HomeMy WebLinkAboutCandidate Packet_Tom Paterno_12/7/2018 Date: �I " a� 2018
Lori McWilliams, MMC
Village Clerk
Village of Tequesta
345 Tequesta Drive
Tequesta, Florida 33469
RE: NOTICE OF CANDIDACY
a resident of the Village of Tequesta, residing at
do hereby file as a Candidate for the two (2) year term for
the Office of the Council Member, Seat No. 't- 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
• 1 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)
• 1 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
$74.91 assessment fee (one percent (1%) of the annual salary of the office being sought), and a
completed Statement of Financial Interests (Form 1 —2017).
Respectfully s I m'
C —
Candidate's Signature
...............................................■.............................■1
Office use only:
Date filed: I I�a /$ Received by: m•O ri4 W Date Candidate Qualified:
Received by the Village Clerk:
✓ Lo alt Oath /Oath of Candidate
Candidate Name Pronunciation on Oath of Candidate
Statement of Financial Interests From 1-2017
r/ Nominating Petitions 0
✓ ✓ Notice of Candidacy
./ ✓ L&A Testing
river's License to prove residency—SOE will certify voter status
%/' Qualifying Check
CANDIDATE OATH —
NONPARTISAN OFFICE RECEIVED
-o not use this form if a Judicial or School Board Candidate)
Y Y 9 qualify ;q
ieck box on/ If you are seeking to uali as a
write-in candidate:
VILLAGE CLERKS OFFICE qA
❑ 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 C 3 U L,4''T . - ,
(Office) (District#)
I am a qualified elector of L vr. .4<.14 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;
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;
nd 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): ? I I �3
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 b.y hilities(see instructions on page 2 of this form):[Not applicable to write-in candidates.]
X fi P,n
Signature of CaAlidate Telephone Number Email Address
Address City State ZIP Code
STATE OF FLORIDA OVj✓t_<_
Signature of Notary Public
COUNTY OF 7d-I m 6���L Print,Type,or Stamp Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me this 2�
day of IIv6VG�5� 20 t g •,; KELLEYBONNEAU
,;: •,Commission#GO 13M
=•;,' �"`r
ersonally Known: or Produced Identification: �oF ?,�' Expires August 8,2021MAW Thu TroyFaMlnaixnuso!lJSW M
Type of Identification Produced:
DS-DE 302NP(Rev. 11117) Rule 1S-2.0001, F.A.C.
FORM 1 STATEMENT OF 2017
Please print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY:
address,agency name,and position ..,,,
LA T NAME—FIRST NAME—MIDDLE NAME:
MAILING ADDRESS:
RECEIVED
CITY: ZIP: COUNTY
NAME OF AGENCY
VILLAGE CLERKS OF ICE
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
C v n�C.- L t ,gT --tr— I
You are not funned to the space on the lines on this forth.Attach additional sheets,Ft necessary.
CHECK ONLY IF 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):
A 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
�L irT,y;Z
/'s-'
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"nla')
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]
Of you have nothing to report,write"none"or"n/a") FILIOG INSTRUCTIONS for when
and where to file this form are
L J 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-EBecwe:January 1,2018 (Continued on reverse side) PAGE 1
Incorporated by reference in Rule 34-&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
PART E—LIABILITIES [Major debts-See instructions]
(If you have nothing to report,write"none"or"n/a")
NAME OF CREDITOR 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"Na")
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 required to complete annual ethics training pursuant to section 112.3142,F.S.
-21 1 CERTIFY THAT 1 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
-- - 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/Attomey Signature:
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 under,see page 3 of instructions. 1 with a qualifying officer is not required to file with the Commission
or Supervisor of Elections.
Local offcounty
whichthey
file with the Supervisor of Elections WHEN TO FILE:Initially,each local officer/employee,state officer,
of the county in which they permanently reside. r you do not and specified state employee must file withi 0 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 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 Elele ctions for the mailing address or email address to appointment.
use. Do not email your form to the Commission on Ethics it will by pp
returnP . 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 IF) within 60 days of
Tallahassee, FL form
a 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 @Ieg.state.fl.us.
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 C my one
F m 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 344202(1),F.A.C.
�P OFF",'
` 9' Palm Beach Count
= v
OF PAO
240 SOUTH MILITARY TRAIL
WEST PALM BEACH, FL 33415
POST OFFICE BOX 22309
WEST PALM BEACH, FL 33416
SUSAN BUCHER
Supervisor of Elections TELEPHONE: (561 ) 656-6200
FAX NUMBER: (561 ) 656-62B7
WEBSITE: www.pbcelections.org
CERTIFICATION
I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do
hereby certify that 78 signatures on the Nominating Petitions of TOM PATERNO for
COUNCIL MEMBER SEAT 4 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 THOMAS J. PATERNO is a registered voter in Precinct 1078,
in the Village of Tequesta, Florida.
Signed, this the 10th day of December, 2018.
SUSAN BUCHER
SUPERVISOR OF ELECTIONS
PALM BEACH COUNTY
(SEAL)
Village of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
Village Clerk's Office Memorandum ,
TO: Robin Rorapaugh
w 5
FROM: Lori McWilliams,Village Clerk > n �
DATE: 12/4/18 0 -n
rn
SUBJECT: Municipal Election Petitions for Verification—Tom Paterno—Seat 4 `' _
rn
..
Enclosed please find 90 signature petitions for a candidate in the Village of Tequesta Municip&
Election. Our code requires 50 verified signatures for each candidate.
Seat 4—Tom Paterno
Please bill us for this service, and contact my office when complete at 768-0443.
Thank you for your assistance in this matter.
Vice-Mayor Tom Paterno Mayor Abby Brennan Council Member Vince Arena
Council Member Laurie Brandon Council Member Kristi Johnson
VILLAGE OF TEQUESTA RECEIVED
March 12, 2019 Nominating Signatures NOV Z 9 2018
•T40NS
We, the undersigjni qualified v ters of the Village of Tequesta, do hereby nominate: — --
CANDIDATE N Thomas P rno AGE: 59
to be a CandidiiL'%4 Fgfie Tequesta Village Council, SEAT NO. 4 , 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
11
Surma-, C�ir i v-) c�
Tequesta, FL 33469
1041-53
Te uesta, FL 33469
�)As 0 Cf'k)5 DJQ'
Te uesta, FL 33469 �!
Tequesta, A331469
0
j� a0-ti Alpl
+D4 �-e '"V Mil Te uesta, FL 33469 I
J
Te uesta, FL 33469
'JV�k teS 11 ,,a1)h)o Te FL 33469 L/I 2U P,guesta,
r
Te "ue$ta, FL 33469 t
Tequesta, FL 33469,
Tequesta, FL 33469 ���� , L;
AIM
VILLAGE OF TEQUESTA DECEIVED
March 12, 2019 Nominating Signatures
NOVI 9 2018
We, the undersiglled,,#glyrc radi" Lv�t s of the Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE
CANDIDATE NAMN18 DECT4orft#s@a1qno AGE: 59
to be a Candidat�'forit-he�'�. �iiiiMilVilfte Council, SEAT NO. 4 , 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
x�
V mc-lbj RzEk Tequesta, FL, 33469
Te uesta, FL 33469 ,� 00' d /v Alavl�
UPI
y
Te uesta, FL 33469
�— Tequesta, FL 33469 ti
-7 12)OF -D-t..
0 4YK I� Te uesta, FL 33469 !Q SZ�
'*acu-) cIUAS qlt--
Q FL 33469 1O/ -0
3 b� VF NvS Ave
Te uesta, FL 33469
Te uesta, FL 33469ILK
-,1 oOkC 1 A Te uesta, F6 33469
Te uesta, FL 33469
t/f
VILLAGE OF TEQUESTA RECEIVED
March 12, 2019 Nominating Signatures NOV'2 9 2018
We, the undersigned duly qualifietid ifd "e- f Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE
CANDIDATE NAME: Thomas AGE: 59
to be a Candidate for the Tequesta'iVillage'Council, SEAT NO. 4 , 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
TAL
e uesta, FL 33469
Te uesta, FL 33469 A Y —
�� �Svt2 Ali
Te uesta, FL 33469
U
kk
-1 ' uesta, FL 33469D 'F /2q/ c14
'R1')aA^\1v PCJ�C ryl Q) Te uesta, FL 33469 ,
o5h�u govil. f57 Chupel Lane 1M30/9a
J
Te uesta, FL 33469
Te uesta, FL 33469
33�--`fie*-�e-� .•U..-�. � t� �.�
Te uesta, FL 33469
39--7 R\ -( Sri ► /�
Te uesta, FL 33469 I 1
g�
,:T7
r ��-, ; Te uesta, FL,33 69
VILLAGE OF TEQUESTA RECEIVED
March 12, 2019 Nominating Signatures NOV Z 9 2018
;.."PERWISOR OF ELECTIONS W.
We, the undersi ned dul lifi voters of the Villa a of Te uesta, do hereb nominate: VILLAGE CLERKS oFFiCE
HIPOEr -4y T. g a Y
CANDIDATE NAME: , —q ,as,- aterno AGE: 59
lw-to be a Candidate for the Teque to Village Council, SEAT NO. 4 , 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
y3v �o V�( 4 /1%—
Te uesta, FL 33469 / 7"
S Te uesta, FL 33469 1 2i ��
Te uesta, FL 33469
S�► Te uesta FL 339
�1 l
Te uesta, FL 3 t
Te uesta, FL 33469
Te uesta Ft 33469
Te uesta, FL 33469
`g LO-Ajv t Gcv" C,,,Y
Te uesta, FL 33469 1 p
24Ao W�-U txx Dv- VZ14/' 19K
Te uesta, FL 33469
VILLAGE OF TEQUESTA RECEIVED
March 12, 2019 Nominating Signatures NOV 2 9 2018
CTiON�
We, the undersigh'e 'uly qualified voters of the Village of Tequesta, do hereby nominate: VILLAGSCLERKS `
M 4- 13
CANDIDATE N Thomas.P terno AGE: 159
='E ) -
to be a Candidate for the Tequesta Village Council, SEAT NO. 4 , 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
��?/s
T
"L Tequesta, FL 33469
01
� �� sue_ �07 Sco✓� ror1� � io 2r <
71
Te uesta, FL 33469
2
�Z!1 Te uesta, FL 33469
j V q1 �e-/V-e'v- by
Qnl CA— Tequesta, FL 33469 1c) ��5
�°P�Q;Y� �� • . /mil
Y!� Tequesta, FL 33469 ! /
42.2, 9 Cj ergs c p r r
Te uesta, FL 33469 t 1t� 1 ,-1 G
Te uesta, FL 33469 S f b I`1-7
Te uesta, FL 33469
I dc V "� r� Tequesta, FL/ 33469
r� v Te uesta, FL 33469
AW
VILLAGE OF TEQUESTA RECEIVED
March 12, 2019 Nominating Signatures NOV 2 9 2018
We, the undersigned duly iI6al rs of the Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE
20i8 DEC -
CANDIDATE NAME: Thomas P rno AGE: 59
V EP CH CQL2' 1 "1
to be a Candidate for the Tequesta Village Council, SEAT NO. 4 , 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) ;
r4 N'i�-
PRINT NAME A STREET ADDRESS DATE OF BIRTH SIGNA71.11AV .
10 W SI d 2 S
(k/VV/A Te uesta FL 33469 I I
jL,<J-j,, Te uesta, FL 33469
'Do :2 cl(,, i�2;).j e-j 13 f7
Te uesta, FL 33469
C0 Tequesta, FL 33469
I`�I Te uesta, FL 334i69
Tequesta, FL 33469 1.2
�
Te uesta FL 33469
3l 6 jZ,v er 1J�tVe_
ITe uesta, FL 33469 L yt—
1 l y 7=6 r u ic.� ens f
y111 Iv G�
Y� ��n �^� S� Te uesta, FL 33469
Te uesta, FL 33469 /
-4ECEIVED
VILLAGE OF TEQUESTA
March 12, 2019 Nominating Signatures
t:LERKS OFFICE
We, the undersigned duly qiM11fjbdWWi ftge of Tequesta, do hereby nominate:
13
CANDIDATE NAME: Th to oo'd AGE: ' 59
to be a Candidate for the Tequesta'V�Ilsge` `o`uncil,SEAT NO. 4 , 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
Tequesta, FL 33469
Tequesta, FL 33469 3 T
6 F., -3 L Te uesta, FL 33469 rAc/157
-2, Z �
Te uesta, FL 33469��
LL Te uesta, FL 33469
Te uesta FL 33'469
' S�p �lrCh �IQ� ti�
nor �'���S Te uesta, FL 33469
Lq� N,)-\� 1 ) -f,I u)
Mc C f\ Te uesta, FL 33469 O '6 '7 (]
51 Al oc,t5 ovot
WIIA-A A�90'k' Te uesta, FL 33469
J � � Te uesta, FL 33469 f V
VILLAGE OF TEQUESTA
ztECEIV'ED
March 12, 2019 Nominating Signatures NO 1 9 20% �.
We, the undersigns �y the Villa a of Te uesta d - E— -
r� ��` . Lv �B� g q o hereby nominate:
CANDIDATE Nj 70 afpa rh LAGS: 59
to be a Candidate fp;the T�p,t /iliag-tCouncil, SEAT NO. 4 . 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 SIGNA E
Te uesta, FL 33469
Z ZJ5? Z)I-' Te questa, FL 33469 ` `�1�
1 t'f
-"I- A�? -.-
Te uesta, FL 33469
4-H Te uesta, FL 33469
N Te uesta, FL 33469 D
Te uesta, FL 33469
Te uesta, FL 33469
Te uesta FL 33469 1
17� (,7o► e, p
Te uesta, FL 33469 �V
Avi l Te u sta FL e 33469
" F `J
VILLAGE OF TEQUESTA RECEIVE 1
rch 12, 2019 Nominating Signatures d
( F ELFtit10 NOV 2 9 wi$ -------- --
We, the undersigned duly q afi ied v4 er-s.othVillage of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE
CANDIDATE NAME: Minas Pat r ,a .' FL _ AGE: 159
to be a Candidate for the Tequesta Village Council, SEAT NO. 4 , 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 IGNATU
OA P--Z-et Te uessta, FL 33469
Te uesta, FL 33469 ✓ ✓
✓ '�i �, ,,�,. � '
Te uesta, FL 33469
P 4d 177 AU C-_
1
Te uesta, FL 33469 - -
Te uesta, FL 33469
✓ c i Te uesta, FL 33469 R �'
Te uesta, FL 33469
Te uesta, FL 33469 '
Tequesta, FL 33469 `
✓ I 1 3 11
I
Te uesta, FL 33469
J ��N�s� /�� ����oJ �I�w��/6�► }`�d ferv�� boa �f/��S`� .� �.��-- /� Ob
Village of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
NOTICE OF LOGIC AND ACCURACY (L&A) TEST
I T N-�Mq r CA-rz/C.."
the undersigned, hereby
acknowledge that "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 Match
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
do not plan to attend the Logistics and Accuracy Test
Candidate Name (Print) Candidate Si ature
Date
RECEIVED
Z3
VILLAGE CLERKS OFFICE
^O�
Vice-Mayor Frank D'Ambra Mayor.-Abby Brennan Council Member Tom Patemo
Council Member Steve Okun Council Member Vince Arena