Merker, David 02-28-24- Notice of Intent to Run THE CITY OF BOYNTON BEACH
2025 CANDIDATE NOTICE OF INTENT TO RUN
LE andidate's Name:Thv\A ..t r ILe r L 1Vlayor District 1 w
District 3 c'
CN LL
1 C13C)(
Appointment of Campaign Treasurer and Designation of Campaign oo
Depository for Candidates (DS-DE 9) -.1
w
— Ensure Candidate signs Block 26 f
- Ensure Campaign Treasurer or Deputy Treasurer signs acceptance w 1-
_Ensure form is completely filled out
Note: Only one primary and one secondary depository can be designated
Ni Appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates (DS-DE 9) n, , OSS e n
Ensure Candidate signs Block 26
Ensure Campaign Treasurer or Deputy Treasurer signs acceptance
Ensure form is completely filled out
Note: Only one primary and one secondary depository can be designated
?atement of Candidate (DS-DE 84)
I, 13KMT j (c•t .._ , acknowledge receipt of printed copies of
the following:
• Qualifying Information
• 2023-2025 Calendar of Reporting Dates
• Florida Election Code
• Candidate & Campaign Treasurer Handbooik 1
r`.1� t;:i\...„.
i `\I ) Date:a ~ \
Signature
Comments:
Checked: Reviewed: 16 Date.,044
APPOINTMENT OF CAMPAIGN TREASURER FILED
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES FE3 2 8 2024
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE) CITY CLERK'S OFFICE
NOTE: This form must be on file with the filing officer before
opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
Initial Filing of Form ❑ Re-filing to Chang : Treasurer/Deputy ❑ Depository ❑ Office El Party
2. Name of Candidate(in this order: First, Middle, Las : 3.Address (include PO Box or Street, City, State, Zip Code):
(Please Print or Type Name) 1 r 1
C \ 1,�\,
4. Telephone: 5. Candidate's Voter Registration #: A Email Address:
( a, ) ti 3 i 1 (not required for qualifying purposes) �� C-\T � t \
7. Office Sought(include district, circuit, group, or seat#): 8. If a candidate for a nonpartisan office, check the box
if applicable:
❑ I intend to run as a Write-In Candidate.
9. If a candid a for partisan office, check the box and fill in the name of the party as applicable: I intend to run as a
❑ Write-In Candidate. to Party Affiliation Candidate. ❑ Party candidate.
10. I have appointed the following person to act as my. 1Campaign Treasurer ❑ Deputy Treasurer
11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Em,l Address:
DAA TA c ( , --7311'1.- 1C9,FJ( 0-74u, ROY
14. Mailing Address: 15. City: 1 State: 17. Zip Code:
I___J ,nt,jr•),, L.CANIel'4:3
I 3I31.1
18. I have d signated the following bank as my (check appropriate box): Primary Depository ❑ Secondary Depository
19. Name of Bank: i 20. Address:
21. City: 22. County: 23. State: 24. Zip Code:
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR THE APPOINTMENT OF THE
CAMPAIGN TREASURER AND DESIGNATION OF THE CAMPAIGN DEPOSIT-ORY AND THAT THE FACTS STATED IN IT ARE TRUE.
,.-" 26. nature of Ca.tididate:
25. Date: (, `( : )
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate'box) '
I, uN3\ '!! 1 r7—, C --. k_ do hereby accept the appointment designated above as:
(Please Print or Type Name)
] Campaign Treasurer. ❑ Deputy Treasurer.
i ' 29' Si nature-of paign Treasurer of Deputy Treasurer
28. Date: 0/L ,
f X\--) ..k\ '
DS-DE 9(Eff. 10/23) ct.v.31-1_,1
Rule 1S-2.001, F.A.C.
OFFICE USE ONLY
STATEMENT OF
CANDIDATE FiiLED
(Section 106.023, F.S.) FEB 2 8 2024
(Please print or type)
CITY CLERK'S OFFICE
1, 10 %.\) ')_ 0 17 Mk\,' k
candidate for the office of , Or, ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
!3'0\ \ $1 \\ \ \ (\Ji Pte I,N_Q f _.Q4 , \ s \\,exe.
Signature of Can idate \ D Jtte
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84(05/11)