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