Está en la página 1de 9
FORM 6 FULL AND PUBLIC DISCLOSURE Pieose prin or type your nae, mating OF FINANCIAL INTEREST ares, apne) nme, and postion below TST RAWE — FIRST NAME — IDLE NAME: Altman(Je) - Thitrel (Thad) - Adolphus WATLING ADDRESS: 12237 Rockledge Drive 204 JUN 18 AM 10: 3) Ui¥ISHis OF EL ES VAL ARasgee HONS TAME OF AGENCY Senate - Elected Constitutional Officer NAME OF OFFICE OR POSITION HELD OR SOUGHT State Senator, District 16 CHECK IF THIS ISAFILING BYACANDIDATE PART A~NET WORTH Please ener the value of your net worth as of December 31, 2013, or @ more curtent dae. [Note: Net worth isnot calulsted by subtracting your ‘reported lables Wom your reported assets, s0 please see ihe insuctons on page 3) My net worth as of December 31, - 20.13_was $ 899,678. PART B~- ASSETS, HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and pereonal elects may be reported in slump sum if their eggregate valve exceeds $1,000, Tis category includes any ofthe folowing, ifnot held for investrent purposes: jevely,calection of slams, gurs. snd rumigmatc fame, at objecs, household equpment and fursnrgs: doving; ater housenold nem; ane vores for personal US, “The aguregate value cf my household goods and personal elec (described above) is $ 105.000 [ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET [specific description Is required - soe instructions p) VALUE OF ASSET. [See Attachment "AT PART C-- LIABILITIES [ABILITIES IN EXCESS OF 51,000 (See instructions on page 4): NAME AND ADDRESS OF CREDITOR. AMOUNT OF LIABILITY [Space Coast Credit Union, 8045 N. Wickham Rd., Melbourne, Florida 32040 is 9.083 [Nissan Motor Acceptance Corp., P.O. Box 660360 Dallas, Texas s_ 16,829 JAltman, Thirrel A TR, P.O. Box 360811 Melbourne, FL 32936 {§ 600,005 le s “TOINT AND SEVERAL UABILIIES NOT REPORTED ABOVE NAME AND ADORESS OF CREDITOR AMOUNT OF LABILITY eee ey Teromnc. prea ey oe Tad oven noe PAGET ‘cpa ence n Ros eb en2"), FAC PART D = INCOME ‘You may EITHER (1 lo compite copy of your 2013 feral neome tx relvn, nuding a! W's, cheduee, and attachments, OR (2) fe a warn statement Identifying each separate souce and amount oF noone which exoneds $1,000 Inching secondary sources of Income, by competing the ‘emeindr of Pat, blow soe 3 copy of my 2013 focerat income fax rota and al We, echeaes, and attachments (you check is box and atach a copy of your 2013 tax etn, you need nat crate the femaindet of Part ©. PRIMARY SOURCES OF INCOME (S00 Instructions on page 5}: [NAME OF SOURCE OF INCOME EXCEEDING $1,000 ‘ADORESS OF SOURCE OF INCOME AMOUNT, [See Attachment "B ‘SECONDARY SOURCES OF INCOME [Major custome, lens, ol, of businesses awed by reporting persor~see instructions on page 5: NAME OF [NAME OF MAJOR SOURCES. ADDRESS PRINCIPAL BUSINESS. BUSINESS ENTITY OF GUSINESS INCOME OF SOURCE. ACTIVITY OF SOURCE, PART E.— INTERESTS IN SPECIFIED BUSINESSES [Instructions on page 6] BUSINESS ENTTY #1 BUSINESS ENTITY 92, BUSINESS ENTITY #9 TAME OF BUSIKESS ENTITY ‘ADDRESS OF BUSINESS ENTITY 'PRINCIPA, BUSINESS Aetiary POSTION ETD STH ENTITY "OWN MORE THAW ASH ear iN NATURE OF MY OWNERSHIP INTEREST IFANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE STATE OF FLORIDA S SOUNTY OF LE Lv SD worn to (or afmed) and subsonbed beta me mis _/ 7°” day of begining of ts for, bo Y - Taewe. male val Se We oy! Lope Teel voy ana hg — ; form and any atacrents ert te, cae ALE a icles Baath chery Pablo of Foy |. tho person whose h Bae Ze < f Fa Typ. Srp Codoned Na sng Puikg) Personally Known __ (OR Produced Igonfcation_ ~~ ‘ unde SHONATURE OF REPORTING OFFICIAL OR CANDIDATE Type of Wenifcation Prosucod ZZ YZ lf cerified pubic accountant icensed under Chapter 473, oratory in good standing withthe Florida Bar prepared this form for you, he or she must complete the folowing staament \ prepared the CE Farm 6 in accordance with rt, Sec. 8, Frida Consttuton, Sécton T2144, Fonda Slalutes, andthe natuctons 16 the form. Upon my easonable knowledge and bel, the disclosure herein is true and correc. Signature Date Preparation of this form by a CPA or attorney does nat relieve the filer of the responsibility to sign the form under oath. ‘SE FORR oceans 170A PAGET ‘opted ty sce Fe 002, FAC, Attachment “A” Part B -- Assets 2106 Lionel Drive, Melbourne, FL 32940 (House) 2237 Rockledge Drive, Rockledge, FL 32955 (House) 105 Hogan Rd. A-F, IHB, FL.32937 (15% ownership, Banana River Dr. Resort LLC) Surrender Value of Life Insurance Ganwuarthy and

También podría gustarte