Turkin, Thomas 11-12-24- Qualifying Documents t4OU 12 '24 2:54PM
CITY CLERK
CITY OF BOYNTON BEACH BOYNTON BEACH
CANDIDATE QUALIFYING CHECKLIST
Candidate's Name: p►'1(kQS I (,(y/(,{,) Mayor JDistrict 1District 3
Qualifying Information
Re (ency Requirements Statement
Article I
Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates
S-DE 9). _ v^°‘ 10:),T,_ Candidate signature on4lock 26
_ Campaign Treasurer signature on Block 27
Form is completely filled out
Note: Only one primary and one secondary depository can be designated
Appointntntof�Campaign Treasurer and Designation of Campaign Depository for Candidates
S-DE 9).qsLfl •t-
_ Candidate signature on Stock 26
_ Campaign Treasurer signature on Block 27
_Form is completely filled out
Note: Only one primary and one secondary depository can be designated
Oath of Candidate(DS-DE 302NP). (Accepted at time of qualifying)
Note: the Candidate prints name as they wish it to appear on the official ballot XStatement of Financial Interest Form 1 (CE Form 1). (Accepted at time of qualifying)
X0 Form is completely filled out
filing Fee for City Commissioner=$25.00 (Accepted at time of qualifying)
CHECK MUST BE FROM CAMPAIGN ACCOUNT(EXAMPLE: JOHN DOE CAMPAIGN
ACCOUNT), AND SIGNED BY TREASURER/DEPUTY TREASURER).
Election Assessment Fee for City Commissioner=$223.69 (1% of salary-Commissioner salary=
$22,369) (Check made out to City of Boynton Beach). (Accepted at time of qualifying)
CHECK MUST BE FROM CAMPAIGN ACCOUNT(EXAMPLE: JOHN DOE CAMPAIGN
CCOUNT), AND SIGNED BY TREASURER/DEPUTY TREASURER).
Petitio andbook
wenty-five(25) signed petitions that have been certified by the Palm Beach County
Supervisor of Elections (a, a cost of 10¢ per name. (As of 2021, Candidates are
required to submit petitions to the City Clerk who will in turn will have them certified
by the PBC Supervisor of Elections. Please submit petitions no later than November
15th to help ensure they are certified prior to the end of qualifying.)
Resign to Run
(Candidate must resign in writing from elective or appointive office no less than ten (10) days prior to
the first day of qualifying) (F.S. 99.012)
r
I, i V ►w , acknowledge receipt of printed copies of the following:
M i rida Election Code
Cj 124/2025 Election Calendar
I : didate & Campaign Treasurer Handbook
l�1 •signation of Poll Watchers
E opy of Treasurer's Report Documents
Cj ' ection Code for the City of Boynton Beach
J ode of Ethics for Palm Beach County
N S shine Amendment and Code of Ethics for Florida
E 'ityMap
C 'recinct List for Boynton Beach as of 11-01-2024
2 Notice of Logic & Accuracy Test for Election and Run-Off Election- 1 BI)
Comments
i
Candidate's Signature: i2 Date: ( / I/7Atc44-14
i
Checked:\_ x Reviewed: R CS4 Date: /f i�ae
RESIDENCY REQUIREMENTS
I, Tu , candidate for
(Print Name)
Cl C Mr S5c > R -r- i'c-- oT5 of the City
Mayor/Commissioner— District #)
of Boynton Beach, have received, read and
understand the residency requirements of Article I of
the Charter of the City of Boynton Beach.
( .
%'ter
(Signature of Candidate)
It IzA6z9
(Date)
CANDIDATE OATH a_ 12 0Li '24 :55P11
NONPARTISAN OFFICE Ciw CLERK
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a write-in
candidate: E:UYNTCON BEACH
Write-in candidate
OFFICE USE ONLY,
Candidate Oath
Name to appear on ballot: �-
Check box if two last names without hyphen. ❑ (Name cannot be changed after qualifying.)
Check box if name includes nickname. ❑ (For use of a nickname,you must complete the Nickname Affidavit on reverse side.)
I swear or affirm that I am a candidate for the nonpartisan office of C(` (-OMNI I`55ic3Yw( 3
(Office) (District#)
; I am a qualified elector of tiiVN County, Florida'
(Circuit#) (Group or Seat#)
I am a qualified elector under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with the office I seek;and I
have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the
Constitution of the United States and the Constitution of the State of Florida.
Statement of Outstanding Fines, Fees, or Penalties
I owe outstanding fines, fees, or penalties,that cumulatively exceed$250, for ethics or ca aign finance violations(s. 99.021(1)(d), F.S.).
YES,I Do NO, I Do Not
If you do,you must also specify the amount owed and each entity that levied the same on the reverse side.
Si nature of Candidate Telephone Number Email Address -
STATE OF FLORIDA
COUNTY OF --P�,Qrn Signatlare of Notary Public ✓
Print, Type, or .tamp Commissi ed Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by means of „,,,"" "" r'r"r
online noation ❑ O,R,y,,Lphysical presence • • P.I PUB
this ftan day of C,rf,+►we.� •
, 20� r'�°� C/C
Personally Known OR Produced Identification ❑ _ 9\14,,
O' 22 02
Type of Identification Produced: EX e:cZr
`
°,0. SrgrE OF F\,�'.��p'`
,,,
DS-DE 302NP(Eff. 10/2023) ',''�,�1/SS........ �� Rule 1S-2.0001, F.A.C.
1" ruanu
Phonetic Spelling of Name
Phonetic spelling for the audio ballot(not required for qualifying purposes): Print the name phonetically on the line below as you
wish it to be pronounced on the audio ballot as may be used by persons with disabilities(see instructions on page 3 of this form):
. VOI ` S Tbfit ,- V ►N
Statement of Outstanding Fines, Fees or Penalties
Pursuant to Section 99.021(1)(d), F.S., each candidate, whether a party candidate, a candidate with no party affiliation, or a write-in
candidate,shall, at the time of subscribing to the oath or affirmation, state in writing whether he or she owes any outstanding fines,fees,
or penalties that cumulatively exceed$250 for any violations of s.8,Art. II of the State Constitution,the Code of Ethics for Public Officers
and Employees under part III of chapter 112, any local ethics ordinance governing standards of conduct and disclosure requirements,or
chapter 106.
Amount Entity
Affidavit of Nickname (Only required if using nickname for the ballot.)
My legal name is . I am over the age of eighteen (18)and the contents of this
affidavit are true and correct.
My nickname is . I am generally known by this nickname or have used it as part
of my legal name. I have not created the nickname to mislead voters. My nickname does not imply I am some other person, constitute
a political slogan or otherwise associate me with a cause or issue, or that is obscene or profane.
Signature of Candidate:
STATE OF FLORIDA
COUNTY OF
Signature of Notary Public
Print.Type,or Stamp Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by means
of online notarization ❑ OR physical presence ❑
this day of , 20
Personally Known ❑ OR Produced Identification ❑
Type of Identification Produced:
DS-DE 302NP(Eff. 10/2023) Rule 1S-2.0001, F.A.C.
2023 Form 1 - Statement of Financial Interests
Filed with COE: 07/13/2024
General Information
Name: Mr Thomas Turkin
PID 300567
AGENCY INFORMATION
Organization Suborganization Title
Boynton Beach City Commission CRA Board Member
Boynton Beach Community Redevelopment Agency CRA Board Member
South Central Reg.Wastewater Bd. Board of Supervisors Commissioner, Boynton
Beach
Disclosure Period
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2023 .
Primary Sources of Income
PRIMARY SOURCE OF INCOME (Over$2,500) (Major sources of income to the reporting person)
(If you have nothing to report,write "none"or"n/a")
Name of Source of Income Source's Address Description of the Source's
Principal Business Activity
USN 1227 marine drive USN
Printed from the Florida EFDMS System Page 1 of 4
2023 Form 1 - Statement of Financial Interests
Filed with COE: 07/13/2024
Secondary Sources of Income
SECONDARY SOURCES OF INCOME (Major customers, clients,and other sources of income to businesses owned by the reporting
person)(If you have nothing to report,write "none"or"n/a")
Name of Business Entity Name of Major Sources of Principal Business
BAddress of Source
Business' Income
Activity of Source
N/A
Real Property
REAL PROPERTY(Land, buildings owned by the reporting person)
(If you have nothing to report,write "none"or"n/a")
Location/Description
N/A
Intangible Personal Property
INTANGIBLE PERSONAL PROPERTY(Stocks, bonds,certificates of deposit,etc. over$10,000)
(If you have nothing to report,write "none"or"n/a")
Type of Intangible Business Entity to Which the Property Relates
401k Personal
Printed from the Florida EFDMS System Page 2 of 4
2023 Form 1 - Statement of Financial Interests
Filed with COE: 07/13/2024
Liabilities
LIABILITIES(Major debts valued over$10,000):
(If you have nothing to report,write"none"or"n/a")
Name of Creditor Address of Creditor
N/A
Interests in Specified Businesses
INTERESTS IN SPECIFIED BUSINESSES(Ownership or positions in certain types of businesses)
(If you have nothing to report,write "none"or"n/a")
Business Entity#1
N/A
Training
This section applies only to an appointed school superintendent,or a commissioner of a community redevelopment agency
created under Part III,Chapter 163,each of whom are required to complete annual ethics training pursuant to Section
112.3142, F.S.
Q I certify that I have completed the required training under Section 112.3142, F.S.
❑ Required training under Section 112.3142, F.S., not applicable to filer for this form year.
Printed from the Florida EFDMS System Page 3 of 4
2023 Form 1 - Statement of Financial Interests
Filed with COE: 07/13/2024
Signature of Filer
Thomas Turkin
Digitally signed:07/13/2024
Filed with COE:07/13/2024
Printed from the Florida EFDMS System Page 4 of 4