Filing Papers Dc),1 3(l; - t k()
MATERIAL FOR CANDIDATES
YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, WE HAND YOU THE
FOLLOWING:
1. v Qualifying Information & Municipal Election Schedule
2. :, Dates to Remember
3. ✓ 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
4. t/ Residency Requirements (To be filled out and returned to City Clerk)
5. ,./ Form DS - DE 84 Statement of Candidate & copy of Chapter 106, Florida Statutes (Must be Bled witn
City Clerk within 10 days after filing Appointment of Campaign Treasurer)
6. State of Florida Election Laws - Chapters 99, 105 & 106 (2012)
7. ✓ Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
8. Directions for Posting Temporary Political Sign —
L -c
9. ;■ City Commission District Map 1 '" ; ,
10. . Part I Charter, Article VII. Elections - City of Boynton Beach r ,
-p - -
11. / Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections Z t
12. ,/ Poll Watcher Form & FS 101.131 - "Watchers at Polls" r...) � r.;
13. ,/ Candidate Handbook for Candidates 2
14. ✓ Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets
15. ✓ Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF
ELECTIONS AND RE 1 URNED TC CITY C' ERK DURING QUALIFYING
16. ✓ Form 1 Statement of Financial Interests 2009 - TO BE FILLED OUT, SIGNED & RETURNED TO THE
CITY CLERK DURING QUALIFYING
17. i/ L&A TESTING NOTICE (SIGN AND RE ! URN AT TIME OF QUALIFYING )
18. ✓ Loyalty Oath - Oath of Candidate (DS - DE 24B) TO BE RE 1 URNED TO CITY CLERK DURING
QUALIFYING
RECEIVED BY: 2 2
G�'
/ -or- d t 2/
Candidate Signature ate Signed
la
-net M. Prainito, MMC
City Clerk
October 18, 2012
5; \CC \WP \ELECTION \Year 2013 \MATERIAL FOR CANDATES doc
'fTY Of $OYNJON BEACH
CITY CLERK'S OFFICE
PPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 13 JAN 16 PM I2: 37
DEPOSITORY FOR CANDIDATES
(Section 106 021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
Initial Filing of Form Re- filing to Change' ❑ Treasurer /Deputy [l Depository [] Office ❑ Party
2 Name of Candidate On this order First, Middle, Last) 3 Address (include post office box or street, city, state, zip
code)
Donald Lee con -flan ?'r. 13 C ecccir Circle
4 Telephone 5. E -mail address y FL 331436 ( 561 ) 704• eynton Beach,
8683 Stctrt ybb cesA,a+..�►
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
applicable:
❑ My intent is to run as a Write -In candidate
'940Yrldon 88aici CornmiSSiori lhstrief 4
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write -In ❑ No Party Affiliation ❑ Party candidate,
I have appointed the following person to act as my ® Campaign Treasurer ❑ Deputy Treasurer
J Name of Treasurer or Deputy Treasurer
Donor l d L. S canitwr► Tr.
11 Mailing Address 12 Telephone
13 C tjo,,r Circle ( )
13 City 14. County 15 State 16 Zip Code 17. E -mail address
Boynton 13 eft c4+ 'Raft 3e4ci FL 31434 Sc n•ltian'>i'bbcc. ® aol.corn
18 I have designated the following bank as my 54 Primary Depository ❑ Secondary Depository
19. Name of Bank 20 Address
- rD 6 an it i Lo t i3•ynt0n 13 ea 4.4 Blvd
21 City 22 County 23 State 24 Zip Code
'Boman 3,.q.14 !�'e*O.k FL— .33
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25 Date / 26. Signat15 of ' andi at
1/0/71 r/7< X j ,
27 Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, 'Donat,j L. Scantto.n ?r- , do hereby accept the appointment
(Please Pnnt or Type Name)
;ignated above as i►' Campaign Treasurer Deputy Treasurer
/ b
Date Signature of Cam ign Treasurer or Deputy Treasurer
DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C.
The City of Boynton Beach
City Clerk's Office w t?-=1
l ^ 100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435 Z c-1'*+
(561) 742 -6060 -- rr
FAX: (561) 742 -6090 as mg
E -mail: prainitoj @bbfl.us "Q c -,
www.boynton- beach.org -- o
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PUBLIC NOTICE rn'
M
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 12, 2013 General & Special
Elections will be held:
Friday, February 22, 2013 @ 3:00 p.m.
Supervisor of Elections Warehouse
7835 Central Industrial Drive
Riviera Beach, Florida
RECEIPT of this notice is hereby documented:
i /
gp e �� f f1773
ign . 'ire Date Received
DETACH
IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic &
Accuracy (L&A) testing on Friday, February 18, 2013, please detach and
return the to er portion of this notice to the City Clerk.
ilf ,r-
Sig Vture #Att ding
S: \CC \WP \ELECTION \Year 2013 \INFORMATION PACKETS \L&A Testing Public Notice - For Candidate's Signature.doc
Catch a Wave, Catch a Fish, Catch Your Breath - Breeze Into Boynton Beach
America's Gateway to the Gulfstream
Donald L Scantlan
13 Cedar Circle
Boynton Beach, FL 33436
561.704.8683
Scantlan4bbcc@aol.com
January 14, 2012
Janet Prainito
Boynton Beach City Clerk
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33435
Dear Ms. Prainito;
In order to comply with FS 106.11(2)(a)4. The following is a list of persons authorized to use a debit card
issued on the Campaign Account of Donald L. Scantlan:
Authorized Persons: Donald L Scantlan.
No other persons are authorized to use the debit card.
Sincerely,
- —
Donald L Scantlan
Candidate for City Commissioner District 4.
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RESIDENCY REQUIREMENTS
'DOri q j ci 1 • Sc ani'Ian , candidate for
(Print Name)
of the City
(Mayor /Commissioner — District #)
Beach, have received, read and understand the
residency requirements of Article 11 of the Charter of
the City of Boynton Beach.
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(Signature o andidate)
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(Date) ? (- ar
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9/27/2012 11:03 AM
S: \CC \WP \ELECTION \Year 2013 \RESIDENCY REQUIREMENTS STATEMENT.doc
visrsovamr
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' I A x E
STATEMENT OF 13 JAN i 6 QM 12: 37
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
1 , — 0onakci L . Scah -tian ,
candidate for the office of S op ton t ComMtss;on Drstr« £ ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
3
Signat of 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 -DE 84 (05/11)
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Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH (r.'N No.
0
_}
• ON
Account No. 001-0000-369-10-00
$ 25.00
, 20
Received of DONALD L. SCANTL!t
Address 13 CEDAR CIR., BOYNTON BEACH FL 13436
For City Filing Fee for Commission District 1/seat for the
March 12, 2013 election
Dept. City Clerk's Ottice By
Miscellaneous Cash Receipt
- -
CITY OF BOYNTON BEACH No.
)(
0
• 0 N
Account No. 001-0000-369-10-00
$ 202.57
20 ______
Received of DONALD L. SCANTLAN
Address 13 CEDAR CIR., BOYNTON BEACH FL 33436
For 1% State Assessment Fee for the District 1VCCommission
seat for the March 12, 2013 election
Dept. City Clerk's Office- By
FORM 1 STATEMENT OF 2012
Please print or type your name, mailing FINANCIAL INTERESTS
address, agency name, and position below: I FOR OFFICE USE ONLY:
-LAST NAME -- FIRST NAME — MIDDLE NAME :
Scorn.-ilea-1, Don at Lce
MAILING ADDRESS :
13 Cedar C :•cle. w �.�
rrl M'c�
CO r, - r,
I as
CITY : ZIP : COUNTY : 01
aoynion 13e4itch 33456 'Paint Beach ,>z
NAME OF AGENCY : 7
O -
NAME OF OFFICE OR POSITION HELD OR SOUGHT : cn
B
oYAten peRc•in CeMM:S3ion c Di5'f 1 'i c♦
You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF al CANDIDATE OR ❑ 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 FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING
EITHER (must check one):
DECEMBER 31, 2012 QE ❑ 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). CHECK THE ONE YOU ARE USING:
❑ COMPARATIVE (PERCENTAGE) THRESHOLDS QR ❑ DOLLAR VALUE THRESHOLDS
PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions]
(If you have nothing to report, you must write "none" or "n/a")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
\Aiorkf.r« AIlt gnee 3( S. DiYit Kwy W?8FL 33 County Worit.ferce Ba ci
Part.s[•n PO44X 7130 Landon ky '-(0142 Mi litary
PART B -- SECONDARY SOURCES OF INCOME
[Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions]
(If you have nothing to report, write "none" or "n /a ")
• NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE
iJ6h -
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] FILING INSTRUCTIONS for
(If you have nothing to report, you must write "none" or "n /a ") when and where to file this
Nor►, t : 13 C. cola..." Circle 8oy nt.r, 13a4.d.1 FL 5,454 form are located at the ? bottom
pp q� 1 � of page 2.
F .IA;L( .ajrJepe` 3Q CA Born L en 1�eii h 33gt4 1 .
l INSTRUCTIONS on who must
file this form and how to fill it
out begin on page 3.
CE FORM 1 - Effective: January 1, 2013. Refer to Rule 34- 8.202(1), F.A.C. (Continued on reverse side) PAGE 1
PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions]
(If you have nothing to report, you must write "none" or "n /a ")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
..tu.l F- I%.dt(
Au Fyn .4 /M , er cer
Avtt„I Te_impig er
PART E — LIABILITIES [Major debts - See instructions]
(If you have nothing to report, you must write "none" or "n /a ")
11 NAME OF CREDITOR ADDRESS OF CREDITOR
(_^gis . - t9a ? e 34(1 Vcststi 'Dr. Cetutttlous DH- 4 43219
PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions]
(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 Al O n
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
SIGNATU ' _ re • uired : DATE SIGNED (required):
/ j
t // g113
FILING INSTRUCTIONS:
WHAT TO FILE: WHERE TO FILE: WHEN TO FILE:
After completing all parts of this form, If you were mailed the form by the Commission Initially, each local officer /employee,
including signing and dating it, send back on Ethics or a County Supervisor of Elections state officer, and specified state employee
only the first sheet (pages 1 and 2) for filing. for your annual disclosure filing, return the must file within 30 days of the date of
form to that location. his or her appointment or of the beginning
If you have nothing to report in a particular Local officers /employees file with the of employment. Appointees who must be
section, you must write "none" or "n /a" in that Supervisor of Elections of the county in confirmed by the Senate must file prior to
section(s). which they permanently reside. (If you do not confirmation, even if that is less than 30
permanently reside in Florida, file with the days from the date of their appointment.
NOTE: Supervisor of the county where your agency Candidates for publicly - elected local office
MULTIPLE FILING UNNECESSARY: has its headquarters.) must file at the same time they file their
Generally, a person who has filed Form 1 State officers or specified state employees qualifying papers.
for a calendar or fiscal year is not required file with the Commission on Ethics, P.O. Thereafter, local officers/employees, state
to file a second Form 1 for the same year. Drawer 15709, Tallahassee, FL 32317 -5709. officers, and specified state employees
However, a candidate who previously filed Candidates file this form together with their are required to file by July 1st following
Form 1 because of another public position each calendar year in which they hold their
must at least file a copy of his or her original qualifying papers. positions.
Form 1 when qualifying. To determine what category your position falls Finally, at the end of office or employment,
under, see the "Who Must File" Instructions on each local officer /employee, state officer, and
page 3 specified state employee is required to file a
final disclosure form (Form 1F) within 60 days
Facsimiles will not be accepted. of leaving office or employment. However,
filing a CE Form 1F (Final Statement of
Financial Interests) does not relieve the filer
of filing a CE Form 1 if he or she was in their
position on December 31, 2012.
1TY OF $OYN I ON BEACH
CANDIDATE OATH — CITY CLERKS OFFICE
NONPARTISAN OFFICE 13 FEB —6 AM 10: 35
(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99 021, Florida Statutes)
.pt1Rl ti L rr, \ v
(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 nonpartisan office of C i t• � Co Pn ►1 , s _; ; ,, '-
(office) (district #)
, I am a qualified elector of p.‘ b., (3r*,.4.. k County, Florida,
(circuit #) (group or seat #)
I am qualified 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
X 1 - ( 7021 <eSt "Don L 1D , 1 ?'tC%)AFoi—co"
Signature f Candidate Telephone Number Email Address
( ) Q v - eirJ. �o n Foy �Y� G '` f L 3 - 3 `f 3 e
Address City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card)
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see Instructions on page 2 of this form)
STATE OF FLORIDA
COUNTY OF P LhA !!J —1
Sworn to (or affirmed) and subscribed before me this G' day of re b raa.ry , 20 13 .
Personally Known V or S • • ?)/).
nature of Notary Public
Produced Identification r int, Type, or Stamp Commissioned Name of Notary Public
NOTARY PUBLIC - STATE OF FLORIDA
Type of Identification Produced Janet M. Prainito
j Commission # EE028433
, 7 Expires: SEP. 22, 2014
nn1TCn rr'nr• ATT ssrrtc Ill1h11Mr M INC
DS -DE 25 (Rev 5/11) Rule 1S- 2.0001, F A.C.
The City of Boynton Beach
City Clerk's Office
f ` 100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742 -6060 w -1
FAX: (561) 742 -6090 r�i
E -mail: prainitoj @bbfl.us CO "
www.boynton- beach.org r
Cin
PUBLIC NOTICE rim
TO: CANDIDATES, POLITICAL PARTIES AND OTHERS c =;
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the
voting equipment to be used in the March 12, 2013 General & Special
Elections will be held:
Friday, February 22, 2013 @ 3:00 p.m.
Supervisor of Elections Warehouse
7835 Central Industrial Drive
Riviera Beach, Florida
RECEIPT of this notice is hereby documented:
Signatur: Da a Received
DETACH
IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic &
Accuracy (L&A) testing on Friday, February 22, 2013, please detach and
return the lower portion of this notice to the City Clerk.
Signature #Attending
S: \CC \WP \ELECTION \Year 2013 \INFORMATION PACKETS \L&A Testing Public Notice - For Candidate's Signature.doc
Catch a Wave, Catch a Fish, Catch Your Breath - Breeze Into Boynton Beach
America's Gateway to the Gulfstream
. OF F4
y P �F�uniV
c•8____41 Palm Beach County
` OF ppN O
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 33415
POST OFFICE BOX 22309
WEST PALM BEACH, FL 33416
SUSAN BUCHER
Supervisor of Elections TELEPHONE. [561 ] 656 -8200
FAX NUMBER [561] 656 -6287
WEBSITE• www pbcelections org
CERTIFICATION
I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do
hereby certify that Donald L. Scantlan submitted 29 petition signatures for the office of
Boynton Beach City Commission, District IV.
I further certify that 29 of those signatures are registered electors in the City of Boynton
Beach, according to the registration records on file in this office.
This is to further certify that Donald Lee Scantlan is a registered voter in Precinct 3138, in
the City of Boynton Beach, Florida.
Signed, this the 29th day of January, 2013.
C
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USAN BUCHER °'
SUPERVISOR OF ELECTIONS
PALM BEACH COUNTY
3.
g
(SEAL)
071" rErlYNTDN 8EACM
13 FEB - AM 10:35 NOMINATING PETITION
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH (Sec. 2 -42,
City Code of Ordinances), do hereby nominate:
_JG t1 e l L. Scgn' 6.11
to be a candidate for COMMISSIONER — DISTRICT IV, City of Boynton Beach, Palm Beach
County, Florida, for the term:
MARCH 2013 to MARCH 2014
pursuant to the Charter and Ordinances of said City.
SIGNATURE ADDRESS
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I, the undersigned, TortaJc L • Seal, fl ay, , 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
Dim-. 73/ Commi ss i ones
feEpinEitEinnt for the City of Boynton Beach, Florida.
Sworn to and subscribed before me at Boynton Beach, Florida, this 6 day of
4 A.D. 2013 .
(92L4L4t- ` 1)'1 • PA- , t4d)
Received at the City Hall in Boynton Beach this to day of ,
A.M.
2013 at /0 :30 . 'l in • AL.:,,,
(" 6"--tt City Clerk
S \CC \WP \ELECTION \Nominating Petition - Special Election doc