You are on page 1of 3


To: From: Date: Re: Members of Congress, State Senate & Assembly Vito J. Lopez March 7, 2012 Democratic Party Designating Petitions

As of this writing, it seems likely that the first day to circulate designating petitions is Tuesday, March 20, 2012. That is two weeks from today. It is therefor necessary for you to respond immediately in order to facilitate the timely processing of your petition requirements. It will be necessary to transmit a deposit the following amounts with Progress Printing Corp., 60 Meserole Avenue, Brooklyn, NY 11222 [checks to be hand delivered to County]: Assembly - $545.00, Senate - $1225.00, Congress - $1819.00 County-wide Civil Court Judge - $5444.00 and District Civil Court Judge - $1819.00. The foregoing are deposit amounts, which will be revised (with refunds, if appropriate) after petition filing. On or about May 1st, you will receive a receipt for your actual petition share cost and the amount of the refund for which your campaign is entitled. Please direct your Treasurer to immediately prepare a check in the stated amount payable to: Progress Printing Corp., 60 Meserole Ave; Brooklyn, NY 11222. The check must be delivered with your petition copy to: Jonathan Yedin, 16 Court Street, Suite 1207, Brooklyn, N.Y. 11241. Please complete the enclosed Authorization and Consent form and return with your payment. As we have done in the past, I recommend that the first named person on your committee to fill vacancies be: Frank R. Seddio, residing at 2333 East 69th Street, Brooklyn, NY 11234. Members of the Assembly should not submit a committee to fill vacancies unless there are special circumstances which have been discussed, in advance, with Jeff Feldman. Assembly Members are presumed to have designated the committee to fill vacancies of their A.D.s State Committee Members. We suggest that you obtain the Date of Birth for each member of your committee to fill vacancies. By doing so, you may easily verify their registration and enrollment status - online via Please resolve any spelling, enrollment or address discrepancies prior to your submission of petition data.

Your response, including payment in full, must be received no later than Friday, March 9th. Should you have any questions or require further information, please contact Jeff Feldman.


I, the undersigned, hereby authorize the members of the Democratic State Committee in and for the ________________________________ Assembly district(s), to cause my name to be published on Democratic Party Designating Petitions to effectuate my election or re-election to the Public Office set forth below. He (they) may cause my name to be printed in combination with any other candidates for public office or party position at their sole discretion and without limitation or reservation. It is explicitly understood that all requirements of New York State Election Law will be strictly observed. I have set forth, below, my name and address as they appear in the records of the Board of Elections in the City of New York, in addition to the names and addresses of the additional members of the committee to fill vacancies for my candidacy. I warrant and represent that each person whom I have named to serve on the committee to fill vacancies is an enrolled member of the Democratic Party, has consented to serve in that capacity, and has expressly agreed to have their name appear on Designating Petitions without limitation or reservation regarding any other candidate or individual named on such document. I have enclosed a check from my political committee as a deposit to pay for my share of the petition expense, for those petitions which are printed by the Progress Printing Corp. I understand that there are additional costs attendant to reprinting petitions at my request, ordering single petitions and revising petitions due to a typographical error for which I was responsible. I further understand that I am solely responsible for the cost of any petition which you did not cause to publish. Name of Candidate: Public Office & District: Residence Address: City, State, Zip Code: Phone: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________Apt:_____________ ______________________________________________________________________ (cell):_________________ (home):_________________ (office):___________________

Private Email Address: ______________________________________________________________________


Name 1. 2. 3. 4. 5. Frank R. Seddio Address 2333 East 69th Street Apt. No. Zip Code 11234

I understand that you will require me to proof-read the type set version of my petition submission before its publication and, to that end, hereby designate the following named agent to fulfill that requirement [ if any]: Name of Agent:______________________________________________ Email: ____________________________ Telephone:(Off)___________________ (Cell) ______________________ Facsimile:_________________________ Signature of candidate or attorney:________________________________________ Date:___/___/___ Hand Deliver Original with Payment and either Fax to (718)-596-4013 or Email Text to