M4 Waiver of Report 5-6-21 RECEIVED
WAIVER OF REPORT
MAY 06 2021 � se(
(Section 106.07(7), F.S.)
CITY OF BOYNTON BEACH
(PLEASE TYPE) CITY CLERKS OFFICE
OFFICE USE ONLY
GOLENE GORDON MAYOR FOR Cl- Y OF BOYNTON BEACH
Name OfficE Sought
PO BOX 4303 BOYNTON BEA( H, F1.. 334235
Address City State Zip Code
Candidate I I Political Committee ` Party E Kecuth,)Committee
NOTE: This form does not apply to an electioneering communications organization (ECO . An ECO must file a report(not a
waiver)that no reportable contributions or expenditures were made during the repot ing pei od (s. 106.0703(6), F.S.).
Check here if address has changed since last report. Check here if PC ha DISB'ENDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete ApplIcabl : Line beneath Box)
IN MONTHLY REPORT n PRIMARY ELECTION GENERAL ELEC' !ON ❑ OTHER REPORT TYPE
Indicate report# Indicate report# Indicate report# Indicate report type and#
as applicable:
M4 P G
❑ TERMINATION REPORT ❑ SPECIAL ELECT! )N
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR TH = REF DRTING PERIOD OF
04/01/2021 THROUGH 04/30/2021
XCI-
05/0E '202'
Signature I Date
X t �/ 05/0E .202'
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Tre .surer s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Tre; surer( .. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activit' in the iccount(no funds expended or
received)the filing of the required report is waived. However, the filing officer must be otified n writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev. 06/15)