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Filing Papers AECENED APPOINTMENT OF CAMPAIGN TREASURER ir AND DESIGNATION OF CAMPAIGN rJUI 07 7071 DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) CITY OFBOYNTON BEACH (PLEASE PRINT OR TYPE) CITY CLERK'S OFFICE NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CH K APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office p Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) r,yz,\ C( N) �eP 4. Telephone 5. E-mail address L (2 3 4 2 c (S 6\ ) 614-390 S 'nFa®v&ce.rv\Sacic:.r.►z.- LAr^ 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if C ' CtrC^.5S;o. ck- i applicable: ❑ 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 El Write-In ❑ No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my -ampaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer �Clge\ b. Cc,►Z 11. Mailing Address 12. Telephone \I-II; 20 \hcl. 674, 3'-‘ s 13. City 14. County 15. State 16. Zip Code 17. E-mail address \kc c\ co\ 3C. 1 342 6 %c ®viey�\sac ry 18. I have designated the following bank as my Er Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address \J e.\\ s Fug o \60 c S. ae ca\ \w 21. City 22. County 23. State 24. Zip Code cl, 33ui35 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 f Candidate Hi a)z\ X 27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block) I, yam\ Cr`-)Z , do hereby accept the appointment (Please Print or Type Name) designated above as: Q--""--Campaign Treasurer ❑ Deputy Treasurer. ao2\ X - Date Signature of Cpm a n Treasurer or Deputy Treasurer 9 P 9 P Y DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C. OFFICE USE ONLY STATEMENT OF REcENED CANDIDATE JUL 07 2021 (Section 106.023, F.S.) CITY OF BOYNTON BEACH (Please print or type) CITY CLERKS OFFICE I, Arg Cco -L , candidate for the office of COC C CAYN C41 SS 10 have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x Q 7171 a02\ ignature 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) FORM 1 STATEMENT OF 2020 Please print or type your name, mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: address, agency name, and position below: LAST NAME -- FIRST NAME -- MIDDLE NAME: MAILING ADDRESS` : \3 Q (3 c CITY: ZIP COUNTY: NAME OF AGENCY: I �G CA \1 ©'l\� �QO—, NAME OF OFFICE OR POSITION HELD OR SOUGHT: CHECK ONLY IF CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2020. MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE 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). CHECK THE ONE YOU ARE USING (must check one): 13 COMPARATIVE (PERCENTAGE) THRESHOLDS OR L'O DOLLAR VALUE THRESHOLDS PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report, write "none" or "n!a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPALBUSINESSACTIVITY M w 4-a5 five, 5-`%-Toc PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, 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 - See instructions] You are not limited to the space on the (If you have nothing to report, write "none" or "n/a") lines on this form. Attach additional LA 2Z, (% o- 02- AZ Pe3� n�(� � orc� , ' sheets, if necessary. 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. GE FORM 1 - Enective: January 1, 2021 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 348.202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] j (If you have nothing to report, write "none" or'Wa") I TYPE OF INTANGIBLE I BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or'Wa") NAME OF CREDITOR I ADDRESS OF CREDITOR 1 �t� - r e-�--�C : ' (1 Q o 6 t 'J v 'Ge,5,N •f fl '714 -Sal PART F— INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses -See instructions] (If you have nothing to report, write "none" or "nla") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY `o_ 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 PART G — TRAINING For elected municipal officers, appointed school superintendents, and commissioners of a community redevelopment agency created under Part III, Chapter 163 required to complete annual ethics training pursuant to section 112.3142, F.S. ❑ I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. I IF ANY OF PARTS A THROUGH G ARE, CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: Signature: Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. To determine what category your position falls under, see page 3 of instructions. Local officers/employees file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Form 1 filers who file with the Supervisor of Elections may file by mail or email. Contact your Supervisor of Elections for the mailing address or email address to use. Do not email vour form to the Commission on Ethics. it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email. To file by mail, send the completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL 32303. To file with the Commission by email, scan your completed form and any attachments as a pdf (do not use any other format), send it to CEForm1@leg.state.fl.us and retain a copy for your records. Do not file by both mail and email. Choose only_one filing method. Form 6s will not be accepted via email. CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, , prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. CPA/Attorney Signature: Date Signed: Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY: A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections. WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates must file at the same time they file their qualifying papers. Thereafter, file by July 1 following each calendar year in which they hold their positions. Finally, file a final disclosure form (Form 1F) within 60 days of leaving office or employment. Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31, 2020. GE FG -P.7 1 - EYIective: January 1, 2U21. PAGE 2 Incorporated by reference in Rule 348.202(1), F.A.C. lefiscelloneolls Cash Receipt N o. 42, 6 9 CITY OF BOYNTON BEACH Account No. 001-0000-369-10-00 25.00 November 20 21 ReceivedofAngela Cruz Add,,,,-' 1420 Via De Pe2i Boynton Beach, FL 33426 LfiF-:_eMBN'b% Tvcr--,: OC "LF r: I 1Jatts any t� Biu Do. For City Film c Fee to run for IN14-9;; 4 S, L 1.00 - s 2 (An March 8, 2022rri ft 5S Dept. Of f iCa By Cit,: Clerk's 93 $a-3. Received of Gla Cr-u--z- Address :1420 Via De Pe:_1 For It rilin2 Fee �p March 8,2022 Dept. City Clark's Offiac- By $ 198.53 NOV6Mbdr 20 - 21 r_cb IIIL 51"6 IF?MWS Tv pe . OC D-ae;: i .011, M-g-p--iot ro: 69369 11.00 saz� TP&S fljlffber*i, 9PUP86 55 $Ell 53- M TrMs deiieIll I ' iqlc? 1 15: ed: Zi q rl Prl:� Ic 15� �iq P LD Lo R I. LS, - CANDIDATE OATH - NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a write-in candidate: k ❑ write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) (Print name above as you wish it to appear on the ballot if your last name consists of two or more names but has no hyphen, check box ❑ (see page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.) am a candidate for the nonpartisan office of �� -tit' c � � 5M p1\ (Office) (District #) I am a qualified elector of �0.�� gyp_ t✓h County, Florida; (Circuit #) (Group or Seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; 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 office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. Candidate's Florida Voter Registration Number (located on your voter information card): \1l�k to\'6 $ S1 Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.] Signature of Candidate Telephone Number Email Address 1Lk �ny t','4e k e :: ; mac. tae G '3�a Lk 2c Address City State ZIP Code STATE OF FLORIDA Sicl ature of No ary Public COUNTY OF &ed Prig t, Type, or Stamp Commissioned Name of Notary Public below: LLw\. Sworn to (or affirmed) and subscribed before me by means of _ online notarization ❑ OR physical presence Elt+�e.;' CRYSTAL D.GIBSON •'*: MY COMMISSION # GG 326964 • this day of. I(-I^" 20 �: ,� EXPIRES:ApdI22,2023 "'•giF Under**Qrs s��e' Bonded Thru NotM Public Personally Known ❑ OR Produced Identification Type of Identification Produced:—LL NV6- DS-DE 302NP (Rev. 05/2021) Rule 1S-2.0001, F.A.C. RES=RENCV REQUIREMENTS RECENED NT17 ZOZI `Vr, � CIT O BOYNT0�1 BE I, Nva e-\-o- candidate for (Print Name) of the City (Mayor/Commissioner — District #) of Boynton Beach, have received, read and understand the residency requirements of Article II of the Charter of the City of Boynton Beach. (Signature of Candidate) 1-1 � (Date) S:\CC\WP\ELECTION\Year 2022\CANDIDATE INFORMATION CD\4. Residency Requirements\A. RESIDENCY REQUIREMENTS STATEMENT.doc Miscellaneous Cash Receipt CITY OF BOYNTON BEACH Account No. 1331-010-361-10=0 Received of Address For I No. 91'3-1 $ 20 DZL-.. Lily tk I1 a" CITY OF Bi=WWON BBU LO y wer: Opera l�V Types Dra1 Date.- 11/c`'2.I21 01 Rkeipt no. 71U Dept., Pmunt plyI- 59 m BY �v � �i Trans number: '_ 1x22 G/L account nuter; s j iIme Pl TITI IfY CERT_TFICATION Tender tail CK 100 Lily tk I1 a" CITY OF Bi=WWON BBU *** GT0-670e MP�yyC T *** y wer: Opera l�V Types Dra1 Date.- 11/c`'2.I21 01 Rkeipt no. 71U Description Quant i t� Pmunt plyI- 59 m � 3. Trans number: '_ 1x22 G/L account nuter; W Pl TITI IfY CERT_TFICATION Tender tail CK 100 $3.00 Total tend $3.00 Total payment $3.00 Trans date: 111ZFl21 Tim: 13:01:45 TF" YOU FOR Yid PRWT PAi'fi OF F�at�s y 9�. Wendy Sartory link °F PA`s' Palm Beach County Supervisor of Elections CERTIFICATION CITY OF BOYNTON BEACH I, WENDY SARTORY LINK, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 30 signatures on the Nominating Petitions of ANGELA CRUZ for COMMISSION, SEAT 1, FOR THE CITY OF BOYNTON BEACH 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 ANGELA CRUZ is a registered voter in Precinct 3187, in the City of Boynton Beach, Florida. am only certifying that the signatures match the signatures we have on file and that the electors reside within the municipal limits. I am not certifying the validity or legal sufficiency of the petitions Signed, this the 18th day of November, 2021. PALM BEACH COUNTY (SEAL) 240 South Military Trail. West Palm Beach. FL 334151 Post Office Box 22309, West Palm Beach. FL 33416 Telephone: 561.656.62001 Fax Number: 561 .656.6287 CANDIDATE N NOMW;a,c!nariseenee��rt!�y!/f�.�pargiis€rrs�f©ns. —ilti�sraazriimetlnidrrraNri��� ��nrmm�t�hancmtE�fltznnLforcacrrxri�ri%. (�'�rr�#ror:IX.f1a�i�, "tFariir'f��fd%ltj - , f aff requested information on this form is not completect the form will not be valid as a Candidate PeWon form. I) IVt g a r --t CO a inn�i�Js�tt�xstJu�y,,�n`�'rrktit�t�rr�a�f �Cl �.�.�.� c� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ec 'JZ. Mwiunftftf ,mom Way pe ffili tion _ ey zandid9te orlth_ecdfficezo`f (insert title of office and include district, circuit, group, seat number, if applicable) �r �tatr� T O ) 0L( -Let(' 1 tai C°'mg sf>die Cade Signature of Voter Date Signed (MM/DD/YY) -0( -11 1 �5 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ], \ ` kP_ the undersigned, a registered voter u (print name as it appears on your voter information card) in said state and county, petition to have the name of - cro-z' placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan E] No party affiliation F-1 Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (M M/D D/YY) Address City County State ` Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] (-17-2-( Rule 1S-2.045, F.A.C. DS -DE 104 (Eff. 09111 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, SJUI yj k11LJL_ A,�J� the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Cj (1�2\o'- �C�Z placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan F] No party affiliation ❑ Party candidate for the office of C k �'j Co'C'N C's-,SS`tia c' ,. "D�5ker 1% CN- I (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address � (MMt(7DI Y)� 1160�- v i City County State Zip Code Signature of VoteA Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completer by Voter] �('yv..,1� "-7- 1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, —TW(A`< Qg-,,4Ai the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of C\ 019� 12—\ 0. CcyZ placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of 9�5'kr AG� (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) E3 City Signature of Voter Rule 1S-2.045, F Address f-2) \I ` I b5s �I County State Zip Code Date Signed (MM/DD/YY) [to be completed by Voter] LL DS -DE 104 rEff. 0911 11 <�5 (ao <9 010(0 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, I: the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of�� �Z placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] Nonpartisan 0 No party affiliation Rule Party candidate for the office of C;QC N tV­isS`,a n ; t (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address L p (MMIDD/YY) / 1 13 -6 City County State Zip Code of Voter �u� Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 1041 Et% 0911 E7 q 25376 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested h#rormation on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 2\ 0� �r�Z placed on the Primary/General Election Ballot as a: [check(complete box, as applicable] eNonpaften [:] No party affiliation M — Party candidate for the office of i"��%G 'i*Cr, (insert title of office and include district, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDNY) ® --TI 9- _ j 2 9 ods �_ao P_ City County State Zip Code 'Q>QU3& M -$e,ac\rN CL 35y3 Signature of Voter Date Signed (MMIDDNY) [to be completedL by Vote 1161r] l2 taQA,�21oR3y CANDIDATE PETITION Notes: -All information on this farm becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed the form will not be valid as a Candidate Petition form. F1, the undersigned, a registered voter (pnnt name --e lit appears on your voter information card) in said state and county, petition to have the name of(1��,� V _ placed on the Primary/General Election Ballot as a: [checklcompiete box, as applicable] Nonpartisan M No party affiliation Q Cl � '� Cocom c, , 9t -1 Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDIYY) City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 18-2.046 F.A.C. DS -DE 104lEff. 0911 IR CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. a -.rZ rl �,� 0_� the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of {l•�� 2�� ���Z _ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address q (MM/DDlYY)®�-/a -1rq g a�S k City County State Zip Code i Signatu 7 of Voter Date Signed (MM/DDNY) ' [tot be complet d by Voter] Rule 1S-2.045, F.A.C. I DS -DE 104 (Eff. 09/11 ralml CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, the undersigned, a registered voter (print nape as it appears on your voter information card) in said state and county, petition to have the name of (__�\ (1lcx2\ 0, CCQ-2- placed Zplaced on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [:]No party affiliation ❑ r Party candidate for the office of CA-� �t^c`�iSS`�an, "S7�Sk�;G� (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MIDD )fler 71 - 3 peWl A04- City County State Zip Code Signature of Voter n Date Signed (MM/DD/YY) [to be c inplet'd by Voter] fl fav✓ "�/{A �/r„ e iS-2.045, F.A.C. DS -DE 104 (Eff. 0911' ILJOi 6 J CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. c04` '_j y��—S � the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of P1\ (1g2\Q. Ccvz placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [:] No party affiliation ❑ Parry candidate for the office of `i i - lots �'LSS zo � , �� SkriGk t (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM /DDNY) ©1 ' `S \ L97-1 T Address City County State Zip Cod, Signatur er Rule 15-2.045, F.A.C. Date Signed (MM/DD/YY) [to be com leted y Voter] DS -DE 104 (Eff. 09/17 "si d n i�)0' CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, - \ rryz h 0�' Wni c, Co. r k \ I the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ! 1 C --"p C 1-yJ -., placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C� Ca r� cam: s5 acs . 5N- tvc - A_ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) k0I 1:3-71 \701-11 14� . \J'C%- &�L_ tT-P, City County State Zip Code Signature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) to be completed by Voter] DS -DE 104 (Eff. 09/11 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed the form will not be valid as a Candidate Petition form. 11 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan n No parry affiliation n Party candidate for the office of C-% Com cv-v,,55`"0 (-- ; 9�5kr %Gk -1 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ( MOD ) r 3 ',TL'� b +r City County state Zip Code Signature of Voter Date Signed (MMIDDIYY) [to be completecfby Voter] Rule 18-2.045, F.A.C. DS -DE 104 [Eff. 0911' CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, �ky_ J the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ON 2A 0, CC �Z placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [—] No party affiliation ❑ Party candidate for the office of C% -� _ C;Qc-" cam_ �SS�iO (-- I "D (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number FAddres City County l State } Zip,Code , Signature of Voter Date Signed (MM/DDIYY) A l �I [to be compieted by Voter] Rule 1S-2.045, F.A.C. v DS -DE 104 (Eff. 09111) ':.1 /n CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 1, W Uf a—> a- per, the undersigned, a registered voter (print name as it appears on your voter information` card) in said state and county, petition to have the name of ���`� G �jZ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan []No party affiliation F-1 Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) Cit�County State Zip Code -.1 Signature of Voter Date Signed (MM/DD/YY) r-- [tcompleted by Voter] i Rule 1S-2.045, F.A.C. DS -DE 104 (Eff. 09/11 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition farm. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of A"-\ 24 _cx .j - placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan ❑ No party affiliation Party candidate for the office of (insert title of office and include dis rict, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) 157/02-1 OSL Address j CityCounty State Signature of Rule 1S-2.045, F.A.C. Zip Code �;2 Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 (Eff. 09111 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' �e \�6-, (2- S z, V k4 j., \ the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of C1 +xZ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] DlIonpartisan E] No party affiliation _ Party candidate for the office of Date of Birt (MM/DD/YY) (insert title of office and include district, circuit, group, seat number, if applicable) Birth or Voter Registration Number D Z__ -2j 1U Address City County State Zip Code Signature of f / , Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Votel VL l� ZDV DS -DE 104 (Eff. 09111 c6-7 CANDIDATE PETITION Notes: - All information on this farm becomes a public record upon receipt by the Supervisor of Elections. It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, 9\, Ca r a G -"�J �Vz, Lh the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Ani )e.\ c>-- C-c.jZ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan F] No party affiliation ❑ Party candidate for the office of C-0�'A CMM zN se-m�}sem QjV � (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address /DD/YY� Yz CityCounty Staate- Zip Code Signature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 (Eff. 09/11 Ie13t CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, v p� ^-���o� \ �� �-� • V� the undersigned,'a registered voter (print name as it appears on your voter information` card) in said state and county, petition to have the name of`,— C�- U Z placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan E] No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) t LA City County State Zip Code Sign ture of Voter r Date Signed (MM/DD/YY) [to be complet d by Voter] Rule 1S4.045, F.A.C. DS -DE 104 (Eff. 09/11) ' t Q'61 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. LA C the undersigned, a registered voter (print hame as it appears on your voter information card) in said state and county, petition to have the name of ! mel,".— Qf�r� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] E39-onpartisan ❑ No party affiliation Party candidate for the office of C_� "r ccs rt-\ n� �C'y (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) C)aloa- 81 15(95 V -la PI ea_ I City County State Zip Code Signa re o oter Date Signed (MM/DDNY) [to be completed by Voter] 11 J14�21 Rule -2.0 F.A.C. DS -DE 104 (Eff. 09/1'. I ILA (r� CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of f1 C� ,.,� �Q� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] unpartisan F]No party affiliation -Party candidate for the office of f insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) City County State Zip Code Signature of Voter �— Rule 1S-2.045, F.A.C. Date Signed (MM/DDNY) [to be co feted by Voter] !r / 1� %z./ DS -DE 104 (Eff. 09/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. (-\ M\ezx-16 1 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Cia, eX a C COQ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] lonpartisan E] No party affiliation Date of Birth or (MM/DD/YY) az /'9-7/S� Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Voter Registration Number Address \11 2.b j Cit ` County State Zip Code Signature of ter Date Signed (MM/DD/YY) [to be completed by Voter] Rule IS -2.V45', F.A. . DS -DE 104 (Eff. 09/11 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' ®„U <- (&n - �(� `le \ o p. �- C'S. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of e,\ 13- Cc'Tz placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan E-1 No party affiliation Party candidate for the office of Co "v ­"k S -SX -s- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DDNY) / Address City ` County State Zip Code Ll211� Signature of Voter 11to, ate Signed (MM/DDNY) be completed by Voter] Rule 1S-2.045, F. . DS -DE 104 (Eff. 09/11 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' Ski '5?>QQ k k-Qr the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of —CA n!p, (2Nu.- 04-Q-7— placed 4-U?placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] El -Nonpartisan [:] No party affiliation C -A C rr\ <n-% -ss -% arN' -3� 1 Sic-; GV -- Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) �] �f Address City County State Zip Code 0yC1n 2C2 6 Signature of Voter Rule r.A.t.. Date Signed (MM/DDNY) [to be completed by Voter] DS -DE 104 (Eff. 09/11 -I (o "--1' q y CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' C� _'t"- 19-\ ob e. r -L n (print name as it appears on your voter information card) in said state and county, petition to have the name of Ar) z" ?—\ ":�_ cxJ -Z placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan No party affiliation . the undersigned, a registered voter Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) Address X752 t'!� Soria' �o %aT�� City County State Zip Code Signature of Voter Rule 15-2.045, F.A.C. Date Signed (MM/DDNY) [to be completed by Voter] DS -DE 104 (Eff. 09/1 1�S�S CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. ISection 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' C h o_ `g g �� the undersigned, � 1 � ned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of C) c, =J Cr.� z placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [—] No party affiliation Date of City Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) r Voter Registration Number Address 01 19-76 \sgl \�,('�_ 9 e-,, S'g"ttlre ofoter � JJ Rule 1' r.n.a.. County State Zip Code crCk'\ DateSi ned (MM/DD/YY) [to be mpleted by Voter] 11 � �d DS -DE 104 (Eff. 09/1 o-7 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, o the undersigned, a registered voter ze Loy La a (print name as it appears on your voter information card) in said state and county, petition to have the name of n�e� �. C(,yZ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [—]No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMI DIY ) City County State Zip Code Signature of Voter Date Signed (MM/DDIYY) [to be completed by Voter] Rule 15-2. .A.C. DS -DE 104 (Eff. 09/11 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. �- 1 I, b.�C11�-�a�i t 1 �,� 111nfn the undersigned, a registered voter (print name as it appears on your6kter information card) in said state and county, petition to have the name of (1�,2�� CIC IJZ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Com c-s;,SS`Oa n , 'D� Ski kC,- I (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ([VIM/D C/1 f _t D-1 � 21 cp Via Af, fc-Si City of Voter Rule 15-2.045. F.A.C. county State Zip Code Date Signed (MM/DD/YY) [to be completed by Voter] 1 t I & I Z1 DS -DE 104 (Eff. 0911 ► V -I' `� 3t -i ► C3 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, n . 4 1 TO., j C t <S"A e1' i^ ! the undersigned, a registered voter (printf name as it ap ears on your voter E ormation card) in said state and county, petition to have the name of p\ Q_\ 0 Cc �Z placed on the Primary/General Election Ballot as a: [check/complete-box, as applicable] Nonpartisan ❑ No parry affiliation El Party candidate for the office of Date of Birth (MM/DD/YY) I__ % V� c, ,. 9, (insert title of office and include district, circuit, group, seat number, if applicable) or V oter Registration Number Address It %_7 L116 Via at, fosi / City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be c mple ed by Voter] Rule 1S-2.045, F.A.C. �T DS -DE 104 (Eff. 09/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, a v -' the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 61 ` E , Uu z placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan [:]No party affiliation F-1 _ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 0 01 2 � 1420 City County State Zip Code Signature of Voter Rule 1S-2.045. F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] �1 i�--Z� DS -DE 104 (Eff. 09/7 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, LU'- Vrt Q S the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of P\ (-,\ �� Ca. CcyZ _ placed on the Primary/General Election Ballot as a: [check/comp/ete box, as applicable] Nonpartisan [:] No party affiliation Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) i( 21%!x7 n q 3 Vl'q rqV4� V City County State Zip Code Signature of Voi4r Date Signed (MM/DDIYY) [to be completed by Voter] ���►�/21 Rule 1S-2.045, F.A.C. DS -DE 104 (Eff. 09H1 RECERM CITY OF BOYNTON BEACH CG