Filing Papers - Marlene Ross
TO:
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MATERIAL FOR CANDIDATES
DATE: 7-aZ-07
YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, WE HAND YOU THE FOLLOWING:
1.
2.
3.
4.
5.
/ 2007 Qualifying Information & Municipal Election Schedule
/' Form DS-DE 9 Appointment of Campaign Treasurer and Designation of Campaign Depository for
Candidates (8/03) - TO BE SIGNED AND RETURNED TO CITY CLERK
/ Form DS-DE 84 Statement of Candidate (Must be filed within 10 days after filing Campaign Treasurer
Appointment) (8/03)
/' State of Florida Election Laws - Chapters 99, 105 & 106 (09/05)
/ Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
~ Directions for Posting Temporary Political Sign
V"""" City Commission District Map
6.
7.
8.
V
/'
Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections
Part I Charter, Article VII. Elections - City of Boynton Beach
9.
10. /' Poll Watcher Form & FS 101.131 - "Watchers at Polls"
11. ...,/' 2007 Election Dates to Remember
12.
/' Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets
/' 2006 Candidate Handbook for Candidates (07/04)
13.
14.
Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF
ELECTIONS AND RETURNED TO CITY CLERK DURING QUALIFYING
15.
Form 1 Statement of Financial Interests 2005 - TO BE FILLED OUT, SIGNED & RETURNED TO THE
CITY CLERK DURING QUALIFYING
16.
L&A TESTING NOTICE (SIGN AND RETURN AT TIME OF QUALIFYING.)
Loyalty Oath - Oath of Candidate (DS-DE 24B) (08/03) - TO BE RETURNED TO CITY CLERK DURING
QUALIFYING
17.
Statement of Residency Requirements & Article II of City Charter - TO BE SIGNED AND RETURNED
TO CITY CLERK
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Candidate Signature (
18.
J-:2 3-C ?-
Date Signed
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March 19, 2007
S:\CC\WP\ELEmON\Year 2007\MATERIAL FOR CANDATES.doc
Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH
Account No. W 4
Received of
MARLENE ROSS
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No. 46853
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403 ANDOVER CT., BOYNTON BEACH, FL 33436
Address
COMMISSION
ror CITY FILING FEE FOR QUALIFYING FOR ELECTION TO
DISTRICT 4 SEAT - NOVEMBER 6, 200i~~~: J~;j{%~ c~
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To
Dept. CITY CLERK' S OFFICE
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021 (1), F .S.)
OFFICE USE ONLY
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Original Appointment
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D Reappointment of Treasurer
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Name of Candidate
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1. Address (includ;.jost o~ce box or street, city, state, zip code)
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2. Party (Partisan candidates only) 3. Office (add district, circuit, ~oup n~b r)
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D Deputy Treasurer for the campaign of ~. r e he ,oS -r-'
candidate to the office of
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FO, EGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT TH ACT. TATED ARE E.
/
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Date
DS-DE 9 (Rev. 02/06)
OFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please Type)
M;Jrlene
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Florida Statutes.
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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 ~mp~~
Financing Act which may result in a fine of up to $1,000, (ss, 106.19(1 )(c), 1 06,265(~ FIa:Qoo
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OS-DE 84 (Rev. 08/03)
The City of Boynton Beach
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PUBLIC NOTICE
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City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www.boynton-beach.org
TO: CANDIDATES, POLITICAL PARTIES AND OTHERS
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (LM) testing of the
voting equipment to be used in the November 6, 2007 General Election will
be held:
Friday, October 26, 2006, 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:
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Signatur,
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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.
Signature
Number Attending
8/6/2007 4: 19 PM
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RESIDENCY REQUIREMENTSo
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t>jl\til'\BeaCh, have received, read and understand the
residency requirements of Article II of the Charter of
the City of Boynton Beach.
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S:\CC\WP\ELEmON\year 2006 Elections\NOTICE OF ELEmON DISTRICf RESIDENCY REQUIREMENTS STATEMENT. doc
CANDIDATE FOR
NON-PARTISAN OFFICE
(Sections 876.05-876.10, Florida Statutes)
OFFICE USE ONLY
STATE OF FLORIDA
~/~ BtdCh ,COUNTY
I,
M~h e,ne
t)S~
First Name
Middle Name/Initial
Last Name
a citizen of the State of Florida and of the United States of America, ' ,. and a candidate for public office, " do
hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of
Florida,
I,
OATH OF CANDIDATE
I en ~Sed;R2~';:;'"''''
(PLEASE PRINT NAME AS YOU WISH IT TO BE WRITTEN IN ON THE BALLOT -- NAME MAY NOT BE CHANGED AFTER THE END OF aUALlFYING)
am a candidate for the office of C I.U {} tJtvo"" i SSI ~'" e r-, ~ '
(office) (district) (group)
My legal residence is County, Florida, 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,
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3'
ZIP Code
Sworn to (or affirmed) and subscribed before me this
3D daYOf~2007_.
Personally Known: /-
or
Produced Identification:
Type of Identification Produced:
Sign ure of Notary Public - State of Florida
Pri ,Type or Stamp Commissioned Name of Notary Public
NOTARY PUBI .Ie-STATE OF FLORIDA
~""""""" Jar ,:t M. Prainito
~_S fCOLU'.i1issbn #DD,,)92173
"",,,,.,.''- Fxpire<' :.. ') OS 2010
BONDEDTHR" All.\., ;j" u~.,ul\l. ,-0" I:-.iC.
OS-DE 25 (08/07)
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Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH
Account No. W4
Received of
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No. 46851
a.l~ 226.76
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,2007
Address
MARLENE ROSS
403 ANDOVER CT, BOYNTON BEACH, FL 33436
For
1% State Assessment Fee
for Election
- Commission District 4
Dept. City Clerk' s Office By
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
ID No.
Conf. Code
c:~
P. Req. Code
You are not limited to the space on the lines on this form. Attach additio shee' , necessary.
CHECK ONLY IF ~ CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE
>>BOTH PARTS OF THIS SECTION MUST BE COMPLETED>>
PDF 2006
2006
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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):
~ DECEMBER 31, 2006 Qfl 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 [g] DOLLAR VALUE THRESHOLDS
[Major sources of income to the reporting person]
SOURCE'S
ADDRESS
d. r:$'
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
FL 3J4t...~
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 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
WITH 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 rn
DATE SIGNED (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.
FILING INSTRUCTIONS:
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 location.
Local officers/employees file with the Supervisor
of Elections of the county in which they perma-
nently reside. (If you do not permanently reside
in Florida, 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, P.O. Drawer
15709, Tallahassee, FL 32317-5709; physical
address: 3600 Maclay Boulevard, South, Suite
201, Tallahassee, FL 32312.
Candidates file this form together with their
qualifying papers.
To determine what category your position
falls under, see the "Who Must File" Instructions
on page 3.
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 FlUNG 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
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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 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
calendar year in which they 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 (Form 1 F) within 60 days
of leaving office or employment.
PAGE 2
Palm Beach County
DR. ARTHUR ANDERSON
Supervisor of Elections
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 33415
POST OFFICE BOX 22309
WEST PALM BEACH, FL 33416
TELEPHONE: (561) 656-6200
FAX NUMBER: (561) 656-6287
WEBSITE: www.pbcelections.org
CERTIFICATION
I, DR. ARTHUR ANDERSON, SUPERVISOR OF ELECTIONS, for Palm Beach County,
Florida, do hereby certify that the 26 signatures on the Nominating Petition for CITY
COMMISSION, DISTRICT NO.4 of MARLENE ROSS 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 MARLENE ROSS is a registered voter in Precinct 3122, in
the City of Boynton Beach, Florida.
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Signed, this the 29th day of August, 2007.
DR. ARTHUR ANDERSON
SUPERVISOR 6i=",ELECTIONS
PALM BEACH CDUNTY
(SEAL)
NOMINATING PETITION
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to be a candidate for City Commission, DISTRICT NO.4 City of Boynton lieadr,
Palm Beach County, Florida, for the term: C)
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SIGNATURE
ADDRESS
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NOVEMBER 2007
to
NOVEMBER 2010
pursuant to the Charter and Ordinances of said City.
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I, the undersigned,
M A&Q.LENE R0:55
, do solemnly swear
(or affirm) that I am duly qualified to hold office under the Charter and Ordinances of the
City of Boynton Beach, Florida, and I do hereby accept the foregoing nomination as a
candidate for the office of City Commissioner for the City of Boynton Beach, Florida.
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Sworn to and subscribed before me at Boynton Beach, Florida, this
day of aU!).tLt A.D. 2007.
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S:\CC\WP\ELECTIONIYear 2006 Elections\PETITION ' Nominating Petition, DISTRICT 1 . YEAR 20Q6,doc
JMP
GENERAL ELECTION
NOVEMBER 6, 2007
FILE NO.
DISTRICT NO.
4
CANDIDATE CHECK LIST
for
COMMISSIONER - DISTRICT 4 - CITY OF BOYNTON BEACH
NAME
MARLENE ROSS
Term of Office
3 yrs. to 11/10
ADDRESS
403 ANDOVER COURT
Qualifying Fee
$25.00
PHONE
BOYNTON BEACH FL 33436
Ma.r ~ _ ~s.s @ 'f'-~eo. c..E>N\
(Residence
(Cell) 644-3610
(Business)
Receipt No. 4- tJ 8" 53
Assessment Fee: ,~.9. to I 7 <0
Receipt No. '-If) f5 6- J
PAPERS FILED
8 -.30 - 07
Name to Appear on Ballot ';J
M fl {J...I-t::.. N E n () ~
Appointment of Campaign TREASURER
Acceptance of Campaign Treasurer
Designation of DEPOSITORY (DS-DE 9A)
Marlene Ross - 08-08-07
08-08-07
Date: 08-08-07 - Bank of America. 105 N.
Conaress Avenue. Boynton Beach FL 33426
Copy of VOTER'S REGISTRATION (Candidate)
08-08-07
Copy of VOTER'S REGISTRATION (Treasurer)
Certified PETITION - 25 Registered Voters
8 - ~D - 'C 7
CERTIFICATION of Candidate
Financial Disclosure
Qualifying Fee ($25.00) Check. No. ooq/).
Assessment Fee ($~~!lb.lb) Check. No. uc,q 3
08-30-'07
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08 - 3D -D7
08 -20 -D7
8-lh-O.]
Oath of Loyalty
FS1 06 Acknowledgment - Statement of Candidate
(DS-DE84)
L & A Testing Notice
Treasurer's Report - 1st quarterly-
Treasurer's Report
Treasurer's Report
Treasurer's Report
Treasurer's Report
Sign Intent Request
Sign Intent Request
Sign Intent Request
Endorsements
Endorsements
Other
Other
8/10/2007 9: 17 AM
S'ICCIWPIELECTIONIYear 20071District 41Marlene RosslCheckllstdoc
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