is prohibited from soliciting an gift from a political committee, committee of continuous existence, or lobbyist* or from a partner, firm, employer, or principal of a lobbyist*. GIFT ACCEPTANCE PROHIBITIONS Individuals, including candidates, required to file annual disclosure Form 1 or Form 6 (other than officials, members, or employees of the State Executive Branch and members or employees of the Legislature) and State procurement employees are prohibited from directly or indirectly accepting a gift worth over $100 from a lobbyist*, from a partner, firm, employer, or principal of the lobbyist*, or from a political committee or committee of continuous existence. (However, a gift may be accepted by a person on behalf of a governmental entity or charitable organization, provided the gift is promptly transferred to the intended entity or organization.) GIFT GIVING PROHIBITIONS Political committees and committees of continuous existence are prohibited from giving gifts valued at over $100 to any person required to file Form 1 or Form 6 financial disclosure (other than officials, members, or employees of the State Executive Branch and members or employees of the Legislature) and to any State procurement employee or to others on behalf of the above. Lobbyists*, as well as their partners, firms, employers, and principals, similarly are prohibited from giving gifts valued at over $100 to persons required to file Form 1 or Form 6 (other than officials, members, or employees of the State Executive Branch and members or employees of the Legislature) and to State procurement employees, or to others on their behalf, if the lobbyist* lobbies the agency of the procurement officers or persons who file disclosure. GIFTS OVER $25 AND NOT EXCEEDING $100 Persons required to file financial disclosure Form 1 or Form 6, including candidates for office, (except officials, members, or employees of the State Executive Branch and members or employees of the Legislature) and State procurement employees may accept a gift valued at over $25 but not exceeding $100 from a lobbyist*, a political committee, or a committee of continuous existence. However, a lobbyist*, political committee, or committee of continuous existence which gives a gift valued at over $25 but not exceeding $100 to a covered reporting individual or State procurement employee must report the gift on Commission on Ethics Form 30 by the last day of the calendar quarter for gifts given in the preceding quarter. Additionally, the donor must notify the recipient at the time a reportable gift is made that the gift will be disclosed as required above. GIFTS FROM GOVERNMENT AGENCIES and DIRECT-SUPPORT ORGANIZATIONS State government entities, water management districts created pursuant to §373.069, Florida Statutes, the South Florida Regional Transportation Authority, the Technological Research and Development Authority, counties, municipalities, school boards, and airport authorities which lobby governmental entities may give a gift worth over $100 to a person required to file financial disclosure (except officials, members, or employees of the State Executive Branch and members or employees of the Legislature) and to a State procurement employee if a public purpose can be shown for the gift. Also, adirect-support organization for a governmental entity may give such a gift to a person who is an officer or employee of that entity. The governmental entity or direct-support organization giving such gift must provide the recipient with a statement describing the gift, the date it was given, and its value no later than March 1 of the following year. The reporting individual/recipient then must disclose this information on Commission on Ethics Form 10, which is to be filed by July 1 with his or her annual financial disclosure. DEFINITION OF "GIFT" "Gift" means anything accepted by a person or on that person's behalf, whether directly or indirectly, for that person's benefit, and for which equal or greater consideration is not given within 90 days of the receipt of the gift. "Gift" includes real property or the use thereof; tangible or intangible personal property or the use thereof; a preferential rate or terms on a transaction not available to others similarly situated; forgiveness of a debt; transportation (unless provided by an agency in relation to officially approved governmental business), lodging, or parking; food or beverage; dues, fees, and tickets; plants and flowers; personal services for which a fee is normally charged by the provider; and any other thing or service having an attributable value. "Gift" does not include salary, benefits, services, fees, gifts, commissions, or expenses associated primarily with one's employment, business, or service as an officer or director of a corporation or organization; campaign contributions or expenditures pursuant to the election laws; an honorarium or honorarium expense; an award, plaque, certificate, etc., given in recognition of public, civic, charitable, or professional service; honorary membership in a service or fraternal organization; the use of a public facility or public property made available by a governmental agency for a public purpose; and transportation provided by an agency in relation to officially approved govemmental business. Also exempted are some gifts from organizations which promote the exchange of ideas between, or the professional development of, governmental officials and employees and whose membership is primarily composed of elected or appointed public officials or staff, if the gift is to a member of the organization. QUARTERLY GIFT DISCLOSURE BY REPORTING INDIVIDUALS All persons required to file financial disclosure and State procurement employees must file a Form 9, Quarterly Gift Disclosure, with the Commission on Ethics on the last day of a calendar quarter for the previous calendar quarter during which a gift worth over $100 was received. Gifts from relatives, gifts prohibited from being accepted, and gifts otherwise required to be disclosed elsewhere are not reported on Form 9. All other gifts worth over $100 must be reported. The form need not be filed if no such gift was received during the calendar quarter. "Lobbyist" means any natural person who, for compensation, seeks, or sought during the preceding 12 months, to influence the governmental decision-making of a reporting individual or procurement employee or his or her agency or seeks, or sought during the preceding 12 months, to encourage the passage, defeat, or modification of any proposal or recommendation by the reporting individual or procurement employee or his or her agency. [§112.3148(2)(b)1., Fla. Stat.] Revised 2/07 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -FIRST NAME -MIDDLE NAME: NAME OF AGENCY: MAILING ADDRESS: OFFICE OR POSITION HELD: CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR ^MARCH ^JUNE ^SEPTEMBER ^ DECEMBER 20_ PART A -STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is being filed. You are required to describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the date(s) the gift was received. If any of these fads, other than the gift description, are unknown or not applicable, you should so state an the form. As explained more fully in the instructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE RECEIVED DESCRIPTION OF GIFT MONETARY VALUE NAME OF PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT ^ CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B -RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this i form. You may attach an explanation of any differences between the information disdosed on this form and the information on the receipt. ^ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM• I! PART C -OATH I, the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disdosed herein and on any attachments made by me constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, Florida Statutes. SIGNATURE OF REPORTING OFFICIAL (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification Type of Identification Produced PART D -FILING INSTRUCTIONS This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709; physi- cal address: 3600 Maday Blvd. South, Suite 201, Tallahassee, Florida 32312. The form must be filed no later than the last day of the calendar quarter that follows the calendar quarter for which this form is filed (For example, if a gift is received in March, it should be disdosed by June 30.) STATE OF FLORIDA COUNTY OF Swom to (or affirmed) and subscribed before me this day of , 20 by (Signature of Notary Public-State of Florida) CE FORM 9 - EFF. 1!2007 (See reverse side for instructions) ®' PART E -INSTRUCTIONS WHO MUST FILE THIS FORM? • Any individual, induding a candidate upon qualifying, who is required by law to file full and public disclosure of his financial interests on Commission on Ethics Forth 6, except Judges. (See Form 6 for a list of persons required to file that forth.) • Any individual, induding a candidate upon qualifying, who is required by law to file a statement of financal interests on Commission on Ethics Form 1. (See Forth 1 for a list of persons required to file that forth.) • Any procurement employee of the executive branch or judicial branch of state govemment. This includes any empbyee who partiripates through derision, approval, disapproval, recommendation, preparation of any part of a purchase request, influenring the content of any specfication or procurement standard, rendering of advice, investigation, or auditing or in any other advisory caparity in the procurement of contractual services or commodities as defined in Section 287.012, Florida Statutes, "rf the cost of such services or commodities exceeds $1,000 in any year. NOTE: Gifts that formerly were allowed under Section 112.3148, F.S., now may be prohibited expenditures under Sections 11.045 and 112.3215, F.S. WHAT GIFTS ARE REPORTABLE? • Any gift (as defined below) you received which you believe to be in excess of $100 in value, EXCEPT. 1) Gifts from the following RELATIVES: father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in- law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, a person who is engaged to be maned to you or who otherwise holds himseff or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you. 2) Gifts which you are prohibited from accepting by Sections 112.313(4) and 112.3148(4), Fbrida Statutes. These include any gift which you know or, with the exercise of reasonable care, should know was given to influence a vote or other action in which you are expected to participate in your offirial caparity; it also includes a gift worth over $100 from a political committee or committee of continuous existence under the elections law, from a lobbyist who lobbies your agency or who lobbied your agency within the past 12 months, or from a partner, firm, employer, or prinripal of such a lobbyist. 3) Gifts worth over $100 for which there is a public purpose, given to you by an entity of the legislative or judical branch, a department or commission of the executive branch, a water management district created pursuant to s. 373.069, South Florida Regional Transportation Authority, the Technological Research and Development Authority, a county, a muniripality, an airport authority, or a school board; or a gift worth over $100 given to you by adirect-support organization specficalty authorized by law to support the govemmental agency of which you are an officer or empbyee. These gifts must be disclosed on Form 10. • A "gift" is defined to mean that which is accepted by you or by another in your behalf, or that which is paid or given to another for or on behaff of you, directly, indirectly, or in trust for your benefrt or by any other means, for which equal or greater consideration is not given within 90 days after receipt of the gift. A "gifl° includes real property; the use of real property; tangible or intangible personal property; the use of tangible or intangible personal property; a preferential rate or terms on a debt, loan, goods, or services, which rate is below the customary rate and is not either a govemment rate available to all other similarly situated govemment employees or offidals or a rate which is available to similarly situated members of the public by virtue of occupation, affiliation, age, religion, sex, or national origin; forgiveness of an indebtedness; transportation (unless provided to you by an agency in relation to officially approved govemmental business), lodging, or parking; food or beverage; membership dues; entrance fees, admission fees or tickets to events, performances, or farilities; plants, flowers, or floral arrangements; services provided by persons pursuant to a professional license or certificate; other personal services for which a fee is normally charged by the person providing the services; and any other similar service or thing having an attributable value and not already described. The following are NOT reportable as gifts on this forth: salary, benefits, services, fees, commissions, gifts, or expenses assoriated primarily with your employment, business, or service as an officer or director of a corporation or organization; contributions or expenditures reported pursuant to the election laws, campaign-related personal services provided without compensation by individuals volunteering their Gme, or any other contribution or expenditure by a politigl party; an honorarium or an expense related to an honorarium event paid to you or your spouse; an award, plaque, certificate, or similar personalized item given in recognition of your public, avic, charitable, or professional service; an honorary membership in a service or fraternal organization presented merety as a courtesy by such organization; the use of a govemmental agency's public facility or public property for a public purpose. Also exempted are some gifts from state, regional, and national organizations that promote the exchange of ideas between, or the professional development of, govemmental offirials or employees. HOW DO I DETERMINE THE VALUE OF A GIFT? • The value of a gift provided to you is determined using the actual cost to the donor, and, with respect to personal services provided by the donor, the reasonable and customary charge regularly charged for such service in the community in which the service is provided. Taxes and gratuities are not included in valuing a gift. If additional expenses are required as a condftion precedent to the donor's eligibility to purchase or provide a gift and the expenses are primarily for the benefit of the donor or are of a charitable nature, the expenses are not included in determining the value of the gift. • Compensation provided by you to the donor within 90 days of receiving the gift shall be deducted from the value of the gift in determining the value of the gift. • If the actual gift value attributable to individual parfiripants at an event cannot be determined, the total costs should be prorated among all invited persons. A gift given to several persons may be attributed among all of them on a pro rata basis. Food, beverages, entertainment, etc., provided at a function for more than ten people should be valued by dividing the total costs by the number of persons invited, unless the items are purchased on a per-person basis, in which case the per-person cost should be used. • Transportation should be valued on a round-trip basis unless only one- way transportation is provided. Round-trip transportation expenses should be considered a single gift. Transportation provided in a private conveyance should be given the same value as transportation provided in a comparable commerrial conveyance. • Lodging provided on consecutive days should be considered a single gift. Lodging in a private residence should be valued at $44 per night. • Food and beverages consumed at a single sitting or event are a single gift valued for that sitting or meal. Other food and beverages provided on a calendar day are considered a single gift, with the total value of all food and beverages provided on that date being the value of the gift. • Membership dues paid to the same organization during any 12-month period are considered a single gift. • Entrance fees, admission fees, or tickets are valued on the face value of the ticket or fee, or on a dairy or per event basis, whichever is greater. If an admission ticket is given by a charitable organization, its value does not include the portion of the cost that represents a contribution to that charity. • Except as otherwise provided, a gift should be valued on a per occurrence basis. FOR MORE INFORMATION The gift disclosures made on this forth are required by Sec. 112.3148, Florida Statutes. Questions may be addressed to the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317- 5709 or by calling (850) 488-7864; information is also provided at: www.ethics.state.fl.us. CE FORM 9 - EFF. 1 /2007 FORM 1 STATEMENT OF 2007 Please print or type your name, mailing FINANCIAL INTERESTS address, agency name, and position below: LAST NAME -FIRST NAME -- MIDDLE NAME : FOR OFFICE USE ONLY: MAILING ADDRESS ID Code CITY : ZIP : COUNTY ID No. NAME OF AGENCY Conf. Code NAME OF OFFICE OR POSITION HELD OR SOUGHT : P, Req. Code You are not limited to the space on the lines on this form. Attach additional sheets,rf necessary. PDF 2007 CHECK ONLY IF ~ CANDIDATE OR ~ NEW EMPLOYEE OR APPOINTEE '*BOTH PARTS OF THIS 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 THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one): D DECEMBER 31, 2007 ~ ~ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS 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). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): D COMPARATIVE (PERCENTAGE) THRESHOLDS CSR ~ DOLLAR VALUE THRESHOLDS PART A -PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY PART B -SECONDARY SOURCES OF INCOME [Major customers, dients, and other sources of income to businesses owned by the reporting person] NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE PART C -REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when and where to file this form are locat- ed at the bottom of page 2. INSTRUCTIONS on who must file fill it i f d h t t b thi ou n orm an ow eg s o on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1 - Eff. 1/2008 (Continued on reverse side) PAGE 1 PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] ' TYPE OF INTANGIBLE 1 BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E -LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] BUSINESS ENTITY # 1 I BUSINESS ENTITY # 2 I BUSINESS ENTITY # 3 BUSINESS ENTITY POSITION HELD WITH ENTITY I OWN MORE THAN A INTEREST IN THE BU. OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE SIGNATURE (required): WHAT TO FILE: After completing all parts of this form, including signing and dating it, send back only the first sheet (pages 1 and 2) for filing. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section(s). Facsimiles will not be accepted. NOTE: MULTIPLE FILING UNNECESSARY: Generally, a person who has filed Form 1 for a calendar or fiscal year is not required to file a second Form 1 for the same year. However, a candidate who previously filed Form 1 because of another public position must at least file a copy of his or her original Form 1 when qualifying. DATE SIGNED (required): FILING INSTRUCTIONS: WHERE TO FILE: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. Local otrrcers/employees file with the Supervisor of Elections of the county in which they perma- nently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) State ofRcers or spectFed state employees file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 3600 Maclay Boulevard, South, Suite 201, Tallahassee, FL 32312. Candidates file this form together with their qualifying papers. To determine what category your position falls under, see the "Who Must File" Instructions on page 3. WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employ- ment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates for publicly-elected local office must file at the same time they file their qualifying papers. Thereafter, local officers/employees, state officers, and specified state employees are required to file by July 1st following each calendar year in which they hold their posi- tions. Finally, at the end of office or employment, each local officer/employee, state officer, and specified state employee is required to file a final disclosure form (Form 1 F) within 60 days of leaving office or employment. CE FORM 1 - Eff. 1/2008 PAGE 2 INSTRUCTIONS FOR COMPLETING FORM 1 WHO MUST FILE FORM 1: All persons who fall within the categories of "state officers; "'local officers/employees," "specified state employees,' as well as candidates for elective local office, are required to file Form 1. Positions within these categories are listed below. Persons required to file full finandal disclosure (Form 6) and officers of the judiclal branch do not file Form 1 (see Form 6 for a list of persons who must file that form). STATE OFFICERS include the following positions for state officials: 4) Persons holding any of these positions in local government: Mayor; 1) Elected public officials not serving in a political subdivision of the state county or city manager; chief administrative employee of a county, municlpal- and any person appointed to fill a vacancy in such office, unless required to ity, or other political subdivision; county or municipal attorney; chief county or file full disclosure on Form 6. municipal building inspector; county or munidpal water resources coordinator; 2) Appointed members of each board, commission, authority, or council county or munidpal pollution control director; county or municipal environmen- having statewide jurisdiction, exduding members of sole advisory bodies; tat control director; county or munidpal administrator with power to grant or but inducting judidal nominating commission members; Directors of the deny a land development permit; chief of police; fire chief; municipal clerk; Florida Black Business Investment Board, Enterprise Florida, Scripps Florida appointed district school superintendent; community college president; district Funding Corporation, Workforce Florida, and Space Florida; Members of the medical examiner; purchasing agent (regardless of title) having the authority Florida Commission on Tourism, Florida Substance Abuse and Mental Health to make any purchase exceeding $15,000 for the local governmental unit. Corporation, and the Council on the Sodal Status of Bladc Men and Boys; and SPECIFIED STATE EMPLOYEES include the following positions Governors and senior managers of Citizens Property Insurance Corporation for state employees: and Automobile Joint Underwriting Assodation. 1) Employees in the office of the Governor or of a Cabinet member who 3) The Commissioner of Education, members of the State Board of are exempt from the Career Service System, exduding secretarial, clerical, Education, the Board of Governors, and the local Boards of Trustees and and similar positions. Presidents of state universities. 2) The following positions in each state department, commission, board, LOCAL OFFICERS/EMPLOYEES include the following positions or coundl: Secretary, Assistant or Deputy Secretary, Executive Director, for officers and employees of local government: Assistant or Deputy Executive Director, and anyone having the power nor- 1) Persons elected to office in any political subdivision (such as municl- malty conferred upon such persons, regardless of title. palities, counties, and spedal districts) and any person appointed to fill a 3) The following positions in each state department or division: Director, vacancy in such office, unless required to file full disdosure on Form 6. Assistant or Deputy Director, Bureau Chief, Assistant Bureau Chief, and any 2) Appointed members of the following boards, councils, commissions, person having the power normally conferred upon such persons, regardless authorities, or other bodies of any county, municipality, school district, inde- of title. pendent speclal district, or other political subdivision: the governing body of 4) Assistant State Attorneys, Assistant Public Defenders, Public the subdivision; an expressway authority or transportation authority estab- Counsel, full-time state employees serving as counsel or assistant counsel to lished by general law; a community college or junior college district board of a state agency, administrative law judges, and hearing officers. trustees; a board having the power to enforce local code provisions; a board 5) The Superintendent or Director of a state mental health institute estab- of adjustment; a planning or zoning board having the power to recommend, lished for training and research in the mental health field, or any major state create, or modify land planning or zoning within the political subdivision, institution or facllity established for corrections, training, treatment, or rehabili- except for dtizen advisory committees, technical coordinating committees, tafion. and similar groups who only have the power to make recommendations to 6) State agency Business Managers, Finance and Accounting Directors, planning or zoning boards; a pension board or retirement board empowered Personnel Officers, Grant Coordinators, and purchasing agents (regardless of to invest pension or retirement funds or to determine entitlement to or amount title) with power to make a purchase exceeding $15,000. of a pension or other retirement benefit. 7) The following positions in legislative branch agencles: each employ- 3) Any other appointed member of a local government board who is ee (other than those employed in maintenance, Gerical, secretarial, or similar required to file a statement of financial interests by the appointing authority or positions and legislative assistants exempted by the presiding officer of their the enabling legislation, ordinance, or resolution creating the board. house); and each employee of the Commission on Ethics. INSTRUCTIONS FOR COMPLETING FORM l: INTRODUCTORY INFORMATION (At Top of Form): If your name, mailing address, public agency, and position are already printed on the forth, you do not need to provide this informa- tion unless It should be changed. To change any of this information, write the correct information on the form, then contact your agency's financial disclosure coordinator. Your coordinator is identified in the financial disclosure portal on the Commission on Ethics website: www.ethics.state.fl.us. NAME OF AGENCY: This should be the name of the governmental unit which you serve or served, by which you are or were employed, or for which you are a candidate. For example, "City of Tallahassee," "Leon County," or "Department of Transportation" OFFICE OR POSITION HELD OR SOUGHT: Use the title of the office or position you hold, are seeking, or held during the disdosure period (in some cases you may not hold that position now, but you still would be required to file to disclose your interests during the last year you held that position). For example, "City Coundl Member," "County Administrator," "Purchasing Agent," or "Bureau Chief." If you are a candidate for office or are a new employee or appointee, check the appropriate box. MAILING AOORESS: If your home address appears on the form but you prefer another address be shown, change the address as described above If you are an alive or former officer or employee listed in Section 119.071(4)(d), F.S., whose home address is exempt from disdosure, the Commission is required to maintain the confidentiality of your home address if you submit a written request for confidentiality. Persons listed in Section 119.071(4)(d), F.S., are encouraged to provide an address other than their home address. DISCLOSURE PERIOD: The tax year for most individuals is the calendar year (January 1 through December 31). If that is the case for you, then your finandal interests should be reported for the calendar year 2007; just check the box and you do not need to add any information in this part of the form. However, if you file your IRS tax return based on a tax year that is not the calendar year, you should speclty the dates of your tax year in this portion of the form and check the appropriate box. This is the time frame or "disdosure period" for your report. MANNER OF CALCULATING REPORTABLE INTERESTS: As noted in this portion of the form, the legislature has given filers the option of report- ing based on either thresholds that are comparative (usually, based on percentage values) or thresholds that are based on absolute dollar values. The instructions on the following pages specifically describe the different thresholds. Simply check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form. (CONTINUED on page 4) ~ CE FORM 1 - Eff. 1/2008 PAGE 3 PART A -PRIMARY SOURCES OF INCOME [Required by Sec. 112.3145(3)(a)1 or (b)1, Fla. Stat.] Part A is intended to require the disclosure of your prinapal sources of income during the disGosure period. You do not have to disclose the amount of income received. The sources should be listed in descending order, with the largest source first. Please list in this part of the form the name, address, and prinapal business activity of each source of your income which (depending on whether you have chosen to report based on percentage thresholds or on dollar value thresholds) either: exceeded five percent (5%) of the gross income received by you in your own name or by any other person for your benefit or use during the disGosure period, or exceeded $2,500.00 (of gross income received during the disGosure period by you in your own name or by any other person for your use or benefit). You need not list your public salary received from serving in the position(s) which requires you to file this form, but this amount should be included when calculating your gross income for the disGosure period. The income of your spouse need not be disaosed. However, if you are reporting based on percentage thresholds and if there is joint income to you and your spouse from property held by the entireties (such as interest or dividends from a bank account or stocks held by the entireties), you should include all of that income when calculating your gross income and discose the source of that income if it exceeded the 5% threshold. "Gross income" means the same as it does for income tax purposes, inauding all income from whatever source derived, such as compensation for services, gross income from business, gains from property dealings, interest, rents, dividends, pensions, social security, distributive share of partnership gross income, and alimony, but not child support. Examples: - If you were employed by a company that manufactures computers and received more than 5°~ of your gross income (salary, commissions, etc.) from the company (or, altematively, $2,500), then you should list the name of the company, its address, and its principal business activity (computer manufacturing). - If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5% of your gross income (or, alternatively, $2,500), then you should list the name of the firm, its address, and its principal business activity (practice of law). - If you were the sole proprietor of a retail gift business and your gross income from the business exceeded 5% of your total gross income (or, altematively, $2,500), then you should list the name of the business, its address, and its prinapal business activity (retail gift sales). - If you received income from investments in stocks and bonds, you are required to list only each individual company from which you derived more than 5°~ of your gross income (or, altematively, $2,500), rather than aggregating all of your investment income. - If more than 5% of your gross income (or, altematively, $2,500) was gain from the sale of property (not just the selling price), then you should list as a source of income the name of the purchaser, the purchaser's address, and the purchaser's principal business activity. If the purchaser's identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed simply as "sale of (name of company) stock,° for example. - If more than 5% of your gross income (or, altematively, $2,500) was in the form of interest from one particular finanaal institution (aggregating interest from all CD's, accounts, etc., at that institution), list the name of the institution, its address, and its prinapal business activity. PART B -SECONDARY SOURCES OF INCOME [Required by Sec. 112.3145(3)(a)2 or (b)2, Fla. Stat.] This part is intended to require the discosure of major customers, clients, and other sources of income to businesses in which you own an interest. You will not have anything to report unless: (a) If you are reporting based on percentage thresholds: (1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) during the disGosure period more than five percent (5°~) of the total assets or capital stock of a business entity (a corporation, partnership, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and (2) You received more than ten percent (10°~) of your gross income during the disGosure period from that business entity; and (3) You received more than $1,500 in gross income from that business entity during the period. (b) If you are reporting based on dollar value thresholds: (1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) during the disGosure period more than five percent (5%) of the total assets or capital stock of a business entity (a corporation, partnership, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and (2) You received more than $5,000 of your gross income during the disclosure period from that business entity. If your interests and gross income exceeded the appropriate thresholds listed above, then for that business entity you must list every source of income to the business entity which exceeded ten percent (10°k) of the business entity's gross income (computed on the basis of the business entity's most recently completed fiscal year), the source's address, and the source's principal business activity. Examples: - You are the sole proprietor of a dry cleaning business, from which you received more than 10% of your gross income (an amount that was more than $1,500) (or, alternatively, more than $5,000, if you are using dollar value thresholds). If only one customer, a uniform rental company, provided more than 10°~ of your dry Leaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). - You area 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above. You should list each tenant of the mall that provided more than 10°k of the partnership's gross income, the tenant's address and principal business activity. - You own an orange grove and sell all your oranges to one marketing cooperative. You should list the cooperative, its address, and its prinapal business activity if your income met the thresholds. PART C -REAL PROPERTY [Required by Sec. 112.3145(3)(a)3 or (b)3, Fla. Stat.] In this part, please list the location or description of all real property (land and buildings) in Florida in which you owned directly or indirectly at any time during the previous tax year in excess of five percent (5%) of the property's value. This threshold is the same, whether you are using percentage thresholds or dollar thresholds. You are not required to list your residences and vacation homes; nor are you required to state the value of the property on the form. Indirect ownership inaudes situations where you are a beneficiary of a trust that owns the property, as well as situations where you are more than a 5% partner in a partnership or stoacholder in a corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal. The location or description of the properly should be sufficient to enable anyone who looks at the form to identify the property. Although a legal description of the property will do, such a lengthy description is not required. Using simpler descriptions, such as "duplex, 115 Terrace Avenue, Tallahassee" or 40 acres located at the intersection of Hwy. 60 and I-95, Lake County" is suiicent. In some cases, the properly tax identification number of the property will help in identifying it: "120 acre ranch on Hwy. 902, Hendry County, Tax ID # 131-45863." (CONTINUED on page 5) ~ Examples: - You own 1/3 of a partnership or small corporation that owns both a vacant lot and a 12°~ interest in an office building. You should disclose the lot, but are not required to disclose the office building (because your 1/3 of the 12% interest-which equals 4%-does not exceed the 5°~ threshold). - If you are a benefidary of a trust that owns real property and your interest depends on the duration of an individual's life, the value of your interest should be determined by applying the appropriate actuarial table to the value of the property itself, regardless of the actual yield of the property. PART D -INTANGIBLE PERSONAL PROPERTY [Required by Sec. 112.3145(3)(a)3 or (b)3, Fla. Stat.] Provide a general description of any intangible personal property that, at any time during the disclosure period, was worth more than: (1) ten percent (10%) of your total assets (if you are using percentage thresholds), cLr (2) $10,000 (if you are using dollar value thresholds), and state the business entity to which the property related. Intangible per- sonal property includes such things as money, stocks, bonds, certificates of deposit, interests in partnerships, benefidal interests in a trust, promissory notes owed to you, accounts receivable by you, IRA's, and bank accounts. Such things as automobiles, houses, jewelry, and paintings are not intan- gible property. Intangibles relating to the same business entity should be aggregated; for example, two certificates of deposit and a savings account with the same bank. Where property is owned by husband and wife as ten- ants by the entirety (which usually will be the case), the property should be valued at 100%. Calculations: fn order to decide whether the intangible property exceeds 10°~ of your total assets, you will need to total the value of all of your assets (including real property, intangible property, and tangible personal property such as automobiles, jewelry, furniture, etc.). When making this calculation, do not subtract any liabilities (debts) that may relate to the property-add only the fair market value of the property. Multiply the total figure by 10% to arrive at the disclosure threshold. List only the intangibles that exceed this threshold amount. Jointly owned property should be valued according to the percentage of your joint ownership, with the exception of property owned by husband and wife as tenants by the entirety, which should be valued at 100°~. None of your calculations or the value of the property have to be disclosed on the form. If you are using dollar value thresholds, you do not need to make any of these calculations. Examples for persons using comparative (percentage) thresholds - You own 50% of the stock of a small corporation that is worth $100,000, according to generally accepted methods of valuing small businesses. The estimated fair market value of your home and other property (bank accounts, automobile, furniture, etc.) is $200,000. As your total assets are worth $250,000, you must disclose intangibles worth over $25,000. Since the value of the stock exceeds this threshold, you should list "stock" and the name of the corporation. If your accounts with a particular bank exceed $25,000, you should list "bank accounts" and bank's name. - When you retired, your professional firm bought out your partner- ship interest by giving you a promissory note, the present value of which is $100,000. You also have a certificate of deposit from a bank worth $75,000 and an investment portfolio worth $300,000, consisting of $100,000 of IBM bonds and a variety of other investments worth between $5,000 and $50,000 each. The fair market value of your remaining assets (condominium, automobile, and other personal prop- erty) is $225,000. Since your total assets are worth $700,000, you must list each intangible worth more than $70,000. Therefore, you would list "promissory note" and the name of your former partnership, "certificate of deposit" and the name of the bank, "bonds" and "IBM," but none of the rest of your investments. PART E -LIABILITIES [Required by Sec. 112.3145(3)(a)4 or (b)4, Fla. Stat.] In this part of the form, list the name and address of each private or governmental creditor to whom you were indebted at any time during the disclosure period in an amount which exceeded: (1) your net worth (if you are using percentage thresholds), cZr (2) $10,000 (if you are using dollar value thresholds). You are not required to list the amount of any indebtedness or your net worth. You do not have to disclose any of the following: credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebted- ness on a life insurance policy owed to the company of issuance, contingent liabilities, and accrued income taxes on net unrealized appredation (an accounting concept). A "contingent liability" is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you area "co-maker" and have signed as being jointly liable or jointly and severally liable, then this is not a contingent liability; if you are using the $10,000 threshold and the total amount of the debt (not just the percentage of your liability) exceeds $10,000, such debts should be reported. Calculations for persons using comparative (percentage) thresholds: In order to deride whether the debt exceeds your net worth, you will need to total all of your liabilities (including promissory notes, mortgages, credit card debts, lines of credit, judgments against you, etc.). Subtract this amount from the value of all your assets as calculated above for Part D. This is your "net worth." You must list on the form each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the para- graph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are 'jointly and severally liable," meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations based upon your percentage of liability, with the following exception: joint and several liability with your spouse for a debt which relates to property owned by both of you as "tenants by the entirety" (usually the case) should be included in your calculations by valuing the asset at 100% of its value and the liability at 100% of the amount owed. Examples for persons using comparative (percentage) thresholds: - You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with your spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth $20,000. Since your net worth is $20,000 ($100,000 minus $80,000), you must report only the name and address of the savings and loan. - You and your 50°k business partner have a $100,000 business loan from a bank, for which you both are jointly and severally liable. The value of the business, taking into account the loan as a liability of the business, is $50,000. Your other assets are worth $25,000, and you owe $5,000 on a credit card. Your total assets will be $50,000 (half of a business worth $50,000 plus $25,000 of other assets). Your liabilities, for purposes of calculating your net worth, will be only $5,000, because the full amount of the business loan already was included in valuing the business. Therefore, your net worth is $45,000. Since your 50°~ share of the $100,000 business loan exceeds this net worth figure, you must list the bank. PART F - INTERESTS IN SPECIFIED BUSINESSES [Required by Sec. 112.3145(5), Fla. Stat.] The types of businesses covered in this disclosure are only: state and federally chartered banks; state and federal savings and loan assoclations; cemetery companies; insurance companies (including insurance agendes); mortgage companies; credit unions; small loan companies; alcoholic bever- age licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a clty or a county government. (CONTINUED on page 6) C~ CE FORM 1 - Eff_ 1/2nn8 PAGE 5 You are required to disclose in this part of the form the fact that you owned during the disdosure period an interest in, or held any of certain posi- tions with, particular types of businesses listed above. You are required to make this disdosure if you own or owned (either directly or indirectly in the form of an equRable or beneficial interest) at any time during the disdosure period more than five percent (5%) of the total assets or capital stock of one of the types of business entities granted a privilege to operate in Florida that are listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). If you have or held such a position or ownership interest in one of these types of businesses, list (vertically for each business): the name of the busi- ness, its address and prindpal business activity, and the position held with the business (if any). Also, if you own(ed) more than a 5% interest in the business, as described above, you must indicate that fact and describe the nature of your interest. (End of Instructions.) PENALTIES A failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following: dis- qualification from being on the ballot, impeachment, removal or suspension from office or employment demotion, reduction in salary, reprimand, or a ciwl penalty not exceeding $10,000. (Sec. 112.317, Florida Statutes] Also, if the annual form is not filed by September 1st a fine of $25 for each day late will be imposed, up to a maximum penalty of $1,500. !Section 112.3145, F.S. ). OTHER FORMS YOU MAY NEED TO FILE IN ORDER TO COMPLY WITH THE ETHICS LAWS In addition to filing Form 1, you may be required to file one or more of the special purpose forms listed below, depending on your particular position, business activities, or interests. As it is your duty to obtain and file any of the spedal purpose forms which may be applicable to you, you should carefully read the brief description of each form to determine whether it applies. Form 1 F - Final Statement of Financial Interests: Required of local officers, state officers, and speci- fiedstate employees within 60 days after leaving office or employment. This form is used to report finandal interests between January 1st of the last year of office or employment and the last day of office or employ- ment. [Sec. 112.3145(2)(b), Fla. Stat.] Form 1X -Amended Statement of Financial Interests: To be used by focal officers, state oflrce-s, and speci- fied state employees to correct mistakes on previously filed Form 1's. [Sec. 112.3145(9), Fla. Stat.) Form 2 -Quarterly Client Disclosure: Required of local officers, state ofpcers, and specified state employees to disdose the names of clients represented for compensation by them- selves or a partner or assodate before agendes at the same level of government as they serve. The form should be filed by the end of the calendar quarter (March 31, June 30, Sept. 30, Dec. 31) following the calendar quarter in which a reportable representation was made. [Sec. 112.3145(4), Fla. Stat.] Form 3A -Statement of Interest in Competitive Bid for Public Business: Required of public officers and public employees prior to or at the time of submission of a bid for public business which otherwise would violate Sec. 112.313(3) or 112.313(7), Fla. Stat. [Sec . 112.313(12)(b), Fla. Stat.] Form 4A -Disclosure of Business Transaction, Relationship, or Interest: Required of public officers and employees to disdose certain business transactions, relationships, or interests which otherwise would violate Sec. 112.313(3) or 112.313(7), Fla. Stat. [Sec. 112.313(12) and (12)(e), Fla. Stat.] Form 8A -Memorandum of Voting Conflict for State Officers: Required to be filed by a state officer within 15 days after having voted on a measure which inured to his or her spedal private gain (or loss) or to the spedal gain (or loss) of a relative, busi- ness associate, or one by whom he or she is retained or employed. Each appointed state officer who seeks to influence the decision on such a measure prior to the meeting must file the form before undertaking that action. [Sec. 112.3143, Fla. Stat.] Form 8B -Memorandum of Voting Conflict for County, Municipal, and Other local Public Oft<cers: Required to be filed (within 15 days of abstention) by each focal officer who must abstain from voting on a measure which would inure to his or her special private gain (or loss) or the spedal gain (or loss) of a relative, business associate, or one by whom he or she is retained or employed. Each appointed local offidal who seeks to influ- ence the decision on such a measure prior to the meeting must file the form before undertaking that action. [Sec. 112.3143, Fla. Stat.] Form 9 -Quarterly Gift Disclosure: Required of local officers, state officers, specked state employees, and state procurement employees to report gifts over $100 in value. The form should be filed by the end of the calendar quarter (March 31, June 30, September 30, or December 31) following the calendar quarter in which the gift was received. [Sec. 112.3148, Fla. Stat.] Form 10 -Annual Disclosure of Gifts from Governmental Entities and Direct Support Organizations and Honorarium Event Related Expenses: Required of local officers, state officers, spectfied state employees, and state procurement employees to report gifts over $100 in value received from certain agendes and direct support organizations; also to be utilized by these persons to report honorarium event-related expenses paid by certain persons and entities.The form should be filed by July 1 following the calendar year in which the gift or honorarium event-related expense was received. [Sec. 112.3148 and 112.3149, Fla. Stat.] AVAILABILITY OF FORMS; FOR MORE INFORMATION Conies of these forms are available from the Supervisor of Elections in your county; from the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709; telephone (850) 488-7864 (Suncom 278-7864); and at the Commission's web site: www.ethics.state.fl.us. Questions about any of these forms or the ethics laws may be addressed to the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709; telephone (850) 488-7864 (Suncom 278-7864). CE FORM 1 - Eff. 1/2008 PAGE 6 FORM 1 F FINAL STATEMENT OF 2008 FINANCIAL INTERESTS (TO BE FILED WITAIN 60 DAYS OF LEAVING PUBLIC OFFICE OR EMPLOYMENT) LAST NAME -FIRST NAME -MIDDLE NAME: NAME OF REPORTING PERSON'S AGENCY: MAILING ADDRESS: CHECK NE OF THE FOLLOWING (see "Who Must File" on page 3): ^ LOCAL OFFICER ^ STATE OFFICER ^ SPECIFIED STATE EMPLOYEE CITY: ZIP: COUNTY: UST OFFICE OR POSITION HELD: **'BOTH PARTS OF THIS SECTION MUST BE COMPLETED*** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS MY FINANCIAL INTERESTS FOR THE PERIOD BETWEEN JANUARY 1, 2008 AND THE LAST DATE I HELD THE PUBLIC OFFICE OR EMPLOYMENT DESCRIBED ABOVE, WHICH DATE WAS , 2008. (Date must be prior to 12/31108) MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATUREALLOWSFlLERS THE OPTION OF USING REPORTING THRESHOLDS THATAREABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): ^ COMPARATIVE (PERCENTAGE) THRESHOLDS QB ^ DOLLAR VALUE THRESHOLDS PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person) NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY PART B --SECONDARY SOURCES OF INCOME [Major customers, Gients, and other sources of income to businesses owned by reporting person] NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] 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 of this packet. OTHER FORMS you may need to file are described on page 6. CE FORM 1 F - Eff. 1/2008 (Continued on reverse side) PAGE 1 PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E -LIABILITIES [Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] NAME OF RI ISINESS ENTITY ADDRESS OF RUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INT R TIN TH B INI NATURE OF MY OWNERSHIP INTEREST BUSINESS ENTITY # 2 IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ^ SIGNATURE: WHAT TO FILE: After completing all parts of this form on pages 1 and 2, including signing and dating it, send bade only pages 1 and 2 for filing (you need not return any of the instruction pages). Facsimiles will not be accepted. WHEN TO FILE: At the end of office or employment each local officer, state officer, and specified state employee is required to file a final disclosure form (Form 1 F) within 60 days of leaving office or employment, unless he or she takes another position within the 60-day period that requires filing financial disclosure on Form 1 or Form 6. DATE SIGNED: FILING INSTRUCTIONS: WHERE TO FILE: Local officers: file with the Supervisor of Elections of the county in which you perma- nently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) State officers or specified state employ- ees: file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 3600 Maclay Boulevard, South, Suite 201, Tallahassee, FL 32312. To determine what category your position falls under, see the "Who Must File" Instructions on page 3. NOTE: If you are leaving office or employment during the first half of 2008, you may not have filed Form 1 for 2007. In that case, this is not the last form you will file, even though the Forrn 1F covers the final portion of your term of office or employment. You will be required to file Form 1 for 2007 by July 1 of 2008. CE FORM 1 F -Eft. 1/2008 PAGE 2 ent All persons who fall within the categories of "state officers," "local officers;' and "specified state employees" are required to file Form 1 F within 60 days of leaving that position unless they take another position within the 60-day period that requires filing either Form 1 or Form 6. Positions within these categories are listed below. Persons required to file full finangal disclosure (Form 6 -- see that form for a list of persons who are required to file it) should file Form 6 F rather than Form 1 F as their final financial disclosure. STATE OFFICERS include the following positions for state offi- clals: 1) Elected public officlals not serving in a political subdivision of the state and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6. 2) Appointed members of each board, commission, authority, or councl having statewide jurisdiction, excluding members of solely advisory bodies; but including judicial nominating commission members; Directors of the Florida Blacc Business Investment Board, Enterprise Florida, Scripps Florida Funding Corporation, Workforce Florida, and Space Florida; Members of the Florida Commission on Tourism, Florida Substance Abuse and Mental Health Corporation, and the Council on the Soclal Status of Black Men and Boys; and Governors and senior managers of Citizens Property Insurance Corporation, and Florida Automobile Joint Underwriting Assoclation. 3) The Commissioner of Education, members of the State Board of Education, the Board of Governors, and the local Boards of Trustees and Presidents of state universities. LOCAL OFFICERS include the following positions for officers and employees of local government: 1) Persons elected to office in any political subdivision (such as munid- palities, counties, and speclal districts) and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6. 2) Appointed members of the following boards, counclls, commissions, authorities, or other bodies of any county, municipality, school district, inde- pendent spedal district, or other political subdivision: the governing body of the subdivision; an expressway authority or transportation authority estab- lished by general law; members of the Tampa Bay Commuter Rail Authority; a community college or junior college district board of trustees; a board having the power to enforce local code provisions; a board of adjustment; a plan- ning or zoning board having the power to recommend, create, or modify land planning or zoning within the political subdivision, except for cltizen advisory committees, technical coordinating committees, and similar groups who only have the power to make recommendations to planning or zoning boards; a pension board or retirement board empowered to invest pension or retirement funds or to determine entitlement to or amount of a pension or other retire- ment benefit. 3) Any other appointed member of a local government board who is required to file a statement of financal interests by the appointing authority or the enabling legislation, ordinance, or resolution creating the board. 4) Persons holding any of these positions in local government: Mayor; county or city manager; chief administrative employee of a county, municipal- ity, or other political subdivision; county or municpal attorney; chief county or municipal building inspector; county or munidpal water resources coordina- tor; county or munidpal pollution control director; county or municipal environ- mental control director; county or municipal administrator with power to grant or deny a land development permit; chief of police; fire ct-ief; munidpal clerk; district school superintendent; community college president; district medical examiner; purchasing agent (regardless of title) having the authority to make any purchase exceeding $15,000 for the local governmental unit. SPECIFIED STATE EMPLOYEES include the following posi- tions for state employees: 1) Employees in the office of the Governor or of a Cabinet member who are exempt from the Career Service System, excluding secretarial, clerical, and similar positions. 2) The following positions in each state department, commission, board, or council: Secretary, Assistant or Deputy Secretary, Executive Director, Assistant or Deputy Executive Director, and anyone having the power normally conferred upon such persons, regardless of title. 3) The following positions in each state department or division: Director, Assistant or Deputy Director, Bureau Chief, Assistant Bureau Chief, and any person having the power normally conferred upon such persons, regardless of title. 4) Assistant State Attorneys, Assistant Public Defenders, Public Counsel, full-time state employees serving as counsel or assistant counsel to a state agency, administrative law judges, and hearing officers. 5) The Superintendent or Director of a state mental health institute established for training and research in the mental health field, or any major state institution or facllity established for corrections, training, treatment, or rehabilitation. 6) State agency Business Managers, Finance and Accounting Directors, Personnel Officers, Grant Coordinators, and purchasing agents (regardless of title) with power to make a purchase exceeding $15,000. 7) The following positions in legislative branch agencles: each employ- ee (other than those employed in maintenance, clerical, secretarial, or similar positions and legislative assistants exempted by the presiding officer of their house); and each employee of the Commission on Ethics. INSTRUCTIONS FOR COMPLETING FORM 1 F: INTRODUCTORY INFORMATION (At Top of Form): NAME OF AGENCY: This should be the name of the governmental unit which you served or by which you were employed. For example, "City of Tallahassee," "Leon County," or "Department of Transportation." LOCAL OFFICER, STATE OFFICER, AND SPECIFIED STATE EMPLOYEE DESIGNATIONS: The positions for each of these cat- egories are listed above, under "Who Must File "Please check the box for the position you held during the disclosure period. OFFICE OR POSITION HELD: Use the title of the office or position you held during the disclosure period. For example, "City Council Member," "County Administrator," "Purchasing Agent," or "Bureau Chief." MAILING ADDRESS: If your home address appears on the form but you prefer another address be shown, mark through the address provided and insert your office or other current address. If you are an alive or former officer or employee listed in Section 119.071(4)(d), F.S., whose home address is exempt from disclosure, the Commission is required to maintain the confidentiality of your home address if you submit a written request for confdentiality. Persons listed in Section 119.071(4)(d), F. S., are encouraged to provide an address other than their home address. DISCLOSURE PERIOD: This statement reflects your financial inter- ests for the period between January 1 and the last day of your public office or employment in 2008. Please write the last day of your office or employment in this part of the form. This date should be prior to December 31, 2008. The form 1F cannot be used to report finandal interests for a period covering the entire 2008 calendar year, nor should this form be used to report your finandal interests for a period beyond 2008. MANNER OF CALCULATING REPORTABLE INTERESTS: As noted in this portion of the form, the Legislature has given filers the option of reporting based on either thresholds that are comparative (usually, based on percentage values) Qr thresholds that are based on absolute dollar values. The instructions on the following pages speclfically describe the different thresholds. Simply check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form. (CONTINUED on page 4) r,~ CE FORM 1 F - Eff. 1/2008 PAGE 3 PART A -PRIMARY SOURCES OF INCOME [Required by Sec. 112.3145(3)(a)1 or (b)1, Fla. Stat.] Part A is intended to require the disdosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received. The sources should be listed in descending order, with the largest source first. Please list in this part of the form the name, address, and prindpal business activity of each source of your income which (depend- ing on whether you have chosen to report based on percentage thresholds or on dollar value thresholds) either: exceeded five percent (5%) of the gross income received by you in your own name or by any other person for your benefit or use during the disdosure period, or exceeded $2,500.00 (of gross income received during the disdosure period by you in your own name or by any other person for your use or benefit). You need not list your public salary resulting from public employment, but this amount should be included when calculating your gross income for the disdosure period. The income of your spouse need not be discosed. However, if you are reporting based on percentage thresholds and if there is joint income to you and your spouse from properly held by the entireties (such as interest or dividends from a bank account or stocks held by the entireties), you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the 5% thresh- old. "Gross income" means the same as it does for income tax purposes, including all income from whatever source derived, such as compensation for services, gross income from business, gains from property dealings, interest, rents, dividends, pensions, distributive share of partnership gross income, and alimony, but not child support. Examples: - If you were employed by a company that manufactures computers and received more than 5°k of your gross income (salary, commissions, etc.) from the company (or, altematively, $2,500), then you should list the name of the company, its address, and its principal business activity (computer manufacturing). - If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5% of your gross income (or, alter- natively, $2,500), then you should list the name of the firm, its address, and its principal business activity (practice of law). - If you were the sole proprietor of a retail gift business and your gross income from the business exceeded 5°~ of your total gross income (or, altematively, $2,500), then you should list the name of the business, its address, and its prindpal business activity (retail gift sales). - If you received income from investments in stocks and bonds, you are required to list only each individual company from which you derived more than 5% of your gross income (or, altematively, $2,500), rather than aggregating all of your investment income. - If more than 5°~ of your gross income (or, altematively, $2,500) was gain from the sale of property (not just the selling price), then you should list as a source of income the name of the purchaser, the purchaser's address, and the purchaser's prindpal business activity. If the purchaser's identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed simply as "sale of (name of company) stock," for exam- ple. - If more than 5°k of your gross income (or, alternatively, $2,500) was in the form of interest from one particular financial institution (aggre- gating interest from all CD's, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity. PART B -SECONDARY SOURCES OF INCOME [Required by Sec. 112.3145(3)(a)2 or (b)2, Fla. Stat.] This part is intended to require the disdosure of major customers, cli- ents, and other sources of income to businesses in which you own an inter- est. You will not have anything to report un/ess (a) If you are reporting based on percentage thresholds: (1) You owned (either directly or indirectly in the form of an equi- table or benefidal interest) during the disdosure period more than five percent (5%) of the total assets or capital stock of a business entity (a corporation, partnership, limited partnership, proprietor- ship, joint venture, trust, firm, etc., doing business in Florida); and (2) You received more than ten percent (10°~) of your gross income during the disdosure period from that business entity; and (3) You received more than $1,500 in gross income from that business entity during the period. (b) If you are reporting based on dollar value thresholds: (1) You owned (either directly or indirectly in the form of an equi- table or benefidal interest) during the disdosure period more than five percent (5°k) of the total assets or capital stock of a business entity (a corporation, partnership, limited partnership, proprietor- ship, joint venture, trust, firm, etc., doing business in Florida); and (2) You received more than $5,000 of your gross income during the disclosure period from that business entity. If your interests and gross income exceeded the thresholds listed above, then for that business entity you must list every source of income to the business entity which exceeded ten percent (10%) of the business entity's gross income (computed on the basis of the business entity's most recently completed fiscal year), the source's address, and the source's prindpal busi- ness activity. Examples: - You are the sole proprietor of a dry cleaning business, from which you received more than 10°k of your gross income (an amount that was more than $1,500) (or, altematively, more than $5,000, if you are using dollar value thresholds). If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal busi- ness activity (uniform rentals). - You area 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above. You should list each tenant of the mall that provided more than 10°~ of the partnership's gross income, the tenant's address and princpal business activity. - You own an orange grove and sell all your oranges to one market- ing cooperative. You should list the cooperative, its address, and its princpal business activity if your income met the thresholds. PART C -REAL PROPERTY [Required by Sec. 112.3145(3)(a)3 or (b)3, Fla. Stat.] In this part, please list the location or description of all real property (land and buildings) in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of five percent (5°~) of the property's value. This threshold is the same, whether you are using percentage thresh- olds or dollar thresholds. You are not required to list your residences and vacation homes; nor are you required to state the value of the property on the form. Indirect ownership includes situations where you are a beneficary of a trust that owns the property, as well as situations where you are more than a 5% partner in a partnership or stockholder in a corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current apprais- al. The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. Although a legal description of the property will do, such a lengthy description is not required. Using simpler descriptions, such as "duplex, 115 Terrace Avenue, Tallahassee" or 40 acres located at the intersection of Hwy. 60 and I-95, Lake Gounty" is sufficent. In some cases, the property tax identification number of the property will help in identifying it: "120 acre ranch on Hwy. 902, Hendry County, Tax ID # 131-45863." (CONTINUED on page 5) r,~ CE FORM 1 F - Eff. 1!2008 PAGE 4 Examples: - You own 1!3 of a partnership or small corporation that owns both a vacant lot and a 12°k interest in an office building. You should disdose the lot, but are not required to disdose the office building (because your 1!3 of the 12°k interest--which equals 4%-does not exceed the 5% threshold). - If you are a beneficlary of a trust that owns real property and your interest depends on the duration of an individual's life, the value of your interest should be determined by applying the appropriate actuarial table to the value of the property itself, regardless of the actual yield of the property. PART D -INTANGIBLE PERSONAL PROPERTY [Required by Sec. 112.3145(3)(a)3 or (b)3, Fla. Stat.] Provide a general description of any intangible personal property that, at any time during the disclosure period, was worth more than: (1) ten percent (10%) of your total assets ('rf you are using percentage thresholds), or (2) $10,000 (if you are using dollar value thresholds), and state the business entity to which the property related. Intangible per- sonal property includes such things as money, stocks, bonds, certificates of deposit, interests in partnerships, beneficial interests in a trust, promissory notes owed to you, accounts receivable by you, IRA's, and bank accounts. Such things as automobiles, houses, jewelry, and paintings are not intan- gible property. Intangibles relating to the same business entity should be aggregated; for example, two certificates of deposit and a savings account with the same bank. Where property is owned by husband and wife as ten- ants by the entirety (which usually will be the case), the property should be valued at 100%. Calculations: In order to decide whether the intangible property exceeds 10% of your total assets, you will need to total the value of all of your assets (including real property, intangible property, and tangible personal property such as automobiles, jewelry, fumiture, etc.). When making this calculation, do not subtract any liabilities (debts) that may relate to the property-add only the fair market value of the property. Multiply the total figure by 10% to arrive at the disclosure threshold. List only the intangibles that exceed this threshold amount. Jointly owned property should be valued according to the percentage of your joint ownership, with the exception of property owned by husband and wife as tenants by the entirety, which should be valued at 100°~. None of your calculations or the value of the property have to be disclosed on the form. If you are using dollar value thresholds, you do not need to make any of these calculations. Examples for persons using comparative (percentage) thresholds: - You own 50% of the stock of a small corporation that is worth $100,000, according to generally accepted methods of valuing small businesses. The estimated fair market value of your home and other property (bank accounts, automobile, fumiture, etc.) is $200,000. As your total assets are worth $250,000, you must disdose intangibles worth over $25,000. Since the value of the stock exceeds this threshold, you should list "stock" and the name of the corporation. If your accounts with a particular bank exceed $25,000, you should list "bank accounts" and bank's name. - When you retired, your professional firm bought out your partner- ship interest by giving you a promissory note, the present value of which is $100,000. You also have a certificate of deposit from a bank worth $75,000 and an investment portfolio worth $300,000, consisting of $100,000 of IBM bonds and a variety of other investments worth between $5,000 and $50,000 each. The fair market value of your remaining assets (condominium, automobile, and other personal prop- erty) is $225,000. Since your total assets are worth $700,000, you must list each intangible worth more than $70,000. Therefore, you would list "promissory note" and the name of your former partnership, "certificate of deposit" and the name of the bank, "bonds" and "IBM," but none of the rest of your investments. PART E -LIABILITIES [Required by Sec. 112.3145(3)(a)4 or (b)4, Fla. Stat.j In this part of the form, list the name and address of each private or governmental creditor to whom you were indebted at any time during the disclosure period in an amount which exceeded: (1) your net worth (if you are using percentage thresholds), or (2) $10,000 (if you are using dollar value thresholds). You are not required to list the amount of any indebtedness or your net worth. You do not have to disdose any of the following: credit card and retail install- ment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, contingent liabilities, and accrued income taxes on net unrealized appreciation (an accounting concept). A "contingent liability" is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you area "co-maker" and have signed as being jointly liable or jointly and sever- ally liable, then this is not a contingent liability; if you are using the $10,000 threshold and the total amount of the debt (not just the percentage of your liability) exceeds $10,000 such debts should be reported. Calculations for persons using comparative (percentage) thresholds: In order to deride whether the debt exceeds your net worth, you will need to total all of your liabilities (including promissory notes, mortgages, credit card debts, lines of credit, judgments against you, etc.). Subtract this amount from the value of all your assets as calculated above for Part D. This is your "net worth." You must list on the form each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the para- graph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are jointly and severally liable," meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations based upon your percentage of liability, with the following exception: joint and several liability with your spouse for a debt which relates to property owned by both of you as "tenants by the entirety" (usually the case) should be included in your calculations by valuing the asset at 100°h of its value and the liability at 100% of the amount owed. Examples for persons using comparative (percentage) thresholds: - You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with your spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth $20,000. Since your net worth is $20,000 ($100,000 minus $80,000), you must report only the name and address of the savings and loan. - You and your 50°h business partner have a $100,000 business loan from a bank, for which you both are jointly and severally liable. The value of the business, taking into account the loan as a liability of the business, is $50,000. Your other assets are worth $25,000, and you owe $5,000 on a credit canc. Your total assets will be $50,000 (half of a business worth $50,000 plus $25,000 of other assets). Your liabilities, for purposes of calculating your net worth, will be only $5,000, because the full amount of the business loan already was included in valuing the business. Therefore, your net worth is $45,000. Since your 50°~ share of the $100,000 business loan exceeds this net worth figure, you must list the bank. PART F - INTERESTS IN SPECIFIED BUSINESSES [Required by Sec. 112.3145(5), Fla. Stat.] You are required to disdose in this part of the form the fad that you owned during the disclosure period an interest in, or held any of certain positions with, particular types of businesses. You are required to make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or benefical interest) at any time during the disclosure period more than five percent (5°~} of the total assets or capital stock of one of the types of business entities granted a privilege to operate in Florida that are listed below. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). (CONTINUED on page 6) r,~ CE FORM 1 F - Eff. 1!2008 PAGE 5 The types of businesses covered in this disclosure are only: state and federally chartered banks; state and federal savings and loan assodations; cemetery companies; insurance companies ('including insurance agencies); mortgage companies; credit unions; small loan companies; alcoholic bever- age licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a dty or a county government. If you have or held such a position or ownership interest in one of these types of businesses, list (verticalty for each business): the name of the busi- ness, its address and prindpal business activity, and the position held with the business (if any). Also, if you own(ed) more than a 5°Ao interest in the business, as described above, you must indicate that fact and describe the nature of your interest. (End of Instructions.) PENALTIES A failure to make any required disclosure constitutes grounds for and may be punished by one or more of the fol- lowing: disqualification from being on the ballot, impeachment, removal or suspension from office or employment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. (Sec. 112.317, Florida Statutes] OTHER FORMS YOU MAY NEED TO FILE IN ORDER TO COMPLY WITH THE ETHICS LAWS In addition to filing Form 1 F, you may be required to file one or more of the spedal purpose forms listed below, depending on your particular position, business activities, or interests. As it is your duly to obtain and file any of the spedal purpose forms which may be applicable to you, you should carefully read the brief description of each form to determine whether it applies. Form 1X -Amended Statement of Financial Interests: To be used by local officers, state officers, and speci- fied state employees to correct mistakes on previously filed Form 1's. [Sec. 112.3145(9), Fla. Stat.] Form 2 -Quarterly Client Disclosure: Required of local officers, state oflticers, and specked state employees to disclose the names of clients represented for compensation by them- selves or a partner or associate before agendes at the same level of govemment as they serve. The form should be filed by the end of the calendar quarter (March 31, June 30, Sept. 30, Dec. 31) following the calendar quarter in which a reportable representation was made. [Sec. 112.3145(4), Fla. Stat.] Form 9 -Quarterly Gift Disclosure: Required of local officers, state officers, specified state employees, and state procurement employees to report gifts over $100 in value. The form should be filed by the end of the calendar quarter (March 31, June 30, September 30, or December 31) following the calendar quarter in which the gift was received. [Sec. 112.3148, Fla. Stat.j Form 10 -Annual Disclosure of Gifts from Governmental Entities and Direct Support Organizations and Honorarium Event Related Expenses: Required of local offices, state officers, specified state employees, and state procurement employees to report gifts over $100 in value received from certain agencies and direct support organizations; also to be utilized by these persons to report honorarium event-related expenses paid by certain persons and entities.The form should be filed by July 1 following the calendar year in which the gift or honorarium event-related expense was received. [Sec. 112.3148 and 112.3149, Fla. Stat.] AVAILABILITY OF FORMS; FOR MORE INFORMATION Copies of these fonms are available from the Supervisor of Elections in your county and from the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709; telephone (850) 488-7864 (Suncom 278-7864); and at the Commission's web- site: www.ethics.state.fl.us. Questions about any of these forms or the ethics laws may be addressed to the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709; telephone (850) 488-7864 (Suncom 278-7864). CE FORM 1 F - Eff. 1/2008 PAGE 6