FORM 6 FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS, FOR OFFICE USE ONLY: FLORIDA COMMISSION ON ETHICS SSUREE ppocessep AT Senate i 1 Elected Consttuonal Ofer ocose {NNT | 2237 Rockledge Dr Rockledge FL 32955-5403 IDNo. 74566 beet HOU oe yet Conf. Code Altman , Thirrel (Thad) Adolphus CHECK IF THIS IS AFILING BYAcANOIDATE OD PART A— NET WORTH Please enter the value of your net worth as of December 31, 2014. [Note: Net worth is not calculated by subtracting your reported liabilities from your reported assets, so please see the instructions on page 3.] PART B— ASSETS. HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal eects may be reported in a lump sum if their aggregate value exceeds $1,000. This category includes any of the {aliwing, not held for investment purposes: jewelry: colectons of stamps, guns. and numismatic Rams; at objects; householé equipment and fumishings; clothing, other housahald items; and vehicles for personal use, nnether owned or leased, Te aggregate value of my houses goods and personal fects (described aboveyies WS, ODO [ASSETS INDIVIDUALLY VALUED AT OVER $1,000: DESCRIPTION OF ASSET (specific description is required - see instructions 4) VALUE OF ASSET See Kit: 2, “AN PART C ~ LIABILITIES LIABILITIES IN EXCESS OF $1,000 (See instructions on page 4) NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY | See Attachment “B" JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY. Ban ee airae Corinto sa) ETPART D ~ INCOME ‘You may EITHER (1) file @ complete copy of your 2014 federal income tax rtur, including all W2's, schedules, and attachments, OR (2) fle a sworn Statement identifying each separate source and amount of income which exceeds $9,000, ining secondary sources of Income, by completing the femainder of Part D, below. 1 etect ote copy of my 2014 federal income tax rtum and all W2's, schedules, and attachments I you check this box and attach copy of your 2014 tax return, you neee not complete the remainder of Part ©.) PRIMARY SOURCES OF INCOME (Seo instructions on page 5): NAME OF SOURCE OF INCONE EXCEEDING $1,000 ADDRESS OF SOURCE OF INCOME AMOUNT s A { yo SECONDARY SOURCES OF INCOME [Major customers, clenis, etc, of businesses owned by reporting person~see instuctons on page 5} NAME OF NAME OF MAJOR SOURCES. ADRESS PRINCIPAL BUSINESS BUSINESS ENTITY (OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE PART E ~ INTERESTS IN SPECIFIED BUSINESSES [Instructions on page 6] BUSINESS ENTITY #1 BUSINESS ENTITY #2 BUSINESS ENTITY #3 TAUE OF BUSINESS enTTY "ADDRESS OF BUSINESS ENTITY ‘PRINCIPAL BUSINESS AcTWITY POSITION HELD WITH ENTIFY TOWN MORE THAN AS INTEREST IN THE BUSINESS NATURE OF MY. OWNERSHIP INTEREST PART “TRAINING For offers required to complete annual ethics training pursuant to section 112.9142, FS. | CERTIFY THAT:I HAVE COMPLETED THE REQUIRED TRAINING. STATE OF FLORDA OATH county OF Brevard _ |, te porson whose name appears atthe ‘sworn (or feed) and subscribed betore me tis LF day ot Deciing of is tm, do depose on tho amaon mis by Thavcve| (Thad) Al donan ‘and say thatthe information disclosed on this form and ary tachment hereto is re, accurate, co Mase Berra a and complete KD eric. A Herta A, M4 by vagy, mone SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE Typ of Keniicaton Produced Ifa certified public accountant licensed under Chapter 473, or attomey in good standing withthe Florida Bar prepared this form for you, he or she must complete the following statement \ prepared the CE Form 6 in accordance with At. Il, Sec. 8, Florida Constitution, ‘Sacion 112.8144, Florida Statutes, and the insuctons to the form. Upon my reasonable knowledge and belie, the disclosure herein is rue Signature Date Preparation of this form by a CPA or attorney docs not relieve the filer of the responsibility to sign the form under oath. TEFORNG. eleane Janay 2 ‘pea by tron fie 344.0020), FAC.ATTACHMENT “A” Part B - Assets 2106 Lionel Drive, Melbourne, FL 32955 (Rental House) 2237 Rockledge Drive, Rockledge, FL 32955 (Home) The Pines Resort LLC (Parcel ID 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) P.O. Box 360911, Melbourne, FL 32936-0911 Surrender Value of Life Insurance Genworth Life 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 CREF (Retirement Portfolio) See Attachment "C” Bank of America (Checking) 175 E NASA Blvd, Melbourne, FL 32901 Space Coast Credit Union (Savings) 20 S Wickham Rd, Melbourne, FL 32904 Attachment “B” Part C - Liabilities ‘Space Coast Credit Union (Car Loan) 8045 N. Wickham Rd. Melbourne, FL 32940 ‘Space Coast Credit Union (Car Loan) 8045 N. Wickham Rd. Melbourne, FL 32940 Space Coast Credit Union (Car Loan) 8045 N. Wickham Rd. Melbourne, FL 32940 Nissan Motor Acceptance Corp. (Car Loan) P.O. Box 660360 Dallas, Texas Altman, Thirrel A TR, (Mortgage) P.O. Box 360911, Melbourne, FL 32936 171,080 600,420 682,500 62,354 11,310 25,911 23,332 1,270 4,567 18,848 34,297 10,582 600,005