Campaign Reports ACH
APPOINTMENT OF CAMPAIGN TREASURER CI( t �F i.ER h i�l+ iCE
Ci� Y CLERK'S OFFICE
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES 19 .IAPB -3 NI 3: '38
(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
LrIECK APPROPRIATE BOX(ES):
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
code) 'S L,ve, owe, L.anG
/VI +Ghel S-1-e.VktA sCdou.hn5h 13oynfOn �3u,thj �lorirlGl 3.393(g4. Telephone 5. E-mail address
(991 )662- 30 Assoca,o5l.+lowHoi-mc.,1,ctr►
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
applicable:
C147 (y4- W),n+on �3eci✓h Cornw, SSWnLr- b;S+cUt- l'1
El 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
EI Write-In ❑ No Party Affiliation El Party candidate.
Q. I have appointed the following person to act as my Fr-Campaign Treasurer ❑ Deputy Treasurer
Name of Treasurer or Deputy Treasurer
M; 1- c.1-61\ S-+eck nosl-
11. Mailing Address 12. Telephone
3 Z s L.,;ye. Gc,l< [-arc. ( 95 L1 ) CO6 2- 23c.)
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Doyn+on 'Rea dr.\ Pod \I L t\r, 1 33 Li vc 4q ,sli6(„r>(i c- o KO 1.o-mc1;1,coh,
18. I have designated the following bank as my a Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
k-e-l\S -a4yc) c,n 1 S So W 1 .6�,nior fuck, 131vr',
21. City 22. County 23. State 24. Zip Code
007r) –on Beth Ac-11. >n Dr/All, --lorcl,t.t. 331-A We
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. Signatur- of Candi•- -
o
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, s1 ± Ch I( Sc i Ea{oo,Sh , do hereby accept the appointment
(Please Print or Type Name)
,signated above as: Er—Campaign Treasurer El De.uty Treas _
1/ J/ zvl , X �/—
Date ig to o )cfain Treasurer or Deputy Treasurer c
DS-DE 9 (Rev. 10/10) S �� T Rule 1S-2.0001, F.A.C. 1
•
CAMPAIGN TREASURER'S REPORT SUMMARY
L i 014414111) --G II Sc�bwpoSh OFFICE USE__I_ -.:.'S 0 :I ICE
'^ Name
325 L-; i- G6(< Lein6 19 FEB -8 Pi 12: I n
Address (number and street)
[30rrr}010 1C,FL } 33' Li
City, State, Zip Code
D Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
[ ""��""
Candidate Office Sought: & 77 0� 1l7
D n4tm �e /.6) COM SS;DhOr- I s r:COLI
1=1 Political Committee (PC) t
❑ 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 U\ / / 19- To pl / 3 I / ) - Report Type: 2,p\9/VI I
'&iginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
;h & Checks $ , 5no • OD Expenditures $ , , 2c'7 . \ q
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
$ , , 5 • Oa $ , , 24'7 . 19'
(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) A ;' - (JM I s&&,t via Sh
❑ Individual(only for IE ❑Treasurer ❑ Deputy Treasurer ['Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
tMMt- kRiN I KtASURER'S KEPORT — ITEMIZED CONTRIBUTIONS
(1) Name /V► ; 4- &he 11 So.&r)cd,S \ (2) I.D. Number
Cover Period Ut. / C)\ / 19' through 0 I / 3 1 / T (4) Page 1 of 1
(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
/y1'-Ght .SCAUDOSh rC4-k L d Pert
/ 15 / 19- 32 5 L;vG DaIG Lone G QVA-iorl -SSOO. Ov
Cenricn Re(A F-L 3-2i-134 S „n'r
/
/
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C PAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1)Name �; C1VII ,c cfca no. h (2) I.D. Number
(3)Cover Period 1- / / ( through_ 1 / 31 / 1 9 (4) Page 1 of 1
(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
/15/)9- ,'+atolk ScrxnoSh Gi+y F:I;„yFcc, 25.00
325 �.;►ro ,96(- �
I dayrIIts4.1.5
A446)16\1 Scrawh
1 1S 19' Zs�;l� Gale 1-cine,
Gj F-�►� ��c 202,19'
/ / 3
13�hn lll/1L
/
/ /
/ /
/ /
/ /
/ /
S-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CL Y OF BU'r r J Uir BEACH
CITY CLERK'S OFFICE
19FE8 -8 PMI2: 5I
TO: Judith A. Pyle, CMC, City Clerk/Supervisor of Elections
City of Boynton Beach
FROM: Mitchel Step en Sabanosh, Candidate for City Commissioner, District 4
:X'
DATE: 1-t/I •
SUBJECT: Boynton Beach Municipal Election, March 12, 2019
I, Mitchell Stephen Sabanosh, effective as of the above date, I do hereby withdraw my application
as a candidate for the City of Boynton Beach's municipal election scheduled for March 12, 2019
having qualified as a candidate on January 14, 2019.
Mitchell Stephen Sabanosh
NOTARY
State of Florida
County of Palm Beach /
Sworn to (or affirmed) and subscribed before me this day ofF }(ual 2019, by
Mitchell Stephen Sabanosh.
Signature of Notary „.►r" Notary Public State of Florida
Queenester Nieves
My Commission GG 210021
q^ Expires 07/16/2022
Queenester Nieves
Personally known or produced identification V S 1 5 2 - /1 " 5 / ,"4q
Type of identification produced Til . Li L-►'L �
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) /yl► eid) SG6uncu11 OFFICE USE ONLY
ter.
Name co
(2) _ Gc,k: t-c v,
Address (number and street)
130,40 ) 13ecrh, J 33/3‘' k
City, State, Zip Code -- ,�
❑ Check here if address has changed (3) ID Number: m>
(4) Check appropriate box(es):
[r Candidate Office Sought: G;4y p4- (3Cyh l o J. rAyIhNWavy 1"Isltercii9
❑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 2, / 0 To 2 I r l /9 Report Type: -6
[Original ClAmendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ Expenditures $ , , ZI2. . I
Loans $ Transfers to
Office Account $
Total Monetary $
Total Monetary $ , 212. • cr
In-Kind $ • -
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , Sot) . Od $ , , SCk) C'0
(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) Al;+01C 1) S ikAlociS
- 11
o Individual(only for IE 0 Treasurer 0 Deputy Treasurer andidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X�
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
Instructions for Campaign Treasurer's Report Summary
(1) Name: full name of the candidate, political committee, party executive committee, electioneering
communications organization, or individual making an independent expenditure or electioneering
communication.
(2) Address: the full address or post office box. city, state. and zip code
Check the box if the address has changed since the last report filed.
(3) ID Number: identification number assigned by the filing officer.
(4) Check the appropriate box(es).
(5) Report Identifiers
Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate
cover period dates as published by the filing officer.
Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for
each reporting period. If report is for a special election add"S" in front of the report code (i.e., SG3).
Check one of the appropriate boxes:
Original: first report filed for this reporting period.
Amendment: must summarize only contributions/fund transfers and expenditures/distributions being
reported as additions or deletions. Read instructions for sequence numbers and amendment types on
the back of Forms DS-DE 13A and 14A.
Special Election Report: Important: once a special election report is filed, the entity is required to file all
remaining reports due for the special election.
(6) Contributions This Report:
Cash and Checks: total amount for this reporting period.
Loans: total amount for this reporting period.
Total Monetary. sum of Cash and Checks and Loans.
In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period.
(7) Expenditures This Report:
Monetary Expenditures: total amount of monetary expenditures for this reporting period.
Transfers to Office Account: total amount transferred to an office account by elected candidates only.
Total Monetary: sum of Monetary Expenditures and Transfers to Office Account,
(8) Other Distributions: the total amount of goods and services contributed to a candidate or other
committee by a PC, ECO, or PTY.
(9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date.
Candidates keep cumulative totals from the time the campaign depository is opened through the
termination report.
(11) Type or print the required officer's name and have them sign the report:
Candidate report: treasurer and candidate must sign.
PC report: treasurer and chairperson must sign.
PTY report: treasurer and chairperson must sign.
ECO report: organization's treasurer must sign.
IE or EC report: individual must sign (this applies when an individual acts alone to make these
expenditures)
AMENDMENT REPORTS: An amendment report summary should summarize only
contributions, expenditures, distributions, &fund transfers being reported as additions or
deletions. Read the instructions for the sequence number& amendment type fields on
the back of forms DS-DE 13, 14, 14A and 94.
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name /11.'7(C fedi &tkAj sI1 (2)I.D. Number
(3)Cover Period 2/ ) / 7 through 2- / / /9 (4)Page L of I
(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
2 /15/(p 411-1-chen SGblinaSh Glos(ny €C P1 _
32S'--;rj 0444 enc 4a -i- r -2.12. /S1
%h n Of.Adi,Fe- 33`134
/ /
/ /
/ /
l /
/ /
/
/
DS-DE 14(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.
I 't Of- bL' 1 N l ufr tiL' AU11
CITY CLEP`Y.'S OFFICE
WAIVER OF REPORT 19 FEB 15 AN 11: LS
(Section 106.07(7), F.S.)
(PLEASE TYPE)
OFFICE USE ONLY
/�11 __fell SCibUnosh ___ G:47 0.4- Got-w-on De an Commas:04r DSI
Name Office Sought
3Z5 L-; Out LCLPIG _ R0/040h RQ.ccJ P2- - 3353G
Address City State Zip Code
Candidate I I Political Committee I 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. I I Check here if PC has DISBANDED and will no longer file
reports.
/TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
R- MONTHLY REPORT F I PRIMARY ELECTION I I GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report# Indicate report# Indicate report# Indicate report type and#
M P G� as applicable:
ERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
THROUGH
X ��� 2/i S/2014
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)
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.