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FULLAND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS FOR OFFICE USE ONLY: FLORIDA COMMISSION ON ETHICS "AUTO"MOXED AADC 32318 175890, JUN 27 1019 Dennis C Moss Elected Constitutional Officer D ID Code (M Crt Const PROCESSE Miami, FL 33167-4081 ID No. 30783 Haat Teeet ee Datla Label CHECK IF THIS ISAFILING BYACANDIDATE PART A~ NET WORTH Please enter the value of your net worth as of December 31, 2018 or a more current date. [Note: Net worth is not cal- culated by subtracting your reported liabilities from your reported assets, so please see the instructions on page 3.) Conf. Code Moss, Dennis C My net worth as of DECEMBER 31 2018 was $ 475,228 PART B~ ASSETS. HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal efects may be reported in 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; at objects, household equipment and fumishings; cothing; other household items; and vehicies for personal use, whether owed or leased. ‘The aggregate value of my household goods and personal elects (described above) is $50,000 [ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description is required - seo instructions p.4) VALUE OF ASSET HOUSE JOINTLY OWNED W/WIFE @ 17125 sw 109 courr 91,109 GONDO JOINTLY OWNED W/WIFE @ 8670 SW 149 AVENUE UNIT 114 lL05,609 WUMULTLES/GHASE BANK/DADE COUNTY FED CREDTT UNTON accouyr lon ooo ‘TOTAL 546,258 PARTC LIABILITIES IN EXCESS OF $1,000 (See instructions on page 4); NAME AND ADDRESS OF CREDITOR LIABILITIES AMOUNT OF LIABILITY 7 CR. SITTS 7,258 JOINT AND SEVERAL UABILTIES NOT REPORTED ABOVE: NAME AND ADORESS OF CREDITOR AMOUNT OF LIABILITY TETRIS ego ST Tat Ta TCET PART D ~ INCOME, ‘dontty each separate source and amount of income which exceaded $1,000 during the year, Intuding secondary sources of income. Or attach a compl copy of your 2048 federal Income tax return, including all W2s, schedules, and attachments. Please redact any socal secur or account numbers before fttaching your returns, as the law requires these documents be posted tothe Commissions website Detect o fe «copy of my 2018 federal income ax return an all W2's, schedules, and attachments Ifyou check tis bor and atach a copy of your 2018 tax return, you ned not complete the remainder of Part D] PRIMARY SOURCES OF INCOME (See instructions on page 5): NAME OF SOURCE OF INCOME EXCEEDING $1,000 ADDRESS OF SOURCE OF INCOME AMOUNT. | MraMT-DADE COUNTY GOVERNMENE __[1ii Ww 1ST ST SUTTE 2320 MIAMI, 133178 46356 J SOC. SEC. ADMINISTRATION 1200 REV. ABRAHAM WOODS JR. BLVD BIRM, 1134 ‘SECONDARY SOURCES OF INCOME [Major customers, cents, ec, of businesses owned by reporting person~see instuctions 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 BUSINESSES [Instructions on page 6] BUSINESS ENTITY # 1 BUSINESS ENTITY #2 BUSINESS ENTITY 83 NAME OF, BUSINESS ENTITY "ADDRESS OF BUSINESS ENTITY, PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY TOWN MORE THANA 5% INTEREST IN THE BUSINESS. NATURE OF MY. OWNERSHIP INTEREST PART F- TRAINING For officers required to complete annual ethics training pursuant to section 112.3142, FS. (I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. ISTATE OF FLORIDA OATH COUNTY OF tian “Dade |, the person whose name appears at the ‘Sworn to (or affirmed) and subscribed before me this 26 day of beginning ofthis frm, do depose on oath or affirmation 5, 2019 tye Lanka Abs ‘and say that the information disclosed on this form Lo and any etches hereto iste, acute, ea oe roam ae a aed complet. esi vy comasonecost¢ bh) fede XPRES JL 05, 2021 Ii peo Sa Corio Name Ne 1S Db oh Personally Known (OR Produced Identcation > SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE Type of lentification Produced _°¢ _2L. Tf a certified public accountant licensed under Chapter 473, or attomey in good standing withthe Florida Bar prepared this form for you, he or she must complete the following statement — — prepared the CE Form 6 in accordance with Art. I, Sec 8, Florida Constitution, Section 172.3744, Florida Statutes, and the lndtudions to the form, Upon my reasonable knowledge and belief, the disclosure herein is true and correct, Signature Date Preparation of this form by a CPA or attorney does not relieve the filer of the responsibility to sign the form under oath. IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK 8 TEFORNS Etecme tray 19 PAGED Ireorsbated by rltnae m Rul 3-002), FAC,

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