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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)