EXHIBIT H

w Or,,, CITY OF MIAMI

PUBLIC DISCLOSURE OF FINANCIAL INTERESTS

IN COMPLIANCE WITH MIAMI CITY CODE SEC. 2- 619)

o, R 10 (

Note: As an alternative to the requirements set forth in the above- cited Code Section, a copy of the reporting
person' s filed return for the current year' s federal income tax return may be provided. [ City Code Sec. 2- 619( b)]

Suarez Francis X Commissioner

LAST NAME FIRST NAME MI OFFICE HELD

1671 SW 32 Place Miami 33145 Miami - Dade

RESIDENCE ADDRESS CITY ZIP CODE COUNTY

ASSETS AND LIABILITIES IN EXCESS OF $ 5. 000

AS OF DECEMBER 31 OF THE PRECEDING TAX YEAR)

PART A] -- ASSETS PART B] -- LIABILITIES

DESCRIPTION VALUE Please list below the name and address of every person,
whether individual or corporation, to whom you owe a

Approximately liability exceeding $ 5, 000, and the total amount of

Primary Home
320, 607 indebtedness. " Liability" is defined as any monetary debt
or obligation owed by you to another person, including
Approximately credit card retail installment accounts; taxes owed;
Investment Property 181, 075 indebtedness on a life insurance policy owed to the
issuing company; or accrued income taxes on net
Savings Account
Approximately unrealized appreciation.

238, 500

Name/ Address of Creditors Amount Owed

Approximately
Checking Account
11, 345
Chase Bank, NA
360, 000
PO Box 24696, OH 43224

Seterus, Inc
137, 512
PO Box 2008, Grand Rapids, MI 49501

HOUSEHOLD GOODS/ PERSONAL EFFECTS

Household goods and personal effects may be reported

in a lump sum if their aggregate value exceeds $ 5, 000.
Examples of household goods include, but are not limited
to, any of the following ( if not held for investment
purposes): jewelry; stamp collections; guns and

numismatic properties; art objects; household equipment

and furnishings; clothing; other household items; and
vehicles for personal use. The aggregate value of my
assets as described above is:

s751, 527

Note: You are not limited to the space on the lines in this form. Attach additional sheet( s) if necessary.,

Rev. 6/ 2016 Page 1 of 2

 WART C] -- NET WORTH

Net worth is the difference between total assets and total liabilities. Please refer to Miami City Code Sec. 2 -619( a - d) when
determining this amount. Enter your net worth as of December 31 st of the preceding tax year.

My net worth as of June 30, 2017 was $ 245, 015

PART D] -- AFFIDAVIT

The information disclosed herein and on any attachments hereto is true and correct to my knowledge.

June 30, 2017

Signatur of the Pers porting Date

State of Florida

County of

Sworn to ( or affirmed) and subscribed before me on this the day of oo-ye-' 20

by:
SaallCl-

i . G` Cl0' p— C
Name of person signing and his/ her title ( public officer, trustee or personal representative)

WITNESS my hand and official seal.

Signature of Notary Public

CA) _

Name of Notary Typed, Stamped or Printed)

Notary Public, State of Florida -

NOTARY PUBLIC
SEAL OF OFFICE:
Personally known to me, or
Produced identification:

Type of Identification Produced)

if
TODD B. HANNON
tPFY Pv6'
r Notary Public - State of Florida
My Comm. Expires Aug 22, 2018
Commission # FF 128107
Processed By:
lFOF Ft°PO'`
Processed Date:
Mot

Bonded Through National Notary Assn.

Scanned By:
Scanned Date:

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