Cruz, Angela 11-07-2024 THE CITY OF BOYNTON BEACH
2025 CANDIDATE NOTICE OF INTENT TO RUN
[]Candidate's Name: C-L, _ Mayor Ta6istrict 1
District 3
['r Appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates (DS-DE 9)
Ensure Candidate signs Block 26 F i LF D
Ensure Campaign Treasurer or Deputy Treasurer signs acceptance
_ Ensure form is completely filled out "' : 7 2024
Note: Only one primary and one secondary depository can be designated CITY CLEaz
Appointment of Campaign Treasurer nd Designation of Campaign
epository for Candidates (DS-DE 9)
Ensure Candidate signs Block 26
_ Ensure Campaign Treasurer or Deputy Treasurer signs acceptance
_ Ensure form is completely filled out
Note: Only one primary and one secondary depository can be designated
✓
Statement of Candidate (DS-DE 84)
C L , acknowledge receipt of printed copies of
the following:
• Qualifying Information
• 2023-2025 Calendar of Reporting Dates
• Florida Election Code
• Candidate & Campaign Treasurer Handbook
Date:
Signature
Comments:
Checked. Reviewed: Or, Date: f/A/9-0041
OFFICE USE ONLY
STATEMENT OF
CANDIDATE
F. Iv
(Section 106.023, F.S.)
(Please print or type) 17 2024
CM CLERK'S OFFICE
I, c.. CcQz
candidate for the office of Coo^ , ss goner DIS ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X l2r—NP \\
Signature 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)
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN FILED
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) f 'li 0 7 2024
(PLEASE PRINT OR TYPE)
CITY CLERK'S OFFICE
NOTE: This form must be on file with the filing officer before
opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES): ��
EtCH�tial Filing of Form ❑ Re-filing to Change: LS Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last): 3.Address (include PO Box or Street, City, State, Zip Code):
(Please Print or Type Name)
'- D-c \l I .. ae ' -P
�'C\TA o . CC Q Z '�.4:>ai0C0 rN ??€.0-.0", GI 33(-k 26
4. Telephone: 5. Candidate's Voter Registration#: 6. Email Address:
\tc C\6 B 3 / c:kn9a\o...Gc,t• 5-4ra.1re9ies®9n-No:,\Ca"
(S 6l ) Ci Lk 3c\ 05 (not required for qualifying purposes)
7. Office Sought(include district, circuit, group, or seat#): 8. If a candidate for a nonpartisan office, check the box
if applicable:
Co Iv\Mk5S\o(144-- , S?cr c, 1.. ❑ I intend to run as a Write-In Candidate.
9. If a candidate for=Uzi office, check the box and fill in the name of the party as applicable: I intend to run as a
❑ Write-In Candidate. [-/Party Affiliation Candidate. ❑ Party candidate.
10. I have appointed the following person to act as my: 12lampaign Treasurer ❑ Deputy Treasurer
11. Name of Treasurer or Deputy Treasurer: 12.Telephone: 13. Email Address:
ce.\a Cro- . ( 5Ll ) 6143.1050a"00 .uys.SkcAir..:..3"..;.4ca^,
14. Mailing Address: 15. City: 16. State: 17. Zip Code:
\ -k 10 V 1 co., a,e. rep.. n\-°^ ,3t 6., C l 33 Li 2‘
18. I have designated the following bank as my (check appropriate box): [ rimary Depository p Secondary Depository
19. Name of Bank: 20. Address:
'4�(bc- � Ps c' e\w 1.0 5 kA. CO(...3cc, ss Ps•re
21. City: 22. County: 23. State: 24. Zip Code:
'q)oy n -t.t' e,�.- Or\ Q e C C, 33 Lk Z‘
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR THE APPOINTMENT OF THE
CAMPAIGN TREASURER AND DESIGNATION OF THE CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
4_1\C) 26. Signature of Candidate:
25. Date: \1 /1 �-z, y v /4____KP .
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate box)
C(vL
I, ��e-V� do hereby accept the appointment designated above as:
(Please Print or Type Name)
mpaign Treasurer. [' Deputy Treasurer.
29. Signature of Cam aign Treasurer of Deputy Treasurer
28. Date: \l'') X
DS-DE 9(Eff. 10/23) Rule 1S-2.001, F.A.C.