HomeMy WebLinkAboutgmcdonald_candidate_qualifying_paperwork_20220808CANDIDATE OATH
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a
write-in candidate:
❑ Write-in candidate
OFFICE USE ONLY
RECEIVED
AUG 08 2022
CCO DL
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, Gregory J McDonald
(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 City Council,
(Office) (District #)
( Circuit #) , (Group or Seal #) , ; I am a qualified elector of Brevard County, Florida;
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):
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.]
X (321) 544-2148 gjmcdonald70@gmail.com
Signature of Candidate Telephone Number Email Address
223 Columbia Dr #320 Cape Canaveral FL 32920
Address City State ZIP Code
STATE OF FLORIDA
Signature of Notary Public
COUNTY OF BREVARD Print, Type, or Stamp Commissioned Name of Notary Public below:
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence X
this 8th day of August , 2022
Personally Known X OR Produced Identification ❑
Type of Identification Produced:
Daniel LaFever
Notary Public
State of Florida
Comm#HH014221
Expires 6/24/2024
DS-DE 302NP (Rev. 08/2021)
Rule 1S-2.0001, F.A.C.
OATH OF CANDIDATE
I, Gregory J McDonald , do solemnly swear or affirm that
I am qualified under the City of Cape Canaveral Charter and Ordinances to
hold the Office of Council Member, to which I desire to be elected and I will
support the City of Cape Canaveral Charter and Ordinances.
X
Signature of Candidate
State of Florida
County of Brevard
City of Cape Canaveral
Sworn to (or affirmed) and subscribed before me by physical presence this
8th day of August, 2022 by Gregory J McDonald , who
is personally known or produced Identification.
Signature of Notary Public
Print, type or stamp Commissioned Name of Notary Public
Daniel LeFever
Notary Public
State of Florida
Comm# HH014221
Expires 6/24/2024
FORM 1 STATEMENT OF 2021
Please print or type your name, mailing
address, agency name, and position below:
FINANCIAL INTERESTS
FOR OFFICE USE ONLY:
RECEIVED
AUG 08 2022
CCO DL
LAST NAME -- FIRST NAME — MIDDLE NAME :
McDonald Gregory James
MAILING ADDRESS :
223 Columbia Dr #320
Cape Canaveral 32920 Brevard
CITY : ZIP : COUNTY :
City of Cape Canaveral
NAME OF(AGENCY :
City Council
NAME OFFICE OR POSITION HELD OR SOUGHT :
CHECK ONLY IF X CANDIDATE OR O NEW EMPLOYEE OR APPOINTEE
**** 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
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 INCOME
Uber/ Doordash
SOURCE'S
ADDRESS
Online
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
Delivery
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
BUSINESS ENTITY ENTITY
OF INCOME
N/A
NAME OF MAJOR SOURCES
OF BUSINESS' INCOME
N/A
ADDRESS
OF SOURCE
N/A
PRINCIPAL BUSINESS
ACTIVITY OF SOURCE
N/A
PART C — REAL PROPERTY [Land, buildings owned by the reporting person - See instructions]
(If you have nothing to report, write "none" or "n/a")
You are not limited to the space on the
lines on this form. Attach additional
sheets, if necessary.
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
Incorporated by reference in Rule 34-8.202(1), F.A.C.
(Continued on reverse side)
PAGE 1
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
N/A
BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
N/A
PART E — LIABILITIES [Major debts - See instructions]
- (If you have nothing to report, write "none" or "n/a")
NAME OF CREDITOR
N/A
ADDRESS OF CREDITOR
N/A
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 ENTITY # 1 N/A BUSINESS ENTITY # 2 N/A
NAME OF BUSINESS ENTITY N/A N/A
ADDRESS OF BUSINESS ENTITY N/A N/A
PRINCIPAL BUSINESS ACTIVITY N/A N/A
POSITION HELD WITH ENTITY N/A N/A
I OWN MORE THAN A 5% INTEREST IN THE BUSINESS N/A N/A
NATURE OF MY OWNERSHIP INTEREST N/A N/A
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:
Signature:
Date Sign:
8-8-22
CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473, or attorney
in good standing with the Florida Bar prepared this form for you, he or
she must complete the following statement:
I, prepared the CE
Form 1 in accordance with Section 112.3145, Florida Statutes, and the
instructions to the form. Upon my reasonable knowledge and belief, the
disclosure herein is true and correct.
CPA/Attorney Signature:
Date Signed:
FILING INSTRUCTIONS:
If you were mailed the form by the Commission on Ethics or a County
Supervisor of Elections for your annual disclosure filing, retum the
form to that location. To determine what category your position falls
under, see page 3 of instructions.
Local officers/employees file with the Supervisor of Elections
of the county in which they permanently reside. (If you do not
permanently reside in Florida, file with the Supervisor of the county
where your agency has its headquarters.) Form 1 filers who file with
the Supervisor of Elections may file by mail or email. Contact your
Supervisor of Elections for the mailing address or email address to
use. Do not email your form to the Commission on Ethics. it will be
retumed.
State officers or specified state employees who file with the
Commission on Ethics may file by mail or email. To file by mail,
send the completed form to P.O. Drawer 15709, Tallahassee, FL
32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200,
Tallahassee, FL 32303. To file with the Commission by email, scan
your completed form and any attachments as a pdf (do not use any
other format), send it to 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.
Candidates file this form together with their filing papers.
MULTIPLE FILING UNNECESSARY: A candidate who files a Form
1 with a qualifying officer is not required to file with the Commission
or Supervisor of Elections.
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 employment.
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 must file at the same time they file their qualifying
papers.
Thereafter, file by July 1 following each calendar year in which they
hold their positions.
Finally, file a final disclosure form (Form 1 F) within 60 days of
leaving office or employment. Filing a CE Form 1 F (Final Statement
of Financial Interests) does not relieve the filer of filing a CE Form 1
if the filer was in his or her position on December 31, 2021.
CE FORM 1 - Effective: January 1, 2022.
Incorporated by reference in Rule 34-8.202(1), F.A.C.
PAGE 2
CITY OF CAPE CANAVERAL
100 POLK AVE.
CAPE CANAVERAL, FL 32920
(321) 868-1220
Received Of: CAMPAIGN ACCOUNT OF GREGORY MCDONAL
The sum of: $39.00
RECEIPT
08/08/2022 12:32
Number: 78297
Cashier: j.coldiron
ELE TAX ELECTION TAX PAYABLE
MISC MISC
Total
$ 24.00
$15.00
$39.00
TENDERED:
Remaining Balance: $0.00
CHECK
501
$39.00