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HomeMy WebLinkAboutCandidate Packet_Molly Young_11/30/2020e"S� W Lori McWilliams, MMC Village Clerk Village of Tequesta 345 Tequesta Drive Tequesta, Florida 33469 RE: NOTICE OF CANDIDACY Date: ;', U b E,- Z" , 2020 RECEIVED NOV 3 0 2020 * VILLAGE CLERKS OFFICE a resident of the Village of Tequesta, residing at I 'LO �,A n 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 9, 2021. 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 • I 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 $107.93 payable to the Village of Tequesta for the required $30.00 filing fee and the Florida Department of State's $77.93 assessment fee (1 % of the annual salary of the office being sought), and a completed Statement of Financial Interests (Form 1 - 2019). Respectfully submitted, -------------------- ;a�nclidateA Signature Office use only: Date filed: 11' -10P Received by:4Date Candidate Qualified: Received by the Village Clerk: ✓ Loy Ity Oath / Oath of Candidate v" Candidate Name Pronunciation (on Oath of Candidate) v' Statement of Financial Interests From 1-2019 Ir Nominating Petitions '7"1 ✓ Notice of Candidacy L&A Testing Driver's License (to prove residency - SOE will certify voter status) Qualifying Check e"Is Village of Tequesta 345 Tequesta Drive Tequesta, FL 33469 i r- RECEIVED NOV 3 0 2020 VILLAGE CLERKS OFFICE 561-768-0700 www.tequesta.org NOTICE OF LOGIC AND ACCURACY (L&A) TEST I, �b` `) the undersigned, herebti acknowledge that "Due N has been gig en 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 9, 2021 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 I fnbjjUp,' Candidate aame (Print) Candi ate Signatur Date Vice -Mayor Kyle Stone Mayor Abby Brennan Council Member Laurie Brandon Village Manager Jeremy Allen Council Member Frank D'Ambra Council Member Bruce Prince CANDIDATE OATH — !'\ NONPARTISAN OFFICE lot use this form if a Judicial or School Board Candidate) RECEIVED )eck box only if you are seeking to qualify as a NOV 3 0 2020 write-in candidate: VILLAGE CLERKS OFFICE ❑ Write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) (Print name above as you win 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`"-- V o (Office) (District #) _ ' 9 1 e I am a qualified elector of _PC6 V/\ Ro 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 ham qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office , and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; . 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): 1150 0 _J] OM 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.] (q js) 8C[c uvv-� Sig ature of Candida Telephone Number Email Address Fc- Address City STATE OF FLORIDA COUNTY OF PRLM i�3EA&a Sao (or affirmed) and subscribed before me by physical or Mine presence this 151) day of 20 Personally Known: �or Produced Identification: State ZIP Code Signature of Notary Public Print, Type, or Stamp Commissioned Name of Notary Public below: �wr LORI MCWILLIAMS Commission a1 HH 0119% Expires October 18, 2024 BMW ThuT F 1°1' " Mp=a 100.385.7019 Type of Identification Produced: FORM 1 STATEMENT OF 2019 Ise print or type your name, mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: ress, agency name, and position below: SST NAME — FIRST NAME — MIDDLE NAME: you-r , MAILING ADDRESS: ]Aq- v D RECEIVED 3 34., g_ NOV 3 0 2020 CITY : ZIP: COUNTY VILLAGE CLERKS OFFICE I � -e, I,ULJ�'- NAME OF AGENCY *A- C(1)1�1-knoj-- NAME OF OFFICE OR POSITION HELD OR SOUGHT: CHECK ONLY IF g CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE ***Y` THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2019. MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES % /ER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES 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 ncome 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 70'Q) lUntVte`X'� -Flv el, Jul heacki nz Po�. C Ccd jmxic PART S — 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 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 paqe 3. 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 N PART E — LIABILITIES [Major debts - See instructions] (if you have nothing to report, write "none" or "n/a") BUSINESS ENTITY TO WHICH THE PROPERTY RELATES NAME OF CREDITOR ADDRESS OF CREDITOR ML 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 Q ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESSI NATURE OF MY OWNERSHIP INTEREST i I PART G — TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. BUSINESS ENTITY # 2 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: Sigt?aiure: Date Signed: I ldvil�� 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. Sj�� officers or specified state employees who file with the !fission on Ethics may file by mail or email. To file by mail, the completed form to P.O. Drawer 15709, Tallahassee, FL 1 7-5709; 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 CEForml@leg.state.rl.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. 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: 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. CPA/Attorney 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, 2019. re-= UJ cpv W T— z w LU cc z > 03 LL ui r4 cn U) UJ t A (D co 0) (0 0) m cp co 0) (o (m co CD 0) CD �j (Dm 0) CD LU co CY) —M cn m CY) m cn m LU —j LL J LL —j LL _j LL _j LL —i LL —j LL 7 LL LL LL cuca (D cnci cu 2 a) ci (D ci a) ci a) ci 4) cr a) C7 (D cr 4) CT a) (U a) a) A-) - 0 ui a. 0 N J vI v! G LL O o W Z N J C _J N t V L O w I F- a H LL o LU ---6 l Q CD (0rn� rn M rn c0 m 0) co d. 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PICKING UP PETITIONS AND CERTIFICATION (Municipal Candidates/Clerks ONLY) Y%Y1 ( 71Y),e, -✓ certify that I have picked up the petitions and petition certification for ��� UOUA Signature: Date: Deputy's Initials: v , L Revised 04/2020 240 South MilitaryTrail. West Palm Beach. FL 334151 Post Office Box 22309. West Palm Beach. FL 33416 Telephone: 561.656.62001 Fax Number: 561.656.6287 T�4 t C9 �� ;a Wendy Sartory link m°F PAs' Palm Beach County Supervisor of Elections CERTIFICATION I, WENDY SARTORY LINK, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 76 signatures on the Nominating Petitions of MOLLY YOUNG for SEAT 2, 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 MOLLY YOUNG is a registered voter in Precinct 1078, in the Village of Tequesta, Florida. Signed, this the 3rd day of December, 2020. JITA WENDY SAR ORY LINK( SUPERVISOR OF ELECTIONS PALM BEACH COUNTY (SEAL) 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 0 o !V / N Wo U > W o 11 z J co Q N w cu N w a W G�`V Z 1� J V mr\n W rn Q c0 rn M rn co � cfl -� 0) _ c0 rn c0 rn �' c0 rn c0 J rn cfl rn CO M H, Cl M CY) CM c� n M � M _ M r _ M T M Q M M M M 3 M cvM M M M WJ LL J /�� LL J , LL �� J 1_1 LL J LL C LL LL �- J LL (� J C- U- J LL r : vcr 7 `� 7 � 1✓� 7 � Cy Cy H H ui Z vJ j CL �V v a w ti°'re a A N_ 0 L 0 m _O :L A C O 0 U L) m d m ai is — a. > c � � O � N d 0. 0 O m (A 0m�� > -Oa 0 17�mm r Q C4 OU0 Z O d W 0 U) N OII, V L — L R cr �0 _v _ U Am W 0 r W F Q CD l 1 r N w -.. Q � v cn LU Cat Z CD Q, M con e� V COO CD � Q 0) � � 0) v M W, co , fM Cl) cM cM SIm ` CM7 CM Q, r LL .O. LLLLLL... 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