HomeMy WebLinkAboutCandidate Packet_Laurie Brandon_12/16/2019Lori McWilliams, MMC
Village Clerk
Village of Tequesta
345 Tequesta Drive
Tequesta, Florida 33469
RE: NOTICE OF CANDIDACY
Date: 2019
RECEIVED
DEC 1 6 2019
VILLAGE CLERKS OFFICE
I LcLu✓t p- Gran dj�f , a resident of the Village of Tequesta, residing at
I� CZJ Kip,tw Ov- 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 17, 2020.
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 $106.40 payable to the
Village of Tequesta for the required $30.00 filing fee and the Florida Department of State's
$76.40 assessment fee (1 % of the annual salary of the office being sought), and a completed
Statement of Financial Interests (Form 1 — 2018).
Respectful submitte�
w
didate's Signature
Office use only:
Date filed: Received byj(' M Date Candidate Qualified:
Received by the Village Clerk:
✓
Loy Ity Oath / Oath of Candidate
Candidate Name Pronunciation (on Oath of Candidate
Statement of Financial Interests From 1-2018
Nominating Petitions IV
Notice of Candidacy
L&A Testing
✓
Driver'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)
uneck box only if you are seeking to qualify as a
�/ DEC 1 6 2019
write-in candidate:
VILLAGE CLERKS OFFICE
❑ Write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
S"n i an
(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 se4A Is V ANU T._1i u I
(Office) (District #)
I
am a qualified elector of &40A e2paJ 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';;� O L-I CY_73 c
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.]
L Cee ArJIDLAN
ar
G�6x_(561) 1q0V L vvr�r e u I.a
Signature of Candidate Telephone Number Email Add6ds
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5 LTA � �� C.(� IJ ✓' � -C!3 i �,P �n ?`'
Address City State ZIP Code
STATE OF FLORIDA �iiuuY,zzl-
Signature of Notary Public
COUNTY OF PfttM d(A'(-W Print, Type, or Stamp
""••
•:� LORI MCWILLIAMS
'•
,=Commission#GG004067
=+ o= Expires October 18, 2020
Sworn to (or affirmed) and subscribed before me this �''For,g";•' Bonded Th
Q . v Troy Fain Insurance 80a385.7019
day of 20 '��'1 ��cQM�G✓ ,
C/
ersonally Known: or Produced Identification:
Type of Identification Produced:
Ub-Ur suZNF trcev. inii it Rule 1S-2.0001, F.A.C.
FORM 1 STATEMENT OF 2018
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:
0A RECEIVED
AILING ADDRESS:
2S C xtA-]i, Inv, DEC 16 2019
'ALLAGE CLERKS OFFICE
CITY: ZIP: COUNTY
NAME OF AGENCY:
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF VrCANDIDATE 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):
bl//DECEMBER 31, 2018 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE 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 "nla")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
WfMA NOVIC
; v
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 "Na")
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]
(If you have nothing to report, write "none" or "nla")
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.
tit I-URM 1 - tnecbve: January 1, 2ois (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
PART E — LIABILITIES [Major debts - See instructions]
(If you have nothing to report, write "none" or "n/a")
NAME OF CREDITOR
211
BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
N
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 "n/a")
BUSINESS ENTITY # 1
NAME OF BUSINESS ENTITY 00 0E
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.
BUSINESS ENTITY # 2
Ll 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:
Signature:
C-
Date Signed:
i Q /I ID
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.Q. 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
(our completed form and any attachments as a pdf (do not use any
other format) and send it to CEForm1@leg.state.fl.us. Do not file by
both mail and email. Choose only one filing method. Form 6s will not
be accepted via email.
CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473, or attorney
in good standing with the Florida Bar prepared this form for you, he or
she must complete the following statement:
I, , prepared the CE
Form 1 in accordance with Section 112.3145, Florida Statutes, and the
instructions to the form. Upon my reasonable knowledge and belief, the
disclosure herein is true and correct.
CPA/Attomey 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 1 F) 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, 2018.
CE FORM 1 - Effective: January 1, 2019.
1—i-po—eu Oy mTendnce In mule .-a.Luck 11. rA.l..
LCA�LA_v &-CA/1
Candidate Name (Print)
Village of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
RECEIVED
UEC 16 2019
VILLAGE CLERKS OFFICE
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
17, 2020 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
Candidate Signature
,;?-/►�/»
Date
Vice -Mayor Kristi Johnson Mayor Abby Brennan Council Member Vince Arena
Council Member Laurie Brandon Council Member Kyle Stone
Village Manager Jeremy Allen
OF P4.
-..d Wendy Rartnry Lint
20
PALM BEACH COUNTY. FL
P>w Palm Beach County Supervisor of Elections
C . OPY
PETITION SUBMITTANCE FORM
Laurie Brandon
NAME OF PETITION OR COMMITTEE:
72
°NUMBER OF PETITION'S SUBMITTED: (APPRO)0
Lori McWilliams
NAME OF PERSON SUBMITTING PETITIONS:
345 Tequesta Drive
ADDRESS:
Tequesta, FL
CONTACT: (phone►
SIGNATURE
L•LSNARE\QM eForrm\Pe*ionSuWnkForm.dm
561-768-0443
Imcwilliams@tequesta.org
12/16/19
DATE
240 South Military Trail, West Palm Beach. FL 33415 1 Post Office Box 22309. West Palm Beach. FL 33416
Telephone! 561.656.6200 i Fax Number: 561.656.6287
VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate:
CANDIDATE NAME. I J a L L VI e �,.f &" (✓ G-,/-1 AGE:
to be a Candidate for the Tequesta Village Council, SEAT NO. , Village of Tequesta, Palm Beach County, Florida for a two (2)
year term pursuant to the Charter and Ordinances of said Village.
L(The above must be completed on all pages of petition)
PRINT NAME
STREET ADDRESS
DATE OF BIRTH
SIGNATURE
Tequesta, FL 33469
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RECEIVED
VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures DEC 1 E 2019
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate:
to be a Candidate for the Tequesta Village Council, SEAT NO. , 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
SIGNATUfK
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Te uesta, FL 33469
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VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate:
RECEIVE;
DEC 1 6 2019
V11LACE C! ccwo
CANDIDATE NAME: ( AGE:
to be a Candidate for the Tequesta Village Council, SEAT NO. , 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
S
JGNATURE
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VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate:
RECEIVED
DEC 1 6 2019
CANDIDATE NAME: I 1_-OLLt Vg C t i') AGE: I Z
to be a Candidate for the Tequesta Village Council, SEAT NO. , 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
Te uesta, FL 33469
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VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures
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We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: �.
CANDIDATE NAME: 4 I AGE:
to be a Candidate for the Tequesta Village Council, SEAT NO. , 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
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Te uesta, FL 33469
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RECEIVED
VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures DEC 2019
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE
CANDIDATE NAME: °16 ,1 AGE:
to be a Candidate for the Tequesta Village Council, SEAT NO. '� , 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
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RECEIVED
VILLAGE OF TEQUESTA DEC 1 6 2019
March 17, 2020 Nominating Signatures
_ _ VILLAGE CLERKS OFFI
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby_ nominate:
CANDIDATE NAME; u „� '�-,JPAn AGE: 14 '--7,L!
to be a Candidate for the Tequesta Village Council, SEAT NO. -3 , 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
SIGNAT RE
S
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Te uesta FL 33469
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VILLAGE OF TEQUESTA
March 17, 2020 Nominating Signatures
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate:
RECEIVED
DEC 1 6 2019
CANDIDATE NAME: LeA,-A `.e AGE:
to be a Candidate for the Tequesta Village Council, SEAT NO. , 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
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Te uesta, FL 33469
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Te uesta, FL 33469
RECEIVED
VILLAGE OF TEQUESTA i- "`�' 2019
March 17, 2020 Nominating Signatures 'ALLAGE CLERKS OFFICE
We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate:
CANDIDATE NAME: L. aL,, ran I AGE: "21W
to be a Candidate for the Tequesta Village Council, SEAT NO. :, 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
/
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Te uesta, FL 33469
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Te uesta, FL 33469
OF FAO
VJP �FGAL �9'�
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---..._ j Wendy Sartory Link
OF Palm Beach County Supervisor of Elections
CERTIFICATION
I, Wendy Sartory Link, Supervisor of Elections, for Palm Beach County, Florida, do hereby
certify that 62 signatures on the Nominating Petitions of Laurie Brandon for the Village of
Tequesta, Council Seat 3 for the Village 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 Laurie Elizabeth Brandon is a registered voter in Precinct 1078, in
the Village of Tequesta, Florida.
Signed, this 17th day of December, 2019.
0" C
Supervisor of Elections
Palm Beach County
(SEAL)
240 South Military Trail, West Palm Beach, FL 33415 1 Post Office Box 22309, West Palm Beach, FL 33416
Telephone: 561.656.6200 1 Fax Number: 561.656.6287