FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS FOR OFFICE USE ONLY: FLORIDA COMMISSION ON ETHICS WAY 31 2016 RECEIVED Xaver taus Suet” SCANNED County Commissioner District 7 PRo- Sch ROtESg rocoae —MINIMIMINNIN oe ED | Ma 38128-1908 ID No. 241635 det ata ge LULL PL (CHECK IF THIS IS AFILING BYACANDIDATE CQ) PART A~ NET WORTH Please enter the value of your net worth as of December 31, 2015 or a more current date. [Note: Net worth is not cal- culated by subtracting your reported liabilities from your reported assets, so please see the instructions on page 3.] My net worth as of May 24 ,2016 _was$ S02 ao CésT PART B-- ASSETS Conf. Code Suarez , Xavier Louis HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal affects may be reported in a lump sum if ther aggregate value exceeds $1,000. This category includes any of the following, i rot neld for investment purpeses: jewelry; collections of stamps, guns, and numismatie tems; art objects; household equipment and fumishings; clothing: other household items; and vehicles for personal use, whether owned of leased “The aggregate value of my household goods and personal effects (described above) is $_ <5 CO), °* ASSETS INDIVIDUALLY VALUED AT OVER $1,000 DESCRIPTION OF ASSET (specific description is required - se instructions p4) VALUE OF ASSET ') [Kesidence @ ls SE QS Read FUNG2 Mian Fr 39 127 Psag ove est 2)1Gndo 4 2645 Callian fue Ug 3 Mani Binh, A 33IYO ldsse,oce_ Est 2552000. G4 7 SO. est PART C— LIABILITIES LIABILITIES IN EXCESS OF $1,000 (See instructions on page 4): NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY Mieve AMM Wattpne Leeiwille KY") Qeulen (aval Sires ZL $2egcco ft above, Yoko Areice alias 130! U5, Gatcy 6h, Coral Oo bua | CBSE Eo above. Nata Sh Dallas Hx, 'S peciel sey’ Sanices , Littleton, CO ayer Shs efi KMEX vevaluing, credit oe fot JOINT AND SEVERAL LIABILIVIES NOT REPORTED ABOVE” NAME AND ADORESS OF CREDITOR AMOUNT OF LIABILITY GEFORN 6 Etecve levy 120 (Carnet ovo ae) FRGET Freep by reerencein is 90221), FACPART D ~ INCOME Idontiy each separate source and amount of income which exceeded $1,000 during the year, including secondary sources of income. Or attach a compel copy of your 2015 federal income tax relutn, including ail W2s, schedules, and atachments, Please redact ary socal secunly or account numbers before fatlaching your felums, as the law requires these documents b¢ posted to the Commission's website Clete a copy of my 2015 federa income tx rei and al V8, schedules, and tschments {i you chock fs ox and tach a Copy of yur 2075 tax ror, you mood not complete tho romalndar of Part PRIMARY SOURCES OF INCOME (See instructions on page 5): NAME OF SOURCE OF INCOME EXCEEDING $1,000 ADDRESS OF SOURCE OF INCOME lew Offi. KONS Luar eh [4S 5625 Rb #Na2 Mame’ 77127 SECONDARY SOURCES OF INCOME [Major customers, cllons, et. of businesses owed by reporting person~see instructions on page &): NAME OF NAME OF MAJOR SOURCES: ADDRESS, PRINCIPAL BUSINESS BUSINESS ENTITY ‘OF BUSINESS INCOME. OF SOURCE AGTIVITY GF SOURCE Nimes Dade Courty | Ommssi¢ney Uo 54 Paden 2902 fable Serta. San Ws Savul Sena ; ee PART E — INTERESTS IN SPECIFIED BUSINESSES [latructions on page 6 SUSNESS ENTITY BUSINESS ENTITY #2 BUSINESS ENT #3 TAME OF, BUSINESS ENTITY "ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS AGTVITY POSITION HELD (WITH ENTITY, TOWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PART F- TRAINING For officers required to complete annual ethics traning pursuant to section 112.3142, FS. ()_ICERTIFY THAT | HAVE COMPLETED THE REQUIRED TRAINING. OATH coumvor * WMiae Dade |, the person whose name appears at the ‘Sworn to (or affrmed) and subsribed before me this_2S day of beginning of his form do depose on otha atrmaton . Ry ee ad say that tho information dciosed on tis fom and any attachments hereto ise, acura, aed compl a7 a oe Personally Raown "OR Produced Identification Lg : SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE Type of Identifcaion Produced Ifa certiied public accountant licensed under Chapter 473, or attorney in good stancing with the Forida Bar prepared this form for you, he or she must complete the following statement: 1 . prepared the CE Form 6 in accordance with At. I, Se. 8, Florida Constitution, Section 112.3144, Florida Statutes, and the instructions fo the form. Upon my reasonable knowledge and belie, the disclosure herein is tue ‘and correct. Signature Date Preparation of this form by a CPA or attorney does not relieve the filer of the responsibility to sign the form under oath. ‘GE FORM 6 Efociv vray, 12016 PROEZ sept telarnce nue 9 002), FAC.