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1. Indicate by checking in the space provided whether you <br />a) hold any of the enumerated positions in any business <br />entity which is granted a privilege to operate, or is <br />doing business with the governmental agency of which <br />you are an officer or employee, OR <br />b) own, directly or indirectly, 10% or more of the total <br />assets or capital stock of such a business entity: <br />officer general agent <br />(other than a resident <br />director agent solely for service <br />of process) <br />partner <br />proprietor X own 10% or more <br />of total assets or <br />associate capital stock <br />2. Name of business entity: Cadenhead Subdivision <br />3. Address of the business entity: Wabasso <br />4. Briefly describe the principal business activity of the <br />business entity: <br />Subdivision - Owns property <br />5. Do you own 10% or more of the total assets of the <br />business entity? <br />Yes <br />6. Do you own 10% or more of the capital stock of the <br />business entity? <br />7. What was the earliest date on which you either assumed a <br />position checked in Question 1 or acquired 10% or more of <br />the total assets or capital stock? <br />(day) <br />November 19,1975 <br />(Date of Filing) <br />Under provisions of Chapter 74-177, Laws of Florida, <br />intentional violation of any disclosure requirement <br />shall constitute grounds for dismissal from employ- <br />ment, removal from office or removal from the ballot. <br />NOTE: Questions concerning this form or Chapter 74-177, Laws of <br />Florida, may be directed to: State of Florida, Commission <br />on Ethics, P. O. Box 6, Tallahassee, Florida .32302. <br />CE Form 3-7/1/74 <br />Page 2 <br />NOV 191975 <br />eoow.24 r,c1.53 <br />