Mojdeh Khaghan Board Application - 1/A/V\ 1 btAL11 CITY OF MIAMI BEACH
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BOARD AND COMMITTEE APPLICATION FORM
14A6-1-44 1A4 001)6 14
Last Name I First Name Middle Initial
HOME ADDRESS: Lj7�.7 n 1 CD 1 <�
tells Ave.. IM R,
Apt No. House No. /Street City . State Zip Code
PHONE: 3125.3101 egg, 3o. - 71 �- , . 4 4 c j �• g� . 00 qran
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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 ownerslip/interest for a minimum of six montf: s4in a ;business established in the :city.
• Resident of Miami Beach for a minimum of six (6) months: YesVor No 0
• Demonstrate an ownership /interest in a business in Miami Beach for a minimum of six (6) months: Yes 0 or No 0
• Are you a registered voter in Miami Beach: Yes ' or No ❑
• (Please circle one): I am now a resident of: North Beach South Beach Middle Beach
• 1 am applying for an appointment because 1 have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ❑ or No
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)
❑ Affordable Housin Adviso Committee 0 Marine Authori
■ Art in Public Places Committee 0 Miami Beach Commission for Women
■ Beautification Committ- - 0 Miami Beach Cultural Arts Council
Board • ' • - 0 Miami Beach Human Rights Committee
0 Budget Advisory . Committee ❑ Miami Beach Sister Cities Program
❑ Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Government Neigh. Improvement
❑ Committee on the Homeless Parks and Recreation Facilities Board
0 Committee for Quality Education in MB I Personnel Board
0 Community Development Advisory 0 Planning Board*
❑ Community Relations Board 0 Police Citizens Relations Committee
❑ Convention Center Advisory Board ❑ Production Industry Council
❑ Debarment Committee ❑ Public Safety Advisory Committee
0 Design Review Board* 1 0 Safety Committee
❑ Disability Access Committee 0 Single Family Residential Review Panel
0 Fine Arts Board f ❑ _Sustainability Committee
❑ Ga , Lesbian, Bisexual and Trans. ender GLB 0 Trans•ortation and Parkin. Committee
❑ Golf Advisory Committee 0 Visitor and Convention Authority
❑ Health Advisory Committee 0 Waterfront Protection Committee
0 Health Facilities Authority Board Z.Youth Center Advisory Board
❑ Hispanic Affairs Committee
0 Historic Preservation Board
❑ Housing Authority
Loan Review Committee *Board Required to File State Disclosure Form
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott tt Rakow Youth 'Center.
• _" 1 . P • _ c! , i r iLiL,A L a N tIV _.. 1 S
1. Past service on the' Youth Center Advisory Board: Yes/'No 0 Years of Service: _ ;+
2. Present participation. in Youth` Centet activities by your children Yes0 N6'0.4 If yes, Tease list the names of Y our ch their
ages, and which programs. List below:
Child's name: Age:. Program:
Child's name: Age: Program:
F. \CLER \$ALL \a FORMS \BOARD AND COMMJTT ES \BC Application. io
sHave you ever been convicted of a felony: Yes 0 or Noif yes, please explain in detail: j � P �5
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑ or No . If yes, lease iin etc in detail:
�' Y P P
D
• Do you currently owe the Cit of Miami Beach any money: Y es ❑ o r N
Y, Y y N-If yes, explain in detail
i
• Are you currently serving on any City Boards or Committees: ¥es � or No ❑. if yes; which board?
• What at or anizations in the City of Miami Beach do you currentl hold in?
9 City y y o d membership In .
Name:
Title:
Name: Title:
• List all properties owned or have an interest in which are located within the City f Miami � of M� Beach.
6V5 k s pive. -* 11.2-1 -P )A .N%
• I am now employed by the City of Miami Beach: Yes ❑ or N Which department?
• Pursuant to City Code Section 2 -25 (b): Do you have a parent 0, spouse ❑ ch ld 0, brother 0, or sister 0 w
P � 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 opportuhity reporting requirements.
Gender: ❑ Male Female
Ethnic Origin: Check one only (1)
''White (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: All 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 recognit'o'n:
Physically Challenged: Yes ❑ or Na
J .
Employment Status: Employed" Retired 0 Homemaker 0 Other ❑
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
0 Prohibition from direct! or indirectly ectly 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).
( 0 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)1
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy ,;and' truthfulness of the , a;,ppljcation .and phave feceived, read "and wile abide by: Chapter 2, "K
Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
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Applicant's igna ure Date Name of Applicant (PLEASE PRINT)
Please a copy of your resume to this application •
NOTE :. Applications will. emain on file , for - a= period of one (1) calendar year.
Received in the City Clerks Office by : Dat 010 Control No. 2Z( . Date: _1_12010
Name of Deputy Clerk
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MOJDEH L. KHAGHLN
5151 Collins Avenue, Miami Beach, FL 33140
, 305.7724444 . mIk@morgnreed.com
EDUCATION Columbia University School of Law
JD.,1991
Journal of . w & the Arts, Articles Editor
Arts Law • 'c /Volunteer Lawyers for the Arts
Law School Senate Parliamentarian
Columbia lollege, Columbia University
B.A., ma l cum laude, 1988
gna
English Lite ature Major
Phi Beta Ka pa
LICENSURE The Florid Bar, United States District Court, S.D. Florida,
• 1995; New York State Bar, United States District Courts, S.D.
and E.D. ew York, 1992; New York State Real Estate
Broker, 2008; Florida Real Estate Broker, 2010.
EXPERIENCE Mojdeh L. khaghan - Miami Beach, FL
Attorney
Practice specializing in securities litigation, trusts and estates
litigation, c actions and commercial litigation. '
1996 to 2007
Goodkind Labaton Rudoff & Sucharow - New York, NY
Litigation Associate
Concentrat litigation securities din '33 and '34 Act litigation and securities class
actions m federal and state courts. Handled all aspects of
cases from discovery through h trial and/or settlement
g / , post-
settlement distribution of recovery to clients and class
members.
1992 to 1996
COMMUNITY Greater Mi
Jim
i Jewish Federation, 1999 to present
INVOLVEMENT/ Women's Philanthropy President, 2010 -11, Campaign p gn .
PERSONAL Chair, 2007 -09; 2008 Stanley C. Myers President's
Leadership Award
The Vizca , 2004 to present
Y p
Me ber of the Board p
MB Rakow Youth Center Advisory Board, 2007 to present
Languages Farsi, Spanish, French, Italian
Interests - Travel, Literature, Arts & Music