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HomeMy WebLinkAboutCandidate Packet_Jahnel Kinnebrew_11/4/2025 CANDIDATE OATH NONPARTISAN OFFICE RECEIVED Do not use this form if a Judicial or School Board Candidate) eck box only if you are seeking to qualify as a write-in NOV - 4 2025 .ididate: F—lWrite-in candidate VILLAGE CLERKS OFFICE OFFICE USE ONLY Candidate Oath Name to appear on ballot: b V t a/ 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.) I swear or affirm that I am a candidate for the nonpartisan office of ��q�1fS�fI {')I�GiG1e (b tint, 1 (Office) J (District#) I am a qualified elector ofM�� ��Lh 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 ve resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the .1stitution 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 al o specify the amount owed and each entity that levied the same on the reverse side. ( � I u2us ' 01-7-2 iw, Si ure of ands at Telephone Number Email Address c Address of Legal Residence Cityl State ZIP Code STATE OF FLORIDA `COUNTY OF ALL n-" `tom�awa&�_ V Signature of Notary Public Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to (or affirmed)and subscribed before me by meanss of online notarization ❑ OR physical presence LvJ ;ti:+1!.;' Low mcWLUAMS Commission#HH 562766 s _day of �Lam,20�. ExpkW oetober 18,2028 rsonally Kno1W OR Produced Identification Type of Identification Produced: r DS-DE 302NP(Eff. 1012023) Rule 1S-2.0001, F.A.C. 2024 Form 1 - Statement of Financial Interests RECEIVE General Information *NOV Name: Mrslahnel Kinnebrew VILLAGE CLERKS OFFICE Organization Suborganization Title N/A CANDIDATE FOR Position Agency Name Position sought or held City,Town or Village (Commission or Village of Tequesta Town Council Seat 1 Council), Governing Board- Form 1 (Effective 6/10/2024) Disclosure Period THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2024. Primary Sources of Income PRIMARY SOURCE OF INCOME (Over$2,500) (Major sources of income to the reporting person) (If you have nothing to report,write "none" or"n/a") Name of Source of Income Source's Address Description of the Source's principal Business Activity Manta Medical 241 Golfview Drive Medical Device Sales Printed from the Florida EFDMS System Page 1 of 3 2024 Fora 1 - Statement of Financial Interests Secondary Sources of Income SECONDARY SOURCES OF INCOME (Major customers,clients,and other sources of income to businesses owned by the reporting person) (If you have nothing to report,write "none"or"n/a") Name of Business Entity Address of Source Name of Major Sources of Principal Business Business'Income Activity of Source N/A Real Property REAL PROPERTY(Land, buildings owned by the reporting person) (If you have nothing to report,write "none"or"n/a") Location/Description N/A Intangible Personal Property INTANGIBLE PERSONAL PROPERTY(Stocks, bonds,certificates of deposit, etc. over $10,000) (If you have nothing to report, write "none" or"n/a") Type of Intangible Business Entity to Which the Property Relates Chase bank account Manta Medical Printed from the Florida EFDMS System Page 2 of 3 2024 Form 1 - Statement of Financial Interests Liabilities LIABILITIES (Major debts valued over$10,000): (If you have nothing to report, write "none"or"n/a") Name of Creditor Address of Creditor N/A Interests in Specified Businesses INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in certain types of businesses) (If you have nothing to report,write "none"or"n/a") Business Entity#1 N/A Signature of Filer lahnel Kinnebrew Digitally signed: 11/04/2025 Printed from the Florida EFDMS System Page 3 of 3 PETITIONS - SCANNED IMAGES CONTROL RECORD PETITION BATCH NUMBER 2390 - 01 SCANNING BATCH NUMBER O O � DATE RECEIVED 11/04/2025 SOURCE - PETITIONS - JAHNEL KINNEBREW DATE SCANNED 1 /07/2025 SCANNERS INITIALS //4 ADDITIONAL INFORMATION: TEQUESTA - VILLAGE COUNCIL SEAT 1 # 7 PAGES _ - — .. ,,s *Y4�, ­ -._. _-�,,.:,�__ _�, - -=- - - f- - -- a -- - CERTIFICATION I,Wendy Sartory Link, Supervisor of Elections,for Palm Beach County, Florida, do hereby certify that 58 signatures on the petitions for Jahnel Kinnebrew for Village Council Seat 1 are registered electors within the municipal limits of the Village of Tequesta, according to the registration records on file in this office. I am only certifying that the signatures match the signatures we have on file and that the electors reside within the municipal limits of Tequesta, notwithstanding the absence of a date of birth, date signed, printed name, or matching address on the petition. The decision to deem any petition invalid for these reasons is left to the Village of Tequesta. I am not certifying the validity or legal sufficiency of the petitions. Signed, this 12th day of November 2025. t , Wendy Sa'hory dnk Supervisor of Elections Palm Beach County Q33409o561.656.6200 ;� . . •. PETITION SUBMITTANCE FORM Na,e o F K;:ULIV.i (%_�,iuiaaLe/initiative) �L� 11 ul� f I11141 Office Candidate is seeking (if applicable): Number of Petitions Submitted: —70 Number SOE Counted: Name of person submitting petitions: D Address: ' City, State, Zip Code:^ Phone: Email: Signature: 'A':_ Kl& Date: OFFICE USE ONLY —� Deputy's Initials: J� Paid By Check: ��a� Paid By Cash: Receipt#: OR Undue Burden (verified) BATCH #: Revised March 2025 r N UN d 7 H w O d , Ln � d — et= > > 'cc N �- O W o C) ` N F W , C OWG zLLI o ^ :v a mo Qc c vd Lm c � UJ wCL LU a o H = a N m � r r ' O 0 N Q.� ui LO d O Via. 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O W o W M a l 0 9 J 'S LU CY e4 = 0 O LL E 00 WZ N � � N as E E 3 O o ) L J N H Z CO CO co CO CO CO `� co CO CO CO O ++ coqr co M M M M co M M M fir' d W N co 3 m v coy co `J M co co co �J M co tm .r J J J o� J v > co cd co m ca (� co cu co cu cd � m m --= ° = F-- � � a) a) 9 � � �7 > > LL ✓mV V y tz� m �- - c m S ca _ � y <5 v Lori McWilliams, MPA, MMC Date: ���1' ��� �- 2025 Village Clerk RECEIVED Village of Tequesta �45 Tequesta Drive NUV - 4 2025 u/` equesta, Florida 33469 RE: NOTICE OF CANDIDACY VILLAGE CLERKS OFFICE I Jaw W e o a resident of the Village of Tequesta, residing at 2 6a IfACW OVi vC , 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. I 'on the Tequesta Village Council to be elected by the Village electors at the Municipal Election to be held on March 10, 2026. 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 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 —2024). • Nominating signatures 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$172.08 payable to the Village of Tequesta • Copy of Driver's License or State ID Card Res ectfully submitted, C gkmw-o-�� Candidate's Signature Office use only: Date filed: 1` 12r Received by Date Candidate Qualified: Received by the Village Clerk: Oath of Candidate Statement of Financial Interests Form 1 2024 Nominating Signatures Notice of Candidacy L&A Testing Residency Affidavit Driver's License Qualifying Check Village of Tequesta 345 Tequesta Drive - 561-768-0700 Tequesta, FL 33469 I www.tequesta.org RECEIVED �IN NOV - 4 2025 VILLAGE CLERKS OFFICE NOTICE OF LOGIC AND ACCURACY(L&A)TEST I,�� 1'1�� Kip' ub` tW , 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 10, 2026 Municipal Election, will be on TBA at the Palm Beach County Supervisor of Elections Office. plan to attend the Logistics and Accuracy Test I do not plan to attend the Logistics and Accuracy Test L�J Candidate Name (Print) Candidate Sig ature j� Oki Date RESIDENCY AFFIDAVIT N RECEIVE® Village of Tequesta \ `_NOV - 4 2025 Charter-Section 2.02. - Qualifications and DisqualificationslfILLAGECLFRKS No person shall be eligible to hold any elective office of the Village unless said person Ma' beO c1FFICE 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 forego: affidavit and that the facts stated in it are true. �G11�h I IC<«i ,bi�t,L� AA Candidate Name (Print) Signature of Ca di Residence Address (do not use post office box): ( ) U 34. Q Cell Phone E ail Address SWORN TO (OR AFFIRMED) and SUBSCRIBED before me this `( day of :'+�"pYP'. LORI MCWILLWM$ "Commission#HH562766 Lori McWilliams, MMC _;�' �" ExP w October 18,2028 Village Clerk Village of Tequesta Proof of Residency: Per Ordinance 02-25, satisfactory proof of having met the residency requirements required by the Village Charter and this chapter shall include submission of at least one of the following items, in the name of the candidate, for the one-year period prior to the date of the election for which the candidate is qualifying: © A Village of Tequesta utility bill in the candidate's name, ® Or a rental/lease agreement in the candidate's name and showing the rental date range. UTILITY BILLING STATEMENT ,d Office:345 Tequesta Drive,Tequesta FL 33469 Hours:8:30 AM-5:00 PM, Mon-Fri (Except Holidays) Pifune: (561)7-68-04221,'tot cdfi(5-61) ioo-vwv www.tequesta.org ACCOUNTSERVICE DETAILS CUSTOMER NAME: MC CARRY, JANNEL LAST BILL: $81.25 ACCOUNT NUMBER: 1061860145 LAST PAYMENT: $81.25 09/15/2025 CURRENT CHARGES: $70.49 PIN: cdOd33a ADJUSTMENTS: 0.00 SERVICE ADDRESS: 241 GOLFVIEW DR LATE FEE: $0.00 BILLING DATE: 10/15/2025 PRIOR BALANCE: $0.00 TOTAL AMOUNT DUE: $70.49 SERVICE PERIOD: 09/01/25 to 10/02/25 BILL DUE BY: 11/14/2025 SERVICEPREVIOUS READ CURRENT READ USAGE .............-..............................................-......................................................._..................................................... Water 711 719 8 NOTICE: IF YOU HAVE A PRIOR BALANCE DUE r ayn icuu not rcCci`vcu vii auuunt uy uic udue uaw inay uc�uu�cu w c 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 $1.56 MONTHLY SERVICE CHARGE $24.98 WATER $29.08 CAPITAL IMPROVEMENT CHG $10.00 NEWS AND NOTES UTILITY TAX TEQ $4.87 Important Announcement from the Utilities Department As we continue the Water Main Replacement Project on Tequesta 12 MONTH WATER USAGE (USAGE LISTED IN THE THOUSANDS OF GALLONS) Drive(WM#1). During this time,traffic along Tequesta Drive will be 14 affected. Please be sure to exercise caution in the area and be careful about 12 workers and construction equipment. 10' Your patience and cooperation are greatly appreciated. Safety first! 8, 4 I 2 ! i 0 Ok Noy De An Feb Ma A An A A Ltt PAYMENT COUPON Please detach and return bottom.00rtion of bill with.eavment. ACCOUNT NUMBER: 1061860145 40 LATE FEE: $0.00 PRIOR BALANCE: $0.00 345 Tequesta Drive CURRENT CHARGES: $70.49 Tequesta FL 33469 TOTAL AMOUNT DUE: $70.49 CURRENT CHARGES DUE BY: 11/14/2025 TOTAL AAAAl14T ENCLOSED: MC CARRY, JANNEL 241 GOLFVIEW DR Please remit and make checks payable to: TEQUESTA FL 33469 Village of Tequesta 345 Tequesta Drive Tequesta FL 33469 If'11111�'Ifnlfi�fll�Ifilfl��I1nJI�III1I1t�IfI�I��I�u'�1JI11�1 Check box for change of address 111 411111111111i 111i illiflil III II III (see reverse side of return paying document) Department of Health-Office of Vital Statistics (STATE FILE NUMBER) STATE OF FLORIDA MARRIAGE RECORD TYPE IN UPPER CASE USE BLACK INK This license not valid unless seal of Clerk. Circuit or County Court,appears thereon. 50-2017-M L-002387-XXXX-N B (APPLICATION NUMBER) APPLICATION TO MARRY 1. NAME OF SPOUSE (First,Middle,Last) 1b. MAIDEN SURNAME(If applicable) 2. DATE OF BIRTH(Month,Day,Year) IAN KENNETH KINNEBREW MAY 23, 1979 3a. RESIDENCE-CITY,TOWN,OR LOCATION 3b. COUNTY 3c. STATE 4. BIRTHPLACE(State or Foreign Country JUPITER PALM BEACH FL JAPAN 5. NAME OF SPOUSE (First,Middle,Last) 5b. MAIDEN SURNAME(Ifapplicable) 6. DATE OF BIRTH(Month,Day,Year) JAHNEL LEIGH MCGARRY MCGARRY FEBRUARY 25, 1985 7 . �ESLB E-CITY,TOWN,OR LOCATION 7b. COUNTY 7c. STATE B. BIRTHPLACE(State or Foreign Country CH GARDENS PALM BEACH FL NEW JERSEY i WE THE APPLICANTS NAMED IN THIS CERTIFICATE,EACH FOR HIMSELF OR HERSELF,STATE THAT THE INFORMATION PROVIDED ON THIS RECORD RRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF,THAT NO LEGAL OBJECTION TO THE MARRIAGE OR THEj.WANOE OF A LICENSE TO AUTHORIZE THE SAME IS KNOWN TO US AND HEREBY APPLY FOR LICENSE TO MARRY. ' OF SP %09P�8tgn full name using black ink 10. SUBSCRIBED AND SWORN TO BEFORE ME ON(DATE) - MARCH 13,2017 T f.-TITLE OFFICIAL 12. SIGNATURE Of OFFICIAL(U I k ink) Deputy ► �¢ S GNAT RE 0 E(Sign full name using black ink) 14. SUBS177MED AND SWORN TO BEFORE ME ON(DATE) ► MARCH 13,2017 P A Q. F ^ 15. TIT OF F 16. SIGNATURE OF OFFICIAL( bl kink) \C, c'�� Depu erk ► �rn 2 4c -� LICENSE TO MARRY ' AUTHORIZATION AND LICENSE IS HEREBY GIVEN TO ANY PERSON DULY AUTHORIZED BY THE LAWS OF THE STATE OF FLORIDA TO PERFORM i, O A MARRIAGECEREMONY WITHIN THE STATE OF FLORIDA AND TO SOLEMNIZE THE MARRIAGE OF THE ABOVE NAMED PERSONS. THIS LICENSE MUST JISED ON OR AFTER THE EFFECTIVE DATE AND ON OR BEFORE THE EXPIRATION DATE IN THE STATE OF FLORIDA IN ORDER TO BE RECORDED AND VALID. ti'COUNTY ISSUING LICENSE 18.DATE LICENSE ISSUED 16a.DATE LICENSE EFFECTIVE 19.EXPIRATION DATE Palm Beach County MARCH 13,2017 MARCH 16,2017 MAY 15,2017 • 20a. SIGNATURE OF OURT CLER GE 20b. TITLE 20c. BY D.C. n� P► Clerk of Court 76 CERTIFICATE OF MARRIAGE I HEREBY CERTIFY THAT THE ABOVE NAMED SPOUSES WERE JOINED BY ME IN MARRIAGE IN ACCORDANCE WITH THE LAWS OF THE STATE OF FLORIDA. 21. DATE OF MA RIAGE (M nth,Day,Year) 22. CITY,TOWN,OR LOCATION OF MARRIAGE y� A 23a. EREM NY(Use black ink 23cD.SADDRESS(Of person perfmin ely)4A LI S ' Jp r1 Tey ute� , E �• 231b. AM 24. SIGN URE OF W E S TO CEREMONY(Use black ink) e 3 a (Or nota ri' KA l(GNING ► • coe O 7t' ^• t. ,;' �n+salun a Fh 12H)29 25. SIG U OF NE ER6M Y(Useblackink) ep N ? :� Ni",f,onrtni55rott[xp;rCS Z ► STATISTICS ONLf-NOT TO B ORDED - ___ .__ ._ o ,..,�o�....,,�..�o IF ANSWER IS'YES'TO ITEM 28.THEN COMPLETE ITFMR 9Q. 9Qh -H 9G, STATE OF FLORIDA • PALM BEACH COUNTY ' I hereby certify that the foregoing is a �_Il 0 true copy of the record in my office with redactions, if any as required by law. t/ THIS 2$ DAY OF F"' 201 �o SHARON R. BOCK CLERK&COMPTR By`0bkA DEPUTY CLERK Florida mmmE 9, E KtNNEBREW 'JAIN1EL LEIGH s2s1 GOLFViEW OR s w TEpUESTA.FL 31369 1923 �r oce 02I25J1985 5 ., wExr 0125,2029 +� ocg*NONE 9.'_ NONE „ ;,� 04f2T12921 11: ]o.•erwn sn rwaiw v.Mew. •+ue.•e� a'�"- - . sen,m v sa0�+�7 tlst -qo •, ` n• JAHNEL LEIGH KINNEBREW C � y t h UtIG� �. V1�16 t i+ 8725 (� Wit ,� � 9 32/720 T yq PAVTOTHE ORDER OF ! C Q/i $ L j ' y�{ice ry ,Q f YI 1 Y mh •1 u( and I w v- 7 DOLLARS Ll CHASE C j 1PMorgan Chase Bank,N.A. " www.Chase.com `! MEMO G�Ii]I�II��IW l WJ r. N. Phonetic Spellingo ame 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): 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 P__� 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� /'w h a se or issue, or that is obscene or profane. Signature of Candidat STATE OF FLORIDA • COUNTY OF PF&m I;7cl ,►z �'t' ���' — 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 uu.�Irl�i(� ,20 9 S LORI MMLLIAMS Commission#HH 562766 Personally Known ❑ OR Produced Identification Q/ '''•�; ;;aP' Expires Oc WW 18,2p28 ape of Identification Produced: l y Qom' DS-DE 302NP(Eff. 1012023) Rule 1S-2.0001, F.A.C.