STATE OF FLORIDA FLORIDA ELECTIONS COMMISSION
In Re: MP AC (Management Political Action Committee) of Palm Beach County PC
Case No.: FEC 14-089
TO: MP AC (Management Political Action Committee) of Palm Beach County PC
Attn: John R. Smith, Chairperson 224 Dantura Street, Suite 311 West Palm Beach, FL 33401
Division of Elections 500 S Bronough Street Room 316 Tallahassee, FL 32399
NOTICE OF HEARING (APPEAL OF REVOCATION)
A hearing will be held in this case before the Florida Elections Commission on August 5, 2014, at 9:00 am, or as soon thereafte1 as the parties can be heard, at the following location: Senate Office Building, Room S-110, 404 South Monroe Street, Tallahassee, FL 32399.
Failure to appear in accordance with this notice will constitute a waiver of your right to participate in the hearing Continuances will be granted only upon a showing of good cause
This hearing will be conducted pursuant to Section 106 25, Florida Statutes, which governs your participation as follows:
If you are the Respondent, you may attend the hearing, and you or your attorney will have 5 minutes to present your case to the Commission However, some cases (including those in which consent orders or recommendations for no probable cause are being considered) may be decided by an en masse vote and, unless you request to be heard or the Commission requests that your case be considered separately on the day of the hearing, your case will not be individually heard
If you are the Complainant, you may attend the hearing, but you will not be permitted to address the Commission In addition, some cases (including those in which consent orders or recommendations for no probable cause are being considered) may be decided by an en masse vote and, unless the Respondent requests to be heard or the Commission requests that the case be considered separately on the day of the hearing, the case will not be individually heard,
If you are an Appellant, and you have requested a hearing, you may attend the hearing, and you or your attorney will have 5 minutes to present your case to the Commission
Please be advised that both confidential and public cases are scheduled to be heard by the Florida Elections Commission on this date As an Appellant, Respondent or Complainant in one case, you will not be permitted to attend the hearings on other confidential cases
The Commission will electronically record the meeting, Although the Commission's recording is considered the official record of the hearing, the Respondent may provide, at his own expense, a certified court reporter to also record the hearing,
If you require an accommodation due to a disability, contact Donna Malphurs at (850) 922-4539 or by mail at 107 West Gaines Street, The Collins Building, Suite 224, Tallahassee, Florida 32399, at least 5 days before the hearing
See further instmctions on the reverse side.
jlnry :MCKeever'l'oman Executive Director Florida Elections Commission July 16, 2014
Please refor to the information below for further instrnctions related to your particular hearing:
If this is a hearing to consider an appeal from an automatic fine, the Filing Officer has imposed a fine on you for your failure to file a campaign treasurer's report on the designated due date and, by filing an appeal, you have asked the Commission to consider either(!) that the report was in fact timely filed; or (2) that there were unusual circumstances that excused the failure to file the report timely .. You are required to prove your case. If the Commission finds that the report was filed timely or that there were unusual circumstances that excused the failure, it may waive the fine, in whole or in part The Commission may reduce a fine after considering the factors in Section I 06 265, Florida Statutes. If the Commission finds that the report was not timely filed and there were no unusual circumstances, the fine will be upheld.
If this is a hearing to consider a consent order before a determination of probable cause has been made, the Commission will decide whether to accept or reject the consent order If the Commission accepts the consent order, the case will be closed and become public If the Commission rejects the consent order or does not make a decision to accept or deny the consent order, the case will remain confidential, unless confidentiality has been waived
If this is a hearing to consider a consent order after a determination of probable cause has been made, the Commission will decide whether to accept or reject the consent order .. If the Commission accepts the consent order, the case will be closed If the Commission rejects the consent order or does not make a decision to accept or deny the consent order, the Respondent will be entitled to another hearing to determine if the Respondent committed the violation(s) alleged
If this is a probable cause hearing, the Commission will decide if there is probable cause to believe that the Respondent committed a violation of Florida's election laws .. Respondent should be prepared to explain how the staff in its recommendation incorrectly applied the law to the facts of the case .. Respondent may not testify, call others to testify, or introduce any documentary or other evidence at the probable cause hearing The Commission will only decide whether Respondent should be charged with a violation and, before the Commission determines whether a violation has occurred or a fine should be imposed, Respondent will have an opportunity for another hearing at which evidence may be introduced.
If this is an informal hearing, it will be conducted pursuant Sections 120 569 and 12057(2), Florida Statutes; Chapter 28 and Commission Rule 2B-l 004, Florida Administrative Code At the hearing, the Commission will decide whether the Respondent committed the violation(s) charged in the Order of Probable Cause .. The Respondent will be permitted to testify However the Respondent may not call witnesses to testify
Respondent may argue why the established facts in the Staff Recommendation do not support the violations charged in the Order of P10bable Cause At Respondent's request, the Commission may determine whether Respondent's actions in the case were willfol The Respondent may also address the appropriateness of the recommended fine.. If Respondent claims that his limited resources make him unable to pay the statutory fine, he must provide the Commission with written proof of his financial resources at the hearing A financial affidavit form is available from the Commission Clerk
( ' I
FLORIDA ELECTIONS COMMISSION CASE SUMMARY ON REVOCATION
Case No.: FEC 14-089
Appellant: MPAC (Management Political Action Committee of Palm Beach County)
On March 27, 2014, the Florida Elections Commission received information from the Division of Elections stating the intent to revoke Florida Academy of Audiology PAC's registration as a political committee, pursuant to Section 106..03(7), Florida Statutes Commission staff gathered information to determine whether the committee's registration should be revoked based on the committee's failure to meet the following criteria:
The committee's aggregate reported financial activity dming the 2013 calendar year was less than $500
I. Preliminary Information:
L MPAC is a political committee registered with the state of Florida since 1999 According to the committee's Statement of Organization (DS-DE 5) form filed August 4, 1999, the area, scope, and jurisdiction of the committee is "To support issues &/or candidates for county races, state legislator races, selected municipal races, and committee involved in issue/bond referendum" To view a copy of the committee's DS-DE 5 form, please refer to Exhibit L
2. The committee's filing officer is Kristi Reid-Bronson, Chief, Bureau of Election Records, Division of Elections
IL Revocation of Registration of Political Committee:
J. On August 10, 1999, the Division sent the committee a letter acknowledging the Division's active committee list had been updated to reflect that MPAC was a committee that supports candidates and issues Io view a copy of the acknowledgement letter, please refer to Exhibit 2
4. The committee filed six reports dming the 2013 calendar year which covered the period of January 1, 2013 through December 31, 2013 All six reports were waivers-of-reports reflecting no contributions or expenditmes during the year. Table 1 summatizes the reports filed by the committee To view a copy of the committee's catnpaign finance activity, please refer to Exhibit J 1
1 It is noted that the committee's campaign finance activity (Exhibit 2) reflects that with the exception of the 2012 G4 report in which the committee reported expenditures totaling $106.46, the committee has filed waivers-of-report since the 2010 Q4 report covering the period October 29, 2010 through December 31, 2010
Inv002 (7/08) 1
.
2013 Q2 7/9/13 4/1/13 to 6/30/13 Yes
2013 Q3 10110/13 7 /1/13 to 9/30/13 Yes
2013 MlO 11/10/13 10/1/13 to 10/31/13 Yes
2013 Mll 12/5/13 11/1/13 to 11130/13 Yes
2013 Ml2 112/14 12/1113 to 12/31113 Yes .
5 On January 15, 2014, the Division sent John R Smith, the committee's chair and registered agent, a Notice of Intent to Revoke stating that the committee's registration as a political committee was being revoked because the committee's financial activity during the year was less than $500 The notice advised Mr .. Smith he had 30 days to provide documentation showing that the registration should not be revoked To view a copy of the January 15, 2014 notice, please refe1 to Exhibit 4
6 On February 6, 2014, the Division received a letter from Che1yl Carpenter Klimek, the committee's secretary, whe1ein she stated that although the committee did not incur expenses in 2013, it would be participating in upcoming municipal elections To view a copy of Ms Klimek's letter, please refer to Exhibit 5
7. On February 21, 2014, the Division sent M1 Smith a Final Notice of Intent to Revoke stating the explanation was dete1mined to be insufficient and that the Division would proceed with the revocation of the committee's registration. The notice advised Mr Smith to file a request for hearing within 30 days if he objected to the revocation of the political committee To view a copy of the Febrnary 21, 2014 letter, please refer to Exhibit 6..
8 On March 23, 2014, the Division received a letter from Ms Klimek objecting to the revocation of the committee's 1egistiation. In the letter Ms Klimek stated the committee participated in Gulf Stream municipal elections in Febrnary, and asked that the committee be allowed to participate in the upcoming primary and general elections.. Ms Klimek fu1ther stated it was the intent of the committee to be available for local elections when the committee registe1ed in 1999
9 Ms. Klimek provided copies of two campaign treasurers reports filed with the Gulf Stream town cle1k's office The first 1epo1t covers the period February 8, 2014 through February 21, 2014, and discloses the committee received contributions totaling $2,000 .. The second repo1t covers the period Febrnary 22, 2014 tluough March 6, 2014; the committee disclosed contributions totaling $6,100 and expenditures totaling $3,890 29 .. 2 To view a copy of Ms .. Klimek's March 23, 2014 lettei and attaclunents, please refer to Exhibit 7
10. I subpoenaed bank records from Sabadell United Bank, the committee's campaign depository Review of the bank records reflects that although the committee carried a balance of $12742 from January 1, 2013 t!uough December 31, 2013, they did not receive any contributions or make any expenditures dming that time. Io view copies of the committee's
2 It appears the cover period listed on the summaty page is a typographical error as the headers on the contributions and expenditures pages identify the cover period as February 22, 2014 through March 6, 2014
!nv002 (7/08) 2
monthly bank statements from January 1, 2013 through December 31, 2013, please refer to Exhibit 8 ..
11.. It is noted that the committee made deposits totaling $8, 100 and had expenditures totaling $7,640 74 between February 21, 2014 and March 31, 2014. However, it appears this financial activity occurred outside the 2013 calendar year· To view copies of the committee's February and March monthly bank statement, please refer to Exhibit 9
Conclusion:
12 Based upon information gathered by staff, it appears that although the committee car1ied a balance of $12742 from January 1, 2013 through December 31, 2013, and had financial activity between February 21, 2014 and March 31, 2014, the committee did not have aggregate reported financial activity of more than $500 during the 2013 calendar year.
Copy furnished to:
Respectfully submitted on May 21, 2014,
Tracie Aulet Investigation Specialist
Mr. John R Smith, Chair, MP AC (Management Political Action Committee of Palm Beach
County)
Inv002 (7/08) 3
FLORIDA ELECTIONS COMMISSION CASE SUMMARY ON REVOCATION
MPAC-- FEC 14-089
Exhibits.#s
Exhibit 1 Statement of Organization filed 8/4/99
Exhibit 2 Acknowledgement letter dated 8/10/99
Exhibit 3 Campaign finance activity
Exhibit 4 Notice oflntent to Revoke dated 1/15/14
Exhibit 5 Fi1st appeal letter received 2/6/14
Exhibit 6 Final Notice of Intent to Revoke dated 2/21/14
Exhibit 7 Second appeal letter w/attachments received 3/23/14
Exhibit 8 Monthly bank statements 1/13 to 12/13
Exhibit 9 Monthly bank statements 1/31/14 to 3/31/14
Inv004 (5/08)
Supporting or opposing any candidate, issue, or political party and which accepts contributions or makes expenditures
during a calendar year in an aggregate amount in excess of $500. (Section 106.03, Florida Statutes)
(PLEASE TYPE)
1. Full Name Of Committee
MPAC (Management Poliltical Action Committee of Palm Beach Cou~!rl_, ___ . ___ ,
Mailing Address (If post office box or drawer, please add street address)
230 Royal Palm Way, Suite 211
Date
718/99
Telephone
( 561 -~55-6311 ··--·--·------~-···-----·-·--- ----·-·-------
City County Palm Beach Palm Beach
State FL.
Zip Code
33480
2 .. Affiliated Ot Connectod Organizations (Includes other c.ommittees of continuo1Js existence and political committees)
Name Of Affiliated Or Connected Organization
--·-··-~-.--------
N/A
.,.------·---·---·---·-· -----··--------! Mailing Address Relationship
'')
' ' '. , .. -·· .. ,-
3. Area, Scope And Jurisdiction Of The Committee .• . To support issues &/or candidates for county races, st.ate legislatot ~~ce , selected municipal races, and committees involved in issue/bond reT~r!l'fi~u
:_.:)
4 .. Nature Of Organization Or Organization's Special lntorost (o g , medical, legal education, etc)
N/A
5 Identify By Name, Address And Position, The Custodian Of Books And Accounts (Include treasurers name)
Full Name
Lennart E. Lindahl, Jr
Cheryl Carpenter
---·--·"----i-
Mailing Address Committee T1Ue Or Position -------------+--------------·
2090 Palm Bch Lks Blvd Treasurer West Palm Beach, FL 334 9
230 Royal Palm Way #211 Executive Director Palm Beach,FL 33480
EXHIBIT I W._· l_l>f_i.. _______ _
... 6 L..ist by Name, Address and Position, Other Principal Officors, lncludlng Officers and Members of the Finance
• Committee, If Any (Include chairman's name) -·-·-·---------·--~·-------.. --------
Full Name Committee Title or Pos1t1on Maihng Address !-------------·---------------- ....... __ .._ _________________ _ John R. Smith 7930 Valid Appeal Chairman
Palm Beach Gardens,FL 33413 John Corbett 319 Clematis St. #409 Vice-Chairman
wesi: !"'aim t:1eacn r.L .>.>.4Ul 7. List By Name, Address, Office Sought and Party Affiliation ea&h Candidate or Other Individual that this Committee
is Supporting
'---·---------------------------·--------------·------·--Full Name Mailing Address Office Sought Party
"----------------.. -----'---- ------!------------·
To Be Determined
a LlstAnylssuesthlsCommitteelsSupporting: None at the present time
ListAnylssuesthisCommitteeisOpposing: None at the present time
9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party: N/A
10 In the Event of Dissolution, What Disposition wlll be Made of Residual Funds?
Funds to be donated to a registered 501(C)(3) non profit organizatio~-·
11.. List all Banks Safety Deposit Boxes or Other Depositories Used for Committee Funds L---- ·-·---·--.. ·-······-----.. ---------· '" ·-··------···--··--------.. -
Name of Bank or Depository & Account Number Mailing Address ..... ,,_ ----!---·--·----......... -----·--·---·-·------
Mellon United National Bank
1645 Palm Beach Lakes Blvd. West Palm Beach, fl 33401
'------------·--------------''--,-·-----·------··-------12 List all Reports Required to be Filed by this Committee with Federal Officials & the Names, Addresses & Positions
of Such Officials If Any --·------·----·-------·------·----------·----,------·--··--------
Report Title Dates Required to be Flied Name & Position of Official Mailing Address ------- ----1------------->------·---------1--------------
N/A
STATE OF _il.Ql.j_Q.a_ palm Be a ch COUNTY
John R. Sm,:oi.::t-"h'-----------· certify that the inform.o<{J,fill" this Stateme~~-~f Organization is complete true and correct p_--~· . ~ /
, A , , '{// _X_ ,../"~ · ,,-_q,,,/, --..
/~:"' J f .. hairmaVof Political Committee
I,
EXHIBIT
( 14 ,.. •
DMSIONSOF FlORYDA DEPART?dEN'I' OF STATE Office of the Secrcta:y
• MEMBER OF IRE FI.ORIO A CA8tNEI'
St.ate- Board ot BducaHon T~teei: of the Internal Improvemel'tTnljt Fund
Ad.m.WstratiM Corn.atl&slon Florkh Lind and Wa.l\>r AdjudicatocyCoaunb®n
Siting 'Board Dlvtslon of Sood Financ:e
1'epartll1Cnt of Rwanuc Dllparta'lc::nt of Law En.f'OlCeUlenl
Depo\l'tmmt of Hlghw1.y ~ftty ltld Motor Vdtlcles OepartmentofVeteniM' A£&.1n;
Office of lntematlorud ~b.tians Div~ of Elect:iorui Ol.vbion of Corporations Ol.Yision of Cultu.c"al Affail"s Ol.vWon oiHiJtorial J.Wour(es
DMsion o!Ubmy md Womlation Strvl<~ Dlvi.'li.Qn of Ll=U\g D1Vis!on of AdmWstrativ~ Service&
... ~ FLORIDA DEPARI'MENT OF STATE
Kathedne Hanis Secretazy of Slate
DIVISION OF ELECTIONS
August I 0, 1999
Mr .. Jolm R Smith, Chairpe1son MPAC (Management Political Action
Committee of Palm Beach County) 230 Royal Palm Way, Suite 211 Palm Beach, FL 3.3480
Dear Mr Smith:
ORiuii~AL
We have received the Statement of Organization and the Appointment of Campaign Treasure1 and Designation of Campaign Depository for MPAC (Management Political Action Committee of Palm Beach County)
This information appears to comply with the requi1ements of Section 106.03, Florida Statutes, and the name of this mganization has been included on ou1 committee list as a committee that suppmts candidates and issues
Listed below is the identification number associated with your committee. Please use this number when submitting your reports so they may be prnccssed in a more timely and efficient manne1.
Identification Number: .30405
Enclosed is a copy of Chapter 106, Florida Statutes, along with a Committee Handbook, Campaign 1reasure1's Report Fo1ms and 2000 Election Cycle Calendar ..
Attached is a copy of the electronic filing information along with the list of vendo1s which you may contact to obtain your software package that will assist you with the filing of your campaign treasure1 's reports. A magnetic diskette of the itemized information required by Chapte1 106, FS., must be filed with the Division of Elections (along with an original hard copy of the Summruy Sheet [Form DS-DE 12))
Your first campaign tr-easurer's r·eport will be due October· 12, 1999. Any political action committee failing to file a repo1t on the designated due date shall be subject to a fine of $50 per day for the first 3 days late and, thereafter, $500 per day for each late day, not to exceed 25% of the total receipts 01 expenditures, whichever is greater, for the period covered by the late report. However, for the reports immediately preceding each primruy and general election, the fine shall be $500 per day for each late day, not to exceed 25% of the total receipts or expenditUies, whichever is greate1, for the period covered by the late report. A report which is postmarked by midnight of the due date is considered timely filed ..
EXHIBIT 2- ~. I of 2-The Capitol • Room 1802 • Tallahassee, FlOli a 32399-0250 • (850) 488-7697
FAX: (850) 921-1293 • http:/lwww.dos.state.fl.us • E-Mail: election@mail,dos.state:flus
• -.
Mr John R Smith August 10, 1999 Page Two
I /
If we may be of assistance to you at any time, please do not hesitate to contact Inez Williams at (850) 488-7697
CAE/ilw
Enclosures
Sincerely,
Connie A Evans, Chief BW'eau of Election Records
EXHIBIT 1- Pj . 2 J·L
Campaign Finance Activity (Pi vision of Elections - Flmida Depaitm("t of State . .
A F~o~id_a Departme".lt of State ~ D1v1s1on of Elections
MPAC (Management Political Action Cmte .. of Palm Beach Cnty
Campaign Finance Activity
Page 1 of4
Note: The information presented below was obtained from the Committee'.s/Candidate's Campaign Treasurer'.s Report filed with the Division of Elections About the Campaign Finance Data Base If all contributions for a reporting period are less than 1 dollar Then they may not be displayed
I II Contributions
11 IG:J Filing Period .I Monetary II Loans II In Kind Expend Transfers I lwllo810411999 -091301199911 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 lwll 1010111999 -121311199911 0 0011 0 0011 0 0011 0 0011 0 0011 o ooj 1w110110112000 -031311200011 o ooll 0 0011 0 0011 0 0011 0. 0011 o ool lwllo410112000 -051301200011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 1w110110112000 -011281200011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 1w110712912000 -081111200011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 0108/12/2000 -08/31/200011 1,500 ooll 0 0011 0 0011 500 0011 0 0011 o ool lwllo910112000 -091081200011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 lwllo910912000 -091281200011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 1w110912912000 -101131200011 0 0011 0 0011 0 0011 0 0011 0 0011 o ool 0110/14/2000-11/02/200011 1,000 0011 0 0011 0 0011 1,1500011 0 0011 o ool lwll 1110312000 -121311200011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 1w110110112001 -031311200111 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 1w110410112001 -061301200111 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 lwll0710112001 -091301200111 0 0011 0 0011 0 0011 0 0011 0 0011 o ool 1w111010112001 -121311200111 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 lwlJ0110112002 -031311200211 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 0104/01/2002 -06/30/200211 1,000 0011 0 0011 0 0011 500 0011 0 0011 o ool 1w110110112002 -081021200211 0 0011 0 0011 0 0011 0 0011 0 0011 o ool lwljo810312002 -081161200211 0 0011 0 0011 0 0011 0 0011 0 0011 o ool 1w110811112002 -091051200211 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 1w110910512002 -091131200211 0 0011 0 0011 0 0011 0 0011 0 0011 o ool n1 II II II II II ii I
--~ttp;LLele.c1ion"doJi.Slatsdl us/cgi-bin/TreSel.exe 4/2112014
Campaign Finance Activity 7T'ivision of Elections - Florida Departmrt of State \. '
Page 2 of 4
1w110911412002 - 091271200211
[J [J
{E)09/28/2002 -1 10/11/2002
{E)10/12/2002 -1 10/31/2002
lwll 1110112002 - 121311200211
lwllo110112003 - 031311200311
1w110410112003 - 051301200311
1w110710112003 - 091301200311
1w111010112003 -121311200311
@] ~ ~
101/01/2004 - 03/31/200411
104/01/2004 - 06/30/200411
107/01/2004 - 07/23/200411
[J [J ~ ~ ~ ~ ~ @] ~ ~ ~ ~ ~ @] ~ ~ @]
{E)07 /24/2004 -1 0810612004
{E)08/07 /2004 -1 08/26/2004
108/27/2004 - 09/10/200411
109/11/2004 - 09/24/200411
I 0912512004 - 101081200411
110/09/2004 - 10/28/200411
110/29/2004 - 12/31/200411
10110112005 - 03/31/200511
I 0410112005 - 051301200511
107/01/2005 - 09/30/200511
10110112005 - 12/31/200511
11010112005 - 12/31/200511
101/01/2006 - 03/31/200611
I 0410112006 - 051301200611
107/01/2006 - 07/28/200611
107/29/2006 - 08/11/200611
108/12/2006 - 08/31/200611
109/01/2006 - 09/15/200611 ~ ~ ~ @]
I 0911512006 - 091291200611
I 0913012006 - 101131200611
110/14/2006 - 11/02/200611
n / 11 /03/2006 - 12/3112006//
0 0011 0 0011 0 0011 0 0011 0 001 :===:I I o ooll o ool
0 0011
500 0011 0 0011 0 0011 0 001
1,100 0011 0 0011 0 0011 2,750 001 I o ooll o ool
00011 o~I oo~J o~I ooolJ o~ 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 o 0011:==0=0~011:==0=0~011:==0=0=:011:= ==o=o=:ol/:= ==o o=:ol1
:======;:======::=====~I 0 0011 0 0011 0 0011 0 0011 0 0011 0 001 0 0011 0 0011:==0=0=:01~1==0=00=(1~1==0=00=:1~1 ==0==:0011
500 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
200 0011 0 0011 0 0011 500 0011 0 0011 0 001
100 0011 0 0011 0 0011 200 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 30 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
750 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 200 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 o ooll 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 0 001
250 0011 0 0011 00011 0 0011 0 0011 0 001
0 0011 0 0011 0 0011 0 0011 0 0011 o oo/
---http-,//election.dosstateJl.usLcghbin/.IteS.el.exe: __ __:EX=-::H__:l.:=,B.:_:IT-=3"::::'filE:'$· .::· =U±===-~4~12:!:11~20'!._!1~4 __
Campaign Finance Activity (_,nivision of Elections - Florida Depmtmr-• of State Page 3 of4
II II II II II II II I 101/01/2006 - 12/31/200611 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
101/01/2007 - 03/31/200711 500 0011 0 0011 0 0011 0 0011 0 0011 0 001
I 0410112007 - 061301200711 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
107/01/2007 - 09/30/200711 o ooJI 0 0011 0 0011 0 0011 0 0011 o ool 11010112007 -12/31/200711 0 0011 00011 0 0011 0 0011 0 0011 o ool 10110112008- 031311200811 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
104/01/2008 - 07/18/200811 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
I 0711912008 - 081011200811 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
10810212008 - 081211200811 0 0011 0 0011 0 0011 500 0011 0 0011 0 001
I 0812212008 - 091121200811 0 0011 0 0011 0 0011 0 0011 0 0011 o ool I 0911312008 - 091251200811 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
109/27/2008 - 10/10/200811 500 0011 0 0011 0 0011 1,325 0011 0 0011 o ool 11011112008 -101301200811 0 0011 0 0011 0 0011 o ooll 0 0011 0 001
110/31/2008 - 12/31/200811 0 0011 0 0011 o ooll 0 0011 0 0011 o ool 10110112009 - 031311200911 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
104/01/2009 - 06/30/200911 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
0 0011
11010112009 -12/31/200911 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
10110112010 - 03/31/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
104/01/2010 - 07/16/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
107/17/2010- 07/30/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
10713112010 - 081191201011 0 0011 o ooll 0 0011 0 0011 0 0011 0 001
108/20/2010- 09/10/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
109/11/2010 - 09/24/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
109/25/2010 -10/08/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
110/09/2010 -10/28/201011 300 0011 0 0011 0 0011 514 6211 0 0011 0 001
110/29/2010 - 12/31/201011 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
10110112011 -03/31/201111 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
I 0410112011 - 051301201111 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
107/01/2011 -09/30/201111 0 0011 0 0011 o ooJI o ooJJ 0 0011 0 001
11010112011 -12/31/201111 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
10110112012 - _03/31/201211 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
104/01/2012 - 07/06/201211 0 0011 0 0011 0 0011 0 0011 0 0011 0 001
I II II II II JI I
EXHIBIT 3 ?J · 3 ot4 ---hUpollelecti0n,d0sstate,tl,usicghbinLILeS_el,.exe, ____________ ___::4'.'..:/2:_:cll_:::20:'..'..l::.4 __
Campaign Finance Activity -.. P;vision of Elections - Florida Depa1tm7"' of State I . • I
lwllo710712012 -071201201211 0 0011 0 0011 0 0011 0 0011 lwllo712112012 -081091201211 0 0011 0 0011 0 0011 0 0011 lwllo811012012 -091141201211 0 0011 0 0011 0 0011 0 0011 lwllo911512012 -091281201211 0 0011 0 0011 0 0011 0 0011 1w110912912012 -101121201211 0 0011 0 0011 0 0011 0 0011 6110/13/2012 -111011201211 0 0011 0 0011 0 0011 106 4611 1w111110212012 -121311201211 0 0011 0 0011 0 0011 0 0011 lwll 0110112013 -031311201311 0 0011 0 0011 0 0011 0 0011 lwl/0410112013 -061301201311 0 0011 0 0011 0 0011 0 0011 lwl10710112013-0913012013ll 0 0011 0.0011 0 0011 0 0011 1w111010112013 -101311201311 0 0011 0 0011 0 0011 0 0011 1w111110112013 -111301201311 0 0011 0 0011 0 0011 0 0011 1w111210112013 -121311201311 0 0011 0 0011 0 0011 0 0011 1w110110112014 -011311201411 0 0011 0 0011 0 0011 0 0011 6102/01/2014 -02/28/201411 5,500 0011 0 0011 0 0011 2,890 2911 6103/01/2014 -03/31/201411 2,600 0011 o ooll o oolJ 4,750 4511
01 All Dates (Totals) II 16,300 0011 0 0011 0 0011 15,916 a2ll
Note: (E) indicates that report was filed electronically
X Indicates that detail has not been released
0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011 0 0011
W Indicates that a waiver was filed and L Indicates that a loan report was filed
Select Detail Type Select Sort Order Select Output Type
I Contributions i'£l f Date(Ascending) 21 I Display On Screen :d
Query the Campaign Finance Data Base
Page 4 of 4
0 001 0 001 0 001 0 001 0 001 0 001 0 001 0 001 o ool 0 001 0 001 0 001 0 001 o ool 0 001 0 001 0 001
[Department of State] [Qivision of Elections] [Candidates and Races] [Campaign Finance Information]
EXHIBIT 3 ~. 4 D.{:'4
4/21/2014 http:// election. dos.state JI . us/cgi-bin/T1 eSel.exe ~~~~~~~~~~~~~~~~~~~~~~~-
(
!:LORIDA DEPAR!_!\1ENT oI STAT~ RICK SCOTT
Governor KEN DETZNER
Secreta1y of State
January 15, 2014
John R Smith, Registered Agent MPAC (Management Political Action Cmte of Palm Beach Cnty) (30405)
224 Dantura Street, Suite 311 West Palm Beach, Florida 33401
RE: NOTICE OF INTENT 10 REVOKE
Dear Mr Smith:
Pursuant to Section 106..03(7), Florida Statutes, and Rule !S-2 021, Florida Administrative Code, you are hereby notified of the Division's intent to revoke your committee's registration as a political committee based on the following:
The committee's aggregate reported financial activity during the 2013 calendar year was Jess than $500 ..
If you object to this revocation you must provide documentation showing that the committee's registration should not be revoked. Documentation must be provided within 30 days of the date of this letter to the Department of State, Division of Elections, Bureau of Election Records, The RA. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, Florida 32.399-0250
If you have any questions, please call (850) 245-6280.
Sincerely,
Kristi Reid Bronson, Chief Bureau of Election Records
KRB/mcc
Enclosure EXHIBIT_-"-----
Division of Elections R.A. Gray Bldg . ., Rm. 316 • 500 S Bronough St.• Tallahassee, Florida 32399-0250
·. · · ··· · Telephone: (850)245,6240 • Facsimile: (850) 245-6259 elections.mytlorida.com --ffiffffnn1lfrcM•-----'Commemomting._5.00_y:e1US-Of.Florida.llis:t.o_cy 'WWW.fla500.com
~. VIVHIORmA-
' . Feb 06 14 01 :08p Carpenter Kil. I
' 655-1225
MPAC (MANAGEMENT POLITICAL ACTION COMMITIEE OF PBCo.) 224 Datura Street, Suite 1114 West Palm Beach, FL 33401
Sent via Fax February 6, 2014 850-245-6259
Ms Kristi Reid Bronson Bureau of Election Records RA Gray Bldg., Room 316 500 S Bronaugh St Tallahassee, FL 32399-0250
Re: MPAC Identification #30405
Dear Ms .. Reid Bronson:
.. ~~ '' ·~i) _ ....
14FEI3· 0 Pl'\ :
• l\O~S ;;\' . . . . ; i Li{SlATE SEC:,: ·'
We have received the Division's intent to revoke our committee's registration as a political committee based on having aggregate financial activity of less than $500 for last year. We are requesting that this committee's registration not be revoked and that we be allowed to continue to be active in the election process.
p1
While MPAC's did not incur expenses in 2013 for this election cycle, we already have plans for municipal elections in March and the Primary and General elections later this year We will be accepting contrit>utions shortly and plan to file them in the next report if our registration is not revoked. If you need further information to continue this committee, I may be reached at 561-655-7224
Sinc,arely. f' I ~ . I
i j ( 1 / 1·· k/, I (ky GlA 0lh '~l\;iA \--C~I darpente~ Klimek Secretary
cc: John R Smith, Chairman
EXHIBIT_::::::.S __ _
/ .
I \
,. I •
~ORIDA DEPARTMENT of STA~ RICK SCOTT
Governor
February 21, 2014
John R. Smith, Chairperson MP AC (Management Political Action Cmte of Palm Beach Cnty (30405) 7930 Valid Appeal Palm Beach Gardens, Florida 33418
RE: FINAL NOTICE OF IN1ENT TO REVOKE
Dear Mr. Smith:
KENDETZNER Secretary of State
The Division is in receipt of your letter dated Februaty 6, 2014, in response to the Division's Notice of Intent to Revoke. The Division has determined the explanation to be insufficient and will proceed with the revocation of the committee's certification
lfyou object to this revocation you must file a request for hearing within 30 days of the date of this final notice of intent to revoke.. The request must be filed with the Department of State, Division of Elections, Bureau of Election Records, The RA Gray Building, Room 316, 500 South Bronough Street, Tallahassee, Florida 32399··0250 and will be forwarded to the Florida Elections Commission for a hearing based upon the notice and any supporting documentation
If you desire a personal appearance before the Commission, you must include in your request for hearing a separate request for a personal appearance. Failure to file a request for a hearing constitutes a waiver of your right to a hearing and will cause a final order to be entered revoking the committee's certification
lfyou have any questions, please call (850) 245-6280
~~-~~~~~cA~-$ Kristi Reid Bronson, Chief Bureau of Election Records
KRB/ljt
Enclosure Ip EXHIBlr.~----
/ 03/23/2014 06:44PM 55i, 547 i'
CARPENTE:RKU. " ..
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PBCo.} 224 Datura Street, Suite 1114
Sent via Fax March 23, 2014 850-245· 6259
Ms. Kristi Reid Bronson Bureau of Election Records RA Gray Bldg .. , Room 316 500 S. Bromough St Tallahassee, FL 32399-0250
Re: MPAC Identification #30405
Dear Ms Reid Bronson:
West Palm Beach, FL 33401
We have received notice that the Dlvision Is moving forward with lts Notice of Intent to Revoke this political committee due to Inactivity .. We wish to appeal this notice via fax, without a personal appearance.
PAGE 01/07
In late February this committee took part ln the Gulf Stream municipal election providing independent expenditures to further the outcome of the election. It was our intent when the committee was organized in 1999 to be available for local elections when needed ..
From late February until the election on March 10, we collected contributions In the amount of $8,100 and expenditures in the amount of $7,638. 74. I am including copies of the reports filed with municipal clerk as mandated by their charter .. Some of this information has been flied through the state's EFS, and the bala nee will be filed in the M3 report.
We are requesting that this committee be permitted to operate in the upcoming primary and general elections
If you need further Information, I may be reached on my cell phone at 561 ·315·-0481
Slnt17J() Ch[JK~ secretary
cc: John R. Smith, Chairman
5 pages to follow
l__;
EXHIBIT ';i- ~ · [ Jq-
03/23/2014 El6:44PM •'
56ll '
CARPENTERKL ( PAGE 02/07 047
- ,
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) MPAC (Management PAC of Palm Bch. Co . .) Of'FICE USE ON\. Y ·--- ----------Name
{2) 224 Oatura Streel, Suite 1114 --Address (number and street)
West Palm Beach, Fl 3340-l_ __ ··---City. State, Zip Code
0 Check here if addl98S has changed (3) ID Number: 30405 ___ .__.._
(4) Check appropriate box(es);
0Candidate Office Sought: - -· --- ------0 Political Committee (PC) D Eleelioneerlng Communications Org .. (ECO) D Ch..ek here if PC or ECO haa disbanded D Party E;xecutive Committee (PTY) 0 Check here ff 'PTY hae disband~ D Independent Expenditure {IE) (also covers an D Chee!< here if no other IE or EC repom will be filed individual making electioneering communications)
. (5) Report Identifiers
Cover Period: From 02 I 08 I 14 To 02 I 21 I 14 Report Type: --.. -- -- -·- - -·- ....... 0 Original 0Amendment 0 Special Electlon Report
(6) contributions This Report (7) Expenditures This Report
2,000 00 Monetary
0 , 00 cash & Checks $ • Expenditures $ • • - -- --· -- --- -- ---- --Loans $ • • 0 ,, 00 Transfers to -- -- -- - Office Account $ 0 . 00 ' '
2. 000 00 ,_._., -- -- --
'Total Monetary $ • -- -- -- -- Total Monetary 0 , 00 $ • ' 0 00 --- --- ·-· -·--
ln·Kind $ • • -- -- ·-··-- -- ~--·
(8) Other Distributions $ _,..,_ , ___ , • 0 00 ·-·-· ----..
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expitndit\lres l'o Date $ -- • ---~ , , 000 00 $
--- T ·-- 1 --••~ .. -~ --.
(11) Certification It is a finlt degree misdemeanor for any per&on to falsify a public r&cord (ss .. 839.13, F .. S,)
I certfy that I have examined this report lilnd it i& true con-ect and complete:
(Type name) Mark P. Klimek (fype name) John R. Smith 0 Jn<llviduol (only for IE 0 Treasure; .. -~puty Tn1as~;;;; 0 Candid ., ,
0 Cl)'lfl'e"'on (only for PC 8"d FTY)
:~~~ ~ ;/e: _/-~~ J ~ ~
~ t...L ~I, u x iv ll. Signature / " Signatj l'e . ' ~ ,f . '
DS-DE 12(R.ev~11113 J ' ----;---------EXHIB11 1- PB' iof't
SEE REVERSE FOR INSTRUCTIONS
' 03/23/2014 06: 44PM 55( 54'7 / I
CARPENTERKLc. ,~
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
30405
PAGE 03/07
(1 N Ml?AC IMani\~t PAC of Pe1.ltn Beach county)
) ame ·---··-- ------- (2) tD. N1.1mber ____ ,.. __ _ (3) Cover Period
(5) Date
(6) Sequence Number
0001
I---'-----'-'
oe :i,4 { {
(7) Full Name
(l est, Suftix, Fi~. Middle) Street Address &
Cllv. State, ZiD Code
cy D .. Touhey oo N. oce~ Blve.. lf Stream., :PL 3346~
Nan 12 GU
-- .. .M ebony w Gra~~~o J~
0002 3< _____ ...,,_____ G<>l 59 Polo Drive f St.t"eltm. FL ~3483
2/11/ Jf· . -
I t
-·
-·--'----L.
-- ·-·
__ ,,
I
---I .•. !...
-·--·-
l through (4) Page
··- ··-·-· (8) (9) (10) (11)
Contributor Cont<fgution In-kind Tvoe OcCIJ~•tlon Type Oesr""'on Amendment . . •.
l &er;i:red CH•
·--·
l &et.ired CHE
. .. .. -· ... ·---·
·-·
-· ···-·- -
,._ ·---..-.. -... -· 1------·
-
DS·DE 13 {Rev .. 11113) SEE REVERSE FOR INSTRUCTIONS ANO CODE VALUES
EXHIBIT '1 fj . 3 J1-
l of
·-(12)
AmOUflL
'l.,.000.00
··---
iooo .. oo
--
---
----·-
/
03/23/2014 06: 44PM 561-_ ,;47 ( CARPENTERKL\. PAGE 04/07
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name M•Ac l"°""9e""'nt PAC of P.:l.m lle•ch county! (2) l.D. Number. ao•cs
(3) Cover P&liod ~.!~-·~.through ~-1_.::...._12!, .. _ (4) Page _ __:_ ___ of __ 1 __ _
-·--·- . (5) (71 (8) (9) (101 (11)
Date Full Name Purpose I-· (Witt, Sutlix, First, Mldclhl) (add office sought Jf (6) Expenditure
Sequenefl Street Addrw& & contribution to a
Number City, Stall!, Zip Code candldat&) Type Amondmont Amount
- ··------1--·-,_J_L,_
NOl<B
----- ... ··----"'
I I
--- -- -____ ! I
-- -·--·- . -- -----·-- ----~
_,L_i._
"
·- - ..
I I
I-- ·- -----· ·--
i---1 I
-- --- -- -I I
- ·-·-·-·-.. -·- .. .. . I I
-·"' - . - ·-OS.OE 14 (Rev .. 11/13) SEE REI/ERSE FOR INSTRUCTIONS ANO CODE VALUES
EXH\BIT '1-ffi. 4J'l-·~--------------~ '·
/
03/23/2014 06: 44PM 56( 647 CARPENTERKL1,. . ·" PAGE 05/07
' .. CAMPAIGN TREASURER'S REPORT SUMMARY
---(1) MPAC (Management PAC of Palm Bch. Co .. ) OFFICE USE ONL.Y
--· -- -Name (2) 224 Oatura Street, Ste. 1114
Address (number and street) West Palm Beach, FL 33401 -------City, State, Zip Code
-~ ... D Check here if address has changed (3) ID Number: 30405
·-(4) Check appropriate box(es}:
0 Candidate Office Sought ----·· --0 Political Committee (PC) 0 Electioneering Communications Org. (ECO) D Check here if PC or ECO has disbanded 0 Party Executive Committee (PTY) 0 Check here If PTY has dilsbanded O Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports wiH be filed individual making electioneering oommunications)
15) Report Identifiers
Cover Period: From 02 I 22 12014 To 02 I 22 12014 Report Type: G4· - - ·-· ·-- --· -- ·-----.. 0 Original 0Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Cash & Checks $ • 6 '100 00 Monetary Expenditures $ ' 3' 890. 29 --- -- - -· -- -- __ .. _ -
Loans $ ' ' 0 Transfers to - -- -- -· Office Account 0 $
' ' 6 '100 00 -- ·......-·-· -- -·-
Total Monetary $ ' ·-·-· - -· ·- Total Monetary $ ' 3 '890 29 $ 0 -- -- -
In-Kind • ' - -·-~·· ·-- --·- ---(8) Other Distributions
$ --·-- . --.. ' _o __ ._ . -... .. (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Cate
$ --·~·~··-~-- $ - ' _Q__. .MD Q9_ ..
(11) Certification lti& a fi~ degree milldemeanorfor any person to falsify a public record fss .. 839 .. 13, F $ .. )
I cert~y that I have examined lllls report ano 111s true, correct, ana complete:
. (Typename)~. K'\icndc ·-·-· (Type name) John 'R. 'Srni ~h 0 lndMclual (only for IE ~reasvrer 0 Deputy Treasurer 0 C?"~J'Ole ~hairperson (only for PC and PlY) or etectioneemg carom.)
x::P,/~ x ' 'M - -Signa Sii n,Ature
REVERSE FOR INSTRUCTIONS
--·--------~v\;ot\R~~~'.t::· ~5'==Cf='1=-·----------OS.OE 12(Rev 11/13) "-···- SEE
/ 03/23/2014 05:44PM 5511, 547
' CARPENTERKL~ . ··"
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
MPAC: {MaJ).l).g(l:ment f:i:t.C of Palm :Sch. co ' ) (2) 1.0. Number
30~05
(3) Cover Period 02
I 22 2014
through I 06
I 2014
(4) Page 1
I
- ·--(&) (7) (8) (9) {10) {11)
Date Full Name - --(6) (I.as!, Suffix, Firs!, Middle) Sequence Si1"tt Addre» & Contributor Contribution Jn-kind Number C"" state,1!e Code Tv~ oceu-ation Type Descrintion AmanQm.nt - .. -·
W$..ll iam BQll.Z:'d1t1n 02 •• 2014 J2Sl. fOlQ Or:i.ve
I -·· I Ill G"lf Stream, FL 234B3 1 Ret:1re:cl CHK
001
·-· -·· ·~·· ,,_ '---
9.;l.tta.1\t V -, Mvrrill 02 26 2014 3S2S Polo Drive
I ..• I Culf Btreara, PL 33493
I R.etired CH~ 002
- ··- . George 'l. Elmore
02 27 2014 1320 N. ocean ~lvd. "
'--·-'-- I ~lf SCi:'ea.m, FL 33'46~
l const:ruct:i..01 CHK 00)
-· -·-~""-..
~acricia L. R.a~dolph 02 2e 2014 38!J Gu.l£~tr~om Rd
.___,_!._ I ~48 Gulf St:reatli, fL JJ-693 t Rei:.ix·i:d CHK
004
···--'"' '------·-,__ 03 03 20l4
Laura Londo:ff :Koc:h ~43 Middle .Road
I / _ _a Gulf Strea\l\. .Fli 3348~ I Retiree. CRK
00$
··-~·-·--~~ .. '-· -o;i o! 2014
W:lll.iam r. Koc:h III ~00 E Atlantic Ave.
I I Del:r:~y Beach / PL ,)3483
I Real E:otOite CHK 006
., . - "
OJ 06 2014 Joanne Haye&
I I 3126 Gulf9t~eam Rd. L. Gulf Stea~. ~~ 3346~
x ~~i~9od. CN~
007
- -DS·DE 13 (Rev .. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
EXHIBIT 1- f3. Ip of 1
PAGE 05/07
1 Of
-· {12)
Amount
l,C00 .. 00
~OD 00
---·-
i,ooo .oti
:i.000.00
--~--
J.000,0G
··------·
1000 oo
600 00
··-
03/23/2014 06: 44PM 56l 347 CARPENTERKL [ PAGE 07/07
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Mr1>c tManagemei:~ of Poim B<:h. co. I (2) l..D. Number_3_0_
4o_s ____ _
(3) Cover Period ~_.:2_1~ through~~ 2014_ (4) Page ·-~--of __
1
-·--
(5) Date
(7)
(6) Se11uence Number
lddle) l'ull Name
(Last, 5U11llt, Fil'8l. M Street Address &
City, State, Zip Co de
·---+------·--coa.111~1 Sta.r
02 2S 014 SOll N Ocean Blvd Ocean Ridge, rL 3~~3S
001
·-·-·--1---
ooa
A~ Graph.ix & Signs, Inc 1SS95 93rd Strtet N \'leat Palm Beach, E'Ii 33412
Sir Speedy G2
1'2& 014 4.30 clematis St:teet:
--1........,..J.---l weet. Palm Bee.en, FL 334.0
00~
Car:g>ent~t· Klimek & AsBOCi 03 03 2~14 224 oacura Streec, Ste. 1
__ / / we~rt Palm :eeach. Ft ~3~ 01
l
ateo, lU
--·--·------+·------------· ____ j_
!------+ .. -----------
I /
._ ____ _,c_ _______ ,._, __
Inc
..
-·
·-(8)- (9)
PurpOSe (add offl .. $0U9ht II
Expenditure contribution to a candidate) Type
. J1,dve:rt:i.e91'N!nt
IEC
--·--- ~--
Sign:,,
lEC
-P~ineing/poetege
IiC
.. --·· consu.ltin9
IEC
·-----
·- . ... ...
-·-"
- .. OS.OE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
__________ EXHIBIT ·-=r·ea ;-:tof'1-.
·----(10) (11)
Amen<tmertt: Amount
-· 11 600. OQ
-·- -
396 4-4.
an. s;
l,000 00
···-
~--·
-
##XXH1768DPCSTM
MPAC
/ I
Statement of Account
Last statement: December 31, 2012 This statement: January 31, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
Business checking
Account number
0
summary of Account Balance
Account Number Ending Balance
Business Checking $127,42 NOTICE: BY FEDERAL LAW, AS OF 1/1/2013, FUNDS IN A NONINTEREST-BEARING TRANSACTION ACCOUNT (INCLUDING AN IOLTA/IOTA) WILL NO LONGER RECEIVE UNLIMITED DEPOSIT INSURANCE COVERAGE, BUT WILL BE FDIC INSURED TO THE LEGAL MAXIMUMOF $250,000 FOR EACH OWNERSHIP CATEGORY. FOR MORE INFORMATION, VISIT HTTP://WWW FDICGOV/DEPOSIT/ DEPOSITS/UNLIMITED/ EXPIRATION,HTML
Beginning balance Total additions
$127 42 $ 0 ,00 Total subtractions
~"' No activity this statement period ·~·•
$0,00
Page 1
' I
##XXH1768DPCSTM
MPAC
PA(
Statement of Account
Last statement: January 31, 2013 This statement: February 28, 2013 Total days in statement period: 28
Direct i nqui r-i es to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
Business checking
Account number
0
summary of Account Balance
Account Number Ending Balance
Business Checking $127..42 NOTICE: BY FEDERAL LAW, AS OF 1/1/2013, FUNDS IN A NONINTEREST-BEARING TRANSACTION ACCOUNT (INCLUDING AN IOLTA/IOTA) WILL NO LONGER RECEIVE UNLIMITED DEPOSIT INSURANCE COVERAGE, BUT WILL BE FDIC INSURED TO THE LEGAL MAXIMUMOF $250,000 FOR EACH OWNERSHIP CATEGORY .. FOR MORE INFORMATION, VISIT HTTP://WWW. FDIC GOV/DEPOSIT/ DEPOSITS/UNLIMITED/ EXPIRATION .. HTML
Beginning balance Total additions
$127.42 $ 0.00 Total subtractions
"' 11 No activity this statement period ,.('"},
EXHIBIT e pj. 2of 11.-
$0 .. 00
Page 1
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
Py
statement of Account
Last statement: February 28, 2013 This statement: March 29, 2013 Total days in statement period: 29
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account Balance
Business checking
Account number
Account
Business Checking
Beginning balance Total additions
$127 ,42 $ o .. oo
Number
Total subtractions
Ending Balance
$12742
1"' No activity this statement period ·•h'<
Page 1
EXHIBIT 2> f"1 · 3<>f' 1 2-
$0 .. 00
PA~
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Statement of Account
Last statement: March 29, 2013 This statement: April 30, 2013 Total days in statement period: 32
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Account
Business checking
Number
Ending Balance
$127 ,42
Business Checking
Account number Beginning balance
Total additions $12742 $ 0.00 Total subtractions
t,;, No activity this statement period ""
EXHIBIT e ~ . '4 Dt I 1-
Page 1
$0 .. 00
,. I
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PA<(
statement of Account
Last statement: April 30, 2013 This statement: May 31, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
summary of Account Balance
0
Account
Business checking
Number
Ending Ba 1 a nee
$127 .42
Business checking
Account number Beginning balance
Total additions $127..42
$ 0 .. 00 Total subtractions
,..,., No activity this statement period ,.,.,.,
EXHIBITS~. Sot 12-
Page 1
$0 .. 00
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Statement of Account
Last statement: May 31, 2013 This statement: June 28, 2013 Total days in statement period: 28
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Account Number Ending Balance
Business checking
Account number
Business Checking
Beginning balance Total additions
$127 42 $ 0.00 Total subtractions
'""' No activity this statement period ''"
EXHIBIT ~ pq . {p of I Z-
$127 ,42
Page 1
$0 .. 00
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
statement of Account
Last statement: June 28, 2013 This statement: July 31, 2013 Total days in statement period: 33
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Account
Business Checking
Number
Ending Balance
$127..42
Business Checking
Account number Beginning balance
Total ad di ti ons $127 42 $ 0 00 Total subtractions
"''' No activity this statement period ''"'
EXHIBIT 6 f3 . 1- cf l 'J-
Page 1
$0 00
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Account
statement of Account
Last statement: July 31, 2013 This statement: August 30, 2013 Total days in statement period: 30
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number Ending sa 1 ance
Business Checking $127 .42 PURCHASING A NEW HOME? THINKING OF REFINANCING? OUR MORTGAGE EXPERTS CAN HELP YOU FIND A HOME LOAN TO MEET YOUR NEEDS CALL 305·424-4745 TO GET A QUOTE TODAY
Business Checking
Account number Beginning balance
Total additions $127 ,, 42
$ 0,00 Total subtractions
'h" No activity this statement period 1''"'
EXHIBIT ~ r~. '6 oP I 2-
$0,00
Page 1
(
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
Summary of Account Balance
Account
Statement of Account
Last statement: August 30, 2013 This statement: September 30, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number Ending Balance
Business Checking $127.42 PURCHASING A NEW HOME? THINKING NCING? OUR MORTGAGE EXPERTS CAN HELP YOU FIND A HOME LOAN TO MEET YOUR NEEDS .. CALL 305-424-4745 TO GET A QUOTE TODAY
Business Checking
Account number Beginning balance
Total ad di ti ons $127 .42
$ 0 00 Total subtractions
'~~' No activity this statement period "' 1'
EXHIBIT P.l ?j · ~ of I '2-
$0 .. 00
Page 1
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGf I,
Statement of Account
Last statement: September 30, 2013 This statement: October 31, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Summary of Account Balance
Business Checking
Account number
Account
Business checking
Beginning balance Total additions
$127..42 $ 0.00
Number Ending Balance
$127..42
Total subtractions
,,,, No activity this statement period 'h~
Page 1
EXHIBIT 2' ?l lo of t'J..
$0 .. 00
PAGE
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Business checking
Account number
Account
Business Checking
Beginning balance Total additions
$127 '42 $ 0,00
(
Statement of Account
Last statement: October 31, 2013 This statement: November 29, 2013 Total days in statement period: 29
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number Ending Balance
$127..42
Total subtractions
·~f· No activity this statement period 1'''
Page 1
$0.,00
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Statement of Account
Last statement: November 29, 2013 This statement: December 31, 2013 Total days in statement period: 32
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Account
Business checking
Number
Ending sa lance
$127 42
Business Checking
Account number Beginning balance
Total additions $127. 42
$ 0 .. 00 Total subtractions
'''1 NO activity this statement period * '"
EXH\BIT_CO \&)· \]ofJl_
Page 1
$0.00
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Business checking
Account number
Account
Business checking
Beginning balance Total ad di ti ons
$127 .42 $ 3,500.00
Statement of Account
Last statement: January 31, 2014 This statement: February 28, 2014 Total days in statement period: 28
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number
Ending Balance
$3,627.42
Total subtractions $000
Date 02-21 02-27
Description #Deposit #Deposit
control number 0000000160003 72 000000016000255
Additions 2,000 00 1, 500 00
subtractions
Daily Date 01-31
balances Amount 127 42
Date 02-21
Amount 2,127.42
Date 02-27
EXHIBIT_~ I ot3
Amount 3,627.42
Page 1
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGo' 1.
Statement of Account
Last statement: February 28, 2014 This statement: March 31, 2014 Total days in statement per·iod: 31
Direct inquiries to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
8
summary of Account Balance
Business checking
Account number
8 Enclosures
Account Number
Business checking
Ending Balance
$586 68
Beginning balance Tota 1 additions
Number Date 232121 232122 306463 306464 306465 306466 306467 306468
03-24 03-05 03-03 03-10 03-12 03-07 03-13 03-12
,., Skip in check sequence
Date oescr ption 03-05 #Depos t 03-05 #Depos t 03-11 #Depos t
$3. 627. 42 $ 4,600 .. 00 Total subtractions $-7,640 .. 74
Amount control 37 .. 00 000001000005947
39644 000001000002707 1,600 00 000001000002084
893 85 000001000006195 2,015 .00 000001000008403 1,000 .00 000001000006210 1,500.00 000001000006515
198 .45 000001000000916
control number Additions subtractions 000000016000304 2,000.00 000000016000307 2,000.00 000000016000316 600 00
Page 1
EXHIBIT~!. 2of-3 _
##XXH1768DPCSTM
Daily balances Date Amount 02-28 3, 627 42 03-03 2,027.42 03-05 5,630.98
Date 03-07 03-10 03-11
Amount 4,630 .. 98 3,737 .. 13 4, 337 .. 13
EXHIBIT _3 p~. 3J13
March 31, 2014
Date 03-12 03-13 03-24
Amount 2,123 .. 68
623 .. 68 586 68
Page 2
Committee I racking system -rFlorida Division of Elections - Departmo/'t 0f State I I
Florida Department of State Room 316 R.A. Gray Building 500 South Bronaugh Street Tallahassee, Fl 32399-0250 (850)245-6200
Division
Elections
of
Committee Tracking System
MPAC (Management Political Action Cmte .. of Palm Beach Cnty
Type: Political Committee
Status: Active
Address: 224 Datura Street, Suite 1114
West Palm Beach FL 33401
Phone: (561)655-6311
(561)315-0481
Chairperson: John R Smith
7930 Valid Appeal
Palm Beach Gardens, FL 334180000
Treasurer: Mark Klimek
224 Datu.ra Street, Suite 1114
West Palm Beach, FL 33401
Registered Agent: John R Smith
Purpose:
Affiliates:
224 Datura Street, Suite 1114
West Palm Beach FL 334010000
Campaign Finance Activity
Campaign Documents
http://election.dos .. state.fl.us/committees/ComDetaiLasp?account=30405
Page I of I
4/3/2014
~ tor'oq ':J STATE OF FLORIDA ( ' CHECK APPROPRIATE BOX ..
, r > t . .
' ' ' b Original Appointment APPOINTMENT OF CAMPAIGN TREASURER"
AND DESIGNATION OF CAMPAIGN DEPOSl'~@~Y: \ 'i ;': ; : I ru 'Deputy Treasurer
FOR POLITICAL COMMITTEE ·- ~ .. ~~appointment of Treasurer (Section 106 .. 021 (1), F .. s .) ·- :: ('- '.: : i :_' ,/ 1· cr\t;t .,~_ v1, ... \. \ i econdary Depository
(PL.EASE TYPE)
1 Committee Name 2 Mailing Address
MPAC (Management Political Action Committee 224 Datura Street, Suite 311 of PBCo .. )
·--· Telephone (optional) 3 City 4 County 5 State 6. Zip Code
<561 l655-7224 West Palm Beach Palm Beach Florida 33401 ·-
The fol!Qwlng perJon has tieen appointed to serve a~ 0 Campaign Treasurer D Deputy Treasurer fot the above named comml':tee
- ·-7 Name of Treasurer or Deputy Treasurer 8 Street Address
Mark Klimek 8600 Pine Cay
--'-· ·-- ·-9. City 10. County 11. State 12 Zip Code
West Palm Beach Palm Beach Florida 33411
I have designated the following named bank as my 0 Primary Depository LJ Secondary Depository I- . ·---------·-
13 Bank Name (include account number) 14 Street Address
Mellon United Nat'I Bank~ 1645 Palm Beach Lakes Blvd.
~·
18 Zip Code 15 .. City 16. County 17 State
West Palm Beach Palm Beach Florida//7 33401 19 Name of Chainman 20 Signature of c~z , / / John R. Smith ya-;.////~) -.,
x //, /"//77/, Campaign Treasurer's Accz=& ,P'POi ntm'1ft
I, Mark Klimek --- , do hereby accept the appointment as -------.. ·------{Please Print or Type) MPAC (Management Political Action Committe1
0 Campaign Treasurer D Deputy Treasurer for the of PB Co .. ) .. -
Committee As a duly registered voter in Palm Beach County Florida, I am
- ------qualified to accept this appointment
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
,_}a ;, i/(2!{ x·-~,, -----~/~-r ---····· I 1-oate ?ature of Campaign Treasurer or Deputy Treasurer
DS·DE 6 (Rev .. 12101) v
Miami lakes Operations Center
/"' ~,
I . '6901 Miami lakes Drive East
Sabadell United Bank
May 12, 2014
Tracie Aulet Investigation Specialist 107 W. Gaines Street Collins Buildings, Suite 224 Tallahassee, Florida 32399
RE: M PAC
Dear Ms. Aulet:
Miami lakes FL 33014-2464
T (305) 825-9132 F (305) 557-5471
www .sabadellunited com
Enclosed are the documents that pertain to the above Subpoena served to Sabadell United Bank.
Copies of bank statements, signature card, deposit items and cancelled checks for account number, , title MPAC, records for the time period of 09/28/2012 through 04/30/2014
The total cost for the production of these documents is$ 36.75, which includes labor at$ 10.00 per hour and copies at$ 0.15 per page .. Please make your check payable to Sabadell United Bank and send with a copy of the Cost Analysis
If you have any questions regarding the enclosed documents, please call me at (305) 820-5272. On behalf of Sabadell United Bank N .. A and myself, it is our pleasure to assist you.
Si,,§
-4{~c~ ~:~rds Custodian
,.,, r- ~J
f'l ... <;;;;:.>
~~~ = ;19 c·,.._. :r;; ni _;;: f'l1 -< Cl (/){fr) -,, w rn c-:i.,, o_
.,_,_ ;?~® D < _ ... ;.'l) rn v; it7V r:,> (/))P CJ t;.;.")
z C>
**** C'onfidentia/ ****
May 12, 2014
(
COST ANALYSIS INVOICE MPAC
Tracie Aulet Investigation Specialist 107 W. Gaines Street Collins Buildings, Suite 224 Tallahassee, Florida 32399
In the Matter of Management Political Action Committee of Palm Beach County
. .
Itemized Schedule of Documents Produced .. .
Quantity Cost ltem(s)
Copies of bank statements, signature card, deposit items and
$ 0.15 cancelled checks for account number title MPAC,
45 records for the time oeriod of 09/28/2012 to 04/30/2014.
3 HR. $ 10 00 Research time
TAX ID: 59-1538315
Please Remit Payment to:
Sabadell United Bank N .A. f/k/a M.U.N.B.
Operations Center F.E.I. 59-1538315
P.O. Box 5460 Hialeah, Florida 33014
Attn.: Records Custodian
**** Confidential •··•**
.
Total
$ 6.75
$ 30 00
$36.75
~
/ I
Signature Card @Mellon
Mellon United Naflonol Bonk 8 __ Title: -------- ------. ...,..A,...oo-,-un_t.Numb-O>c: __ _
• Printed & Titl .
•
Action
Printed Name E T &'I'itle: • Llwyd Ecclestone, i:::·eas.
•
1
EIN / SSN: EIN ISSN:
Number of Si o:ture Cards
1
0 Open Date Reissue Date
S-29-03
~p.;;;::;,·n~t<o~d:;;:;N'-a=m~e-t'-~"';""'<..:'.'-------------<~'l'r-a-e-k-Co-d-a:-----------< &Title Deputy Treas ..
--~--------·----·
-·--· --------------- ------Identification
•
Printed Name i-A.'f'itle
Officor Assi?ied to: 02101 02100
Opened by: Mm' na
• OWNERSBlP OF ACCOUNT
0 lndlvldul'l
Printed na 0 Joint TMAnts (J'I'WltOS} 0 Teiuutta by EntlrcUes (TBE)• & 'l'itle 0 Sole Proprletorehtp -- _)) D P&.rtncnblp 0 Corporation • lCJ Unincorporated Asaochltlon 0 Guardltui.shlp I Estate I Trust
Printed Name 0 Othe11 ___________
&Title TYPE OF ACCOUNT
1111 Cbecklng 0 Money Market 0 &pur-0bue Agffement 0 Savings 0 NOW AccoWlt 0 Other. 0 'Re$trieted Acct. D Time 0eJ)O$lt -------------------
MATERIAL COND!f!ONS GOVERNING THE OPENING OF AN ACCOUNT WITH MELLON UNITED NATIONAL BANK
BY SIGNING TlUS SIGNATURE CAIW IN nm SPACE BELOW, DEPOSITOR($) ACKNOWLEDGES nlA1' nm CONDlTIONS Ll.."n'ED .ID'.LOW lIAVE BEEN RUD AND AGREED 'l'O INCLUDING TII£ WAIVER OFJVRY TRL\l. WHICH IS A MATERfAL INDUCEMENT FOR THE BANK ro ACCEPT ·nns AGREEMENT ANI> PROVJ:l'IE ACCOUNT SERV1CES ro THE DEPOSIT<>R. DEPOSl'l'ORtS) ExPRESSl Y AUTHORJZBS 'I'HIS BANK TO OBTAJN INFORMATION I>'ROM OTHERS CONCi:iRNINO CREDIT STANDING. DEPOSITOR ACf<NOWLEOOt~ ROCEJPT Oi;' A COPY OF THE BANK'S AGREEMENT GOVERNING DEf'0$1T ACCOUNT3 Wl'fH MELL.ON UNITED NATIONAL, BANK AND AGREES TO BE BOUND THEnEnv, TOGETHER Wl'TH SUCH AMENDMENTS AB MAY Bi:i PROMULOA'l'EO DY THE BANK ANO OELlVERED 'l'O THE DEPOSITOR !?ROM TIME TO TIME. •oEPOSlTORl.Sl FIJRTHER ACKNOWU:OGES THAT THE RIGHTS OF THE DKPOSITQR(Sl AND THE BANK WITH RESPEC'I' 'l'O JOINT ACCOUN'r8, JNCL(JI)INO'l'ENAN'l'S BY ENTIRETIES ACCOUN'1'8, ARE SET FORTH JN THY. AGJU:EMEN'J\ OBPOSITOR AGREES TH.AT 'l'HE BANK Sw.LL NOT BE RESPONSIBLE FOR THE WRONGFUL OR CRIMINAL ACTS OF DEPOOl'l'OR'S EMPLOYEES, INCLUOINO NEGO'l''lA'flON OF FORGED, Al,TERED OR UNAU'f'HOR1ZBO l'I'EMS. DEPOSl'l'OR AGREES 'I'O HOLD BANK HARMLESS FROM ANY Cl.AJMS OR I.JABlLITY ARISING FROM THE MISCONDUCT OF THE OF.POSl'I'OR OR ITS F,MPLOVEE.S. DEPOSITOR CKRTIFJES, UNDER PENALTY OF PER'1URY (1) THAT 111'.E NUMBER SHOWN ON nns CARD IS MY CORRECT TAX:l"AYER IDENTIFICA1'ION NUMBER. (2) THAT I AM A U.S. PERSON ONCWDING A U.S. RES!Dl'!N'l' AUEN), AND {S) THAT l AMNOTS(18j'ECTT0 BACKUP WlTHBOLDING EITUERBECAUSE l HAW NOT BEEN NO'l'G'lli!D BY THE tNTJ?:RNAL REVJo:NV'F. SERVICE OF BACltlJ.E> WlTHHOLDIN'G A& A RESULT OF' A FAit.'UftE TO REPORT ALL INTEREST OR DIVlDENVS OR THE IN'l'ERNAL MVENUE SERVICE HAS NOTIFIED M& 'MAT 1 AM NO LONGER SUBJECT TO RACKUP' WITHHOLDING. llNSTRUCTION 'l'O SIGNER: IF YOU RAW BEEN NOTIFIED &Y THE IRS TIL\T YOU ARE SUBJECT TO BACKUP Wl'I'HHOLDING DUE 10 NOO'lFilID PAYEE UNDERREP-ORTING AND YOU llA.'VE NOT BEEN NOTIFlED THAT THE; BACKUP Wl'l'RHOLDlNG IS TE~'l'ED, YOU SHOlJI.D S1'RlXE OUT '11-m lANGUAOE IN CLAUSESABOVE). 0 D"&POSIT(,)R IS EXEMPT FROM 8ACXUP WJTHB.OLDING AND J.NF()RM'.A'l'ION REPORTJNG PER lR$ REGULA.'l'JONS
DEPOSITOR AM) BANK EACH WA.1.VE THE RIGHT TO A :Y JURY IN ANY ACTION OR PROCEEDING REI.A.TING TO 11fll: ACCOUNT OR TIUS A(]R.EEM'.EN'l' OR ANY COUNl'E OR CROSSCIAIM A.Rl9mG Ot.IT OF SUCH ACTXON. nm·INTEHNAf.-IUWRNTJE SERVICE DOES N<YtREQ PROVISION OF THIS DOOlJMEN'l'
-~~~~~~~~~_'.O'll!E~~R~T~RAN'.'.'.:'.~T~HE'.'.'.'.'~C~E~RT=IF:::l<><::TIONSREQUJRED'l'O G
-- .. ,.,.,, .. -,_,""_ ~~=======:::·=JI.· .. lL __ ~
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Business Checking
Account number
1 Enclosure
Account
Business Checking
Beginning balance Total additions
Number 232119
Daily Date 09-28
Date 10-31
balances Amount 233,88
$233 ,, 88 $ 0,.00
Date 10-31
statement of Account
Last statement: September 28, 2012 This statement: October 31, 2012 Total days in statement period: 33
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
1
Number Ending Balance
$17242
Total subtractions $-6L46
Amount 61. 46
Amount 17242
Date
control 000001000002428
Amount
Page 1
##XXH1768DPCSTM
MPAC
/
PAGE1
statement of Account
Last statement: October 31, 2012 This statement: November 30, 2012 Total days in statement period: 30
Direct inquiries to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm .Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
1
Business checking
Account number
1 Enclosure
summary of Account Balance
Account Number Ending Balance
Business Checking $127.42 NOTICE: BY FEDERAL LAW, AS OF 1/1/2013, FUNDS IN A NONINTEREST-BEARING TRANSACTION ACCOUNT (INCLUDING AN IOLTA/IOTA) WILL NO LONGER RECEIVE UNLIMITED DEPOSIT INSURANCE COVERAGE, BUT WILL BE FDIC INSURED TO THE LEGAL MAXIMUMOF $250,000 FOR EACH OWNERSHIP CATEGORY. FOR MORE INFORMATION, VISIT HTTP: //WWW. FDIC.GOV/DEPOSIT/ DEPOSITS/UNLIMITED/ EXPIRATION.HTML
Beginning balance Total additions
$172 42 $ 0.00 Total subtractions $-45.00
Number oate Amount control 232120 11-26 45 .. 00 0000010000072 54
Daily balances Date Amount Date Amount Date Amount 10-31 172 .42 11-26 12742
Page 1
~
I
##XXH1768DPCSTM
MPAC
PAGEi,
statement of Account
Last statement: November 30, 2012 This statement: December 31, 2012 Total days in statement period: 31
Direct inquiries to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
0
Business checking
Account number
summary of Account Balance
Account Number Ending Balance
Business checking $127,42 NOTICE: BY FEDERAL LAW, AS OF 1/1/2013, FUNDS IN A NONINTEREST-BEARING TRANSACTION ACCOUNT (INCLUDING AN IOLTA/IOTA) WILL NO LONGER RECEIVE UNLIMITED DEPOSIT INSURANCE COVERAGE, BUT WILL BE FDIC INSURED TO THE LEGAL MAXIMUMOF $250,000 FOR EACH OWNERSHIP CATEGORY, FOR MORE INFORMATION, VISIT HTTP: //WWW,, FDIC GOV/DEPOSIT/ DEPOSITS/UNLIMITED/ EXPIRATION., HTML
Beginning balance Total additions
$127,42 $ 0,00 Total subtractions
;..,~ No activity this statement period ~d
$0.,00
Page 1
##XXH1768DPCSTM
MPAC
PAGE ( '•
statement of Account
Last statement: December 31, 2012 This statement: January 31, 2013 Total days in statement period: 31
Di re ct inquiries to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
0
Business Checking
Account number
summary of Account Balance
Account Number Ending Balance
Business checking $127..42 NOTICE: BY FEDERAL LAW, AS OF 1/1/2013, FUNDS IN A NONINTEREST-BEARING TRANSACTION ACCOUNT (INCLUDING AN IOLTA/IOTA) WILL NO LONGER RECEIVE UNLIMITED DEPOSIT INSURANCE COVERAGE, BUT WILL BE FDIC INSURED TO THE LEGAL MAXIMUMOF $250,000 FOR EACH OWNERSHIP CATEGORY. FOR MORE INFORMATION, VISIT HTTP: //WWW. FDIC. GOV/DEPOSIT/ DEPOSITS/UNLIMITED/ EXPIRATION.HTML
Beginning balance Total additions
$127.42 $ 0.00 Total subtractions
'~'" No activity this statement period ·i·d•
$0 .. 00
Page 1
##XXH1768DPCSTM
MPAC
PAGE!
Statement of Account
Last statement: January 31, 2013 This statement: February 28, 2013 Total days in statement period: 28
Direct inquiries to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
Business checking
Account number
0
summary of Account Balance
Account Number Ending Ba 1 ance
Business checking $127. 42 NOTICE: BY FEDERAL LAW, AS OF l/l/2013, FUNDS IN A NONINTEREST-BEARING TRANSACTION ACCOUNT (INCLUDING AN IOLTA/IOTA) WILL NO LONGER RECEIVE UNLIMITED DEPOSIT INSURANCE COVERAGE, BUT WILL BE FDIC INSURED TO THE LEGAL MAXIMUMOF $250,000 FOR EACH OWNERSHIP CATEGORY. FOR MORE INFORMATION, VISIT HTTP:/ /WWW .. FDIC. GOV/DEPOSIT/ DEPOSITS/UNLIMITED/ EXPIRATION.HTML
Beginning balance Total additions
$127.42 $ 0 .. 00 Total subtractions
" 1'' No activity this statement period t,,.,
$0 .. 00
Page 1
' PAGE(
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH Fl 33401
summary of Account Balance
Business checking
Account number
Account
Business checking
Beginning balance Total additions
$127,,42 $ 0,00
Statement of Account
Last statement: February 28, 2013 This statement: March 29, 2013 Total days in statement period: 29
Di r·ect i nqui r·i es to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number
Ending ea 1 a nee
$12 7 ,,42
Total subtractions
"'* No activity this statement period '~i<
Page 1
$0,00
( PAGE( '
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Business checking
Account number
Account
Business checking
Beginning balance Total additions
$127. 42 $ 0.00
Statement of Account
Last statement: March 29, 2013 This statement: April 30, 2013 Total days in statement period: 32
oi r·ect i nqui ri es to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number
Ending Balance
$127,,42
Total subtractions
;,., No activity this statement period *'~
Page 1
$0 .. 00
;·
PAGE!
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
Summary of Account Balance
Business Checking
Account number
Account
Business checking
Beginning balance Total additions
$127 42 $ 0 .. 00
Statement of Account
Last statement: April 30, 2013 This statement: May 31, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number
Ending Balance
$12742
Total subtractions
''dr No activity this statement period 1""
Page 1
$0 .. 00
" I PAGE(
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Business checking
Account number
Account
Business checking
Beginning balance Total additions
$127 .42 $ 0.00
Statement of Account
Last statement: May 31, 2013 This statement: June 28, 2013 Total days in statement period: 28
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number
Ending Ba 1 a nee
$127,42
Total subtractions
•\•' No activity this statement period ~'*
Page 1
$0 .. 00
/ I '
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGEj
statement of Account
Last statement: June 28, 2013 This statement: July 31, 2013 Total days in statement period: 33
Direct inquiries to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account Balance
Business Checking
Account number
Account
Business checking
Beginning balance Total additions
$127 ,42 $ 0.00
Number
Total subtractions
Ending Balance
$127 ,42
"'' NO activity this statement period 'f•'~
Page 1
$0 .. 00
PAGEi'
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Account
Statement of Account
Last statement: July 31, 2013 This statement: August 30, 2013 Total days in statement period: 30
Direct i nqui ri es to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number Ending Balance
Business checking $127 .42 PURCHASING A NEW HOME? THINKING OF REFINANCING? OUR MORTGAGE EXPERTS CAN HELP YOU FIND A HOME LOAN TO MEET YOUR NEEDS, CALL 305-424-4745 TO GET A QUOTE TODAY,
Business checking
Account number Beginning balance
Total additions $127. 42
$ 0. 00 Total subtractions
,\·1' No activity this statement period ~'*
$0.00
Page 1
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGE!.
statement of Account
Last statement: August 30, 2013 This statement: September 30, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account Balance
Account Number Ending Balance
Business Checking $127 .42 PURCHASING A NEW HOME? THINKING OF REFINANCING? OUR MORTGAGE EXPERTS CAN HELP YOU FIND A HOME LOAN TO MEET YOUR NEEDS. CALL 305-424-4745 TO GET A QUOTE TODAY.
Business checking
Account number Beginning balance
Total additions $127..42
$ 0 .. 00 Total subtractions
,,.;i No activity this statement period '~'"
$0 .. 00
Page 1
(
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGE(
Statement of Account
Last statement: September 30, 2013 This statement: October 31, 2013 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account Balance
Business Checking
Account number
Account
Business checking
Beginning balance Total additions
$127 ,42 $ 0 .00
Number
Total subtractions
Ending Balance
$127,.42
'~''' NO activity this statement period '~*
Page 1
$0 .. 00
,. I
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
statement of Account
Last statement: October 31, 2013 This statement: November· 29, 2013 Total days in statement period: 29
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account Balance
Business Checking
Account number
Account
Business checking
Beginning balance Tota 1 ad di ti ons
$127. 42 $ 0 .00
Number
Total subtractions
Ending Balance
$127,42
ir,\· No activity this statement period ;,,.,
Page 1
$0 .. 00
(
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGEj
statement of Account
Last statement: November 29, 2013 This statement: December 31, 2013 Total days in statement period: 32
Direct i nqui r·i es to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account Balance
Business checking
Account number
Account
Business Checking
Beginning balance Total additions
$127 .. 42 $ 0 .. 00
Number
Total subtractions
Ending Balance
$12742
•H• No activity this statement period *'~
Page 1
$0. 00
/ I
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
(
PAGEi.
Statement of Account
Last statement: December 31, 2013 This statement: January 31, 2014 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
summary of Account ~alance
Business checking
Account number
Account
Business Checking
Beginning balance Total additions
$127. 42 $ 0.00
Number
Total subtractions
Ending Balance
$127..42
'~ ir NO activity this statement period · 1·~·
Page 1
$0.00
" I PAGEf.
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
summary of Account Balance
Business checking
Account number
Account
Business checking
Beginning balance Total additions
$127 42 $ 3,500.00
statement of Account
Last statement: January 31, 2014 This statement: February 28, 2014 Total days in statement period: 28
Direct inquiries to: 561-688-9400
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
0
Number
Ending Balance
$3,627 .. 42
Total subtractions $0 .. 00
oate 02-21 02-27
Description #Deposit #Deposit
control number 000000016000372 000000016000255
Additions 2,000 .. 00 1, 500 .. 00
subtractions
Daily Date 01-31
balances Amount 127 .42
Date 02-21
Amount 2, 12742
Date 02-27
Amount 3,627 42
Page 1
/ I
##XXH1768DPCSTM
MPAC (MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY) 224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
PAGEi.
Statement of Account
Last statement: February 28, 2014 This statement: March 31, 2014 Total days in statement period: 31
Direct inquiries to: 561-688-9400
Sabadell united sank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
8
summary of Account Balance
Business Checking
Account number
8 Enclosures
Account Number Ending Balance
Business Checking $586 .. 68
Beginning balance Total additions
Number 232121 232122 306463 306464 306465 306466 306467 306468
Date 03-24 03-05 03-03 03-10 03-12 03-07 03-13 03-12
"' Skip in check sequence
oate Description 03-05 #Deposit 03-05 #Deposit 03-11 #Deposit
$3,627.42 $ 4,600 .. 00 Total subtractions $-7,640.74
Amount 37.00
396.44 1,600 .00
893.85 2,015.00 1,000 .. 00 1, 500. 00
198 45
control number 000000016000304 000000016000307 000000016000316
control 000001000005947 000001000002707 000001000002084 000001000006195 000001000008403 000001000006210 000001000006515 000001000000916
Additions 2,000.00 2,000.00
600 00
subtractions
Page 1
##XXH1768DPCSTM
(
Daily Date 02-28 03-03 03-05
balances Amount
3,62742 2,02742 5,630 .. 98
Date 03-07 03-10 03-11
Amount 4,630 .. 98 3,737.13 4,337 .. 13
/ PAGEi_
March 31, 2014
Date 03-12 03-13 03-24
Amount 2,123 .. 68
623 .. 68 586 .. 68
Page 2
##XXH1768DPCSTM
MPAC
(
1.
PAGE
Statement of Account
Last statement: March 31, 2014 This statement: April 30, 2014 Total days in statement period: 30
Direct i nqui r·i es to: 561-688-9400
(MANAGEMENT POLITICAL ACTION COMMITTEE OF PALM BEACH COUNTY)
Sabadell united Bank, N.A. 1645 Palm Beach Lakes Blvd west Palm Beach FL 33401-2215
224 DATURA ST SUITE # 1114 WEST PALM BEACH FL 33401
0
commercial Checking
Account number
summary of Account Balance
Account Number Ending Balance
commercial checking $586 .. 68 WE WOULD LIKE TO INFORM YOU THAT, EFFECTIVE IMMEDIATELY, YOUR CURRENT BUSINESS CHECKING ACCOUNT WILL CHANGE ITS NAME TO COMMERCIAL CHECKING. WHILE THE NAME OF YOUR ACCOUNT HAS CHANGED, THE SAME SERVICE AND PROCESS OF YOUR ACCOUNT TRANSACTIONS WILL REMAIN,. WE WILL CONTINUE TO PROVIDE THE SAME EXCEPTIONAL SERVICE YOU HAVE COME TO EXPECT FROM SABADELL.
Beginning balance Total additions
$586 .. 68 $ 0 .. 00 Total subtractions
'"\ No activity this statement period ,.d,
$0 .. 00
Page 1
@ Mellon Mellon United National Bank
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TOTAL$
ACCOUNT NUMBER
DQllARS
\ 000 oo t 000 <->O
Page 1
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TR:91 2H 15 0212!m 04:39 Pl\ Ck Deposit 12,000.00
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'ii ANTHONYWGRAZIANOJR ' ROBIN R GRAZIANO
3259POLODR DELRAY BEACH, FL 33483-7337
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2664 83~7,1131 Fl
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J
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ACCOUNT NUMBER
DOlJ.ARS CENTS
-----------·---·-·-----
768 0:21L/'i:l0i<l 2551b 1 O
TR:S4 21-174 02/Z7/14 03:18 PH Ck Ilepo5it $1,500.00
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BARRANT V. MERRILL 3525 POLO DR ..
, GULF STREAM, FL 334S3
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i 68 i.3.2i2ii20 i4 256 V' I iJ 1
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WILLIAM P BOARDMAN 04.-0a
NANCY S BOARDMAN
1895
.. ""' DATE d.' l.zs;,·'//f!:___ "°918
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76802127(!01 :t 25 7 15 1 0
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ACCOUNT NUMBER
Sabadeu· G DEPOSIT SLIP
• ~ ~-1 _J MPAC (Management PAC of PBCo)
-----224-eatura Street, Suite 1114 ----1 West Palm Beach, FL 33401 L
,
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TOTAL$
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- ·------·--mLUAM F. KOCHltl 900 E ATLANTIC AVE
DELRAY BEACH A.ORIDA 33483
PAYTO ~ .D ~EOAOER /// TCl c
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. ! LAURA LONDOFFKOCH '. 1' 543 MIDDLE ROAD
GULFSTREAM, FL 33483
1039
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. J_ & 224 Datura Street, Suite 1114 -· _ ___west.ealm Beach El .334w0,_1 ________ -~---·-"-"_ .. _••_•-_..., ______ -----<
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ACH R/T 021000322
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PAY M" TOTHE _'" ~ C,.-ORDER OF __ __'.!____t'.j__,___-'-'-=----·
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ACCOUNT NUMBER
OOUARS CENTS
JOANNE F. HA YES 08-94 3126 GULFSTREAM RD DEL.RAY BEACH, FL 33483-7312
/.'
87-4/640 1801 00194034a2
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West Palm Beach FL 33401 670
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MPAC (Management PAC of PBCo . .) 224 Datura Street, Suite 1114 West Palm Beach. FL 33401
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CfC>tiei5b No. 232121
DATE 1+-- __ 63·964 670
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