HomeMy WebLinkAboutMcCann, Kevin - Application for Mayor - 2021 03 31 RIECEIVIED
MAR 312021
CITY OF WINTER SPRINGS, FLORIDA -.-°°,4NTER SPRINGS
HE CITY CLERK
QUALIFYING APPLICATION FOR APPOINTMENT TO MAYOR SEAT
THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST
COMPLETED WITH ORIGINAL SICAA TURESAND MUST BE FILED IN THE CITYCLERKS
OFFICE BY NOON ON THURSDA Y,APRIL 7,,2027
Qualified candidates may attach a resume, references, recommendations, or other
such documentation that the candidate desires to have the City Commission consider
before making an appointment to fill the unexpired term of the Office of Mayor. The
Mayor serves on the governing, body of the City subject to the duties and
responsibilities specified in the City Charter.
Please be aware that documents submitted to the City are public records available for
inspection to the extent allowed by Chapter 119, Florida Statutes.
Please complete the following in the space provided:
A GENERAL
1. Name: t 4J fl-
2. Home Address: It 0 0-- 4,LA.)7-
141 _,,
3. occupation: LAd-6?i TSL t-EY AIAI�IA6-f- z /7—
4. Telephone (cell): '407- `*/4 1-=rQ'Ile Telephone (other):
5. E m a i 1: In Q-(2 4 C-0"Cef
B. ELIGIBILITY
The information provided in this section is for purposes of determining whether you
are eligible to serve on the City Commission:
la. Are you duly registered to vote in Seminole County. (Y) (N)_
1b. Are you duly registered to vote in the City of Winter Springs? M-Z(N)-
2a. Do you live within the City limits,of Winter Springs: (Y)jZ(N)
2b. What district do you reside in? (1)— (2)— (3)vo" (4)— (5)-
2c. How long (years and/or months) have you resided in the district selected in 2b?
I& YCA&6
2d. How long (years and/or months) have you resided in the City?.
3. Have you ever been convicted or found guilty, regardless of adjudication, of a
felony in any jurisdiction?Any plea of nolo contendere(no contest hall be considered
a conviction for purposes of this question. M— (N)V's
RECEIVED
MAR 312021
CITY OF WINTER SPRINGS
')FPICE OF THE CITY CLERK
4a. Do you presently serve on any other City of Winter Springs board or
committee? M V0'(N)
4b. Please list each: Vi C-AE e-M,4 1 oZ LI/V j.,W4,t,1 9-7—!??, 4'41- II&V
S. Do you have any private or personal interests which might-conflict with serving the
City's inter s, if you were to be appointed to serve on this board or committee?
M— (N7
6. All persons applying.for a City Commission Seat must voluntarily consent to a
standard criminal background check before being appointed. Do you voluntarily
consent to having a stapqprd bac'kground check being performed on you by the City
of Winter Springs? M V (N)-
6a. Are you related to a City of Wester Springs Commission member by blood,
adoption, or marriage? M— (N)_''
6b. If yes to 6a, please provide relation:
7. 1 have read the attached information detailing the duties an powers of the Mayor
and the Rules and Procedures of the City Commission. M— (N)— ,
NOTE: The City of Winter Springs'City Commission has requested and encourages
you to submit:
1) A brief Bio (to include background information, information related to any
applicable qualifications and current/previous community service)
2) Information related to why you would be a good candidate to fill this open
Mayor Seat
YOU HEREBY REPRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTIES OF
PERJURY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO
THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE
RIGHT TO RELY ON THAT INFORMATION.
YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR
PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO
YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. IF APPOINTED IT IS YOUR SOLE
OBLIGATION AND DUTY TO COMPLY WITH SUCH LAWS.
Signature: 9;� , ?
Date: -3 - 'y/ -C-2
Please return to: City of Winter Springs
The Office of the City Clerk
1126 East State Road 434
Winter Springs, Florida 32708 2799
THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST BE
COMPLETED WITH ORIGINAL SICNA TURESAND MUST BE FILED IN THE CITYCLERR"S
OFFICE BY NOON ON THURSDAY, APRIL 7, 2027 FAILURE TO TIMELY FILE AN
APPLICATION MAYRESULTIN YOURAPPLIC4770N NOT BEING CONSIDERED BY THE
CITYCOMMISSION.
RjFCFjVF-V
MAR 312021
,4,'-S
„vTe� CITY OF WINTER SPRINGS,FLORIDA
o- s 2021 MAYOR APPOINTMENT
AFFIDAVITOFQUALIFIEDVOTERSTATUSAND THIS COMPLETED
1959
'r�obwpY�,,fi FORM MUST BE
CITYAND DISTRICT RESIDENCY PROVIDED TO THE
CITY CLERK NO
OFFICE OF THE MAYOR LATER THAN NOON
ON THURSDAY,
APRIL 1,2021
/Z , tYl ,v'� do hereby state that I seek appointment to the City
Name of Candidate(Print or Type)
of Winter Springs' Mayor of the City of Winter Springs to complete a four(4)year
term previously held by Mayor Charles Lacey for the City of Winter Springs,Florida.I further swear or affirm:
(1.) 1 am a qualified voter in the City of Winter Springs
(2.) My legal place of residence is:
StreetAddress City State zip Code
(3.) Length of time of residency in the City of Winter Springs is:
(4.) 1 am attaching two(2)documents,one to be a Florida Driver's License,as verification of my residency in the
City of Winter Springs.The second document is:
Signature Da to
(LG I–j�— �-Ji .-S r/L�'.s� �-4 5 7�
Street Address City State zip Code
State of Florida
Countyof v)10L 46”
Sworn to(or affirmed))andsubscribed before me by means of physical presence or_onlline notarization]
this 3 J Sf day of/ art k 2027
by of V1 M c (exel(\ Personally known: K OR Produced Identification
(Print name ofperson making statement)
Type ofldentifrcation produced Signature of Notary Public-State of Florida
4p � Notary Public State of Florida
Christian D Gowan
My Commission GG 613234
of dF Expires 09115/2023
FOR OFFICE USE ONLY
OCopy of Florida Driver's License provided for Item(S)
Other documentation `)` E�� �-- provided for Item(5)
Revised 03(23/2021
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MAR 312021
Kevin R. McCann CITY OF WNTER SPRINGS
OFFICE OF THE CITY CLERK
1109 Pheasant Circle Winter Springs,FL 32708
407-409-5646—kev.mccannl@yahoo.com
Kevin McCann was born in 1963 in Delaware to a military family. Devotion to public service has always been a large
part of his life.While studying Sociology&Social Work,he met and married his wife Katherine. Kevin began his
professional career working as a Social Worker;Kevin spent time working in a Psychiatric Inpatient Unit, provided
court ordered addiction treatment for the State of Delaware and spent a number of years doing important research on
drug/crime correlations within the housing projects of Philadelphia. Soon after the federal research project ended,
Kevin and Kathy spent time traveling and eventually settled in Naples, Florida,along with their two children, Jordan
and Bently.
Kevin's entire career has involved a devotion to providing high caliber service to others. Over his career, Kevin has
spent time as a restaurant general manager, operating partner,and sales professional. Kevin eventually became a
partner in three different restaurants with the third project bringing his family to Winter Springs in 2004. During this
time, he never lost his passion for community service and the needs of others. Kevin was recognized by the Disabled
American Veterans for providing over 500 hours of community service. In addition, he has consistently involved in
smaller projects such as recent fundraising for St. Baldrick's Foundation (children's cancer research),"Kids House of
Seminole"(treating children&families of abused children)along with numerous other charitable projects.
Kevin currently serves as President of the Tuscawilla Home Owners Association as well as Vice-Chairman of the
Winter Springs Planning&Zoning Board. He has served on the Tuscawilla Lighting&Beautification District Advisory
Committee and regularly attends other city meetings including the Winter Springs Police Citizens Advisory
Committee. Concern for the well-being of the Winter Springs Community has made Kevin a voluntary fixture at City
Commission meetings. He has a clear understanding of the issues facing the city of Winter Springs and the legal
history of those issues. In his many roles within the city of Winter Springs; Kevin has built a constructive, positive
working relationship with the City Manager, Police Chief,and their staff. Kevin's goal is to accomplish putting the
citizens of Winter Springs first by working with other members of the local government to maintain, protect,and
improve the quality of life for the citizens of our fair city. Kevin intends to manage reasonable growth within Winter
Springs,with the pride, class, and dignity that the office deserves.
ZOLTAN "SKIP" AROK JR.
'Cn%Vi%'Y am9
3/30/2021 MAR 31 2OZ1
CITY OF WINTER SPRINGS
Skip Arok OFP1CF OF THE CITY CLERK.
1 104 Pheasant Circle, Winter Springs Florida
To whom it may concern
City of Winter Springs
Commissioners, City Staff, and Citizens of Winter Springs
I would like to take this opportunity to express my support for Kevin McCann for to be be interim
Mayor for the city of Winter Springs.
Kevin is a long time neighbor and friend and have served together on the Tuscawilla Home Owners
Association, where he is currently President.
I believe Kevin is the ideal person for the job. He takes an objective approach to problem solving.
He does his homework and makes fact based decisions that takes in to account all sides of issues.
He is an independent thinker that will debate you on issues (even if he agrees with you). Kevin and
I don't always see eye to eye, but I respect his opinion and decisions for all the same reason stated
above.
Kevin is a dedicated family man...a good person...hard working...level headed ... objective...
balanced... independent...well spoken, and has the best interests of others in his heart.
He is the perfect candidate to represent Winter Springs and fill the role of Mayor at this time.
Sincerely;
Skip Arok
- City of Winter Springs TLBD Committee Member
- Resident of Winter Springs
RECEIVED
MAR 31 2021
TmThe Residents mfthe City ofWinter Springs, Florida
CITY oFvwwrcnSPRINGS
orr/osorr�sor,o�e�m
RE: /\Letter ofRecmmnmnendation
FROM: Dr. Kurt K8iericke
DATE: March 38,2OZ1
1 have had the privilege of residing in the City of Winter Springs for the past 23 years. | have
seen the City grow and mature in mostly positive ways.One of the strengths of our city is having
residents who believe in community service.We have enjoyed the service of dedicated and committed
leaders. However, lately the city has been experiencing some serious challenges to its growth and
pattern oflife. 4svveseek toappoint someone to complete our last mayor's term,vveneed someone
who has the commitment and leadership to help us move forward in our current desired direction.
| believe Kevin McCann iuthat person. Heshould complete Mayor Lacey^nterm ofoffice. As
Vice-President of the Tuscawilla Homeowners Association, I have seen and experienced Kevin's
leadership skills asour THOAPresident. Hehas been involved inmany aspects ofthe City. Hespends
time with our residents and listens totheir concerns. He is aperson who has volunteered many hours
nnvarious projects and events. Hehas apersonality that unites people and keeps them nntask. Hehas
a strong moral character and a wonderful family that gives him their support. The City would dmwell to
have him asitMayor.
Sincerely,
Dr. Kurt K0iericke,
Retired,Superintendent ofthe Southeast Conference
,4w6W4 ;Vleee qe&a"
1102 P&v4ar &zde * Uvem SA * 57.d 32709 RUCL-V
ia L)
MAR 312011
CITY OF WINTER SPRNGS
OFFICE OF THE CITY CLERK
To whom it may concern:
It is a great pleasure to write this letter of recommendation on Kevin McCann's
behalf as he has been a tremendous asset to the City of Winter Springs.
I met Kevin McCann and his family when they moved to Winter Springs over 15
years ago. His passion and love for our City were evident very soon after he and
his family settled in Winter Springs.
Kevin's desire to see our City grow and thrive has been apparent over the years
through the many volunteer seats he has held in our City.
Kevin has displayed a rare ability to listen to people, stay calm in difficult
situations, and offer helpful solutions when presented with challenges.
Kevin McCann can bring our leaders and community back together. He is,
without a doubt, an incredibly professional, responsible, and respectable member
of our community.
The City of Winter Springs would greatly benefit from Kevin McCann holding the
seat of Mayor.
Thank you for your time.
Sincerely,
Andy-ea rzeptnalf
RECEIVED
MAR 31 1011
CITY OF 1MNTER SPRINGS
OFFICE OF THE.CITY CLERK
Susan Beveridge
1834 Seneca Blvd.
Winter Springs, F) 32708
Mach 31, 2021
City Commissioners
Residents of Winter Springs
Dear Residents,
I have known Kevin McCann for about 6 years now. I have served on the Tuskawilla
Homeowners'Association board with him.We have worked together on
projects and his dedication is always impressive.
Kevin works hard for our community. He is always trying to make it a better place to live. I was
impressed by Kevin's leadership when the President of the board had to leave and Kevin, did not
hesitate to take on the job, and begin learning more about what he could do to make a difference. He
has a calm demeaner during our meetings. He is great under pressure and is undaunted by tough
challenges. He is open to suggestions and always welcomes ideas from the group. He knows the laws
and what can be done and what should not be compromised. He is a caring person and very well
spoken. He acts on projects he is committed to and gets things done in a timely manner.
I have enjoyed working with Kevin. He cares for our community and it is apparent every time we meet.
I could not think of anyone more suited for the job to help our city.
Susan Beveridge
Teacher at Lawton Elementary
RESC E a v E a
1 �
K8arch29, 2O21 MAR -X - ~�1~'
CITY urWINTER SPRINGS
Residents mfWinter Springs, o'PIosoFTHE CITY CLERK
I was a long-time resident of Winter Springs who has known Kevin McCann and his family for over 15
years.At first, I knew him as a good neighbor always willing to help in any family gathering, or just to
help out anyone in need on our street.As I got to know him on a personal level our family and his
became very close. We spent several holidays together,going mnweekend get aways and getting
involved incommunity activities. | would attest tohis character aswell ashis competence,asI've
watched him over the years become more involved with the city of Winter Springs and having a very
genuine care of family's and willingness to do whatever it took to bring people together. I genuinely
believe hewould make agreat Mayor ofWinter Springs.
Sincerely,
8radLaF|esh
RECEIVED
MAR 3 12021
CITY oFWINTER SPRINGS
nr=/osorTHE CITY CLERK
Towhom itmay concern, March 3[\ 2D%1
Kevin McMann is a man of great integrity and has a strong ethical background and is well qualified for
serving as an interim mayor of the Winter Springs community. I have known Kevin for approximately 8
years and he has been a great leader for the residents of Winter Springs.As the Tuskawilla Home
Owners Association President he runs an orderly meeting and is prepared with topics of discussion
pertinent to the betterment of Winter Springs. Kevin uses his resources to better understand issues
before making decisions that affect so many people. 1,as a resident of Winter Springs,would support
Kevin inthe role ofinterim mayor.
Sincerely,
TonyBo|yard
ll1OPheasant Cir.
Winter Springs, Fl. 32708
NOMINATION PETITION12E -
*Alf information on this form becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETED
ED
*it is a crime toknowinglysignmore than one petition for acandidate.[Section 704.785Florida statutes] FORM MUST BE
*!fall requested information on this form is not completed,the form will not be vaild as a Candidate Petition Form.
I, E ,4-!L .1A,,A J3Q),9 the undersigned, aregistered PROVIDED TO THE
(Please print name as it appears on your voter information card) CITY CLERK NO
,� LATER THAN NOON
Voter of the City of Winter Springs,nominate &-X a 14 c.C 4,41,41 ON THURSDAY,
o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address
Cityounty ate Zip Code
15d"l ��. I C�� I .3c2
signature
/of)Voter Date Signed(MM/D
[to be co pleted by V er]
2 -a
Rule15-2. ,FAC.
NOMINATION PETITION
*Allinformationonthisformbecomesapublicrecorduponreceiptbythe Supervisor ofElection THIS COMPLETED
a crime£a knawinglysign mare than onepetition fora candidate.[Section 704.785 Fiaricfa Statute.J
*!fall reque information an this form is not completed,the form will not be vaiid as a Candidate petition Form. FORM MUST BE
I, the undersigned, a registered PROVIDED TO THE
CITY CLERK NO
(Please print nam h appears on your voter information card)
LATER THAN NOON
Voter of the City of Winter Spri nominate A , C 44111
ON THURSDAY,
to complete the unexpired term of Office ayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(M M/DD"
City bounty ZipCde
jlfte
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Signature of Voter Date Signed(M M(DD
[To be completed by Voter]
Rule 1S-2045,FAC
R!E-9
MAR 31 2021
CITY OF WNTER SPRINGS
O--RICE OF THE CITY CLERK
' 4 r NOMINATION PETITION
*Ali information on this form bec s a public record upon receipt by the Supervisor of Elections TH I COMPLETED
*ttisac:ri toknowinglysgrnmo an onepeiitionfor acan didate.[Se ction704.T85Florida Statutes] FORM MUST BE
*1fa11 reques d" for ation this fornot completed,the form will not be vaild as a Candidate Petition Form
PROVIDED TO THE
i, ,rtiOZ14- 8b /YLthe undersigned, a registered CITY CLERK NO
ease print Ame as It on your voter information card)
voter of the City of Winter Springs,nominate &ee llittl , 14 "C 4441 LATER THAN NOON
ON THURSDAY.
o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address
(M M[DD/Y"
as-lc;��ha 0 kzj;� 4,4 V/—
CITY ounty tate Zip Code
Signature of Vote Date Signed(MM/00AWY)
[To be completed by Voter]
Role 15-2045,FAC.
NOMINATION PETITION ,
*All information on this form becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETED
*It is a crime to knowingly sign more than one petition for a candidate.[Section 704.765 Florida Statutes]
*1fa11 requested information on this form is not completed,the form will not be vaild as a Candidate Petition Form. FORM MUST BE
!,
I> w�4e 'J �YEf PROVIDED TO THE the undersigned, a registered CITY CLERK NO
(Please print name it appears on your voter information card)
voter of the City of Winter Springs,nominate LATER THAN NOON
ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MM/DD
'r
CitYounty to Zip Code
&/i A/7— ?all I Ir-z' I
Signature of Voter Date Signed(MM/bD/WYY)
M1 [To be completed by Voter]
F
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Rule 1S-2. ,FAC.
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MAR 312021
Cl-r-',—.F WINTER SPRINGS
0FFJ(--OF THE CITY CLERK
NOMINATION PETITION
*AllinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofElections THIS COMPLETED
.It isa crime to knowinglysign more than one petition fora candidate.(Section 704.785Flonda Statutes) FORM MUST BE
*!fail requested informaadon on this form isnot completed,the form W11 not be vaild as a Candidate Petition Form.
I, (f'�-\PAD ��l the undersigned, a registered PROVIDED THE
(Please print name as it appears on your voter information card) CITY CLERKK
voter of the City of Winter Springs,nominate &�EI11� r 14 O C�} ON THURSDAY,
o complete the unexpired term of office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address
t �J �'" p Fh
l2 t�fl
city my tate Zip Code
OI
Signature of Voter Date Signed(MM/DDA"
e [To be completed by Voter]
Rule 1S-2045,FAC.
NOMINATION PETITION
*A11information on this form becomes a public record upon recelot by the Supervisor ofElections THIS COMPLETED
*It is a crime to knomnglysign more than one petition fora candidate.[Section 704.785F1orida Statutes]
*ffall requested information on this form is not completed,the form M11not,be vaild as a Candidate Petition Form. FORM MUST BE
I,
AA) r 6 I y '10 12—G i'4- r, the undersigned, a registered PROVIDED TO THE
(Please print name as K CITY CLERK NO appears on your voter information card) LATER THAN NOON
voter of the City of Winter Springs,nominate �� j In - )✓ ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MM/DD/YVYY)
o 5/0 J` 6 z-- t 1 i 1 5 A JL fi n.. L-A N e
City ounty Istate Zip Code
Signature of Voter Date Signed(MM/DD/yYVY]
[To be completed by Voter]Z -
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Rule 1S-2,045,FAC.
MAR 31 2021
-'�rip V}ANTER SPRINGS
E CITY CLERK
NOM I NATION PETITION
*All information on this form becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETED
.ft is a crime to knowinglysign more than one petition fora candidate.[Section 7o4.las Florida statutes]
*ffall requested information on this form' r / te4 the form K411notbe vaildasa Candidate Petition Form. FORM MUST BE
beg =d/j the undersigned, a registered PROVIDED TO THE
(Please print name as it appears on your voter Information card) CITY CLERK NO
LATER THAN
voter of the City of Winter Springs,nominate C lcly,41,41 ON THURSDAY,NOON
ko complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Add ess
(MM/DD JIM —F,V�I�n S+—
city unty IState I Zip Code
e"n e-
Signature of Voter Date --Signed(MMIDDIYYYY)
[To be completed by Voter]
P
NOMINATION PETITION
*Al/information on thisform becomes a public record upon receipt by the Supervisor OfFlections
*Itlsacrime to knowinglysign more than one petition fora candidate.[Section 704.765FIbrida Statutes! THIS COMPLETED
Iffallreq ted' fo ationonthistormisn t completed.the form o0notbe vaildasa Candidate Petition Form. FORM MUST BE
�'74" , j "i the undersigned, a registered PROVIDED TO THE
�zv—]w Y-a A� NO
(Please print name as it appears on your vcy(er Information card) CITY CLERK LATER THAN NOON
voter of the City of Winter Springs,nominate A , ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MM/DD" S
2 2 L42: ZZ V� r-e-r- vztv/ Y3 a w -S
a m
City rinty Istate Zip Code
Z1.9 4,e Fz,
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Signature of Vat Date Signed(MM/1313"
[To be completed by Voter]
Rule 1SI-2.045,FAC.
T,:!r _11VE
MAR 3 12021
C-,I—y OF W.NTER SPRINGS
-HE(nTY CLERK
NOMINATION PETITION
.Allinformation on this foim becomes a public record upon receipt by the Supervisor ofElections
.It is a crime to knowinglysign more than one petition for a candidate[Section 704.785FIorida statutes] THIS COMPLETED
*1fallrequestedinformation on this form Is not completed,the form will not be valid as a Candidate Petition Form. FORM MUST BE
k A PROVIDED TO THE
FU &<Nt) Cjjftk-%r11-e—r the undersigned, a registered CITY CLERK NO
(Please print name as It appears on your voter Information card) LATER THAN NOON
Voter of the City of Winter Springs,nominate F, 14.1 R, 14CC41PIV ON THURSDAY,
o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address
(MM/DD"
10\22,� 0143- wza-Pvv
city rounty ate Zip Code
Signature of Voter Date Signed jMM/DDtyY"
�[To be completed by Voter]
Pule 1S-2045,FAC.
NOMINATION PETITION
*A/1 information on this form becomes a public record upon receipt by the Supervisor ofElections V
It is a crime to knowing6,,sign more than one petition fora candidate.(Section 704 785FIorlda statutes] THIS COMPLETED
*Ifallrequested'formationon this form is not completed,theform wil not be vaildasa Candidate Petition Form. FORM MUST BE
PROVIDED TO THE
the undersigned, a registered
CITY CLERK NO
(Please print name as it appears on your voter Information card) LATER THAN NOON
voter of the City of Winter Springs,nominate 1/,4,/ /Z -' /j' 0-C) '4"1 ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MM/DID"
-7
City �--ou my istate Zip code
Signature of Voter Date Signed(MM/DD/YYYY)
[To be )Ieted by Voter]
LR.le`!S-2,04,5.'FAC.
MAR 312021
Y OF VVINTER SPRINGS
�ziCr- ()F THE CITY CLERK
NOMINATION PETITION
'All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED
'It is a crime to knowinglysign more than one petition fora candidate.;Section 704.785 Florida Statutes) FORM MUST BE
'lfalirequested information on this form is not completed,the form MY not be vaild as Candidate Petition Form,
PROVIDED TO THE
I. the undersigned, a registered
(Please print name as it appears on your voter Information card) CITY CLERK
voter of the City of Winter Springs,nominate ts1�l k v O C Y41 LATER THAN NOON
ON THURSDAY,
o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address � �+
MM
-)410 Z / 9 6 -,�r,?50 --),P -) -�5 , -2�1
CIV ounty tate Zip Code
Signatur %Voter Date Signed(MM/DD/VYW)
[To be completed by Voter]
Rule 15-2-045,FAC,
; - ; NOMINATION PETITION
'A#information on this form becomes a public record upon receipt by the Supervisor ofElectivns
'Kis a crime to knowrnglysign more than one petition fora candidate.[Section 704 78SFIorida Statutes] THIS COMPLETED
'lfallrequestedinformationonthisform isnotcompited,theformwillnotbevaildasaCandidate Petition Form. FORM MUST BE
f PROVIDED TO THE
I,
LkRwAo !Q �' the undersigned, a registered
(Please print name as it appears on your voter information card) CITY CLERK NO
voter of the City of Winter Springs,nominate HA1/,,t/ A, �� .� � LATER THAN NOON
ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MMroD/YYYY)
City my Istate Zip Code
ature OAVoter Date Signed(MM/DDIYYYY]
(To be completed by Voter]
Rule 1S-2.045,FAC.
MAR 312021
vv NYT ER SPRANG'
NOMINATION PETITION
'All information on this form becomes a public record upon receipt by the Supendsor of Elections THIS COMPLETED
"It is a crime to knowingysign more than one petition for a candidate.[Section 104.18SFlorida Statutes] FORM MUST BE
Wall requested information on this form is not completed,the form will not be vadd as a Candidate Petition Form.
I, G i�Q ! _ �. undersigned, a registered PROVIDED TO THE
the undersi CITY CLERK NO
(Please print name as it appears on your voter information card)
9 LATER THAN NOON
voter of the City of Winter Springs,nominate �t� e C C /11-441/ ON THURSDAY,
o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address .�g,� _
(MM/DD" L( I C1l]L
(—?—I ..-[-::I 46>
city ounty tate Zip Code
1 E
Signature of Voter ! Date Signed(MM/DD/YYM
fro be completed by Voter]
Rule 15-2045,QAC. �/
NOMINATION PETITION
*A11informatlononthisformbecomesapublicrecorduponrece1ptbytheSupert4sorofElections THIS COMPLETED
"Jt is a crime to knowingy sign more than one petition fora candidate.[Section 104J85Florida statutes?
"/faPrequested information onthisformisnotcompleted,thefcrmwillnotbevaildasaCandidate petition Fcrm. FORM MUST BE
the undersigned, a registered PROVIDED TO THE
(Please print name as it appears on your voter information card) CITY CLERK NO
lAllt A c; ) LATER THAN NOON
`
voter of the City of Winter Springs,nominate 6 v �'� ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Addressd! /
((MM/DD" ��"t 4 4 C) C 1� ''�A L�E 1�C.-L1✓
- i3 tLj
city I=ountv ateZip Code
Signature 9f Vat 7 Date Signed(MM/DD/YYYY)
(To be completed by Voter]
Rule 1S-2045,FAG
7 T
MAR 31 NZI
G4TY OF 4MNTER SPRINGS
❑-n�t�.E O�-i HEGITY GLE, K
-= = : NOM I NATION PETITION
I
*All information on this form becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETED
*7t is a crime to knowingysign more than one petit7
tateo fora candidate.[Section 704.755 Florida Statutes] FORM MUST BE
*!fall eq sted information on th' isnot mpleted, a form will notbe vaild as a Candidate Petition Form.
PROVIDED TO THE
i, ; the undersigned, a registered CITY CLERK NO
(Please print name as it appears on your voter information card)
C-1119/4/ LATER THAN NOON
voter of the City of Winter Springs,nominate ,�'� ' e , e C .11� ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Vote Registration Number Addressreess
kLA
city ount-y Zip Code
Signature of Voter Date Signed(MM/DD/YYYY)
[To be cornleted by Vo r]
� 2-U
Rule 75-2045,FAC.
NOMINATION PETITION
*A11information an this form becomes a public record upon recelotby the Supervisor ofElections THIS COMPLETED
*!t is a crime to knowinglysign more than one petition fora candidate.[Section 70475SFioride Statutes,,
*/fallreque edinformatiionnontyhisformi t mpleted,.theforrmwillnotbevaildasaCandidatePetitionForm. FORM MUST BE
the undersigned, a registered PROVIDED TO THE
(please print name as It appears on your esCITY CLERK NOter information card] LATER THAN NOON
voter of the City of Winter Springs,nominate f. /�� L ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
Cul
WW,ki tic. -32-709
City unty `ate Zip Code
Signature of Voter - Date Signed(MM/DDN"
[To be completed by voter]
Rule 7S-2045,F,. C.
MAR 312021
CITY OF WNTER SPRINGS
�r=i CF_OF THE GtTY CLERK
!`> NOMINATION PETITION
*All information on this form becomes a public record upon receipt by the Supervisor c Elections THIS COMPLETED
*K is a crime to knawinglyslgn more than one petition fora candidate.[Section 704.785 Florida Statutes]
*!fall requested information on this form is not completed,the form W11 not be vaiid asa Candidate Petition Form. FORM MUST BE
PROVIDED TO THE
the undersigned, a registered CITY CLERK NO
(Please print name as it appears on your voter information card)
,r� LATER THAN NOON
voter of the City of Winter Springs,nominate Arx� `l�' R e C C 11,4141 ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRI L 1,2021
Date of Birth OR Voter Registration Number Address
(MM/DD/YY(2-<;
W)
oc (2 �l W-3 9
City my tate Zip Code
Signature of Voter Date Signed(MM/DDN"
� — [To be completed by V er]
c�3h5-IeO2 J
Rule 1S-2045,F C.
NOMINATION PETITION
*ANinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofElection THIS COMPLETED
*1t is a crime to knowinglyslgn more than one petition for a candidate.[Section 704785 Florida Statutes]
*if all requested information on this form is not completed,the form willnotbe vaildasa Candidate Petition Form, FORM MUST BE
I.
A1520,369T !G►ltlt L A`ems the undersigned, a registered PROVIDED TO THE
(Please print name as it appears on your voter information card) CITY CLERK NO
voter of the City of Winter Springs,nominate A, In C'd ITER THAN NOON
ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MM/DD[Y"
City aunty tate Zip Code
Signature of Voter Date Signed(MM/DDi'rM
[To be completed by Voter]
Rule 152.045,F.A.C.
MAR 312021
CITY OF WINTER SPRINGS
r)FFICE OF'rHE CITY CLERK
NOMINATION PETITION
*All information on this form becomes a public record upon receipt by the Supervisor ofElecdons THIS COMPLETED
It is a crime to knowingly sign more than one petition for a candidate.(Section 704.785 Florida Statutes]
*ffaflrequestedipformation on this form Is not completed,the form will not be vaild as a Candidate Petition Form. FORM MUST BE
G'� q,'G '1 C�
PROVIDED K THE
I,
the undersigned, a registered CITY CLERK NO
(Please print name as it appears on your voter information card) -f LATER THAN NOON
Voter of the City of Winter Springs,nominate 'j/rjr,J /� c C� tet!
/� �s � ON THURSDAY,
o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021
Date of Birth OR Voter Registration Number Address
(MM/DD"
City ! ` /y _ / my s ri;
o / Zip Code 13c;27eg
Signature of Voter Date Signed(MM/DD/YYYY)
PL1/ [To be completed by Voter]
DATE MISSING
Rule 1S-2045,FAC
i NOMINATION PETITION Y=
*Allinformation on this form becomes a public record upon receipt by the Supervisor ofEiections THIS COMPLETED
*It is a crime to knowinglysign more than one petition for a candidate(Section 704 W Florida Statutes)
*lfallrequestedinformationonthisformisnotcompleted,theformwillnotbevaddasaCandidatePetitionForm. FORM MUST BE
I, Cd r p l yid j QVl A to r(,61 the undersigned, a registered PROVIDED TO THE
CITY CLERK NO
(Please print name as It appears on your voter information card) ITER THAN NOON
_ ,+
voter of the City of Winter Springs,nominate d f„-[/j,// A, /� �G•'¢st�Z�
ON THURSDAY,
to complete the unexpired term of Office of Mayor of Winter Springs recentiyvacated byformer Mayor APRIL 1,2021
Lacey.
Date of Birth OR Voter Registration Number Address
(MM/DD/YYW)
Cty Pounty tate Zip Code
4/1 Ale 1 /Z4 1 j-3c;U-::9,A
Signature of Voter Date Signed(MM/DDA"
[To be completed by Voter]
Rule 1S-2045,FAC. f
MAR 312021
CITY OF\MNTER SPRINGS
—7 CF nF THE CITY CLERK
CITY OF WINTER SPRINGS
2421 MAYOR APPOINTMENT
OATH OF CANDIDATE
OFFICE OF THE MAYOR
".411 persons who now or hereafter are employed byor who noworhereafterare on the payroll of the
state,or any ofits departments and agencies subdivisions counties cities school boards and districts of
the flee publicschoolsystem of the state or counties orinstitutions ofhigher learning,and all candidates
for public of99ce,are required to take an oath before anyperson dulyauthorized to take
acknowledgements of Instruments for public record In the state-"]87£05(7)Florida Statutes]
"Anyperson seeking to qualifyftarpublic office who fails orrefuses to file the oath required bythisact
shall be held to have failed to qualifyas a candidate for public oftTce,and the name ofsuch person shall
not be printed on the ballot as a qualified candidate.'[876 07 Florida Statutes]
1�/�E L�t•1J
A , ACC,4AIX�l , a citizen of the State of Florida and of the
United States of America, and a candidate for public office, do hereby solemnly
swear or affirm that I will support the Constitution of the United States and of the
State of Florida.
77 '1 Signature of Appointee
Street Address
City State Zip Code
M=bL=.cEjVED
STATE OF FLORIDA MAR 311011
CITY OF WINTER SPRINGS
COUNTY OF OFFICE OF T"P CITY CLERK
Sworn to (or affirmed) and subscribed before me by means of{—physical presence
or—onlline notarization}this day of PaEC'L) 2021 by
)�ev,j, Ah tenn
Personally known/'OR Produced Identification
Type of Identification produced
Notary Public SUft of Flotida
o
I=jn
Christian D Gowan
M My Commission
GG 913234
F x m
Xpires 0911512023
MY Commission GG 913234
Signature of Notary Public - State of Florida � 0)
RECEIVED
CITY OF WINTER SPRINGS MAR 312021
CITY OF NTER
2021 MAYOR APPOINTMENT OFFICE OF THE CITY CILERK
OATH OF CANDIDATE
OFFICE OF THE MAYOR
"Each candidate,whether a party candidate,a candidate with no party affiliation,or a write-in
candidate,in order to qualify for nomination or election to any office other than a judicial office as
defined in chapter 105,shall take and subscribe to an oath or affirmation in writing. A printed copy of
the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate
seeks to qualify.." [99.021 (1)(a) Florida Statutes]
STATE OF FLORIDA
COUNTY OF .�
"Before me,an officer authorized to administer oaths,personally appeared
(please Print Name As You Wish It To Appear In City Records For ThisAppointment)
to me well known,who,being sworn,says that he or she is a candidate for the office of Mayor;that he or
she is a qualified elector of the City of Winter Springs,Seminole County,Florida;that he or she is
qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to
be nominated or elected;that he or she has taken the oath required by ss.876.05-876.10,Florida
Statutes;that he or she has qualified for no other public office in the state,the term of which office or
any part thereof runs concurrent with that of the office he or she seeks;and that he or she has
resigned from any office from which he or she is required to resign pursuant to s.99.012,Florida
Statutes."
Signature of Appointee
Cts/.-"
Street Address
�i•c,�T�'—>'L� �lin-I-c�GS �L ��'7..��
City State Zip Cade
Sworn to and subscribed before me this day of aY'C ,`'1 ,2021,at
Seminole County,Florida. xz�
�t
=09/lS/2023
ate d Fonda (Signature and Title of Officer Administering Oath)
wan
GG 913234
023