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Heriberto S. Sosa Application and Resume 1F NUAIVII BEACH /mIA/M CITY 0 lBEACH BOARD AND COMMITTEE APPLICATION FORM _50? Last Name First N me -3 Home Address City Z' Code Zj _2 Home Telephone Work Telephone Cellular Telephdne Email address Position: Business Name Business Address 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 for a minimum of six months. ID * Resident of Miami Beach for a minimum of six (6) months: Yes or No * Demonstrate an ownership/interest in a busines_5in Miami Beach for a minimum of six months: Yes or No • Are you a registered voter in Miami Beach: Yec/LX I or No I am now a resident of: North Beach ED South Beach X Middle Beach ED • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: • 0 z Are you presently a registered lobbyist with the City of Miami Beach?Yes or NoVA' 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 ❑ Fine Arts Board ❑ Normandy Shores Local Government Neighborhood Improvement ❑Art in Public Places Committee ❑ Gay, Lesbian, Bisexual and Transgender ❑ Parks and Recreation Facilities Board Enhancement Commiftee(GLBT) ❑Beautification Committee ❑Golf Advisory Committee ❑ Personnel Board ❑Board of Adjustment* * ❑ Health Advisory Committee ❑ Planning Board** ❑Budget Advisory Committee ❑ Health Facilities Authority Board ❑ Police Citizens Relations Committee ❑Capital Improvements Projects ❑Hispanic Affairs Committee ❑ Production Industry Council Oversight Committee 11 . ❑Committee on the Homeless Y-ldistoric Preservation Board ❑Safety Committee ❑Committee for Quality Education in MB ❑ Housing Authority ❑ Single F mily Residential Review Panel ❑Community Development Advisory ❑Loan Review Committee ❑Sustainability Committee ❑Community Relations Board ❑ Marine Authority ❑Tennis Advisory Committee _EJ Convention Center Advisory Board ❑ Miami Beach Commission for Women ❑Transportation and Parking Committee ❑ Debarment Committee ❑ Miami Beach Cultural Arts Council ❑Visitor and Convention Authority El Design Review Board* ❑ Miami Beach Human Rights Committee ❑Youth Center Advisory Board ❑ Disability Access Committee ❑ Miami Beach Sister Cities Program ❑Waterfront Protection Committee Board Required to File State Disclosure Form If you seek appointment to a professional seat(e.g-., lawyer, architect)on the Board of Adjustment, Design Review Board, Historic Preservation Board, or Planning Board,attach a copy of your currently-effectively license, and furnish the following information: Type of Professional License License Number �cj License Issuance Date and License Expiration Date !3 J.3U 6 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAG90-c Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Adviso bard:Yes No Years of Service: 2. Present participation in Youth Cente ctivities by your children Yes No U. If yes, please list the names of your children, their ages and which programs. Lis low: Child's name: Age: Program: Child's name: Age: Program: *Have you ever been convicted of a felony:Yes La or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:Yes or No I yes, please explain in detail: • Do you currently owe the City of Miami Beach any money:Yes or No I yes, explain in detail •Are you cur nj servin on y Ci y Boa p�> mi ter es N yes;�i bard? A� •What organizations in the City of Miami Beach do you currently hold membership in? Name Title Name J )�1 C �a Title •--17�11AZ15) • List all properties o�ned or have an interest in,which are located within the City of Miami Beach: -� C) -V L �• I am now employed by the City of Miami Beach:Yes U or No .Which department? • Pursuant to City Code Section 2-25(b): Do you have a parent[.D spouse , child broth r , or sister 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. Ethnic Origin: Check one onl 1) Gender: Male Female White (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe, North Africa or the Middle East. f�77 African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa. ULispanic: 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,or 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 recognition. Physically Challenged: Yes or No Z] Employment Status: Employed Retired Homemaker Other Please remember to attach a current resume and a copy of,any applicable professional license. Attach additional sheets, if necessary, to provide required information. F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc NOTE: IF APPOINTED,YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT 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 City Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). • 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 I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII — OF THE CITY CODE "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND A CY MEMBERS." ,Krte `J � V Applicant's nat a Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by Name of Deputy Clerk Control No. Date F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc c N1 AM1 BE City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfi.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 305.673.7411 Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Members for failure to comply with Miami-Dade County FinanciQi Disiclosure Code Provision Code Section 2-11.1(i) (2) Board Member's Name: 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 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. Signature It ate F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEESTC Application NEWLY REVISED NEW LANGUAGE.doc 1 •l HERB S0SA ._,..11.,.., 831 9th Street, Miami Beach, Florida 33139 786.271.6982 herb @herbsosa.com - I A proven track record in verbal & written communications and excellent public relations and cause marketing successes Community activist, Miami historian, preservationist and freelance writer, Herb Soso is a founding member of, and currently serves as President of UNITY COALITION I COALICION UNIDA, the leading non-profit 501(c)3 Latino I Hispanic gay civil-rights nonprofit initiative, offering leadership on issues that concern Latino I Hispanic LGBT (lesbian, gay, bisexual, transg_ender) and other minority groups across the U.S. since 2002 and most recently, producers of the Celebrate ORGULLO Festival in Miami Beach. Soso is also Publisher I Editor-In-chief of AMBIENTE Magazine, AMBIENTE Magazine is the first & only LGBT publication offered in English, Spanish & Portuguese, produced bi-monthly, offered free of charge, and distributed digitally around the globe to thousands of its readers. Mr. Soso brings over 20 years of corporate and not-for-profit leadership experience in the community. Previously, Mr. Soso was Corporate Creative Director for Burdines Dept. stores, was Executive Director of Miami Design Preservation League and the Art Deco Weekend Festival in Miami Beach. In 1995 Mr. Soso created and developed the Ba-Balu Store concept in Miami & Miami Beach, earning the store the unique distinction of being named one of Conde W ast Traveler Magazines top 100 destinations in the world in 1996. Mr. Soso has receive various career and personal accolades from his peers, including the Up and Comers Business Leaders Award (1996), City of Miami Beach Herb Soso Day proclamation (1997), and featured in Cafe Con Leche, a documentary on first- generation Cuban-Americans (1996). Soso served as chairman of Miami Beach's Historic Preservation Board for over six years, and has served on the Board of Directors of the Miami Design Preservation League, Miami Beach Community Development Corp., Shelbourne & Fernwood HIV/AIDS Housing, and variety of other organizations throughout South Florida. While president of Dade Heritage Trust, Soso was honored to be involved in the restoration and re-lighting of the 1925 Cape Florida lighthouse in Key Biscayne, culminating with a Gala Re-Lighting Ceremony in July 1996, capping Miami's Centennial Celebration. In January 2004, Herb Soso was named one of Tentaci6nes Magazines Top Ten Latina/o activists in the U.S. and in 2005 was named one of OUT magazines Top 100 LGBT Activists and featured on LOGO TV. On April 2008 Soso was named Terra.com's Activist of the Month. In 2009 Soso received a City Proclamation from Miami Beach - Herb Soso Day - for his community work, was nominated for a Glaad Media Award in 2009 for Outstanding Digital Journalism for his work in Ambiente Magazine and was named one of the 25 Most Influential GLBT Latinos in the U.S. by miapogeo.com. On December 1, 2009 - World AIDS Day- U.S. Congresswoman Ileana Ros-Lehtinen recognizes Herb Soso personally for his work in the community, along with that of Unity Coalition and Ambiente Magazine, as she addressed the U.S. House of Representatives. Currently Soso is once again serving as chairman of the City of Miami Beach's Historic Preservation Design Review Board and in May 201]was named one of 5 "People To Know" in Miami Beach by the Miami Herald. HERB SOSA 831 9th Street, Miami Beach, Florida 33139 786.271.6982 herb @herbsosa.com Service Currently 2010-City of Miami Beach Historic Preservation Board: Chairman 2002- Unity Coalition I Coalici6n Unida, President/Director 1994- Dade Heritage Trust Board of Advisors 2007-Gay American Heroes Foundation Advisory Board 2004-2006 National Latino LGBT Leadership-Unid @s/Sigamos Adelante: National co-chair Belle Meade Home Owners Association: Historic Preservation Advisor 2001 -2004 Miami Acci6n Positiva: Board of Directors LLEG& National Latino Exec. Director's Roundtable GMCVB: Board of Directors& Historic Preservation Advisory Committee Design &Architecture Month/Biennal 2001: Miami-Dade Chairman Urban Environment League, Board of Directors 1994-2002 City of Miami Beach Historic Preservation Board: Vice Chair, Chairman Dade Heritage Trust: President, and Board of Trustees Shelbourne House:Treasurer, Vice President 1987-1995 Miami Design Preservation League: Board of Directors, Design Chairman, Tour Guide, Product Design & Development 1980-1982 Interact Service Honors Club, Jr. Rotary Club-Miami Senior High School Recognitions 2009 Herb Sosa Day-City of Miami Beach Proclamation for community work- January 28th Nominated for a Glaad Media Award for Outstanding Digital Journalism-Spanish media 25 Most Influential GLBT Latinos in the U.S. by miapogeo.com 2008 Activist of the Month-Terra.com 2006 Named to Orgulloboriqua.net's-Orgullo Del Momento, Pride of the Moment Award 2006 Herb Sosa named one of OUT Magazines Top 100 activists in the U.S. 2006 Featured in LOGO TV's documentary on Top 100 activists in the U.S. 2005 National co-chair of Sigamos Adelante/Unid @s-Nat'l. LGBT advocacy organization 2005 Was invited to write the Forward Message for the National Gay and Lesbian Task Force's Hispanic and Latino Same-Sex Households in Florida: A Report from the 2000 Census 2004 Herb Sosa named one of Tentaci6nes Magazines Top 10 Latino activists in the U.S. 1997 City of Miami Beach Commission Proclamation, June 20th- Herb Sosa Day 1997 Chivas Regal Entrepreneur Award 1996 Caf6 con Leche PBS Documentary, first-generation Cuban-Americans 1996 Up and Comers Business Leaders Award 1992 Miami Design Preservation League, Award of Recognition 1986 Metro-Dade Co. Parks Dept. Award, Amelia Earhardt Park Visitors Center Design 1982 Silver Knight Nominee, Art-Miami Senior High School Burger King Foundation College Scholarship for Art Studies Fluent in English and Spanish i HERB SOSA 831 9th Street, Miami Beach, Florida 33139 786.271.6982 herb @herbsosa.com Experience Editor-In-chief, Ambiente E-Magazine AMBIENTE Magazine is the first & only LGBT publication offered in English, Spanish 8 Portuguese, produced bi-monthly, offered free of charge, and distributed digitally around the globe to over 30,000 loyal readers monthly, with a direct market of Florida, the Caribbean & Latin America www.ambiente.us Herb Sosa Design A full service image, public relations and web design service, with an impressive list of local, national and international clients www.herbsosa.com freelance writer Published locally & nationally in House King Magazine, Revista House King, Preservation Today, Ambiente, SunPost, Miami Herald, Miamigo,Tentaciones &various other publications 2000-2003 Executive Director, Miami Design Preservation League& Art Deco Weekend® Non profit historic preservation organization,with over 600 members and year round educational programs, the Art Deco Museum, the Art Deco Welcome Center, Art Deco Weekend with over 500,000 visitors to Miami Beach each year, and dedicated to protecting Miami Beach's seven historic districts and their architectural legacy www.mdpl.org Responsible for 12 employees, 300 volunteers and a combined annual budget of$1,450,000 1995-2000 Owner, Babalu A gift and memorabilia boutique for everything Cuban-With stores in Miami Beach, Bayside and on the web, Babalu was named one of Conde W ast Traveler Magazines top 100 destinations in the world in 1996 and featured on various movies, TV and news shows. Organizer, Espanola Way Artist Market Created and managed the weekly Espanola Way Artist Market, including over 50 artists & vendors weekly, entertainment scheduling and street improvements 1992-1995 Owner, Beach Image Group Image development for small businesses including promotion, product design, advertising and graphic services - Clients included The Govt. of Mexico, Commissioner Nancy Liebman, Lario's Restaurant, and Goodbodies Shop 1990-1992 Creative Director,Visual Presentation Products A multi level design and manufacturing ,firm in Florida. Organizational and personnel responsibilities of corporate retail design, product development and quality control of local national and international manufacturing, supervising staff of over 80 in Florida with clients as Lerner New York,The Limited, Bloomingdale's, Henri Bendel, and Burdines 1982-1990 Creative Director,Store Planning &Visual Merchandising, Burdines Dept. Stores Oversaw for the corporate image and development of 42 department stores across Florida &developed special projects for Federated Dept. Stores Corporate affiliates across the U.S. Responsibilities included seasonal themes & development, new store concepts, fixture, shop concept, mannequin design, and overall corporate image. Supervised 250+ employees, and a 2.4 million annual budget.