Sergio Casaine Filing Papers
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GENERAL ELECTION
NOVFMBER 7,2006
FILE NO.
1
MAYOR AT-LARGE
CANDIDATE CHECK LIST
for
MAYOR AT-LARGE -- CITY OF BOYNTON BEACH
NAME
Seraio Casaine. Jr.
ADDRESS
13 Meadows Park Lane
BOYNTON BEACH FL 33436
PHONE
(Residence
(Cell)
(Business)
(561) 969-6684
523-1597
PAPERS FILED
08-24-06
Appointment of Campaign TREASURER
A~tance of Campaign Treasurer
~signition of DEPOSITORY (OS-DE 9A)
',~ i:
Copy of'OTER'S REGISTRATION (Candidate)
Copy of VOTER'S REGISTRATION (Treasurer)
Certified PETITION - 25 Registered Voters
CERTIFICATION of Candidate
Financial Disclosure
Qualifying Fee ($25.00) Check. No. 1015
Assessment Fee ($247.65 Check. No. 1014
Term of Office
3 yrs. to 11/09
Qualifying Fee
$25.00
Receipt No.
50073
Assessment Fee: $258.25 -1 % ofsalary that consists c
reimbursements
Receipt No. 50072
Name to Appear on Ballot
Seraio Casaine. Jr.
Seraio Casaine. Jr. - 01/17/06
Date: 01/17/06 - Bank of America. 4793
Conaress Avenue. Boynton Beach. FL 33426
01/18/06
01/18/06
08/24/06
08/24/06
08/24/06
Oath of Loyalty 08/24/06
FS1 06 Acknowledgment - Statement of Candidate
(DS-DE84)
L & A Testing Notice
Treasurer's Report _1st quarterly - April 10, 2006
Treasurer's Report 2nd quarterly - July 20, 2006
Treasurer's Report G-I Q.eport due q{ 2..2..f(k,
Treasurer's Report
Treasurer's Report
o~ ~ 11:41, 0'7\...1
af, {l.QI o.! ~ TR..
~ i.o dtu.- 0./5 @ E pm
Sign Intent Request
Sign Intent Request
Sign Intent Request
Endorsements
Endorsements
Other
Other
08/24/06
04-10-06 @ 9:24 a.m.
07-10-06
8/24/20063:12 PM
S:ICCIWPIELECTION\2006 ElectionslDislricl11Bob EnslerlChecklisl.doc
Ijmp
FORM 1 STATEMENT OF 2005
Please print or type your name, mailing I FINANCIAL INTERESTS I
addreaa, agency name, and poaitlon below:
LAST NAME - FIRST NAME - MIDDLE NAME: FOR OFFICE
CASAINE - SERGIO USE ONLY:
MAILING ADDRESS:
13 ~1eadows Park Lane
10 Code
CITY : ZIP: COUNTY : ~
Boynton Beach 33436 Palm Beach 10 No.
-.--,
NAME OF AGENCY: --.
Conf. Code ~"-~
"
NAME OF OFFICE OR POSITION HELD OR SOUGHT: MAYOR P. Req. Code ; .--4[i1
. . (-:
'.-
CHECK ONLY IF li1 CANDIDATE OR D NEW EMPLOYEE OR APPOINTEE
PDF 2005
"BOTH PARTS OF THIS SECTION MUST BE COMPLETED..
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
5Zf DECEMBER 31, 2005 QB D SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
D COMPARATIVE (PERCENTAGE) THRESHOLDS QB 0 DOLLAR VALUE THRESHOLDS
PART A _ PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person)
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
Serqio Casaine, Jr. P.O. .BOX3~2~1 Boynton Beach Interpreter/Translator
Florlda PART B _ SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person)
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
Pension Benefit PR Marine Manageme l~~~+~~x ~~~~ Pension
Guaranty Corp.
PART C - REAL PROPERTY (Land, buildings owned by the reporting person) FILING INSTRUCTIONS for when
and where to file this form are locat.
13 Meadows Park Lane,Boynton Beach,Fl Sinqle Fa. Hm ed at the bottom of page 2.
!-Jot-Cambridge Greens Citrus Hills Lot 18 Blk. 2 INSTRUCTIONS on who must file
Hernando County, Fl this form and how to fill It out begin
on page 3.
OTHER FORMS you may need to
file are described on page 6.
CE FORM 1 ' Eff. 1/2006 (Continued on reverse side) PAGE 1
PART 0 - INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc,}
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH lHL f'ROF'LR r y ',ELATES ---------
--_._~-
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
Bank of America Lantana Florid::>
American Express
Citi-Visa Advantaae Card 'T'1-1 "" T. ;:11(' "" c: 1\1'iT
PART F - INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
WITH ENTITY
, OINN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OINNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0
SIGNATURE (reqUire~ DATE SIGNED (required): ~~~
~.cLJ~1 . '-0...
C-/FILING INSTRUCTIONS;
WHAT TO FILE: WHERE TO FILE: WHEN TO FILE:
After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state
signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must
sheet (pages 1 and 2) for filing, your annual disclosure filing, return the form to tile within 30 days of the date of his or her
that location. appointment or of the beginning of employ-
If you have nothing to report in a particular Local officers/employees file with the Supervisor ment. Appointees who must be confirmed by
section. you must write "none" or "n/a" in that of Elections of the county in which they perma- the Senate must file prior to confirmation, even
section(s). nenlly reside. (If you do not permanently reside if that is less than 30 days from the date of their
in Florida, file with the Supervisor of the county appointment.
Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly-elected local office
NOTE: State officers or specified state employees must file at the same time they file their
MULTIPLE FILING UNNECESSARY: file with the Commission on Ethics. P.O. Drawer qualifying papers.
Generally, a person who has filed Form 1 for a 15709, Tallahassee. FL 32317-5709; physical Thereafter, local officers/employees, state
calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard. South, Suite officers, and specified state employees are
second Form 1 for ihe same year. However, a 201. Tallahassee, FL 32312. required to file by July 1st following each
candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their posi-
of another public position must at least file a copy qualifying papers, tions.
of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment,
falls under, see the "Who Must File" Instructions each local officer/employee, state officer, and
on page 3. specified state employee is required to fife a
final disclosure form (Form 1F) within 60 days
of leaving office or employment.
CE FORM 1 ' Elf. 1/2006 PAGE 2
-.----- -.-. ---. - ... -~-- - ._.. TO'_._ _.___ _.__ - - --. - 1"
,
Miscellaneous Cash Receipt No. 50073
CITY OF BOYNTON BEACH -#.
Account No. ~ if ~ /DIS-
CITY OF BOYNTON 'BEACH
*** CUST~ER RlCEIPT *;' . 1
Type: OC 1'a.e1'..- 45.(')0
~~t~; B~~~'8b 82 Receipt no: 356769 $
t. t AIoUnt ~-~t.f ,200b
DescTi~tion Quan ~~-811
W4 lSCELlAMEOUS 1118 .25. II Received of Se~jo CAsAINE ..../ R. '
. 2&3361&
Trans n~beT:
G/L account nu.be1': ,
881888tt3691M Address /2; /v!eADDuE PAA..J< LANE 13B
TendeT detail ~.II ,
1(115 C ,. .J.. Fee.. -ro . (')
CK CHECK ~.II For
Total tende1'ed ~.II pel':
Total pay.ent Date: 8/24/86 82 Receipt 00: 356t69
&/24/86 Tiae: 12:3&,11 fat. 1 tpndpl'lIII $~j ilt
Trans date: DepL r 11 ~Tob'lfrnt fJ, · ~ .~..
THANK YOU FOR YOUR Pf((K'T PAYIUT ~
By . 'M I
~ if: /DI'1
Miscellaneous Cash Receipt No. 50072
CITY OF BOYNTON BEACH I
CITY Of BOYNTON BEACH Account No. vJ4
*** CUSTO~R RlCEIPT *** · ;58. at S-
Oper: BROIINR , Type: OC Dra.eT: 1
Date: 8/24/86 8i! Receipt no: J56ne
Descri~tion Quantit~ Aaount '6f .200b
114 ISCEllAHEOUS INC -811 C- . /l ^ _ ^ t I_ I _
i IlIII "'ftPA _.. -
9GUC; . :r12 --- '-
s ~ 'gSl5' $
bM 'oN Juno:>:>y
2L009 .oN H:lV3:f1 NOl.NAOa dO llI:l
hlo/ ~ ~ Id!B~BlII/SD::J SnOiJUDIIB~S!W
CITY OF BOYNTON' BEACH CITY OF BOYNTON BEACH
*** CUSTO~R RlCEIPT *** *** CUSTONER RECEIPT ***
Opel': BROIINR Type: OC Drawer: 1 Oper: BROIINR Type: OC Drawer: 1
Date: 8/24/86 82 Receipt no: 356nl Date: 8/24/86 82 Receipt no: 356769
Descri~tion Quantit~ AIount Descri~tion QUantit~ AIount
114 ISCELLANEOUS IMC -111 114 ISCELLAHEOUS IHC -111
1.11 $258.25 1.11 $25..
T-rans nUlber: 2833619 Tl'ans nUlber: 2633614
G/L account nwaber: G/L account nu.ber:
881888i13691818 88188883691888
Tender detail $254.25 Tender detail
CK CHECK UI14 CK CHECK 1115 $25.11
Total tendered $254.25 Total tendered '.. $25. II
Total pay.ent t25a.25 Total paYlent $25. II
T-rans date: 8/24/86 Tile: 12:34:41 Trans date: 8/24/86 Tilt: 12:34:"
THANK YOU FOR YOUR PROtlPT PAYIUT THANK YOU FOR YOUR PROItPT PAYIDT
ap"'vVd JM ~. ~ ~ ,doa
118.';::!$ - ~ 1U 'lOl \
88 ~C',. """'''PU''=J ll.':JO J
&9l9St :00 ~d~aJaM ~8 q8/~a/9 :a~'<<
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3N! f:/S(f;) Q!:nI'e7S JO paAp:>all
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R~.k<do( 5~;D CA5AiNE --lR
Address / ~ eADOWS PAI2..~ LANE. 88 .3&3436
"" 1"10 5TATE: As~meI')T Fee.. -Fo~ CJ~.J"{t;
() II I Opel': ~R.., ~
&--01<.... 7 Db E Iec..T. O() Date: 8/l4/ttb (I;-' RH~elpt no: ~~f,/I(f J
C · I cl I tJ Tot.lltr
Dept. I "f--i ef't::.. ....s By M ~ .
CITY OF BOYNTON BEACH CITY OF BOYNTON BEACH
*** CUSTO"ER RiCEIPT *** *** CUSTOftER RECEIPT ***
Ope~: BROWMR Type: OC Drawer: 1 Oper: BROWHR Type: OC Dra.er: 1
Date: 8/24/86 8~ Receipt no: 356778 Date: 8/24/86 82 Receipt no: 35676~
Desc~iption Ouantitr. Alount Description Ouantitl.._ AIount
W4 1'I1SCElLANEOUS INCOfIE-881 W4 I'llSCEllAMEOUS IMCOfIE-lIl
1.88 t25a.25 1.88 .25..
Trans nulber: 2833619 Trans nUlber: 283361&
G/l account nulber: G/L account nulber:
88188883691888 88188883691888
Tender detail Tender detail
CK CHECK 1814 .258.25 CK CHECK. lill5 t25..
Total tendered ~.25 Total tende~ed t25..
Total paYllent $254.25 Total paYlent $25.11
Trans date: 8/24/86 Tile: 12:3&:41 Trans date: 8/24/" Ti..: 12:3&111
THANK YOlI FOR YOUR PROItPT PAYIIOO THANK YOU FOR YOUR PROIIPT PAYIEHT
.
Miscellnneous Cash Receipt No. 5 007 3
CITY OF BOYNTON BEACH .:#=.
~ IDIS-
Account No. _W 4-
$ AS. nO
f? -~tf .20010
Received of SeRGio CASA INE ...JR..
,
Address /.3 MeA DDuE PAA-K LANE'} 13B
For C " t Fee.. -ro . r1
per: .u
Date: 8/24/~ e~ Rec~ipt no: 35b/6~
f oh 1 bnti..l'P11 ~2'j 1ill1
, , ~TotaYfr/?' -<~ t~..
Dop'. CJ-~ (l ~~ By "IuJ.
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