Filing Papers
MATERIAL FOR CANDIDATES
TO: JDSt'"_ R~.rizju.e%- DATE: ID-&lD-C)q
YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, WE HAND YOU THE FOLLOWING:
1. L 2010 Qualifying Information & Munidpal Election Schedule
2. ./ 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
3. ........ Form DS-DE 84 Statement of Candidate (Must be filed within 10 days after filing Campaign Treasurer
Appointment) (8/03)
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5.
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8.
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State of Florida Election Laws - Chapters 99, 105 & 106 (09/05)
Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Directions for Posting Temporary Political Sign
City Commission District Map
9. ....-' Part II Code of Ordinances - Chapter 2 Administration, Article III. Eiections
Part I Charter, Article VII. Elections - City of Boynton Beach
10.
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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
18. ./ Statement of Residency Requirements & Article II of City Charter - TO BE SIGNED AND RETURNED
TO CITY CLERK
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Candidat~ Signature. \ti'
I{I.o ~ to Jr.v..H..uD ~ ,(JO/l ~.
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July 6, 2009
S:\CC\WP\ELECTIONlYear 201O\MATERIAL FOR CANDATES.doc
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RECEIVED BY:
net M. Prainito, City Clerk
OFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please Type)
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candidate for the office of
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have received, read and understand the requirements of Chapter 106,
Florida Statutes.
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Signature ,Of ca,date
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10/'20IuC'?
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, (55. 106.19(1 )(c), 106.265(1), Florida
Statutes).
OS-DE 84 (Rev. 03108)
STATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.02111), F,S.)
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
0 Onginal Appointment 0 Deputy Treasurer 0 Reappointment of Treasurer
Name of Candidate 1 Address (include post office box or street, city, state. zip code)
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Telephone (optional) 12 Party (Partisan candidates only~ . r 3. Office (add district, C~CUjt, group number)
( ) (O>~...... ~'~I 'I
I have appointed the following person to act as my @C:ampaign Treasurer o Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer c::> (j;
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5, Mailing Address (If post office box or drawer add street address) 6 Telephone -l :-,
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7 City 8. County 9. State 10. Zip Cade >'.
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j have designated the following named bank as my ~mary Depository D Secondary Depository Cf.I 3,
11, Name of Bank 12 Street Address J3.AJ. ... ~!
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13. City g. 14. Cou nty 15. Slale 16. Zip Code
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17 ~natu-r, of Candlda~~ Date
" /b/icr/o 9
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C mpaign Treasurer's Acceptance of Appointment
I, ,r ~ -" <-- .;2 19 j ;t 1 ~ v' C Z- , do hereby accept the appointment as
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~mpaign Treasurer o Deputy Treasurer for the campaign of .:::r:; ~ <- ;2{) J /l/~ vc1~
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who is seeking nomination or election as a C' if (','--~ "0 / ~ /" ~ candidate 10 the office of
(Party)
UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
/D/rC(/O 9 X ~-~ 7 .. - -.- -
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Date Signature of Campaign Treaspr t.w-f"reputy Treasurer
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DS,DE 9 IRev, 01(08)
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