Candidate Packet_Laurie Brandon_1/12/2023 Lori McWilliams, MPA, MMC Date: kouev,06 y- ao, 2023
Village Clerk
age of Tequesta
Tequesta Drive
i equesta, Florida 33469 RECEIVED
RE: NOTICE OF CANDIDACY NOV 2 0 2023 n.
I VILLAGE CLERK$OFFICF�
I �au v7 C (S� c U� a resident of the Village o eques a, residing
at for a minimum of one continuous year prior to qualifying, do
hereby file as a Candidate for the two (2) year term for the Office of the Council Member, Seat No. Son
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 Tequesta
• Copy of Driver's License or State ID Card
Respectfullyjsubmitted,
O
C ida e's Signature
Office use only:
;��
Date filed:�� a0 Received by: Date Candidate Qualified:
Received by the Village Clerk:
f Oath of Candidate
Statement of Financial Interests From 1-2022
��,Nominating Petitions
Notice of Candidacy
v L&A Testing
ResidencyAffidavit
Driver's License to prove residency—SOE will certify voter status
Qualifying Check
CANDIDATE OATH
NONPARTISAN OFFICE RECEIVED
(Do not use this form if a Judicial or School Board Candidate) I ',-
'heck box only if you are seeking to qualify as a write-in NOV 2 0 2023
andidate: r
VILLAGE CLERKS OFFICE
❑Write-in candidate
OFFICE USE ONLY
Candidate Oath
-I
Name to appear on ballot: a(�1 1r I e G ro VI A b V�
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 compete the Nickname Affidavit on reverse side.)
I swear or affirm that I am a candidate for the nonpartisan office of V I I)d ae. tC TP_otJe,5fx �Secrt S
n II (office) (District#)
; I am a qualified elector of r�l IM 1 CQ& 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
"onstitution 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, I Do NO,I Do Not V
If you do,you must also specify the amount owed and each entity that levied the same on the reverse side.
_<Icl 7o-7 WO-) L F,/�I
✓Y7G ej-2 oU
Signature of Candidate Telephone Number Email Addrksi C CIA-1
Address of Legal Residence City L State ZIP Code
STATE OF FLORIDA
COUNTY OF Ppttftl ` tkf}- 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 � gaiD
n, . _. LLIAMSthis day of N r{� A� ,2013 on#NHO11916
^ tober 18,2024Personally Known D? OR Produced Identification ❑ roy Fain lnswance80p,38�7019
jpe of Identification Produced:
DS-DE 302NP(Eff. 10/2023) Rule 1S-2.0001, F.A.C.
15honefli pelling of Name
Phonetic spelling for the audio ballot(not required for qualifying purposes): Print the 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 3 of this form):
1 a�- r,E7 E29A A)— Qu PA )
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 (,act vl P. (Z__)✓n/1 Ltri/l . I am over the age of eighteen(18)and the contents of this
affidavit are true and correct.
My nickname is 0 Za 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.
_ cyz�?'-Z"
J
Signature of Candidate: G
STATE OF FLORIDA /�
COUNTYOF jk/M AaC,�
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 /Q0 20 a 3 INARYANN GRIESER
Personally Known ElOR Produced Identification r�r *: •_
Commission#GG 971505
T -Z Expires June 15,2024
Type of Identification Produced: V�-- Bone+Troy Fain lnsurence800-3857019
DS-DE 302NP(Eff.10/2023) Rule 1S-2.0001,F.A.C.
FORM I STATEMENT OF 2022
ease print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY:
dress,agency name,and position below:
LAST NAME—FIRST NAME—MIDDLE NAME:
C cA cA In
MAILING ADDRESS': RECEIVED
NOV 2 0 2023
CITY: ZIP: COUNTY:
VILLAGE CLERKS OFFICE
NAME OF AGENCY:
Vitlacg u4'--
NAME O OFFICE OR POSITIdN HELD OR SOUGHT:
eOtt
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
ee instructions for further details). CHECK THE ONE YOU ARE USING (must check one):
❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR B--- 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'Wa")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
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
'1 0�^
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.
i
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.
CE FORM 1-Effective:January 1,2023 (Continued on reverse side) PAGE 1
Incorporated by reference in Rule 34-8.202(1),F.AC.
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 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"Na")
BUSINESS ENTITY#1 BUSINESS ENTITY#2
NAME OF BUSINESS ENTITY G�
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.
SJ 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: ^ in good standing with the Florida Bar prepared this form for you, he or
she must complete the following statement:
prepared the CE
C 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 your form to the Commission on Ethics. it will be pp
returned. Candidates must file at the same time they file their qualifying
State officers or specified 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.
317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1 F) within 60 days of
ilahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1F(Final Statement
your completed form and any attachments as a pdf(do not use any of Financial Interests)does not relieve the filer of filing a CE Form 1
other format), send it to CEForml @leg.state.fi.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 mail and email. Choose only one
filing method. Form 6s will not be accepted via email.
CE FORM 1-Effective:January 1,2023. PAGE 2
Incorporated by reference in Rule 34-8.202(1),F.A.C.
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IIAV(IIJJV A:)N3GISM
Village of Tequesta '
345 Tequesta Drive
❑ To receive a paperless water bill `
instead of a paper copy, please Tequesta, FL 33469
check the box and provide your 561-768-0421
email below.
www.tequesta.org
Regular Hours of Operation:
Monday-Friday 8:30am-5:00pm
After-Hours Emergencies Call 561-768-0421
BRANDON, LAURIE
175 GOLFVIEW DR
Account Number 1081830121 TEQUESTA, FL 33469
Please Pay $347.80
By Due Date Of 12/14/2023
Return the upper portion with payment
Service Information Messages
Account Number: 1081830121
Location ID: GLFD-000175-0000-02
Service Address: 175 GOLFVIEW DR
PIN Number: 6804a32
Water Used From: 10/01/23 to 11/01/23
Monthly Billing Detail Consumption History per Billing
Previous Balance: $274.17 ,; ®�°' '
20 rn
•5 '�
FIRE PROTECTION $1.51
MONTHLY SERVICE CHARGE $24.14 0 o 0
,o
WATER $32.85
CAPITAL IMPROVEMENT CHG $10.00 s
UTILITY TAX TEQ $5.13
0
Nov-1 Jan-1 Mar-1 May-1 Jul-1 Sep-1 NOVA
Current Bill Due By: 12/14/23
Current Charges For This Billing $73.63 Water Usage Detail in 1000's of Gallons
$347.80 Meter From To Read Gallons
1 10/01/23 11/01/23 870 9
If unpaid, a 1% late fee will be assessed or a $5
minimum charge as of 12/14/23
Amount Due If Late: 12/15/2023 $362.80
Please Retain This Portion For Your Records
CANDIDATE OATH -
RECEIVED
00-111, NONPARTISAN OFFICE NOV 2 0 2023
,—,)not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a VILLAGE CLERKS OFFICE
write-in candidate:
❑ 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 f
Office) (District#)
Seri I am a qualified elector of POOL I VVI ('2p ectc�t� 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;
1 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): (l /Y
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- d (z — A - Al- 0 -- N
�� (So l i -7U-7 S2 �-j i vVru e ct v><_
Signature of Candidate Telephone Number Email Akkss
�C5 Gz I C\;�y_,,j 0 4 �/-e -1-e- Ic 1 0-,3V69 2
Address City State ZIP Code
STATE OF FLORIDA h
Signature_of_Nbt= Public
COUNTY OF ���`eQl(�� Print,Type, a S5R?I12tT1� elow:
.* LORI MCWILLIAMS
Commission#MOM%
Sworn to(or affirmed)and subscribed before me by means of W. Expires October 18,2024
online notarization ❑ /OIR,,,� physical presence Boded Th.Toy Fin Www w M M&701 A
this day of �'`�"►" 12099.
�sonally Known OR Produced Identification ❑
Type of Identification Produced:
DS-DE 302NP(Rev.05/2021) Rule 1S-2.0001, F.A.C.
OF F4,
VOTE a�
COU460'
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 VILLAGE 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 BRANDON is a registered voter in Precinct 6801, 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 27t"day of November, 2023.
= WENDY SAR RY LINK
SUPERVISOR OF ELECTIONS
PALM BEACH COUNTY
(SEAL).
4 ,
Wendy Sartory Link Palm Beach County Supervisor of Elections
240 South - • • • • • 00 1 Info@VotePa[mBeach.gov • '• _•
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