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Filing PapersDS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. Y spy RECEIVED APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN (,(]'I 1 2 i DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) ✓1 �`gy0rS(?Yhip)Nf EAGEE 11 (PLEASE PRINT OR TYPE) �1� C. NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 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 ( 4. Telephone 5. E-mail address � 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if ci+4 CSIwAi651OWC 01S)rlcj' j applicable: E] My intent is to run as a Write-In candidate. 8. If a candidate for aap rtisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write-In ❑ No Party Affiliation ❑ _ Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 18. 1 have designated the following bank as my ffj Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address 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 t 26. Signature of Candidate �V� A� �/2a�1 X 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) 1, y Y )OK86 'To V -I'V i , do hereby accept the appointment (Please Print or Type Name) designated above as: r,73. Campaign Treasurer ❑ Deputy Treasurer. Date Signature of Campaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) i,'�mMh-g -roYWn OFFICE USE ONLY AV 12 2027 CITY OF BOYNTON BEACH �G candidate for the office of Lt Ccxy co D,5+r,rP have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X - — Signature of Candidate t � rz 2ovl 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 (05111) APPOINTMENT OF CAMPAIGN TREASURER 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): ❑ 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 Thomas Richard Turkin 4. Telephone 5. E-mail address ( —Office sa►;ght (include district, circuit, group number) 7. if a candidate for a noncartisan office, check If City Council District 3yapplicable: ❑ My intent is to run as a Write-in candidate. 8. If a candidate fora partisan office, check block and fill In name of party as applicable: My intent is to run as a ❑ , Write-in No Party Affiliation ❑ Party candidate. 9.1 have appointed the following person to act as my ® Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Thomas Turkin 11. Mailing Address 12. Telephone 18. 1 have designated the following bank as my ❑ Primary Depository ❑ Secondary Depository 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 Candidate 11/14/2021 x i. 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) 1, Thomas Turkin do hereby accept the appointment (Please Print or Type Name) designated above as: © Campaign Treasurer ❑ Deputy Treasurer — I Date Signature of Campaign Treasurer or Deputy Treasurer D:, d (Rev. 10/10) Rule 1S•2.0001, F.A.C. 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: NAME OF OFFICEIDR POSITION H D OR SOUGHT: clComm Z �r a� 1,6A,101, 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): ❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR ❑ 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 PRINCIPAL BUSINESS ACTIVITY NJ 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 M 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 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. CE FORM 1 - Effective: January 1, 2021 (continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, write "none" or "n1a") TYPE OF INTANGIBLE PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "nla") NAME OF CREDITOR BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ADDRESS OF CREDITOR 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 "nia") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 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 PART G — TRAINING For elected municipal officers, appointed school superintendents, and commissioners of a community redevelopment agency created under art 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 your 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 CEFormi@leg. state. fi.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. CE FORM 1 - I Incorporated by F.A.C. 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. CPAlAttorney 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 1 F (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. PAGE 2 RESIDENCY 11EQUiREME11iTS NOV 2 2 2021 CITY OFBOYNTON BEACH f'-' Y CLERICS OFFICE Cir CIT IT)(. 6L. �i�i I �1 _ _ , 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) UAAz 1 (Date) S:\CC\WP\ELECTION\Year 2022\CANDIDATE INFORMATION CD\4. Residency Requirements\A. RESIDENCY REQUIREMENTS STATEMENT.doc CANDIDATE OATH - BVM NONPARTISAN OFFICE NOV 2 2 2021 (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a CIiYOFBOYNTONBEACH write-in candidate:CCrY , CLERK'S OFFICE i� CG El Write-in candidate OFFICE USE ONLY Candidate Oath �, -,, [ 9 `^ (Section 99.021(1)(a), Florida Statutes) I 6t S b� l/� �� r , (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 Ej (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 i.I t) COMM is5 fbW (Office) (District #) I am a qualified elector of ��l✓Yl Begy\ _ 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 l 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): 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): /Notapplicable to write-in candidates.] r \ Address City State ZIP Code % I ' STATE OF FLORIDA i ature of Notary Public / ,, Pri , Type, or Stamp Commissioned Name of Notary Public below: COUNTY OF .1 6(i ti c r Sworn to (or affirmed) and subscribed before me by means of CRYSTAL D. GIB BON online notarization ❑ OR physical presence �" = MY COMMISSION#GG 326964 oye 2041. '°� EXhrjNot April 22,210 this day of. IFOF2 Vic= BondedihNMlo�,pudlicunaennNeR cUndw Personally Known ❑ OR Produced Identification Type of Identification Produced: --FL NA\ftA-- Lww DS -DE 302NP (Rev. 0512021) Rule 1S-2.0001, F.A.C. isceiianeous Cash Receipt CITY OF BOYNTON BEACH Account No. l.. 3'M-1 Received of–I 'N�pm 0 S For Dept.5 By r w..",Yi�i, '�.�a,..+.:a4:....a::®:;b..a..a�'�a-.:_:.ea a."s+ a' -k -..�.� i -s a miscellaneous Cash Receipt No. ' CITY OF, BOYNTON BEACH Account No. t F �R " 314 Wnaq $ Onseit.6f .20 0�11— Received of `+-t M ✓tS Address`' mt r -i- R �iie� _ For � � � Dept: '!. �. _. _ ! i•. H S?i i fjyl � H 2w � r3 � � � � �qyy� f' �, E5 ryr•�-- F miscellaneous cash /Receipt CITY OF BOYNTON BEACH Account No.=17q-ja-aa Received c Address _ For i �t r t tint t ` f! LCL _'1172 v Dept. t �[ By LEY Y OF HhN'i M ELPLH CITY TBUYNE V ffTf ### CLJ ERRMPT ### Oper:. BYE3M Type. Cc I-et42r: 1 Date.' 11/21 01 receipt nos 713 It-ncription Qb-ntity Aunt 99 mismiAmiS 1.00 $3.20 Trans ren 3375762 GSL account nuf1h : MIN - PETITION CERT' THDfWa TWIN PECITICN 'COMFICATION Tenor detail CK Qf Int 1446172 $3.220 Total tendered $3.20 Total payment V. CIO Trans date: 11121LIM Time: 8:53°51 TW YOU FOR Ya R PROWT PAYW- OF FSO Wendy sartory Link OF PAS RECEIVED Palm Beach County Supervisor of Elections CERTIFICATION 18 2021 iTY OF BOYNTON BEACH I, WENDY SARTORY LINK, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 28 signatures on the Nominating Petitions of THOMAS TURKIN for COMMISSION, SEAT 3, 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 THOMAS TURKIN is a registered voter in Precinct 7186, 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 16th day of November, 2021. •1 "`..WENDY SA ORY(A , j SUPERVISOR OF LLJj�1'TIONS =PALM BEACH COLI `{PEAL)' 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 PETITION F I a le Notes. -All information on this form becomes a public record upon receipt by the Supervisor of Elections. p - 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. v (print name as it appears on your voter information card) in said state and county, petition to have the name of '%OK" --ryT "�(�( l_ r '!� � placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ®Nonpartisan No party affiliation ❑ the undersigned, a registered voter Party candidate for the office of C-1:2, �-O rvlrn rss rD✓i� r— Q ' 4 -1 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address City County State Zip Code ` 1 Signature of V Date Signed (M i)NY) [to be cor�lplef y Voter] 1� Rule 1S-2.046. FJLd. 1, DS-0E 104 [Eff. 0911 n CANDIDATE PETITION N C Dc'-$ Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to I nawingly sign more than one petition for a candidate. [Section 104.183, Florida Statutes] - If allrequested information on this form is not completed the form will not be valid as a Candidate Petition form. I,1a the undersigned, a registered voter l G' a,c�� - c . s (print name as it appears'6n your voter information card) in said state and county, petition to have the name of , kawfs —vUrKin placed on the Primary/General Election Ballot as a_ [check/complete box, as applicable] No party affiliation ❑ Party candidate for the office of C t��-O M r►'[ r �S r�✓1l� r LJ }'�`{'�`i r✓T � . (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number �j 12-119 4o 1 &0433 Address City County State Zip Code ` Signature of Voter Date Signed (MMIDDNY) [to be completed by Voter] II1�z/ Rule 1S-2.046. FAC: DS -0E 104 MIN. 02M • A, CANDIDATE PETITION LA/ Notes: -,411 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 completeet the form will not be valid as a Can&date Petition form. lf,--C'nS-fi4 ,�E the undersigned, a registered voter `J •rT (print name as it appears on your voter information card) in said state and county, petition to have the name of-FhoK&s --�Uf Kk n placed on the Primary/General Election Ballot as a_ [check(complete box, as applicable] Nonpartisan _(No party affiliation ❑ . r Party candidate for the office of C I Li C p Nt en r,%>DAOr D (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address l city county State Trp code ` FL L �7 Jon &JA&Y\ '3P3435 Signature of Vn r - Date Signed (MMIDDNY) [to be completed by Voter] > l S Rule IS -10d. FAC. _ DS -0E 104 (EfE 09N7) 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, ` ( Y JL L ,� 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 ` 63KAS �V y Kt n placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] r M Nonpartisan , No party affiliation Party candidate for the office of 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registratio Number (MM/DD/YY) Address )Ila C'►(-c1e City County State Zip Code tewnvoo act VOW\ kach rL 3 tf s�" Signature of Voter RuD r, Date Signed (MM/DD/YY) [to le co plated by Voter] 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. the undersigned, a registered voter (print name as it appears on your voter information card) �f,( in said state and county, petition to have the name of -a)( K&,& 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 (MM/DDNY) C ki 5 J w Zvi) Av t Cit County State Zip Code -0V� L Signature of Voter . K.;. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 1043Eff.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, l It■. X11{ J v e -f-1 -r'n-e (print name as it appears on your voter information card) in said state and county, petition to have the name of -1_�)OWS placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑ Nonpartisan No party affiliation ❑ the undersigned, a registered voter Party candidate for the office of C i comm /ss 1Dl� r- D i'S+Y j�S (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) v ? i 11 O G City County State Zip Code ` V1 .3343 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] Rule 15-2.045, F.A.C. DS -DE 1041Eff. 09/1 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, �`�(l� (J ``T,��Q the undersigned, a registered voter G (print name ,as`iitt a`pp—ears on your voter information card) �f,( in said state and county, petition to have the name of -1-haK&S placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan Vo party affiliation M Parry candidate for the office of C t D ' 4-ric 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) f��J P /1` City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 1.3,.2 Rule 1S•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. the undersigned, a registered voter (print name as it appears on your voter information card) �f,( said state and county, petition to have the name oft41►ti�8 placed on the Primary/General Election Ballot as a: [checWcomp/ete box, as applicable] M Nonpartisar _No party affiliation ❑ Party candidate for the office of L t M✓vt tsS ID►�t� r Q 1 c`'frf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address MMIDD ) 3 uj 2h e) Avq- City County �—W 5ta�� Zip Code �n 5W�) U1 C55 4 3-5 Signature of Voter Rule 15-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] jt/�312r 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, i ►(1'd I \tet r, Y N t/3.1AA1i Irl the undersigned, a registered voter (p(int name as it appears on your voter information card),�f ,( in said state and county, petition to have the name of 1%3K&& �U' " `in 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 iL'j Q i'8'r1 C _ S (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (M /DD/YY 1 \ Z1 Address r✓Z � �� G City County State Zip Code SignatuM�_ Date Signed (MMIDD/YY) [to be co pleted by Voter] /A3 Zoe( 11 f CANDIDATE PETITION Notes: —411 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, � M 'k<4VA PI n 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 -fT)6K&6 ` I"o placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ❑Nonpartisan _No party affiliation ❑ Party candidate for the office of C t �-•-' Cp mrrt tsS I�� r Q �{-ffl �'C J (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Vot r Registration Number Address (� %,,� IMIDDIYY) 1 �� � I n (o ZO L. `W j Vi Signature of V t Rule 15-2.045. F.A.C. CiRunty State Zip Code ` Date Signed (MM/DDIYY) [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, �,.j,p�,i hr- U �-��ld the undersigned, a registered voter I `� (print name as it appears on your voterinformationcard) in said state and county, petition to have the name of r aKas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] M Nonpartisan _'No party affiliation F1 Rule Party candidate for the office of C i+N 011`b `b (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address `0ID �3��z )SLI-°�320��8 V�tl� Cir�� City County State Zip Code BN l�reaach ray rnreach �--L-- 33435 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 (Eff. 0911 12 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. (print name as it appears on your voter information card)�f in said state and county, petition to have the name of -TN3 &S �U' " ,( 4l v '^ � placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ,. _"o party affiliation 7 the undersigned, a registered voter Parry candidate for the office of c[ CD AIM 1,5S 1044 r- Q 1'Y l J (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ' ` ) ( M/ D/YY �'�"1 I �L t ] City County State Zip Code ` Signature of Voter Date Signed (MM/DDIYY) [to be Pompleted by Voter] Rule 15-2.045, F.A.C. DS -DE 104 iEff. 09111} P 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, rSf&_1I �)W0-Q-, (print name as it appears on your voter information card) �j�( in said state and county, petition to have the name of I( IaN�� Iv'Kin Lin placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] []Nonpartisan __�Jo 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 Registtration tuber (MM/D /YY) J �S g- } ) 5�6 a 1� 1�� Address 2 ) 5 5w I1"4V� City County State Zip Code ` Signature of Voter Date Signed (MMIDDIYY) [to be completed by Vot r] ~' � 11 ��►/�02 e 15-2.045, F.A.C. DS -DE 104 WE 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' V1 S L vu, (print name as it appears on your vo eeryinformation 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 4o party affiliation ❑ the undersigned, a registered voter Parry candidate for the office of C I t Q +V_l CT S (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ,, ll i '( DD/YY) u z I 1 f 2) 5-W L4_ Coypty State Zip Code ` M45f-) &4rny-\ &A111\ FL, 3 Lf - Signature of Voter Rule Date Signed (MM/DD/YY) [to be c mpleted by Voter] f I f� 0Z 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. j,�[�S l ` 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 IkbM&& placed on the Primary/General Election Ballot as a: [check(complete box, as applicable] [—]Nonpartisan_Noparty affiliation n 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 �s i 22la�-E V v 4-7 -A v -p - City County' State Zip Code ` ►Jon vvt Signature of FAC. X" Date Signed (MMIDDNY) [to be comple ed by ter] I Iiy .T DS -0E 104 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 —/ !_ j the undersigned, a registered voter (print name as it appears on your voter information card) .�J�( in said state and county, petition to have the name of '�4M.&6 -"U' " `i n placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑ Nonpartisar —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) 4 0 �7 4&6,14 SO -�_ /4V --z�, City County State Zip Code ` V\ _D I rvN F L_' 5 5LI3-5 Signature of Vote [�ateSigned (MM/DD/YY) completed by Voter] Rule 1S iM, F.A.C. DS -DE 104 (Eff. 09171) 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, t- /q RIRY /1.7 RAK a 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 �4N�& �uir(,( In 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 l 0 '6V11C J (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) :2- S �� Address City County State Zip Code ` &-ma -FL 3'5q -3'S_ id Rul Date Signed (MM/DD/YY) [to be completed by Voter] / � / 3./Z / DS -DE 104IEff. 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, `s'e'alkI& U— K C) the undersigned, a registered voter (print name as it appears on your voter information card) Ir �( in said state and county, petition to have the name of 163K&S �U' "Lin placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan No party affiliation ❑ 22 Party candidate for the office of C_ Iii Co M en t ss ioy V- r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Num(bfer A(dddress o '77 1 )A City County State Zip Code ` Value 3�0`3 5 Signature of Rule 15-2:045, F.A.C. Date Signed (MMMM) [to be complz;uzi by Voter] I C r; M -DE 104 (1 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' L V cJ ! 5 � C 4y (print name as it appears on your voter information card) in said state and county, petition to have the name of 'TOM-&S placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] the undersigned, a registered voter F1 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 (MM/DD/YY) E2 L Sib o.J �- r✓-� �... l��_ City County State Zip Code ` Signature o 'fib Date Signed (MM/DD/YY) [to be completed by Voter] -2.045, F.A.C. DS -DE 104 (Eff. 091111 . K" 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, z' ' the undersigned, a registered voter (print name as it appears on your voter information card)�j�( in said state and county, petition to have the name of (�iv1 �8 �U' " `in placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 91 Nonpartisan . _. No party affiliation ❑ Party candidate for the office of C tt1. (25(or✓l,5sjo✓lOr- Q ' +rl&+- 'J (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) g ? City County State Zip Code Signature of.Voter— Date Signed (MM/DD1YY) [to be completed by Voter] Il/32f Rule 15-2.045, F.A.C. DS -DE 104 (Eff. 09/11 'Ki, if 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, L 1 G "'D ry) V e If Z 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 IkaK&S placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] F-1 Nonpartisan _�Vo party affiliation ❑ Rule Party candidate for the office of C { C3tnYY115S101 r p I 1941r, CC S (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM,DD,YY) � �7 3 1 W 20 City County State Zip Code ry 4 - Signa ure of Voter 11 Date Signed (MM,DD,YY) [to be completed by Voter] V ! 3 � Z/ 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, the undersigned, a registered voter (pr -Int name as it appears on your voter information card) in said state and county, petition to have the name of I1-t4iyl && placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of Cp fo ✓ t SSS OKW- r- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) Address �a City County State Zip Code ` 'n' � Signature of Voter Date Signed (MM/DDIYY) ` [to b737 pby Voter] ` Rule 1S-2.045, F . . I DS -DE 104 (Eff. 0911 CANDIDATE PETITION Notes. -.411 information on this form becomes a public recQzd 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. L f✓wvv.a r� v elK N Qe (, N0 2 (print name as it appears on your voter information card) L in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] the undersigned, a registered voter No party affiliation 0 _- 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 (MMM SW City county- state zip code ` Signature of Voter I'll J Rule r.w.�. - A.' Date Signed (MM/DDNY) [to be completed by Voter] /// /S/ Z/ DS -DE 104 iEtf. 0411 REOMED Nov 16 ZOZI CG 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. the undersigned, a registered voter (print name as it appears on your vowir information card),{ in said state and county, petition to have the name of �OK&S `Tu,rRin placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan No party affiliation E-1 Parry 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 L (MM/DD/YY) 03� l 35 ,.g 121&61�,LL �6D -- City ounty State Zip Code ` Signature of Voter Date Signed (MM/DDIYY) [to be completed by Voter] 065/2 Rule 15-2.045, 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, the undersigned, a registered voter (print ntne as it appears on your voter information card),.� ` in said state and county, petition to have the name of �4N�&& �UY V li n 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 i Q ' `{-ric+ 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration 1N,umbler Address ( n 3 05 i 5 City - Co Sta Zip Code Signature of Voter F.A.C. aK y. Date Signed (MMIDD/YY) [to be ompl ted by Voter] II 15 Z DS -DE 104 (Eff. 09/1 l p=,�'�li�ttttramtl�tis�vnmaiiiicn�3ii�ltl6yt�it'e,r�r�-ef'�i4� - 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�� the undersigned, a registered voter (print name as it appears on your voter information card) t in said state and county, petition to have the name ofdN�� placed on the Primary/General Election Ballot as a: [checd/complete box, as applicable] ❑Nonpartisan L" No party affiliation ❑ Party candidate for the office of C5 fk1frl,ss 1oKw r- Q r'8'-t('i &f 3 _ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD"0 � 10 -�-.j lei City County State Zip Code ` --7 `tom Signature of Voter Date Signed (MM/DD/YY) [to be omple ed by Voter] 111 r5 Uzi IS -2.445 F.A.C. 7 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 thin one petition for a camGdate. [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. 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 1-1->1aK&& -"Vy Kt n placed on the Primary/General Election Ballot as a: [cheaWcomplete box, as applicable] ©Nonpartisan. No party affiliation ❑ Party candidate for the office of C i �p IVLvt i ss r�rl� t— Q �-fl t'rE" 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address T (MMIDD/YY) City County' State Zip Code ` L R lc ;i, Date Signed (MMIDONY) [to be mpleted by Voter] 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 completeit the form will not be valid as a Candidate Petition form. r I 1 �n �!; - the undersigned, a registered voter (print name as it a Dears on your vote, r information card) in said state and county, petition to have the name of—r110K&S placed on the Primary/General Election Ballot as a: [check(complele box, as applicable] ❑Nonpartisan No parry 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 (MMIDru2 v f s vJ- �v�-F�� i3GA, 'yy� 43-34 1 City County' State Zip Code ` tn:�vj JtYX FL, _2 Signature of Voter Date Signed(MM/DDNY) [to be c07, leled py Voter] Rule 1S-2ML FAC. D5 -0E 104 iEff. 09M 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. (print name as it appears on your voter card) �f,( in said state and county, petition to have the name of ' MONKS "fuMin `in placed on the Primary/General Election Ballot as a: {checWcomplete box, as applicable] Nonpartisan ., _.40 party affiliation n ` _ the undersigned, a registered voter Party candidate for the office of C i Cc,mmr�s�,�r Q ' -4,r1e 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DDIYY) Address City County- { State Zip Code ` Signature of V Date Signed (MM/DD/YY) [to be co feted bi Voter] 69 a__� _� 2s ie 1S,2.045. F.A.C. DS -0E 104 FEff. 09/1 . %e' CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections -1t 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. L DR. J®V 6 nA D., (print name as it appears on your votteerlinformation card) in said state and county, petition to have the name of —'rV' placed on the Primary/General Election Ballot as a: [check(complete box, as applicable] the undersigned, a registered voter Q Nonpartisan _ Mo 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) 0' _ % 9 `."� " P 2-3 S �'t/ � ; `' 7� v City dun f3V� Signature of Voter County - State Zip Code ` 175-3c4- T Date Signed (MM/DD/YY) [to be completed by Voter] DS43E 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. O) ca. n Z-. H�I, (print name as it a ears on your voter information card) �J,( in said state and county, petition to have the name of `616K&6 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan 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 Address II (MMIDDIYY) 0 0_V% 5CAJ City County State Zip Code ` Signature of Voter Date Signed (MMIDD/YY) [to be completed by Voter] 1) 13 7,0v Rule 1S -2.O6(5, F.A.C. DS -DE 104 Mff. 09111 ID 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. (print name as it appears on your voter information card) ,{ in said state and county, petition to have the name of -a)owts placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] F-1 Nonpartisan _No party affiliation ❑ the undersigned, a registered voter Party candidate for the office of t ( CO t'►'1 M 5S ID✓IfL r- 015-6rl r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) City County State Zip Code ` Signature of Voter ^Date Signed (MM/DD/YY) [to be con pleted by Voter] Rule 1S-2.046. F.&C. DS -DE 104 (Eff. 09/1 Y