You are on page 1of 4

FORM 6 FULL AND PUBLIC DISCLOSURE OF

. or type your name,


address, agency name, and position below
FINANCIAL INTERESTS
.-
. .; . .
. .. .
, . .*
2011
. ,
. I .
. .
) . . J ' 1
---:-:-=---:-:-:::--::C::-:=-:-==---C=:-: --__ ---------------------. , : r \:. ,l.., ,_ .
LAST NAME - FIRST NAME - MIDDLE NAME: FOR OFFICE
Gi Hon. h Anth USE ONLY: 2012 JUN -1
MAILING ADDRESS.
AM 9: It!

Hallandale Beach
33009-2893 Broward
10 No.
NAME OF AGENCY:
State House of District 105
Cont. Code
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
P Req.Code
State House of .:D;.::is;;.:t;.:ri::;,ct:..l:;O;;.:O:.-________ _
CHECK IF THIS IS A FILING BY A CANDIDATE liZ!
PART A -- \\ORTH
Please enter the value of your net worth as of December 31,2011, or a more current date. [Note: Net worth IS not calculated by subtracting your reported
liabllrtles from your reported assets, so please see the instructions on page 3.1
Mynetworthasof __ __ _
20 11 was $ 105,000,00
PART B -- AS,-\c rs
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 rny household goods and personal effects (described above) is $ ....:7..:5","'0,,0::0::."'0,,0'__ ____________ _
ASSETS INDIVIDUALLY VALUED AT OVER $1,000:
DESCRIPTION OF ASSET - see instructions
Condominium Home- 300 Three I Hallandale FI
Docks- 300 Hallandale FI
Bank Account
PART C -- LIABILITIES
LIABILITIES IN EXCESS OF $1,000 (See Instructions on page 4):
NAME AND ADDRESS OF CREDITOR
Ocwen PO Box Carol NY
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF CREDITOR
CE F'ORM 6 January 1 2012 ReIer 10 Rule 34-8002(1) FA C (Continued on reverse side)
VALUE OF ASSET
AMOUNT OF LIABILITY
$ 337,00.00
AMOUNT OF LIABILITY
PAGE 1
PART D -- I 'liCO\IE
j ) '. ,",
You may EITHER (1) file a complete copy of your 2011 federal income tax return, IPcluding all W2's, schedules, bMii-file a sworn state-
ment identifying each separate source and amount of Income which exceeds $1,01](- Including secondary pompieting the remainder
of Part D. below. .
CJ r elect to file a copy of my 2011 federal income tax return and all W2's, schedl..les, and attachments 2012 JUN -7 AH 9:,.,
[If you check this box and attach a copy of your 2011 tax return. you need not complete the remainder of Part D.]
PRIMARY SOURCES OF INCOME (See instructions on page 5): J hE:;,
NAME OF SOURCE OF INCOME EXCEEDING $1,000 ADORe,oS OF SOURCE OF INoSI,'{ISION OF
Akerman Senterfitt 255 S, FI
State of Florida 402 S. Monroe FI
Solutions 101 E Union Jacksonville, FI
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of owned by reporting person--see instructions on page 5]:
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
PART E -- INTERESTS IN SPECIFIED BLSINESSES Ilnstructions on page 51
NAME DF
ADDRESS OF I1L.,,.,-__ +-_____________________ +-__________ _
OATH
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,
and complete,
STATE OF FLO!l'ci
COUNTY OF . i0 9U:Y"-,- \Ii
Sworn to (or fiffirmed) and subscribed before me this -->k,,,,-_'S. __ day of
,
, Of
Personally Known G /'
OR Produced Identification ___ _
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 6 . Effective Janl1ary 1 2012 Re1er to Rule 34-8 002(1) A C PAGE 2

FORM 6 FULL AND PUBLIC DISCLOSURE OF 2009
------------------ ------------------
FINANCIAL INTERESTS F I LED
1"11",11,11"",1,1,,11,,1,1,,1,,1,,,11,,11,,1,1,11,"",111
Hon Joseph Anthony Gibbons
State Representative, District 105
House Of Representatives
Elected Constitutional Officer
SUITE 203, PEMBROKE PARK TOWN HALL
3150 SW 52nd Avenue
PEMBROKE PARK, FL 33023-5413
CHECK IF THIS IS A FILING BY A CANDIDATE 0
PART A - NET WORTH
FOR OFFICE
USE ONLy:l0 JUN 10 MHO: ~ O
ID Code
10 No.
85565
Cont. Code
P. Req. Code
Gibbons, Joseph Anthony
Please enter the value of your net worth as of December 31, 2009, 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 3.1
My net worth as of Oc;c.
e
f?Jbe720 diwas$ 05 000,0
0
PART B -- ASSETS
HOUSEHOLD GOODS AND PERSONAL EFFECTS:
Household goods and personal effects may be reported in a lump sum jf 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 $ 55 OJ C) (...1) ~ 0 0
ASSETS INDIVIDUALLY VALUED AT OVER $1,000:
DESCRIPTION OF ASSET - see instructions
PART C -- LIABILITIES
LIABILITIES IN EXCESS OF $1,000:
-:- ____ -,; NAME AND ADDRESS:..c.O.:,F:-C-'-R-'E'-D'-IT-'O_R ________ - - - , _ - - - ; ; - ~ - ; : : ; : : ; ; : : ; : - ~ : : - - -
JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE:
NAME AND ADDRESS OF
CE FORM 6 - Eff. 112010 (Continued on reverse side)
VALUE OF ASSET
o
OF LIABILITY
AMOUNT OF LIABILITY
PAGE 1
PART D - INCOME
You may EITHER (1) fife a complete copy of your 2009 federal income tax return, including aU 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.
o r elect to file a copy of my 2009 federal income tax return. (If you check this box and attach a copy of your 2009 tax return, you need not complete
the remainder of Part 0.1
PRIMARY SOURCES OF INCOME:
SECONDARY SOURCES OF INCOME [Major customers, clients, etc., of businesses owned by reporting person-see instructions]:
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
PART E -- INTERESTS IN SPECIFIED BUSINESSES
NAME OF
PRINCIPAL BUSINESS
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0
OATH
I, the person whose name appears at the
STATE OF FLORIDA
COUNTY OF
subscribed before me this __ -<-f<-_ day of
beginning of this form, do depose on oath or affirmation
and say that the information disclosed on this form
,L ~ ~ _ " 20 jQ by __ --:-______ _
and any attachments hereto is true, accurate,
and complete.
of Notary Public-State 0

GiG.U It. &=ilf!IMlb
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known *Y
OR Produced Identification ____ _
of Identification Produced
FILING INSTRUCTIONS for when and where to file this form are located at the top of
INSTRUCTIONS on who must file this form and how to fill it out begin on page 3.
lTHER FORMS you may need to file are described on page 6.
;E FORM 6 - Elf. 1/2010 PAGE 2

You might also like