Você está na página 1de 7
FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS HAND DELIVERED 6 1D Code NM IDNo. 74566 FOR OFFICE USE ONLY: Hon Thirrel (Thad) Adolphus Altman Be State Senator, 16 Distt RECSIVED ‘Senate Elected Constitutional Officer 46 JUN23 AMI: 2237 Rocxledge Dr Rockledge FL 32955-5403, lh fehl abel eel ita ‘CHECK IF THIS IS A FILING BY & CANDIDATE WoRTH conf. Code Altman , Thirrel (Thad) Adolphus PART A—NE Please enter the value of your net worth as of December 31, 2015 or a more current date. (Note: Net worth is not cal- culated by subtracting your reported liabilities from your reported assets, so please see the instructions on page 3.] my net worth as of Maral 21 2010 wass_ 1,070,236 PART B- ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and pereonaleffacte may be reported ina lump sum i ther aggregate value exceeds $1.000, This category includes any ofthe fotowing, # not held for investment purposes: jewelry. cafections of stamps, guns, and numusmaic lems: at objects; household equipment anc ‘umishinge: othing; other househeW lems: and vehicles for personal use, wher ouned ar leased. ‘The aggragate value of my household goouss and personal effects (described above) iss | 22, Ot [ASSETS INDIVIDUALLY VALUED AT OVER $1,000: ce pets escrito ig required - 568 nsructons pA) VALUE OF Asser uA WW See ach mort "AY Ane "2 PART C ~ LIABILITIES, LIABILITIES IN EXCESS OF $1,000 (See instructions on page 4) NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY Bee MMadimont “C* “JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE? NAME ANO ADDRESS OF CREDITOR AMOUNT OF LIABILITY TEFORUG- Eheane remy | 208 Tandon ey PRGET Ieorarbes oy nirte a Puke M200 FAC. PART D ~ INCOME Ionty each separate sourae and amount of income which exceeded $1,000 during the year, including sacondary sources ofincome, Or aliach a complete ‘copy of your 2015 federal income tax relur, including all W2s, schedules, and attachments, Please redact any socal secur oF account numbers Deter laltaching your retns, as the aw requires these documents bo posted tthe Commasens webste, Detect o fie copy of my 2015 federal income tax relum and all W2', schedules, are! atachments, [you check this box and tach a copy of your 2015 tax return, yOu need nol complete the remainder of Part D) [PRIMARY SOURCES OF INCOME (Soe instructions on page 5): NAME OF SOURCE OF INCOME EXCEEDING $1,900 AQDRESS OF SOURCE OF INCOME aMouNT ur SECONDARY SOURCES OF INCOME {Msior customers cents, ec, of businesses owned by reporting person ~see itructions on nage Sh NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS susiness ENTITY OF SUSINESS INCOME or SoURGE ASHVINY OF SOURCE PART E ~ INTERESTS IN SPECIFIED BUSINESSES [Instructions on page 6| USIESS ENTITY At BUSINESS ENTITY #2 BUSINESS ENTITY #9 Wane OF SOSINESS ENTITY ‘ADDRESS OF GUSIESS ENTITY PRINGIPAL BUSINESS ASiviny : ie : POSTION FETS warrenty TOWN MORE THEN A INTEREST NL THe BOSIESS NATURE OF HY OWNERSHIP INTEREST PART F - TRAINING For oficers required to complete annual ethics training pursuant to section 112.3142, FS, | CERTIFY THAT | HAVE COMPLETED THE REQUIRED TRAINING. STATE OF FLORIDA Gy | OATH counrvor Grewed ee 1 he preon whose name appears athe ‘Swain to (ordre) and subscribed belore me tia_ 27" day ot beginning of this for, do depose on oath ar affrrnabon ne hive! Ndulpnvs Amen Te. June so yy Jal va and sy ha the information dslosed on this form Zs and any attachments hereto i tue, acourae, mn fom te -Sate of Fray ana comek cer Pub. Sale ate Awyondye Cra ei rei (iit Type, o Stamp Commissioned Name of N oy come. 20K } Personally Known __ OR Prosed ETTon SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE Type of Kentfoaton Produced __FL. fa certified public accountant licensed under Chapter 473, or attomey in good standing with the Florida Bar prepared this form for you, he or she must complete te following statement: . prepared the CE Form 6 in accordance with Art. Sec. 8, Florida Constitution, ‘and the instructions 1 the form, Upon my reasonable knowledge and belt, the disclosure herein is tue Signature Date Preparation of this form by a CPA or attorney does not relieve the filer of the responsibility to sign the form under oath, IF ANY OF PARTS A THROUGH E ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE CEFORWE. Efoave fen 15078 PACED Soper iy orone Rae S48 0020), FAC. 2106 Lionel Drive, Melbourne, FL 32940 (Residential) 2287 Rockledge Drive Rockledge, FL. 32955 (Residential) ‘The Pines Resort LLC (Parcel {D 27-37-11-00-00264.0-0000.00) 114 Snead Road A-F, Indian Harbour Beach, FL 32937 (15% Ownership, Banana River Dr. Resort LLC) ‘Surrender Value of life Insurance Genworth Lite Insurance Company 3100 Albert Langford Drive, Lynchburg, Virginia 24501 Surrender Value of Life Insurance State Farm 366 N. Babcock Street, Suite 102, ‘Melbourne, FL 32935-6800 TIAA (Retirement Portfolio) “SEE ATTACHMENT B” Bank of America (Checking) 175 E NASA Blvd. Melbourne, FL 32901 ‘Space Coast Credit Union (Savings) 20 § Wickham Rd. Melbourne, FL 32904 184,080 617,350 697,500 55,017 ‘11,092 40,036 9456 1,648 TI AA \ Kevmenrt ewer ASTRONAUTS MEMORIAL FOUNDATION This plan includes the following annuity contracts and other investments. The annuity contracts are indicated with either TIAA or CREF followed by a number. Summary of your activity Balance as of Jan 1, 2016 $38,099.60 Employer contributions 2,750.00 Gains/Loss 814.15 Balance as of Mar 34,2016 ‘$40,035.45 What you have vested ‘our omployor's contributions Anny contacts andthe estes Annuity Convacts 300% $40,035.45 a ee é oe a ot Total $40,035.45 Your investments Sumber Unsere pee mat contracts and other nvestmets unta/anret_—_asofMar 34 2018, PreTax investments Equities CREF Stock R1 (CREF V23550G-0) 16.9502 $361.3146 $6,124.35 15.30% TIAA Acc Int! Eq T4 (TIAA D235506-3) 307.5405 (24,2837 7,468.22 18.65% TIM Ace Ma-Cap Gr T4 (TAR 184.3670 42.7928 7,989.54 19.71% D235506-3) TAA Reo Sr-Cap Eq T4 (IAA 322.1016 37.4690 12,088.82 30.15% 238506-3) TIAA Acc Lg-Cap Gr T4 (TIAA 132.6984 48,8666 6,484.52 16.19% D235506-3) Total Equities $40,035.45 400.0% Total value of your investments $40,035.45 100% ASTRONAUTS MEMORIAL FOUNDATION (Continued) Account holder: THIRREL A ALTMAN JR How the value of your investments changed this period To view the current performance for your specific investmonts, og in to your account at tiaa.org or you can visit {isa.or8/pertormance for general performance information. Value a8 of Net cesut of TAA nteresty tevostments Jan, 2038 transactions Gainortoss CREF Stock Ri $5,692.77 $412.50 $19.08 $6,124.35 TIAA Ace Intl Eq Ta 6,972.52 $50.00 54.30 7,468.22 TIAA Ace Md-Cap Gr T4 7,618.98 $50.00 -279.44 7,889.54 TIAA Ace SmCap Eq T4 11,510.34 825.00 - 266.52 12,068.82 TIAA Acc Le-Cap Gr T4 6,304.99 412.50 _ 232.97 6,484.52 Total value of your investments $38,099.60 $2,750.00 “$814.15 $40,035.45 Your transaction details Processing Efecto Number of vay ate date Dosciption snits/shares shave ioe Amount Employer 2/1/2016 2/1/2016 Contribution (CREF V235506-0), 0.6071 $339.7045 $206.25 CREF Stock Ri 2/1/2016 2/1/2016 Contribution (TIAA D235506-3) 11.7816 23.3415 275.00 TIAA Ace Intl Eq T4. 2/1/2016 2/1/2016 Contribution (TIAA D235506-3) 6.7748 405917 275.00 TIAA Ace Ma-Cap Gr T4 2/1/2016 2/1/2016 Contribution (TIAA D235506-3) 41.7531 35.0971 412.50 TIAA Ace Smm-Cap Eq T4 2/1/2016 2/1/2016 Contribution (TIAA 0235506-3) 4.3648 47.2530 206.25 TIAA Ace Lg Cap Gr T4 3/3/2016 3/3/2016 Contribution (CREF V235506.0) 05913 348.8106 206.25 CREF Stock RA 3/3/2016 3/3/2016 Contribution (TIAA D235506-3) 11.6589 23.6872 275.00 TIAA Ace Int! Eq TA 3/3/2016 3/3/2016 Contribution (TIAA 0235506-3) 66658 41.2551 275.00 TIAA Ace Md-Cap Gr T4 3/3/2016 3/3/2016 Contribution (TIAA D235506-3) 11.4299 36.0894 412.50 TIAA Ace SmCap Eq T4 3/3/2016 3/3/2016 Contribution (TIAA 0235506-3) 4.3887 47.3195 206.28 TIAA Ace Lg-Cap Gr T4 Total employer contributions $2,750.00 Space Coast Credit Union 8045 N. Wickham Rd. Melbourne, FL 32940 (Car| « en Loan) 7 | Space Coast Credit Union 8045 N. Wickham Rd, Melbourne, FL.32940 | ¢ err (Car Loan) ; Nissan Motor Acceptance Corp. P. 0. Box 660360 (Car Loan) s 6,136 Altman, Thirrel A TR, P.O. Box 360911, Melburne, FL32936 (Mortgage) | $ 600,005

Você também pode gostar