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Mark Jacobs 12/31/2012 MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673 -7254 01 -24 -2011 Mark Jacobs 3605 Flamingo Drive Miami Beach, Florida 33140 ralWatia Safety Committee Congratulations! You have been appointed by Commissioner Jorge Exposito to the agency, board or committee named above for a term ending: 12/31/2012. Pursuant to Ordinance No. 2006 -3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305 - 673 -7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Robert Parcher City Clerk cc: Saul Frances, Parking Director Clifford Leonard ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2 -22, 2 -23, 2 -24, 2 -25, 2 -26, 2 -458 and 2-459 Ordinance No. 2006 -3543 - Amendment to City Code Section 2 -22 Miami -Dade County Code Section 2 -11.1 - Conflict of Interest and Code of Ethics Ordinance City Wide Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. m MIAMIBEACH Cit of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673 -7411, Fax: (305) 673 -7254 TO Mark Jacobs RE: Safety Committee I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the above - mentioned board or committee of the City of Miami Beach to which I have been appointed for a term ending: 12/31/2012. I have been issued a copy of Section 2 -11.1 of the Miami -Dade County Code (Conflict of Interest and Code of Ethics Ordinance), as well as theFlorida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member of a City of Miami Beach Board and /or Committee, I must comply with the financial disclosure* require- ments of Miami -Dade County or the State of Florida (depending on the board or committee on which I serve) on July 1st, following the closing of the calendar year on which I have served. Mark Jacobs Sworn to and subscribed before me this c r day of f eti , 2011. .L... - 4. C./ - F- Silvia • rieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. ¶-h4 /V\ 1 /--\I VI t tr1C., 1 1 CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: a 0 f ck(K ,r Last Name First Name Middle Initial HOME ADDRESS: 3 60S flgn�:'�b �r(me /i'■ b i 33 t+ Apt No. House No. /Street City State Zip Code PHONE: 04 43\ 7 g 6- 2 6C - , 1 `t 3 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: Yes El or No ❑ • Demonstrate an ownership /interest in a business if Miami Beach for a minimum of six (6) months: Yes ❑ or No ❑ • Are you a registered voter in Miami Beach: Yes N or No ❑ • (Please circle one): I am now a resident of: North Beach South Beach iddle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. - - - - ' •elow: • Are you presently a registered lobbyist with the City of Miami Beach? Yes 0 or No b' 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 Housing Advisory Committee ❑ Marine Authority 0 Art in Public Places Committee D Miami Beach Commission for Women ❑ Beautification Committee ❑ Miami Beach Cultural Arts Council ❑ Board of Adjustment* ❑ Miami Beach Human Rights Committee ❑ Budget Advisory Committee ❑ Miami Beach Sister Cities Program ❑ Capital Improvements Projects Oversight Committee ❑ Normandy Shores Local Govemment Neigh. Improvement ❑ Committee on the Homeless ❑ Parks and Recreation Facilities Board 0 Committee for Quality Education in MB ❑ Personnel Board 0 Community Development Advisory 0 Planning Board* 0 Community Relations Board ❑ Police Citizens Relations Committee ❑ Convention Center Advisory Board ❑ Production Industry Council ❑ Debarment Committee ❑ Public Safety Advisory Committee 0 Design Review Board* "(Safety Committee 0 Disability Access Committee 0 Single Family Residential Review Panel 0 Fine Arts Board ❑ Sustainability Committee 0 Gay, Lesbian, Bisexual and Transgender (GLBT) 0 Transportation and Parking Committee 0 Golf Advisory Committee 0 Visitor and Convention Authority ❑ Health Advisory Committee 0 Waterfront Protection Committee 0 Health Facilities Authority Board 0 Youth Center Advisory Board 0 Hispanic Affairs Committee 0 Historic Preservation Board 0 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 Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: Yes 0 No ❑ Years of Service: 2. Present participation in Youth Center activities by your children Yes: No 0. 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 COMMfTTEES \BC Application.ddoc •Have you ever been convicted of a felony: Yes 0 or NoD If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes 0 or No t/ If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes 0 or No 0( If yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes 0 or No Lf. 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 have an interest in, which are located within the City of Miami Beach: • I am now employed by the City of Miami Beach: Yes 0 or NoTWhich department? • Pursuant to City Code Section 2 -25 (b): Do you have a parent 0, spouse 0, child 0, brother 0, or sister 0 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 ❑ Female Et hnic Origin: Check one only (1) �j White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East. 0 African - American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa. 0 Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. 0 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. 0 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 0 or No0. Employment Status: Employed ❑ Retlred Hornetnaker ❑ Other LET J 1 A kv,, }- 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 the City Code "Standards of Conduct for City Officers, Employees and Agency Members." N/171/1 -0/1/17 02- i d`ri I t( Alk 0`rrc- TQCo bf Applicant's Signature Date Name of Applicant (PLEASE PRINT) Please attach a copy of your resume to this application NOTE: App tions,will main on file for a.period o o (1) calendar year. �f 9 / Received in the City Clerk's Office by : 6 Date: o?/ % O Control No. Date: / /2010 Name of eputy Clerk - -` • • • • Mark Jacobs 3605 Flamingo Drive, Miami Beach. FL 33140 Phone: (305) 674 -0631 Mobile: (786) 269 -9743 m.jacobs5 @umiami.edu EDUCATION University of Miami, Coral Gables, FL Bachelors of Science in Biology, Class of 2012 Minor in: Chemistry Biology GPA - 3.91 Chemistry GPA - 3.80 Cumulative GPA: 3.848 Provost's Honor Roll EXPERIENCE Sylvester Cancer Center, Miami, FL Research Intern, May 2008 - Present • Researching Head and Neck Squamous Cell Carcinoma and protein expression, with the goal of eventually creating a test that can detect this form of cancer early in its development. University of Miami Canes Emergency Response Team ( "UMCERT "), Miami, FL Assistant Vice President of Administration, Feb 2009 - Present • Trained in basic techniques for recognizing and treating trauma. • Trained in debris management after physical catastrophes. • Trained how to communicate with FEMA, how to communicate with local, county and federal command structures. • Participated with the team in philanthropic events and Outreach • Increase disaster preparedness awareness in the college and local community. • Member of Community Outreach Committee, responsible for event planning and outreach Dr. Gene Neytman and Dr. Islon Wolf, Miami Beach, FL Shadowing, December 2009 - Present • Met directly with patients • Observed physician interaction with patients • Assisted the physician Dr. Ari Ciment, Miami Beach, FL Shadowing, March 2010 • Accompanied the physician on rounds Para - Chaplain Fellow Program, GMJF, Miami, FL Para - chaplain, October 2009 - Present • Participated in a six -month program designed to train individuals to assist with the emotional and spiritual needs of the sick and elderly • Para- chaplain fellow. Graduated March 2010 .• • • Hospital visit group leader, instructing student volunteers on proper visiting decorum Alpha Epsilon Pi Fraternity Vice - President, April 2009 - May 2010 • Increased fraternity membership by 33% • Responsible for day -to -day operations of the fraternity. • Shared responsibility for representing the fraternity at the Inter - Fraternity Council • Helped plan fraternity events The Red Watchband December 2009 - Present • Introduced concept of The Red Watchband program to the University of Miami Dean of Students Office. • Program seeks improve awareness of the dangers of binge drinking and teach students to identify the signs of alcohol poisoning and how to provide treatment to prevent death. University of Miami Experience Course, University of Miami Guest Speaker Fall 2009 • spoke to Mrs. Williams - Eddleman's University of Miami Experience class on time management and the University of Miami experience. HONORS /ACTIVITIES • Alpha Lambda Delta Honor Society - Spring 2009. • Golden Key International Honour Society - Fall 2009. • University of Miami Honor's Students Association - Fall 2008. • Provost's Honor Roll - Every semester • Florida Academic Scholar • Robert C. Byrd Honors Scholarship • University Scholarship • Phi Delta Epsilon Pre - medical Fraternity - Founding Member. Spring 2010 • Rush Chair of Alpha Epsilon Pi - February, 2009-April 2009. • Crew - Assistant Coach for the RASGHA Team. Fall 2009 • Phi Delta Epsilon Philanthropy Committee -. Spring 2010 - Present. • Mitzvah Miami Collegiate Advisor. May 2008 - Present. • Alpha Epsilon Pi Founding Father. Spring 2009. • Mitzvah Miami Collegiate Advisor • FEC (Federacion de Estudiantes Cubanos) Member. Fall 2008. • Saxophone - Trained for the past 11 years with Grammy -award winning saxophonist Carlos Averhoff. M!AMBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk©©' m i amibeochfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 Acknowledgement of fines /suspension for Board Members for failure to comply with Miami -Dade County Financial Disclosure Code Provision Code Section 2- 11.1(i) (2) Board Member name: /* & Y` 3Q co b 1 understand that no later than July 1, of each year all members of .Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami -Dade County Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation or give advice to the City Commission, must file, even though you may have been recently appointed. You must file one of the following with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, by July 1 each year. 1. A "Source of Income Statement" (attached) or 2. A "Financial Statement" (attached( or] • 3. A Copy of the person's current Federal income Tax Return Failure to file, according to the Miami -Dade County Code Chapter 1, General Provision, Section 1 -5 may subject the person or firm to a fine not to exceed $500.00 or by imprisonment in the county, jail for a period not to exceed sixty days, or both. /1/ . 0 Z / o CW � ( Signature: Date: COU ' T9 SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name /Initial Last Name Disclosure O f For Tax Year Name: / A Ending: — rr Mailing Address: 3 0 5 t' ( ��"` , '� y b P r ' J City /State /Zip: _ •"`.‘ 4, v( ) L ,- 3 t I Social .Security Number: — — - Filing as a: ® County Employee: Municipal Employee of: Position held or sought: C 0 "- 1- e e„ r Board where serving: I- &f2 (o�.,, , Term or Employment y Began on: T c 2 b I Department where employed: Work Address: If your home address is exempt trom public records pursuant to Florida Statutes § 114.07 please check hare (read instructions): El Work Telephone: Home Address; 3 0 S t D , V Q Street Address City State Zip Code Please list below in descending order with the largest source first, the name, address and principal business activity of every source of your income including public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here: Description of the Principal Name of Source of Income Address Business Activity I hereby swear (or affirm) that the aforesaid information is a .true and correct statement. y l 20 1 I .Signature of person disclosing Date signed