Financial Disclosure — Rubio, FL House of Representatives, Candidate Financial Disclosure, Form 6 (1999)

FILED Candidate / House 111 FORM 6 FULL AND PUBLIC DISCLOSURE OF FINANCIAL INTERESTS 1998 DEPAP FILING INSTRUCTIONS for 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 of this packet CO 29 19 10 43 OTHER FORMS you may need to file are described on page 6 NAME OF AGENCY House of Representatives cl - 11 1 11011A Marco Rubio 8500 SW 8th st # 220 Miami, FL 33144 OFFICE HELD OFFICER OFFICE SOUGHT CANDIDATE House of Representative Dist 117 POSITION OTHER NOTICE Under provisions of Sec 112 317, Florida Statutes a failure to make any required dis closure constitutes grounds for and may be punished by one or more of the following disquali fication from being on the ballot, impeachment, removal or suspension from office or employ ment, demotion, reduction in salary, reprimand or a civil penalty not exceeding $10,000. PART A — NET WORTH Please enter the value of your net worth as of December 31 1998 or a more current date [Note net worth is not calculated by subtracting your reported liabilities from your reported assets so please see the instructions on page 3] My net worth as of November 28 1999 was $ 0 PART B— ASSETS WORTH MORE THAN $1 000 HOUSEHOLD GOODS AND PERSONAL EFFECTS Household goods and personal effects may be reported in a lump sum if their aggregate value exceeds $1 000 This category includes any of the following if not held for investment purposes jewelry collections of stamps guns and numismatic items art objects household equipment and furnishings clothing other household items and vehicles for personal use The aggregate value of my household goods and personal effects (described above) is $ 13,000 ASSETS INDIVIDUALLY VALUED AT OVER $1 000 DESCRIPTION OF ASSET VALUE OF ASSET 1994 TOYOTA CAMRY $ 8,000 PART C— LIABILITIES IN EXCESS OF $1 000 NAME AND ADDRESS OF CREDITOR AMOUNT OF LIABILITY See Addendum $ 137,300 00 PART D — INCOME You may EITHER (1) file a complete copy of your 1998 federal income tax return including all attachments OR (2) file a sworn statement identifying each separate source and amount of income which exceeds $1 000 including secondary sources of income by completing the remainder of Part D on page 2 of this form I elect to file a copy of my 1998 federal income tax return [If you check this box and attach a copy of your 1998 tax return you need not complete the remainder of Part D ] CE FORM 6 REV 1/99 (Continued on reverse side) PAGE 1

(Part D Continued) PRIMARY SOURCES OF INCOME NAME OF SOURCE OF INCOME EXCEEDING $1 000 | ADDRESS OF SOURCE OF INCOME | AMOUNT Boden, McClory, Smith, Swisher & Russell PA | 701 Brickell Ave # 1700 Miami, FL 33131 | $72,000 City of West Miami | 901 SW 62 Ave W. Miami, FL 33144 | $1,380 SECONDARY SOURCES OF INCOME [Major customers clients etc of businesses owned by reporting person see instructions] NAME OF BUSINESS ENTITY | NAME OF MAJOR SOURCES OF BUSINESS S INCOME | ADDRESS OF SOURCE | PRINCIPAL BUSINESS ACTIVITY OF SOURCE | | | | | | | | | | | | | | | | | | | | | | | | | | | | PART E — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses see instructions] | | BUSINESS ENTITY # 1 | BUSINESS ENTITY # 2 | BUSINESS ENTITY # 3 | | :--- | :--- | :--- | :--- | | NAME OF BUSINESS ENTITY | | | | | 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 E ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE ☐ I the person whose name appears at the beginning of this form do depose on oath or affirmation and say that the information disclosed on this form and any attachments hereto is true accurate and complete SIGNATURE OF REPORTING OFFICIAL OR CANDIDATE OATH STATE OF FLORIDA COUNTY OF Miami Dade Sworn to (or affirmed) and subscribed before me this 28th day of November 1999 by MARCO RUBIO (Signature of Notary Public State of Florida) Nelson David Diaz CC 842878 ID# 873710 (Print Type or Stamp Commissioned Name of Notary Public) Personally Known ✓ OR Produced Identification Type of Identification Produced FILING INSTRUCTIONS WHAT TO FILE After completing the form file only the first sheet (pages 1 and 2) Note You also may be required to file Form 10 at the back of this packet (see the form for instructions) WHERE TO FILE Office holders file with the Department of State Room 1802 The Capitol Tallahassee Florida 32399 0250 Candidates file with the officer before whom they qualify WHEN TO FILE Officeholders must file no later than July 1 1999 Candidates must file prior to or at the time they qualify CE FORM 6 REV 1/99 PAGE 2

[Part C Addendum] (1) Sallie Mae (Student Loan) PO Box 59001 $127,000 00 Panama City, FL 32412 (2) Unipac (Student Loan) PO Box 64756 $1500 St Paul MN 55164 (3) Student Loan Services PO Box 53318 $1500 Jacksonville, FL 32201 (4) University OF Florida S113 Criser Hall $1700 PO Box 114030 Gainesville, FL 32611 (5) University OF Miami PO Box 249146 $1300 Coral Gables, FL 33124 (6) Bank OF America $3800 (7) US Dept OF Education 500