Zachary Cohen 12/31/2013 - ' -
City of Miami Beach, l700 Convention Center Drive,Miami Beach, Florida u3l39,
OFFICE[F THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305)673-7411, Fax: (305> 6737254
O8-24-2O12
Zachary Cohen
133O West Ave. Apt. 1712
Miami Beach, Florida 3313Q
Community Development Advisory Committee
Congratulations! You have been appointed b« Commissioner Michael G6ngomm
to the agency, board or committee named above for a term ending: 12/31/2013^
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 ot3O5-873-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
8inoena|y'
/--);::9
Rafael E. Grenado
City Clerk
cc: Saul Frances, Parking Director
�
Brian Gillis
ATTACHMENTS:
| Letter of Appointment
Oath
City Code/Ordinance section applicable to agency, board or committee
City Coda Section 2'22, 2'23' 2'24, 2'25' 2'20. 2-458 and 2-458
�
Ordinance No. 2000'3543'Amendment to City Code Section 2'22
Miami-Dade County Code Section 2-11.1 -Conflict of|nbyraat and Code of Ethics Ordinance
City Wide Permit Application ' (Parking Deportment Form)
Booklet'Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee
We one committed to providing excellent public service and safety to o8 who live, work and play in our w6mn^ tropical, historic community.
J
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO: Zachary Cohen
RE: Community Development Advisory 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 12/31/2013.
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 the closing of the calendar year on which I have
served.
Zachary Cohen
Sworn to and subscribed before me this/ day of , 2012.
C?
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 Requirement.
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community..
I'IF
MIAMI BEACH CITY OF MIAMI BEAL'F,3",
EB.OAIRD AND COMMITTEE APPLICATION FIMI
NAME: Cohen Zachary A
Last Name First Name Middle Initial
HOME ADDRESS: 1712 1330 West Avenue Miami Beach FL 33139
Apt No. Home No./Street City State Zip Code
PHONE: 3054675628 3056628515 zcohenll@hotmaii.com
Home Work Fax Email Address
Business Name: IPD Analytics Position: Director
Address: 300 1170 Kane Concourse Bay Harbor Islands FL 33153
No. Street City State Zip Code
Professsional License(describe): Attorney Expires: AUach a-_?ooy nh_jh_t_,225f�
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: No
•Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
•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(3)
choices will be observed by the City 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
[1] Community Development Advisory Parks and Recreation Facilities Board
Community Relations Board Personnel Board
Convention Center Advisory Board Planning Board*
[2] 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
[3] Golf Advisory Committee Transportation and Parking Committee
Health Advisory Committee Visitor and Convention Authority
Health Facilities Authority Board Waterfront Protection Committee
Hispanic Affairs Committee Youth Center Advisory Board
Historic Preservation Board I
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: Age: Program:
Child's name: Age: Program:
1
• 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:
•Are you currently serving on any City Boards or Committees: 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 have an interest in,which are located within the City of Miami Beach:
• 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: Male
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:
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 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."
Zachary Cohen agreed to the following terms on 8/8/2012 4:02:23 PM
�? R
Received in the City Clerk's Office by: Date: / /20 2 Control No� Date: / /2 12
ti
Name of Deputy Clerk
Zachary .A. Cohen
1330 West Avenue•Miami Beach,FL 33139•Apt:2309
zcohenl lLwhotunail.com.•(305)467-5628
EXPERIENCE
IPD ANALTYICS LLC,Bay Harbor Islands,FL March 2008—Present
Director
• Managed client services for industry leading technology and healthcare consulting firm in the business of analyzing
significant developnients.in intellectual property and commercial litigation disputes for clients
Supervised and, directed team of healthcare analysts establishing prominent track record of accurately forecasting
litigation/]?outcomes;providing unique value to clients as outcomes affected market value of publicly traded companies.
• Negotiated contracts with prospective and existing clients,which involved drafting and executing agreements with multi-
national clients including HMOs,PBMs,investment banks,hedge/mutual finds,and pharmaceutical companies
• Introduced ground breaking new website-based products and services; including valuable website database tools like
Life Cycle and Biologic Forecasts
• Established successful business development and cross-marketing campaign for firm to significantly expand annual
revenues and profit over the past four years,despite recent volatility on wall street and cut backs on main street accounts
LAW OFFICES OF STEVEN ZIEGLER,P.A.,Hollywood,FL August 2004—March 2008
Attorney
• Member of boutique healthcare litigation firm practicing in areas of commercial litigation and managed care defense
• Drafted and amended.group employee benefit plan contracts for national managed care organizations such as Blue Cross
Blue Shield,United Healthcare,and Aetna Healthcare
•
Secured favorable su nmary judgment decisions in both state and federal-court in defense of national healthcare clients
• Litigated favorable outcomes for clients in conunercial arbitration matters and creatively resolved cases in mediation
• Advanced from junior associate to entrusted senior associate to manage multiple complex commercial disputes for firm
UNITED STATES DISTRICT COURT,SOUTHERN DISTRICT,Miami,FL Fall 2003
Judicial Clerk/Intern to Federal Judge Jose Martinez
• Worked collaboratively with Judge and Federal Clerks in team-oriented environment to prepare for multiple bench and
jury trials
• Extensively researched criminal and civil legal issues for Judge;legal research was incorporated.into federal precedent
MORGAN STANLEY Washington D.C. Summer 2001,2000,1999
Summer Associate
•
Analyzed publicly traded companies and developed financial models to support team of senior financial advisors
• Conducted extensive business development functions to generate qualified lead and referral database in order to expand
client pipelines,domestically and internationally
• Supported Vice President in administration/opening of successful satellite Morgan Stanley office in Potomac;Maryland
EDUCATION
THE UNIVERSITY OF MIAMI SCHOOL OF LAW,Coral Gables,FL August 2001—May 2004
• Juris Doctor,Cum Laude
• Academic Honors:International&Comparative Law Review;Moot Court Board,Kurt Marmar Scholarship Recipient
Student Honor Council,Dean's List
BUCKNELL UNIVERSITY;Lewisburg,PA August 1997—May 2001
• Major:Business-Minor:Theology,Cum Laude
• Academic Honors: Warren Weber Academic Scholarship Recipient, Alpha Lambda Delta Honor Society, Community
Judicial Board,Dean's List
UNIVERSITY COLLEGE-LONDON,UK-International Lmv Program May 2002—August 2002
UNIVERSITY OF MELBOURNE,AU-Business Sturdy Abroad Program July 1999—November 1999
Admitted
• Florida Bar,2004;Washington DC Bar,2006;U.S.District Court,Middle and Southern District,2006
Other Interests
• Volunteering,Florida Voting Rights Attorney in National Election;Put Something Back Pro Bono Litigator
• Committee Member,Big Brother,Big Sister's Scholarship Program
• Athletics,Season Premiere Winner of Fear Factor on NBC,Featured Athlete,Race to Cure Blindness Foundation
M 1AM I BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK Office CifyClerkC m i arnibeochf1.9ov
Tel: 305.673.741 1 , 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.)
zBoard Member name: Ate y eo &Q
I 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 Con vention
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 fife, 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
$5000.00 or by imprisonment in the county Jail for a period not to exceed sixty
days, or.both.
Signs e: Date:
r
M I A M I•DADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name Initial Last Name
Disclosure
For Tax Year
Name: C� Ending:
Mailing Address: 3 CD , AD "1
City/State/Zip: J�.q
Social Security Number: —
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
C�2c�uv)±-j\ v oaf,J C�,,Mvv\-A e-e
Board where serving: Term or Employment
Began on:
Department where employed:
Work Address: 'nC, CCU �� y`ate 300 VL �sI
If your home address is exempt from public records pursuant to 3 _
Florida Statutes§119.07 please check here(read instructions): ® Work Telephone:
5&2,2-
Home Address: �-L`55<3 �Qe-SA- j \ye,,\y �A :
Street Address
M- - ?
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
1 -40 3oa D re ClIZ4. 6.)4 v °r
1'sl-,,,A s 'FL 3315'
I hereby swear(or affirm)that the aforesaid information is a true and correct statement.
Signa re of person'disclosing D to signed
I l