Correspondence
Th~ity of Boynton Beach
(Q"..;~(t.17.'\".
1: . . ~
!' i
\ . L\\.~_. ... J'.'"'
~.- ",-1:- ,.<::\~
.' u --\:) ~
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@cLboynton-beach.fl.us
www.boynton-beach.org
January 9, 2008
MR SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
Please be advised that in accordance with FS 106.141(1), you are required to submit
your termination report for your campaign account within 90 days of the election. That
termination report is due in my office no later than 5:00 p.m. on Mondav.
February 4. 2008. I have included a copy of FS 106.141 - Disposition of Surplus
Funds by Candidates for your information. I have also included copies of the forms for
your convenience.
If I can be of any additional assistance, please do not hesitate to contact me.
Very truly yours,
CITY OF BOYNTON BEACH
m.P~
net M. Prainito, CMC
City Clerk
Attachment
c:
Candidate File, Election Folder
S:\CC\WP\ELECTION\Year 2007\District 4\Sergio Casaine\Notification of 90-day Termination Report Due 02-04-08.doc
America's Gateway to the Gulfstream
The City oi Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@cLboynton-beach.f1.us
www.boynton-beach.org
October 24, 2007
SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
Attached for your information and use is a list of the number of registered voters within
precincts in Districts 1, 2 and 4. I have also included another list of the precincts within
your district.
If I can be of any additional service, please let me know.
Very truly yours,
CITY OF BOYNTON BEACH
~ yY}. p~
~net M. Prainito, CMC
City Clerk
Attachments
S:\CC\WP\ELECTION\year 2007\District 4\Sergio Casaine\Transmittal of List of Registered Voters & Precinct List.doc
America's Gateway to the Gulfstream
Palm Beach County
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 3341 5
POST OFFICE BOX 22308
WEST PALM BEACH, FL 33416
OR. ARTHUR ANDERSON
supervisor of Elections
TELEPHONE: [561 J 656-6200
FAX NUMBER: [561 J 656-6287
WEBSITE: W\f\IVV.pbcelections.org
CERTIFICATION OF NUMBER OF REGISTERED VOTERS
MUNICIPALITY - BOYNTON BEACH
CITY COMMISSION DISTRICTS 1, 2 & 4
ELECTION DATE - NOVEMBER 6,2007
C)
CJ r;=i
-..J =1-<
<::::l
c-?
--I
-(0
(; -rJ
~:6
--..J
PRECINCT NUMBER
REGISTERED VOTERS
.:.~-<
.,.......,:..
.-
3098
3100
3101
3102
3122
3126
3128
3129
3130
3131
3140
3148
3150
3154
3160
3162
3164
3168
3170
4006
4030
4190
1,339
669
758
545
2,109
1,275
1,651
938
539
636
1,146
1,284
248
1,404
2,393
1,380
1,405
139
620
2,045
1,209
19
:::=- "JJ----';
~ ..-..0
.-'-
C> ,-
-,-,;:::J
c::::> - r"
c...n ~ :~
j In
1
Palm Beach County
240 SOUTH MILlT ARY TRAIL
WEST PALM BEACH. FL 3341 5
POST OFFICE BOX 22309
WEST PALM BEACH. FL 3341 6
OR. ARTHUR ANDERSON
Supervisor of Elections
TELEPHONE: [561) 656-6200
FAX NUMBER: [561) 656-6287
WEBSITE: W\NW.pbcelections.org
7114
7116
7120
7122
7124
7126
706
1,785
2,500
1
1,725
6
TOTAL
30,474
J, DR. ARTHUR ANDERSON, SUPERVISOR OF ELECTIONS, hereby certify the
foregoing to be a true and correct number of registered voters in the above municipality
as it appears of record in my office as of October 11, 2007.
R1/~
DR. ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
PALM BEACH COUNTY, FLORIDA
, '.
, '
(SEAL)
',\.\
,~,;')'<~l ,
.7',1"
, ,
-:1 ',II
-' ,I
~. .~
-,'/
,~ 1/
. "
,~i,'
'I ,..-
, -
\: \ . .~--
2
CITY COMMISSION DISTRICT 4
PRECINCT # LOCATION
3098 FREEDOM SHORES ELEMENTARY SCHOOL
3400 HYPOLUXO ROAD
BOYNTON BEACH, FL 33436
3100 LAKE WORTH CHRISTIAN SCHOOL
7592 HIGH RIDGE ROAD
BOYNTON BEACH, FL
3101 BOYNTON LAKES NORTH
100 REDFORD DRIVE
BOYNTON BEACH, FL 33426
3102 NEWPORT PLACE
4735 NW 7TH CT
BOYNTON BEACH, FL 33426
3122 SANTALUCES HIGH SCHOOL
6880 LAWRENCE ROAD
LANTANA FL
3126 FIRE STATION #3
3501 N CONGRESS AVENUE
BOYNTON BEACH FL 33426
3128 THE UNITED WAY OF PBC
2600 QUANTUM BLVD
BOYNTON BEACH, FL
3129 THE UNITED WAY OF PBC
2600 QUANTUM BLVD
BOYNTON BEACH, FL
3130 BOYNTON BEACH HIGH SCHOOL
2975 PARK RIDGE BLVD
BOYNTON BEACH, FL
3131 THE UNITED WAY OF PBC
2600 QUANTUM BLVD
BOYNTON BEACH, FL
3140 BOYNTON BEACH HIGH SCHOOL
2975 PARK RIDGE BLVD
BOYNTON BEACH. FL
Revised 9/24/2007 7:51 AM
1
S:\CC\WP\ELECTION\Year 2007\PRECINCTS BY DISTRICT\CITY COMMISSION DISTRICT 4 - Revised 09-24-07.doc
Page 1 of 1
Prainito, Janet
From: Prainito, Janet
Sent: Tuesday, October 16, 2007 9:47 AM
To: Weiland, Ronald; 'bubbagdf@yahoo.com'; 'victord362@hotmail.com'; 'bmiller947@aol.com';
'sergcase@bellsouth.net'; 'Marlene Figueroa'
Subject: Campaign Treasurer's Reports
This is a brief reminder that Campaign Treasurer's Reports are due in my office on
Friday, October 19th by the close of business. The reports must be time-stamped by
5:00 p.m. or you may mail the report, obtaining from the post office a receipt that
indicates the report was mailed timely. The report code for this upcoming report
is E2. This report covers the period 10/01/07 through 10/18/07.
NOTE: Your next report (Report Type E3) will be due in my office on November
2, 2007 by the close of business. Again, all reports must be time-stamped by 5:00
p.m. or if you mail the report, it is highly recommended that you obtain from the post
office a receipt that indicates the time the report was mailed. Please remember that
you may not accept any contributions after midnight on November 1, 2007.
JClV'vet M. PrClLV'vLto, CMC
CLtij cLerlz
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33435
Phone: (561) 742-6061
FAX: (561) 742-6090
email: Prainitoi@lci.boynton-beach.fI.us
10116/2007
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@cLboynton-beach.fl.us
www.boynton-beach.org
October 8, 2007
SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
In accordance with FSS 106.07(2)(b)1., you are hereby notified that your Campaign
Treasurer's Report for the period 07-01-07 through 09-30-07 is incomplete. The
following correction is required:
./ The full address of Gail A. Levine was not included.
Please be advised that you have three (3) davs from receiDt of this notice to file
an addendum to the report providing all information necessary to complete the report
in compliance with the Florida State Statute cited above. I have enclosed additional
Campaign Treasurer's Reports for your use. Please clearly mark the Summary Sheet as
an "Amendment".
If I can be of any assistance, please do not hesitate to contact me.
Very truly yours,
CITY OF BOYNTON BEACH
~1vl. p~
U~:~,~~,;rainito, CMC
City Clerk
Enclosures
S:\CC\WP\ELECTION\year 2007\District 4\Sergio Casaine\Notice to File Amendment to El Report.doc
America's Gateway to the Gulfstream
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.f1.us
www.boynton-beach.org
October 4. 2007
DR ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
240 SOUTH MILITARY TRAIL
WEST PALM BEACH FL 33415
RE: Registered Voters
Dear Dr. Anderson:
Enclosed for your information and use are originals of L&A Testing Notices that were
signed by the candidates who will attend the L&A Testing on October 26, 2007. Those
candidates are as follows:
NAME OF CANDIDATE # OF PEOPLE ATTENDING
SERGIO CASAINE 2
WOODROW HAY 3
BRIAN MILLER 4
If I can be of any services, please do not hesitate to contact me.
Sincerely,
CITY OF BOYNTON BEACH
Janet M. Prainito, CMC
City Clerk
Copy to:
Candidate's File, Election File, Central File
S:\CC\WP\ELECTION\year 2007\Supervisor of Elections\Attendance at L&A Testing on 10-26-07.doc
America's Gateway to the Gulfstream
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the logic & Accuracy
(lM) testing on October 26, 2007, please detach and return the lower portion of this
notice to the City Clerk.
~4~7
/'/ Signatuli
2
Number Attending
'~
8/6/20074:19 PM
jmp
S:\CC\WP\ELECTION\year 2007\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
--------------------- .--------------------------.---...
-----------------------------------------------------
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the logic & Accuracy
(LM) testing on October 26, 2007, please detach and return the lower portion of this
notice to the City Clerk.
,aJ;cd-0U) ~
Signature
.3
Number Attending
8/6/2007 4: 19 PM
jmp
S:\CC\WP\ELECTION\year 2007\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy
(LM) testing on October 26, 2007, please detach and return the lower portion of this
notice to the City Clerk.
(]~ II/lf~
Signature
1/
Number Attending
8/23/2007 2:38 PM
Jmp
S:\CC\WP\ELECTION\Year 2007\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.fl.us
www.boynton-beach.org
September 27, 2007
SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
This letter will serve as a reminder of the dates for submittal of upcoming Campaign Reports.
Below is the schedule:
REPORT REPORT DUE PERIOD COVERED TYPE OF REPORT
CODE DATE
E1 10/05/07 07/01/07 - 09/30/07 ELECTION - 32 DAYS PRIOR
E2 i 10/19/07 10/01/07 - 10/18/07 ELECTION - 18 DAYS PRIOR
E3 , 11/02/07 10/19/07 - 10/31/07 ELECTION - 4 DAYS PRIOR
TR 02/04/08 11/01/07 - 12/31/07 TERMINATION - 90 DAYS
AFTER ELECTION
Please keep in mind that you may not accept any contributions after midnight on October 31,
2007.
Your campaign reports must be submitted to me by 5:00 p.m. on the dates indicated above or
must be postmarked by the U. S. Postal Service no later than midnight of the day designated
above. If you choose to mail your report, it is recommended that you obtain a certificate of
mailing which, if necessary, would serve as proof of timely mailing.
If you have any questions, please do not hesitate to contact me.
Very truly yours,
cm OF BOYNTON BEACH
~/ lIl'l f/J,(, r' . I
'. '~I f. / L~u.. ')1...L..(..(J
( J net M. Prainito, CMC
'-_/ City Clerk
Copy to:
Central File, Candidate's File, Election File
S:\CC\WP\ELECTION\year 2007\District 4\Sergio Casaine\Reminder of Filing Dates - 09-26-07.doc
America's Gateway to the Gulfstream
,The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@cLboynton-beach.fl.us
www.boynton-beach.org
September 25, 2007
SERGIO CASAINE
613 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
Enclosed, please find a new precinct listing for District 4. Unfortunately, when I copied
the lists that I sent yesterday, the wrong list for District 4 was included in your packet.
I apologize for the error.
If I can be of any assistance, please let me know.
Very truly yours,
CITY OF BOYNTON BEACH
~m.P~
Unet M. Prainito, CMC
City Clerk
Enclosure
S:\CC\WP\ELECTION\year 2007\District 4\Sergio Casaine\Transmittal of new listing for District 4.doc
America's Gateway to the Gulfstream
CITY COMMISSION DISTRICT 4
PRECINCT # LOCATION
3098 FREEDOM SHORES ELEMENTARY SCHOOL
3400 HYPOLUXO ROAD
BOYNTON BEACH, FL 33436
3100 LAKE WORTH CHRISTIAN SCHOOL
7592 HIGH RIDGE ROAD
BOYNTON BEACH, FL
3101 BOYNTON LAKES NORTH
100 REDFORD DRIVE
BOYNTON BEACH, FL 33426
3102 NEWPORT PLACE
4735 NW 7TH CT
BOYNTON BEACH, FL 33426
3122 SANTALUCES HIGH SCHOOL
6880 LAWRENCE ROAD
LANTANA FL
3126 NAUl1CA CLUBHOUSE
8000 BERMUDA SOUND WAY
BOYNTON BEACH, FL 33436
3128 THE UNITED WAY OF PBC
2600 QUANTUM BLVD
BOYNTON BEACH, FL
3129 THE UNITED WAY OF PBC
2600 QUANTUM BLVD
BOYNTON BEACH, FL
3130 BOYNTON BEACH HIGH SCHOOL
2975 PARK RIDGE BLVD
BOYNTON BEACH, FL
3131 THE UNITED WAY OF PBC
2600 QUANTUM BLVD
BOYNTON BEACH, FL
3140 BOYNTON BEACH HIGH SCHOOL
2975 PARK RIDGE BLVD
BOYNTON BEACH, FL
9/2S/2007 3:10 PM
1
S:\CC\WP\ELECTION\year 2007\PRECINCTS BY DIsTRICT\CITY COMMISSION DISTRICT 4.doc
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@cLboynton-beach.f1.us
www.boynton-beach.org
September 24, 2007
SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
Attached for your information and files are lists of all of the polling locations involved in the
upcoming election on November 6, 2007. As you can see, the lists are divided by District.
Please note the following changes:
DISTRICT # PRECINCT # FORMER LOCATION NEW POLLING
LOCATION
I 3170 ASCENSION LUTHERAN SEACREST
CHURCH PRESBYTERIAN
CHURCH
IV 3126 NAUTICA CLUBHOUSE FIRE STATION #3
IV 3131 BOYNTON BEACH HIGH THE UNITED WAY
SCHOOL BUILDING
Please note that there have not been any changes to any polling locations in District II.
If you have any questions or concerns, please do not hesitate to contact me.
Very truly yours,
cm OF BOYNTON BEACH
!7l. P/t~
net M. Prainito, CMC
City Clerk
S:\CC\WP\ELECT10N\Year 2007\District 4\Sergio Casaine\Transmittal of List of Polling Locations.doc
America's Gateway to the Gulfstream
~ The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.f1.us
www.boynton-beach.org
BY CERTIFIED MAIL #7099 3400 0002 2537 4290
September 6, 2007
DR ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
240 S MILITARY TRAIL
WEST PALM BEACH FL 33415
Re: General Election - November 7, 2006
Dear Dr. Anderson:
Please be advised that we will hold our General Election on November 6, 2007 to elect one Commissioner from
District 2 and one Commissioner from District 4. Simultaneously, we are conducting a Special Election to fill the
vacancy created by the death of Bob Ensler, former Commissioner in District 1. The ballot should read as follows:
COMMISSIONER - DISTRICT 1
Don Fenton
Ronald Weiland
COMMISSIONER - DISTRICT 2
Woodrow L. Hay
Brian H. Miller
Victor D. Norfus
COMMISSIONER - DISTRICT 4
Sergio Casaine
Marlene Ross
Please prepare the ballots alphabetically as shown above. If there are any questions, please do not hesitate to
contact me.
Sincerely,
CITY OF BOYNTON BEACH
n . ..L
'1n.~
Copies to:
Candidates' Files, Election File, Central File
S:\CC\WP\ELEcrJON\year 2007\Supervisor of Elections\Transmittal of Ballot Language for 11-06-07 Election,doc
America's Gateway to the Gulfstream
. The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.fl.us
www.boynton-beach.org
BY CERTIFIED MAIL #7099 3400 0002 2537 4290
September 6, 2007
DR ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
240 S MILITARY TRAIL
WEST PALM BEACH FL 33415
Re: General Election - November 7, 2006
Dear Dr. Anderson:
Please be advised that we will hold our General Election on November 6, 2007 to elect one Commissioner from
District 2 and one Commissioner from District 4. Simultaneously, we are conducting a Special Election to fill the
vacancy created due to the death of Bob Ensler, former Commissioner in District 1. The ballot should read as
follows:
COMMISSIONER - DISTRICT 1
Don Fenton
Ronald Weiland
COMMISSIONER - DISTRICT 2
Brian H. Miller
Victor D. Norfus
Woodrow L. Hay
COMMISSIONER - DISTRICT 4
Sergio Casaine
Marlene Ross
Please prepare the ballot alphabetically as shown above. If there are any questions, please do not hesitate to
contact me.
Sincerely,
CITY OF BOYNTON BEACH
m.P~
Copies to:
Candidates' Files, Election File, Central File
5 \CC\WP\ELECTlON\ Year 2007\Superv'sor of Elections\Transmittal of Ballot Language for 11-06.07 ElectJon.doc
America's Gateway to the Gulfstream
The City of Bovnton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.fl.us
www.boynton-beach.org
BY CERTIFIED MAIL #7004 0750 0002 7007 4025
September 6, 2007
DR ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
240 SOUTH MILITARY TRAIL
WEST PALM BEACH FL 33415
Dear Dr. Anderson:
Attached please find a copy of the Logic & Accuracy (LM) Notice that was signed by
Sergio Casaine, Jr., Woodrow Hay and Bruce H. Miller, qualified candidates for the City
Commissioner seats for the upcoming Election on November 6, 2007. These gentlemen
intend to be present for the testing on October 26, 2007 at 10:00 a.m..
If you have any questions, please contact me.
Si ncerely,
CITY OF BOYNTON BEACH
'1n. p~
J net M. Prainito, CMC
City Clerk
Attachment
c: Election File, Candidate's Files, Central File
S:\CC\WP\ELEcrION\year 2007\Supervisor of Electlons\Transmittal of Candidate Names who will be Present at L&A Testing.doc
America's Gateway to the Gulfstream
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www. boynton - beach. org
("J
:t:.<w
~.-)
---l !~? --i
--,-<
PUBLIC NOTICE
c-)
T"..)Tlg;
..7"
~"'. ,
-".
TO:
CANDIDATES, POLITICAL PARTIES AND OTHERS
~ ':.J)-'j
;.=) ~:;:
C3 ....].-
-rr C'J
/"'oj - rT]
N g>
C)
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the
voting equipment to be used in the November 6, 2007 General Election will
be held:
7
Friday, October 26, 200j( at 10:00 a.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
RECEIPT of this notice is hereby documented:
August 24, 2007
Date Received
-----------------------------------------------------
-----------------------------------------------------
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy
(LM) testing on October 26, 2007, please detach and return the lower portion of this
notice to the City Clerk.
~~
//".. Signatu ,
2
Number Attending
8/6/20074:19 PM
jmp
S:\CC\WP\ELECITON\year 2007\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www. boynton - beach. org
CJ
PUBLIC NOTICE 0 n::i
-J ::::i-<
(/) -< 0
rr1 n -n
-0_... OJ
, ,-" 0
TO: CANDIDATES, POLITICAL PARTIES AND OTHERS ;""c:1.-<
.;:':::.z
__ n'",;
--- "0
::J: ::::::> Z
.."
'.:.9 -n CP
-('11
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing oWth~~
voting equipment to be used in the November 6, 2007 General Election will
be held:
Friday, October 26, 20;](at 10:00 a.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
RECEIPT of this notice is hereby documented:
JJ~~) L Jf:;
Signature
f- '/-{Z7
Date Received '
-----------------------------------------------------
-----------------------------------------------------
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy
(L&A) testing on October 26, 2007, please detach and return the lower portion of this
notice to the City Clerk.
aJocd'~) /.. 6 3
Signature".,.- Number Attending
8/6/20074:19 PM
jmp
S:\CC\WP\ELECTION\year 2007\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
~.boynton-beach.org
c-
,; --]
- ;
-~ --...
__.J
J:>
r-
(."J
r-v
;-) . j
..r.:-
....~iO
/
~..
.:.,.-";-<1
PUBLIC NOTICE
'"~~"
.:-~ -.,..
'""1
~~
("") ->
rOil c-,
-'-
TO: CANDIDATES, POLITICAL PARTIES AND OTHERS
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the
voting equipment to be used in the November 6, 2007 General Election will
be held:
Friday, October 26, 2007, at 10:00 a.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
RECEIPT of this notice is hereby documented:
8~ /I $~
Signature
8-t!4-o7
Date Received
-----------------------------------------------------
-----------------------------------------------------
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy
(LM) testing on October 26, 2007, please detach and return the lower portion of this
notice to the City Clerk.
12~ 1Il1t~
Signature
1/
Number Attending
8/23/2007 2:38 PM
jmp
S:\CC\WP\ELECTION\year 2007\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE sIGNATURES-1.doc
The City of Bovnton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.f1.us
www.boynton-beach.org
BY CERTIFIED MAIL #7006 0810 00011516 7980
June 30, 2007
DR ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
240 SOUTH MILITARY TRAIL
WEST PALM BEACH FL 33415
Dear Dr. Anderson:
This letter is to serve as notification that the City of Boynton Beach qualifying period for
the November 6, 2007 General Election will be from 12:00 Noon on August 23, 2007
until 12:00 Noon on September 6, 2007.
Also attached is a copy of Sec. 2-42 of the City of Boynton Beach Code of Ordinances
that requires each candidate to file a petition signed by at least 25 duly qualified voters
of the City. Our candidates are being instructed to have this certification completed at
your West Palm Beach office and pay the cost of 104 per name from their campaign
accounts.
I trust this notification will be in compliance with your requirements. Thank you for
your cooperation in these matters. If I can be of service, please do not hesitate to
contact me.
Si ncerely,
CITY OF BOYNTON BEACH
~ "tn. P/L~
Unet M. Prainito, CMC
City Clerk
Attachment
c: Election File, Candidates Files, Central File
S:\CC\WP\ELEmON\Year 2007\Supervlsor of Elections\Arthur Anderson - Notification of City Qualifying Period & # of Signatures on Petition.doc
America's Gateway to the Gulfstream
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6061
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.fl.us
www.boynton-beach.org
June 30, 2007
SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
Please be advised that you must submit a Campaign Treasurer's Report on or before the close
of business at 5:00 D.m. on Tuesdav, Julv 10, 2007. The Report Code for this reporting
period is Q2. The reporting period covers from April 1, 2007 through June 30, 2007.
This is also notice that your next report will be due on October 5, 2007. The Report Code for
that period will be E1 and will cover the period July 1, 2007 through September 30, 2007.
If I can be of any service, please contact me.
Very truly yours,
CITY OF BOYNTON BEACH
1n.~
net M. Prainito, CMC
City Clerk
c: Candidate File, Central File, Election File
S:\CC\WP\ELECTION\year 2007\District 4\Sergio Casaine\Reminder of Q2 Report Due by 07-10-07.doc
America's GateM!{Il' to the Gulfstream
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6061
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.fl.us
www.boynton-beach.org
June 30, 2007
SERGIO CASAINE
13 MEADOWS PARK LANE
BOYNTON BEACH FL 33436
Dear Mr. Casaine:
Please be advised that I have met with representatives of the Supervisor of Elections Office and
they have given me the "go-ahead" to release the nominating petitions. Therefore, this letter
will serve as notice that the Nominating Petitions are now available in my office for pick up.
Pursuant to Section 2-42 of the City of Boynton Beach Code of Ordinances, you are required to
file a petition that has been signed by at least 25 duly qualified voters of the City. Once you
have the necessary number of signatures, this petition must be certified by the Supervisor of
Elections located at 240 South Military Trail, West Palm Beach, FL 33415. You will be required
by the Supervisor of Elections to pay ten cents per signature for certification. That fee must be
paid from your Campaign Account.
The Nominating Petition is one of the documents that you are required to file in my office
during Candidate Qualifying that will take place from 12:00 Noon on Thursday, August 23, 2007
through 12:00 Noon on Thursday, September 6, 2007. If you would prefer, you may file this
petition with me once it has been certified by the Supervisor of Elections.
Please contact me at the number listed above to arrange for pick up of your Nominating
Petition.
Very truly yours,
CITY OF BOYNTON BEACH
Yn.P~
J et M. Prainito, CMC
ity Clerk
c: Candidate File, Central File, Election File
S:\CC\WP\ELECTION\year 2007\District l\Letters\Nominating Petitions Available - Sergio Casaine - 06-30-07.doc
America's Gateway to the Gulj'itream
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
e-mail: prainitoj@ci.boynton-beach.fl.us
www.boynton-beachoorg
BY CERTIFIED MAIL #7099 3400 0002 2537 4269
September 6, 2007
DR ARTHUR ANDERSON
SUPERVISOR OF ELEcrIONS
240 S MILITARY TRAIL
WEST PALM BEACH FL 33415
Dear Dr. Anderson:
Enclosed please find copies of the "Appointment of Campaign Treasurer and Designation of Campaign
Depository" forms together with Form 1 Statement of Financial Interests submitted by each of the
candidates who have qualified for the City of Boynton Beach November 6, 2007 General Election:
Commissioner - District 1
Don Fenton
Ronald Weiland
Commissioner - District 2
Brian H. Miller
Victor Norfus
Woodrow Hay
Commissioner - District 4
Sergio Casaine
Marlene Ross
Sincerely,
em OF BOYNYYl~Af)~
J et M. Prainito, CMC
Ity Clerk
Attachments
c: Central File; Election File
S:\CC\WP\ELECTlON\Year Z007\Supervlsor of Electlons\lransmlttal of Form 1 & Campaign Treasurer Reports.doc
America's Gateway to the Gulfsotream
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
2006
Please print or type your name, mailing
address, agency name, and position below:
FOR OFFICE
USE ONLY:
ID Code
;1
C) '1-<
---..' -;(
:Do -(0
c::: ~...-) lj
G")
l".) CD
::~ C)
L.) ---~; -.:;::
".:::: ::::
-0 U)-i
=r.:: 0
e=l:;::
N -,el
-'lCO
N -- fT1
C-)..,..~
rlln
ID NOe
ConL Code
P. Req. Code
You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE
"BOTH PARTS OF THIS SECTION MUST BE COMPLETED"
PDF 2006
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISC~EAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
lp.j e DECEMBER 31, 2006 QB 0 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):
o COMPARATIVE (PERCENTAGE) THRESHOLDS QB 0 DOLLAR VALUE THRESHOLDS
[Major sources of income to the reporting person]
SOURCE'S
ADDRESS
r
90
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
'~-r 4~t.s IV V ~s1-~ e
cJ
FILING INSTRUCTIONS for when
and where to file this form are locat.
ed at the bottom of page 2.
PART C - REAL PROPERTY [Land, buildings owned by the reporting person]
INSTRUCTIONS on who must file
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 - Effe 1/2007 (Continued on reverse side)
PAGE 1
PART D - INTANGIBLE PERSONAL PROPERTY [Stocks.
TYPE OF INTANGIBLE
'loll!
Pro-tc 1-- S
~
bonds, certificates of deposit, etce]
BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
5:oIu/A-vd YdYt< ~
c!.' ."t C.u A- lI""j I q IY1 -< ~
/
A-r/~(' DI~.J
,/ .
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR
'"
vit}-
I ! I I
ADDRESS OF CREDITOR
PART F _ INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses)
i
BUSINESS ENTITY # 2
BUSINESS ENTITY # 1
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD I
WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY ,-- -----
OWNERSHIP INTEREST ~
------
----- --------
--------
---- ------
BUSINESS ENTITY # 3
----------
IF ANY OF PART~ A THROUGH F ARECONTIN!JED ON, A SEPA.RATE SHEET, PLEAS~ CHECK HERE m
SIGNATURE (reqUi.red): . 9 ~ ;J 11_ - "
e /~~_-_, ~'1?n-
FI -lING INSTRUCTIONS:
WHAT TO FILE:
After compieting all parts of this form, including
signing and dating it, send back only the first
sheet (pages 1 and 2) for filing.
If you have nothing to report 'in a particular
section, you must write "none" or "n/a" in that
section(s).
Facsimiles will not be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Form 1 for a
calendar or fiscal year is not required to file a
second Form 1 for the same yeare However, a
candidate who previously filed Form 1 because
of another public position must at ieast file a copy
of his or her original Form 1 when qualifying.
CE FORM 1 - EfL 1/2007
DATE SIGNED (required):
1,.. ~ 9-0'1
WHERE TO FILE:
If you were mailed the form DY the Commission
on Ethics or a County Supervisor of Elections for
your annual disclosure filing. return the form to
that locatione
Local officers/employees file with the Supervisor
of Elections of the county in which they perma-
nently residee (If you do not permanently reside
In Florida, file with the Supervisor of the county
where your agency has its headquarterse)
State officers or specified state employees
file with the Commission on Ethics, PeO. Drawer
15709, Tallahassee, FL 32317-5709: phYSical
address: 3600 Maclay Boulevard, South, Suite
201, Tallahassee, FL .32312e .
Candidates file thiS form together with their
qualifying papers.
To determine what category your position
falls under, see the "\'Vho lv1ust File" Instructions
on page 3.
WHEN TO FILE:
Initially, each iocal officer/employee, state
officer, and specified state employee must
file within 30 days of the date of his or her
appointment or of the beginning of emploY-e
ment. Appointees who must be confirmed by
the Senate must file prior to confirmatione even
if that is less than 30 days from 1he date of their
appointment.
Candidates for publicly-elected local office
must file at the same time they file their
qualifying paperse
Thereafter. local officers/employeese state
officers, and specified state employees are
required 'to file by July 1 st foilowing each
calendar year in which theey hold their posi-
tions.
Finally, at the end of office or employment.
each local officer/employee, state officer, and
specified state employee is required to file a
final disclosure form (F orm 1 F) within 60 days
of leaving office or employment.
PA.GE 2
~ 38'v'd
(apIS aSJaMJ UO panUlluool LOO7-/ ~ 'jJ3 - ~ VIll:!O::l 38
'9 a6ed uo paqp:lsap aJe am
Ol paau };ew no}; SI/II}:IO~ }:I3H.lO
"t a6ed uo
ul6aq lno U 1111 Ol MOll pue WJOI S!lI~
alll lsnw OllM uo SNOI.l:>n}:l.lSNI
'Z a6ed 10 wonoq all~ le pa
.~e:lOI aJe WJOj S!lI~ allj O~ 9JallM pue
uallM JOj SNOI1:>n}:l.lSNI ~NI1I~
[uosJad 6u!lJodaJ aliI };q pauMo s6u!pl!nq 'puell AJ.~3dO~d lV"3~ - 0 .L~V"d
q.
- flJf7
38~nos ::l0 A.LI^ID'v' 3::Jl:!nOS ::l0 3V1l0::JNI .sS3NISnS ::l0 A.LLLN3 SS3NISnS
SS3NISnS l'v'dl:JNIl:!d SS3l:!00'v' S3::rtlnOS l:!Or'v'VIl ::l0 3V1l'v'N ::l0 3V1l'v'N
[uosJad 6u!lJodaJ alll ^q pauMo sassau!snq 01 awo:lu! JO sa:JJnos JalllO pue 'SlUa!i:J 'SJaWOlsn:J Jo[eVllJ 3WOONI :W S30~nOS A~V"aN003S - 8 .L~V"d
~
SS3~00'v' 3V1l08NI::l0
S,3::Jt:lnOS 3::Jt:lnOS ::l0 3V1l'v'N
[uosJad 6u!lJodaJ alll 01 awo:Ju! JO sa~)Jnos JOfeVlll 3WOONI:l0 S30~nOS A~V"WI~d - 'V l~'Vd
A.LI^I.L::J'v' SS3NISnS l'v'dl::JNIt:ld
S,3::Jt:lnOS 3H.L ::l0 NOI.Ldlt:l::JS30
SOlOHS3t:1H.L 3nl'v'^ t:I'v'llOO D EO SOlOHS3t:1H.L (38'v'lN3::Jt:l3d) 3^1.L'v't:I'v'dVll08 D
'. :(a.uQ)pall:l) t:l3H.L13 S.L::J3l::l3t:1 .LN3V1l3.L'v'.LS SIH.L t:l3H.L3HM MOl3S 3.L'v'lS 3S'v'3ld '(Sl!elap JalllJllJ JOJ suO!pnJISU!
aas) S3nl'v'^ 38'v'.LN3::Jt:l3d N6' O3S'v'S A ll'v'nSn 3t:1'v' H::JIHM 'SGlOHS3t:1H.L 3^ll'v't:l'v'dVllO:J 8NISn t:l0 'SNOI.L'v'ln::n'v'::J t:l3M3::l S3l:!ln03t:1
H81HM 'S3n1'v'^ t:I'v'llOO 3.LnlOS8'v' 3t:1'v' .L'v'H.L SOlOHS3t:1H.L 8NI.Lt:lOd3t:1 8NISn ::l0 NOI.LdO 3H.L St:l3ll::l SMOll'v' 3t:1n.L'v'lSI83l 3H.L
:S.LS3~3.LNI 318V"HIOd3~ ~NI.LV"1n01V"0 (0 ~3~V"W
:l:!'v'3A l:!'v'ON3l'v'::J 3H.L N'v'H.L t:l3H.L0 ::l1l:!'v'3A X'v'.L A::lI::J3dS 0 EO 900Z '~8 l:!38V1l3::J30 ~
:(auo )j:JaLj:J) l:!3H.L13 8NION3 Cl'v'3A X'v'.L 8N103::J3Cld 3H.L ClO::l SIIN3V1l3.L'v'.LS SIH.L Cl3H.L3HM MOl3S 3.L'v'.LS 3S'v'3ld 't:I'v'3A l'v'8SI::l 'v'
NO l:!O Cl'v'3A Cl'v'ON3l'v'::J 'v' NO 03S'v'8 t:l3H.L3HM 't:I'v'3A X'v'.L 8NI0383Cld 3H.L ClO::l S.LS3Cl3.LNll'v'18N'v'NI::l ClnOA S.L::J3l::l3t:1 .LN3V1l31'v'.LS SIH.L
:aOI~3d 3~nS010SIO
900Z ~Od
..03.L31dWOO 38 .LSnW NOI.L03S SIH.L :l0 S.L~V"d H.L08..
33.LNIOdd'v' l:!0 33AOldVll3 M3N 0 l:!0 31'v'OION'v'.:;J21::l1 A1NO )103HO
"AlesS8:l8U II 'Sl88lfS leUOIllPpe If:le>>v "WJOI S!lfl uo S8UII 8lfl uo 8:leds 8lf~ o~ P8~!WI ~ou 8Je nOA
,
: A::JN38'v' ::l0 3V1l'v'N
-'-
L) ~J If")
4)
l.;..J -
CD~ N
apo::J e bal:! 'd
apo::J 'Juo::J
::r::
0-
'ON 01
r-
N
C~
"V:
: A.LNnO::J
- /rft~); .~
: dlZ
r>? ....s-
apo:) 01
~r~/
~
j-' r-
Cl 0
:A1NO 3Sn
301:l:l0 ~O:l
: SS3t:100'v' 8Nlll'v'VIl
O...,~~c;Y 7.'-
: 3V1l'v'N 3l00lVll - 3V1l'v'N .LSl:!I::l - 3V1l'v'N lS'v'l
-
,
900Z
SlS31I:tllNI ~VIJNVNI~
~O IN:tlW:tllVlS
:MOI8q uO!l!sod pue '8weu h:lU86e 'SS8Jppe
6u!I!ew '8weu JnOh 8dAl JO ~u!Jd 8se81d
lli\rnO~
Z 38Vd
waWAOldwa JO a::J!jJo 6u!M,al )0
sAep 09 UILjjlM C::I, WJo:J) WJO) aJnsopslP leu!!
e al!! OJ paJlnbaJ S! aaAoldwa aje)s pa!!pads
pue 'Ja::J[jJo a)e)s 'aaAoldwa/Ja::J!jJo le::Jol Lj::Jea
')uawAoldwa JO a::J[jJo )0 pua aLj) Ie ',(l/euI::!
CSUOlj
-Isod J!aLj) PIOLj AaLlj Lj::J!LjM U! JeaA Jepuale::J
Lj::Jea 6u1M01I0) jS, Alnr Aq al!! 0) paJlnbaJ
aJe saaAoldwa a)e)s pa!!pads pue 'sJa::J!jJo
a)e)s 'saaAoldwa/sJa::J[jJo le::Jol 'Ja~JeaJal[.1
'sJaded 6uIA)!Ienb
JlaLj) al!! AaLl) aW!l awes aLjj )e al!J )snw
a::J[jJo le::>ol papala-Ap!lqnd JO) sa~epIPue:J
CIUaWjUIOdde
JlaLj))o ajep aLj) WOJ) sAep 08 ueLjj ssal S! )eLjlJI
ua^a 'uOI)ewJ!)uo::J OJ Jopd al!J jsnw ajeuas aLjj
Aq pawJ!)uo::J aq jsnw OLjM saa)uloddV 'jUaw
-Aoldwa )0 6UIUU!6aq aLjj )0 JO juaWjUlodde
JaLj JO slLj )0 ajep all) )0 s,{ep DC U!LmM al!)
)snw aaAoldwa a)ejs pa!)l::>ads pue 'Ja::J[jJo
aje)s 'aaAoldwa/Ja::J[jJo le::>ol Lj::>ea ',(I/emu/
:311::1 01 N3HM
C8 a6ed uo
SUOIpnJ)SUI "al!:J ISnlN OLjM" aLj) aas 'Japun Slle)
UOI)ISod JnOA AJ06a)e::> )eLjM aUlwJajap 01
cSJaded 6ulA)!Ienb
J!aLj) Ll)IM JaLl)a60) WJOj SILj) al!) sa~eplpue:J
'U8Z8 l:JaasseLjellel' ,OZ
a)!ns 'LjlnoS 'pJe^alnOS AepelN 0098 :ssaJppe
leO!sALjd :60L~-H8Z8 l:J 'aasseLjellel '60L~,
JaMeJO 'Ud 's::>ILj)3 uo UOIsslww08 aLj) LjjlM al!)
saa,{o/dwa a~eJs pa!J!oads JO SJaolJjo a~e~s
CSJal.lenbpeaLj S)! seLj A::>ua6e JnOA aJaLjM
A)Uno::> aLjj )0 Jos!Nadns aLj) Lj)IM al!! 'epuol:l UI
aplsaJ AljUaUewJad IOU op nOA )1) Cap!saJ Alluau
-ewJad AaLjj Lj::JILjM U! AjUno::J aLj) )0 sUOlpal3 )0
JOSINadns aLj) Lj)IM al!) saa,{o/dwa/sJaoIJjO /E!OOl
'uolje::Jol)E!Llj
0) WJO) aLj) UJnjaJ '6u!I!! aJnsopSIP lenuue JnOA
JO) SUO!paI3 )0 JOS!Nadns A)un08 e JO SOILj13 uo
UO!SS!WW08 aLj) Aq WJO) aLj) pal!ew aJaM nOA )1
:311:1 01 3~3HM
LOOZI' ji:::J - , INClO:l :::J:J
C6ulA)!lenb UaLjM , WJO:J leuI6uo JaLl JO SILj jO
Ado::> e al!! jseal)e jsnw uOll!sod ::>I\qnd JaLj)oue )0
asne::Jaq , WJo:l pal!J AISnOI^aJd OLjM aleplpue::>
e 'Ja^aMOH cJeaA awes aLj) JO) , WJO:l puooas
e al!! 0) paJlnbaJ IOU SI JeaA le::>s!! JO JepUale::>
e JO) , WJO:l pal!! seLj OLlM uosJad e 'AlleJaua8
:A~'v'SS3:J3NNn ~NIlI::l 31dl11nW
:310N
'paldaooe aq IOU II!M sal!w!soe:l
C(s)UO!l::>as
)eLj) U! "e/u" JO "auou" ajUM )snw nOA 'Uo!pas
Jeln::>!l.Ied e U! lJodaJ 01 6u!410u aAlHI nOA jl
C 6ul\!! JO) (z pue , sa6ed) laaLjs
JSJ!) all) AIUO >\oeq puas 'l! 6Uljep pue 6UIU61S
6u!pnpul 'WJO) Sill) )0 sjJed lie 6ul)aldwoo JalJV
:311::1 011'v'HM
.o-~~-g
:(paJ!nbaJ) 03NE>IS 31'VO
:(paJ!nbaJ) 3~nl'VNE>IS
Wl 3~3H >i:J3H:J 3S'v'31d '133HS 31'v1:1'v'd3S 'v' NO 03nN11NO:J 3~'v' :I H~nO~H1 'v' Sl~'V'd ::10 AN'v' :II
8 # A111N3 SS3NIsns
lS3CJ31NI dlHSCl3NMO
AIN :JO 3C1nlVN
SS3NIsns 3Hl NI1S3,B1NI
%S V NVHl 3C101N NMO I
AlI1N3 H1IM
0l3H NOI1ISOd
A1IAI18V
SS3NIsns lVdl8NICld
AlllN3 SS3NIsns
:l0 SS3C100V
AlIlN3 SS3NIsns
:JO 3INVN
Z # AlI1N3 SS3NIsns
, # A111N3 SS3NIsns
[sassaulsnq jO sad,\) ulel.la::J UI suoljlsod JO dlLjsJauMO] 53SS3NISnS 031:l1:J3dS NI SlS3<J31NI - :ll<J'v'd
Cl01103C18 :l0 SS3C100V
Cl01I03C1:J :lO 3V1lVN
[s)qap Jo[eVll] S3111l18'v'1l - 3 l~'v'd
S31Vl3C1 AlCl3dOCJd 3Hl H81HM 01 AlI1N3 SS3NISnS 3lS18NV1NI :JO 3dAl
['ola ')Isodap)o sa)eo!)ljJao 'spuoq 's>\OO)S] 'u~3dO~d l'v'NOS<J3d 3l81E>N'v'lNI - a l~Vd
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
2006
Please print or type your name, mailing
address, agency name, and position below:
FOR OFFICE
USE ONLY:
M
ID Code
'J
~::':i
---I -<:
-<"0
.:-;, -'1
,~;; O:J
.:;;:,0
---('
--:-
v; 2:j
00
-'1 =c
_ -., O:J
;:::;rr,
r'1 .D-
c-,
-
......
PDF 2006
c:::
'-J
.h.
[.:5
'"
-l:'-
c~
ID No,
NAME OF AGENCY:
Conf, Code
.h
::t:
-
-
Pc Req, Code
You are not limited to the space on the lines on this form. Attach additional sheets, If necessary,
CHECK ONLY IF ~ CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE
"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):
[5(j DECEMBER 31,2006 QE 0 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):
o COMPARATIVE (PERCENTAGE) THRESHOLDS QE 0 DOLLAR VALUE THRESHOLDS
PART A _ PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
NAME OF SOURCE SOURCE'S
OF INCOME ADDRESS
Gel a I
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
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
)1on~
11C:;/1e
FILING INSTRUCTIONS for when
and where to file this form are locat-
ed at the bottom of page 2,
PART C - REAL PROPERTY [Land, buildings owned by the reporting person]
INSTRUCTIONS on who must file
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 - Effc 1/2007 (Continued on reverse side)
PAGE 1
PART D _ INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etcc]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
S'+ocf:-s 1-- mOhf'Y mcdl-ej - C ho (' /es SeA cue<b - -H, r;. Edt..-<.JQrds
1
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
nOlle
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 ntJn L.-
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
VVITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE rn
SIGNATURE (required): DATE SIGNED (required):
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 filingc your annual disclosure filing, return the form to file within 30 days of the date of hiS or her
that locationc 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 perm a- the Senate must file prior to confirmation, even
section(s)c nently residec (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, PcOc 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 the same year, However, a 201, Tallahassee, FL 32312c required to file by July 1 st 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 ieast file a copy qualifying papers. tionsc
of his or her original Form 1 when qualifyingc 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 file a
final disclosure form (Form 1 F) within 60 days
of leaving office or employment
::>AGE 2
CE FORM 1 - EfL 1/2007
Please print or type your name, mailing
address, agency name, and position below:
STATEMENT OF
FINANCIAL INTERESTS
o..\'I~\
2006
FORM 1
CITY .
33 <fsS- F/;
COUNTY :
ID Code
n
0 n=i
-...J ~-<
> -<0
c::
C'") :::)"
W CD
P10
~-<
~"''''''
-0 .-
,:.n-;
::ll: 0
DZ
."
."CO
c.n - f"l1
N C'")>
fTlC'")
::t:
N~ ~-JIRST NAM~ M~+ ~A;:
MAILING ADDRESS:
~rD/ !II Po
ge; 17 full g ~/. i
FOR OFFICE
USE ONLY:
ZIP:
ID No,
NAME OF AGENCY:
SO rrf~1) tee>.,
NA E OF OFFICE OR POSITION HEL
CG TV\ fY\
OR SOUGHT:
Conf, Code
P. Req, Code
You are not limited to the space on the lines on this form, Attach additional sheets, if necessary,
CHECK ONLY IF ~ CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE
"BOTH PARTS OF THIS SECTION MUST BE COMPLETED"
PDF 2006
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):
o DECEMBER 31, 2006 QB 0 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):
o COMPARATIVE (PERCENTAGE) THRESHOLDS QB ,eg DOLLAR VALUE THRESHOLDS
V~IO
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
FILING INSTRUCTIONS for when
and where to file this form are locat.
ed at the bottom of page 2.
PART C - REAL PROPERTY [Land, buildings owned by the reporting person]
INSTRUCTIONS on who must file
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 - Eft, 1/2007 (Continued on reverse side)
PAGE 1
PART D _ INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc,]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E - LIABILITiES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
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
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE [I1J]]
SIGNATURE (required): ~/1~:J ~ DATE SIGNED (required): 07
"'/, ~/~~ C?-- 3/'
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/em ployee. 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 file within 30 days of the date of his or her
that locationc 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 perm a- the Senate must file prior to confirmation, even
sectlon(s)c nently 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 headquartersc) 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, PcO, Drawer qualifying papersc
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 the same year, However, a 201, Tallahassee, FL 32312c required to file by July 1 st following each
candidate who previously flied 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 papersc tionsc
of his or her original Form 1 when qualifyingc 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 3c specified state employee is reqUired to file a
final disclosure form (Form 1 F) within 60 days
of leaving office or employment
PAGE 2
CE FORM 1 - EfL 1/2007
FORM 1 STATEMENT OF 2006
Please print or type your name, mailing I FINANCIAL INTERESTS I
address, agency name, and position below:
LAj;;ME - FIRST NAME - MIDDLE NAME: LEulrs FOR OFFlcrs'f i .~ --'"'- 8: L1" L~
A ~, U/OOl)1<OitJ USE ONLY: ..
MAILING ADDRESS: .5 0' AVE, 0(, i L
Y27 Ai. LA)" : 1
ID Code
CITY : ZIP: COUNTY :
Eo Y#wd 8EACI/ 33 ~'3.!) ? 4L/J? lfEtIlcll ID No,
NAME OF AGENCY: " n
SCilaoL l).IS7RICT of ?~'I-Vt lfEAc.iI Lo/.ol7"Y Conf, Code 0 n===i
~-J :::;-<
NAME OF OFFICE OR POSiTION HELD OR SOUGHT: Pc Req, Code C/) -<0
2 ......, ~-r,
C IT r 'c,,"MJt1.:E S;S..r<t'/lC'~ 7:> ,J.:S r ~r c. r -g
I CO
You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. I r"io
.c:- ;;:o~
CHECK ONLY IF Ita' CANDIDATE OR o NEW EMPLOYEE OR APPOINTEE PDF 200EP::z
:t:IJo m-i
"BOTH PARTS OF THIS SECTION MUST BE COMPLETED" Oz:
V? ~,
DISCLOSURE PERIOD: -r,CO
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR ~AR ~~
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check 6?ie): fTl C')
0" DECEMBER 31,2006 QB. 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: ::z::
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):
0 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
SCHOOL 7)rsrt<rt:T t>P PEL. 3300h.'1tEST HrP8b'1l~tvr~FL .3Ji/~6 cPtlC/irro/'l
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
Ie , I~ t~ ,?,
JVO~l/ ....1 n T" v { I /? f'I '" tI II 1\4 1./
J ' l 1 ''i
PART C - REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when
and where to file this form are locat.
t {l A ed at the bottom of page 2.
/\// 1+ INSTRUCTIONS on who must file
I I , 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 - Eft, 1/2007 (Continued on reverse side)
PAGE 1
PART D _ INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etcc]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR
ADDRESS OF CREDITOR
PART F _ INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
BUSINESS ENTITY # 2
BUSINESS ENTITY # 1
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THM~ K 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
BUSINESS ENTITY # 3
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE m
DATE SIGNED (required): 9 - 7/'- {!Y 7
'.~)L
/iJ: ,r
FILING
SIGNATURE (required):
WHAT TO FILE:
After completing all parts of this form, including
signing and dating it, send back only the first
sheet (pages 1 and 2) for filing c
If you have nothing to report in a particular
section, you must write "none" or "n/a" in that
section(s)c
Facsimiles will not be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Form 1 for a
calendar or fiscal year is not required to file a
second Form 1 for the same year. However, a
candidate who previously filed Form 1 because
of another public position must at least file a copy
of his or her original Form 1 when qualifying,
CE FORM 1 - Eft. 1/2007
WHERE TO FILE:
If you were mailed the form by the Commission
on Ethics or a County Supervisor of Elections for
your annual disclosure filing, return the form to
that locationc
Local officerslemplo yees file with the Supervisor
of Elections of the county in which they perma-
nently reside, (If you do not permanently reside
in Fiorida, file with the Supervisor of the county
where your agency has its headquarters,)
State officers or specified state employees
file with the Commission on Ethics, PcOc Drawer
15709, Tallahassee, FL 32317-5709; physical
address: 3600 Maclay Boulevard, South, Suite
201, Tallahassee, FL 32312c
Candidates file thIs form together with their
qualifying papersc
To determine what category your position
falls under, see the "Who Must File" Instructions
on page 3.
WHEN TO FILE:
Initially, each local officer/employee, state
officer, and specified state employee must
file within 30 days of the date of his or her
appointment or of the beginning of employ-
ment. Appointees who must be confirmed by
the Senate must file prior to confirmation, even
if that is iess than 30 days from the date of their
appointment.
Candidates for publicly-elected local office
must file at the same time they file their
qualifying papersc
Thereafter, local officers/employees, state
officers, and specified state employees are
required to file by July 1 st following each
calendar year in which they hold their posi-
tionsc
Finally, at the end of office or employment,
each local officer/employee, state officer, and
specified state employee IS required to file a
final disclosure form (Form 1 F) within 60 days
of leaving office or employment.
PAGE 2
FORM 1 STATEMENT OF 2006
Please print or type your name, mailing I FINANCIAL INTERESTS I
address, agency name, and position below:
LAST NAME - FIRST NAME - MIDDLE NAME: FOR OFFICE '1
Sergio Casaine USE ONLY: C) CJ--j
--.l =i-<
MAILING ADDRESS: J::>o .-<<~
13 Meadows Park Lane ,=
c' ..:; lJ
ID Code N 'OJ
n1a
.... z-<
:;::.. ~ :--::
CITY : ZIP: COUNTY: :J: :J) -i
0
Boynton Beach 33436 Palm Beach ID No. B ,=,-......
-tl"'-
NAME OF AGENCY: -r;c:J
N '--f'l
Conf, Code N rJ>
P'1c;
-
NAME OF OFFICE OR POSITION HELD OR SOUGHT: p, Req, Code -
Commissioner District # 4
You are not limited ~space on the lines on this form. Attach additional sheets, If necessary.
CHECK ONLY IF CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE PDF 2006
..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 FISC~AR, PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
DECEMBER 31,2006 QB 0 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):
0 COMPARATIVE (PERCENTAGE) THRESHOLDS QB ~ 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
Sergio Casaine 13 Meadows Park Lane
Boynton Beach, FL 33436 InterDreter/Translator
.
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 r-1anagem nt PO Box 5149 Pension
Boston, Mass 0220
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 Single Fa ed at the bottom of page 2,
Home INSTRUCTIONS on who must file
Lot-Cambridge Greens, Citrus Hills 18 this form and how to fill It out begin
Lot Blk. 2 on page 3,
Hernando County, FL OTHER FORMS you may need to
file are described on page 6.
CE FORM 1 - Eftc 1/2007 (Continued on reverse side)
PAGE 1
PART D _ INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etcc]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
Bank of America Lantana, FL.
American Express
Country Wide Home Loans Van Nnvs ~A
",
c",*
~
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 .'
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE m
SIGNATURE (reqUire~,. - .""""-_ DATE SIGNED (required):
" ,- '7.-1 . 8/23/07
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 file 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 fiie prior to confirmation, even
section!s). nently residec (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 headquartersc) 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,Oc Drawer qualifying papersc
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 the same year, However, a 201, Tallahassee, FL 32312c required to file by July 1 st following each
candidate who previously filed Form 1 because Candidates file this form together with their caiendar year in which they hold their posi-
of another public position must at least file a copy qualifying papersc tionsc
of his or her original Form 1 when qualifyingc 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/empioyee, state officer, and
on page 3c specified state employee is required to file a
final disclosure form (Form 1F) within 60 days
of leaving office or employment
PAGE 2
CE FORM 1 - EfL 1/2007
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
Please print or type your name, mailing
address, agency name, and position below:
-
FOR OFFICE
USE ONLY:
ID Code
Palm
COUNTY:
ID No,
Conf, Code
ci
p, Req. Code
PDF 2006
"BOTH PARTS OF THIS SECTiON MUST BE COMPLETED"
2006
c:::>
-.l
:l>
c::
CJ
(...,)
Cl
c-l
C) --I
::;-<
-<0
('")"
reo
i'"T10
?~-<
~ . .c..
ui~
o
~:r:
~;:g
(J;p
fTl(J
::I:
-0
::J:
.r:-
(...,)
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):
IZJ DECEMBER 31, 2006 QE 0 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):
o COMPARATIVE (PERCENTAGE) THRESHOLDS OR rzJ DOLLAR VALUE THRESHOLDS
[Major sources of income to the reporting person]
SOURCE'S
ADDRESS
::a,rS
PART B - SECONDARY SOURCES OF INCOME [Major customers, ciients, 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
FL3J~~
FILING INSTRUCTIONS for when
and where to file this form are locat.
ed at the bottom of page 2.
PART C - REAL PROPERTY [Land, buildings owned by the reporting person]
INSTRUCTIONS on who must file
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 - Eftc 1/2007 (Continued on reverse side)
PAGE 1
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR
PART F _ INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
BUSINESS ENTITY # 1
BUSINESS ENTITY # 2
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
'v'v1TH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
BUSINESS ENTITY # 3
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE n
I/'~ DATE SiGNED (required): t-~fI- {Jt-
FILING INSTRUCTIONS:
SIGNATURE (re>luired):
WHAT TO FILE:
After compieting all parts of this form, inciuding
signing and dating it, send back only the first
sheet (pages 1 and 2) for filing.
If you have nothing to report in a particular
section, you must write "none" or "n/a" in that
section(s).
Facsimiles will not be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has fiied Form 1 for a
calendar or fiscal year is not required to file a
second Form 1 for the same year. However, a
candidate who previously filed Form 1 because
of another public position must at least file a copy
of his or her original Form 1 when qualifyingc
CE FORM 1 - Eft. 1/2007
WHERE TO FILE:
If you were mailed the form by the Commission
on Ethics or a County Supervisor of Elections for
your annual disclosure filing. return the form to
that locationc
Local officers/employees file with the Supervisor
of Elections of the county in which they perma-
nently residec (If you do not permanently reside
in Florida, file with the Supervisor of the county
where your agency has its headquartersc)
State officers or specified state employees
file with the Commission on Ethics, PcOc Drawer
15709, Tallahassee, FL 32317-5709; physical
address: 3600 Maclay Bouievard, South, Suite
201, Tallahassee, FL 32312.
Candidates file tnls form together with their
qualifying papersc
To determine what category your position
falls under. see the "Who Must Fiie" Instructions
on page 3.
WHEN TO FILE:
Initially, each iocal officer/employee. state
officer, and specified state employee must
file within 30 days of the date of his or her
appointment or of the beginning of employ-
ment Appointees who must be conftrlned by
the Senate must file prior to confirmation. even
if that is less than 30 days from the date of their
appointment
Candidates for publicly-elected local office
must file at the same time they file their
qualifying papers.
Thereafter, local officers/employees. state
officers, and specified state employees are
required to file by July 1 st following each
caiendar year in which they hold their posl-
tionsc
Finally, at the end of office or employment
each local officer/employee, state officer, and
specified state employee is required to file a
final disclosure form (Form 1 F) within 60 days
of leaving office or employment
Pf,GE 2