HomeMy WebLinkAboutCandidate Packet_Kyle Stone_12/11/2020Lori McWilliams, MMC Village Clerk Village of Tequesta 345 Tequesta Drive Tequesta, Florida 33469 RE: NOTICE OF CANDIDACY Date: NGtN�a 1y 4l 2020 RECEIVED DEC 1 i 20219 VILLAGE CLERKS OFFICE 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. �_ 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, �_t,yA_ 6� Candidate's Signature ............ 2 ................ a ■ ■ . ■ ■ . ■ . .. ■ .......... 0 ■ ... ... . . . ■ ... ■ . . . .. . .... . Office use only: Date filed: 20 Received by: C% ' Date Candidate Qualified: 1 Received by the Village Clerk: Loy Ity Oath / Oath of Candidate Candidate Name Pronunciation on Oath of Candidate) Statement of Financial Interests From 1-2019 Nominating Petitions otice of Candidacy L&A Testing Driver's License (to prove residency — SOE will certify voter status) Qualifying Check Village 345 Tequesta Drive Tequesta, FL 33469 of Tequesta 561-768-0700 www.tequesta.org NOTICE OF LOGIC AND ACCURACY (L&A) TEST the undersigned, herebj aclulowledge 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 9, 2021 Municipal Election, will be on TBA at the Pahn 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 A�L <irb/1L Candidate Name (Print) II-iL- �zp Date Candidate Signature DECEIVED VILLAGE CLERKS OFFICE Vice -Mayor Kyle Stone Mayor Abby Brennan Council Member Frank D'Ambra Council Member Laurie Brandon Council Member Bruce Prince Village Manager Jeremy Allen CANDIDATE OATH — NONPARTISAN OFFICE RECEIVED lot use this form if a Judicial or School Board Candidate) r ; r .e ,F:, , leck box only if you are seeking to qualify as a I 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 wish it to appear on the ballot. If your last name consists of two or more names but has no hyphen, check box E. (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 �'G 1� 6�.�t (0-jr. � (Office) (District #) L ; I am a qualified elector of n `` 1'�.`� R 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 ' ek; 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): 1-0 3q-71Z 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): [Notapplicab/e to write-in candidates.] Signature of Candidate Telephone Number Email Address aka - �sw , 9�,� a;�4"" . rL 33H6 9 Address 10 City State ZIP Code STATE OF FLORIDA _ / Signatur Public _aJr"I 9-CaCJ Print, Type, tamp Name Notary Public below: COUNTY OF _ r ommissioned of Sworn to (or affirmed) and subscribed before me by [E physical or •;'��.r,q.••. AHILYABHARAT•MEDFORD mline presence this day of C J •C C 20,_!W Commission # GG 349535 Expires June 27, 2023 Y,� !t' Bonded Thru Troy Fain Insurance 800.385-7019 Personally Known: or Produced Identification: Type of Identification Produced:�- DS-DE 302NP (Rev. 04/20) Rule 1S-2.0001, F.A.C. FORM 1 STATEMENT OF 2019 Please print or type your name, mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: 001*Nress, agency name, and position below: _1ST NAME — FIRST NAME — MIDDLE NAME: RECEIVED MAILING ADDRESS': 9-1 k IFA-c DEC 1 1 201`9 3340 i VILLAGE CLERKS OFFICE CITY: ZIP: COUNTY: NAME OF AGENC : pv/\,G . l ` NAME OF OFFICE OR POSITION HELD OR SOUGHT: CHECK ONLY IF CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE **** 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 THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES e instructions for further details). CHECK THE ONE YOU ARE USING (must check one): ❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR PO 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 Dr:Vt c! 3 G 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 � pC 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 /,01 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. CE FORM 1 - Effective: January 1, 2020 (Continued on reverse side) PAGE 1 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 BUSINESS ENTITY TO WHICH THE PROPERTY RELATES S ADDRESS OF CREDITOR Aa-C-bk- L'At�, INVA.-.4 G 1 qbk Uo% 6r~.tow kJ . Sv c. (. / kc�AE 727-of 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 'Wa") ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY W /,Of ADDRESS OF BUSINESS ENTITY N A PRINCIPAL BUSINESS ACTIVITY U A POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS A 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. 0 1 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: Date Signed: 17- — lrNzo 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 mission on Ethics may file by mail or email. To file by mail, the completed form to P.O. Drawer 15709, Tallahassee, FL ,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.fl.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/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 eachFfo r)� 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 4Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position SjlecLkGW? c 1K, 0019FFI,,E AJ ct tat �� - tnectrve: anuary t. 2UZU. PAGE 2 1 LLi Q a F-- U) Lu D V N O cs O 'C O LL O U U t� O m Qj (6 M d � O c N 0 0 O N O ~ U d o C c Q >o= 7m O 13 R d. 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FL 33416 Telephone: 561.656.62001 Fax Number: 561.656.6287 � �O�Ff PpAL co 7�, gd tea,, Wendy Sartory link Clryn OF PA �', Palm Beach County Supervisor of Elections CERTIFICATION I, WENDY SARTORY LINK, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 64 signatures on the Nominating Petitions of KYLE STONE for SEAT 4, 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 KYLE STONE is a registered voter in Precinct 1078, in the Village of Tequesta, Florida. Signed, this the 14t" day of December, 2020. WENDY SARTORY LINK 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: 561.656.6200Fax Number: 561.656.6287 ^mot. 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