FORM 6 Tieasa pier po Your same, malin {Ident agency are, and positon below TAST NAME — FIRST NAME — MIDDLE NAME Altman Thirrel (Thad) Adolphus USE ONLY: DIVISION OF ELECTIONS 37 Rockledge Drive nee Rockledge 32955, Brevard NAME OF AGENCY Cont Code AWE OF OFFICE OR POSITION HELD OF SOUGHT Reg. Code State Senator, District 16 CHECK IF THSISAFILNG BYACANDIDATE (Who PART A~ NET WORTH Pease ater tho value of your net worth ae of December 31, 2011. or a more cuent dale. (Note: Net worh sno calculated by subvacting your reported lapltes fom your reporea astts. so please see the Istveuans on page 3 My net worth as of ne 4 20 12 was $ 900,465 PART B-- ASSETS HOUSEHOLD GOODS AND PERSONAL EFFECTS: Household goods and personal effects may be reprted in a lump sum ew aggregate valve exceeds $1000. This category Includes any of he fotow. H¥not nel for investment purposes jewelry. calections of stems. guna, and numsmatic Hem art objects: Rouseholg equipment and lunshings. cloth ‘other housahoid ems: ahd veces for perconal Use ‘The aggregate value of my household goods and personal eflcts (described above! 1s $_92,000 [ASSETS INDIVIDUALLY VALUED AT OVER $1,000: [DESCRIPTION OF ASSET (specific description Is required - see instructions page 4) VALUE OF ASSET 2106 Lionel Drive, Melbourne, FL. 32940 (House) $132,190 2237 Rockledge Drive, Rockledge, FL 32955 (House) $521,160 10 Palmer Rd., IB, FL 32937 (The Pines Resort 15% ownership) $660,000 Cash Value of Life Insurance $235,000 Bank of America (Checki $1,850 PART C ~ LIABILITIES ABILITIES IN EXCESS OF $1,000 (See Instructions on page 4): NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY ‘Space Coast Credit Credit Union, 8045 N. Wickham Rd., Melbourne, FL $13,756 Nissan Motor Acceptance Corp., P.0. Box 660360, Dallas, TX $23,474 T.A. Altman & Roberta Altman, 1515 Wickham Rd., Melbourne, FL (Mtg) $428,800 T.A. Altman & Roberta Altman, 1515 Wickham Rd., Melbourne, FL (Mtg) $171,205 ‘JOINT AND SEVERAL LIABILITIES NOT REPORTED ABOVE: MAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY (CErOnNG: Etna anaiy! 7? Feeronueseaenan Fac (Continued on rovorse eke) PAGE!PART D— INCOME ‘You may EITHER (1) e complete copy of your 2011 federal ncame tax Fetum ineuding al W2', schedules. and atachmants, OR (2 la a swarn sale ment esting each sepotete source and amount of meame which sveoeds St 00, ineludng eacondary courses af Meamo. BY completing the remeinder FPR D.balow atc tse copy fy 2011 faa reome ae remand Ws, sheds, and alacant iyo chec ths box an tach a copy of you 2011 tax eh you read vo conte he remaner of Pat D] PRIMARY SOURCES OF INCOME {See instructions on page 5) [NAME OF SOURCE OF INCOME EXCEEDING 81,000 ADDRESS OF SOURCE OF INCOME AMOUNT State of Florida (Senate) 4025 South Monroe Street, Tallahassee, FL $29,337 Tara Management 10 Palmer Road, IMB, FL $13,000 House Rental Income (2106 Lionel Or.) 2106 Lionel Drive, Melbourne, FL $10,800 ‘The Pines Resort (Rental Income) 10 Palmer Rd., 1HB, FL $1,300 SECONDARY SOURCES OF INCOME [Mao” customer, lenis. etc. of businesses owned by reporing person- see msuctons on page 5) NAME OF NAME OF MALOR SOURCES ADORESS PRINCIPAL BUSINESS BUSINESS ENTITY ‘OF BUSINESS INCOME (OF SOURCE, ACTNITY OF SOURCE PART E -- INTERESTS IN SPECIFIED BUSINESSES [astructions on page 5] BUSINESS ENTITY #1 BUSINESS ENTITY #2 “BUSINESS ENTITY #3 TAME OF BUSINES evi ‘ADDRESS OF BUSINESS ENO PRINCIPAL BUSINESS POSITION HELO | OWNMORE THAN SE | INTEREST IN THe Si NATURE OF fy STATE OF FLORIDA counrvor LEON | the person whase ame apoears athe ‘Sworn fo (oafrmad) and subscatedbotowe me ths le day of bexining of his erm, do ep 0se on oath oF atirmation _and say that the enformation disclosed on this oer JUNE. 20/2 wy THAD ALTMAN 00 any attachments Preto is te. 9c rey ps, -<1A I SUORDDA 00 completa Alien ty Schooner TAZ dito AL omission & DDS3S88 Sire of tary Ppa Slae of Flor Comal § DOS Teo Nain Fite Sate oF posing 0,6, Alison! CLipy-tcHooNDueg= (@uet. ype. oF Starhp Gormetiones Name of Notary Pubic) Personal Known KO Prosueed identification “ype of lenlfcaton Procuced FILING INSTRUCTIONS tor when and where to fle this form are located at the top of page 3. INSTRUCTIONS on who must file this form and how to fill t out begin on page 3. OTHER FORMS you may need to file are described on page 6. TE FORO Eo aan | 2017 Rel Rue 34 80020 FAC PAGES