Professional Documents
Culture Documents
Sheriff Harvey Financial Disclosure Documents
Sheriff Harvey Financial Disclosure Documents
PART B - ASSETS
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) VALUE OF ASSET
See 2l.4-4
.
PART C -- LIABILITIES
LIABILITIES IN EXCESS OF $1,000:
See Attachment
• o
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.
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:
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
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
PRINCIPAL BUSINESS
~1Iil
••••••••••••••••••••••••••••••••••••
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0
OATH ~6~~Fa'::LORIDA Wakulla
---------------
I. the person whose name appears at the 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 June .20 09 by David F. Harvey
and any attachments hereto IS true. accurate,
and complete
~ l" 1~n ""...... . t-Pr"A
(Slgn'tu'!e of~ry PUblic-Stat~1 FIO~W'J
$~~~'?f~ Judy Langston
'.J
~. U So~mission. # 00536198
FILING INSTRUCTIONS for when and where to file this form are located at the top of page 3.
INSTRUCTIONS on who must file this form and how to fill It out begin on page 3.
1/3 Interest Crawfordville Financial Partnership LLC S 160,000.00 1/3 Interest Farmers & Merchants Bank, Tall., FL S 160,000.00
1/2 Interest Benus Plaza LLC S 500,000.00 1/2 Interest Ameris Bank, Crawfordville, Fl S 245,000.00
1/2 Interest Foxway Property S 430,000.00 1/2 Interest Chase Bank & AmSouth, Tall., FL S 160,000.00
1/2 Interest Benus Farm S 400,000.00 1/2 Interest Tallahassee Bank, Tall., FL S 156,000.00
1/2 Interest Benus Maint. S 10,000.00
1/2 Interest Benus Properties S 540,000.00
1/3 Interest BMH Properties S 100,000.00
1/2 Interest HL Ventures S 750,000.00 1/2 Interest Ameris Bank, Crawfordville, FL S 750,000.00
1/4 Interest Wildwood Golf S 650,000.00 1/4 Interest Wakulla Bank, Crawfordville, Fl S 590,000.00
--------------_. CI ct
...
t
..
•
Harvey
FORM 6
COMMISSIOH OH El hI..
OAlERECEMO
MAILING ADDRESS: JJL () 2 2008
15 Oak Street
\0 Code
Crawfordville, Florida
D 32327 Wakulla
'10 No
\~\~~
NAME OF AGENCY
Conf. Code /
Wakulla County Sheriffs Office
NAME OF OFFICE OR POSITION HELD OR SOUGHT' .' P. Req. Code
Sheriff . : I', { v .
iI.~, '. .., ' .
CHECK IF THIS IS A FILING BY A CANDIDATE IJ ~. -' "'-</~,V-~" ,"'
'..,,1~~ l.:
,
\,
\
PART A - NET WORTH
Please enter the value of your net worth as of December 31,2007, or a more current date. [Note: Net worth Is not calculated by subtracting your reported
liabilities from your reported assets, so please see the instructions on page 3.J
_-:J
o;MYIleLw()rt~'as:-of,-Decemb8r 31,- " - -;:20'08 -wa5'$ 2,815.245.00,
PART B - ASSETS
The aggregate value of my household goods and pel'SOnal effects (described above) is $ See Attachment For Detail
,
., .,
PART C - LIABILITIES
UABlLITIES IN EXCESS OF $1,000:
.; NAME AND ADDRESS OF CREDITOR AMOUNT OF UABIUTY
• IJ
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.
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 nnn "'''' <1.f'l1 II)I"~ f'I~ 'hJ"'f'I"~
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
DI 1<1.''''<:'''''' I=NTITV f'I~ D""""'<:"''''' IN('flUI= f'l1=
~~,~,.?.f", .. NTITV
~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 liD
OATH STATE OF FLORIDA
COUNTY OF l ,? Q. \<."'-\\ p,.
I, the person whose name appears at the Swom to (or affinned) and subscribed before me this 'J. '1 "... day of
beginning of thIS form, do depose on oath or effirmation
and say that the Information disclosed on this form
and any attachments hereto is true, accurate,
(S
~ ) (~ 'lOt..,.......... """Alll4 ......
.. ~l: '~ lPIWW ~
, ,
J/k~V
SlMATURE OF REPORnNG OFFICIAL OR CANDID lE
11
(Print, Type, 0
Personally Known
·VU8J~ P
,~
ry Public)
Identification
•
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•
)
~
1/2 INT SEI Priva1e Trust, Oaks, PA
·v1/3INT Crawfordville FinanCIal Partnership LLC, Crawfordville, FL
./1/2 (NT 8enus Plaza LLC, Crawfordville, FL
$
$
$
45,000.00
150,000.00
500,000.00
Farmer's & Merchants Bank, Tall,FL (1I3INT)
Ameris Bank, Crawfordville, FL
$
$
150,000.00
200,000.00
~ -<114-INTwal«llllr:COUrthouse~Annex Partnersffip:CraWfo7(lVilJe;jFL $ 380.000.00 Ameris Bank, Crawfordville, FL (1/4 INT) $ 375,000.00
V1/2INT Fox Way LLC, Crawfordville, FL $ 140,000.00 Chase Bank (1/2 INT) $ 134,000.00
AM South Bank. Tallahassee $ 26,000.00
v1121NT 8enus Farm LLC $ 400,000.00 Tallahassee Bank, Tallahassee, FL $ 200,00000
~
~.
J 1121NT Plaza Tower, Tallahassee, FL
1/3 INT Carrabelle Lot, Carrabelle, FL
IRA Account, Tallahassee, FL
F,,!Q!id~~ent System - Drop, Tallahassee, FL
$
$
$
$
5,000.00
15,000.00
16.551.00
250,000.00
~ --1121NT Hl:Ventilled:LC;-~Crawfordville;-:l;b $
800,000.00 Ameris Bank, Crawfordville, Fl $ 750,000.00
A/4 INT Wildwood Golf LlC, Crawfordville, -FL ~~~Y.p.,f$ 650,000.00 Wakulla Bank,Crawfordville, FL $ 525,00000
1/41NT Barry Interprises Inc., Crawfordville, FL_~'\ $ 1,100.000.00 Wakulla Bank, Crawfordville, Fl $ 975,000.00
1/3 INT Wakulla Investment & Timber Co., LLC, Cr wfordville, FL $ 5,000.00
Deferred Compensation, carmel, IN $ 287,000.00
V1/3INT BMH LLC, CrawfordVille, FL $ 100,000.00
1/2 INT 2-BR Townhouse, Panacea, FL $ 125,000.00
TOTAL ASSETS S 6,&97,246.00 TOTAL LIABILITIES S 3,722,000.00
Part D • INCOME
Capital Gains
$ 196,526.00 $ 2,875,245.00
IRA Distribution $ 14,332.00
Real Estate Rentals, Pships, S-Corps, trust, etc. $ (281,288.00)
TOTAL INCOME $ 169,291.00
• FORM 6
LAST NAME
Harvey
FIRST NAME
David
FULL AND PUBLIC DISCLOSURE OF
PI_e pllnt or type your nam., mailing I :
eclclntaa, agency name, and pcIlIltlon below :
MIDDLE NAME:
Fulton
C2006-=
FINANCIAL INTERESTS I COWISStON ON ETHICS
FOR OFFICE
USE ONLY:
DATE RECEIVED
JlIL 0 6 ZOU1
MAILING ADDRESS
15 Oak Street
lD Code
Crawfordville, Florida 32327 Wakulla
CITY
Wakulla County Shentrs Office
ZIP' COUNTY
10 No. 1'2-1 "1'0
NAME OF AGENCY
ri Q
Cont. Code
Sheriff ., " ;;: JC.
fi=J, ~
NAME OF OFFICE OR POSITION HELD OR SOUGHT, ' tK\~})(~ lE@~
i7P
"
r-:J
Code
The aggregate value of my household goods and personal effects (descnbed above) IS $ See Attached Detail
PART C -. LIABILITIES
LIABtLITIES IN EXCESS OF $1.000:
NAME AND ADDRESS OF CREDITOR AMOUNT OF UABIUTY
• 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:
-- - -- -- -- -- -- - --- -- -- --
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
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE
ACTIVITY OF SOURCE
•
NAME OF I=NTITV 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
D
OATH STATE OF FLORIDA W k 11
COUNTY OF a u a
and say that the Informabon dlsdosed on thiS form July David F. Harvey
,20-!}2bY
~~
and any attachments hereto is true, accurate,
1...}
?:;?~
e..-r J~ ./
(Signatu ·"'.reDtld u.,)
-::
Commhil;on'D0401919 0
Expi r ,,& Mlroh 1, 2009
(Pnnt, Type, or tamp'"'Co ..a, "" v, ..v.ary Public)
SIGNmlJRE OF REPORTING OFFI IAL OR CANDIDATE XXX
Personally Known OR Produced Idenlificabon
•
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•
Part 0 - INCOME
JOint Wages & Salanes $ 215,10800
Interest Income $ 13,93800
Business Income $ (6,538.00)
Dividend Income $ 17,21300
Capital Gains $ 196,526.00
IRA Distnbution $ 14,332.00
Real Estate Rentals. Pships, S-Corps, trust, etc $ (281,28800)
TOTAL INCOME $ 169,291.00
•
. .---------- • •
.....
,.. . I
Wakulla County
Conf. Code
1"11,"1.1•• 11, III II1IIII 1111.1
P. Req. Code
'*'**.*
(J Harvey, David
CHECK IF THIS IS A FILING BY A CANDIDATE
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
PART C - LIABILITIES
LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY
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:
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
BUSINESS ENTITY OF BUSINESS' tNCOME OF SOURCE ACTIVITY OF SOURCE
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 0
~~
and any attachments hereto is true, accurate,
and complete. ~
.J..J
'""" .....,..-
~
(Signature of -,
-~ CommfaIon'00401919
Expns Men:h 1, 2009
(Print, Type, or Stamp CommtsslOriiid Name VI "vu"y ublic)
...............
SIGNATURE OF REPORTINj~ OFFICIAL OR CANDIDATE Personally Known XXXX OR Produced Identification
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.
Part B • ASSETS
Checking Account, Wakulla Bank, Crawfordville, FL $ 5,000.00
Checking Account, Citizens Bank, Crawfordville, FL $ 1,000.00
SaVings Account - Citizens Bank, Crawfordville, FL $ 2,000.00
Shares· Wakulla Bank, Crawfordville, FL $ 150,000.00
1/2 INT SEI Annunlty, Oaks, PA $ 250,000.00
1/2 INT SEI Municipal Bond Account, Oaks. PA $ 1,694.00
1/2 INT SEI Stock Account. Oaks, PA S 180,000.00
1/2 INT sel Private Trusl, Oaks, PA $ 150,000.00
1/3 INT Crawfordville Financial Partnership LLC, Crawfordville, FL $ 160,000.00
1/2 tNT Benus Plaza LLC, Crawfordville, FL $ 400,000.00
1/4 tNT Wakulla Courthouse Annex Partnership, Crawfordville, FL $ 380,000.00
1/2 INT Fox Way LLC, Crawfordville, FL $ 140,000.00
1/2 INT Benus Farm LLC $ 400,000.00
1/3 INT CMC Wakulla LLC, Crawfordville, FL $ 150.000.00
1/2 INT Benus Maintenance LLC. Crawfordville, FL $ 10,000.00
1/2 tNT Benus Properties LLC, Crawfordville. FL $ 510,000.00
Guardian Insurance, Lehigh Valley, PA $ 10,000.00
1/2 INT David Hiers, Mortgage, Sopchoppy River, Sopchoppy, FL $ 40,000.00
•
Residence & 10 Acres - Crawfordville, FL $ 350,000.00
Tallahassee Center Condo, Tallahassee, FL $ 15,000.00
Plaza Tower, Tallahassee, FL $ 5,000.00
1/3 INT Carrabelle Lot, Carrabelle, FL $ 15.000.00
IRA Account. Tallahassee, FL $ 16,5151.00
Florida Retirement System - Drop, Tallahassee, FL $ 200,000.00
1/2 INT HL Ventures LLC, Crawfordville, FL $ 800,000.00
1/4 INT Wildwood Golf LLC, Crawfordville, FL $ 650,000.00
1/4 tNT BElfrY Inlerprlses Inc., Crawfordville, FL $ 1,100,000.00
1/3 INT Wakulla Investment & Timber Co., LLC, Crawfordville, FL $ 5,000.00
Deferred Compensation, Carmel, IN $ 306,622.00
1/3 INT BMH LLC, Crawfordville, FL $ 100,000.00
TOTAL ASSETS S 0,582,807,00
Part C • LIABILITIES
Farmer's & Merchants Bank, Tall.,FL (1/3 INT) $ 160,000.00
Ameris Bank, Crawfordville, FL (1/4 INT) S 375,000.00
Chase Bank (1/2 INT) $ 134,000.00
AM South Bank, Tallahassee $ 26,000.00
Tallahassee Bank, Tallahassee, FL $ 200,000.00
Joe Ann Council, Crawfordville, FL $ 46,000.00
Wells Fargo, Box 14411, Desmolnes, Oowa $ 212,000.00
Capital City First. Tallahassee, FL S 145,000.00
Ameris Bank, Crawfordville, FL $ 750,000.00
Wakulla Bank,Crawfordvllle. FL $ 525,000.00
Wakulla Bank, Crawfordville, FL $ 975,000.00
•
Bancorp Bank $ 340,000.00
TOTAL LIABILITIES $ 3,887,000.00
Form 6 Full And Public Disclosure of Flnanclallntereats 2005
David F. Harvey, Sheriff. Wakulla County, Florida June 30,2006
Part D • INCOME
Joint Wages & Salaries $ 183,182.00
Interest Income $ 16,972.00
Dividend Income $ 16,151.00
~~~~ $ 617,690.00
IRA Distribution $ 14.332.00
Real Estate Rentals $ 73,981.00
TOTAL INCOME $ 922,308.00
"
_ 'PO
~IIIIIIII ~IIIIIIIIIIIIIIII
Shenff Wakulla County ID Code
Elected Constitutional Officer
15 Oak St
't.,..... I11111111111
CrawfordVIlle FL 323272014 {Jj
(: IDNo 12190
i
Ib.t.
My';letUwOrth,as~of-Decem.her::--31 . ,
•• - • -<
PARTB 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
See Attachment
•
CE FORM 6
See Attachment
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
BUSINESS ENTllY OF BUSINESS INCOME
OF SOURCE ACTIVITY OF SOURCE
See Attachment
PARTE
INTERESTS IN SPECIFIED BUSINESSES
BUSINESS ENTITY # 1
BUSINESS ENTllY # 2 BUSINESS ENTITY # 3
~~~.,9!n "'....TITV
See A
~R~~~~~ ~~T1TV
PRINCIPAL BUSINESS
~,~~~n~~I~LD
. . . . . ~T
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE (J
and complete
~
i..L . . . . . n
IJ
'e-C-~
(Sl9nature of ~ wr&fMt t!. ~ C)
~)
<:
. -e - . 00401919
,expires March 1 2009
(Pnnt Type 0 p It'le~flt Public)
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
Part BASSETS
Value of my household goods and personal effects
$243067300
6000000
Part C LIABILITIES
A & A Mortgage Tallahassee FL 14700000
Part D INCOME
Shenff Wages & Salenes 117 Harvey Young Farm Rd CrawfordVllle FL 9541700
Wife Wages & Salanes 117 Harvey Young Farm Rd Crawfordville FL 4333900
.'
• FORM 6
MIDDLE NAME:
FULTON
DI\~ RECEN£O
7~., .
I
FOR OFFICE
USE ONLY:
JUL 0 2 1004
MAli INn AnnRFRS'
cia 15 OAK STREET
.: t";
"
"
: ....... ·oJ' ~.
, '. , ....
...... '-' .... - "
ID Code
CITY:
CRAWFORDVILLE, FLORIDA
ZIP:
32327
COUNTY :
WAKULLA
ID No. /2110
NAME OF AGENCY:
WAKULLA COUNTY SHERIFF'S OFFICE Conf. Code
PART B -. ASSETS
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;
The aggregate value of my household goods and personal effects (described abOve) is $ 60,000.00
DESCRIPTION OF ASSET
VALUE OF ASSET
Benus Properties LLC, 1/2 Inlerest, 117 Harvey Young Farm Road, Crawfordville, Florida 32327 233,000,00
Fox Way LLC, 1/2 Interest. 117 Harvey Young Farm Road, Crawfordville, Florida 32327 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:
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 81,400.00
Real Estate Sale Wildwood Country Club to G.Petrick Coastal Highway, Crawfordville, FL 32327 4,800.00
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
BUSINESS ENTITY OF BU'SINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
~f':~I~I£>t<>
I=t.JTITV 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
~
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE [{J
•
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.
Fox WayLLC
117 Harvey YOWlg Farm Road
Crawfordville, FL 32327 Rental Part-{)wner 1/4 Interest
•.
,
FORM 6 FULL AND PUBLIC DISCLOSURE OF
I FINANCIAL INTERESTS
I FOR OFFICE
USE ONLY:
(.~';
\iVrtrl'.IoJiV" v.
0"TE RECfJVEt
J\L-3 ~
.
~-c
"
'1'\ NNEu PROCESS ED
10 Code
David Harvey 1111111111111111111111111111111 II1I
Sheriff
Wakulla County
Elected Con8t~tutional Officer 10 No. 12190
C 0 15 Oak Street
Crawfordville, FL 32327
Conf Code
1•• 1111.1.111111111.1111.11111.1
P. Req. Code
*****
CHECK IF THIS IS A FILING BY A CANDIDATE [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,
rf not held for ,nvestment purposes: JElwelry; collections of stamps, guns, and numIsmatic items; art objeds; household equipment and furnishings; clothing;
DESCRIPTION OF ASSET
VALUE OF ASSET
PART C - LIABILITIES
.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:
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
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
N/A
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0
..--_...._--
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.
•
18 Acres Old Still Road, Crawfordville FI 10,000.00
SEI, Stock Account, Oaks, PA 140,000.00
SEl, Bond Account, Oaks, PA 190,000.00
Guardian Insurance, Lehigh Valley, PA 5,000.00
Guardian IRA, Lehigh Valley, PA 11,000.00
P. Req. Code
11.1111.1.1111111.1.1111.1 •• 11.1
----
My~networth-asof-December-·3l-.
\::....- .
~
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 follow-
"
Ing. 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 VALUE OF ASSET
PART C - LIABILITIES
LIABILITIES IN EXCESS OF $1,000:
NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY
•
~
•
Interest Income - Huge Davis Mortgage Interest, Crawfordville, FL 5,000.00
FORM 6 FULL AND PUBLIC DISCLOSU!JIROCfSSEijOO
OF FINANCIAL INTERESTS 1/ "
-
NAME OF AGENCY L
.J~~ -5 01
1,,11,,1,1. II ,III" 1,,11,1 WAKULLA COUNTY
121901219062001 OFFICE HELD
David Harvey
Elected ConstitUtIOnal Officer 6a OFFICER SHERIFF
Wakulla County OFFICE SOUGHT
Shenff
C/O 15 Oak Street - CJ CANDIDATE
POSITION
Crawfordville FL 32327
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 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 102 000 00
Cash In Bank - H1ghway 319 N Crawfordville FL 32326 150 000 00
ReS1dence & 10 Acres - 116 Harvey Young Farm Rd Crawfordv1lle FL 32327 80 000 00
2 Bedroom Rental & 8 Acres - Lost Creek - Crawfordvl.lle FL 32327 33 000 00
Wakulla Bank Stock - H1ghway 319 North Crawfordvl.lle FL 32326 5 000 00
PART C - LIABILITIES
LIABILITIES IN EXCESS OF $1 000
NAME AND ADDRESS OF CREDITOR AMOUNT OF UABILITY
-..------------------+-------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 ]
SECONDARY SOURCES OF INCOME (Major customers clients etc of bUSinesses owned by reportlng person-see Instructions]
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE 'OF SOURCE
N/A
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE [J
• -
and any attachments hereto IS true accurate
and complete ~A'A '-R.. ~
(Sign
~
rNBILDAY -,
--- I
) \ { 1
~..-I-t....J.~
SIGNA'fURE OF REPORTING OFfiCIAL OR CANDIDATE
(Pnnt~ y
Personally Known
mp
NDarNllc SIlIIeotRDdda
XX
_ _r.blU115
OR
No ['ry Pubhc)
PrOduced IdentificatIon
17 Acres St Marks FI
3500 00
.,
C/O 15 OAK T ET __ - -
".'11 ---'
i 11::5"~3:rt"tJC"'llIC~~~D~~O~FF~IC~E=:R~
,. ._
~~"'~~I~l.i~;;:;u:;:-
n ~ I:
OFFICE SOUGHT
CRAWFORD LE FL 32w oo gQ •••c. 0 CANDIDATE
POSITION
I· 0 OTHER
FILING INSTRUCTIONS 'or when and where to 'lie thIS 'orm are located at the bottom
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
thiS packet0' 0'
page 2
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
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
_ _~
The aggregate value of my household goods and personal eltects (descnbed above) IS $ __5_0_0_0_0_0_0 ----j'c--. _
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 .
(Part D Continued)
N/A
PART E -INTERESTS IN SPECIFIED BUSINESSES [Ownership or pOSllJons In certain types of busmesses see mstructlons]
BUSINESS ENTITY # 1
BUSINESS ENTITY # 2 BUSINESS ENTITY # 3
~E OF I:I\JTITV Market Square Plaza
~646 Crawfordv1lle Hlghway
Crawfordv111e. Fl 3l3 U7
Rental
Part-Owner
~pMY
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE a
.EJj..ING INSTRUCTIONS
WHAT TO FILE After complebng WHEN TO FILE Qfflceholders
WHERE TO FILE
•
OffIce-holders must file no later than July 1 2000
the form hie only the first sheet (pa9es 1 file with the Department of Stete.Room
and 2) Note You also may be required to 1802 The capitol Tallahassee ,...,onda candld~ must file pnor to or at the time
file Form 10 at the back of thiS packet (see 32399-0250 Candidates file with the offl they qual
the form for Instructions) cer before whom they qualify
17 Acres St Marks' FI
350000
ID . q9 1 :362
INSTRUCTIONS on who must file thiS form and how to II out begin on
page 3 of thiS packet 99 JlIL - I PH 2 46
OTHER FORMS you may need to hie are described on page 6
OFFICE HELD
DAVID HARVE (
SI1ERIFF 'tJ 1(~F~t~J~1:! '~I= I
OFFICE SOUGHT
WAI\UlLA COUNTY 0 CANDIDATE
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 )
The aggregate value of my household goods and personal effects (descnbed above) IS $ 50 , 000 00
-------- -
(Part D Continued)
PRIMARY SOURCES OF INCOME
NAME OF SOURCE OF INCOME EXCEEDING $1 000 ADDRESS OF SOURCE OF INCOME AMOUNT
N/A
PART E - INTERESTS IN SPECIFIED BUSINESSES [Ownership or POSitions In certain types of bUSinesses see Instrucbons]
Rental
POSITk?N HELD
WITI-l :/\ITITV Part-Owner
I OWN MO~~ ~~~~I~J.!.~""
_q~fpMY
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERED:
~4v~~
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE
FILING INSTRUCTIONS
WHAT TO FILE After completing WHEN TO FILE Offtceholde rs
WHERE TO FILE Office holders must file no later than July 1 1999
•
the form file only the first sheet (pages 1 f.le With the Dercartment of State Room
and 2) Note You also may be reqUired to 1802 The cag,' 01 Tallahassee FlOrida CandIdates must file pnor to or at the time
hIe Form 10 at the back of thiS packet (see 32399 0250 andldates file With the offl they qualify
the form for Instructions) cer before whom they qualify
e
Page 1 Part C Continued
Fonn 6 Full And Pubhc Disclosure of Financial Interests 1998
DavId Fulton Harvey July 1 1999
".
Wi •
. -- , ~ _.._----_._---- ""
~. ~;~-;,~,
:;' ., j. " - :_-\-/ Wakulla County Sheri f I 's Office
., :,
II I II
'JI ~
(., ) F'4II '1
c..'
"
;S ----------- - - - - - -----_ .. _-----
I) H '11 01 .'CE HELD
:)titH I I'
'.
-' a OFFICER Sheriff
oJ: ~ S
whKL
C/ LJ .
I I
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II: I. 1
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,,! . '3:, - i: . FL
1--- 0 CANDIDATE
----_.
orFICE SOUGHT
-- ---- ----.-
=IUNG I I~ 11. : I( , I t ' l l ~ ~ alld hI' 'e 10 iii ~ Ihls lorm are loc aled allhe bo"om of page 2
INSTRL T : N~ f • .. IIJll'1 Pol/Ill lllll and h 'JW 10 fill II oul be,},n on page 3 of Ihls packel_
,)THER C le"11 I' file l ~ cleSl'rilH d on page 6_
'~~: f ~'~_
~f,JOTI I 'j' (,, , :ir;ii;,isio; -S-;'Jf SE·c. 11.2.317, Florida Statutes, a failure to make any required dis·
~j
,;,
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.
1111 ft1!11'
PART A - NET WORTH
PleilS~ It I~" ',Ill ' ':'\1 'et wor1r I:. of Dec e 'TIber 31 1997, or a morP. current dale rNOle nel worth IS 1'101 calclliatco by subtracting your 'eportl'd
I abdlTlec; r. , y: r - ) I It';!) ~r~" so, I as' see lh,~ Inst.uc Ions on page 3 I
The c' ~I ;al' I,ill' 11'/I," Jieh,)lcl ocds and llersonal eHeets (descllbed above) '5 S 50,000,.00 I
ASSETS /1>111 'IIC J'ILI ',_111,[ AT (I, EFI $1.0(1()
RL'f;jdc'l( ! I
- -- - - - -- -
(0 , r I~ ~ II' __ ~laTv!:y IY~~
.o.
ng r<lrm Rd, Crawf ordv llle, Fl
•• __ a
-
32321
____ 90,000.00
-------
2 Bed}""C\l I :' ,I • I ~ f Acre f. Lost Creek - Crawfordville, Fl 32327 33,000.00
f-----. - .- . -...
____ a _____ •
'--. . -__
NAME 11t.:' Al (11,1 !::, ;If CllE DITOF
...-. -_ ------- -_.
OF LIABILITY
_._---
Barnet I --- .JD ; ol
.... '::.!f~~~~'=2
Tallahassee, Fl 36,000.00
OC'poRil 1I1l1-,nl I "~.:: ~J~ag~_ '~~~mpany, P 0 BOX 1198, Jackson, Ms.
4,000.00
f - . - - - - .. -- - .... -
C j l 1 ZL" S lla I k ': ,1101 :'~ I'dvi LE' Highway, Crawfordville, Fl 32327
--_ 140,000.00
r------- - .... I
------- -_.
J K MO:lr! - J. < HOll [t! ROll d, Crawfordville, Fl 30,000.00
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
---- . --- .-_
,emalndpr c I
CE FORM I, . 'I
....
I,'lll
I~a
~V
"-----
(Conllnued on rever.e .Ide, PAGE 1
(Part D. Conl1nuedl
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDING $1.000 ADDRESS OF SOURCE OF INCOME .- _....AMOUNT
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!
I
BUSINESS ENTITY" 1 BUSINESS ENTITY" 2 BUSINESS ENTITY" 3
NAME OF
-Renta)
- - - - -.. - ......_-_.- --------------+-------.--------1
H_:u.Ll.U..J-U..L..L.i...L-__. -t---'P:...:a=..r::....::.t~O..:.:w..:.;n~e~r__. _
IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE !IX
COUNTY OF __ Wakull a
~~~L~~.
and any anachments hereto IS true, accurate,
_
and complete (SIgnature ot Nota;~~Itc,::O of Flonda)
•
._~
C;:;.--"\... ...s Karen L. DaL ~'~'!.
.; KnI L. DIy EXPIAES
MVcnl li'ONlCXlll.141
. -_.- '(Prlnt. Type. 0 omniissl~la':;' Pubiic)
IOIIllIO tlftI TIllII' MIl -.wa lIC:
SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE
Personafty Known xx OR Produced Identification _. _
Type olldenlllicalion Produced . __.•
FILING INSTRUCTIONS
WHAT TO FILE: Alter completing
WHERE TO FILE: Office-holders WHEN TO FILE: OUjce-holders
the form, file only the first sheet (pages 1 must file no later than July 1, 1998
and 2) Note You also may be reqUired to file with the Department of State Room
file Form 10 at the back of thiS packet (see 1802, The Capitol. Tallaha••ee, Florida Candjda~~ must trle prtor to or at the tIme
the form for ,nstruCllons) 32399-0250. Candidate. file with the offi they qua I y
cer b.for. whom they qualify.
r_
, .,
I :
-,
(.
,.
. .'
,;,.
( .)
l'
. ..
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL
FORM 10 ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND
HONORARIUM EVENT RELATED EXPENSES
i
LAST NAME FIRST NAME MIDDLE NAME THIS STATEMENT REFLECTS GIFTS AND HONORARIUM
EVENT RELATED EXPENSES RECEIVED DURING 1996.
YOU NEED NOT FILE THIS FORM IF YOU HAve
HARVEY, DAVID FULTON NOTHING TO REPORT ON IT.
MAILING ADDRESS
NAME OF AGENCY WAKULLA COUNTY SHERIFF'S DEPT.
15 OAK STREET
CITY ZIP COUNTY
OFFICE OR POSITION HELD.
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.
tI •
..
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.
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
them or their public agency (or has done so within Ihe preVIous 12 months). and from the employer, principal. partner. or firm 0'
such a lobbYIst However,
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
-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
••
FILING INSTRUCTIONS for when Ind where to 'lie this 'orm Ire loclted It the bonom of Plge 2. I
INSTRUCTIONS on who must flle this form end how to fill It out begin on page 3 of thla packet. i
OTHER FORMS you may need to file Ire described on pege 6,
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.
"
American Express Financial Advisor - 1385 Timberlane, Tallahn~R~e FI 32312 lCtd 000.00
.... ~:!.I.'" ~ll.. I.\:l.~l~_":: 319_ ~._ (:!llwf,~rdvl.I.Il!.LXl_ )J)26 ....... . .
J9Q.~ 9.QO • OQ
_ Residence £:. 10 Acres - 116 Harvev YounlZ Farm Road Crawfordville Fl 12127 2QO.000 00
2 Bedroom Rental £:. 8 Acres - Lost Creek. Crawfordville. [1 32327 7<; 000 on
Wakulla Bank Stock - Hwy 319. Crawfordville. Fl 32327 5,000.00
PART B LIABILITIES IN EXCESS OF $1,000
AMOUNT
NAME AND ADDRESS OF CREDITOR _. OF LIABILITY
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 • . _
(Par1 D Conlrnued)
',E.CONDARY SOURCES OF INCOME (Major customers, chents, etc. 0' bUSinesses owned by repor1lng person-osee InstruchonsJ
NAME OF NAME OF MA,IOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE ACTIVITY OF SOURCE
N/A N/A
1
•
'
_ ;~~~;s ENTITy Market Square Plaza
F ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET. PLEASE CHl:CK HERE CJ
""' p("llson who:o;e nnrno "pponrs itl the OATH STATE OF FLORIDA
COUNTY OF .HA~!!J-LA
~
I.: ~~b .~_~ .
ld any attachments herelo IS true. accurate.
I e lorm, IIle only Ihe IIrst sheel (pages 1 musl file no laler Ihan July I, 1997
c lid 2) Note: You also may be required 10 file with the Department of State.t.,Room Candidales musl file prior 10 or al the time
) Form 10 allhp. back of Ihls packet (see 1802. The Cepltol Tallaha..... ,.,orlda they qualify.
l:l form for Instructions) 32399-0250. Candidate. file with the offi
cer before whom they qualify.
ASSETS - Continued
Fox Hollow - 3 Duplexes, Whaley Rd, Crawfordville, FI $ 31,000 00
Commercial Office Building - Rental, Church St, Crawfordville, FI 20,000.00
10 Acres, Wakulla Station, Crawfordville, FJ 10,000.00
3 Bedroom Rental, Fulton Harvey Rd, Crawfordville, Fl 20,00000
4 Acres, Hudson Heights, Crawfordville, FI 2,000.00
3 Acres, Market Square, Crawfordville, FI 290,000.00
Lot - Ochlockonee River, Crawfordville, FI 10,000.00
15 Acres, Harvey Mill Rd, Crawfordville, FI 5,000.00
130 Acres, HarveylYoung Farm Rd, Crawfordville, FI 50,000.00
Merrill Lynch, 215 S. Monroe St., Tallahassee, FI 60,00000
Retirement-Deferred Compensation, Carmel, IN 100,000.00
House, Crawfordville Hwy, Crawfordville, FI 25,000.00
8 Acres, Hwy 319 & 98, Crawfordville, FI 30,00000
Citizens Bank, Stock. Crawfordville Hwy, Crawfordville, FI 20,000.00
Farm Equipment, HarveylYoung Farm Rd, Crawfordville, FI 2,000.00
David Hiers, Mortgage, Sopchoppy River, Sopchoppy, F1 85,000.00
LIABILITIES - Continued
Citizens Bank, Crawfordville Hwy, Crawfordville, FI $290,000.00
J K Moore, J. K. Moore Rd, CrawfordviIle, FI 30,000.00
First Union, 120 I N. Monroe St, Tallahassee, FI 290,000.00
Reginald Rodenbeny, 3225 Beacon St, Tallahassee, FI 20,000.00
g
MAILING ADDRESS.
NAME OF AGENCY Wakulla Co. Sheriff's Dept.
15 Oak Street
CITY' ZIP COUNTY OFFICE OR POSmON HELD
Crawfordville, 32327 WakUlla Sheriff
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
N/A
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 I
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.
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
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<l to
list such gifts Under the law, these direct support orgaOlzations are reqUired 10 provide you With a statement concernrng these gifts by March 1, atlach thiS
statement to Form 10
PART C - 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.
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.
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,
The aggregate value of my household goods and personal effects :1esCtlbed abo.-e) IS $ 50,000.00
ASSETS INDMDUALLY VALUED AT OVER $1.000:
Please enter the value of your net worth as of December 31ti1995. or a more current dale. [Note net worth Is not calculated by SUbtracting your reporteo
liabilities from your reportBO assets, so please see the instru ons on page 4]
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
(Part D. Continued)
PRIMARY SOURCES OF INCOME:
NAME OF SOURCE OF INCOME EXCEEDING $1 ,000 ADDRESS OF SOURCE OF INCOME AMOUNT I
Wakulla County Commissioners P. O. Box 1263, Crawfordville. Fl 71 ,961.00
SECONDARY SOURCES OF INCOME (Major customers, clients, etc, of businesses owned by reporttng person-see ,nstructlons)
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'S INCOME I OF SOURCE ACTIVITY OF SOURCE
N/A N/A
PART E -INTERESTS IN SPECIFIED BUSINESSES (Ownership or posillons In certain types of businesses-see Instructions)
---------
Page 1 (a) FORM 6 Full Pub lice Disclosure
of Financial Interest 1995
David Fulton Harvey June 14, 1996
ASSETS - Con't
Page 1 (b)
LIABILITIES - Con't
~----------
/
,/
OFFICE HELD
MAIUNG ADDRESS' Cl OFFICER
OF!=ICE SOUGHT
15 Oak Street Cl CANDIDATE
IP COUN Y
POSITION
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,
The aggregate value of my housahold goods and personal affects (descnbed abow) IS S _--=2:;:5:....!.:0~0:..;0;....:....:0:..;0::...-_. _
DESCRIPTION OF ASSET
VALUE OF ASSET
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:
NAME OF SOURCE OF INCOME EXCEEDING $1.000 ADDRESS OF SOURCE OF INCOME AMOUNT
SECONDARY SOURCES Of INCOME (Major customers, c:llentl, ale.. 01 buslf'lesles owned by reponing per50n)
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE ACTIVITY OF SOURCE
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 "'June 1995 by David F. Harvey .
and any attlidlrnentl hereto is true, accurate,
•
CE FORM 6· REV. 1195 PAGE 2
· ..
------------------------------------------.._....,-
ASSETS - Con't
Fox Hollow - 3 Duplexes, Whaley Road, Crawfordville, Fl $ 31,000.00
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, 215 S.Monroe Street, Tallahassee, Fl 50,000.00
Retirement-Deffered Compensation, Carmel, IN 70,000.00
Page 1 (b)
LIABILITIES - Con't
Deposit Guaranty Mortgage Co. Box 1193 Jackson, MS $ 15,000.00
Arthur Robison, Box 22, Thomasville,GA 20,000.00
Citizens Bank, Hwy. 319 N. Crawfordville, Fl 150,000.00
Wakulla Co. State Bank Hwy. 319 N. Crawfordville, Fl 35,000.00
J. K. Moore, J. K. Moore Road, Crawfordville, FL 30,000.00
Wakulla Co. State Bank Hwy. 319 N. Crawfordville, Fl 200,000.00
· '"
, .
ANNUAL DISCLOSURE OF GIFTS FROM GOVERNMENTAL
FORM 10 ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND
HONORARIUM EVENT RELATED EXPENSES
THIS STATEMENT REFlECTS GIFTS AND HONORARIUM
1""
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.
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)
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.
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 $10,000
FI.I·Li·At~ij-PUBLII~CDiscl~oSURE
. . .-._ - --- -1 - ' -._-.
OF FINANCIALc:INTERESTSJ993~)
-----r--:-:-:-:-:-::--o=""c=~------------------___i
. NIl,"· - I ',ME:· Iv' D ~ L : N ~~II:: NAME OF AGENCY:
II :'V':" II: WAKULLA COUNTY
OFFICE HELD:
'11. I 'IlG Jd I' ct OFFICER SHE RIFF
.. 3, ::: I 1 OFFICE SOUGHT:
:~ -- .- .. -- -~ p- --- Q CANDIDATE
POSITION:
Q OTHER
ID I: 009'1101~7
PA
)U!; EHOl 0 OOOOS AND PERSONAl. EFFECTS:
'USI, hold 9<'0<15 and pel$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 $1,000:
DESCRIPnON OF ASSET VALUE OF ASSET
PART 0 -INCOME
I :u may EmlER (1) file a complel8 copy 01 your 199 lederallncome laX retum, Inclucfrng an
aft8Chments, OR (2) file a swom statement Identifying each
, •>arale source and amount 01 Income which exceeds 1,000, including secondary sources 01 Income. by completlng the remainder 01 Part 0 on page 2 01
I il form.
,I I elect to file a copy of my 1993 lederellncome laX tum. (II you check this box and attach a copy 01 your 1993 laX retum, you need not complete \he
remainder of Pan D.]
I:: FORM 6· REV. 1/94 (Continued on reveru aide) PAGE 1
.----------------i---__,-----::,...--,- ...-.-.--------------------,
(Part 0, Contil J(.j)
PRIMARY SOURCES OF INCOME:
1--_...;.NA~M;,;;:Ec.::O:..:..Fc.::SOU:..:;.::.;.,;A~ce~O..:...F...:.:INCOM.:.==E:...:EX::..:..::C_=E=EO::.:ING,;.;,;:;.:.$~.OOO=--_+_--.:A~O·
IPESS OF SOURCE OF INCOME AMOUNT
Wakulla co.
1-----------------1-----1---
Board of Commissioner P. o. 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 NAME OF MAJQJ: SOURCES AOORESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
------------;-----------1
N/A
I----------_+_--...;;.;.;,~--t_---__t--------------_+_---------_j
1----------_+_------+-----4--- ------------+-------------1
1 - - - - - - - - - - + - - - - - - - / - - - - + - - - -----------+----------..,
beginning OI~mtao~on oath and The foregoing loslrumenl was acknowledged belore me Ihis _
David f. Harvey
...:..:=:......=-=- ,by
L::'---:r
J~-l~
./ I
\.- )~ .. ",a:.. c..' 'Jtt~ c:4.(Signalure of Notary PubflC)
SIGNATURE OF REPORTING O~L OR CANDID TE
' s::.:,
--(D ~ 7 In 0011
8SW.DlNI!'" MCH
~ MilS
(Name of Notary PubIic
Typed, Prlnled, or Stamped)
_tllU"""" -.wa.1C.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _rTitle or Rank)
(SeMI Numbef)
ASSETS - Can't
Page 1 (b)
LIABI~lTIES - Can't
r" .
..... "
ANNUAL DIS LOSURE OF GIFTS FROM GOVERNMENTAL
FORM 10 ENTITIES AN DIRECT SUPPORT ORGANIZAnONS AND
HONORARIU EVENT RELATED EXPENSES
LAST NAME - FIRST NAME - MIDDLE NAME: THIS STATEMENT REFLECTS GIFTS AND HONORARIUM
EVENT RELATED EXPENSES RECEIVED DURING 1193
Harvey, David Fulton
MAILING ADDRESS: NAME OF AGENCY:
-----------_. -_. -
Ie ttl"
, Penona who 'lie Form 1 or Form 6 ahould ftle !hla 'orm with their Form 1 or Form .. Stata
'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:
(2) Partlclpate In lI'le procurement 01 con I servtces or commodities costing more than $1,000 In any year;
0'
(1) Are an employee of lin oI'lIce, department boIIrcI, QOfMIIssIon, or council of the execu1lw or lucflclal brenches state government;
(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
0'
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,'
ADDRESS OF REPORnNQ INOMOUALS: e following persons should notuse their home addresses: active or 'ormer law enforcement personnel;
0'
abuse, neglect, exploitation, fraud, theft, or other criminal activities; and
PART B - GIFTS FROM DIRECT SUPPORT ORG NIZATIONS [Sec. 112.3146, Fla. Stat]
Direct support organizations specifically autho ed by law 10 support a goverrmentaJ entlly may give a gift worth over $100 to a person who files Form
1 or Form 6 or to a state procurement employee /I person or employee Is an offlcer or employee 01 that goverrmental entlly. Part B should be used 10
Ust such gifts. Under the law. these direct support nizatlons BTe required to provide you with a statement concemlng these gilts by March 1: anach this
statement to Form 10
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
them or their pubrlC agency (or has done 80 within
0'
the like) from a polnical committee or commlnee oontinuous existence, from a lobbyist who lobbies
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
transportation. lodging, and food and beverage expe s related 10 an event at which a speedl, presentation, or writing will be made by the public offlC8f' or
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.
"* ...
FOR MORE INFORMAnOH,
~
OueslloM abput f~ flthlc8lawa may be ddressed 10 the Commission on Ethlc8, Post OffICe Drawer 15709, Tallahassee, f:torlda 32317-5709,
) 48S-786tt~ 278-7864).
J..
telephona.(
";: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 FULL AND PUB IC DISCLOSURE OF FINANCIAL IN'tERESrS--1992: ::.>
LAST NAME FIRST NAME MIDDLE NAME
HARVEY, DAVID
OFFICE HELD
MAILING ADDRESS: .
""")
, ,"jIFFICER SHER I FF
RT. 3 ... »OX ...5011
~T'
OFFICE SOUGHT
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
CE FORM 6 - REV 1193 (Conllnued on ,....... ald.) PAGE'
Wakulla Co. Board of Commissi era P. O. Box 337, Crawfordville, Fl 32326 $63,964.00
SECONDARY SOURCES OF INCOME (MaJor stomers. clients, etc., of buslnes.., owned by reporting perllOn).
NAME OF NAME OF M
OR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINE S'S INCOME OF SOURCE ACTIVITY OF SOURCE
PART E - INTERESTS IN SPECIFIED BUSIN SSES (Ownership or positions in certain types of businesses)
IF ANY OF PARTS A THROUGH E ARE CO INUED ON A SEPARATE SHEET, PLEASE CHECK HERE III
and complete
""::::::~~~..&~~!:.l:....c::1!:~~::a~
(Signature 01 Notary Public)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (TItleor Rank)
(Serlal Number)
.
...... '.
I, .,1
"
of Finanei 1 Intrest 1992
David Fult n Harvey 6-15-93
ASSETS - Con't
PElge 1 (b)
LIABILITIES - Con't
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
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
Harvey,
MAILING ADDRESS
•
Rt 3 Box 511
rm:;r NAME - MIUULE NAME
id Fulton
o CANDIDATE
OFFICE SOUGHT
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 VAlUE OF ASSET
Cash In Bank - Hwy. 319 N. Crawfordville. Fl 80.000.00
Wakulla Phanaacy - Market Squ~~e. Cr~a::..w::.:f:...o::..r:...d::..v::..i::..l::..l::..e::...~F;..1..;.... ___4--1-4-0....;..-O_0_0_,_0_0_--;
Residence & 8 Acres - Lost Creek & Arron Road. Crawfordville. Fl 25.000.00
Realt - Talco Road. Tallahassee. Fl
-----------+---;....-----;
15.000.00
Realt - 3 BR. Home. Hudson Hei hts. Crawfordville. Fl Partnershi 7.500.00
Commercial Crawfordville. Fl 21.250.00
25.000.00
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 -.net
amount ot Income wllleh exceeds S1.000. Including MCOOdery aouree6 ot income. by completing the rwnlllnder 01 Pa" 0 on pege ~ of tlllt lorm
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
- -------- - - .. ---D. -Continued)
-- - - \Parl --------
10
PRIMARY SOURCES OF INCOME:
SECONDARY SOURCES OF INCOME (Malar cuslomen. chents, etc.. 01 bus.n,,"" owned by reporting person)
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS EN1'ITY OF BUSINESS'S INCOME OF SOURCE ACTIVITY OF SOURCE
NA
Wakulla Pharmac
Mark~t Sqi Hwy~ 3
Crawtorv:l Ie rl
None
..
OATH
~FJLORIOA Wakulla
I, !he penon whoM nem. IppM" It the The foregoing inltnJment ... ICknowtedged before me Itlla 30
beginning of !hit form. do depose on oaltl and My of June . 19 92 . by.
: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
ASSETS- Con't
4 Acres Undeveloped Land. lIudson Heights, Crawfordville, Fl $ 4,000.00
Pdrtnership Int~rest - ] DuplexR Fox Hollow. Crawfordville, Fl 30.000.00
15 Acres Undeveloped Land, Harvey Hill Road, Crawfordville, FI 22,500.00
Partnership - I. Harvey/Young Farm, Rewinkel Rd. Crawfordville, Fl 30,000.00
1 Acre Undeveloped Land, Ochlocknee River. Sopchoppy. FI 12,500.00
Partnership Interest l Acre Arron koad. Crawfordville. Fl 2,000.00
Vested Interest In Retirement 32,000.00
Commercial Retail Rental. Market Square. Crawfordville. Fl 115,000.00
Residential Realty Fulton Harvey Road. Crawfordville. Fl 22.500.00
18 Acres Undeveloped Land. Highway 98. Panacea. Fl 22,500.00
Page 1 (b)
LIABILITIES - Can't
C & S MortRa~e Comp~ny. 325 John Knox Rd •• Tallaha.see. Fl $ 16.390.00
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 25.000.00
Deposit Guaranty Hortgage Co. P. O. Box 1193, Jackson. KS 39215 5.340.00
Farm Credit. N.W. Hwy. 90, Konticello, Fl 20.000.00
Arthur Robison, Box 22 ThOMasville, GA 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 1991 GIFTS PROMISED BEFORE JANUARY 1, 1991
--_._-~ THIS STATEMENT REFLECTS GIFTS AND OTHER NON·CAMPAIGN
LAST NAME FIRST NAME· MIOOLE NAME I CONTRIBUTIONS THAT WERE PROMIC,EO BEFORE JANUARY 1.
Il.:lr'.'cy. DaviJ '1991 BUf RECEIVED DURING 1991 BY ELECTED OFFICIALS AND
J
FULL'JlI
CERTAIN APPOINTED OFFICIALS
t-..,....,....,-:-~--:-::~=-:_=_--------------- .. M~E.:.:O~F~A.:.:G:-:E:7N"":C'::V.,.::.;;--:..-'--'-.::..:..:.c=.::..-
-N;;;:;.;
MAILING ADDRESS ...
None
.,
t-7"I.-;;the~P8l::::. ..
::::n":':wtl'::::IOIe~~Nme:'::":~.~PPM":":"::-:ra~.:::I-::lhe:":"""------------------------.lit~·--'"a;.--.,;~,;:.,
~----1 \
STATEOFFL.ORID-\ k. 11 ~~;SS I . r h
COUNTY OF "y,_u __ , >....,~.....:s. •.• , I,
begInning of IhiI form. ~ depOse 0l'I oe1h and The Ioregolng 1n8t",ment wu ackn~ thIa. 1.:J~_3,.;:;.0 _ _ betOlMte
0/:00. ,
NY that the Inlormatlon dlac;loaed hefeln .nd on day 01 June • 19 92 . by
.ny .n-chlnen.. made by me conatltutee • true. David F. Harvey ~whO I. perIOnally known
~OF=--'~
PART 8 - EXPENDITURES OR OTHER DJlPOSITION OF GIFTS. DONATiONS, OR PAYMENTS 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.
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.
" .
, - - - - - - - - - - - - _ .. - .- ._-
ANNlI~L [JISCLOSURE OF GIFTS FROM GOVERNMENTAL
FORM 10 ENTITIES AND DIRECT SUPPORT ORGANIZATIONS AND
HO*"ORARIUM EVENT RELATED EXPENSES
LAST NAME· FIRST NAME· M'D 5l-1-;;':,XME - - - - - - • THIS 'STATEMENT REFleCTS GIFTS AND HONORARIUM
Harvey, Oa\'1d Ful t,)!, 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::-;-:--------------
AFFILIATION
F
AMOUNT OF HONORARIUM
(ContInued on merwMde)
CE FORM 10· EFF, 1m PAGE 1 I •
.\ ~ , • ~J'
I• • • • • • • • • • • • ...
r'
- • •
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
•
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.
-.
~ ~ ~
LAST NAME - FIRST N"ME - MIODLE INITIAL FILWG CMACITY OFFICE HELD
lin,.· ,pv David Sherif f
rn ?5
F. XOFFICEA ;Q -
MAILING AOORESS OFFICE SOUGHT N n 0
Rt 3 Box 5011
CITY
Cra.... fordv1l1~ • f1
lIP
32327
COUNTY
Wakulla
CANDIl)ATE
, OTHER
POSITION
-- ~ ~
0
--4
~
ASSETS AND LIABILITIES IN EXCESS OF $1,000
PART A - ASSETS PART B - LIABILITIES
HauI.hold Goodl and P.rlonl' EII.cll: Please list below the name and address of every penlon. whelher
Household Goods and Personal Ellecls may be reported In a individual or corporale, to whom you owe a lIablllly exceeding $1.000
lump sum I/thelr agll'egale value exceeds $1,000 This calegory and the amounl o/Indebtedness. As used herein, "liability" means
Includes any 01 Ihe /ollowlng. II nOl held tor Inveslmenl pur· any monf'lary debl or obllgallon owed by lhe reporting per&on 10
posea jewelry; collections o( stamps, guns. and numismatic another person. excluding Ihe following: credl1 card and rel811lnslall·
properties: art ODjeels. household eqUipment and /urnlshlngs; menl accounls; lax,s owed; Indebledness on alile Insurance policy
clolnlng. olher household Ilems; and vehicles for peBonal use. owed 10 Ihe company of Issuance; conlingenlllabfll1les; or accrued
The aggregale value 01 my household goods and ~Bonal Income laxes on net unrealized appreclallon.
effects as described at.ove Is S 12,1 0
Olh.r Auetl Oftr $1,000: Nlme Ind Add..... 01 Credltora: Amount
DESCRIPTION VAWE Barnett Bank
Cash in Rank 75 500 315 S. Calhoun St. 29,236
... .. St ork-\oI.. lt1l1 • a Ph ... · .... 'v
A Ar ........
I.
'''"7 o;nn
'ih OfIII
Tllll;\hssee. Fl 32301
n
,n ... R""ltv.T.. lrn
,,. .. 1
,1 Rp"ltv.cTAW·
Rti "",11"
II"t1V111p.1:'
17 nnn
7.o;nn
Federal Land Bank
H....y. 90 West 21,048
'in1 R"Altv 11 ... I:' ?1 ?",n
P. O.
3- ~n· ..... _- Fl ?c;. nnn ~f~n42~1 32344
12 A~r~g ,1 nl",,..-I '.An.-l. ~'vi 1,,, 11:'1 "- nnn C & 5 Mortgage Co •
1- • L :n 1 -l:'n1< Hn11nw 1n nnn 325 John Knox Road 16.390
I 'i A~1'""A l·n..l ... " ' ... n.:l Mfl1 R. " ",nn Tallahassee. Fl
-YnllnD FArm ?o:; nnn
I ArT"- ,1"'..... .:1 1 " .. A ",nn
fl,.1.1 I' Bankcboston Mortgage Corp.
~ 'f- in 1 A,. ... ,,~~X~P'
t> •• I..nnn P. O. Box 44090 6,493
T, in Rptf .\! tsH;!;4 11n,,-f.. Jacksonville, Fl 32231", e-
~
....
D.~ _
•...
~ ... T"'~""~" -
1 R.... l,.·
~;;'~':HUtt:~ .., 'J. 22 'iDa
''''''.nnn Deposit Guaranty Hortgqe Co. ,......
m
-n
18 Acres UndeveloDed Land.Panacea 22 500 P. O. Box 1193 -0 rh34 0
Jackson, HS 39215 >- (Ji
..0
ICHECK IF CONTINUEO ON SEPARATE SHEET 'CHECK IF CONTINUEO ON SEPARATE $J:fEET rv rn
PART C - NET WORTH -r\
Net worth II the dillerenee between tol., .ueta and tot./I~bllltles. nOI merety thoM lilted .boW h8Ylng a ~ In e ' - of l't:cOo. PIeae
- -
entlll' lhe value 01 your net worth as ot December 31, 1990. or a more current date. ~ to .
rn -
----._-
~y.nel •.wor1h,as.ol
-- .-
-Apr-U-3~. 19.=ih_ wu$
- -.- -
253.140. _."
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: File I copy 01 my mosl recenl 'ederal ,"come tax re'urn (" you check thIS box and .nach I copy 01 your 1990 tax
D
•
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.
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(,
PART E OATH
I, the public ollleer, employee. or candIdate whOse name appears at the STATE OF FLORIDA
beginning 01 this lorm, do depose on oath and say that the Inlormatlon COUNTY OF Wakulla
dl.closed herein and on any allachment, herelo a,. true. correct, and
complete 10 the best 01 my knowledge and bellet. 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...!!-..
IONATUAE OF NOTARY fK7G
PART F - INSTRUcnONS
WHERE TO FILE. Incumtlenla ".. -Mlh 1M 0. ,.,... ~llMIy~lIon Ells-- loa'" _ CllhIUl1'lllldlr WIlUI _ - . . poI!cy pU lie
'*"""" ~ s... AooI!I '1101. The ~. T . w _
FlarIda 32391 CancIdIl.. ,....,. fie oIfQt tJefore IIhom
NClUlt*l1O ... II1II clIlIclcl8ln.
HOW TO COWl yo eN Dr IdInlIfytng end 'tIlo.atbng each
~ CII'IIdIndL "..all 'and mon:., -'*
InIllUINnIIlIlUIllle /'IPtll1fd " faOt amclW'C••~•
lMy~ ..... end 8lICft IIIIIiIly In ~ 011'000 To., yau in IIllfw ..... 1/lOIAdb8 _ _ lIy YIM;ood w ....,.
~ eI'll \IIUlO IUdI ..... Ind IIEiIlIn. 1M of lIIIIr ,.., 1\WtI.c 'IIIuI
WHEN TO FILE: tnc:umllenla mull II.. no ..., tnan ~ on EelIcI ~ "'1lIIIcMIg: ~ The - ' of.1lIbIIIy II .,. '--.nc
~ t, , . , CancIlcs.ta~'lIIepftorlaorl'''''lme
~ AIIII IhOoM b8ld8nl11\ecl br 01 .... debl Of. "you _ tll'lIy jIlInll)' I'MpOn8IblIIot IIlc
lMy llUIIlfy
IOcatlon ~."
~ ~'I
1egII~. 01 ....
111m numbIr); IIDdlIInd IIandI
~ oil PQI1Iotl of • tallIlly, )'OUI' pro
.... 1ndIbtecr- ~ . II ~ ....,. ". NlCl
r.,. 10
Of
WHO flVST COMPLY: Nl -.ettd COft8IIMIon81
om-.; .. CWlClId8_ fer Naed CONIilutIonlII Cll'IQ8. IhOuId b8 odIn4IIIoId br 1M buIlNM ...... 10 wtlIdllMy I*l' the lull lmount Of ,,,. CleClII--'l' "-IIMI. Ihe lull
,.re. I'II:IIIv8llIe b8
~ by
~
sOURCE OF INCOME
- ADDRESS OF SOURCE AMOUNT
\"/"I<1I11a ... Rn.1rd of Comml~i~'; County Courthouse Cra.... furdville Fl 'i8 000
A ..... 1 .. ,.},"'''' I1r Mt>nl"]A Heuth Serdt'p 62, E Tl"nnel"l:~el!' St.Tallahasse Fl 1 000
prolwrties \.'AR 6.016
lI"nFn1
------
--
N/A
---
"ART E - OATH
I. the public offlc.r. employee, or candidate whole name appears at the STATE OF FLORIDA
beginning of this form. do depOM on oatil and uy that the Infom,allon COUNTY OF Wakulla
dlaeloMCI herein and on any attachm.nts h.reto .re true, correc t, and
complet. to Ih. bes. of my knOwledge and bellet. Th. signature ot the public olflc.r, .mployee, or candidate who..
flnancla' Int....,• .,. dllcloNd h.reln wu aworn to and twecrtbed
belore me Ihft ..l2-
d., of June •"..2!.....
~ E~'NO ~:AlJO_A~NOfO.'TE 1 1:
!
- .... 1 ~
PART ,~ -
.11.NATURE OF NOTARY
INSTRUCTIONS
... ..~.'. ~ j '.6'7TL.
-'-l." 1 ~ . . .,
,'-
........ ""',.., ,..............
WHERE TO FILE. Itlc:utnlMnIs lila """ 1Ile 0.- ~ Pw-.-y EcM::don £xpenIe 80erd _ .
CWl..--..,.... ~ ......
JIGI!eJ~.,.
I*1menC of~. Room 11101. '"'-~, Taw-. NllIftd to ftIIlhII.--"., c:umlAIId chillIndI: e.tr ~ ~ ..., , . .
F10rlcII 32JlIa c.lCIdIteIllIe.., "" oflIcIr ~ whom HaW 10 CIOaft ):'/A) e, kIInlIIlInv 8/ld va.Ing-" ~ /IlIIII1Ie ........ II ... ~~GtinIrIIr.
. . , CfUIIIy - ' .".. .-:II IIIbIIly In _ of "000 To aid you III .. _-lI1lUStII.....,by,auoIllllld. .. .
~ Illd wMlO IUCtl . . . .".. - - - . . .
~
WHEN TO FILE: Inc:urnbentI mull tile no .....
1. ,.,. ~ _
tt.., qulIIlIy.
II'" prior 10 ~., "" ltlN
"*'
..... ,
~ en ElhQIUggIIa . . IaIIooMng:
..... AIII_1flOUId til...., '"
~ ~ lift IIdIha.IegIt ~ or "" ~ of. JlOftIlln of •
of . . tIIr INlI* ....
of
~ 1'-MlOIIIIl of.IIIIlIIly . . . . . -..ilI
.... dIIJt or. If you _ onI1 jlllrIIIt '1IPC!'__ 1or . .
.....,.,vur
1:10 ........ of
tIIIHO MlJST COMPlr: All eIK1IICI COf1Itltullonal proper!y .......... lIIl " - ~ . . . . Illd bclndI . . 'r 1 t I I - . Hoooeow•• lIQU may lie NId _ _ Ill
orr~ .1 ~ _ lOr elec:l1ICI coneliMIOIW CltIIca. thDuId lie idwtIlIIIICI by IIle buIIr-. . . , . . III IItIdlIlf1 ,.. "" fill M-.t of lila dICIt ,....".", __..... "..
Chi" J.lClge and a"- Judo- 01 Com _ _ ..... _ a"'OUnll .-Iv. . IfQ.td lie ~ by ---.l1llCdd tie ~
_ _ of ~ t..WJIlIaI Each ~ ItQAd tie 18) By ......... of 'PIt nal-'" _llIOWIdad 1ft Pw1 C
.. appeIaie C>OUf1 tudgea. a.etIICI conI\llUllOnal o ~ ~ A..ea "'-' P'IlI*'Y INy tie lIadllIacIli ..
COIn'W'II-.ed ..... .".... a _ _ _ kICOIllI"**' til llIIIflI*Ied 11'1 acemlIiilCl will lila
fClrlO 6, Page 1
PC!IC"; B-Liabilities, Continued
17177
officer Y,110 IS requ"lld by law to "'e Form 6, Full anti Pllol,C
D,sclosure 01 Flnanc,al Interests, pursuenl 10 Arl II, Soc 8, Fla
OFFICE MElD
Const
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 ADDRESS OF CONTRIBUTOR CONTRIBUTION
None
J,:..
':D 1"-_ I ,
I, the pUblic ollIcer whose naml appeaR at thl beginning of Ihl' torm, STATE OF FLORIDA
do depoae on oalh and III)' Ihat Ihe Inlormallon dllclosed heRln and COUNTY OF Wakulla
on any attachmenl, hereto constitutes a true, accurate, and 10lalllsllng Th••Ignatu,. 01 Ihl public officer whoae financial Int.,.'tl a,. dla·
of all conlrfbutlons, expendllu,... and dlstrtbutlons ,.qulred to be closed he,.ln wu swom to and aubal:rlbed before me thla
reported by $echon 112.3148. Flortda Stalules -lQ... dll)' 01 June· • 19.J,L.
-. ~..L.II..."""~~
,~O~E ~E~NO =-CI~l _ '~N"TURE OF ~OT"RY ... ~""
........ _ .......... , ... , r..... J ./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,
~I
AMENDED COpy
onien NON-CAMPAIGN CONTRIBUTIONS
FORM 7
I~ ~i.; ;~iil,;r;'4t.4t -
GIFTS AND
MIUIII E "AMi," - -IlAMl l)f AI,IIlt.y
-,
.
S I II IlMl" 1 , UII (;lIllIlIIAII YI 1111 UllltlW IIf (;1 Mill II J I 19'10
II ,r ' , " P"v!,.1 FlIllolL 1~.I~!l11 II (;olll1Ly She r I[ (':I Pl:l Io1 rl"'CU l
I MAllIIll, AOOM£ 55
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0' "UUtIC 1I10111lifu C ' " Ilulttl,t ."", ""Lh
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IIrr" ..,'ft'hu IS ""1""'0" I,WI' 1.1W ,.. "hi f .. tin (. f uti ,11,.1 " ••1,'..
Wl.aW!Ul,.!vlllc W.Jkull.l ILJil. ."·,II"SIIIO 1,1 rllhlllt-hl' Illh.llU~I', 1,1I"~II"""U All !l. ~".:~ H I I.,
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PAnr A - SlAItMUH OF Gins. DOtlAflOtlS. on PAYM(NIS
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 "t1V.III, 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·, ", ..... ,
th'''''I.'1I h'lIlht·'S. ",,'c,', ,,"clll:>.• 1""1'. nlll,hllwi. 1110. I'S ",r;tl !",lIIdlla'''"1\ ,,"II
U'O"'II' ..llllclll.... \llt ,..11 "1,,"1 yl"' hM hflfllJ"'" .....11.1 .... · "'1'
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
o"re -
RECEIVED COH TRIOU lOR AOUIIESS OF CONTRIDutoR COli ,,"OUTfOll
17-7'\-Qn C:hprfff'A nll'nt' f'lIlnlovees p n Rn1f ILn ' lip (1\ R~A
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1:'1. 1.')1.')'1 ic;.nn nn
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\C.i£CIt IF COUll11UfU OU !lfrlln"lE sun,
•
PART II - EXPENDITURES OR OTffER oisPOSmON OF OifTS. OOHAIIONS OR PAYNE tilir.
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.
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I. Ihe pubflc oUleer ..hose n_e .ppe.~ .1 the beginnIng 01 Ihil 101m. S'An OF FlOmOA
do d.po~e on O'lh .nd lay Ih.I Ihe 'nlOfnt.llon dll«:lo.o11 hflrllin lind COUU'" OF _ "Jlkulln -
on ,ny .IIKhmenlll't..elu con,mulel.lrue. KCu,.l...nc1lnl"Usllno 1he .Ignalur. of Ih. Ilubllc: oUIc.r ..OO\e "n,ntlll Inlore,II .re d,S'
01 .11 conll/bul'onl•••pendllur... and d"ttlbullulll ,e'"tlred 10 bo elu,od h.,el" was lworn 10 and lubscubed belure me Ih.\
~ r,· _~bJoSeCl':l-'
- ~a. f "'.!.lS' S1aluIUI
, ~d..,ol JUly I' Jll.
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
Sincerely,
~~
Bonnie J. Williams
Executive Director
BJW: vdm
cc: Dorothy W. Joyce, Director
Division of Elections
•
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/.
r' FORM 6 FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESIS_t98.G
l • SU INSTRUCTIONS ON IIACK OF FORM. PART F
LAST NAME - FIRST NAME - MIDDLE INITIAL FILING CAPACITY OFFICE HELD
~
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Harvey David F. X OFFICER Sheriff V» 9,
rnr-n
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MAILING A1Jt)RESS OFFICE SOUGHT
r'T'r'"
P. O. Box 150 , . CANDIDATE •.• r" ~
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CITY liP COUNTY POSITION
CR
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Crawfordvi lIe 32321 Wakulla
ASSETS AND LIABILITIES IN EXCESS OF 51,000
I: OTHER
~'Vl
.
PART A - ASSeT$ PART 8 - LIABILITIES
Household Good. and Per.ona' Effecl.: Please lIst below Ih. nam. and address of ev.!y person, wh.lher
Household Goods and Personal Eft.cls may be reported In a Individual or corporele. 10 whom you owe a liability exceeding S1,ooo
lump sum II lhelr aggregale value exceeds $1,000 This cateoory and Ihe amounl orlndebledness. As used herein, "liability" means
Includes any of Ihe lollowlng. if nol held lor Investmenl pur· any monetary d.bl or obllgallon owed by Ihe reporting person 10
poses: Jewelry, collecllons 01 Slamps, guns. and numlsmallc anolher person, .xcludlng Ihe following: credit card and relalllnslall·
properties: art ObJecls: household equlpmenl and lurnlshlngs. menl .ccounls; lues owed: Indebledne.. on a life Insurance policy
clolhing; olher household It.ms; and vehicles for personal use. owed to Ihe company 01 Issuance; contlngenlllabllllles; or IlCcrued
The aggregate value 01 my household gOOdS and personal Income lues on net unrealiZed appreciation.
.flecls as descrIbed abOve Is . $ 22.300
Other Aa.. t. Oftr 51,000: Hame and Add..... 01 CreditOR: Amount
DESCRIPTION VAWE
ash In Bank 25,000 Southeast Bank 31,097
ommon Stock-Wakulla Pharmacv 1~1.~94 239 E. Virginia st.
eaidence S 8 Acres 30.000 TRII AhAR",,!(' , Fl 32301
R.. "dtf.. nH Al Real tv. Talco Ro'~d 1. nnn
T.,l' 10'1 Federal Land Bank 24,000
~ .. l Realtv ·l1e.J'l 21 2!'i0 Highway 90
D... .;~ .... +.. l Realtv • 11 •. 10'1 7!'iOO • 1;"
.Ft nnn
3
4 Acres of LAnd .
"nnRe
.. ~ ,, •. VI
"IA
4.000
C G S Mortgage Co.
325 John Knox Road
17,252
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: F,Ie a copy 01 my most recenl lederal Income lax return [II you check Ihls box lind a1l8ch copy 01 your 1989 tax
0
ill
relurn you 'lee<j not complete lhe remainder 01 Part 0 J
•
•
PART E OATH
I. the public officer, emptoyee. or candld.te who.. name appe.,. at the STATE OF FLORI~
beginnIng of thl. form. do ape.. on oath and • ., thlt the Information COUNTY OF Wakulla
dlsclONd hereIn and on any Ittac:hmentl .,.,.to .,. true. correct. and
IfII""
-:
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coml!lete to the belt of my knowledge end bellel.
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The Ilgnatu,. of the public o'!lcer. employee, or candlelate whO. .
flMnClai Inte,. .ta .,. dllCfoMd henlln
betoc. me t"l. ~ d., of
.as .wom to and aublcrlbed
June .1L.IQ...
SIGNATURE OF REPoRTING OFFlClAl OR Co "Dl~TE ~NATURE OF HmARY
-_ ...• ,., ...............
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PART f - IN&rRUCmONI \
WHERE TO FIlE: ~ ... """ u.. 0. HOWroOClWlt':fAl8t~IIld~eedI --"""1lIlIII MIIPOftId., . . . . . . . . 0IllnIr.
Ii'M"*lf of s... ADom ,ao,. The CIpIol. Taw-. _ IIld .-It ~ In _ _ of 1'000. To lid you 1ft ..oe._...... llIMd~\'llla'~..........
f'IondI ~. C8nlIdIIIe . . - . . . aIIIoIr bIIIlI't lIIftlm
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on
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of .... IIIr ".,. . . .
\.IIDIIIlllI&' The ___ ell • ..,11.. '-1IIlllUI'It
of the Mt 01. It )'CIU IN only jaImIy i iiiClQi lIlbIe for ItIt .
WHEN TO~: ~""* lile no __ ltW1
Nt, " , • . ~ ....... file prIot to 0181 . . lime IocIIIon ~ an . . . . . . . . . . . . . Of lie ~ ole porton 01. iIItIIIl)I. rout pro,. ..... fII
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~ eIIcMO 10 _ _ .. e --.cte1eCl
~ ........., l*forrn"'Q _
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HouIlng Rrwa Agency. - . . ot lI\e F1Dndt e.dl 'Ill"'l:l\ COIieepoc... 1ll 'fOtII*ClIt""" ...... n ................ C I I
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e.--In....... 8oen:I. ....-.01 flOe FIDrca SMa .......,..........,.............."'*"....
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Accured Income Tax On Unrealized 109,044
Appreciation of ABHclH
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GIFTS AND OTHER NON~CAMPAIGN CONTRIBUTIONS
FOR·M 7
•
STATEMENT FOR CALENDAR YEAR ENDING DECEMBER 31.1989
LAST NAME FIRST NAME - MIDDLE NAME NAME OF AGENCY
Ilarve" D!,vic! Fulton Wakulla County Sheriff's H:partme':1t
MAILING ADDRESS
P 0 Box 160 WHO MUST FILE Each person hoIO""J an eltl\.!tvtl Siale. counly.
dlslrlCl. or muniCipal office" Flonda ,lnd eltch aPPointed public
CITY
Crawfordvi 11 e.
COUNTY
Wakulla 32327
liP
olf/cer ",ho IS required by law to "I.· Form 6. Full and Public
Disclosure 01 FlnO"CIIII Inlerests, pili suaI'I 10 Arl II. Sec 8, ~ la
OFFICE HELD
ConSI
~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. grand-
children. 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 complimen-
tary parking pllvlleges prOVided by an airport authority (ReqUired by sec. 112.3148. Fla. Stat.)
DATE
RECEtVED CONTRIBUTOR ADDRESS OF CONTRIBUTOR CONTRIBUTION
none
" ~
I CHECK IF CONTINUED ON SEPARATE SHEET
PARTe OATH
.. the public o'''e.,r whoae neme appe.,. allhe beginning 0' Ihls form. STATE OF FLORIDA
do depose on oath and say that the tnformallon dlaelosed herein and COUNTY OF Wakulla
on any allac:hments hereto conslltut.s a true, accurate, and total IIsllng The signature of the public offlcsr whOM flnandallntl. .tl ... die-
of all CQntrtbutiona, expenditures, and dlstrfbutlons required to be eloNd herein was swom to and aubscrlbed before me tflll
reported by section 112.3148. Florida STatules J.Q.. day of JUDO ; ,,-ilL.
...... Ilo.I.&- c••:....6 . . .
~E~I~£FICIAl l'!~TURE OF NOTARY ... .. ~
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, PART D -
_ - A'
FILING INSTRUCTIONS -
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'
E!!eUom 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.
~,
~. ' CIII'OAM 7 • REV. ,-eo
FORM 6 FULL AND PUBLIC DISCLOSURE OF FINANCIAL INlCERES:tS=-1988->
.. ,:;[[ INSTRUCTIONS ON RACK OF FOAM, PAA_'T_f _
~~ID~""~"':~~~
"'~I~'A~'ln:+'t"ll~R~~al~1t~:'V~ii:lli~=3Em~
,,1 R@~~:' :@altv.C'''ille - - - !22~21~ :'~H05H!0°--l C325& John
S Mortgage Co.
Knox Road
tArI"" ~nll"A ,. F ~, Tall Florida 17 .402
I.~",~ nf land 11f1.FL Stockton, Whatley & Davin
'''.....d in n iD(Fox ~ollnw 41 100 W. Bay Street
M41 1 O""A 1 ~ II ,...""'" ~~ ~nn Jacksonvf11 e, Florida 7,500
IO~h'· Ri vflr 1 Al'rfl 1 &inn
1,\ Tnt in 1 Ar-rp in Ih 4,.000 Deposit Guaranty Mortgage Co.
IVAdpn r in K@t1 Pla~s 2: 042 P. O. Box 1193
l T Mitt' <:On In 7n non" au.. :i nni ]q21 !i Ii 147
, v'CHECK IF CONTINUED ON SEPARATE SHEET I 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 - INCOME (CONTlfiUEO)
--.:.-....;.:------
I
~ PRIMARY SOURCES OF INCOME
Plpa!>!) ,(jtll1lof y each SIl~J.lrale ~OIHCI' and amount 01 ,,,come trI e.ct1SS of 5' 000 Thill YOll received In 19BI'
v .. ' v ..
..'''' , .. ,..
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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 $1,000 income Irom such business entIty, Ihen you must IrSI each source 01 Income 10 the business entity which exceeded 10% 01 Ihe
business entity's "total mcome" as shown on thaI bUSiness entity's most recenlly IIled Income tax return,
~
STATE OF FLORIDA
COUNTY OF uN" e "n<
The slgnalu of Ihe public officer, .mployee, or. candidate who..
t1n.nc:lallnt I. are dllCloeed haN'n ~ ~m and .u~rlbed to
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PART F INSTRUcrJONS
WHERE TO FItE, Incumben'- ftIe ""'" II.- 0. HOW TOCCMIPl.Y: II.I By ~ and -ang.-en IIlItrUmeIIII nut lie ,..... .. t.e. '''-' QNriIy;
PI'1Inenl of Slate,"" 1101, The CapfIoI. r...,.... . . . and .-ell ...., III _ aI "C1llO. To lid you In II lIlIUUbe..-:t by ,eMVDOdlllM. . . . .
Aarida 3ZlIlI c.rd:tIIIIlI NIl - . .... oIfiow betn whom ~ ... WIIuirtg IUd! . . . . and ...... 1Plt
",,~, ~ on etlIca IUlIIlI'IIIIIle IllIIowIn;: LAIIlIMI: The --n aI I ~ IIlIlI laCe 8IlIOUI'If
.....
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P'Gf*'Y 1IllIl'IIIIr" • 11m ~ IIIDCb Md bondI ~ HIMMt•• )lOU iN, be..., ,.;
fIIIIII/'t.
....... lIe --.cltlt' lIle..--...... wIlIdI'"
Mllun'IO," be
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WM>MU$TCOWl,Y M...,-----..~
.. WlCIdIiIw tor . . . , ~ CllrIClIs. cn.t
CoJ,.,iIIIaIof. . . . . ~ ~ ....... Warqra'
-
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1D
...-: Md . . . . . ~ IhIUd be IdII'IlIIl..s tit'
o f . . . ~ &ch lIIt*y IIlClIlId tie
Ind . . . . bl .. cndIIIrlr
. . Y·
181 ~ ...... aI
fA fie -..; .. M
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-lIIOl'ldId PIn
(CJ~"""aI~.lI'\WldIdmPlnD."""
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Con'Cllll __" "*'**- Of . . ~ N1Cl Sf f'wt. ......... ~ R-' ll"DI*'r"""YtIe~. . . " - ....... lie ......" • .., III IilXlIIl'dIIIClI will . .
,......
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~ . . . . 1IId membM 01 . . ~ Poeiic:uiid
.. , IIlMIIIoft ...... 80Ird . . ~ ID . . __
FORM •• AIV. t. .
call..",...,
CUI'Ill-..s
l1li JIOlICr plulaoo
CMh Md . . IIIOrIey ...-..
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Form 6. Page 1
Part B - Llabliltles. contlnyed
Abbi. Roddenb.rry
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FORrJl 7 ELECTED STATE, COUNTY AND MUNICIPAL OFFICERS 1988
• LAST NAME - FIRST NAME - MIDDLE NAME
STA TEMENT FOR CALENDAR YEAR ENDING DECEMBER 31, 1988
Harvev David Fulton ..
MAILING ADDRESS NAME OF AGENCY
Pnc:.t Off; rp Rmc 1F;O W~klJl h County Sh~riff 's DeJartment
CITY COUNTY liP DATE TERM BEGAN OATE TERM EXPIRES
, lQQ3
r rawford\J 111e Wakulla 371?7 .1:a nllla .. v t QAQ
OFfiCE HELD ELECTED OFFICE HelD IS
Sheriff U STATE OFFICE ~~ COUNTY OFFICE l_ MUNICIPAL OFFIC':E
PART A - 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 CONTRIBUTOR ADDRESS OF CONTRIBUTOR CONTRIBUTION
None
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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) «-Ace ' b ., "
.~ ....,.....,,_0'__• '.'''''0''-' ond The slgnalu,. of I'" pUblic oltlcer whose financial Inle,..l. are dl..
!II all trtbu~?" elCpend~ dl.'r1butlons required 10 be closed herein ~ end aubacrfbed belO,. me thl•
"'~ by~ lion J.11-!) F tat~t~ ....l..i day 01 ~ " 19.!.!....
SIGNATURE OF REPORTING OFFIt"fAL IXATURE OF NOT'ARY.I~
I DATE COMMISSION EXPIRES
~
r a.. all''_'.. '7k. ~ .. . 111.._ ...... S~' af Rdrik
PART D - FILlNQ INSTRUCTIONS .6.1, , .... Secl'-Q. , 'nl
~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'. ' ,
,,"
-d
PM . •/
f:ORM 6 FULL· AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS_1986~
• SEE INSTRUCTIONS ON lACK OF FORM. 'ART F
I.A~T -''''/f. .. nRST r-tA'-4E - MIDDLE INITIAL FILING CAPACITY OFFICE HELO
Harvey, David F. X' OFFlCUI Sheri ff
MAILING ADDREbS OF~ICE SOUGH'
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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 III you check Ihlt 00. and .lIac". copy 01 you' IBM t.l< re1urn.
D y.)U nood nOl complolfl I"e romlllnt1 ..r 01 P.,I OJ
~ F,le II sworn stalemenl IdenlllYlng each separale source .nn amounl 01 Income In ,QNl Wrlll h '"' "".t1~" (10(11'" huh"ll
PART D - INCOME ICONTINUED)
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PRIMARY SOURCES OF INCOME
n", .. , f' 1·1",,., " f',J' t, ,epft'lIlfl1 "."Uf' tt anti 1\'111, Inl of tnc.OmA In ".'.ft" 0' '1,000 ",.t you 'ftf""t1fftd In
ADDRESS OF SOURCE
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STAH OF FLORIDA
ro"g,,,,,,"\; "" ~ '(I'1Ol do dt'pc~l! IlI1 oalh and ~ay lhallhe Inlo'rnallon COUNTY OF .<.)sJ~.l ( I\..
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lonanc.I' InltorlllllS 1!1t disclosed "''''1'1 wAS ' ....0'" tn an<1 ,ubl!lCnb~<1
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