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Certified letter Returned TR report
The City of Boynton Beach „ City Clerk's Office 3301 Quantum Beach Blvd. Suite 101 BOYNTON BEACH FL 33435 {� --ccs (561) 742-6060 FAX: (561) 742-6090 r- e-mail: e-mail: cityclerk@bbfl.us "' • www.boynton-beach.org -n u, Certified Mail: 7016-3010-0000-9738-1202c:, GJ c-)D rn June 7, 2019 Ionel Roiban 1268 Piazza Antinori Boynton Beach, FL 33426 Dear Roiban: This letter will serve as a reminder that your next Campaign Treasurer's Report, which will be your termination report, must be filed on Friday, June 14, 2019. This report must be time stamped in my office before 5:00 p.m., which is the close of business for the City Clerk's Office. The code for this report is TR and covers the period March 8, 2019 to the date of submittal of the report. Penalty for Late Filing Any reporting individual who fails to file a report on the designated due date shall be subject to a fine of $50 per day for the first three days late and, thereafter, $500 per day for each late day, not to exceed 25 percent of the total receipts or expenditures, whichever is greater. (Section 106.0702(7), F.S.) If you have any questions, please contact me. Very truly yours, CITY OF BOYNTON BEACH Queenester Nieves Deputy City Clerk America's Gateway to the Gulfstream CAMPAIGN TREASURER'S REPORT SUMMARY (1) OFFICE USE ONLY Name (2) Address (number and street) City, State, Zip Code I I Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From / / To / / Report Type: ❑ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ • Expenditures $ • Loans $ , , Transfers to Office Account $ Total Monetary $ • Total Monetary $ In-Kind $ • (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ • $ • (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) (Type name) ❑ Individual(only for IE ❑Treasurer ❑ Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X X Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount I I / / / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (10) Type the description of any in-kind contribution received. Candidate's Only—If in-kind contribution is from a party executive committee and is allocable toward the contribution limits, type an "A" in this box. If contribution is not allocable,type an "N". (11) Amendment Type(required on amended reports)—To add a new(previously unreported)contribution for the reporting period being amended, enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for contributions with amendment type"ADD"will start at one plus the number of contributions in the original report. For example, amending an original M1 report that had 75 contributions means the sequence number of the first contribution having amendment type "ADD"will be 76; the second "ADD"contribution would be 77, etc. When amending an original M2 report that had 40 contributions, the sixth "ADD" contribution would have sequence number 46. To correct a previously submitted contribution use the following drop/add procedure. Enter"DEL"in amendment type on a line with the sequence number of the contribution to be corrected. In combination with the report number being amended, this sequence number will identify the contribution to be dropped from your active records. On the next line enter"ADD"in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (12) Type amount of contribution received. Political Committees ONLY: Multiple uniform contributions from the same person, aggregating NMT$250 per calendar year, collected by an organization that is the affiliated sponsor of a PC, may be reported by the PC in an aggregate amount listing the number of contributors together with the amount contributed by each and the total amount contributed during the reporting period. The identity of each person making such uniform contribution must be reported to the filing officer by July 1 of each calendar year, or, in a general election year, NLT the 60th day immediately preceding the primary election. CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City, State,Zip Code candidate) Type Amendment Amount / 1 / 1 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES To correct a previously submitted expenditure use the following drop/add procedure. Enter "DEL" in amendment type on a line with the sequence number of the expenditure to be corrected. In combination with the report number being amended, this sequence number will identify the expenditure to be dropped from your active records. On the next line enter"ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the dropped data. Assign the sequence number as described above. (11) Amount of expenditure. WAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) OFFICE USE ONLY Name Office Sought Address City State Zip Code ® Candidate El Political Committee ® Party Executive Committee NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a waiver)that no reportable contributions or expenditures were made during the reporting period(s. 106.0703(6), F.S.). ❑ Check here if address has changed since last report. ❑ Check here if PC has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box and Complete Applicable Line beneath Box) MONTHLY REPORT © PRIMARY ELECTION © GENERAL ELECTION D OTHER REPORT TYPE Indicate report# Indicate report# Indicate report# Indicate report type and# M P G as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF THROUGH X Signature Date X Signature Date REQUIRED SIGNATURES FOR: Candidates: Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Political Committees: Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.) Party Executive Committees: Treasurer and Chairman(s. 106.29(2), F.S.) Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or received)the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87(Rev.06115) 0?oe. 9�oL YCLERK . . Y OF BOYNTON BEACHl/111(1//11// ': : '' ' uS kis, z� �1f AGE��P/TryEY MM ; � L, • 2/P334 I. BOX 310 ©��VW 0����1��� '- i ::r�r �; 2 aw S OOG_ 3N110311001V 010d'SS3800V NNf713133H1 d0 000036680 Jf1N 1n- 3N11 •YNTON BEACH, FLORIDA 1H`JIFl3H1013d013AN3dOd011Vt13H311S30V1d Cr 33425-0310 -` c.: i r„, L :'1• -2); ren 047. QNN-.,,....__ .$: c) N O C ��--- Ione) Roiban e..a �,; J f*1 1268 Piazza Antinori n, Boynton Beach, FL 33426 _ i NIXIE j31 DE 1. 0007 /OS %1.9 RETURN TO SENDER UNCLAIMED UNABL E TO FORWARD 73 2 OCJ.I . r _ . 7GiaO ....y�, - n -"""—'31t11” 4- A A . wey ` - .�•�--,6`. 1,/±1`'7.Ci D L. 3 3-*4-,7 tit Oy L} L O l��'1 7 1 3�► i "'Tt 95J iiiiiiiiiiiliiiiiiiiiiliiiiiiiiiiiiiiiiiliiiiigiiiii�i,SdiRiHI 3 j ��� >0310 »111 777» )) )) YYYYY Y ))) S N A.-,`‘ -- \ *VON ON�E��0 DDMpLETE VIS S COMPLETE THIS sECT10N F Stgnak\tre Q lief wEs sEN�EFt. 2,and the reverse X ❑Addressee ■ G°1119\eke \tCc and address on U ■ pr\nt Yo"r namereturn the card to you. B.Received by(Printed Name) C.Date of Delivery 5 so that we can 0�9 ■ Attach this card to the back of the matlpleCe, or on the front if space permits. D. Is delivery address different from item 1? 0 Yes f. Article Addressed to: n If YES,enter delivery address below: ❑No (9(a. —7/ a2:2.9( 4ii it , bor 1144 eac 11 F= • i 33y )_4, 3. Service Type Signature 0 Priority Mail Express® 0 Registered Mail. 11111111 1111111 11 1 11 . 1111 III ❑CertifAdultied ed MauO Restricted Delivery ReDegvery�MadTRestdcted 9590 9402 2335 6225 1053 27 0 Certified Mail Restricted Delivery Return rch Receipt for ❑Collect on Delivery rM ❑Collect on Delivery Restricted Delivery o Signature Confirmation 2. Article Number(transfer from service label) —•nsured Mail ❑Signature Confirmation 7016 3Q Q 0000 9 38 1202 nsured Mall Restricted Delivery Restricted Delivery P Aver$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt -_i ti