Correspondence - FL Elections Commission U.S. Postal Service M
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i a sigitIcY MARSEY (FL ELECT • ' COMM) s
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3 C at SSEE, FL 32399
I PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions
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1. Article Addressed to:
BECKY MARSEYD. Is d i €ald different f*Lm item 1? 0 Yes
If YESerSted liv ,:address below: ❑No
BUSINESS MANAGER 2 ; 'r
3.
FLORIDA ELECTIONS COMM.4 r .
107 WEST GAINES STREET it
SUITE 224
TALLAHASSEE, FL 32399
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1 Postal Service
CITY OF BOYNTON BEACH
J CITY CLERK'S OFFICE
3301 QUANTUM BLVD.
SUITE 101
1 BOYNTON BEACH, FL 33426
1
I
I
1 ililiiiliililliil,mill'lithliillirlpliii'iii.l.l,lr,111111
1
The City of Boynton Beach
r n. CITY CLERK'S OFFICE
3301 QUANTUM BLVD., SUITE 101
,,, (
BOYNTON BEACH FL 33426
- )
\ (561) 742-6060
FAX: (561) 742-6090
E-MAIL: cicyclerk@bbfl.us
www.boynton-beach.org
BY CERTIFIED MAIL# 7018 2290 0001 0176 5993
January 25, 2019
BECKY MARSEY
BUSINESS MANAGER
FLORIDA ELECTIONS COMMISSION
107 WEST GAINES STREET—STE 224
TALLAHASSEE FL 32399
Re: 1% State Assessment Fees for Oualified Candidates
Dear Ms. Marsey:
Enclosed is the City of Boynton Beach check in the amount of$3,593.43 to cover the 1% State
Assessment fee for candidates who qualified to run in the March 12, 2019 Municipal Election. The fees
were as follows:
Mayor:
Candidate Name Annual Salary 1% State Assessment
Steven B. Grant $30,681.17 $306.81
Stephanie S. Hayden $30,681.17 $306.81
David T. Merker $30,681.17 $306.81
Golene L. Gordon $30,681.17 $306.81
Piotr Blass $30,681.17 $306.81
Candidates for Commissioner— District I:
Candidate Name Annual Salary 1% State Assessment
Ione) Roiban $26,219.64 $262.19
Justin Katz $26,219.64 $262.19
Malcolm Gropper $26,219.64 $262.19
Candidates for Commissioner—District III:
Candidate Name Annual Salary 1% State Assessment
Christina Romelus $26,219.64 $262.19
Michael Fitzpatrick $26,219.64 $262.19
America's Gateway to the Gulfstream
S:\CC\WP\ELECTION\Year 2019\STATE\Transmittal of 1%Assessment.docx
The City of Boynton Beach
Candidates for Commissioner— District IV:
Candidate Name Annual Salary 1% State Assessment
Mitchell Sabanosh $26,219.64 $262.19
Muriel Waldmann $26,219.64 S262.19
Reshi Maharajh $26,219.64 $262.19
Ty Penserga $26,219.64 $262.19
If there are any questions or concerns, please let me know.
Very truly yours,
CITY OF BOYNTON BEACH
Ju/h A. Pyle, CMC
Ci Clerk
Attachments (Check&Form)
America's Gateway to the Gulfstream
S:\CC\WP\ELECTION\Year 2019\State\Transmittal of 1%Assessment.docx
1
4 Print Form 1
ELECTION ASSESSMENT (One Percent)
County (PALM BEACH CityJBOYNTON BEACH Election Date (MARCH 12,2019
Qualifying End Date !JANUARY 15,2019
A. Office B. Candidate C. Party
r Mayor (Name) (STEVEN B.GRANT r Democrat r Republican
r City Clerk (Address)IP.O.BOX 424 r Minor Party E No Party Affiliation
r City Commissioner 1 r Nonpartisan r Write In
I--- Other (Ciry,ST IBOYNTON BEACH,FL
D. Annual Salary $ 130,681.37 1 %Assessment$ 1306.81 Undue Burden r Yes r No
A. Office B. Candidate C. Party
✓ Mayor (Name) !STEPHANIE S.HAYDEN r Democrat r Republican
r City Clerk (Address)12181 SW 15TH AVE. r Minor Party r No Party Affiliation
✓ City Commissioner #N102 r Nonpartisan r Write In
r Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 30'68137 1 %Assessment$ 1306.81 r r
Undue Burden Yes No
A. Office B. Candidate C.Party
r Mayor ame !DAVID T.MERKER r Democrat
(- Republican
I— City Clerk (Address) 8-D SOUTHPORT LANE
r Minor Party r No Party Affiliation
✓ City Commissioner I rx Nonpartisan r Write In
✓ Other (City,ST) BOYNTON BEACH,FL
D. Annual Salary $ 30,681.37 1 %Assessment$ 306.81 Undue Burden r. Yes r No
A. Office B. Candidate C.Party
1GOLENE L GORDON
(x Mayor (Name) r Democrat r Republican
I— City Clerk (Address) IP.O.BOX 4303 r Minor Party r No Party Affiliation
I— City Commissioner I r Nonpartisan r Write In
r Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 30,681.37 1 %Assessment $ 1306.81 Undue Burden r
Yes 17 No
A. Office B. Candidate C. Party
r Mayor (Name) JPIOTR BLASs r Democrat
(- Republican
I--- City Clerk (Address) 1113 W.TARA LAKES DRIVE r Minor Party r No Party Affiliation
r City Commissioner I J5 Nonpartisan IX Write In
r Other (City,ST) IBOYNTON BEACH,FL
D. Annual Salary $ 130,681.37 1 %Assessment $ I Undue Burden r Yes r No
Submitted By: Name 'JUDITH A.PYLE Phone Number 1561-742-6061
Address 13301 QUANTUM BLVD.,SUITE 101 City IBOYNTON BEACH Zip33426
Remit to: Florida Elections Commission, 107 West Gaines Street, Suite 224, Tallahassee, Florida 32399
•
Print Form I
ELECTION ASSESSMENT(One Percent)
(PAL
County M BEACH City!BOYNTON BEACH MARCH 12,2019
Election Date Qualifying End Date
'JANUARY15,2019
A. Office B. Candidate C. Party
r Mayor (Name) IIONEL ROIBAN
r Democrat I— Republican
r City Clerk (Address)11268 PIAZZA ANTINORI
r Minor Party E No Party Affiliation
Ix City Commissioner I (X Nonpartisan r Write In
F Other (City,ST 'BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 1262.19
Undue Burden r Yes r No
A. Office B. Candidate C. Party
r Mayor (Name) [JUSTIN KATZ r Democrat
r Republican
r City Clerk (Address)11353 VIA DE PEPI rMinor Party (— No Party Affiliation
r [City Commissioner PT Nonpartisan r Write In
r Other (City,ST) ;BOYNTON BEACH,FL
D. Annual Salary $ 26,219.52 1 %Assessment$ 1262.19
Undue Burden r Yes r No
A. Office B. Candidate C.Party
r Mayor (Name IMALCOLM D.CROPPER r Democrat (— Republican
r City Clerk (Address) 144 ISLAND DRIVE
r Minor Party r No Party Affiliation
IX City Commissioner ` I r Nonpartisan r Write In
r Other (CityST) [BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 262•'9 Undue Burden rr
Yes No
A. Office B. Candidate C.Party
r Mayor (Name) 'CHRISTINA L.ROMELUS
r Democrat r Republican
r City Clerk (Address) 'P.O.BOX 872
r Minor Party r No Party Affiliation
r City Commissioner I rx Nonpartisan r Write In
r Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 26,219.52 1 %Assessment$ 1262.19
Undue Burden r Yes r No
A. Office B. Candidate C. Party
r Mayor (Name) 'MICHAEL FITZPATRICK r Democrat
r Republican
r City Clerk (Address) 1175 SW 2ND STREET r Minor Party r No Party Affiliation
IX City Commissioner I IX Nonpartisan r Write In
r Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 1262.19 Undue Burden r Yes IX No
Submitted By: Name !JUDITH A.PYLE 561-742-6061
Phone Number !
Address 13301 QUANTUM BLVD.,SUITE 101
City 'BOYNTON BEACH Zip 33426
Remit to: Florida Elections Commission, 107 West Gaines Street, Suite 224, Tallahassee, Florida 32399
Print Form
ELECTION ASSESSMENT (One Percent)
f
County (PALM BEACH City1BOYNTON BEACH Election Date (MARCH 12,2019 Qualifying End Date 'JANUARY 15,2019
A. Office B. Candidate C. Party
r Mayor (Name) IRESHI MAHARAJH r Democrat r Republican
✓ City Clerk (Address)11016 ARIZZO CIRCLE r Minor Party r No Party Affiliation
17 City Commissioner I r Nonpartisan r Write In
✓ Other (City,ST 1BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 1262.19 Undue Burden r Yes r No
A. Office B. Candidate C. Party
IMITCHELLSABANOSH
r Mayor (Name) r Democrat r Republican
✓ City Clerk (Address)1325 LIVE OAK LANE r Minor Party r No Party Affiliation
✓ City Commissioner Ix Nonpartisan r Write In
I— Other (City,ST) 16oYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment $ 262.19 Undue Burden r Yes r No
A. Office B. Candidate C.Party
F Mayor (Name) IMURIEL WALDMANN IT Democrat r Republican
17760 MANOR FOREST LANE
IT City Clerk (Address) r Minor Party r No Party Affiliation
Ix City Commissioner I rx Nonpartisan r Write In
r Other (City,ST) IBOYNTON BEACH,FL
D. Annual Salary $ 26,219.52 1 %Assessment$ 1262.19 Undue Burden r Yes r No
A. Office B. Candidate C.Party
r Mayor (Name) 1TM PENSERGA IT Democrat r Republican
IT City Clerk (Address) 14315 KEY LIME BLVD r Minor Party IT No Party Affiliation
✓ City Commissioner I r Nonpartisan IT Write In
✓ Other (City,ST) IBOYNTON BEACH,FL
D. Annual Salary $ 26,219.52 1 %Assessment $ 262'19 Undue Burden r Yes '~ No
A. Office B. Candidate C. Party
IT Mayor (Name) I IT Democrat IT Republican
r City Clerk (Address) I r Minor Party I No Party Affiliation
IT City Commissioner I IT Nonpartisan r Write In
r Other (City,ST) I
D. Annual Salary $ I 1 %Assessment$ _ Undue Burden IT Yes IT No
Submitted By: Name 'JUDITH A.PYLE Phone Number 1561-742-6061
Address 13301 QUANTUM BLVD.,SUITE 101 City IBOYNTON BEACH Zip 33426
Remit to: Florida Elections Commission, 107 West Gaines Street, Suite 224, Tallahassee, Florida 32399
❑ MAIL CHECK TO VENDOR ❑ TURN CHECK TO DEPT. ❑INCLUDE BACK-UP W/CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $3,593.43
VENDOR#: 12882
TO: FLORIDA ELECTIONS COMMISSION
ATTN: BECKY MARSEY, BUSINESS MGR.
107 WEST GAINES STREET- STE 224
TALLAHASSEE FL 32399
FOR: 1% State Assessment Fee for Qualified Candidates for the March 12, 2019 Election
4 Candidates for Mayor- @ $ 306.81 Each ($1,227.24 Total)
3 Candidates for Commissioner- District 1 @ $ 262.91 ($788.73 Total)
2 Candidates for Commissioner- District 3 @ $262.91 ($525.82 Total)
4 Candidates for Commissioner- District 4 @ $262.91 ($1,051.64 Total)
Requested By: Shayla S. Ellis Date: January 15, 2019
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: 994 0000- 963- 4e-- -0& 3,593.43
Oo 1 t \D 'b\ t
Div Head if.',e•C‘ t-Jud . Pyle
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
3,593.43
0
01 Y ,�, CHECK NO.: 292521
CITY OF BOYNTON BEACH BankofAmerica .,��
0 r 3301 Quantum Blvd Suite 101 63-4/630 �� DATE: 01/25/2019
0
F,1 Boynton Beach, Florida 33426
ro r4 0 AMOUNT
PAY THREE THOUSAND FIVE HUNDRED NINETY THREE AND 43/100 DOLLARS ********** $******3,593.43
VOID AFTER 60 DAYS
PAY TO THE ORDER OF
FL ELECTIONS COMMISSION
---6. /3i.41-1--
ATTN: BECKY MARSEY <�
CITY MGR.-MAYOR-VICE MAYOR
107WEST SEINES ST, 224 7114344joideldbei
TALLAHASSEE FL 32399-0250 oe,Eo„4o
oft WITH HEP
TREASURER-FINANCE DIRECTOR-DEPT.TREASURER
in q J SECURITY FEATURES INCLUDED.DETAILS ON BACK. IJ
000 29 25 2 10 I:0 6 30000 4 7i: 0016 L L 7 5 3 2060
CITY OF BOYNTON BEACH
FL ELECTIONS COMMISSION CHECK NO: 292521
DATE INVOICE NUMBER DESCRIPTION AMOUNT
01/17/2019 INV 01152019 1°s STATE ASSESSMENT FEE 3593 .43
FL ELECTIONS COMMISSION 12882 TOTAL $****3, 593 .43
CITY OF BOYNTON BEACH
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE
IF NOT CORRECT PLEASE NOTIFY US PROMPTLY AT 561-742-6320.
0 MAIL CHECK TO VENDOR TURN CHECK TO DEPT. 0 INCLUDE BACK-UP W/CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $3,593.43
VENDOR#: 12882
TO: FLORIDA ELECTIONS COMMISSION
ATTN: BECKY MARSEY, BUSINESS MGR.
107 WEST GAINES STREET- STE 224
TALLAHASSEE FL 32399
FOR: 1% State Assessment Fee for Qualified Candidates for the March 12, 2019 Election
4 Candidates for Mayor- @ $ 306.81 Each ($1,227.24 Total)
3 Candidates for Commissioner- District 1 @ $ 262.91 ($788.73 Total)
2 Candidates for Commissioner- District 3 @ $262.91 ($525.82 Total)
4 Candidates for Commissioner- District 4 @ $262.91 ($1,051.64 Total)
Requested By: Shayla S. Ellis Date: January 15, 2019
FUND DEPT BASIC ELE OBJ AMOUNT _
Approvals: 001 0000 369 10 00 3,593.43
Div Head ,C��T
Judi A. Pyle
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
3,593.43
Print Form
ELECTION ASSESSMENT (One Percent)
County 'PALM BEACH City 1BOYNTON BEACH Election Date 'MARCH 12,2019 Qualifying End Date 'JANUARY 15,2019
A. Office B. Candidate C. Party
Mayor (STEVEN B.GRANT
y (Name) r Democrat r Republican
✓ City Clerk (Address)(P.O.BOX 424 r Minor Party r No Party Affiliation
✓ City Commissioner I r Nonpartisan r Write In
F Other (City,ST !BOYNTON BEACH,FL
D. Annual Salary $ '30,681.37 1 %Assessment $ 1306.81 Undue Burden r Yes r No
A. Office B. Candidate C. Party
r Mayor (Name) (STEPHANIE S.HAYDEN r Democrat
r Republican
r City Clerk (Address)12181 SW 15TH AVE. r Minor Party r No Party Affiliation
I— City Commissioner #N102 r Nonpartisan r Write In
Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 130,681.37 1 %Assessment$ 1306.81 Undue Burden r Yes r No
A. Office B. Candidate C.Party
F Mayor (Name) 'DAVID T.MERKER
r Democrat r Republican
f City Clerk (Address) I8-D SOUTHPORT LANE Minor Party rty r No Party Affiliation
I— City Commissioner 1 r Nonpartisan r Write In
I— Other (city,ST) BOYNTON BEACH,FL
D. Annual Salary $ 30,681.37 1 %Assessment $ 1306.81 Undue Burden r Yes F No
A. Office B. Candidate C.Party
157y (Name)
Mayor IGOLENE L.GORDON r Democrat r Republican
✓ City Clerk (Address) IP.O.BOX 4303 r Minor Party r No Party Affiliation
✓ City Commissioner 1 r Nonpartisan I— Write In
✓ Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 130,681.37 1 %Assessment$ 1306.81 Undue Burden r Yes r No
A. Office B. Candidate C. Party
r Mayor (Name) IPIOTR GLASS r Democrat
r Republican
r City Clerk (Address) 1113 W.TARA LAKES DRIVE r Minor Party r No Party Affiliation
I— City Commissioner 1 r Nonpartisan r Write In
r Other (City,ST) 1BOYNTON BEACH,FL
D. Annual Salary $ 130,681.37 1 %Assessment$ 1 Undue Burden r Yes r No
Submitted By: Name 'JUDITH A.PYLE Phone Number 1561-742-6061
Address 13301 QUANTUM BLVD.,SUITE 101 City IBOYNTON BEACH Zip 1;3427.—
Remit
3426Remit to: Florida Elections Commission, 107 West Gaines Street, Suite 224, Tallahassee, Florida 32399
Print Form
ELECTION ASSESSMENT (One Percent)
County IPALM BEACH CityIBOYNTON BEACH Election Date (MARCH 12,2019 Qualifying End Date (JANUARY 15,2019
A. Office B. Candidate C. Party
Mayor (Name) (IONEL ROIBAN
r Democrat I— Republican
f City Clerk (Address)11268 PIAZZA ANTINORI
Minor Party r No Party Affiliation
✓ City Commissioner I r Nonpartisan I- Write In
I— Other (City,ST IBOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment $ 1262.19 Undue Burden r Yes r No
A. Office B. Candidate C. Party
✓ Mayor (Name) DUSTIN KATZ r Democrat r Republican
✓ City Clerk (Address)11353 VIA DE PEPI r Minor Party r No Party Affiliation
r City Commissioner r Nonpartisan F Write In
Other 'BOYNTON BEACH,FL
r (citysT)
D. Annual Salary $ 126'219.52 1 %Assessment$ 1262.19 Undue Burden r Yes r No
A. Office B. Candidate C.Party
F Mayor (Name) 1MALCOLM D.CROPPER r Democrat
(— Republican
44 ISLAND DRIVE
I— City Clerk (Address) 1 r Minor Party r No Party Affiliation
✓ City Commissioner ` I r Nonpartisan I— Write In
I— Other (City,ST) BOYNTON BEACH,FL
D. Annual Salary $ 26,219.52 1 %Assessment$ 1262.19 Undue Burden r Yes r No
A. Office B. Candidate C.Party
I- Mayor (Name) (CHRISTINA L.ROMELUS r Democrat r Republican
✓ City Clerk (Address) (P.O.BOX 872 r Minor Party I— No Party Affiliation
✓ City Commissioner I r Nonpartisan I— Write In
✓ Other (City,ST) IBOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment $ 1262.19 Undue Burden r Yes r No
A. Office B. Candidate C. Party
I— (Name) rDemocrat
Mayor (MICHAEL FITZPATRICK r Republican
y
r r—City Clerk (Address) (175 SW 2ND STREET 1 Minor Party r No Party Affiliation
r City Commissioner I r Nonpartisan I— Write In
I— Other (City,ST) IBOYNTON BEACH,FL
D. Annual Salary $ 126,21952 1 %Assessment$ 1262.19 Undue Burden r Yes r No
Submitted By: Name 'JUDITH A.PYLE Phone Number 1561-742-6061
Address 13301 QUANTUM BLVD.,SUITE 101 City 'BOYNTON BEACH Zip 33426
Remit to: Florida Elections Commission, 107 West Gaines Street, Suite 224, Tallahassee, Florida 32399
•
Print Form
ELECTION ASSESSMENT (One Percent)
County (PALM BEACH CityIBOYNTON BEACH
Election Date (MARCH 12,2019 (JANUARY 15,2019
Qualifying End Date
A. Office B. Candidate C. Party
f Mayor (Name) IRESHI MAHARAJH
r Democrat r Republican
r City Clerk (Address)11018 ARIZZO CIRCLE
f Minor Party r No Party Affiliation
Ix City Commissioner I
r Nonpartisan r Write In
r Other tcity,ST 'BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 1262.19
Undue Burden r Yes r No
A. Office B. Candidate C. Party
r Mayor (Name) 'MITCHELL SABANOSH r Democrat
(- Republican
r City Clerk (Address)1325 LIVE OAK LANE
r Minor Party r No Party Affiliation
Ix City Commissioner I rx Nonpartisan r Write In
r Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 262.1
9
Undue Burden r Yes IX No
A. Office B. Candidate C.Party
r MayorName 'MURIEL WALDMANN r Democrat r Republican
r City Clerk (Address) 7760 MANOR FOREST LANE
r Minor Party r No Party Affiliation
Ix City Commissioner I Ix Nonpartisan I- Write In
r Other (City,ST) IBOYNTON BEACH,FL
D. Annual Salary $ '26,219.52 1 %Assessment$ 1262.19 Undue Burden rr
Yes No
A. Office B. Candidate C.Party
r Mayor (Name) 'N PENSERGA
r Democrat r" Republican
r City Clerk (Address) 14315 KEY LIME BLVD
I— Minor Party r No Party Affiliation
Ix City Commissioner IIx Nonpartisan r Write In
r Other (City,ST) 'BOYNTON BEACH,FL
D. Annual Salary $ 126,219.52 1 %Assessment$ 262.19
Undue Burden r Yes r No
A. Office B. Candidate C. Party
r Mayor (Name) I r Democrat
r Republican
r City Clerk (Address) I r Minor Party r" No Party Affiliation
r City Commissioner I r Nonpartisan r Write In
r Other (City,ST) I
D. Annual Salary $ I 1 %Assessment$ I Undue Burden rr
Yes No
Submitted By: Name IJUDITH A.PYLE 5
Phone Number 61-742 6061
Address 13301 QUANTUM BLVD.,SUITE 101
City (BOYNTON BEACH Zip 334-2
Remit to: Florida Elections Commission, 107 West Gaines Street, Suite 224, Tallahassee, Florida 32399