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Home My WebLink AboutCandidate Packet_Abby Brennan_12/4/2018 Date: 2018 Lori McWilliams, MMC Village Clerk RECEIVED Village of Tequesta DEC 0 4 2018 ''p' 345 Tequesta Drive Tequesta, Florida 33469 VILLAGE CLERKS OFFICE RE: NOTICE OF CANDIDACY _4A414 .—Mall a resident of the Village of Tequesta, residing at L1 do hereby file as a Candidate for the two (2) year term for the Office of the Council Member, Seat No. I. on the Tequesta Village Council to be elected by the Village electors at the Municipal Election to be held on March 12, 2019. In accordance with the provisions of the Village Charter and Code of Ordinances, I certify that I meet the qualifications for candidacy: • 1 am a registered voter of the incorporated Village of Tequesta • 1 reside at the above stated address within the incorporated Village of Tequesta • I do not hold any other public office in the Village (Exceptions: Notary Public, membership in the National Guard, organized Reserve of the Armed Forces of the United States, or in any other defense agency recognized by the Village, or in a status of retirement from any of the foregoing) • I acknowledge that I must subscribe to the Oath of Office as outlined in the Section 2.03 of the Village Charter and as required by 99.021, F.S. Attached is a petition containing the signatures of at least fifty (50) registered voters of the incorporated Village of Tequesta in support of my candidacy, a check for$103.44 payable to the Village of Tequesta for the required $30.00 filing fee and the Florida Department of State's $74.91 assessment fee (one percent (1%) of the annual salary of the office being sought), and a completed Statement of Financial Interests (Form 1 —2017). Indidate' y ly submitte 14 - ignature .r••r r a r a a a a a a a a a a a a t a a a a a a a a a a a a a a a a a a a a a a a a a a a t a a a a a a a a a a a a a a a a a a a a a a a a a a a a a l Office use only: A 1� ��J,� Date filed: /a `1 Received by: M�Y� AVk— Date Candidate Qualified: Mqjoi It Received by the Village Clerk: Loyalty Oath /Oath of Candidate Candidate Name Pronunciation on Oath of Candidate ✓ Statement of Financial Interests From 1-2017 Nominatin Petitions Notice of Candidacy L& . Testing Driver's License (to prove residency— SOE will certify voter status) Qualifying Check CANDIDATE OATH — NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) RECEIVED Check box only if you are seeking to qualify as a DEC 0 4 2018 ,Y write-in candidate: VILLAGE CLERKS OFFICE ❑ Write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) I, Abby Brennan (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 Tequesta Village Council Seat 2 N/A (Office) (District#) N/A 2 ; 1 am a qualified elector of Palm Beach 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): 112561206 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.) (561 339-0740 abby@abbybrennan.net S ature o Ca idate Telephone Number Email Address 523 N Dover Rd Tequesta FL 33469 Address City (� State ZIP Code STATE OF FLORIDA o 'er—' tLI Ld�QC-�f" Signature of Notary Public COUNTY OF PktM 13EAC* Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to(or affirmed)and subscribed before me this :"��. LORI MCMIILLIAMS �YNJ' 20 ;n , Commission 0 OC 004067 day of P.Expires October 18,2020 Personally Known: or Produced Identification: d; kmedlhruTmyFilmInwrimixiO M7019 Type of Identification Produced: DS-DE 302NP(Rev. 11/17) Rule 1S-2.0001, F.A.C. FORM 1 STATEMENT OF 2017 Please print or type your name,mailing low: FINANCIAL INTERESTS FOR OFFICE USE ONLY: address,agency name,and position be LAST NAME—FIRST NAME--MIDDLE NAME : Brennan Abby MAILING ADDRESS: 523 N Dover Rd RECEIVED CITY: ZIP: COUNTY: DEC U 4 2018 A Teauesta 33469 Palm Beach VILLAGE CLERKS OFFICE NAME OF AGENCY: Village of Tequesta NAME OF OFFICE OR POSITION HELD OR SOUGHT: Tequesta Village Council Seat 2 You are not limited to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF E CANDIDATE OR NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(must check one): Y DECEMBER 31, 2017 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: 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 Social Security 6401 Security Blvd. Baltimore, MD 21235 Social Security Ameriprise Financial 308 Tequesta Drive, Ste 22 Tequesta,FL Financial and Investments 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 None PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] (If you have nothing to report,write"none"or'Wa") FILING INSTRUCTIONS for when and where to file this form are Norte 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 1,2018 (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"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES None PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR None 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"n/a") BUSINESS ENTITY#1 BUSINESS ENTITY#2 NAME OF BUSINESS ENTITY None 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 off' ers required to complete annual ethics training pursuant to section 112.3142,F.S. I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473,or attorney Signature: in good standing with the Florida Bar prepared this form for you, he or ' she must complete the following statement: ,�14Z "e-� 1 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. Date Signed. CPA/Attorney Signature: December 4,2018 Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers. Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY:A candidate who files a Form form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission under,see page 3 of instructions. or Supervisor of Elections. Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially,each local officer/employee,state officer, of the county in which they permanently reside. (If you do not and specified state employee must file within 30 days of the permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment. where your agency has its headquarters.) Form 1 filers who file with Appointees who must be confirmed by the Senate must file prior to the Supervisor of Elections may file by mail or email. Contact your confirmation, even if that is less than 30 days from the date of their Supervisor of Elections for the mailing address or email address to appointment. use. Do not email your form to the Commission on Ethics, it will be returned. Candidates must file at the same time they file their qualifying State officers or specified state employees who file with the papers. Commission on Ethics may file by mail or email. To file by mail, Thereafter,file by July 1 following each calendar year in which they send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions. 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1 F) within 60 days of Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1 F(Final Statement your completed form and any attachments as a pdf(do not use any of Financial Interests)does not relieve the filer of filing a CE Form 1 other format)and send it to CEForml @leg.state.fl.us. Do not file by if the filer was in his or her position on December 31,2017. both mail and email. Choose only one filing method. Form 6s will not be accepted via email. CE FORM 1-Effective:January 1,2018. PAGE 2 Incorporated by reference in Rule 34-8.202(1).F.A.C. VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures UEC 0 4 2018 We, the undersigned duly quali ers of the Village of Tequesta, do hereby nominate: Y�qn ''� EL ECTIOIvS VILLAGE CLERKS OFFICE CANDIDATE NAME: I Abb n 65 to be a Candidate for the Te%kTs�a VillageCounci4,SEAT NO. _2 Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuaM to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) Te uesta FL 33469 MU� Te uesta, FL 33469 k-l>d 111C.4 J&A/S� be LC Te uesta, FL 33469 ` I)d v6g �e C, Tequesta, FL 33469 Z fjdv2iQ Te uesta, FL 33469 --e_ Teg esta, FL 334 9 _ 4Z L2 'f A-3— Zia f Te uesta, FL 33469 Te uesta, FL 33469 / 1-57 0�2 / /� g —� l �l Vi Y-1 �P'' � � 1,�� Tequesta, FL 33469 ' r Te uesta FL 33469 �! VILLAGE OF TEQUESTA RECEIVED s March 12, 2019 Nominating Signatures DEC 0 4 2018 1. We, the undersigned duly qualified voters o he Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE ---Z�8 nFr, -4 PM 412 CANDIDATE NAME: Abb Brennan. AGE: 65 i,ra s i -W iP COW'-1l to be a Candidate for the Tequesta Village Council, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) _ PRINT NAME STREET ADDRESS DAT OF BIRTH SIGNATURE �a�er S as a- e 6-1 q Tequesta, FL 33469 Te uesta, FL 33469 II e-r L---qkr Te uesta, FL 33469 S2--)- /Y. Dalel-- l/j SS Tequesta, FL 33469 ,�� /�• d ter LGi M Te ue sta FL 33469 l7<ll�� c1—Gv _ L<oc/C( 4j /) o vG 2 Re ��/�/ �• T'Z Te uesta, FL 33469 Al Ad,144 V4 Te uesta, FL 33469 f A 1/t, Tevuesta, FL 33469 51 A), C(, Te uesta, FL 33469 MI 'UWJ 1 � r Te uesta, FL 33469 VILLAGE OF TEQUESTA RECEIVED ro March 12, 2019 Nominating Signatures DEC 0 4 2018 We, the undersig6o 'du y`O'uafifiec7 voters of the Village of Tequesta, do hereby nominate: Z AGE: 65 CANDIDATE NAME. bb r�rennan to be a Candidatiir the Tequesta Village Council, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATURE ice l��l l e Te uesta, FL 33469 Te uesta, FL 33469 Tequesta, FL 33469 Tequesta, FL 33469 Te uesta, FL 33469 Te uesta Z33469 61 tZ17'� „HIV Te uesta, FL 3346 3 r 3 Ccvi-TP,y C�.u . UD f Nq Te uesta, FL 33469 CovI/I+r C/U h D�an(D Te uesta, FL 33469 � 3-- U7 Te uesta, FL %46'9"' ' VILLAGE OF TEQUESTA RECtl V ED March 12, 2019 Nominating Signatures DEC 0 4 2018 We, the undersigned duty gttakifj0,vR�tefts he Village of Tequesta, do hereby nominate: KS OFFICE E�, 10NI CANDIDATE NAME: re n ..._, � 65 to be a Candidate for tTeque # l�( gp Cppncil, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) PRINT C!) STREET,APPR 5 DATE OF BIRT „o SIGNATURE Te uesta, FL 33469 �"'�� 17U av� '&& 2lqZ Te ue!fa FL�3469q/ 1 '3q nog' I- `,. Te uesta, FL 33469 964 Te uesta, FL 33469 , Te uesta, FL 33469 a21 c,�1 p►z.-e f-C I LIZ MQ S i ,J Te uesta, FL 33469 - { the /�-LS 15�� 3e�Ce� Sf, _ .�'1 Lc1t Te uesta, FL 33469 Te uesta, FL 3346,9 Te uesta, FL 33469 A � Te uesta FL 334Q6`9 / 3d 3 �c y -- q ��-e'" f7�h f Y O V1t 4 S l o w Cc 1� -P 'lY� �� RECEIVED VILLAGE OF TEQUESTA DEC Q 4 ZO18 March 12, 2019 Nominating Signatures s AGE CLERKS OFFICE We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: LEGTIONS CANDIDATE NAME; �Ab'b '> reninan 65 to be a Candidate for the 7"equesta Vil�age Council, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) PJ�LM BEA(YIParteft fUrsuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) PRINT NAME-,_ ,.; _ ET ADDRESS ,�,�,� DATE OF BIRTH SIGNATURE IL W uAA,� 4- l � Tequesta, FL 33469ck-.- 9y 7/1 -i&1 fw Te uesta, FL 33469 1V Fa�'rGvu y Te uesta, FL 33469 !z r �'-�/�- Q �� JaeA') z3 oj F*n slip i Z Te uesta, FL 33469 Olt � q& a-0- fell IlivPC Dr(de C I l I Te uesta, FL 33469 3 �� Q � Te uesta, FL 33469 Y /::�,g '" A-Vl ��"�"!— Te uesta FL 4 7 °Z 3/ S 33 69 ['�-af-- 021&- Aw cz pr Y(2—f-S 1 f tl T �(✓ a uesta, FL 33469 � Te uesta, FL 33469 G I a T"Rj �4_A,24 s G c 2 Te uesta, FL 33469 VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures DEC 0 4 2018 We, the undersigned duly..94@p } , o r�SL�f�lt�� Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE CANDIDATE NAME: n a . 'tt'' 6 12 5 to be a Candidate for thq,TL-gg"Zit VillneiCoppcil, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) ,PRl"T N STREET AQDRESS DAT ,QF, IRTH Te uesta, FL 33469 ?1-7-- f/oc"t 3�d OVII �Aoej< / .I Te uesta, FL 33469 T K Te uesta, FL 33469J c5o c �� 'P �G-� Te uesta, FL 33469 � 1 qvv , j -099- Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 LOLU v1 'e `rcti�k Te uesta, FL 33469 /'�l Te uesta, FL 33469 -3 3`f L"o,,^A r7 C l,b Te uesta, FL 33469 l ✓ J VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures DEC 0 4 2018 We, the undersignWYQY14O.4IfffbB!�iOk$,Of the Village of Tequesta, do hereby nominate: b n a 65 to be a Candidate ftiY tletui�ia�i/�Ilge Council, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) a 6;(4.4"� � z� �� Lr s ,�3 Te uesta, FL 33469 j Te uesta, FL 33469 2,=,� wl Mks o�SC5 Te uesta, FL 3346V t c� Te uesta, FL 33469 41 el uesta, FL 33469 r `�� ClDl--� . 3 �dewol is C, >,0 Te uesta, FL 33469 /A / 4d Te uesta, FL 33469 C� Te uesta, FL 33469 "c " L' Zqquesta, FL 33469 Te uesta, FL 33469 VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures DEC 0 4 2018 We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: CLERKS OFFICE n r n CANDIDATE NAME: Abby Brennan WWWF 65 2018 DEC -4 PM 4: 12 to be a Candidate for the Tequesta Village Council, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) yeai•.tir-m" '0ur;9!ant'to fNe Charter and Ordinances of said Village. (The above must be completed on all pages of petition) / 13 r,�lag ►�o1 �a y �r-o y- y 7 �Q rb� °A Wu n Te uesta, FL 33469C ht y'��U r WGt Y✓t rl /"�C Ql.(7►� v� ( ( � {'y1Gf9)lO t ;0- w Gc`/ 6"'/ (D " � .`.�� .I'l ��/Q�VA'L A�L` Te uesta, FL 33469 / W rz;�J�- 135 cMcls� Tequesta, FL 33469 Tequesta, FL 33469 �AKS Clef Te uesta, FL 33469 i� �Tequesta, FL 3346 S �gvri� � w�e�� t)Teqauesta, FL 33469 l JG FTeesta, FL 33469 Tequesta, FL 33469 DI Te uesta FL 33469 RECEIVED VILLAGE OF TEQUESTA DEC J 4 2018 March 12, 2019 Nominating Signatures We, the undersigned We Village of Tequesta, do hereby nominate: CANDIDATE NAME: tits a ria AGE: 65 to be a Candidate for'the -`egesia"OillabL[houncil, SEAT NO. _2_, Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition) PRINT NAME STREET ADDRESS; DATE OF BIRTH SIGNATURE Te uesta, FL 33469 Tequesta, FL 33469 T Te uesta, FL 33469 Tequesta, FL 33469 rTequesta, FL 33469 — - - Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Tequesta, FL 33469 ✓ cii Cp. �P9�y Palm Beach County n = .OF pj"' " � 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 3341 B SUSAN BUCHER Supervisor of Elections TELEPHONE: [5B1) B56-6200 FAX NUMBER: (5B1 ) 656-62B7 WEBSITE: www.pbcelections.org CERTIFICATION I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 74 signatures on the Nominating Petitions of ABBY BRENNAN for COUNCIL MEMBER SEAT 2 OF TEQUESTA are registered electors within the municipal limits of the VILLAGE of TEQUESTA, according to the registration records on file in this office. This is to further certify that ABIGAIL BRENNAN is a registered voter in Precinct 1094, in the Village of Tequesta, Florida. Signed, this the 10th day of December, 2018. .LXL"n SUSAN BUCHER SUPERVISOR OF ELECTIONS PALM BEACH COUNTY (SEAL) Village of Tequesta 345 Tequesta Drive 561-768-0700 Tequesta, FL 33469 www.tequesta.org RECEIVED 4 DEC 0 4 2018 VILLAGE CLERKS OFFICE NOTICE OF LOGIC AND ACCURACY (L&A) TEST 1, d the undersigned, hereby acknowledge lat "Due Notice" has been given to me that the "Logic and Accuracy Testing of the Computerized Tabulation Equipment," which will be used to tabulate the votes cast for the March 12, 2019 Municipal Election, will be on TBA at the Palm Beach County Supervisor of Elections Office. I plan to attend the Logistics and Accuracy Test I do not plan to attend the Logistics and Accuracy Test Candi to NY(Print) an to ignature Date Vice-Mayor Frank D'Ambra Mayor Abby Brennan Council Member Tom Paterno Council Member Steve Okun Council Member Vince Arena