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Home My WebLink AboutCandidate Packet_Thomas Paterno_11/29/2018 Date: " a� " 2018 Lori McWilliams, MMC Village Clerk Village of Tequesta 345 Tequesta Drive Tequesta, Florida 33469 RE: NOTICE OF CANDIDACY I „,� -�—t�_,•;. a resident of the Village of Tequesta, residing at 3-'� L�'�-� "r�-4��s:�L do hereby file as a Candidate for the two (2) year term for the Office of the Council Member, Seat No. �_ 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 $74.91 assessment fee (one percent (1%) of the annual salary of the office being sought), and a completed Statement of Financial Interests (Form 1 —2017). Respectfully s I m' C Candidate's Slignature Office use only: Date filed: I1jd'T j$ Received by: to•4 ri1W 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) ieck box only if you are seeking to qualify as a NOV 2 9 2613 write-in candidate: VILLAGE CLERKS bFFICE ❑ 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 (Office) (District#) I am a qualified elector of A L_w. 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; 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): 1 I I ?3 x� 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 ?3 ities(see instructions on page 2 of this form):[Not applicable to write-in candidates.] t,4 d i Signature of Ca idatep Telephone Number Email Address Address City State ZIP Code STATE OF FLORIDA 13ovj 7� Signature of Notary Public COUNTY OF 7a-1 m tA_6A'L Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to (or affirmed)and subscribed before me this 2� .... day of (�QVGw S� 20 1 g .�a"�r ; KELLEYBONNEAU '•: •;Commission 0 GG 132M 'ersonally Known: or Produced Identification: '?,F;�o!� ro � M 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,maiiing FINANCIAL INTERESTS FOR OFFICE USE ONLY: address,agency name,and position below: L7r NAME-FIRST NAME-MIDDLE NAME: f1��L:; ��1 J✓h/yS MAILING ADDRESS: i 7 e-T 3 iFGn L�• �� RECEIVED CITY: ZIP: COUNTY: NOV 2 9 211t b NAME OF AGENCY: E't k.lc S i✓)- VILLAGE CLERKS OF ICI= NAME OF OFFICE OR POSITION HELD OR SOUGHT: CCvn-c 1 `C , You are not iurttted to the space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF 0,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): JdZ 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 c; RUN 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") FILING INSTRUCTIONS for when and where to file this form are t 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 ravers 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"nia") 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"nia") BUSINESS ENTITY#1 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. 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: 1 in good standing with the Florida Bar prepared this form for you,he or she must complete the following statement ' 1, , 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 f�TSTE2UCTIONS: 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 county in which 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 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 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 by returned. Candidates must file at the same time they file their qualifying State officers or specirred 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. s 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 onerml l�leg.method. . Do not will e—y 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 RECEIVE CTIOsr-, March 12, 2019 Nominating Signatures NOV 2 9 2018 We, the under.*101hii qualified y ters of the Village of Tequesta, do hereby nominate: FTCE- ' -- -- 4- 1 CANDIDATE N {+�]hroTas P rno AGE: 59 � I�??r-�lJlti to be a Candid&"4� F�`the Teque,sta 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 Per i V--) C:�. 6aq N Cypress D2 , i --1 ('0--59 Te uesta, FL 33469 rc)3 ' Y, e (ebs D 1 611 Te uesta, FL 33469 Cf(101: 5 Di Q C '` � Te uesta, FL 33469 r VY ` Te uesta, A3346J901i�j D4 �,e z 4 Mil Te uesta, FL 33469 �9 5.'1 9 Al Te uesta, FL 33469 � `5-5 1OW lllal)h)-o e �112 uesta, FL 33469 �� TeI),) U i Te "ue6ta, FL'3 69 l ,v A i Te uesta, FL 33469 Tequesta, FL 33469 t/� VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures NUV,Z 9 2018 We, the u riders iglied jgly ar i4 Lv�t of the Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE CANDIDATE NA �F o ,a no [AGE: 59 to be a Candidat&forAh9)'i 4U&W1ViIfte 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 c _ v Uvp o1T RZR)C" Tequesta, FL, 33469 L Te uesta, FL 33469 ,� J6 4 d n Tequesta, FL/ 33469 '�- Te uesta, FL 33469 ` 16-7 RI or rz, +�- �T Te uesta, FL 33469 5'a'�' �� Tequesta, FL 33469 10/Z-15V-7? Te uesta, FL 33469 �\ I' Te uesta, FL 33469 qy 6ee�`�u��/" 7-1- .�yI Tequesta, F6 33469 / If I Al ,� A�J/ Te uesta, FL 33469 y / VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures ®V 2 S 201$ We, the undersigned duly qualifibd`iF6f er- ' f Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE CANDIDATE NAME: Thomas PM 403 AGE: 59 r. RJY.. FL to be a Candidate for the Tequesta't�illage'Coun6cil, 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 Teg uesta, FL 33469 Ll Te uesta FL 33469' f 9 " 3�-7 (�-T vCti / Tequesta, FL 33469 --j �Q 2�O 9 �fti lew D a.— 2- L "°� Y 4 Te uesta, FL 33469 p $ 12 q cj4 C Tequesta, FL 33469 157 CIic;pLl Lane ►�/3G�� , Te uesta, FL 33469 4.04 . (emxc Tequesta, FL 33469 Te uesta, FL 33469 S ' 3a-7 R\ -( Te uesta, FL 33469 q� Teg uesta, FL 33469 Z'7 I CU `fir � VILLAGE OF TEQUESTA RECEIVED #dQ March 12, 2019 Nominating Signatures NOV j 9 2018 l.'PERVISOR OF ELECTIONS We, the undersiggned dul alifi voters of the Villa a of Te uesta, do hereb nominate: VILLAGE CLERKOFFICE ?�ItS�E� _4y 4� �I g q Y CANDIDATE NAME: h -* aterno r AGE: 59 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 Te uesta, FL 33469 �•v(�Cl�b- S��"��-� Te uesta, FL 33469 �- 7i 72 Te uesta, FL 33469 I L Te uesta FL 33� " �1 , 9 l Te u/ 6q1esta, FL 3 469 Te uesta, FL 33469 dJ Te uesta FE 33469 Te uesta, FL 33469 / / I S 0 Llo-� Gam a Y Te uesta, FL 33469 J p 6 Z5q(v Wk�A�x Vy. Tequesta, FL 33469 VILLAGE OF TEQUESTA RECEIVED March 12, 2019 Nominating Signatures NOV 1 9 2018 CTIONS We, the unde g�'e my qualified voters of the Village of Tequesta, do hereby nominate: ' ' ` si M 4' 13 CANDIDATE N Thomas.P terno 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 SIGNATURE T Te uesta, FL 33469 01 � �� -�_ �7 Sco✓� +add � � � L SY g- 71 Te uesta, FL 33469 4 n u Te uesta, FL 33469 Tequesta, FL 33469 / Yls� Te uesta, FL 33469 4LZ/ t4 � press Pr �0 G �l 1�1 DVl Jb 1W Y � Te uesta, FL 33469 sl S ► LV-P_-f �1�%Ae-_ ' ( M NCI Ql �1 c( Te uesta, FL 33469 s 16 J-7q 57- 4�r- b�l v f LSD ! �►l�m G—��'1 Te uesta, FL 33469 Af-- Te uesta, FL` 33469 C_" Te uesta, FL 33469 P W VILLAGE OF TEQUESTA DECEIVED March 12, 2019 Nominating Signatures NOV 2 9 2018 We, the undersigned duly qual of the Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE ?QI8 CANDIDATE NAME: Thomas P rno AGE: 59 FA to be a Candidate for the Tequesta Viltage 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) i PRINT NAME A STREET ADDRESS DATE OF BIRTH SIGNA U OW SI AAy Te uesta, FL 33469 II L �111 Te uesta, FL 33469 'Do 2 07� �,�v e_j 0,7 1 I �/ Te uesta, FL 33469 1 CD Te uesta, FL 33469 I`� I ::�17 Tequesta, FL 33469 Te uesta, FL 33469 xootl� Te uesta, FL 33469 319 F1ver 0rtVe_. /� — Tequesta, FL 33469 Mcwtj ll�-{ FQ�rvico Ect S fer�'�n �� S Te uesta, FL 33469 Te uesta, FL 33469 DECEIVED VILLAGE OF TEQUESTA ► � 2Qj$ March 12, 2019 Nominating Signatures We the undersigned duly f�lifi��f fv t CLERKS OFFICE g y q ge of Tequesta, do hereby nominate: 13 CANDIDATE NAME: Th to o AGE: 59 to be a Candidate for the TequLsta"V-?Ilaze`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 __dATF OF BIRTH SIGNATURE Te uesta, FL 33469 � � Te uesta, FL 33469 T/ � 3 �6 M Te uesta, FL 33469 ✓ 3 li I z Z- v�D lac/ 7 _ - Te uesta, FL 33469 Q Te uesta, FL 33469 / to c� t� I �U Te uesta, FL 374 69 V7 ( � � �l► r �'e��S Te uesta, FL 33469 I�� Lq� P)'\_6,r�j 1 ) -T ,I Te uesta, FL 33469 O � ' 5 l I aUl oc,t o v0- Te uesta, FL 33469 °1t J Te uesta, FL 33469 V ` VILLAGE OF TEQUESTA "RECEIVED March 12, 2019 Nominating Signatures rV 9 2018 We, the undersignp �� y iOFFICE—(------- -_ y Ii ie�F� 48�the Village of Tequesta, do hereby nominate: CANDIDATE NAME: 6eto4mgaf Ra rb8 AGE: 59 to be a Candidate fgr,tie Tip, a vi'ilage 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 SIGNA E Te uesta, FL 33469 Gov v C- Tequesta, FL 33469 ` Te uesta, FL 33469 j Te uesta, FL 33469 �3 a4*&4 - Te uesta, FL 33469 71/SZ Te uesta, FL 33469 Te uesta, FL 33469 C'J� ZL�-q Teus V/ e t a F 33469 � 1 �' )?� Coo► � � �'�� p� ---- a Te uesta, FL 33469 r al 1 Teuesta FL I 33469 t TE % VILLAGE OF Q UESTA RECEIVED r. G, ,,W0rch 12, 2019 Nominating Signatures � n, OF ELF ' NOV 2 9 201g_----- - We, the undersigned dul qua' i fed v4 a %t"Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE _ CANDIDATE NAME: m oas P wtq r ,jI FL _ AGE: 59 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 B1RTH -IGNATU 12 4cc Co., sk- r JI OA t— Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33-469 glue__ 0'j Te uesta FL 33469 ✓P'� Te uesta, FL 33469 i' ti ri 1/C Z' ti c e - Te uesta, FL 33469 x Tequesta, FL 33469 'C't� �� .� Te uesta, FL 33469 511 Oe- ,� • Tequesta, FL 33469 � l 1 3 11 r/ xjjqf� Sal Te uesta, FL 33 469 Cq 5-) �� " OF ss Palm Beach County OF oPA '` 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 33416 SUSAN BUCHER Supervisor of Elections TELEPHONE: (5B 1) B56-6200 FAX NUMBER: (5B1 ) 656-6287 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. Faj-p� SUSAN BUCHER SUPERVISOR OF ELECTIONS PALM BEACH COUNTY (SEAL) Village of Tequesta da 345 Tequesta Drive 561-768-0700 Tequesta, FL 33469 v.ww.tequesta.org NOTICE OF LOGIC AND ACCURACY (L&A) TEST 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 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 do not plan to attend the Logistics and Accuracy Test Candidate Name (Print) Candidate S' ture Date RECEIVED NOV 2 9 ZP;3 VILLAGE CLERKS OFFICE r4A� Vice-Mayor Frank D'Ambra Mayor Abby Brennan Council Member Tom Patemo Council Member Steve Okun Council Member Vince Arena