Defranc, Kevie 03-29-24- Notice of Intent to Run THE CITY OF BOYNTON BEACH
2025 CANDIDATE NOTICE OF INT_E_NT TO RUN
[Candidate's Name: Ke-\� e ayor []District 1
district 3
[Appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates (DS-DE 9)
Ensure Candidate signs Block 26 FILED
Ensure Campaign Treasurer or Deputy Treasurer signs acceptance
�e Ensure form is completely filled out
Note: Only one primary and one secondary depository can be designated CITYC LERKRS OFFICE
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
[Statement of Candidate (DS-DE 84)
I, Ve,v , , acknowledge receipt of printed copies of
the following:
Qualifying Information
2023-2025 Calendar of Reporting Dates
�/'/Florida Election Code
Candidate & Campaign Treasurer Handbook
Date:
Signature
Comments:
Checked: f Reviewed: Date:
OFFICE USE ONLY
STATEMENT OF
CANDIDATE FILED
(Section 106.023, F.S.) 4t `°; 9 2024
(Please print or type) CITY CLERK'S OFFICE
1, IN;�
candidate for the office of LID
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X ,l (.
rQl
--
Sigi ature of Candidate ate
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 ,.
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES ` $" 9,
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the filing officer before
opening the campaign account. OFFICE USE ONLY
1.CHECK APPROPRIATE BOX(ES):
-
❑f Initial Filing of Form ❑ Re-filing to Change: ❑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)
31.a �)iE_ u�, cj,,
4bv t
Q, beFrqVxC, Bp 0&j., , f::,.L :2-:!)q3S
4. Telephone: 5. Candidate's Voter Registration#: 6. Email Address:
( 1 ) 311- ! '(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:
UEAMVV�( ,GL 1 intend to run as a Write-In Candidate.
9. If a candidate for Rartisan office, check the box and fill in the name of the party as applicable: I intend to run as a
❑ Write-In Candidate. o Party Affiliation Candidate. ❑ Party candidate.
10. 1 have appointed the following person to act as my: aCampaign Treasurer ❑ Deputy Treasurer
11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Email Address:
( I ) 317 -7 774, AbL,
14. Mailing Address: 15. City: 16. State: 11-lip Code:
3La( 5E ,( I 13E r_1_1 1
18. 1 have designated the following bank as my (check appropriate box): UPrilmary Depository ❑ Secondary Depository
19. Name of Bank: 20. Address:
G-1 � -7 1-�bl �j AVE
21. City: 22. County: 23. State: 24. Zip Code:
- -�3
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 of Candidate:
25. Date: La I L
27. Treasurer's Acceptance of Appointment(fill in the blanks and check he appropriate box)
I, _ do hereby accept the appointment designated above as:
(Please Print or Type Name)
5,6`ampaign Treasurer. ❑ Deputy Treasurer.
29. Signature of Campaign Treasurer of Deputy Treasurer
28. Date:
DS-DE 9(Eff.10/23) Rule 1S-2.001,F.A.C.