Gordon, Golene 09-17-24- Notice of Intent to Run THE CITY OF BOYNTON BEACH
2025 CANDIDATE NOTICE OF INTENT TO RUN
[`Candidate's Name: G3O'en& Gordo., Mayor _District 1
District 3
[]Appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates (DS-DE 9)
_ Ensure Candidate signs Block 26 F L
Ensure Campaign Treasurer or Deputy Treasurer signs acceptance
Ensure form is completely filled out SEP 7 2024
Note: Only one primary and one secondary depository can be designated CITY CLERK'S OFFICE
appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates (DS-DE 9)nvYv .
_ 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, (7 /e(�(� 6t raoi'( , acknowledge receipt of printed copies of
the folowing:
• Qualifying Information
• 2023-2025 Calendar of Reporting Dates
• Florida Election Code
• Candidate & mpaign Treasurer Handbook
Date: 0//7/(}11-31 '/
Signature
Comments:
Checked: 0-- Reviewed: Date: q )/74.7-:141
OFFICE USE ONLY
STATEMENT OF
CANDIDATE FILED
(Section 106.023, F.S.) SEP 1 7 2024
(Please print or type) CITY CLERK'S OFFICE
1. 6dhode 60yci ./1/
candidate for the office of / 0( //7t")/ )}e/C/ 17/0/0/ ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X 0 /t �Z7
Signa ure 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-D1:84(05/11)
APPOINTMENT OF CAMPAIGN TREASURER F i L D
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES CSP _ 7 124
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
CITY CLERKS Q)Fi iCF
NOTE: This form must be on file with the filing officer before
opening the campaign account. OFFICE USE ONLY
1.CHECK APPROPRIATE BOX(ES):
pi
Initial Filing of Form ❑ Re-filing to Change: Treasurer/Deputy 0 Depository 0 Office 0 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) t9 ^ i n 1, mon e n e 4 ,/ C i �e
( DdoA/ (,,,p4 rnc1i r3
43vZ b
4.6 ,,pif,q
lebrie5.Candidate's Voter Registration#: 6.Email Address:
(50 ) � j Lng
J��J�3 / ( twrf�r purposes) 6 6 v( ovi (� a " i,,
Office Sought(include district, circuit, group, r seat#): 8. If a candidate for a ponnartisart office,check the box
7. g
/, if applicable:
Ib Uiin I r r v5 eat 1/ l 1 t��'ti/ ( ark- -( ci ❑ I intend to run as a Write-In Candidate.
J�LtISSII
9.If a candidate for office,/check the box and fill in the name of the party as applicable: I intend to run as a
❑Write-In Candidate. No Party Affiliation Candidate. 0 Party candidate.
10. I have appointed the following person to act as my: Campaign Treasurer ❑ Deputy Treasurer
11. Name of Treasurer or Deputasurer: 2.Telephone: 13. Email Address:
,
C a ( odc Al 7? b 9 c/o Zt / 601641 l416 N/i4i€CCin„Lcll c--
14. Mai ing Address: 15. City: 16. State: 17. Zip Code:
. 3c7 L4 Ve VVI Mk ay c i ie . v(,in i v ) WI) fi 3 2L
18. I have designated the following bank as my (check appropriate box): 14 Primary Depository 0 Secondary Depository
19. ,NArne orf Bank: /1 20 Address:
V) t t K l'O 1/1319 D/00 At C011iP/055 // Ye---•
21. City: l 22. C nty: _ 23. State: 24. Zip Code:
`- D Vi 7-�l 1- 6 0 7ct i kol 7) ( �7 ( ,3 c/2
UNDER P NALTIES 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: q I 7y ti x
27. reasurer's Acceptance of Appointment(fill in the blanks and check the appropriate box)
60/ 7;
k1'i (/I dV l do hereby accept the appointment designated above as:
(Please Print or Type Name)
iiCampaign Treasurer. 0 Deputy Treasurer.
29. Signature of ign Treasurer of Deputy Treasurer
28. Date: ` H x 6-
DS-DE 9(Eff.10/23) Rule 1S-2.001,F.A.C.