Filing Papers
MATERIAL FOR CANDIDATES
TO: CARL Me.l<..oy DATE: oq-ofl-oq
YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, WE HAND YOU THE FOLLOWING:
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2010 Qualifying Information & Municipal Election Schedule
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
Form DS-DE 84 Statement of Candidate (Must be filed within 10 days after filing Campaign Treasurer
Appointment) (8/03)
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
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Part I Charter, Article VII. Elections - City of Boynton Beach
Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections
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 CDS-DE 24B)- TO BE RETURNED TO CITY CLERK DURING
QUALIFYING
Statement of Residency Requirements & Article II of City Charter - TO BE SIGNED AND RETURNED
TO CITY CLERK
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August 2S, 2009
s:\CC\WP\ELECTION\year 2010\MATERIAL FOR CANDATES.doc
P"
RESIDENCY REQUIREMENTS
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(Print Name)
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(Mayor/C missioner - District #)
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candidate for
of the City
Beach, have received, read and understand the
residency requirements of Article II of the Charter of
the City of Boynton Beach
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STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
CPiease Type)
OFFICE USE ONLY
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candidate for the office of
have received, read and understand the requirements of Chapter 106,
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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)Cc), 106.265(1). Florida
Statutes).
OS-DE 84 (Rev. 03/08)
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE USE ONLY
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
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lEl Original Appointment
Name of Candidate
D Deputy Treasurer
D Reappointment of Treasurer
Carl McKoy
1. Address (include post office box or street, city. state, zip code)
69 Citrus Park Lane Boynton Beach, FL 33436
, do hereby accept the appointment as
Telephone (optional)
( 561 ) 358 0699
2. Party (Partisan candidates only)
IE) Campaign Treasurer
o Deputy Treasurer
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
C nthia Diane Pereira
5. Mailing Address (If post office box or drawer add street address)
7692 Colony Lake Drive
7. City 8. County
Boynton Beach Palm Beach
6. Telephone
561 6022007
10. Zip Code
33436
9. State
FL
I have designated the following named bank as my
11. Name of Bank
Bank Atlantic
13. City
Boynton Beac
181 Primary Depository D Secondary Depository
12. Street Address
100 N. Con ress Ave.
15. State
16. Zip Code
33426
Date
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ce of Appointment
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(Please Print or Type)
I8l Campaign Treasurer 0 Deputy Treasurer for the campaign of Carl McKoy
who is seeking nomination or election as a
(Party)
candidate to the office of
Mayor
UNDER PENAL TIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAj:rHETS STATED ARE TRUE.
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Signature f Campaign Treasurer or Deputy Treasurer
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Date
OS-DE 9 (Rev. 01/08)
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Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH
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No. 56786
Account No. OOl-OOOO-lfiQ-l 0-00
CODE W4
$ 25.00
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Received of
CARL McKOY
Address 69 Citrus Park Ln., Boynton Beach. FL 33436
For Filing Fee to the Ci tv of Boynton ~~w~nr M~yor in tAg
General Election on March 9 2010 Date: 2/tH/Hi liil R2c:eipt no: 12%38
, . Total tendereo $2~. 88
By ~t~me.n'if).' ...l.- $25.88
Dept. City Clerk's OFfice ~..LLJ. ~
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.c: CITY OF BOYNTON BEACH
t)
ctI *** CUSTOKER RECEIPT ***
OJ Opel': BROIINR Type: OC DraNel': 1
tXI Date: 2/81/18 81 Receipt no: 129632
s:: Descl'iption Guantito Alount
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I:: 1.88 $275.82
Q)::t: .d Tuns nUlber: 4273858
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ug f..I I:: \:..l Total payent $275.62
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:r: ~ ::s tn OJ ~ THANK YOU FOR YOUR PROKPT PAYKEHT
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FORM 1 STATEMENT OF 2009
.......
Please print or type your name, malllng I FINANCIAL INTERESTS I <:::> ~-=i
address, agency name, and position below: r:l -.,-<
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LAST NAME -- FIRST NAME -- MIDDLE NAME: FOR OFFICE ex; C")'"?J
McKoy, Carl Graham USE ONLY: I ""tr)
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MAILING ADDRESS: ~'""<
69 Citrus Park Lane ~ .~
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10 Code ~ CC
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CITY: ZIP: COUNTY : \0 n~
Boynton Beach 33436 Palm Beach 10 No. t't'JC")
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NAME OF AGENCY:
City of Boynton Beach Conf. Code
NAME OF OFFICE OR POSITION HELD OR SOUGHT: P. Req. Code
Mayor
You are not limited to the space on the Jines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF IlJ CANDIDATE OR D 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 (check one):
[{] DECEMBER 31,2009 QB D 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). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
0 COMPARATIVE (PERCENTAGE) THRESHOLDS OR I1J DOLLAR VALUE THRESHOLDS
PART A .- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
(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
JTC P.O. Box 4102 Boynton Beach FL 33424 Education
PART B .. SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person]
(If you have nothing to report, you must write "none" or "n/a")
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
N/A
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for
(If you have nothing to report, you must write "none" or "n/a") when and where to file this form
N/A are located at the bottom of page 2.
INSTRUCTIONS on who must
file this form and how to fill It out
begin on page 3.
OTHER FORMS you may need
to file are described on page 6.
CE FORM 1 - Eft. 1/2010
(Continued on reverse side)
PAGE 1
PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.]
(If you have nothing to report, you must write "none" or "n/a")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
N/A
PART E - LIABILITIES [Major debts]
(If you have nothing to report, you must write "none" or "n/a")
NAME OF CREDITOR ADDRESS OF CREDITOR
N/A
PART F - INTERESTS iN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
(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
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 ~ THROWHrr ~n.E CONTI~l..A-SEPARATE SHEET, PLEASE CHECK HERE D
SIGNATURE (reqz L ~~. ~- DATE SIGNED (required): c? I / /, .
.d' -- .~~/ / / C)
_ __.? /./, ______ J .~ G-~
~ / TElL"Tl\T r"l--lSSTRU CTIONS:
WHAT TO FILE: ----- ,--- WHERE TO FILE: WHEN TO FILE:
After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer/employee, state
signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must
sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to file within 30 days of the date of his or her
that location. appointment or of the beginning of employ-
If you have nothing to report in a particular Local officers/employees file with the Supervisor ment. Appointees who must be confirmed by
section, you must write "none" or "n/a" in that of Elections of the county in which they perma- the Senate must file prior to confirmation, even
section(s). nently reside. (If you do not permanently reside if that is less than 30 days from the date of their
in Florida, file with the Supervisor of the county appointment.
Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly-elected local office
NOTE: State officers or specified state employees must file at the same time they file their
MULTIPLE FILING UNNECESSARY: file with the Commission on Ethics, P.O. Drawer qualifying papers.
Generally, a person who has filed Form 1 for a 15709, Tallahassee, FL 32317-5709; physical Thereafter, local officers/employees, state
calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are
second Form 1 for the same year. However, a 201, Tallahassee, FL 32312. required to file by July 1 st following each
candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their pasi-
of another public position must at least file a copy qualifying papers. tions.
of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment,
falls under, see the "Who Must File" Instructions each local officer/employee, state officer, and
on page 3. specified state employee is required to file a
final disclosure form (Form 1 F) within 60 days
of leaving office or employment.
CE FORM 1 - Eff. 1/2010
PAGE 2
LOYAL TV OATH
," J T9F6f~HSE ONLY
" CITY CLEIK~~O~F~fc~H
10 FEa -I PH 3: 09
(Sections 876.05-876.10, Florida Statutes)
NON-PARTISAN OFFICE
STATE OF FLORIDA
COUNTY OF Palm Beach
I, I
Carl
G.
McKoy
First Name
Middle Namennitial
Last Name
a citizen of the State of Florida and of the United States of America, and being [a candidate for public office] do
hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida.
Important: If elected, a candidate must retake the loyalty oath as specified in s. 876.05, Florida Statutes, and that oath shall be
filed with the records of the governing official or employing governmental agency prior to the approval of payment of salary,
expenses, or other compensation.
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I,
Carl "The Real" McKoy
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT NAME MAY NOT BE CHANGED AFTER THE END OF QUAUFYlNG)
am a candidate for the non-partisan office of Boynton Beach Mayor
(office)
; I am a qualified elector of Palm Beach
(district)
County, Florida;
(circuit) (group)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or
elected; by executing this form, I have taken the oath required by ss. 876.05-876.10, Florida Statutes; 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 offi from which I am required to resign pursuant to Section 99.012,
Florida Sta
x
votetherealmckoy@bellsouth.net
Telephone Number
Email Address
Address
Boynton Beach
City
FL
State
33436
69C'
ZIP Code
Sworn to (or affirmed) and subscribed before me this / Ilt day of ~ l 20~.
. ~ ~ .
Personally Known: / or
Produced Identification:
Type of Identification Produced:
NOTARY PtBLlC.STATE OF ~~DA
."""""'" Janet M. Pr81mto
~ W ~Comm.ission #DD592173
"'~/' h-pires: SEP. 05,2010
'...... - ..,. 'l"G co INC
BONDED THlh' 1\,1-,,-\ de. D0..,).' ., .
OS-DE 25 (Rev. 11/09)
The City of Boynton Beach
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City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www. boynton - beach.org
PUBLIC NOTICE
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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 9, 2010 General Election will be
held:
Friday, February 19, 2010 at 3:00 p.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
Date Received
-----------------------------------------------------
-----------------------------------------------------
(Detach)
IF YOU AND/OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy
(L&A) testing on Friday, February 19, 2010, please detach and return the lower portion
of this notic~ Jo the City rk.
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Number Attending
9/9/20099:06 AM
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S:\CC\WP\ELECTION\year 201O\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
Palm Beach County
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 33415
POST OFFICE BOX 22308
WEST PALM BEACH, FL 33416
SUSAN BUCHER
Supervisor of Elections
TELEPHONE: (561) 656-6200
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 the 34 signatures on the Nominating Petition for MAYOR of CARL
MCKOY are registered electors within the municipal limits of the City of Boynton Beach,
according to the registration records on file in this office.
This is to further certify that CARL G. MCKOY is a registered voter in Precinct 3128, in the
City of Boynton Beach, Florida.
Signed, this the 25th day of January, 2010.
~~
SlIsAN BUCHER
SOPERVrSQR OF ELECTIONS
PALM BEACH -COUNTY
(SEAL)
NOMINATING PETITION 20- ~ l8~
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do
i3.... hereby nominate:c ~
<0 en ~~r / /'1f Koj/
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10 be a candidate for MAYOR, City of Boynton Beach, Palm Beach County,
ffilorida, for the term :~;
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MARCH 2010
to
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MARCH 2013
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pursuant to the Charter and Ordinances of said City.
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ADDRESS r U~
NOMINATING PETITION
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~~ ~ the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do
~ hereby nominate: C.. / /1C V
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to be a candidate for MAYOR, City of Boynton Beach, Palm Beach County,
Florida, for the term:
MARCH 2010
to
MARCH 2013
pursuant to the Charter and Ordinances of said City.
Lf6
ADDRESS
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I, the undersigned,
Crl
/'1; /({) i
, 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 Glt;1~~R8r for the City of Boynton Beach, Florida.
-- --~ ~
-------
Sworn to and subscribed before me at Boynton Beach, Florida, this
dayof ~ A.D. 2010
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Received at the
\.'t-dJw. '(J
City
Hall in
,2010
Boynton Beach
at 3! oB
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day
of
this
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Janet M, Pralnlto, CMC
City Clerk
S:ICCIWPIELECTJONIYear 2010lMayorlPETITION - Nominating Petition - MAYOR doc
JMP