HomeMy WebLinkAboutCandidate Packet_Frank D'Ambra_11/15/2021 Date: �� ZDu 2021
Lori McWilliams, MPA, MMC
Village Clerk
Village of Tequesta
345 Tequesta Drive
Tequesta, Florida 33469
RE: NOTICE OF CANDIDACY
a resident of the Village of Tequesta, residing at
77L c', L„ i-; . �a � 'L, do hereby file as a Candidate for the two (2) year term for
the Office o 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 8, 2022.
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
• 1 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 the following:
• Petitions containing the signatures of at least fifty (50) registered voters of the
incorporated Village of Tequesta in support of my candidacy
• Check for $109.49 payable to the Village of Tequesta for the required $30.00 filing fee
and the Florida Department of State's $79.49 assessment fee (1% of the annual salary
of the office being sought), and a completed Statement of Financial Interests (Form 1 —
2020).
Respectfully s itted,
Candidate's Signature
Office use only:
Date filed: l is a t Received by: V41 Date Candidate Qualified:
Received by the Village Clerk:
✓ Loy Ity Oath /Oath of Candidate
Candidate Name Pronunciation on Oath of Candidate
Statement of Financial Interests From 1-2020
Nominating Petitions
Notice of Candidacy
L&A Testing
✓ Driver's License to prove residency—SOE will certify voter status
✓ Qualifying Check
CANDIDATE OATH - RECEIVED
NONPARTISAN OFFICE NOV 15 2021
(Uo not use this form if a Judicial or School Board Candidate) WWGEC
Check box only if you are seeking to qualify as a
write-in candidate:
❑ Write-in candidate
OFFICE USE ONLY
Candidate Oath
f� (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
(Office) (District#)
l ; I am a qualified elector of I,`1 r�p C-6 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;
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): I I I %I LS2
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.]
X �_� (��t E A."J3CGj �syonk �,,1, ( cc„�r+c�c8k
Signature of Candidate
��� Telephone Number Email Address ,�+,+
3*7 7 0 C w.1 k,It y11► �� �� V Q T4+�
Address City State ZIP Code
STATE OF FLORIDA ' ' I y
Signature of Notary Public
COUNTY OF 2&_fA Print,Type,or Stamp Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by means of iQ LORIMCWILLIAMS 1'iir'►
online notarization ❑ OR physical presence *: Commissar#HH011916
;spa`Expires October 18,2024
this 6 dayof 20 kt O`F`°'' 13w"ThluT Fain roy Intiranee 800.385.7019
sonally Known OR Produced Identification ❑
Type of Identification Produced:
DS-DE 302NP(Rev.05/2021) Rule 1S-2.0001, F.A.C.
FORM I STATEMENT OF 2020
lease print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY:
Address,agency name,and position below:
LAST NAME--FIRST NAME—MIDDLE NAME:
MAILINGADDRESS :
3'��� ��� L►,re l� ����' c3 RECEIVED
CITY: ZIP: COUNTY : NOV 15 2021 2'.(p
FFlCE /'
NAME OF AGENCY VWAa CLERKS O
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
1U,0 t- -JQ- t ;lt- � (�A-I;A
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, 2020.
MANNER OF CALCULATING REPORTABLE INTERESTS:
FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE 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):
❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR ❑ 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'Na")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
if� GJCNrtcz` �hc=rf►�Lt-s�6it��
iJ� i 1� i'� �i 1�Q/ i�V• i� �� i WSJ
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
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"nla") 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 page 3.
CE FORM 1-Effective:January 1,2021 (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"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"n/a")
BUSINESS ENTITY#1 BUSINESS ENTITY#2
NAME OF BUSINESS ENTITY
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.
❑ 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:
I, , 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 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 specked 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
d the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions.
send
17-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1 F) within 60 days of
lahassee, 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 not 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 31,2020.
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 1,2021. PAGE 2
Incorporated by reference in Rule 34-8.202(1),F.A.C.
Village of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
RECEIVED
NOV 15 2021
VILLAGE CLERKS OFFICE
NOTICE OF LOGIC AND ACCURACY (L&A) TEST
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 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
Candidate Name (Print) Candidate Signature
Date
Vice-Mayor Kyle Stone Mayor Frank D'Ambra, III Council Member Laurie Brandon
Council Member Bruce Prince Council Member Molly Young
Village Manager Jeremy Allen
V ► fix;! lc&4 1 0098
Nam• 44. ZQ24 63-M2/670
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SAFE ORNF* �OCMcu
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Wendy Sartory Link
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°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 50 signatures on the Nominating Petitions of FRANK D'AMBRA for VILLAGE
COUNCIL, SEAT 1, 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 FRANK D'AMBRA is a registered voter in Precinct 1112, 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 17th day of November, 2021.
WENDY SAYTORY 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
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Lori McWilliams
From: Lori McWilliams
Sent: Wednesday, November 17, 2021 12:33 PM
To: Lori McWilliams
Cc: MaryAnn Grieser
Subject: FW: Council Candidates - Qualification
Note to Record:
Today at 11:37 AM, I received a call from the Supervisor of Elections Office advising they completed a second review of
the petitions in question for Mr. D'Ambra. The SOE compared the voter registration cards submitted by the voters with
the information typed into the system and found a data input error on the DOB of one of the voters. According to the
SOE, this information was input into their system in 2017. The Election's Office has verified that petition is accurate and
therefore, Mr. D'Ambra is fully qualified and uncontested for Village Council Seat 1.
Lori
From: Lori McWilliams
Sent:Wednesday, November 17, 2021 12:19 PM
To: Council Members<CouncilMembers@tequesta.org>
Cc: 'Keith Davis'<keith@davislawteam.com>; MaryAnn Grieser<mgrieser@tequesta.org>; Diana Manali
<dmanali@tequesta.org>
Subject: Council Candidates-Qualification
Good afternoon,
Aaron Johnson and Laurie Brandon have both qualified and are uncontested for Village Council Seats 5 and 3
respectively.
The Supervisor of Elections Office (SOE) completed a second review of the petitions in question for Mr. D'Ambra. The
SOE compared the voter registration cards submitted by the voters with the information typed into the system and
found a data input error on the DOB of one of the voters. According to the SOE,this information was input into their
system in 2017. The Election's Office has verified that petition is accurate and therefore, Mr. D'Ambra is fully qualified
and uncontested for Village Council Seat 1.
Thank you,
Lori
From: Lori McWilliams
Sent:Tuesday, November 16, 20214:36 PM
To: Council Members<CouncilMembers@tequesta.org>
Cc: Senior Management<SeniorManagement@tequesta.org>
Subject:Council Candidate Aaron Johnson
Good afternoon Mayor and Council,
Aaron Johnson has qualified and ran uncontested for Village Council Seat 5. He will be sworn in next April and will
replace Council Member Prince.
Lori McWilliams
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Lori McWilliams
From: Lori McWilliams
Sent: Wednesday, November 17, 2021 9:39 AM
To: Frank D'Ambra
Cc: MaryAnn Grieser;Jeremy Allen
Subject: March 8, 2022 Election - Qualifying
Good morning Frank,
In follow-up to our conversation last night,this is formal notice that you were one signature shy of the required 50
petition signatures to qualify for Village Council Seat 1, and therefore did not qualify. Please feel free to stop by my
office to review the Supervisor of Elections petition verifications. We will see you today 3:30 pm for the Emergency
Council Meeting to address the issue.
Thank you,
Lori McWilliams, MPA, MMC
Village Clerk/Public Information Officer
IQ
Village of Tequesta
IVP 561-768-0443
C: 772-528-0453
A:345 Tequesta Drive, Tequesta FL 33469
W: www teguesta orq
E: Imcwilliams(a-)teguesta.org
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Date 11/16/2021 Wendy Sartory Link Palm Beach County,FL
Time 3:33:31 PM Supervisor of Elections I
Voter Registration Receipt I
i
Regn Number/Niunero de Registracion 112486528 ?j
Voter Name/Nombre de Votante Harding,John W
Residence/Residencia 528 Cypress Ct
Tequesta FL 33469
Mailing Address!Direcci6n de Correo none
Voter Status!Estado del Votante 1(A)Active Voter
Birth Date/Fecha de Nacimiento Apr/21/1950
Sex/Sexo M
Race/Raza 5
Party/Partido REP
Registration Date/Fecha de Registraci6n Apr/25/1995
Assistance Required/Asistencia Requerida N
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Date 11/16/2021 Wendy Sartory Link Palm Beach County,FL
Time 3:31:44 PM Supervisor of Elections
e i
Voter Registration Receipt
Regn Number/Numero de Registraci6n 129025240
Voter Name/Nombre de Votante Yagos,Brian !
Residence/Residencia 548 N Cypress Dr
T'equesta FL 33469
Mailing Address/Direccibn de Correo none
Voter Status/Estado del Votante 1(A)Active Voter
Birth Date/Fecha de Nacimiento Apr/21/2000
Sex/Sexo M E
Race/Raza 5
Party J Partido Rep
Registration Date/Fecha de Registraci6n Oct/05/2020
Assistance Required/Asistencia Requerida N
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Date 11/16/2021 Wendy Sartory Link Palm Beach County,FL
Time 3:31:33 PM
Supervisor of Elections
Voter Registration Receipt !'
Regn Number/Ndmero de Registraci6n 112581513 i
Voter Name/Nombre de Votante Arnsteen Morris M '
Residence/Residencia 566 N Cypress Dr
Tequesta FL 33469 j
Mailing Address/Direcci6n de Correo none j
Voter Status/Estado del Votante 1(A)Active Voter
Birth Date/Fecha de Nacimiento Jun/18/1956
Sex/Sexo M j
Race/Raza 5
Party/Partido REP 1
Registration Date/Fecha de Registraci6n Feb/25/1997
Assistance Required/Asistencia Requerida N j
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Date 11/16/2021
Time 3:31:53 PM Time Sartory Link Palm Beach County,FL
Supervisor of Elections
Voter Registration Receipt
E
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Regn Number/Numero de Re istraci6n
� 111838
089 9
Voter N am e/Nombre de Votante
Easterling,
t ng Kelly
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Res
idence!Re sid encia
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520 Cypress Cir
Tequesta FL 33469
Mailing Address!Direcci6n de Correo none
Voter Status/Estado del Votante 1(A)Active Voter
Bir
th Da
te/Fecha de Nacirniento Sep/1711975
Sex/Sexo F
Race/Raza 5
Party/Partido NPA
Registration Date/Fecha de Registraci6n Aug/20/2001
Assistance Required/Asistencia Requerida N
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Date 11/16/2021 Wendy Sartory Link Palm Beach County,FL
Time 3:34:06 PM Supervisor of Elections
Voter Registration Receipt
Regn Number/Numero de Registracibn 112153459
Voter Name/Nombre de Votante Watkins,William B
Residence/Residencia 167 River Dr !
Tequesta FL 33469
Mailing Address/Direccibn de Correo none
Voter Status/Estado del Votante 1(A)Active Voter
Birth Date/Fecha de Nacimiento Jul/06/1946
Sex/Sexo M
Race/Raza 5
Party/Partido REP
Registration Date/Fecha de Registracion Jun/14/1977
Assistance Required/Asistencia Requerida N
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Date 11/16/2021 Time 3:34:14 PM Wendy Sartory Link Palm Beach County,FL
Supervisor of Elections
Voter Registration Receipt
Regn Number Numero de Registraci6n 111772568
Voter Name Nombre de Votante Taylor,Elizabeth A
Residence Residencia 116 Fairview W
Tequesta FL 33469
Mailing Address Direcci6n de Correo 116 Fairview West
Tequesta FL 33469-1911
Voter Status Estado del Votante I(A)Active Voter
Birth Date Fecha de Nacimiento Jun/03/1972
Sex/Sexo
F
Race I Raza 5
Party Partido REP
Registration Date Fecha de Registracidn Oct/19/1999
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Assistance Required Asistencia Requerida N