Treasurer and Depository
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE USE ONLY
.. or.. e,ty Crerk
I - ~o - \0 @. ?: LJ S
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
o Original Appointment
Name of Candidate
/I1aGi 41 (' Ut?c
D Deputy Treasurer
D Reappointment of Treasurer
o Deputy Treasurer
6. Telephone
f)6/- 3 7$- 7953
9. State
FJ-
10. Zip Code
33 i.)7~
I have designated the following named bank as my
11. N of Bank
o Primary Depository 0 Secondary Depository
12. Street Address
I 00 S ~d e.re... I I-I w
f) 15. State
O~ FIDr~
easurer's Acceptance of Appointment
I,
-~
~mpaign Treasurer 0 Deputy Treasurer for the campaign of
who is seeking nomination or election as a ~ ) I' ~7L t:/
III 1/ ./ . ("-rty)
UNDE~Al TIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
o
x
OS-DE 9 (Rev. 01/08)
72-057533 MCCRAY, MACK
OEM
7124 806 NW 4TH 5T
BOYNTON BEACH F~ 33435 255 NE 2ND AVE
# 101
DE~RAY BCH, FL
33444 09/1211933
W M 10/19/1981 11/511996 I
STATEMENT OF
CANDIDATE
OFFl!fnu~ ~TON BEACH
- CITY CLERK'S OFFICE
10 JAN 27 AM 8: 54
(Section 106.023, F.S.)
(Please Type)
;V!aJ I1LCfIJ;
candidate for the office of ;12arJ./'~ Ir U-L! 6
have received, read and understand the requirements of Chapter 106,
/,
Florida Statutes.
idate
1077 j:d
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).
OS-DE 84 (Rev. 03/08)
The City of Boynton Beach
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www.boynton-beach.org
.~lTY OF BOYNTON BEACH
CITY CLERK'S OFFICE
10 JAN 27 AM 8: 54
PUBLIC NOTICE
TO: CANDIDATES, POLITICAL PARTIES AND OTHERS
NonCE 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
RECEIPT of this notice is hereby documented:
-----------------------------------------------------
-----------------------------------------------------
(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 notice to the City Clerk.
Signature
Number Attending
9/9/20099:06 AM
jmp
S:\CC\WP\ELECTION\year 2010\PUBNOTE - L&A TESTING NOTICE FOR CANDIDATE SIGNATURES-1.doc
Palm Beach County
SUSAN BUCHER
Supervisor of Elections
240 SOUTH MILITARY TRAIL
WEST PALM BEACH. FL 3341 5
POST OFFICE BOX 22308
WEST PALM BEACH. FL 3341 6
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 40 signatures on the Nominating Petition for MAYOR of MACK
MCCRAY 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 MACK MCCRAY is a registered voter in Precinct 7124, in the
City of Boynton Beach, Florida.
Signed, this the 25th day of January, 2010.
~~
Sl1SAN BUCHER
SUPERVISOR OF ELECTIONS
PACMB'EACH COUNTY
(SEAL)
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NOMINATING PETITION
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We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do hereby
nominate: /!II at' tf C C~
to be a candidate for MA YOR-A T LARGEofthe City of Boynton Beach, Palm Beach County,
Florida, for the term: n
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MARCH 2010 to MARCH 2013 <- -<0
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pursuant to the Charter and Ordinances of said City. ~ ~~
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I, the undersigned,
, do solemnly swear (or affirm)
that I am duly qualified to hold office under the Chart r and Ordinances of the City of Boynton
Beach, Florida, and I do hereby accept the foregoing nomination as a candidate for the office of
Mayor for the City of Boynton Beach, Florida.
Sworn to and subscribed before me at Boynton Beach, Florida, this
c17 .cL
day of
fr'^:(j
A.D. 2010.
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Received at the City Hall in Boynton Beach this
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S'\CC\WP\ELECTION\Year 20JO\PETITION - Nominating Petition Mayor - Year ZOIO,doc
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NOMINATING PETITION
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do hereby
nominate:
to be a candidate for MAYOR-AT LARGEofthe 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.
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NOMINATING PETITION
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do hereby
nominate: mile! m~ ~ry
to be a candidate for MAYOR-AT LARGEofthe 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.
~AME (S~. t e
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Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH
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No.
56780
Account No. 001-0000-':169-) 0-00
CODE W4
$
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Received of
MACK McCRAY
Address
806 ~w 4th St., Boynton Beach, FL 33435
ror 1% State Assessment
General Election on
Fee for Filingo~~r M~fr in the
_p_r. JRU~lJ{,
March 9, 20l0.Lr)oatt':i _2/tlrf-Si1i::t i9i ReceIpt !10; bBe.til.i
.cd ken_pfPi1 .. .. -
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By _"l U.j !.L1. _ ~ M-<..< -& l{:"
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Dept. Ci tv Clerk' s Office
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M CITY OF BOYNTON BEACH
H *** CUSTOMER RECEIPT ***
!ir.I Ope'r: JACKSONZ Type: OC Drawer: 1
Date: 2/88/18 81 Receipt no: 138882
..= Description Guantito AMount
t)
cO W4 MISCELLANEO S INCOME-88l
Q) 1.88 $25.88
..... ~ Trans nUllber: 4282383
.Q. I:: GiL account nUlber:
0 88l88883f.91888
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0 I:: s:: /:l:l Tende'r detail
r:~ 0 0 CK CHECK 94 $25.80
I 0 -IJ
0 ~ .~ ~ :u Total tendered $25.08
~~ U 0 t) Total paYllent $25.88
.. 'I"'l .~
~Z . Q) ~ 4-1 hans date: 2/88/18 Tile': 10:04:32
-IJ ..= t) ~
U~ en ~ Q) 0 THANK YOU FOR YOUR PROMPT PAYMENT
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LOYAL TV OATH
OFFICE USE ONLY
(Sections 876.05-876.10, Florida Statutes)
WRITE-IN CANDIDATE
~~::~~:LO~4 leA
,
I,
First Name
Middle Namellnitial
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 goveming official or employing govemmental agency prior to the approval of payment of salary, expenses, or
other compensation.
I,
( district)
(circuit)
am a write-in candidate for the office of
; I am a qualified elector of
County, Florida; I am qualified
(group)
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 offi.ge or any part thereof runs concurrent with the office I seek; and I have resigned from
any office from 'ch J am)"yed to resign pursuant to Section 99.012, Florida Statutes.
X . (~{u.~, fQ6/l C - (!j,
..."...~,.~.-
Address
City
State
ZIP Code
Personally Known:
/ or
ign ure of Notary Public - State of Florida
Pc" ,Type, or Stamp Commissioned Name of Notary Public
Sworn to (or affirmed) and subscribed before me this
B
Produced Identification:
Type of Identification Produced:
NOTARY PUBLIC.STATE OF FLORIDA
.:-",," """" Janet M. Prainito
{.. .i Co~mission # DD592173
".."""" Exptres: SEP. 05, 2010
BONDED THRU ATI.ANTIC BONDING CO., INC.
OS-DE 24A (Rev. 11/09)
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
Please print or type your name, mailing
address, agency name, and position below:
FOR OFFICE
USE ONLY:
COUNTY:
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
You are not limited to the}race on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF ~ CANDIDATE OR 0 NEW EMPLOYEE OR APPOINTEE
**BOTH PARTS OF THIS SECTION MUST BE COMPLETED**
2009
10 Code
10 No.
Cont. Code
P. Req. Code
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):
o DECEMBER 31, 2009 OR 0 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):
o COMPARATIVE (PERCENTAGE) THRESHOLDS OR 0 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")
aJ
PART B -. SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of in,come 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
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person]
(If you have nothing to report, you must write "none" or "n/a")
CE FORM 1 - Eft. 1/2010
(Continued on reverse side)
FILING INSTRUCTIONS for
when and where to file this form
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.
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 I ~TANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
~
I, I
J f1
t '"' v
PART E - LIABILITIES [Major debts]
(If you have nolhing to report, you must write "none" or "n/a")
NAM OF t:REDITOR ADDRESS OF CREDITOR
~ A
I \. ! I
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")
BUSINE~S ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3
NAME OF BUSINESS ENTITY /
ADDRESS OF BUSINESS ENTITY \ / ()
PRINCIPAL BUSINESS ACTIVITY ^ / '1
POSITION HELD WITH ENTITY l '- I V
I OWN MORE THAN A 5% ~
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ~OF P~S A THROU(jN-f ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE CJ
~TURE~ ~(I /P/~/~ DATE ~N7 t;;;;):
'~/~ ////~
~t./ '---"""" ----- ~ING INSTRUCTIONS: { .
WHAT TO FILE: WHEN TO FILE:
WHERE 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 posi-
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 - Eft. 1/2010
PAGE 2