Senior Advisory Board 7 REGULARS&2 ALTERNATES Established per Ordinance No.92-13
Staggered Two-year Terms for All Members
2018
SENIOR ADVISORY BOARD
MEMBER EXPIRES PHONE PROFESSION
BIONTA, Marsha 12/18 484-602-3277 Retail Theft
8276 Bermuda Sound Way Appt'd 04/29/16
(33436)
Villatoro, Antonio 12/19 561-360-4113 Business Owner
616 SW 1st Avenue (33426) Appt'd 5/15/18 Villatoro4Mayor@outlook.com
IIAMES,Terry - Vice Chair 12/19 436-9165 Administrator
656 NW 1st Avenue (33426) Appt'd 2/16/16 vitaeser@bellsouth.net
NEWTON, Margaret 12/18 595-315-9595 Teacher &
701 NW 4th St.(33435) Appt'd 5/2/217 kipsaigi@aol.com Suprvr.
RICHARDSON,Andrew 12/18 561-414-4210 Printer
301 SE 12th Ave. Apt. 2 (33435) Appt'd 4/19/16
YOUNG,JeanI 12/18 246-9232 Retired
116 SE 13th Ave (33435) / Appt'd 7/21/09 JeanYoung001@bellsouth.com
GOMEZ, Jennifer /12/19 561-577-6136 Elder Law
3221 Chapel Hill Blvd. (33435) Appt'd 7/18/17 jg@jennifergomez.com Attorney
ALTERNATES:
Black, Alison V 12/19 715-4067 Social Worker
6 Bethesda Place (33435) Appt'd 7/3/18 AlisonFblack@aol.com
OPEN 12/18
CITY EMPLOYEE REPRESENTATIVE: Brent Rolle— Recreation Supervisor
Updated: 06/04/18
S:\CC\WP\BOARDS\LISTS\2018 Board Lists\SENIOR ADV BD.doc
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I; i°'' '.sl ‘y% PALM BEACH COUNTY
• " -' • CODE OF ETHICS
` 1 �' TRAINING ACKNOWLEDGEMENT
&EACH CO
Honesty-Integrity-Character
Legal Name: A 1`�`��(/1 1 ! Ck _ (Please print clearly)
Employee Identification Number:
Agency/Municipality::i4Ti� -)Dept/Board: L� 'c ' Ac\ i_-(
By signing this acknowledgement, I am attesting that I have done the following:
--
[1,r-Read the Palm Beach County Code of Ethics Ordinance (Ctrl+Click to follow link).
AND
Have completed additional training by viewing one of the following:
he Code of Ethics Training Program on the Intranet/Internet. (ctrl+click to follow link)
[ ] The Code of Ethics Training Program on YouTube. (Ctrl+Click to follow link)
[ ] The Code of Ethics Training Program on DVD.
[ ] A live presentation given on , 20_
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the information in this policy is subject to change. Policy changes
will be communicated to me by my supervisor or through official notices.
4re.ft foLCL-- 11?-6- '\
(Legal Signature) (Date)
Officials and Employees:Submit signed forms according to your agency's policy
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach,FL 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com
Website: www.palmbeachcountyethics.corri
Rev.01/2 0 t7
org .},.sem PALM BEACH COUNTY
• I • CODE OF ETHICS
9( J '' TRAINING ACKNOWLEDGEMENT
0E.co
Honesty-Integrity-Character
..--,---
Legal
'moLegal Name: lv VC O I vG (Please print clearly)
Employee Identification Number: I•1/A
Agency/Municipality: 16C19n () 3eclLh Dept/Board: •C n I OK Ado Sulky Board
By signing this acknowledgement, I am attesting that I have done the following:
[i,] Read the Palm Beach County Code of Ethics Ordinance (Ctrl+Click to follow link)
AND
Have completed additional training by viewing one of the following:
[A The Code of Ethics Training Program on the Intranet/Internet. (Ctrl+Click to follow link)
[ ] The Code of Ethics Training Program on YouTube. (Ctrl+Click to follow link)
[ ] The Code of Ethics Training Program on DVD.
[ ] A live presentation given on , 20_
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the information in this policy is subject to change. Policy changes
will be communicated to me by my supervisor or through official notices.
I '�, 61“ ;AR D// r
(j, al Signature' (Date)
Milik a d mp eSubmit signed forms according to your agency's policy
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach, FL 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com
Website: www.palmbeachcountyethics.com
Rev.08/2016
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9 APP 26 AN 9: ft
LM BEACH COUNTY
' • CODE OF ETHICS
9e ` a� TRAINING ACKNOWLEDGEMENT
4leFACH C°J
Noncsh'-Integrity -Character
Legal Name: Margaret Newton (Please print clearly)
Employee Identification Number:
Agency/Municipality: Boynton Beach Dept/Board: Senior Advisory Board
By signing this acknowledgement, I am attesting that I have done the following:
[ ] Read the Palm Beach County Code of Ethics Ordinance (Ctrl+Click to follow link)
AND
Have completed additional training by viewing one of the following:
1/1 The Code of Ethics Training Program on the Intranet/Internet. (Ctrl+Click to follow link)
[ ] The Code of Ethics Training Program on YouTube. (ctrl+click to follow link)
[ ] The Code of Ethics Training Program on DVD.
[ ] A live presentation given on , 20_
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the information in this policy is subject to change. Policy changes
will be communicated to me by my supervisor or through official notices.
/iii 4--cA---• August 10, 2018
(L al Signet e) / (Date)
Officials and Employees:Submit signed forms according to your agency's policy
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach, FL 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com
Website: www.palmbeachcountyethics.com
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% PALM BEACH COUNTY
• •
l • CODE OF ETHICS
TRAINING ACKNOWLEDGEMENT N
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Honest,'-/ntegrit) -Chowder vi
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CID
Legal Name: - ?'' r! (� { ! (Please pant clearly) m
Employee Identification Number:
Agency/Municipality: T��. , c + r Dept/Board: ._-_)0110r Ac t:'r 1(1r1,eij�
0
By signing this acknowledgement, I am attesting that I have done the following:
(4 Read the Palm Beach County Code of Ethics Ordinance (Ctrl+Click to follow link)
AND
Have completed additional training by viewing one of the following:
( ] The Code of Ethics Training Program on the Intranet/Internet. (Ctrl+Click to follow link)
Whe Code of Ethics Training Program on YouTube. (Ctrl+Click to follow link)
[ ] The Code of Ethics Training Program on DVD.
[ ] A live presentation given on ,20_
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the information in this policy is subject to change. Policy changes
will be communicated to me by my supervisor or through official notices.
2))
(Legal S. nature) (Date)
i
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach, FL 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mall: ethics@palmbeachcountyethics.com
Website: www.palmbeachcountyethics.cotu
Rev.06/2016