Filing Papers
TO:
MATERIAL FOR CANDIDATES
M Ak K AlUlc.eOfl-GE
DATE: /O-O!&'-4od1
YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, WE HAND YOU THE FOLLOWING:
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2010 Qualifying Information & Municipai Election Schedule
Form DS-DE 9 Appointment of Campaign Treasurer and Designation of Campaign Depository for
Candidates (8/03) - TO BE SIGNED AND RETURNED TO CITY CLERK
Form DS-DE 84 Statement of Candidate (Must be filed within 10 days after filing Campaign Treasurer
Appointment) (8/03)
State of Florida Election Laws - Chapters 99, 105 & 106 (09/05)
Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Part I Charter, Article VII. Elections - City of Boynton Beach
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Directions for Posting Temporary Political Sign
City Commission District Map
Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections
Poll Watcher Form & FS 101.131- "Watchers at Polls"
2010 Election Dates to Remember
Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets
June 2008 Candidate Handbook for Candidates
Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF
ELECTIONS AND RETURNED TO CITY CLERK DURING QUALIFYING
Form 1 Statement of Financial Interests 2009 - TO BE FILLED OUT, SIGNED & RETURNED TO THE
CITY CLERK DURING QUALIFYING
L&A TESTING NOTICE (SIGN AND RETURN AT TIME OF QUALIFYING.)
Loyalty Oath - Oath of Candidate (DS-DE 24B)- TO BE RETURNED TO CITY CLERK DURING
QUALIFYING
Statement of Residency Requirements & Article II of City Charter - TO BE SIGNED AND RETURNED
TO CITY CLERK
RECEIVED BY:
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July 6, 2009
s:\CC\WP\ElECTION\Year 201O\MATERIAl FOR CAN OATES. doc
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STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE USE ONLY
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ampaign Treasurer's Acceptance of Appointment
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, do hereby accept the appointment as
JiSPcampaignTreaSure, D Deputy Treasurer lor the campaign 01 f'1t--~ ~/}.46,tibA_GE,
who is seeking nomination or election as a
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UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
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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).
OS-DE 84 (Rev. 03/08)
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RESIDENCY REQUIREMENTS
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Beach, have received, read and understand the
residency requirements of Article II of the Charter of
the City of Boynton Beach.
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S:\CC\WP\ElEcnON\year 201O\RESlDENCY REQUIREMENTS STATEMENT. doc
CITY OF BOYHTOH BEACH
*** CUSTOMER RECEIPT ***
1-1 Opel': JACKSOHZ Type: OC Drawer: 1
.&:l 0 Date: 2/83/18 81 Receipt no: 133434
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IU Description Guantit~ Amount
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.9- s= I"""l Trans number: 4277681
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CITY OF BOYNTON BEACH
*** CUSTO"ER RECEIPT ***
Oper: JACKSOHZ Type: OC Drawer: 1
.... Date: 2/83/18 81 Receipt no~ 133432
.9- Descri ptioTI Quanti to Amount
~5 W4 "ISCELLAHEO S INCO"E-001
1.90 $25.80
0 Trans nUlber: 4277679
Ii~ 0 G/L account nUlber:
I 88199983691999
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FORM 1 STATEMENT OF 2009
Please print or type your name, mailing I FINANCIAL INTERESTS I
address, agency name, and position below:
LASl4-: -- FIRST NAME -- MIDDLE NAME: FOR OFFICE
/UdLft#O/f.ktf. M//AR< Lc> Jls USE ONLY: C)
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MAILING ADDRESS: /' --0.
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NAME OF AGENCY: CD "CXJ
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NAME OF OFFICE OR POSITION HELD OR SOUGHT: P. Req. Code ::x:
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You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF )a:7CANDIDATE OR o NEW EMPLOYEE OR APPOINTEE
**BOTH PARTS OF THIS SECTION MUST BE COMPLETED**
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISC~AR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
DECEMBER 31, 2009 OR 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
0 COMPARATIVE (PERCENTAGE) THRESHOLDS OR B DOLLAR VALUE THRE;SHOLDS
PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
(If you have nothing to report, you must write "none" or "nfa")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
~vS~ Jh i/ s-I-J,,/j ~ P~e€/ih-, _.J ~
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PART B -- 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, you must write "none" or "nfa")
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for
(If you have nothing to report, you must write "none" or "nfa") when and where to file this form
are located at the bottom of page 2.
INSTRUCTIONS on who must
file this form and how to fill it out
begin on page 3.
OTHER FORMS you may need
to file are described on page 6.
CE FORM 1 - Eff. 1/2010
(Continued on reverse side)
PAGE 1
PART D INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certiticates of deposit etc]
(If you have nothing to report, you must write "none" or "n/a")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E - LIABILITIES [Major debts]
(If you have nothing to report, you must write "none" or "n/a")
NAME OF CREDITOR ADDRESS OF CREDITOR
PART F - INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
(If you have nothing to report. you must write "none" or "n/a")
BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3
NAME OF BUSINESS ENTITY
ADDRESS OF BUSINESS ENTITY
PRINCIPAL BUSINESS ACTIVITY
POSITION HELD WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0
SIGNATURE (reauiRKll: ~~ ?/;T~NED (required):
~/~.. l '-f '/'0
I' /' ~ FILING INSTRUCTH )IYS:
WHAT TO FILE: WHERE TO FILE: WHEN TO FILE:
After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state
signing and dating it, send back only the first on Ethics or a County Supervisor ot Elections for officer, and specified state employee must
sheet (pages 1 and 2) tor filing. your annual disclosure filing. return the torm to file within 30 days of the date of his or her
that location. appointment or of the beginning of employ-
If you have nothing to report in a particular Local officers/employees file with the Supervisor ment. Appointees who must be confirmed by
section, you must write "none" or "n/a" in that of Elections of the county in which they perma- the Senate must file prior to confirmation, even
section(s). nently reside. (It you do not permanently reside if that is less than 30 days from the date of their
in Florida, file with the Supervisor of the county appointment.
Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly-elected local office
NOTE: State officers or specified state employees must file at the same time they file their
MULTIPLE FILING UNNECESSARY: file with the Commission on Ethics, P.O. Drawer qualifying papers.
Generally, a person who has filed Form 1 for a 15709, Tallahassee, FL 32317-5709; physical Thereafter, local officers/employees. state
calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are
second Form 1 for the same year. However, a 201, Tallahassee. FL 32312 required to file by July 1 st following each
candidate who previously filed Form 1 because Candidates tile this form together with their calendar year in which they hold their posi-
ot another public position must at least file a copy qualifying papers. tions.
of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment,
falls under, see the "Who Must File" Instructions each local officer/employee, state officer, and
on page 3. specified state employee is required to file a
final disclosure form (Form 1 F) within 60 days
of leaving office or employment.
CE FORM 1 - Eft. 1/2010
PAGE 2
NOMINATING PETITION [;;U).-J 0 l q.s
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do
hereby nominate:
.MA~K KA~Cs-~c)"<z<S-€
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to be a candidate for City Commission, DISTRICT NO.3 City of Boynton Beac~~
Palm Beach County, Florida, for the term: c; ~..(,
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MARCH 2013 ~ ~O'
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MARCH 2010
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pursuant to the Charter and Ordinances of said City.
u:;-:-- SIGNATURE - _ ADDRESS,
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I, the undersigned,
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, do solemnly swear
(or affirm) that I am duly qualified to hold office under the Charter and Ordinances of the
City of Boynton Beach, Florida, and I do hereby accept the foregoing nomination as a
candidate for the office of City Commissioner for the City of Boynton Beach, Florida.
~~
Sworn to and subscribed before me at Boynton Beach, Florida, this ~ g.,
day of ~ A.D. 20 10
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Received at the City Hall in Boynton Beach this 3~ay of ~~
20/0 at 7:1/0 ~
P.M.
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Janet M. Pralnlto, CMC
City Clerk
S:\CC\WPIELECTIONIYear 2010\Distnct 3IPETITION. Nominating Petillon - DISTRICT 3.doc
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LOYALTY OATH
CITY o?Flo~lf~o~EACH
CITY CLERK'S OFFICE
10 fEB -3 AH 8: 05
(Sections 876.05-876.10, Florida Statutes)
NON-PARTISAN OFFICE
ST ATE OF FLORIDA
COUNTY OF
I, I MAAK
First Name
Lo ~l5
Middle Name/Initial
I ~~(r~
Last Name
a citizen of the State of Florida and of the United States of America, and being [a candidate for public office] do
hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida.
Important: If elected, a candidate must retake the loyalty oath as specified in s. 876.05, Florida Statutes, and that oath shall be
filed with the records of the governing official or employing governmental agency prior to the approval of payment of salary,
expenses, or other compensation.
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, MA/ZK t4~A6cSoA~
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the non-partisan office of Co I'-'\/f.-^-/ s s ,-~.,,)€ r<-
(office)
; I am a qualified elector of ? 4~ 1J ~ 4"c.::..h
'3
( district)
County, Florida;
(circuit) (group)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or
elected; by executing this form, I have taken the oath required by ss. 876.05-876.10, Florida Statutes; 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.
'7 '?-';/ 60 <t
Email Address
-g ;/gS-
ZIP Code
Personally Known: t/'
.3~daYOf Jt!~i'720~.
Sworn to (or affirmed) and subscribed before me this
or
Signa ure of Notary Public - State of Florida
Prin ype, or Stamp Commissioned Name of Notary Public
NOTARY PUBUC-STATE OF FL~R;IDA
.,,',.,,",.... Janet M. Pramlto
t Ant ~Commission #DD592173
....'!III./ Expires: SEP. 05, 2010
ll\.J~DF.r;THRU ATLANTIC BONDING CO., INC.
Produced Identification:
Type of Identification Produced:
OS-DE 25 (Rev. 11/09)
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www.boynton-beach.org
PUBLIC NOTICE
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TO:
CANDIDATES, POLITICAL PARTIES AND OTHERS
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the
voting equipment to be used in the March 9, 2010 General Election will be
held:
Friday, February 19, 2010 at 3:00 p.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
RECEIPT of this notice is hereby documented:
L/~~
~. . ature
2;/5'//6
Date'Received
-----------------------------------------------------
-----------------------------------------------------
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the logic & Accuracy
(lM) testing on Friday, February 19, 2010, please detach and return the lower portion
of this notice to the City Clerk.
Signature
Number Attending
9/9/2009 9:06 AM
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S:\CC\WP\ELECTION\year 2010\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
Palm Beach County
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 3341 5
POST OFFICE BOX 22309
WEST PALM BEACH, FL 33416
SUSAN BUCHER
Supervisor of Elections
TELEPHONE: (561) 656-6200
FAX NUMBER: (561) 656-62B7
WEBSITE: W\NW. pbcelections. org
CERTIFICATION
I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do
hereby certify that the 27 signatures on the Nominating Petition for CITY COMMISSION,
DISTRICT NO. 3 of MARK KARAGEORGE are registered electors within the municipal
limits of the City of Boynton Beach, according to the registration records on file in this
office.
This is to further certify that MARK KARAGEORGE is a registered voter in Precinct 7132,
in the City of Boynton Beach, Florida.
Signed, this the 2nd day of February, 2010.
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~SAN BUCHER
SUPERVISOR OF ELECTIONS
. PALM BEACH. COUNTY
(SEAL)
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