McQuire, Courtlandt 02-28-24- Notice of Intent to Run THE CITY OF BOYNTON BEACH
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2025 CANDIDATE NOTICE OF INTENT TO RUNw Cr,
J
[.Candidate's Name: 011,0,4\ .4k- Y\ uir.c. E4layor _District 1 _ ,,.� w
_ District 3 i C'
U
[► Appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates (DS-DE 9)
_ 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
Appointment of Campaign Treasurer and Designation of Campaign
'A
Depository for Candidates (DS-DE 9)
_ 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
Statement of Candidate (DS-DE 84)
I, C�VV U&th( A/K &i' e , acknowledge receipt of printed copies of
the following:
• Qualifying Information
• 2023-2025 Calendar of Reporting Dates
• Florida Election Code
• C n idate & Campaign Treasurer Handbook 9N 20 , 4
Date:
Signature
Comments:
Checked: \x/12- Revie ilkita Date: 02/°2`3 ,
0
OFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.) FL) 2 8 7124
(Please print or type) CITY CLERK'S OFFICE
1, CO u 12.T 1i cq) LLi2e
candidate for the office of M U rt a,] L,w- ;
�,
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x CihAtt
c 2 -2f3 2-02.(/'
Signature of Candidate Date
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)
APPOINTMENT OF CAMPAIGN TREASURER FILED
AND DESIGNATION OF CAMPAIGN
FE
DEPOSITORY FOR CANDIDATES r'
(Section 106.021(1), F.S.)
B 2 8 2024
(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 Change: gl Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last): 3. Address (include PO Box or Street, City, State, Zip Code):
(Please Print or Type Name)
SOHO (4.7l tr5Pee-ou Pi iv rzo kD
COU/74 WDI ML4)u12C 60VAY-Div &r✓/1-cH, FL 33LI35
4. Telephone: 5. Candidate's Voter Registration #: 6. Email Address:
(CO-I ) L{e5- I-1609 1 L7 / 7q' S-63 cov276)
(not required for qualifying purposes)
7. Office Sought (include district, circuit, group, or seat#): 8. If a candidate for a nonpartisan office, check the box
if applicable:
f'lAy0Q.. A7 cacC�t ❑ I intend to run as a Write-In Candidate.
9. If a candidate 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. Ff No Party Affiliation Candidate. ❑ Party candidate.
10. I have appointed the following person to act as my: 2/Campaign Treasurer ❑ Deputy Treasurer
11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Email Address:
l"IicFfELLE HCCPL.II re (`7Sl-/ ) Sci ). N 17 c7 t-liCe-t LLE l r5neci p�/
Or�
14. Mailing Address: 15. City: 16. State: 17. Zip Code:
6-00 i5PE Pi Ales 2.0 �jo'(A�rotJ t3Et+CH FLo2IOft 33Li3�
130y nlruiv 1.3Efl c-t-1, re., 33 LI 3c-
18.
S18. I have designated the following bank as my (check appropriate box): E] Primary Depository ❑ Secondary Depository
19. Name of Bank: 20. Address:
Ft AES 5 1F 2 12-7 N ccAJ eeSS AVE .
21. City: 22. County: 23. State: 24. Zip Code:
i3oyivroI\! 5E-Act4 , j Of-Llvt > AC-F' FL 33 c-% 7
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 DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
26. Signature f Candidate:
25. Date: 2/70 C7 02_1-1 v
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate box)
Le Y .t do hereby accept the appointment designated above as:
(Please Print or Type Name)
EKampaign Treasurer. ❑ Deputy Treasurer.
29. Signature of Campaign Treasurer of Deputy Treasurer
28. Date: Z f Z � / Z L X 1 , l,L-11 (42,i/Ci
DS-DE 9(Eff. 10/23) Rule 1S-2.001, F.A.C.
•
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES FL-3 2 8 9n71
(Section 106.021(1), F.S.) _
(PLEASE PRINT OR TYPE) CITY CLERK'S OFHCE
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 Change: 2/Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate(in this order: First, Middle, Last): 3.Address(include PO Box or Street, City, State, Zip Code):
(Please Print or Type Name)
COU2T1f�NIDT M �QUi12E 50b WHISPEfZ-�►�1(� p,'j rtS IZ�7' )
fJ'jnUrO►v F t- - 1 , PL '33y33
4. Telephone: 5. Candidate's Voter Registration#: 6. Email Address:
( gS14) LiceS• 43(0 q /O l S 839 courLre R-er,gfitILA-Dv . C.t2
(not required for qualifying purposes)
7.Office Sought(include district, circuit, group, or seat#): 8. If a candidate for a nonpartisart office, check the box
if applicable:
A/0 2 Ar LAIL ❑ I intend to run as a Write-In Candidate.
9. If a candidate 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. ZNo Party Affiliation Candidate. ❑ Party candidate.
10. I have appointed the following person to act as my: ❑ Campaign Treasurer Deputy Treasurer
11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Email Address:
COu12_rLprnrD1 MCcpui0E ( 9C-/ ) LOA-- L3629 Cour-LT- 12El)SA1 g✓
Cory
14. Mailing Address: 15. City: 16. State: 17. Zip Code:
Flo WH13Pet1N6 JJiAJe 5 12-1) • o' NT'o at-AC-4 rL 33L/3S
18. I have designated the following bank as my (check appropriate box): UPrimary Depository El Secondary Depository
19. Name of Bank: 20. Address:
FLA-67 STA12 12-7 rJ coNt12_Ess AVE .
21. City: 22. County: 23. State: 24. Zip Code:
5001 ntroAf BtpPr U`t CAC-J 4 LD2tD1) 33 42 So
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 DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
26. Signature f Candidate:
25. Date: 2 /Zg /70Z LI v ` a."4
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate box)
GO u 27- I D7 M"(C 6)U(2E do hereby accept the appointment designated above as:
(Please Print or Type Name)
❑ Campaign Treasurer. Deputy Treasurer.
29. Signature of Campaign Treasurer of Deputy Treasurer
28. Date: . /z g /20 7_14
X 0/"\ o
DS-DE 9(Eff. 10/23) Rule 1S-2.001,F.A.C.