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06132022 Qualifying Documents Rich Walker CANDIDATE OATH RECEIVED City Clerk's Office NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) JUN 13 2022 Check box only if you are seeking to qualify as a write-in candidate: Title: (,t� I Write-in candidate By: 4 OFFICE USE ONLY Candidate Oath giGicricc/ � (( (Section 99.021(1)(a), Florida Statutes) I, ZJa /be , (Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no hyphen, check box (see page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.) am a candidate for the nonpartisan office of 7 0 (Office) (District#) ; I am a qualified elector of 8i2cc -/ County, Florida; (Circuit#) (Group or Seat#) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. Candidate's Florida Voter Registration Number(located on your voter information card): /02/ �73 5- Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities(see instructions on page 2 of this form):[Not applicable to write-in candidates.] pl-—(g- - 'ID ii — 1-) — k - P x 4- th- Q73) .3� 7 ..53 d,cl4)4 p fr,14 t Cb Signature of Candidate Telephone Number Email-Address /0- / ) *2 G� 62 n`J i— g4-4 d/ - — 53 y7 6 Address City State ZIP Code STATE OF FLORIDA Signs ure of Nota Public COUNTY OF EYOt,7 Print,Type,or Stamp C missioned Name of Notary Public below: Sworn to(or affirmed)and subscribed before me by means ,f online notarization or(Po* ALYSON GAYLE MORALES OR physical presence �I r***•,4• Commission art HH 059477 this 13 day of e--- 20 a2,. It._ v Expires November 19,2024 'ofF<°rA sandal Thu BudgM►wnSento. Personally Known ' OR Produced Identification ❑ Type of Identification Produced: ---- — DS-DE 302NP(Rev.08/2021) Rule 1S-2.0001,F.A.C. 4.03 -Qualifications. (1) Mayor. The Mayor shall be a citizen of the United States of America, at least eighteen (18) years of age, registered to vote in the City election and must reside in the City of Parkland for a period of at least one (1) year immediately preceding the date on which he/she qualifies for election. In order to retain his/her qualifications for a Mayor, the person elected shall continue to reside in the City of Parkland for as long as he/she serves as Mayor. No person convicted of a felony shall be eligible to serve as Mayor. (2) Commissioners. Commissioners shall be citizens of the United States of America, at least eighteen (18)years of age, registered to vote in the City of Parkland and must reside in the particular district for which they seek election for a period of at least one (1) year immediately preceding the date of the election for the office for which he/she seeks election. In order to retain his/her qualifications for a Commissioner, the person elected shall continue to reside in the district that he/she was qualified and elected to represent for as long as he/she serves as Commissioner. No Commissioner shall be disqualified from completing his/her term by virtue of any redistricting which occurs after their election. No person convicted of a felony shall be eligible to serve as a City Commissioner. (3) Filing fee and oath. Each candidate for office shall pay to the City a filing fee, in an amount to be set by Ordinance of the City, and shall also take, sign and subscribe to an oath which shall be substantially in the following form: STATE OF FLORIDA) CITY OF PARKLAND) / f BEFORE ME, an officer authorized to administer oaths, personally appeared /��/��r� 4-2/4"/— to me well known, who being duly sworn states: /1 (a) That he/she is a candidate for the office of for the City of Parkland, District (b) That he/she resides in the District for which he is qualifying and has been for one (1) year immediately preceding the signing of this oath, or, in the case of an open district, that he/she resides in the City and meets the residence requirements for qualification for the office to which he/she seeks election as set forth in the City Charter. (c) That he/she is a citizen of the United States of America and the State of Florida. (d) That he/she is at least eighteen (18) years of age. (e) That he/she is a registered voter in the City of Parkland for City elections. (f) That he/she has not been convicted of a felony. (g) That he/she is fully qualified under the laws to hold the office for which he desired to be nomi ted��i� Signature Sworn to and subscribed before me this 13 th day of S'vre , o -2-at Parkland, Broward County, Florida. ;, ALYSON GAYLE MORALES Notary Public qtAttew-‘.,,Ziel/QQ-- 7k14914fie * CortwniuioniNH059477 e 2024 Expires November MyCommission expires: ► San s (Ord. No. 88-10, § 2, 8-3-1988; Ord. No. 88-20, § 2, 12-1-1988; Ord. No. 2006-19, § 4, 8-9- 2006; Ord. No. 2014-10, § 2, 5-21-2014, passed by voters, 11-4-2014) C Candidate Oath STATE OF FLORIDA CITY OF PARKLAND BEFO M , an officer authorized to administer oaths, personally appeared (C a / JIC"1- , to me well known, who being duly sworn: o/ '` " m 1) That he/she is a candidate for the office of ^ issi- r for the City of Parkland, District . 2) The he/she resides in the District for which he/she is qualifying and has been for one (1) year immediately preceding the signing of this oath, or, in the case of an open district, that he/she resides in the City and meets the residence requirements for qualification for the office to which he/she seeks election as set forth in the City Charter. 3) That he/she is a citizen of the United States of America and the State of Florida. 4) That he/she is at least eighteen (18) years of age. 5) That he/she is a registered voter in the City of Parkland for City elections. 6) That he/she has not been convicted of a felony. 7) That he/she is fully qualified under the laws to hold the office for which he/she desired to be nominated. /PZ&. / Signature of Candidate Sworn to and subscribed before me this 13''1 day of __J'u1€ , 20231,. at Parkland, Broward County, Florida. ergs, ALYSON GAYLE MORALES 0* Commission*NH 059477 Expires November 19,2024 -- r— ---- — OF AS, Bad•d7leu&AptNMirygenus Nota Public City of Parkland,Florida i°f PARk<\ U� O Application and Acknowledgment of Electronic Filing Information 'Po h, do-° ..N�TA1.41 1. CHECK APPROPRIATE BOX(ES) Candidate 0 Treasurer/Deputy 0 Committee 0 Committee Treasurer 2. Name of Candidate/Committee(First,Middle,Last) 3.Address(include P.O.box or street,city,state, zip code) Ru a,r i 1AJet il(rc‘ /61‘,0 A.)4,1 "c4 4. Telephone 5. E-mail address /24 r /'Ici Fio7� 9?3390/ c.4‘.• et(k?eti,A e?Pi All reports of campaign finance activity must be filed with the City Clerk using the electronic campaign finance reporting system available online at https://www.voterfocus.com/CampaignFinance/candidate login.php?county=munparkland (the"System")unless an alternative filing procedure is required by the Americans with Disabilities Act of 1990 or other applicable law. Credentials to log into the System are approved on an individual basis and may not be shared -even with member of the same campaign or committee.Each user who is approved for credentials is responsible for protecting those credentials from disclosure or compromise. Once credentials have been approved for a user, that user is deemed responsible for every report filed using those credentials until such time as the City Clerk is notified of disclosure or compromise of those credentials. Campaign or committee must immediately notify the City Clerk if any user associated with that campaign or committee becomes ineligible to hold the credentials issued to that user. Each report must be filed before midnight at the end of the due date. Late-filed reports are subject to fines pursuant to Florida Statutes sections 106.07(8)or 106.29(3),as applicable. By filing a report through the System, a person (i) is deemed to have electronically signed the report under oath and to have certified the correctness of the report in accordance with Florida Statutes sections 106. 07(5) or 106. 29(2), as applicable; (ii) is responsible for the accuracy and veracity of the report; and(iii) commits a criminal act by certifying a report that is known to be incorrect.false,or incomplete. A report is deemed filed with the City Clerk only when the System issues a receipt confirming the date and time at which the report was filed.The system will issue a separate notice for the subsequent acceptance or rejection of the report by the City Clerk. Once a report has been filed with the City Clerk, it may be changed only by filing an amendment to that report. The City is not responsible for providing the internet access necessary to access the System, and problems with an individual candidate's internet access at a residence, office, coffee shop, etc. do not excuse late filing by that candidate. The City Clerk will provide an alternate filing deadline for candidates only in the event that the Reporting System is generally unavailable and all candidates are affected. UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ AND UNDERSTAND THE FOREGOING FORM FOR APPLICATION AND ACKNOWLEDGEMENT OF ELECTRONIC FILING INFORMATION AND THAT THE FACTS STATED IN IT ARE TRUE. 6. Date 7. Signature of Candidate/Committee Chair //3/ta' X /���z�i�- . 8. Treasurer's Appon and Acknowledgement of Electronic Filing Information(fill in the blanks and check the appropriate block) ef-ci (printed name),hereby acknowledge that I am representing the Candidate/Committee above as the 0 Campaign Treasurer ' Deput reasurer //.00- X _ . - Date Signatur of Treasurer or Deputy Treasurer Broward County Statement of Ethical Campaign Practices The Broward County Ethical Campaign Practices Act shall apply to any candidate for elected public office whose constituency resides, in whole or in part,within Broward County, or when the boundaries of the public office sought are located, in whole or in part,within the County. "Candidate"means any person to whom any one or more of the following applies: (1) Any person who seeks to qualify for nomination or election by means of the petitioning process; (2) Any person who seeks to qualify for election as a write-in candidate; (3) Any person who receives contributions or makes expenditures,with a view to bringing about his or her nomination or election to, or retention in, public office; (4) Any person who appoints a treasurer and designates a primary depository; or (5) Any person who files qualification papers and subscribes to a candidate's oath as required by law. A candidate's decision regarding whether to execute the statement is strictly voluntary. A candidate executing the Statement of Ethical Campaign Practices shall file the original and a copy of the executed statement, bearing the candidate's signature,with the officer before whom the candidate qualifies within five(5)days after becoming a candidate for the elected public office. As a candidate for public office in Broward 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: 1. I shall not make my race, color, religion,gender, national origin, physical disability, or sexual orientation an issue in my campaign. 2. I shall not make my opponent's race, color, religion,gender, national origin, age, marital status, familial status, physical disability, or sexual orientation an issue in my campaign. 3. I will condemn any appeal to prejudice based on race, color, religion,gender, national origin, age, marital status,familial status, physical disability, or sexual orientation. 4. I shall not attack or question my opponent's patriotism. 5. I shall not publish,display, or circulate any anonymous campaign literature or political advertisement nor shall I tolerate or permit members of my campaign organization to engage in such activities. 6. I shall not tolerate nor permit members of my campaign organization to engage in activities designed to destroy or remove campaign materials or signs lawfully displayed on public or private property. 7. I shall not tolerate my supporters engaging in these activities which 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 which resorts to the methods and tactics that I hereby condemn. 8. I shall run a positive campaign emphasizing my qualifications for office and my positions on issues of public concerns and I will limit my attacks on an opponent to legitimate challenges to that person's record,qualifications, and positions. 9. I will neither use nor permit the use of malicious untruths or innuendoes about an opponent's personal life, nor will I make or condone unfounded accusations discrediting an opponent's credibility. 10. I will not use or permit the use of campaign material that falsifies, distorts, or misrepresents facts. Executed on this day /E of �'Y` , WITNESSES: BY CAND AT • n, Signatures (Print Name) STATE OF FLORIDA )SS COUNTY OF S ro wo1/4.rrAfiN The foregoing instrument was acknowledged before me this I 3 day of Su _ , by Rici (malke r ,who is_aprsonally known to rpe or who has produced as identification and who did/did not take an oath. WITNESS my hand and official seal,this jar" day of Zone_ , �1, (NOTARY SEAL) f 7y`�,�'i"v f'�' 1 &J'4y/.e rho ro/e (Sign ture of per n taking acknowledgment) (Name of officer taking acknowledgment) Typed,printed,or stamped My commission expires: A.tio Pus, ALYSON GAYLE MORALES * `M* Commission'RH 059477 (Broward County Ord. No.2000-06, § 1, 1-25-00) Expires November 19,2024 +'100, �A6ondedihuer O Notary Santo FORM 1 STATEMENT OF 2021. FINANCIAL INTERESTS FOR OFFICE USE ONLY: T6 P1 ****AUTO**ALL FOR AADC 331 1060 Richard Walker 277175 Mayor Parkland 10590 NW 62nd Ct Parkland, FL 33076-3757 II1I'IIIIII'I'II1"111hIIIIII"I'IIIIIIIIIIIIh1III'IIIIIIIII'IIII CHECK ONLY IF ❑ CANDIDATE-- OR ❑ NEW EMPLOYEE OR APPOtNTEE **** THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2021. MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES,WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING(must check one): ❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR ri DOLLAR VALUE THRESHOLDS PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF SOURCE OF SOURCE'S DESCRIPTION OF THE SOURCE'S INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY �°r�rv►� j t (t . 2/lOa A Auk -44e- / n�- � rlKy 1o,n ru FL 3,307? l PART B-- SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE Nlr PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] You are not limited to the space on the (If you have nothing to report,write"none"or"n/a") lines on this form.Attach additional sheets,if necessary. P/ 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. CE FORM 1-Effective:January 1,2022 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1),FA.C. PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions] (If you have nothing to report,write"none"or"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES '' k /04 44,1 i 4 )41,{t'c j 7) A,n er -f-.a e J BroJ s L PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR P1v PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions] (If you have nothing to report,write"none"or"n/a") BUSINESS ENITITY#1 BUSINESS ENTITY#2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PART G—TRAINING For elected municipal officers,appointed school superintendents,and commissioners of a community redevelopment agency created under Part III,Chapter 163 required to complete annual ethics training pursuant to section 112.3142, F.S. I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or attorney Signature: in good standing with the Florida Bar prepared this form for you, he or • she must complete the following statement: I, prepared the the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and t instructions to the form. Upon my reasonable knowledge and belief,the disclosure herein is true and correct. Date Signed: /(/:?•1.0.L- CPA/Attorney Signature: Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers. Supervisor of Elections for your annual disclosure filing,return the form MULTIPLE FILING UNNECESSARY:A candidate who files a Form 1 to that location. To determine what category your position falls under, with a qualifying officer is not required to file with the Commission or see page 3 of instructions. Supervisor of Elections. Local officers/employees file with the Supervisor of Elections of the WHEN TO FILE: Initially, each local officer/employee, state officer, county in which they permanently reside. (If you do not permanently and specified state employee must file within 30 days of the date of reside in Florida, file with the Supervisor of the county where your his or her appointment or of the beginning of employment.Appointees agency has its headquarters.)Form 1 filers who file with the Supervisor who must be confirmed by the Senate must file prior to confirmation, of Elections may file by mail or email. Contact your Supervisor of even if that is less than 30 days from the date of their appointment. Elections for the mailing address or email address to use. Do not email your form to the Commission on Ethics, it will be returned. Candidates must file at the same time they file their qualifying papers. State officers or specified state employees who file with the Thereafter, file by July 1 following each calendar year in which they Commission on Ethics may file by mail or email.To file by mail,send the hold their positions. completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; Finally,file a final disclosure form(Form 1 F)within 60 days of leaving physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL office or employment. Filing a CE Form 1 F (Final Statement of 32303.To file with the Commission by email,scan your completed form Financial Interests)does not relieve the filer of filing a CE Form 1 if the and any attachments as a pdf(do not use any other format), send it to filer was in his or her position on December 31,2021. CEForm1@leg.state.fl.us and retain a copy for your records. Do not file by both mail and email.Choose only one filing method. Form 6s will not be accepted via email. CE FORM 1-Effective:January 1,2022.Incorporated by reference in Rule 34-8202,F.A.C. PAGE 2