Sheriff Harvey Financial Disclosure Documents
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..
2008
FORM 6
FULL AND PUBLIC DISCLOSURE OF Plene print or type your name, mailing :I FINANCIAL INTEREST r add,,"a, agency name, and posltlon below : LAST NAME -
FIRST NAME
MIDDLE NAME
COMUISSION 014 T€ HIC$ DAff RfCEIVED
FOR OFFICE USE ONLY:
Harvey, David F.
lUI 1'1
MAILING ADDRESS
lOOl
15 Oak Street ID Code
Crawfordville
Wakulla
32327 ZIP
CITY
COUNTY ID No
l=:hpriff'!:: Offir"t:>
WAlr" 11;11 NAME OF AGENCY
Sheriff NAME OF OFFICE OR POSITION HELD OR SOUGHT
CHECK IF THIS IS A FILING BY A CANDIDATE
\l.--\ ~ a
.... 11&_ .... _
Conf Code
. """I:~ ~SEJ~
P Req Gode
0
I
I
PART A .- NET WORTH Please enter the value of your net worth as of December 31, 2008, or a more current date [Note Net worth hablhbes from your reported assets, so please see the Instructions on page 3 I
My net worth as of
June 30
,20
09
was$
IS
not calculated by subtracting your reported
$1,752,852.00
PART B - ASSETS
•
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1,000 ThiS category Includes any of the follOWing, If not held for Investment purposes Jewelry: collections of stamps, guns, and numlsmahc items, art objects; household eqUipment and furnishings, clothing, other household Items, and vehicles for personal use The aggregate value of my household goods and personal effects (descnbed above)
IS
$
$60,000.00
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific descrtptlon Is required - see Instructions p.4)
See
2l.4-4
.
VALUE OF ASSET
PART C -- LIABILITIES LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Attachment
JOINT AND SEVERAL LIABIUTIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
CE FORM 6 - Elf 1/2009
(Continued on revel1le side)
AMOUNT OF LIABILITY
PAGE 1
,
.
•
PART D -- INCOME You may EITHER (1) file a complete copy of your 2008 federal IOcome tax return, Including all attachments. OR (2) file a sworn statement Identifying each separate source and amount of Income which exceeds $1,000, Indudlng secondary sources of income. by completing the remainder of Part D. below.
o
I elect to file a copy of my 2008 federal Income tax return [If you check this box and attach a copy of your 2008 tax return, you need not complete the remainder of Part D)
PRIMARY SOURCES OF INCOME:
NAMF OF «nIIOI"~ OF INCOMF
: nr:
, S1000
nr: INCOMF
See Attachment
SECONDARY SOURCES OF INCOME [Major customers, clients. etc. of bUSinesses owned by reporting person-see instructions]
NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS' INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
PART E •• INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1
BUSINESS ENTITY # 3
BUSINESS ENTITY # 2
PRINCIPAL BUSINESS
~1Iil •••••••••••••••••••••••••••••••••••• IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I. the person whose name appears at the
0
~6~~Fa'::LORIDA Wakulla
---------------
Sworn 10 (or affirmed) and subscribed before me this
30th
day of
beglnnrng of this form. do depose on oath or affirmation and say that the information dlsdosed on this form and any attachments hereto IS true. accurate, and complete
June
~
l" 1~n
.20
09 by David F. Harvey
""...... . t-Pr"A
(Slgn'tu'!e of~ry PUblic-Stat~1 FIO~W'J '.J
$~~~'?f~ Judy Langston
~.
U
So~mission. # 00536198
SIGNATURE OF REPORTtNG OFFICIAL qR CANDIDATE
Type of Identification Produced FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3.
INSTRUCTIONS on who must file this form and how to fill It out begin on page 3.
OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eff 112009
PAGE 2
Form Ii Full and Public Disclosure of financial Interests ZOO8 David F. Harvey, Sheriff, Wakulla County, Florida June 30, 2009
Part A - Net Worth My net worth as of June 30, 2009
S
1,752,852.00
Aggregate value of my household goods and Personal Effects
S
60,000.00
PartB-ASSm I.
Part C - LIABIUflES
Banking Accounts Wakulla Bank· CrawfordVIlle, FL
S
5,000.00
Amerls Money Mkt.· CrawfordVille, FL
S
5,000.00 .
Amens Bank Savings - Crawfordville, FL
S
2,000.00
Wakulla Bank Shares· Crawfordville, FL
S
150,000.00
5EI Mutual Bond Account, Oaks P.A.
S S
1,852.00
II. Stocks .. Bonds
1/2 Interest SEI Stock Account, Oaks, P.A.
95,000.00
III. Real Estate Corpor.ltlons .. Partnerships 1/3 Interest Crawfordville Financial Partnership LLC
S
160,000.00
1/3 Interest Farmers & Merchants Bank, Tall., FL
S
160,000.00
1/2 Interest Benus Plaza LLC
S S
500,000.00
1/2 Interest Ameris Bank, Crawfordville, Fl
430,000.00
1/2 Interest Chase Bank & AmSouth, Tall., FL
S S
245,000.00
400,000.00
1/2 Interest Tallahassee Bank, Tall., FL
S
156,000.00
1/2 Interest Benus Maint.
S S
1/2 Interest Benus Properties
S
540,000.00
1/3 Interest BMH Properties
100,000.00
1/2 Interest HL Ventures
S S
750,000.00
1/2 Interest Ameris Bank, Crawfordville, FL
S
750,000.00
1/4 Interest Wildwood Golf
S
650,000.00
1/4 Interest Wakulla Bank, Crawfordville, Fl
S S
590,000.00
1/4 Interest Barry Enterprise
S S S
975,000.00
1/4 Interest Wakulla Bank, Crawfordville, FL
S
975,000.00
1/4 Interest, Amens Bank, Crawfordville, FL
S S
375,000.00
S S
100,000.00
S S
95,000.00
1/2 Interest Foxway Property 1/2 Interest Benus Farm
10,000.00
1/4 Interest Farmers
1/4 Interest Wakulla Annex, LLC 1/2 Interest Investment & Timber Co., LLC 1/2 Interest Harvey Investment, LLC TOTAlASSm
--------------_.
160,000.00
380,000.00 80,000.00
5,393,852.00
CI
& Merchant Bank, Tall., Fl
1/2 Interest, Bill Crona, Tallahassee, FL 1/2 Interest, SunTrust Bank, Tallahassee, FL TOTAlllABIUflES
60,000.00
75,000.00
3,641,000.00
ct
...
..
t
•
LAST NAME
FIRST NAME
David
Harvey
~:2_0_0_7~
FULL AND PlTBLIC DISCLOSURE OF I FINANCIAL INTERESTS I
FORM 6
MIDDLE NAME:
COMMISSIOH OH El hI.. OAlERECEMO
FOROFACE USE ONLY:
F
JJL () 2 2008
MAILING ADDRESS:
15 Oak Street \0 Code
ZIP
CITY:
Crawfordville, Florida
D
COUNTY'
/
Wakulla
32327
NAME OF AGENCY
/
Conf. Code
Wakulla County Sheriffs Office NAME OF OFFICE OR POSITION HELD OR SOUGHT'
Sheriff
.'
.
CHECK IF THIS IS A FILING BY A CANDIDATE
\~\~~
'10 No
~.
IJ
P. Req. Code
: I', {
iI.~,
'.
v
..,
.
' . l.:
,
-' "'-
'..,,1~~
\, \
PART A - NET WORTH Please enter the value of your net worth as of December 31,2007, or a more current date. [Note: Net worth Is not calculated by subtracting your reported liabilities from your reported assets, so please see the instructions on page 3.J o;MYIleLw()rt~'as:-of,-Decemb8r 31,- " -
•
-;:20'08 -wa5'$ 2,815.245.00,
_-:J
PART B - ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1,000. This category includes any of the following, if not held for investment purposes. jewelry; collections of stamps, guns. and numismatic ilems. art objects; household equipment and fumlshings; clOthing; other household items; and vehicles tor personal use The aggregate value of my household goods and pel'SOnal effects (described above) is $ See Attachment For Detail
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (speclftc desertptlon Is required· see instructions pA)
Total
See Attachmentfor Detail
, .,
VAL.UE OF ASSET
6.597.245.00
.,
PART C - LIABILITIES UABlLITIES IN EXCESS OF $1,000: NAME AND ADDRESS OF CREDITOR .;
AMOUNT OF UABIUTY
See Attachment for Detail
Total
JOINT AND SEVERAL UABILmES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
'.
CE FORM 6 • Elf. 112008
(Continued on reverse side)
3,722,000.00
AMOUNT OF UABIUlY
PAGE 1
,II'.
•
PART D - INCOME
You may ErrHER (1) file a complete copy of your 2007 federal income tax retum, including all attachments. OR (2) file a swom stalBment identifying each separelB source and amount of income which exceeds $1,000, including secondary sources of income. by completing the remainder of Part D. below.
IJ
I elect to file a copy of my 2007 federal Income tax return. [If you check this box and attach a copy of your 2007 tax return, you need not complete
the remainder of Part D.] PRIMARY SOURCES OF INCOME:
hJAU~ f'I~ <1.f'lIIDI"C f'I~ 'hJl"f'lut=
C1
"'''' <1.f'l1 II)I"~ f'I~ 'hJ"'f'I"~
nnn
See Attachment for Detail
323,187.00
Total
n
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see Instructions] NAME OF MAJOR SOURCES
NAME OF DI 1<1.''''<:'''''' I=NTITV
PRINCIPAL BUSINESS
ADDRESS
f'I~ D""""'<:"''''' IN('flUI=
f'l1=
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 2
BUSINESS ENTITY # 1
~~,~,.?.f", .. NTITV
•
BUSINESS ENTITY # 3
-
~R~~~~~,TV
PRINCIPAL BUSINESS
~Tbem.I~LD IOWNMO~~~A5%
~
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH
STATE OF FLORIDA COUNTY OF l
I, the person whose name appears at the
liD
,? Q. \<."'-\\ p,.
Swom to (or affinned) and subscribed before me this
'J. '1 "...
day of
beginning of thIS form, do depose on oath or effirmation
S)~
and say that the Information disclosed on this form and any attachments hereto is true, accurate,
and complete.
~ ) (~ J/k~V
SlMATURE OF REPORnNG OFFICIAL OR CANDID lE
-
,20
~
\ '" ().l
ft.
D'il by Oo...o·.)a i=. \\CHU:C..oo:-\
~~.
(Signatu&~.of Notary Public-State of Florida)
'lOt..,.......... """Alll4 ......
.. ~l: '~
lPIWW ~
11 Personally Known ·VU8J~
(Print, Type, 0
(S
, ,
,~
P
ry Public)
Identification
Type of Identification ProdUced
•
FILING INSTRUCTIONS for when and whare to file this form are located at the top of page 3.
INSTRUCTIONS on who must file thIs form and how to fill It out begin on page 3•
OTHER FORMS you may need to file are described on page 6.
CE FORM 6· Elf 112008
PAGE 2
--
FO~UII
And Public Disclosure of Financial Interests 2007
Dav' F. Harvey, Sheriff, Wakulla County, Florida June 30,2008 Part A • Net Worth
My net worth as of December 31, 2007
$
2,87&,246.00
Aggregate Value of household Goods & Personal Effects
$
60,000.00
$ $ $ $ $ $ $ $ $ $ $ $
5,000.00 30.000.00 2,000.00 150,000.00 250,000.00 1,694.00 140,000.00 45,000.00 150,000.00 500,000.00 380.000.00 140,000.00
v1121NT 8enus Farm LLC
$
400,000.00
-..I1121NT 8enus Maintenance LLC, Crawfordville, FL .-'112/NT 8enus Properties LLC, Crawfordville, Fl Guardian Insurance, Lehigh Valley, PA 1121NT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL Residence & 10 Acres· CrawfordVille, FL
$ $ $ $ $
10,000.00 510,000.00 10,000.00 10,000.00 350,000.00
V1I2INT Harvey Inv., LLC $ 1121NT Plaza Tower, Tallahassee, FL $ 1/3 INT Carrabelle Lot, Carrabelle, FL $ IRA Account, Tallahassee, FL $ ~ ~. F,,!Q!id~~ent System - Drop, Tallahassee, FL $ ~ --1121NT Hl:Ventilled:LC;-~Crawfordville;-:l;b $
A/4 INT Wildwood Golf LlC, Crawfordville, -FL ~~~Y.p.,f$ 1/41NT Barry Interprises Inc., Crawfordville, FL_~'\ $ 1/3 INT Wakulla Investment & Timber Co., LLC, Cr wfordville, FL $ Deferred Compensation, carmel, IN $ V1/3INT BMH LLC, CrawfordVille, FL $ 1/2 INT 2-BR Townhouse, Panacea, FL $ TOTAL ASSETS S
100.000.00 5,000.00
15,000.00
16.551.00
250,000.00
800,000.00 650,000.00 1,100.000.00 5,000.00 287,000.00 100,000.00 125,000.00 6,&97,246.00
Part B - ASSETS
Checking Account. Wakulla Bank, Crawfordville, FL
) ~
~
Money Market, Ameris, Crawfordville, FL Savings Account· Ameris, Crawfordville. FL Shares - Wakulla Bank, Crawfordville, FL 112 (NT SEI Annunity, Oaks, PA 112 INT SEI Municipal Bond Account, Oaks, PA 112 INT SEI Stock Account, Oaks, PA 1/2 INT SEI Priva1e Trust, Oaks, PA ·v1/3INT Crawfordville FinanCIal Partnership LLC, Crawfordville, FL ./1/2 (NT 8enus Plaza LLC, Crawfordville, FL -<114-INTwal«llllr:COUrthouse~Annex Partnersffip:CraWfo7(lVilJe;jFL V1/2INT Fox Way LLC, Crawfordville, FL
Part C • LIABILITIES
J
Part D • INCOME
Joint Wages & Salaries Interest Income Business Income Dividend Income Capital Gains
IRA Distribution Real Estate Rentals, Pships, S-Corps, trust, etc. TOTAL INCOME
•
(J M L - \V~ tvl/ t:GU-l
$ $ $ $ $ $ $ $
215,108.00
13,938.00
(6,538.00)
17,213.00
196,526.00 14,332.00 (281,288.00) 169,291.00
Farmer's & Merchants Bank, Tall,FL (1I3INT) Ameris Bank, Crawfordville, FL Ameris Bank, Crawfordville, FL (1/4 INT) Chase Bank (1/2 INT) AM South Bank. Tallahassee Tallahassee Bank, Tallahassee, FL
$ $ $ $ $ $
150,000.00 200,000.00 375,000.00 134,000.00 26,000.00 200,00000
Wells Fargo, Box 14411, Oesmoines, Oowa Capital City First, Tallahassee, FL Sun Trust,k Tallahassee, FL
$ $ $
212,000 00 85,000.00 90,000.00
Ameris Bank, Crawfordville, Fl Wakulla Bank,Crawfordville, FL Wakulla Bank, Crawfordville, Fl
$ $ $
750,000.00 525,00000 975,000.00
TOTAL LIABILITIES
S
3,722,000.00
$
2,875,245.00
•
•
FULL AND PUBLIC DISCLOSURE OF C2006-= PI_e pllnt or type your nam., mailing : FINANCIAL INTERESTS I COWISStON ON ETHICS eclclntaa, agency name, and pcIlIltlon below :
FORM 6
LAST NAME Harvey
I
FIRST NAME
MIDDLE NAME:
David
DATE RECEIVED JlIL 0 6 ZOU1
FOR OFFICE USE ONLY:
Fulton
MAILING ADDRESS
15 Oak Street lD Code Crawfordville, Florida
32327
Wakulla COUNTY
ZIP'
CITY
NAME OF AGENCY
., "
Sheriff
;;:
JC.
' tK\~})(~
NAME OF OFFICE OR POSITION HELD OR SOUGHT,
CHECK IF THIS IS A FILING BY A CANDIDATE
1'2-1 "1'0
10 No.
Wakulla County Shentrs Office
fi=J, ~
lE@~
i7P
ri Q "
Cont. Code
r-:J
Code
0
PDF 2005
PART A NET WORTH Please enter the value of your net worth as of December 31, 2006, or a more current date. [Note' Net worth IS not calculated by subtracting your reported habilitres from your reported assets, so please see the instructions on page 3.) My"nefworth-:as=ot _DecemtiElr:21·
'
,
20 06.'~'~a;$'$2,674.867.00:J
-
PART B - ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum If their aggregate value exceeds $1,000. ThiS category Includes any of the follOWing, If not held for Investment purposes Jewelry, collections of stamps, guns, and numlsmallc ilems, art objects, household equipment and furnishings; clothing, other household items, and vehicles for personal use. The aggregate value of my household goods and personal effects (descnbed above)
IS
$ See Attached Detail
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description Is required · Sell instructions pAl
VALUE OF ASSET
See Attached For Detail
PART C -. LIABILITIES LIABtLITIES IN EXCESS OF $1.000: NAME AND ADDRESS OF CREDITOR
AMOUNT OF UABIUTY
See Attached For Detail
JOtNT AND SEVERAL LlABIUTtES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
•
CE FORM 6 - Elf. 112007
(Continued on reverse side)
AMOUNT OF UABIUTY
PAGE 1
i
•
PART D - INCOME You may EITHER (1) file a complete copy of your 2006 federal Income tax retum, including all attachments, OR (2) file a swom statement Identrfylng each separate source and amount of income which exceeds $1,000, Including secondary sources of Income, by completing the remainder of Part D, below.
0
I elect to file a copy of my 2006 federal Income tax retum. [If you check thiS box and attach a copy of your 2006 tax retum. you need not complete the remainder of Part D.]
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOU~CE OF INCOME
AMOUNT
See Attached For Detail
--
-
--
--
--
--
--
--
---
-
--
--
SECONDARY SOURCES OF INCOME [MajOr customers, clients. etc., of bUSinesses owned by reporting person-see instructions)" NAME OF BUSINESS ENTITY
ADDRESS
OF SOURCE
NAME OF MAJOR SOURCES OF BUSINESS' INCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 2
BUSINESS ENTITY .. 1
•
NAME OF I=NTITV
BUSINESS ENTITY" 3
See Attached For Detail
~R~~~~~ ~tTITV PRINCIPAL BUSINESS
~f~Tbem.,~LD I OWN
MO~~ ~~~r-:,f:2,~",e-e-
~MY IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
D
STATE OF FLORIDA W k 11 COUNTY OF a u a Swom to (or affirmed) and sUbscnbed before me thiS
2nd
day of
beginning of thiS form. do depose on oath or affirmation
July
and say that the Informabon dlsdosed on thiS form and any attachments hereto is true, accurate,
?:;?~
SIGNmlJRE OF REPORTING OFFI IAL OR CANDIDATE
1...}
e..-r
(Signatu
::
J~
~~
·"'.reDtld u.,)
Commhil;on'D0401919
Expi r
,,& Mlroh 1, 2009
(Pnnt, Type, or tamp'"'Co Personally Known
David F. Harvey
,20-!}2bY
XXX
./
0
..a, "" v, ..v.ary Public)
OR
Produced Idenlificabon
Type of IdentificalJon Produced
•
F'L1NG INSTRUCTIONS for when and where to file thl. form ue located at the top of page 3.
INSTRUCTIONS on Who mu.t file thl. form and how to fill It out begin on page 3•
OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eft. 1/2007
PAGE 2
Fonn 6 Full And Public Disclosure of Financial Interests 200& DavId F. Harvey, Shenff, Wakulla County, Florida June 30, 2007 Part A • Net Worth My net worth as of December 31, 2006
$
2,674,867.00
Aggregate Value of household Goods & Personal Effects
$
60,00000
Part B - ASSETS Checkmg Account, Wakulla Bank, Crawfordville, FL Money Market, Amens, Crawfordville, FL Savings Account - Amerls, Crawfordville, FL Shares - Wakulla Bank, Crawfordville, FL 1/21NT SEI AnnuOlty, Oaks, PA 1/2 INT SEt MUnicipal Bond Account, Oaks, PA 1/2 INT SEt Stock Account, Oaks, PA 1/2 INT SEt Private Trust, Oaks, PA 1/3 INT Crawfordville Financial Partnership LLC, Crawfordville, FL 1/2 INT Benus Plaza LLC, Crawfordville, FL 1/41NT Wakulla Courthouse Annex Partnership, Crawfordville, FL 1/2INT Fox Way LLC, Crawfordville, FL
$ $ $ $ $ $ $ $ $ $ $ $
5,000.00 50,00000 2,000.00 150,000.00 250,000.00 1.694 00 180,000.00 45,000.00 160,00000 400,000.00 380,000.00 140,000.00
1/2 INT Benus Farm LLC
$
400,000.00
1/2 INT Benus Maintenance LLC, Crawfordville, FL 1/2 INT Benus Properties LLC, Crawfordville, FL Guardian Insurance, Lehigh Valley, PA 1/21NT DaVid Hiers. Mortgage, Sopchoppy River, Sopchoppy, FL Residence & 10 Acres - CrawfordVille, Fl
$ $ $ $ $
10,000.00 510,000.00 10,000.00 10,000.00 350,000.00
1/2 INT Harvey Inv , LLC 1/2 INT Plaza Tower, Tallahassee, FL 1/3 INT Carrabelle Lot, Carrabelle, FL IRA Account, Tallahassee, FL Flonda Retirement System - Drop, Tallahassee, FL 1/2 INT HL Ventures LLC, Crawfordville, FL 1/4 INT WIldwood Golf LLC, Crawfordville, Fl 1/4 INT Barry Interprises Inc., Crawfordville, FL 1/3 INT Wakulla Investment & Timber Co., LLC, CrawfordVille, FL Deferred Compensation, Carmel, IN 1/3 INT BMH LLC, Crawfordville, FL 1/2 INT 2-BR Townhouse, Panacea, FL TOTAL ASSETS
$ $ $ $ $ $ $ $ $ $ $ $
10,000.00 5,000.00 15,000.00 16,551.00 250,00000 800,000.00 650,000.00 1,100,000.00 5,000.00 306,62200 100,000.00 150,000.00
$
6,621,867.00
Part 0 - INCOME JOint Wages & Salanes Interest Income Business Income Dividend Income Capital Gains IRA Distnbution Real Estate Rentals. Pships, S-Corps, trust, etc TOTAL INCOME
•
.
Part C - LIABILITIES
$ $ $ $ $ $ $
215,10800 13,93800 (6,538.00) 17,21300 196,526.00 14,332.00 (281,28800)
$
169,291.00
.---------- •
Farmer's & Merchants Bank, Tall ,FL (1/3 INT) Amerls Bank, Crawfordville, FL Amens Bank, Crawfordville, FL (1/4INT) Chase Bank (1/2 INT) AM South Bank, Tallahassee Tallahassee Bank, Tallahassee, FL Joe Ann Council, Crawfordville, FL
$ $ $ $ $ $
160,000.00 18,000.00 375,000.00 134,000.00 26,00000 200,000.00 45,00000
Wells Fargo, Box 14411, Desmoines, Oowa Capital City First, Tallahassee, FL
$ $
212,000.00 277,000.00
Ameris Bank, Crawfordville, FL Wakulla Bank,Crawfordville, FL Wakulla Bank, Crawfordville, FL
$ $ $
750.00000 525,000.00 975,00000
Ameris Bank, CrawfordVille, Flonda TOTAL LIABILITIES
$ $
3,847,000.00
$
150,000.00
•
.....
,..
.
I
FULL AND PUBLIC DISCLOSURE OF (2005-" --....; FINANCIAL INTERESTS I I COIIfrsSk>NONETHICS
FORM 6
DATF RECE1VfD JUL 05 ZOO6
FOR OFFICE USE ONLY: ..•..••....•••....·······SNGLP T1 P1 15
David Harvey Sheriff, Elected Constitutional Officer
Wakulla County
C/O 15 Oak Street
Crawfordville, FL 32327
10 Code
IIIII11II
~(\~~O
~RCCC.",vL:
10 No.
~III ~1111~111"11111111
12190
Conf. Code
1"11,"1.1•• 11, III II1IIII 1111.1
P. Req. Code
Harvey, David
(J
CHECK IF THIS IS A FILING BY A CANDIDATE
'*'**.*
PART A - NET WORTH Please enter the value of your net worth as of December 31, 2005, or a more current date. [Note:
Net worth is not calculated by subtracting your reporled
liabilities from your reported assets, so please see the instructions on page 3.] 'My-nefworthas:of -
December-3 L•."- . ..
,;:20'05 w~$ 2,615,867.00
j - - ...
PART B -- ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1,000. lllis category includes any of the following, if not held for investment purposes: jewelry; collections of stamps, guns, and numismatic items; art objects; household equipment and fumishings; dothing; other household items; and vehldes for personal use. The aggregate value of my household goods and personal effects (described above) is $
See attachment for detail
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description Is required - see Instructions p.4)
VALUE OF ASSET
See Attachment'for detail
PART C - LIABILITIES LIABILITIES IN EXCESS OF $1,000: NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Att'acHment, ·,fio~, detail
,.
,
,-; ~';-:
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Attacnmeatfor detail
CE FORM 6 - Eff 112006
(Continued on rwerse side)
PAGE 1
PART D - INCOME You may EITHER (1) file a complete copy of your 2005 federal Income tax return, including all attachments, OR (2) file a sworn statement Identifying each separate source and amount of income which exceeds $1,000, including secondary sources of Income, by completIng the remainder of Part D, below
1:1
I eled to file a copy of my 2005 federal income tax return [If you check this box and attach a copy of your 2005 tax return, you need not complete the remainder of Part D 1
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME exCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
AMOUNT
See attachment for detail
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see instructions)' NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS' tNCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCE
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 3
BUSINESS ENTITY # 2
BUSINESS ENTITY # 1 -
NAME OF
I=t.lTITV
See attachment for det !dl
ADDRESS ~~TITV PRINCIPAL BUSINESS
~b~~LD I OWN
MO~~ iw~~~~"{:c<:>c::
~
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
STATE OF FLORIDA COUNTY OF
0
Wakulla
Swom to (or affirmed) and subscribed before me thIs
30th
day of
beginning of this form, do depose on oath or a1ftnnatlon and say that the information disclosed on this form and any attachments hereto is true, accurate, and complete.
-~ ............... SIGNATURE OF REPORTINj~ OFFICIAL OR CANDIDATE
June
,20
.J..J
~ (Signature of
'"""
06
by
David F. Harvey
~~ -, CommfaIon'00401919 Expns Men:h 1, 2009
(Print, Type, or Stamp CommtsslOriiid Name Personally Known XXXX
OR
VI
"vu"y
.....,..- ~ ublic)
Produced Identification
Type of Identification Produced FILING INSTRUCTIONS for When and where to file this form are located at the top of page 3. INSTRUCTIONS on who must file this form and how to fill It out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 6 - Eff 1/2006
PAGE 2
•
•
•
Form 8 Full And Public Dlacloaur. of Flnancl.I Int.....t. 2005 David F. Harvey, Sheriff, Wakulla County. Florida June 30,2006 Part A • Net Worth My net worth as of December 31, 2006
$
2,675,867.00
Aggregate Value of household Goods & Personal Effects
$
60,000.00
$ $ $ $ $ $
5,000.00 1,000.00 2,000.00 150,000.00 250,000.00 1,694.00 180,000.00 150,000.00 160,000.00 400,000.00 380,000.00 140,000.00 400,000.00 150.000.00 10,000.00 510,000.00 10,000.00 40,000.00 350,000.00 15,000.00 5,000.00 15.000.00 16,5151.00 200,000.00 800,000.00 650,000.00 1,100,000.00 5,000.00 306,622.00 100,000.00 0,582,807,00
Part B • ASSETS Checking Account, Wakulla Bank, Crawfordville, FL Checking Account, Citizens Bank, Crawfordville, FL SaVings Account - Citizens Bank, Crawfordville, FL Shares· Wakulla Bank, Crawfordville, FL 1/2 INT SEI Annunlty, Oaks, PA 1/2 INT SEI Municipal Bond Account, Oaks. PA 1/2 INT SEI Stock Account. Oaks, PA 1/2 INT sel Private Trusl, Oaks, PA 1/3 INT Crawfordville Financial Partnership LLC, Crawfordville, FL 1/2 tNT Benus Plaza LLC, Crawfordville, FL 1/4 tNT Wakulla Courthouse Annex Partnership, Crawfordville, FL 1/2 INT Fox Way LLC, Crawfordville, FL 1/2 INT Benus Farm LLC 1/3 INT CMC Wakulla LLC, Crawfordville, FL 1/2 INT Benus Maintenance LLC. Crawfordville, FL 1/2 tNT Benus Properties LLC, Crawfordville. FL Guardian Insurance, Lehigh Valley, PA 1/2 INT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL Residence & 10 Acres - Crawfordville, FL Tallahassee Center Condo, Tallahassee, FL Plaza Tower, Tallahassee, FL 1/3 INT Carrabelle Lot, Carrabelle, FL IRA Account. Tallahassee, FL Florida Retirement System - Drop, Tallahassee, FL 1/2 INT HL Ventures LLC, Crawfordville, FL 1/4 INT Wildwood Golf LLC, Crawfordville, FL 1/4 tNT BElfrY Inlerprlses Inc., Crawfordville, FL 1/3 INT Wakulla Investment & Timber Co., LLC, Crawfordville, FL Deferred Compensation, Carmel, IN 1/3 INT BMH LLC, Crawfordville, FL TOTAL ASSETS
Part C • LIABILITIES Farmer's & Merchants Bank, Tall.,FL (1/3 INT) Ameris Bank, Crawfordville, FL (1/4 INT) Chase Bank (1/2 INT) AM South Bank, Tallahassee Tallahassee Bank, Tallahassee, FL Joe Ann Council, Crawfordville, FL Wells Fargo, Box 14411, Desmolnes, Oowa Capital City First. Tallahassee, FL Ameris Bank, Crawfordville, FL Wakulla Bank,Crawfordvllle. FL Wakulla Bank, Crawfordville, FL Bancorp Bank TOTAL LIABILITIES
S $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
S
$
S $ $ $ $ $
S $ $ $
$ $
160,000.00 375,000.00 134,000.00 26,000.00 200,000.00 46,000.00 212,000.00 145,000.00 750,000.00 525,000.00 975,000.00 340,000.00 3,887,000.00
Form 6 Full And Public Disclosure of Flnanclallntereats 2005 David F. Harvey, Sheriff. Wakulla County, Florida Part D • INCOME Joint Wages & Salaries Interest Income Dividend Income
~~~~
June 30,2006
$ $ $
IRA Distribution
$ $
Real Estate Rentals TOTAL INCOME
$
$
183,182.00 16,972.00 16,151.00 617,690.00 14.332.00 73,981.00
922,308.00
"
Form 6 Full And Public DI.clolure of Flnanclallnter••t. 2005 David F. Harvey, Sheriff, Wakulla County, Florida
June 30. 2006
Part E - INTEREST IN SPECIFIED BUSINESSES
•
Benul Plaza LLC 2646 Crawfordville Highway Crawfordville. FL 32327
Rental
Part-Owner
1/2 Interest
Senus Maintenance Co. LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Lawn Maint. Part-Owner
1/2 Interest
CMC Wakulla LLC 1415 Timberland Road TallahaBsee, FL 32301
Real Estate
Part·Owner
1/3 Interest
Benus Properties LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Rental
Part-Owner
1/2 Interest
Benus Farm LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Farming
Part-Owner
1/4 Interest
Fox Way LLC 117 Harvey Young Farm Road Crawfordville, FL 32327
Rental
Part-Owner
1/4 Interest
Wakulla CH Annex Partnership 117 Harvey Young Farm Road Crawfordville, Florida 32327
Investments Part-Owner
1/4 Interest
BMH Properties LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Rea' Estate
Part-Owner
1/3 Interest
Crawfordville Financial Partnership, LLC 117 Harvey Young Farm Road Crawfordville. FL 32327
Rental
Part-Owner
1/3 Interest
HL Ventures LLC 117 Harvey Young Farm Road Crawfordville. FL 32327
Rental
Part-Owner
1/2 Interest
Wildwood Golf LLC 117 Harvey Young Farm Road Crawfordville. FL 32327
Golf
Part-Owner
1/4 Interest
Barry Interprises. Inc. 117 Harvey Young Farm Road Crawfordville. FL 32327
Hotel
Part-Owner
1/4 Interest
Wakulla Investment & Timber Company 117 Harvey Young Farm Road Crawfordville, FL 32327
Timber
Part-Owner
1/3 Interest
_
'PO
,.·~::1JlO~
FULL AND PUBLIC DISCLOSURE I FINANCIAL INTERESTS I
FORM 6
M~RECEIVED
JUL 06 ZOU5
FOR OFFICE USE ONLY AUTO 3 DIGIT 323 T39 PI 185 David Harvey Shenff Wakulla County Elected Constitutional Officer 15 Oak St CrawfordVIlle FL 323272014
ID Code
't.,..... {Jj
(:
--
I11111111111 IDNo
~IIIIIIII ~IIIIIIIIIIIIIIII
12190
i
Ib.t.
L)
1111111,1.1111111111111111, 111111111111111111111111,1.11111111
CHECK IF THIS IS A FILING BY A CANDIDATE
0 a::: a..
Conf Code P Req Code
** **
Harvey David
0 PART A NET WORTH
Please enter the value of your net worth as of December 31 2004 or a more current date [Note 'labilities from your reported assets so please see the instructions on page 3 I
My';letUwOrth,as~of-Decem.her::--31 . ,
PARTB
•• -
"
•
-<
Net worth IS not calculated by subtracting your reported
~.----
20-04 uwas$-2-430":6 73 00,
ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 000 ThIS category Includes any of the follOWing If not held for Investment purposes jewelry collections of stamps guns and numISmatiC Items art objects household equipment and fumlshlngs clothing other household Items and vehicles for personal use The aggregate value of my household goods and personal effects (descnbed above) IS $
60 000 00
ASSETS INDIVIDUALLY VALUED AT OVER $1 000
DESCRIPTION OF ASSET
VALUE OF ASSET
See Attachment
PART C - LIABILITIES . LIABILITIES IN EXCESS OF $1 000
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Attachment
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE
NAME AND ADDRESS OF CREDITOR
•
AMOUNT OF LIABILITY
See Attachment
CE FORM 6
Eff 1/2005
(Continued on reverse Side)
PAGE 1
•
PARTD
-
INCOME
You may EITHER (1) file a complete copy of your 2004 federal Income tax return including all attachments OR (2) file a sworn statement Identifying each separate source and amount of Income whIch exceeds $1 000 including secondary sources of Income by completing the remainder of Part D below
D
I elect to file a copy of my 2004 federal Income tax return [If you check this box and attach a copy of your 2004 tax return you need not complete the remainder of Part D )
PRIMARY SOURCES OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
AMOUNT
See Attachment
SECONDARY SOURCES OF INCOME [Major customers clients etc of bUSinesses owned by reporting person see instructions) NAME OF BUSINESS ENTllY
NAME OF MAJOR SOURCES
OF BUSINESS INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
See Attachment
PARTE INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1
~~~.,9!n "'....TITV
~R~~~~~ ~~T1TV
BUSINESS ENTITY # 3
BUSINESS ENTllY # 2
See A
PRINCIPAL BUSINESS
~,~~~n~~I~LD
I OWN M~~ ~~N A 5/
~T
. . . . .
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE
OATH I the person whose name appears at the
STATE OF FLORIDA COUNTY OF
(J
Wakulla
Sworn to (or affirmed) and subscnbed before me thIs
30th
day of
begInning of thiS form do depose on oath or atflrmabon
and say that the ,nformatlon dISclosed on thiS form
and any attachments hereto IS true accurate
and complete
<:
June
20
i..L . . . . . n
~)
SIGNATURE OF REPORTING OFFICfAL OR CANDIDATE
f
by
Dav~d
F
wr&fMt t!. ~
(Sl9nature of ~
Harvey
'e-C-~
IJ
~
05
C)
. -e - . 00401919 ,expires March 1 2009 (Pnnt Type 0
p
Personally Known
L
It'le~flt Public)
OR
Produced Identification
Type of IdentificatIon Produced FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3
INSTRUCTIONS on who must fIle this form and how to fill It out begm on page 3
OTHER FORMS you may need to frle are deSCribed on page 6
CE FORM 6
Elf 1/2005
PAGE 2
Form 6 Full And Public Disclosure of Fmanclal Interests 2004 DaVId F Harvey SberIff Wakulla County FL
•
Part A
July 1 2005
NET WORTH
My net worth as of December 31 2004
$243067300
Part BASSETS Value of my household goods and personal effects Checkmg Account Wakulla Bank CrawfordVllle FL Checkmg Account CitIzens Bank Crawfordville FL Savmgs Account CItizens Bank CrawfordVllle FL Shares Wakulla Bank Crawfordville FL 112 INT SEI AnnUIty Oaks PA 1/2 !NT SEI MuniCipal Bond Account Oaks PA 1/2 INT SEI Stock Account Oaks PA 1/2 !NT SEI Pnvate Trust Oaks PA 1/3 INT Crawfordville Fmanclal Partnership LLC Crawfordvllle FL 1/2 INT Benus Plaza LLC Crawfordvllie FL 1/4 INT Wakulla Courthouse Annex Partnership Crawfordvllie FL 1/4 INT Fox Way LLC CrawfordVllle FL 1/2 INT Benus Farm LLC 1/3 INT CMC Wakulla LLC CrawfordVllle FL 1/2 INT Benus Mamtenance LLC Crawfordv1l1e FL 1/2 INT Benus Properties LLC CrawfordVllle FL Guardian Insurance Lehigh Valley PA 1/2 !NT DaVid Hiers Mortgage Sopchoppy RIver Sopchoppy FL 112 INT Margaret Rogers Mortgage CrawfordVllle FL ReSidence & 10 Acres CrawfordVllle FL 1/2 INT Tenruson Condo Tallahassee FL 1/2 INT Tallahassee Center Condo Tallahassee FL 1/2 INT Plaza Tower Tallahassee FL 1/3 INT Carrabelle Lot Carrabelle FL IRA Account Tallahassee FL Flonda Retirement System Drop Tallahassee FL 1/3 INT MBH Properties Inc Crawfordville FL Deferred Compensation Carmel IN
•
Part C
LIABILITIES
A & A Mortgage Tallahassee FL Wells Fargo Jacksonville FL Denrus & JoAnn Councll Crawfordville FL Capital City FITst National Bank Tallahassee FL AM South Bank Tallahassee FL Tallahassee Bank Tallahassee FL Wakulla Bank Crawfordvllle FL
Part D
14700000
23100000
5000000
6000000
2600000
21800000
4000000
INCOME
Shenff Wages & Salenes 117 Harvey Young Farm Rd CrawfordVllle FL Wife Wages & Salanes 117 Harvey Young Farm Rd Crawfordville FL Interest Income Bank Account Crawfordville FL DIVidends Bank Stock CrawfordVille FL
•
6000000
1500000
200000
500000
5000000
25000000
12500000
18000000
25000000
1000000
40000000
4000000
9000000
20000000
15000000
2000000
51000000
5500000
4000000
6000000
25000000
1200000
1500000
500000
1500000
16551 00
7000000
50000
30662200
Panacea Land Sale CrawfordVille FL Cltlzens Bank Stock Sale CrawfordVille FL
9541700
4333900
647300
805700
5926000
41200000
.'
•
FULL AND PUBLIC DISCLOSURE Of"'ll"n~\l"MGME~~ DI\~ RECEN£O FINANCIAL INTERESTS
FORM 6
Please print or type your name, mailing
address, agency name, and position below:
LAST NAME - FIRST NAME DAVID HARVEY
I
I
MIDDLE NAME: FULTON
7~.,
MAli INn AnnRFRS' cia 15 OAK STREET
"
.:
t"; "
.
,
: ....... ·oJ' ~.
......
CITY: CRAWFORDVILLE, FLORIDA
JUL 0 2 1004
FOR OFFICE USE ONLY:
ZIP:
32327
'-'
'. , ....
.... -
"
COUNTY : WAKULLA
NAME OF AGENCY: WAKULLA COUNTY SHERIFF'S OFFICE
ID Code
ID No.
/2110
Conf. Code
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
P, Req. Code
SHERIFF CHECK IF THIS IS A FILING BY A CANDIDATE
0
PDF 2003
PART A -- NET WORTH Please enter the value of your net worth as of December 31, 2003, or a more current date. [Note: Net worth is not calculated by subtracting your rI1ported liabilities from your reported assets, so please see the instructions on page 3.) ,- . :-=-20.03 --was $.1 o?77,.500.00--:l nefw~~s:~f~December.31 ~ ,f
-MY
l.
.
PART B -. ASSETS
•
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1,000, This category includes any of the following,
if not held for investment purposes: jewelry: collections of stamps. guns. and numismatic items; art objects; household equipment and furnishings; clothing;
other household items; and vehicles for personal use.
The aggregate value of my household goods and personal effects (described abOve) is $ 60,000.00
ASSETS INDIVIDUALLY VALUED AT OVER $1.000:
DESCRIPTION OF ASSET
VALUE OF ASSET
Benus Properties LLC, 1/2 Inlerest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327 Fox Way LLC, 1/2 Interest. 117 Harvey Young Farm Road, Crawfordville, Florida 32327
233,000,00 61,000.00
Benus Plaza LLC, 1/2 Interest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327
300,000.00
Benus Farms, LLC, 1/4 Interest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327
133,000.00
Cash in Bank - Wakulla Bank Crawfordville Highway, Crawfordville, Florida 32327
5,000,00
PART C -- LIABILITIES LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
135,000.00
Wells Fargo, Jacksonville, Florida
25,000,00
Capital City Bank, Tallahassee, Florida Tallahassee State Bank, Tallahassee, Florida
250,000.00
Wakulla Bank, Crawfordville, Florida
50,000.00
JOINT AND SEVERAL LIABIUTIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
•
CE FORM 6 - Eff. 1/2004
(Continued on reverse side)
AMOUNT OF LIABILITY
PAGE 1
•
PART D --INCOME
You may EITHER (1) file a complete copy of your 2003 federal income tax return, including all attachments, OR (2) file a swom statement identifying each separate source and amount of income which exceeds $1,000, including secondary sources of income, by completing the remainder of Part D, below.
D
I elect to file a copy of my 2003 federal income tax retum. [If you check this box and attach a copy of your 2003 tax retum, you need not complete the remainder of Part D,)
PRIMARY SOURCES OF INCOME: NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
AMOUNT
Wakulla County Board of County Commissioners
Post Office Box 1263 Crawfordville, Florida 32326
93,980.00
Rental Income Benus Prop & Plaza LLC's
117 Harvey Young Farm Road, Crawfordville, FL 32327
50,000.00
Fox Way LLC
117 Harvey Young Farm Road, Crawfordville, FL 32327
5,000,00
Real Estate Sale Eckerd, 2 Acres
Crawfordville Highway, Crawfordville, FL 32327
Real Estate Sale Wildwood Country Club to G.Petrick
Coastal Highway, Crawfordville, FL 32327
81,400.00 4,800.00
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see instructions]: PRINCIPAL BUSINESS NAME OF NAME OF MAJOR SOURCES ADDRESS ACTIVITY OF SOURCE BUSINESS ENTITY OF BU'SINESS' INCOME OF SOURCE
PART E INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1
~f':~I~I£>t<>
•
BUSINESS ENTITY # 2
BUSINESS ENTITY # 3
Benus Plaza LLC
Benus Maintenance CO. LLC
CMC Wakulla LLC
~~~~~~~~TITV
2646 Crawfordville Hwy, C'ville FL
116 Harvey Young Farm Rd C'ville
1415 Timberlane Rd, Tallahassee
PRINCIPAL BUSINESS
Rental
Lawn Maintenance
Real Estate
~~~~T~~~I~LD
Part-Owner
Part-Owner
Part-owner
I OWN MO~~ +~~~t~~p::q
1/2 Interest
1/2 Interest
1/3 Interest
I=t.JTITV
~
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
STATE OF FLORIDA COUNTY OF
[{J
Wakulla
Sworn to (or affirmed) and subscribed before me this
30th
day of
beginning of this form, do depose on oath or affirmation and say that the information disclosed on this form and any attachments hereto is true, accurate, and complete.
t::"'""
} ,y ~~
SIGNATURE OF REPORTING OFF l:IAL OR CANDIDATE
June
,20
~ ~
.........-r {s;g""",
~ '::-:::-. ~
.IiO-S~iIiIlr •
(Print, TYI
-
04 by David F. Harvey
e,
0
Personally Known
'......F4........,...... 1fWQi....s...., . 12,2111
p Co
XX
-
ry F I!:>lic)
OR Produced Identification
Type of Identification Produced
•
-
;~
NtA
FILING INSTRUCTIONS for When and where to file this form are located at the top of page 3• INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eft. 112004
PAGE 2
.
Fonn 6 Full And Public Disclosure of Financial Interests 2003 A· E Continued David F. Harvey, July I, 2004 •
Part B - DESCRIPTION OF ASSET - Coatiaued Residence & 10 Acres - 116 Harvey Y OWlg Farm Rd, Crawfordville, FL Wakulla Bank Stock· Hwy. 319 N., Crawfordville, FL Yz !NT Retirement - Deferred Compensation, Carmel IN 1/81NT 8 Acres, Hwy. 319 & 98, Crawfordville, FL Yz !NT Citizens Bank Stock, Crawfordville Hwy., Crawfordville, FL Yz !NT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL
Yz INT 5.97 Acres, Crawfordville Hwy., Crawfordville, FL Yz INT 3 BR Town House, Panacea, FL SEI Stock ACCOWlt. Oaks, PA SEI, Bond Account, Oaks, PA Guardian Insurance, Lehigh Valley, PA Guardian IRA, Lehigh Valley, PA 1/3 INT CMC Wakulla LLC, 1415 Timerlane, Tallahassee, FL 1/4 INT 3.5 Acres Hwy 319, Courthouse Sq., Crawfordville, FL Yz INT 20 Acres, Quigg Ld. Sopchoppy, FL Yz INT 2.95 Acres, Quigg Ld., Sopchoppy, FL Yz !NT Tallahassee Condo, Tallahassee, FL Yz !NT Tennison Condo, Tallahassee, FL Part C - NAME AND ADDRESS OF CREDITOR. Continued AM South Bank, Tallahassee, FL Flagstar Bank, Box 7022, Troy, Michigan
•
120,000.00 20,000.00 160,000.00 30,000.00 120,000.00 20,000.00 1,500.00 90,000.00 140,000.00 190,000.00 16,000.00 11,000.00 100,000.00 50,000.00 10,000.00 5,000.00 15,000.00 15,000.00
30,000.00 138,000.00
l!.r! D
• SQURCE OF INCOME EXCEEDING $1.000 - ContiDued Interest Income David Hiers Mortgage, Crawfordville, FL Wife Salary, 117 Harvey Young Farm Rd, Crawfordville, FL
4,900.00 11,400.00
Citizens Bank Intrest, Crawfordville Highway, Crawfordville, FL Office Bldg, Ochlockonee St., Crawfordville, FL
2,500.00 40,000.00
Citizen Bank Dividends, Crawfordville, FL ATT Cellular Tower, PO Box 30024, College Station, TX
2,500.00 1,800.00
Part E - INTEREST IN SPECIFIED BUSINESSES - CODtiaaed Benus Properties LLC 117 Harvey YOWlg Farm Road Crawfordville, FL 32327
Rental
Part-Owner
Yz Interest
Benus Farm LLC 117 Harvey YOWlg Farm Road Crawfordville, FL 32327
Fanning
Part-Owner
1/4 Interest
Fox WayLLC 117 Harvey YOWlg Farm Road Crawfordville, FL 32327
Rental
Part-{)wner
1/4 Interest
Wakulla CH Annex Partnership 117 Harvey Young Farm Road Crawfordville, FL 32327
Rental
Part- Owner
1/4 Interest
•
.
'i•
•.
(.~';
FULL AND PUBLIC DISCLOSURE OF I FINANCIAL INTERESTS I
FORM 6
,
\iVrtrl'.IoJiV" v.
0"TE RECfJVEt
FOR OFFICE USE ONLY: "
'1'\
NNEu
J\L-3 ~
PROCESS ED 10 Code
David Harvey Sheriff Wakulla County Elected Con8t~tutional Officer C 0 15 Oak Street Crawfordville, FL 32327
1111111111111111111111111111111 II1I 10 No.
12190
Conf Code
1•• 1111.1.111111111.1111.11111.1
CHECK IF THIS IS A FILING BY A CANDIDATE
P. Req. Code
*****
[J PART A - NET WORTH
Please enter the value of your net worth as of December 31, 2002, or a more current date. [Note. Net worth is not calculated by subtradIOg your reported liabilities from your reported assets, so please see the Instructiqns on page 3]
My nat worth·as:-of.· De c'eiilbec31 ; -,
,.
.r
. 20
~
was $ .. ~ 963; 5'00-:00 _. -'/ ~
PART B - ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 ,000. This category Includes any of the following,
rf not held for ,nvestment purposes: JElwelry; collections of stamps, guns, and numIsmatic items; art objeds; household equipment and furnishings; clothing;
other household Items, and vehicles for personal use
I
The aggregate value of my household goods and personal effects (descnbed above) IS $
40,000.00
ASSETS INDMDUALLY VALUED AT OVER $1,000:
DESCRIPTION OF ASSET
VALUE OF ASSET
American Express Financial Advisor - 1385 Timberlane, Tallahassee, FL
4,000.00
Cash In Bank - Highway 310 North. Crawfordville. FL
15.000.00
Residence & 10 Acres - 116 Harvey Young Farm Rd. Crawfordville, FL
80,000.00
2 Bedroom Rental
lie
8 Acres - Lost Creek - Crawfordville, FL
Wakulla Bank Stock - Highway 319 North, Crawfordville, FL
33,000.00 5,000.00
PART C - LIABILITIES
LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
Wells Fargo, Jacksonbille. FL Capital City
~~'Tallah3sgee,
.'
1:'" •
,
:
70,000.00
FL
. Tallahassee State Bank. Tallahassee, FL
60,000.00 25,000.00
Bank of America, Tallahassee, FL
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
CE FORM 6 - Eft 1/2003
155,000.00
(Continued on reverse side)
AMOUNT OF LIABILITY
PAGE 1
.
~-c
PART D -- INCOME You may E'THER~1) file a complete copy of your 2002 federal Income tal< return, II1cludlng all attachments, OR (2) file a sworn statementldentd"yInQ each separate source and amount of Income which exceeds $1,000, including secondary sources of Income, by completing the remainder of Part D, below
.P
I elect to file a copy of my 2002 federal II1come tax return [If you check this box and attach a copy of your 2002 tax return. you need not complete , _t~.:~malnder of Part D)
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
Wakulla Co Board of Co Commission
PO Box 1263
Rental Income Market S uare
Crawfordville H
Real Estate Sale Wildwood Countr Interest Income David Hiers Mort
Crawfordville
AMOUNT
FL
Crawfordville
to Gerd Patrick, Crawfordville
93 980.00 40 000.00
FL FL
4,800.00
Crawfordville, FL
4,900.00
SECONDARY SOURCES OF INCOME [Major customers. clIents, etc, of bUSinesses owned by reporting person-see instructions) NAME OF MAJOR SOURCES OF BUSINESS' INCOME
NAME OF BUSINESS ENTITY
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
PART E -- INTERESTS IN SPECIFIED BUSINESSES B SIN SS ENTITY # 2
BUSINESS ENTITY # 1
Rental
Lawn Maintenance
Part-Owner
Part-Owner
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
0
STATE OF FLORIDA Wakulla COUNTY OF Sworn to (or affirmed) and subscnbed before me thiS
30th
_...:J"-u""'n...e
Harvey
day of
beginning of thIS form, do depose on oath or affirmation and say that the Informallon disclosed on thIS form
, 20 03
by
David
F.
and any attachments hereto IS true, accurate, and complete
..--_...._-- L OR CANDIDATE
FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3. INSTRUCTIONS on who must file this form and how to fill It out begin on page 3. OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eft 1/2003
PAGE "I
..
••
•
. • Page 1 Part B Continued Form 6 Full And Public Disclosure ofFinancial Interests 2002 David F. Harvey, July 1, 2003
DESCRIPTION OF ASSET - Continued Fox hollow - 3 Duplexes, Whaley Rd, Crawfordville, Fl 10.84 Acres, Wakulla Station, Crawfordville, FI 3 bedroom Rental, Fuhon Harvey Rd, Crawfordville, FI 3.73 Acres, Hudson Heights, Crawfordville, FI 3 Acres, Market Square, Crawfordville, FI 22.49 Acres, Harvey Mill Rd, Crawfordville, FI 130 Acres, HarveyNoung Farm Rd, Crawfordville, FI Retirement-Deferred Compensation, Carmel IN 8 Acres, Hwy. 319 & 98, Crawfordville, FI Citizens Bank Stock, Crawfordville Hwy., Crawfordville, FI David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FI 5.97 Acres, Crawfordville Hwy., Crawfordville, Fl 17 Acres, St Marks, FI 3 BR Town House, Panacea, FI 130 Acres, Rehwinkel Rd., Crawfordville, Fl Subway Building, Hwy 319, Crawfordville, Fl 1.5 Acres, Crawfordville Highway, Crawfordville, FI 18 Acres Old Still Road, Crawfordville FI SEI, Stock Account, Oaks, PA SEl, Bond Account, Oaks, PA Guardian Insurance, Lehigh Valley, PA Guardian IRA, Lehigh Valley, PA
31,000.00 16,000.00 30,000.00 3,500.00 300,000.00 17,000.00 33,000.00 160,000.00 30,000.00 85,000.00 20,000.00 1,500.00 3,500.00 60,000.00 90,000.00 20,000.00 90,000.00 10,000.00 140,000.00 190,000.00 5,000.00 11,000.00
Page 1 Part C Continued Fonn 6 Full And Public DiscloSlD'e of Financial Interests 2002 David F. Harvey, July.l, 2003
NAME AND ADDRESS OF CREDITOR - Continued Tallahassee State Bank, Tallahassee, FL
•
250,000.00
•
1
[~_2Q01J FULL AND PUBLIC DISCLOSURE OF I FINANCIAL INTERESTS I -COMM/SSrON ON ETI/IGS
FbRM6
~'
DATE RECEIVED
FOR OFFICE USE ONLY:
PROCESSED
JUL -I 02
10 Code
David Harvey Sheriff Wakulla County Elected Constltutional Officer C/O 15 Oak Street Crawfordville, FL 32327
11111111111111111111111111111111111 10 No.
12190
Conf Code P. Req. Code
11.1111.1.1111111.1.1111.1 •• 11.1 (J
CHECK IF THIS IS A FILING BY A CANDIDATE
PART A - NET WORTH Please enter the value of your net worth as of December 31, 2001, or a more current date. [Note: Net worth liabilities from your reported assets, so please see the instructions on page 3.]
----
My~networth-asof-December-·3l-. \::.....
~ .~
IS
not calculated by subtracting your reported
, 20..Q.L w~s$~ 795,500;00
......
PART B - ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum If their aggregate value exceeds $1,000. This category includes any of the followIng. if not held for investment purposes: lewelry; collections of stamps, guns, and numismatic items; art objects; household equipment and fumishings; cloth " Ing; other household items; and vehicles for personal use. The aggregate value of my household goods and personal effects (described above) is $
50,000.00
ASSETS INDIVIDUALLY VALUED AT OVER $1,000; DESCRIPTION OF ASSET A.m", ...
-I,..,,"
Cash In Bank Residence &
2
'~1 Advisor
~
~
10
VALUE OF ASSET
319 - 116
- 1385
Timberlane. Tallahassee
Highwav
N. Crawfordville, FL
Acres
Harvey Young Farm Rd, CrawfordVille FL
Bedroom Rental ex
8
Wakulla Bank Stock -
Acres -
Lost Creek -
Highway
319
Crawfordville FL
North, Crawfordville, FL
FL
70 000.00 150,000.00 80,000.00 33,000.00 5,000.00
PART C - LIABILITIES LIABILITIES IN EXCESS OF $1,000: NAME AND ADDRESS OF CREDITOR Citizens Bank,
AMOUNT OF LIABILITY
Crawfordville HIghway, Crawfordville FL
148,000.00
Wells Far~o, Jacksonville, FL
46,000.00 65,000.00
Capital Citv Bank. Tallahassee. FL Merrill Lvnch. Tallahassee. FL JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
~
CE FORM 6 - Eff. 1/2002
200,000.00
IContlnued on reverse s.de)
AMOUNT OF LIABILITY
PAGE 1
.
•
~
.' Page 1 Part B Continued Form 6 Full And Public Disclosure of Financial Interests 2001 David Fulton Harvey, July 1,2002 DESCRIPTION OF ASSET - COPtinUed
Fox hollow - 3 Duplexes, Whaley Rd, Crawfordville, Fl
10.84 Acres, Wakulla Station, Crawfordville, FI
3 bedroom Rental, Fulton Harvey Rd, Crawfordville, F1
3.73 Acres, Hudson Heights, Crawfordville, FI
3 Acres, Market Square, Crawfordville, F1
22.49 Acres, Harvey Mill Rd, Crawfordville, FI 130 Acres, HarveyNoung Farm Rd, Crawfordville, Fl Merrill Lynch, 215 S. Monroe St., Tallahassee, Fl Retirement-Deferred Compensation, Carmel IN 2 Acres, Crawfordville Hwy., Crawfordville, FI 8 Acres, Hwy. 319 & 98, Crawfordville, Fl Citizens Bank Stock, Crawfordville Hwy., Crawfordville, F1 David Hiers, Mortgage, Sopchoppy River, Sopchoppy, F1 5.97 Acres, Crawfordville Hwy., Crawfordville, Fl
Huge Davis, Mongage, Crawordville, F1
17 Acres, St Marks, Fl
3 BR Town House, Panacea, F1
130 Acres, Rehwinkel Rd., Crawfordville, FI
Subway Building, Hwy 319, Crawfordville, FI
31,000.00 16,000.00 30,000.00 3,500.00 300,000.00 17,000.00 33,000.00 80,000.00 160,000.00 22,000.00 30,000.00 90,000.00 29,000.00 1,500.00 20,000.00 3,500.00 60,000.00 90,000.00 20,000.00
Page 1 Part C Continued Form 6 Full And Public Disclosure ofFinancial Interests 2001 David Fulton Harvey, July 1, 2002
NAME AND ADDRESS OF CREDITOR - ContiDued
Tallahassee State Bank. Tallahassee, FL
Bank of America, Tallahassee, FL
South Trust, Ta1Jahassee, FL
125,000.00
25,000.00
20,000.00
Page 2 Part D Continued Form 6 Full And Public Disclosme ofFinancial Interests 2001 David Fulton Harvey, July 1,2002 SOURCE OF INCOME EXCEEDING $1.000 - CoDtipped Interest Income -Citizens Bank Interest, Crawfordville, FL
•
Interest Income - Merill Lynch Interest, Tallahassee, FL Interest Income - American Express, Ta)JaMssee, FL Interest Income - Huge Davis Mortgage Interest, Crawfordville, FL
6,000.00 5,000.00 1,490.00 5,000.00
FORM 6
FULL AND PUBLIC DISCLOSU!JIROCfSSEijOO OF FINANCIAL INTERESTS 1/
L
NAME OF AGENCY
1,,11,,1,1. II ,III" 1,,11,1
WAKULLA COUNTY
121901219062001 David Harvey Elected ConstitUtIOnal Officer Wakulla County Shenff C/O 15 Oak Street Crawfordville FL 32327
"
.J~~ -5 01
OFFICE HELD
6a
-
OFFICER
SHERIFF
OFFICE SOUGHT
CJ
CANDIDATE POSITION
CJ
OTHER
FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3 INSTRUCTIONS on who must file this form and how to f.1I It out begin on page 3 of this packet OTHER FORMS you may need to f.'e are described on page 6
PART A
NET WORTH
Please enter the value of your net worth as of December 31 2000 or a more current date [Note Net worth IS not calculated by SUbtracting your reported hablhtles from your reported assets 50 please see the mstrucbons on page 3 )
PART BASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and pensonal effects may be reported In a lump sum If their aggregate value exceeds $1 000 This category mcludes any of the follow Ing If not held for Investment purposes Jewelry collections of stamps guns and numismatic Items art Objects household equipment and fumlShlngs cloth mg other household Items and vehicles for pensonal use The aggregate value of my household goods and pensonal effects (described above) IS $ -=5~0~.~0~0~0::_:0~0~
ASSETS INDIVIDUALLY VALUED AT OVER $1 000 DESCRIPTION OF ASSET
_ VALUE OF ASSET
Amer1can Express F1nanc1sl Adv1sor - 1385 T1Wberlane
Tallahassee FL 32312
Cash In Bank - H1ghway 319 N Crawfordville FL 32326 ReS1dence & 10 Acres - 116 Harvey Young Farm Rd Crawfordv1lle FL 32327 2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordvl.lle FL 32327 Wakulla Bank Stock - H1ghway 319 North Crawfordvl.lle FL 32326
102 000 00 150 000 00 80 000 00 33 000 00 5 000 00
PART C - LIABILITIES LIABILITIES IN EXCESS OF $1 000 NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee Cl.t1zens Bank
AMOUNT OF UABILITY
Tallahassee FL
Crawfordville H1ghway
Crawfordvl.lle
J K Moore - JK Moore Road
Crawfordv1lle
Wells Fargo
FL
Jacksonvl.lle
35 500 00 FL 32327
FL 32327
257 000 00 30 000 00 148 000 00
JOINT AND SEVERAL LIABILITIES NOT REPQRTt=D ABovt NAME AND ADDRESS OF CREDITOR
AMOUNT OF L.IABILITY
-..------------------+-------1
CE FORM 6 Eft 1f2001
(Continued on reverse Side)
PAGE 1
.
PARTD
INCOME
You may EITHER (1) file a complete copy of your 2000 federal Income tax return Including all attachments OR (2) file a swom statement identifyIng each separate source and amount of Income which exceeds $1 000 including secondary sources of Income by completing the remainder of Part D below
(]
I elect to file a copy of my 2000 federallOcome tax retum [If you check thIS box and attach a copy of your 2000 tax return you need not complete the remainder of Part D ]
PRIMARY SOURCES OF INCOME NAME OF SOURCE OF INCOME EXCEEDING $1 000
Wakulla Co Board of Co COmID1SS10ners ~6~~~c!~loW~d~arket Square
~ental lncome l"ulton ttarvey Road Be room House
ADDRESS OF SOURCE OF INCOME
AMOUNT
88 183 00
PO Box 1263 Crawfordv111e FL 2646 Crawf~Idv111e V1 e. FL 3~~7 Crawfor
40 000 00
FUlt~n ~arYlY
Craw or V1
e Road FL32327
3.000 00
SECONDARY SOURCES OF INCOME (Major customers clients etc of bUSinesses owned by reportlng person-see Instructions] NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS INCOME
PRINCIPAL BUSINESS 'OF SOURCE
ADDRESS OF SOURCE
N/A
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WlTHENTITY I OWN MORE THAN A 5/ INTEREST IN THE BUSINESS NATURE OF MY OWNERShiP INTEREST
BUSINESS ENTITY # 3
BUSINESS ENTITY # 2
Market Square Plaza
6~~~f~f~~f~Igv1tte3~~7 Rental Part-Owner
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE
OATH I the person whose name appears at the
[J
STATE OF FLORIDA COUNTY OF Wakulla Sworn to (or affirmed) and subscnbed before me thiS
29th
day of
beglnOing of thiS fonn do depose on oath or affinnatlon and say that the /nfonnatlon dIsclosed on thIS form and any attachments hereto IS true accurate and complete
June
--- I
~..-I-t....J.~
SIGNA'fURE OF REPORTING OFfiCIAL OR CANDIDATE
•
~A'A '-R.. (Sign
) \ { 1
20..Q.!... by
(Pnnt~ y
Personally Known
Dav1d F Harvey
-
~
~
rNBILDAY -,
NDarNllc SIlIIeotRDdda
_ _r.blU115
mp
XX
No
OR
['ry Pubhc)
PrOduced IdentificatIon
Type of Idenbficatron Produced CE FORM 6
Eff 112001
PAGE 2
"
•
•
Page 1 Part B Contmued
Fonn 6 Fun And Pubhc DISClosure ofFmanctal Interests 2000
DaVId Fulton Harvey July 1 2001 DESCRIPTION OF ASSET CODtlDUed
Fox hollow 3 Duplexes Whaley Rd Crawfordville FI
10 84 Acres Wakulla Station, Crawfordville FI
3 bedroom Rental Fulton Harvey Rd Crawfordville· FI
3 73 Acres Hudson Heights Crawfordville Fl
3 Acres Market Square Crawfordville FI
22 49 Acres Harvey Mill Rd Crawfordville FI
130 Acres HarveylYoung Fann Rd Crawfordville FI
Memll Lynch, 215 S Monroe St Tallahassee Fl
Retirement Deferred Compensation Carmel IN
House Crawfordville Hwy . Crawfordville Fl
8 Acres Hwy 319 & 98 Crawfordville FI
CitIZens Bank Stock Crawfordville Hwy Crawfordville FI
DaVId Hiers Mortgage Sopchoppy R.Jver Sopchoppy Fl
5 97 Acres Crawfordville Hwy Crawfordville Fl
Huge DaVIS Mortgage Crawfordville FI
17 Acres St Marks FI
3 bedroom Town House Panacea, FI
$3100000
1200000
2500000
400000
300000 00
10 000 00
55000 00
8500000
16000000
2200000
3000000
2000000
3900000
1 50000
2500000
3500 00
7000000
Page 1 Part C Contmued Fonn 6 Full And PublIc Disclosure ofFmanc18.l Interests 2000
DaVId Fulton Harvey July 1 2001
NAME AND ADDRESS OF CREDITOR - CODtlDUed Regmald Rodenberry 3225 Beacon St Tallahassee FI Capital City Bank Tallahassee Fl
$1800000
4600000
Page 2 Part D Contmued
Fonn 6 Fun And Pubhc DISClosure ofFmanctal Interests 2000
DaVId Fulton Harvey July 1 2001
SOURCE OF INCOME EXCEEDING 51.000 Real Estate Sale WIldwood Country Club to Gerd Patnck, Crawfordville FI Interest Income DaVId Hiers Mortgage Interest Crawfordville Fl Interest Income CitIzens Bank: Interest Crawfordville FI Interest Income Menll Lynch Interest Ta1Iahassee Fl Interest Income - Amencan Express Tallahassee Fl Interest Income - City of Tallahassee Tallahassee FI Interest Income - Huge DaVIS Mortgage Interest· Crawfordville Fl
$ 480000
490000
800000
500000
149000
500000
500000
.,
.J..-
FORM 6 FULL A.ND ~BLIC DISCLOSURE OF FINANCIALdNTERESTS 1999~
_ _ LAST NAME
FIRST NAME
r rl nun rlt~]
~'lll= ~i
MIDDLI=
NAME OF AGENCY
WAKULLA
II
DAVID HARVEY SHERIFF
"ftftft LUUU
;~ ~ ft11 03 .~v ,--------~=~=-------I .JU l OFFICE HELD i 11::5"~3:rt"tJC"'llIC~~~D~~O~FF~IC~E=:R~ ~~"'~~I~l.i~;;:;u:;:~ n
".'11
---'
C/O 15 OAK T ET __ - CRAWFORD LE FL 32w oo gQ •••c.
,.
._
I:
0
I· 0
OFFICE SOUGHT
CANDIDATE POSITION OTHER
0' 0'
FILING INSTRUCTIONS 'or when and where to 'lie thIS 'orm are located at the bottom page 2 thiS packet INSTRUCTIONS on who must 'lie thiS 'orm and how to '111 It out begin on page 3 OTHER FORMS you may neecl to file are descnbed on page 6
NOTICE Under provIsions of Sec 112317, Floflda Statutes, a failure to make any required dis closure constitutes grounds for and may be pUnished by one or more of the following dlsquall flcatlon from bemg on the ballot, Impeachment, removal or suspension from office or employ ment, demotion, reduction In salary, repflmand, or a CIVil penalty not exceeding $10,000 PART A -
NET WORTH
Please enter the value of your net worth as of December 311999 or a more current date [Note Net worth IS not calculated by subtracbng your reported liabilities from your reportee assets so please see the InstruclJons on page 3 J
'MY'"netwQ-rtti asOf~December- 3 r--
-- ~19
99:;;-;-:eo-~·,,···~~S$
870 000 ~0Q::..
"'
PART B- ASSETS WORTH MORE THAN $1 000 HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 000 ThiS category Includes an.v of the follOWing .f not held for Investment purposes Jewelry collections of stamps guns and numlsmabc Items art objects household eqUIpment BAd fU~lng:: clothing other household Items and vehicles for personal use (
The aggregate value of my household goods and personal eltects (descnbed above) IS $ __5_0_0_0_0_0_0 _ _~
----j'c--.
ASSETS INDIVIDUALLY VALUED AT OVER $1 000
_
I
L 1
DESCRIPTION OF ASSET
_I
VALUE OFASSET 1
1020.00..00 150 "000-00 80 ~O 00 33 000 00 5 000 00
Amer1can EApress F1nanc1al Adv1sor - 1385 T1mberlane Tallahassee Fl 32312 Cash In Bank - H1ghway 310 N Crawfordv1lle Fl 32326 Res1dence & 10 Acres - 116 Harvey Young Farm Rd Crawfordv1lle Fl 32327 2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordv1lle Fl 32327 Wakulla Bank Stock - H1ghwa} 310 North Ciawfordv1lle VL 32326 PART e- LIABILITIES IN EXCESS OF $1 000
AMOUNT OF LIABILITY
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee Tallahassee Fl Depos1t Guaranty Mortgage Company POBox 1198 C1t1zens Bank
Crawfordv1lle H1ghway
J K Moore - JK Moore Road
I
35 500 00 3 500 00
Jackson Ms
Crawfordv1lle Fl 32327
138 000 00
Crawfordv1lle Fl 32327
30 000 00
PART D -INCOME You may EffHER (1) file a complete copy of your 1999 federa/lncome tax retum Including all attachments OR (2) file a swom statement Identifying each separate source and amount of Income which exceeds $1 000 Including secondary sources of Income by completing the remainder of Part D on page 2 of thIS form
a:J I elect to hIe a copy of my 1999 federal Income tax retum [If you check thiS box and attach a copy of your 1999 tax return you need not complete the .
,.
remainder
0'
Part 0
I
CE FORM 6 EFF 1/2000
.
(Continued on reverae s,ds)
PAGE 1
.
,
(Part D Continued)
PRIMARY SOURCES Of INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1000
ADDRESS OF SOURCE OF INCOME
Wakulla Co Board of Co Comm~ss~oners
AMOUNT
POBox 1263 Crawfordv~lle Fl
86 225 00
Rental Income Market Square Cornmerc~al Bl l:.g·C ~I ;{~'6r)a4·wOfCorrawv"!OIdev1Fl1e3H12;bway d ~l 1 23Z1
40 000 00
Rental Income Fulton Harvey Rd 3 Bedrooms
t~i~~gr~~iYi~ R~fd 32327
3
000 00
See Attached Cont1nuat10n SECONDARY SOURCES Of INCOME [Mlllor customers chents etc of busmesses owned by reporting person see InstruclJons) NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESSS INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
PART E -INTERESTS IN SPECIFIED BUSINESSES [Ownership or pOSllJons In certain types of busmesses see mstructlons]
BUSINESS ENTITY # 1
~E OF
BUSINESS ENTITY # 2
BUSINESS ENTITY # 3
Market Square Plaza ~646 Crawfordv1lle Hlghway Crawfordv111e. Fl 3l3 U7
I:I\JTITV
Rental Part-Owner
~pMY IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE OATH
I the person whose name appears al the beglnnmg of thiS form do depose on oath or afflrmalJon
STATE OF FLORIDA k 11 COUNTY OF Wa u a
Sworn to (or affirmed) and subscribed before me thiS _...:3:..:0:..:t:.:h=---
and say that the InformalJon disclosed on thiS form
day of
and any attachments hereto IS true accurate
June
20 00 by
c.::=::::::-l;r<....... /Lf'.". Y
"I
//(/1-
_
Harvey
~ ~,,,-~
~
'lii'to_
/.L
""[I ~
Dav1d F
(,$),pnature of Notary Pubhc Stallf'lt FlOrida) J ... "" ' " KarIn L Day V Karen L Day MYCOMMISSION'CC61614tEXPlRES ------"(;;:;p""nn:;-t--.;T::::yp=-=e~1th"~ ~~q~ry Public)
and complete
~
a
SIGNATURE OF REPORTING OFFICIAL oR CANDIDATE Personally Known -'XX=Type of IdenlJflcalJOn Produced
•
WHAT TO FILE
After complebng the form hie only the first sheet (pa9es 1 and 2) Note You also may be required to file Form 10 at the back of thiS packet (see the form for Instructions) CE FORM 6 EFF 112000
.EJj..ING INSTRUCTIONS WHERE TO FILE
OffIce-holders file with the Department of Stete.Room 1802 The capitol Tallahassee ,...,onda 32399-0250 Candidates file with the offl cer before whom they qualify
OR Produced IdentJl'catlon
_ _
WHEN TO FILE Qfflceholders must file no later than July 1 2000 candld~ must file pnor to or at the time
they qual
PAGE 2
•
Page 1 Part B Contmued Fonn 6 Full And Pubhc Disclosure of Fmanclal Interests 1999
DaVId Fulton Harvey July I 2000
DESCRIPTION OF ASSET. ContlDued
Fox hollow 3 Duplexes Whaley Rd CrawfordVIlle Fl
1084 Acres Wakulla StatIOn CrawfordVIlle Fl
3 bedroom Rental, Fulton Harvey Rd CrawfordVIlle Fl
3 73 Acres Hudson Heights CrawfordVIlle FI
3 Acres Market Square Crawfordville Fl
22 49 Acres Harvey Mill Rd CrawfordVIlle FI
130 Acres HarveyNoung Fann Rd CrawfordVIlle Fl
Memll Lynch, 215 S Monroe St Tallahassee Fl
Retirement Deferred Compensation CarmellN
House Crawfordville Hwy CrawfordVIlle Fl
8 Acres Hwy 319 & 98 CrawfordVIlle Fl
CitIZens Bank Stock CrawfordVIlle Hwy CrawfordVIlle FI
DaVId HIers Mortgage Sopchoppy RIver Sopchoppy FI
5 97 Acres Crawfordville Hwy CrawfordVIlle Fl
Huge DaVIs Mortgage CrawordVlIle Fl
17 Acres St Marks' FI
•
$3100000
1200000
2500000
400000
300000 00
10 000 00
5500000
8500000
]60000 00
2200000
30000 00
2000000
3900000
I 50000
2S 000 00
350000
Page 1 Part C Contmued Fonn 6 Full And Pubhc Disclosure ofFmanclal Interests 1999
DaVId Fulton Harvey July 1 2000
NAME AND ADDRESS OF CREDITOR - ContlDued First DOIon, 120 I' N Monroe St Tallahassee Fl Regmald Rodenberry 3225 Beacon St Tallahassee Fl
$14800000
1800000
Page 2 Part D Contmued
Fonn 6 Full And Pubhc DIsclosure of Fmanclal Interests 1999
DaVId Fulton Harvey July 1 2000
SOURCE OF INCOME EXCEEDING $1,000
•
Real Estate Sale Wildwood Country Club to Gerd Patnck CrawfordVIlle FI Interest Income DaVId HIers Mortgage Interest Crawfordvtlle Fl Interest Income CltlZet1S Bank Interest CrawfordVIlle FJ Interest Income Menll Lynch Interest Tallahassee FI Interest Income - Amencan Expres's Tallahassee Fl Interest Income - City ofTallahassee Tallahassee Fl Interest Income - Huge DaVIS Mortgage Interest CrawfordVIlle Fl
$ 480000
490000
800000
5000 00
149000
500000
5000 00
,
ID
I.:
.
q9 1 :362
/
FORM 6 FULL AND PUBLIC DI¢LOSUlWg ~lty~IAL INTERESt-S ~9B FILING INSTRUCnONS ,,, whO' whO'. " '01. 'h", ~ettr~l,iUVN~¥\ T~ at the bottom of page 2
"d
VZ:".lOd
INSTRUCTIONS on who must file thiS form and how to II out begin on page 3 of thiS packet OTHER FORMS you may need to hie are described on page 6
DAVID HARVE ( SI1ERIFF WAI\UlLA COUNTY C/O 15 OAK STREET CRAWFORDVILLE FL
99 JlIL - I PH 2 46
'tJ 1(~F~t~J~1:! '~I= I 323270000
OFFICE HELD OFFICE SOUGHT
0
CANDIDATE
0
OTHER
POSITION
NOTICE Under provIsIons of Sec 112317, FlOrida Statutes, a failure to make any requITed dIS closure constItutes grounds for and may be pUnished by one or more of the following dlsquall f,cat,on from being on the ballot, Impeachment removal or suspensIon from offIce or employ ment, demotIon reductIon In salary reprimand, or a CIVIl penalty not exceeding $10000 PART A - NET WORTH Please enter the value of ~our net worth as of December 31 1996 or a more current date [Note net worth IS not calculated by subtracting your reported liabilities from your reporte assets so please see the Instructions on page 3 )
My'net :woith as of
Decemoer 31
.u-.-
853-;500',00
-19.....2.lLwas $ ...- -0- _A ~
~
__. .__~.
PART B- ASSETS WORTH MORE THAN $1 000 HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 000 ThiS category Includes any of the follOWing If not held for Investment purposes lewelry collections 01 stamps guns and numismatic Items art ob/eets household eqUipment and furnishings clothing other household Items and vehicle for personal use The aggregate value of my household goods and personal effects (descnbed above) IS $ ASSETS INDIVIDUALLY VALUED AT OVER $1 000
50 , 000 00
VALUE OF ASSET
DESCRIPTION OF ASSET
Amer1can Exoress F1nanc1al Adv1sor - 1385 T1mberlane Tallahassee Fl 32312 Cash In Bank - H1ghway 319 N Crawfordv1lle Flonda 32326
Res1dence & 10 Acres - 116 Harvey/Young Farm Rd Crawfordv1lle Fl 32327
2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordv1lle Fl 32327
Wakulla Bank Stock - H1gh",ay 319 North Crawfordv1lle Fl 32326
108 000 00 150 000 00 90 000 00 33 000 00 5 000 00
PART C- LIABILITIES IN EXCESS OF $1 000 AMOUNT OF LIABILITY
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee
II
Tallahassee
DeOos1t Guarantv Mortll:age ComDanv
Fl
POBox 1198
Jackson. MS
C1t1zens Bank Crawfordv1lle H1ghway Crawfordv1lle J K Moore - JK Moore Road Crawfordv1lle Fl 32327
Fl 32327
35 500 00 3 500 00 138 000 00 30 000 00
PART D - INCOME You may E"HER (1) hie a complete copy of your 1996 federal Income tax return including all attachments OR (2) IIle a sworn statement Identifying each separate source and amount of Income which exceeds $1 000 including secondary sources of Income by completing the remainder of Part D on page 2 of thiS form
Cli elect to file a copy of my 1998 federal Income tax return
[If you check thiS box and attach a copy of your 1996 tax retum you need not complete the
remainder of Part D ] CE FORM 6 REV 1/99
--------
(Continued on reverse Side)
-
PAGE 1
I
(Part D Continued) PRIMARY SOURCES OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
Wakulla County Board of CODlID1ss10ners
P
Rental Income Market Sauare Commerc1al BId l\!: Rental Income Fulton Harvev Rd 3 Bedrooms Real Rstate Sale Ofhce B1111d1nQ:
AMOUNT
o
Box 1263 Crawfordv1lle Fl ~646 CrawfoIdv1He1~~~9way :rawfordv1ll e Fulton Harvpy Road Crawfordv1lle. Fl ~~uAlthou~e Square Qff1ce, Fdg "n lOP
\,"'",;
78 191 00
40 000 00 3.000 00 L..OOO 00
P
SECONDARY SOURCES OF INCOME [Major customers clients etc of businesses owned by reporting person see Instructions J
NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS S INCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCr:
N/A
PART E -
INTERESTS IN SPECIFIED BUSINESSES [Ownership or POSitions
In
BUSINESS ENTITY # 2
BUSINESS ENTITY # 1
~~~'~'~!C> ENTITY . ",,/\ITITV
PRINCIPAL BUSINESS
Rental
POSITk?N HELD
Part-Owner
WITI-l :/\ITITV
I OWN
BUSINESS ENTITY # 3
Market Square Plaza ~~46 Crawf?f~V1He1W~~
ADDRESS OF 01
certain types of bUSinesses see Instrucbons]
MO~~ ~~~~I~J.!.~""
_q~fpMY IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERED:
OATH
I the person whose name appears at the beginning of thiS form do depose on oath or affirmation
IS
day of
June
19
99
,..J ~ A.ON\.
true accurate
<~
and complete
~4v~~
29th
Harvey
Sworn to (or affirmed) and subscnbed before me thiS
and say that the Information disclosed on thiS form and any attachments hereto
STATE OF FLORIDA COUNTY OF Wakulla
Karen L
2
by
Dav1d F
'R
~
.....
---./
tnature of N0lW'~tJtiy S,t~lFIOnda) A MY COMlAISSION I cc.16141 S Day . ~ Janully26 2001 (Pnnt Type ohii'p COfIlMlft%.t!\!lIQW"~Public)
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE
Personally Known
XX
OR Produced Idenliflcalion
Type of Identllicabon Produced
•
WHAT TO FILE
After completing the form file only the first sheet (pages 1 and 2) Note You also may be reqUired to hIe Form 10 at the back of thiS packet (see the form for Instructions)
CE FORM 6 REV 1/99
FILING INSTRUCTIONS WHERE TO FILE
Office holders f.le With the Dercartment of State Room 1802 The cag,' 01 Tallahassee FlOrida 32399 0250 andldates file With the offl cer before whom they qualify
WHEN TO FILE Offtceholde rs must file no later than July 1 1999 CandIdates must file pnor to or at the time they qualify
PAGE 2
e
Page 1 Part B Continued Fonn 6 Full And PublIc DIsclosure of FinancIal Interests 1998 DavId Fulton Harvey July 1 1999
DESCRIPTION OF ASSET ContlDued Fox hollow 3 Duplexes Whaley Rd Crawfordvdle FI 10 Acres Wakulla StatIon Crawfordville FI 3 bedroom Rental Fulton Harvey Rd Crawfordvdle FI 4 Acres Hudson Heights Crawfordvdle FI 3 Acres Market Square Crawfordville FI Lot Ochlockonee RIver Crawfordville FI 15 Acres Harvey Mill Rd Sopchoppy FI 130 Acres HarveyNoung Farm Rd Crawfordville FI Memll Lynch 215 S Monroe St Tallahassee FI Retirement Deferred Compensation Carmel IN House Crawfordville Hwy Crawfordville FI 8 Acres Hwy 319 & 98 Crawfordvdle FI CItIzens Bank Stock, Crawfordvdle Hwy Crawfordville FI Farm Equipment HarveyNoung Farm Rd Crawfordville FI David Hiers Mortgage Sopchoppy RIver Sopchoppy FI 5 97 Acres Crawfordvdle Hwy Crawfordville FI
$ 31 00000 1200000 2500000 400000 29000000 1000000 500000 5000000 8500000 16000000 1800000 3000000 25000 00 2 000 00 42 000 00 1 500 00
e
,e
Page 1 Part C Continued Fonn 6 Full And Pubhc Disclosure of Financial Interests 1998 DavId Fulton Harvey July 1 1999
NAME AND ADDRESS OF CREDITOR ContlDued FIrst Umon 1201 N Monroe St Tallahassee FI Reginald Rodenberry 3225 Beacon St Tallahassee FI
$148000 00 18000 00
Page 2 Part D Continued Fonn 6 Full And Pubhc Disclosure of Financial Interests 1998 David Fulton Harvey July 1 1999
SOURCE OF INCOME EXCEEDING $1,000 Real Estate Sale Margaret Rogers Crawfordvdle FI Real Estate Sale Wddwood Country Club to Gerd Patnck Crawfordville FI Interest Income DaVid Hiers Mortgage Interest Crawfordville Fl Interest Income CitIzens Bank Interest Crawfordvdle FI Interest Income Menll Lynch Interest Tallahassee FI
$30000 00 10 085 00 4900 00 8900 00 I 679 00
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POSITION
I t ' l l ~ ~ alld hI' 'e 10 iii ~ Ihls lorm are loc aled allhe bo"om of page 2 IIJll'1 Pol/Ill lllll and h 'JW 10 fill II oul be,},n on page 3 of Ihls packel_ le"11 I' file l ~ cleSl'rilH d on page 6_
..
~f,JOTI
-NAME OF AGENCY
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i:·~JI.l. ,'~\ liD r'L BUG DISGLdSURE OF FINANCIAL INTERESTS(f997--.:?-'
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I 'j' (,, , :ir;ii;,isio; -S-;'Jf SE·c. 11.2.317, Florida Statutes, a failure to make any required dis· Cl05tl 'fE I~' ~I 'I 'H_!; l~roUi c:';s: for Jnd may be punished by one or more of the following: disquali· licati'l' rr, "., , ·/a 'on U ~ I'allo r, impeachment, removal or suspension from office or employ· rnenl, C,! rr :1 'i:: :e1c'r..clkl I ill sal,iry, mprimand, or a civil penalty not exceeding $10,000. ~j
,;,
1111 ft1!11' PART A PleilS~
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'et wor1r I:. of Dec e 'TIber 31 1997, or a morP. current dale ~r~" so, I as' see lh,~ Inst.uc Ions on page 3 I
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NET WORTH
ij'f"11 wO-;:-I":i5~,:>'_~P.JlJ:~rgbef:::-3 r;~~....:~_~:.....:·
-
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nel worth IS 1'101 calclliatco by subtracting your 'eportl'd
wasS}S.6_,-SOO .00j
ntl1.lIm" G' FART 8-- ASSETS WORTH MORE THAN 51.000
HOUSEl- )1 lG
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II
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11(1'
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DESC I 'If -10 ._~
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t,: rpport~r1 on .. h,mp _urn ,III",,, ilggreyillll value exceeds $1 000 Thl~ t:illt)~()ry ont:h"ll1~ any
I," Jieh,)lcl ocds and llersonal eHeets (descllbed above) '5 ',_111,[ AT (I, EFI $1.0(1()
I,
~
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an obJecls
"lltlP IOllowmCJ household equipment and furn,sh,nys Llon',og
les Jar p, . SC l1al use
11'/
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....
I'E Fl:;ON" I EfFECTS
IfIO;!S ,ewell . , cnllecllCI"S 01 ~tan\ps guns .ina numIsmatic ,'ems
The c' ~I ;al' I,ill' ASSETS /1>111 'IIC J'ILI
---_. -Americ: - - II-
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50,000,.00
,-f--
VALUE OF ASSET
-
78,OOlJ.00 138S Timberlane Tallahassee, Fl 32312 150,000.00
~J~~~~L1J :~_~~!awfordville, Fl 32326 .. Cash' ----- 1 .. _------ ---- -- ------_ (0 , r I~ ~ RL'f;jdc'l( ! I 90,000.00 r
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IUgh.'a-, 319 North, Crawfordville, Fl
5,000.00
32326
PART C- LIABILITIES IN EXCESS OF $1.000
__
AMOUNT OF LIABILITY
NAME 11t.:' Al (11,1 !::, ;If CllE DITOF '--. . ...-.
-_
------- -_.
Barnet I --.JD ; ol '::.!f~~~~'=2 Tallahassee, Fl _._--.... 1I1l1-,nl I "~.:: ~J~ag~_ '~~~mpany, P 0 BOX 1198, Jackson, Ms.
OC'poRil f - . - - - - .. -- - .... C j l 1 ZL" S lla I k ': ,1101 :'~ I'dvi LE' Highway, Crawfordville, Fl 32327 ....
r------- -
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-
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36,000.00 4,000.00 140,000.00 30,000.00
HOll [t! ROll d, Crawfordville, Fl
PART D -INCOME YOl! may f.ITf 1,"1 (': 1,1t. I :''l1p ll'te copy, 01 y'>ur 19!J7 'edernllncomo 18)( relUm. Including all anachmenls. OR (2) file 8 swom SlalemenlldenlJlylng each SOpclfHta SOlJr(, an 1an':1 r' ,I ,,{orne whl :h (I)(ceeds $1,000, ,"eluding secondary sources of Income, by complellng Ihe remaInder ot Part 0 on page 2 01 Ih,s form
(J I eleCllo hh c C( iJ~
0 1 I'. . 99 7 tejeral II' :orne lBl( relum flI you check thiS be)( and anach a copy 01 your 19971a)( relum. you need nol complele Ihe
' (, I
---- . --- .-_ .... I,'lll
,emalndpr c I
I~a
CE FORM I, . 'I
~V
"-----
(Conllnued on rever.e .Ide,
PAGE 1
(Part D. Conl1nuedl PRIMARY SOURCES OF INCOME: NAME OF SOURCE OF INCOME EXCEEDING $1.000
Wakulla Count
ADDRESS OF SOURCE OF INCOME
.-
_....AMOUNT
78.191 • 00
Board of Commissioners
Rental Income Market
38
50.00
1 675.00
Rental Income Fulton
n
NA
1----'-'-'--'-'-----. .
-----+-------------+---------------+-----------1 - - - - - 1 f - - - - - - - - - - - - - - - - f - - - - - - -.. -.-.-------.-I~----
PART E - INTERESTS IN SPECIFIED BUSINESSES [OwnershIp or posItions ,n cen;"n types ot bus,nesses..see mstructlons! BUSINESS ENTITY" 1
I
BUSINESS ENTITY" 3
BUSINESS ENTITY" 2
NAME OF
H_:u.Ll.U..J-U..L..L.i...L-__.
-Renta) - - - - -.. ......_-_.-t---'P:...:a=..r::....::.t~O..:.:w..:.;n~e~r__. _
--------------+-------.--------1
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH
I. Ihe person whose name appears at the
beglnnmg 01 thIS lorm do depose on oath or al1rrmatlon
STATE OF FLORIDA
COUNTY OF __ Wakull a
Sworn to (or aflrrmed) and subscribed before me th,s
and say thaI the Intormalton disclosed on thiS form
day 01
....l.u.4..--- .. 199.8... by
. _~'l.id.
1 Z1: h.
It. H.\lrv.ey.
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and any anachments hereto IS true, accurate, and complete
_
(SIgnature ot Nota;~~Itc,::O of Flonda)
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...s
.
Personafty Known
xx
Type olldenlllicalion Produced
WHAT TO FILE:
Alter completing the form, file only the first sheet (pages 1 and 2) Note You also may be reqUired to file Form 10 at the back of thiS packet (see the form for ,nstruCllons)
REV 1/98
•
Karen L. DaL -_.- '(Prlnt. Type. 0
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE
CE FORM Ii
!IX
FILING INSTRUCTIONS WHERE TO FILE: Office-holders
file with the Department of State Room 1802, The Capitol. Tallaha••ee, Florida 32399-0250. Candidate. file with the offi cer b.for. whom they qualify.
~'~'!.
.;
KnI L. DIy EXPIAES MVcnl li'ONlCXlll.141
omniissl~la':;' Pubiic) IOIIllIO tlftI TIllII' MIl -.wa lIC:
OR Produced Identification _. . __.•
WHEN TO FILE: OUjce-holders must file no later than July 1, 1998 Candjda~~ must trle prtor to or at the tIme they qua I y
PAGE 2
_
.
Page I Part B Continued Form 6 Full And Public Disclosure of' Financial Interestll 1997 David Fulton Harvey, July I, 1998
DESCRIPTION OF ASSET - Continued
Fox hollow - 3 Duplexes, Whaley Rd, Crawfordville, FI
10 Acres, Wakulla Station, Crawfordville, FI
3 bedroom Rental, Fulton HaIVey Rd, Crawfordvi1le, FI
4 Acres, Hudson Heights, Crawfordville, FI
3 Acres, Market Square, Crawfordville, FI
Lot - Ochlockonee River, Crawfordville, FI
15 Acres, Harvey Mill Rd, Sopchoppy, FI
130 Acres, HarveylYoung Farm Rd, Crawfordville, FI
Menill Lynch, 215 S Monroe St , Tallahassee, FI
Retirement-Deferred Compensation, Carmel IN
House, Crawfordville Hwy ,Crawfordville, FI
8 Acres, Hwy 319 & 98, Crawfordville, FI
CItizens Bank Stock, Crawfordville Hwy , Crawfordville, FI
Farm Equipment, HarveylYoung Farm Rd, Crawfordville, FI
DavId Hiers, Mortgage, Sopchoppy River, Sopchoppy, FI
5 97 Acres, Crawfordville Hwy , Crawfordville, F1
$ 31,00000 12,00000 25.00000 4.00000 290,00000 10,00000 5,00000 50,00000 90,00000 150,00000 18.00000 10,000 00 20,00000 2,000 00 42.000 00, 1,50000
.
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, .,
I
:
-, Page 1 Part C Continued Form 6 Full And Public Disclosure of Financial Interests 1997 David Fulton Harvey, July I, 1998
NAME AND ADDRESS Of CREDITOR - Continued First Union. 1201 N Monroe St , Tallahassee, FI Reginald Rodenberry, 3225 Beacon St., Tallahassee, FI
'J'
SISO,OOO 00 20,000 00
Page 2 Part 0 Continued Form 6 Full And Public Disclosure of Financial Interests) 997 David Fulton Harvey, July), 1998
SOURCE OF INCOME EXCEEDING 51.000
$ 2.945.00
Real Estate Sale - Post Office Land to Gerd Patrick, CrawfordviUe, FI Real Estate Sale - Wildwood Country Club to Gerd Patrick, Crawfordville, FI Interest Income· David Hiers Mortgage Interest, Crawfordville, FI Interest Income - Margaret Rogers Mortgage Interest, Crawfordville. FI Interest Income· Citizens Bank Interest. CrawfordviUe, F) Interest Income· Merill Lynch Interest, Tallahassee. FI
10.085.00 4.900.00 4.334.00 8.900.00 1.679.00
(.
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FORM 10 LAST NAME
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HONORARIUM EVENT RELATED EXPENSES
FIRST NAME
i
THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1996. YOU NEED NOT FILE THIS FORM IF YOU HAve NOTHING TO REPORT ON IT.
MIDDLE NAME
HARVEY, DAVID FULTON MAILING ADDRESS
15
NAME OF AGENCY WAKULLA COUNTY SHERIFF'S DEPT.
OAK STREET
CITY CRAWFORDVILLE
COUNTY
ZIP
32327
OFFICE OR POSITION HELD. SHERIFF
WAKULLA
NOTICE: Under provisions of Sec. 112.317, Fla. Stat., a failure to make any required disclosure constItutes grounds for and msy be punished by one of more of the followIng: impeachment, removal or suspension from office or employment, demotion, reduct/on in salary, reprimand, or a fine up to $10,000.
PART A GIFTS (HAVING A PUBLIC PURPOSE) FRoM GOVERNMENTAL ENTITIES NAME OF PERSON PROVIDING GIFT(S) IN 1996
Sprint Golf
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
200.00
Golf Fee 60 Room
03/21/97
300.00
Barbecue Grill
12/19/97
Tournament Benefit Office Christmas Gift
PART B- GIFTS FROM DIRECT SUPPORT ORGANIZATIONS NAME OF PERSON PROVIDING GIFT(S) IN 1996
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCAIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
PART C- HONORARIUM EVENT RELATED EXPENSES EVENT. 1 NAME OF PERSON PAYING EXPENSES ADDAESSOF PERSON AFFILIATION OF PERSON AMOUNT OF HONORARIL'M EXPENSES
-¥~~~\~~~~
EVENT.2
INSTRUCTIONS on who must liIe thiS form and how to fill it out are' on Ihe reverse SIde
FILING INSTRUCTIONS for when and where to hie thiS form are located on the reverse Side
DE~C!'tIPTIO_N OF EXPENSES PAID ON EACH DAY TOTAL VALUE OF EXPENSES FOR THE EVENT
(COnllnued on reverae alael
CE FORM 10· REV 1197
tI
PAGE 1
•
.. IF ANY OF PARTS A THROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE [J fI! Mf MlIl fI WATT ACH COPIES OF ALL STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR tHE GIFTS AND HONORARIUM EV~NT RELATED EXPENSr.~; DiSCLOSED ON THIS FORM YOll MUST DISCLO'.' ALL OF THESe: KINDS OF GIFTS AND EXPENSES EVEN THOUGH YOU DID NOT RECEIVE A STATEMENT OR REPORT FROM THE PEI1S0N (,II E.NnTY 1'1I0VIOINO Ttfl-M \,"\1 MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATIACHED REPORTS AND STATEMENTS AND THE trll-ORMATION PROVIDED ON THIS
FORM BY ATIACHING AN EXPLANATION TO THE FORM. SIGNATURe:·
_;).
• TJ
~
DATE SIGNED: r:;:<'£July'l' - ,
1.99:7:1
INSTRUCTIONS FOR COMPLETING AND FlUNG FORM 10: WHEN AND WHERE TO FILE: By July 1, 1996. Persons who file Form 1 or Form 6 .hould file thl. form with their Form 1 or Form 6. State procuremenl employees (s.. definition below} file this form with (he Department of State, Room 1802, The Capitol, Tall.h..s.., Florid. 32399·
0250. T.hIlUorm n~oQ.noUllllJlod.llIlI'u.Jl.r.".o.d.bJI111ft or .uP'Oil .wlU'G.IY.td. dJ./rln;..tht.tlmu.o.u. htlOvblJc offiCI 01 omploymont WHO MUST FILE FORM 10: All persons who are reqUIred to hie Form 1. Stalemenl 01 FlnanCla' Inleresls. and all persons who "If) Form 6, Full I!nd Public Disclosure 01 Financial 'nlerests, eKcept judgfl. (comprehenSive 11515 are part 01 each 01 those lorms) In addillon, slate "procurement employltflS" are reqUired 10 Ide Form 10 You are a 'procurement employee" If you (') Are an employee 01 an office, departmenl. board, commISSion. or COUncl' 01 Ihe exec:ullve or ludlclal branches 01 slale governmenl, (2) ParticIpate ,n the procurement 0' contractual services or commodltles costlng more than $1,000 ,n any year, (3) Through decISIon, approval, disapproval, recommendahon, preparatIon o. any part 01 a purchase request, Inlluence Ihe content 01 a"y specilicalion or procuremenl standard, rendenng 01 adVIce. InveSlJga\lOn, auditing, or In any other adVISOry capac,ty INTRODUCTORY INFORMATION (At the Top 01 the Form} NAME OF AGENCY: ThiS should ba the name o. the govemmenlal unit which you serve or served, or by wh.ch you are or were employed For example ·Clty 0' Tallahassee: "Flonda Senate: or "Department 0' Trallsportatlon • OFFICE OR POSITION HELD: Use the title ot the o"'ce or POSlhon you hold or held dunng 1996 (In some cases you may nol hok1lhat pesrller, now. but you slill would be required to liIe to disclose your Interests dunng the last year you held that posnlon) For example, "City Council Member: "Member," "PurchaSing Agent: or "Bureau Ch,el" ADDRESS OF REPORTING INDIVIDUALS: The 'ollowlng persons should not use their home addresses' actlve or 'ormer law enlorcemenl personnel. Including rorractlonal and correctional, probation offIcers, currllnt or lormer stale anoMeys. asslslant slale attomeys, slateWldo prosecutors, asslslanl slRlewl(1e proseculors. hrollghters. personnal 01 D H R S whosa dulles Include the InveshgatlOn 01 abuse, neglecl, explOllalron. 'raud, Ihelt. or other Criminal actiVitIes, spouses ot the above, counly and muniCIpal code Inspeclors lind code en'orcemenl 0",cer5. lind Depart'....ont nf Revonu/l or local governmenl oersonnel respons'ble 'or revenue collecllon and on'orcmenl or child·support onlorcement PART A -
GIFTS FROM GOVERNMENTAL ENTITIES [ReqUIred by Sec 1123148, Fla Stat J
Entities 01 IIlI) leglslalrve or JudIcia' branchos. dopartmenls "nd commissions 0' the execuhve branch. counlres, munlCtpalllres. aIrport aUlhonlres. school boards, water management dlstncls crealed by 373069. F Sand Ihe Tn-County Commuter Rail Authority may give, ellhe' dlleclly 0' Ind,rllr;I/y, II g'" worth over $100 to persons who file Form 1 or Form 6 or 10 slale procuremenl employees If a public purpose can be shown 'or the gill Part A should be used 10 hst such gills Under the law, Ihese govemmenla'enbhes are reqUired 10 proVIde you With a slatemenl concemlng these gills by March I, attach thIS slatementto Form 10 PART B - GIFTS FROM DIRECT SUPPORT ORGANIZATIONS (Sec 1123148. Fla SIal) Direct support organlzallons speCIfically authonzed by law 10 support a govemmental entity may gIve a gill worth oVO' $100 10 II porson who 1.les Form 1 or Form 6 or to a slale procuremenl employee Iflhe person or employee 'S an offIcer or employee 0' Ihat governmental entity Pall B should be used to 1151 such g,l1s Under Ihe law, these direct support orgar>lzatlons are reqUIred 10 provide you WIth a slatement concerning Ihese gills by March 1 anach Ih,s stalemenllO Form 10 PART C -
HONORARIUM EVENT RELATED EXPENSES [ReqUIred by Sec 1123149, Fla Slat
I
Reporting indIVIduals who "Ie Form 1 and Form 6 and slale procurement employeas are prohlblled Irom accepllng an hono'anum (a payment In exchange lor a speech. oral presenlation, wntlng. and the hke) Irom a pollhca' committee or comml1tee 01 conlinuous existence. 'rom a lobbYlsl who lobbies such a lobbYIst However, them or their public agency (or has done so within Ihe preVIous 12 months). and from the employer, principal. partner. or firm these persons and enlrtles may payor prOVIde a reportIng IndiVidual or procurement employee and hiS or her spouse lor actual and reasonable transportallon, lodging, evenl or meellng reglstrallon 'ee. and food and bevarage expenses related to an event at which a speech, presentatIOn. or wrillng Will be made by the publiC officer or employee Part C should be used 10 describe thesa honorarium evant related axpenses Under Ihe law. the persons or enlilres paYIng lor c,r prOViding such expenses are required to prOVide you With a statemenl concemlng Iham Wllhln 60 days 01 the honOfllnum evenl. attach thIS slalementlo Form 10
0'
-FOR -----------------------------------------------------1 MORE INFORMATION
Quosllolls aboul thl!l forlll or the ethics laws may bo nddro"!loo 10 Iho CommissIon on Elhlcs, Posl Office DUlwar 15709. TnllnMssaB. Flonda :12:117·5709,
lelephone (904) 488· 7864 (Suncom 278·7864) Plenso 'ollow Ihallllng Instructions obove and do nollilethis 'orm wilh tho Commlll8lon on Elhlc"
~---_._-------------------------------------------------------CE FORM 10· REV 1197 PAGE 2
••
•• FORM 6 FULL AND PUBLIC IiSCLO~URE OF fiNANCIAL INTERI;STS.f~96·7 LAST NAME
FIRST NAME
MIDDLE NAME
HI\f~W:Y
I
IMV I I) '~HI:n(~T
.
WI\KtJl.I./\ 1;IJlJNrV
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NAME OF AGENCY:
.I
WAKULLA COUNTY
/
1"1 •
, ,FFICE HELD OFFICER
SI1ERIFF OFFICE SOUGHT
X~.,XX~~ 15 OAK STRE~T I.RAWI md>V (I.U:
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POSITION
OTHER
FILING INSTRUCTIONS for when Ind where to 'lie this 'orm Ire loclted It the bonom of Plge 2. INSTRUCTIONS on who must flle this form end how to fill It out begin on page 3 of thla packet. OTHER FORMS you may need to file Ire described on pege 6,
I
i
NOTICE: Under provisions of Sec. 112.317, Florida Statutes, a failure to make any required dis closure constitutes grounds for and may be punIshed by one or more of the fol/owlng: disquali fication from being on the ballot, Impeachment, removal or suspension from office or employ ment, demotion, reduction In salary, reprimand, or a civil penalty not exceeding $10,000. PART A -
ASSETS WORTH MORE THAN $1,000
,0
.--1
HOUSEHOLD GOODS AND PERSONAL EFFECTS: •• Household goods and personal eHects may be repOl1ed In a lump sum If their aggregate value exceeds $1.000 ThiS calegory Incluaes ~ ot ~ folloWIng, If not held lor Investment purposes'jewelry, conecllons 01 sramps, guns, and numlsmallc Ilems, art ObJects, household eqUIpment and furriiPlngSj tlQ""ng, other household Ilems, and vehicles lor personal use .' . The aggregate value of my household goods and personal eHects (descnbed above) IS $
u1
.2.CL9_0_0! 90
+---~
..
OTHER ASSETS -INDIVIDUALLY VALUED AT OVER $1.000:
"
VAI:.UE OF 'ASSET
DESCRIPTION OF ASSET
American Express Financial Advisor - 1385 Timberlane,
.... ~:!.I.'"
~ll.. I.\:l.~l~_":: 319_ ~._ (:!llwf,~rdvl.I.Il!.LXl_ )J)26
_ Residence £:. 10 Acres - 116 Harvev YounlZ Farm Road
Tallahn~R~e
.......
.
Crawfordville
2 Bedroom Rental £:. 8 Acres - Lost Creek. Crawfordville. [1 Wakulla Bank Stock - Hwy 319. Crawfordville. Fl 32327 PART B
FI 32312 .
J9Q.~ 9.QO
Fl 12127
7<; 000
on
5,000.00
LIABILITIES IN EXCESS OF $1,000 AMOUNT OF LIABILITY
_.
Barnett Bank of Tallahassee, Tallahassee, F1.
___
Farm Credit, Hi2hway 90 West, Monticello, Fl
32344
Deoosit Guarantv Mort282e Co.
Jackson
P.O. Box 22
• OQ
2QO.000 00
32327
NAME AND ADDRESS OF CREDITOR
Arthur Robison
lCtd 000.00
P.O. Box 1193
-- ..
._..
.
~-_.
MS
Thomsville. GA PART C -
36,000.00 -10,000.00 4,000.00 30,000.00
NET WORTH
Please enter the value 01 your net worth as of December 31, 1996. or a more current date INote net worth Is not cnlculated by subtrActIng your reported "abilitIes Irom your reported assels, so plaase see the InstNChons on page 4 J (Mynel-worth-asol--
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-;]ulr-1T -
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PART 0 - INCOME You may EITHER (1) liIe a complete copy 01 your 1996 lederallncome taM return, Including all enachments, OR (2) "Ie A sworn stalementldenllfylng a8ch separate source and amount of 'ncome whICh exceeds $1.000, inclUding secondary sources 01 Income, by compfetmg the remainder 01 Part on page 2 of thiS form
°
lJ
I alecl to liIe 1\ copy of my 1996 federal Income tax return (If you check thiS box and anach 8 copy ot your 1996 tex rolurn yOI) need nOI complete the remolnder or Pari D J • . _
CE FORM 6 ,REV 1'97
(Continued on reverae aide)
PAGE 1
•
(Par1 D Conlrnued)
'FI~ARY
SOURCES OF INCOME
NAME OF SO' IRCE ~)F INCOME EXCEEDING $1,000
Wakulla
Coun~~
ADDRESS OF SOURCE OF INCOME
~ost"Oqic~ 1~ox F~ 26~2326
Board of Commissioners
74 983.00
------ -- - -- -- ------------------+-------------------- -1------------.,
',E.CONDARY SOURCES OF INCOME (Major customers, chents, etc. NAME OF BUSINESS ENTITY
0' bUSinesses owned by repor1lng person-osee InstruchonsJ
NAME OF MA,IOR SOURCES OF BUSINESS'S INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
N/A
.-_----_..._-----_ _-------_... ...
_-----~
'ART E -INTERESTS IN SPECIFIED BUSINESSES [Ownership or pOSlhons In certain lypes 01 buslnesses--see Instructions) BUSINESS ENTITY' 1
;~~~;s ENTITy
' • 1
_
.DDRESS OF
IL1..S.lt:iESS.. _
BUSINESS ENTITY' 3
BUSINESS ENTITY' 2
Market Square Plaza
2646 ~cra~I~r~viHe)~~2
-+-.e..t:..lMg..ulY1lli~ELEm
.:~~~81'i¢L BUSINESS 1 '?_~I.TION HELD
.y'11 H ~NTITV
_1_----------__j
Ren tal Part Owner
I)WN MORE THAN A 5%
!'UEREST IN THE BIJSINESS--t·IA TURE OF MY
._+-
--t-
---j
)
F ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET. PLEASE CHl:CK HERE
OATH
""' p("llson who:o;e nnrno "pponrs itl the 'g,nnlng of thiS !orm do depose 'In oalh or altlrmalron
,d say that the Information disclosed on thiS lorm ld any attachments herelo IS true. accurate. 111 complelo
CJ
STATE OF FLORIDA .HA~!!J-LA
COUNTY OF
ill.
Sworn 10 (or aNlrmed) al1d :lubscnbed belore me thiS day of
July
~ I.:
David F.
,19Eby
~~b .~_~ ,'~,......
~Alifl1 ~. :.;
---
[SIQ..nature 01 Notary Pubh
XX
.
tato 01 Flonda)
KalIn L. PlY
II'( COhMSSlON
, CC81'141 EXPIfIES
~,;~r1~loned
Personelly Known
_
Ha~
Name of Notary Public)
OR Produced Identilicallon _ _
Type of Idenllflcallon Produced
WHAT TO FILE:
Aller complellng I e lorm, IIle only Ihe IIrst sheel (pages 1 c lid 2) Note: You also may be required 10 ) Form 10 allhp. back of Ihls packet (see l:l form for Instructions)
I "
FORM 6 - REV 1197
FII IN~ INSTRUCTlnN~
WHERE TO FILE: Office-holder. file with the Department of State.t.,Room 1802. The Cepltol Tallaha..... ,.,orlda 32399-0250. Candidate. file with the offi cer before whom they qualify.
_ _
WHEN TO FILE: Olllco·hoiders
musl file no laler Ihan July I, 1997
Candidales musl file prior 10 or al the time
they qualify.
PAGE 2
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Page 1 Part A Continuation Form 6 Full And Public Disclosure of Financial Interests 1996 David Fulton Harvey - July I, 1997
ASSETS - Continued $ 31,000 00 Fox Hollow - 3 Duplexes, Whaley Rd, Crawfordville, FI 20,000.00 Commercial Office Building - Rental, Church St, Crawfordville, FI 10,000.00 10 Acres, Wakulla Station, Crawfordville, FJ 20,00000 3 Bedroom Rental, Fulton Harvey Rd, Crawfordville, Fl 2,000.00 4 Acres, Hudson Heights, Crawfordville, FI 290,000.00 3 Acres, Market Square, Crawfordville, FI 10,000.00 Lot - Ochlockonee River, Crawfordville, FI 5,000.00 15 Acres, Harvey Mill Rd, Crawfordville, FI 50,000.00 130 Acres, HarveylYoung Farm Rd, Crawfordville, FI 60,00000 Merrill Lynch, 215 S. Monroe St., Tallahassee, FI 100,000.00 Retirement-Deferred Compensation, Carmel, IN 25,000.00 House, Crawfordville Hwy, Crawfordville, FI 30,00000 8 Acres, Hwy 319 & 98, Crawfordville, FI 20,000.00 Citizens Bank, Stock. Crawfordville Hwy, Crawfordville, FI 2,000.00 Farm Equipment, HarveylYoung Farm Rd, Crawfordville, FI 85,000.00 David Hiers, Mortgage, Sopchoppy River, Sopchoppy, F1
Page I Part B Continuation Form 6 FuIJ & Public Disclosure of FinanciaJ Interests 1996 David Fulton Harvey· July 1, 1997
LIABILITIES - Continued Citizens Bank, Crawfordville Hwy, Crawfordville, FI J K Moore, J. K. Moore Rd, CrawfordviIle, FI First Union, 120 I N. Monroe St, Tallahassee, FI Reginald Rodenbeny, 3225 Beacon St, Tallahassee, FI
$290,000.00 30,000.00 290,000.00 20,000.00
g
FORM 10 LAST NAME -
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HONORARIUM EVENT RELATED EXPENSES
I
FIRST NAME - MIDDLE NAME
Harvey, David Fulton
THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1195
YOU NEED NOT FILE THIS FORM IF YOU HAVE
NOTHING TO REPORT ON IT
MAILING ADDRESS. NAME OF AGENCY
15 Oak Street COUNTY
ZIP
CITY'
Crawfordville,
32327
Wakulla Co. Sheriff's Dept.
OFFICE OR POSmON HELD
Sheriff
WakUlla
INSTRUCTIONS on who mUlt file this lorm and how to 1111 I! out are on the reverse aide. FILING INSTRUCTIONS lor when and where to lile Ihillorm are located on the reveM side
NOTICE: Under provisions of Sec. 112.317, Fla. Stat., a failure to make any reqUired disclosure constitutes grounds for and may be punished by one of more of the folk . :,.,g: impeachment, removal or suspension from office or employment, demotion, reduction ifl salary, reprimand, or a fine up to $10,000. PART A
GIFTS (HAVING A PUBLIC PURPOSE) FROM GOVERNMENTAL ENTITIES
NAME OF PERSON PROVIDING GIFTIS) IN 1995
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCRIPTION OF INDMDUAL GIFTS
DATE EACH GIFT RECEIVED
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
EVENT' 2
EVENT" 3
N/A
PART ~ GIFTS FROM DIRECT SUPPORT ORGANIZATIONS NAME OF PERSON PROVIDING GIFT(S) IN 1995
TOTAL VALUE OF GIFTS FROM THAT PERSON
PART C- HONORARIUM EVENT RELATED EXPENSES EVENT f# 1 NAME OF PERSON PAYING EXPENSES PERSON ;OF AFFILIATION OF PERSON AMOUNT OF HONORARIUM EXPENSES
~~~~ DESCRIPTION OF EXPENSES PAID ON EACH DAY TOTAL VALUE OF EXPENSES FOR THE EVENT {C-onllllued on revel'll allll' CE FORM 10· REV. 1196
PAGE 1
- .
IF ANY OF PARTS A THROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
a
REMEMBER TO ATIACH COPIES OF ALL STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR TIlE GIFTS AND HONORARIUM EVENT RELATED EXPENSES DISCLOSED ON THIS FORM. YOU MUST DISCLOSE ALL OF THESE KINDS OF GIFTS AND EXPENSES EVEN THOUGH YOU DID NOT RECEIVE A STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING THEM YOU MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATIACHEO REPORTS AND STATEMENTS AND THE INFORMATION PROVIDEO ON THIS FORM BY ATIACHING AN EXPlANATION TO THE FORM. SIGNATURE:
~-L.,...../(.A.,....J-- V~
v,
DATE SIGNED:
INSTRucnONS FOR COMPI.ETING AND FlUNG FORM 10: WHEN AND WHERE TO FILE: By July 1, 11198. P,~on. who fll, Form 1 or Fonn S should file this fonn wtth their Fonn 1 0,' Fonn 6. Stat, procurement employees (see definitIon below) file this fonn wIth the Dep.rtment of Slate Room 1801, The C.pltol. Tall.hassee, Florida 32399· 0250. Tbl. toon noed not be flltd unle" • reportlble gift or gxpgnle WI' recelYed during th. time YOU held pybllc oWce or emplovment. WHO MUST FILE FORM 10: All persons who are requlrad to fila Form " Statement of FinanclIlllnter,sts, and all persons who file Form 6, Full a~d PUblic Disclosure of Financial Interests, exc~pt Judges (comprehensive lists are part of each of those forms) In add~lon, state 'procurement employees' are required to file Form 10. You are a 'procurementemployee' if you (1) Are an employee of an office, department. board, commISSion, or council of the executIVe or ,udIClal branches of stale government, (2) Participate 10 the procurement of contractual services or commodrttes costing more than $1,000 In any year. (3) Through decision, approval, disapproval, recommendation. preparation of any part of a purchase request, Influence the content of any specificatJon or procurement standard, renderlOg of adVIce, IOvesligatlon, auditing, or In any other adVISOry capaCity INTRODUCTORY INFORMATION (At the Top of ttle Form) NAME OF AGENCY: This should be the name of the governmental uOll which you serve or served. or by Which you are or were employed For example, 'Clty of Tallahassee," 'Flonda Senale," or "Department of Transportation," OFFICE OR POSITION HELD: Use the title of the office or position you hold or held dunng ,995(ln some cases you may not hold thaI posllion now but you stili would be required to file to disclose your Interests durrng the last year you held that POSition) For example, 'Clty Council Member 'Member," 'Purchasing Agent," or 'Bureau Chief' ADDRESS OF REPORTING INDIVIDUALS: The followlOg persons should nof use their home addresses actIVe or former law enforcement personnel inclUding correctional and correctional. probation officers, current or former state ottomeys, assistant state attorneys. stateWIde prosecutors. assistant stalewide prosecutors; firefighters. personnel of 0 H R S whose duties Indude the IOvestigatlon of abuse, neglect, e~ploltatlon. fraud. theft. or other crimlOal actlVrtles; spouses of the above, county and mUOlclpal code IOspectors and code enforcement officers. and ~partment of Revenue or local Government personnel responsible for revenue collection and enforcement or chrld-support enforcement PART A -
GIFTS FROM GOVERNMENTAL ENTITIES (ReqUired by Sec 112-3148, Fla Stat)
Entities of the legislative or judicial branches. departments and commiSSions of Ihe executIVe branch, counties. mUOIcipalrtles: "rport authonbes. school boards, water management districts created by 373.069, F 5 . and the Tn-County Commuter ~arl Authorrty may give, erther directly or IOdlrectly, a gift worth over $100 to persons who file Form 1 or Form 6 or to state procurement employees If a public purpose can be shown for the grit Part A should be used 10 Iisl such gifts Under the law, these governmental entitlGS are required to provide you wllh a statement concerning these gifts by March ,. attach thiS statement to Form 10 PART B -
GIFTS FROM DIRECT SUPPORT ORGANIZATiONS [Sec 1123148, Fla Stat)
Direct support organrzatlons specifically authom:ed by law to support a governmental entity may gIVe a gift worth over $100 to a person who files Form 1 or Form 6 or to a state procurement employee If the person or employee IS an officer or employee of that governmental entity Part B should be USe
HONORARIUM EVENT RELATED EXPENSES [ReqUired by Sec 1123149, Fla. Stat)
Reportlng IndIViduals who file Form 1 and Form 6 and state procurement employees are prohibrted flom accepting an honorarium (a payment In exchange for a speech, oral presentation. Writing, and the like) from a political committee or commrttee of continuous existence. from a lObbyist who lobb,es them or lhtlr public agency (or has done so within the previous 12 months), and from the employer. principal, partner, or firm of such a lobbyist However. these persons and entities may payor provide a reporting IOdlvlduat or procurement employee and hiS or her spouse for actual and reasonable transportation, lodgIng, event or meeting registration fee, and food and beverage expenses related to an event at which a speech, presentation, or wr~lOg will be made by the pUblic officer or employee Part C should be used to describe these honorarium event related expenses Under the law, the persons or entities paying for or providing such expenses anI required 10 provide you with a statement concerning them Wlthm 60 days of the honorarium event. attach this statement to Form 10.
•
FOR MORE INFORMAnON Questions about this form or the ethics laws may be addressed to the CommiSSion on Ethics. Post Office Drawer 15709, Tallahassee. Florida 32317 5709,telephone (904) 488-7864 (Suncom 278-7864) Please follow the filing Instructions above and do not file ,:-." for,n with the Commission on Ethics
CE FORM 10· REV 1/96
PAGE 2
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FORM 6 FULL AND PUBUC"DISCLOSURE OF FINANCI~L INTERESTSf1~957:J ... NAME OF AGENCY .. FIRST NAME - M I D D L 7 / -
]
LAST NAME -
HARVEY,
9~
MAILING ADDRESS
r n "N'" ".
Wto t< III I II
DAVID
X 15 Oak Street
IlXXJOO{.~
COUNTY
ZIP
CITY:
CRAWFORDVILLE, FL 32327
OFFICE.-HELO. ':" ' :..1
'
a
flFFICER
a
CANDIDATE
a
OTHER
SHI=
R·ll:'1=
\
OFFICE SOUGHT POSITION'
FlUNG INSTRUCTIONS for whln and whl,. to fill this fonn a,. located at thl bottom of pagl 2, INSTRUCTIONS on who must fill this fonn and how to flUIl out begin on pagl 3 of this packet, OTHER FORMS you may netd to ftll a,. d"crlbld on page II.
I 0 tI :
009612127
NOTICE: Under provisions of Sec. 112.317, Florida Statutes, It failure to make any required dis closure constitutes grounds for and may be punished by one or more of the following: disquali fication from being on the ballot, Impeachment, removal or suspension from office or employ ment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. PART A -
ASSETS WORTH MORE THAN $1,000
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal elfee:ts may be reported in a lump sum If their aggregate value exceeds $1,000 ThiS category rndudes any of the followmg. If
not held for Investment purposes' jewelry: collections of stamps, guns, and numrsmatrc "ems, art objee:ts, household equipment and furnlshmgs. dottllng,
other household rtems: and vehldes for personal use The aggregate value of my household goods and personal effects :1esCtlbed abo.-e) IS $
50,000.00
ASSETS INDMDUALLY VALUED AT OVER $1.000: VALUE OF ASSET
DESCRIPTION OF ASSET
American Exoress Financial Advisor-1385 Timberlane Tallahassee Cash in Bank-319 N. Crawfordville, Fl 32326 Residence
FL 3231::'
175,000.00
10 Acres
&
2 Bedroom Rental [. 8 Acres - Lost Creek, Crawfordville, Fl 32327 3 Bedroom Rental - Hudson
Hei~hts.
LIABILITIES IN EXCESS OF $1,000 AMOUNT OFUABIUTY·
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee,
Bankobston
36,000.00
Tallahassee, FL
41,000.00
Hwy. 90 West, Monticello, Fl 32344
Nations Bank,
30,000.00
Box 533, Louisville, KY
Mort~a~e
Co ••
20,000.00
P. O. Box 44090 Jacksonville, Fl
PART C -
NET WORTH
Please enter the value of your net worth as of December 31ti1995. or a more current dale. [Note liabilities from your reportBO assets, so please see the instru ons on page 4] My net worth ~sof . -
22,000.00 15,000.00
Crawfordville, Fl 32327
PART B -
Farm Credit,
195,000.00 150,000.00
June 14
..•
,19 .
..
-96- w~s-$
net worth Is not calculated by SUbtracting your reporteo
598 .000. OO=~':;
PART 0 -INCOME You may ElTHER (1) file a complete copy of your 1995 federal income tax return, inclUding all attachments, OR (2) file a swom statement identlfylng each separate source and amount of Income which exceeds $1,000, induding secondary sources of Income. by completing the remainder of Part 0 on page 2 of this form.
a I elect to file a copy of my 1995 federal income tax retum
[If you check this box and attach a copy of your 1995 tax return, you need not complete tile
remainder or Part 0.1 CE FORM 6· REV. 1196
(Contlnuod on ,.verae sIde)
PAGE 1
I
(Part D. Continued) PRIMARY SOURCES OF INCOME:
P. O. Box 1263, Crawfordville. Fl
Wakulla County Commissioners
I
AMOUNT
ADDRESS OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 ,000
71 ,961.00
SECONDARY SOURCES OF INCOME (Major customers, clients, etc, of businesses owned by reporttng person-see ,nstructlons) NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS'S INCOME
N/A
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCE
I
N/A
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or posillons In certain types of businesses-see Instructions) BUSINESS ENTITY' 2
BUSINESS ENTITY' 1
Market Square Plaza
NAME OF I=I.IT1TV
~~X~f~ra~il¥~ ~t93~327
ADDRESS~~tTV PRINCIPAL BUSINESS
~~TJ:~!i-5LD I OWN
BUSINESS ENTITY' 3
Rental Pa~t
----j
owner
MO~~ ~~~~~~I::C::C::
_~ipMY IF APlY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE EJ
I. the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed on thIS form and any attachments hereto IS true, accurate,
-'T
STATE OF FLORIDA COUNTY OF
\
L.''-t. -'l/l.
~~
Wakulla 14
Sworn to (or affirmed) and subsalbed before me thIS day of
June
~~-J
,19.l2..by -
l1~··!iifj.\
and complete
/
OATH
~~,A}"j
Dav 1d F. Ha;vey
"~~'~J/~ d~
GfRA1.OlffE'if.f\Yffltf' Notary Putlllc-state 01 Flonda}
Ion' COMWSSIOH , CC41467V EXPlI',fS
O::l'''~'~ Octolle!~ ··'F.... ~1Pn~fiii~)onea
Name of Notary Public)
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE Personilly Known
X
OR Produced Identification
Type of Identification Produced FILING INSTRUCTIONS FOR FORM 6: WHAT TO FILE: After compleUng the form, file only the first sheet (pages 1 and 2). Note' You also may be reqUIred to file Form 10 at the back of this padl:el (see the form for inslructions). WHERE TO FILE: OffIce·helde,. fli. with the Department of Sgt., Room 1801. Th. Capitol, TllIlh,llee. Florida 32399-0250. CandIdates file with the orne., beto,. whom they qUlllfy. WHEN TO FilE: Office-holclers mull file no later than July 1. 1996. Candidates must file prior to or at the time they qualify CE FORM 8 - REV 1196
PAGE 2
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--------Page 1
(a) FORM 6 Full Pub lice Disclosure of Financial Interest 1995 David Fulton Harvey June 14, 1996
ASSETS - Con't Fox Hollow - 3 Duplexes, Whaley Road,
Crawfordville, FI
$
31,000.00
Commercial Office Building - Rental, Church St. Crawfordville, Fl
20,000.00
10 Acres, Wakulla Station, Wakulla FI
15,000.00
3 Bedroom Rental, Fulton Harvey Rd, Crawfordville, Fl
15,000.00
4 Acres, Hudson Heights, Crawfordville, FI
3 Acres, Market Square, Crawfordville, Fl
2,000.00 150,000.00
Lot- Ochlocknee River, Crawfordville, Fl
10,000.00
15 Acres, Harvey Mill Rd. Crawfordville, FI
10,000.00
100 Acres, Harvey/Young Farm, Crawfordville, FL
60,000.00
Merrill Lynch, 215 S. Monroe St. Tallahassee, FI
50,000.00
Retirement-Deferred Compensation, Carmel, IN
90,000.00
House,
25,000.00
8 Acres,
Page 1
Hwy. 319,
Crawfordville, FI
Hwy. 319 & 98, Crawfordville, FI
40,000.00
(b)
LIABILITIES - Con't Deposit Guranty Mortgage Co. , Box 1193 Jackson, MS
15,000.00
Arthur Robison,
20,000.00
Citizens Bank,
Box 22, Thomasville, GA Hwy. 319 N. Crawfordville, Fl
Wakulla State Bank,
•
Hwy. 319 N., Crawfordville, F1
J. K. Moore,
J.K. Moore Rd.,
First Union,
1201 N. Monroe St., Tallahassee, FI
Crawfordville, FI
~----------
150,000.00 35,000.00 30,000.00 150,000.00
/ ,/
, FORM 6 FULL AND PUBLIC DISCL SURE OF FINANCIJ(~INTERESTS-=i~4~ NAME OF AGENCY. OFFICE HELD
Cl OFFICER
MAIUNG ADDRESS'
OF!=ICE SOUGHT
15 Oak Street IP
Cl CANDIDATE
COUN Y
POSITION
PART A - ASSETS WORTH HOUSEHOLD GOODS AND PERSONAL EFFECTS:
~ORE
THAN $1,000
Household QOOdI and peraonal elleelS may be reponed In a lump sum " !heIr aggragala value axceeds $1,000 This category Includes any of !he foIlOWl,;: "
not held for InvestmOf'lt purposes' jewelry; collections of stamps, guns, and numismatic IIams; &If objects. housahold oquipmant and Ivrntshlngs, clothing,
other household items, and vahicles 10, personal uso
The aggregate value of my housahold goods and personal affects (descnbed abow) IS
S _--=2:;:5:....!.:0~0:..;0;....:....:0:..;0::...-_.
_
ASSETS INDIVIDUALLY VALUED AT OVER $1,000:
VALUE OF ASSET
DESCRIPTION OF ASSET
350.000.00
Cash In Bank, 319 N. Crawfordville, Fl 32326 Residence & 10 Acres.
2 Bedroom Rental & 8
Ac~es
Lost Creek
Bedroom Rental
Cra'wfordville
Crawfordville
ornmercial Office Buildin 10 Acres, Wakulla Station, 3 Bedroom Rental,
22~.:)00.00
22 000.00
32327
F1
15 000.00
Fl
Church Street. Crawfordville. Fl Wakulla, Florida
Fulton Harve
Road,
20 000.00 15.000.00
crawfordville'ilF.llIlIlIlIlIlIlIlIlIlI"IIII.1.5i,.0.0.0•.•0.OIl"
PART B - UABIUTIES IN EXCESS OF $1.000 AMOUNT OF LIABILITY
NAME AND ADDRE$S OF CREDITOR
Barnett Bank of Tallahassee,
Tallahassee. Fl
Farm Credit
Hwy. 90 West. Monticello. Fl
Nations Bank
Box 533. LouiSVille. KY
Bankoboston Mort a e Co.
P. 0:. Box 44090. Jacksonville, Fl PART C
NET WORTH
:::~
'
Pl88M enter dle value of your not wonh as of December 31, 1994, or a mora currOf'lt date INOla not liabilities from your reported assets, 50 please see the instructions 01\ page 4.)
J!1y ~tworth-asol--
.' .c
\: ...... -,"
W\l~ IS nol calculated ~~~bt~ng ~~ported
-June-2T --,19"95 - --~5$450 ,000.00 - J
. :r.
'":""' .... ~ ~
PART D -INCOME Vou may EITHER (1) file a complete copy of your 1994 federal income tax return, inclucing an attachmanlS, OR (2) file a SWOrrl statemant identifying each separate sour08 and amount of incoma which exoeeds S1,000. including secondary sources of Incoma, by complating the remainder of Part 0 01\ page 2 of this form.
Q I elect to file a copy of my 1994 federal income lax return
III yoo check this box and artach a copy of your 1994 tax ratum, you need not eompi.:~ tho
remainder of Part D.)
CE FORM 6· REV 1195
\
(Conllnued on rever.e .Ide)
PAGE'
(Part D, Continued) PRIMARY SOURCES Of INCOME: AMOUNT
ADDRESS OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1.000
P. O. Box 1263 Crawfordville, VI
Wakulla Co. Board of Commissioners
SECONDARY SOURCES Of INCOME (Major customers, c:llentl, ale.. 01 buslf'lesles owned by reponing per50n) NAME OF NAME OF MAJOR SOURCES ADDRESS BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE
N/A
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
N/A
N/A
68,014.00
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in certain types 01 businesses) BUSINESS ENTITY; 3
BUSINESS ENTITY. 2
BUSINESS ENTITY. 1 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
Market Square Marke..t Stluace, Hwv. 319N -CrawtorC1Vllle, rl:' Rental Part Owner
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ra I, the person whose name appears at the
OATH
STATE OF FLORIDA COUNTY OF Wakulla
beginning 01 this lorm, do depose on oath or affirmalion
Sworn Il:l (or affirmed) and subscribed belore me thiS _-=2c.:..7-=t~h~
and Ia!f that the inlormation dsclosed on this Iorm
day 01
and any attlidlrnentl hereto is true, accurate, and complete
"'June
1995
Jl< L:i<; ~~.,.,'t.:·l a
'1'.('
~~,'
;~
by
_
David F. Harvey
.
+-tdo;: :Pr.':1ubliC 'l!: -"'Sr;o:la: : te~OT1'
'/b -{. ~~ JofY COMMlSSlON, lX:4141:og EXPIIQ
eo
F""I0""naa=)
'
~~19 l~
T)'fIlI!l&fl8idJitlf&.t. IliiJiid N8O'le 01 Notary publiC)
Personany Known _--,Xo.:.-_ _ OR Pradloed ldentlficabon
_
Type olldenlification Procluced
_
flUNG INSTRUC FOR FORM I: WHAT TO FILE: Aher completing !he form, file only !he first sheet (pages 1 and 2) Note' You also may be required to lile Form 10 at the bactI ollhis packet (""' the form for instrue:tlon.). WHERE TO FILE: Incumbent. file with the OepIIrtmenl of SI.Ie, Room 1801, The CapUoJ, T.n.h....., Florlcl. 323"00250. ClndlcJ.IH file with the officer befO,. whom they qualify. WHEN TO FILE: Incumbents must file no lalBr than July 1, 1995 CancidalB. musl ~Ie prior to or at the time they qualify
•
CE FORM 6· REV. 1195
PAGE 2
·
..
------------------------------------------.._....,- Page 1 (a) FORM 6 Full Public Disclosure of Financial Interest 1994 David Fulton Harvey 6-27-95
ASSETS - Con't Fox Hollow - 3 Duplexes, Whaley Road,
Crawfordville, Fl
4 Acres - Hudson Heights,
Crawfordville, Fl
2,000.00
3 Acres - Market Square,
Crawfordville, Fl
150,000.00
Lot - Ochlocknee River
Crawfordville, Fl
10,000.00
15 Acres - Harvey Mill Road
Crawfordville, Fl
10,000.00
100 Acres - Harvey-Young farm
Crawfc rdville, Fl
60,000.00
Merrill Lynch,
Tallahassee, Fl
50,000.00
Carmel, IN
70,000.00
215 S.Monroe Street,
Retirement-Deffered Compensation,
Page 1
$
31,000.00
(b)
LIABILITIES - Con't Deposit Guaranty Mortgage Co. Box 1193 Jackson, MS Arthur Robison,
Box 22,
Citizens Bank,
Hwy. 319 N.
20,000.00
Crawfordville, Fl
150,000.00
Hwy. 319 N.
Crawfordville, Fl
35,000.00
J. K. Moore Road,
Crawfordville, FL
30,000.00
Crawfordville, Fl
200,000.00
Wakulla Co. State Bank J. K. Moore,
Thomasville,GA
$ 15,000.00
Wakulla Co. State Bank
Hwy. 319 N.
· '"
, .
FORM 10 LAST NAME -
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HONORARIUM EVENT RELATED EXPENSES
FIRST NAME -
THIS STATEMENT REFlECTS GIFTS AND HONORARIUM
EVENT RELATED EXPENSES RECEJVED DURING YOU NEED NOT FlU THIS FORM IF YOU HAVE
NOTHING TO REPORT ON IT
1""
MIDDLE NAME:
Harvey, David Fulton
NAMEOFAGENCY
15 Oak Street CIlY:
ZIP:
Crawfordville
32327
COUNTY:
Wakulla Co. Sheriff's Department
OFACE OR POSITION HELD
Sheirf f
Wakulla
INSTRUCTIONS on who must lile thli lorm and how ID lill it out Br1I on lhe l1IWrM lide. flUNG INSTRUCTlONS tof when and whel1IlO file thli form ate IocalBd on the reverie lide.
PART A - GIFTS (HAVING A PUBUC PURPOSE) FROM GOVERNMENTAL ENTITIES NAME OF PERSON PROVIDING GIFT(S)IN 1994
Employees
$600.00
John Hunt
150.00
DATE EACH GIFT RECEIVED
DESCRIPTION OF INDIVIDUAL GIFTS
TOTAL VALUE OF GIFTS FROM THAT PERSON
Gun Safe
Christmas
Golf
Jul
94 - Jan 95
PART 8- GIFTS FROM DIRECT SUPPORT ORGANIZATIONS NAME OF PE RSON PROVIDING GIFT(S)IN 1994
PART
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
e- HONORARIUM EVENT RELATED EXPENSES EVENT. 1
EVENT' 2
EVENT' 3
NAME OF PERSON PAYING EXPENSES ADDRESS OF PERSON A ILlATION OF PERSON AMOUNT OF HONORARIUM EXPENSES DA E(S)OF THE EVENT E IPTION OF EXPENSES PAID ON EACH DAY TOTAL VALUE OF EXPENSES FO~EEVENT
(Continued on rever.. ,Ide)
CE FORM 10· REV. 1195
PAGE 1
l
.'
IF ANY OF PARTS A lliROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
a
REMEtl.BER TO ATTACH COPIES OF AU STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR THE GIFTS AND HONORARIUM EVENT RELATED EXPENSES DISCLOSED ON THIS FORM. YOU MUST DISCLOSF ALL OF THESE KINDS OF GIFTS AND EXPENSES EVEN THOlIGH YOU 010 NOT RECEIVE A STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING THEM. YOU MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATTACHED REPORTS AND STATEMENTS AND THE INFORMATION PROVIDED ON THIS FORM BY ATTACHING AN EXPLANATION TO THE FORM.
IHSTRucnONS FOR COMPLETING AND FILING FORItI10:
m.
e
m.
e,
WHEN AND WHERE TO FILE: By July 1, 1885. P.r.ano who Form 1 or Form ohould thlo lorm wllh their Form 1 or Form Sgl. procuremenl employ_ ( _ d.nnlllon beloW) Ihlo form wllh Ih. Departm.nl 01 Sgl., Room 1801, Th. C.pllol, TaUohu_. Florida 323VV· 0250. Tblo form nnd Dol be f1ltd unl." a reportabl. alb or 'XPen" WII rtcR'yed during the 11m. you held pubUc offic. or '!Dplpymenl,
nr.
WHO MUST FILE FORM 10: An persons who are required 10 hie Form 1, Stalemenl 01 Financial Interests. and all persons who file Form 6, Full and Public Disdosure 01 Financial IntereslS. • 1Ccepf Judgeo (comprehenSive lists are part 01 each 01 those forms) In addlbon, stale 'procvremenl employees' are required to file Form 10 You are a 'procurement employee' If you (1) Are an employee 01 an office, department, board. commiSSIOn, or councd 01 the executive or ,ud'1C181 branches of stale govemment; (2) Participate in the procurement 01 conb'aclUal services or commod!l9s costing more 1/';:lI1 $1,000 ,n any year, (3) Through decision. approval. disapproval, recommendation, preparation of any part 01 a purchase requesl, Influence the content of any specification or proaJrement standard, rendering of advice, invesbgatlOn. auobng. or In any other a~:~nry capaol}' INTRODUCTORY INFORMATION (AI the Top 01 the Form) NAME Of AGENCY: This should be the name 01 the governmental unit whu::h you serve or sarved, or by whICh you are or were employed For example, 'City 01 Tallahassee: 'Florida Senate: or 'Department 01 Transportalion OFFICE OR POSmON HELD: Use the tille 01 the office or position you hold or held dunng 1994 (In some cases you may not hold thaI position now, but you still would be required to file 10 disclose your Interests dunng the lasl year you held thaI poslbon) For example, 'Cll}' Council Member: "Member: 'Purchasing Agenl: or 'Bureau Chte': ADDRESS Of REPORnNG INDIVIDUALS: The lollowlng persons should nof use th8lr home addresses active or lonner law enlorcement personnel; firelighters; personnel 01 D H R S whose dutlSs Indude the InveStlgabon 01 abuse, neglec:. e_p1oltatlon. fraud, theh. or olher cnmltlal aetivibes: and spouses 01 the abow. PART A -
GIFTS FROM GOVERNMENTAL ENTITIES (ReqUired by Sec 112·3148. Fla Stat)
Enlities 01 the legislative or judIcial branches, departments and commiSSIons 01 the execubve brarlCh, counties. mUDlclpahties, alrpot1 authori\les, sdlool boards, water managemenl dlsb'IClS created by 373069. F S , and tho Tn-County Commuter Ra~ Authorll}' may give, either d1recdy or Indirectly. a gill wor1h over $ 100 lO persons who file ~orm 1 or Form 6 or to state procurement employees If a publIC purpose can be shown lor the gih Part A should be used lO list such gills Under the law, these governmental enUbeS are required to provide you wllh a statement concerning lhese gills by March 1: all8dlthis statlKTlentlO Form 10 PART B -
GIFTS FROM DIRECT SUPPORT ORGANIZAnONS [Sec 112 3148, Fla Stat J
Direct support organizations specilically authorized by law lO support a govemmental entity may give a gill worth over $ 100 lO a person who files Form 1 or Form 6 or to a stale procuremenl employee If the person or emplo,ee is an offi09r or employee 01 that governmental entity Part B should be used to is. such gilts Under the law, these direclsupport organlzabOns are required lO provide you With a stal8ment concerning these glflS by March 1; attach thIS stalemenlto Form 10 PART C- HONORARIUM EVENT RELATED EXPENSES (ReqUired by Sec 1123149, Fla Slat) Reporting individuals who file Form 1 and Form 6 and stal8 procuremenl employees are prohibited Irom accepting an honorarium (a paymenl ID exchange lor a speectl, oral presentation, writing, and the like) from a political commmee or commltl88 01 continuous eXistence, from a lobbyist who lobbies them or lheir public agency (or has done so wilhln the prevIOus 12 months), and from \he employer, prinapal, partner, or lirm olsudl a IobbyiSl HowlMIl', these persons and enlilies may payor provide a reporting individual or procuremenl employee and hiS or her spouse lor actual and reasonable transportation, lodging, ewnl or meeting registration fee, and lood and beverage expenses related 10 an ewnl al M'lIch a speech, presentation, or writing will be made by the public officer or employee Part C should be used to describe these honorarium evenl relal8c:t expenses Un"'" the law, the persons or entities paying for or proVIding sudl expenses are required 10 ~VIde you with a statement conceming them Within 60 days 01 'he honorarium evenI; all8dl this statemenl to Form 10. FOR MORE INFORMATION Questions abou.this 'orm or \he ethics laws may be addressed to the Commission on Ethics, Post Offi09 Jrawer 15709, Tallahassee, ADrida 32317 5709,telephone (904) 488·7864 (Suncom 278-7864) Please lollow lhe filing InSb'ucb9ns above and do notlile this form with the Commission on Ethics NonCE: UNDER PROVISIONS OF SEC. 112.317, FLA. STAT., A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND. OR A FINE UP TO $10,000
CE FORM to· REV. 1/95
PAGE 2
i
eo
.
•
FI.I·Li·At~ij-PUBLII~CDiscl~oSURE OF FINANCIALc:INTERESTSJ993~) -1 - ' -._-.
II :'V':"
-----r--:-:-:-:-:-::--o=""c=~------------------___i
NAME OF AGENCY:
WAKULLA COUNTY
I'
.. 3, :~
$ •
. . .-._ - --- - I ',ME:· Iv' D ~ L : N ~~II:: II:
NIl,"·
'11. I 'IlG Jd
4X4
::: I 1 .- .. --
--
OFFICE HELD:
ct
OFFICER
Q
CANDIDATE
SHE RIFF OFFICE SOUGHT:
-~
p- ---
POSITION:
Q OTHER
ID I:
009'1101~7
PA )U!; EHOl 0 OOOOS AND PERSONAl. EFFECTS: 'USI, hold 9<'0<15 and pel$onal effects "My toe reported In slump sum If their aggregate value exceeds $1,000. Thls category Includes any 01 the followlng," t hElId for I~'U stmenl purposes: jewelJ'y, co lectlons 01 tamps, guns, and numismatic Items: art objects: house~1d equipment and fumlshlngs: clothing: IeI' hou';ehokl Ite>m<;, and vehicles for parsonal use. n-I~
aggregate value 01 my household gOllds and pe
I effects (described above) Is $
..=1..=2...:.,..=1-=0-=0..:..,.::..00.::...
_
;SE TS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPnON OF ASSET
sh in Bank, kulla
H~.
Pha~acy,
VALUE OF ASSET
319 N.
Market
C~ra~w~f~o~r~~~~~~
~_~~~~~~~
~=a~r~e~C~~~~~=;~~F~1~
~_~~~~~.::...-~
sidence & 8 Acres, Lost C~r~e~e:..k~..j.....:C~r!=,;a~w=-f!=,;o~r!:..:d~v!.i=-=-l=-le!:...L_F~l~ +_-=-::..L.=::"':';=_-j Bedroom Rental, Talco ·:.::::::..::....-....:..=.:F:..:::..::~:..!.....~:..::.------------+-~::...z..::.::..::....:.~----1 Road Ta lahassee, Fl Bedroom Rental, Hudson Heights Crawfordville, Fl Imnercial Office Building Rental Church St. Crawfordville, Fl Acres
NAME AND ADDRESS OF CREDITOR
arnett Bank of Tallahassee
Ta lahassee
arm Credit
Hw • 90 West Monticello
,a t lons Bank
Fl
'33 Louisville Box 44090
F1
KY
PART 0 -INCOME
an
u may EmlER (1) file a complel8 copy 01 your 199 lederallncome laX retum, Inclucfrng aft8Chments, OR (2) file a swom statement Identifying each , •>arale source and amount 01 Income which exceeds 1,000, including secondary sources 01 Income. by completlng the remainder 01 Part 0 on page 2 01 I il form. I :
,I I elect to file a copy of my 1993 lederellncome laX
tum. (II you check this box and attach a copy 01 your 1993 laX retum, you need not complete \he
remainder of Pan D.] I::
FORM 6· REV. 1/94
(Continued on reveru aide)
PAGE 1
.----------------i---__,-----::,...--,...-.-.--------------------, (Part 0, Contil J(.j) PRIMARY SOURCES OF INCOME:
1--_...;.NA~M;,;;:Ec.::O:..:..Fc.::SOU:..:;.::.;.,;A~ce~O..:...F...:.:INCOM.:.==E:...:EX::..:..::C_=E=EO::.:ING,;.;,;:;.:.$~.OOO=--_+_--.:A~O· IPESS OF SOURCE OF INCOME
Wakulla
co.
P.
Board of Commissioner
o.
1-----------------1-----1---
AMOUNT
c( 337, Crawfordville, Fl
$65,294.88
1-----------------1-----1---- -.-----------__t----------j
1---------------+-----+--- -.-------------1--------; I - - - - - - - - - - - - - - - - - t _ - - - I . . . . - - - - _.
--1
--1..
SECONDARY SOURCES OF INCOME (Major custome 1'1. ellen....te., 01 buslneSl\( S ':!'It ned by reportlng pel1lOn):
NAME OF MAJQJ: SOURCES OF BUSINESS' INCOME
NAME OF BUSINESS ENTITY
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
AOORESS OF SOURCE
------------;-----------1
N/A
I----------_+_--...;;.;.;,~--t_---__t--------------_+_---------_j
1----------_+_------+-----4---
------------+-------------1
1 - - - - - - - - - - + - - - - - - - / - - - - + - - - -----------+----------..,
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in CE 'tain types 01 buslnesaes)
BUSINESS E~ TITY • 1 BU: .INESS ENTITY , 2 BUSINESS ENTITY' 3 NAME OF .:;.'-==~..;.;.;..-'--.;::-.--I---...;:..:::.=.;,;-==.;~,;,.;..;.....;:'-----1 BUSINESS ENTITY Wakulla Phao acy 1--':'==-==-.=-'-'-'-''-----rn..,.....,.,,..-,;,....-,;;-:--;-;--I-..:..,.......,.~,...-1I__- AOORESSOF Market Sq~.I.l'Y._319 N.
---------+-------------1
+-
_ -------+------------1
~B~U~S~IN~Eh§S~S~E~NTITY~b::::_--_tJ~~(.Q.]~W''LJ'+~l~n·:J....__
PRINCIPAL BUSINESS AC~TY Pharamcy/Ret il r--:p:-:o:::S'=rr:::IO=-=N7':'7HE=L:-:O=--------i-----::_-'-O-_--+------+----
----------1--------------1
I---'W~ITH_'_'_'_.::ENT:..:.,:.-:nY~ ----__I_-----___+----___+--- - - - - - - - - - I - - - - - - " " " " ' - - - - - - { I OWN MORE THAN A 5%
I--:I':':NT:":::E~R=E=S~T::'N:7TH:':';"E::..:;BU:;S=<.:I:.:.NE::;S::o::S=--!_-----_t_----_t_-----------+-------------1 NATUAEOFMY OWNERSHIP
REST....
Husband of O1mer
IF ANY or; PA1rTS A"rHRCIJmt E ARE CONTINUED ~N A SEPARATE SHEET, PLEASE CHECK HERE all
=- ..,., al the
I, the pe
~f')
.:
beginning OI~mtao~on oath and
'I";.'-~ this form say IhallheUiI~ltqIf-
..
ana any anllt~ls ~'O ~, accurele, , 't - •
and complele· .::» -, ..' Q~
L::'---:r ./ J~-l~
I
\.-
SIGNATURE OF REPORTING O~L OR CANDID TE
OATH
STATE OF FLORIDA k. COUNTY OF_ Wa ulla
The foregoing loslrumenl was acknowledged belore me Ihis
June 16 ...:..:=:......=-=-
day 01
_
, 19 94
David f. Harvey
,by
, who is personally known
10 me WJIIt1R~.._."."..==-:_:__NLl_f:"/A---------
(lype 01 identlflCalion) and who did take an oalh.
)~ .. ",a:.. c..' 'Jtt~
' s::.:, --(D _tllU"""" ~
7
c:4.(Signalure of Notary PubflC)
8SW.DlNI!'" MCH
In 0011
~ MilS
(Name of Notary PubIic Typed, Prlnled, or Stamped)
-.wa.1C.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _rTitle or Rank)
(SeMI Numbef) flUNG INSTAUCllONS FOR FORM 8: WHAT TO FILE: AI'l8f completing the form, file only ~ firsl sheel (pages 1 and 2). NOle: You also may be required Ie file Form 1081 the beck oIlhis packel (see the form for 1ns1ruc1Jons). WHERE TO FILE: fncumbenta fife with lhe oep.r1!Mnt of Stilts. Room 1801, The Capitol. Tallahassee, Fforfde 32399-0250. Candldat.. tile with lINt orncer before whom they quality.
WHEN TO FILE: IncumbenlS must file no Ialer lhBn Iuly 1, 1994. Candidates must file prior to or at the time they quamy. CE FORM 6· REV. 1/94
PAGEa
Page 1
(a)
FORM 6 FJll Public Disclosure of F~nandial Interest 1993 David Fujton Harvey 6-16-94
ASSETS - Can't 3 Bedroom Rental,
Fulton Harvey Road, Crawfordville, F1 Fox Hollow - 3 Duplex , Whaley Road, Crawfordville, Fl
$ 15,000.00
31,000.00
4 Acres - Hudson Heig ts.
Crawfordville, Fl
2,000.00
3 Acres - Harket Squa e,
Crawfordville, Fl
100,000.00
Lot - Ochlocknee Rive ,
Sopchoppy, Fl
10,000.00
Crawfordville, Fl
10,000.00
Crawfordville, F1
60,000.00
15 Acres - Harvey Hil 200 Acres -
H8rvey~Yo
Herrill Lynch
21
Road ng Farm,
S. Monroe Street Tallahassee, FL
Retirement-Deffered C mpensation,
Page 1
Carmel, IN
50,000.00 30,000.00
(b)
LIABI~lTIES
- Can't
Deposit Guaranty Hort age Co.
Box 1193 Jackson, HS
15,000'.00
Arthur Robison,
Box 22 Thomasville GA
20,000.00
Citizens Bank,
Hwy.
19 N.
Crawfordville, Fl
156,000.00
Wakulla Co. State Ban , Hwy. 319 N.
Crawfordville, Fl
35,000.00
J, K, Hoore,
CraWfordville, Fl
30,000,00
J r"
.....
. "
K, Hoore Road
FORM 10 LAST NAME -
Harvey,
ANNUAL DIS LOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AN DIRECT SUPPORT ORGANIZAnONS AND HONORARIU EVENT RELATED EXPENSES
FIRST NAME -
THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1193
MIDDLE NAME:
David Fulton NAME OF AGENCY:
MAILING ADDRESS:
Rt 3 Box 5011 CITY:
Crawfordville
Wakulla Co. Sheriff's Department ZIP:
COUNTY:
32327
Wakulla
OFFICE OR POSITION HELD:
Sheriff
NAME OF PERSON PROVIDING GIFT(S) IN 1993
DESCRIPTION OF INDIVIDUAl GIFTS
DATE EACH GIFT RECEIVED
NAME OF PERSON PROVIDING GIFT(S) IN 1993
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
EVENT '2
NAME OF PERSON PAYING EXPENSES AODRESSOF PERSON AFFILIAlION OF PERSON AMOUNT OF HONORARIUM EXPENSES DATE(S)OF
THEEVENT
DESCRIPTION OF EXPENSES PAID ON EACH DAY TOTAl VALUE OF EXPENSES
FOR THE EVENT
CE FORM 10· REV. 1194
-----------_.
-_.
-
EVENT' 3
ttl"
, Penona who 'lie Form 1 or Form 6 ahould ftle !hla 'orm with their Form 1 or Form .. Stata Ie 'orm with the Deptutment of State, Room t BOt, The Capitol, Tanahaa_. florida 323K lhlaJlQOD.JllItIdJllalJlll.1lllsllJmlall...l..f~llbJIt...l;lID.mll.milmid. WHO MUST FILE FORM 10: An pe~ns who are required to file Form 1, Statement of Financial Interests, and an pe~ns who file Form 6, Full and PublIc Disclosure cf FmanciaJ Interests, .xc.pt/I (comprehensive lists are part of each of those forms). In acldition, state "procurement employ_' lire required to file Form 10. You lire II "procuremen employee" If you: (1) Are an employee of lin oI'lIce, department boIIrcI, QOfMIIssIon, or council of the execu1lw or lucflclal brenches state government; (2) Partlclpate In lI'le procurement 01 con I servtces or commodities costing more than $1,000 In any year;
0'
(3)
Through decision, approval, disapprov I, recommendation, preparation of any part of a purchase request, influence the conlent ot any
speclflC8tion or procurement standard. rendering 0' dvtce, Investigation, auditing, or In any other advisory capacity. INTRODUCTORY INFORMAnON (At the Top of t NAME OF AGENCY: This should be the e of lI'le govemmental unit which you serve or served, or by which you are or were employed For
ellample, "Cily Tallahassee,' 'F1or1da senate" or "Department of Trensportation:
OFFICE OR POSmON HELD: Use the tilIe of the offlce or position you hold or held during 1993 (in some cases you may not hold that position now,
but you stla would be required to IiIe to your interests during the last year you held that position). For example, "City CouncD Member,'
"Member," 'Purchasing Agent," or "Bureau C I:
ADDRESS OF REPORnNQ INOMOUALS: e following persons should notuse their home addresses: active or 'ormer law enforcement personnel;
abuse, neglect, exploitation, fraud, theft, or other criminal activities; and
firefighters; personnef of D.H.R.S. whose dull Include the investigation spouses of the above,
0'
0'
PART A -
GIFTS FROM GOVERNMENTAL E
ES [Required by
sec. 112,3146, Fla. Stat.]
partments and commissions of the executive branch, counties. municipanties. airport authorities, and Entities of tho Ieg~lative or Iud'ICiaI branches, school boarcls may give, either directly or Indirectly II gift worth over $100 to persons who fila Form 1 or Form 6 01' to state procurement employees /I a Id be used 10 list such gifts. Under the law, lI'lese govemmental entnies are required to provide you with public purpose can be shown lor the gift. Part A a statement oonceming these gifts by Marctl1; II this statement 10 Form 10. PART B -
GIFTS FROM DIRECT SUPPORT ORG NIZATIONS [Sec. 112.3146, Fla. Stat]
Direct support organizations specifically autho
1 or Form 6 or to a state procurement employee /I Ust such gifts. Under the law. these direct support statement to Form 10 PART C -
ed by law 10 support a goverrmentaJ entlly may give a gift worth over $100 to a person who files Form person or employee Is an offlcer or employee 01 that goverrmental entlly. Part B should be used 10 nizatlons BTe required to provide you with a statement concemlng these gilts by March 1: anach this
HONORARIUM EVENT RELATED EXP
Reporting Individuals who file Fonn 1· and Fo 6 and state procurement employees are prohibited from accepting an honorarium (a payment In exchange for a speech, oral presentation, wriling, a the like) from a polnical committee or commlnee oontinuous existence, from a lobbyist who lobbies them or their pubrlC agency (or has done 80 within previous 12 months), and from the employer, principal, partner, or firm of such a lobbyist However, these persons aoo entitles may payor provide a repv,tlng Indlvldual or procurement employee and his or her spouse for ac1ual and reasonable s related 10 an event at which a speedl, presentation, or writing will be made by the public offlC8f' or transportation. lodging, and food and beverage expe employee. Part C should be used to describe these n"tum event related expenses. Under the law, the pe~ns or entitles paying for or providing such ellpenses ara required 10 provide you with a staterne t oonceming them within 60 days of the honorarium event; attach this statement to Form 10.
0'
"* ...
FOR MORE INFORMAnOH, ~
OueslloM abput f~ flthlc8lawa may be ddressed 10 the Commission on Ethlc8, Post OffICe Drawer 15709, Tallahassee, telephona.( ) 48S-786tt~ 278-7864).
J..
f:torlda
32317-5709,
";:0;.
,"-
~?N
NOncE~RFWVI~OF SEC. 112.317,
LA. STAT A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND M~I'\U~HE!6!if?ONE OR MORE F THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLO, ~".':t"E~~NIN SALA Y, REPRIMAND, OR A FINE UP TO $5,000. • .1
rr
~,
. -:::
FORM 6 LAST NAME
FULL AND PUB IC DISCLOSURE OF FINANCIAL IN'tERESrS--1992: ::.> FIRST NAME
HARVEY, DAVID
MIDDLE NAME
.
OFFICE HELD
""")
MAILING ADDRESS:
,
,"jIFFICER
SHER I FF
RT. 3 ... »OX ...5011 T'
OFFICE SOUGHT
~
CITY
'CO\JNT'l':
ZIP'
POSITION:
PART A
ASSETS WORTH MORE THAN $1,000
HOUSEHOLD GOODS AND PERSONAL EFFEC : Household goodt and p8rlOnai effeclJ may reported in a lump sum If their aggregate value exceeds $1,000. This category Includes any 01 the lollowlng. il not held lor investment purpose . jewelry; collections 01 stamps, guns, and numismatic Items; an objects; household equipment and lurnishlngs; clothing; other household Items; nd vehicles lor personal use.
12.100.00
The aggregate value 01 my household goods ASSETS INDIVIDUALLY VALUED AT OVER $1, DESCRIPTION OF ASSET
VAlUE OF ASSET
Cash in Bank, Wakulla Residence & 8 Acres. 2 Bedroom Rental, 3 Bedroom Rental. Commercial Office
95,000.00 170.000.00 22,000.00 14,000.00
Fl
Crawfordville, FL Tallahassee, FL ights
7.500.00
Crawfordville, FL
18,000.00
Church St. Crawfordville, FL
24,000.00 PART B
LIABILITIES IN EXCESS OF $1,000
AMOUNT OF LIABILITY
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee
Tallahassee
Farm Credit,
Hw • 90 West
Nations Bank,
Box 353
FL
Louisville
PART C
KY
NET WORTH
Net worth IS the dllference between 101111 assets and 101111 "abilities. not merely those hsted above (see Instruchons) Please enter the value of your net worth as of December 31. 1992, or a more current date
PART D
INCOME
You may EITHER (I "Ile a copy of your 1992 feclerellncome tax return, OR (2) file a sworn statement Identifying each separate source and amount of Income which exceeds $1,000, inclUding aecond~ry sources of Income, by complehng the remainder of Pan D on page 2 of thiS form
o
I elect to file a copy 01 my 1992 lederal mebme tax return {If you check thiS box and anach a copy of your 1992 tax return. you need nol complete the remainder of Part 0 I (Conllnued on
CE FORM 6 - REV 1193
IlImllllJlI m1111111 "'IR111111110111111111101111
,....... ald.)
PAGE'
(Part D, Cont nued)
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDIN
Wakulla Co. Board of Commissi
SECONDARY SOURCES OF INCOME (MaJor NAME OF BUSINESS ENTITY
era
AMOUNT
ADDRESS OF SOURCE OF INCOME
$1,000
P. O. Box 337,
Crawfordville, Fl 32326
$63,964.00
stomers. clients, etc., of buslnes.., owned by reporting perllOn).
NAME OF M OR SOURCES OF BUSINE S'S INCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCE
N
PART E - INTERESTS IN SPECIFIED BUSIN SSES (Ownership or positions in certain types of businesses)
BUSINESS ENTITY" 1
BUSINESS ENTITY" 3
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 IF ANY OF PARTS A THROUGH E ARE CO
INUED ON A SEPARATE SHEET, PLEASE CHECK HERE III OATH
I. the person whose name appears at the
STATE OF FLORIDA W k 11 COUNTY OF a u a The fOnllioing instrument was acknowledged before me this day of
beginning of this form, do depose on oath and say that the Information disclosed on this form
June
~VZD -;;::- ~tft'
,19
----'1~5~__
93
,by
,who Is personally known
and any anachments hereto is true. accurate, and complete
""::::::~~~..&~~!:.l:....c::1!:~~::a~ (Signature 01 Notary Public)
,', .....>. f'A'fi'lffi:~ 8. T,ARLSilK ":'.~'.~, :/:', 1,1" 'Xo~",'i:.~'~r." cr.2i'IAOI r...'PlRES ANDIDATE
•• .... ". ~
:r.:
II'
atl"'p. • rh "
~",,:~, ',"
,r,
(Name of Notary Public Typed, Printed, or Stamped)
lr,;7 '"
:,' ~l'::E
lie
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (TItleor Rank) (Serlal Number)
FILING INSTRUCTIONS FOR FORM I: WHAT TO FILE: After completing th form. file only the first sheet (pages 1 and 2), Note: You also may be required to file Form 10 at the back of this packet (see the form f Instructions), WHERE TO FILE: Incumbents file the Department of Stllte, Room 1801, The C8pltol, T.llahaatM, F1ortd. 32399-0250, Candd.t.. lie with the officer tietON they qualify. WHEN TO FILE: Incumbents must fII no later than July 1. 1993. Candidates must file prior to or at the time they qualify. CE FORM 6 • REV. 1/93
PAGE 2
•
~
.., Page 1
(a)
Forn 6 Ful Public Discld~ure of Finanei 1 Intrest 1992 David Fult n Harvey 6-15-93
.
,":rf'r ...... '. I,
I ....
,-...
,......"
• l
I
.,1
"
ASSETS - Con't 3 Bedroom Rental,
Ful on Harvey ,Road
Fox Hollow-3 Dulpexs,
aley Road
4 Acre - Hudson Heights
Crawfordville. FL
Crawfordville. FL
Crawfordville, FL
3 Acres-Market Square.
Hwy. 319 Crawfordville. FL
Lot-Ochlocknee River,
Sopchoppy, VI
15 Acres-Harvey Mill Ro d, 200 Acres Harvey-Young
arm,
Merrill Lynch,
Crawfordville, FL
215 S. Monroe St. Tallahassee, FL
Retirement-Deferred Com ensation,
PElge
1
$ 15.000.00
3\,000.00 2.000.00 125,000.00 10 ,000.00
Crawfordville, FL
Carmel Indiana
15,000.00 60,000.00 50,000.00 25,000.00
(b)
LIABILITIES - Con't Deposit Guaranty Hortgfl Arthur
Robinson,
Co. B x 22
Reginald Roddenberry, Cit izens Bank,
Hwy. 31
»ox 1193
Jackson, HS
Thomasville, GA
3226 Beacon St. Tallahassee, FL Crawfordville, FI
Wakulla Co. State Bank,
Hwy 319.
CrawfordVille, Fl
J. K. Moore,
. K. Moore Road, Crawfordville, FL
1
• -~!
15,000.00 20,000.00 31,000.00 156,000.00 35,000.00 30,000.00
_
.
,
.
FORM 10
ANNUAL DIS LOSURE OF GIFTS FROM GOVERNMENTA.L ENTITIES AN DIRECT SUPPORT ORGANIZATIONS ANB,'I l':' HONORARIU EVENT RELATED EXPENSES -".. .,...g.~ .,~
THIS STATEMENT REFLECTS,~ ANdH'bHOR~RIUM EVENT RELATED EXPENSES_C~Q,I?URING"9~2,", .)' ,- , .
LAST NAME· FIRST NAME· MIDDLE NAME
Harvey,
David
D
.
Fulton
NAME OF AGENCY
MAILING ADDRESS
Rt 3 Box 5011
Crawfordville
Wakulla
FL 32327
CITY
ZIP
COUNTY
Wakulla
co.
Sheriff's De artment
OFFICE OR POSITION HELD
Sheriff
PART A - GIFTS (HAVING A PUBLIC PURPOS
NAME OF PERSON PROVIDING GIFT(S) IN 1992
TOT L VALUE OF GIFTS FR M THAT PERSON
Sheriff's Department Employees
DESCRIPTION OF INDIVIDUAL GIFTS
Fish Cooker
DATE EACH GIFT RECEIVED
12-25-92
$300.00
PART B - GIFTS FROM DIR ECT SUPPORT OR
NAME OF PERSON PROVIDING GIFT/s) IN 1992
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEiVED
PART C - HONORARIUM EVENT RELATED EX
EVENT" 2
EVENT" 3
NAME OF PERSON PA YING EXPENSES
ADDRESS OF
PERSON
AFFILIATION OF PERSON
AMOUNT OF HONORARIUM
EXPENSES
DATE(S) OF THE EVENT
DESCRIPTION OF EXPENSES
PAID ON EACH DAY
TOTAL VALUE OF EXPENSES
FOR THE EVENT
(Conltnued on reverse Side)
CE FORM 10 - REV 1193
PAGE 1
1011111 nlllm 1111111 IIIni 11111 11111 II 1111111111111111111
·
;
IF ANY OF PARTS A THROUGH CARE CONTINU 0 ON A SEPARATE SHEET. PLEASE CHECK HERE 0
INSTRUCTIONS FOR COMPLETING AND FI NG FORM 10: WHEN AND WHERE TO FILE: By July • 1993. Personl who file Form 1 or Form 8 Ihould file thl. form wllh their Form 1 or Form 6. Stale procurement employeel (lee eflnllion below) file thll form with Ihe Department of State, Room 1801, The Capitol, Tanahall••• Florida 32399·0250. Thll form n .d nol be flied unlell a reportable gill wei received. GIIII promised before January 1, 1991 should be reported on Form 7. WHO MUST FILE FORM 10: All persons who are reqUired to hie Form 1. Statement of Financial Interests. and all persons who IIle Form 6, Full and Public Disclosure of Fma clal Interests, eICcept Judge. (comprehenSIve Itsts are part of each of Ihose forms) In lIddlllon, state "procurement employees" are re ulred to Ille Form 10 You are a 'procurement employee' If you (1) Are an employee of an office. depar ment, board. commiSSion. or counCil of the execuhve or Judicial branches of slale government. (2) Who participates In the procurement 0 contractual services or commodities coshng more than $1,000 In any year; (3) Through deCISIon, approval, dlsappro al. recommendation, preparahon of any part of a purchase request. influenCing the content of any speCIfication or procurement sta dard. rendenng of adVice, mveshgahon. aUditing, or In any other adVisory capacity INTRODUCTORY INFORMATION (At the Top Ithe Form) NAME OF AGENCY: ThiS should be the employed For example, "City of Tallahas OFFtCE OR POSITION HELD: Use the hlle that POSition now, but you shll would be re example, "City Counc.t1 Member,' "Member, ADDRESS OF REPORTING INDIVIDUAL enforcement personnel. f"ellghters, and exploltahon, fraud ';)eft. Dr other cnmlnal a PART A GIFTS FROM GOVERNMENTAL E
me of the governmental unll which you serve or served. by which you are or were e," "Flonda Senate," or "Department of Transportation" fthe office or poslllOn you hold or held dUring 1992 (m some cases you may not hold Ired to file 10 disclose your Interests durrng the last year you held thaI pOSition) For "PurchaSing Agent," or "Bureau Chief" : The lollowlng persons should not use their home addresses acllve or former law ersonnel 01 D HAS whose duties Include the Investlgallon of abuse neglect. IIvlhes ITIES (ReQUifed by Sec 1123148, Fla Stat]
Entilies of the leglslallve or Judicial branc airport autho'ihes, and school boards may give 6 or to stale procurement employees If a pUbli the law. these governmental entIties are requi stalementto Form 10 PART B - GIFTS FROM DIRECT SUPPORT 0
es, departments and commisSions of the executive branch, counlles. muniCipalities, either directly or Indirectly. a 91fl worth over $100 to persons who I"e Form 1 or Form purpose can be shown for the 9,ft Part A should be used to list such gifts Under ed to proVide you With a statement concerning Ihese gifts by March 1. allach thiS GANIZATIONS
[Sec 1123148, Fia Stat
I
Direct support organlzalrons speCifically a thortzed by law to support a governmental entity may g,ve a gilt worth over $100 to a person who hies Form 1 or Form 6 or to a stat procurement employee If the person or employee IS an officer or employee of that governmental entIty Part B should be used t list such gifts Under the law. these direct support organIzations are reqUired to prOVide you wllh a statement concern 109 these Ifts by March 1 attach thIS statement to Form 10 PART C - HONORARIUM EVENT RELATED
PENSES IReqUifed by Sec 1123149, Fla Stat
I
Reporting tndlvlduals who f,le Form 1 or F rm 6 and state procurement employees are prohibited from accepling an honoraflum (a payment In exchange for a speech, oral pre ntahon. writing. and the Irke) from a polrtlcal commillea or commillee of continuous existence, from a lObbyist who lobbies them their public agency (or has done so within the prevIous 12 months). and from the employer, prinCipal, partner, or firm of such a I bbylsl However. these persons and enllties may payor provide a reporting individual or procurement employee and hiS or her spous for actual and reasonable transportation. lodging. and food and beverage expenses related to an event at which a speech, presentat n, or writing Will be made by the public officer or employee Part C Should be used to deSCribe these honorarium event related expen es Under the law. the persons or entlhes paying for or prOViding Such expenses are reqUired to prOVide you With a statement concer 109 them Within 60 days of the honoranum event, attach thiS statement to Form 10 FOR MORE INFORMATION Ouesllons about thiS form or the ethICS laws m y be addressed to the CommiSSion on EthiCS, Posl Office Box 6. Tallahassee, FlOrida 32302-0006. telephone r904} 488-7864 (Suncom 78-7864) NOTICE: UNDER PROVISIONS OF SEC. 112. 17, FLORIDA STATUTES, A FAILURE TO MAKE ANY REOUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY B PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT. REMOVAL OR SUSPENSION FROM OFFICE OR EMPL MENT, DEMOTION. REDUCTION IN SALARY. REPRIMAND. OR A FINE UP TO
$5.000 CE FOAM 10· REV 1193
PAGE 2
•
,AC;T "fAME
rm:;r
NAME - MIUULE NAME
id Fulton
Harvey, MAILING ADDRESS
•
Rt 3 Box 511
OFFICE SOUGHT
o CANDIDATE COUNTY
ZIP
CITY
Crawfordville.
Wakulla
Fl 32327
o
POSITION: OTHER
PART A - ASSETS WORTH MORE THAN $1.000 HOUSEHOLD aOODS AND PERSONAl effECTS:
HoUMhold goods and penona' effecll may be reported In a lump sum II their aggregate vellll exceeds S1,IlOO. Thll category Includes any 01 the lollowlng. II not httld lor Invetltment purposes ,_e1ry, collections 01 stamps. guns, and numllmatfc Items; art objectl: household equipment and lurnlshlngs. clothIng; other household Items. end vehicles lor pe~nal use. The aggregate value 01 my househOld goods and pe~nal effects (described above) Is $
12.100.00
A88£TIINOIVlDUALLV VAlUED AT O~R ",000: DESCRtPTION OF ASSET
Cash In Bank -
VAlUE OF ASSET
Hwy. 319 N.
80.000.00
Crawfordville. Fl
Wakulla Phanaacy - Market Squ~~e. Cr~a::..w::.:f:...o::..r:...d::..v::..i::..l::..l::..e::...~F;..1..;.... Residence & 8 Acres - Lost Creek & Arron Road. Crawfordville. Fl Tallahassee.
25.000.00 -----------+---;....-----;
15.000.00
Realt
- Talco Road.
Realt
- 3 BR. Home. Hudson Hei hts. Crawfordville. Fl Partnershi
Commercial
Fl
___4--1-4-0....;..-O_0_0_,_0_0_--;
Crawfordville. Fl
PART'
7.500.00 21.250.00 25.000.00
UAlIUTI£I IN DCUI OF'1.ooo
NAME AND ADDREIS OF CREDITOR
Re inald Roddenberr
3226 Beacon St ••
Barnett Bank
315 S. Calhoun St. Tallahassee Rewinkel Road crawfordVille
J. K. Moore
Tallahassee.
PART C - NET WORTH NIt wor1h II the difference between .."., UI8tI -.net ",,., Il8bIlhl8l, not merely thaec lilted ebove CNI Inltructlons). PIeue enter the ve~e 01 your net worth • of Oecemb8r 31. '991. or • mcHW cu~ <Sale
It.iYMt-M;;1h__of • --.:June 30,
.111 92
PART D - IICO... You may ~ITH~II 1\) III' a copy 01 your moat recent lederal Income tu return, Oil (2) nle e lworn statement Identifying Nell • .,.. source amount ot Income wllleh exceeds S1.000. Including MCOOdery aouree6 ot income. by completing the rwnlllnder 01 Pa" 0 on pege ~ of tlllt lorm
-.net
0 t elect 1IO nle • copy of my mOlit rweent federa' Income LlIl rwturn. III you c:hecIl tills box end ettech a copy of your , . , lex return. you need not COmplete the ,.melnder of Part D. J
•
'--~ce;;-:f=:ORII=~':-.-:RIV=-:.,;-:Ja=---...:.------------------(:':ContInued~:----:-on--,.-•• -.-... ~)--~P~AOa~~1~---J
1• • • • • • • • • 11
10
-------- - -
..
-- - - \Parl ---D. -Continued) --------
PRIMARY SOURCES OF INCOME:
A~f'lItE':>':> OF
W\ME OF SOUcC!: O~ !~ICO'.·!: £XC££DI~IG~' ro~
Wakulla Co. Board of Commissioners
1----------------------
':>01'~CF (IF INCOa,AE
P.O. Box 337. Crawfordville, Fl
62.926.80
SECONDARY SOURCES OF INCOME (Malar cuslomen. chents, etc.. 01 bus.n,,"" owned by reporting person) NAME OF BUSINESS EN1'ITY
NAME OF MAJOR SOURCES OF BUSINESS'S INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
NA
PART E - INTERESTS IN SPECIFIED BUSINESSES (Ownership or poel1lonl In certain Iypes or buaineNel)
BUSINESS ENTITY" 1
BUSINESS ENTITY" 2
BUSINESS ENTITY" 3
Wakulla Pharmac Mark~t Sqi Hwy~ 3 Crawtorv:l Ie
rl
None
.. OATH I, !he penon whoM
nem. IppM" It
the
~FJLORIOA Wakulla
30
The foregoing inltnJment ... ICknowtedged before me Itlla
June
. 19 92
. by.
beginning of !hit form. do depose on oaltl and
My of
:trlthe! tf\o Inf~on d!:c;lo;od on ttll. form
___D=av.=.=.id=.....Fu=-=I=-t:.;o:.;n::-::H:.;;:a=:rv:..:..:e:.v=--_---i~who Is pcr:oMlIy known
and Iny IltIIc:hrnents hereto " true. llCCurIIle.
flUNG fNSTRucnOHS FOR FORM I: WHAT TO FILE: After completing the form. file only the n,.,lheet (lUIges 1 and 2). Note: You also may be requlntd to lIIe Fonn. 7 and 10. at the beck of this packet (. . thOle fonn. for In''ructlana). WHERE TO "U: tncumIIenII ........ the DepMment of ...... Room 1101, The CapIIoI, T..-...-. FlorIda 3DII-02SCL c.dJIIIll lie ....... before whom ...,....". WHEN TO FlU: Incumbents mUit nle no , . - than July '. 1 - ' candida_InUIt ftle prior to or at the time IhIy qualify..'
omc»r
CEFORM6-AEV.,1llQ ..
~.
'"
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PAGEl'. ~ '''. 1~ ,-:~ .:., .~~
~ .-;'t~;" ~
?age 1 (8)
Form 6 Full and Public Disclosure of financial Interest 1991 David Fulton Harvey 6~30-9~
ASSETS- Con't 4 Acres Undeveloped Land. Pdrtnership
Int~rest
lIudson Heights,
- ] DuplexR
15 Acres Undeveloped Land,
Partnership - I.
4,000.00
$
30.000.00
Fox Hollow. Crawfordville, Fl
22,500.00
Harvey Hill Road, Crawfordville, FI
Harvey/Young Farm,
1 Acre Undeveloped Land,
Crawfordville, Fl
30,000.00
Rewinkel Rd. Crawfordville, Fl Sopchoppy. FI
12,500.00
Crawfordville. Fl
2,000.00 32,000.00
Ochlocknee River.
Partnership Interest l Acre Arron koad. Vested Interest In Retirement Commercial Retail Rental. Residential Realty
Market Square.
115,000.00
Crawfordville. Fl
22.500.00
Fulton Harvey Road. Crawfordville. Fl
18 Acres Undeveloped Land.
Highway 98.
22,500.00
Panacea. Fl
Page 1 (b) LIABILITIES - Can't $ 16.390.00 C & S MortRa~e Comp~ny. 325 John Knox Rd •• Tallaha.see. Fl Citizens Bank of Wakulla. Harket Sq. Hwy. 319 N. Crawfordville. Fl 175.000.00
Bankcboston Hortgage Corp. P. O. Box 44090. Jacksonville. Fl 32231
6.493.00
Wakulla Co. State Bank. Hwy. 319 N. Crawfordville. F1 32327 Deposit Guaranty Hortgage Co.
25.000.00
P. O. Box 1193, Jackson. KS 39215
5.340.00
Farm Credit. N.W. Hwy. 90, Konticello, Fl Arthur Robison,
Box 22
ThOMasville,
GA
20.000.00 31799-0022
l::,_.21.250.00
,--;. _ts.. ".,
Citizens Bank o[ Wakulla, Market Sq. Hwy. 319 N. Crawfordville. FI,::[.:- 8ui1JOO~OO :-
,.
_
L
V).
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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ._---------,
FORM 7
LAST NAME
1991 GIFTS PROMISED BEFORE JANUARY 1, 1991
FIRST NAME· MIOOLE NAME
DaviJ
Il.:lr'.'cy.
--_._-~
J
FULL'JlI
t-..,....,....,-:-~--:-::~=-:_=_---------------
MAILING ADDRESS
Wakulla County Sheriff' R Department
Rt ) Box 5011, ZIP
CITY
Crawfordville.
THIS STATEMENT REFLECTS GIFTS AND OTHER NON·CAMPAIGN CONTRIBUTIONS THAT WERE PROMIC,EO BEFORE JANUARY 1. '1991 BUf RECEIVED DURING 1991 BY ELECTED OFFICIALS AND CERTAIN APPOINTED OFFICIALS -N;;;:;.; .. M~E.:.:O~F~A.:.:G:-:E:7N"":C'::V.,.::.;;--:..-'--'-.::..:..:.c=.::.....
I
Fl
32327
OFFICE HELD
COUNTY
Sheriff
Wakulla
PART A STATEMENT OF QIFTS. DONATIONS, OR PAYMENTS DATE RECEIVED
CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
CONTRIBUTION
None
-----
---
------._-_.. _-~.-_
..
_--_._-----
----
.-
--.-_'-
-
-------~_._--
p,..ItT a - v:POmlTURfC OR OTHER Dl&PO&lnOH OF OIFl" DONATlON" 0" PANENT. DATE OF EXPENDITURE
NAME OF RECIPIENT
EXPENDITURE OR DISPOSITION
ADDRESS OF RECIF'IENT
.,
t-7"I.-;;the~P8l::::. .. ::::n":':wtl'::::IOIe~~Nme:'::":~.~PPM":":"::-:ra~.:::I-::lhe:":"""------------------------.lit~·--'"a;.--.,;~,;:., ~----1 \ begInning of IhiI form. ~ depOse 0l'I oe1h and
STATEOFFL.ORID-\ k. 11 ~~;SS I . r h COUNTY OF "y,_u __ , >....,~.....:s. •.• , I, The Ioregolng 1n8t",ment wu ackn~ thIa. 1.:J~_3,.;:;.0 _ _
NY that the Inlormatlon dlac;loaed hefeln .nd on
day 01
betOlMte 0/:00.
June
be repor18d by Sec:1ton 11231". Florida Stal"," ,
Rortda
~OF=--'~
Cf: FOAM., •
R~
1JII?
. by
to me ~, who has produced _:v~dtlnlltic:atlon) •• nd whO did t.....n oeth.
.ccu,.,.••nd IOtaI 11111 ng 01 .11 gltla required 10
(1lnl. as .mended by Ch llO-502. La. . 01
92
~whO I. perIOnally known
David F. Harvey
.ny .n-chlnen.. made by me conatltutee • true.
,
• 19
~ « rA4-<" ~ ~SJtg~IU'.01 NoIa'Y PublIC) _ _--.;G;.;e::.;r;.;8;;.;1:;.;d:;.;i=.;n;:,;e;;.,..:K:.:.;. • ...;F;.,u=tc=.,h::.... Notllrf hbIIc, Stat. of F10tIdtt . , Commis,lon bpires Slpt. 25. 1994 _
(Name 01 Not.ry PubllCTyped,
Prtnted. or SI.mped)
n", Trer,.... _ .........
(T1tIe or Rank)
CC 036932
(Settll Number)
(ll'lItrucdonI on mer.. 1Idt)
PAGE'
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FILING INSTRUCTIONS FOR FC I M
• r
"'It
WHEN AND WH~Ae TO FIL: I~ ,lilly', i11Q2. 0"'<:1". who Form 6, Full end PubHc OI:cIDIUI1I ol Flnanel. InC.r..II,lhould file thl. fonn with their Fonn 8 '., th t e Department 01 State; Olvilion of Election., Room 1801, The Caphol. T.n.h...... FIoItda 323n-0250. OfficIalI who tile Fo I I 1 :i1.tement ot Flnancla' lnter"ls, lhould tile thla torm wtth their Fonn 1 with the SupervtlOt ot Eleeton. or the county wtwA the I re, c e,
WHO MUST FILE: Each per I trl 1I110lng an elKlive State, county, distriCt, or municipal office In Florida, and each apPOinted public officer who II reqUired by I.,.'", 111e Form 6, Full end Public Disclosure of Financial Interests. e.e.pt Judge..
INSTRUCTIONS FOR COMPLETlfo'G 'ORM7: INTROOUCTORY INFORMATION At fe Top
0' the Form}
NAME OF AGENCY: This el'o\. d be the name of the governmental unit which you serve or served. For exampte, "City of ra"ahasaee," or "Florida senate OFFJC! HELD: Use the title ()f ~ ·,e office you hold or held durll'lg 1991 (11'1 some cases you may 1'101 hold Ihat posItion now, but you still would be reqUIred to 1"" to disclose g,lts and ottler contributions received during the last year you held that position). For example, "County Commr.iSlwler," or "Member" ADDRESS OF REPORTING INCI\VIOUALS: The following persons should not use their home addresses: active or tormer law enforcement personnel: tlrellgl'1 :'Irs; and personnel at D.H R.S. whose duties include the Investigation of abuse, neglect, exploitation, fraud, theft. or other ,:rtmlnal actlvilles PART A - STATEMENT OF GIFTS, D(INATIONS, OR PAYMENTS
[Sec. 112.3148, F.S. (1989), as amended by Ch. E:>-502, LoF.)
Most gifts that were received durinu 1991 should be reported on CE Form 9. Quarterly Client Disclosure, or CE Form 10, Annua' Disclosure of Gifts from Govemmental EntIties and Direct-Support Organizations and Honorerlum Event Related Expenses. this part Ihould be used to report onty "contributions· (defined to Include any gift, donation, or payment) valued in excelS of $100 that were received after January 1, 1991 pursuant to an agreement entered Into prior to that date. This IncludN any "contributions" th.t were rec.Ived by you or on your behalf and Includ.. any peyment In axcea ot $100 to a dinner. barbeque. tlah try. or other such event. EJccluded are: campaign contributions (they are reportable under the campaign finance laWi of Ch. 106. Fla. Stat.); girts repl1lll8ntlno an expression of sympathy and having no material benefit; bOna fIde gm. for pe~nal use from your parents, children. grandparents, grandchildren, brothers. slaters, uncles. aunts, nephewa, nlec:ea, grvat-orandparents and greatiJrandchlldren; and hOnorary membership In SOCIlll. service. or fratemal organlzatlona presented as a courtesy by such organizations. legislators also n~ no! ~!:do:;e comiiihnenta,y plIrking privllegn PI'OVIOe
ISame legal authority as Part Al
If any payment or disposition is made tram the gifts. dOl'lations, or payments listed In Part A. plea. list In Part B the name and add,... ot each person who received such a payment or disposition the date ot the expenditure or disposition, and Identity the expenditure or dlapoaltlon.
FOR MORE INfORMATION: Quntlons abou1 th'- form or the ethlca laws may be addressed to the CommissIon on Ethics, Post Offiee Box 6, Tallahl...., FJortda 32302-oooe: telephone (904) 48&-7864 (Suncom 278-7884). NOTICE: UNDER PROVISIONS OF SEC. 112.317, FLORIDA STATUTES, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE, REDUCTiON fN SAlARY. REPRIMAND, OR A CIVIL PENALTV NOT EXCEEDING $5.000.
ce FORM 7 • REV. 1192
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PAGE 2
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, - - - - - - - - - - - - _ .. - .-
FORM 10
._-
ANNlI~L [JISCLOSURE
OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HO*"ORARIUM EVENT RELATED EXPENSES
LAST NAME· FIRST NAME· M'D 5l-1-;;':,XME - - - - - -
Harvey,
Oa\'1d Ful t,)!,
• THIS 'STATEMENT REFleCTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1H1
f--M:-A.,....'-LI.,....N""'"O-A-="D-OR=E=-S-S---- - - --·----------l---:N..,..,A,..."M-:-:E:-O=-F:-:-A~G'='EN=-:"C::-.Y::-;-:--------------
Rt 3 Box 5011
Wakulla County Sheriff's Department
CITY
ZIP
Crawfordville,
Fl
32327
COUNTY
OFFICE OR POSITION
Wakulla
Sheriff
HE~O:
PART A - GIFTS (HAVING A PUBLIC PURPOSE) FROM GOVERNMENTAL £NTmu
NAME OF PERSON PROVIDING GIFT(S) IN 1991
Sheriff Department
TOTAL VAlue OF GIFTS FROM THAT PERSON
$400.00
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
12-25-91
VCR
Employees
PART.
OIFTS FROII DIRECT SUPPORT ORClNtlZA11ON8
NAME OF PERSON
PROVIDING GIFT(S) IN 1181
TOTAL VALUE OF GIFTS FROM "!'HAT PERSON
DESCRIPTION OF
INDMDUAL GIFT8
DATEEACtf GJf.tRECEIVED
.....
None
PART C - HONORARIUM rYIN1' RlUTID EXNidU EVEHT'1
EVENT 12
AFFILIATION F AMOUNT OF HONORARIUM
CE FORM 10· EFF,
(ContInued on merwMde)
1m
I• • • • • • • • • • • •
PAGE 1 .\ ~
I
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, • ~J'
...
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CONTINUED ON A SEPARA~E SHEEi, PLEASE CHECK'HERE
0
REMEMBER TO ATTACH COPIES) ALL STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR THE GIFTS AND HONORARIUM EVENT R= LATEO EXPENSES DISCLOSED ON THIS FORM you MUST DISCLOSE ALL OF THESE KINOS OF GIFTS AND EXPENSES EVEN T'~OUGH ' )U DID NOT RECEIVE" STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING THEM YOU MAY EXPLAIN AN" .-lIFFERENCES BETWEEN THE ATTACHED REPORTS AND STATEMENTS AND THE INFORMATION PROVIDED ON THIS FORM I;IV A TT A :HING AN EXPLANATION TO THE FORM
INSTRUCTIONS FOR COMPLETING AND FILING FORM 10:
e
WHEN AND WHERE TO FILE: By July 1, 1992. Penonl who f11. Form 1 or Form should file thlt form with their Form 1 or Form e. S procurement employ"1 (Ie. d.nnltlon below) file Ihls form with the Department of htl, Room '101, Th. C.pUol, T....h Florida 3239t-0250. WHO MUST FILE FORM 10: All persons who are required to file Form 1. Slatement of Flnanclallntereat.. and all pertOna who file Form 6. Full and Public Disclosure of Financial Inlerests. Deept Judg.. (comprehensIve lists are part of eltch of those forms). In addition, state "procurement employees" are reqUired to file Form 10 You are a "procurement employee" if you: (1) Are an employee 01 an Of lice. department. bOil rd. commISsion, or council 01 the executive or judicial branches 01 state government; (2) Who participates In the procurement of contractual sel'Vlces or commodities cosling more than $1,000 In any year; (3) Through decision. approval. disapproval, recommendalion. preparation of any part of a purchase request. Influencing the content 01 any speclficalton or procurement standard. rendering 01 advice. Investlgalton, aUdiltng. or In any other advisory capacity.
•
INmODUCTORY INFORMATION (At the Top of thA Form) NAME OF AGENCY: ThiS should be the name 01 the governmental unit which you serve or served, by which you are or were employed. For example, "City of Tallahassee," "Flonda Senate: or "Department of Transportation." OFFICE OR POSITION HELD: Use the title of the office or position you hold or held during 1991 (In lOme cases you may not hold that posItion now, but you still would be required to liIe to disclose your Interests during the last yoar you held that position). For example, "CIty Counci! Member:' "MembAr" ··Purr-hll.'"g Ag"'nt." or "Bureau Chlo!." AOUHf:SS OF REPORTING 'NDIVIDUALS: The follOWing persons should not use theIr home addresses: active or former law enforcement personnel, firefi~hters; and personnel of D.H.R.S. whose duties Include the Investigation of abuse, neglect. exploltallon, Iraud. thefl or other cnminal actiVIties PART A - GIFTS FROM GOVERNMENTAL ENTITIES [ReqUired by Sec 112.3148. Fla. Sta!.) Entities 01 the legislative or judicial branches, departments and commiSSIons of the executive branch, counties. municipalities. airport authorities. and SChool boards may give either directly or Indirectly, a gift worth over $100 t(l per80ns who liIe Form 1 or Form 8 or to atate procurement employees" a public purpose can be shown for the gift, Part A should be used to list such girts. Under the law. t~ese governmental entities are required to provide you with a statement concerning these girts by March 1; attach this statement to Form 10. PART 8 - GIFTS FROM DIRECT SUPPORT ORGANIZATIONS
[Sec. 112.3148, Fla. Stat)
Direct support organizations specifically authorized by law to support a governmental entity may give a gift worth over $100 to a person who flies Form 1 or Form 6 or to a state procurement employee It the person or employee is an officer or employee of that governmental entity Part B should be used to list such gifts. Under the law. these direct support organizations are required to provide you with a statement concerning these gilts by March 1; attach this statement to Form 10. PART C - HONORARIUM EVENT RELATED EXPENSES (Required by Sec. 112.3149. FIe. Stat.) Reporting Individuals who file Form 1 or Form 6 and state procurement employees are prohibited from accepting an honorarium (a payment In exchange for a speech, oral presentation, writing, and the like) from a political committee or committee of continuous existence, trom a lobbyist who lobbies them or their public agency (or has done 80 within the previous 12 months). and from the employer. principal. partner. or firm of such a lobbylsl. However. these persons and entities may pay or provtde a reporting Indlvfdual or procurement employee and his or her spouse for actual and reasonable transportation. lodging, and rood and ~e expenaes related to an event at which a speech. presentation, or writing will be made by the pUblic offICer or employee. Part C should be used to describe these honorarium event related expenses. Under the taw. the partOns or entities paying for or prO¥ldlng such expenses are required to provide you with a stamment concerning them within 60 days of the honorarium event; attach this statement to Form 10. FOR MORE INFORMATION Questions about this form or the ethics laws may be addressed to the Commission on Ethics, Post Office Box 6. Tallahassee, Florida 32302-0006: telephone (904) 488-7864 (Suncom 278-7864)
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NOTICE: UNDER PROVISIONS OF SEC '12317 FLORIDA STATUTES. A ~AIL,_'nr TO MAr.::: ANY RL:.,:JUIRED DtSCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BV ONE OR MORE OF THE FOLLOWING: IMPEACHMENT. REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION, REDUCTION IN SALARY. REPRIMAND, OR A FINE UP TO $5,000. CE FORM 10· EFF 1192
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FORM 6 •
FULL AND PUBLIC DISCLOSURE-15FIFI-NANCIAL INTE:RESIS 19'90·~ ~
:ott INSTRUCTIOo/S 0"1
!lACK
('IF FORIWl PI\RT F
----...
-. LAST NAME - FIRST N"ME - MIODLE INITIAL
lin,.· ,pv
David
F.
FILWG CMACITY
OFFICE HELD
XOFFICEA
Sherif f OFFICE SOUGHT
MAILING AOORESS
Rt 3 Box 5011
~
rn ;Q
-
N
n
0
--
CANDIl)ATE lIP
CITY
Cra.... fordv1l1~ • f1
POSITION
COUNTY
Wakulla
32327
~
, OTHER
~
?5
~ ~ 0
--4
~
ASSETS AND LIABILITIES IN EXCESS OF $1,000 PART A -
PART B -
ASSETS
HauI.hold Goodl and P.rlonl' EII.cll: Household Goods and Personal Ellecls may be reported In a lump sum I/thelr agll'egale value exceeds $1,000 This calegory Includes any 01 Ihe /ollowlng. II nOl held tor Inveslmenl pur· posea jewelry; collections o( stamps, guns. and numismatic properties: art ODjeels. household eqUipment and /urnlshlngs; clolnlng. olher household Ilems; and vehicles for peBonal use. The aggregale value 01 my household goods and ~Bonal effects as described at.ove Is S 12,1 0 Olh.r Auetl Oftr $1,000: DESCRIPTION
VAWE
Cash in Rank
..
...
...
n ,n
75 500
St ork-\oI.. lt1l1 • a Ph ... · .... 'v
A Ar ........ R""ltv.T.. lrn ,1 Rp"ltv.cTAW· 'in1 R"Altv ~n· ..... _-
'''"7 o;nn
I.
,,. .. 1
17 nnn 7.o;nn
"",11"
II"t1V111p.1:'
11 ... I:'
?1
?",n
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nnn
nnn nnn ",nn
Fl
A~r~g
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I ArT"~
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FArm
'f-
T,
....
t>
I'
fl,.1.1
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_ ~;;'~':HUtt:~ .., 'J. 22 'iDa 18 Acres UndeveloDed Land.Panacea 22 500
D.~
•...
Barnett Bank 315 S. Calhoun St. Tllll;\hssee. Fl 32301
29,236
Federal Land Bank H....y. 90 West P. O. ~f~n42~1 32344 C & 5 Mortgage Co • 325 John Knox Road Tallahassee. Fl
21,048
16.390
nnn
",nn in 1 A,. ... ,,~~X~P' I..nnn .\! tsH;!;4 11n,,-f.. in Rptf ~ ... T"'~""~" ''''''.nnn ,1"'..... .:1 1 " .. A
Amount
Nlme Ind Add..... 01 Credltora:
'ih OfIII
Rti
,1 nl",,..-I '.An.-l. ~'vi 1,,, 11:'1 "1• L :n 1 -l:'n1< Hn11nw 1n I 'i A~1'""A l·n..l ... " ' ... n.:l Mfl1 R. "
3-
12
LIABILITIES
Please list below the name and address of every penlon. whelher individual or corporale, to whom you owe a lIablllly exceeding $1.000 and the amounl o/Indebtedness. As used herein, "liability" means any monf'lary debl or obllgallon owed by lhe reporting per&on 10 another person. excluding Ihe following: credl1 card and rel811lnslall· menl accounls; lax,s owed; Indebledness on alile Insurance policy owed 10 Ihe company of Issuance; conlingenlllabfll1les; or accrued Income laxes on net unrealized appreclallon.
1 R.... l,.·
Bankcboston Mortgage Corp. P. O. Box 44090 Jacksonville, Fl 32231",
6,493
-n
Deposit Guaranty Hortgqe Co. ,...... m P. O. Box 1193 -0 rh34 0 >(Ji Jackson, HS 39215 ..0 'CHECK IF CONTINUEO ON SEPARATE $J:fEET
ICHECK IF CONTINUEO ON SEPARATE SHEET
e~
rv
rn
- -
-r\ PART C - NET WORTH Net worth II the dillerenee between tol., .ueta and tot./I~bllltles. nOI merety thoM lilted .boW h8Ylng a ~ In e ' - of l't:cOo. PIeae entlll' lhe value 01 your net worth as ot December 31, 1990. or a more current date. ~
to
----._-
~y.nel •.wor1h,as.ol
--
.-
-Apr-U-3~. 19.=ih_ wu$
- -.-
-
253.140. _."
rn
.
-
PART 0 - INCOME The Sunshine Amendmenl _"orda you Ihe oppor1unlty 10 lIIe either. copy of your moll recenlleder.1 Income tax relum or • swom Illtemen' which IdenUllel each aep.rlle source and amoun' 01 Income which e.ceeds $\.000. InCludIng secondary SOUf'C•• 01 Income. Pleue IndIcate bY checking below WhiCh 01 the Iwo altern.llvo methods 01 Income d'sclosure you h_ enosen 10 make.
•
r ELECT TO:
~ I'M'"
D
File I copy 01 my mosl recenl 'ederal ,"come tax re'urn (" you check thIS box and .nach I copy 01 your 1990 tax relurn. you r-eI nol completo lhe remaInder 0/ Part 0 I
0
File. sworn statement ldenlllying each ..pa,.le aource and .mount of Income In 1990 whiCh exceeded $1.000 Including IeCOndlry 1Oun:es of Income .. shown In Part D. continued on the revtlrIe tide.
"II"" .",
I-'A~3_l)_-_'~.COM" ICON T1NU~l»)
I
-A7RY~S-::O-:-:U-::R-::C-::E"':"S-:O-:F-:'-N-:C-:O-M-:E=--------
•
'lease ,denh!y cacn separate source anrl emounl 0' Income ,n excess 01 $1.000 Ihal you received In 199(,
CHECK IF CONTINUED ON SEPARATE SHEET SECO''4DARY SOURCES OF INCOME II. du"n9 1990. you owned dIrectly or Indirectly In IlIceA ol5'Mt 01 the lotalasaeta or capltal"OCk 01 any buslneM entity and you derived over Sl,()()O Income Irom such business entity, lhen you must each source 01 Income to the busln( ~ entity which exceeded 1~ or the buslneu entity's "total Income· as shown on thaI business entfly's mosl recently flied tax retum.
11.,
NAME OF BUSINESS ENTITY IN WH,CH YOU OWN OVER 5'Mt OF THE ASSETS OR CAP/T,\L STOCK AND FROM WHICt-1 YOU RECEIVED OVER $1.000 I)URING 1990
NAME OF MAJOR SOURCES OF BUSINESS ENTITY'S INCOME
DESCRIPTION OF THE SOURCE'S PRINCIPAL 8USINESS ACTIVITY
ADDRESS
PART E
I, the public ollleer, employee. or candIdate whOse name appears at the beginning 01 this lorm, do depose on oath and say that the Inlormatlon dl.closed herein and on any allachment, herelo a,. true. correct, and complete 10 the best 01 my knowledge and bellet.
OATH STATE OF FLORIDA COUNTY OF Wakulla
The "gnatu,. or the public officer, emplO)'M, or cand~te who" financial Inte,.,t, .,. dr,cloNd herein was .worn to and aublcftbed belo,. me thl. ~ day of June ,
.,e...!!-..
fK7G
IONATUAE OF NOTARY
PART F - INSTRUcnONS WHERE TO FILE. Incumtlenla ".. -Mlh 1M 0. ~ s... AooI!I '1101. The ~. T . w _ FlarIda 32391 CancIdIl.. ,....,. fie oIfQt tJefore IIhom
'*""""
lMy~
WHEN TO FILE: tnc:umllenla mull II.. ~
t, , . ,
no ..., tnan
CancIlcs.ta~'lIIepftorlaorl'''''lme
Ells-- loa'" _ NClUlt*l1O ... II1II clIlIclcl8ln. HOW TO COWl yo eN Dr IdInlIfytng end 'tIlo.atbng each ..... end 8lICft IIIIIiIly In ~ 011'000 To., yau in ~ eI'll \IIUlO IUdI ..... Ind IIEiIlIn. 1M ~ on EelIcI ~ "'1lIIIcMIg: ~ AIIII IhOoM b8ld8nl11\ecl br
,.,...
~llMIy~lIon
lMy llUIIlfy
IOcatlon ~."
WHO flVST COMPLY: Nl -.ettd COft8IIMIon81 om-.; .. CWlClId8_ fer Naed CONIilutIonlII Cll'IQ8. 01... Jud~ ."d OCher Judstel 01 Com&*ll8Uon
~ ~'I
QaJmt; ",.."... Of .... ~ CIly Council, _ b8tI Of .... Ind~ Afl8t1Oll8 Commlnlon. 8nCl . . ~ COUtl t . . a.a.t ClllfI8lIIUlIOn Clft\c8q IrIclUde a_no, 100:111......' GOMr_. catllnel
01 .".
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~. Ct>omty JucIgft, ~. A~. f'\lcl1C 0. ,.".,.,., (.*11. of Corcvlt Coutl•. TI. Col 1KtorI. ~ AclP<--Of ~. Countr 8lect.a SU~.I. . . .1ItI Of SChOOla. ......... Of DlItnC' SC'-l 8lWJ 811
eom.n-.....
~
Sher"". s..""...-. eo.w.
. . . . , to 0fI1c8 .... conlOfocl8l8Cl
90"'''''''''''"'
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conll"""o"" ofIan ,"
FIonOlI ...... e - - I_IIW'II 8oMI. _b8tI 01 .". FIDrIda ..., C8PIIII 8oerd, WlIIf - - . 01 ...
CI 'OAM •• REV.
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1egII~. 01 ....
111m numbIr); IIDdlIInd IIandI
IhOuId b8 odIn4IIIoId br 1M buIlNM ...... 10 wtlIdllMy I'II:IIIv8llIe b8 by
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ftlrnts 01 ~ LJIOes· E.ectI IoIIl6ty thooJlc: III ocI8nlIfWcl by lilting IN _ ..-r M!rt"rr. . 01 the ~ ~ . _ "-e! 11""*""'" De ~ at lit
eurrent _
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"""'et II _1IbIe ~1ItlII woOIIv "1OdecI Inc! _ _ pnces _ ....~ IhOuICl De VIIUId Ilaecl on 11'1 dDtong pra on
01 CI leo'
wflocII ...
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11'1 ..a...,_ 01 ~ Il'.-tr JOW1IIr ""'" cll"e " you •IlOIcl 'fOIl oHl __ I/IouId I»..-u.cl
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'fOIl C8P'I-' or ellO"'Y In ~ "'oPMr flII'lIIl' br I /luIIIMCI It'd ..... I/IouId llII ,..,....., I ~ of A I ' " You _ tMPI\Id 10 _ 1ft ........
- II
In I Ir\IIl wflldl .... '......... IlI,.., I*CIII..... IfIlIrWI .. . . Ir\IIl CIUlIlUI- LIII ..-..ce IIICUd . . lIIIl:IasaO .....
CllhIUl1'lllldlr WIlUI _ - . .
poI!cy pU lie
mon:.,
~ CII'IIdIndL "..all 'and -'* InIllUINnIIlIlUIllle /'IPtll1fd " faOt amclW'C••~•
IIllfw ..... 1/lOIAdb8 _ _ lIy YIM;ood w ....,. of lIIIIr ,.., 1\WtI.c 'IIIuI ~ The - ' of.1lIbIIIy II .,. '--.nc 01 .... debl Of. "you _ tll'lIy jIlInll)' I'MpOn8IblIIot IIlc ~ oil PQI1Iotl of • tallIlly, )'OUI' pro Of
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.... 1ndIbtecr- ~ . II ~ ....,. ". NlCl 10 I*l' the lull lmount Of ,,,. CleClII--'l' "-IIMI. Ihe lull -"'ll/lould I» N/lOI1ed 18181' ~
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..-.... ~ Cooe 01 ,~. T~ 26. Unlld SIaIIs Cooe... l.-....s (01 A11lr1lOtml1lOn dlKIoMd on INIIann II ~ by ... 10 b8 gtwen ..". CIIltL . . , . ~ III tonn, you _ !he ., • IlOWy pUIl/IC or __ ,.,-. 10 acln*1tIter _ _ III ....
.... Amc:It '"
1IaIon." I'IoftlII ClII.-lIlJllCh ., . . :'
IunII1lneAo_IGi'''1Q. ll) .., ............ .,
........., _or
v
..
.,811
.....
n PRIMARY SOURCES OF INCOME Ploase Idenlily 6ach separe1e !lOurCe and
PARr 0 ----
n'
Ire
orne
In e~C6SS of
I1r
Mt>nl"]A
prolwrties
$1.000 that you received in 1990 AMOUNT
ADDRESS OF SOURCE
Rn.1rd of Comml~i~';
A ..... 1 .. ,.},"''''
.
INCOME (CONTlNUF:D)
-
sOURCE OF INCOME \"/"I<1I11a ... lI"nFn1
or
k
Heuth Serdt'p
County Courthouse Cra.... furdville Fl 62, E Tl"nnel"l:~el!' St.Tallahasse Fl
'i8 000 1 000 6.016
\.'AR
------
--
fCHECK IF CONTINUED ON SEPARATE SHEET SECONDARY SOURCES OF INCOME If, d\l'nng 1990. you owned directly or indirectly In exceas (.t 5~ ollhe totar usera or capital .tock 01 any buslneM ontlty and you derived over S1.000 Income from such bUSiness entity, lhen you mlst list each source 01 Income to the buslnes:s entity which exceeded 1O're 01 the bUSiness enl1ty's ·'otallncome· as shown on that buslness entlty's most rueently tiled tax return.
NAME OF BUSINESS ENTITY IN WHICH YOU OWN OVER 5~ OF THE ASSETS OR CAPITAL STOCK AND FROM WHICH YOU RECEIVED OVER S1.ooo DURING 1990
NAME OF MAJOR SOUflCES OF 8USINESS ENTITY'S INCOME
DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY
ADDRESS
N/A --"ART E I. the public offlc.r. employee, or candidate whole name appears at the beginning of this form. do depOM on oatil and uy that the Infom,allon dlaeloMCI herein and on any attachm.nts h.reto .re true, correc t, and complet. to Ih. bes. of my knOwledge and bellet.
.... 1
STATE OF FLORIDA COUNTY OF Wakulla Th. signature ot the public olflc.r, .mployee, or candidate who.. flnancla' Int....,• .,. dllcloNd h.reln wu aworn to and twecrtbed belore me Ihft d., of June
..l2-
~ E~'NO ~:AlJO_A~NOfO.'TE 1 -
OATH
.11.NATURE OF NOTARY
~
...
..~.'. ~ j
PART ,~ -
WHERE TO FILE. Itlc:utnlMnIs lila """ 1Ile 0.I*1menC of~. Room 11101. '"'-~, Taw-. F10rlcII 32JlIa c.lCIdIteIllIe.., "" oflIcIr ~ whom . . , CfUIIIy
"*'
WHEN TO FILE: Inc:urnbentI mull tile no ..... 1. ,.,. ~ _ II'" prior 10 ~., "" ltlN
~
tt.., qulIIlIy. tIIIHO MlJST COMPlr: All eIK1IICI COf1Itltullonal orr~ .1 ~ _ lOr elec:l1ICI coneliMIOIW CltIIca. Chi" J.lClge and a"- Judo- 01 Com _ _ Cllima. memllerI of \lie JIK*IonoriIIe 0Iy Council. rnemtlatw of ... 1nctu.,.1 AatlltlDnl CClmmllalon. _ .. appeIaie C>OUf1 tudgea. a.etIICI conI\llUllOnal o ~ Include 0 _ _ lleuter\anl O_,nor cabinet rnemllera. _ _ _ 01 _ ~"I...a, CIrculi Couo1 JudgM. c....,nty Judges. S~ AIIomeya. PublIC: De1erQItw, t....... Of On;un Cour1a. SIwtlIa. T.a Proper1y AcIPr-. ~ Of ElecflOnl, County ComrnlaliClMt.. !kJpar",'-"dlInll Of $cIlClOlI. _ _ _ 01 Oofl'OC:I scr.ool Boarcll. ancI all paraona -":*1 to ofllCe In • con_cl.IMd clfy~fy vow-n...... ,• peoiorminp au.... Of any 01 .". a _ CQlnMIl_ oftlC.... In IGdlIIoft. Of ItlI t'1orIlIa HouaI"lI ~ ~. _bert 01 .... f'1orlCfI 8Iac* """"- II........ ...." nwntlefa 0'1 lie ~ Seed ~. IfWf ~ of . .
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INSTRUCTIONS ~ Pw-.-y EcM::don £xpenIe 80erd _ . ~ JIGI!eJ~.,.
NllIftd to ftIIlhII.--"., c:umlAIId chillIndI: e.tr ~ ~ ..., , . .
HaW 10 CIOaft ):'/A) e, kIInlIIlInv 8/ld va.Ing-" ~ /IlIIII1Ie ........ II ... ~~GtinIrIIr.
- ' .".. .-:II IIIbIIly In _ of "000 To aid you III .. _-lI1lUStII.....,by,auoIllllld. .. . ~ Illd wMlO IUCtl . . . .".. - - - . . . of . . tIIr INlI* .... ~ en ElhQIUggIIa . . IaIIooMng: ~ 1'-MlOIIIIl of.IIIIlIIly . . . . . -..ilI of .... dIIJt or. If you _ onI1 jlllrIIIt '1IPC!'__ 1or . . ..... AIII_1flOUId til...., '" ~ ~ lift IIdIha.IegIt ~ or "" ~ of. JlOftIlln of • 1:10 ........ of proper!y .......... lIIl " - ~ . . . . Illd bclndI . . 'r 1 t I I - . Hoooeow•• lIQU may lie NId _ _ Ill
CWl..--..,....
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thDuId lie idwtIlIIIICI by IIle buIIr-. . . , . . III IItIdlIlf1 ..... _ a"'OUnll .-Iv. . IfQ.td lie ~ by _ _ of ~ t..WJIlIaI Each ~ ItQAd tie odel*"tcI by Ile'lI !PIe _ ani IIddr.- of \lie en-. ~ A..ea "'-' P'IlI*'Y INy tie lIadllIacIli .. COIn'W'II-.ed ..... .".... a _ _ _ ~
,.. "" fill M-.t of lila dICIt ,....".", __..... ".. ---.l1llCdd tie ~ 18) By ......... of 'PIt nal-'" _llIOWIdad 1ft Pw1 C
fCl e, dIac:IDIln of ~ _ pIOIlIIId 1ft Pw1 D.Itlow.
kICOIllI til llIIIflI*Ied 11'1 acemlIiilCl will lila
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..... AIwenua CadI at ,...
al""ru_.......... ___ ............ ___ -. . . . , If..ted AIICI " ' - prICet _ 0'fWlIIr _ _ _ IIlouIcIIIe ...... 1lnMS on fie ~ II"CII on
COdI".---...
\lie va"*- . . "fW I'GIll ' " ' Of ~ PfClI*IY prtI.t'f ...,. ~. 'flU ...... IfllluItItIe " . . llaMd 01\ 'fWI1IipI ~ 0I~. _ ~ 1 1 1 _ en _ III allulll'_ CllfI. . . . . .91C1 .,.., ~ Of «lUIIY ___ on ItI8I " ' - PoapMy o-IICI ...,ay !If • ,......., _ ..... " - ......1eIl
rou -
anocr...
.. 'llO'lI of . . . . . . You _
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... lfUIllllflicflODll. . . . . . lCIyf'IIf ................ "
...... CIClfPUI. IAa _ _ atIlMd. ~ ....
or-. .. UNlalI . . . .
(0) All 1I,lOtrN11ron ctIal:Io-I 011 .... farm • NqUIlW by law III lie ghlIn undIr CMIII\. e.tln IIllftinlI fie tann,
otIIaIn lila ~ of • IlOl&1' CJUbIIC: ~ Olhef ~ IIUIhorlnd ID IdIr*IIIIIr odIa In INa tItIItw ArI~ IL SecIIOIl •• FIDrtda CoraIIIOIIIOn tltll
Sunatilne ~) (£1" . . . ...., ........................ '" .-..eon u.cr or ... _ Of . . . . . . 1aIlIIt7••
_
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I. , . - . . . . . , . , III
.......,·.....•....•................1
1Ie . . . . ., . . . ........ , . , ........ - - .
DClIJ'ld F. Harvey fClrlO PC!IC";
6, Page 1 B-Liabilities, Continued
!'Ie)!!, and Address of Creditor
Amount
1\l::bie Roddenberry 320{, Beacon Drive TaLlahassee, FL 32301
$ 18,301
Artt ur Robinson P. c. Box 13792 Tall~~assee, FL 32317
16,562
Southeast Bank 239 E. Virginia at Ta.llahassee FL 32301
119,509
SWl
Bank 20!il 'l'homasville Road Ta]L1.!lhassee, FL 32308
4,500
Wa)o:u I J ft State Bank
22,500
P. O. Box 610 Cra~~ordville
Vl 32327
Accrued Income Tax on Unrealized A.PI.reciation of Assets
117,877
n
p
GIFTS AND OTHER NON-CAMPAIGN CONTRIBUTIONS
FORM 7
STATEMENT FOR CALENDAR YEAR ENDING DECEMBER 31, 1990
LAST NAME - FIRST NAMF - MIDDLE
uavid
Harvey
~M'f
NA,ME
Flllton
O~
AGENCV
....· akulla
l.Ollntv
Sheriff'8
J)
MAILING ADDRESS
Ilt CITY
1
Rny
WHO MUST FILE Each person hololng lin elecllve Slale, county, dlslrlCt or mlJnlclpal oll,r.e In FlOrlO,1 and each appOinted pubh(~ officer Y,110 IS requ"lld by law to Form 6, Full anti Pllol,C D,sclosure 01 Flnanc,al Interests, pursuenl 10 Arl II, Soc 8, Fla Const
"nIl eOUIliTY
,.
'1p
"'e
liP
W:lk, 1 1.~
17177
OFFICE MElD
Sheriff PART A -
STATEMENT OF GIFTS, DONATIONS, OR PAYMENTS
Please IISI below each conlnbu\lon, Including any gill. donal lon, or paymenl. the value 01 which e_ceeda $100, received by you or on your behalf Irom any person, group, or orgaOlzatlon, 'lor olherwlse reqUifed 10 be reponed by Chapter 106. Florida Stalules. Any payment In excess 01 $100 to a dinner. bBrbeque, hsh Iry. or other such event shall likewIse be deemed a contrlbullon, You are nol reqUired to disClose a gill representing An uprelStOn of sympathy and haVing no matenal benellt or a bona Me g'I1 lor personal use Irom your parenlS, children, grandparenls, grand children. brOlhers. Sislers. uncles. aunts, nephews, n'eGes, greal·grandparents and great-grolndchlldren Nor musl you !'al honorary membership In social, service, or Iralernal orgaOlza\lons which were presented as a cour-esy by such organrzahonll Leglslalors need not disclose complimen lary parking prrvlleges proVided by an allpor1 authollty [ReqUired by Sec 112,3148. Fla. SIal I DATE
RECEIVED
CONTRIBUTOR
CONTRIBUTION
ADDRESS OF CONTRIBUTOR
None
J,:.. ':D \CHECK IF CONTINUED ON SEPARATE SHEET
1"-_ I ,
' » _
PART B - EXPENDITURES OR OTHER DISPOSmON OF GIFTS. DONATIONS OR PAVilENTS:::'
\
•
II any payment or dlaposltlon I' mlde lrom the gills, donelion, or paymentsllated above, pleu.nst below the na~ and ~ o~ peRon who rwcolved such a PlIYmlnt or dispositIon, '""" • DATE OF EXPENDITURE
:.. . ADDRESS OF RECIPIENT""
NAME OF RECIPIENT
... ;0 EXPEHDfTURE OR DtSPOSmON
None
\ CHECK IF CONTINUED ON SEPARATE SHEET
.'.'
PART C - OATH I, the pUblic ollIcer whose naml appeaR at thl beginning of Ihl' torm, do depoae on oalh and III)' Ihat Ihe Inlormallon dllclosed heRln and on any attachmenl, hereto constitutes a true, accurate, and 10lalllsllng of all conlrfbutlons, expendllu,... and dlstrtbutlons ,.qulred to be reported by $echon 112.3148. Flortda Stalules
-.
,~O~E ~E~NO =-CI~l
........ _
.......... ,
... ,
r.....
_
J
STATE OF FLORIDA COUNTY OF Wakulla Th••Ignatu,. 01 Ihl public officer whoae financial Int.,.'tl a,. dla· closed he,.ln wu swom to and aubal:rlbed before me thla -lQ... dll)' 01 June· • 19.J,L.
~..L.II..."""~~
'~N"TURE OF ~OT"RY ... ./7. IJ.JJ ..,.,. .~_-:-lh'
~"" Tlloot_'.............
r PART D - FILING INSTRUCTIONS
•
Thla form. when duly tlgned linG nOlarlZed, ",USI hfl flied wlll1 the De~nmen' 01 SII18, DIVISIon 01 Elections. Room 1801, The CapltCJl, rillahuaee, Florida 32399. by an oNk:la' who Illea Form 6, Full andblic DISClosure 01 Financlel Inter""ts, Of wit" the Supervisor 0/ EIrct!orIf by In elected officer who fllel form 1. Statement 0' FlIlaneIIII Int.,...,., Thl. ltalement must be flied no !eter than July 1, 1991 for the 1800 calendar ~ar, and atlould be filed together with the Form e or Form 1." appllca~le, CE FOAM 7· REV, ,..,
I
~I
AMENDED COpy GIFTS AND
FORM 7
I~ ~i.; ;~iil,;r;'4t.4t II ,r ' , "
I
P"v!,.1
onien NON-CAMPAIGN CONTRIBUTIONS - -IlAMl l)f AI,IIlt.y -,
MIUIII E "AMi," FlIllolL
1~.I~!l11 II (;olll1Ly
MAllIIll, AOOM£ 55 ~JL L.J...
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Pl:l Io1 rl"'CU l
Fit f: I ... " ,":".,,, ' ...:,:.. ", :1111"1"
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'ft'hu IS ""1""'0" I,WI' 1.1W ,.. "hi f .. tin (. f uti ,11,.1 " ••1,'.. ."·,II"SIIIO 1,1 rllhlllt-hl' Illh.llU~I', 1,1I"~II"""U All !l. ~".:~ H I
ILJil.
,
Willi IIr
She r
I.,
CUII~I
._-----Gins. DOtlAflOtlS. on PAYM(NIS
PAnr A - SlAItMUH OF
I " .. ,~,. h~1 hclllw C;t~h conlllhlllllln Inl.h"III~".I~",tl\(~" I',lyllllllll. Ihu v,lhlU 01 wh" h O'(;l!ll,I~ \100. 'C:' ,·,v,·,1 hy yUII 11'10" V"'"~ h"" ,II hU/II .IIIY I'o',on. !I'Olljl III OI!I.III1/.llt"n, n,,1 olhc,w.~n 1I''1,,"mllu "u II'IH"I,"II,y CII.'I,IIII IOIi. rIIHIII.. SI.'h,lc, A"y l",ymt:"1 "' ,•• 1..:.... ,,1 !.1I,O III .. "',""'" 'b.. '''eqllu "..II hy. 0' olllm SlIl.h uvulIl ~h ••" I,."""~,, 1'" ,'cl'lIllld II I.III.IIIIII,lIon '(1111 ,110001 U:OIIIllICO 1"11,,,,10:'11 11".11 11""":"''''''''1 .1Il'·'l'rt'~~lOn 01 'ylll,llIlhy antJ no "",1011,,1 lJ"lIc'hl 'If .,IHII'" 1"1,, ~JlIIIII/ I'Ulli1l1l,11 ,,5\111011' ylJIlll'illUIIIs. tll,h"t:Il.lj,.III1'I,,"'·"I·, ", ..... , nlll,hllwi. 1110. I'S ",r;tl !",lIIdlla'''"1\ U'O"'II' ..llllclll.... \llt ,..11 "1,,"1 yl"' hM hflfllJ"'" .....11.1 .... · "'1' th'''''I.'1I h'lIlht·'S. ",,'c,', ,,"clll:>.• III ~lJt",1 "~""Clt Of ..... lulll.'1 OIlJ...IlII••lIuns "'hKIt w"'u IHU',l111l1:.1 /I" •• , .lIlIh:\y Ity :r'K.1t Ofl,om.ta".,,,, Le\Jllol...lot\ IIUl1tJ ",,1 ,"~k"." ",11'1.1,"",,, 1.111 1'.I'~1I11I pll,.lt·\JI!' IIIowlllcd lIy all ollllll.l,l ,,"1hullly I""'1" 11 ,:tJ hy !".I: I II:' 3"'''. fill' ~I •• I I
"t1V.III,
,,"II
1""1'.
-
o"re
RECEIVED 17-7'\-Qn
AOUIIESS OF CONTRIDutoR
COH TRIOU lOR
C:hprfff'A nll'nt'
n
p
f'lIlnlovees
Rn1f
' lip
ILn
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PART II - EXPENDITURES OR OTffER oisPOSmON OF OifTS. OOHAIIONS OR PAYNE tilir. I
r
ic;.nn nn
:;:::~
\C.i£CIt IF COUll11UfU OU !lfrlln"lE sun,
.
R~A
1.')1.')'1
1:'1.
•
COli ,,"OUTfOll
~
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II .n, p.,menl or dllpo14hon II mltJelrom Ihe Vml,dun.llonl 01 paymenlllliled .lJvot.. ple'lellll below I~ n,me ~dl\lClI~8rlo(Jn ..ho leCC:I.ltd luch • payntenl 0' d'IPOilltull. /1.1[ or laf'lflOnUAE
ADOflnS OF n[ClPlErn
""ME OF n[CIPI[ttr
::::"
~s:
~
);V'
~ (,pp.I"Ulf1f
on ....!.W,!III.. H'
NOlle:
. . --
ICIIU"", rF COfllltlUEO Of' 5lP"ItAll r.un 1
PAR' C - OAm I. Ihe pubflc oUleer ..hose n_e .ppe.~ .1 the beginnIng 01 Ihil 101m. do d.po~e on O'lh .nd lay Ih.I Ihe 'nlOfnt.llon dll«:lo.o11 hflrllin lind on ,ny .IIKhmenlll't..elu con,mulel.lrue. KCu,.l...nc1lnl"Usllno 01 .11 conll/bul'onl•••pendllur... and d"ttlbullulll ,e'"tlred 10 bo ~
~a. f "'.!.lS' S1aluIUI r,· _~bJoSeCl':l-' -
,
"mU"llllllO' "fPOnlltfO Off lQ"~
S'An OF FlOmOA COUU'" OF _ "Jlkulln 1he .Ignalur. of Ih. Ilubllc: oUIc.r ..OO\e "n,ntlll Inlore,II .re d,S' elu,od h.,el" was lworn 10 and lubscubed belure me Ih.\ ~d..,ol JUly I' Jll.
1-".~~A""Il Of
,~~
PART D -
,
~
,
~
.J-UI'IE
cclU....s:,IOf.UC1~"
-h. 4!l. ~I.f~ -~ ..... S1aII _...., -r. ' - r ' ......... ,.' FllmO mSrnUCJlONS
,. ....,.. J'.'.> ...
''''r'''1,'''''''
II'" 'Olm. .,,'"' dilly '''l'ocrl end nnlll"'~r. "",~I bn '.lud w,'h Iftf'! 01 S'I/'o. Or.'SI"n "I fl"",hnt". "'..>In "'fll. 'I", r:"I''',t1. 11111."o1ISH, flu,,". 3.,m. I" "" "lflCldl 'dll' ruulI f\ I lin tlr"j"hit"oiit:"tlf.lOs,"o 0' , '''.'ICNtI "'I,.,c:,.,. Uf Wllh Ihll tE."l".".• ~", ,.1 L~" '"'"' h1 en 0"''''''''' ClII/C", who "t.., "H,n I. r.I...lnflWl"I nl I II UII I(. NIl 1,,1,.,"'11 lh" .Ialemonl nttr.t be hfoU no 1lI1l1 IJr.1 I l'J'IIIo" 110,· I')'Jll ~\ett1"'" yUII'. If1l.I .,hullII! W ""... rvuvalUf WlI" UWI """l G tlf r I. a, a''I. . .I''o
"'to
'_rn
"'It,
"
..
S",II C. Will!.""
State of Florida
"onnlt' ,. Will/1m. , ",,,,,,,, (Jr"",..
Commission on ethics Room 2105. Tht' c..pilor • P.O. 80.6 • TlIlIlIM5SC.'t'. Florid.. 32.302.()006 • (9Gt) 488·1864
July 2, 1991
Mr. David Harvey
Route 3, Box 5011
Crawfordville, Florida
32327
Dear Mr. Harvey: This is to acknowledge receipt of your financial disclosure form, which has been misfiled vith the Commission on Ethics. By copy of this letter, ve are f~rwarding your form to: The Supervisor of Elections of the you permanently reside.
x
The Division of Tallahassee.
county in which
Elections, Department
of
State,
Sincerely,
~~
Bonnie J. Williams Executive Director BJW: vdm
cc:
•
Dorothy W. Joyce, Director Division of Elections
fl:
....
r' l
I
/.
FORM 6
FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESIS_t98.G • SU INSTRUCTIONS ON IIACK OF FORM. PART F
Harvey
F.
David
OFFICE HELD
Sheriff
X OFFICER
~~.
V» 9,
rnr-n r'T'r'"
OFFICE SOUGHT
MAILING A1Jt)RESS
P. O. Box 150
•.• r"
, . CANDIDATE
CITY
Crawfordvi lIe
liP
COUNTY
32321
Wakulla
~':-4
POSITION
~5
I: OTHER
~'Vl
ASSETS AND LIABILITIES IN EXCESS OF 51,000 PART A -
DESCRIPTION
T.,l'
3
"nnRe
in 10'011' 1!1i
At-Y'....
of
25,000 1~1.~94
30.000 1. nnn
10'1
Realtv Realtv
4 Acres of LAnd .
·l1e.J'l
21 2!'i0
• 11 •. 10'1
Un"",. .
7!'iOO
nnn 4.000 An nnn
.Ft
..
'.nlf
~
"IA
,, •. VI
~
_L
~
..
1~
-Mi 11 Rd
nnn
'11 .. _Vnnna FArm
•.
Acre of Land Ot'h' in 1 Ar-re ,.. . In RIO+-;
....
'.
~
~.~
~
~ .s: ~O .
CR
Please lIst below Ih. nam. and address of ev.!y person, wh.lher Individual or corporele. 10 whom you owe a liability exceeding S1,ooo and Ihe amounl orlndebledness. As used herein, "liability" means any monetary d.bl or obllgallon owed by Ihe reporting person 10 anolher person, .xcludlng Ihe following: credit card and relalllnslall· menl .ccounls; lues owed: Indebledne.. on a life Insurance policy owed to Ihe company 01 Issuance; contlngenlllabllllles; or IlCcrued Income lues on net unrealiZed appreciation. Hame and Add..... 01 CreditOR:
Amount
Southeast Bank 239 E. Virginia st. TRII AhAR",,!(' , Fl 32301
31,097
Federal Land Bank Highway 90
24,000
VAWE
ash In Bank ommon Stock-Wakulla Pharmacv eaidence S 8 Acres R.. "dtf.. nH Al Real tv. Talco Ro'~d D... .;~ .... +.. l
I
."" {Om
PART 8 - LIABILITIES
ASSeT$
Household Good. and Per.ona' Effecl.: Household Goods and Personal Eft.cls may be reported In a lump sum II lhelr aggregale value exceeds $1,000 This cateoory Includes any of Ihe lollowlng. if nol held lor Investmenl pur· poses: Jewelry, collecllons 01 Slamps, guns. and numlsmallc properties: art ObJecls: household equlpmenl and lurnlshlngs. clolhing; olher household It.ms; and vehicles for personal use. The aggregate value 01 my household gOOdS and personal .flecls as descrIbed abOve Is . $ 22.300 Other Aa.. t. Oftr 51,000:
~ .. l
,...
I,,::
~
FILING CAPACITY
LAST NAME - FIRST NAME - MIDDLE INITIAL
Ff • '11 .. '1
A
nnn 12 .500 ')1::
River n
,
. J1
.,,.
L'O -, ,1 R.... l+v Tn 'CHECK IF CONTINUED ON SEl"ARATE SHEET
10'1
PIAn~
.4.ono ~".I\A~
1;0,
')n nnn ,,,n.1VV\
•
1;"
C G S Mortgage Co.
17,252
325 John Knox Road
Tallahassee, Fl stockton, Whatley S Davin
7,000
100 W• Bay st.
Jacksonville, Fl Deposit Cuarant,y Mortgage Co. P. O. Box 1193 Jackson, MS 39215
6,047
ICHECK IF CONTINUED ON SEPARATE SHEET PART C NET WORTH Net worth IS the difference between tota/aasets ancr tot., f'ab"/II•• not merely thole listed above haVing a value In excess 01 $1.000. Plea. enter the value of your nel worth 8' of Decembet' 31. 1989. or a more current date.
My:;;ei·worth
as of
April 30,
.. 19~wallS
201,150~
PART 0 - INCOME The Sun shin. Amendmenl affords )IOU Ihe opportunity to III. either a copy of your mosl recenl lederal Income Iu relum or a sworn slilement which IdenIW•••ach ••p.r.t. IIOUrc. end amou,,1 or Income which exceed. $1.000. Including ee<:o"d.ry .ourc•• of Incom•. Please Indica" by checlclng below which of Ihe IwO alternallve m.lhods of Income disciosur. you 1'1..,. chOsen to malle.
I ELECT TO:
• •
0
F,Ie a copy 01 my most recenl lederal Income lax return [II you check Ihls box lind a1l8ch relurn you 'lee<j not complete lhe remainder 01 Part 0 J
0
File a .worn "alement ldenllfying each aeparat. source and .mount of Income In 1989 whiCh eJlceected $1,000 Including secondary sources 01 Income as Ihown In PIIrt O. continued on ~ I1NWI8 aide.
C! FOAM e• REV. ,-to
ill
copy 01 your 1989 tax
PART D
.,
INCOME (CONTINUED)
PRIMARY SOURCES OF INCOME PII!i1~e Idl'nl.ly oach '1epllrate source lind amount of ,ncomo In oxcess of $1.0()()'thal you receIved In 1989 ADDRESS OF SOURCE
SOURCE OF INCOME
Wakulla Countv-Sioard of Commissioners
.
AMOUNT
..
ron nnn
Wakulla Co. Courlhou~t: P. O. Box 337 Crawfordvi lIe FL 32327
1CHECK IF CONTINUED ON SEPARATE SHEET SECONDARY SOURCES OF INCOME If. during 1989, you owned dIrectly or IndlrecUy In eltcess of 5'l1t Of Ihe 1018' 8ssels or caplt81110ck Of any business enllty .nd you derived over $:.000 income from lIUct. builn65S entity, then you must II!! ","r.h lIOurce of Income to the bUllness entity which exctl8l~ed 1~ of the buSiness enUty', "0181 Income" as shown on Ihal buSiness enllty's most recently filed Income lax return.
NAME OF BUSINESS ENTITY IN WHICH YOU OWN OVER 5% OF THE ASSETS OR CAPITAL STOCK AND FROM WHICH YOU RECEIYEO OVER $1.000 DURING 1989
NAME OF MAJOR SOURCES OF BUSINESS ENTITY'S INCOME
PART E I. the public officer, emptoyee. or candld.te who.. name appe.,. at the beginnIng of thl. form. do ape.. on oath and • ., thlt the Information dlsclONd hereIn and on any Ittac:hmentl .,.,.to .,. true. correct. and coml!lete to the belt of my knowledge end bellel.
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ADDRESS
DESCRIPTION OF THE SOURCI:'S PRINCIPAL BUSINESS ACTlYITY
OATH STATE OF FLORI~ COUNTY OF Wakulla
The Ilgnatu,. of the public o'!lcer. employee, or candlelate whO. .
~NATURE OF HmARY
SIGNATURE OF REPoRTING OFFlClAl OR Co "Dl~TE
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PART f - IN&rRUCmONI ~
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WHEN TO~: ~""* lile no __ ltW1 Nt, " , • . ~ ....... file prIot to 0181 . . lime
bit. . . . A I I I - ......... .....,·br IocIIIon ~ an . . . . . . . . . . . . . Of lie
WHO MUST COMP( Y All eteet.cl corm'M'onll ~ all ~ lot et.c:IecS c:onatIMIonaI on-;
ow Judlilellld- ~Of ~ 0--.
~ Of the JiIckJonwtIle lItlCl sa. ~ Oly Counc1Ia.IIld .. ~ _ ~ EIectlId ClOf*Io lUlIOntI ofI\cII't IIIdudll ~ . L ~ GooMlor. CMlIMt ~ "*""- Of tile ~. CIrM Court Judgft. County ~ . St8le ,,~ PIAlIlC o.renCl.... elen, of Core,.., Couno S""'"o Tea Co;aea~. I'rcpr.y At:Pr= ~ ~ E...- Couo>t, Con_oet'. eIectecl SupjH~... lCIIttll. ot SC'- ~ 01 00Ilnl:t Sc:nooI Baer$. _ II ~ eIIcMO 10 _ _ .. e --.cte1eCl ........., l*forrn"'Q _ ()I ...., 01 !he _
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oIl/le FlorICIll
ot lI\e F1Dndt e.dl
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CE FOAM II· A£Y. 1-10
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WHERE TO FIlE: ~ ... """ u.. 0. Ii'M"*lf of s... ADom ,ao,. The CIpIol. Taw-. f'IondI ~. C8nlIdIIIe . . - . . . aIIIoIr bIIIlI't lIIftlm
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.as .wom to and aublcrlbed June .1L.IQ...
flMnClai Inte,. .ta .,. dllCfoMd henlln
betoc. me t"l. ~ d., of
HOWroOClWlt':fAl8t~IIld~eedI --"""1lIlIII MIIPOftId., . . . . . . . .
IIld .-It ~ In _ _ of 1'000. To lid you 1ft IIld -*tg IUd! _ IIld . . . . . . . .
on
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PftIPMY ............... ~.-1IldbcIndt IfIllIM beldJlnlMed . . . . lUll..- ..... til wIlIc:IIlIf1
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David "'. Harvey Form 6, Page 1 art B - Liabilities, Continued
NAME AND ADDRESS OF CREDITORS
AMOUNT
Abbie Roddenberry
19,500
3206 Beacon Dr.
Tallahassee, Fl 32301 Arthur Robinson P. O. Box 13792
16,900
Tallahassee, Fl 32317
•
•
Southease Bank 239 E. Virginia st. Tallahassee, Fl 32301
120,000
Accured Income Tax On Unrealized Appreciation of ABHclH
109,044
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GIFTS AND OTHER NON~CAMPAIGN CONTRIBUTIONS
FOR·M 7 LAST NAME
STATEMENT FOR CALENDAR YEAR ENDING DECEMBER 31.1989 FIRST NAME - MIDDLE NAME NAME OF AGENCY
Ilarve"
D!,vic!
Fulton
Wakulla County Sheriff's H:partme':1t
MAILING ADDRESS
P
0
WHO MUST FILE Each person hoIO""J an eltl\.!tvtl Siale. counly. dlslrlCl. or muniCipal office" Flonda ,lnd eltch aPPointed public olf/cer ",ho IS required by law to Form 6. Full and Public Disclosure 01 FlnO"CIIII Inlerests, pili suaI'I 10 Arl II. Sec 8, ~ la ConSI
Box 160
CITY
COUNTY
Crawfordvi 11 e.
"I.·
liP
Wakulla
32327
OFFICE HELD ~h~1";f'f'
PART A -
STATEMENT OF GIFTS, DONATIONS, OR PAVMENTS
PlelSe hlll below each conlflbullon. including any gill. donallon. or paymenl. Ihe value of which ellceeds $100. received by you or on your behalf from any person. group, or organiZallon. not otherwise reqUlled 10 be reponed by Chapt,r 106. Florida Slatutes, Any paymenlln excess of $100 to II nlnner. barbeque. fish Iry. or other such eveI'I shall likewise be deemed a contribution, You are 1'01 required to disclose a gill representing an e_presslOn 01 sympathy and haVing no malerlal benefll or a bona "de gift for personal use from your parenls. Children. grandparents. grandchildren. brolhers. Sisters. unctes. aunts. nephews, nieces. greal-grandparents and great-grandchildren. Nor musl you list honorary m,rnberShlp In SOCIal. service. or Iraternal organlzalions which were presented as a ~ullesy by such organizations. Legislalors need not disclose complimentary parking pllvlleges prOVided by an airport authority (ReqUired by sec. 112.3148. Fla. Stat.) DATE RECEtVED
CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
CONTRIBUTION
none
ICHECK IF CONTINUED ON SEPARATE SHEET PART 8 -
EXPENDITURES OR OTHER DISPOSITION OF GIFTS. DONAnONS OR PAYMENTS
If any payment or disposition Is made from the gifts, donations or payments listed above, please list below the neme and address of ech person WhO receIved such a payment or disposlllon. DATE OF EXPENDITURE
NAME OF RECIPIENT
none
EXPENDITURE OR DISPOSITION
ADDRESS OF RECIPIENT
,
"
I CHECK IF CONTINUED ON SEPARATE SHEET PARTe .. the public o'''e.,r whoae neme appe.,. allhe beginning 0' Ihls form.
do depose on oath and say that the tnformallon dlaelosed herein and on any allac:hments hereto conslltut.s a true, accurate, and total IIsllng of all CQntrtbutiona, expenditures, and dlstrfbutlons required to be reported by section 112.3148. Florida STatules
~E~I~£FICIAl
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OATH STATE OF FLORIDA COUNTY OF Wakulla The signature of the public offlcsr whOM flnandallntl. .tl ... dieeloNd herein was swom to and aubscrlbed before me tflll J.Q.. day of JUDO ;
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l'!~TURE OF NOTARY
_ PART D -
- A'
FILING INSTRUCTIONS
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Thl. lorm. when dUty sIgned and :lotarlzed. must be filed with the Departmenr 0' sral•• Division 01 EIec1Ions, Room 1801. The CapItOl. T.lIah..... Flonda 32399. by an offICial who flies Form 6. Full and PubliC Disclosure of FinanCIal Interests. or with the SUD!MfOf 0' by an elacted officer who flies Form 1. Statement 0' RnanCiaI Interests. TtI11 atatement must be fIIod no later than JulY " 1990 for the 1 . calendar year. and Ihould be med together with the Form 8 or Form 1. as applicable.
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FORM 6
FULL AND PUBLIC DISCLOSURE OF FINANCIAL INlCERES:tS=-1988-> .. ,:;[[ INSTRUCTIONS ON RACK OF FOAM, PAA_'T_f
DAVID ijARVEY SHERIFF WAKULLA COUNTY POST OFFICE BOX 160 CRAWFORDVT t ,1.F:, FL 32327
OFFICE HELD
CAPACITY OFFICER
ILiNG
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OFFICE SOUGHT
,
CANDIDATE
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POSITION "
,. OTHER ASSETS AND LIABILITIES IN EXCESS OF $1,000 PART A - ASSETS
PART B - L1ABILITIU
Houlahold Gooda and Parlonal Effectl: Household Goods and Personal Ellects may be reported In a lump sum ,I their aggregate value exceeds S1.000. This category Includes any 01 the lollowlng. II Ilol held lor Inveslmenl pur· poses. lewelry; collections 01 stamps. guns. and numismatic properties. art objects: household equlpmenl and lurnllhlnge: clothing; other household Items: .nd vehicles lor personal use. The aggregate value 01 my household goods and 'p'ersonal ellects as described above Is s--.l.h~QQ. _ Other A...ta oy.r $1,000:
~~-.-.~~O~E~SC~R~I~~I~O~N
Nama and Add,.a. of Credlto,..:
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tArI"" ~nll"A ,. I.~",~ nf land
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in
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n
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1,\ Tnt in 1 Ar-rp in IVAdpn r in l
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Tall Florida Stockton, Whatley & Davin 100 W. Bay Street Jacksonvf11 e, Florida
11f1.FL
41
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Ih K@t1
<:On
, v'CHECK IF CONTINUED ON SEPARATE SHEET
Pla~s
In
31,198
22.875
"'~I~'A~'ln:+'t"ll~R~~al~1t~:'V~ii:lli~=3Em~ S Mortgage Co. ~~ID~""~"':~~~ ,,1 R@~~:' :@altv.C'''ille - - - !22~21~ :'~H05H!0°--l C325& John Knox Road '''.....d
Amount
+-__~~~"FW~E~~Southeast Bank (Fox Hollow Part.)
1-"1C:.:;a-=-sh;.;....,:i....;.;n....;B;;.::a::.:.;n=k +-_~313;;",J, .L.;;;5~00--l 239 E. Vi rg i ni a Street ~";.cmIllQJL~ ~:.tAl. t n r:i.~.:.-.Jw~,:~Lt'~.u.II:IL IllJlaLf. PIJhIlA"" lDIlw:.:1.e.S+.---l1.! 41'Q~.4LUU60~ Tall aha ssee • Flor ida 32301 I
,, ,
Please IIsl below Ihe name and address 01 evelY-person, whether IndIvIdual or corporste. to whom)'Ou owe allablllty8xceeding $1,000 and the amount 01 Indebtedness. As used herein, ""ability" means any monetary debt or obligation owed bY the reportIng person 1o anolher person, excluding the following: credit card and retail Install· menl accounts; laxes owed: Indebtedneaa on a II Ie InsurMce polley owed to the compally 01 Issuallce; contingent IIsbllltles; or accrued Illcome taxe, on net unresllzed appreclallo""
17 .402 7,500
Deposit Guaranty Mortgage Co. P. O. Box 1193
4,.000
2: 042
7n non" I
au..
:i nni
]q21 !i
Ii 147
ytCHECK IF CONTINUED ON SEPARATE SHEET
PART C - NET WORTH Net worth is the dIfference betweell tor., assets 3nd tor., h.blllt.... not merely those listed abOve having a value In exceas 01 '1.000. PI.... enter the value 01 your net worth as 01 December 31. 1988. or a more current date
PART D - INCOME The Sunshille Amendment allo",s you the opportunity to ltIe ellher a copy 01 your most recent lederal Income lax return or a sworn atatemenl whIch Idenllfles eact! separate sou~e and amount 01 Income which exceeds S1,OOO. lncludlllQ lecondary lou~es 01 Income Please Indicate by Ch"ck1ng below WhiCh 01 Ihe two alternatlye melhods 01 Income disclosure you heve chosen to make.
I ELECT TO:
o
F,le a copy 01 my most recent ledera',ncome lax relurn (II you check thiS box and anach a coPY 01 your 1988 tax return. yOu need nOl complete the remalllder 01 Part 0 I File a sworn statement IdenlrlylllO each separale source and amounl 01 Income In 1988 which ••ceeded $1.000 Inchldlng secondary SOI.(1'('~ 01 Income .. shOWn In Part D. continued on the reve,...
.ide.
toft
PART 0 -
I
INCOME (CONTlfiUEO)
--.:.-....;.:------
~ PRIMARY SOURCES OF INCOME Plpa!>!)
,(jtll1lof y
lJaltllll a
f-
each
R""rti
SIl~J.lrale ~OIHCI'
and amount 01 ,,,come
trI
e.ct1SS of 5' 000 Thill
SOURce OF INCOME nf ('''"ntv ('l'VT'nIi....
YOll
received
In
19BI'
AMOUNT
ADDRESS OF SOURCE
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lCHECK IF CONTINUED ON SEPARATE SHEET
SECONDARY SOURCES OF INCOME
II. dUring 1988. you owned dlreclly or Indirectly In excess 01 5% 01 the tOla' assets or capital stock 01 any business entity and you derived over $1,000 income Irom such business entIty, Ihen you must IrSI each source 01 Income 10 the business entity which exceeded 10% 01 Ihe business entity's "total mcome" as shown on thaI bUSiness entity's most recenlly IIled Income tax return,
NAME OF BUSINESS ENTITY IN WHICH YOU aNN OVER 5% OF THE ASSElS OR CAPITAL STOCK AND FRO'" WHICH YOU RECEIVED OVER S1,I)(1O DURING 1988
•
NAME OF MAJOR SOURCES OF BUSINESS ENTlTY'S INCOME
ADDRESS
I, the public ottlcer. employee. or candidate WhoH na",e appearaat the beginning ot this 'onn. do depose on oath and Ny Ihal Ihe Intormatlon dIsclosed heretn and On any a/lachmenl. hereto are true. correct, and
comple~ be.t:1 my kftOWl8d1:'d _
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DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY
STATE OF FLORIDA COUNTY OF
uN" e "n<
The slgnalu of Ihe public officer, .mployee, or. candidate who.. t1n.nc:lallnt I. are dllCloeed haN'n ~ ~m and .u~rlbed befo... me Ihli d., of &.:. 0." , ,~.
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SIGNATURE OF REPORTING OFFICIAL OR CANOI~E
WHERE TO FItE, Incumben'- ftIe ""'" II.- 0.
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PI'1Inenl of Slate,"" 1101, The CapfIoI. Aarida 3ZlIlI c.rd:tIIIIlI NIl - . .... oIfiow betn whom ",,~,
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1. ,• • CanllIdII.- II'UIt . . prior ID ar
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a-ro.c-..-...-.. .....e-.of . . ~ .
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FORM •• AIV. t. .
PART F INSTRUcrJONS HOW TOCCMIPl.Y: II.I By ~ and -ang.-en . . . and .-ell ...., III _ aI "C1llO. To lid you In ~ ... WIIuirtg
~
IUd! . . . . and ...... 1Plt
on etlIca IUlIIlI'IIIIIle IllIIowIn;:
~·AtII"'''''lIe~." IDcIIlon ~ All . . . . . . . . . ~ arthe P'Gf*'Y 1IllIl'IIIIr" • 11m ~ IIIDCb Md bondI ....... lIe --.cltlt' 1D ...-: Md . . . . . ~ IhIUd be IdII'IlIIl..s tit' o f . . . ~ &ch lIIt*y IIlClIlId tie ........, by IIInQ 1Plt _ Ind . . . . bl .. cndIIIrlr
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of IhI dIClt ar, • JIIU . . JuI!:llIr !\t!IflOl1llblw 1Ilt_ ~
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(OJ M lnbInIIlOft dIl:Ioeed on . . IDrm .. ,....., '" - - - -"OuId tie ...... lleIed IlO'l 1Plt e:toaInO prQ IlO'l. In to lie 91*' urar Cldl llebe 19*'0" IDrm, rau dIda ",a.lIlClkl 01 I*IOfIII ~ mull. ." . of a "*'Y jllAIIIC aroe. pIrIDn JOIflltJ..., ..,.."...... fOI' IhIUd tie ~. .1Ul!'cIOtnd III ~ OI1lIa Ill . . . . . ID . . . . and lla.-et Clf'I fOI' IeOIf ~ of -.....p. and \IOU ..... .... to . . VIIcIIy aI ,eM lIIIIJIIlure IIllllell*'t pruwIded ~to_ . . . . . . " , . ~ ~ t o In "-' E. IIDO\IW MIcIe R, k1lDn e, FlarillII ConIaIuIIan ,our CIIIIUI 01 eQUllV _ _ .. IIIaI lMIr.- ~ (lfle 8unllIWIe ~ -..cs rtJIIffItr IIy • Iluabencl _ ..... ftIIleIS tie oeparlad .. 1Dll'lt 01 You _ CIMlNd '" - . an ........
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Form 6. Page 1 Part B - Llabliltles. contlnyed
Abbi. Roddenb.rry
3206 a•• con Drlve
Tall.ha~see.
Florid~
3e301 17,:500
Arthur' Robinson P. O. 80)( 137ge
TallahAssee. Florida 3c317
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GIFTS AND OTHER NON·CAMPAIGN CONTRIBUTIONS TO ELECTED STATE, COUNTY AND MUNICIPAL OFFICERS 1988
FORrJl 7
• LAST NAME - FIRST NAME - MIDDLE NAME
Harvev
STA TEMENT FOR CALENDAR YEAR ENDING DECEMBER 31, 1988
David Fulton
..
NAME OF AGENCY
MAILING ADDRESS
W~klJl h
Pnc:.t Off; rp Rmc 1F;O CITY
COUNTY
Wakulla
r rawford\J 111e
OFfiCE HELD
OATE TERM EXPIRES
,
lQQ3
.1:a nllla .. v t QAQ ELECTED OFFICE HelD IS ~~ COUNTY OFFICE U STATE OFFICE
371?7
Sheriff PART A -
County Sh~riff 's DeJartment
DATE TERM BEGAN
liP
l_ MUNICIPAL OFFIC':E
STATEMENT OF QIFTS, DONATIONS. OR PAYMENTS
Please hsl below each concrl~l/tlon. Including any gill. dona\lon, oc payment. the value of which exceeds $100. received by you or on your behalf from any person, group, or organization. nol olherwlse reqUIred Ic be reported by Chapler 106. Florida Statules. Any payment in excess of $100 10 a dinner. barbeque. fish fry. or other such evenl shall likeWise be deemed a COnlrlbulion. You are nol required 10 disclose a gift representing an expressIOn of Iympalhy and haVing no material benelil or a bona tide gill lor persona' use from your parenta, children, gnlOdparenls, grand· children. brolhers. 1181ers, uncles. aunll. nephews. nieces. greal-grandpltrenls and great-grandchildren. Nor mUll you IIsl honorary membership In socl"', lervlce, or Iralernal organlzalions which were presenled as a courtesy by such organlzalions, Leglslalora need not disclo8e compllmen· lary parking prIVIleges prOVIded by an airport aUIt!orlty, [Requrred by Sec 111,011. Fla. Slat.) DATE RECEIVED
CONTRIBUTION
ADDRESS OF CONTRIBUTOR
CONTRIBUTOR
None
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PART 8 - EXPENDITURES OR OTHER DISPOSmON OF QIFTS. DONATIONS. OR PAYUEHTS
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II any ~nl or dlspoIUlon II mllde lrom Ihe gllll, donations or paymenls tilled abaft, pl.... II.t below the name and Ilddf888 0' elCh ~~ who received such a payment or dlspoIIl,on, DATE OF EXPENomJRE
EXPENDrTURE
"'AME ')F RECIPlEIoIT
ADDRESS OF RECIPIENT
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OATH
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I. the pubtlc officer ....hose name appears 8tlhe beginning Ollhll lorm,
STATE OF FtDRIDA
do depose on oath and aay tha' Ihe Information dlscloled herein and
COUNTY OFGC)
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ond
The slgnalu,. of I'"
required 10 be
closed herein ~ end aubacrfbed belO,. me thl•
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SIGNATURE OF REPORTING OFFIt"fAL
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IXATURE OF NOT'ARY.I~ r a.. all''_'.. '7k. ~ .. .
I PART D -
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FILlNQ INSTRUCTIONS
.6.1,
DATE COMMISSION EXPIRES
111.._
...... S~' af Rdrik , .... Secl'-Q. ,
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~11t.... '''''_·~-Thea tonn. When Ouly atgned and notarized, mUlt be l,teeS with lhe Dtpartmtol of StAI'. 0IvtI1on 01 Elac:tlona, Room 1801. Th' c.piIOl, T........... F10rida 32399. by an t\eClecl .We omcer, or with the SYAtMR 01 E!tctIonI by Ileded county otftcer or an tItct«t munldpal ontcer. Ttl.. "atement mutt be tiled no laler Ihan July 1, 1989 lor lhe 1D88 calendar ye&I'. '
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FULL· AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS_1986~
f:ORM 6 I.A~T
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nRST r-tA'-4E -
MIDDLE INITIAL
• SEE INSTRUCTIONS ON lACK OF FORM. 'ART F FILING CAPACITY OFFICE HELO
Harvey, David F.
X' OFFlCUI
MAILING ADDREbS
Sheri ff OF~ICE SOUGH'
Pnc:.t Offirp Rmr 1"n CITY
CANDIOATE
liP
Crawfordville
COUNTY
32327
POSITION
Wakull a
OTHER
ASSETS AND LIABILITIES IN EXCESS OF $1,000 PART A - ASSETS
PART II - LIABILITIES
Houaehold Goods Ind Person.1 Ellecll' H('ll~f'",.lll (iuods ilnd Personll ElloCIli may b', ,eported In II Iu',,;' '" " '!'PH aggregale value e~ct!eds $1 ()()(l ThIS calegory InCllJ,l ; any 01 Ihe 1('lIow,"O. " nol held 1(11 '''v".Imenl pur PO""~ Icw!,l!) C"olleCllons 01 slamps, guns d'1(1 numlsmillc pH,pI": .e .. all OUI"CI •. houllehold equlpmenl a"t1lurnlshlnos. r. IOIr--lIIQ olhe, household Ilems. and vehicles lor person.1 use The aygrpgale value 01 my household goodS and persona' elleels
Ple.le IIsl below Ihe name and .dclreu 01 8Vftry porson. ""hfllnl" Indlvldu.1 or corporalfl, 10 whOm you OW8 • h.tllhly o.ceed,ng ~ 1 ()(l(l andlhe amount 01 In,'ebtedneu AI lIud hfl,e,n hab'lily' ",81\0<' any monOllly debl (II obhOAllon owed by In" rrp
Amounl
VALUE
~C~a-sT;h~i-n~B~a-n~k~~~~---------+--~~l~/~,n~IIU~)IUHSoutheast
35.500
Bank (Fox Hollow Partner ~C~:~~ln---mo,'n-~SI~t:o~"c-:k-----W~';a~k:L~ul~l~a-P~h-la-rm-la-lc-i-e'~~---~I~O~O~'O~O~O 239 E. Virginia Street Residence and 8 Acres 42 sao Tallahassee. Florida 32301 Residential Rental Realty. Talco F d 1 La nan d B k r-'-'-...R ....~ r1~::..:..'-"T''-.-=II"::' '-, 1":"'1--'~' ~::..:._.;...:_:.:::~:..:.._--:';''::'::::''F1~'-L-'''':''='''';'':'~----?(l-n-nn-i e era
24.500
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~-Q'-("~;i Q,l1J, AI, ....a.....',.J,tLJ:;U",.J.,...aln Q'C",.ll, d n +.f.",e....'Q.J,a~.,"'-',-+-----+---~Laj,/1LU...lH i 9hway 90 rw~(~~~ ,14-4-:i'~ 11~e~~Fl:-W;:.Q.J.~""'---+----:1-=0.0~IO::-::O:-lOQU i nc V F1 0 rid a Rt>c:.irlpnti.:l1 Rt>nh' R~.:lltv Iwakulla Co. State Bank
11. 952
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r i a l Rental Rpi\ tv C'lIillf' ?: rawfordvi11e, Florida 32327 Bpdroom Hou,E' ~, 1 4:,.. I Ar:rpc. of land C ·ow ,vil e ... & S Mortgage Co. f-I-n.......... ve....s.... t ..........;t...J.n--±'paw.lrWtUn-e¥.r~s h"":i~p~..Ir*" (F oLox~H.ao"'" 11....c+-~",)---z4*1-"+i • ,~32 5 John Knox Road 1/41nt in ln~i Arrpc;. li:lnd lallahassee. Florida ~C~r~a~w~fo~r~'d~'v~'_1~le~ ~~~__+-__~2~5,O~OO~Stockton, ~hatley & Davin ::~: f--ALI-..4I~n.... ,t~i n-:-2!,",'1....2........ a1c.... :r....so"'--e~ ........ fl..,.a......,.,. nd _-+-_--=-=-::-=-1100 W. Bay Street '-', • r-:-"C~r~dl-,:,-W/ 0,,-'r....:ocdl~ v i· ':...:11-,,-_ e _-:--:~-:--_ _+-_--=2=-8,L:l:.::2;,;;,5-f\Jla ck s on v 111 e. Flo ri da l • ~. 1/2 Int. in 1 acre of land ~(::'~ ~,&~ '~'Af'~;'1~1~ P~:-o:t:it:::~~'D"l';±;;__~37~50i4secu r ity F1rs t Fede ra 1 S & l. ~ . I Vested Intprest in Ret;~I1~ Pl Ins 9.267 rt 40 N. Monroe St. ;, . 1--'-' --L>.l .L..-I Io.II.-.l...L) ----~ ~\"a 11 ahas see. Flo rid a 323 a1 .'.
17.500
1
7,.500
1
~'rthur Robinson f - - - - - - - - - - - - - - - + - - - - - - f o . O . Box 13792 lallahassee. Florida
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PART C - NET WORTH 1'". (1,flr'once Out ween rorlll ossets and ro,,,1 lIab,lltlos nol merely Ihoae IIs1ed
the v.)IU~ 0 1 Y(JU'
net worlh as 01 December 31. 1986, or
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ICHECK IF CONTINUED ON SEPARATE SHEFT
)CHECK IF CONT INU~ 0 ON SEPARATE SHEET Nel worth
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8
.bov" hAving .....Iue In excess 01 $1.000
Please
mont currenl dale
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PART D - INCOME
•
The Sunsh,np Amen(trnenl allordt you Ihe oppOrlun'Iy hl Ille e,ther a copy 01 your mOl' recenl leder.llneome I •• return 01 • Iworn tI.lemenl WhIch ,den"I,ps each !leparate SOurClt and amounl 01 ,"(.ome which exceed. $1.000, Including lecondary 10UICea 01 Income Plene Indlc.IlI by check,ng bf'low wh'ch 01 the Iwo a"ernall...e melnOllll 01 Income disclosure you h~ cho.en I" m.ke
I ElECT TO
f 11111' copy 01 my mOil teeenl "Idoral Income lax telurn
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nood nOl complolfl I"e romlllnt1 ..r 01 P.,I
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.lIac". copy 01 you' IBM t.l< re1urn.
.nn amounl 01 Income In ,QNl Wrlll h '"' "".t1~"
(10(11'" huh"ll
PART D - INCOME ICONTINUED) PRIMARY SOURCES OF INCOME n", .. , f' 1·1",,., " f',J' t, ,epft'lIlfl1 "."Uf'
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SECONDARY SOURCES OF INCOME II ""-I'.r; ~'J1\6 ~rHl 0wne<1 d"eC1Iy (\1 ."\I,,er,1Iy or' .... cHIS 0' ~'" 0' lhCO 10lllltSSlls or ClllllAllllOCk 0' Iny I,U~"'(I~~ .,nl'l, .nC rc>u " .. , ..",1 S' 1....0 'nco"'e "om such tlu!\tnes,; Pnilly, thf'" '1'011 musl list "ach sourclt Incomlt to .tlft bUSIness ftnllly whlC" ftHC'fOcl ..,j 10". of t'.l'· .. ··· " t''''·1 ('. tnlal In('om!!' a~ .. ~." ... " lin ,hltt r..,l\,neSlI lln'.'y r. mo,1 rllCftnlly Income la' relul"
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NAME or BUSINESS ENTflY IN WHICI~ YOU OWN OVER 0;', OF TI~E ASSFTS OH
NAME OF MAJOR SOURCES BUSINES~ ENTITY'S
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AODRE-SS
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PRI~CIPAl
INCOME
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ACTIVITY
CAPITAl ~TOCK AND FROM WHIC~ vOU RECEIVED OilER S1 000 ['tiRING 191\6
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STAH OF FLORIDA
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• For. 6. Page 1
Part B- Liabiliti .... continuud
Abbie Roddenberry 3206 B.acon Drive Tallaha ••••• Florida
•
22,000 32301
Wakulla County State Bank Highway 319 Crawfordville. Flor1da 323~'?'
43.032
Not.e Payable. Woodland
2~.000
H.rita~J.
Not.e Payabl •• fi.her Cr•• k Wakulla County State oank H1qhway 319
Crawfordvill ... flor1da 32327
28.
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2008
FORM 6
FULL AND PUBLIC DISCLOSURE OF Plene print or type your name, mailing :I FINANCIAL INTEREST r add,,"a, agency name, and posltlon below : LAST NAME -
FIRST NAME
MIDDLE NAME
COMUISSION 014 T€ HIC$ DAff RfCEIVED
FOR OFFICE USE ONLY:
Harvey, David F.
lUI 1'1
MAILING ADDRESS
lOOl
15 Oak Street ID Code
Crawfordville
Wakulla
32327 ZIP
CITY
COUNTY ID No
l=:hpriff'!:: Offir"t:>
WAlr" 11;11 NAME OF AGENCY
Sheriff NAME OF OFFICE OR POSITION HELD OR SOUGHT
CHECK IF THIS IS A FILING BY A CANDIDATE
\l.--\ ~ a
.... 11&_ .... _
Conf Code
. """I:~ ~SEJ~
P Req Gode
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PART A .- NET WORTH Please enter the value of your net worth as of December 31, 2008, or a more current date [Note Net worth hablhbes from your reported assets, so please see the Instructions on page 3 I
My net worth as of
June 30
,20
09
was$
IS
not calculated by subtracting your reported
$1,752,852.00
PART B - ASSETS
•
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1,000 ThiS category Includes any of the follOWing, If not held for Investment purposes Jewelry: collections of stamps, guns, and numlsmahc items, art objects; household eqUipment and furnishings, clothing, other household Items, and vehicles for personal use The aggregate value of my household goods and personal effects (descnbed above)
IS
$
$60,000.00
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific descrtptlon Is required - see Instructions p.4)
See
2l.4-4
.
VALUE OF ASSET
PART C -- LIABILITIES LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Attachment
JOINT AND SEVERAL LIABIUTIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
CE FORM 6 - Elf 1/2009
(Continued on revel1le side)
AMOUNT OF LIABILITY
PAGE 1
,
.
•
PART D -- INCOME You may EITHER (1) file a complete copy of your 2008 federal IOcome tax return, Including all attachments. OR (2) file a sworn statement Identifying each separate source and amount of Income which exceeds $1,000, Indudlng secondary sources of income. by completing the remainder of Part D. below.
o
I elect to file a copy of my 2008 federal Income tax return [If you check this box and attach a copy of your 2008 tax return, you need not complete the remainder of Part D)
PRIMARY SOURCES OF INCOME:
NAMF OF «nIIOI"~ OF INCOMF
: nr:
, S1000
nr: INCOMF
See Attachment
SECONDARY SOURCES OF INCOME [Major customers, clients. etc. of bUSinesses owned by reporting person-see instructions]
NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS' INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
PART E •• INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1
BUSINESS ENTITY # 3
BUSINESS ENTITY # 2
PRINCIPAL BUSINESS
~1Iil •••••••••••••••••••••••••••••••••••• IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I. the person whose name appears at the
0
~6~~Fa'::LORIDA Wakulla
---------------
Sworn 10 (or affirmed) and subscribed before me this
30th
day of
beglnnrng of this form. do depose on oath or affirmation and say that the information dlsdosed on this form and any attachments hereto IS true. accurate, and complete
June
~
l" 1~n
.20
09 by David F. Harvey
""...... . t-Pr"A
(Slgn'tu'!e of~ry PUblic-Stat~1 FIO~W'J '.J
$~~~'?f~ Judy Langston
~.
U
So~mission. # 00536198
SIGNATURE OF REPORTtNG OFFICIAL qR CANDIDATE
Type of Identification Produced FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3.
INSTRUCTIONS on who must file this form and how to fill It out begin on page 3.
OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eff 112009
PAGE 2
Form Ii Full and Public Disclosure of financial Interests ZOO8 David F. Harvey, Sheriff, Wakulla County, Florida June 30, 2009
Part A - Net Worth My net worth as of June 30, 2009
S
1,752,852.00
Aggregate value of my household goods and Personal Effects
S
60,000.00
PartB-ASSm I.
Part C - LIABIUflES
Banking Accounts Wakulla Bank· CrawfordVIlle, FL
S
5,000.00
Amerls Money Mkt.· CrawfordVille, FL
S
5,000.00 .
Amens Bank Savings - Crawfordville, FL
S
2,000.00
Wakulla Bank Shares· Crawfordville, FL
S
150,000.00
5EI Mutual Bond Account, Oaks P.A.
S S
1,852.00
II. Stocks .. Bonds
1/2 Interest SEI Stock Account, Oaks, P.A.
95,000.00
III. Real Estate Corpor.ltlons .. Partnerships 1/3 Interest Crawfordville Financial Partnership LLC
S
160,000.00
1/3 Interest Farmers & Merchants Bank, Tall., FL
S
160,000.00
1/2 Interest Benus Plaza LLC
S S
500,000.00
1/2 Interest Ameris Bank, Crawfordville, Fl
430,000.00
1/2 Interest Chase Bank & AmSouth, Tall., FL
S S
245,000.00
400,000.00
1/2 Interest Tallahassee Bank, Tall., FL
S
156,000.00
1/2 Interest Benus Maint.
S S
1/2 Interest Benus Properties
S
540,000.00
1/3 Interest BMH Properties
100,000.00
1/2 Interest HL Ventures
S S
750,000.00
1/2 Interest Ameris Bank, Crawfordville, FL
S
750,000.00
1/4 Interest Wildwood Golf
S
650,000.00
1/4 Interest Wakulla Bank, Crawfordville, Fl
S S
590,000.00
1/4 Interest Barry Enterprise
S S S
975,000.00
1/4 Interest Wakulla Bank, Crawfordville, FL
S
975,000.00
1/4 Interest, Amens Bank, Crawfordville, FL
S S
375,000.00
S S
100,000.00
S S
95,000.00
1/2 Interest Foxway Property 1/2 Interest Benus Farm
10,000.00
1/4 Interest Farmers
1/4 Interest Wakulla Annex, LLC 1/2 Interest Investment & Timber Co., LLC 1/2 Interest Harvey Investment, LLC TOTAlASSm
--------------_.
160,000.00
380,000.00 80,000.00
5,393,852.00
CI
& Merchant Bank, Tall., Fl
1/2 Interest, Bill Crona, Tallahassee, FL 1/2 Interest, SunTrust Bank, Tallahassee, FL TOTAlllABIUflES
60,000.00
75,000.00
3,641,000.00
ct
...
..
t
•
LAST NAME
FIRST NAME
David
Harvey
~:2_0_0_7~
FULL AND PlTBLIC DISCLOSURE OF I FINANCIAL INTERESTS I
FORM 6
MIDDLE NAME:
COMMISSIOH OH El hI.. OAlERECEMO
FOROFACE USE ONLY:
F
JJL () 2 2008
MAILING ADDRESS:
15 Oak Street \0 Code
ZIP
CITY:
Crawfordville, Florida
D
COUNTY'
/
Wakulla
32327
NAME OF AGENCY
/
Conf. Code
Wakulla County Sheriffs Office NAME OF OFFICE OR POSITION HELD OR SOUGHT'
Sheriff
.'
.
CHECK IF THIS IS A FILING BY A CANDIDATE
\~\~~
'10 No
~.
IJ
P. Req. Code
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PART A - NET WORTH Please enter the value of your net worth as of December 31,2007, or a more current date. [Note: Net worth Is not calculated by subtracting your reported liabilities from your reported assets, so please see the instructions on page 3.J o;MYIleLw()rt~'as:-of,-Decemb8r 31,- " -
•
-;:20'08 -wa5'$ 2,815.245.00,
_-:J
PART B - ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1,000. This category includes any of the following, if not held for investment purposes. jewelry; collections of stamps, guns. and numismatic ilems. art objects; household equipment and fumlshings; clOthing; other household items; and vehicles tor personal use The aggregate value of my household goods and pel'SOnal effects (described above) is $ See Attachment For Detail
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (speclftc desertptlon Is required· see instructions pA)
Total
See Attachmentfor Detail
, .,
VAL.UE OF ASSET
6.597.245.00
.,
PART C - LIABILITIES UABlLITIES IN EXCESS OF $1,000: NAME AND ADDRESS OF CREDITOR .;
AMOUNT OF UABIUTY
See Attachment for Detail
Total
JOINT AND SEVERAL UABILmES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
'.
CE FORM 6 • Elf. 112008
(Continued on reverse side)
3,722,000.00
AMOUNT OF UABIUlY
PAGE 1
,II'.
•
PART D - INCOME
You may ErrHER (1) file a complete copy of your 2007 federal income tax retum, including all attachments. OR (2) file a swom stalBment identifying each separelB source and amount of income which exceeds $1,000, including secondary sources of income. by completing the remainder of Part D. below.
IJ
I elect to file a copy of my 2007 federal Income tax return. [If you check this box and attach a copy of your 2007 tax return, you need not complete
the remainder of Part D.] PRIMARY SOURCES OF INCOME:
hJAU~ f'I~ <1.f'lIIDI"C f'I~ 'hJl"f'lut=
C1
"'''' <1.f'l1 II)I"~ f'I~ 'hJ"'f'I"~
nnn
See Attachment for Detail
323,187.00
Total
n
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see Instructions] NAME OF MAJOR SOURCES
NAME OF DI 1<1.''''<:'''''' I=NTITV
PRINCIPAL BUSINESS
ADDRESS
f'I~ D""""'<:"''''' IN('flUI=
f'l1=
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 2
BUSINESS ENTITY # 1
~~,~,.?.f", .. NTITV
•
BUSINESS ENTITY # 3
-
~R~~~~~,TV
PRINCIPAL BUSINESS
~Tbem.I~LD IOWNMO~~~A5%
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IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH
STATE OF FLORIDA COUNTY OF l
I, the person whose name appears at the
liD
,? Q. \<."'-\\ p,.
Swom to (or affinned) and subscribed before me this
'J. '1 "...
day of
beginning of thIS form, do depose on oath or effirmation
S)~
and say that the Information disclosed on this form and any attachments hereto is true, accurate,
and complete.
~ ) (~ J/k~V
SlMATURE OF REPORnNG OFFICIAL OR CANDID lE
-
,20
~
\ '" ().l
ft.
D'il by Oo...o·.)a i=. \\CHU:C..oo:-\
~~.
(Signatu&~.of Notary Public-State of Florida)
'lOt..,.......... """Alll4 ......
.. ~l: '~
lPIWW ~
11 Personally Known ·VU8J~
(Print, Type, 0
(S
, ,
,~
P
ry Public)
Identification
Type of Identification ProdUced
•
FILING INSTRUCTIONS for when and whare to file this form are located at the top of page 3.
INSTRUCTIONS on who must file thIs form and how to fill It out begin on page 3•
OTHER FORMS you may need to file are described on page 6.
CE FORM 6· Elf 112008
PAGE 2
--
FO~UII
And Public Disclosure of Financial Interests 2007
Dav' F. Harvey, Sheriff, Wakulla County, Florida June 30,2008 Part A • Net Worth
My net worth as of December 31, 2007
$
2,87&,246.00
Aggregate Value of household Goods & Personal Effects
$
60,000.00
$ $ $ $ $ $ $ $ $ $ $ $
5,000.00 30.000.00 2,000.00 150,000.00 250,000.00 1,694.00 140,000.00 45,000.00 150,000.00 500,000.00 380.000.00 140,000.00
v1121NT 8enus Farm LLC
$
400,000.00
-..I1121NT 8enus Maintenance LLC, Crawfordville, FL .-'112/NT 8enus Properties LLC, Crawfordville, Fl Guardian Insurance, Lehigh Valley, PA 1121NT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL Residence & 10 Acres· CrawfordVille, FL
$ $ $ $ $
10,000.00 510,000.00 10,000.00 10,000.00 350,000.00
V1I2INT Harvey Inv., LLC $ 1121NT Plaza Tower, Tallahassee, FL $ 1/3 INT Carrabelle Lot, Carrabelle, FL $ IRA Account, Tallahassee, FL $ ~ ~. F,,!Q!id~~ent System - Drop, Tallahassee, FL $ ~ --1121NT Hl:Ventilled:LC;-~Crawfordville;-:l;b $
A/4 INT Wildwood Golf LlC, Crawfordville, -FL ~~~Y.p.,f$ 1/41NT Barry Interprises Inc., Crawfordville, FL_~'\ $ 1/3 INT Wakulla Investment & Timber Co., LLC, Cr wfordville, FL $ Deferred Compensation, carmel, IN $ V1/3INT BMH LLC, CrawfordVille, FL $ 1/2 INT 2-BR Townhouse, Panacea, FL $ TOTAL ASSETS S
100.000.00 5,000.00
15,000.00
16.551.00
250,000.00
800,000.00 650,000.00 1,100.000.00 5,000.00 287,000.00 100,000.00 125,000.00 6,&97,246.00
Part B - ASSETS
Checking Account. Wakulla Bank, Crawfordville, FL
) ~
~
Money Market, Ameris, Crawfordville, FL Savings Account· Ameris, Crawfordville. FL Shares - Wakulla Bank, Crawfordville, FL 112 (NT SEI Annunity, Oaks, PA 112 INT SEI Municipal Bond Account, Oaks, PA 112 INT SEI Stock Account, Oaks, PA 1/2 INT SEI Priva1e Trust, Oaks, PA ·v1/3INT Crawfordville FinanCIal Partnership LLC, Crawfordville, FL ./1/2 (NT 8enus Plaza LLC, Crawfordville, FL -<114-INTwal«llllr:COUrthouse~Annex Partnersffip:CraWfo7(lVilJe;jFL V1/2INT Fox Way LLC, Crawfordville, FL
Part C • LIABILITIES
J
Part D • INCOME
Joint Wages & Salaries Interest Income Business Income Dividend Income Capital Gains
IRA Distribution Real Estate Rentals, Pships, S-Corps, trust, etc. TOTAL INCOME
•
(J M L - \V~ tvl/ t:GU-l
$ $ $ $ $ $ $ $
215,108.00
13,938.00
(6,538.00)
17,213.00
196,526.00 14,332.00 (281,288.00) 169,291.00
Farmer's & Merchants Bank, Tall,FL (1I3INT) Ameris Bank, Crawfordville, FL Ameris Bank, Crawfordville, FL (1/4 INT) Chase Bank (1/2 INT) AM South Bank. Tallahassee Tallahassee Bank, Tallahassee, FL
$ $ $ $ $ $
150,000.00 200,000.00 375,000.00 134,000.00 26,000.00 200,00000
Wells Fargo, Box 14411, Oesmoines, Oowa Capital City First, Tallahassee, FL Sun Trust,k Tallahassee, FL
$ $ $
212,000 00 85,000.00 90,000.00
Ameris Bank, Crawfordville, Fl Wakulla Bank,Crawfordville, FL Wakulla Bank, Crawfordville, Fl
$ $ $
750,000.00 525,00000 975,000.00
TOTAL LIABILITIES
S
3,722,000.00
$
2,875,245.00
•
•
FULL AND PUBLIC DISCLOSURE OF C2006-= PI_e pllnt or type your nam., mailing : FINANCIAL INTERESTS I COWISStON ON ETHICS eclclntaa, agency name, and pcIlIltlon below :
FORM 6
LAST NAME Harvey
I
FIRST NAME
MIDDLE NAME:
David
DATE RECEIVED JlIL 0 6 ZOU1
FOR OFFICE USE ONLY:
Fulton
MAILING ADDRESS
15 Oak Street lD Code Crawfordville, Florida
32327
Wakulla COUNTY
ZIP'
CITY
NAME OF AGENCY
., "
Sheriff
;;:
JC.
' tK\~})(~
NAME OF OFFICE OR POSITION HELD OR SOUGHT,
CHECK IF THIS IS A FILING BY A CANDIDATE
1'2-1 "1'0
10 No.
Wakulla County Shentrs Office
fi=J, ~
lE@~
i7P
ri Q "
Cont. Code
r-:J
Code
0
PDF 2005
PART A NET WORTH Please enter the value of your net worth as of December 31, 2006, or a more current date. [Note' Net worth IS not calculated by subtracting your reported habilitres from your reported assets, so please see the instructions on page 3.) My"nefworth-:as=ot _DecemtiElr:21·
'
,
20 06.'~'~a;$'$2,674.867.00:J
-
PART B - ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum If their aggregate value exceeds $1,000. ThiS category Includes any of the follOWing, If not held for Investment purposes Jewelry, collections of stamps, guns, and numlsmallc ilems, art objects, household equipment and furnishings; clothing, other household items, and vehicles for personal use. The aggregate value of my household goods and personal effects (descnbed above)
IS
$ See Attached Detail
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description Is required · Sell instructions pAl
VALUE OF ASSET
See Attached For Detail
PART C -. LIABILITIES LIABtLITIES IN EXCESS OF $1.000: NAME AND ADDRESS OF CREDITOR
AMOUNT OF UABIUTY
See Attached For Detail
JOtNT AND SEVERAL LlABIUTtES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
•
CE FORM 6 - Elf. 112007
(Continued on reverse side)
AMOUNT OF UABIUTY
PAGE 1
i
•
PART D - INCOME You may EITHER (1) file a complete copy of your 2006 federal Income tax retum, including all attachments, OR (2) file a swom statement Identrfylng each separate source and amount of income which exceeds $1,000, Including secondary sources of Income, by completing the remainder of Part D, below.
0
I elect to file a copy of my 2006 federal Income tax retum. [If you check thiS box and attach a copy of your 2006 tax retum. you need not complete the remainder of Part D.]
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOU~CE OF INCOME
AMOUNT
See Attached For Detail
--
-
--
--
--
--
--
--
---
-
--
--
SECONDARY SOURCES OF INCOME [MajOr customers, clients. etc., of bUSinesses owned by reporting person-see instructions)" NAME OF BUSINESS ENTITY
ADDRESS
OF SOURCE
NAME OF MAJOR SOURCES OF BUSINESS' INCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 2
BUSINESS ENTITY .. 1
•
NAME OF I=NTITV
BUSINESS ENTITY" 3
See Attached For Detail
~R~~~~~ ~tTITV PRINCIPAL BUSINESS
~f~Tbem.,~LD I OWN
MO~~ ~~~r-:,f:2,~",e-e-
~MY IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
D
STATE OF FLORIDA W k 11 COUNTY OF a u a Swom to (or affirmed) and sUbscnbed before me thiS
2nd
day of
beginning of thiS form. do depose on oath or affirmation
July
and say that the Informabon dlsdosed on thiS form and any attachments hereto is true, accurate,
?:;?~
SIGNmlJRE OF REPORTING OFFI IAL OR CANDIDATE
1...}
e..-r
(Signatu
::
J~
~~
·"'.reDtld u.,)
Commhil;on'D0401919
Expi r
,,& Mlroh 1, 2009
(Pnnt, Type, or tamp'"'Co Personally Known
David F. Harvey
,20-!}2bY
XXX
./
0
..a, "" v, ..v.ary Public)
OR
Produced Idenlificabon
Type of IdentificalJon Produced
•
F'L1NG INSTRUCTIONS for when and where to file thl. form ue located at the top of page 3.
INSTRUCTIONS on Who mu.t file thl. form and how to fill It out begin on page 3•
OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eft. 1/2007
PAGE 2
Fonn 6 Full And Public Disclosure of Financial Interests 200& DavId F. Harvey, Shenff, Wakulla County, Florida June 30, 2007 Part A • Net Worth My net worth as of December 31, 2006
$
2,674,867.00
Aggregate Value of household Goods & Personal Effects
$
60,00000
Part B - ASSETS Checkmg Account, Wakulla Bank, Crawfordville, FL Money Market, Amens, Crawfordville, FL Savings Account - Amerls, Crawfordville, FL Shares - Wakulla Bank, Crawfordville, FL 1/21NT SEI AnnuOlty, Oaks, PA 1/2 INT SEt MUnicipal Bond Account, Oaks, PA 1/2 INT SEt Stock Account, Oaks, PA 1/2 INT SEt Private Trust, Oaks, PA 1/3 INT Crawfordville Financial Partnership LLC, Crawfordville, FL 1/2 INT Benus Plaza LLC, Crawfordville, FL 1/41NT Wakulla Courthouse Annex Partnership, Crawfordville, FL 1/2INT Fox Way LLC, Crawfordville, FL
$ $ $ $ $ $ $ $ $ $ $ $
5,000.00 50,00000 2,000.00 150,000.00 250,000.00 1.694 00 180,000.00 45,000.00 160,00000 400,000.00 380,000.00 140,000.00
1/2 INT Benus Farm LLC
$
400,000.00
1/2 INT Benus Maintenance LLC, Crawfordville, FL 1/2 INT Benus Properties LLC, Crawfordville, FL Guardian Insurance, Lehigh Valley, PA 1/21NT DaVid Hiers. Mortgage, Sopchoppy River, Sopchoppy, FL Residence & 10 Acres - CrawfordVille, Fl
$ $ $ $ $
10,000.00 510,000.00 10,000.00 10,000.00 350,000.00
1/2 INT Harvey Inv , LLC 1/2 INT Plaza Tower, Tallahassee, FL 1/3 INT Carrabelle Lot, Carrabelle, FL IRA Account, Tallahassee, FL Flonda Retirement System - Drop, Tallahassee, FL 1/2 INT HL Ventures LLC, Crawfordville, FL 1/4 INT WIldwood Golf LLC, Crawfordville, Fl 1/4 INT Barry Interprises Inc., Crawfordville, FL 1/3 INT Wakulla Investment & Timber Co., LLC, CrawfordVille, FL Deferred Compensation, Carmel, IN 1/3 INT BMH LLC, Crawfordville, FL 1/2 INT 2-BR Townhouse, Panacea, FL TOTAL ASSETS
$ $ $ $ $ $ $ $ $ $ $ $
10,000.00 5,000.00 15,000.00 16,551.00 250,00000 800,000.00 650,000.00 1,100,000.00 5,000.00 306,62200 100,000.00 150,000.00
$
6,621,867.00
Part 0 - INCOME JOint Wages & Salanes Interest Income Business Income Dividend Income Capital Gains IRA Distnbution Real Estate Rentals. Pships, S-Corps, trust, etc TOTAL INCOME
•
.
Part C - LIABILITIES
$ $ $ $ $ $ $
215,10800 13,93800 (6,538.00) 17,21300 196,526.00 14,332.00 (281,28800)
$
169,291.00
.---------- •
Farmer's & Merchants Bank, Tall ,FL (1/3 INT) Amerls Bank, Crawfordville, FL Amens Bank, Crawfordville, FL (1/4INT) Chase Bank (1/2 INT) AM South Bank, Tallahassee Tallahassee Bank, Tallahassee, FL Joe Ann Council, Crawfordville, FL
$ $ $ $ $ $
160,000.00 18,000.00 375,000.00 134,000.00 26,00000 200,000.00 45,00000
Wells Fargo, Box 14411, Desmoines, Oowa Capital City First, Tallahassee, FL
$ $
212,000.00 277,000.00
Ameris Bank, Crawfordville, FL Wakulla Bank,Crawfordville, FL Wakulla Bank, Crawfordville, FL
$ $ $
750.00000 525,000.00 975,00000
Ameris Bank, CrawfordVille, Flonda TOTAL LIABILITIES
$ $
3,847,000.00
$
150,000.00
•
.....
,..
.
I
FULL AND PUBLIC DISCLOSURE OF (2005-" --....; FINANCIAL INTERESTS I I COIIfrsSk>NONETHICS
FORM 6
DATF RECE1VfD JUL 05 ZOO6
FOR OFFICE USE ONLY: ..•..••....•••....·······SNGLP T1 P1 15
David Harvey Sheriff, Elected Constitutional Officer
Wakulla County
C/O 15 Oak Street
Crawfordville, FL 32327
10 Code
IIIII11II
~(\~~O
~RCCC.",vL:
10 No.
~III ~1111~111"11111111
12190
Conf. Code
1"11,"1.1•• 11, III II1IIII 1111.1
P. Req. Code
Harvey, David
(J
CHECK IF THIS IS A FILING BY A CANDIDATE
'*'**.*
PART A - NET WORTH Please enter the value of your net worth as of December 31, 2005, or a more current date. [Note:
Net worth is not calculated by subtracting your reporled
liabilities from your reported assets, so please see the instructions on page 3.] 'My-nefworthas:of -
December-3 L•."- . ..
,;:20'05 w~$ 2,615,867.00
j - - ...
PART B -- ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1,000. lllis category includes any of the following, if not held for investment purposes: jewelry; collections of stamps, guns, and numismatic items; art objects; household equipment and fumishings; dothing; other household items; and vehldes for personal use. The aggregate value of my household goods and personal effects (described above) is $
See attachment for detail
ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description Is required - see Instructions p.4)
VALUE OF ASSET
See Attachment'for detail
PART C - LIABILITIES LIABILITIES IN EXCESS OF $1,000: NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Att'acHment, ·,fio~, detail
,.
,
,-; ~';-:
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Attacnmeatfor detail
CE FORM 6 - Eff 112006
(Continued on rwerse side)
PAGE 1
PART D - INCOME You may EITHER (1) file a complete copy of your 2005 federal Income tax return, including all attachments, OR (2) file a sworn statement Identifying each separate source and amount of income which exceeds $1,000, including secondary sources of Income, by completIng the remainder of Part D, below
1:1
I eled to file a copy of my 2005 federal income tax return [If you check this box and attach a copy of your 2005 tax return, you need not complete the remainder of Part D 1
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME exCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
AMOUNT
See attachment for detail
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see instructions)' NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS' tNCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCE
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 3
BUSINESS ENTITY # 2
BUSINESS ENTITY # 1 -
NAME OF
I=t.lTITV
See attachment for det !dl
ADDRESS ~~TITV PRINCIPAL BUSINESS
~b~~LD I OWN
MO~~ iw~~~~"{:c<:>c::
~
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
STATE OF FLORIDA COUNTY OF
0
Wakulla
Swom to (or affirmed) and subscribed before me thIs
30th
day of
beginning of this form, do depose on oath or a1ftnnatlon and say that the information disclosed on this form and any attachments hereto is true, accurate, and complete.
-~ ............... SIGNATURE OF REPORTINj~ OFFICIAL OR CANDIDATE
June
,20
.J..J
~ (Signature of
'"""
06
by
David F. Harvey
~~ -, CommfaIon'00401919 Expns Men:h 1, 2009
(Print, Type, or Stamp CommtsslOriiid Name Personally Known XXXX
OR
VI
"vu"y
.....,..- ~ ublic)
Produced Identification
Type of Identification Produced FILING INSTRUCTIONS for When and where to file this form are located at the top of page 3. INSTRUCTIONS on who must file this form and how to fill It out begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 6 - Eff 1/2006
PAGE 2
•
•
•
Form 8 Full And Public Dlacloaur. of Flnancl.I Int.....t. 2005 David F. Harvey, Sheriff, Wakulla County. Florida June 30,2006 Part A • Net Worth My net worth as of December 31, 2006
$
2,675,867.00
Aggregate Value of household Goods & Personal Effects
$
60,000.00
$ $ $ $ $ $
5,000.00 1,000.00 2,000.00 150,000.00 250,000.00 1,694.00 180,000.00 150,000.00 160,000.00 400,000.00 380,000.00 140,000.00 400,000.00 150.000.00 10,000.00 510,000.00 10,000.00 40,000.00 350,000.00 15,000.00 5,000.00 15.000.00 16,5151.00 200,000.00 800,000.00 650,000.00 1,100,000.00 5,000.00 306,622.00 100,000.00 0,582,807,00
Part B • ASSETS Checking Account, Wakulla Bank, Crawfordville, FL Checking Account, Citizens Bank, Crawfordville, FL SaVings Account - Citizens Bank, Crawfordville, FL Shares· Wakulla Bank, Crawfordville, FL 1/2 INT SEI Annunlty, Oaks, PA 1/2 INT SEI Municipal Bond Account, Oaks. PA 1/2 INT SEI Stock Account. Oaks, PA 1/2 INT sel Private Trusl, Oaks, PA 1/3 INT Crawfordville Financial Partnership LLC, Crawfordville, FL 1/2 tNT Benus Plaza LLC, Crawfordville, FL 1/4 tNT Wakulla Courthouse Annex Partnership, Crawfordville, FL 1/2 INT Fox Way LLC, Crawfordville, FL 1/2 INT Benus Farm LLC 1/3 INT CMC Wakulla LLC, Crawfordville, FL 1/2 INT Benus Maintenance LLC. Crawfordville, FL 1/2 tNT Benus Properties LLC, Crawfordville. FL Guardian Insurance, Lehigh Valley, PA 1/2 INT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL Residence & 10 Acres - Crawfordville, FL Tallahassee Center Condo, Tallahassee, FL Plaza Tower, Tallahassee, FL 1/3 INT Carrabelle Lot, Carrabelle, FL IRA Account. Tallahassee, FL Florida Retirement System - Drop, Tallahassee, FL 1/2 INT HL Ventures LLC, Crawfordville, FL 1/4 INT Wildwood Golf LLC, Crawfordville, FL 1/4 tNT BElfrY Inlerprlses Inc., Crawfordville, FL 1/3 INT Wakulla Investment & Timber Co., LLC, Crawfordville, FL Deferred Compensation, Carmel, IN 1/3 INT BMH LLC, Crawfordville, FL TOTAL ASSETS
Part C • LIABILITIES Farmer's & Merchants Bank, Tall.,FL (1/3 INT) Ameris Bank, Crawfordville, FL (1/4 INT) Chase Bank (1/2 INT) AM South Bank, Tallahassee Tallahassee Bank, Tallahassee, FL Joe Ann Council, Crawfordville, FL Wells Fargo, Box 14411, Desmolnes, Oowa Capital City First. Tallahassee, FL Ameris Bank, Crawfordville, FL Wakulla Bank,Crawfordvllle. FL Wakulla Bank, Crawfordville, FL Bancorp Bank TOTAL LIABILITIES
S $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
S
$
S $ $ $ $ $
S $ $ $
$ $
160,000.00 375,000.00 134,000.00 26,000.00 200,000.00 46,000.00 212,000.00 145,000.00 750,000.00 525,000.00 975,000.00 340,000.00 3,887,000.00
Form 6 Full And Public Disclosure of Flnanclallntereats 2005 David F. Harvey, Sheriff. Wakulla County, Florida Part D • INCOME Joint Wages & Salaries Interest Income Dividend Income
~~~~
June 30,2006
$ $ $
IRA Distribution
$ $
Real Estate Rentals TOTAL INCOME
$
$
183,182.00 16,972.00 16,151.00 617,690.00 14.332.00 73,981.00
922,308.00
"
Form 6 Full And Public DI.clolure of Flnanclallnter••t. 2005 David F. Harvey, Sheriff, Wakulla County, Florida
June 30. 2006
Part E - INTEREST IN SPECIFIED BUSINESSES
•
Benul Plaza LLC 2646 Crawfordville Highway Crawfordville. FL 32327
Rental
Part-Owner
1/2 Interest
Senus Maintenance Co. LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Lawn Maint. Part-Owner
1/2 Interest
CMC Wakulla LLC 1415 Timberland Road TallahaBsee, FL 32301
Real Estate
Part·Owner
1/3 Interest
Benus Properties LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Rental
Part-Owner
1/2 Interest
Benus Farm LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Farming
Part-Owner
1/4 Interest
Fox Way LLC 117 Harvey Young Farm Road Crawfordville, FL 32327
Rental
Part-Owner
1/4 Interest
Wakulla CH Annex Partnership 117 Harvey Young Farm Road Crawfordville, Florida 32327
Investments Part-Owner
1/4 Interest
BMH Properties LLC 117 Harvey Young Farm Road Crawfordville. Florida 32327
Rea' Estate
Part-Owner
1/3 Interest
Crawfordville Financial Partnership, LLC 117 Harvey Young Farm Road Crawfordville. FL 32327
Rental
Part-Owner
1/3 Interest
HL Ventures LLC 117 Harvey Young Farm Road Crawfordville. FL 32327
Rental
Part-Owner
1/2 Interest
Wildwood Golf LLC 117 Harvey Young Farm Road Crawfordville. FL 32327
Golf
Part-Owner
1/4 Interest
Barry Interprises. Inc. 117 Harvey Young Farm Road Crawfordville. FL 32327
Hotel
Part-Owner
1/4 Interest
Wakulla Investment & Timber Company 117 Harvey Young Farm Road Crawfordville, FL 32327
Timber
Part-Owner
1/3 Interest
_
'PO
,.·~::1JlO~
FULL AND PUBLIC DISCLOSURE I FINANCIAL INTERESTS I
FORM 6
M~RECEIVED
JUL 06 ZOU5
FOR OFFICE USE ONLY AUTO 3 DIGIT 323 T39 PI 185 David Harvey Shenff Wakulla County Elected Constitutional Officer 15 Oak St CrawfordVIlle FL 323272014
ID Code
't.,..... {Jj
(:
--
I11111111111 IDNo
~IIIIIIII ~IIIIIIIIIIIIIIII
12190
i
Ib.t.
L)
1111111,1.1111111111111111, 111111111111111111111111,1.11111111
CHECK IF THIS IS A FILING BY A CANDIDATE
0 a::: a..
Conf Code P Req Code
** **
Harvey David
0 PART A NET WORTH
Please enter the value of your net worth as of December 31 2004 or a more current date [Note 'labilities from your reported assets so please see the instructions on page 3 I
My';letUwOrth,as~of-Decem.her::--31 . ,
PARTB
•• -
"
•
-<
Net worth IS not calculated by subtracting your reported
~.----
20-04 uwas$-2-430":6 73 00,
ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 000 ThIS category Includes any of the follOWing If not held for Investment purposes jewelry collections of stamps guns and numISmatiC Items art objects household equipment and fumlshlngs clothing other household Items and vehicles for personal use The aggregate value of my household goods and personal effects (descnbed above) IS $
60 000 00
ASSETS INDIVIDUALLY VALUED AT OVER $1 000
DESCRIPTION OF ASSET
VALUE OF ASSET
See Attachment
PART C - LIABILITIES . LIABILITIES IN EXCESS OF $1 000
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
See Attachment
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE
NAME AND ADDRESS OF CREDITOR
•
AMOUNT OF LIABILITY
See Attachment
CE FORM 6
Eff 1/2005
(Continued on reverse Side)
PAGE 1
•
PARTD
-
INCOME
You may EITHER (1) file a complete copy of your 2004 federal Income tax return including all attachments OR (2) file a sworn statement Identifying each separate source and amount of Income whIch exceeds $1 000 including secondary sources of Income by completing the remainder of Part D below
D
I elect to file a copy of my 2004 federal Income tax return [If you check this box and attach a copy of your 2004 tax return you need not complete the remainder of Part D )
PRIMARY SOURCES OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
AMOUNT
See Attachment
SECONDARY SOURCES OF INCOME [Major customers clients etc of bUSinesses owned by reporting person see instructions) NAME OF BUSINESS ENTllY
NAME OF MAJOR SOURCES
OF BUSINESS INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
See Attachment
PARTE INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1
~~~.,9!n "'....TITV
~R~~~~~ ~~T1TV
BUSINESS ENTITY # 3
BUSINESS ENTllY # 2
See A
PRINCIPAL BUSINESS
~,~~~n~~I~LD
I OWN M~~ ~~N A 5/
~T
. . . . .
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE
OATH I the person whose name appears at the
STATE OF FLORIDA COUNTY OF
(J
Wakulla
Sworn to (or affirmed) and subscnbed before me thIs
30th
day of
begInning of thiS form do depose on oath or atflrmabon
and say that the ,nformatlon dISclosed on thiS form
and any attachments hereto IS true accurate
and complete
<:
June
20
i..L . . . . . n
~)
SIGNATURE OF REPORTING OFFICfAL OR CANDIDATE
f
by
Dav~d
F
wr&fMt t!. ~
(Sl9nature of ~
Harvey
'e-C-~
IJ
~
05
C)
. -e - . 00401919 ,expires March 1 2009 (Pnnt Type 0
p
Personally Known
L
It'le~flt Public)
OR
Produced Identification
Type of IdentificatIon Produced FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3
INSTRUCTIONS on who must fIle this form and how to fill It out begm on page 3
OTHER FORMS you may need to frle are deSCribed on page 6
CE FORM 6
Elf 1/2005
PAGE 2
Form 6 Full And Public Disclosure of Fmanclal Interests 2004 DaVId F Harvey SberIff Wakulla County FL
•
Part A
July 1 2005
NET WORTH
My net worth as of December 31 2004
$243067300
Part BASSETS Value of my household goods and personal effects Checkmg Account Wakulla Bank CrawfordVllle FL Checkmg Account CitIzens Bank Crawfordville FL Savmgs Account CItizens Bank CrawfordVllle FL Shares Wakulla Bank Crawfordville FL 112 INT SEI AnnUIty Oaks PA 1/2 !NT SEI MuniCipal Bond Account Oaks PA 1/2 INT SEI Stock Account Oaks PA 1/2 !NT SEI Pnvate Trust Oaks PA 1/3 INT Crawfordville Fmanclal Partnership LLC Crawfordvllle FL 1/2 INT Benus Plaza LLC Crawfordvllie FL 1/4 INT Wakulla Courthouse Annex Partnership Crawfordvllie FL 1/4 INT Fox Way LLC CrawfordVllle FL 1/2 INT Benus Farm LLC 1/3 INT CMC Wakulla LLC CrawfordVllle FL 1/2 INT Benus Mamtenance LLC Crawfordv1l1e FL 1/2 INT Benus Properties LLC CrawfordVllle FL Guardian Insurance Lehigh Valley PA 1/2 !NT DaVid Hiers Mortgage Sopchoppy RIver Sopchoppy FL 112 INT Margaret Rogers Mortgage CrawfordVllle FL ReSidence & 10 Acres CrawfordVllle FL 1/2 INT Tenruson Condo Tallahassee FL 1/2 INT Tallahassee Center Condo Tallahassee FL 1/2 INT Plaza Tower Tallahassee FL 1/3 INT Carrabelle Lot Carrabelle FL IRA Account Tallahassee FL Flonda Retirement System Drop Tallahassee FL 1/3 INT MBH Properties Inc Crawfordville FL Deferred Compensation Carmel IN
•
Part C
LIABILITIES
A & A Mortgage Tallahassee FL Wells Fargo Jacksonville FL Denrus & JoAnn Councll Crawfordville FL Capital City FITst National Bank Tallahassee FL AM South Bank Tallahassee FL Tallahassee Bank Tallahassee FL Wakulla Bank Crawfordvllle FL
Part D
14700000
23100000
5000000
6000000
2600000
21800000
4000000
INCOME
Shenff Wages & Salenes 117 Harvey Young Farm Rd CrawfordVllle FL Wife Wages & Salanes 117 Harvey Young Farm Rd Crawfordville FL Interest Income Bank Account Crawfordville FL DIVidends Bank Stock CrawfordVille FL
•
6000000
1500000
200000
500000
5000000
25000000
12500000
18000000
25000000
1000000
40000000
4000000
9000000
20000000
15000000
2000000
51000000
5500000
4000000
6000000
25000000
1200000
1500000
500000
1500000
16551 00
7000000
50000
30662200
Panacea Land Sale CrawfordVille FL Cltlzens Bank Stock Sale CrawfordVille FL
9541700
4333900
647300
805700
5926000
41200000
.'
•
FULL AND PUBLIC DISCLOSURE Of"'ll"n~\l"MGME~~ DI\~ RECEN£O FINANCIAL INTERESTS
FORM 6
Please print or type your name, mailing
address, agency name, and position below:
LAST NAME - FIRST NAME DAVID HARVEY
I
I
MIDDLE NAME: FULTON
7~.,
MAli INn AnnRFRS' cia 15 OAK STREET
"
.:
t"; "
.
,
: ....... ·oJ' ~.
......
CITY: CRAWFORDVILLE, FLORIDA
JUL 0 2 1004
FOR OFFICE USE ONLY:
ZIP:
32327
'-'
'. , ....
.... -
"
COUNTY : WAKULLA
NAME OF AGENCY: WAKULLA COUNTY SHERIFF'S OFFICE
ID Code
ID No.
/2110
Conf. Code
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
P, Req. Code
SHERIFF CHECK IF THIS IS A FILING BY A CANDIDATE
0
PDF 2003
PART A -- NET WORTH Please enter the value of your net worth as of December 31, 2003, or a more current date. [Note: Net worth is not calculated by subtracting your rI1ported liabilities from your reported assets, so please see the instructions on page 3.) ,- . :-=-20.03 --was $.1 o?77,.500.00--:l nefw~~s:~f~December.31 ~ ,f
-MY
l.
.
PART B -. ASSETS
•
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1,000, This category includes any of the following,
if not held for investment purposes: jewelry: collections of stamps. guns. and numismatic items; art objects; household equipment and furnishings; clothing;
other household items; and vehicles for personal use.
The aggregate value of my household goods and personal effects (described abOve) is $ 60,000.00
ASSETS INDIVIDUALLY VALUED AT OVER $1.000:
DESCRIPTION OF ASSET
VALUE OF ASSET
Benus Properties LLC, 1/2 Inlerest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327 Fox Way LLC, 1/2 Interest. 117 Harvey Young Farm Road, Crawfordville, Florida 32327
233,000,00 61,000.00
Benus Plaza LLC, 1/2 Interest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327
300,000.00
Benus Farms, LLC, 1/4 Interest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327
133,000.00
Cash in Bank - Wakulla Bank Crawfordville Highway, Crawfordville, Florida 32327
5,000,00
PART C -- LIABILITIES LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
135,000.00
Wells Fargo, Jacksonville, Florida
25,000,00
Capital City Bank, Tallahassee, Florida Tallahassee State Bank, Tallahassee, Florida
250,000.00
Wakulla Bank, Crawfordville, Florida
50,000.00
JOINT AND SEVERAL LIABIUTIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
•
CE FORM 6 - Eff. 1/2004
(Continued on reverse side)
AMOUNT OF LIABILITY
PAGE 1
•
PART D --INCOME
You may EITHER (1) file a complete copy of your 2003 federal income tax return, including all attachments, OR (2) file a swom statement identifying each separate source and amount of income which exceeds $1,000, including secondary sources of income, by completing the remainder of Part D, below.
D
I elect to file a copy of my 2003 federal income tax retum. [If you check this box and attach a copy of your 2003 tax retum, you need not complete the remainder of Part D,)
PRIMARY SOURCES OF INCOME: NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
AMOUNT
Wakulla County Board of County Commissioners
Post Office Box 1263 Crawfordville, Florida 32326
93,980.00
Rental Income Benus Prop & Plaza LLC's
117 Harvey Young Farm Road, Crawfordville, FL 32327
50,000.00
Fox Way LLC
117 Harvey Young Farm Road, Crawfordville, FL 32327
5,000,00
Real Estate Sale Eckerd, 2 Acres
Crawfordville Highway, Crawfordville, FL 32327
Real Estate Sale Wildwood Country Club to G.Petrick
Coastal Highway, Crawfordville, FL 32327
81,400.00 4,800.00
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see instructions]: PRINCIPAL BUSINESS NAME OF NAME OF MAJOR SOURCES ADDRESS ACTIVITY OF SOURCE BUSINESS ENTITY OF BU'SINESS' INCOME OF SOURCE
PART E INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1
~f':~I~I£>t<>
•
BUSINESS ENTITY # 2
BUSINESS ENTITY # 3
Benus Plaza LLC
Benus Maintenance CO. LLC
CMC Wakulla LLC
~~~~~~~~TITV
2646 Crawfordville Hwy, C'ville FL
116 Harvey Young Farm Rd C'ville
1415 Timberlane Rd, Tallahassee
PRINCIPAL BUSINESS
Rental
Lawn Maintenance
Real Estate
~~~~T~~~I~LD
Part-Owner
Part-Owner
Part-owner
I OWN MO~~ +~~~t~~p::q
1/2 Interest
1/2 Interest
1/3 Interest
I=t.JTITV
~
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
STATE OF FLORIDA COUNTY OF
[{J
Wakulla
Sworn to (or affirmed) and subscribed before me this
30th
day of
beginning of this form, do depose on oath or affirmation and say that the information disclosed on this form and any attachments hereto is true, accurate, and complete.
t::"'""
} ,y ~~
SIGNATURE OF REPORTING OFF l:IAL OR CANDIDATE
June
,20
~ ~
.........-r {s;g""",
~ '::-:::-. ~
.IiO-S~iIiIlr •
(Print, TYI
-
04 by David F. Harvey
e,
0
Personally Known
'......F4........,...... 1fWQi....s...., . 12,2111
p Co
XX
-
ry F I!:>lic)
OR Produced Identification
Type of Identification Produced
•
-
;~
NtA
FILING INSTRUCTIONS for When and where to file this form are located at the top of page 3• INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eft. 112004
PAGE 2
.
Fonn 6 Full And Public Disclosure of Financial Interests 2003 A· E Continued David F. Harvey, July I, 2004 •
Part B - DESCRIPTION OF ASSET - Coatiaued Residence & 10 Acres - 116 Harvey Y OWlg Farm Rd, Crawfordville, FL Wakulla Bank Stock· Hwy. 319 N., Crawfordville, FL Yz !NT Retirement - Deferred Compensation, Carmel IN 1/81NT 8 Acres, Hwy. 319 & 98, Crawfordville, FL Yz !NT Citizens Bank Stock, Crawfordville Hwy., Crawfordville, FL Yz !NT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL
Yz INT 5.97 Acres, Crawfordville Hwy., Crawfordville, FL Yz INT 3 BR Town House, Panacea, FL SEI Stock ACCOWlt. Oaks, PA SEI, Bond Account, Oaks, PA Guardian Insurance, Lehigh Valley, PA Guardian IRA, Lehigh Valley, PA 1/3 INT CMC Wakulla LLC, 1415 Timerlane, Tallahassee, FL 1/4 INT 3.5 Acres Hwy 319, Courthouse Sq., Crawfordville, FL Yz INT 20 Acres, Quigg Ld. Sopchoppy, FL Yz INT 2.95 Acres, Quigg Ld., Sopchoppy, FL Yz !NT Tallahassee Condo, Tallahassee, FL Yz !NT Tennison Condo, Tallahassee, FL Part C - NAME AND ADDRESS OF CREDITOR. Continued AM South Bank, Tallahassee, FL Flagstar Bank, Box 7022, Troy, Michigan
•
120,000.00 20,000.00 160,000.00 30,000.00 120,000.00 20,000.00 1,500.00 90,000.00 140,000.00 190,000.00 16,000.00 11,000.00 100,000.00 50,000.00 10,000.00 5,000.00 15,000.00 15,000.00
30,000.00 138,000.00
l!.r! D
• SQURCE OF INCOME EXCEEDING $1.000 - ContiDued Interest Income David Hiers Mortgage, Crawfordville, FL Wife Salary, 117 Harvey Young Farm Rd, Crawfordville, FL
4,900.00 11,400.00
Citizens Bank Intrest, Crawfordville Highway, Crawfordville, FL Office Bldg, Ochlockonee St., Crawfordville, FL
2,500.00 40,000.00
Citizen Bank Dividends, Crawfordville, FL ATT Cellular Tower, PO Box 30024, College Station, TX
2,500.00 1,800.00
Part E - INTEREST IN SPECIFIED BUSINESSES - CODtiaaed Benus Properties LLC 117 Harvey YOWlg Farm Road Crawfordville, FL 32327
Rental
Part-Owner
Yz Interest
Benus Farm LLC 117 Harvey YOWlg Farm Road Crawfordville, FL 32327
Fanning
Part-Owner
1/4 Interest
Fox WayLLC 117 Harvey YOWlg Farm Road Crawfordville, FL 32327
Rental
Part-{)wner
1/4 Interest
Wakulla CH Annex Partnership 117 Harvey Young Farm Road Crawfordville, FL 32327
Rental
Part- Owner
1/4 Interest
•
.
'i•
•.
(.~';
FULL AND PUBLIC DISCLOSURE OF I FINANCIAL INTERESTS I
FORM 6
,
\iVrtrl'.IoJiV" v.
0"TE RECfJVEt
FOR OFFICE USE ONLY: "
'1'\
NNEu
J\L-3 ~
PROCESS ED 10 Code
David Harvey Sheriff Wakulla County Elected Con8t~tutional Officer C 0 15 Oak Street Crawfordville, FL 32327
1111111111111111111111111111111 II1I 10 No.
12190
Conf Code
1•• 1111.1.111111111.1111.11111.1
CHECK IF THIS IS A FILING BY A CANDIDATE
P. Req. Code
*****
[J PART A - NET WORTH
Please enter the value of your net worth as of December 31, 2002, or a more current date. [Note. Net worth is not calculated by subtradIOg your reported liabilities from your reported assets, so please see the Instructiqns on page 3]
My nat worth·as:-of.· De c'eiilbec31 ; -,
,.
.r
. 20
~
was $ .. ~ 963; 5'00-:00 _. -'/ ~
PART B - ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 ,000. This category Includes any of the following,
rf not held for ,nvestment purposes: JElwelry; collections of stamps, guns, and numIsmatic items; art objeds; household equipment and furnishings; clothing;
other household Items, and vehicles for personal use
I
The aggregate value of my household goods and personal effects (descnbed above) IS $
40,000.00
ASSETS INDMDUALLY VALUED AT OVER $1,000:
DESCRIPTION OF ASSET
VALUE OF ASSET
American Express Financial Advisor - 1385 Timberlane, Tallahassee, FL
4,000.00
Cash In Bank - Highway 310 North. Crawfordville. FL
15.000.00
Residence & 10 Acres - 116 Harvey Young Farm Rd. Crawfordville, FL
80,000.00
2 Bedroom Rental
lie
8 Acres - Lost Creek - Crawfordville, FL
Wakulla Bank Stock - Highway 319 North, Crawfordville, FL
33,000.00 5,000.00
PART C - LIABILITIES
LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR
AMOUNT OF LIABILITY
Wells Fargo, Jacksonbille. FL Capital City
~~'Tallah3sgee,
.'
1:'" •
,
:
70,000.00
FL
. Tallahassee State Bank. Tallahassee, FL
60,000.00 25,000.00
Bank of America, Tallahassee, FL
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
CE FORM 6 - Eft 1/2003
155,000.00
(Continued on reverse side)
AMOUNT OF LIABILITY
PAGE 1
.
~-c
PART D -- INCOME You may E'THER~1) file a complete copy of your 2002 federal Income tal< return, II1cludlng all attachments, OR (2) file a sworn statementldentd"yInQ each separate source and amount of Income which exceeds $1,000, including secondary sources of Income, by completing the remainder of Part D, below
.P
I elect to file a copy of my 2002 federal II1come tax return [If you check this box and attach a copy of your 2002 tax return. you need not complete , _t~.:~malnder of Part D)
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
Wakulla Co Board of Co Commission
PO Box 1263
Rental Income Market S uare
Crawfordville H
Real Estate Sale Wildwood Countr Interest Income David Hiers Mort
Crawfordville
AMOUNT
FL
Crawfordville
to Gerd Patrick, Crawfordville
93 980.00 40 000.00
FL FL
4,800.00
Crawfordville, FL
4,900.00
SECONDARY SOURCES OF INCOME [Major customers. clIents, etc, of bUSinesses owned by reporting person-see instructions) NAME OF MAJOR SOURCES OF BUSINESS' INCOME
NAME OF BUSINESS ENTITY
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
PART E -- INTERESTS IN SPECIFIED BUSINESSES B SIN SS ENTITY # 2
BUSINESS ENTITY # 1
Rental
Lawn Maintenance
Part-Owner
Part-Owner
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH I, the person whose name appears at the
0
STATE OF FLORIDA Wakulla COUNTY OF Sworn to (or affirmed) and subscnbed before me thiS
30th
_...:J"-u""'n...e
Harvey
day of
beginning of thIS form, do depose on oath or affirmation and say that the Informallon disclosed on thIS form
, 20 03
by
David
F.
and any attachments hereto IS true, accurate, and complete
..--_...._-- L OR CANDIDATE
FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3. INSTRUCTIONS on who must file this form and how to fill It out begin on page 3. OTHER FORMS you may need to file are described on page 6.
CE FORM 6 - Eft 1/2003
PAGE "I
..
••
•
. • Page 1 Part B Continued Form 6 Full And Public Disclosure ofFinancial Interests 2002 David F. Harvey, July 1, 2003
DESCRIPTION OF ASSET - Continued Fox hollow - 3 Duplexes, Whaley Rd, Crawfordville, Fl 10.84 Acres, Wakulla Station, Crawfordville, FI 3 bedroom Rental, Fuhon Harvey Rd, Crawfordville, FI 3.73 Acres, Hudson Heights, Crawfordville, FI 3 Acres, Market Square, Crawfordville, FI 22.49 Acres, Harvey Mill Rd, Crawfordville, FI 130 Acres, HarveyNoung Farm Rd, Crawfordville, FI Retirement-Deferred Compensation, Carmel IN 8 Acres, Hwy. 319 & 98, Crawfordville, FI Citizens Bank Stock, Crawfordville Hwy., Crawfordville, FI David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FI 5.97 Acres, Crawfordville Hwy., Crawfordville, Fl 17 Acres, St Marks, FI 3 BR Town House, Panacea, FI 130 Acres, Rehwinkel Rd., Crawfordville, Fl Subway Building, Hwy 319, Crawfordville, Fl 1.5 Acres, Crawfordville Highway, Crawfordville, FI 18 Acres Old Still Road, Crawfordville FI SEI, Stock Account, Oaks, PA SEl, Bond Account, Oaks, PA Guardian Insurance, Lehigh Valley, PA Guardian IRA, Lehigh Valley, PA
31,000.00 16,000.00 30,000.00 3,500.00 300,000.00 17,000.00 33,000.00 160,000.00 30,000.00 85,000.00 20,000.00 1,500.00 3,500.00 60,000.00 90,000.00 20,000.00 90,000.00 10,000.00 140,000.00 190,000.00 5,000.00 11,000.00
Page 1 Part C Continued Fonn 6 Full And Public DiscloSlD'e of Financial Interests 2002 David F. Harvey, July.l, 2003
NAME AND ADDRESS OF CREDITOR - Continued Tallahassee State Bank, Tallahassee, FL
•
250,000.00
•
1
[~_2Q01J FULL AND PUBLIC DISCLOSURE OF I FINANCIAL INTERESTS I -COMM/SSrON ON ETI/IGS
FbRM6
~'
DATE RECEIVED
FOR OFFICE USE ONLY:
PROCESSED
JUL -I 02
10 Code
David Harvey Sheriff Wakulla County Elected Constltutional Officer C/O 15 Oak Street Crawfordville, FL 32327
11111111111111111111111111111111111 10 No.
12190
Conf Code P. Req. Code
11.1111.1.1111111.1.1111.1 •• 11.1 (J
CHECK IF THIS IS A FILING BY A CANDIDATE
PART A - NET WORTH Please enter the value of your net worth as of December 31, 2001, or a more current date. [Note: Net worth liabilities from your reported assets, so please see the instructions on page 3.]
----
My~networth-asof-December-·3l-. \::.....
~ .~
IS
not calculated by subtracting your reported
, 20..Q.L w~s$~ 795,500;00
......
PART B - ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reported in a lump sum If their aggregate value exceeds $1,000. This category includes any of the followIng. if not held for investment purposes: lewelry; collections of stamps, guns, and numismatic items; art objects; household equipment and fumishings; cloth " Ing; other household items; and vehicles for personal use. The aggregate value of my household goods and personal effects (described above) is $
50,000.00
ASSETS INDIVIDUALLY VALUED AT OVER $1,000; DESCRIPTION OF ASSET A.m", ...
-I,..,,"
Cash In Bank Residence &
2
'~1 Advisor
~
~
10
VALUE OF ASSET
319 - 116
- 1385
Timberlane. Tallahassee
Highwav
N. Crawfordville, FL
Acres
Harvey Young Farm Rd, CrawfordVille FL
Bedroom Rental ex
8
Wakulla Bank Stock -
Acres -
Lost Creek -
Highway
319
Crawfordville FL
North, Crawfordville, FL
FL
70 000.00 150,000.00 80,000.00 33,000.00 5,000.00
PART C - LIABILITIES LIABILITIES IN EXCESS OF $1,000: NAME AND ADDRESS OF CREDITOR Citizens Bank,
AMOUNT OF LIABILITY
Crawfordville HIghway, Crawfordville FL
148,000.00
Wells Far~o, Jacksonville, FL
46,000.00 65,000.00
Capital Citv Bank. Tallahassee. FL Merrill Lvnch. Tallahassee. FL JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR
~
CE FORM 6 - Eff. 1/2002
200,000.00
IContlnued on reverse s.de)
AMOUNT OF LIABILITY
PAGE 1
.
•
~
.' Page 1 Part B Continued Form 6 Full And Public Disclosure of Financial Interests 2001 David Fulton Harvey, July 1,2002 DESCRIPTION OF ASSET - COPtinUed
Fox hollow - 3 Duplexes, Whaley Rd, Crawfordville, Fl
10.84 Acres, Wakulla Station, Crawfordville, FI
3 bedroom Rental, Fulton Harvey Rd, Crawfordville, F1
3.73 Acres, Hudson Heights, Crawfordville, FI
3 Acres, Market Square, Crawfordville, F1
22.49 Acres, Harvey Mill Rd, Crawfordville, FI 130 Acres, HarveyNoung Farm Rd, Crawfordville, Fl Merrill Lynch, 215 S. Monroe St., Tallahassee, Fl Retirement-Deferred Compensation, Carmel IN 2 Acres, Crawfordville Hwy., Crawfordville, FI 8 Acres, Hwy. 319 & 98, Crawfordville, Fl Citizens Bank Stock, Crawfordville Hwy., Crawfordville, F1 David Hiers, Mortgage, Sopchoppy River, Sopchoppy, F1 5.97 Acres, Crawfordville Hwy., Crawfordville, Fl
Huge Davis, Mongage, Crawordville, F1
17 Acres, St Marks, Fl
3 BR Town House, Panacea, F1
130 Acres, Rehwinkel Rd., Crawfordville, FI
Subway Building, Hwy 319, Crawfordville, FI
31,000.00 16,000.00 30,000.00 3,500.00 300,000.00 17,000.00 33,000.00 80,000.00 160,000.00 22,000.00 30,000.00 90,000.00 29,000.00 1,500.00 20,000.00 3,500.00 60,000.00 90,000.00 20,000.00
Page 1 Part C Continued Form 6 Full And Public Disclosure ofFinancial Interests 2001 David Fulton Harvey, July 1, 2002
NAME AND ADDRESS OF CREDITOR - ContiDued
Tallahassee State Bank. Tallahassee, FL
Bank of America, Tallahassee, FL
South Trust, Ta1Jahassee, FL
125,000.00
25,000.00
20,000.00
Page 2 Part D Continued Form 6 Full And Public Disclosme ofFinancial Interests 2001 David Fulton Harvey, July 1,2002 SOURCE OF INCOME EXCEEDING $1.000 - CoDtipped Interest Income -Citizens Bank Interest, Crawfordville, FL
•
Interest Income - Merill Lynch Interest, Tallahassee, FL Interest Income - American Express, Ta)JaMssee, FL Interest Income - Huge Davis Mortgage Interest, Crawfordville, FL
6,000.00 5,000.00 1,490.00 5,000.00
FORM 6
FULL AND PUBLIC DISCLOSU!JIROCfSSEijOO OF FINANCIAL INTERESTS 1/
L
NAME OF AGENCY
1,,11,,1,1. II ,III" 1,,11,1
WAKULLA COUNTY
121901219062001 David Harvey Elected ConstitUtIOnal Officer Wakulla County Shenff C/O 15 Oak Street Crawfordville FL 32327
"
.J~~ -5 01
OFFICE HELD
6a
-
OFFICER
SHERIFF
OFFICE SOUGHT
CJ
CANDIDATE POSITION
CJ
OTHER
FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3 INSTRUCTIONS on who must file this form and how to f.1I It out begin on page 3 of this packet OTHER FORMS you may need to f.'e are described on page 6
PART A
NET WORTH
Please enter the value of your net worth as of December 31 2000 or a more current date [Note Net worth IS not calculated by SUbtracting your reported hablhtles from your reported assets 50 please see the mstrucbons on page 3 )
PART BASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and pensonal effects may be reported In a lump sum If their aggregate value exceeds $1 000 This category mcludes any of the follow Ing If not held for Investment purposes Jewelry collections of stamps guns and numismatic Items art Objects household equipment and fumlShlngs cloth mg other household Items and vehicles for pensonal use The aggregate value of my household goods and pensonal effects (described above) IS $ -=5~0~.~0~0~0::_:0~0~
ASSETS INDIVIDUALLY VALUED AT OVER $1 000 DESCRIPTION OF ASSET
_ VALUE OF ASSET
Amer1can Express F1nanc1sl Adv1sor - 1385 T1Wberlane
Tallahassee FL 32312
Cash In Bank - H1ghway 319 N Crawfordville FL 32326 ReS1dence & 10 Acres - 116 Harvey Young Farm Rd Crawfordv1lle FL 32327 2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordvl.lle FL 32327 Wakulla Bank Stock - H1ghway 319 North Crawfordvl.lle FL 32326
102 000 00 150 000 00 80 000 00 33 000 00 5 000 00
PART C - LIABILITIES LIABILITIES IN EXCESS OF $1 000 NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee Cl.t1zens Bank
AMOUNT OF UABILITY
Tallahassee FL
Crawfordville H1ghway
Crawfordvl.lle
J K Moore - JK Moore Road
Crawfordv1lle
Wells Fargo
FL
Jacksonvl.lle
35 500 00 FL 32327
FL 32327
257 000 00 30 000 00 148 000 00
JOINT AND SEVERAL LIABILITIES NOT REPQRTt=D ABovt NAME AND ADDRESS OF CREDITOR
AMOUNT OF L.IABILITY
-..------------------+-------1
CE FORM 6 Eft 1f2001
(Continued on reverse Side)
PAGE 1
.
PARTD
INCOME
You may EITHER (1) file a complete copy of your 2000 federal Income tax return Including all attachments OR (2) file a swom statement identifyIng each separate source and amount of Income which exceeds $1 000 including secondary sources of Income by completing the remainder of Part D below
(]
I elect to file a copy of my 2000 federallOcome tax retum [If you check thIS box and attach a copy of your 2000 tax return you need not complete the remainder of Part D ]
PRIMARY SOURCES OF INCOME NAME OF SOURCE OF INCOME EXCEEDING $1 000
Wakulla Co Board of Co COmID1SS10ners ~6~~~c!~loW~d~arket Square
~ental lncome l"ulton ttarvey Road Be room House
ADDRESS OF SOURCE OF INCOME
AMOUNT
88 183 00
PO Box 1263 Crawfordv111e FL 2646 Crawf~Idv111e V1 e. FL 3~~7 Crawfor
40 000 00
FUlt~n ~arYlY
Craw or V1
e Road FL32327
3.000 00
SECONDARY SOURCES OF INCOME (Major customers clients etc of bUSinesses owned by reportlng person-see Instructions] NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS INCOME
PRINCIPAL BUSINESS 'OF SOURCE
ADDRESS OF SOURCE
N/A
PART E - INTERESTS IN SPECIFIED BUSINESSES BUSINESS ENTITY # 1 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WlTHENTITY I OWN MORE THAN A 5/ INTEREST IN THE BUSINESS NATURE OF MY OWNERShiP INTEREST
BUSINESS ENTITY # 3
BUSINESS ENTITY # 2
Market Square Plaza
6~~~f~f~~f~Igv1tte3~~7 Rental Part-Owner
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE
OATH I the person whose name appears at the
[J
STATE OF FLORIDA COUNTY OF Wakulla Sworn to (or affirmed) and subscnbed before me thiS
29th
day of
beglnOing of thiS fonn do depose on oath or affinnatlon and say that the /nfonnatlon dIsclosed on thIS form and any attachments hereto IS true accurate and complete
June
--- I
~..-I-t....J.~
SIGNA'fURE OF REPORTING OFfiCIAL OR CANDIDATE
•
~A'A '-R.. (Sign
) \ { 1
20..Q.!... by
(Pnnt~ y
Personally Known
Dav1d F Harvey
-
~
~
rNBILDAY -,
NDarNllc SIlIIeotRDdda
_ _r.blU115
mp
XX
No
OR
['ry Pubhc)
PrOduced IdentificatIon
Type of Idenbficatron Produced CE FORM 6
Eff 112001
PAGE 2
"
•
•
Page 1 Part B Contmued
Fonn 6 Fun And Pubhc DISClosure ofFmanctal Interests 2000
DaVId Fulton Harvey July 1 2001 DESCRIPTION OF ASSET CODtlDUed
Fox hollow 3 Duplexes Whaley Rd Crawfordville FI
10 84 Acres Wakulla Station, Crawfordville FI
3 bedroom Rental Fulton Harvey Rd Crawfordville· FI
3 73 Acres Hudson Heights Crawfordville Fl
3 Acres Market Square Crawfordville FI
22 49 Acres Harvey Mill Rd Crawfordville FI
130 Acres HarveylYoung Fann Rd Crawfordville FI
Memll Lynch, 215 S Monroe St Tallahassee Fl
Retirement Deferred Compensation Carmel IN
House Crawfordville Hwy . Crawfordville Fl
8 Acres Hwy 319 & 98 Crawfordville FI
CitIZens Bank Stock Crawfordville Hwy Crawfordville FI
DaVId Hiers Mortgage Sopchoppy R.Jver Sopchoppy Fl
5 97 Acres Crawfordville Hwy Crawfordville Fl
Huge DaVIS Mortgage Crawfordville FI
17 Acres St Marks FI
3 bedroom Town House Panacea, FI
$3100000
1200000
2500000
400000
300000 00
10 000 00
55000 00
8500000
16000000
2200000
3000000
2000000
3900000
1 50000
2500000
3500 00
7000000
Page 1 Part C Contmued Fonn 6 Full And PublIc Disclosure ofFmanc18.l Interests 2000
DaVId Fulton Harvey July 1 2001
NAME AND ADDRESS OF CREDITOR - CODtlDUed Regmald Rodenberry 3225 Beacon St Tallahassee FI Capital City Bank Tallahassee Fl
$1800000
4600000
Page 2 Part D Contmued
Fonn 6 Fun And Pubhc DISClosure ofFmanctal Interests 2000
DaVId Fulton Harvey July 1 2001
SOURCE OF INCOME EXCEEDING 51.000 Real Estate Sale WIldwood Country Club to Gerd Patnck, Crawfordville FI Interest Income DaVId Hiers Mortgage Interest Crawfordville Fl Interest Income CitIzens Bank: Interest Crawfordville FI Interest Income Menll Lynch Interest Ta1Iahassee Fl Interest Income - Amencan Express Tallahassee Fl Interest Income - City of Tallahassee Tallahassee FI Interest Income - Huge DaVIS Mortgage Interest· Crawfordville Fl
$ 480000
490000
800000
500000
149000
500000
500000
.,
.J..-
FORM 6 FULL A.ND ~BLIC DISCLOSURE OF FINANCIALdNTERESTS 1999~
_ _ LAST NAME
FIRST NAME
r rl nun rlt~]
~'lll= ~i
MIDDLI=
NAME OF AGENCY
WAKULLA
II
DAVID HARVEY SHERIFF
"ftftft LUUU
;~ ~ ft11 03 .~v ,--------~=~=-------I .JU l OFFICE HELD i 11::5"~3:rt"tJC"'llIC~~~D~~O~FF~IC~E=:R~ ~~"'~~I~l.i~;;:;u:;:~ n
".'11
---'
C/O 15 OAK T ET __ - CRAWFORD LE FL 32w oo gQ •••c.
,.
._
I:
0
I· 0
OFFICE SOUGHT
CANDIDATE POSITION OTHER
0' 0'
FILING INSTRUCTIONS 'or when and where to 'lie thIS 'orm are located at the bottom page 2 thiS packet INSTRUCTIONS on who must 'lie thiS 'orm and how to '111 It out begin on page 3 OTHER FORMS you may neecl to file are descnbed on page 6
NOTICE Under provIsions of Sec 112317, Floflda Statutes, a failure to make any required dis closure constitutes grounds for and may be pUnished by one or more of the following dlsquall flcatlon from bemg on the ballot, Impeachment, removal or suspension from office or employ ment, demotion, reduction In salary, repflmand, or a CIVil penalty not exceeding $10,000 PART A -
NET WORTH
Please enter the value of your net worth as of December 311999 or a more current date [Note Net worth IS not calculated by subtracbng your reported liabilities from your reportee assets so please see the InstruclJons on page 3 J
'MY'"netwQ-rtti asOf~December- 3 r--
-- ~19
99:;;-;-:eo-~·,,···~~S$
870 000 ~0Q::..
"'
PART B- ASSETS WORTH MORE THAN $1 000 HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 000 ThiS category Includes an.v of the follOWing .f not held for Investment purposes Jewelry collections of stamps guns and numlsmabc Items art objects household eqUIpment BAd fU~lng:: clothing other household Items and vehicles for personal use (
The aggregate value of my household goods and personal eltects (descnbed above) IS $ __5_0_0_0_0_0_0 _ _~
----j'c--.
ASSETS INDIVIDUALLY VALUED AT OVER $1 000
_
I
L 1
DESCRIPTION OF ASSET
_I
VALUE OFASSET 1
1020.00..00 150 "000-00 80 ~O 00 33 000 00 5 000 00
Amer1can EApress F1nanc1al Adv1sor - 1385 T1mberlane Tallahassee Fl 32312 Cash In Bank - H1ghway 310 N Crawfordv1lle Fl 32326 Res1dence & 10 Acres - 116 Harvey Young Farm Rd Crawfordv1lle Fl 32327 2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordv1lle Fl 32327 Wakulla Bank Stock - H1ghwa} 310 North Ciawfordv1lle VL 32326 PART e- LIABILITIES IN EXCESS OF $1 000
AMOUNT OF LIABILITY
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee Tallahassee Fl Depos1t Guaranty Mortgage Company POBox 1198 C1t1zens Bank
Crawfordv1lle H1ghway
J K Moore - JK Moore Road
I
35 500 00 3 500 00
Jackson Ms
Crawfordv1lle Fl 32327
138 000 00
Crawfordv1lle Fl 32327
30 000 00
PART D -INCOME You may EffHER (1) file a complete copy of your 1999 federa/lncome tax retum Including all attachments OR (2) file a swom statement Identifying each separate source and amount of Income which exceeds $1 000 Including secondary sources of Income by completing the remainder of Part D on page 2 of thIS form
a:J I elect to hIe a copy of my 1999 federal Income tax retum [If you check thiS box and attach a copy of your 1999 tax return you need not complete the .
,.
remainder
0'
Part 0
I
CE FORM 6 EFF 1/2000
.
(Continued on reverae s,ds)
PAGE 1
.
,
(Part D Continued)
PRIMARY SOURCES Of INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1000
ADDRESS OF SOURCE OF INCOME
Wakulla Co Board of Co Comm~ss~oners
AMOUNT
POBox 1263 Crawfordv~lle Fl
86 225 00
Rental Income Market Square Cornmerc~al Bl l:.g·C ~I ;{~'6r)a4·wOfCorrawv"!OIdev1Fl1e3H12;bway d ~l 1 23Z1
40 000 00
Rental Income Fulton Harvey Rd 3 Bedrooms
t~i~~gr~~iYi~ R~fd 32327
3
000 00
See Attached Cont1nuat10n SECONDARY SOURCES Of INCOME [Mlllor customers chents etc of busmesses owned by reporting person see InstruclJons) NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESSS INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
PART E -INTERESTS IN SPECIFIED BUSINESSES [Ownership or pOSllJons In certain types of busmesses see mstructlons]
BUSINESS ENTITY # 1
~E OF
BUSINESS ENTITY # 2
BUSINESS ENTITY # 3
Market Square Plaza ~646 Crawfordv1lle Hlghway Crawfordv111e. Fl 3l3 U7
I:I\JTITV
Rental Part-Owner
~pMY IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE OATH
I the person whose name appears al the beglnnmg of thiS form do depose on oath or afflrmalJon
STATE OF FLORIDA k 11 COUNTY OF Wa u a
Sworn to (or affirmed) and subscribed before me thiS _...:3:..:0:..:t:.:h=---
and say that the InformalJon disclosed on thiS form
day of
and any attachments hereto IS true accurate
June
20 00 by
c.::=::::::-l;r<....... /Lf'.". Y
"I
//(/1-
_
Harvey
~ ~,,,-~
~
'lii'to_
/.L
""[I ~
Dav1d F
(,$),pnature of Notary Pubhc Stallf'lt FlOrida) J ... "" ' " KarIn L Day V Karen L Day MYCOMMISSION'CC61614tEXPlRES ------"(;;:;p""nn:;-t--.;T::::yp=-=e~1th"~ ~~q~ry Public)
and complete
~
a
SIGNATURE OF REPORTING OFFICIAL oR CANDIDATE Personally Known -'XX=Type of IdenlJflcalJOn Produced
•
WHAT TO FILE
After complebng the form hie only the first sheet (pa9es 1 and 2) Note You also may be required to file Form 10 at the back of thiS packet (see the form for Instructions) CE FORM 6 EFF 112000
.EJj..ING INSTRUCTIONS WHERE TO FILE
OffIce-holders file with the Department of Stete.Room 1802 The capitol Tallahassee ,...,onda 32399-0250 Candidates file with the offl cer before whom they qualify
OR Produced IdentJl'catlon
_ _
WHEN TO FILE Qfflceholders must file no later than July 1 2000 candld~ must file pnor to or at the time
they qual
PAGE 2
•
Page 1 Part B Contmued Fonn 6 Full And Pubhc Disclosure of Fmanclal Interests 1999
DaVId Fulton Harvey July I 2000
DESCRIPTION OF ASSET. ContlDued
Fox hollow 3 Duplexes Whaley Rd CrawfordVIlle Fl
1084 Acres Wakulla StatIOn CrawfordVIlle Fl
3 bedroom Rental, Fulton Harvey Rd CrawfordVIlle Fl
3 73 Acres Hudson Heights CrawfordVIlle FI
3 Acres Market Square Crawfordville Fl
22 49 Acres Harvey Mill Rd CrawfordVIlle FI
130 Acres HarveyNoung Fann Rd CrawfordVIlle Fl
Memll Lynch, 215 S Monroe St Tallahassee Fl
Retirement Deferred Compensation CarmellN
House Crawfordville Hwy CrawfordVIlle Fl
8 Acres Hwy 319 & 98 CrawfordVIlle Fl
CitIZens Bank Stock CrawfordVIlle Hwy CrawfordVIlle FI
DaVId HIers Mortgage Sopchoppy RIver Sopchoppy FI
5 97 Acres Crawfordville Hwy CrawfordVIlle Fl
Huge DaVIs Mortgage CrawordVlIle Fl
17 Acres St Marks' FI
•
$3100000
1200000
2500000
400000
300000 00
10 000 00
5500000
8500000
]60000 00
2200000
30000 00
2000000
3900000
I 50000
2S 000 00
350000
Page 1 Part C Contmued Fonn 6 Full And Pubhc Disclosure ofFmanclal Interests 1999
DaVId Fulton Harvey July 1 2000
NAME AND ADDRESS OF CREDITOR - ContlDued First DOIon, 120 I' N Monroe St Tallahassee Fl Regmald Rodenberry 3225 Beacon St Tallahassee Fl
$14800000
1800000
Page 2 Part D Contmued
Fonn 6 Full And Pubhc DIsclosure of Fmanclal Interests 1999
DaVId Fulton Harvey July 1 2000
SOURCE OF INCOME EXCEEDING $1,000
•
Real Estate Sale Wildwood Country Club to Gerd Patnck CrawfordVIlle FI Interest Income DaVId HIers Mortgage Interest Crawfordvtlle Fl Interest Income CltlZet1S Bank Interest CrawfordVIlle FJ Interest Income Menll Lynch Interest Tallahassee FI Interest Income - Amencan Expres's Tallahassee Fl Interest Income - City ofTallahassee Tallahassee Fl Interest Income - Huge DaVIS Mortgage Interest CrawfordVIlle Fl
$ 480000
490000
800000
5000 00
149000
500000
5000 00
,
ID
I.:
.
q9 1 :362
/
FORM 6 FULL AND PUBLIC DI¢LOSUlWg ~lty~IAL INTERESt-S ~9B FILING INSTRUCnONS ,,, whO' whO'. " '01. 'h", ~ettr~l,iUVN~¥\ T~ at the bottom of page 2
"d
VZ:".lOd
INSTRUCTIONS on who must file thiS form and how to II out begin on page 3 of thiS packet OTHER FORMS you may need to hie are described on page 6
DAVID HARVE ( SI1ERIFF WAI\UlLA COUNTY C/O 15 OAK STREET CRAWFORDVILLE FL
99 JlIL - I PH 2 46
'tJ 1(~F~t~J~1:! '~I= I 323270000
OFFICE HELD OFFICE SOUGHT
0
CANDIDATE
0
OTHER
POSITION
NOTICE Under provIsIons of Sec 112317, FlOrida Statutes, a failure to make any requITed dIS closure constItutes grounds for and may be pUnished by one or more of the following dlsquall f,cat,on from being on the ballot, Impeachment removal or suspensIon from offIce or employ ment, demotIon reductIon In salary reprimand, or a CIVIl penalty not exceeding $10000 PART A - NET WORTH Please enter the value of ~our net worth as of December 31 1996 or a more current date [Note net worth IS not calculated by subtracting your reported liabilities from your reporte assets so please see the Instructions on page 3 )
My'net :woith as of
Decemoer 31
.u-.-
853-;500',00
-19.....2.lLwas $ ...- -0- _A ~
~
__. .__~.
PART B- ASSETS WORTH MORE THAN $1 000 HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported In a lump sum If their aggregate value exceeds $1 000 ThiS category Includes any of the follOWing If not held for Investment purposes lewelry collections 01 stamps guns and numismatic Items art ob/eets household eqUipment and furnishings clothing other household Items and vehicle for personal use The aggregate value of my household goods and personal effects (descnbed above) IS $ ASSETS INDIVIDUALLY VALUED AT OVER $1 000
50 , 000 00
VALUE OF ASSET
DESCRIPTION OF ASSET
Amer1can Exoress F1nanc1al Adv1sor - 1385 T1mberlane Tallahassee Fl 32312 Cash In Bank - H1ghway 319 N Crawfordv1lle Flonda 32326
Res1dence & 10 Acres - 116 Harvey/Young Farm Rd Crawfordv1lle Fl 32327
2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordv1lle Fl 32327
Wakulla Bank Stock - H1gh",ay 319 North Crawfordv1lle Fl 32326
108 000 00 150 000 00 90 000 00 33 000 00 5 000 00
PART C- LIABILITIES IN EXCESS OF $1 000 AMOUNT OF LIABILITY
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee
II
Tallahassee
DeOos1t Guarantv Mortll:age ComDanv
Fl
POBox 1198
Jackson. MS
C1t1zens Bank Crawfordv1lle H1ghway Crawfordv1lle J K Moore - JK Moore Road Crawfordv1lle Fl 32327
Fl 32327
35 500 00 3 500 00 138 000 00 30 000 00
PART D - INCOME You may E"HER (1) hie a complete copy of your 1996 federal Income tax return including all attachments OR (2) IIle a sworn statement Identifying each separate source and amount of Income which exceeds $1 000 including secondary sources of Income by completing the remainder of Part D on page 2 of thiS form
Cli elect to file a copy of my 1998 federal Income tax return
[If you check thiS box and attach a copy of your 1996 tax retum you need not complete the
remainder of Part D ] CE FORM 6 REV 1/99
--------
(Continued on reverse Side)
-
PAGE 1
I
(Part D Continued) PRIMARY SOURCES OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 000
ADDRESS OF SOURCE OF INCOME
Wakulla County Board of CODlID1ss10ners
P
Rental Income Market Sauare Commerc1al BId l\!: Rental Income Fulton Harvev Rd 3 Bedrooms Real Rstate Sale Ofhce B1111d1nQ:
AMOUNT
o
Box 1263 Crawfordv1lle Fl ~646 CrawfoIdv1He1~~~9way :rawfordv1ll e Fulton Harvpy Road Crawfordv1lle. Fl ~~uAlthou~e Square Qff1ce, Fdg "n lOP
\,"'",;
78 191 00
40 000 00 3.000 00 L..OOO 00
P
SECONDARY SOURCES OF INCOME [Major customers clients etc of businesses owned by reporting person see Instructions J
NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS S INCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCr:
N/A
PART E -
INTERESTS IN SPECIFIED BUSINESSES [Ownership or POSitions
In
BUSINESS ENTITY # 2
BUSINESS ENTITY # 1
~~~'~'~!C> ENTITY . ",,/\ITITV
PRINCIPAL BUSINESS
Rental
POSITk?N HELD
Part-Owner
WITI-l :/\ITITV
I OWN
BUSINESS ENTITY # 3
Market Square Plaza ~~46 Crawf?f~V1He1W~~
ADDRESS OF 01
certain types of bUSinesses see Instrucbons]
MO~~ ~~~~I~J.!.~""
_q~fpMY IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERED:
OATH
I the person whose name appears at the beginning of thiS form do depose on oath or affirmation
IS
day of
June
19
99
,..J ~ A.ON\.
true accurate
<~
and complete
~4v~~
29th
Harvey
Sworn to (or affirmed) and subscnbed before me thiS
and say that the Information disclosed on thiS form and any attachments hereto
STATE OF FLORIDA COUNTY OF Wakulla
Karen L
2
by
Dav1d F
'R
~
.....
---./
tnature of N0lW'~tJtiy S,t~lFIOnda) A MY COMlAISSION I cc.16141 S Day . ~ Janully26 2001 (Pnnt Type ohii'p COfIlMlft%.t!\!lIQW"~Public)
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE
Personally Known
XX
OR Produced Idenliflcalion
Type of Identllicabon Produced
•
WHAT TO FILE
After completing the form file only the first sheet (pages 1 and 2) Note You also may be reqUired to hIe Form 10 at the back of thiS packet (see the form for Instructions)
CE FORM 6 REV 1/99
FILING INSTRUCTIONS WHERE TO FILE
Office holders f.le With the Dercartment of State Room 1802 The cag,' 01 Tallahassee FlOrida 32399 0250 andldates file With the offl cer before whom they qualify
WHEN TO FILE Offtceholde rs must file no later than July 1 1999 CandIdates must file pnor to or at the time they qualify
PAGE 2
e
Page 1 Part B Continued Fonn 6 Full And PublIc DIsclosure of FinancIal Interests 1998 DavId Fulton Harvey July 1 1999
DESCRIPTION OF ASSET ContlDued Fox hollow 3 Duplexes Whaley Rd Crawfordvdle FI 10 Acres Wakulla StatIon Crawfordville FI 3 bedroom Rental Fulton Harvey Rd Crawfordvdle FI 4 Acres Hudson Heights Crawfordvdle FI 3 Acres Market Square Crawfordville FI Lot Ochlockonee RIver Crawfordville FI 15 Acres Harvey Mill Rd Sopchoppy FI 130 Acres HarveyNoung Farm Rd Crawfordville FI Memll Lynch 215 S Monroe St Tallahassee FI Retirement Deferred Compensation Carmel IN House Crawfordville Hwy Crawfordville FI 8 Acres Hwy 319 & 98 Crawfordvdle FI CItIzens Bank Stock, Crawfordvdle Hwy Crawfordville FI Farm Equipment HarveyNoung Farm Rd Crawfordville FI David Hiers Mortgage Sopchoppy RIver Sopchoppy FI 5 97 Acres Crawfordvdle Hwy Crawfordville FI
$ 31 00000 1200000 2500000 400000 29000000 1000000 500000 5000000 8500000 16000000 1800000 3000000 25000 00 2 000 00 42 000 00 1 500 00
e
,e
Page 1 Part C Continued Fonn 6 Full And Pubhc Disclosure of Financial Interests 1998 DavId Fulton Harvey July 1 1999
NAME AND ADDRESS OF CREDITOR ContlDued FIrst Umon 1201 N Monroe St Tallahassee FI Reginald Rodenberry 3225 Beacon St Tallahassee FI
$148000 00 18000 00
Page 2 Part D Continued Fonn 6 Full And Pubhc Disclosure of Financial Interests 1998 David Fulton Harvey July 1 1999
SOURCE OF INCOME EXCEEDING $1,000 Real Estate Sale Margaret Rogers Crawfordvdle FI Real Estate Sale Wddwood Country Club to Gerd Patnck Crawfordville FI Interest Income DaVid Hiers Mortgage Interest Crawfordville Fl Interest Income CitIzens Bank Interest Crawfordvdle FI Interest Income Menll Lynch Interest Tallahassee FI
$30000 00 10 085 00 4900 00 8900 00 I 679 00
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POSITION
I t ' l l ~ ~ alld hI' 'e 10 iii ~ Ihls lorm are loc aled allhe bo"om of page 2 IIJll'1 Pol/Ill lllll and h 'JW 10 fill II oul be,},n on page 3 of Ihls packel_ le"11 I' file l ~ cleSl'rilH d on page 6_
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i:·~JI.l. ,'~\ liD r'L BUG DISGLdSURE OF FINANCIAL INTERESTS(f997--.:?-'
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I 'j' (,, , :ir;ii;,isio; -S-;'Jf SE·c. 11.2.317, Florida Statutes, a failure to make any required dis· Cl05tl 'fE I~' ~I 'I 'H_!; l~roUi c:';s: for Jnd may be punished by one or more of the following: disquali· licati'l' rr, "., , ·/a 'on U ~ I'allo r, impeachment, removal or suspension from office or employ· rnenl, C,! rr :1 'i:: :e1c'r..clkl I ill sal,iry, mprimand, or a civil penalty not exceeding $10,000. ~j
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1111 ft1!11' PART A PleilS~
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'et wor1r I:. of Dec e 'TIber 31 1997, or a morP. current dale ~r~" so, I as' see lh,~ Inst.uc Ions on page 3 I
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NET WORTH
ij'f"11 wO-;:-I":i5~,:>'_~P.JlJ:~rgbef:::-3 r;~~....:~_~:.....:·
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nel worth IS 1'101 calclliatco by subtracting your 'eportl'd
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ntl1.lIm" G' FART 8-- ASSETS WORTH MORE THAN 51.000
HOUSEl- )1 lG
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t,: rpport~r1 on .. h,mp _urn ,III",,, ilggreyillll value exceeds $1 000 Thl~ t:illt)~()ry ont:h"ll1~ any
I," Jieh,)lcl ocds and llersonal eHeets (descllbed above) '5 ',_111,[ AT (I, EFI $1.0(1()
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an obJecls
"lltlP IOllowmCJ household equipment and furn,sh,nys Llon',og
les Jar p, . SC l1al use
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I'E Fl:;ON" I EfFECTS
IfIO;!S ,ewell . , cnllecllCI"S 01 ~tan\ps guns .ina numIsmatic ,'ems
The c' ~I ;al' I,ill' ASSETS /1>111 'IIC J'ILI
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50,000,.00
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VALUE OF ASSET
-
78,OOlJ.00 138S Timberlane Tallahassee, Fl 32312 150,000.00
~J~~~~L1J :~_~~!awfordville, Fl 32326 .. Cash' ----- 1 .. _------ ---- -- ------_ (0 , r I~ ~ RL'f;jdc'l( ! I 90,000.00 r
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IUgh.'a-, 319 North, Crawfordville, Fl
5,000.00
32326
PART C- LIABILITIES IN EXCESS OF $1.000
__
AMOUNT OF LIABILITY
NAME 11t.:' Al (11,1 !::, ;If CllE DITOF '--. . ...-.
-_
------- -_.
Barnet I --.JD ; ol '::.!f~~~~'=2 Tallahassee, Fl _._--.... 1I1l1-,nl I "~.:: ~J~ag~_ '~~~mpany, P 0 BOX 1198, Jackson, Ms.
OC'poRil f - . - - - - .. -- - .... C j l 1 ZL" S lla I k ': ,1101 :'~ I'dvi LE' Highway, Crawfordville, Fl 32327 ....
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36,000.00 4,000.00 140,000.00 30,000.00
HOll [t! ROll d, Crawfordville, Fl
PART D -INCOME YOl! may f.ITf 1,"1 (': 1,1t. I :''l1p ll'te copy, 01 y'>ur 19!J7 'edernllncomo 18)( relUm. Including all anachmenls. OR (2) file 8 swom SlalemenlldenlJlylng each SOpclfHta SOlJr(, an 1an':1 r' ,I ,,{orne whl :h (I)(ceeds $1,000, ,"eluding secondary sources of Income, by complellng Ihe remaInder ot Part 0 on page 2 01 Ih,s form
(J I eleCllo hh c C( iJ~
0 1 I'. . 99 7 tejeral II' :orne lBl( relum flI you check thiS be)( and anach a copy 01 your 19971a)( relum. you need nol complele Ihe
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CE FORM I, . 'I
~V
"-----
(Conllnued on rever.e .Ide,
PAGE 1
(Part D. Conl1nuedl PRIMARY SOURCES OF INCOME: NAME OF SOURCE OF INCOME EXCEEDING $1.000
Wakulla Count
ADDRESS OF SOURCE OF INCOME
.-
_....AMOUNT
78.191 • 00
Board of Commissioners
Rental Income Market
38
50.00
1 675.00
Rental Income Fulton
n
NA
1----'-'-'--'-'-----. .
-----+-------------+---------------+-----------1 - - - - - 1 f - - - - - - - - - - - - - - - - f - - - - - - -.. -.-.-------.-I~----
PART E - INTERESTS IN SPECIFIED BUSINESSES [OwnershIp or posItions ,n cen;"n types ot bus,nesses..see mstructlons! BUSINESS ENTITY" 1
I
BUSINESS ENTITY" 3
BUSINESS ENTITY" 2
NAME OF
H_:u.Ll.U..J-U..L..L.i...L-__.
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--------------+-------.--------1
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
OATH
I. Ihe person whose name appears at the
beglnnmg 01 thIS lorm do depose on oath or al1rrmatlon
STATE OF FLORIDA
COUNTY OF __ Wakull a
Sworn to (or aflrrmed) and subscribed before me th,s
and say thaI the Intormalton disclosed on thiS form
day 01
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and any anachments hereto IS true, accurate, and complete
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Personafty Known
xx
Type olldenlllicalion Produced
WHAT TO FILE:
Alter completing the form, file only the first sheet (pages 1 and 2) Note You also may be reqUired to file Form 10 at the back of thiS packet (see the form for ,nstruCllons)
REV 1/98
•
Karen L. DaL -_.- '(Prlnt. Type. 0
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE
CE FORM Ii
!IX
FILING INSTRUCTIONS WHERE TO FILE: Office-holders
file with the Department of State Room 1802, The Capitol. Tallaha••ee, Florida 32399-0250. Candidate. file with the offi cer b.for. whom they qualify.
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omniissl~la':;' Pubiic) IOIIllIO tlftI TIllII' MIl -.wa lIC:
OR Produced Identification _. . __.•
WHEN TO FILE: OUjce-holders must file no later than July 1, 1998 Candjda~~ must trle prtor to or at the tIme they qua I y
PAGE 2
_
.
Page I Part B Continued Form 6 Full And Public Disclosure of' Financial Interestll 1997 David Fulton Harvey, July I, 1998
DESCRIPTION OF ASSET - Continued
Fox hollow - 3 Duplexes, Whaley Rd, Crawfordville, FI
10 Acres, Wakulla Station, Crawfordville, FI
3 bedroom Rental, Fulton HaIVey Rd, Crawfordvi1le, FI
4 Acres, Hudson Heights, Crawfordville, FI
3 Acres, Market Square, Crawfordville, FI
Lot - Ochlockonee River, Crawfordville, FI
15 Acres, Harvey Mill Rd, Sopchoppy, FI
130 Acres, HarveylYoung Farm Rd, Crawfordville, FI
Menill Lynch, 215 S Monroe St , Tallahassee, FI
Retirement-Deferred Compensation, Carmel IN
House, Crawfordville Hwy ,Crawfordville, FI
8 Acres, Hwy 319 & 98, Crawfordville, FI
CItizens Bank Stock, Crawfordville Hwy , Crawfordville, FI
Farm Equipment, HarveylYoung Farm Rd, Crawfordville, FI
DavId Hiers, Mortgage, Sopchoppy River, Sopchoppy, FI
5 97 Acres, Crawfordville Hwy , Crawfordville, F1
$ 31,00000 12,00000 25.00000 4.00000 290,00000 10,00000 5,00000 50,00000 90,00000 150,00000 18.00000 10,000 00 20,00000 2,000 00 42.000 00, 1,50000
.
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-, Page 1 Part C Continued Form 6 Full And Public Disclosure of Financial Interests 1997 David Fulton Harvey, July I, 1998
NAME AND ADDRESS Of CREDITOR - Continued First Union. 1201 N Monroe St , Tallahassee, FI Reginald Rodenberry, 3225 Beacon St., Tallahassee, FI
'J'
SISO,OOO 00 20,000 00
Page 2 Part 0 Continued Form 6 Full And Public Disclosure of Financial Interests) 997 David Fulton Harvey, July), 1998
SOURCE OF INCOME EXCEEDING 51.000
$ 2.945.00
Real Estate Sale - Post Office Land to Gerd Patrick, CrawfordviUe, FI Real Estate Sale - Wildwood Country Club to Gerd Patrick, Crawfordville, FI Interest Income· David Hiers Mortgage Interest, Crawfordville, FI Interest Income - Margaret Rogers Mortgage Interest, Crawfordville. FI Interest Income· Citizens Bank Interest. CrawfordviUe, F) Interest Income· Merill Lynch Interest, Tallahassee. FI
10.085.00 4.900.00 4.334.00 8.900.00 1.679.00
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FORM 10 LAST NAME
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HONORARIUM EVENT RELATED EXPENSES
FIRST NAME
i
THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1996. YOU NEED NOT FILE THIS FORM IF YOU HAve NOTHING TO REPORT ON IT.
MIDDLE NAME
HARVEY, DAVID FULTON MAILING ADDRESS
15
NAME OF AGENCY WAKULLA COUNTY SHERIFF'S DEPT.
OAK STREET
CITY CRAWFORDVILLE
COUNTY
ZIP
32327
OFFICE OR POSITION HELD. SHERIFF
WAKULLA
NOTICE: Under provisions of Sec. 112.317, Fla. Stat., a failure to make any required disclosure constItutes grounds for and msy be punished by one of more of the followIng: impeachment, removal or suspension from office or employment, demotion, reduct/on in salary, reprimand, or a fine up to $10,000.
PART A GIFTS (HAVING A PUBLIC PURPOSE) FRoM GOVERNMENTAL ENTITIES NAME OF PERSON PROVIDING GIFT(S) IN 1996
Sprint Golf
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
200.00
Golf Fee 60 Room
03/21/97
300.00
Barbecue Grill
12/19/97
Tournament Benefit Office Christmas Gift
PART B- GIFTS FROM DIRECT SUPPORT ORGANIZATIONS NAME OF PERSON PROVIDING GIFT(S) IN 1996
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCAIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
PART C- HONORARIUM EVENT RELATED EXPENSES EVENT. 1 NAME OF PERSON PAYING EXPENSES ADDAESSOF PERSON AFFILIATION OF PERSON AMOUNT OF HONORARIL'M EXPENSES
-¥~~~\~~~~
EVENT.2
INSTRUCTIONS on who must liIe thiS form and how to fill it out are' on Ihe reverse SIde
FILING INSTRUCTIONS for when and where to hie thiS form are located on the reverse Side
DE~C!'tIPTIO_N OF EXPENSES PAID ON EACH DAY TOTAL VALUE OF EXPENSES FOR THE EVENT
(COnllnued on reverae alael
CE FORM 10· REV 1197
tI
PAGE 1
•
.. IF ANY OF PARTS A THROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE [J fI! Mf MlIl fI WATT ACH COPIES OF ALL STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR tHE GIFTS AND HONORARIUM EV~NT RELATED EXPENSr.~; DiSCLOSED ON THIS FORM YOll MUST DISCLO'.' ALL OF THESe: KINDS OF GIFTS AND EXPENSES EVEN THOUGH YOU DID NOT RECEIVE A STATEMENT OR REPORT FROM THE PEI1S0N (,II E.NnTY 1'1I0VIOINO Ttfl-M \,"\1 MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATIACHED REPORTS AND STATEMENTS AND THE trll-ORMATION PROVIDED ON THIS
FORM BY ATIACHING AN EXPLANATION TO THE FORM. SIGNATURe:·
_;).
• TJ
~
DATE SIGNED: r:;:<'£July'l' - ,
1.99:7:1
INSTRUCTIONS FOR COMPLETING AND FlUNG FORM 10: WHEN AND WHERE TO FILE: By July 1, 1996. Persons who file Form 1 or Form 6 .hould file thl. form with their Form 1 or Form 6. State procuremenl employees (s.. definition below} file this form with (he Department of State, Room 1802, The Capitol, Tall.h..s.., Florid. 32399·
0250. T.hIlUorm n~oQ.noUllllJlod.llIlI'u.Jl.r.".o.d.bJI111ft or .uP'Oil .wlU'G.IY.td. dJ./rln;..tht.tlmu.o.u. htlOvblJc offiCI 01 omploymont WHO MUST FILE FORM 10: All persons who are reqUIred to hie Form 1. Stalemenl 01 FlnanCla' Inleresls. and all persons who "If) Form 6, Full I!nd Public Disclosure 01 Financial 'nlerests, eKcept judgfl. (comprehenSive 11515 are part 01 each 01 those lorms) In addillon, slate "procurement employltflS" are reqUired 10 Ide Form 10 You are a 'procurement employee" If you (') Are an employee 01 an office, departmenl. board, commISSion. or COUncl' 01 Ihe exec:ullve or ludlclal branches 01 slale governmenl, (2) ParticIpate ,n the procurement 0' contractual services or commodltles costlng more than $1,000 ,n any year, (3) Through decISIon, approval, disapproval, recommendahon, preparatIon o. any part 01 a purchase request, Inlluence Ihe content 01 a"y specilicalion or procuremenl standard, rendenng 01 adVIce. InveSlJga\lOn, auditing, or In any other adVISOry capac,ty INTRODUCTORY INFORMATION (At the Top 01 the Form} NAME OF AGENCY: ThiS should ba the name o. the govemmenlal unit which you serve or served, or by wh.ch you are or were employed For example ·Clty 0' Tallahassee: "Flonda Senate: or "Department 0' Trallsportatlon • OFFICE OR POSITION HELD: Use the title ot the o"'ce or POSlhon you hold or held dunng 1996 (In some cases you may nol hok1lhat pesrller, now. but you slill would be required to liIe to disclose your Interests dunng the last year you held that posnlon) For example, "City Council Member: "Member," "PurchaSing Agent: or "Bureau Ch,el" ADDRESS OF REPORTING INDIVIDUALS: The 'ollowlng persons should not use their home addresses' actlve or 'ormer law enlorcemenl personnel. Including rorractlonal and correctional, probation offIcers, currllnt or lormer stale anoMeys. asslslant slale attomeys, slateWldo prosecutors, asslslanl slRlewl(1e proseculors. hrollghters. personnal 01 D H R S whosa dulles Include the InveshgatlOn 01 abuse, neglecl, explOllalron. 'raud, Ihelt. or other Criminal actiVitIes, spouses ot the above, counly and muniCIpal code Inspeclors lind code en'orcemenl 0",cer5. lind Depart'....ont nf Revonu/l or local governmenl oersonnel respons'ble 'or revenue collecllon and on'orcmenl or child·support onlorcement PART A -
GIFTS FROM GOVERNMENTAL ENTITIES [ReqUIred by Sec 1123148, Fla Stat J
Entities 01 IIlI) leglslalrve or JudIcia' branchos. dopartmenls "nd commissions 0' the execuhve branch. counlres, munlCtpalllres. aIrport aUlhonlres. school boards, water management dlstncls crealed by 373069. F Sand Ihe Tn-County Commuter Rail Authority may give, ellhe' dlleclly 0' Ind,rllr;I/y, II g'" worth over $100 to persons who file Form 1 or Form 6 or 10 slale procuremenl employees If a public purpose can be shown 'or the gill Part A should be used 10 hst such gills Under the law, Ihese govemmenla'enbhes are reqUired 10 proVIde you With a slatemenl concemlng these gills by March I, attach thIS slatementto Form 10 PART B - GIFTS FROM DIRECT SUPPORT ORGANIZATIONS (Sec 1123148. Fla SIal) Direct support organlzallons speCIfically authonzed by law 10 support a govemmental entity may gIve a gill worth oVO' $100 10 II porson who 1.les Form 1 or Form 6 or to a slale procuremenl employee Iflhe person or employee 'S an offIcer or employee 0' Ihat governmental entity Pall B should be used to 1151 such g,l1s Under Ihe law, these direct support orgar>lzatlons are reqUIred 10 provide you WIth a slatement concerning Ihese gills by March 1 anach Ih,s stalemenllO Form 10 PART C -
HONORARIUM EVENT RELATED EXPENSES [ReqUIred by Sec 1123149, Fla Slat
I
Reporting indIVIduals who "Ie Form 1 and Form 6 and slale procurement employeas are prohlblled Irom accepllng an hono'anum (a payment In exchange lor a speech. oral presenlation, wntlng. and the hke) Irom a pollhca' committee or comml1tee 01 conlinuous existence. 'rom a lobbYlsl who lobbies such a lobbYIst However, them or their public agency (or has done so within Ihe preVIous 12 months). and from the employer, principal. partner. or firm these persons and enlrtles may payor prOVIde a reportIng IndiVidual or procurement employee and hiS or her spouse lor actual and reasonable transportallon, lodging, evenl or meellng reglstrallon 'ee. and food and bevarage expenses related to an event at which a speech, presentatIOn. or wrillng Will be made by the publiC officer or employee Part C should be used 10 describe thesa honorarium evant related axpenses Under Ihe law. the persons or enlilres paYIng lor c,r prOViding such expenses are required to prOVide you With a statemenl concemlng Iham Wllhln 60 days 01 the honOfllnum evenl. attach thIS slalementlo Form 10
0'
-FOR -----------------------------------------------------1 MORE INFORMATION
Quosllolls aboul thl!l forlll or the ethics laws may bo nddro"!loo 10 Iho CommissIon on Elhlcs, Posl Office DUlwar 15709. TnllnMssaB. Flonda :12:117·5709,
lelephone (904) 488· 7864 (Suncom 278·7864) Plenso 'ollow Ihallllng Instructions obove and do nollilethis 'orm wilh tho Commlll8lon on Elhlc"
~---_._-------------------------------------------------------CE FORM 10· REV 1197 PAGE 2
••
•• FORM 6 FULL AND PUBLIC IiSCLO~URE OF fiNANCIAL INTERI;STS.f~96·7 LAST NAME
FIRST NAME
MIDDLE NAME
HI\f~W:Y
I
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.
WI\KtJl.I./\ 1;IJlJNrV
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NAME OF AGENCY:
.I
WAKULLA COUNTY
/
1"1 •
, ,FFICE HELD OFFICER
SI1ERIFF OFFICE SOUGHT
X~.,XX~~ 15 OAK STRE~T I.RAWI md>V (I.U:
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----1
=-=-=-=-:-:-:-
r---f-_O_C_A_N_D_1D_A_TC_,-- - - - -
POSITION
OTHER
FILING INSTRUCTIONS for when Ind where to 'lie this 'orm Ire loclted It the bonom of Plge 2. INSTRUCTIONS on who must flle this form end how to fill It out begin on page 3 of thla packet. OTHER FORMS you may need to file Ire described on pege 6,
I
i
NOTICE: Under provisions of Sec. 112.317, Florida Statutes, a failure to make any required dis closure constitutes grounds for and may be punIshed by one or more of the fol/owlng: disquali fication from being on the ballot, Impeachment, removal or suspension from office or employ ment, demotion, reduction In salary, reprimand, or a civil penalty not exceeding $10,000. PART A -
ASSETS WORTH MORE THAN $1,000
,0
.--1
HOUSEHOLD GOODS AND PERSONAL EFFECTS: •• Household goods and personal eHects may be repOl1ed In a lump sum If their aggregate value exceeds $1.000 ThiS calegory Incluaes ~ ot ~ folloWIng, If not held lor Investment purposes'jewelry, conecllons 01 sramps, guns, and numlsmallc Ilems, art ObJects, household eqUIpment and furriiPlngSj tlQ""ng, other household Ilems, and vehicles lor personal use .' . The aggregate value of my household goods and personal eHects (descnbed above) IS $
u1
.2.CL9_0_0! 90
+---~
..
OTHER ASSETS -INDIVIDUALLY VALUED AT OVER $1.000:
"
VAI:.UE OF 'ASSET
DESCRIPTION OF ASSET
American Express Financial Advisor - 1385 Timberlane,
.... ~:!.I.'"
~ll.. I.\:l.~l~_":: 319_ ~._ (:!llwf,~rdvl.I.Il!.LXl_ )J)26
_ Residence £:. 10 Acres - 116 Harvev YounlZ Farm Road
Tallahn~R~e
.......
.
Crawfordville
2 Bedroom Rental £:. 8 Acres - Lost Creek. Crawfordville. [1 Wakulla Bank Stock - Hwy 319. Crawfordville. Fl 32327 PART B
FI 32312 .
J9Q.~ 9.QO
Fl 12127
7<; 000
on
5,000.00
LIABILITIES IN EXCESS OF $1,000 AMOUNT OF LIABILITY
_.
Barnett Bank of Tallahassee, Tallahassee, F1.
___
Farm Credit, Hi2hway 90 West, Monticello, Fl
32344
Deoosit Guarantv Mort282e Co.
Jackson
P.O. Box 22
• OQ
2QO.000 00
32327
NAME AND ADDRESS OF CREDITOR
Arthur Robison
lCtd 000.00
P.O. Box 1193
-- ..
._..
.
~-_.
MS
Thomsville. GA PART C -
36,000.00 -10,000.00 4,000.00 30,000.00
NET WORTH
Please enter the value 01 your net worth as of December 31, 1996. or a more current date INote net worth Is not cnlculated by subtrActIng your reported "abilitIes Irom your reported assels, so plaase see the InstNChons on page 4 J (Mynel-worth-asol--
-
~._
... ~~.
---"
-;]ulr-1T -
-
.~
PART 0 - INCOME You may EITHER (1) liIe a complete copy 01 your 1996 lederallncome taM return, Including all enachments, OR (2) "Ie A sworn stalementldenllfylng a8ch separate source and amount of 'ncome whICh exceeds $1.000, inclUding secondary sources 01 Income, by compfetmg the remainder 01 Part on page 2 of thiS form
°
lJ
I alecl to liIe 1\ copy of my 1996 federal Income tax return (If you check thiS box and anach 8 copy ot your 1996 tex rolurn yOI) need nOI complete the remolnder or Pari D J • . _
CE FORM 6 ,REV 1'97
(Continued on reverae aide)
PAGE 1
•
(Par1 D Conlrnued)
'FI~ARY
SOURCES OF INCOME
NAME OF SO' IRCE ~)F INCOME EXCEEDING $1,000
Wakulla
Coun~~
ADDRESS OF SOURCE OF INCOME
~ost"Oqic~ 1~ox F~ 26~2326
Board of Commissioners
74 983.00
------ -- - -- -- ------------------+-------------------- -1------------.,
',E.CONDARY SOURCES OF INCOME (Major customers, chents, etc. NAME OF BUSINESS ENTITY
0' bUSinesses owned by repor1lng person-osee InstruchonsJ
NAME OF MA,IOR SOURCES OF BUSINESS'S INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
N/A
.-_----_..._-----_ _-------_... ...
_-----~
'ART E -INTERESTS IN SPECIFIED BUSINESSES [Ownership or pOSlhons In certain lypes 01 buslnesses--see Instructions) BUSINESS ENTITY' 1
;~~~;s ENTITy
' • 1
_
.DDRESS OF
IL1..S.lt:iESS.. _
BUSINESS ENTITY' 3
BUSINESS ENTITY' 2
Market Square Plaza
2646 ~cra~I~r~viHe)~~2
-+-.e..t:..lMg..ulY1lli~ELEm
.:~~~81'i¢L BUSINESS 1 '?_~I.TION HELD
.y'11 H ~NTITV
_1_----------__j
Ren tal Part Owner
I)WN MORE THAN A 5%
!'UEREST IN THE BIJSINESS--t·IA TURE OF MY
._+-
--t-
---j
)
F ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET. PLEASE CHl:CK HERE
OATH
""' p("llson who:o;e nnrno "pponrs itl the 'g,nnlng of thiS !orm do depose 'In oalh or altlrmalron
,d say that the Information disclosed on thiS lorm ld any attachments herelo IS true. accurate. 111 complelo
CJ
STATE OF FLORIDA .HA~!!J-LA
COUNTY OF
ill.
Sworn 10 (or aNlrmed) al1d :lubscnbed belore me thiS day of
July
~ I.:
David F.
,19Eby
~~b .~_~ ,'~,......
~Alifl1 ~. :.;
---
[SIQ..nature 01 Notary Pubh
XX
.
tato 01 Flonda)
KalIn L. PlY
II'( COhMSSlON
, CC81'141 EXPIfIES
~,;~r1~loned
Personelly Known
_
Ha~
Name of Notary Public)
OR Produced Identilicallon _ _
Type of Idenllflcallon Produced
WHAT TO FILE:
Aller complellng I e lorm, IIle only Ihe IIrst sheel (pages 1 c lid 2) Note: You also may be required 10 ) Form 10 allhp. back of Ihls packet (see l:l form for Instructions)
I "
FORM 6 - REV 1197
FII IN~ INSTRUCTlnN~
WHERE TO FILE: Office-holder. file with the Department of State.t.,Room 1802. The Cepltol Tallaha..... ,.,orlda 32399-0250. Candidate. file with the offi cer before whom they qualify.
_ _
WHEN TO FILE: Olllco·hoiders
musl file no laler Ihan July I, 1997
Candidales musl file prior 10 or al the time
they qualify.
PAGE 2
•
Page 1 Part A Continuation Form 6 Full And Public Disclosure of Financial Interests 1996 David Fulton Harvey - July I, 1997
ASSETS - Continued $ 31,000 00 Fox Hollow - 3 Duplexes, Whaley Rd, Crawfordville, FI 20,000.00 Commercial Office Building - Rental, Church St, Crawfordville, FI 10,000.00 10 Acres, Wakulla Station, Crawfordville, FJ 20,00000 3 Bedroom Rental, Fulton Harvey Rd, Crawfordville, Fl 2,000.00 4 Acres, Hudson Heights, Crawfordville, FI 290,000.00 3 Acres, Market Square, Crawfordville, FI 10,000.00 Lot - Ochlockonee River, Crawfordville, FI 5,000.00 15 Acres, Harvey Mill Rd, Crawfordville, FI 50,000.00 130 Acres, HarveylYoung Farm Rd, Crawfordville, FI 60,00000 Merrill Lynch, 215 S. Monroe St., Tallahassee, FI 100,000.00 Retirement-Deferred Compensation, Carmel, IN 25,000.00 House, Crawfordville Hwy, Crawfordville, FI 30,00000 8 Acres, Hwy 319 & 98, Crawfordville, FI 20,000.00 Citizens Bank, Stock. Crawfordville Hwy, Crawfordville, FI 2,000.00 Farm Equipment, HarveylYoung Farm Rd, Crawfordville, FI 85,000.00 David Hiers, Mortgage, Sopchoppy River, Sopchoppy, F1
Page I Part B Continuation Form 6 FuIJ & Public Disclosure of FinanciaJ Interests 1996 David Fulton Harvey· July 1, 1997
LIABILITIES - Continued Citizens Bank, Crawfordville Hwy, Crawfordville, FI J K Moore, J. K. Moore Rd, CrawfordviIle, FI First Union, 120 I N. Monroe St, Tallahassee, FI Reginald Rodenbeny, 3225 Beacon St, Tallahassee, FI
$290,000.00 30,000.00 290,000.00 20,000.00
g
FORM 10 LAST NAME -
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HONORARIUM EVENT RELATED EXPENSES
I
FIRST NAME - MIDDLE NAME
Harvey, David Fulton
THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1195
YOU NEED NOT FILE THIS FORM IF YOU HAVE
NOTHING TO REPORT ON IT
MAILING ADDRESS. NAME OF AGENCY
15 Oak Street COUNTY
ZIP
CITY'
Crawfordville,
32327
Wakulla Co. Sheriff's Dept.
OFFICE OR POSmON HELD
Sheriff
WakUlla
INSTRUCTIONS on who mUlt file this lorm and how to 1111 I! out are on the reverse aide. FILING INSTRUCTIONS lor when and where to lile Ihillorm are located on the reveM side
NOTICE: Under provisions of Sec. 112.317, Fla. Stat., a failure to make any reqUired disclosure constitutes grounds for and may be punished by one of more of the folk . :,.,g: impeachment, removal or suspension from office or employment, demotion, reduction ifl salary, reprimand, or a fine up to $10,000. PART A
GIFTS (HAVING A PUBLIC PURPOSE) FROM GOVERNMENTAL ENTITIES
NAME OF PERSON PROVIDING GIFTIS) IN 1995
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCRIPTION OF INDMDUAL GIFTS
DATE EACH GIFT RECEIVED
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
EVENT' 2
EVENT" 3
N/A
PART ~ GIFTS FROM DIRECT SUPPORT ORGANIZATIONS NAME OF PERSON PROVIDING GIFT(S) IN 1995
TOTAL VALUE OF GIFTS FROM THAT PERSON
PART C- HONORARIUM EVENT RELATED EXPENSES EVENT f# 1 NAME OF PERSON PAYING EXPENSES PERSON ;OF AFFILIATION OF PERSON AMOUNT OF HONORARIUM EXPENSES
~~~~ DESCRIPTION OF EXPENSES PAID ON EACH DAY TOTAL VALUE OF EXPENSES FOR THE EVENT {C-onllllued on revel'll allll' CE FORM 10· REV. 1196
PAGE 1
- .
IF ANY OF PARTS A THROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
a
REMEMBER TO ATIACH COPIES OF ALL STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR TIlE GIFTS AND HONORARIUM EVENT RELATED EXPENSES DISCLOSED ON THIS FORM. YOU MUST DISCLOSE ALL OF THESE KINDS OF GIFTS AND EXPENSES EVEN THOUGH YOU DID NOT RECEIVE A STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING THEM YOU MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATIACHEO REPORTS AND STATEMENTS AND THE INFORMATION PROVIDEO ON THIS FORM BY ATIACHING AN EXPlANATION TO THE FORM. SIGNATURE:
~-L.,...../(.A.,....J-- V~
v,
DATE SIGNED:
INSTRucnONS FOR COMPI.ETING AND FlUNG FORM 10: WHEN AND WHERE TO FILE: By July 1, 11198. P,~on. who fll, Form 1 or Fonn S should file this fonn wtth their Fonn 1 0,' Fonn 6. Stat, procurement employees (see definitIon below) file this fonn wIth the Dep.rtment of Slate Room 1801, The C.pltol. Tall.hassee, Florida 32399· 0250. Tbl. toon noed not be flltd unle" • reportlble gift or gxpgnle WI' recelYed during th. time YOU held pybllc oWce or emplovment. WHO MUST FILE FORM 10: All persons who are requlrad to fila Form " Statement of FinanclIlllnter,sts, and all persons who file Form 6, Full a~d PUblic Disclosure of Financial Interests, exc~pt Judges (comprehensive lists are part of each of those forms) In add~lon, state 'procurement employees' are required to file Form 10. You are a 'procurementemployee' if you (1) Are an employee of an office, department. board, commISSion, or council of the executIVe or ,udIClal branches of stale government, (2) Participate 10 the procurement of contractual services or commodrttes costing more than $1,000 In any year. (3) Through decision, approval, disapproval, recommendation. preparation of any part of a purchase request, Influence the content of any specificatJon or procurement standard, renderlOg of adVIce, IOvesligatlon, auditing, or In any other adVISOry capaCity INTRODUCTORY INFORMATION (At the Top of ttle Form) NAME OF AGENCY: This should be the name of the governmental uOll which you serve or served. or by Which you are or were employed For example, 'Clty of Tallahassee," 'Flonda Senale," or "Department of Transportation," OFFICE OR POSITION HELD: Use the title of the office or position you hold or held dunng ,995(ln some cases you may not hold thaI posllion now but you stili would be required to file to disclose your Interests durrng the last year you held that POSition) For example, 'Clty Council Member 'Member," 'Purchasing Agent," or 'Bureau Chief' ADDRESS OF REPORTING INDIVIDUALS: The followlOg persons should nof use their home addresses actIVe or former law enforcement personnel inclUding correctional and correctional. probation officers, current or former state ottomeys, assistant state attorneys. stateWIde prosecutors. assistant stalewide prosecutors; firefighters. personnel of 0 H R S whose duties Indude the IOvestigatlon of abuse, neglect, e~ploltatlon. fraud. theft. or other crimlOal actlVrtles; spouses of the above, county and mUOlclpal code IOspectors and code enforcement officers. and ~partment of Revenue or local Government personnel responsible for revenue collection and enforcement or chrld-support enforcement PART A -
GIFTS FROM GOVERNMENTAL ENTITIES (ReqUired by Sec 112-3148, Fla Stat)
Entities of the legislative or judicial branches. departments and commiSSions of Ihe executIVe branch, counties. mUOIcipalrtles: "rport authonbes. school boards, water management districts created by 373.069, F 5 . and the Tn-County Commuter ~arl Authorrty may give, erther directly or IOdlrectly, a gift worth over $100 to persons who file Form 1 or Form 6 or to state procurement employees If a public purpose can be shown for the grit Part A should be used 10 Iisl such gifts Under the law, these governmental entitlGS are required to provide you wllh a statement concerning these gifts by March ,. attach thiS statement to Form 10 PART B -
GIFTS FROM DIRECT SUPPORT ORGANIZATiONS [Sec 1123148, Fla Stat)
Direct support organrzatlons specifically authom:ed by law to support a governmental entity may gIVe a gift worth over $100 to a person who files Form 1 or Form 6 or to a state procurement employee If the person or employee IS an officer or employee of that governmental entity Part B should be USe
HONORARIUM EVENT RELATED EXPENSES [ReqUired by Sec 1123149, Fla. Stat)
Reportlng IndIViduals who file Form 1 and Form 6 and state procurement employees are prohibrted flom accepting an honorarium (a payment In exchange for a speech, oral presentation. Writing, and the like) from a political committee or commrttee of continuous existence. from a lObbyist who lobb,es them or lhtlr public agency (or has done so within the previous 12 months), and from the employer. principal, partner, or firm of such a lobbyist However. these persons and entities may payor provide a reporting IOdlvlduat or procurement employee and hiS or her spouse for actual and reasonable transportation, lodgIng, event or meeting registration fee, and food and beverage expenses related to an event at which a speech, presentation, or wr~lOg will be made by the pUblic officer or employee Part C should be used to describe these honorarium event related expenses Under the law, the persons or entities paying for or providing such expenses anI required 10 provide you with a statement concerning them Wlthm 60 days of the honorarium event. attach this statement to Form 10.
•
FOR MORE INFORMAnON Questions about this form or the ethics laws may be addressed to the CommiSSion on Ethics. Post Office Drawer 15709, Tallahassee. Florida 32317 5709,telephone (904) 488-7864 (Suncom 278-7864) Please follow the filing Instructions above and do not file ,:-." for,n with the Commission on Ethics
CE FORM 10· REV 1/96
PAGE 2
I
. ..
.'_.- ... _.-
_. -
FORM 6 FULL AND PUBUC"DISCLOSURE OF FINANCI~L INTERESTSf1~957:J ... NAME OF AGENCY .. FIRST NAME - M I D D L 7 / -
]
LAST NAME -
HARVEY,
9~
MAILING ADDRESS
r n "N'" ".
Wto t< III I II
DAVID
X 15 Oak Street
IlXXJOO{.~
COUNTY
ZIP
CITY:
CRAWFORDVILLE, FL 32327
OFFICE.-HELO. ':" ' :..1
'
a
flFFICER
a
CANDIDATE
a
OTHER
SHI=
R·ll:'1=
\
OFFICE SOUGHT POSITION'
FlUNG INSTRUCTIONS for whln and whl,. to fill this fonn a,. located at thl bottom of pagl 2, INSTRUCTIONS on who must fill this fonn and how to flUIl out begin on pagl 3 of this packet, OTHER FORMS you may netd to ftll a,. d"crlbld on page II.
I 0 tI :
009612127
NOTICE: Under provisions of Sec. 112.317, Florida Statutes, It failure to make any required dis closure constitutes grounds for and may be punished by one or more of the following: disquali fication from being on the ballot, Impeachment, removal or suspension from office or employ ment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. PART A -
ASSETS WORTH MORE THAN $1,000
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal elfee:ts may be reported in a lump sum If their aggregate value exceeds $1,000 ThiS category rndudes any of the followmg. If
not held for Investment purposes' jewelry: collections of stamps, guns, and numrsmatrc "ems, art objee:ts, household equipment and furnlshmgs. dottllng,
other household rtems: and vehldes for personal use The aggregate value of my household goods and personal effects :1esCtlbed abo.-e) IS $
50,000.00
ASSETS INDMDUALLY VALUED AT OVER $1.000: VALUE OF ASSET
DESCRIPTION OF ASSET
American Exoress Financial Advisor-1385 Timberlane Tallahassee Cash in Bank-319 N. Crawfordville, Fl 32326 Residence
FL 3231::'
175,000.00
10 Acres
&
2 Bedroom Rental [. 8 Acres - Lost Creek, Crawfordville, Fl 32327 3 Bedroom Rental - Hudson
Hei~hts.
LIABILITIES IN EXCESS OF $1,000 AMOUNT OFUABIUTY·
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee,
Bankobston
36,000.00
Tallahassee, FL
41,000.00
Hwy. 90 West, Monticello, Fl 32344
Nations Bank,
30,000.00
Box 533, Louisville, KY
Mort~a~e
Co ••
20,000.00
P. O. Box 44090 Jacksonville, Fl
PART C -
NET WORTH
Please enter the value of your net worth as of December 31ti1995. or a more current dale. [Note liabilities from your reportBO assets, so please see the instru ons on page 4] My net worth ~sof . -
22,000.00 15,000.00
Crawfordville, Fl 32327
PART B -
Farm Credit,
195,000.00 150,000.00
June 14
..•
,19 .
..
-96- w~s-$
net worth Is not calculated by SUbtracting your reporteo
598 .000. OO=~':;
PART 0 -INCOME You may ElTHER (1) file a complete copy of your 1995 federal income tax return, inclUding all attachments, OR (2) file a swom statement identlfylng each separate source and amount of Income which exceeds $1,000, induding secondary sources of Income. by completing the remainder of Part 0 on page 2 of this form.
a I elect to file a copy of my 1995 federal income tax retum
[If you check this box and attach a copy of your 1995 tax return, you need not complete tile
remainder or Part 0.1 CE FORM 6· REV. 1196
(Contlnuod on ,.verae sIde)
PAGE 1
I
(Part D. Continued) PRIMARY SOURCES OF INCOME:
P. O. Box 1263, Crawfordville. Fl
Wakulla County Commissioners
I
AMOUNT
ADDRESS OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 ,000
71 ,961.00
SECONDARY SOURCES OF INCOME (Major customers, clients, etc, of businesses owned by reporttng person-see ,nstructlons) NAME OF BUSINESS ENTITY
NAME OF MAJOR SOURCES OF BUSINESS'S INCOME
N/A
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCE
I
N/A
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or posillons In certain types of businesses-see Instructions) BUSINESS ENTITY' 2
BUSINESS ENTITY' 1
Market Square Plaza
NAME OF I=I.IT1TV
~~X~f~ra~il¥~ ~t93~327
ADDRESS~~tTV PRINCIPAL BUSINESS
~~TJ:~!i-5LD I OWN
BUSINESS ENTITY' 3
Rental Pa~t
----j
owner
MO~~ ~~~~~~I::C::C::
_~ipMY IF APlY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE EJ
I. the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed on thIS form and any attachments hereto IS true, accurate,
-'T
STATE OF FLORIDA COUNTY OF
\
L.''-t. -'l/l.
~~
Wakulla 14
Sworn to (or affirmed) and subsalbed before me thIS day of
June
~~-J
,19.l2..by -
l1~··!iifj.\
and complete
/
OATH
~~,A}"j
Dav 1d F. Ha;vey
"~~'~J/~ d~
GfRA1.OlffE'if.f\Yffltf' Notary Putlllc-state 01 Flonda}
Ion' COMWSSIOH , CC41467V EXPlI',fS
O::l'''~'~ Octolle!~ ··'F.... ~1Pn~fiii~)onea
Name of Notary Public)
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE Personilly Known
X
OR Produced Identification
Type of Identification Produced FILING INSTRUCTIONS FOR FORM 6: WHAT TO FILE: After compleUng the form, file only the first sheet (pages 1 and 2). Note' You also may be reqUIred to file Form 10 at the back of this padl:el (see the form for inslructions). WHERE TO FILE: OffIce·helde,. fli. with the Department of Sgt., Room 1801. Th. Capitol, TllIlh,llee. Florida 32399-0250. CandIdates file with the orne., beto,. whom they qUlllfy. WHEN TO FilE: Office-holclers mull file no later than July 1. 1996. Candidates must file prior to or at the time they qualify CE FORM 8 - REV 1196
PAGE 2
.
--------Page 1
(a) FORM 6 Full Pub lice Disclosure of Financial Interest 1995 David Fulton Harvey June 14, 1996
ASSETS - Con't Fox Hollow - 3 Duplexes, Whaley Road,
Crawfordville, FI
$
31,000.00
Commercial Office Building - Rental, Church St. Crawfordville, Fl
20,000.00
10 Acres, Wakulla Station, Wakulla FI
15,000.00
3 Bedroom Rental, Fulton Harvey Rd, Crawfordville, Fl
15,000.00
4 Acres, Hudson Heights, Crawfordville, FI
3 Acres, Market Square, Crawfordville, Fl
2,000.00 150,000.00
Lot- Ochlocknee River, Crawfordville, Fl
10,000.00
15 Acres, Harvey Mill Rd. Crawfordville, FI
10,000.00
100 Acres, Harvey/Young Farm, Crawfordville, FL
60,000.00
Merrill Lynch, 215 S. Monroe St. Tallahassee, FI
50,000.00
Retirement-Deferred Compensation, Carmel, IN
90,000.00
House,
25,000.00
8 Acres,
Page 1
Hwy. 319,
Crawfordville, FI
Hwy. 319 & 98, Crawfordville, FI
40,000.00
(b)
LIABILITIES - Con't Deposit Guranty Mortgage Co. , Box 1193 Jackson, MS
15,000.00
Arthur Robison,
20,000.00
Citizens Bank,
Box 22, Thomasville, GA Hwy. 319 N. Crawfordville, Fl
Wakulla State Bank,
•
Hwy. 319 N., Crawfordville, F1
J. K. Moore,
J.K. Moore Rd.,
First Union,
1201 N. Monroe St., Tallahassee, FI
Crawfordville, FI
~----------
150,000.00 35,000.00 30,000.00 150,000.00
/ ,/
, FORM 6 FULL AND PUBLIC DISCL SURE OF FINANCIJ(~INTERESTS-=i~4~ NAME OF AGENCY. OFFICE HELD
Cl OFFICER
MAIUNG ADDRESS'
OF!=ICE SOUGHT
15 Oak Street IP
Cl CANDIDATE
COUN Y
POSITION
PART A - ASSETS WORTH HOUSEHOLD GOODS AND PERSONAL EFFECTS:
~ORE
THAN $1,000
Household QOOdI and peraonal elleelS may be reponed In a lump sum " !heIr aggragala value axceeds $1,000 This category Includes any of !he foIlOWl,;: "
not held for InvestmOf'lt purposes' jewelry; collections of stamps, guns, and numismatic IIams; &If objects. housahold oquipmant and Ivrntshlngs, clothing,
other household items, and vahicles 10, personal uso
The aggregate value of my housahold goods and personal affects (descnbed abow) IS
S _--=2:;:5:....!.:0~0:..;0;....:....:0:..;0::...-_.
_
ASSETS INDIVIDUALLY VALUED AT OVER $1,000:
VALUE OF ASSET
DESCRIPTION OF ASSET
350.000.00
Cash In Bank, 319 N. Crawfordville, Fl 32326 Residence & 10 Acres.
2 Bedroom Rental & 8
Ac~es
Lost Creek
Bedroom Rental
Cra'wfordville
Crawfordville
ornmercial Office Buildin 10 Acres, Wakulla Station, 3 Bedroom Rental,
22~.:)00.00
22 000.00
32327
F1
15 000.00
Fl
Church Street. Crawfordville. Fl Wakulla, Florida
Fulton Harve
Road,
20 000.00 15.000.00
crawfordville'ilF.llIlIlIlIlIlIlIlIlIlI"IIII.1.5i,.0.0.0•.•0.OIl"
PART B - UABIUTIES IN EXCESS OF $1.000 AMOUNT OF LIABILITY
NAME AND ADDRE$S OF CREDITOR
Barnett Bank of Tallahassee,
Tallahassee. Fl
Farm Credit
Hwy. 90 West. Monticello. Fl
Nations Bank
Box 533. LouiSVille. KY
Bankoboston Mort a e Co.
P. 0:. Box 44090. Jacksonville, Fl PART C
NET WORTH
:::~
'
Pl88M enter dle value of your not wonh as of December 31, 1994, or a mora currOf'lt date INOla not liabilities from your reported assets, 50 please see the instructions 01\ page 4.)
J!1y ~tworth-asol--
.' .c
\: ...... -,"
W\l~ IS nol calculated ~~~bt~ng ~~ported
-June-2T --,19"95 - --~5$450 ,000.00 - J
. :r.
'":""' .... ~ ~
PART D -INCOME Vou may EITHER (1) file a complete copy of your 1994 federal income tax return, inclucing an attachmanlS, OR (2) file a SWOrrl statemant identifying each separate sour08 and amount of incoma which exoeeds S1,000. including secondary sources of Incoma, by complating the remainder of Part 0 01\ page 2 of this form.
Q I elect to file a copy of my 1994 federal income lax return
III yoo check this box and artach a copy of your 1994 tax ratum, you need not eompi.:~ tho
remainder of Part D.)
CE FORM 6· REV 1195
\
(Conllnued on rever.e .Ide)
PAGE'
(Part D, Continued) PRIMARY SOURCES Of INCOME: AMOUNT
ADDRESS OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1.000
P. O. Box 1263 Crawfordville, VI
Wakulla Co. Board of Commissioners
SECONDARY SOURCES Of INCOME (Major customers, c:llentl, ale.. 01 buslf'lesles owned by reponing per50n) NAME OF NAME OF MAJOR SOURCES ADDRESS BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE
N/A
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
N/A
N/A
N/A
68,014.00
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in certain types 01 businesses) BUSINESS ENTITY; 3
BUSINESS ENTITY. 2
BUSINESS ENTITY. 1 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
Market Square Marke..t Stluace, Hwv. 319N -CrawtorC1Vllle, rl:' Rental Part Owner
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ra I, the person whose name appears at the
OATH
STATE OF FLORIDA COUNTY OF Wakulla
beginning 01 this lorm, do depose on oath or affirmalion
Sworn Il:l (or affirmed) and subscribed belore me thiS _-=2c.:..7-=t~h~
and Ia!f that the inlormation dsclosed on this Iorm
day 01
and any attlidlrnentl hereto is true, accurate, and complete
"'June
1995
Jl< L:i<; ~~.,.,'t.:·l a
'1'.('
~~,'
;~
by
_
David F. Harvey
.
+-tdo;: :Pr.':1ubliC 'l!: -"'Sr;o:la: : te~OT1'
'/b -{. ~~ JofY COMMlSSlON, lX:4141:og EXPIIQ
eo
F""I0""naa=)
'
~~19 l~
T)'fIlI!l&fl8idJitlf&.t. IliiJiid N8O'le 01 Notary publiC)
Personany Known _--,Xo.:.-_ _ OR Pradloed ldentlficabon
_
Type olldenlification Procluced
_
flUNG INSTRUC FOR FORM I: WHAT TO FILE: Aher completing !he form, file only !he first sheet (pages 1 and 2) Note' You also may be required to lile Form 10 at the bactI ollhis packet (""' the form for instrue:tlon.). WHERE TO FILE: Incumbent. file with the OepIIrtmenl of SI.Ie, Room 1801, The CapUoJ, T.n.h....., Florlcl. 323"00250. ClndlcJ.IH file with the officer befO,. whom they qualify. WHEN TO FILE: Incumbents must file no lalBr than July 1, 1995 CancidalB. musl ~Ie prior to or at the time they qualify
•
CE FORM 6· REV. 1195
PAGE 2
·
..
------------------------------------------.._....,- Page 1 (a) FORM 6 Full Public Disclosure of Financial Interest 1994 David Fulton Harvey 6-27-95
ASSETS - Con't Fox Hollow - 3 Duplexes, Whaley Road,
Crawfordville, Fl
4 Acres - Hudson Heights,
Crawfordville, Fl
2,000.00
3 Acres - Market Square,
Crawfordville, Fl
150,000.00
Lot - Ochlocknee River
Crawfordville, Fl
10,000.00
15 Acres - Harvey Mill Road
Crawfordville, Fl
10,000.00
100 Acres - Harvey-Young farm
Crawfc rdville, Fl
60,000.00
Merrill Lynch,
Tallahassee, Fl
50,000.00
Carmel, IN
70,000.00
215 S.Monroe Street,
Retirement-Deffered Compensation,
Page 1
$
31,000.00
(b)
LIABILITIES - Con't Deposit Guaranty Mortgage Co. Box 1193 Jackson, MS Arthur Robison,
Box 22,
Citizens Bank,
Hwy. 319 N.
20,000.00
Crawfordville, Fl
150,000.00
Hwy. 319 N.
Crawfordville, Fl
35,000.00
J. K. Moore Road,
Crawfordville, FL
30,000.00
Crawfordville, Fl
200,000.00
Wakulla Co. State Bank J. K. Moore,
Thomasville,GA
$ 15,000.00
Wakulla Co. State Bank
Hwy. 319 N.
· '"
, .
FORM 10 LAST NAME -
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HONORARIUM EVENT RELATED EXPENSES
FIRST NAME -
THIS STATEMENT REFlECTS GIFTS AND HONORARIUM
EVENT RELATED EXPENSES RECEJVED DURING YOU NEED NOT FlU THIS FORM IF YOU HAVE
NOTHING TO REPORT ON IT
1""
MIDDLE NAME:
Harvey, David Fulton
NAMEOFAGENCY
15 Oak Street CIlY:
ZIP:
Crawfordville
32327
COUNTY:
Wakulla Co. Sheriff's Department
OFACE OR POSITION HELD
Sheirf f
Wakulla
INSTRUCTIONS on who must lile thli lorm and how ID lill it out Br1I on lhe l1IWrM lide. flUNG INSTRUCTlONS tof when and whel1IlO file thli form ate IocalBd on the reverie lide.
PART A - GIFTS (HAVING A PUBUC PURPOSE) FROM GOVERNMENTAL ENTITIES NAME OF PERSON PROVIDING GIFT(S)IN 1994
Employees
$600.00
John Hunt
150.00
DATE EACH GIFT RECEIVED
DESCRIPTION OF INDIVIDUAL GIFTS
TOTAL VALUE OF GIFTS FROM THAT PERSON
Gun Safe
Christmas
Golf
Jul
94 - Jan 95
PART 8- GIFTS FROM DIRECT SUPPORT ORGANIZATIONS NAME OF PE RSON PROVIDING GIFT(S)IN 1994
PART
TOTAL VALUE OF GIFTS FROM THAT PERSON
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
e- HONORARIUM EVENT RELATED EXPENSES EVENT. 1
EVENT' 2
EVENT' 3
NAME OF PERSON PAYING EXPENSES ADDRESS OF PERSON A ILlATION OF PERSON AMOUNT OF HONORARIUM EXPENSES DA E(S)OF THE EVENT E IPTION OF EXPENSES PAID ON EACH DAY TOTAL VALUE OF EXPENSES FO~EEVENT
(Continued on rever.. ,Ide)
CE FORM 10· REV. 1195
PAGE 1
l
.'
IF ANY OF PARTS A lliROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE
a
REMEtl.BER TO ATTACH COPIES OF AU STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR THE GIFTS AND HONORARIUM EVENT RELATED EXPENSES DISCLOSED ON THIS FORM. YOU MUST DISCLOSF ALL OF THESE KINDS OF GIFTS AND EXPENSES EVEN THOlIGH YOU 010 NOT RECEIVE A STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING THEM. YOU MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATTACHED REPORTS AND STATEMENTS AND THE INFORMATION PROVIDED ON THIS FORM BY ATTACHING AN EXPLANATION TO THE FORM.
IHSTRucnONS FOR COMPLETING AND FILING FORItI10:
m.
e
m.
e,
WHEN AND WHERE TO FILE: By July 1, 1885. P.r.ano who Form 1 or Form ohould thlo lorm wllh their Form 1 or Form Sgl. procuremenl employ_ ( _ d.nnlllon beloW) Ihlo form wllh Ih. Departm.nl 01 Sgl., Room 1801, Th. C.pllol, TaUohu_. Florida 323VV· 0250. Tblo form nnd Dol be f1ltd unl." a reportabl. alb or 'XPen" WII rtcR'yed during the 11m. you held pubUc offic. or '!Dplpymenl,
nr.
WHO MUST FILE FORM 10: An persons who are required 10 hie Form 1, Stalemenl 01 Financial Interests. and all persons who file Form 6, Full and Public Disdosure 01 Financial IntereslS. • 1Ccepf Judgeo (comprehenSive lists are part 01 each 01 those forms) In addlbon, stale 'procvremenl employees' are required to file Form 10 You are a 'procurement employee' If you (1) Are an employee 01 an office, department, board. commiSSIOn, or councd 01 the executive or ,ud'1C181 branches of stale govemment; (2) Participate in the procurement 01 conb'aclUal services or commod!l9s costing more 1/';:lI1 $1,000 ,n any year, (3) Through decision. approval. disapproval, recommendation, preparation of any part 01 a purchase requesl, Influence the content of any specification or proaJrement standard, rendering of advice, invesbgatlOn. auobng. or In any other a~:~nry capaol}' INTRODUCTORY INFORMATION (AI the Top 01 the Form) NAME Of AGENCY: This should be the name 01 the governmental unit whu::h you serve or sarved, or by whICh you are or were employed For example, 'City 01 Tallahassee: 'Florida Senate: or 'Department 01 Transportalion OFFICE OR POSmON HELD: Use the tille 01 the office or position you hold or held dunng 1994 (In some cases you may not hold thaI position now, but you still would be required to file 10 disclose your Interests dunng the lasl year you held thaI poslbon) For example, 'Cll}' Council Member: "Member: 'Purchasing Agenl: or 'Bureau Chte': ADDRESS Of REPORnNG INDIVIDUALS: The lollowlng persons should nof use th8lr home addresses active or lonner law enlorcement personnel; firelighters; personnel 01 D H R S whose dutlSs Indude the InveStlgabon 01 abuse, neglec:. e_p1oltatlon. fraud, theh. or olher cnmltlal aetivibes: and spouses 01 the abow. PART A -
GIFTS FROM GOVERNMENTAL ENTITIES (ReqUired by Sec 112·3148. Fla Stat)
Enlities 01 the legislative or judIcial branches, departments and commiSSIons 01 the execubve brarlCh, counties. mUDlclpahties, alrpot1 authori\les, sdlool boards, water managemenl dlsb'IClS created by 373069. F S , and tho Tn-County Commuter Ra~ Authorll}' may give, either d1recdy or Indirectly. a gill wor1h over $ 100 lO persons who file ~orm 1 or Form 6 or to state procurement employees If a publIC purpose can be shown lor the gih Part A should be used lO list such gills Under the law, these governmental enUbeS are required to provide you wllh a statement concerning lhese gills by March 1: all8dlthis statlKTlentlO Form 10 PART B -
GIFTS FROM DIRECT SUPPORT ORGANIZAnONS [Sec 112 3148, Fla Stat J
Direct support organizations specilically authorized by law lO support a govemmental entity may give a gill worth over $ 100 lO a person who files Form 1 or Form 6 or to a stale procuremenl employee If the person or emplo,ee is an offi09r or employee 01 that governmental entity Part B should be used to is. such gilts Under the law, these direclsupport organlzabOns are required lO provide you With a stal8ment concerning these glflS by March 1; attach thIS stalemenlto Form 10 PART C- HONORARIUM EVENT RELATED EXPENSES (ReqUired by Sec 1123149, Fla Slat) Reporting individuals who file Form 1 and Form 6 and stal8 procuremenl employees are prohibited Irom accepting an honorarium (a paymenl ID exchange lor a speectl, oral presentation, writing, and the like) from a political commmee or commltl88 01 continuous eXistence, from a lobbyist who lobbies them or lheir public agency (or has done so wilhln the prevIOus 12 months), and from \he employer, prinapal, partner, or lirm olsudl a IobbyiSl HowlMIl', these persons and enlilies may payor provide a reporting individual or procuremenl employee and hiS or her spouse lor actual and reasonable transportation, lodging, ewnl or meeting registration fee, and lood and beverage expenses related 10 an ewnl al M'lIch a speech, presentation, or writing will be made by the public officer or employee Part C should be used to describe these honorarium evenl relal8c:t expenses Un"'" the law, the persons or entities paying for or proVIding sudl expenses are required 10 ~VIde you with a statement conceming them Within 60 days 01 'he honorarium evenI; all8dl this statemenl to Form 10. FOR MORE INFORMATION Questions abou.this 'orm or \he ethics laws may be addressed to the Commission on Ethics, Post Offi09 Jrawer 15709, Tallahassee, ADrida 32317 5709,telephone (904) 488·7864 (Suncom 278-7864) Please lollow lhe filing InSb'ucb9ns above and do notlile this form with the Commission on Ethics NonCE: UNDER PROVISIONS OF SEC. 112.317, FLA. STAT., A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND. OR A FINE UP TO $10,000
CE FORM to· REV. 1/95
PAGE 2
i
eo
.
•
FI.I·Li·At~ij-PUBLII~CDiscl~oSURE OF FINANCIALc:INTERESTSJ993~) -1 - ' -._-.
II :'V':"
-----r--:-:-:-:-:-::--o=""c=~------------------___i
NAME OF AGENCY:
WAKULLA COUNTY
I'
.. 3, :~
$ •
. . .-._ - --- - I ',ME:· Iv' D ~ L : N ~~II:: II:
NIl,"·
'11. I 'IlG Jd
4X4
::: I 1 .- .. --
--
OFFICE HELD:
ct
OFFICER
Q
CANDIDATE
SHE RIFF OFFICE SOUGHT:
-~
p- ---
POSITION:
Q OTHER
ID I:
009'1101~7
PA )U!; EHOl 0 OOOOS AND PERSONAl. EFFECTS: 'USI, hold 9<'0<15 and pel$onal effects "My toe reported In slump sum If their aggregate value exceeds $1,000. Thls category Includes any 01 the followlng," t hElId for I~'U stmenl purposes: jewelJ'y, co lectlons 01 tamps, guns, and numismatic Items: art objects: house~1d equipment and fumlshlngs: clothing: IeI' hou';ehokl Ite>m<;, and vehicles for parsonal use. n-I~
aggregate value 01 my household gOllds and pe
I effects (described above) Is $
..=1..=2...:.,..=1-=0-=0..:..,.::..00.::...
_
;SE TS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPnON OF ASSET
sh in Bank, kulla
H~.
Pha~acy,
VALUE OF ASSET
319 N.
Market
C~ra~w~f~o~r~~~~~~
~_~~~~~~~
~=a~r~e~C~~~~~=;~~F~1~
~_~~~~~.::...-~
sidence & 8 Acres, Lost C~r~e~e:..k~..j.....:C~r!=,;a~w=-f!=,;o~r!:..:d~v!.i=-=-l=-le!:...L_F~l~ +_-=-::..L.=::"':';=_-j Bedroom Rental, Talco ·:.::::::..::....-....:..=.:F:..:::..::~:..!.....~:..::.------------+-~::...z..::.::..::....:.~----1 Road Ta lahassee, Fl Bedroom Rental, Hudson Heights Crawfordville, Fl Imnercial Office Building Rental Church St. Crawfordville, Fl Acres
NAME AND ADDRESS OF CREDITOR
arnett Bank of Tallahassee
Ta lahassee
arm Credit
Hw • 90 West Monticello
,a t lons Bank
Fl
'33 Louisville Box 44090
F1
KY
PART 0 -INCOME
an
u may EmlER (1) file a complel8 copy 01 your 199 lederallncome laX retum, Inclucfrng aft8Chments, OR (2) file a swom statement Identifying each , •>arale source and amount 01 Income which exceeds 1,000, including secondary sources 01 Income. by completlng the remainder 01 Part 0 on page 2 01 I il form. I :
,I I elect to file a copy of my 1993 lederellncome laX
tum. (II you check this box and attach a copy 01 your 1993 laX retum, you need not complete \he
remainder of Pan D.] I::
FORM 6· REV. 1/94
(Continued on reveru aide)
PAGE 1
.----------------i---__,-----::,...--,...-.-.--------------------, (Part 0, Contil J(.j) PRIMARY SOURCES OF INCOME:
1--_...;.NA~M;,;;:Ec.::O:..:..Fc.::SOU:..:;.::.;.,;A~ce~O..:...F...:.:INCOM.:.==E:...:EX::..:..::C_=E=EO::.:ING,;.;,;:;.:.$~.OOO=--_+_--.:A~O· IPESS OF SOURCE OF INCOME
Wakulla
co.
P.
Board of Commissioner
o.
1-----------------1-----1---
AMOUNT
c( 337, Crawfordville, Fl
$65,294.88
1-----------------1-----1---- -.-----------__t----------j
1---------------+-----+--- -.-------------1--------; I - - - - - - - - - - - - - - - - - t _ - - - I . . . . - - - - _.
--1
--1..
SECONDARY SOURCES OF INCOME (Major custome 1'1. ellen....te., 01 buslneSl\( S ':!'It ned by reportlng pel1lOn):
NAME OF MAJQJ: SOURCES OF BUSINESS' INCOME
NAME OF BUSINESS ENTITY
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
AOORESS OF SOURCE
------------;-----------1
N/A
I----------_+_--...;;.;.;,~--t_---__t--------------_+_---------_j
1----------_+_------+-----4---
------------+-------------1
1 - - - - - - - - - - + - - - - - - - / - - - - + - - - -----------+----------..,
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in CE 'tain types 01 buslnesaes)
BUSINESS E~ TITY • 1 BU: .INESS ENTITY , 2 BUSINESS ENTITY' 3 NAME OF .:;.'-==~..;.;.;..-'--.;::-.--I---...;:..:::.=.;,;-==.;~,;,.;..;.....;:'-----1 BUSINESS ENTITY Wakulla Phao acy 1--':'==-==-.=-'-'-'-''-----rn..,.....,.,,..-,;,....-,;;-:--;-;--I-..:..,.......,.~,...-1I__- AOORESSOF Market Sq~.I.l'Y._319 N.
---------+-------------1
+-
_ -------+------------1
~B~U~S~IN~Eh§S~S~E~NTITY~b::::_--_tJ~~(.Q.]~W''LJ'+~l~n·:J....__
PRINCIPAL BUSINESS AC~TY Pharamcy/Ret il r--:p:-:o:::S'=rr:::IO=-=N7':'7HE=L:-:O=--------i-----::_-'-O-_--+------+----
----------1--------------1
I---'W~ITH_'_'_'_.::ENT:..:.,:.-:nY~ ----__I_-----___+----___+--- - - - - - - - - - I - - - - - - " " " " ' - - - - - - { I OWN MORE THAN A 5%
I--:I':':NT:":::E~R=E=S~T::'N:7TH:':';"E::..:;BU:;S=<.:I:.:.NE::;S::o::S=--!_-----_t_----_t_-----------+-------------1 NATUAEOFMY OWNERSHIP
REST....
Husband of O1mer
IF ANY or; PA1rTS A"rHRCIJmt E ARE CONTINUED ~N A SEPARATE SHEET, PLEASE CHECK HERE all
=- ..,., al the
I, the pe
~f')
.:
beginning OI~mtao~on oath and
'I";.'-~ this form say IhallheUiI~ltqIf-
..
ana any anllt~ls ~'O ~, accurele, , 't - •
and complele· .::» -, ..' Q~
L::'---:r ./ J~-l~
I
\.-
SIGNATURE OF REPORTING O~L OR CANDID TE
OATH
STATE OF FLORIDA k. COUNTY OF_ Wa ulla
The foregoing loslrumenl was acknowledged belore me Ihis
June 16 ...:..:=:......=-=-
day 01
_
, 19 94
David f. Harvey
,by
, who is personally known
10 me WJIIt1R~.._."."..==-:_:__NLl_f:"/A---------
(lype 01 identlflCalion) and who did take an oalh.
)~ .. ",a:.. c..' 'Jtt~
' s::.:, --(D _tllU"""" ~
7
c:4.(Signalure of Notary PubflC)
8SW.DlNI!'" MCH
In 0011
~ MilS
(Name of Notary PubIic Typed, Prlnled, or Stamped)
-.wa.1C.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _rTitle or Rank)
(SeMI Numbef) flUNG INSTAUCllONS FOR FORM 8: WHAT TO FILE: AI'l8f completing the form, file only ~ firsl sheel (pages 1 and 2). NOle: You also may be required Ie file Form 1081 the beck oIlhis packel (see the form for 1ns1ruc1Jons). WHERE TO FILE: fncumbenta fife with lhe oep.r1!Mnt of Stilts. Room 1801, The Capitol. Tallahassee, Fforfde 32399-0250. Candldat.. tile with lINt orncer before whom they quality.
WHEN TO FILE: IncumbenlS must file no Ialer lhBn Iuly 1, 1994. Candidates must file prior to or at the time they quamy. CE FORM 6· REV. 1/94
PAGEa
Page 1
(a)
FORM 6 FJll Public Disclosure of F~nandial Interest 1993 David Fujton Harvey 6-16-94
ASSETS - Can't 3 Bedroom Rental,
Fulton Harvey Road, Crawfordville, F1 Fox Hollow - 3 Duplex , Whaley Road, Crawfordville, Fl
$ 15,000.00
31,000.00
4 Acres - Hudson Heig ts.
Crawfordville, Fl
2,000.00
3 Acres - Harket Squa e,
Crawfordville, Fl
100,000.00
Lot - Ochlocknee Rive ,
Sopchoppy, Fl
10,000.00
Crawfordville, Fl
10,000.00
Crawfordville, F1
60,000.00
15 Acres - Harvey Hil 200 Acres -
H8rvey~Yo
Herrill Lynch
21
Road ng Farm,
S. Monroe Street Tallahassee, FL
Retirement-Deffered C mpensation,
Page 1
Carmel, IN
50,000.00 30,000.00
(b)
LIABI~lTIES
- Can't
Deposit Guaranty Hort age Co.
Box 1193 Jackson, HS
15,000'.00
Arthur Robison,
Box 22 Thomasville GA
20,000.00
Citizens Bank,
Hwy.
19 N.
Crawfordville, Fl
156,000.00
Wakulla Co. State Ban , Hwy. 319 N.
Crawfordville, Fl
35,000.00
J, K, Hoore,
CraWfordville, Fl
30,000,00
J r"
.....
. "
K, Hoore Road
FORM 10 LAST NAME -
Harvey,
ANNUAL DIS LOSURE OF GIFTS FROM GOVERNMENTAL ENTITIES AN DIRECT SUPPORT ORGANIZAnONS AND HONORARIU EVENT RELATED EXPENSES
FIRST NAME -
THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1193
MIDDLE NAME:
David Fulton NAME OF AGENCY:
MAILING ADDRESS:
Rt 3 Box 5011 CITY:
Crawfordville
Wakulla Co. Sheriff's Department ZIP:
COUNTY:
32327
Wakulla
OFFICE OR POSITION HELD:
Sheriff
NAME OF PERSON PROVIDING GIFT(S) IN 1993
DESCRIPTION OF INDIVIDUAl GIFTS
DATE EACH GIFT RECEIVED
NAME OF PERSON PROVIDING GIFT(S) IN 1993
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
EVENT '2
NAME OF PERSON PAYING EXPENSES AODRESSOF PERSON AFFILIAlION OF PERSON AMOUNT OF HONORARIUM EXPENSES DATE(S)OF
THEEVENT
DESCRIPTION OF EXPENSES PAID ON EACH DAY TOTAl VALUE OF EXPENSES
FOR THE EVENT
CE FORM 10· REV. 1194
-----------_.
-_.
-
EVENT' 3
ttl"
, Penona who 'lie Form 1 or Form 6 ahould ftle !hla 'orm with their Form 1 or Form .. Stata Ie 'orm with the Deptutment of State, Room t BOt, The Capitol, Tanahaa_. florida 323K lhlaJlQOD.JllItIdJllalJlll.1lllsllJmlall...l..f~llbJIt...l;lID.mll.milmid. WHO MUST FILE FORM 10: An pe~ns who are required to file Form 1, Statement of Financial Interests, and an pe~ns who file Form 6, Full and PublIc Disclosure cf FmanciaJ Interests, .xc.pt/I (comprehensive lists are part of each of those forms). In acldition, state "procurement employ_' lire required to file Form 10. You lire II "procuremen employee" If you: (1) Are an employee of lin oI'lIce, department boIIrcI, QOfMIIssIon, or council of the execu1lw or lucflclal brenches state government; (2) Partlclpate In lI'le procurement 01 con I servtces or commodities costing more than $1,000 In any year;
0'
(3)
Through decision, approval, disapprov I, recommendation, preparation of any part of a purchase request, influence the conlent ot any
speclflC8tion or procurement standard. rendering 0' dvtce, Investigation, auditing, or In any other advisory capacity. INTRODUCTORY INFORMAnON (At the Top of t NAME OF AGENCY: This should be the e of lI'le govemmental unit which you serve or served, or by which you are or were employed For
ellample, "Cily Tallahassee,' 'F1or1da senate" or "Department of Trensportation:
OFFICE OR POSmON HELD: Use the tilIe of the offlce or position you hold or held during 1993 (in some cases you may not hold that position now,
but you stla would be required to IiIe to your interests during the last year you held that position). For example, "City CouncD Member,'
"Member," 'Purchasing Agent," or "Bureau C I:
ADDRESS OF REPORnNQ INOMOUALS: e following persons should notuse their home addresses: active or 'ormer law enforcement personnel;
abuse, neglect, exploitation, fraud, theft, or other criminal activities; and
firefighters; personnef of D.H.R.S. whose dull Include the investigation spouses of the above,
0'
0'
PART A -
GIFTS FROM GOVERNMENTAL E
ES [Required by
sec. 112,3146, Fla. Stat.]
partments and commissions of the executive branch, counties. municipanties. airport authorities, and Entities of tho Ieg~lative or Iud'ICiaI branches, school boarcls may give, either directly or Indirectly II gift worth over $100 to persons who fila Form 1 or Form 6 01' to state procurement employees /I a Id be used 10 list such gifts. Under the law, lI'lese govemmental entnies are required to provide you with public purpose can be shown lor the gift. Part A a statement oonceming these gifts by Marctl1; II this statement 10 Form 10. PART B -
GIFTS FROM DIRECT SUPPORT ORG NIZATIONS [Sec. 112.3146, Fla. Stat]
Direct support organizations specifically autho
1 or Form 6 or to a state procurement employee /I Ust such gifts. Under the law. these direct support statement to Form 10 PART C -
ed by law 10 support a goverrmentaJ entlly may give a gift worth over $100 to a person who files Form person or employee Is an offlcer or employee 01 that goverrmental entlly. Part B should be used 10 nizatlons BTe required to provide you with a statement concemlng these gilts by March 1: anach this
HONORARIUM EVENT RELATED EXP
Reporting Individuals who file Fonn 1· and Fo 6 and state procurement employees are prohibited from accepting an honorarium (a payment In exchange for a speech, oral presentation, wriling, a the like) from a polnical committee or commlnee oontinuous existence, from a lobbyist who lobbies them or their pubrlC agency (or has done 80 within previous 12 months), and from the employer, principal, partner, or firm of such a lobbyist However, these persons aoo entitles may payor provide a repv,tlng Indlvldual or procurement employee and his or her spouse for ac1ual and reasonable s related 10 an event at which a speedl, presentation, or writing will be made by the public offlC8f' or transportation. lodging, and food and beverage expe employee. Part C should be used to describe these n"tum event related expenses. Under the law, the pe~ns or entitles paying for or providing such ellpenses ara required 10 provide you with a staterne t oonceming them within 60 days of the honorarium event; attach this statement to Form 10.
0'
"* ...
FOR MORE INFORMAnOH, ~
OueslloM abput f~ flthlc8lawa may be ddressed 10 the Commission on Ethlc8, Post OffICe Drawer 15709, Tallahassee, telephona.( ) 48S-786tt~ 278-7864).
J..
f:torlda
32317-5709,
";:0;.
,"-
~?N
NOncE~RFWVI~OF SEC. 112.317,
LA. STAT A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND M~I'\U~HE!6!if?ONE OR MORE F THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLO, ~".':t"E~~NIN SALA Y, REPRIMAND, OR A FINE UP TO $5,000. • .1
rr
~,
. -:::
FORM 6 LAST NAME
FULL AND PUB IC DISCLOSURE OF FINANCIAL IN'tERESrS--1992: ::.> FIRST NAME
HARVEY, DAVID
MIDDLE NAME
.
OFFICE HELD
""")
MAILING ADDRESS:
,
,"jIFFICER
SHER I FF
RT. 3 ... »OX ...5011 T'
OFFICE SOUGHT
~
CITY
'CO\JNT'l':
ZIP'
POSITION:
PART A
ASSETS WORTH MORE THAN $1,000
HOUSEHOLD GOODS AND PERSONAL EFFEC : Household goodt and p8rlOnai effeclJ may reported in a lump sum If their aggregate value exceeds $1,000. This category Includes any 01 the lollowlng. il not held lor investment purpose . jewelry; collections 01 stamps, guns, and numismatic Items; an objects; household equipment and lurnishlngs; clothing; other household Items; nd vehicles lor personal use.
12.100.00
The aggregate value 01 my household goods ASSETS INDIVIDUALLY VALUED AT OVER $1, DESCRIPTION OF ASSET
VAlUE OF ASSET
Cash in Bank, Wakulla Residence & 8 Acres. 2 Bedroom Rental, 3 Bedroom Rental. Commercial Office
95,000.00 170.000.00 22,000.00 14,000.00
Fl
Crawfordville, FL Tallahassee, FL ights
7.500.00
Crawfordville, FL
18,000.00
Church St. Crawfordville, FL
24,000.00 PART B
LIABILITIES IN EXCESS OF $1,000
AMOUNT OF LIABILITY
NAME AND ADDRESS OF CREDITOR
Barnett Bank of Tallahassee
Tallahassee
Farm Credit,
Hw • 90 West
Nations Bank,
Box 353
FL
Louisville
PART C
KY
NET WORTH
Net worth IS the dllference between 101111 assets and 101111 "abilities. not merely those hsted above (see Instruchons) Please enter the value of your net worth as of December 31. 1992, or a more current date
PART D
INCOME
You may EITHER (I "Ile a copy of your 1992 feclerellncome tax return, OR (2) file a sworn statement Identifying each separate source and amount of Income which exceeds $1,000, inclUding aecond~ry sources of Income, by complehng the remainder of Pan D on page 2 of thiS form
o
I elect to file a copy 01 my 1992 lederal mebme tax return {If you check thiS box and anach a copy of your 1992 tax return. you need nol complete the remainder of Part 0 I (Conllnued on
CE FORM 6 - REV 1193
IlImllllJlI m1111111 "'IR111111110111111111101111
,....... ald.)
PAGE'
(Part D, Cont nued)
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDIN
Wakulla Co. Board of Commissi
SECONDARY SOURCES OF INCOME (MaJor NAME OF BUSINESS ENTITY
era
AMOUNT
ADDRESS OF SOURCE OF INCOME
$1,000
P. O. Box 337,
Crawfordville, Fl 32326
$63,964.00
stomers. clients, etc., of buslnes.., owned by reporting perllOn).
NAME OF M OR SOURCES OF BUSINE S'S INCOME
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
ADDRESS OF SOURCE
N
PART E - INTERESTS IN SPECIFIED BUSIN SSES (Ownership or positions in certain types of businesses)
BUSINESS ENTITY" 1
BUSINESS ENTITY" 3
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 IF ANY OF PARTS A THROUGH E ARE CO
INUED ON A SEPARATE SHEET, PLEASE CHECK HERE III OATH
I. the person whose name appears at the
STATE OF FLORIDA W k 11 COUNTY OF a u a The fOnllioing instrument was acknowledged before me this day of
beginning of this form, do depose on oath and say that the Information disclosed on this form
June
~VZD -;;::- ~tft'
,19
----'1~5~__
93
,by
,who Is personally known
and any anachments hereto is true. accurate, and complete
""::::::~~~..&~~!:.l:....c::1!:~~::a~ (Signature 01 Notary Public)
,', .....>. f'A'fi'lffi:~ 8. T,ARLSilK ":'.~'.~, :/:', 1,1" 'Xo~",'i:.~'~r." cr.2i'IAOI r...'PlRES ANDIDATE
•• .... ". ~
:r.:
II'
atl"'p. • rh "
~",,:~, ',"
,r,
(Name of Notary Public Typed, Printed, or Stamped)
lr,;7 '"
:,' ~l'::E
lie
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (TItleor Rank) (Serlal Number)
FILING INSTRUCTIONS FOR FORM I: WHAT TO FILE: After completing th form. file only the first sheet (pages 1 and 2), Note: You also may be required to file Form 10 at the back of this packet (see the form f Instructions), WHERE TO FILE: Incumbents file the Department of Stllte, Room 1801, The C8pltol, T.llahaatM, F1ortd. 32399-0250, Candd.t.. lie with the officer tietON they qualify. WHEN TO FILE: Incumbents must fII no later than July 1. 1993. Candidates must file prior to or at the time they qualify. CE FORM 6 • REV. 1/93
PAGE 2
•
~
.., Page 1
(a)
Forn 6 Ful Public Discld~ure of Finanei 1 Intrest 1992 David Fult n Harvey 6-15-93
.
,":rf'r ...... '. I,
I ....
,-...
,......"
• l
I
.,1
"
ASSETS - Con't 3 Bedroom Rental,
Ful on Harvey ,Road
Fox Hollow-3 Dulpexs,
aley Road
4 Acre - Hudson Heights
Crawfordville. FL
Crawfordville. FL
Crawfordville, FL
3 Acres-Market Square.
Hwy. 319 Crawfordville. FL
Lot-Ochlocknee River,
Sopchoppy, VI
15 Acres-Harvey Mill Ro d, 200 Acres Harvey-Young
arm,
Merrill Lynch,
Crawfordville, FL
215 S. Monroe St. Tallahassee, FL
Retirement-Deferred Com ensation,
PElge
1
$ 15.000.00
3\,000.00 2.000.00 125,000.00 10 ,000.00
Crawfordville, FL
Carmel Indiana
15,000.00 60,000.00 50,000.00 25,000.00
(b)
LIABILITIES - Con't Deposit Guaranty Hortgfl Arthur
Robinson,
Co. B x 22
Reginald Roddenberry, Cit izens Bank,
Hwy. 31
»ox 1193
Jackson, HS
Thomasville, GA
3226 Beacon St. Tallahassee, FL Crawfordville, FI
Wakulla Co. State Bank,
Hwy 319.
CrawfordVille, Fl
J. K. Moore,
. K. Moore Road, Crawfordville, FL
1
• -~!
15,000.00 20,000.00 31,000.00 156,000.00 35,000.00 30,000.00
_
.
,
.
FORM 10
ANNUAL DIS LOSURE OF GIFTS FROM GOVERNMENTA.L ENTITIES AN DIRECT SUPPORT ORGANIZATIONS ANB,'I l':' HONORARIU EVENT RELATED EXPENSES -".. .,...g.~ .,~
THIS STATEMENT REFLECTS,~ ANdH'bHOR~RIUM EVENT RELATED EXPENSES_C~Q,I?URING"9~2,", .)' ,- , .
LAST NAME· FIRST NAME· MIDDLE NAME
Harvey,
David
D
.
Fulton
NAME OF AGENCY
MAILING ADDRESS
Rt 3 Box 5011
Crawfordville
Wakulla
FL 32327
CITY
ZIP
COUNTY
Wakulla
co.
Sheriff's De artment
OFFICE OR POSITION HELD
Sheriff
PART A - GIFTS (HAVING A PUBLIC PURPOS
NAME OF PERSON PROVIDING GIFT(S) IN 1992
TOT L VALUE OF GIFTS FR M THAT PERSON
Sheriff's Department Employees
DESCRIPTION OF INDIVIDUAL GIFTS
Fish Cooker
DATE EACH GIFT RECEIVED
12-25-92
$300.00
PART B - GIFTS FROM DIR ECT SUPPORT OR
NAME OF PERSON PROVIDING GIFT/s) IN 1992
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEiVED
PART C - HONORARIUM EVENT RELATED EX
EVENT" 2
EVENT" 3
NAME OF PERSON PA YING EXPENSES
ADDRESS OF
PERSON
AFFILIATION OF PERSON
AMOUNT OF HONORARIUM
EXPENSES
DATE(S) OF THE EVENT
DESCRIPTION OF EXPENSES
PAID ON EACH DAY
TOTAL VALUE OF EXPENSES
FOR THE EVENT
(Conltnued on reverse Side)
CE FORM 10 - REV 1193
PAGE 1
1011111 nlllm 1111111 IIIni 11111 11111 II 1111111111111111111
·
;
IF ANY OF PARTS A THROUGH CARE CONTINU 0 ON A SEPARATE SHEET. PLEASE CHECK HERE 0
INSTRUCTIONS FOR COMPLETING AND FI NG FORM 10: WHEN AND WHERE TO FILE: By July • 1993. Personl who file Form 1 or Form 8 Ihould file thl. form wllh their Form 1 or Form 6. Stale procurement employeel (lee eflnllion below) file thll form with Ihe Department of State, Room 1801, The Capitol, Tanahall••• Florida 32399·0250. Thll form n .d nol be flied unlell a reportable gill wei received. GIIII promised before January 1, 1991 should be reported on Form 7. WHO MUST FILE FORM 10: All persons who are reqUired to hie Form 1. Statement of Financial Interests. and all persons who IIle Form 6, Full and Public Disclosure of Fma clal Interests, eICcept Judge. (comprehenSIve Itsts are part of each of Ihose forms) In lIddlllon, state "procurement employees" are re ulred to Ille Form 10 You are a 'procurement employee' If you (1) Are an employee of an office. depar ment, board. commiSSion. or counCil of the execuhve or Judicial branches of slale government. (2) Who participates In the procurement 0 contractual services or commodities coshng more than $1,000 In any year; (3) Through deCISIon, approval, dlsappro al. recommendation, preparahon of any part of a purchase request. influenCing the content of any speCIfication or procurement sta dard. rendenng of adVice, mveshgahon. aUditing, or In any other adVisory capacity INTRODUCTORY INFORMATION (At the Top Ithe Form) NAME OF AGENCY: ThiS should be the employed For example, "City of Tallahas OFFtCE OR POSITION HELD: Use the hlle that POSition now, but you shll would be re example, "City Counc.t1 Member,' "Member, ADDRESS OF REPORTING INDIVIDUAL enforcement personnel. f"ellghters, and exploltahon, fraud ';)eft. Dr other cnmlnal a PART A GIFTS FROM GOVERNMENTAL E
me of the governmental unll which you serve or served. by which you are or were e," "Flonda Senate," or "Department of Transportation" fthe office or poslllOn you hold or held dUring 1992 (m some cases you may not hold Ired to file 10 disclose your Interests durrng the last year you held thaI pOSition) For "PurchaSing Agent," or "Bureau Chief" : The lollowlng persons should not use their home addresses acllve or former law ersonnel 01 D HAS whose duties Include the Investlgallon of abuse neglect. IIvlhes ITIES (ReQUifed by Sec 1123148, Fla Stat]
Entilies of the leglslallve or Judicial branc airport autho'ihes, and school boards may give 6 or to stale procurement employees If a pUbli the law. these governmental entIties are requi stalementto Form 10 PART B - GIFTS FROM DIRECT SUPPORT 0
es, departments and commisSions of the executive branch, counlles. muniCipalities, either directly or Indirectly. a 91fl worth over $100 to persons who I"e Form 1 or Form purpose can be shown for the 9,ft Part A should be used to list such gifts Under ed to proVide you With a statement concerning Ihese gifts by March 1. allach thiS GANIZATIONS
[Sec 1123148, Fia Stat
I
Direct support organlzalrons speCifically a thortzed by law to support a governmental entity may g,ve a gilt worth over $100 to a person who hies Form 1 or Form 6 or to a stat procurement employee If the person or employee IS an officer or employee of that governmental entIty Part B should be used t list such gifts Under the law. these direct support organIzations are reqUired to prOVide you wllh a statement concern 109 these Ifts by March 1 attach thIS statement to Form 10 PART C - HONORARIUM EVENT RELATED
PENSES IReqUifed by Sec 1123149, Fla Stat
I
Reporting tndlvlduals who f,le Form 1 or F rm 6 and state procurement employees are prohibited from accepling an honoraflum (a payment In exchange for a speech, oral pre ntahon. writing. and the Irke) from a polrtlcal commillea or commillee of continuous existence, from a lObbyist who lobbies them their public agency (or has done so within the prevIous 12 months). and from the employer, prinCipal, partner, or firm of such a I bbylsl However. these persons and enllties may payor provide a reporting individual or procurement employee and hiS or her spous for actual and reasonable transportation. lodging. and food and beverage expenses related to an event at which a speech, presentat n, or writing Will be made by the public officer or employee Part C Should be used to deSCribe these honorarium event related expen es Under the law. the persons or entlhes paying for or prOViding Such expenses are reqUired to prOVide you With a statement concer 109 them Within 60 days of the honoranum event, attach thiS statement to Form 10 FOR MORE INFORMATION Ouesllons about thiS form or the ethICS laws m y be addressed to the CommiSSion on EthiCS, Posl Office Box 6. Tallahassee, FlOrida 32302-0006. telephone r904} 488-7864 (Suncom 78-7864) NOTICE: UNDER PROVISIONS OF SEC. 112. 17, FLORIDA STATUTES, A FAILURE TO MAKE ANY REOUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY B PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT. REMOVAL OR SUSPENSION FROM OFFICE OR EMPL MENT, DEMOTION. REDUCTION IN SALARY. REPRIMAND. OR A FINE UP TO
$5.000 CE FOAM 10· REV 1193
PAGE 2
•
,AC;T "fAME
rm:;r
NAME - MIUULE NAME
id Fulton
Harvey, MAILING ADDRESS
•
Rt 3 Box 511
OFFICE SOUGHT
o CANDIDATE COUNTY
ZIP
CITY
Crawfordville.
Wakulla
Fl 32327
o
POSITION: OTHER
PART A - ASSETS WORTH MORE THAN $1.000 HOUSEHOLD aOODS AND PERSONAl effECTS:
HoUMhold goods and penona' effecll may be reported In a lump sum II their aggregate vellll exceeds S1,IlOO. Thll category Includes any 01 the lollowlng. II not httld lor Invetltment purposes ,_e1ry, collections 01 stamps. guns, and numllmatfc Items; art objectl: household equipment and lurnlshlngs. clothIng; other household Items. end vehicles lor pe~nal use. The aggregate value 01 my househOld goods and pe~nal effects (described above) Is $
12.100.00
A88£TIINOIVlDUALLV VAlUED AT O~R ",000: DESCRtPTION OF ASSET
Cash In Bank -
VAlUE OF ASSET
Hwy. 319 N.
80.000.00
Crawfordville. Fl
Wakulla Phanaacy - Market Squ~~e. Cr~a::..w::.:f:...o::..r:...d::..v::..i::..l::..l::..e::...~F;..1..;.... Residence & 8 Acres - Lost Creek & Arron Road. Crawfordville. Fl Tallahassee.
25.000.00 -----------+---;....-----;
15.000.00
Realt
- Talco Road.
Realt
- 3 BR. Home. Hudson Hei hts. Crawfordville. Fl Partnershi
Commercial
Fl
___4--1-4-0....;..-O_0_0_,_0_0_--;
Crawfordville. Fl
PART'
7.500.00 21.250.00 25.000.00
UAlIUTI£I IN DCUI OF'1.ooo
NAME AND ADDREIS OF CREDITOR
Re inald Roddenberr
3226 Beacon St ••
Barnett Bank
315 S. Calhoun St. Tallahassee Rewinkel Road crawfordVille
J. K. Moore
Tallahassee.
PART C - NET WORTH NIt wor1h II the difference between .."., UI8tI -.net ",,., Il8bIlhl8l, not merely thaec lilted ebove CNI Inltructlons). PIeue enter the ve~e 01 your net worth • of Oecemb8r 31. '991. or • mcHW cu~ <Sale
It.iYMt-M;;1h__of • --.:June 30,
.111 92
PART D - IICO... You may ~ITH~II 1\) III' a copy 01 your moat recent lederal Income tu return, Oil (2) nle e lworn statement Identifying Nell • .,.. source amount ot Income wllleh exceeds S1.000. Including MCOOdery aouree6 ot income. by completing the rwnlllnder 01 Pa" 0 on pege ~ of tlllt lorm
-.net
0 t elect 1IO nle • copy of my mOlit rweent federa' Income LlIl rwturn. III you c:hecIl tills box end ettech a copy of your , . , lex return. you need not COmplete the ,.melnder of Part D. J
•
'--~ce;;-:f=:ORII=~':-.-:RIV=-:.,;-:Ja=---...:.------------------(:':ContInued~:----:-on--,.-•• -.-... ~)--~P~AOa~~1~---J
1• • • • • • • • • 11
10
-------- - -
..
-- - - \Parl ---D. -Continued) --------
PRIMARY SOURCES OF INCOME:
A~f'lItE':>':> OF
W\ME OF SOUcC!: O~ !~ICO'.·!: £XC££DI~IG~' ro~
Wakulla Co. Board of Commissioners
1----------------------
':>01'~CF (IF INCOa,AE
P.O. Box 337. Crawfordville, Fl
62.926.80
SECONDARY SOURCES OF INCOME (Malar cuslomen. chents, etc.. 01 bus.n,,"" owned by reporting person) NAME OF BUSINESS EN1'ITY
NAME OF MAJOR SOURCES OF BUSINESS'S INCOME
ADDRESS OF SOURCE
PRINCIPAL BUSINESS ACTIVITY OF SOURCE
NA
PART E - INTERESTS IN SPECIFIED BUSINESSES (Ownership or poel1lonl In certain Iypes or buaineNel)
BUSINESS ENTITY" 1
BUSINESS ENTITY" 2
BUSINESS ENTITY" 3
Wakulla Pharmac Mark~t Sqi Hwy~ 3 Crawtorv:l Ie
rl
None
.. OATH I, !he penon whoM
nem. IppM" It
the
~FJLORIOA Wakulla
30
The foregoing inltnJment ... ICknowtedged before me Itlla
June
. 19 92
. by.
beginning of !hit form. do depose on oaltl and
My of
:trlthe! tf\o Inf~on d!:c;lo;od on ttll. form
___D=av.=.=.id=.....Fu=-=I=-t:.;o:.;n::-::H:.;;:a=:rv:..:..:e:.v=--_---i~who Is pcr:oMlIy known
and Iny IltIIc:hrnents hereto " true. llCCurIIle.
flUNG fNSTRucnOHS FOR FORM I: WHAT TO FILE: After completing the form. file only the n,.,lheet (lUIges 1 and 2). Note: You also may be requlntd to lIIe Fonn. 7 and 10. at the beck of this packet (. . thOle fonn. for In''ructlana). WHERE TO "U: tncumIIenII ........ the DepMment of ...... Room 1101, The CapIIoI, T..-...-. FlorIda 3DII-02SCL c.dJIIIll lie ....... before whom ...,....". WHEN TO FlU: Incumbents mUit nle no , . - than July '. 1 - ' candida_InUIt ftle prior to or at the time IhIy qualify..'
omc»r
CEFORM6-AEV.,1llQ ..
~.
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PAGEl'. ~ '''. 1~ ,-:~ .:., .~~
~ .-;'t~;" ~
?age 1 (8)
Form 6 Full and Public Disclosure of financial Interest 1991 David Fulton Harvey 6~30-9~
ASSETS- Con't 4 Acres Undeveloped Land. Pdrtnership
Int~rest
lIudson Heights,
- ] DuplexR
15 Acres Undeveloped Land,
Partnership - I.
4,000.00
$
30.000.00
Fox Hollow. Crawfordville, Fl
22,500.00
Harvey Hill Road, Crawfordville, FI
Harvey/Young Farm,
1 Acre Undeveloped Land,
Crawfordville, Fl
30,000.00
Rewinkel Rd. Crawfordville, Fl Sopchoppy. FI
12,500.00
Crawfordville. Fl
2,000.00 32,000.00
Ochlocknee River.
Partnership Interest l Acre Arron koad. Vested Interest In Retirement Commercial Retail Rental. Residential Realty
Market Square.
115,000.00
Crawfordville. Fl
22.500.00
Fulton Harvey Road. Crawfordville. Fl
18 Acres Undeveloped Land.
Highway 98.
22,500.00
Panacea. Fl
Page 1 (b) LIABILITIES - Can't $ 16.390.00 C & S MortRa~e Comp~ny. 325 John Knox Rd •• Tallaha.see. Fl Citizens Bank of Wakulla. Harket Sq. Hwy. 319 N. Crawfordville. Fl 175.000.00
Bankcboston Hortgage Corp. P. O. Box 44090. Jacksonville. Fl 32231
6.493.00
Wakulla Co. State Bank. Hwy. 319 N. Crawfordville. F1 32327 Deposit Guaranty Hortgage Co.
25.000.00
P. O. Box 1193, Jackson. KS 39215
5.340.00
Farm Credit. N.W. Hwy. 90, Konticello, Fl Arthur Robison,
Box 22
ThOMasville,
GA
20.000.00 31799-0022
l::,_.21.250.00
,--;. _ts.. ".,
Citizens Bank o[ Wakulla, Market Sq. Hwy. 319 N. Crawfordville. FI,::[.:- 8ui1JOO~OO :-
,.
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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ._---------,
FORM 7
LAST NAME
1991 GIFTS PROMISED BEFORE JANUARY 1, 1991
FIRST NAME· MIOOLE NAME
DaviJ
Il.:lr'.'cy.
--_._-~
J
FULL'JlI
t-..,....,....,-:-~--:-::~=-:_=_---------------
MAILING ADDRESS
Wakulla County Sheriff' R Department
Rt ) Box 5011, ZIP
CITY
Crawfordville.
THIS STATEMENT REFLECTS GIFTS AND OTHER NON·CAMPAIGN CONTRIBUTIONS THAT WERE PROMIC,EO BEFORE JANUARY 1. '1991 BUf RECEIVED DURING 1991 BY ELECTED OFFICIALS AND CERTAIN APPOINTED OFFICIALS -N;;;:;.; .. M~E.:.:O~F~A.:.:G:-:E:7N"":C'::V.,.::.;;--:..-'--'-.::..:..:.c=.::.....
I
Fl
32327
OFFICE HELD
COUNTY
Sheriff
Wakulla
PART A STATEMENT OF QIFTS. DONATIONS, OR PAYMENTS DATE RECEIVED
CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
CONTRIBUTION
None
-----
---
------._-_.. _-~.-_
..
_--_._-----
----
.-
--.-_'-
-
-------~_._--
p,..ItT a - v:POmlTURfC OR OTHER Dl&PO&lnOH OF OIFl" DONATlON" 0" PANENT. DATE OF EXPENDITURE
NAME OF RECIPIENT
EXPENDITURE OR DISPOSITION
ADDRESS OF RECIF'IENT
.,
t-7"I.-;;the~P8l::::. .. ::::n":':wtl'::::IOIe~~Nme:'::":~.~PPM":":"::-:ra~.:::I-::lhe:":"""------------------------.lit~·--'"a;.--.,;~,;:., ~----1 \ begInning of IhiI form. ~ depOse 0l'I oe1h and
STATEOFFL.ORID-\ k. 11 ~~;SS I . r h COUNTY OF "y,_u __ , >....,~.....:s. •.• , I, The Ioregolng 1n8t",ment wu ackn~ thIa. 1.:J~_3,.;:;.0 _ _
NY that the Inlormatlon dlac;loaed hefeln .nd on
day 01
betOlMte 0/:00.
June
be repor18d by Sec:1ton 11231". Florida Stal"," ,
Rortda
~OF=--'~
Cf: FOAM., •
R~
1JII?
. by
to me ~, who has produced _:v~dtlnlltic:atlon) •• nd whO did t.....n oeth.
.ccu,.,.••nd IOtaI 11111 ng 01 .11 gltla required 10
(1lnl. as .mended by Ch llO-502. La. . 01
92
~whO I. perIOnally known
David F. Harvey
.ny .n-chlnen.. made by me conatltutee • true.
,
• 19
~ « rA4-<" ~ ~SJtg~IU'.01 NoIa'Y PublIC) _ _--.;G;.;e::.;r;.;8;;.;1:;.;d:;.;i=.;n;:,;e;;.,..:K:.:.;. • ...;F;.,u=tc=.,h::.... Notllrf hbIIc, Stat. of F10tIdtt . , Commis,lon bpires Slpt. 25. 1994 _
(Name 01 Not.ry PubllCTyped,
Prtnted. or SI.mped)
n", Trer,.... _ .........
(T1tIe or Rank)
CC 036932
(Settll Number)
(ll'lItrucdonI on mer.. 1Idt)
PAGE'
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FILING INSTRUCTIONS FOR FC I M
• r
"'It
WHEN AND WH~Ae TO FIL: I~ ,lilly', i11Q2. 0"'<:1". who Form 6, Full end PubHc OI:cIDIUI1I ol Flnanel. InC.r..II,lhould file thl. fonn with their Fonn 8 '., th t e Department 01 State; Olvilion of Election., Room 1801, The Caphol. T.n.h...... FIoItda 323n-0250. OfficIalI who tile Fo I I 1 :i1.tement ot Flnancla' lnter"ls, lhould tile thla torm wtth their Fonn 1 with the SupervtlOt ot Eleeton. or the county wtwA the I re, c e,
WHO MUST FILE: Each per I trl 1I110lng an elKlive State, county, distriCt, or municipal office In Florida, and each apPOinted public officer who II reqUired by I.,.'", 111e Form 6, Full end Public Disclosure of Financial Interests. e.e.pt Judge..
INSTRUCTIONS FOR COMPLETlfo'G 'ORM7: INTROOUCTORY INFORMATION At fe Top
0' the Form}
NAME OF AGENCY: This el'o\. d be the name of the governmental unit which you serve or served. For exampte, "City of ra"ahasaee," or "Florida senate OFFJC! HELD: Use the title ()f ~ ·,e office you hold or held durll'lg 1991 (11'1 some cases you may 1'101 hold Ihat posItion now, but you still would be reqUIred to 1"" to disclose g,lts and ottler contributions received during the last year you held that position). For example, "County Commr.iSlwler," or "Member" ADDRESS OF REPORTING INCI\VIOUALS: The following persons should not use their home addresses: active or tormer law enforcement personnel: tlrellgl'1 :'Irs; and personnel at D.H R.S. whose duties include the Investigation of abuse, neglect, exploitation, fraud, theft. or other ,:rtmlnal actlvilles PART A - STATEMENT OF GIFTS, D(INATIONS, OR PAYMENTS
[Sec. 112.3148, F.S. (1989), as amended by Ch. E:>-502, LoF.)
Most gifts that were received durinu 1991 should be reported on CE Form 9. Quarterly Client Disclosure, or CE Form 10, Annua' Disclosure of Gifts from Govemmental EntIties and Direct-Support Organizations and Honorerlum Event Related Expenses. this part Ihould be used to report onty "contributions· (defined to Include any gift, donation, or payment) valued in excelS of $100 that were received after January 1, 1991 pursuant to an agreement entered Into prior to that date. This IncludN any "contributions" th.t were rec.Ived by you or on your behalf and Includ.. any peyment In axcea ot $100 to a dinner. barbeque. tlah try. or other such event. EJccluded are: campaign contributions (they are reportable under the campaign finance laWi of Ch. 106. Fla. Stat.); girts repl1lll8ntlno an expression of sympathy and having no material benefit; bOna fIde gm. for pe~nal use from your parents, children. grandparents, grandchildren, brothers. slaters, uncles. aunts, nephewa, nlec:ea, grvat-orandparents and greatiJrandchlldren; and hOnorary membership In SOCIlll. service. or fratemal organlzatlona presented as a courtesy by such organizations. legislators also n~ no! ~!:do:;e comiiihnenta,y plIrking privllegn PI'OVIOe
ISame legal authority as Part Al
If any payment or disposition is made tram the gifts. dOl'lations, or payments listed In Part A. plea. list In Part B the name and add,... ot each person who received such a payment or disposition the date ot the expenditure or disposition, and Identity the expenditure or dlapoaltlon.
FOR MORE INfORMATION: Quntlons abou1 th'- form or the ethlca laws may be addressed to the CommissIon on Ethics, Post Offiee Box 6, Tallahl...., FJortda 32302-oooe: telephone (904) 48&-7864 (Suncom 278-7884). NOTICE: UNDER PROVISIONS OF SEC. 112.317, FLORIDA STATUTES, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE, REDUCTiON fN SAlARY. REPRIMAND, OR A CIVIL PENALTV NOT EXCEEDING $5.000.
ce FORM 7 • REV. 1192
•
PAGE 2
"
.
, - - - - - - - - - - - - _ .. - .-
FORM 10
._-
ANNlI~L [JISCLOSURE
OF GIFTS FROM GOVERNMENTAL ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND HO*"ORARIUM EVENT RELATED EXPENSES
LAST NAME· FIRST NAME· M'D 5l-1-;;':,XME - - - - - -
Harvey,
Oa\'1d Ful t,)!,
• THIS 'STATEMENT REFleCTS GIFTS AND HONORARIUM EVENT RELATED EXPENSES RECEIVED DURING 1H1
f--M:-A.,....'-LI.,....N""'"O-A-="D-OR=E=-S-S---- - - --·----------l---:N..,..,A,..."M-:-:E:-O=-F:-:-A~G'='EN=-:"C::-.Y::-;-:--------------
Rt 3 Box 5011
Wakulla County Sheriff's Department
CITY
ZIP
Crawfordville,
Fl
32327
COUNTY
OFFICE OR POSITION
Wakulla
Sheriff
HE~O:
PART A - GIFTS (HAVING A PUBLIC PURPOSE) FROM GOVERNMENTAL £NTmu
NAME OF PERSON PROVIDING GIFT(S) IN 1991
Sheriff Department
TOTAL VAlue OF GIFTS FROM THAT PERSON
$400.00
DESCRIPTION OF INDIVIDUAL GIFTS
DATE EACH GIFT RECEIVED
12-25-91
VCR
Employees
PART.
OIFTS FROII DIRECT SUPPORT ORClNtlZA11ON8
NAME OF PERSON
PROVIDING GIFT(S) IN 1181
TOTAL VALUE OF GIFTS FROM "!'HAT PERSON
DESCRIPTION OF
INDMDUAL GIFT8
DATEEACtf GJf.tRECEIVED
.....
None
PART C - HONORARIUM rYIN1' RlUTID EXNidU EVEHT'1
EVENT 12
AFFILIATION F AMOUNT OF HONORARIUM
CE FORM 10· EFF,
(ContInued on merwMde)
1m
I• • • • • • • • • • • •
PAGE 1 .\ ~
I
•
, • ~J'
...
r'
•
•
CONTINUED ON A SEPARA~E SHEEi, PLEASE CHECK'HERE
0
REMEMBER TO ATTACH COPIES) ALL STATEMENTS PROVIDED TO YOU BY PERSONS AND ENTITIES PROVIDING OR PAYING FOR THE GIFTS AND HONORARIUM EVENT R= LATEO EXPENSES DISCLOSED ON THIS FORM you MUST DISCLOSE ALL OF THESE KINOS OF GIFTS AND EXPENSES EVEN T'~OUGH ' )U DID NOT RECEIVE" STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING THEM YOU MAY EXPLAIN AN" .-lIFFERENCES BETWEEN THE ATTACHED REPORTS AND STATEMENTS AND THE INFORMATION PROVIDED ON THIS FORM I;IV A TT A :HING AN EXPLANATION TO THE FORM
INSTRUCTIONS FOR COMPLETING AND FILING FORM 10:
e
WHEN AND WHERE TO FILE: By July 1, 1992. Penonl who f11. Form 1 or Form should file thlt form with their Form 1 or Form e. S procurement employ"1 (Ie. d.nnltlon below) file Ihls form with the Department of htl, Room '101, Th. C.pUol, T....h Florida 3239t-0250. WHO MUST FILE FORM 10: All persons who are required to file Form 1. Slatement of Flnanclallntereat.. and all pertOna who file Form 6. Full and Public Disclosure of Financial Inlerests. Deept Judg.. (comprehensIve lists are part of eltch of those forms). In addition, state "procurement employees" are reqUired to file Form 10 You are a "procurement employee" if you: (1) Are an employee 01 an Of lice. department. bOil rd. commISsion, or council 01 the executive or judicial branches 01 state government; (2) Who participates In the procurement of contractual sel'Vlces or commodities cosling more than $1,000 In any year; (3) Through decision. approval. disapproval, recommendalion. preparation of any part of a purchase request. Influencing the content 01 any speclficalton or procurement standard. rendering 01 advice. Investlgalton, aUdiltng. or In any other advisory capacity.
•
INmODUCTORY INFORMATION (At the Top of thA Form) NAME OF AGENCY: ThiS should be the name 01 the governmental unit which you serve or served, by which you are or were employed. For example, "City of Tallahassee," "Flonda Senate: or "Department of Transportation." OFFICE OR POSITION HELD: Use the title of the office or position you hold or held during 1991 (In lOme cases you may not hold that posItion now, but you still would be required to liIe to disclose your Interests during the last yoar you held that position). For example, "CIty Counci! Member:' "MembAr" ··Purr-hll.'"g Ag"'nt." or "Bureau Chlo!." AOUHf:SS OF REPORTING 'NDIVIDUALS: The follOWing persons should not use theIr home addresses: active or former law enforcement personnel, firefi~hters; and personnel of D.H.R.S. whose duties Include the Investigation of abuse, neglect. exploltallon, Iraud. thefl or other cnminal actiVIties PART A - GIFTS FROM GOVERNMENTAL ENTITIES [ReqUired by Sec 112.3148. Fla. Sta!.) Entities 01 the legislative or judicial branches, departments and commiSSIons of the executive branch, counties. municipalities. airport authorities. and SChool boards may give either directly or Indirectly, a gift worth over $100 t(l per80ns who liIe Form 1 or Form 8 or to atate procurement employees" a public purpose can be shown for the gift, Part A should be used to list such girts. Under the law. t~ese governmental entities are required to provide you with a statement concerning these girts by March 1; attach this statement to Form 10. PART 8 - GIFTS FROM DIRECT SUPPORT ORGANIZATIONS
[Sec. 112.3148, Fla. Stat)
Direct support organizations specifically authorized by law to support a governmental entity may give a gift worth over $100 to a person who flies Form 1 or Form 6 or to a state procurement employee It the person or employee is an officer or employee of that governmental entity Part B should be used to list such gifts. Under the law. these direct support organizations are required to provide you with a statement concerning these gilts by March 1; attach this statement to Form 10. PART C - HONORARIUM EVENT RELATED EXPENSES (Required by Sec. 112.3149. FIe. Stat.) Reporting Individuals who file Form 1 or Form 6 and state procurement employees are prohibited from accepting an honorarium (a payment In exchange for a speech, oral presentation, writing, and the like) from a political committee or committee of continuous existence, trom a lobbyist who lobbies them or their public agency (or has done 80 within the previous 12 months). and from the employer. principal. partner. or firm of such a lobbylsl. However. these persons and entities may pay or provtde a reporting Indlvfdual or procurement employee and his or her spouse for actual and reasonable transportation. lodging, and rood and ~e expenaes related to an event at which a speech. presentation, or writing will be made by the pUblic offICer or employee. Part C should be used to describe these honorarium event related expenses. Under the taw. the partOns or entities paying for or prO¥ldlng such expenses are required to provide you with a stamment concerning them within 60 days of the honorarium event; attach this statement to Form 10. FOR MORE INFORMATION Questions about this form or the ethics laws may be addressed to the Commission on Ethics, Post Office Box 6. Tallahassee, Florida 32302-0006: telephone (904) 488-7864 (Suncom 278-7864)
•
NOTICE: UNDER PROVISIONS OF SEC '12317 FLORIDA STATUTES. A ~AIL,_'nr TO MAr.::: ANY RL:.,:JUIRED DtSCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BV ONE OR MORE OF THE FOLLOWING: IMPEACHMENT. REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION, REDUCTION IN SALARY. REPRIMAND, OR A FINE UP TO $5,000. CE FORM 10· EFF 1192
PAGE 2
•
FORM 6 •
FULL AND PUBLIC DISCLOSURE-15FIFI-NANCIAL INTE:RESIS 19'90·~ ~
:ott INSTRUCTIOo/S 0"1
!lACK
('IF FORIWl PI\RT F
----...
-. LAST NAME - FIRST N"ME - MIODLE INITIAL
lin,.· ,pv
David
F.
FILWG CMACITY
OFFICE HELD
XOFFICEA
Sherif f OFFICE SOUGHT
MAILING AOORESS
Rt 3 Box 5011
~
rn ;Q
-
N
n
0
--
CANDIl)ATE lIP
CITY
Cra.... fordv1l1~ • f1
POSITION
COUNTY
Wakulla
32327
~
, OTHER
~
?5
~ ~ 0
--4
~
ASSETS AND LIABILITIES IN EXCESS OF $1,000 PART A -
PART B -
ASSETS
HauI.hold Goodl and P.rlonl' EII.cll: Household Goods and Personal Ellecls may be reported In a lump sum I/thelr agll'egale value exceeds $1,000 This calegory Includes any 01 Ihe /ollowlng. II nOl held tor Inveslmenl pur· posea jewelry; collections o( stamps, guns. and numismatic properties: art ODjeels. household eqUipment and /urnlshlngs; clolnlng. olher household Ilems; and vehicles for peBonal use. The aggregale value 01 my household goods and ~Bonal effects as described at.ove Is S 12,1 0 Olh.r Auetl Oftr $1,000: DESCRIPTION
VAWE
Cash in Rank
..
...
...
n ,n
75 500
St ork-\oI.. lt1l1 • a Ph ... · .... 'v
A Ar ........ R""ltv.T.. lrn ,1 Rp"ltv.cTAW· 'in1 R"Altv ~n· ..... _-
'''"7 o;nn
I.
,,. .. 1
17 nnn 7.o;nn
"",11"
II"t1V111p.1:'
11 ... I:'
?1
?",n
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nnn
nnn nnn ",nn
Fl
A~r~g
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I ArT"~
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FArm
'f-
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....
t>
I'
fl,.1.1
••
_ ~;;'~':HUtt:~ .., 'J. 22 'iDa 18 Acres UndeveloDed Land.Panacea 22 500
D.~
•...
Barnett Bank 315 S. Calhoun St. Tllll;\hssee. Fl 32301
29,236
Federal Land Bank H....y. 90 West P. O. ~f~n42~1 32344 C & 5 Mortgage Co • 325 John Knox Road Tallahassee. Fl
21,048
16.390
nnn
",nn in 1 A,. ... ,,~~X~P' I..nnn .\! tsH;!;4 11n,,-f.. in Rptf ~ ... T"'~""~" ''''''.nnn ,1"'..... .:1 1 " .. A
Amount
Nlme Ind Add..... 01 Credltora:
'ih OfIII
Rti
,1 nl",,..-I '.An.-l. ~'vi 1,,, 11:'1 "1• L :n 1 -l:'n1< Hn11nw 1n I 'i A~1'""A l·n..l ... " ' ... n.:l Mfl1 R. "
3-
12
LIABILITIES
Please list below the name and address of every penlon. whelher individual or corporale, to whom you owe a lIablllly exceeding $1.000 and the amounl o/Indebtedness. As used herein, "liability" means any monf'lary debl or obllgallon owed by lhe reporting per&on 10 another person. excluding Ihe following: credl1 card and rel811lnslall· menl accounls; lax,s owed; Indebledness on alile Insurance policy owed 10 Ihe company of Issuance; conlingenlllabfll1les; or accrued Income laxes on net unrealized appreclallon.
1 R.... l,.·
Bankcboston Mortgage Corp. P. O. Box 44090 Jacksonville, Fl 32231",
6,493
-n
Deposit Guaranty Hortgqe Co. ,...... m P. O. Box 1193 -0 rh34 0 >(Ji Jackson, HS 39215 ..0 'CHECK IF CONTINUEO ON SEPARATE $J:fEET
ICHECK IF CONTINUEO ON SEPARATE SHEET
e~
rv
rn
- -
-r\ PART C - NET WORTH Net worth II the dillerenee between tol., .ueta and tot./I~bllltles. nOI merety thoM lilted .boW h8Ylng a ~ In e ' - of l't:cOo. PIeae entlll' lhe value 01 your net worth as ot December 31, 1990. or a more current date. ~
to
----._-
~y.nel •.wor1h,as.ol
--
.-
-Apr-U-3~. 19.=ih_ wu$
- -.-
-
253.140. _."
rn
.
-
PART 0 - INCOME The Sunshine Amendmenl _"orda you Ihe oppor1unlty 10 lIIe either. copy of your moll recenlleder.1 Income tax relum or • swom Illtemen' which IdenUllel each aep.rlle source and amoun' 01 Income which e.ceeds $\.000. InCludIng secondary SOUf'C•• 01 Income. Pleue IndIcate bY checking below WhiCh 01 the Iwo altern.llvo methods 01 Income d'sclosure you h_ enosen 10 make.
•
r ELECT TO:
~ I'M'"
D
File I copy 01 my mosl recenl 'ederal ,"come tax re'urn (" you check thIS box and .nach I copy 01 your 1990 tax relurn. you r-eI nol completo lhe remaInder 0/ Part 0 I
0
File. sworn statement ldenlllying each ..pa,.le aource and .mount of Income In 1990 whiCh exceeded $1.000 Including IeCOndlry 1Oun:es of Income .. shown In Part D. continued on the revtlrIe tide.
"II"" .",
I-'A~3_l)_-_'~.COM" ICON T1NU~l»)
I
-A7RY~S-::O-:-:U-::R-::C-::E"':"S-:O-:F-:'-N-:C-:O-M-:E=--------
•
'lease ,denh!y cacn separate source anrl emounl 0' Income ,n excess 01 $1.000 Ihal you received In 199(,
CHECK IF CONTINUED ON SEPARATE SHEET SECO''4DARY SOURCES OF INCOME II. du"n9 1990. you owned dIrectly or Indirectly In IlIceA ol5'Mt 01 the lotalasaeta or capltal"OCk 01 any buslneM entity and you derived over Sl,()()O Income Irom such business entity, lhen you must each source 01 Income to the busln( ~ entity which exceeded 1~ or the buslneu entity's "total Income· as shown on thaI business entfly's mosl recently flied tax retum.
11.,
NAME OF BUSINESS ENTITY IN WH,CH YOU OWN OVER 5'Mt OF THE ASSETS OR CAP/T,\L STOCK AND FROM WHICt-1 YOU RECEIVED OVER $1.000 I)URING 1990
NAME OF MAJOR SOURCES OF BUSINESS ENTITY'S INCOME
DESCRIPTION OF THE SOURCE'S PRINCIPAL 8USINESS ACTIVITY
ADDRESS
PART E
I, the public ollleer, employee. or candIdate whOse name appears at the beginning 01 this lorm, do depose on oath and say that the Inlormatlon dl.closed herein and on any allachment, herelo a,. true. correct, and complete 10 the best 01 my knowledge and bellet.
OATH STATE OF FLORIDA COUNTY OF Wakulla
The "gnatu,. or the public officer, emplO)'M, or cand~te who" financial Inte,.,t, .,. dr,cloNd herein was .worn to and aublcftbed belo,. me thl. ~ day of June ,
.,e...!!-..
fK7G
IONATUAE OF NOTARY
PART F - INSTRUcnONS WHERE TO FILE. Incumtlenla ".. -Mlh 1M 0. ~ s... AooI!I '1101. The ~. T . w _ FlarIda 32391 CancIdIl.. ,....,. fie oIfQt tJefore IIhom
'*""""
lMy~
WHEN TO FILE: tnc:umllenla mull II.. ~
t, , . ,
no ..., tnan
CancIlcs.ta~'lIIepftorlaorl'''''lme
Ells-- loa'" _ NClUlt*l1O ... II1II clIlIclcl8ln. HOW TO COWl yo eN Dr IdInlIfytng end 'tIlo.atbng each ..... end 8lICft IIIIIiIly In ~ 011'000 To., yau in ~ eI'll \IIUlO IUdI ..... Ind IIEiIlIn. 1M ~ on EelIcI ~ "'1lIIIcMIg: ~ AIIII IhOoM b8ld8nl11\ecl br
,.,...
~llMIy~lIon
lMy llUIIlfy
IOcatlon ~."
WHO flVST COMPLY: Nl -.ettd COft8IIMIon81 om-.; .. CWlClId8_ fer Naed CONIilutIonlII Cll'IQ8. 01... Jud~ ."d OCher Judstel 01 Com&*ll8Uon
~ ~'I
QaJmt; ",.."... Of .... ~ CIly Council, _ b8tI Of .... Ind~ Afl8t1Oll8 Commlnlon. 8nCl . . ~ COUtl t . . a.a.t ClllfI8lIIUlIOn Clft\c8q IrIclUde a_no, 100:111......' GOMr_. catllnel
01 .".
~
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~. Ct>omty JucIgft, ~. A~. f'\lcl1C 0. ,.".,.,., (.*11. of Corcvlt Coutl•. TI. Col 1KtorI. ~ AclP<--Of ~. Countr 8lect.a SU~.I. . . .1ItI Of SChOOla. ......... Of DlItnC' SC'-l 8lWJ 811
eom.n-.....
~
Sher"". s..""...-. eo.w.
. . . . , to 0fI1c8 .... conlOfocl8l8Cl
90"'''''''''''"'
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0' ."., 0' ,,.. ~
edd""'~. ~ 01 .... FIO"OI HOU•• ng , ,"...... AlI8ftCl'........ll«t of ....
conll"""o"" ofIan ,"
FIonOlI ...... e - - I_IIW'II 8oMI. _b8tI 01 .". FIDrIda ..., C8PIIII 8oerd, WlIIf - - . 01 ...
CI 'OAM •• REV.
'.e,
1egII~. 01 ....
111m numbIr); IIDdlIInd IIandI
IhOuId b8 odIn4IIIoId br 1M buIlNM ...... 10 wtlIdllMy I'II:IIIv8llIe b8 by
,.re.
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ftlrnts 01 ~ LJIOes· E.ectI IoIIl6ty thooJlc: III ocI8nlIfWcl by lilting IN _ ..-r M!rt"rr. . 01 the ~ ~ . _ "-e! 11""*""'" De ~ at lit
eurrent _
"'*- I
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"""'et II _1IbIe ~1ItlII woOIIv "1OdecI Inc! _ _ pnces _ ....~ IhOuICl De VIIUId Ilaecl on 11'1 dDtong pra on
01 CI leo'
wflocII ...
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11'1 ..a...,_ 01 ~ Il'.-tr JOW1IIr ""'" cll"e " you •IlOIcl 'fOIl oHl __ I/IouId I»..-u.cl
-
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1n.~CIUlI..ptl..... 1lI
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'fOIl C8P'I-' or ellO"'Y In ~ "'oPMr flII'lIIl' br I /luIIIMCI It'd ..... I/IouId llII ,..,....., I ~ of A I ' " You _ tMPI\Id 10 _ 1ft ........
- II
In I Ir\IIl wflldl .... '......... IlI,.., I*CIII..... IfIlIrWI .. . . Ir\IIl CIUlIlUI- LIII ..-..ce IIICUd . . lIIIl:IasaO .....
CllhIUl1'lllldlr WIlUI _ - . .
poI!cy pU lie
mon:.,
~ CII'IIdIndL "..all 'and -'* InIllUINnIIlIlUIllle /'IPtll1fd " faOt amclW'C••~•
IIllfw ..... 1/lOIAdb8 _ _ lIy YIM;ood w ....,. of lIIIIr ,.., 1\WtI.c 'IIIuI ~ The - ' of.1lIbIIIy II .,. '--.nc 01 .... debl Of. "you _ tll'lIy jIlInll)' I'MpOn8IblIIot IIlc ~ oil PQI1Iotl of • tallIlly, )'OUI' pro Of
r.,.
.... 1ndIbtecr- ~ . II ~ ....,. ". NlCl 10 I*l' the lull lmount Of ,,,. CleClII--'l' "-IIMI. Ihe lull -"'ll/lould I» N/lOI1ed 18181' ~
~
~
..-.... ~ Cooe 01 ,~. T~ 26. Unlld SIaIIs Cooe... l.-....s (01 A11lr1lOtml1lOn dlKIoMd on INIIann II ~ by ... 10 b8 gtwen ..". CIIltL . . , . ~ III tonn, you _ !he ., • IlOWy pUIl/IC or __ ,.,-. 10 acln*1tIter _ _ III ....
.... Amc:It '"
1IaIon." I'IoftlII ClII.-lIlJllCh ., . . :'
IunII1lneAo_IGi'''1Q. ll) .., ............ .,
........., _or
v
..
.,811
.....
n PRIMARY SOURCES OF INCOME Ploase Idenlily 6ach separe1e !lOurCe and
PARr 0 ----
n'
Ire
orne
In e~C6SS of
I1r
Mt>nl"]A
prolwrties
$1.000 that you received in 1990 AMOUNT
ADDRESS OF SOURCE
Rn.1rd of Comml~i~';
A ..... 1 .. ,.},"''''
.
INCOME (CONTlNUF:D)
-
sOURCE OF INCOME \"/"I<1I11a ... lI"nFn1
or
k
Heuth Serdt'p
County Courthouse Cra.... furdville Fl 62, E Tl"nnel"l:~el!' St.Tallahasse Fl
'i8 000 1 000 6.016
\.'AR
------
--
fCHECK IF CONTINUED ON SEPARATE SHEET SECONDARY SOURCES OF INCOME If, d\l'nng 1990. you owned directly or indirectly In exceas (.t 5~ ollhe totar usera or capital .tock 01 any buslneM ontlty and you derived over S1.000 Income from such bUSiness entity, lhen you mlst list each source 01 Income to the buslnes:s entity which exceeded 1O're 01 the bUSiness enl1ty's ·'otallncome· as shown on that buslness entlty's most rueently tiled tax return.
NAME OF BUSINESS ENTITY IN WHICH YOU OWN OVER 5~ OF THE ASSETS OR CAPITAL STOCK AND FROM WHICH YOU RECEIVED OVER S1.ooo DURING 1990
NAME OF MAJOR SOUflCES OF 8USINESS ENTITY'S INCOME
DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY
ADDRESS
N/A --"ART E I. the public offlc.r. employee, or candidate whole name appears at the beginning of this form. do depOM on oatil and uy that the Infom,allon dlaeloMCI herein and on any attachm.nts h.reto .re true, correc t, and complet. to Ih. bes. of my knOwledge and bellet.
.... 1
STATE OF FLORIDA COUNTY OF Wakulla Th. signature ot the public olflc.r, .mployee, or candidate who.. flnancla' Int....,• .,. dllcloNd h.reln wu aworn to and twecrtbed belore me Ihft d., of June
..l2-
~ E~'NO ~:AlJO_A~NOfO.'TE 1 -
OATH
.11.NATURE OF NOTARY
~
...
..~.'. ~ j
PART ,~ -
WHERE TO FILE. Itlc:utnlMnIs lila """ 1Ile 0.I*1menC of~. Room 11101. '"'-~, Taw-. F10rlcII 32JlIa c.lCIdIteIllIe.., "" oflIcIr ~ whom . . , CfUIIIy
"*'
WHEN TO FILE: Inc:urnbentI mull tile no ..... 1. ,.,. ~ _ II'" prior 10 ~., "" ltlN
~
tt.., qulIIlIy. tIIIHO MlJST COMPlr: All eIK1IICI COf1Itltullonal orr~ .1 ~ _ lOr elec:l1ICI coneliMIOIW CltIIca. Chi" J.lClge and a"- Judo- 01 Com _ _ Cllima. memllerI of \lie JIK*IonoriIIe 0Iy Council. rnemtlatw of ... 1nctu.,.1 AatlltlDnl CClmmllalon. _ .. appeIaie C>OUf1 tudgea. a.etIICI conI\llUllOnal o ~ Include 0 _ _ lleuter\anl O_,nor cabinet rnemllera. _ _ _ 01 _ ~"I...a, CIrculi Couo1 JudgM. c....,nty Judges. S~ AIIomeya. PublIC: De1erQItw, t....... Of On;un Cour1a. SIwtlIa. T.a Proper1y AcIPr-. ~ Of ElecflOnl, County ComrnlaliClMt.. !kJpar",'-"dlInll Of $cIlClOlI. _ _ _ 01 Oofl'OC:I scr.ool Boarcll. ancI all paraona -":*1 to ofllCe In • con_cl.IMd clfy~fy vow-n...... ,• peoiorminp au.... Of any 01 .". a _ CQlnMIl_ oftlC.... In IGdlIIoft. Of ItlI t'1orIlIa HouaI"lI ~ ~. _bert 01 .... f'1orlCfI 8Iac* """"- II........ ...." nwntlefa 0'1 lie ~ Seed ~. IfWf ~ of . .
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INSTRUCTIONS ~ Pw-.-y EcM::don £xpenIe 80erd _ . ~ JIGI!eJ~.,.
NllIftd to ftIIlhII.--"., c:umlAIId chillIndI: e.tr ~ ~ ..., , . .
HaW 10 CIOaft ):'/A) e, kIInlIIlInv 8/ld va.Ing-" ~ /IlIIII1Ie ........ II ... ~~GtinIrIIr.
- ' .".. .-:II IIIbIIly In _ of "000 To aid you III .. _-lI1lUStII.....,by,auoIllllld. .. . ~ Illd wMlO IUCtl . . . .".. - - - . . . of . . tIIr INlI* .... ~ en ElhQIUggIIa . . IaIIooMng: ~ 1'-MlOIIIIl of.IIIIlIIly . . . . . -..ilI of .... dIIJt or. If you _ onI1 jlllrIIIt '1IPC!'__ 1or . . ..... AIII_1flOUId til...., '" ~ ~ lift IIdIha.IegIt ~ or "" ~ of. JlOftIlln of • 1:10 ........ of proper!y .......... lIIl " - ~ . . . . Illd bclndI . . 'r 1 t I I - . Hoooeow•• lIQU may lie NId _ _ Ill
CWl..--..,....
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thDuId lie idwtIlIIIICI by IIle buIIr-. . . , . . III IItIdlIlf1 ..... _ a"'OUnll .-Iv. . IfQ.td lie ~ by _ _ of ~ t..WJIlIaI Each ~ ItQAd tie odel*"tcI by Ile'lI !PIe _ ani IIddr.- of \lie en-. ~ A..ea "'-' P'IlI*'Y INy tie lIadllIacIli .. COIn'W'II-.ed ..... .".... a _ _ _ ~
,.. "" fill M-.t of lila dICIt ,....".", __..... ".. ---.l1llCdd tie ~ 18) By ......... of 'PIt nal-'" _llIOWIdad 1ft Pw1 C
fCl e, dIac:IDIln of ~ _ pIOIlIIId 1ft Pw1 D.Itlow.
kICOIllI til llIIIflI*Ied 11'1 acemlIiilCl will lila
"**'
..... AIwenua CadI at ,...
al""ru_.......... ___ ............ ___ -. . . . , If..ted AIICI " ' - prICet _ 0'fWlIIr _ _ _ IIlouIcIIIe ...... 1lnMS on fie ~ II"CII on
COdI".---...
\lie va"*- . . "fW I'GIll ' " ' Of ~ PfClI*IY prtI.t'f ...,. ~. 'flU ...... IfllluItItIe " . . llaMd 01\ 'fWI1IipI ~ 0I~. _ ~ 1 1 1 _ en _ III allulll'_ CllfI. . . . . .91C1 .,.., ~ Of «lUIIY ___ on ItI8I " ' - PoapMy o-IICI ...,ay !If • ,......., _ ..... " - ......1eIl
rou -
anocr...
.. 'llO'lI of . . . . . . You _
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... lfUIllllflicflODll. . . . . . lCIyf'IIf ................ "
...... CIClfPUI. IAa _ _ atIlMd. ~ ....
or-. .. UNlalI . . . .
(0) All 1I,lOtrN11ron ctIal:Io-I 011 .... farm • NqUIlW by law III lie ghlIn undIr CMIII\. e.tln IIllftinlI fie tann,
otIIaIn lila ~ of • IlOl&1' CJUbIIC: ~ Olhef ~ IIUIhorlnd ID IdIr*IIIIIr odIa In INa tItIItw ArI~ IL SecIIOIl •• FIDrtda CoraIIIOIIIOn tltll
Sunatilne ~) (£1" . . . ...., ........................ '" .-..eon u.cr or ... _ Of . . . . . . 1aIlIIt7••
_
'" ~ .. cewil
I. , . - . . . . . , . , III
.......,·.....•....•................1
1Ie . . . . ., . . . ........ , . , ........ - - .
DClIJ'ld F. Harvey fClrlO PC!IC";
6, Page 1 B-Liabilities, Continued
!'Ie)!!, and Address of Creditor
Amount
1\l::bie Roddenberry 320{, Beacon Drive TaLlahassee, FL 32301
$ 18,301
Artt ur Robinson P. c. Box 13792 Tall~~assee, FL 32317
16,562
Southeast Bank 239 E. Virginia at Ta.llahassee FL 32301
119,509
SWl
Bank 20!il 'l'homasville Road Ta]L1.!lhassee, FL 32308
4,500
Wa)o:u I J ft State Bank
22,500
P. O. Box 610 Cra~~ordville
Vl 32327
Accrued Income Tax on Unrealized A.PI.reciation of Assets
117,877
n
p
GIFTS AND OTHER NON-CAMPAIGN CONTRIBUTIONS
FORM 7
STATEMENT FOR CALENDAR YEAR ENDING DECEMBER 31, 1990
LAST NAME - FIRST NAMF - MIDDLE
uavid
Harvey
~M'f
NA,ME
Flllton
O~
AGENCV
....· akulla
l.Ollntv
Sheriff'8
J)
MAILING ADDRESS
Ilt CITY
1
Rny
WHO MUST FILE Each person hololng lin elecllve Slale, county, dlslrlCt or mlJnlclpal oll,r.e In FlOrlO,1 and each appOinted pubh(~ officer Y,110 IS requ"lld by law to Form 6, Full anti Pllol,C D,sclosure 01 Flnanc,al Interests, pursuenl 10 Arl II, Soc 8, Fla Const
"nIl eOUIliTY
,.
'1p
"'e
liP
W:lk, 1 1.~
17177
OFFICE MElD
Sheriff PART A -
STATEMENT OF GIFTS, DONATIONS, OR PAYMENTS
Please IISI below each conlnbu\lon, Including any gill. donal lon, or paymenl. the value 01 which e_ceeda $100, received by you or on your behalf Irom any person, group, or orgaOlzatlon, 'lor olherwlse reqUifed 10 be reponed by Chapter 106. Florida Stalules. Any payment In excess 01 $100 to a dinner. bBrbeque, hsh Iry. or other such event shall likewIse be deemed a contrlbullon, You are nol reqUired to disClose a gill representing An uprelStOn of sympathy and haVing no matenal benellt or a bona Me g'I1 lor personal use Irom your parenlS, children, grandparenls, grand children. brOlhers. Sislers. uncles. aunts, nephews, n'eGes, greal·grandparents and great-grolndchlldren Nor musl you !'al honorary membership In social, service, or Iralernal orgaOlza\lons which were presented as a cour-esy by such organrzahonll Leglslalors need not disclose complimen lary parking prrvlleges proVided by an allpor1 authollty [ReqUired by Sec 112,3148. Fla. SIal I DATE
RECEIVED
CONTRIBUTOR
CONTRIBUTION
ADDRESS OF CONTRIBUTOR
None
J,:.. ':D \CHECK IF CONTINUED ON SEPARATE SHEET
1"-_ I ,
' » _
PART B - EXPENDITURES OR OTHER DISPOSmON OF GIFTS. DONATIONS OR PAVilENTS:::'
\
•
II any payment or dlaposltlon I' mlde lrom the gills, donelion, or paymentsllated above, pleu.nst below the na~ and ~ o~ peRon who rwcolved such a PlIYmlnt or dispositIon, '""" • DATE OF EXPENDITURE
:.. . ADDRESS OF RECIPIENT""
NAME OF RECIPIENT
... ;0 EXPEHDfTURE OR DtSPOSmON
None
\ CHECK IF CONTINUED ON SEPARATE SHEET
.'.'
PART C - OATH I, the pUblic ollIcer whose naml appeaR at thl beginning of Ihl' torm, do depoae on oalh and III)' Ihat Ihe Inlormallon dllclosed heRln and on any attachmenl, hereto constitutes a true, accurate, and 10lalllsllng of all conlrfbutlons, expendllu,... and dlstrtbutlons ,.qulred to be reported by $echon 112.3148. Flortda Stalules
-.
,~O~E ~E~NO =-CI~l
........ _
.......... ,
... ,
r.....
_
J
STATE OF FLORIDA COUNTY OF Wakulla Th••Ignatu,. 01 Ihl public officer whoae financial Int.,.'tl a,. dla· closed he,.ln wu swom to and aubal:rlbed before me thla -lQ... dll)' 01 June· • 19.J,L.
~..L.II..."""~~
'~N"TURE OF ~OT"RY ... ./7. IJ.JJ ..,.,. .~_-:-lh'
~"" Tlloot_'.............
r PART D - FILING INSTRUCTIONS
•
Thla form. when duly tlgned linG nOlarlZed, ",USI hfl flied wlll1 the De~nmen' 01 SII18, DIVISIon 01 Elections. Room 1801, The CapltCJl, rillahuaee, Florida 32399. by an oNk:la' who Illea Form 6, Full andblic DISClosure 01 Financlel Inter""ts, Of wit" the Supervisor 0/ EIrct!orIf by In elected officer who fllel form 1. Statement 0' FlIlaneIIII Int.,...,., Thl. ltalement must be flied no !eter than July 1, 1991 for the 1800 calendar ~ar, and atlould be filed together with the Form e or Form 1." appllca~le, CE FOAM 7· REV, ,..,
I
~I
AMENDED COpy GIFTS AND
FORM 7
I~ ~i.; ;~iil,;r;'4t.4t II ,r ' , "
I
P"v!,.1
onien NON-CAMPAIGN CONTRIBUTIONS - -IlAMl l)f AI,IIlt.y -,
MIUIII E "AMi," FlIllolL
1~.I~!l11 II (;olll1Ly
MAllIIll, AOOM£ 55 ~JL L.J...
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III'
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Pl:l Io1 rl"'CU l
Fit f: I ... " ,":".,,, ' ...:,:.. ", :1111"1"
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'It
'ft'hu IS ""1""'0" I,WI' 1.1W ,.. "hi f .. tin (. f uti ,11,.1 " ••1,'.. ."·,II"SIIIO 1,1 rllhlllt-hl' Illh.llU~I', 1,1I"~II"""U All !l. ~".:~ H I
ILJil.
,
Willi IIr
She r
I.,
CUII~I
._-----Gins. DOtlAflOtlS. on PAYM(NIS
PAnr A - SlAItMUH OF
I " .. ,~,. h~1 hclllw C;t~h conlllhlllllln Inl.h"III~".I~",tl\(~" I',lyllllllll. Ihu v,lhlU 01 wh" h O'(;l!ll,I~ \100. 'C:' ,·,v,·,1 hy yUII 11'10" V"'"~ h"" ,II hU/II .IIIY I'o',on. !I'Olljl III OI!I.III1/.llt"n, n,,1 olhc,w.~n 1I''1,,"mllu "u II'IH"I,"II,y CII.'I,IIII IOIi. rIIHIII.. SI.'h,lc, A"y l",ymt:"1 "' ,•• 1..:.... ,,1 !.1I,O III .. "',""'" 'b.. '''eqllu "..II hy. 0' olllm SlIl.h uvulIl ~h ••" I,."""~,, 1'" ,'cl'lIllld II I.III.IIIIII,lIon '(1111 ,110001 U:OIIIllICO 1"11,,,,10:'11 11".11 11""":"''''''''1 .1Il'·'l'rt'~~lOn 01 'ylll,llIlhy antJ no "",1011,,1 lJ"lIc'hl 'If .,IHII'" 1"1,, ~JlIIIII/ I'Ulli1l1l,11 ,,5\111011' ylJIlll'illUIIIs. tll,h"t:Il.lj,.III1'I,,"'·"I·, ", ..... , nlll,hllwi. 1110. I'S ",r;tl !",lIIdlla'''"1\ U'O"'II' ..llllclll.... \llt ,..11 "1,,"1 yl"' hM hflfllJ"'" .....11.1 .... · "'1' th'''''I.'1I h'lIlht·'S. ",,'c,', ,,"clll:>.• III ~lJt",1 "~""Clt Of ..... lulll.'1 OIlJ...IlII••lIuns "'hKIt w"'u IHU',l111l1:.1 /I" •• , .lIlIh:\y Ity :r'K.1t Ofl,om.ta".,,,, Le\Jllol...lot\ IIUl1tJ ",,1 ,"~k"." ",11'1.1,"",,, 1.111 1'.I'~1I11I pll,.lt·\JI!' IIIowlllcd lIy all ollllll.l,l ,,"1hullly I""'1" 11 ,:tJ hy !".I: I II:' 3"'''. fill' ~I •• I I
"t1V.III,
,,"II
1""1'.
-
o"re
RECEIVED 17-7'\-Qn
AOUIIESS OF CONTRIDutoR
COH TRIOU lOR
C:hprfff'A nll'nt'
n
p
f'lIlnlovees
Rn1f
' lip
ILn
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PART II - EXPENDITURES OR OTffER oisPOSmON OF OifTS. OOHAIIONS OR PAYNE tilir. I
r
ic;.nn nn
:;:::~
\C.i£CIt IF COUll11UfU OU !lfrlln"lE sun,
.
R~A
1.')1.')'1
1:'1.
•
COli ,,"OUTfOll
~
'::fl-"
II .n, p.,menl or dllpo14hon II mltJelrom Ihe Vml,dun.llonl 01 paymenlllliled .lJvot.. ple'lellll below I~ n,me ~dl\lClI~8rlo(Jn ..ho leCC:I.ltd luch • payntenl 0' d'IPOilltull. /1.1[ or laf'lflOnUAE
ADOflnS OF n[ClPlErn
""ME OF n[CIPI[ttr
::::"
~s:
~
);V'
~ (,pp.I"Ulf1f
on ....!.W,!III.. H'
NOlle:
. . --
ICIIU"", rF COfllltlUEO Of' 5lP"ItAll r.un 1
PAR' C - OAm I. Ihe pubflc oUleer ..hose n_e .ppe.~ .1 the beginnIng 01 Ihil 101m. do d.po~e on O'lh .nd lay Ih.I Ihe 'nlOfnt.llon dll«:lo.o11 hflrllin lind on ,ny .IIKhmenlll't..elu con,mulel.lrue. KCu,.l...nc1lnl"Usllno 01 .11 conll/bul'onl•••pendllur... and d"ttlbullulll ,e'"tlred 10 bo ~
~a. f "'.!.lS' S1aluIUI r,· _~bJoSeCl':l-' -
,
"mU"llllllO' "fPOnlltfO Off lQ"~
S'An OF FlOmOA COUU'" OF _ "Jlkulln 1he .Ignalur. of Ih. Ilubllc: oUIc.r ..OO\e "n,ntlll Inlore,II .re d,S' elu,od h.,el" was lworn 10 and lubscubed belure me Ih.\ ~d..,ol JUly I' Jll.
1-".~~A""Il Of
,~~
PART D -
,
~
,
~
.J-UI'IE
cclU....s:,IOf.UC1~"
-h. 4!l. ~I.f~ -~ ..... S1aII _...., -r. ' - r ' ......... ,.' FllmO mSrnUCJlONS
,. ....,.. J'.'.> ...
''''r'''1,'''''''
II'" 'Olm. .,,'"' dilly '''l'ocrl end nnlll"'~r. "",~I bn '.lud w,'h Iftf'! 01 S'I/'o. Or.'SI"n "I fl"",hnt". "'..>In "'fll. 'I", r:"I''',t1. 11111."o1ISH, flu,,". 3.,m. I" "" "lflCldl 'dll' ruulI f\ I lin tlr"j"hit"oiit:"tlf.lOs,"o 0' , '''.'ICNtI "'I,.,c:,.,. Uf Wllh Ihll tE."l".".• ~", ,.1 L~" '"'"' h1 en 0"''''''''' ClII/C", who "t.., "H,n I. r.I...lnflWl"I nl I II UII I(. NIl 1,,1,.,"'11 lh" .Ialemonl nttr.t be hfoU no 1lI1l1 IJr.1 I l'J'IIIo" 110,· I')'Jll ~\ett1"'" yUII'. If1l.I .,hullII! W ""... rvuvalUf WlI" UWI """l G tlf r I. a, a''I. . .I''o
"'to
'_rn
"'It,
"
..
S",II C. Will!.""
State of Florida
"onnlt' ,. Will/1m. , ",,,,,,,, (Jr"",..
Commission on ethics Room 2105. Tht' c..pilor • P.O. 80.6 • TlIlIlIM5SC.'t'. Florid.. 32.302.()006 • (9Gt) 488·1864
July 2, 1991
Mr. David Harvey
Route 3, Box 5011
Crawfordville, Florida
32327
Dear Mr. Harvey: This is to acknowledge receipt of your financial disclosure form, which has been misfiled vith the Commission on Ethics. By copy of this letter, ve are f~rwarding your form to: The Supervisor of Elections of the you permanently reside.
x
The Division of Tallahassee.
county in which
Elections, Department
of
State,
Sincerely,
~~
Bonnie J. Williams Executive Director BJW: vdm
cc:
•
Dorothy W. Joyce, Director Division of Elections
fl:
....
r' l
I
/.
FORM 6
FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESIS_t98.G • SU INSTRUCTIONS ON IIACK OF FORM. PART F
Harvey
F.
David
OFFICE HELD
Sheriff
X OFFICER
~~.
V» 9,
rnr-n r'T'r'"
OFFICE SOUGHT
MAILING A1Jt)RESS
P. O. Box 150
•.• r"
, . CANDIDATE
CITY
Crawfordvi lIe
liP
COUNTY
32321
Wakulla
~':-4
POSITION
~5
I: OTHER
~'Vl
ASSETS AND LIABILITIES IN EXCESS OF 51,000 PART A -
DESCRIPTION
T.,l'
3
"nnRe
in 10'011' 1!1i
At-Y'....
of
25,000 1~1.~94
30.000 1. nnn
10'1
Realtv Realtv
4 Acres of LAnd .
·l1e.J'l
21 2!'i0
• 11 •. 10'1
Un"",. .
7!'iOO
nnn 4.000 An nnn
.Ft
..
'.nlf
~
"IA
,, •. VI
~
_L
~
..
1~
-Mi 11 Rd
nnn
'11 .. _Vnnna FArm
•.
Acre of Land Ot'h' in 1 Ar-re ,.. . In RIO+-;
....
'.
~
~.~
~
~ .s: ~O .
CR
Please lIst below Ih. nam. and address of ev.!y person, wh.lher Individual or corporele. 10 whom you owe a liability exceeding S1,ooo and Ihe amounl orlndebledness. As used herein, "liability" means any monetary d.bl or obllgallon owed by Ihe reporting person 10 anolher person, .xcludlng Ihe following: credit card and relalllnslall· menl .ccounls; lues owed: Indebledne.. on a life Insurance policy owed to Ihe company 01 Issuance; contlngenlllabllllles; or IlCcrued Income lues on net unrealiZed appreciation. Hame and Add..... 01 CreditOR:
Amount
Southeast Bank 239 E. Virginia st. TRII AhAR",,!(' , Fl 32301
31,097
Federal Land Bank Highway 90
24,000
VAWE
ash In Bank ommon Stock-Wakulla Pharmacv eaidence S 8 Acres R.. "dtf.. nH Al Real tv. Talco Ro'~d D... .;~ .... +.. l
I
."" {Om
PART 8 - LIABILITIES
ASSeT$
Household Good. and Per.ona' Effecl.: Household Goods and Personal Eft.cls may be reported In a lump sum II lhelr aggregale value exceeds $1,000 This cateoory Includes any of Ihe lollowlng. if nol held lor Investmenl pur· poses: Jewelry, collecllons 01 Slamps, guns. and numlsmallc properties: art ObJecls: household equlpmenl and lurnlshlngs. clolhing; olher household It.ms; and vehicles for personal use. The aggregate value 01 my household gOOdS and personal .flecls as descrIbed abOve Is . $ 22.300 Other Aa.. t. Oftr 51,000:
~ .. l
,...
I,,::
~
FILING CAPACITY
LAST NAME - FIRST NAME - MIDDLE INITIAL
Ff • '11 .. '1
A
nnn 12 .500 ')1::
River n
,
. J1
.,,.
L'O -, ,1 R.... l+v Tn 'CHECK IF CONTINUED ON SEl"ARATE SHEET
10'1
PIAn~
.4.ono ~".I\A~
1;0,
')n nnn ,,,n.1VV\
•
1;"
C G S Mortgage Co.
17,252
325 John Knox Road
Tallahassee, Fl stockton, Whatley S Davin
7,000
100 W• Bay st.
Jacksonville, Fl Deposit Cuarant,y Mortgage Co. P. O. Box 1193 Jackson, MS 39215
6,047
ICHECK IF CONTINUED ON SEPARATE SHEET PART C NET WORTH Net worth IS the difference between tota/aasets ancr tot., f'ab"/II•• not merely thole listed above haVing a value In excess 01 $1.000. Plea. enter the value of your nel worth 8' of Decembet' 31. 1989. or a more current date.
My:;;ei·worth
as of
April 30,
.. 19~wallS
201,150~
PART 0 - INCOME The Sun shin. Amendmenl affords )IOU Ihe opportunity to III. either a copy of your mosl recenl lederal Income Iu relum or a sworn slilement which IdenIW•••ach ••p.r.t. IIOUrc. end amou,,1 or Income which exceed. $1.000. Including ee<:o"d.ry .ourc•• of Incom•. Please Indica" by checlclng below which of Ihe IwO alternallve m.lhods of Income disciosur. you 1'1..,. chOsen to malle.
I ELECT TO:
• •
0
F,Ie a copy 01 my most recenl lederal Income lax return [II you check Ihls box lind a1l8ch relurn you 'lee<j not complete lhe remainder 01 Part 0 J
0
File a .worn "alement ldenllfying each aeparat. source and .mount of Income In 1989 whiCh eJlceected $1,000 Including secondary sources 01 Income as Ihown In PIIrt O. continued on ~ I1NWI8 aide.
C! FOAM e• REV. ,-to
ill
copy 01 your 1989 tax
PART D
.,
INCOME (CONTINUED)
PRIMARY SOURCES OF INCOME PII!i1~e Idl'nl.ly oach '1epllrate source lind amount of ,ncomo In oxcess of $1.0()()'thal you receIved In 1989 ADDRESS OF SOURCE
SOURCE OF INCOME
Wakulla Countv-Sioard of Commissioners
.
AMOUNT
..
ron nnn
Wakulla Co. Courlhou~t: P. O. Box 337 Crawfordvi lIe FL 32327
1CHECK IF CONTINUED ON SEPARATE SHEET SECONDARY SOURCES OF INCOME If. during 1989, you owned dIrectly or IndlrecUy In eltcess of 5'l1t Of Ihe 1018' 8ssels or caplt81110ck Of any business enllty .nd you derived over $:.000 income from lIUct. builn65S entity, then you must II!! ","r.h lIOurce of Income to the bUllness entity which exctl8l~ed 1~ of the buSiness enUty', "0181 Income" as shown on Ihal buSiness enllty's most recently filed Income lax return.
NAME OF BUSINESS ENTITY IN WHICH YOU OWN OVER 5% OF THE ASSETS OR CAPITAL STOCK AND FROM WHICH YOU RECEIYEO OVER $1.000 DURING 1989
NAME OF MAJOR SOURCES OF BUSINESS ENTITY'S INCOME
PART E I. the public officer, emptoyee. or candld.te who.. name appe.,. at the beginnIng of thl. form. do ape.. on oath and • ., thlt the Information dlsclONd hereIn and on any Ittac:hmentl .,.,.to .,. true. correct. and coml!lete to the belt of my knowledge end bellel.
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ADDRESS
DESCRIPTION OF THE SOURCI:'S PRINCIPAL BUSINESS ACTlYITY
OATH STATE OF FLORI~ COUNTY OF Wakulla
The Ilgnatu,. of the public o'!lcer. employee, or candlelate whO. .
~NATURE OF HmARY
SIGNATURE OF REPoRTING OFFlClAl OR Co "Dl~TE
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PART f - IN&rRUCmONI ~
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WHEN TO~: ~""* lile no __ ltW1 Nt, " , • . ~ ....... file prIot to 0181 . . lime
bit. . . . A I I I - ......... .....,·br IocIIIon ~ an . . . . . . . . . . . . . Of lie
WHO MUST COMP( Y All eteet.cl corm'M'onll ~ all ~ lot et.c:IecS c:onatIMIonaI on-;
ow Judlilellld- ~Of ~ 0--.
~ Of the JiIckJonwtIle lItlCl sa. ~ Oly Counc1Ia.IIld .. ~ _ ~ EIectlId ClOf*Io lUlIOntI ofI\cII't IIIdudll ~ . L ~ GooMlor. CMlIMt ~ "*""- Of tile ~. CIrM Court Judgft. County ~ . St8le ,,~ PIAlIlC o.renCl.... elen, of Core,.., Couno S""'"o Tea Co;aea~. I'rcpr.y At:Pr= ~ ~ E...- Couo>t, Con_oet'. eIectecl SupjH~... lCIIttll. ot SC'- ~ 01 00Ilnl:t Sc:nooI Baer$. _ II ~ eIIcMO 10 _ _ .. e --.cte1eCl ........., l*forrn"'Q _ ()I ...., 01 !he _
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Rrwa
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oIl/le FlorICIll
ot lI\e F1Dndt e.dl
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CE FOAM II· A£Y. 1-10
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WHERE TO FIlE: ~ ... """ u.. 0. Ii'M"*lf of s... ADom ,ao,. The CIpIol. Taw-. f'IondI ~. C8nlIdIIIe . . - . . . aIIIoIr bIIIlI't lIIftlm
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.as .wom to and aublcrlbed June .1L.IQ...
flMnClai Inte,. .ta .,. dllCfoMd henlln
betoc. me t"l. ~ d., of
HOWroOClWlt':fAl8t~IIld~eedI --"""1lIlIII MIIPOftId., . . . . . . . .
IIld .-It ~ In _ _ of 1'000. To lid you 1ft IIld -*tg IUd! _ IIld . . . . . . . .
on
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PftIPMY ............... ~.-1IldbcIndt IfIllIM beldJlnlMed . . . . lUll..- ..... til wIlIc:IIlIf1
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David "'. Harvey Form 6, Page 1 art B - Liabilities, Continued
NAME AND ADDRESS OF CREDITORS
AMOUNT
Abbie Roddenberry
19,500
3206 Beacon Dr.
Tallahassee, Fl 32301 Arthur Robinson P. O. Box 13792
16,900
Tallahassee, Fl 32317
•
•
Southease Bank 239 E. Virginia st. Tallahassee, Fl 32301
120,000
Accured Income Tax On Unrealized Appreciation of ABHclH
109,044
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GIFTS AND OTHER NON~CAMPAIGN CONTRIBUTIONS
FOR·M 7 LAST NAME
STATEMENT FOR CALENDAR YEAR ENDING DECEMBER 31.1989 FIRST NAME - MIDDLE NAME NAME OF AGENCY
Ilarve"
D!,vic!
Fulton
Wakulla County Sheriff's H:partme':1t
MAILING ADDRESS
P
0
WHO MUST FILE Each person hoIO""J an eltl\.!tvtl Siale. counly. dlslrlCl. or muniCipal office" Flonda ,lnd eltch aPPointed public olf/cer ",ho IS required by law to Form 6. Full and Public Disclosure 01 FlnO"CIIII Inlerests, pili suaI'I 10 Arl II. Sec 8, ~ la ConSI
Box 160
CITY
COUNTY
Crawfordvi 11 e.
"I.·
liP
Wakulla
32327
OFFICE HELD ~h~1";f'f'
PART A -
STATEMENT OF GIFTS, DONATIONS, OR PAVMENTS
PlelSe hlll below each conlflbullon. including any gill. donallon. or paymenl. Ihe value of which ellceeds $100. received by you or on your behalf from any person. group, or organiZallon. not otherwise reqUlled 10 be reponed by Chapt,r 106. Florida Slatutes, Any paymenlln excess of $100 to II nlnner. barbeque. fish Iry. or other such eveI'I shall likewise be deemed a contribution, You are 1'01 required to disclose a gill representing an e_presslOn 01 sympathy and haVing no malerlal benefll or a bona "de gift for personal use from your parenls. Children. grandparents. grandchildren. brolhers. Sisters. unctes. aunts. nephews, nieces. greal-grandparents and great-grandchildren. Nor musl you list honorary m,rnberShlp In SOCIal. service. or Iraternal organlzalions which were presented as a ~ullesy by such organizations. Legislalors need not disclose complimentary parking pllvlleges prOVided by an airport authority (ReqUired by sec. 112.3148. Fla. Stat.) DATE RECEtVED
CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
CONTRIBUTION
none
ICHECK IF CONTINUED ON SEPARATE SHEET PART 8 -
EXPENDITURES OR OTHER DISPOSITION OF GIFTS. DONAnONS OR PAYMENTS
If any payment or disposition Is made from the gifts, donations or payments listed above, please list below the neme and address of ech person WhO receIved such a payment or disposlllon. DATE OF EXPENDITURE
NAME OF RECIPIENT
none
EXPENDITURE OR DISPOSITION
ADDRESS OF RECIPIENT
,
"
I CHECK IF CONTINUED ON SEPARATE SHEET PARTe .. the public o'''e.,r whoae neme appe.,. allhe beginning 0' Ihls form.
do depose on oath and say that the tnformallon dlaelosed herein and on any allac:hments hereto conslltut.s a true, accurate, and total IIsllng of all CQntrtbutiona, expenditures, and dlstrfbutlons required to be reported by section 112.3148. Florida STatules
~E~I~£FICIAl
•
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OATH STATE OF FLORIDA COUNTY OF Wakulla The signature of the public offlcsr whOM flnandallntl. .tl ... dieeloNd herein was swom to and aubscrlbed before me tflll J.Q.. day of JUDO ;
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l'!~TURE OF NOTARY
_ PART D -
- A'
FILING INSTRUCTIONS
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Thl. lorm. when dUty sIgned and :lotarlzed. must be filed with the Departmenr 0' sral•• Division 01 EIec1Ions, Room 1801. The CapItOl. T.lIah..... Flonda 32399. by an offICial who flies Form 6. Full and PubliC Disclosure of FinanCIal Interests. or with the SUD!MfOf 0' by an elacted officer who flies Form 1. Statement 0' RnanCiaI Interests. TtI11 atatement must be fIIod no later than JulY " 1990 for the 1 . calendar year. and Ihould be med together with the Form 8 or Form 1. as applicable.
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FORM 6
FULL AND PUBLIC DISCLOSURE OF FINANCIAL INlCERES:tS=-1988-> .. ,:;[[ INSTRUCTIONS ON RACK OF FOAM, PAA_'T_f
DAVID ijARVEY SHERIFF WAKULLA COUNTY POST OFFICE BOX 160 CRAWFORDVT t ,1.F:, FL 32327
OFFICE HELD
CAPACITY OFFICER
ILiNG
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OFFICE SOUGHT
,
CANDIDATE
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POSITION "
,. OTHER ASSETS AND LIABILITIES IN EXCESS OF $1,000 PART A - ASSETS
PART B - L1ABILITIU
Houlahold Gooda and Parlonal Effectl: Household Goods and Personal Ellects may be reported In a lump sum ,I their aggregate value exceeds S1.000. This category Includes any 01 the lollowlng. II Ilol held lor Inveslmenl pur· poses. lewelry; collections 01 stamps. guns. and numismatic properties. art objects: household equlpmenl and lurnllhlnge: clothing; other household Items: .nd vehicles lor personal use. The aggregate value 01 my household goods and 'p'ersonal ellects as described above Is s--.l.h~QQ. _ Other A...ta oy.r $1,000:
~~-.-.~~O~E~SC~R~I~~I~O~N
Nama and Add,.a. of Credlto,..:
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~-D~!,A~~T·~.,,'1~ll~.~~~~~F~:II~------_+---~20~.04W00~Federa1Lank Bank Residential Rental Realtv. Highway 90 ~=-=-=':';:.~=":"::''':''''''':'':':::,:,;,;,~ p':"F~~::.L.I"----+---.".... 75"""""'00--1 nil i .nt'v
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tArI"" ~nll"A ,. I.~",~ nf land
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in
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n
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Ri vflr
1,\ Tnt in 1 Ar-rp in IVAdpn r in l
T
Mitt'
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Tall Florida Stockton, Whatley & Davin 100 W. Bay Street Jacksonvf11 e, Florida
11f1.FL
41
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1
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Ih K@t1
<:On
, v'CHECK IF CONTINUED ON SEPARATE SHEET
Pla~s
In
31,198
22.875
"'~I~'A~'ln:+'t"ll~R~~al~1t~:'V~ii:lli~=3Em~ S Mortgage Co. ~~ID~""~"':~~~ ,,1 R@~~:' :@altv.C'''ille - - - !22~21~ :'~H05H!0°--l C325& John Knox Road '''.....d
Amount
+-__~~~"FW~E~~Southeast Bank (Fox Hollow Part.)
1-"1C:.:;a-=-sh;.;....,:i....;.;n....;B;;.::a::.:.;n=k +-_~313;;",J, .L.;;;5~00--l 239 E. Vi rg i ni a Street ~";.cmIllQJL~ ~:.tAl. t n r:i.~.:.-.Jw~,:~Lt'~.u.II:IL IllJlaLf. PIJhIlA"" lDIlw:.:1.e.S+.---l1.! 41'Q~.4LUU60~ Tall aha ssee • Flor ida 32301 I
,, ,
Please IIsl below Ihe name and address 01 evelY-person, whether IndIvIdual or corporste. to whom)'Ou owe allablllty8xceeding $1,000 and the amount 01 Indebtedness. As used herein, ""ability" means any monetary debt or obligation owed bY the reportIng person 1o anolher person, excluding the following: credit card and retail Install· menl accounts; laxes owed: Indebtedneaa on a II Ie InsurMce polley owed to the compally 01 Issuallce; contingent IIsbllltles; or accrued Illcome taxe, on net unresllzed appreclallo""
17 .402 7,500
Deposit Guaranty Mortgage Co. P. O. Box 1193
4,.000
2: 042
7n non" I
au..
:i nni
]q21 !i
Ii 147
ytCHECK IF CONTINUED ON SEPARATE SHEET
PART C - NET WORTH Net worth is the dIfference betweell tor., assets 3nd tor., h.blllt.... not merely those listed abOve having a value In exceas 01 '1.000. PI.... enter the value 01 your net worth as 01 December 31. 1988. or a more current date
PART D - INCOME The Sunshille Amendment allo",s you the opportunity to ltIe ellher a copy 01 your most recent lederal Income lax return or a sworn atatemenl whIch Idenllfles eact! separate sou~e and amount 01 Income which exceeds S1,OOO. lncludlllQ lecondary lou~es 01 Income Please Indicate by Ch"ck1ng below WhiCh 01 Ihe two alternatlye melhods 01 Income disclosure you heve chosen to make.
I ELECT TO:
o
F,le a copy 01 my most recent ledera',ncome lax relurn (II you check thiS box and anach a coPY 01 your 1988 tax return. yOu need nOl complete the remalllder 01 Part 0 I File a sworn statement IdenlrlylllO each separale source and amounl 01 Income In 1988 which ••ceeded $1.000 Inchldlng secondary SOI.(1'('~ 01 Income .. shOWn In Part D. continued on the reve,...
.ide.
toft
PART 0 -
I
INCOME (CONTlfiUEO)
--.:.-....;.:------
~ PRIMARY SOURCES OF INCOME Plpa!>!)
,(jtll1lof y
lJaltllll a
f-
each
R""rti
SIl~J.lrale ~OIHCI'
and amount 01 ,,,come
trI
e.ct1SS of 5' 000 Thill
SOURce OF INCOME nf ('''"ntv ('l'VT'nIi....
YOll
received
In
19BI'
AMOUNT
ADDRESS OF SOURCE
r
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lCHECK IF CONTINUED ON SEPARATE SHEET
SECONDARY SOURCES OF INCOME
II. dUring 1988. you owned dlreclly or Indirectly In excess 01 5% 01 the tOla' assets or capital stock 01 any business entity and you derived over $1,000 income Irom such business entIty, Ihen you must IrSI each source 01 Income 10 the business entity which exceeded 10% 01 Ihe business entity's "total mcome" as shown on thaI bUSiness entity's most recenlly IIled Income tax return,
NAME OF BUSINESS ENTITY IN WHICH YOU aNN OVER 5% OF THE ASSElS OR CAPITAL STOCK AND FRO'" WHICH YOU RECEIVED OVER S1,I)(1O DURING 1988
•
NAME OF MAJOR SOURCES OF BUSINESS ENTlTY'S INCOME
ADDRESS
I, the public ottlcer. employee. or candidate WhoH na",e appearaat the beginning ot this 'onn. do depose on oath and Ny Ihal Ihe Intormatlon dIsclosed heretn and On any a/lachmenl. hereto are true. correct, and
comple~ be.t:1 my kftOWl8d1:'d _
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DESCRIPTION OF THE SOURCE'S PRINCIPAL BUSINESS ACTIVITY
STATE OF FLORIDA COUNTY OF
uN" e "n<
The slgnalu of Ihe public officer, .mployee, or. candidate who.. t1n.nc:lallnt I. are dllCloeed haN'n ~ ~m and .u~rlbed befo... me Ihli d., of &.:. 0." , ,~.
belief.
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SIGNATURE OF REPORTING OFFICIAL OR CANOI~E
WHERE TO FItE, Incumben'- ftIe ""'" II.- 0.
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PI'1Inenl of Slate,"" 1101, The CapfIoI. Aarida 3ZlIlI c.rd:tIIIIlI NIl - . .... oIfiow betn whom ",,~,
mull'" no ... ..,,;.-,
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1. ,• • CanllIdII.- II'UIt . . prior ID ar
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a-ro.c-..-...-.. .....e-.of . . ~ .
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FORM •• AIV. t. .
PART F INSTRUcrJONS HOW TOCCMIPl.Y: II.I By ~ and -ang.-en . . . and .-ell ...., III _ aI "C1llO. To lid you In ~ ... WIIuirtg
~
IUd! . . . . and ...... 1Plt
on etlIca IUlIIlI'IIIIIle IllIIowIn;:
~·AtII"'''''lIe~." IDcIIlon ~ All . . . . . . . . . ~ arthe P'Gf*'Y 1IllIl'IIIIr" • 11m ~ IIIDCb Md bondI ....... lIe --.cltlt' 1D ...-: Md . . . . . ~ IhIUd be IdII'IlIIl..s tit' o f . . . ~ &ch lIIt*y IIlClIlId tie ........, by IIInQ 1Plt _ Ind . . . . bl .. cndIIIrlr
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of IhI dIClt ar, • JIIU . . JuI!:llIr !\t!IflOl1llblw 1Ilt_ ~
of I PlJI1IIln elf ,I . . , . JGW pro till fA . .
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(OJ M lnbInIIlOft dIl:Ioeed on . . IDrm .. ,....., '" - - - -"OuId tie ...... lleIed IlO'l 1Plt e:toaInO prQ IlO'l. In to lie 91*' urar Cldl llebe 19*'0" IDrm, rau dIda ",a.lIlClkl 01 I*IOfIII ~ mull. ." . of a "*'Y jllAIIIC aroe. pIrIDn JOIflltJ..., ..,.."...... fOI' IhIUd tie ~. .1Ul!'cIOtnd III ~ OI1lIa Ill . . . . . ID . . . . and lla.-et Clf'I fOI' IeOIf ~ of -.....p. and \IOU ..... .... to . . VIIcIIy aI ,eM lIIIIJIIlure IIllllell*'t pruwIded ~to_ . . . . . . " , . ~ ~ t o In "-' E. IIDO\IW MIcIe R, k1lDn e, FlarillII ConIaIuIIan ,our CIIIIUI 01 eQUllV _ _ .. IIIaI lMIr.- ~ (lfle 8unllIWIe ~ -..cs rtJIIffItr IIy • Iluabencl _ ..... ftIIleIS tie oeparlad .. 1Dll'lt 01 You _ CIMlNd '" - . an ........
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Form 6. Page 1 Part B - Llabliltles. contlnyed
Abbi. Roddenb.rry
3206 a•• con Drlve
Tall.ha~see.
Florid~
3e301 17,:500
Arthur' Robinson P. O. 80)( 137ge
TallahAssee. Florida 3c317
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GIFTS AND OTHER NON·CAMPAIGN CONTRIBUTIONS TO ELECTED STATE, COUNTY AND MUNICIPAL OFFICERS 1988
FORrJl 7
• LAST NAME - FIRST NAME - MIDDLE NAME
Harvev
STA TEMENT FOR CALENDAR YEAR ENDING DECEMBER 31, 1988
David Fulton
..
NAME OF AGENCY
MAILING ADDRESS
W~klJl h
Pnc:.t Off; rp Rmc 1F;O CITY
COUNTY
Wakulla
r rawford\J 111e
OFfiCE HELD
OATE TERM EXPIRES
,
lQQ3
.1:a nllla .. v t QAQ ELECTED OFFICE HelD IS ~~ COUNTY OFFICE U STATE OFFICE
371?7
Sheriff PART A -
County Sh~riff 's DeJartment
DATE TERM BEGAN
liP
l_ MUNICIPAL OFFIC':E
STATEMENT OF QIFTS, DONATIONS. OR PAYMENTS
Please hsl below each concrl~l/tlon. Including any gill. dona\lon, oc payment. the value of which exceeds $100. received by you or on your behalf from any person, group, or organization. nol olherwlse reqUIred Ic be reported by Chapler 106. Florida Statules. Any payment in excess of $100 10 a dinner. barbeque. fish fry. or other such evenl shall likeWise be deemed a COnlrlbulion. You are nol required 10 disclose a gift representing an expressIOn of Iympalhy and haVing no material benelil or a bona tide gill lor persona' use from your parenta, children, gnlOdparenls, grand· children. brolhers. 1181ers, uncles. aunll. nephews. nieces. greal-grandpltrenls and great-grandchildren. Nor mUll you IIsl honorary membership In socl"', lervlce, or Iralernal organlzalions which were presenled as a courtesy by such organlzalions, Leglslalora need not disclo8e compllmen· lary parking prIVIleges prOVIded by an airport aUIt!orlty, [Requrred by Sec 111,011. Fla. Slat.) DATE RECEIVED
CONTRIBUTION
ADDRESS OF CONTRIBUTOR
CONTRIBUTOR
None
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PART 8 - EXPENDITURES OR OTHER DISPOSmON OF QIFTS. DONATIONS. OR PAYUEHTS
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II any ~nl or dlspoIUlon II mllde lrom Ihe gllll, donations or paymenls tilled abaft, pl.... II.t below the name and Ilddf888 0' elCh ~~ who received such a payment or dlspoIIl,on, DATE OF EXPENomJRE
EXPENDrTURE
"'AME ')F RECIPlEIoIT
ADDRESS OF RECIPIENT
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OATH
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I. the pubtlc officer ....hose name appears 8tlhe beginning Ollhll lorm,
STATE OF FtDRIDA
do depose on oath and aay tha' Ihe Information dlscloled herein and
COUNTY OFGC)
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The slgnalu,. of I'"
required 10 be
closed herein ~ end aubacrfbed belO,. me thl•
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SIGNATURE OF REPORTING OFFIt"fAL
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IXATURE OF NOT'ARY.I~ r a.. all''_'.. '7k. ~ .. .
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FILlNQ INSTRUCTIONS
.6.1,
DATE COMMISSION EXPIRES
111.._
...... S~' af Rdrik , .... Secl'-Q. ,
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~11t.... '''''_·~-Thea tonn. When Ouly atgned and notarized, mUlt be l,teeS with lhe Dtpartmtol of StAI'. 0IvtI1on 01 Elac:tlona, Room 1801. Th' c.piIOl, T........... F10rida 32399. by an t\eClecl .We omcer, or with the SYAtMR 01 E!tctIonI by Ileded county otftcer or an tItct«t munldpal ontcer. Ttl.. "atement mutt be tiled no laler Ihan July 1, 1989 lor lhe 1D88 calendar ye&I'. '
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FULL· AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS_1986~
f:ORM 6 I.A~T
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nRST r-tA'-4E -
MIDDLE INITIAL
• SEE INSTRUCTIONS ON lACK OF FORM. 'ART F FILING CAPACITY OFFICE HELO
Harvey, David F.
X' OFFlCUI
MAILING ADDREbS
Sheri ff OF~ICE SOUGH'
Pnc:.t Offirp Rmr 1"n CITY
CANDIOATE
liP
Crawfordville
COUNTY
32327
POSITION
Wakull a
OTHER
ASSETS AND LIABILITIES IN EXCESS OF $1,000 PART A - ASSETS
PART II - LIABILITIES
Houaehold Goods Ind Person.1 Ellecll' H('ll~f'",.lll (iuods ilnd Personll ElloCIli may b', ,eported In II Iu',,;' '" " '!'PH aggregale value e~ct!eds $1 ()()(l ThIS calegory InCllJ,l ; any 01 Ihe 1('lIow,"O. " nol held 1(11 '''v".Imenl pur PO""~ Icw!,l!) C"olleCllons 01 slamps, guns d'1(1 numlsmillc pH,pI": .e .. all OUI"CI •. houllehold equlpmenl a"t1lurnlshlnos. r. IOIr--lIIQ olhe, household Ilems. and vehicles lor person.1 use The aygrpgale value 01 my household goodS and persona' elleels
Ple.le IIsl below Ihe name and .dclreu 01 8Vftry porson. ""hfllnl" Indlvldu.1 or corporalfl, 10 whOm you OW8 • h.tllhly o.ceed,ng ~ 1 ()(l(l andlhe amount 01 In,'ebtedneu AI lIud hfl,e,n hab'lily' ",81\0<' any monOllly debl (II obhOAllon owed by In" rrp
Amounl
VALUE
~C~a-sT;h~i-n~B~a-n~k~~~~---------+--~~l~/~,n~IIU~)IUHSoutheast
35.500
Bank (Fox Hollow Partner ~C~:~~ln---mo,'n-~SI~t:o~"c-:k-----W~';a~k:L~ul~l~a-P~h-la-rm-la-lc-i-e'~~---~I~O~O~'O~O~O 239 E. Virginia Street Residence and 8 Acres 42 sao Tallahassee. Florida 32301 Residential Rental Realty. Talco F d 1 La nan d B k r-'-'-...R ....~ r1~::..:..'-"T''-.-=II"::' '-, 1":"'1--'~' ~::..:._.;...:_:.:::~:..:.._--:';''::'::::''F1~'-L-'''':''='''';'':'~----?(l-n-nn-i e era
24.500
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~-Q'-("~;i Q,l1J, AI, ....a.....',.J,tLJ:;U",.J.,...aln Q'C",.ll, d n +.f.",e....'Q.J,a~.,"'-',-+-----+---~Laj,/1LU...lH i 9hway 90 rw~(~~~ ,14-4-:i'~ 11~e~~Fl:-W;:.Q.J.~""'---+----:1-=0.0~IO::-::O:-lOQU i nc V F1 0 rid a Rt>c:.irlpnti.:l1 Rt>nh' R~.:lltv Iwakulla Co. State Bank
11. 952
~;..;jr"" r·..... ,.:l1'w=U r·.Q.,rllv ....;"""'·1>'<;1't>~"~~I~'-"-1----+---?Q-n---lnoH i ghway 319 f "n....
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r i a l Rental Rpi\ tv C'lIillf' ?: rawfordvi11e, Florida 32327 Bpdroom Hou,E' ~, 1 4:,.. I Ar:rpc. of land C ·ow ,vil e ... & S Mortgage Co. f-I-n.......... ve....s.... t ..........;t...J.n--±'paw.lrWtUn-e¥.r~s h"":i~p~..Ir*" (F oLox~H.ao"'" 11....c+-~",)---z4*1-"+i • ,~32 5 John Knox Road 1/41nt in ln~i Arrpc;. li:lnd lallahassee. Florida ~C~r~a~w~fo~r~'d~'v~'_1~le~ ~~~__+-__~2~5,O~OO~Stockton, ~hatley & Davin ::~: f--ALI-..4I~n.... ,t~i n-:-2!,",'1....2........ a1c.... :r....so"'--e~ ........ fl..,.a......,.,. nd _-+-_--=-=-::-=-1100 W. Bay Street '-', • r-:-"C~r~dl-,:,-W/ 0,,-'r....:ocdl~ v i· ':...:11-,,-_ e _-:--:~-:--_ _+-_--=2=-8,L:l:.::2;,;;,5-f\Jla ck s on v 111 e. Flo ri da l • ~. 1/2 Int. in 1 acre of land ~(::'~ ~,&~ '~'Af'~;'1~1~ P~:-o:t:it:::~~'D"l';±;;__~37~50i4secu r ity F1rs t Fede ra 1 S & l. ~ . I Vested Intprest in Ret;~I1~ Pl Ins 9.267 rt 40 N. Monroe St. ;, . 1--'-' --L>.l .L..-I Io.II.-.l...L) ----~ ~\"a 11 ahas see. Flo rid a 323 a1 .'.
17.500
1
7,.500
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~'rthur Robinson f - - - - - - - - - - - - - - - + - - - - - - f o . O . Box 13792 lallahassee. Florida
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PART C - NET WORTH 1'". (1,flr'once Out ween rorlll ossets and ro,,,1 lIab,lltlos nol merely Ihoae IIs1ed
the v.)IU~ 0 1 Y(JU'
net worlh as 01 December 31. 1986, or
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)CHECK IF CONT INU~ 0 ON SEPARATE SHEET Nel worth
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.bov" hAving .....Iue In excess 01 $1.000
Please
mont currenl dale
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PART D - INCOME
•
The Sunsh,np Amen(trnenl allordt you Ihe oppOrlun'Iy hl Ille e,ther a copy 01 your mOl' recenl leder.llneome I •• return 01 • Iworn tI.lemenl WhIch ,den"I,ps each !leparate SOurClt and amounl 01 ,"(.ome which exceed. $1.000, Including lecondary 10UICea 01 Income Plene Indlc.IlI by check,ng bf'low wh'ch 01 the Iwo a"ernall...e melnOllll 01 Income disclosure you h~ cho.en I" m.ke
I ElECT TO
f 11111' copy 01 my mOil teeenl "Idoral Income lax telurn
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nood nOl complolfl I"e romlllnt1 ..r 01 P.,I
OJ
III you check Ihlt 00. and
.lIac". copy 01 you' IBM t.l< re1urn.
.nn amounl 01 Income In ,QNl Wrlll h '"' "".t1~"
(10(11'" huh"ll
PART D - INCOME ICONTINUED) PRIMARY SOURCES OF INCOME n", .. , f' 1·1",,., " f',J' t, ,epft'lIlfl1 "."Uf'
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ADDRESS OF SOURCE
CHECK IF CONTINUED ON SEPARATE SHEET
SECONDARY SOURCES OF INCOME II ""-I'.r; ~'J1\6 ~rHl 0wne<1 d"eC1Iy (\1 ."\I,,er,1Iy or' .... cHIS 0' ~'" 0' lhCO 10lllltSSlls or ClllllAllllOCk 0' Iny I,U~"'(I~~ .,nl'l, .nC rc>u " .. , ..",1 S' 1....0 'nco"'e "om such tlu!\tnes,; Pnilly, thf'" '1'011 musl list "ach sourclt Incomlt to .tlft bUSIness ftnllly whlC" ftHC'fOcl ..,j 10". of t'.l'· .. ··· " t''''·1 ('. tnlal In('om!!' a~ .. ~." ... " lin ,hltt r..,l\,neSlI lln'.'y r. mo,1 rllCftnlly Income la' relul"
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NAME or BUSINESS ENTflY IN WHICI~ YOU OWN OVER 0;', OF TI~E ASSFTS OH
NAME OF MAJOR SOURCES BUSINES~ ENTITY'S
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~)lSCRIPTION
AODRE-SS
THE
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PRI~CIPAl
INCOME
B,'!>I'~£S!-i
ACTIVITY
CAPITAl ~TOCK AND FROM WHIC~ vOU RECEIVED OilER S1 000 ['tiRING 191\6
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STAH OF FLORIDA
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INSTRUCTIONS '" /.'" ~;.;.;,;;~---~---------
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Part B- Liabiliti .... continuud
Abbie Roddenberry 3206 B.acon Drive Tallaha ••••• Florida
•
22,000 32301
Wakulla County State Bank Highway 319 Crawfordville. Flor1da 323~'?'
43.032
Not.e Payable. Woodland
2~.000
H.rita~J.
Not.e Payabl •• fi.her Cr•• k Wakulla County State oank H1qhway 319
Crawfordvill ... flor1da 32327
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