Candidate Packet_Richard Sartory_11/7/2023 Lori McWilliams, MPA, MMC Date:
1/�Z 2023
Village Clerk
,'"�age of Tequesta RECEIVED
Tequesta Drive
i equesta, Florida 33469 NOV - 7 2023 **-�
RE: NOTICE OF CANDIDACY VILLAGE CLERKS OFFICE
I �L � o- • � � I 1 a resident of the Village of Tequesta, residing
at lil S N- DOV,11- AD , 11 0 kkCS i P ?`Ljf- for a minimum of one continuous year prior to qualif ing, 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 19, 2024.
In accordance with the provisions of the Village Charter and Code of Ordinances, I certify that I meet the
qualifications for candidacy:
• I am a registered voter of the incorporated Village of Tequesta
• I reside at the above stated address within the incorporated Village of Tequesta
• I have resided in the Village of Tequesta for a minimum of one continuous year prior to qualifying
• I 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 the following:
• Candidate Oath
• Statement of Financial Interests (Form 1 -2022).
• Petitions containing the signatures of at least fifty (50) registered voters of the incorporated Village of
Tequesta in support of my candidacy
• Notice of Candidacy
• L&A Testing
• Residency Affidavit
• Check for$112.71 payable to the Village of Tequest
• Copy of Driver's License or State ID Card
Respectfull s b i ,
Candidate's S gna e
Office use only:
^
iv d b y '�'�- Date Candidate Qualified:
Date filed: f,l I"II7►� Received :e y
Received by the Village Clerk:
Oath of Candidate
Statement of Financial Interests From 1-2022
Nominating Petitions -7
Notice of Candidacy
L&A Testing
Residency Affidavit
Driver's License to prove resident - SOE will certify voter status
Qualifying Check
CANDIDATE OATH
NONPARTISAN OFFICE RECEIVED
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a write-in NOV — 7 2023
candidate:
VILLAGE CLERKS OFFIC
Write-in candidate
OFFICE USE ONLY
Candidate Oath
Name to appear on ballot: �� ' 4 `" F_�f
Check box if two last names without hyphen. ❑ (Name cannot be changed after qualifying.)
Check box if name includes nickname. ❑ (For use of a nickname,you must complete the Nickname Affidavit on reverse side.)
swear or affirm that I am a candidate for the nonpartisan office of W LLr 1 y� ,� to k� ��� �� "L�L
(Office) (District#)
I am a qualified elector of � Ir County, Florida
(Circuit#) (Group or Seat#)
I am a qualified elector 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; and I will support the
Constitution of the United States and the Constitution of the State of Florida.
Statement of Outstanding Fines, Fees, or Penalties
I owe outstanding fines,fees, or penalties,that cumulatively exceed $250, for ethics or campaign finance violations (s. 99.021(1)(d), F.S.).
YES, /Do NO, /Do Not
If you do,you must also specify t amount owed and each entity that levied the same on the reverse side.
X *Vk cab co - 2 �(9 SprP"-`p�� �t�T ���A1�-,
Sig a tur f did to Telephone Number Email Address 6D.M'
Address of Legal Residence City State ZIP Code
STATE OF FLORIDA ��
COUNTY OF ')&jM (SQaM Signature of Notary Public
Print,Type, or Stamp Commissioned Name y Public below:
Sworn to (or affirmed) and subscribed before me by means of
�;�+",iik•., LORIMCWILLIAMS
online notarization ❑ OR physical presence ?" h* Commission#HH011916
r \
E s ro October 16,2024
this�_day of AJ .l'Y1 /1 20a gad rmIm F610 uuranas00'3��ots
Personally Known frOR Produced Identification ❑
Type of Identification Produced: _ 5LV*34 IuI S ( sk4 0
DS-DE 302NP (Eff. 10/2023) Rule 1S-2.0001, F.A.C.
Phonetic Spelling o ame
FPhon,eticelling for the audio ballot(not required for qualifying purposes): Print the name phonetically on the line below as you
pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page 3 of this form):
h- - AP- - i a qz� 1 ��
Statement of Outstanding Fines, Fees or Penalties
Pursuant to Section 99.021(1)(d), F.S., each candidate, whether a party candidate, a candidate with no party affiliation, or a write-in
candidate, shall, at the time of subscribing to the oath or affirmation,state in writing whether he or she owes any outstanding fines, fees,
or penalties that cumulatively exceed$250 for any violations of s.8,Art. II of the State Constitution,the Code of Ethics for Public Officers
and Employees under part III of chapter 112, any local ethics ordinance governing standards of conduct and disclosure requirements,or
chapter 106.
Amount Entity
Affidavit of Nickname (Only required if using nickname for the ballot.)
My legal name is . I am over the age of eighteen (18) and the contents of this
affidavit are true and correct.
My nickname is I am generally known by this nickname or have used it as part
of my legal name. I have not created the nickname to mislead voters. My nickname does not imply I am some other person, constitute
a political slogan or otherwise associate me with a cause or issue, or that is obscene or profane.
Signature of Candidate:
STATE OF FLORIDA
COUNTY OF
Signature of Notary Public
Print,Type, or Stamp Commissioned Name of Notary Public below:
Sworn to (or affirmed) and subscribed before me by means
of online notarization ❑ OR physical presence ❑
this day of , 20
i
Personally Known ❑ OR Produced Identification ❑
Type of Identification Produced:
I
DS-DE 302NP (Eff. 1012023) Rule 1S-2.0001, F.A.C.
FORM I STATEMENT OF 2022
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:
�4 R T a 1 C OVL1) 1 LA-W Net-,�J L�
MAILING ADDRESS:
RECEIVED
CITY: // ZIP: COUNTY: NOV - 7 2023
a 11i.A Ll VILLAGE CLERKS OFFICE
NAME OF AGENCY:
V 1 L-b4 W
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, 2022.
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):
0 COMPARATIVE (PERCENTAGE) THRESHOLDS OR X 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
PkA\ b qAC H (djilj 3 Z Z G s G L-0 A,64 Cv iK v N t 1 A-fFA1 GCS .,
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�)/EINTIITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
NV 1�"1/
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
F�fr/ 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 1,2023 (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"nia")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
�31e1 r�/�cC
PART E—LIABILITIES [Major debts-See instructions] ,4
(If you have nothing to report,write"none"or"nia")
NAME OF CREDITOR ADDRESS OF CREDITOR
n/ 1
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 BUSINESS ENTITY#2
NAME OF BUSINESS ENTITY NV A J A)
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,appointed school superintendents,and commissioners of a community redevelopment
agency created under Part III,Chapter 163 required to complete annual ethics training pursuant to section 112.3142,F.S.
11]�- 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: 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:
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 1 with a qualifying officer is not required to file with the Commission
under, see page 3 of instructions. or Supervisor of Elections.
Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially, each local officer/employee, state officer,
of the county in which they permanently reside. (If 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 of 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 form to the Commission on Ethics. it will be
returned. Candidates must file at the same time they file their qualifying
State officers or specified state employees who file with the papers.
,ommission on Ethics may file by mall or email. To file by mail, Thereafter,file by July 1 following each calendar year in which they
;nd the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions.
,2317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1F) 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 as a pdf(do not use any of Financial Interests)does nol relieve the filer of filing a CE Form 1
other format), send it to CEForml @leg.state.fl.us and retain a copy if the filer was in his or her position on December 31,2022.
for your records. Do not file by both mall and email. Choose only one
filing method. Form 6s will not be accepted via email.
PAGE 2
CE FORM 1-Effective:January 1,2023.
Incorporated by reference in Rule 34-8.202(1),F.A.C.
OF
- VOTE
9 a�
yBF4
0fC0UN'0'
CERTIFICATION
I, WENDY SARTORY LINK, SUPERVISOR OF ELECTIONS, for Palm Beach County,
Florida, do hereby certify that 75 signatures on the Nominating Petitions of RICHARD L.
SARTORY for VILLAGE COUNCIL, SEAT 5, 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 RICHARD L. SARTORY is a registered voter in Precinct 6803,
in the Village of Tequesta, Florida.
I am only certifying that the signatures match the signatures we have on file and that the
electors reside within the municipal limits. I am not certifying the validity or legal sufficiency
of the petitions.
Signed, this the 9t"day of November, 2023.
WENDY SA TORY LINK
SUPERVISOR OF ELECTIONS
PALM BEACH COUNTY
(SEAL)
Wendy Sartory Link Palm Beach County Supervisor of Elections
South240 Palm Beach, • 656-6200 1 lnfo@VotePa]mBeach.gov • Pa ImBeach.gov
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Village of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
RECEIVED
NOV - 7 2023 4
VILLAGE CLERKS OFFICE
NOTICE OF LOGIC AND ACCURACY (L&A) TEST
L, - sue+ ,70�� , 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 19,2024
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
JIA
Candidate Name (Print) n i t i natfe-A
2
Date
RECEIVED
RESIDENCY AFFIDAVIT NOV - 7 2023 kip,
Village of Tequesta VILLAGE CLERKS OFFICE
Charter-Section 2.02. - Qualifications and Disqualifications.
No person shall be eligible to hold any elective office of the Village unless said person shall be a
qualified elector and resident of the Village for a minimum of one continuous year
prior to qualifying.
I swear (or affirm) under oath that I have been a resident of the Village of Tequesta continuously
for the one (1)year immediately preceding qualification, and that I have read and meet all of the
requirements of Section 2.02. Qualifications and Disqualifications of the Village Charter.
Under penalties of perjury, I declare that I have read the foregoing ffidavit and that the facts
stated in it are true.
Print Name of Candidate Signature 4ndi
f Residence Address (do not use post office box)
TA—
City State Zip Code
--V6
Cell Phone
Email Address
SWORN TO (OR AFFIRMED) and SUBSCRIBED before me this a_day of
;;��► •.• LORIMCWILLIAMS Lori McWilliams, MMC
commission#HH 011916
Expires October 18,2024 Village Clerk
''Fg�:y.'•T SonMTftTroy Fain InsuranoNO-38ST00 Village of Tequesta
Please attach one of the following items as proof of residency for the one(1)year immediately
preceding qualification: Village of Tequesta Utility bill in your name or rental/lease agreement
showing rental date range.
UTILITY BILLING STATEMENT
RECEIVED Office:345 Tequesta Drive,Tequesta FL 33469 Hours:8:30 AM-5:00 PM,Mon-Fri(Except Holidays)
Phone: (561)768-0421,forager-hours emergencies please call(561) 768-0700
N 'NOV — 7 2023 www.tequesta.org
OEM M. M11"Iffilt__ ACCOUNT
CUSTOMER NAME: SARTORY, RICHARD L. LAST BILL: $41.18
ACCOUNT NUMBER: 1100720135 LAST PAYMENT: $38.07 09/15/2023
CURRENT CHARGES: $54.28
PIN: cb99071 ADJUSTMENTS: 0.00
SERVICE ADDRESS: 515 N DOVER RD LATE FEE: $15.00
BILLING DATE: 10/16/2023 PRIOR BALANCE: $41.18
TOTAL AMOUNT DUE: $110.46
SERVICE PERIOD: 09/01/23 to 10/01/23 BILL DUE BY: 11/14/2023
SERVICE PREVIOUS READ CURRENT READ USAGE .......................................................................................................................-...........I............................
Water 310 316 6 NOTICE: IF YOU HAVE A PRIOR BALANCE DUE
Payments not received on account by the due date may be subject to a
late fee.All unpaid accounts are subject to disconnection.
CURRENT CHARGES
Water Meter -0.750-inch See reverse side of statement for convenient payment options
FIRE PROTECTION $1.39
MONTHLY SERVICE CHARGE $22.25
WATER $17.10
CAPITAL IMPROVEMENT CHG $10.00 NEWS AND NOTES
UTILITY TAX TEQ $3.54
NOTICE OF WATER RATE INCREASE
EFFECTIVE OCTOBER 1,2023
12 MONTH WATER USAGE (USAGE LISTED IN THE THOUSANDS OF GALLONS) In accordance with Village Code Section 74-72 an annual rate
adjustment was approved. The rates will increase per Resolution
14-23 which can be found on our website at
https://bit.ly/2023WaterRates.This increase also includes a
4 separate capital improvement charge that will be used to help pay
for critical infrastructure projects that are in the Village's 20-year
3 utilities capital plan.
2
Oct Nov Oec FeA Mar A Ma JLp Sul A Oct
PAYMENTCOUPON
Please detach and return bottom portion of bill with payment.
ACCOUNT NUMBER: 1100720135
LATE FEE: $15.00
PRIOR BALANCE: $41.18
345 Tequesta Drive CURRENT CHARGES: 554.28
Tequesta FL 33469 TOTAL AMOUNT DUE: $110.46
CURRENT CHARGES DUE BY: 11/14/2023
TOTAL AMOUNT ENCLOSED:
SARTORY, RICHARD L.
515 N DOVER RD
TEQUESTA FL 33469 Please remit and make checks payable to:
Village of Tequesta
345 Tequesta Drive
Tequesta FL 33469
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