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Laurie Kaye Davis ® MIAMI BEACH CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Davis Laurie Kaye Last Name. First Name Middle Initial ROME ADDRESS: 5965 Alton Road Miami Beach FL 33140 Apt No. Home No./Street City State Zip Code PHONE: 305.790.6404 305.868.8724 LKayeDavis @aol.com Home Work Fax Email Address Business Name: LKD Consulting Position: Principal Address: 5965 Alton Road Miami Beach FL 33140 No. Street City State Zip Code Professsional License(describe): Expires: Attach a copy 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 • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes •Are you a registered voter in Miami Beach: Yes •(Please circle one): I am now a resident of: Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Extensive experience with education initiatives both in paid positions and in volunteer positio •Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1]first choice[2]second choice,and[3]third choice. Please note that only three(31 choices will be observed by the Cibf Clerk's Office.(Regular Boards of City) Affordable Housing Advisory Committee Housing Authority Art in Public Places Committee Loan Review Committee Beautification Committee Marine Authority Board of Adjustment* Miami Beach Commission for Women Budget Advisory Committee Miami Beach Cultural Arts Council Capital Improvements Projects Oversight Committee Miami Beach Human Rights Committee Committee for Quality Education in MB Miami Beach Sister Cities Program Committee on the Homeless Normandy Shores Local Gov't Neigh.Improvement Community Development Advisory Parks and Recreation Facilities Board Community Relations Board '�! Personnel Board Convention Center Advisory Board Planning Board* Debarment Committee Police Citizens Relations Committee Design Review Board* Production Industry Council Disability Access Committee Safety Committee Fine Arts Board Single Family Residential Review Panel Gay,Lesbian,Bisexual and Transgender(GLBT) Sustainability Committee Golf Advisory Committee Transportation and Parking Committee Health Advisory Committee Visitor and Convention Authority Health Facilities Authority Board Waterfront Protection Committee Hispanic Affairs Committee e;; Youth Center Advisory Board Historic Preservation Board 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: No Years of Service: 2. Present participation in Youth Center activities by your children No if yes,please list the names of your children,their ages,and which programs. List below: Child's name:Catherine Davis Age:17 Program:Ice Skating&Swimming Child's name: Age: Program: •Have you ever been convicted of a felony: No If yes,please explain in detail: •Do you currently have a violation(s)of City of Miami Beach codes: No If yes,please explain in detail: •Do you currently owe the City of Money Beach any money: No If yes, please explain in detail: e Are you currently serving on any City Boards or Committees: Yes If yes,which board? Community Relations Board •What organizations in the City of Miami Beach-do you currently hold membership in? Name: Alton Road HOA Title: Secretary Name: Miami Beach High PTSA Title: President •List all properties owned or have an interest in,which are located within the City of Miami Beach: 5965 Alton Road e I am now employed by the city of Miami Beach: No Which department? •Pursuant to City code Section 2-25(b):do you have a relative 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: Female Ethnic Orgin:Check one only(1) White Physically Challenged: No Employment Status: Employed 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: • Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459). • Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). • Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami Beach Code section 2-26). • 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." I Laurie Kaye Davis agreed to the following terms on 5/9/2012 :27:01 PM WeVi I CLO I b. Received in the City Clerk's Office by: Date: / /2012 Control No. Date: / /2012 Name of Deputy Clerk LAURIE KAYE DAVIS 5965 Alton Road Miami Beach, Florida 33140 Phone: (305) 868 -8724 Email: LKayeDavis@aol.com QUALIFICATIONS Over twenty years of successful business experience in a wide spectrum of industries. Outstanding communication, analytical, administrative and organizational skills Managed or directed: • Development department for a non -profit with a budget exceeding $5 million and mentor program for a non -profit with a budget over $7 million • Retail department with sales exceeding $1.5 million • Sales /leasing program for $25 million mall renovation • Sales, operations, and personnel management for an executive suite business. WORK HISTORY 1999 - Present 11(D Consu/dngGroup Provide consulting and business support to a wide variety of organizations including a not- for -profit child care center, Montessori school, start -up children's clothing manufacturer and a not - for -profit academic achievement program. Current project required orchestrating all elements of a mentor program from concept to design to selection, assessment, matching and orientations of mentors and mentees. 1993 - 1999 Executive Recruiter, The Farwell Group Responsible for the client development, recruitment and placement program for marketing and administrative positions for a recruiting firm with billings exceeding $1 million. Conducted all interviewing, qualifying and background checking of potential candidates for our client companies 1992 -1993 Director of Development, Children's Home Society Volunteer role led to permanent position directing the fundraising activities for a large social service agency providing temporary shelter for abused, abandoned and neglected children. Devised and administered fundraising strategies, major donor events and annual appeal campaigns with a staff of four. 1989 -1992 Center Manager/Director of Retail Leasing The Adler Group In charge of several different projects for a commercial real estate developer. Initially established a retail leasing division with leasing and management responsibility for two 100,000 square foot strip shopping centers. Later set up the leasing and operations for an executive suite business, increasing occupancy from 36% to 90% within nine months. 1988 -1989 Marketing Agent, Balcor Development Company (Division of American Express Corporation) Brought on board for a temporary position through grand opening of a 650,000 square foot mall renovation project. Successfully marketed the Mall bringing occupancy from 65% to 95 %. LAURIE KAYE DAVIS Page 2 1984 Buyer; Cedars Medical Center Administered the buying program for infant wear, children's wear and toys for the gift shop of a 700 bed hospital. Responsible for a spending budget of $30,000. 1982 - 1984 Sales and Purchasing, Flesta Farms Managed sales and operations for a cut flower importer with sales grossing $2 million. 1979 - 1982 Department Manager, Federated Department Stores Began as a college intern in Area Research in Cincinnati and after graduating went to Burdines of Florida as the Assistant Buyer for Men's Sportswear. Promoted to Department Manager in the largest department store in the USA. Responsible for the sales and merchandising program and a sales staff of seventeen. EDUCATION 1977 -1980 BSBA, High Honors — University of Florida COMMUNITY SERVICE Miami Children's Museum Advisory Committee Member Since 2003 Miami Children's Hospital Hugs & Kisses Committee Member Since 2000 St. John's Child Care Center Board Chair 1997 -2003 St. John's United Methodist Church Staff /Parish Relations Committee Chair 1995- 1999 The Daily Bread Food Bank Advisory Board Member Since 1992. Guardian Ad Litem Volunteer Services Since 1991 Children's Home Society Infant Center Volunteer 1988 -1992 MIAMfDADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name /Initial Last Name Disdosure For Tax Year Name: & Y--a t otV t S Ending: Mailing Address: S 'kC.S pq-lip — f-c.7& City/State/Zip: iV iC ' D -ecc L(., FL 3 3 1 `E Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: C k M ", x i yLdc 4i ^ s 6 act r Board where serving: g , Q 2� ( Term or Employment Began on: Department where employed: Work Address: If your home address is exempt from public records pursuant to 3 ° 5 - 'Act �� Florida Statutes § 119.07 please check here (read instructions): ® Work Telephone: Home Address: S 1-6S 1 '0 r �cx Street Address "Uc.v ( Q ccs 33 l 4 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 induding 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 disdosed. If continued on a separate sheet, check here: Description of the Principal Name of Source of Income Address Business Activity c.c.s r ✓ -� 1 tit J C Gt"-y P rof e c f d por4r, (� r { r rt. I hereby swear (or affirm) that the aforesaid information is a true and correct statement. titiwCe Signature of person disdosing Date signed