Filing Papers Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH
No. 9213
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Account No. 001-0000-159-10-00
$ 306.81
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Received of STRVRN B_ GRANT
Address P.O. BOX 424 BOYNTON BEACH, FL 33425
For 1% FILING FEE TO RUN FOR MAYOR ON MARCH: 12, 2019
Dept. CITY CLERK'S OFFICE By
Miscellaneous Cash Receipt Y °,
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CITY OF BOYNTON BEACH NO. `,� `
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Account No. 001-0000-369-10-00
$ ?5_nn
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Received of STEVEN B. GRANT
Address F.O. BOX 424 BOYNTON BEACH, FL 33425
For CITY FILING FEE TO RUN FOR MAYOR ON MARCH 12, 2019
Dept. CITY CLERK'S OFFICE By
RESIDENCY REQUIREMENTS
I lie Zria-) candidate for
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P (Print Name)
OytOr of the City
(Mayor/Commissioner— District #)
of Boynton Beach, have received, read and
thr understand the residency requirements of Article II
of the Charter of the City of Boynton Beach.
'Signature of Candidate)
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2/15/18
S:\CC\WP\ELECTION\Year 2014\Information Packets\RESIDENCY REQUIREMENTS STATEMENT.doc
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:
GRANT -STEVEN - BENJAMIN
MAILING ADDRESS:
PO BOX 424 mm
7:: n
,-
CITY ZIP: COUNTY: I
BOYNTON BEACH 33425 PALM BEACH W -,-,
NAME OF AGENCY: --0 n
CITY OF BOYNTON BEACH =a
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
MAYOR rn c-
You are not limited to the space on the lines on this form.Attach additional sheets,if necessary.
CHECK ONLY IF ® CANDIDATE OR fJ 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):
DECEMBER 31, 2018 OR ❑ 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 J 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"nla")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
STEVEN B. GRANT, ESQ 2501 SW 11th Ct Boynton Beach FL 33426 ATTORNEY
STEVEN B. GRANT 136 NE 3rd Ave Boynton Beach,FL 33435 LANDLORD
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
17(4
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
136 NE 3rd Ave,Boynton Beach, FL 33435 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]
Of you have nothing to report,write"none"or"n/a")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
n/a
PART E—LIABILITIES [Major debts-See instructions]
(If you have nothing to report,write"none"or"n/a")
NAME OF CREDITOR ADDRESS OF CREDITOR
n/a
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 n/a
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 ❑
SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473,or attorney
Signature: in good standing with the Florida Bar prepared this form for you,he or
7---.7f,-Y,'
she must complete the following statement:
I, , 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 Signe :
t //� CPA/Attomey Signature:
1(7
"/ 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 1 with a qualifying officer is not required to file with the Commission
under,see page 3 of instructions. or Supervisor of Elections.
Local officers/employees file with the Supervisor of Elections WHEN TO FILE:Initially, each local officer/employee,state officer,
of the county in which they permanently reside. (If you do not
permanentlyreside in Florida, file with the Supervisor of the countyand specified his or state employee must file within 30 days of the
p date of his or her appointment or of the beginning of employment
where your agency has its headquarters.)Form 1 filers who file with
the Supervisor of Elections may file by mail or email. Contact your Appointees whoemust thatbe confirmedws by the daysSenate from must datete priorfh it
Supervisor of Elections for the mailing address or email address to confirmation,omnt.even if is less than 30 from the of their
use. Do not email your form to the ommission 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 Finally,ngfile a finalm disclosure form (FormF 1F)F within(Final Statement days of
your completed form and any attachments as a pdf(do not use any oleaving Financial Interests)office or es)doesnt. Fri li a CE Form 1F ig
other format)and send it to CEForm1 @ieg.state.fl.us. Do not file by if ilerw inhiso does osi on onne the mfiler of filing a. Form 1
both mail and email.Choose only one filing method. Form 6s will not if the filer was in his or her position December 31,2018.
be accepted via email.
CE FORM 1-Effective:Januay 1,2019. PAGE 2
Incorporated by reference in Rule 34-8.202(11,F.A.C.
CANDIDATE OATH —
NONPARTISAN OFFICE "(' "4
(Do not use this form if a Judicial or School Board Candidate) i '
.leck box only if you are seeking to qualify as a 19 .Mi! —9 P l 2: SR
write-in candidate:
❑ Write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a),Florida Statutes)
I, S7YI1 I �/�t✓I�
(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 0. (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.)
am a candidate for the nonpartisan office of A(kQ I
Y
(Office) (District#)
;I am a qualified elector of P4/M 0(tt C County,Florida;
(Circuit#) (Group or Seat#)
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;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number(located on your voter Information card): 1 I) S 7�J y 7 Y G
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 isabilities(see instructions on page 2 of this form):(Not applicable to write-in candidates.]
1Te_e-- Ver) nrG f
6 ) ek Ss'? q S��t/L�'i ./ IP') tg( fil✓t\ ("I
Signature of Candidate Telephone Numb r Email Address
i 3 felt c`� , ( &__ c/1.40 �e€c — s5
Add
Address City State ZIP Code
STATE OF FLORIDA , - �d/�' 41.4- I • �/� �_
Signature of No -ry Public
COUNTY OF )1Ol..�1M �e ` Print,Type,or Stem, Commissioned Name o 'otary Public below
Sworn to(or affirmed)and subscribed before me this °I 44: TAMMY L STANZIONE
day of 1,y(._.<\�0.--j20
zc MY COMMISSION#FF213683
'ersonally Known.: _ or 'aimed Identification: 1:
EXPIRES March 25.2019
44C1 398-0'53 noridallo:a yServiut.con,
Type of Identification Produced:
DS-DE 302NP(Rev.11/17) • Rule 1S-2.0001,F.A.C.
'`4""OF F
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,,% .. y Palm Beach County
qil
V _ry
A.OFPAr''"
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 33415
POST OFFICE BOX 22309
WEST PALM BEACH, FL 33416
SUSAN BUCHER
Supervisor of Elections TELEPHONE: (561 ) 656-6200
FAX NUMBER: (561 ) 656-6287
WEBSITE: www.pbcelections.org
CERTIFICATION
I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do
hereby certify that 27 signatures on the Nominating Petitions of STEVEN B. GRANT for
MAYOR 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 STEVEN B. GRANT is a registered voter in Precinct 7182, in
the City of Boynton Beach, Florida.
Signed, this the 18th day of December, 2018.
./e,A,001/rN
, bh611,‘
SUSAN BUCHER --• ,
SUPERVISOR OF ELECTIONS c
PALM BEACH COUNTY x -``_.
c.
(SEAL) ►v -T;_ --
C
CITY OF BMJ YN TON BEACH
APPOINTMENT OF CAMPAIGN TREASURER CITY CLEFS ('S OFFICE
AND DESIGNATION OF CAMPAIGN
DEPOSITORY
• ��
DEPOSITORY FOR CANDIDATES
(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):
0 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(include post office box or street, city, state,zip
Steven Benjamin Grant code)
PO Box 424
4. Telephone 5. E-mail address Boynton Beach, FL 33425
(561 ) 880-5529 Steven@StevenBGrant.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
Mayor, City of Boynton Beach applicable:
❑ 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 ® Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Steven B Grant
11. Mailing Address 12. Telephone
PO Box 424 ( 561 ) 880-5529
13. City 14. County 15.State 16.Zip Code 17. E-mail address
Boynton Beach Palm Beach Florida 33425 Steven@StevenBGrant.com
18. I have designated the following bank as my ® Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
SunTrust Bank 315 S Federal Hwy
21. City 22. County 23. State 24. Zip Code
Boynton Beach Palm Beach FL 33435
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. Sig ,to of Can idate
August 9, 2017 .
X
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
I, Steven B. Grant , do hereby accept the appointment
(Please Print or Type Name)
designated above as: ® Campaign Treasurer • / �e•uty T easurer.
August 9, 2017 X
g Date ignature a of Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.
CITY OIDEEICX114§k3PAV
STATEMENT OF CITY CLERc'S;OFFICE
CANDIDATE 17 AUG -9 PHI: 30
(Section 106.023, F.S.)
(Please print or type)
1, Steven B. Grant
candidate for the office of Mayor, City of Boynton Beach
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
s
/3- ,/
08/09/2017
Signature of Candidate 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)