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HomeMy WebLinkAboutCandidate Packet_Laurie Brandon_11/16/2021 Date: CO 2021 Lori McWilliams, MPA, MMC W ' Village Clerk RECEIVED Village of Tequesta 345 Tequesta Drive NOV 16 2021 Tequesta, Florida 33469 VILLAGE CLERKS OFFICE RE: NOTICE OF CANDIDACY I CA CLi a resident of the Village of Tequesta, residing at l"�-5 (mil ✓i-l.Cxf Sri✓2 do hereby file as a Candidate for the two (2) year term for the Office of the Council Member, Seat No. 22 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 an other defense agency recognized b the Village, or in a status of Y 9 Y 9 Y 9 , 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). Respectful ubmi C� Candidate's Signature Office use only: Date filed: Il a1 Received by: 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 - NONPARTISAN OFFICE RECEIVED (uo not use this form if a Judicial or School Board Candidate) NOV 16 2021 Check box only if you are seeking to qualify as a VIUAGE CLERKS write-in candidate: DCiE ❑ Write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) I, OLU r e (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 / a 40 ti (Office) (District#) �G ; I am a qualified elector of Pam'w a 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): ) ) 1___*�0 q3� 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 e>° (I:) ,-o.tn d uy) C� �7/- Z- Z ( I 1 f Lei i Si ature of Candidate Telephone Number Email A 6 ss bt if A_e� Pv` tic vet -P i Address City State ZIP Code t STATE OF FLORIDA Al 111 q Signature 6T Notary Public COUNTY OF KPrint,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 E! �; LORIMCWILLIAMS t�sonally It day of 2061 � �; Commission�HH 011916 Expires October 18,2024 Known OR Produced Identification ❑ 8orWMTWTroyFainlnwrance800.385.70i9 Type of Identification Produced: DS-DE 302NP(Rev.05/2021) Rule 1S-2.0001, F.A.C. FORM 1 STATEMENT OF 2020 lease print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: .ddress,agency name,and position below: Lvidon NAME--FIRST NAME—MIDDLE NAME: PJIr!Ll(/l I . MAILING ADDRESS : RECEIVED 0'�\ CITY: ZIP: COUNTY: NOV 16 2021 Iv` V-e 9(p GCI A- VILLAGE CLERKS OFFICE NAME OF AGENCY: v 6 or i,e NAME OF O FICE OR POSITION HELD OR SOUGHT: e a--� CHECK ONLY IF �NDIDATE 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 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 (musPch one): ❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR E 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 ZA 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'Wa") 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 TANGIBLE 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") NA E OF CREDITOR ADDRESS OF CREDITOR N 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") BU f�ESS ENTITY#1 BUSINESS ENTITY#2 NAME OF BUSINESS ENTITY ) ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY N POSITION HELD WITH ENTITY I OWN MORE THAN A 5%INTEREST IN THE BUSINESS AJ NATURE OF MY OWNERSHIP INTEREST A)lAr PART G—TRAINING For elected municipal officers,appointed school superintendents,and commissioners of a community redevelopment agency created un;71 III,Chapter 163 required to complete annual ethics training pursuant to section 112.3142, F.S. 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 CForm 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: �UcZ � 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 91ahassee: nd the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions. 100 317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1 F) within 60 days of FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1 F(Final Statement ,jur 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 16 2021 \ VILLAGE CLERKS OFFICE NOTICE OF LOGICAND ACCURACY (L&A) TEST I, LcAuvi e l'/I�OL/cL,- 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 L4U Candidate Name (Print) Candidate Signature � I 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 9 P c��gAL , y 9V i Wend Sartor Link 10 "PPS �S' Palm Beach County Supervisor of Elections CERTIFICATION I, WENDY SARTORY LINK, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 65 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 1078, 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 16th day of November, 2021. 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