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Designating Petition
26th Assembly District
To the Board of Elections in the Gity of New York:
!, the undersigned, do hereby state that I am a duly enrolled voter of the Democratic Party and entitled to vote at the
next primary election of such party, to be held on September 12, 2017; that my place of residence is truly stated
opposite my signature hereto, and I do hereby designate the following named person (or persons) as a candidate (or
candidates) for the nomination of such party for public office or for election to a party position of such party.
OF CANDIDA' PUBLIC OFFICE(S) PLACE(S) OF RESIDENCE
Mayor of the 442 1lth Street
BIT.L DE BLASIO
City of New York Brooklyn, NY 11215
IDOHEREBYAPPOINT- NAMES ADDRESSES
GhirlaneMcCray 442 11th Street, Brooklyn, NY 1 121 5
Marian G. Fontana 465 Henderson Avenue, Staten lsland, NY 10310
Beth A. Green 104-20 Queens Boulevard, Apt.6U, Forest Hills, NY 11375
Lynn P. Radov 346 Coney lsland Avenue, Apt. 101, Brooklyn, NY 11218
Sylveta A. Hamilton-Gonzalez 1280 Union Street, Brooklyn, NY 11225
Arline T. Parks 607 East 139th Street, Apt.2D, Bronx, NY 10454
Charles D. Roos 306 West 100th Street, Apt.31, New York, NY 10025
all of whom are enrolled voters of the Democratic Party as a Committee to fill vacancies in accordance with the provisions of
the Election Law.
NAME OF CAND]DATE PUBLIC OFFICE PLACE OF RESIDENCE
PUBLIC ADVOCATE 296 Lafayette Avenue
LETITIA
/ JAMES OF THE Brooklyn, New York 11238
CITY OF NEW YORK
I do hereby appoint:.
GALE A. BREWER, residing at 29 West 95th Street, New York, New York 10025
MARCOS A. CRESPO, residing at 880 Boynton Avenue, Bronx, New York 10473
JOSEPH CROWLEY, residing at 48-24 65th Street, Woodside, New York 11377
JOHN P. GULINO, residing at 66 Douglas Road, Staten lsland, New York 10304
DEBORAH L. ROSE, residing at 30 Macormac Place, Staten lsland, New York 10303
FRANK R. SEDDIO, residing at 2333 East 69th Street, Brooklyn, New York 11234
KEITH L. T. WRIGHT, residing at2225 Fifth Avenue, New York, New York 10037
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Public Office in
accordance with the provisions of the election law.
NAME OF CANDIDATE PUBLIC OFFICE PLACE OF RESIDENCE
COMPTROLLER 25 Broad Street, Apt. 125
M. STRTNGER OF THE New York, New York 10004
/itcorr CITY OF NEW YORK
I do hereby appoint:
.TERROLD L. NADLER, residing at 315 West 70th Street, Apt. 3C, New York, New York 10023
WETTE D. CLARKE, residing at 260 Midwood Street, Brooklyn, New York 11225
. JOSEPH CROWLEY, residing at 48-24 65th Street, Woodside, New York 11377
HAKEEM S. JEFFRIES, residing at 35 Underhill Avenue, Apt. A2A, Brooklyn, New York 11238
NYDIA M. VELAZQUEZ, residing at 275 Conover Street, Apt. 5I, Brooklyn, New York 11231
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Public Office in
with the provisions of the election law.
/ NAMES oF CANDIDATES PUBLIC OFFICES PLACES OF RESIDENCE
BOROUGH PRESIDENT 6742 lngram Street
/ uelrruoa xarz Borough of Queens Forest Hills, County of Queens
Countv of Queens. New York New York 11375
JUDGE OF THE CIVIL COURT
,,/. of the City of New York 30-26 149th Street
PlrLL|P HOM 6th Civil (Municipal) Gourt District Flushing, County of Queens
County of Queens, New York New York 11354
Assiqned Vacancy Number 17
I do hereby appoint:
.IOSEPH CROWLEY, residing at 48-24 65th Street, Woodside, County of Queens, New York 1 1377
VIVIAN E. COOK, residing at 1264 144th Street, Jamaica, County of Queens, New York 11436
KAREN KOSLOWITZ, residing at 69-39 Yellowstone Boulevard, Apt. 521, Forest Hills, County of Queens, New York 11375
FRANCISCO P. MOYA, residing at102-1146th Avenue, Corona, County of Queens, New York 11368
MICHAEL.A{SIMANOWITZ, residing at 65-24 1 62nd Street, Apt. 58, Fresh Meadows, County of Queens, New York 1 1 365
all of whomfe enrolled voters of the Democratic Party as a committee to fill vacancies for the above Public Offices in
accordancej with the provisions of the election law.
GOMPIROLLER 25 tsroad Street, Apt. 'r25
M. STRINGER OF THE New York, New York 10004
CITY OF NEW YORK
I do hereby appoint:
JERROLD L. NADLER, residing at 315 West 70th Street, Apt. 3G, New York, New York 10023
WETTE D. CLARKE, residing at 260 Midwood Street, Brooklyn, New York 11225
. JOSEPH CROWLEY, residing at48-24 65th Street, Woodside, New York 11377
HAKEEM S. JEFFRIES, residing at 35 Underhill Avenue, Apt. A2A, Brooklyn, New York 11238
NYDIA M. VELAZQUEZ, residing at 275 Conover Street, Apt. 5I, Brooklyn, New York 11231
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Public Office in
with the provisions of the election law.
/ NAMES OF CANDTDATES PUBLIC OFF!CES PLACES OF RESIDENCE
BOROUGH PRESIDENT 67-42 lngram Street
/ uelrruoa rarz Borough of Queens Forest Hills, County of Queens
County of Queens, New York New York 11375
,/ JUDGE OF THE CIVIL COURT
of the City of New York 30-26 149th Street
P/HlLLIP HOM 6th Civil (Municipal) Court District Flushing, County of Queens
County of Queens, New York New York 1 1354
Assigned Vacancy Number 17
I do hereby appoint:
JOSEPH CROWLEY, residing at 48-24 65th Street, Woodside, County of Queens, New York 11377
VIV|AN E. COOK, residing at1264 144th Street, Jamaica, County of Queens, New York 11436
KAREN KOSLOWITZ, residing at 69-39 Yellowstone Boulevard, Apt. 521, Forest Hills, County of Queens, New York 11375
FRANCISCO,P. MOYA, residing at 102-11 46th Avenue, Corona, County of Queens, New York 11368
MICHAELIaSIMANOWITZ, reslding al65-24162nd Street, Apt. 58, Fresh Meadows, County of Queens, New York 11365
all of whomy'e enrolled voters of the Democratic Party as a committee to fill vacancies for the above Public Offices in
accordagce! with the provisions of the election law
NAME OF CANDIDATE PUBLIC OFFICE PLACE OF RESIDENCE
CITY COUNCIL MEMBER 170-12 32nd Avenue
' PAUL A. VALLONE 19th Councilmanic District Flushing, County of Queens
Queens County, New York New York 11358
I do hereby appoint:
JOSEPH CROWLEY, residing at 48-24 65th Street, Woodside, County of Queens, New York 11377
MARY ANN DORSA, residing at 33-05 158th Street, Flushing, County of Queens, New York 11358
TOBY ANN STAVISKY, residing at 66-36 Yellowstone Boutevard, Apt. 3G, Forest Hills, County of Queens, New York 11375
CAROL A. GRESSER, residing al2 Bay Club Drive, Apt. 3G, Bayside, County of Queens, New York 1 1 360
EDWARD C. I3RAUNSTEIN, residing at 16-30 166th Street, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Public Office in
accordance with the provisions of the election law.
PARTY POSITIONS
,/f Delegates to Democratic Judicial Convention from the 11th Judicial District
/ / from the 26th Assembly District, Queens County, New York
r .^AI,IES OF CANDTDATES PLACES OF RESTDENCE
\'MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11 357
F!B!I. \. GRESSER, residing ai Z aay Club Drive, Apt. 3G, Bayside, County of Queens, New York 11360
r lIU.pIT! L. ABBOT, residing at 15-1 1 Utopia Parkway, Whitestone, Gounty of Queens, New York 1 1 357
I DrylD M. FIS$HER, residing at 211-1O 18th Avenue, Apt. 5C, Bayside, County of Queens, New York 11360
Y, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, Gounty of Queens. New York 11360
, residing at 16-30 l66th Street, Apt. 1, Whitestone, County of Queens, New York 11357
.. Alternate Delegates to Democratic Judicial Gonvention from the 11th Judicial District
lJ from the 26th Assembly District, Queens County, New York
ccDlDTDATES PLACES OF RESIDENCE
: IiTERESSER JR., residing at 2 Bay Glub Drive, Apt. 3G, Bayside, Coungr of Queens, New York 11360
DEIROLOMO, residing at 16047 17th Avenue, 2nd Floor, Whitestone, County of Queens, New York 11357
illiBOEHME, residing at 35-l 1 21Sth Place, Bayside, County of Queens, New York 1 1 361
G. S&IDLER, residing at 16-26 1 63rd Street, Whitestone, County of Queens, New York 1 1 357
A. WtS.lN, residing at 8 Hillside Avenue, Douglaston, County of Queens, New York 11363
SCHREIBER, residing at 13-24 Bell Boulevard, Bayside, County of Queens, New York 11360
I do hereby appoint:
JOSEPH CROWLEY, residing al 48-24 65th Street, Woodside, County of Queens, New York 11377
EDWARD C. BRAUNSTEIN, residing at 16-30 166th Street, Apt. 1 , Whitestone, County of Queens, New York 1 1357
CAROL A. GRESSER, residing at 2 Bay Club Drive, Apt. 3G, Bayside, County of Queens, New York 1 1 360
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, County of Queens, New York 11360
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WIIEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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PARKSIDE FRINTINTJ ()O II!C :i:]q JOHNSON AVE . BROOKT YN. NY (718) 443-7500 PAGE*. a
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MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
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PARKSTDE PRTNTTNG CO , tNC . 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
accordance with the provlsions of the election law.
iN WTNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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sheet containing I \ signatures, subscribed the same in my presence on the dates above indicated and identified himsetf
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duly sworn.
PARKSTDE PRtNTtNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE -.. 1
EVAN M. STAVISKY, residing at ZJ-35 Eelt t outevaro, Apt,4A, t,aysroe, uounry or Llueens, New rorx 1'tJou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Gove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE except in NYC
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all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
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STATEMENT OF WITNESS
fO l1 N tr' o L/ /) /L/ state: I am a duly qualified voter of the State of New York and
amanenrottedvoter.f fl'lXffiHIlTi,i"rrnr.lnowreside at 13-a z UJcrF-*,o.c.,/-+*."/ Sf. (Residence Address)
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in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning ( O signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
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Z Signature of Witness
sheet to be valid,
PARKSTDE PRTNT|NG CO., INC , 538 JOHNSON AVE., BROOKLYN. NY (718) 443-7500 PAGE .. 6
lN WITNESS WHEREOF, t hava hereunto sat my hand, the day and year placed opposite my signature.
Town or Clty
DATE except ln NYC
enter
W '3t' bt tl V1ID
I ,2017 County of Queens
Clty of New Yorf
fthdNanc *
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Glty of New York
Pril.dNam. t
STATEMENT OF WITNESS
t, Jr I
of New York and
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am an of the Democratlc Party. I now reslde at
In the Clty of New York, ln the County of Queens. Each of the indivlduals whose names are subscrlbed to thls petltion
sheet contalnlng
q signaturcs, subscrlbed the same ln my presence on the dates above indicated and ldentlfled hlmself
(Fu ln Nurber)
or herself to be the indlvldual who signed thls sheet. I understand that thls statement wlll be accepted for all purposes as the
equlvalent of an affldavit and, lf it contains a material false statement, shall sublect me to the same penaltles as lf I had been
dulyswom.
stret to be valid.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
rter Town or C
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter County
7. 2017.
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STATEMENT OF WITNESS
5
state: ! am a duly qualified voter of the State of New York and
amanenrolledvoterof theDemocratlcParty. t nowreside"t Zt'{-l+ 6ZPAF=.t1+r:5-}[fu,g t\1 lt{Z?-
in the Clty of New York, ln the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contalnhg lf slgnatures, subscrlbed the same in my presence on the dates above indicated and identified himself
(Fil h Numtcr)
or herself to be the lndlvldual who slgned thls sheet. I understand that this statement wilt be accepted for all purposes as the
egulvalent of an afildavlt and, lf lt contalns a materlal false subject me to the same penalties as if I had been
dulyswom.
PAGE No.
EVAN M. l' I AVID^I, restqlttg art zo-JJ estt evu.svqr ur ^pr, -^, esrvrve,
MARIAN E. SCHWARTZ, residing at 166-25 Powells Gove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Town or
DATE except in NYG
enter
L 2017 //3,L\
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Printed Name ) 4o-o) L,TI- Gity of New York
2017
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STATEMENT OF WITNESS
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(Nare of Wilness)
state: I am a duly quatified voter of the State of New york and
amanenrolledvoteroftheDemocraticParty.lnowreside"t lf ? - O/
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in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containingZO signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
PARKSTDE pRINTTNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
EYAII lll. gln Yrgrl! r lsorvrrr:, .-r..r-i
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fil! vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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state: I am a duly qualified voter of the State of New York and
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing i?O signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Number)
on herselfto be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
PARKSTDE PRtNTTNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No. , O
EVAN M, STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, County of Queens, New York 11360
MARIAN E. SCI.IWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
ll,l WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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sheel lo be valid.
City:
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!N WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing ) 0 signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement,
duly sworn.
Date 6/ lb ,2017
Wilness identification information: The following informalion for the wilness named above must be completed prior to with the Board of Elections in order for this petition
sheet to be valid.
PARKSTOE PRTNTING CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
ta
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, County ot Glueens, New YorK llJDU
MARIAN E. SCHWARTZ, residing at 166-25 Powells Gove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Pafi as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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STATEMENT OF WITNESS
N Zo state: I am a duly qualified voter of the State of New York and
(Nare of Wilness)
am an enrolled voter of the Democratic Party. I now reside at 3- ff L
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containirg 0O
(Fillrn Number)
signatures, subscribed the same in my presence on the dates above indicated and identified himself
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subjectrql to the same penalties as if I had been
duly sworn.
,2017
Signature
Witness identification information: The following informalion for the witness named above prior to filing with the Board for this petition
sheet to be valid.
PARKSTDE PRtNT|NG CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE NO. I 3
EVAN M. SlAV|liKY, reslolng atzJ-Ji Eell Eoulevarq, Apr..rA, Eraysr(le, reeunty ut r{aueet15, ttew rer^ I ro(,v
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE except in NYG
enter
County of Queens
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STATEMENT OF WITNESS
,\ state: I am a duly qualifled voter of the State of tt"* York and
am an enrorted voter party. r now reside 3 6 - 3-3 l t^ S fre-e t
"rr*"HJiffiiric "
in the city of New,{ork, in the County of Queens. Each of the individuals whose ';"iflil:^ti;T'subscribed to this petition
sheet containing I \r
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signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill fi Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false shall subject me to the same penalties as if I had been
duly sworn.
Date (l / t5 ,2017
sheet to be valid.
pARKSTDE PRTNT|NG CO., tNC.. 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE NO. T I
tsVAN M. ii I AYltiKY, feslOlng 8t ZJ-Jo ttGll Eroulevarq, Apt. .lA, E ayltlqe, reouflIy oI t{ueens, New r a,rr I t rrou
MARIAN E. SCIIWARTZ, residlng at 166-25 Powells Cove Boulevard, Apt. 14d Whitestone, County of Queens, New York 11357
all of whom are enrolled votons of the Democratlc Party as a committee to flll vacancies for the above Party Positions in
accordance wlth the provlslons of the electlon law.
lN WTNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
+{ , /1lV r{z a
City of New York
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City of New York
(Residen@ Address)
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning il signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same as if I had been
duly sworn.
Date ,2017
Signature
Witness identiflcation information: The following information for the witness named above must be completed prior to with the Board of Elections in order for this petition
sheet to be valid.
pARKStDE pRTNT|NG CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE NO. IT
E!ru! M.ga^Yaglrrt rg-.u.llu .vt t vervreer Yve'r.r v'
^f.. - -Yvv"vt
tARLAt{ E. SGHWARTZ, reslding at 166-25 Powells Cove Boulevard, Apt. 14A' Whltestone, County of Queens, New York 11357
all of urhom a16 cnrclled vdors olthc Dcmocratlc Party as a committee to fill vacancles for the above Party Positions in
.csord.nol wlth t,lc prot lslom of the electlon law.
N |UTNESS WHEREOF, I havc hercunto 3et my hand, the day and year placed opposite my signature.
or Gity
DATE except in NYC
enter
Prlntcd Namc I
LtLt iY ltlol County of Queens
City of New York
County of Queens
2017
Name I
",Fi2,1' :'{ri | * v, t' o/ City of New York
County of Queens
City of New York
County of Queens
City of New York
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STATEMENT OF WITNESS
state: I am a duly qualified voter of the State of New York and
(Nare of
PARKSTDE PRTNTTNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7s00 PAGENO. I6
HARIAN E. SCHWARIZ nesldlng at 166-25 Powellc Cove Boulevard, Apt. 14d Whitestone, Coungr of Queens, New York 11357
ell olwhom trr.nrolhd vo0cn of ths Democratlc Party ac a commlttee to fllt vacancies for the above Pafi Posltlons ln
rccordencc wltlr tho provlrlon3 otthc elec'tlon law.
ll{ WlTllESS W{EREOF, I htr hcrunto tot my hand, the day and year ptaced opposlte my slgnature.
Town or City
DATE except ln NYC
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of Queens
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STATEMENT OF WITNESS
t, state:lamadu fied voter of the State of New York and
am an enrolled voter of the Democratic Party. I now reside at l-/C
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing ) signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same as if lFf,d been
duly sworn.
Dare 6 f W ,2017
Signatuie of WitnesB
Wilness identificalron information: The following information for lhe witness named be completed prior to filing with lhe Board of Elections in order for this petition
sheet to be valid.
PARKSTDE PRtNTtNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, Ny (718) 443-7500 PAGENO. 17
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lN WTNESS YVHEREOF, I havr hcnunto td my hend, fto d.y.nd yrrr plrcrd oppodb my dgmfurt.
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STATEMENT OF WITNESS
Sh" state: I am a duly qualified voter of the State of New York and
am an enrolled voter of the Democratic Party. I now reside at 2L- qL, {,o tE 0lo.q ?,a,,t.\tfu l.-t I,?rLC
(Frll rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
of Witness
PARKSTDE PRTNT|NG CO., rNC., 538 JOHNSON AVE . BROOKLYN, NY (718) 443-7500 PAGE }IO. I8
EyAII t. sTAYltxY, nildtrg !t er.55 Ear EoiurrrrE, ApG t+ Eryuoa, trounty o? qucaltr, llCU yotr rruro
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STATEMENT OF WITNESS
a,
.SafA h & Silfr't fSkitl state: I am a duty quatiried voter or the State or New york and
', (Nare olWrtness)
am^an enrotled voter of the Democratic Party^ I now resj{e ,t 6 OOVt L Ofte
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"B}E+|$3$Tn-int "r
AO signatures, subscribed the same in my presence on the dates above indicated and identified
sheet containing himself
(Fall in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
PAGE No. l?
EVAIY lUl. SIAVISKY, resldlng at zJirS Egll rroulevaro, Apr. ,rA, E atTnrqe, r,ounry (rr r{ueet r:', rrsw r er . r rev
^
MARIAN E. SCHWARIZ rasldlng at 16&25 Powells Gove Boulevard, Apt. l4A, Whltestone, County of Queens, New York 11357
all of whom are enrolled voterc of the Democratlc Pafi as a commlttee to flll vacancls for the above Pafi Positions in
accordance wlth the provlslons of the electlon !aw.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter or
DATE NAME OF SIGNER RESIDENCE except ln NYC
(slgnature regulred) enter Counh/
'{f-27 Lirrle- Neck Pkutx\.*+F
dule 71 "l-^t CQ tf,
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3. ,2017 County of Queens
City of New York
Prinled Name t
1. ,2017 County of Queens
City of New York
Printed Name I
5. 2017 County of Queens
City of New York
Printed Name I
6. ,2017 County of Queens
City of New York
Printed Name t
7. ,2017 County of Queens
City of New York
Printed Name +
8. ,2017 County of Queens
City of New York
Printed Name I
STATEMENT OF WITNESS
,, A"line A. A b"iolirr,
(Nare of Wilness)
starer ramaduryquaririedvoterof rhestateof Newyorkand
213rr!9l.f2oglas/o,t,/(Y tt.l62
amanenrottedvoterof theDemocraticParty.lnowreside
^t +7-97
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing / signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill Numbe0
'n
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
*t unt- /-'l
o*"___T-- ,zo'tt {/rL(
sheet to be valid.
pARKSTDE PRTNTING CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGENO. EO
EVAN M,5lAY|5KY, reslOlng at Z3-J5 Eell Eoulevaro, Apt.4A, uaystoe, uountyo? queens, New yorx l1Jtu
MARIAN E. SCIMIARTZ, resldlng at 166-25 Powells Cove Boulevard, Apt. 14A" Whltestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratlc Party as a committee to fill vacancies for the above Party Positions in
accordance wlth the provlslons of the electlon law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYG
{qlqraturc required} enter County
.-?, -..J) :z,t ?ll -,lPll. iqt]'art / d'--L< 'gd,\,Xx!-u.';,,, County of Queens
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Printed Name I 17iw; \;Airii i'.6-; /7,i r' /.1.v,- 11J'',' 1./-:::'-5- City of New York
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state:lamadulyqualifiedvoterof theStateof NewYorkand
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am an enrolled vbter of the Democratic Party. I now reside
^1 lY -;-.t:,r,,-,:"-1.--1-3.'
", (Resi ?,r,
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing /
t7 signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Frll in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, subject me to the same penalties as if I had been
dtrly sworn. a
L. I,z-t
,2017
Signature of Witness
sheet to be valid.
PARKSTDE PRTNTING CO, tNC 538 JTHNSON AVE.. BROOKLYN, NY (718)443-7500 PAGE -, 4 I
EVAN M' STAVISKY' residing at ZS'Jb E ell E'Oulevaro' Apt' 4A' E ay:tlqe' reoullty ur t"ueerrs' New r.,t^
! rouv
cove Boulevard, Apt. 14A, Whitestone, county of Queens, New York 11357
MARTAN E. SCHWARTZ, resi;ing at 166-25 Powelts
voters of the Democratic Party as a committee to fitl vacancies for the above Party Positions in
all of whom are enrolled
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or CitY
DATE NAME OF SIGNER except in NYG
(signature required) enter
a,
.l
/o 3V / 66 eT /l Pr2B County of Queens
City of New York
-0-le-L--,-2917.
/ ea"t(aName I
e. b/a tG-7-i5 /)fA.*, County of Queens
City of New York
Printed Name ,
-1e. al)a.?91!_)
flrinted Name 6krotr; NV l\
County of Queens
City of New York
L)-py
Name ) \t>t7
County of Queens
City of New York
STATEMENT OF WITNESS
of the State of
am an enrolled voter of the Democratic Party. ! now reside at
'- /t {e. lt35
in the City' of New York, in the County of Queens. Each of the individuals whose fi:'ff[:^TlT'suoscriue/ to this petition
Art
sheet containing O\L/ signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fillin Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
pARKStDE pRINTtNG CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGENO. AE
EVAN M. srAvrsKy, i""iaing'riit-G'B;il ilr"rj'Jiliiiin, il;:U, ;;;r;;fi;;:il:ffiflili"r"rro
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. l4A, Whitestone, Coungr of eueens, New york i 1357
all of whom are enrolled voters of the Democratic Pafi as a committee to fit! vacancies for the abbve Party positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year ptaced opposite my signature.
own or
DATE except in NYC
6nter
CountyofQucrm
Gtyof ililYod(
Corrnrdqtfi
cAtdtlrfot
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6. .2017
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Printed Name I
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20'17 Coufiof Queonc
Printed Nam6 t Ctty of Ncu Yoft
County of Queens
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City of New York
Printed Name t
12. 2017 County of Queens
City of New York
Printed Name I
County of Queens
City of New York
Prinled Name t
County of Queens
City of New York
Printed Name )
STATEMENT OF WITNESS
l, stater I am a duly qualified York and
am an enrolled voter of Party. I now reside at
Address)
in the city
ln New Yor(
City of New YorE; in the Gounty
County of Clueens.
Queens. Each of the individuals
individuats whose names are subscribed to
to this petition
sheet contai ning {.ignatures,
"1riii-,n-ilSoo"4
subscribed the same in my presence on the dates above indicated and identified himself
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for al! purposes as tha
equivalent of an affidavit and, if it contains a material false statement, me to the same penalties as if I had been
duly sworn.
Date ,2017
Witness
Witne6/identification information: The following informalion for the witness named above musl be completed prior filing with lhe Board of Elections in order for this petition
sheet to be valid.
PARKSTDE PRTNTTNG CO., rNC., s38 JOHNSON AVE., BROOKLYN, NY (718) 443-7s00 PAGE NO. A3
EYAN il. D lAvl-'lar, ntll(Ilng tI 4,ir.ita, froll l'Oultvarlur Afl. .ra, s-r-.ve, vvsr..,
tARlAt{ E SC}|WARIZ' osldlng rt 16&25 Poweltr Gouu Boulevard, Ap,t 144 Wh}testone, County of eueens, ilew york 11357
il of f,tom ttt onrollcd votcn of the DcmocraUc Party ae a commlttee to flll vacanclec for tho above Party porlilonc tn
rccordancc wlth $c proyhlom of the clec'tlon law.
lN WTNESS WHEREOF, I havt hencunto sot my hend, the day and year placcd oppoolte my slgnature.
or
DATE exccpt ln NYG
County of Queens
Printed Name ) Clty of New York
2 ? ,zott
t S- 4Z Zc,t County of Queens
Prinled Name I F.t7sr2- rY /,16o City of New York
County of Queens
City of New York
Printed Name
,2017
)
Im',.(( County of Queens
of New York
D r ' L / STATEMENToFwITNESS
,, Y,\ lf ,t'N )rfr/,,tt state:tamadulyquatifigdvoterofthestateofNewyorkand
offi
am an enrolled voter of the Demo r^n
"r^rr.
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai nlng )) signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Frll !n Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shaall subject me to the same penalties as if I had been
duly sworn.
r' r; ,/ ./
pARKSTDE PRTNTNG CO., rNC., 538 JOHNSON AVE., EROOKLYN, NY (718) 443-7500 PAGE-" A7
EVAN M. STAVISKY, residing at 23'35 Belt Boutevard, Apt. 4A, Bayside, County of
eueens, New york 11360
MARIAN E. SCHWARTZ, residing at 166'25 Powells Cove Boulevard, apt. 1+A, Whitestone,
county of eueens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the
above party positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
nty of Queens
Printed Name ) '? f ,'a/ /'' of New York
County of Queens
Prinled Name t City of New York
County of Queens
Printed Name , City of New York
8. County of Queens
Printed Name t City of New York
9. County of Queens
Printed Name t Gity of New York
__1_1_.--________-___---------_-__.-?_qt!_z
County of Queens
Printed Name t City of New York
County of Quccne
---!-Q, Clty of New York
Printed Name ,
18.
County of Queens
City of New York
Printed Name )
County of Queens
_-1-9,_-,- City of New York
Printed Name I
Gounty of Queens
_-?_o. City of New York
Printed Name t
STATEMENT OF WITNESS
I
f , JO,*r,; rV\ Lq ,",. h
\Nareorwnnesst
state: I am a duly qualified voter of the State of New York and
,.
am an enrolled voter of the Democratic Party. I now reside at t33 i\3 lZr{L 5t. ,t?} 2= L..*..
(-k;,denceAddress)
- ?.-s k
r
-rof New York, in the Gounty of Queens. Each of the individuals whose names are subscribed to this petition
in the Gity
sheet containing I signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Frll in N0mber)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Witness identification information: The following information for the witness named be completed prior to liling with the Board of Elections in order for this petition
sheet to be valid.
PARKSIDE PRINTING CO,. INC , 538 JOHNSON AVE,. BROOKLYN, NY (718) 443-7500 PAGENO. E{
DrAYli't\I ' feslolng at 23'3b uelt EfOUleYafqr ApI. 4A, E aystqe, uounty or rstueerr!, n E\n rurn I ro1,u
EYAN lu'
l{tARlAN E. ScHwARTz' residing at 166-25 Powells Gove BoulevarA, Apt. 14A,'$ihitestone,
County of eueens, Newyo;* 1lJS7
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the abbve party positions
in
accordance with the provisions of the election Iaw.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
County of Queens
Printed Name , City of New York
____'_29L!_
Lb1 -to 5u/{. I kVL County of Queens
Printed Name t {rvt l^ fur^rtro^,1 fi,,Y t 1 City of New York
County of Queens
*
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_1_1_. _
- _ - __ - - - - - _ _ ----_--__ ?_ _
County of Queens
--i!-Q,--
Printed Name ) City of New York
County of Queens
Printed Name , City of New York
County of Queens
, City of New York
Printed Name
STATEMENT OF WITNESS
\
l, J O"*o.- {\\ La r. h state: I am a duly qualified voter of the State of New York and
am an enrolled voter of the Democratic Party. I now reside
rru
at r3 j rl- tz-tr- Sr- ,{p l /G 2
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing I0 signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Numbe0
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
dnly sworn.
Date A/ So ,20'17 4*
sheet to be valid,
PARKSTDE pRTNTING CO., rNC.. 538 JOHNSON AVE.. BROOKLYN, NY (718) 443-7500 PAGE No. ae
'r'rr5/
arr orwirom a;ffii";;;*;iil"'o'""r1or',T"';';;==:::ffifi';t;;'1,::H,:'""15; l"^"" ,lr'.iJ;Hrf;ffi,:nYorK
accordance with the provisions of the election law.
lN WITNESS WHEREoF, I have hereunto set my hand, the day and year ptaced opposite
my signature.
NAME OF SIGNER or City
DATE
(signature required) except in NYC
enter
.-1,.._.
,' -a-, J
-Q r__.r'___-!,-291?. 6tq -/c i3757, County of Queens
Printed Name I City of New York
-2, /.-22-/-,zp:t-
Name I Printed
County of Queens
City of New York
Printed Name )
rl- iG \5 q,$ gi{e{-t County of Queens
City of New York
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%- z'z- zr 3 rA ,/ County of Queens
Printed Name I /h f ,J< */// i6 / City of New York
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Printed Name I 9.7s.,/. py //)61 City of New York
Printed Name )
33^'10 ab County of Queens
City of New York
-1 I ..
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7,-?7 / 7/ 5r County of Queens
/h,g/)/A/a //"-qt-
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Printed Name I City of New York
'a5 ,2017
48-qo Llt+n County of Queens
Printed Name t enySide, u'l
\l3b\ City of New York
',_--_,_?_911.
ZAI u2\1 )9 i^ 3i County of Queens
Printed Name t D.,<,- \,i. t tN ) t\z 1
City of New York
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City of New York
Printed Name I
/-\ . I ISTATEMENTOFWITNESS
,, t/aTr I c{L -5 a/lall state:ramaduryquaririedvoterorthestateorNewy and
in the City-tA
of New Ygrk, in the Gounty of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing I
v[ signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill m Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
PARXSTDE PRTNTTNG CO., tNC., 538 JOHNSON AVE., BROOKLYN. NY (718) 443-7500 PAGE -". E7
EVAN M. UlAYlJllYr fgsl(llng aI ZJ-JC E gll E oulevarq' APr. +Ar E atyltud, vtlurrttr ui \.uEErt-, rtsw r vr^ . revv
MARIAN E. SCHWARTZ, residing at ,66-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of eueens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the abtve Party positions in
accordance with the provisions of the election law.
lN WTNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE except in NYC
enter
1W . lr 1'?'; County of Queens
Printed Name I t/rOse,;^f llf t'/ City of New York
___________,?-9L!_.
{3 ?s /e,r <r County of Queens
Printed Name I City of New York
'________,_.2.97!..
County of Queens
Printed Name I City of New York
',3J,,,i6'Hrr,))(/r
-q, -fr- il-g
I- ,;;'"d-_--.?e1z
(6L -3{ z'{ County of Queens
@);&^tar<,\ L\ City of New York
(r lQ f 7
N;;; ;
I bb -+> \5 ft,t't- County of Queens
u]"LEF*JPq \\ City of New York
______,?_97!_
County of Queens
Pnnted Name I City of New York
qiq u t<*1^3Y'
Gtt\ ,2017
--rl;;";;; Flu5hrnz,, v{ i \558
County of Queens
City of New York
,2017
tt-35 1z County of Queens
iliJ N;;; City of New York
Printed Name t
!i,,ii,{' til, 4 rtt, f / /3 2,, County of Queens
City of New York
,_?91_1
gCI^ / Ll 3), County of Queens
Printed Name , City of New York
County of Queens
Q-_--,-rpv., City of New York
Printed Name t
of New York
County of Queens
City of New York
Printed Name
County of Queens
City of New York
Printed Name t
County of Queens
City of New York
Printed Name i
2017 County of Queens
-.-1Q. City of New York
Pnnted Name t
19. ,201 County of Queens
City of New York
County of Queens
City of New York
MENT OF WITNESS
lam a qualified
(Nare of Witness) r1
am an enrolled voter of the Democratic Party. I ndvt reside at
(Resids@ Address)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Witness identification information: The following informatron for the witness named above must be completed prior to filing with the Board of Elections in for this petition
sheet to be valid.
PARKSTDE PRTNTTNG CO.. INC., s38 JOHNSON AVE.. BROOKLYN, NY (718) 443-7500 PAGE-. { 8
Et.llll }l. STAVISI(Y,nrldlng at 23-35 Bell Boulevard, Apt. 4A, Baystde, County of eueens, New york 11360
I^fUAIl E SCHIYART4 n3ldlng tt 16&25 Powallr cow Boulevari, lpt. 14A, utihttestone, iounty of eueens, New york 11357
dl otwholn rtl anrolLd Yotctr of thc Dcmocratlc Party as a commlttee to flll vacancles foi the ab-ove party positions in
mrdnonffi llr. provLlonr of thc etcc,tlon law,
t WITI|ESS lVllEREOF, I hm hrnunto rct my hand, the day and year ptaced opposlte my slgnature.
Enter Town or Cily
DATE except in NYC
enter
2017 County of Queens
Bhtcdilsrns t City of New York
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Printed Name , Gity of New York
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Gity of New York
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STATEMENT OF WITNESS
state: I am a duly qualified voter of the State of New York and
sheet contai nin1 4 signatures, subscribed the same in my presence on the dates above indicated and identified himself
ll.rnour
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or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the sa^me penalties as if I had been
duly sworn.
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STATEMENT OF WITNESS
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am an enrolled voter- of the Democratic Partv. I now res rcJ7W //e
@,' th" &I${ffififl?e county o;&ffi;iE of the individuals whose names are subscribed to this petition
i^l
sheet containing Ib
(Fill rn Number)
signatures, subscribed the same in my presence on the dates above indicated and identified himself
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
%r(%
duly sworn.
sheet to be valid.
lN wlTNEsS WHEREOF, I have hereunto set my hand, the day and year placed
opposite my signature.
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Printed Name I City of New York
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Printed Name + City of New York
STATEMENT OF WITNESS
state: I am a the State New York and
am an enrolled voter of the Democratic Party. I now reside at
in the Gity of New Yorft, in the County of Queens. Each of the individuals whose names are subscribed to this petition
tt
sheet containing I L signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Nymbe-r)
or herself to be the individual who signed this sheet. I understand that this statement will be for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to as if I had been
duly sworn.
Date ,2017
Witness identification inf6y'mation: The following information for the witness named above must be in order for this petition
sheet to be valid.
PARKSTDE PRtNTtNG CO., tNC., 538 JOHNSOru AVe., AROOXTYN, Ny (718) 443-7500 PAGE NO. 3 I
EVAN M. UlAVlUnYr feslotng at Z.rarJ Dell Eruurnvoru' A},r. t^' eqr-rusr vvs,..,
MARIAN E. SCIIWART| residing at'166-25 Powells Cove Boulevard, Apt. 't4A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance wlth the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
rter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
required) enter County
1. Clf(
Printed Name
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Name t ?r i 1t{n fv\} f}vil t ) City of New York
STATEMENT OF WITNESS
\
l, Jo.n^ ' s JA k {n*J.'- state: I am a duly qualified voter of the State of New York and
am an enrolled voter of the Democratic Party. lnow reside at t3t
2*r Lr ts. rz*r5{. Apf.
' .lG R.* t..**r I
(Resrdence Address)
in the City of Newjork, in the County of Queens. Each of the individuals whose names are subscribed to this petition
rA
sheet containing \ J signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
PARKSTDE PRTNTTNG CO.. tNC., 538 JOHNSON AVE., BROOKLYN, Ny (718) 443_7500 PAGE-, 3a
EYAII lll. DlAvlatl\lr ]lrllqlttg df zJ'ou uEtr evure'qrvr ^pr. r^, vsrv.svt
IIARIAN E. SCHWARTZ, resldlng at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
eccordance wlth the prov,slons of the election law.
It{ WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
own or
DATE except in NYC
Printed Name
2017
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City of New Y
County of Queens
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14. County of Queens
City of New York
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STATEMENT OF WITNESS
of New Iork, in the County of Clueens. Each of the individuals whose names are subscribed to this petition
in the City.G,
sheet containing / signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
(, I s,: 4rt
Date ,2017 //
Witness identification information: The following information for the witness named above completed prior to filing with the Board of Elections in order for this petition
g
sheet to b valid.
PARKSIDE PRINTING CO . INC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443.7500 PAGE No.
EVAN M. D I AY lDn I r rl,slulllg dl ZJ'JJ pEll pvq.svqt u, r^r uqrotsvr vvsr rs,
^P1.
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
own or
DATE except in NYC
enter C
Printed Name )
41 46sr
/7 County of Queens
City of New York
2. 06 -1--------------
\ Lq ,2017 r{4gal County of Queens
4,t l- 3/ 0o,4/f,d,n
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\t STATEMENT OF WITNESS
l, Jo -$ne s
Ltness\
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lr^ fu\ state: I am a duly qualified voter of the State of New York and
(Name of W
amanenrolledvoteroftheDemocriticParty'lnowreside,t\33Be*.[r7oih"*"S*
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
\L4
sheet containing I / signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Date 61 3o ,2017
Witness identiflcation information: The following information for the witness named above be completed prror to filing with the Board of Elections in order for this petition
sheet to be valid.
PARKSTOE PR|NT|NG CO , tNC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE-" 3Y
EVAN M. STAVISKY, resldlng at 23-35 Bell Eoulevard, Apt. 4A, Eayside, county ot eueens, New yorx rrJbu
MARIAN E. SCIIWARTZ, residlng at 166-25 Powells Cove Boulevard, Apt. 14d Whltestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratlc Partyt as a commiftee to fill vacancies for the above Party Positions ln
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or
DATE except in NYG
enter
1q L ztiqh\ County of Queens
City of New York
Printed Name ,
County of Queens
City of New York
County of Queens
City of New York
County of Queens
) City of New York
Printed Name
County of Queens
--19'
Printed Name t t)-yy eo) ih i-r. . C.{r'll,N'r City of New York
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City of New York
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City of New York
Printed Name t
iti!:tu0r1:uPt irrt\ - L tr \. ... Lr^,rl. /\i.,- County of Queens
City of New York
STATEMENT OF WITNESS
\
l, J o nneq' t\\ tgrr J.a- state: I am a duly qualified voter of the State of New York and
at t3s 3 l-tctt^Sl ll,ir|. t.!z----j2=tta*..7 P.-Jic
am an enrolled voter of the Democratic Party. I now reside
in the Gity of New la\k, in the County of Queens. Each of the individuals whose names are subscribed to this petition
\''l
sheet containing L '
(Frll rn Number)
signatures, subscribed the same in my presence on the dates above indicated and identified himself
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
PARKSTDE PRtNTtNG CO , tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
EYAN lll. D I AYlDnYr fellqlng af ZJarC E Orr E OUIEYATE, API. {Ar Dayrto!, rrOUmtT Or l{U!!rt!, tlUt rglrf, I trrot
MARIAN E. SCHWART4 resldlng at 16e25 Powells Covu Boulevard, Apt. f4A ltUtr]b*one, Countyoilarenr, t{.wYod( fi357
all of whom are enrolled voterc of the Democratlc Party as a commlttee to fill vzcenc{cr fior t|lc aborru Ptfi Potltlonr kr
accordanee wlth the provlslons of the electlon law.
lN WTNESS WHEREOF, I have hereunto set my hand, the day and year placed opporltc my rlgnahrn.
County of Queenc
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Printed Name I r.[Y t tqZS City of New York
Coungr of Queens
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County of Queens
City of New York
sheet to be valid. .
PARKSIDEPRTNTTNG CO., tNC., 538 JOHNSON AVE., BROOKLYN, Ny (718) 443_7500 PAGE -" 3L
E\,AN m. STAVISI(Y, Apr. a+ u|l/lloq u(runq/ (,r l{l[ltrol NW tqn t 'E
,lrldlng !t 2345 Bcll EOt lfrtllri
HARTAN E. sct{rvARit;tetnge colt'gorrtonrd, rG6-25 pildb
Apt !4A whlblion , coutfi of auccm' Ntw Yod( ll3!t7
ell ol whom aru cnrothd votcrr ol thr Dcmocrdc Party m a commlttoc to llll vacanchr nor sr. abovr Perty Podtlom
ln
accordanco wlth ft pruYhboe of thc dccton htt
IN II|TNESS WHEREOF, t hevu hcreunto s.t my hand, the day and year placed oppoclte my slgnatum.
except ln NYG
DATE
enter
County of Queens
6 a.tsiAe- N / B6 x Glty of New York
2017
3 b lle >og County of Queens
County of Queens
City of New York
Printed Name I
County of Queens
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County of Queens
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10. County of Queens
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County of Queens
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Gounty of Queens
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County of Queens
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City of New York
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County of Queens
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STATEMENT OF WITNESS
\l'
' JM t U\ Lf * 0^ state: I am a duly qualified voter of the State of New York and
'' ,orrr,r,,rr*,
am an enrolled voter of the Democratic Party.lnow reside at t3s B n-+t^ S),,,, y--Lp-t--IL fZ,r.lu *.1 2.-t L
in the City of New,rYork, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning ) signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if ! had been
duly sworn.
o.u (. / .?o
,fic
,zon
Signature of Witness
Witness identification information: The following information for the witness named above prior to liling with the Board of Elections in order for this petition
sheet to be valid.
PARKSTDE PRTNTTNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE *". 37
EVAN H. STAVISKY, ru3ldlng tt 2il-35 Bcll Eoulcvlrd, Apt. tA, Eeylrcc, uounry or l{u!!n!' mru rrrrr r rirev
ilARIAN E. SCIIWARTZ, rerldlng at t6&25 Powells Gow Boulerrard, Apt ltlA, Whtte*one, County of Quoen3, New Yort 11357
all of whom arr onnolled yottrs of thc Dcmocratlc Party as a commlttee to flll vacancles for the above Party Posltlons ln
accordrncc wlth the prcvhlone of the electlon law.
!N WTNESS WHEREOF, I havs hereunto set my hand, the day and year placed opposlte my slgnature.
ltor Town or Gr
DATE NAME OF SIGNER RESIDENCE except In l{YC
(qknature requlred) enter Gountv
2. d/zg ,2017
",/1\-k- aDJS/ Qv'tar Crt.t County of Queens
Printed Name , -o.-;; Nrll<r b^, ,,,Ln /v\/ / I ?6 N City of New York
3. G/ZK ,2011
r:na;r a;A-;A y"H/rt?'i,{,,.t, County of Queens
City of New York
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Printed Name L t-C F/\4 ltrol City of New York
STATEMENT OF WITNESS
state: I am a duly qualified voter of the State of New York and
Wrtness)
at tZ< B tZaiL 5h. Ap l. l4----0-ocl+,*,*l ?.t L
am an enrolled voter of the Democratic Party. I now reside
in the City of Npw-Yprk,rjn the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai subscribed the same in my presence on the dates above indicated and identified himself
"tqw{tnatures,
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
PARKSTDE PRTNTTNG CO., rNC . 538 JOHNSON AVE , BROOKLYN. NY (718) 443-7500 PAGE -" 3 8
EVAN M. STAVISKY, residing at 23-35 Bel! Boulevarcl, Apt. 4A, tsayside, county ot (Jueens, New yorK rtJ6u
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions ln
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter Countv
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[Lrcu]p':,\ PtnU""n> \'7 - tY w/s-{ Zl L re Gounty of Queens
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County of Queens
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City of New York
STATEMENT OF WITNESS
I
t, Ja.* o -. &t Ly.,r. L
(NakE otWrlness)
state: t am a duly qualified voter of the State of New York and
amanenrolledvoterof theDemocraticParty. lnowreside at ,Zz P,. tZo**. ApL. lL l2o. 1o,.,,..r, ?o.fL
(Resrdence Address)
|
in the City of New lork, in the County of Queens. Each of the individuals whose names are subscribed to this petition
(1 t,
sheet containing L' signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Numbe0
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Witness identification information: The following information for the witness named above completed prior to filing with the Board of Elections in order for this petition
sheet to be valid.
PARKS|DE pRtNTtNG CO., tNC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE -" 3?
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, county of Queens, New yorr( rrJou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election !aw.
tN WTTNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE except in NYC
enter
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STATEMENT OF WITNESS
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(Nare of Witness)
am an enroned voterof rhe Democratic party. !now reside rt (Residen@ Address)
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing I a signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fillin Numbe0
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Date ,2017
of Witness
The following information for the wilness named above must be completed prior to filing with the Board of Elections in order for this petition
sheet to be valid.
PARKSTDE PRTNTTNG CO.. lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGET. ?b
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, County of Queens, New york 11360
MARIAN E' SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above party positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE NAME OF SIGNER RESIDENCE except in NYC
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(si!-nature required) -. enter Countv
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STATEMENT OF WITNESS
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning l,O signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or hersetf to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject-me to the same penalties as if I had been
duly sworn.
sheei to be valid.
PARKSTDE PRTNTTNG CO., lNC., 538 JOHNSON AVE.. BROOKLYN, NY (718) 443-7500 PAGE .,. I I
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, tsayside, County of Queens, New York 11360
MARIAN E, SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE NAME OF SIGNER RESIDENCE except in NYC
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STATEMENT OF WITNESS
t, voter of the State of New York and
of
am an enrolled voter of the Dif{ocratic Party. I now reside at
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to petition
sheet contai ning l4 signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Numbe0
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Witness identification information: The following information for the witness named above must be completed prior to filing with the of Elections in order for this petition
sheet to be valid.
pARKSTDE PRTNTING CO.. lNC.. 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE .". ?1,
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, County of Queens, New York 11360
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE except in NYC
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sheet to be valid.
PARKS|DE PRINTING CO., tNC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
evAN M. srAvlsKY, restdtng at 23-55 t ett Boutevaro, Apr. 4A, E alEloe, r,ounry or queens, New r1;rx r trou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Vtihatestone, County of eueens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the ablve party positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year ptaced opposite my signature.
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DATE except in NYC
enter
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r"/' l\ County of Queens
City of New York
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County of Queens
Prinled Name t Gity of New York
STATEMENT OF WITNESS
t, state: I am a duly qualified voter of the State of New York and
am an enrolled voter of the Democratic Party. ! now reside at
in the City of New-York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
street contai","S
q t$ilratures, suUscriOeO the same in my presence on the dates above indicated and identified himself
(Frll in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if ! had been
duly sworn.
sheet to be valid,
PARKStDE pRTNT|NG CO.. tNC.. 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE-".
.,7
EVAN M. STAVISKY, residing at 23-35 Bell Boulevarct, Apt. 4A, Ealrstcte, county ot (Jueens, New yorK t.tJbu
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the ab-ove Party Positions in
accordance with the provisions of the election law.
!N WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE except in NYC
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1.
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City of New York
STATEMENT OF WITNESS
state: State of
am an enrolled voter of the Democratic Party. I now reside at ru
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning subscribed the same in my presence on the dates above indicated and identified himself
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or herself to be the individual who signed this sheet. I understand that this be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false e same penalties as if I had been
sheet to be valid.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
own or
DATE except in NYC
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2017
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STATEMENT OF WITNESS
I, state: I am a duly qualified voter of the State of New York and
am an enrolled voter of the ratic Party. I now reside at
(Residence
tR{r
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing [ [ signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in NumtEo
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
PARKSTOE PRTNTTNG CO., tNC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE .r. 'l b
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, Bayside, County of Queens, New York 11360
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
own or City
DATE NAME OF SIGNER except in NYC
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,1
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STATEMENT OF WITNESS
voter of the
(Nam of Witness)
am an enrolled voter of the Democratic Party. I now reside at :f '
in the City of New York, in the County of Queens. Each of the
sneet containing 9 sagnatures, subscribed the same in my presence on and identified himself
(Fill in Number)
or herself to be the individual who signed this sheet. I understand that tfifstatement will for all purposes as the
equivalent of an affidavit and, if it contains a material false subject me been
Dat ,2017
of
Witness identiflcation information: The following information for the witness named prior to liling with the Board of Elections in order
sheet to be valid,
pARKStDE PRTNTING CO.. INC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE ., q7
MARTAN e. scxwoiiil;1ffi;;;6-d'p-"*"ir" ii'r"E;d;.i 6i. re wr,it"rione, iountyoreueens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the ab-ove Pafi Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE except in NYC
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b .-__._.,.?9L7-.
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Name , City of New York
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sheet to be valid.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE NAME OF S'GNER RESIDENCE except in NYC
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STATEMENT OF WITNESS
g, E Lq-.,.. ( t oy 'f... state: I am a duly qualified voter of the State of New York and
(Name of Wilness)
- +s-?o"''<-U[r-Lc"" i]tu-'(rvk*F=:+*l w/
amanenrolledvoteroftheDemocraticparty. lnowresiderl /qe (Resrdence Address)
in the City of New york, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing .I O
signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Frll rn Number)
or herself to be ihe inJiviUuat who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
rter Town or Ci
DATE NAME OF SIGNER
(signature requirgd)
RESIDENCE i except in NYC
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STATEMENT OF WITNESS
Date ,2017
,uz
sheet to be valid.
PARKSTDE PRINT|NG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718)443-7s00 PAGENo. .fO
LyltnI\y v. yt\^vr!9 r brtr, .Eorurr.u qr .e'ev .vvrrr y..ee.,
CAROL A. GRESSER, reslding at 2 Bay Club Drive, Apt. 3G, Bayside, County of Queens, New york 11360
EVAN M. STAVISKY, residlng at 23-35 Bell Boulevard, Apt.4A, Bayside, County of Queens, New york ii360
MARIAN E. SCHWARTZ, residing at 166'25 Powells Cove Boulevard, Apt. 14A, V\ihitestone, iounty of eueens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the ablve party positions in
accordance with the provisions of the election law.
lN WTNESS wHEREOF, t have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or
DATE except in NYG
enter
4fZ-2n /7 County of Queens
City of New York
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or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
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duly sworn.
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sheet to be valid.
PARKSTDE PRtNTING CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE .".fl
myhtnd,lhc dayand ylar placod opporltc myrlgnatun.
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STATEMENT OF WITNESS
t, /\tt^.btet= A lv'- state: I ama qualified voter of the State
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in the City of New York, in the County of Queens. Each of the individuals whose names are to thls petltlon
sheet contai ning ? signatures, subscribed the same in my presence on the dates above indicated identlfied himself
(Fill in Numbe0
or herself to be the individual who signed this sheet. I understand that this statement will be accepted_ al! purposes as the
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duly sworn.
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lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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STATEMENT OF WITNESS
I, a S'cl',
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state: I am a duly qualified voter of the State of New York and
of Wilness)
am oIl
dlll enrolled
an Elll gllgu voter
Yvlgr of
vr the Democratic I qr rr. I now reside al I Ob
rre Party. '
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
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sheet containing (4) signatures, subscribed the same in my presence on the dates above indicated and identified himself
{F,'t in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
PARKSTDE PRTNTTNG CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE NO.
'3
EYAII lll, ., I AY larl\ I , I EilUll19 dl aJ-JJ gEil uvurEvor u, r^, eqrJ.us, vvssrr, vt seserrc,
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MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter County
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am an enrolled voter of the Democratic Party. I now reside at -'
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sheet containing I 4 signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or hersetf to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me penalties as if I had been
duly sworn.
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Witness identification information: The following information for the witness named above must be completed prior to filing Board of Elections in order for this petition
sheet to be valid.
PARKSTOE PRTNTTNG CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE., ,Ll
EVAN M. STAVISKY, residing at 23-35 t ell t outevaro, Apt. l}A, balEroe, uounry or riueens, New rorx I rrou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
own or
DATE except in NYC
enter
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STATEMENT OF WITNESS
State of New York and
am an enrolled voter of the Democratic Party. I now reside at
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing I signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Numbr)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
duly sworn.
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Signature of
Witness identification information: The following information for the witness named above must be completed prior to filing Board of Elections in order for this petition
sheet to be valid.
PARKSTDE PR|NT|NG CO., tNC , 538 JOHNSON AVE., BROOKLYN. NY (718) 443-7500 PAGENO 5T
EVAN M. STAVISKY, reslcllng at 23-35 Eell Eoulevaro, APr. ,tA, 6aysrqe, uounry or r{ueens, New rorr ! trrou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
Enter
DATE NAME OF SIGNER except in NYC
(signature required) enter
0/-dy 2/ FA County of Queens
City of New York
Printed Name )
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2. County of Queens
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sheet to be valid.
PARKS|DE PRTNTING CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7s00 PAGENo 56
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
rter Town or Ci
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter Countv
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OF WITNESS
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I am duly qualified voter of _tfe State of New York and
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am an enrolled voter of the Democratic Party. I now reside at
(Restdence Address)
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containinlo#.*,,signatures, subscribed the same in my presence on the dates above indicated and identified himself
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
on I /J4 ,,0,,
of Witness
sheet to be valid.
PARKS|DE PRTNT|NG CO., lNC., 538 JOHNSON AVE , BROOKLYN, NY (718) 443-7500 PAGE.,57
EVAN M. SIAVISKY, reslolng at zJ-J3 E eil Eroulevaru, Apr,. .+A, Erdystur, uuutlry u. yuEc.rr, rtcw r vr^ . rsvv
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Clueens, New York 11357
all of whom are enrotled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
rter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter County
x
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County of Queens
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PARKSTDE pRTNTTNG CO., rNC, s38 JOHNSON AVE., BROOKLYN, NY (718)443-7500 PAGENo 59
cvAll ln, ar!ttYlonIt lttllulltg df 4J'gu pEtr gvulEvqru, Aptr rn, uqr-rug, vvurrty vt quEsrtg, ltgtr re!^ . tsvv
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
(signatu;e required) enter Countv
l .J-qly-. .-?-- --,-relt J.wah..%4 //o.w . 3,t-?D ?-oott $ frftz Goundr of Queens
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4. \ ,2017 County of Queens
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rJ STATEMENT OF WITNESS
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ifofq l( rS state: I am a duty quatified voter or the state of New york and
am an enrotled voter of the Democratic Party. I now reside * 25 * O"l 31 +l Slfl l*
(Residence Address)
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning ')- signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fi,l in Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be valid.
PARKSTDE PRINTTNG CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE-".\'?
EVANm,OlAYlol\rrtgslulllgdLzJ-oJEEilErLrUlEYcrl\lrnPr.aA,pdysruErvuurrryvrquEErrJ,rtEw rurn rrJuv
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
rter Town or C
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter County
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STATEMENT OF WITNESS
l, state: I am a duly qualified voter the^State of New York and
am an enrolled voter of lXe Democratic Party. I now reside at )")t, /o /-n - J A.,.
in the City of New Ydy)<, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing signatures, subscribed the same in my presence on the dates above indicated and identified himself
or herself to be the individua! who signed this sheet. I understand that thli^statement will be accepted for al! purposes as the
equivalent of an affidavit and, if it contains a material false statement, ?t6ll stiUlegt me to the same as if I had been
duly sworn.
Date ,2017
of
Witness iddntification information: The following information for the witness named above must be completed with the Board of Elections in order for this petition
sheet to be valid
PARKSTDE PRTNT|NG CO , tNC.. 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
tsVAN M. STAVISKY, resrdrng at ZJ-JJ Eell boutevarq, Ap(. .rA, Eraysruc, euurrry ur r{usE.!J, rlEw r vr r .vvv
^
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of thc Democratic Parly as a commiftee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
!N WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE except in NYC
enter
-
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- ? ,2017 /s\21 ) >H County of Queens
b;,;;-N;;;; City of New York
County of Queens
City of New York
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lo.o^l ,/ (rJ S.F Gounty of Queens
City of New York
Name )
Name )
,ans"'M,e County of Queens
City of New York
County of Queens
City of New York
______,_?.917
Name ) 11 1-1" la Gounty of Queens
City of New York
ATEMENT OF WITNESS
I, S. state: I am a duly qualified voter of the State New York and
am an enrolled voter of the Democratic Party. I now reside 33' 5 0 Lt/C
"t Address)
in the Gity of New York, in the County of Queens. Each of the individuals whose n"ames are subscribed to this petition
1a\
sheet containing a(L/ signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill in Number)
or herself to be the individual who signed this sheet. I understand that this statement vgill be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject milto the same penalties as if I had been
duly sworn.
IL'l { ?
o","----------E/----t- ,ro,
of Witness
sheet to be valid.
PARKSIDE PRINTING CO., lNC.. 538 JOHNSON AVE., BROOKLYN, NY (718) rt43-7500 PAGE .". 6 I
tsvAN M,!iIAVISKYt reslolng at ZJ-JD E ell E Ourevarq, Apr..lA, Eraystoe, r,ounry or r{ueerrs, New rorl( I IJou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, ! have hereunto set my hand, the day and year placed opposite my signature.
rter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
(s.ignature -required)
enter County
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STATEMENT OF WITNESS
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am an enrolled voter of the Democratic Party. I now reside at 5O UYe
(Residence Address)
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet containing -z-
--, signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fill rn Numbe4
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall rn. same Penalties as if I had been
duly sworn. 2:7
o^r. c '1 / o'i ,ro* Signature of Witness
sheet to be valid.
PARKSTDE PRtNTtNG CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE No.
a
EVAN M, 5l AVISKY, reslolng at zJ-sc E ell Eloulevarq, Apr. .rA, E aysroe, uounry or Ltueens, New yorx 't rJou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, Coungr of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fill vacancies for the above Par$r Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or
DATE except in NYC
enter
?40'/o sl Ay County of Queens
City of New York
Name ) D6 ilV /t35/
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STATEMENT OF WITNESS
d lama voter of the of Ne'wY, < and
am an enrolled of the Democratic Party. I now reside at { N) ) te),
in the City of New in the County of Queens. Each of the individuals whose names are subscribed to thfs petition
dork,
sheet contai I J' signatures, subscribed the same in my presence on the dates above indicated and identified himself
"i"g(Fillin Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
sheet to be vaild.
PARKSIDE PRINTING CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718)/U3-7500 PAGE No.
EVAII lYl, ol lAYtarr\ I, lts|slulltg dr aJ-gJ uGrr pvurcvq.u, esrr.ser vvslrl, vr seev..et
^Par -^r
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Pafi Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF S]GNER except in NYC
enter
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in the City of New Yor[, in the County of Queens. Each of the individuals whose names are subscribed to this petition
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sheet containing I 1,t signatures,
(Fillin Number)
subscribed the same in my presence on the dates above indicated and identilied himself
or herself to be,the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn..
PARKSTDE PRtNTING CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE .". 6Ll
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, Apt. 4A, BalEide, county ot Glueens, New yorK 1rJ6u
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, Gounty of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE except in NYC
enter
/e.{ri cl\ 5rb-le'*-h, lLl"l-7o 1r)*(rA. County of Queens
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l, r\ state: I am a duly qualified voter of the State of New York and
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am an enrolled voter of the Democratic Party. I now reside at
'
sheet containing
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in the Citv of New York, in the County of Queens. Each of the individuals whose names are subscribed to this' petition
(Residence Address)
signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Frlljn
Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me penalties as if I had been
duly sworn.
Date
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2017 e
Signature
Witness identiflcation jnformation: The following information for the witness named above must be compleled prior to the Board of Elections in order for this petition
sheet to be valid.
PARKSTDE PRtNTtNG CO., rNC , 538 JOHNSON AVE., BROOKLYN, Ny (718) 443-7500 PAGE." 6r
EVAN M. STAVISKY, residing at 23-35 tsell ttoulevaro, APr. rlA, Dayslqe, utrurrry (ri \.uEErr!, rlEw . v! n . .evv
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Pafi as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or
DATE except in NYC
enter
of Queens
City of New York
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STATEMENT OF WITNESS
t, =Jo state:lamaduly voter of the State of New York and
am an enrolled voter of the Democratic Party. I now reside at
in the City of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petition
sheet contai ning 70 signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Frll rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
duly sworn.
PARKSTDE PRtNTTNG CO., rNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGENO. 66
EVAN M. SlAVISKY, restdrng at23-35 t ell t Oulevard, Apt.4A, Bayside, Gountyof Glueens, New York 11360
MARTAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Clueens, New York 11357
all of whom are enrotled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF SIGNER RESIDENCE except in NYC
(signature required) enter County
2. County of Queens
,2017
Gity of New York
Printed Name I
STATEMENT OF WITNESS
,, /{ , a O f.l Q*J# do^ state: r am a duly qualiried voter or the State or New york and
am an enrotled voter of the Democratic Party. I now reside lb - J 3 :Oq (-F.
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in the City of New |ork, in the County of Queens. Each of the individuals whose names are subscribed to this petition
I
sheet containing I signatures, subscribed the same in my presence on the dates above indicated and identified himself
(Fillin Numbeo
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to penalties as if I had been
duly sworn.
h/
9^Lv,,t,2017 t-5 -en@Address)
Signature of
Witness identification information: The following information for the witness named above musl be completed prior to filing Board of Electrons in order for this petition
sheet to be valid.
PARKSIDE PRINTING CO.. lNC., 538 JOHNSON AVE.. EROOKLYN. NY (718),143-7500 PAGE.". 67
EVAN M. STAVISKY, fesldlng at ZJ-JJ E ell E OUlevatu' APr. +A' edlrlluE' vvurrry vr Yuser'r' t!srr r vrn r reev
MARTAN E. SCHWARTZ, resiiing at 166-25 Powells cove Boulevard, Apt. 14A, Whitestone, county of Queens,
New York 11357
all of whom are enrolled voters olthe Democratic Party as a committee to fill vacancies for the above Party Positions
in i
accordance with the provisions of the election law.
l,
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
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DATE NAME OF SIGNER RESIDENCE except in NYC
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or herself to be ihe individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me penalties as if I had been
duly sworn.
,2017
Signature
Witness identification information: The following information for the witness named above must be completed prior to Board of Elections in order for this petition
sheet to be valid.
pARKSIDE PRTNTTNG CO., lNC., s38 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGENO 69
EVAN IYt' o I AYID^Y' reslolng at zJ'Jt E ett E outevarq' Apr. ,lA, E aysrqe, uounty or r4ueens, New rorK.rrJou
MARIAN E' scHwARTz, residing at roo'zs Powelts Cove'Boulevard, Apt. 14A,
Vtihitestone, County of eueens, New york 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies
for the above party positions in
accordance with the provisions of the election law.
lN WITNESS WHEREoF, I have hereunto set my hand, the day and year placed
opposite my signature.
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DATE
except in NYC
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suuscriuea the same in my presence on the dates above indicated and identified himself
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equivalent of an affidavit and, if it contains a material false statement, shalt subject me to the same penalties as if I had been
duly sworn.
Date ,2017
sheet to be valid.
PARKSTDE PR|NT|NG CO . tNC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE -,.61
EVAN M. STAVISKY, residing at23-35 Bell Boulevarcl, Apt. 4A, Baysicle, County of Glueens, New Yort( 11360
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, Gounty of Clueens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE NAME OF SIGNER except in NYC
(signature required) enter
rJ-:-Y l1u --\ ,aqrz Qu- t'l i1b !l- Srlrypit County of Queens
City of New York
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STATEMENT OF WITNESS
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state: I am a duly qualified voter_qf the State of New/ork and
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in the City' of New York, in the County of Queens. Each of the individuals whose names are subscribed to this petit'ion1\?1,
t)
sheet containing | /^ signatures, subscribed the same in my presencp on the dates above indicated and identified himself
(Fill rn Number)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Dat ,2017
sheet to be valid
PARKSTDE PR|NT|NG CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE -..7O
trvAN M. D l AVlDl\Y, reslolng aI zJ-oo E Elr orrurEvqr q, Al,.. rA, eqrJrss, vvsrrry v. ssvv,,v,
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the above Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
Enter Town or City
DATE except in NYC
enter
County of Queens
City of New York
L-J- l-ila.--.-r""qrz
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County of Queens
City of New York
STATEMENT OF WITNESS
t, lam a State of New
or herself to be the individual who signed this sheet. ! understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been
duly sworn.
Date, ,2017
sheet to be valid.
PARKS'DE PRiNTING CO., tNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE -r.1
EYAN ]n. o I AYlunr, reslqlng at zJ-J5 Hell E Outevaro, Apt. 4A, E aystqe, uounry or r.lueens, New rorK .r-!Jou
MARIAN E. SCHWARTZ, residing at 166-25 Powells Cove Boutevard, Apt. l4A, Vtihitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a committee to fill vacancies for the ab-ove Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
'own or City
DATE except in NYC
enter
9. ._.___,_?_911
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Printed Name t City of New York
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12. 20't7 County of Queens
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MENT OF WITNESS
t, state: I
of Wilness)
or herself to be the individual who signed this sheet. I understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same as if I had been
A
duly sworn.
Date ,2017
Signature of
Witness identification inffrmation: The following information for the witness named above must be completed prior lo filing with the of Elections in for this petition
sheet to be valid.
PARKS|DE PRTNTING CO., lNC., 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE .,.7e
EVAN M. STAVISKY, residing at 23-35 Bell Boulevard, ADt. 4A, Eaystcre, counry or uueens, New rorx ri.rou
MARIAN E' SCHWARTZ, residing at 166-25 Powells Cove Boulevard, Apt. 14A, Whitestone, County of Queens, New York 11357
all of whom are enrolled voters of the Democratic Party as a commiftee to fitl vacancies for the ab-ove Party Positions in
accordance with the provisions of the election law.
lN WITNESS WHEREOF, I have hereunto set my hand, the day and year placed opposite my signature.
'own or City
DATE except in NYC
enter
l6b - CT 17 PD. County of Queens
Gity of New York
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STATEMENT OF WITNESS
t,
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am an enrolled voter of the Democratic ! now reside at
in the City of Newr,York, in the County of Queens. Each of the individuals whose names are subscribed to this
sheet containing
or herself to be the iidividual who signed this sheet. ! understand that this statement will be accepted for all purposes as the
equivalent of an affidavit and, if it contains a material false statement, shall subject me to the penalties qg if I had been
Date ,2017
Witness identification information: The following rnformation for the witness named above must be completed prior to filing with the Board of Elections in this petition
sheet to be valid.
PARKSTDE PR|NT|NG CO., tNC , 538 JOHNSON AVE., BROOKLYN, NY (718) 443-7500 PAGE..73