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Home My WebLink AboutCandidate Packet_Vince Arena_12/6/2017 Date: a 1 1� 2017 Lori McWilliams, MMC RECEIVED Village Clerk DEC - 6 2017 Village of Tequesta 345 Tequesta Drive VILLAGE CLERKS OFFICF�pS� Tequesta, Florida 33469 1 RE: NOTICE OF CANDIDACY I ��(lQp t1 i � _ .LI a resident of the Village of Tequesta, residing at ►Ab 3 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 13, 2018. 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 • 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 a petition containing the signatures of at least fifty (50) registered voters of the incorporated Village of Tequesta in support of my candidacy, a check for $103.44 payable to the Village of Tequesta for the required $30.00 filing fee and the Florida Department of State's $73.44 assessment fee (one percent (1%) of the annual salary of the office being sought), and a completed Statement of Financial Interests (Form 1 —2016). Res ully submi d, ` ll Candidate's Sig ure Office use only: Date filed: l a In Received by:b'ALX 1°1r 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 1-2016 Nominating Petitions ✓ Notice of Candidacy ✓ L&A Testing Driver's License to prove residency— SOE will certify voter status) Qualifying Check RECEIVED DEC - 6 2017 CANDIDATE OATH — VILLAGE CLERKS OFFICE o`, Q,M NONPARTISAN OFFICE ` `� (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE r (Section 99.021,Florida Statutes) 0rnCe�i � - fven� (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT*— NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) y c 1 am a candidate for the nonpartisan office of lQ ' �` ' IL S � 1 (offce) f� (district#) ; I am a qualified elector of FQ�Xn `✓r � 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; and I will support the Constitution of the United States and the Constitution of the State of Florida. X c�.Co Signature 01 Candidate Telephone Number Email Address Qk63 -Moues cc -ffQyes�m flmioA 33�-\1r) Address City State ZIP Code Candidate's Florida Voter Registration Number(located on your voter information card): I1.) to t4 'Do * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): STATE OF FLORIDA COUNTY OF Or*LrY1 PJ,�R�tt Sworn to(or affirmed) and subscribed before me this day of l7 tCt2Mlze✓ , 2019 Personally Known: ✓ or �M.I * LORIMCWILLUAIS }• �t Signature of Notary Public 3 *=Commission9GG004067 Print,Type,or Stamp Commissioned Name of Notary Public Produced Identification: �. ;c Expires October 18,2020 yp p ry �P,� � BondedThruTroy Fain Insurma5004 TOIS Type of Identification Produced: DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C. FORM 1 STATEMENT OF 2016 'lease print or type your name,mailing FINANCIAL INTERESTS FOR OFFICE USE ONLY: iddress,agency name,and position below: ,AST NAME—FIRST NAME—MIDDLE NAME: ()CeNH ►�•%Cl'�;� T11 MAILING ADDRESS: uU3 nc RECEIVED 1'ED 111 SVA DEC - 6 2017 CITY: ZIP: COUNTY: VILLAGE CLERKS OFFICE NAME OF AGENCY: NAME OF PpkICE OR POPTION HELD OR SOUGHT: u You are not limited to th space on the lines on this form.Attach additional sheets,if necessary. CHECK ONLY IF Y] CANDIDATE OR J NEW EMPLOYEE OR APPOINTEE **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR,WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER(ynust check one): O/ DECEMBER 31, 2016 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: 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 or further details). CHECK THE ONE YOU ARE USING(must check one): / ❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR W 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"nia") 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] (if you have nothing to report,write"none"or"n/a") 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 1,2017 (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 r k f7- s eg_VcAP.O,GN Va'Aci 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 required to complete annual ethics training pursuant to section 112.3142,F.S. (d 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 Signat a in good standing with the Florida Bar prepared this form for you,he or ` she must complete the following statement: 1, , 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/Attorney Signature: Date Signed: FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially,each local officer/employee,state officer, signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet(pages 1 and 2)for filing. your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officers/employees file with the who must be confirmed by the Senate must file section,write"none"or"n/a"in that section(s). Supervisor of Elections of the county in which they prior to confirmation, even if that is less than permanently reside. (If you do not permanently 30 days from the date of their appointment. NOTE: reside in Florida, file with the Supervisor of the Candidates must file at the same time they file MULTIPLE FILING UNNECESSARY: county where your agency has its headquarters.) their qualifying papers. A candidate who files a Form 1 with a qualifying State officers or specified state employees Thereafter,file by July 1 following each calendar officer is not required to file with the Commission file with the Commission on Ethics, P.O. Drawer year in which they hold their positions. or Supervisor of Elections. 15709, Tallahassee, FL 32317-5709; physical Finally, file a final disclosure form (Forth 1F) address: 325 John Knox Road, Building E, Suite within 60 days of leaving office or employment. Facsimiles will not be accepted. 200,Tallahassee,FL 32303. Filing a CE Form 1 F(Final Statement of Financial Interests)does not relieve the filer of filing a CE Candidates file this form together with their Form 1 if the filer was in his or her position on qualifying papers. December 31,2016. To determine what category your position falls under,see page 3 of instructions. CE FORM 1-Effective:January 1,2017. 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 ovww.tequesta.org ML 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 13, 2018 Municipal Election,will be on eI 11 —10:oo Am , (if blank date is TBA). I plan to attend the Logistics and Accuracy Test I do not plan to attend the Logistics and Accuracy Test �&ISN Candidate Name (Print) Candidate Signature ka�01-1 Date RECEIVED DEC - 6 2017 VILLAGE CLERKS OFFICE Vice.'Mayor Frank D'Ambra Mayor Abby Brennan Council Member Tom Patemo Council Member Steve Okun Council Member Vince arena Village Manager Michael R. Couzzo,Jr. VILLAGE Q. :QUES"I"A RECEIVED AEG � � 2��7 March 13, 2018 Nominating Signatures VILLAGE CLERKS OFFICE We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: CANDIDATE NAME: I U IQCtiAm- W ul- AGE: to be a Candidate for the Tequesta Village Council, SEAT NO. , Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. The above must be completed on all pages ofpetition) PRINT NAME STREET ADDRESS DATE OF BIRTH SI T Te uesta, FL 33469 ' 16 V7 ✓L K.. T l i A L,� S Tequesta, FL 33469 150 A ��2 \ 6q ut�- - ��.-'j UJ Lt ArA f 001te-(A6 Tequesta, FL 33469 -I L 14-4 /Te uesta, FL 33469 � tE 15d6 ,�✓ o VA "r �'• I 1Sd �d Te uesta, FL 33469 Te uesta, FL 33469 3 G F'I(RVI ��-•' '-m w C 1�5' Y Tequesta FL 33469 // shay 'A/'aC� Te uesta FL 33469 / <<<'` Tequesta, FL 33469 �- } �� co W OL Te uesta, FL 33469 RECEIVED tv VILLAGE O, -QUESTA DEC -- 6 2017 March '13, 2018 Nominating Signatures We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: VILLAGE CLERKS OFFICE CANDIDATE NAME: 1 0\toCell ) N�Py 11 A E: to be a Candidate for the Tequesta Village Council, SEAT NO. 0 , Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages ofpetition) PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATURE �b� ��o <SoR2�rvo use ��n��r� —. Te uesta, FL 33469 �l uesta, FL 33469 ZU Te uesta, FL 33469 /X X) Tj 370 �-- (vA Qv e. Te uesta, FL 33469 Te uesta, FL 33469 f Te uesta, FL 33469 \ I Te uesta, FL 33469 "' 000 Iq c) 4� ee r� N9y 0O'u , I %f Te uesta, FL 33469 g ZG - 5 `i`'��i�, 11A � 5 Te uesta FL 33469 Te uest i, FL 33469 VILLAGE O, _QUES"I"A RECEIVED DEC � 6 2017 March 13, 2018 Nominating Signatures VILLAGE CLERKS OFFICE We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: CANDIDATE NAME: to be a Candidate for the Tequesta Village Council, SEAT NO. , Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. The above must be completed on all pages ofpetition) PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATUR rid ` W Tecluesta, FL 33469 J% Y' Q� Te uesta, FL 33469 Te uesta, FL 33469 1 Y Imo, Te uesta, FL 33469 9 � '-&-ta 14 60 oo.D T(L Ora /A t ' I so Cl Te uesta FL qy 33469 chi i.�fSc� Te uesta, FL 33469 \ j � 3—)7 fe.vi-p— t,.)2. _ ��c,�►as 6 I �X-. Tequesta, FL 33469 I �- 5 _ N5"Y Te uesta, FL 33469 I� � �i��•�.(�.> �irl i.rG Li ✓l Te uesta, FL 33469z I z prey C�ad e- 111 1 �� i �1 I Te uest , FL 33469 n If "' RECEIVED r. VILLAGE O, _QUESTA DEC __ 6 2017 March 13, 201>3 Nominating Signatures VILLAGE CLERKS OFFICE We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: CANDIDATE NAME: 1 AGE: to be a Candidate for the Tequesta Village Council, SEAT NO. , Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. The above must be completed on all pages of petition) PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATURE Te uesta, FL 33469 Te uesta, FL 33469 1 35 - Teguesta, FL 33469 'TsTz Te uesta, FL 33469 I/ l �. Te uesta, FL 33469 f i VA V 6(R Te uesta, FL 33469 ',�.A►.� V �- Te uesta, FL 33469 17 I)Vey Te uesta FL 33469 7 Z(p Tequesta, FL 33469 i �� Te ue�ta FLC�3 DECEIVED VILLAGE O, -QUESTA DEC -- '6 2017 March 13, 2016 Nominating Signatures VILLAGE CLERKS OFFICE We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: CANDIDATE NAME: AGE: to be a Candidate for the Tequesta Village Council, SEAT NO. 1 , Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages of petition PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATURE Tequesta, FL 33469Cht S yr Te uesta, FL 33469 0111110 (;/�^�'' t�21N �; ' U '-I�� 8t79C.ut,j ST CH C_ S Te uesta, FL 33469 L/ Te uesta FL /33469 n Te uesta FL 33469 S1 LA ( Te ue sta FL 33469 5 -Z d". will - ZQ A?C1't9 Tequesta, FL 33469 4//5 d N t ki �S Te uesta, FL 33469 / yy� Te uesta, FL 33469 G Drivc- U i nc e, f rr�a c� �� Tequesta, FL 33469 � �� RECEIVED VILLAGE O. :QUES1'A DEC - � 2017 March 13, 201 S Nominating Signatures We the undersigned dul VIL GE CLERKS OFFI E g y qualified voters of the Village of Tequesta, do hereby nominate: CANDIDATE NAME: �d�CE�CII .C�,W1 AGE: to be a Candidate for the Tequesta Village Council, SEAT NO. j , Village of Tequesta, Palm Beach County, Florida for a two (2) year term Pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages ofpetition) PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATURE J ci..,._ C�• I`1 Te uesta, FL 33469 '{ Te uesta, FL 33469 GA tk-I-C4 6 k A,Q��Cj� Te uesta, FL 33469 IkA CV Te uesta, FL 33469 I� Te uesta, FL 33469 Te uesta, FL 33469 �� ryIq Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 �' RECEIVED M". VILLAGE O. _QUESTA DEC - .0 ?017 March 13, 2018 Nominating Signatures VILLAGE CLERKS OFFICE We, the undersigned duly qualified voters of the Village of Tequesta, do hereby nominate: CANDIDATE NAME: T 1 AGE: to be a Candidate for the Tequesta Village Council, SEAT NO. , Village of Tequesta, Palm Beach County, Florida for a two (2) year term pursuant to the Charter and Ordinances of said Village. (The above must be completed on all pages ofpetition) PRINT NAME STREET ADDRESS DATE OF BIRTH SIGNATURE Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Te uesta, FL 33469 Ti `� Te uesta, FL 33469