FULL AND PUBLIC DISCLOSURE Paar prntor pe your ane, maticg 1 OF FINANCIAL INTERESTS TAST NAME — FIRST NANE — MOLE NAME Heyman Sally A. ‘MAILING ADDRESS 1050 NE 181 Street omy a COUNTY North Miami Beach 33162 Miami-Dade NAME OF AGENEY Miami-Dade County Commission NAME OF OFFICE OR POSITION HELD OR SOUGHT County Commissioner District 4 ‘CHECK IF THIS ISAFIING BYACANDIDATE CI PART A~NET WORTH My net worth as of December 31 2018 was 538,000 PART B -- ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: fumishings; clothing, other household tems; and vehicles for personal use, whether owned or leased, ‘The aggregate value of my household goods and personal fects (Sescrbed above) is § 10,000 [ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description is required - see instructions p.4). TOR OFRCE USE ONLY I83¢ FLORIDA COMMISSION ON ETHICS JON 0 6 tag RECEIVED PROCESSED Please enter the value of your net worth as of December 31, 2018 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.) Household goods and personal effects may be reported in a hump sum i their aggregate value exceeds $1,000. This category includes any ofthe following, if not held for investment purposes: jewel; colctions of stamps, guns, and numismate dems; art objects; household equipment and VALUE OF ASSET Residence - 1050 NE 181 Street, North Miami Beach, FL 185,000 5 acres Osceola County - undeveloped 152,000 Investment portfolio, bank accounts [301,000 PART C — LIABILITIES LIABILITIES IN EXCESS OF $1,000 (See instructions on page 4) NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY NIA ‘JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: [NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY NIA C Te FORWE” Eieave ian TST TCanindonoae va) Ireopatted y rence nfle 342.0021), FAS, FRGETPART D ~ INCOME ‘entity each separate source and amount of income which exceeded $1,000 during the yea, including secondary sources of income. Or atch a complete copy of your 2018 feseral income tax return, including all W2s, schedules, ana atachments, Please redac\ any social secuily or account aumbere Delors latching your retums, as the law requires these documents be posted o the Commission's website Detect tote a copy of my 2018 federa income tax retum and al W2', schedules, and altachments. Lityou check tis box and attach & copy of your 2018 tax return, you ned nat complete the remainder of Part O PRIMARY SOURCES OF INCOME (See Instructions on page 5): NAME OF SOURCE OF INCOME EXCEEDING $1,000 ADDRESS OF SOURCE OF INCOME ‘AMOUNT Miami-Dade County 111 NW {st Street, Miami, FL 33128 50,563.14 cm cera Say Heyman EC, 0, CPP 1050 NE 181 St. NM Beach, FL 33162 [8,000 ‘SECONDARY SOURCES OF INCOME (Major customers, cents, el, of businesses owned by reporting person-see insfucions on page 6} NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS, BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE AGTIVITY OF SOURCE N/A PART B ~ INTERESTS IN SPECIFIED BUSINESSES [Instructions on page 6] BUSINESS ENTITY #4 BUSINESS ENTITY #2 BUSINESS ENTITY #3 WANE OF cxme copra Sty Homan MS. J0. 600 | Say A Heyman MSCS J. CPP BUSINESS ENTITY or Herma "m ‘ADDRESS OF oso 19 uB FL at62 tres BUSINESS ENTITY = PRINCIPAL BUSINESS |e vamos ana ACTMITY, on POSITION HELD Witt ENTITY ewer ha WN MORE THANA SH |, es INTEREST IN THE BUSINESS NATURE OF MY. tour — ‘OWNERSHIP INTEREST PART F- TRAINING For officers required to complete annual ethics training pursuant to section 112.3142, FS. I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. OATH Swarm Alans “Bade 7) |. he person whose name appears at the ‘Sworn to (or affrmed) Ard subscribes before me this" day of ‘begining ofthis form, do depose on oath or afrmation S 25.8. So and say that the information disclosed on ths form oe TARGARET A, STE oF Forse Notary Pood F Commission # GG 24716 My Commission Expires and any attachments hereto is true, and.complete, TSgaras-eF Neary Pubic State of Print, Type, of Stamp Commasioned Personally. Known Le“ OR Produced Identiiation “Type of lectiication Produved '¥a certied pubic accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared ths form for you, he or she must complete the following statement: \ prepared the CE Form 6 in accordance with At. , See. 8, Florida Consttution, Section 112.3744, Fonda Statutes, and the instructions fo the form. Upon my reasonable knowedge and belief, the disclosure herein is true 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, IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE) EFORME Breve ay 1 28 PACED Irerporao by wlmunce Rae 3-802), FAC,