Filing Papers - DeVoursney CIF Y OF BO Yti FON BEACH
CITY CLERK'S OFFICE
0 APPOINTMENT OF CAMPAIGN TREASURER 16 SEP 27 P11 I. 148
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1.CHECK APPROPRIATE BOX(ES):
a Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository El Office 0 Party
2. Name of Candidate(in this order: First, Middle,Last) 3.Address(include post office box or street, city,state,zip
` 1 � code)
CJ G wI� dDS V OU V'3V1d(0 5 L g \. N
4.Telephone 5. E-mail address -- )1:31 N ^ZDV1 Ari C(_ ?L
` 4
(040 ) 376.-570AiwOa$ nna.\.t,�,,,., � 53%)3
6.Office sought(include district,circuit,group n rr ber) 7. If a candidate for a nonpartisan office,check if
11 >nllapplicable:
C tt \.., COVv► ,SS�0 JI-Q-tr \D,sly',C.4- d- ❑ My intent is to run as a Write-In candidate.
8. If a candiUate for a partisan office,check block and fill in name of party as applicable: My intent is to run as a
❑ Write-In [o Party Affiliation ❑ Party candidate.
I have appointed the following person to act as my ❑ Campaign Treasurer ❑ Deputy Treasurer
10.Name of Treasurer or D puty T easurer
dawns J .e)6ulrsN
11. Mailing Address 12.Telephone
a( 5 Lql -,r \ ( -144
13.City 14. County 15 State 16.Zip Code 17.E-mail address
l�oy 41145Y1 •Z.eac1� '- CAL okacEn .-L 33435 J Akuo AS `off atria. 1 , c.ovn
18.1 have designated the following bank as my j Primary Depository ❑ Seconciafy Depository
19.Name of Bank 20.Address
st C 3 31 I—1 v), ZlItAszy, ?,1A 5441
21.City II 22.County 23. State 24.Zip Code
-btivrk �,4Itc A ?«1vv1 -6slslcin tor, 33`13 Co
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26.Signature of andidate
c d 1 1 i cp X .- .'t�;.
27. Treasurer's Acceptance of Appointment(fill in I - • -I ks ar�d check th approp,"ate block)
I, W1.L J 1J12VOuYS ��JJ ,do hereby accept the appointment
(Please Print Ty e Name)
esignated abov [as: Cam i n Treasurer ❑ Deputy Treasurer.
ck a^1 t X1 i\),
c
Dat -tur Campaig rer or Deputy Treasurer
DS-DE 9(Rev.10/10) Rule 1S-2.0001,F.A.C.
Cif
CITyE �' r" BEACH
Monica DeVoursney C�'ERK�S OFFICE
2625 Lake Dr. North 16 SEP 27 Pm 1: 48
Boynton Beach, FL 33435
September 27t1, 2016
Judith A. Pyle, CMC
Interim City Clerk
City Clerk's Office
City of Boynton Beach
Dear Judith,
Dr. DeVoursney and I have come to an agreement and I will no longer be able to hold the position of campaign
treasurer. With a newborn baby due in three weeks I feel that I will not be able to give this position the attention
that it will need. Effective September 27th, 2016, at noon, I resign from my position as Campaign Treasurer for
James DeVoursney. If you have any questions, please feel free to contact me.
Sincerely,
Monica DeVoursney
561.503.3833
Danes DeVoursney
561.376.3747
APPOINTMENT OF CAMPAIGN TREASURER �, c":-.--
c--4
AND DESIGNATION OF CAMPAIGN v) "`-`
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) rT cam-,
N
(PLEASE PRINT OR TYPE) v�
t1-c3o
NOTE: This form must be on file with the qualifying �a,
officer before opening the campaign account. O C14T4k ONLY
c,
1. CHECK APPROPRIATE BOX(ES): •
Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
` \IQUIrScode)
JGWk.e.S cJ . �ev1( o�(P�S 1.414 ) ,Ise \O -
4. Telephone 5. E-mail address JN ��C-A R..Dy
( not ) 3-1(o - 37f1 J)ievaAS qn ,l,c. 33 3 c
6. Office sought (include district, circuit, group nuln Ger) 7. If a candidate for a nonpartisan office, check if
applicable:
�`I V1w0AA,SS 1 R7. �1 S�,-\ a ❑ My intent is to run as a Write-In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write-In Ri No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my 121/Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
HOVtaCA �e VDUJ'SA AA,
11. Mailing Address 1 12. Telephone
�' ( Szv/ ) 503 -3133
02� 5 �-Q Le �y M .
13. City14. County 15. tate 16. Zip ode 17. E-mail address
-284
--- :0,31Q0...11Tt 4L S V'L. '33q3 n , aIV6 vrsi4e C rte, .
18. I have designated the'followin bank as myPrimaryDepository Secondary Dep-o—sitorY
9 9 ❑ P ry ❑
19. Name of Bank 20. Address
7bC_b 311 VI .Iv(s -B4E16. 31,r) - k..2dki,
21. CityC nt 23. State 24. Zi ode
3bn, CIA QivN - 4-sZ cl_o In c L '534t3 6
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date Cl26. Signature of Ca`didate\�
l l (I co ir - Vim,X27. Treasurer's Acceptance of Appointment (fill in t d check the approp -te block)
I, OU\i Cil a LI o rsw , do hereby accept the appointment
(Pleas Print or Type Name)
designated above as: ❑ Campaign Treasurer • I-p easurer.
q0a. 10 X --
ate Signature of Campaign ''_ trrer or Deputy Treasurer /
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C./
OFFICE USE ONLY
STATEMENT OF
CANDIDATE c
(Section 106.023, F.S.) C--u�
(Please print or type) ry .70
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candidate for the office of \ s \c CA-13 (byoi1i s S v-krz.
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
\AuA5‘ 1
Signature of C n 'date 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)
RESIDENCY REQUIREMENTS
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I, jcv uv vt , candidate for
(Print Name)
�w►wt`o s s; �N-�.v- � d c�- of the City
(Mayor/Commissioner— District #)
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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( (Signatu e f Candidate)
(3 1 to 1c1/
(Date) ' '
11/12/2013 12:31 PM
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