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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.