HomeMy WebLinkAboutFord - 2026 Financial Disclosure Form - 6-9-26/2.0.2.66 Qualifying Checklist for Filing Officer's Use
CANDIDATE NAME: cux-hs frard DATE:
OFFICE: (Mayor -Commissioner —Seat 1 ❑ Commissioner — Seat 4 ❑ Commissioner — Seat 5
INCUMBENT? [W ES ❑ NO
VAppointment of Campaign Treasurer (Form DS -DE 9) Filed for each treasurer/deputy treasurer
Treasurer:
Deputy Treasurer(s);
Bank:
atement of Candidate (Form DS -DE 84 (Eff. 4/2026)) Filed
LR
Nomination Petition process met
Candidate Oath — Nonpartisan Office
Corr ct version of form submitted (DS -DE 302NP-E Corr. (Eff. 04/2026))
Under oath, name as it is to appear on the ballot
Check box if you have a compound name without a hyphen (Last Name affects placement on ballot)
l C eck box if you have a nickname AND complete affidavit on back of oath, notarized
"Office" provided (Example: Mayor -Commissioner - Seat 1, Commissioner -Seat 4, etc.)
0 " istrict" should be N/A
"Circuit #" should be N/A
Q' ""group or Seat #" (1, 4, or 5 whichever relates to the office you are seeking)
fid' unty of legal residence provided (Duval)
la Check applicable box swearing that "I am not" OR "I am" a citizen of another country AND if also a
itizen in another country, specify which country.
Acknowledgement of Outstanding Fines, Fees, or Penalties, AN es, complete detailed statement
op page 2.
Candidate original signature provided (If you are acting as Notary, have them take an oath and
en have them sign)
la P one number, email address, and address of legal residence provided
VA ue (county where oath taken)
Q' Physical presence or Online presence indicated
1� ate of notarization provided
i Personally known or Produced identification is indicated
Identification type provided, if needed; otherwise use "N/A"
Contains notary signature
Mtary stamp (with notary's name) affixed below signature
ary commission not expired when notarized
honetic Spelling of Name not required for qualifying)
Specify the amount owed for each entity if "I Do" was checked
Affidavit of Nickname (Only required if using nickname for the ballot) must be notarized
2026 Qualifying Checklist Page 1 of 2
Name LG�r S ��iI�CJ
Financia isclosure (Form 1)
2�Zec7eipt
1 submitted via electronic filing system:
(incumbent)
OR
❑ Form
❑ Candidate's (digital) signature provided
❑ Form is complete, including n/a when there is nothing to report on part of the form
❑ Form is complete, including attachments
Elect_iT Assessment Fee (Mayor $139.62 OR Commissioner $112.43)
� Payable to the City of Atlantic Beach
9/al"
eck drawn on campaign account (Official, bank, cashier's check not acceptable)
0 Check drawn on bank designated on DS -DE 9
Q" ount paid
L9 Amount is not less than the qualifying fee (check written amount)
Il�'W -tten and numerical numbers are both filled in and are the same
L ` heck signed by ❑ treasurer,
� b eputy treasurer, eto-lS Fo%
al rocessed payment through AB Cashier, obtained validated receipt to file as proof of payment
SOEGK-L-&
D�ments (not required to qualify)
1KT L & A Receipt signed
NOTE: F.S. 99.061 7(C) The filing officer performs a ministerial function in reviewing qualifying papers.
In determining whether a candidate is qualified, the filing officer shall review the qualifying
papers to determine whether all items required by paragraph (a) have been properly filed and
whether each item is complete on its face, including whether items that must be verified have been
properly verified pursuant to s. 92.5250)(a). The filing officer may not determine whether the
contents of the qualifying papers are accurate.
❑ Redact address & phone number from check and documents, if protected
❑ Redact social security numbers and PINS on tax returns, if applicable
❑ Redact routing numbers on check
❑ Scan documents
❑ Add documents to LF
❑ Send Oaths to DCSOE, Cierra Fackler at CFackler@coj.net
❑ Show as qualified on website
2026 Qualifying Checklist Page 2 of 2
6/8/26, 12:59 PM
Jon M. Philipson
Chair
.Joseph Ogelsby
rice Chair
Paul 1). Bain
Nicholas X. Duran
vlichael IL Hellman
Laird A. Lite
.Jeremy M. Rodgers
Abbey L. Stewart
Linda Stewart
Verification Receipt - Electronic Financial Disclosure Management System
State of Florida
COMMISSION ON ETHICS
P.O. Drawer 15709
Tallahassee, Florida 32317-5709
325 John Knox Road
Building E, Suite 200
Tallahassee, Florida 32303
"•A Public Office is a Public Trust"
Kerrie J. Stillman
Executive Director
Steven J. 7.uilkowski
Deputy Executive Director/
General Counsel
(850) 488-7864 Phone
(850) 488-3077 (FAX)
www.ethics.state.fl.us
I RECEIVED /
JUN 1192026 r6 �6
;-:�6 P1,
VERIFICATION AND RECEIPT OF SUBMISSION
TO THE ELECTRONIC FINANCIAL DISCLOSURE FILING SYSTEM
This Verification and Receipt of Submission acknowledges that the Commission on Ethics received a submission through its
electronic financial disclosure filing system.
Filer Name: Mr Curtis Randal Ford
Filer PID #: 298964
Date Filed: 5/30/2026
Disclosure Received: 2025 Statement of Financial Interests
Filing ID: 1075110
Receipt Print Date: 6/8/2026
The foregoing is a true and accurate depiction of information contained in the electronic financial disclosure filing system held by
the Florida Commission on Ethics.
This Verification and Receipt of Submission complies with Sections 112.3144(4) and 112.3145(2)(c), Florida Statutes, and, in
accordance with those statutes, it may be presented to any qualifying officer by an incumbent in an elective office or any candidate
holding another position subject to an annual filing requirement.
This Verification and Receipt of Submission is not a certification that the form submitted is complete or that the information entered
in the form by the filer is true or correct. This Verification and Receipt of Submission is system generated, is created automatically,
and its issuance does not indicate that the submission by the filer has been reviewed by Commission staff.
To see the filet's disclosure, visit https://disclosure.floridaethics.gov/PublicSearch/Filings. For questions regarding this Verification
and Receipt of Submission, please contact the Florida Commission on Ethics at (850) 488-7864.
https://disclosure.floridaethics.gov/Fil ingsNerificationReceipt/ 1075110 1 / 1