Filing Papers Miscellaneous Cash Receipt g
tY
No. 92169
CITY OF BOYNTON BEACH
CITY C?C.f'. S'J (;ct 1ti�4 ,P
TON
Account No. 001-0000-369-104OOJ I4 Pial 2: SR
$ 25.00
f`
Pt. 20 `f
Received of IONEL ROIBAN
Address 1268 PIAZZA ANTINORI BOYNTON BEACH, FL 33426
For CITY FILING FEE TO RUN FO! COMMISSIONER — DISTRICT I ON
MARCH 12, 2019
Dept. CITY CLERK'S OFFICE By
Miscellaneous Cash Receipt ,t Y o� No. 92133
CITY OF BOYNTON BEACH
r
i U; i„ a. t O U
C OFFICE TON °
Account No. 001-0b00-369-117 4 I
Pry 2: SR $ 262.19
, 20 ' j
Received of IONEL ROIBAN
Address 1268 PIAZZA ANTTNORt BOYNTON BEACH, FL 33426
For 1% FILING FEE TO RUN FOR COMMISSIONER — DISTRICT I ON
MARCH 12, 2019
Dept. CITY CLERK'S OFFICE By
FORM 1 STATEMENT OF 2018
Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY:
address,agency name,and position below:
LAST NAME--FIRST NAME--MIDDLE NAME :
ROIBAN IONEL
MAILING ADDRESS:1268 Piazza Antinori
CITY: ZIP: COUNTY:
Boynton Beach 33426 Palm Beach -' "'CD_
NAME OF AGENCY: C.3
411 cr
City of Boynton Beach
NAME OF OFFICE OR POSITION HELD OR SOUGHT: v rn>
City Commission - District 1 - Boynton Beach
You are not limited to the space on the lines on this form.Attach additional sheets,if necessary.
CHECK ONLY IF Er CANDIDATE OR Li 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(must check one):
l�I DECEMBER 31, 2018 QE ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
FILERS HAVE 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). CHECK THE ONE YOU ARE USING(must check one):
❑ COMPARATIVE (PERCENTAGE)THRESHOLDS OR a DOLLAR VALUE THRESHOLDS
PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions]
(If you have nothing to report,write"none"or"n/a")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCES
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
Weiss Research INC 4400 Northcorp Pky. PBG FL 33410 FINANCIAL PUBLICATIONS
Weiss Ratings, LLC 4400 Northcorp Pky. PBG FL 33410 FINANCIAL ADVISORY
Republican Party of Florida 420E JeffersonSt Tallahassee FL 32301 STATE REPUBLICAN PARTY
Original Impressions 12900 SW 89 CT MIAMI FL 33176 MARKETING
PART B-- SECONDARY SOURCES OF INCOME
[Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions]
(If you have nothing to report,write"none"or"n/a")
NAME OF , NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE
PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions]
(If you have nothing to report,write"none"or"n/a") FILING INSTRUCTIONS for when
and where to file this form are
1268 Piazza Antinori, Boynton Beach, FL 33426 located at the bottom of page 2.
INSTRUCTIONS on who must file
this form and how to fill it out
begin on page 3.
CE FORM 1-Effective:January 1.2019 (Continued on reverse side) PAGE 1
Incorporated by reference in Rule 34-8.202(1),F.A.C.
PART D—INTANGIBLE PERSONAL PROPERTY[Stocks, bonds, certificates of deposit,etc.-See instructions]
(If you have nothing to report,write"none"or"n/a")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
401(K) PLAN Great-West Life & Annuity Insurance Company
PART E—LIABILITIES [Major debts-See instructions]
(If you have nothing to report,write"none"or"n/a")
NAME OF CREDITOR ADDRESS OF CREDITOR
Freedom Mortgage 907 Pleasant Valley Avenue, Suite 3, Mt. Laurel, NJ 08054
SunTrust Banks SunTrust Plaza, Atlanta, Georgia, U.S.
PART F—INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in certain types of businesses-See instructions]
(If you have nothing to report,write"none"or"n/a")
BUSINESS ENTITY#1 BUSINESS ENTITY#2
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
PART G—TRAINING
For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S.
❑ I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING.
IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE U
SIGNAT .a . FFILER: a CPA or ATTORNEY SIGNATURE ONLY
Signature: -f;--'` If a certified public accountant licensed under Chapter 473,or attorney
in good standing with the Florida Bar prepared this form for you,he or
she must complete the following statement:
, prepared the CE
Form 1 in accordance with Section 112.3145, Florida Statutes, and the
instructions to the form. Upon my reasonable knowledge and belief,the
disclosure herein is true and correct.
Date Signed:
0/ / /// 3 . CPA/Attorney Signature:
Date Signed:
FILING INSTRUCTIONS:
If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers.
Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY:A candidate who files a Form
form to that location. To determine what category your position falls
under, see page 3 of instructions. 1 with a qualifying officer is not required to file with the Commission
Local officers/employees file with the Supervisor of Elections or Supervisor of Elections.
f ounty in which they reside. ryou do not WHEN TO FILE: Initially, each local officer/employee, state officer,
permanentlyfthecureside in Florida, permanently with the Supervisor(If of the county and specified state employee must file within 30 days of the
where your agency has its headquarters.) Form 1 filers who file with Appointeesdate ohis whoor her must betme it or of the beginning Seate of mustfile prior
the Supervisor of Elections may file by mail or email. Contact your that confirmed thanha by the days from datee ofi h it
Supervisor of Elections for the mailing address or email address to confirmation, even if is less 30 from the of their
use. Po not email your form to the Commission on Ethics, it will be appointment.
returned. Candidates must file at the same time they file their qualifying
State officers or specified state employees who file with the papers.
Commission on Ethics may file by mail or email. To file by mail, Thereafter, file by July 1 following each calendar year in which they
send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions.
32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200,
Tallahassee, FL 32303. To file with the Commission by email, scan leFinally, file a finalm l yment.e form (FormEF 1F) within Statement days of
your completed form and any attachments as a pdf(do not use any of Financial
office Interests)or employment.doesnt. Fi relieve a CE Form 1 F ig(Final
other format)and send it to CEForm1 le state.fl.us. Do not file byif F filer was inhis does not on the filer r filing a CE Form 1
both mail and email. Choose only one Nina method. Form 6s will noif the filer in his or her position on December 31,2018.
be accepted via email.
CE FORM 1-Effective:January 1,2019.
Incorporated by reference in Rule 34-8.202(1),F.A.C. PAGE 2
OF Ftp`
O
0n _ d_ Palm Beach County
qii
�� OF PAS
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 33415
POST OFFICE BOX 22309
WEST PALM BEACH, FL 3341B
SUSAN BUCHER
Supervisor of Elections TELEPHONE: 1561) 656-6200
FAX NUMBER: 1561) 656-6287
WEBSITE: www.pbcelections.org
CERTIFICATION
I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do
hereby certify that 39 signatures on the Nominating Petitions of IONEL ROIBAN for CITY
COMMISSIONER, DISTRICT 1, FOR THE CITY OF BOYTON BEACH are registered
electors within the municipal limits of the CITY of BOYNTON BEACH, according to the
registration records on file in this office.
This is to further certify that IONEL ROIBAN is a registered voter in Precinct 3187, in the
City of Boynton Beach, Florida.
Signed, this the 14th day of January, 2019. A. ;
cm...
r
AcLOCUr
SUSAN BUCHER ,
SUPERVISOR OF ELECTIONS C^
PALM BEACH COUNTY ' -"r
...,1m�
(SEAL)
APPOINTMENT OF CAMPAIGN TREASURER I i�E `(j CLERK'S 3 O �� E H
AND DESIGNATION OF CAMPAIGN
QF�FiCE
DEPOSITORY FOR CANDIDATES 13 J 1 1 PH G: (A
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
E;
NOTE: This form must be on file with the qualifying SCAN NI E
officer before opening the campaign account. OFFICE USE ONLY
1.CHECK APPROPRIATE BOX(ES):
❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy Depository ❑ Office ❑ Party
2. Name of Candidate(in this order: First, Middle, Last) 3. Address .nclude post office box or street, city, state, zip
cod
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4. Telephone 5. E-mail address
( ) -. ;''.(47224/ / i f /Z 33 y '
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
_,� applicable:
C-77 /7/7 0 d/04/ 23a2� i� �?/L 0 My intent is to run as a Write-In candidate.
8. If a candidate for a partisan office,check block and fill in name of party as applicable: My intent is to run as a
0 Write-In El No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my Ml Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
/ 4/e---(____ / / , ,,,1
11. Mailing Address 12. Telephone
(mss' ))! .4`" 77 %7�a�� ( )
A. City 14. County 15. State 16. Zip Code 17. E-mail addr s
l/WV 9/ iggfeq /2/z-,7 l' a 71- 33/ /P c cc) &/11,P2) CoV
18. I have designated the following bank as my Primary De ository ❑ Secondary Depository
19. Name of Bank , 20. Address
�/k. of kit/-/uci / 3 4/ ce,eG-it T,f 1/:.E-
21 City 22. County 23. State 24. Zip Code
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26. Signature a •':ate
01/ iii / '2,%2/ / X
27. Treasurer's Acceptance of Appointment(fill the auks and the the -ppropriate block)
I, /0/(262_ t,/ , do h-reby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer ElDepu ure
0/ / /i 'I9/ X
Date / Si ature Campaign Tr a r
Deputy Treasurer
DS-DE 9(Rev. 10/10) - / Rule 1S-2.0001, F.A.C.
di4 BENCH
APPOINTMENT OF CAMPAIGN TREASURER f `i' CLERK'S OFFICE
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES 19 JAN I I PH 4: Log
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy Depository ❑ Office ❑ Party
2. Name of Candidate(in this order: First, Middle, Last) 3.Address .nclude post office box or street, city, state,zip
/0 4Jt'( _ A L7r'y /, code)
4. Telephone 5. E-mail address _
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
applicable:
C &1717/V d/04/ — My intent is to run as a Write-In candidate.
8. If a candidate for a partisan office,check block and fill in name of party as applicable: My intent is to run as a
❑ Write-In ❑ No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my FS Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
11. Mailing Address 12. Telephone
/26y ?/ .4,- 4 477W,p ( )
1A City 14. County 15. State 16. Zip Code 17. E-mail addr ss
/5"e*l U/1/ ✓ /G�/ � �2_ 33 1J4,'c ceic .iv(S.s
4
18. I have designated the following bank as my Primary Detory SecondaryDepository
ry ❑ P ry
19. Name of Bank 20. Address
21 City 22. County 23. State 24. Zip Code
tii .v k-jfsz,
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26. Signature a •.gate
/ /1 X
27. Treasurer's Acceptance of Appointment(fill tfhe I s and the the ,ppropriate block)
/ do h reby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer El Depui - -- ure
0/ / // z� �/ X
Date / Si ature • Campaign Tr-a-% .r Deputy Treasurer
p y
DS-DE 9(Rev. 10/10) - Rule 1S-2.0001, F.A.C.
f BEACH
APPOINTMENT OF CAMPAIGN TREASURER ; L (',�OFFICE
f f r3 r r`
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES I' 41"k 9 I I FI 4: L9
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
XO Initial Filing of Form Re-filing to Change: 0 Treasurer/Deputy 0 Depository Office [] Party
12.Name of Candidate (in this order:First,Middle, Last) 3. Address (include post office box or street, city, state,zip
Ione) ROIBAN code)
1268 Piazza Antinori, Boynton Beach, FL 33426
4. Telephone 5. E-mail address
(561 ) 7029200 ionel@roiban.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
CITY COMMISSIONER - DISTRICT 1 applicable:
E My intent is to run as a Write-In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
Write-In ID No Party Affiliation J Party candidate.
9. I have appointed the following person to act as my Campaign Treasurer Q Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Ione! Roiban
11. Mailing Address 12. Telephone
1268 Piazza Antinori ( )
13. City 14. County15. State 1 . Zip Code 17. E-mail address
Boynton Beach Palm Beach f FL 3426
Ione) roib
1
I @ an.com
18.1 have designated the following bank as my Primary Depository Secondary Depository
19. Name f�Baank 20. Address
V(" �GC S—C>
G r✓ C c'"s�csAL‘---
21. 22 County 23. State 24. Zip Code
� D (-‘4--c), se I VI G (6, c,c.
4
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM F.: s•POINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT TH • TS STAT : IN IT ARE TRUE.
25. Date 26. Si. _ture of -ndidat-
Oi 2e/
27. Treasurer's Acceptance o Appointment(fill I'll the blank and the t - appropriate block)
I'
/0 /G_-- R— i , do ereby accept the appointment
(Please Print or Type Name)
designated above as: el Campaign Treasurer 11 +eputy Tr asurer.
OJ / v / X111
Date
Sign- re of Cam.- n - .surer or Deputy g p y Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.
oFF,R Y 39N Y!, EACH
STATEMENT OF 'i'.,. CLEF WS OFFICE
CANDIDATE 19 ..IA' 11 P L4: Lq
(Section 106.023, F.S.)
(Please print or type)
1, IONEL ROIBAN
candidate for the office of CITY COMMISSIONER - DISTRICT 1 ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
1k4
Ir!
X 01/14/2019
.•4+ "ature of Cand',ate Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84(05/11)
c„, RESIDENCY REQUIREMENTS
/ o _ £ c' / }
, candidate for
(Print Name),
AMM st*S/ o V &12-Mer of the City
(Mayor/Commissioner— District #)
of Boynton Beach, have received, read and
tbe understand the residency requirements of Article II
of the Charter of the City of Boynton Beach.
opliw
(Sig .. of Candi•. e)
O' / if / ` °f
(Date)
L
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-rt.C' "r�
en
2/15/18
S:\CC\WP\ELECTION\Year 2014\Information Packets\RESIDENCY REQUIREMENTS STATEMENT.doc
i
CANDIDATE OATH —
NONPARTISAN OFFICE , 4 LLActi
(Do not use this form if a Judicial or School Board Candidate) ) 11 ',--°rli d + GFF(CE
ieck box only if you are seeking to qualify as aI d � I Pr`1 ta: !�9
write-in candidate:
t
ElWrite-incandidate
(s
OFFICE USE ONLY ii
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, / 0 WE / 2p/ 34-4/
(Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no
hyphen, check box D. (See page 2 - Compound Last Names). No change can be made after the end of qualifying. }
Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.) i
am a candidate for the nonpartisan office of C /%I MM/ JP/041
(Office) Distract#)
I am a qualified elector of
LM
County, Florida;
(Circuit#) (Group or Seat#)
t
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office
I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes;
'Ind I will support the Constitution of the United States and the Constitution of the State of Florida. _.
Q
Candidate's Florida Voter Registration Number(located on your voter Information card): /1 84 33 Y 2_ '''
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities(see instructions on page 2 of this form):Not applicable to write-in candidates.] i;
/O NEL 2-0 1 3
i
x /� ' R(51,1) 70,2 5-Z.00 /°,tl EL) /-G . Copy
Signa .•'of Candidate , Telephone Numtber Email Address
/ - . '" —e-i — 72 Lf01/2/ 3J )7 / `- Fe— 33
Address City State
ZIP Code
STATE OF FLORIDA �''
Signal Nota �rITR5111110-
COUNTY OF 1/51-1—../1/ /3-C4 CT Print,Type,or Stamp Commissioned Name of Notary Public below.
Sworn to(or affirmed)and subscrib efore me this 1 Bradley Shofstall
day ofd tr.�-( , 20 �. •o NOTARY PUBLIC
_ �.=STATE OF FLORIDA
'rsonally Know^: or Produced Identification; ��
n � •� ;-'�- Comm#GG055081
Type of Identification Produced. E-- 4) t.-- /VE 191 Expires 12/14/2020
I
DS-DE 302NP(Rev.11/17) - Rule 15-2.0001,F.A.C.