REVISED - pbcgov.compbcgov.com/pubInf/Agenda/20140909/6A1.2nd.revised.pdf · Please attach a biography or resume to this form. Section I {Department): (Please Print) ... (Please Print)

REVISED

Agenda Item No: 6A-1

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS

BOARD APPOINTMENT SUMMARY ------------------------------------------------------------------------------------------------------------------------------------------------~-------Meeting Date:

Department:

Advisory Board Name:

September 9, 2014

Palm Tran

Palm Tran Service Board --------------------------------------------------------------------------------------------------------------------------------------------------------

I. EXECUTIVE BRIEF

Motion and Title: Staff recommends motion to:

A) Waive the residency requirement in Resolution R2002-0485, as amended, and R2013-0193 for Mr. Dwight Mattingly; and •

8) Approve the Appointments of two (2) At-Large members to the Palm Tran Service Board (PTSB) for the following terms:

Nominee

Frank Stanzione

Dwight Mattingly

Category, Seat Number

Senior Citizen Seat#?

Fixed Route Bus Operator Seat #10

Term to Expire

Sept. 30, 2017

Sept. 30, 2016

Nominated By

Mayor Taylor Comm. Vana Comm. Valeche Vice Mayor Burdick

Mayor Taylor Comm. Vana Comm. Valeche Comm. Abrams Vice Mayor Burdick Summary: The Palm Tran Service Board is composed of 13 At-Large members with specific seat categories. There are currently four (4) vacancies on the Board. On August 21, 2014, staff circulated a memo to the Board of County Commissioners (BCC) requesting support of Mr. Stanzione and Mr. Mattingly's to fill two of those vacancies. The Resolutions currently governing the Palm Tran Service Board, state that all members shall be residents of Palm Beach County, and does not allow for exceptions. ln March 2013, the BCC adopted new uniform policies and procedures governing advisory boards, and allowed for exemptions to the residency requirement when circumstances warrant outside technical/professional representation. In the case of Mr. Mattingly, staff is requesting the BCC waive the residency requirement since Seat 1 O is assigned to a fixed route bus operator, and there are no residency requirements for Palm Tran's fixed route bus operators. Mr. Mattingly is also filling an unexpired term due to the retirement of a fixed route bus operator. No additional nominations were received. Countywide (DR)

Background and Justification: The PTSB was delegated the authority to approve fixed route service adjustments and serves only as an advisory board in all other aspects of the County's public transportation system. Agenda Summary R2002-2241 was amended April 2, 2002 (R2002-0485), and again amended by R2003-1582 on September 23, 2003, to remove the sunset date, further amended by R2004-0949 on May 18, 2004, designating a seat allocated to the Mini-Grace Commission to a 1'Citizen At Large" seat. Membership criteria were once again .amended with R2007-0711 on May 1, 2007. R2008-1568 further amended the membership criteria on September 8, 2008, increasing the number of members to 13 with one category specifically for a member from the Glades/Lake Region Area. The PTSB has eight (8) seats currently filled and the diversity count, including new appointments, would be Caucasian: 8 (80.0%), African-American: 1 (10.0%) and Native-American: 1 (10%). The gender ratio (male: female) is 6:4. Attachments: 1. Board Appointment Information Forms and Resumes 2. Current Membership List -----------------------------------------------------------------------------------------~--------------------------------------------------------------

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.

Section I {Department): (Please Print)

Not Purely Advisory [X] Board Name: Palm Tran Service Board (PTSB) Advisory [ ] Not Advisory [

[ X ] At Large Appointment or District Appointment /District#: __ _

Term of Appointment: --- Years. From: To: 09,ec_;Y2_0_1-""-4')_· _____ _

Seat Requirement: _F_ix_e_d_R_o_u_te_B_u_s _O_A.p_er_a_to_r _______________ Seat#: 10

[ ]*Reappointment or [ ] New Appointment

or D(J to complete the term of

Completion of term to expire on:

resignation [)(J other + (e,,\\rtmUl

*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _

Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Mattingly Last

Occupation/ Affiliation:

Business Name:

Business Address:

Dwight First

Fixed Route Bus Operator

Owner [ ] Employee [ ]

City & State _________________ Zip Code:

Residence Address: 8907 SE Pine Cone

City & State

Home Phone:

_H_ob_e_So_u_n_d ____________ Zip Code:

__,_( ----") ___________ Business Phone: ( )

Cell Phone: _(_,_5_61....<..)_52_3_-0_5_2_5 ______ Fax: ( )

Email Address: ATUl [email protected]

Mailing Address Preference: [ ] Business [ X ] Residence

/ Have you ever been convicted of a felony: Yes___ No_·✓ __

Middle

Officer [ J

33455

Ext.

If Yes, state the court, nature of offense, disposition of case and date: _____________________ _

Minority Identification Code: [ ] Native-American

Page 1 of2

[X] Male [ ] Female [ ] Hispanic-American [ ] Asian-American [ ] African-American [X] Caucasian

Section Il Continued:

CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No.

Example: {R#XX-XX/PO XX)

NONE

Department/Division

Parks & Recreation

Description of Services

General Maintenance

(Attach Additional Sheet(s), if necessary) OR

U2l NOT APPLICABLE/ D (Governmental Entity)

10/01/00-09/30/2100

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment.!. Article XIlI, and the training requirement can be found on the web at: http://www.palmbeachcountvethics.com/training.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

[3,,,--By signing below I aclmowledge that I have read, understand, and agree to abide by Article XIlI, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

[._/_,,,-- By watching the training program on the Web, DVD or VHS on 'Z /21 20 I <-/ By atten~ing a live presentation given on ________ , 20_'_

G=:r By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics: (' . , : ~- . . ~ , _,,, . . I * Applicant's Signature:;{ ~l ?-ei-•/:2'{)·llfiTD'& Printed Name: ~-·t,/ cl /1 f II. /11.:dfi l'/tJ Is Date: r; /1.. .2 {) [' (</ ' .· r \, ... / v _j J f . , I

Any questions and/or concerns regarding A:µfule ~II, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com br-c6ntact us via email at ethics(a.'.palmbeachcountyethics.com or (561) 233-0724.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section ID {Commissioner, if applicable): Appointment to be made at BCC Meeting on: September 9, 2014

Commissioner's Signa . Date: {J, f / ----,----Pursuant to Florida's Public Record(Law, this document may be reviewed and photocopied by members of the public. Revised O 1/14/2014

Page 2 of2


The ieformation provided on this form will be used in considering your nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.

Section I (Department): (Please Print)


[ X ] At Large Appointment or ] District Appointment /District #: __ _

Term of Appointment: Years. ---"'---- From: _.c:..--__ To: _9!/,,~:._2_0l_t_J ____ _ Seat Requirement: Fixed Route Bus Operator Seat#:

_______ ..A.._ _______________ _ 10

[ ]*Reappointment

or r)(J to complete the term of

Completion of term to expire on: I I

or New Appointment

resignation





Business Name:

Business Address:

Dwight First





City & State

Home Phone:

_H_o_be_S_ou_n_d ____________ Zip Code:

--..0...(-----') ___________ Business Phone: ( )

Cell Phone: _(_,_5_61--'-)_52_3_-0_5_25 ______ Fax: ( )

Email Address: ATUI [email protected] ·


Have you ever been convicted of a felony: Yes ___ No ..,//

Middle

Officer [ ]

33455

Ext.



Page 1 of2

[ X] Male [ ] Hispanic-American

[ ] Female [ ] Asian-American [ ] African-American [X] Caucasian

Section II Continued:



Example: (R#XX-XX/PO XX}

NONE

Department/Division

Parks & Recreation


General Maintenance


I ~/l NOT APPLICABLE/ D (Governmental Entity)

10/0l/00-09/30/2100

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment Article xm, and the training requirement can be found on the web at: http://www.palmbeachcountvethics.com/training.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

[3......-By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

(._,//- By watching the training program on the Web, DVD or VHS on '2/41 20 / <./ By atten~ing a live presentation given on _______ , 20_'_

I v'T By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:

, ' ',. ~/ ~ I I * Applicant's Signature: J. h-✓.,./2,_ ( -~ · :z7;-~/{~ Printed Name: / k~-1 i::i /1 f II. /i// .::·1 lft r1 t'.,lt-i Date: ;V.l ."2 /,) c1(</ .·· . I /-). I ' _) ( ' I I / \ / I l .. -Any questions and/or concerns re arding ~(~le XIII, the Palm Beach County Code of Ethics, please visit the Commission o~ Ethics website www.palmbeachcountyethics.com 6r-ctfntact us via email at ethics(a.:palmbeachcountyethics.com or (561) 233-0724.



Section ID (Commissioner, if applicable): Appointment to be made at BCC Meeting on: September 9, 2014

Commissioner's Signature: ,~f ~~-✓-✓n-D~a-te-: __ i_/_Q_'f"_/_1_1 ____ _ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised O 1/14/2014

Page 2 of2


The infonnation provided on this forr,n will be used in considering your nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.


Not Purely Advisory [XJ Board Name: Palm Tran Service Board (PTSB) Advisory [ ] Not Advisory [

[ X ] At Large Appointment

Term of Appointment:

or ] District Appointment /District #: __ _

Years. From: 09/09/2014 To:

Seat Requirement: Fixed Route Bus Operator Seat#: --------"'------------------ 10

[ ]*Reappointment or [ :J New Appointment

or [)Q to complete the term of Won. k 8--ao -;z.... I O'(\QJ)ue to:

Completion of term to expire on: _9---1--1\:;f..-:...:D-"-\..._._\~-------------[ ] resignation





Business Name:

Business Address:

Dwight First





City & State

Home Phone:

_H_ob_e_S_ou_n_d ____________ Zip Code:

( ) Business Phone: ( ) Cell Phone: __,_(5_61-'-)_5_23_-0_5_2_5 ______ Fax: ( ) Email Address: ATUl [email protected]


/ Have you ever been convicted of a felony: Yes ___ No _v_/ __

Middle

Officer [ ]

33455

Ext.



Page 1 of2

[X] Male [ ] Hispanic-American



CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary• that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.


Example: {R#XX-XX/PO XX)

NONE

Department/Division Description of Services

Parks & Recreation General Maintenance


U2J NOT APPLICABLE/ D (Governmental Entity)

10/01/00-09/30/2100

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment Article XIII, and the training requirement can be found on the web at: http://w\-YW.palmbeachcountyethics.com/training.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

[3,,.,----By signing below I acknowledge that I have read, understand, and agree to abide by Article XIlI, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below): r

L-/,,,. By watching the training program on the Web, DVD or VHS on 'S/;; I 20 I<,/ By attending a live presentation given on ________ , 20_'_

GJ.- By signing below I acknowledge -that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:

*Applicant's Signature:;(({'. i1-c"r::7c7{)']~ Printed Name: j').'-''1 i::, /1 f II. l 11c,., ff✓ >·u;/1..1 Date: ~? /:;_ :Z /J cf</ .- -r \ / ~ v , ) J ( • I ,

Any questions and/or concemf rngarding A.J;:t:fcle ~II, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com br-cobtact us via email at ethics(a:1palmbeachcountyethics.com or (561) 233-0724.



Section ID Commissioner if a licable : Appointment to be made at Bee ,. eeting on: (l September 9, 2014 ,

Commissioner's Signature:kz?' /2_ {JC( (::,7-c,-&;--=-,-.,-~--.,.......-. --'Da-te-:0_

1

_/-;.---2_-_ -7-~-/-a--(-cf---,.-----Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised 01/14/2014

Page 2 of2


The information provided on this form will be used in considering your-nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.



[ X ] At Large Appointment or [ ] District Appointment /District #: __ _

Term of Appointment: _a\. __ Years. From: 09/09/2014 To: q/3ojar:iLtP Seat Requirement: Fixed Route Bus Operator Seat #: ------~"----------------- 10

[ ]*Reappointment or [ ] New Appointment

or [y{ to complete the term of W8¢ k._ ) 3•h:ta2J' D/1:'2- Due to: Completion of term to expire on: . · 'J)Q 00 J lq

[ ] resignation [;( other ,

rthYtm111J--·· *When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _


Name: _M_a_tt_in_,g,:....1-"-y ___________ D_w_i=gh_t ______________________ _ Last First

Occupation/ Affiliation: Fixed Route Bus Operator


Business Name:

Business Address:



City & State

Home Phone:

_H_ob_e_So_un_d ____________ Zip Code:

---"--(---") ___________ Business Phone: ( )

Cell Phone: -'-(5_6----'-1)_5_2_3-_0_52_5 ______ Fax: ( )

Email Address: ATUI [email protected]

Mailing Address Preference: [ ] Business [ X ] Residence .,,,,-

Have you ever been convicted of a felony: Yes___ No ·v/

Middle

Officer [

33455

Ext.



Page 1 of2






Example: (R#XX-XX/PO XX}

NONE

Department/Division

Parks & Recreation


General Maintenance


I t/'l NOT APPLICABLE/ D (Governmental Entity)

10/01/00-09/30/2100

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment Article XIll, and the training requirement can be found on the web at: http://w,•vw.palmbeachcountvethics.com/training.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

[3.,,----By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

i/ By watching the training program on the Web, DVD or VHS on 5 /;; I 20 isl By attenµing a live presentation given on ________ , 20_'_

[2r By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:

*Applicant's Signature: l'L~ '7-.n/?lhlr~: Printed Name: i),'--,1 ,:;, /1 f II. 111,:'c ffr,,,t;ls Date: 9 l:)_ 2 b ci!{

Any questions and/or concem{Jarcling ~r~]: k, the Palm Beach County ~o:e of Ethics, please ~sh the Commi~sion o~ Ethic~ website www.palmbeachcountyethics.com br--c6ntact us via email at ethics(a1palmbeachcountyethics.com or (561) 233-0724.



Section ID (Commissioner, if applicable): Appointment to be made at BC._C Meetn,·•' ~ o. n. :

~ Llb September 9, 2014

Commissioner's Signature: :0 . \ r ~~ Date: q - 3 - \ 4 ---~---------Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised O l /14/2014

Page 2 of2



Section I (Department): (Please Print) Not Purely Advisory [X]

Board Name: Palm Tran Service Board (PTSB) Advisory [ } Not Advisory [


Term of Appointment: Years. From: 09/09/2014 -----

Seat Requirement: _F_ix_e_d_R_o_u_te_B_u_s_O_.p,_e_r_at_o_r ______________ Seat#: 10

[ ]*Reappointment or [. I New Appointment

or to complete the term of


[ ] resignation 1)CJ other + re.iire.mU\


Section II {Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Mattingly Dwight Last


Business Name:

Business Address:

City & State

Residence Address:

City & State

Home Phone:

Cell Phone:

Email Address:

First



_________________ Zip Code:

8907 SE Pine Cone

_H_ob_e_So_un_d ____________ Zip Code:

( ) Business Phone:

(561) 523-0525 Fax:

ATUl [email protected]

Mailing Address Preference: [ ] Business [ X] Residence

Have you ever been convicted of a felony: Yes ___ No /

Middle

Officer [ ]

33455

Ext.



Page 1 of2

[X] Male [ ] Female [ ] Hispanic-American [ ] Asian-American [ ] African-American [X] Caucasian


CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIIT, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.


Example: (R#XX-XX/PO XX)

NONE

Department/Division

Parks & Recreation


General Maintenance


NOT APPLICABLE/ D (Governmental Entity)

10/01/00-09/30/2100

ETIDCS TRAINING: All board members are required to read and complete training on Article XIIl, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment:_ Article XIIl, and the training requirement can be found on the web at: http://wvvw.palmbeachcountvethics.comJtraining.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

!3.,...---By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

- . r

V By watching the training program on the Web, DVD or VHS on 'Z /p I 20 I c/ By attenµing a live presentation given on ________ , 20_'_

[a~ By. signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:

*Applicant's Signature: /,/l 1-r..c:?2-/· .-i // /lt Printed Name: U,:'.~', e: /4 f I{ /\1c.. M ,.,t:i/c.., Date: 9 /.:;_ ~ /J c(t/ ,// ~ /-v J J ( f> • I I

Any questions and/or concerns regarding A;-fkle XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or-cOirtact us via email at [email protected] or (561) 233-0724.



Section ill {Commissioner, if applicable): Appointment to be made at B C Meeting on: September 9, 2014

,r

Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.

Page 2 of2

Revised O 1/14/20 I 4

Associations and Boards

Resume Dwight H. Mattingly

-2012 - Present- Board of Directors Florida Public Pension Trustee Association. -2012 - Present- Executive Board Member Can-Am Conference Board Amalgamated

Transit Union. . -2011 - Present- Board of Directors Workforce Alliance/Career Source Palm Beach

County. -2007 - Present- Vice Chairman for the Amalgamated Transit Union Florida State

Legislative Conference Board. -2005 -Present-Trustee on the Executive Board of Palm Beach-Treasure Coast Central

Labor Council, AFL-CIO. -2001-Present- Pension Trustee of the Palm Tran/ATU Local l577 Pension Fund,

currently serving as Chairman of the Board of Trustees.

Work History

-2001 -Present- President/Business Agent Amalgamated Transit Union Local 1577 -1999 - 2001- Financial Secretary Treasurer Amalgamated Transit Union Local 1577 -1996-Present- Bus Operator for Palm Tran -1990 - 1996 - Construction industry, employed by Addison Drywall -1970- 1996- Summer and part-time employment in Construction industry and

Charter Bus Industry. -1976-.1990- taught high school and 8th grade, Bible, History and Social Sciences.

Education

-2003 - Present- Florida Public Pension Trustee Association Continuing Education Units -2003- Completed course of study by Florida Public Pension Trustee Association for

Certified Public Pension Trustee -Graduated 4 year college with a B.A. in History and Secondary Ed .

. -Completed High School 1970






Term of Appointment: 3 Years. From:

Seat Requirement: Senior Citizen Seat#: 7

[ ]*Reappointment or [X] New Appointment

or ] to complete the term of ___________ Dueto: [ ] resignation [ ] other Completion of term to expire on:

*When a person is being considered for reappointment, the numb~r of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _


Name: Stanzione Last


Business Name:

Business Address:

Frank First

Retired

Owner [ Employee [ ]

City & State __________________ Zip Code:

Residence Address:

City & State

Home Phone:

Cell Phone:

Email Address:

8582 Tourmaline Blvd.

_B_o-=--yn_t_o_n_B_e_a_ch-','--F_L_· __________ Zip Code:

__,_( --") ___________ Business Phone: ( )

(561) 364-1265 Fax: ( )

Fstanz03 l [email protected]


Middle

Officer [ ]

33437

Ext.

Have you ever been convicted ofa felony: Yes___ No X If Yes, state the court, nature of offense, disposition of case and~----------------------


Page 1 of 2

[ X] Male [ ] Female [ ] Hispanic-American [ ] Asian-American [ ] African-American [X] Caucasian


CONTRACTUAL RELATIONSHIPS: .Pursuant to Article XIII, Sec. 2-443 of the Pa1m Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.


Example: {R#XX-XXIPO XX)

NONE

Department/Division

Parks & Recreation


General Maintenance


D NOT APPLICABLE/ D (Governmental Entity)

10/01/00-09/30/2100

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Pa1m Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment Article :xm, and the training requirement can be found on the web at: http://www.palmbeachcountvethics.com/training.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

sl-By watching the training program on the Web, DVD or VHS on /f-J C d- / 2q4 By attending a live presentation given on ________ , 20 __

understand and agree to abide by the Guide to the Sunshine

Any questions and/or concerns regarding Article XIII, the Pa1m Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at ethics(mpalrnbeachcountyeth.ics.com or (561) 233-0724.

Page 2 of2



Revised O 1/14/2014






From: Term of Appointment: 3 Years. To: 09LfJr, .~QI 7 --'--•-....a.-!!'----- -- _ _,{ ________ _ Seat Requirement: _S_eru_·_or_C_it_iz_en ___________________ Seat#: _7 _________ _

[ ] *Reappointment or [X] New Appointment

or [ J to complete the term of ___________ Due to: [ ] resignation [ ] other Completion of term to expire on:


Section II {Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Stanzione Last


Business Name:

Business Address:

City & State

Residence Address:

Frank First

Retired


------------------


Zip Code:

City & State

Home Phone:

_B_oyn_t_on_B_e_ac_h_, _F_L __________ Zip Code:

( ) Business Phone: ( )

Cell Phone: (561) 364-1265 Fax: ( )

Email Address: Fstanz03 l [email protected]


Middle

Officer [ ]

33437

Ext.

Have you ever been convicted of a felony: Yes___ No X If Yes, state the court, nature of offense, disposition of case and~----------------------


Page 1 of2

[ X] Male [ ] Hispanic-American



CONTRACTUAL RELATIONSHIPS: .Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Description of Services Contract/Transaction No.


DepartmentIDivision

Parks & Recreation General Maintenance 10/01/00-09/30/2100

NONE D



ETIDCS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment.,_ Article XIlI, and the training requirement can be found on the web at: http://www.palmbeachcountvethics.com/traiuing.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XITI, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

. __s::'j ~ By watching the training program on the Web, DVD or VHS on /f-iJ C ,J.. / 2q4 By attending a live presentation given on ________ , 20 __

AND

~ By signing below I aclmowledge that I have read, understand and agree to abide by the Guide to the Sunshine ~mendment & State o Florida Code o Ethics:

Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at ethics(cvpalmbeachcountyethics.com or (561) 233-0724.

Return this FORM to: {Insert Liaison Name Here}, {Insert DepartmentIDivision Here}


Section ID {Commissioner, if applicable): Appointment to be made at BCC Meeting on: September 9, 2014 --=----~----------------

Commissioner's Signature: >dfu/Ju,; cifid2if.. / Date: 3/ .Qf:f / /'f Pursuant to Florida's Public Records Law, this docum:t:lreviewed and photocopied by members of the public. Revised 01/14/2014

Page 2 of2


The information provided on thisfo,m will be used in considering your nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.




Term of Appointment: 3

Seat Requirement: Senior Citizen

[ ] *Reappointment

or to complete the term of


Years. From:

or

To: q/3u_} r} -...e.....::='--il----"----- I ,

Seat#:

, [X] New Appointment

7

___________ Due to: [ ] resignation [ ] other


Section Il (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Stanzione Frank -----------------------------------------Last First Middle Occupation/ Affiliation: Retired ------------------------------------

Business Name:

Business Address:

City & State

Residence Address:

City & State

Home Phone:

Cell Phone:

Email Address:


________________ Zip Code:


_B_o_yn_t_o_n_B_e_a_ch_,_F_L ___________ Zip Code:

( ) Business Phone: ( )

(561) 364-1265 Fax: ( )



Officer [ ]

33437

Ext.

Have you ever been convicted of a felony: Yes___ No X If Yes, state the court, nature of offense, disposition of case and~----------------------


Page 1 of2







Department/Division


NONE D



ETIDCS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment Article XIII, and the training requirement can be found on the web at: http:/hYww.palmbeachcountvethics.com/training.htm. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below): _?'I ~ By watching the training program on the Web, DVD or VHS on If-,; C d- / 2q__J_j_

By attending a live presentation given on ________ , 20 __


* Applicant's Signat!ge:~=-:.---=.--=--~----- Printed Name: h.11-;v /LS f-/f-i,/U 2.,..;,~P'/'7Jate: t> /L-,-1 / / if 2 z ,

Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palrnbeachcountyethics.com or contact us via email at ethics(cvpalmbeachcountyethics.com or (561) 233-0724.



Appointment to be made at BCC~eting on: / 1

Sep-mmber 9, 2014 , 1

Section ID {Commissioner, if applicahteJ!\ u· CormniBsioner's Signature: ~J, J QQ,ee.Ua:Date: a/;:;; 'T / 1y~

Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised 01/14/2014

Page 2 of 2



Section I (Department): (Please Print) Not Purely Advisory [X]

Board Name: Palm Tran Service Board (PTSB) Advisory [ ] Not Advisory [


Term of Appointment: 3 Years. From: 1D}q2014 To: _q_/~-°1-· 2_01_7 ____ _

Seat Requirement: Senior Citizen ----------------------- Seat#: 7

[ ] *Reappointment or [X] New Appointment

or to complete the term of ___________ Due to: [ ] resignation [ ] other




Name: Stanzione Frank ----------------------------------------Last First Middle

Occupation/ Affiliation: Retired -----------------------------------

Business Name:

Business Address:

City & State

Residence Address:

City & State

Home Phone:

Cell Phone:

Email Address:


_________________ Zip Code:


_B_oyn.,.__t_on_B_e_ac_h-=-,_F_L __________ Zip Code:

___,__( --") ___________ Business Phone: ( )

_(.:,._5_61-'-)_36_4_-1_2_65 ______ Fax: ( )



Officer [ ]

33437

Ext.

Have you ever been convicted of a felony: Yes___ No X · If Yes, state the court, nature of offense, disposition of case and~---------------------

Minority Identification Code: ·[ ] Native-American

Page 1 of2

[X] Male [ ] Female [ ] Hispanic-American [ ] Asian-American [ J African-American [X ] Caucasian

Section Il Continued:



Example: (R#:XX-XX/PO XX)

Department/Division


NONE D


NOT APPLICABLE/ D ( Governmental Entity)

ETIDCS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment.:. Article Xlll, and the training requirement can be found on the web at: http://www.palmbeachcountvethics.com/training.htrn. Ethics training is on-going, and pursuant to PPM CW-P-80 is required before appointment, and upon reappointment. ·

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIlI, the Palm Beach County Code of Ethics, ~nd I have received the required Ethics training (in the manner checked below):

_f} -X_ By watching the training program on the Web, DVD or VHS on 1)--v t d- / 2q4 By attending a live presentation given on _______ , 20 __


Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at ethics(a)palmbeachcountyethics.com or (561) 233-0724.



Section ID {Commissioner, if applicable): Appointment to be maduCC ~eeting on:/

2 . , September 9, 2014

Commissioner's Signature: j cf~~ . V Ju r; dA ,1i S:::::: Date: _ __,_K',.._/_!.....,,.:2 ___ s--+-=;/J""-',.._o_;,.1_lj-+-' _· --

Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised 01/14/2014

Page 2 of2

August 21, 2014

Frank Stanzione

8582 Tourmaline

Boynton Beach Florida 33472

From: Frank Stanzione To: Palm Beach Board of County Commissioners

I'm a resident of Boynton Beach Florida for 25 years, married for 46 years 2 adult children and 3 grand children.

Employment: Palm Tran July 1996 to July 2014

The following is a list of volunteer work I do at the pleasure of Palm Tran and the Board of County Commissioners:

2002 to Present: 2005 to 2011 2011 to 2013 2002 to Present: 2002 to Present 2013 to 2014

Member of the Palm Tran Service Board Vice Chair of the PTSB Chair of the PTSB Member of the Palm Tran Route Review Committee Chair of the Palm Tran Sunshine Committee Chair of the PTSB Planning Sub-Committee

I have just recently retired as a driver for Palm Tran. I currently hold the position of Financial Secretary Treasurer for the ATU 1577. My first six years on the job as an operator I was an extra board operator which afforded me the opportunity to drive every route Palm Tran had. My vast knowledge of the routes make me an asset to the boards I sit on.

I respectfully request that I be appointed to another seat.

PALM TRAN SERVICE BOARD MEMBERS

As of August 1, 2014

PALM TRAN SERVICE BOARD -Seat# 1

Representative with Transportation Experience

Terry Brown

23 Harbour Drive, South

Ocean Ridge, FL 33435

HOME PHONE: 369-2946 / CELL 436-3539 Email: [email protected]

Term Ends: 6/28/14

PALM TRAN SERVICE BOARD - Seat # 3

Environmental Advocate

Vivian D' Angio 8332 Waterline Dr. # 102 Boynton Beach, FL 33472-2336 PHONE: 561 /735-0056 Email: [email protected]

Term Ends: 09/30/2016

PALM TRAN SERVICE BOARD - Seat# 5

Business Community Representative

Robert Templeton The Banyan Group 3898 Via Poinciana Dr., Suite 13 Lake Worth, FL 33467

Home Add: 12940 Buckland Court Wellington, FL 33414 HOME PHONE: 561-284-6611 CELL PHONE: 561-281-5751 Email: [email protected]

Term Ends: 09/30/2016

Member List-Attendance 2014


Disability Advocate

VACANT

Term Ends: 09/30/2016

PALM TRAN SERVICE BOARD-Seat# 4

Elected Municipal Official of a Municipality located within Palm Beach County

Wendy K. Harrison Town Councilmember 210 Military Trail Jupiter, FL 33458 HOME PHONE: 561-624-0240 Email: [email protected]

Term Ends: 09/30/2016


Representative of the Diverse Communities of Palm Beach County

VACANT

Term Ends:

ATTACHMENT 2

Page 1

PALM TRAN SERVICE BOARD - Seat # 7 PALM TRAN SERVICE BOARD - Seat # 8

Senior Citizen Certified Paratransit User

VACANT VACANT Term Ends: 06/28/14

Term Ends: 09/30/2016

PALM TRAN SERVICE BOARD - Seat # 9 PALM TRAN SERVICE BOARD - Seat # 10

Regular Fixed-Route Bus Passenger Fixed Route Bus Operator

William D. McDonald

VACANT 5885 Elmhurst Rd. West Palm Beach, FL 33417 PHONE: 561 /907-0363 Email: [email protected]

Term Ends: 09/30/2016 Term Ends: 09/30/2016

PALM TRAN SERVICE BOARD - Seat # 11 PALM TRAN SERVICE BOARD - Seat# 12

Citizen at Large Representative with Extensive Paratransit Experience

John Wilson Cathy Alice Koyanagi 208 Fern St., Apt 1207

West Palm Beach, FL 33401 9503 Minorca Way, Apt. 108

Palm Beach Gardens, FL 33418 PHONE: 561-832-5567 PHONE 321-474-0721 CELL PHONE: 561-909-9957

Email: [email protected] Email: [email protected]

Lighthouse for the Blind 561-586-5600 Mon-Tues-Wed Term Ends: 6/28/14

Term Ends: 3/11/2015

PALM TRAN SERVICE BOARD-Seat# 13

Resident of the Glades/Lake Region-Area of Palm Beach County

Beverly J. Scott City of Belle Glade 110 Dr. Martin Luther King, Jr. Blvd. W Belle Glade, FL 33430 PHONE: 561/996-0100 xl 04 Email: [email protected]

Term Ends: 09/30/2016

Member List-Attendance 2014 Page 2

REVISED - pbcgov.compbcgov.com/pubInf/Agenda/20140909/6A1.2nd.revised.pdf · Please attach a biography or resume to this form. Section I {Department): (Please Print) ... (Please Print)

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