Loading...
Joyce Galbut 12/31/2012 ® Nit 1 A TE A� City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.aov 4FFRrI-C-- G,'q 4b0 OFFICE OF THE CITY CLERK, Rob9441c cher, City Clerk Tel: (305)673-7411, Fax: (305) 673-7254 06-04-2012 Joyce Galbut 10661 NE Quaybridge Ct Miami, Florida 33138 UBJ i Production Industry Council Congratulations! You have been appointed by Mayor Matti Herrera Bower 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 1, 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, Rafael E. Granado City Clerk ,­cc: Saul Frances, Parking Director Graham Winick 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. MIAMI EACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.cov OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk Tel: (3051673-741 1 , Fax: (3051 673-7254 Email: CityClerk @miamibecchfl.gov TO: Joyce Galbut SUBJECT: Production Industry Council 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. 1 have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Code of Ethics Ordinance), as well as the Florida 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* requirements of Miami-Dade County or the State of Florida (depending on the board or committee on which I serve) on July 1, following losing of the calendar year on which I have served. Joyce Galbut Sworn to and subscribed before me this 7`h day of June 201 Silvia Prieto 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 Requirement. board & (}ommlttee L Uity of Me Beach • Page 1.of 3 BOARD AND COMMITTEE APPLICATION FORM �—^ Name First Name UOyee Middle Initial Last Name Home Address I Apt No. House #\Street 1Q(,�� �, Quagj0rLdgv. 4. city Miami asacb State Florida Zip Code 33 15,3 Contact Information Home/Cell 305% 778-/600 Work 305- 991-/997 Fax _30OS- 9'19-OVtO or 305-$91-194-1 E-mail Address o70t/91t46v C Qol rein Business Information Business Name �L� - /4&,4c-f9 r)f rwpelG Position Ch m It Ah AU"79 O#.,c eI- Business Address Apt No. House #\Street /000 Al P, &g ;-C,o41 oWAe� City /l),Miami Beach State Florida Ma.- 'eyle Dr l"4 rP ,�P4 Zip Code 331�:,a- Aw ex,:y SPae-A" r/or.Ge r, Professional License (describe) )et5 fj ` ;;o A.Jtc/-f'e Expires: 3Ufq 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:0 Yes-A No Demonstrate an ownership/interest in.a business in Miami Beach for a minimum of six (6) months:XYesO No Are you a registered voter in Miami Beach: J Yes 9",No (Please circle one): I am now a resident of:C)North Beach Q South Beach O Middle Beach N. fni&nLG Are you a politically or registered lobbyist with the City of Miami Beach Yes O No I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: J �r r P�'rP 8nCld �E% ,YG nQ nc�' A ti fPcJ(�/�e2 blLJi/]PS�tS ra-14e 44,W 6ee,7 Ctdflv4lt ein /�2aBrr �e•��e�F-Ll7�M[�er/1� Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choic6 Please note that only three (3)choices will be observed by the City Clerk's Office. (Regular Boards of City) Click here to view all available Boards and Committees. i I http://secure.miamibeachfl.gov/bcapp/bcapplication.aspx?Application1D=3804 5/30/2012 oar d & Committee City of M. i Beach Page 2 of 3 Affordable Housing Advisory Committee Loan Review Committee Art in Public Places Committee Marine Authority Beautification Committee Miami Beach Commission for Women Board of Adjustment* Miami Beach Cultural Arts Council Budget Advisory Committee Miami Beach Human Rights Committee Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program Committee for Quality Education in MB Normandy Shores Local Gov't Neigh. Improvement Committee on the Homeless Parks and Recreation Facilities Board Community Development Advisory Personnel Board Community Relations Board Planning Board* Convention Center Advisory Board Police Citizens Relations Committee Debarment Committee x Production Industry Council Design Review Board* Safety Committee Disability Access Committee Single Family Residential Review Panel Fine Arts Board Sustainability Committee Gay, Lesbian, Bisexual and Transgender(GLBT) Transportation and Parking Committee Golf Advisory Committee Visitor and Convention Authority Health Advisory Committee Waterfront Protection Committee Health Facilities Authority Board Youth Center Advisory Board Hispanic Affairs Committee Historic Preservation Board Housing Authority Note:If applying for Youth Advisory Board,please indicate your affiliation with the Scott Rakow Youth Center: I 1. Past service on the Youth Center Advisory Board: OYes G No Years of Service: i 2. Present participation in Youth Center activities by your children O Yes O No I 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: i Have you ever been convicted of a felony: OYes ONo If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach codes: OYes O No If yes, please explain in detail: Do you currently owe the City of Miami Beach any money: OYes ONo If yes,explain in detail Are you currently serving on any City Boards or Committees: OYes ONo If yes,explain in detail 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: j I am now employed by the City of Miami'Beach: Oyes ONo Which department? http://secure.miamibeachfi.gov/beapp/bcapplication.aspx?ApplicationID=3804 5/30/2012 o t. Galbut 1 JOYCE GALBUT, R.N., B.H.S.A. 10661 N.E. Quaybridge Court (305) 891-1997 Home Miami,Florida 33138 (305) 778-1600 Cell PROFESSIONAL WORK EXPERIENCE 02/07—Present Chief Nursing Officer for 8 facilities in Dade County The Plaza Health Network/Hebrew Homes Network Corporate Office 1800 N.E. 168th Street North Miami, Florida 04/06-2008 Director of the Department of Community Health Mercy Hospital and Medical Center 3661 South Miami Avenue Miami,Florida 04/06—02/07 Nursing Consultant/Hebrew Homes Health Network Corporate Office 1800 N.E. 168th Street North Miami, Florida 04/03—04/06 Chief Nursing Officer/Admin. E.R. Dept. South Shore Hospital 600 Alton Road Miami Beach, Florida 07/02—04/06 Chief Nursing Officer/Admin. E.R. Dept./U.F.A. AIDS South Shore Hospital 600 Alton Road Miami Beach, Florida 11/97—07/02 Administrator/U.F.A. AIDS/Prime Home Health U.F.A. AIDS South Shore Hospital 600 Alton Road Miami Beach, Florida 09/94—07/97 Administrator/Prime Home Health Agency South Shore Hospital and Medical Center 600 Alton Road Miami Beach, Florida 1999—2006 Administrator/Nurse Liaison and Consultant Plaza North Skilled Nursing Facilities 320 Collins Avenue Miami Beach,Florida Galbut 2 1992-2001 Administrator/Nurse Liaison and Consultant Palms Skilled Nursing Facilities 999 Washington Avenue Miami Beach, Florida 09/94—12/02 Administrator The Plaza.South Assisted Living Facilities for Seniors 1690 Collins Avenue Miami Beach, Florida 05/86—09/94 Administrator The Plaza South Assisted Living Facilities for Seniors 03/84—05/94 Administrator Regency Home Health Agency 333 Arthur Godfrey Road Miami Beach, Florida 1981 - 1987 Intensive Care Nurse/Open Heart Saint Francis Hospital 6300 Alton Road Miami Beach, Florida 1979-1981 Licensed Real Estate Agent Francesco Morella Realty—Miami Beach 1000 Arthur Godfrey Road Miami Beach, Florida 1977- 1979 Staff Nurse/Recovery Room Mercy Hospital and Medical Center 3663 South Miami Avenue Miami, Florida 1976- 1977 Nurse Patient Coordinator Care Plus Home Health Agency 4500 Biscayne Blvd. Miami, Florida 1974- 1976 Charge Nurse and Intensive Care Unit Nurse Mount Sinai Hospital and Medical Center 4300 Alton Road Miami Beach, Florida 1972- 1974 Licensed Practical Nurse—Staff Nurse Mount Sinai Hospital and Medical Center 4300 Alton Road Miami Beach, Florida Galbut 3 PROFESSIONAL ORGANIZATIONS/ACTIVITIES 2010—Present Board Member Safety Board (City of Miami Beach) 1700 Convention Drive City Hall Building Miami Beach, Florida 2007—Present Board Member(representing Commissioner Bruno Barreiro) Miami-Dade County Community Action Agency 701 NW 1St CT, IOt"Floor Miami, Florida 1990—2008 Member Miami Beach Chamber of Commerce Chamber of Commerce Building Miami Beach,Florida 2006—2008 Board Member 1997—2002 health Advisory Board (City of Miami Beach) 1700 Convention Drive City Hall Building Miami Beach, Florida 2000—Present Board Member The University of Miami Center-on-Aging Mental Health Hospital at Jackson Memorial Hospital Campus Miami, Florida 1986—1988 Member/Childrens' Resource Center 8571 S.W. 112'h Street Miami, Florida 07/1995—04/2003 Co-Executive Director-The United Foundation for AIDS South Shore Hospital and Medical Center Miami Beach, Florida COMMUNITY ACTIVITIES 2001 —2003 Volunteer Mayor's Initiative for Children 1996—04/2003 Volunteer KIDZCARE Galbut 4 EDUCATION AND TRAINING (See documentation for partial listings) WORKSHOPS/SEMINARS=CEU's 1974—2007 Required credits for nursing license (680) hours of training including: 2010 FADONA(Florida Association Directors of Nursing Administration) Contact Hours= 24 CEU's 2010 Western Schools Contact Hours= 12 CEU's (various aspects of nursing areas) 2010 FHCA (Florida Health Care Association) Contact Hours= 15 CEU's 2009 FADONA(Florida Association Directors of Nursing Administration) Carrying the Torch of Leadership 2009 Contact Hours=40 CEU's 2008 FHCA Clinical Updates St. Petersburg, Florida Contact Hours =40 CEU's 2007 AHCA In-service for Quality Improvement Survey Process for January 2008 in Skilled Nursing Facilities(St. Petersburg, Florida) Contact Hours=40 CEU's 2005/2006 Western Schools Contact Hours=40 CEU's per year (various aspects of nursing areas) 2004 Western Schools Ambulatory Surgical Care Contact Hours=40 CEU's 2002 National Care of Continuing Education, Inc. Psychiatric Emergencies and Nursing Action Contact Hours= 12 CEU's 2002 National Center of Continuing Education, Inc. Drugs of Abuse Contact Hours= 10 CEU's 2001 Nursing Unlimited, Inc. AIDS-OSHA-TB= Contact Hours =4 CEU's Domestic Violence=Contact Hours= 2 CEU Galbut 5 1998 National Center of Continuing Education HIV/AIDS in the 90's Contact Hours=20 CEU PROFESSIONAL LICENSES 1986 Administrator License for Assisted Living Facilities State of Florida 1980 License as a Registered Real Estate Agent State of Florida 1974 Registered Nurse License (77177-2) State of Florida and State of Georgia 1972 Licensed Practical Nurse(licensed lapsed when received R.N. degree) State of Florida EDUCATION 2007—Present Barry University Attending Classes Completion Masters in Health Services Administration Miami Shores, Florida 2004—2006 Barry University Miami Shores, Florida (Graduated with Bachelors Degree in Health Services Administration 1972—1974 Miami Dade College Mount Sinai Campus 4300 Alton road Miami Beach, Florida 1970—1972 Miami Dade College Main Campus Hialeah, Florida AWARDS AND HONORS 1987 United Foundation for AIDS Event Humanitarian Award 1989 KIDZCARE Event Humanitarian Award nni�DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name Initial Last Name Disclosure For Tax Year ,D CE S� CONLUT Ending:Name•. .�g: a011 Mailing Address: City/State/Zip: Social Security Number: — Filing as a: ® County Employee: ® Municipal Employee of: C►'1•at �ns��,�., p Position held or sought: y,g���. �cA" Board where serving: ��hw �o(� Cp�NCil Term or Employment Began on: SvNE Qt0 Department where employed: HfgllfQ •Mtn Work Address: 3 o1.D COIi: OM MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov CITY CLERK Office CityClerk @miamibeachfl.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: understand that no later than July L 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. S'gna re:J Date: