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Form 1 ExampleWhich local government employees have to file a Form 1 annually? The persons in today’s session most likely to be included are:Persons holding any of these positions in local government: chief administrative employee or finance director of a county, municipality, or other political subdivisioncounty or municipal attorneypurchasing agent (regardless of title) having the authority to make any purchase exceeding $20,000 for the local governmental unit (see statutes on page2, don’t confuse this with new procurement employee gift prohibitions on 3)Officers and employees of entities serving as chief administrative officer of a political subdivision.DO NOT include your social security number.If your position is listed in s. 119.071(4)(d), F.S., and your home address is exempt, you must submit a written request for confidentiality to the Commission on Ethics. This allows the Commission staff to redact the information if your Form 1 is subject to a public records request. I would submit this each year along with my Form 1. (The s. 119.071(4)(d), F.S. list is attached to the end of this package.)Redact request: Suggest it be signed, legibly written and specify the official, Form, and specific information involved (consistent with redaction of court records – s. 119.0714 (2)(b), F.S.).Purchasing Agent112.312 Definitions.—As used in this part and for purposes of the provisions of s. 8, Art. II of the State Constitution, unless the context otherwise requires:(20) “Purchasing agent” means a public officer or employee having the authority to commit the expenditure of public funds through a contract for, or the purchase of, any goods, services, or interest in real property for an agency, as opposed to the authority to request or requisition a contract or purchase by another person.112.3145 Disclosure of financial interests and clients represented before agencies.—(1) For purposes of this section, unless the context otherwise requires, the term:(a) “Local officer” means:3. Any person holding one or more of the following positions: mayor; county or city manager; chief administrative employee of a county, municipality, or other political subdivision; county or municipal attorney; finance director of a county, municipality, or other political subdivision; chief county or municipal building code inspector; county or municipal water resources coordinator; county or municipal pollution control director; county or municipal environmental control director; county or municipal administrator, with power to grant or deny a land development permit; chief of police; fire chief; municipal clerk; district school superintendent; community college president; district medical examiner; or purchasing agent having the authority to make any purchase exceeding the threshold amount provided for in s. 287.017 for CATEGORY ONE, on behalf of any political subdivision of the state or any entity thereof.287.017?Purchasing categories, threshold amounts.—The following purchasing categories are hereby created:(1)?CATEGORY ONE: $20,000.Procurement Employees – Gift Limitations, NOT Form 1 Requirements2013 Senate Bill 2112.3148 Reporting and prohibited receipt of gifts by individuals filing full or limited public disclosure of financial interests and by procurement employees.—(2) As used in this section:(e) “Procurement employee” means any employee of an officer, department, board, commission, or council, or agency of the executive branch or judicial branch of state government who has participated in the preceding 12 months participates through decision, approval, disapproval, recommendation, preparation of any part of a purchase request, influencing the content of any specification or procurement standard, rendering of advice, investigation, or auditing or in any other advisory capacity in the procurement of contractual services or commodities as defined in s. 287.012, if the cost of such services or commodities exceeds or is expected to exceed $10,000 $1,000 in any fiscal year.Part A: Primary Sources of Income:1. You$60,000 a yearfrom public employment2. You $5,000 a yearfrom private guide employment3. Spouse$40,000 a year4. Interest $1,000 a yearjointly with your spouse5. Investments $4,000 a yearjointly with your spouse5a. ($1,000 from stock in Company A and5b. $3,000 from stock in Company B)6. You $7,000 a yearincome from your ownership interestin your son’s lawn businessYour gross income is:$77,000(excludes spouse income, but includes the full value of joint income)DOLLAR VALUE THRESHOLDYou must report the name, address, principal business activity of each source of income over $2,500 (do not report the amount). You do not report your public salary. This includes items 2, 5b, and 6.name, address, principal business activity of your private employmentname, address, principal business activity of Company B (one source of your investment income)name, address, principal business activity of your son’s lawn businessCOMPARATIVE (%) THRESHOLDYou must report the name address and principal business activity of each source of income which exceeded 5% of your gross income. This includes items 2, and 6.name, address, principal business activity of your private guide employmentname, address, principal business activity of your son’s lawn businessPart B: Secondary Sources of IncomeYou own a 1/3 interest in your son’s Florida lawn business and received $7,000 from that business. He has one commercial client that represents 20% of his gross income and a lot of small or residential clients. You may have to report the name, business address and principal business activity of each source of income to your son’s business that exceeded 10% of his lawn business gross income. DOLLAR VALUE THRESHOLDReport if you own more than 5% of the business, and receive more than $5,000 income from the business.Because you own more than 5% of the lawn business AND you received more than $5,000 of your gross income from the lawn business, you must report the name of your son’s business and the name, address and, principal business activity of the commercial client.--Alternatively--You own a 1/3 interest in your son’s Florida lawn business (above the 5% threshold) and received $1000 from that business (below the $5,000 threshold). You would not have to report the commercial client or anything PARATIVE (%) THRESHOLDReport if you own more than 5% of the business, receive more than $1,500 income from the business, and receive more than 10% of your income from the business.You would write “none” on your Form 1. Although you owned more than a 5% interest in your son’s business and received more than $1,500, you did NOT receive more than 10% of your gross income from your son’s business.Part C: Real PropertyYou own, jointly with your spouse, your home (complete with mortgage). You do not have to list this under either of the THRESHOLD methods (your residence is not listed).You own, jointly with your spouse, a 20% interest in a Florida beach cottage (co-owned with 4 other couples). You do not have to list this under either THRESHOLD method (vacation homes are not listed). Note: If you also rent out this property it will not qualify as a vacation home.You own a lot in North Carolina where you may one day retire. You do not have to list this under either THRESHOLD method (real property in other states is not listed).You own, jointly with your spouse, a lot in Florida where you hope to build a new home in the future. You must include the location or description of the property on your Form 1 under either of the THRESHOLD methods.Part D: Intangible Personal PropertyYou have a mutual fund account with a value of $19,000. You have a DROP account with a value of $15,000. You have an IRA with a value of $22,000. You have a Florida Prepaid College Plan with a value of $9,900You have a bank account with a value of $6,000.DOLLAR VALUE THRESHOLDYou must report the type of intangible and the business entity to which it relates for:the mutual fund account.the DROP account.the IRA.The Florida Prepaid College Plan and the bank account do not exceed the $10,000 PARATIVE (%) THRESHOLDYou will probably write “none” on your Form 1.You must report the type of intangible and the business entity to which it relates for each account ONLY IF the value of that account exceeds 10% of your total assets. Your total assets include real property, intangible property, and tangible personal property such as automobiles, jewelry, furniture, etc.In this example, if your total assets exceed $220,000 – including the full value of property owned as tenants by the entirety or as joint tenants with right of survivorship – none of the items needs to be reported.Part E: LiabilitiesYou owe $7,000 on your Citibank Visa. You do not have to list this under either THRESHOLD method (credit card debt is excluded).You owe $100,000 on your home mortgage. You co-signed (jointly liable) on the equipment purchase for your son’s lawn business and the outstanding amount is $15,000. DOLLAR VALUE THRESHOLDYou must report the name and address of the creditor for your mortgage.You must report the name and address of the creditor for the equipment loan (as it exceeds the $10,000 threshold – as it is paid down, you will not have to report in some future year).COMPARATIVE (%) THRESHOLDYou will probably write “none” on your Form 1.You must report the name and address of the creditor for your mortgage ONLY IF $100,000 exceeds your net worth. Your net worth is the total value of all your assets (real property, intangible property, and tangible personal property such as automobiles, jewelry, furniture, etc.) minus the total of all your liabilities (mortgages, credit cards, car loans, etc.).NoteEven though you don’t report homes, mortgages on such properties must be reported if they meet the threshold chosen. CEO 76-131Part F: Interests in Specified BusinessesYou will have nothing to list under either THRESHOLD method as long as you DO NOT own an interest in, and WERE NOT an officer, director, partner, proprietor, or agent for:a state and federally chartered banka state and federal savings and loan associationa cemetery companyan insurance companya mortgage companya credit uniona small loan companyan alcoholic beverage licenseea pari-mutuel wagering companya utility companyan entity controlled by the Public Service Commissionan entity granted a franchise to operate by either a city or a county government119.071(4)(d) officers and employeesThe home addresses, telephone numbers, social security numbers, dates of birth, and photographs of active or former sworn or civilian law enforcement personnel, including correctional and correctional probation officers, personnel of the Department of Children and Families whose duties include the investigation of abuse, neglect, exploitation, fraud, theft, or other criminal activities, personnel of the Department of Health whose duties are to support the investigation of child abuse or neglect, and personnel of the Department of Revenue or local governments whose responsibilities include revenue collection and enforcement or child support enforcement; the home addresses, telephone numbers, social security numbers, photographs, dates of birth, and places of employment of the spouses and children of such personnel; and the names and locations of schools and day care facilities attended by the children of such personnel are exempt from s. 119.07(1).The names of the spouses and children of active or former sworn or civilian law enforcement personnel and the other specified agency personnel identified in sub-sub-subparagraph (I) are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The home addresses, telephone numbers, dates of birth, and photographs of firefighters certified in compliance with s. 633.408; the home addresses, telephone numbers, photographs, dates of birth, and places of employment of the spouses and children of such firefighters; and the names and locations of schools and day care facilities attended by the children of such firefighters are exempt from s. 119.07(1).The home addresses, dates of birth, and telephone numbers of current or former justices of the Supreme Court, district court of appeal judges, circuit court judges, and county court judges; the home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of current or former justices and judges; and the names and locations of schools and day care facilities attended by the children of current or former justices and judges are exempt from s. 119.07(1).The home addresses, telephone numbers, social security numbers, dates of birth, and photographs of current or former state attorneys, assistant state attorneys, statewide prosecutors, or assistant statewide prosecutors; the home addresses, telephone numbers, social security numbers, photographs, dates of birth, and places of employment of the spouses and children of current or former state attorneys, assistant state attorneys, statewide prosecutors, or assistant statewide prosecutors; and the names and locations of schools and day care facilities attended by the children of current or former state attorneys, assistant state attorneys, statewide prosecutors, or assistant statewide prosecutors are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The names of the spouses and children of current or former state attorneys, assistant state attorneys, statewide prosecutors, or assistant statewide prosecutors are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The home addresses, dates of birth, and telephone numbers of general magistrates, special magistrates, judges of compensation claims, administrative law judges of the Division of Administrative Hearings, and child support enforcement hearing officers; the home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of general magistrates, special magistrates, judges of compensation claims, administrative law judges of the Division of Administrative Hearings, and child support enforcement hearing officers; and the names and locations of schools and day care facilities attended by the children of general magistrates, special magistrates, judges of compensation claims, administrative law judges of the Division of Administrative Hearings, and child support enforcement hearing officers are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution if the general magistrate, special magistrate, judge of compensation claims, administrative law judge of the Division of Administrative Hearings, or child support hearing officer provides a written statement that the general magistrate, special magistrate, judge of compensation claims, administrative law judge of the Division of Administrative Hearings, or child support hearing officer has made reasonable efforts to protect such information from being accessible through other means available to the public.The home addresses, telephone numbers, dates of birth, and photographs of current or former human resource, labor relations, or employee relations directors, assistant directors, managers, or assistant managers of any local government agency or water management district whose duties include hiring and firing employees, labor contract negotiation, administration, or other personnel-related duties; the names, home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of such personnel; and the names and locations of schools and day care facilities attended by the children of such personnel are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The home addresses, telephone numbers, dates of birth, and photographs of current or former code enforcement officers; the names, home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of such personnel; and the names and locations of schools and day care facilities attended by the children of such personnel are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The home addresses, telephone numbers, places of employment, dates of birth, and photographs of current or former guardians ad litem, as defined in s. 39.820; the names, home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of such persons; and the names and locations of schools and day care facilities attended by the children of such persons are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution, if the guardian ad litem provides a written statement that the guardian ad litem has made reasonable efforts to protect such information from being accessible through other means available to the public.The home addresses, telephone numbers, dates of birth, and photographs of current or former juvenile probation officers, juvenile probation supervisors, detention superintendents, assistant detention superintendents, juvenile justice detention officers I and II, juvenile justice detention officer supervisors, juvenile justice residential officers, juvenile justice residential officer supervisors I and II, juvenile justice counselors, juvenile justice counselor supervisors, human services counselor administrators, senior human services counselor administrators, rehabilitation therapists, and social services counselors of the Department of Juvenile Justice; the names, home addresses, telephone numbers, dates of birth, and places of employment of spouses and children of such personnel; and the names and locations of schools and day care facilities attended by the children of such personnel are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The home addresses, telephone numbers, dates of birth, and photographs of current or former public defenders, assistant public defenders, criminal conflict and civil regional counsel, and assistant criminal conflict and civil regional counsel; the home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of such defenders or counsel; and the names and locations of schools and day care facilities attended by the children of such defenders or counsel are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution.The home addresses, telephone numbers, and photographs of current or former investigators or inspectors of the Department of Business and Professional Regulation; the names, home addresses, telephone numbers, and places of employment of the spouses and children of such current or former investigators and inspectors; and the names and locations of schools and day care facilities attended by the children of such current or former investigators and inspectors are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution if the investigator or inspector has made reasonable efforts to protect such information from being accessible through other means available to the public. The home addresses and telephone numbers of county tax collectors; the names, home addresses, telephone numbers, and places of employment of the spouses and children of such tax collectors; and the names and locations of schools and day care facilities attended by the children of such tax collectors are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution if the county tax collector has made reasonable efforts to protect such information from being accessible through other means available to the public. ................
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