Alan B. Fishman Board Application e f\A 1 AM I BEACH
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME: ' V \ S \--`M \ , ri ,'? —\ Last Name t ` Firsame Middle Initial
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HOME ADDRESS: w 0 Po,s4-- v V`C. PI G - ')i___ 3- ( cfl)
Apt No. House No./Street City 4 State Zip Code
PHONE: 5 S — ? ? 0 k 0
Home Work Fax Email address
Business Name: Position:
Address:
No. Street City State Zip Code
Professional License (describe) Expires: Attach a copy of the license
Pursuant to City Code section 2 -22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall, demonstrate ownership /interest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (6) months: Yer No ❑
• Demonstrate an ownership /interest in a business in ami Beach for a minimum of six (6) months: Ye1or No ❑
• Are you a registered voter in Miami Beach: Yes or No 0
• (Please circle one): I am now a resident of: North Beach South Beach iddle Beac
• I am applying for an appointment because I have special abilities, knowledge and experience. P ea - ist below:
• Are you . presently a registered lobbyist with the City of Miami Beach? Yes 0 or No)4
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
0 Affordable Housing Advisory Committee 0 Marine Authority
❑ Art in Public Places Committee 0 Miami Beach Commission for Women
0 Beautification Committee ❑ Miami Beach Cultural Arts Council
Board of Adjustment* .� $1 Miami Beach Human Rights Committee l
0 Budget Advisory Committee 0 Miami Beach Sister Cities Program
❑ Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Govemment Neigh. Improvement
❑ Committee on the Homeless ❑ Parks and Recreation Facilities Board ,
❑ Committee for Quality Education in MB ❑ Personnel Board
❑ Community Development Advisory ❑ Planning Board* r`�
0 Community Relations Board 0 Police Citizens Relations Committee ' c ' °
❑ Convention Center Advisory Board 0 Production Industry Council ' .<' 0 0' i
❑ Debarment Committee 0 Public Safety Advisory Committee s
0 Design Review Board* ❑ Safety Committee r
❑ Disability Access Committee 0 Single Family Residential Review Panel. X —J *i 1
❑ Fine Arts Board i 0 Sustainability Committee .)-. 4‹. ❑ Gay, Lesbian, Bisexual and Transgender (GLBT) ❑ Transportation and Parking Committee "' M
❑ Golf Advisory Committee 0 Visitor and Convention Authority '
❑ Health Advisory Committee YWaterfront Protection Committee t
0 Health Facilities Authority Board ❑ Youth Center Advisory Board r w
0 Hispanic Affairs Committee
❑ Historic Preservation Board
❑ Housing Authority
❑ Loan Review Committee *Board Required to File State Disclosure Form
I
Note: If applying for Yo Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1
1. Past service on the Youth Center Advisory Board: Yes 0 No 0 Years of Service: ,
2. Present participation! in Youth Center activities by your children Yes❑ No, O. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
F: \CLER \$ALL \aFORMS \BOARD AND COMMITTEES \BC Application.doc
•Have you ever been convicted of a felony: Yes ❑ or No yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑ or yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes 0 or No t yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ❑ or No if yes; which board?
•_ What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name: Title:
• List all properties owned or hav an inte in, which are located within the. City of Miami Be ch:
, M
• I am now employed by the City of Miami Beach: Yes ❑ or 14111/Which department?
• Pursuant to City Code Section 2 -25 (b): Do you have a parent 0, spouse 0, child 0, brother 0, or sister ❑ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: Male 0 Female
th lc Origin: Check one only (1)
hite (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
❑ African - American /Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
❑ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race..
❑ Asian or Pacific Islander: AA persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on
the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
❑ American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal affiliation or community recognition.
Physically Challenged: Yes ❑ or No❑.
Employment Status: Employe" Retired ❑ Homemaker ❑ Other 0
NOTE: If appointed, you will be required to follow certain laws which apply to city board /committee members.
These laws include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2 -459).
o . Prohibition from contracting with the city (Miami -Dade County Code section 2- 11.1).
o - Prohibition from lobbying before board /committee you have served on for period of one year after leaving office (Miami
Beach City— Code section 2 -26).
o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2- 11.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself ,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article VII — of ity Co "Standards of Co duct f r City Officers, Employees and Agency
` ( M e e mber rs� s." -co
Applicant's Signature Daae Name of Applicant (PLEASE PRINT)
Please copy of your resumeto thls application
NOTE:;AppIl tions,wi!I male on file;foraperiod of!one (1)calendaryear
Received in the City Clerk's Office by : - Data, // ntrol No. 7 Date: / / //201 /l
Name of D eputy Clerk /
ALAN B. FISHMAN, ESQ.
Suite 204
300 Arthur Godfrey Road
Miami Beach, Florida 33140
(305) 532 -2810
PROFESSIONAL
AFFILIATIONS: The Florida Bar, 1987.
Certified Public Accountant (Florida), 1987.
EXPERIENCE:
Solo Practitioner, Law Office of Alan B. Fishman, Miami Beach,
Florida.
May 1989 - Present. Practice in real estate, bankruptcy and corporate
law.
Therrel Baisden & Meyer Weiss, Miami Beach, Florida.
October 1987 - May 1989, Attomey. Research and writing opinions and •
memoranda involving banking and real estate law. Tax research in
partnership, corporate, foreign, estate planning and federal and state tax
controversies. Research and writing pleadings and memoranda for civil
litigation proceedings.
Michael J. Moorhead, Professor of Law, University of Florida,
Gainesville, Florida. September '1985 - May 1987, Research Assistant.
Researched labor law, administrative law and civil rights law to assist in
the preparation of articles for publication. Extensive use of WESTLAW
computer research and legislative materials.
PUBLICATION:
Co- author, Florida Civil Practice Damages Chapter Six, (CLE Second
Edition, 1989 Supplement).
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EDUCATION:
Juris Doctorate,
University of Florida College of Law, May 1987.
Bachelor of Science in Business Administration in Professional Accounting
and Finance,
The American University, May 1984.
HONORS AND
ACTIVITIES: University of Florida College of Law Merit Loan (1984 - 1987).
The American University Merit Scholarship (1981 - 1984).
Charles Glover Scholarship (1983).
Sidney Ludwig Foundation Scholarship (1980 - 1983).
Outstanding Student Service Award, Kogod College of Business
Administration, The American University (1984).
Chairman, Commencement Committee (1983 - 1984).
Senator, Kogod College of Business Administration Student Representative to
Faculty Senate (1983 - 1984).
Student Representative, Senate Finance Committee (1983 - 1984).
Student Representative, Board of Trustees Finance Committee
(1983 - 1984).
Assistant Academic Advisor, entering freshmen (1983).
Student Confederation Judge, Criminal and Conduct Code Tribunal
(1980 - 1981).
I I
MEMBERSHIPS:
Dade County Bar Association:
Director, Young Lawyers Section (1988 - 1991).
Treasurer, Young Lawyers Section (1991- 1993).
American Bar Association.
Phi Delta Phi Legal Fraternity.
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