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Woods, Carolyn-Statement of Financial Interest - 2012 Form 1 FORM 1 STATEMENT OF 2012 Please print or type your name,mailing FINANCIAL INTERESTS ( address,agency name,and position below: FOR OFFICE USE ONLY: LAST NAME—FIRST NAME--MIDDLE NAME: I&I (Do DS CA\2OLAS N R ■2 MAILING ADDRESS: Received CITY: ZIP: COUNTY: JUN 1 7 2013 A LJ N i 1 6 6C14 32.233 D uv NAME OF AGENCY: C j,\' o c A7 L A]�-1°1-• i G e,G Office of City Clerk NAME OF OFFICE OR POSITION HELD OR SOUGHT: Nt A`f (712 ■ S&A 4_ You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF at.ANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(must check one): ©/ DECEMBER 31, 2012 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES,WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS,WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see insttrruc ions for further details). CHECK THE ONE YOU ARE USING: U COMPARATIVE (PERCENTAGE)THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] (If you have nothing to report,you must write"none"or"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY 1 tX. (� Si- \Le-A- It;ut ■ PART B— SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE N A PART C—REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] FILING INSTRUCTIONS for (If you have nothing to report,you must write"none"or"n/a") when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions] (If you have nothing to report,you must write"none"or"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES /7( 1\-aceA PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,you must write"none"or"n/a") ,( �NAMME OF CREDITOR ADDRESS OF CREDITOR 6(Q, /x`1'1'Gt g It PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions] (If you have nothing to report,you must write"none"or"n/a") BUSINESS ENTITY#1 BUSINESS ENTITY#2 BUSINESS ENTITY#3 NAME OF BUSINESS ENTITY K ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE t - I NATURE r- • fired : DATE SIGNED (required): 41MOI 6 . 9-0/3 FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, If you were mailed the form by the Commission Initially, each local officer/employee, including signing and dating it send back on Ethics or a County Supervisor of Elections state officer, and specified state employee only the first sheet(pages 1 and 2)for filing. for your annual disclosure filing, return the must file within 30 days of the date of form to that location. his or her appointment or of the beginning If you have nothing to report in a particular Local officers/employees file with the of employment. Appointees who must be section,you must write"none"or"n/a"in that Supervisor of Elections of the county in confirmed by the Senate must file prior to ( ) ,t which they permanently reside. (If you do not section(s). confirmation, even if that is less than 30 permanently reside in Florida, file with the days from the date of their appointment. NOTE: Supervisor of the county where your agency Candidates for publicly-elected local office MULTIPLE FILING UNNECESSARY: has its headquarters.) must file at the same time they file their Generally, a person who has filed Form 1 State officers or specified state employees qualifying papers. for a calendar or fiscal year is not required file with the Commission on Ethics, P.O. Thereafter, local officers/employees, state to file a second Form 1 for the same year. Drawer 15709,Tallahassee, FL 32317-5709. officers, and specified state employees However, a candidate who previously filed Candidates file this form together with their are required to file by July 1st following Form 1 because of another public position g each calendar year in which they hold their must at least file a copy of his or her original qualifying papers. Y Y positions. Form 1 when qualifying. To determine what category your position falls Finally, at the end of office or employment, under,see the"Who Must File"Instructions on page 3. each local officer/employee,state officer,and specified state employee is required to file a final disclosure form(Form 1 F)within 60 days Facsimiles will not be accepted. of leaving office or employment. However, filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in their position on December 31,2012. Carolyn Woods ERAG 303 6th Street E Atlantic Beach, FL 32233 Statement of Financial Interests 2012 CMCSA COMCAST CORP AMER CLASS A NEW IPRIS Part C. Real Property E BROK ERAG 50% 178 11th Street,A.B. E 50% 368/370 1st Street,A.B. 50% 2855 South Ponte Vedra Blvd., S. Ponte Vedra ARKAY ARKEMA 50% 7530 Merrill Rd., Jacksonville SPONSORED ADR 50% Kingstree Apts,Jacksonville 33.3% 1810 Sevilla Blvd.,Atlantic Beach 12.5 % 1985 Mayport Rd.,Atlantic Beach Part D. Intangible Personal Property mutual Funds Equities Symbol Description _ INBNX DIVERSIFIED Symbol Description Accou BOND -A nt T_ AT&T INC AMER ININX DIVERSIFIED IPRIS BOND - B E IEMBX EMERG MKTS OPP _ BROK - B ERAG IDEAX EMERG MKTS OPP -A INDZX DIVERSIFIED EQ I - _ T_ AT&T INC AMER A IPRIS IDEBX DIVERSIFIED EQ I - _ E B BROK ERAG NIENX M-ADVISOR INTL E _ - B NIIAX M-ADVISOR INTL E _ ALU ALCATEL LUCENT AMER -A IPRIS LEGBX LARGE CAP GROWTH - B BROK LEGAX LARGE CAP _ DIVIDENDS INC CL GROWTH -A A OSMAX OPPENHEIMER OPPAX OPPENHEIMER INTL SMALL CO CL GLOBAL CL A A MSIGX OPPENHEIMER MFNLX BLACKROCK MAIN STREET CL A NATIONAL MUNICIPAL INVESTOR CL C WBGAX WELLS FARGO _ WEALTHBUILDER CTFDX COLUMBIA ACORN TACTICAL EQUITY THERMOSTAT CL C WBGBX WELLS FARGO _ dternative Investments WEALTHBUILDER GROWTH BALANCED Symbol Description WBGGX WELLS FARGO 4561631 INDUSTRIAL WEALTH BUILDER GROWTH 04 INCOME TR INC ALLOCATION OARDX OPPENHEIMER _ RISING DIVIDENDS INC CL A Part E. OPPAX OPPENHEIMER Compass Bank GLOBAL CL A PO Box 830953 Birmingham,AL Bank of America MSIGX OPPENHEIMER _ PO Box 5170 Simi Valley, CA 93062 MAIN STREET CL A Fifth Third Bank PO Box 961221, Fort Worth, TX 76161 WBGAX WELLS FARGO _ WEALTHBUILDER Meredith Village Savings Bank TACTICAL EQUITY PO Box 177 OPSIX OPPENHEIMER Meredith, NH 03253 GLOBAL STRATEGIC INCOME CL A OPTFX OPPENHEIMER _ CAP APPRECATION CL A OARDX OPPENHEIMER _ RISING