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Bryan A. Rosenfeld Application package CITY OF MIAMI BEACH MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Rosenfeld Bryan A Last Name First Name Middle Initial HOME ADDRESS: 5750 Alton Road Miami Beach FL 33140 Apt No. Home No./Street City State Zip Code PHONE: 305-335-6098 rosenfeldb@atianticbb.net Home Work Fax Email Address Business Name: Position: Address: Miami Beach FL Street City State Zip Code 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: Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Two term member of Board of Adjustment •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) Choice 1: Board of Adjustment* Choice 2: Budget Advisory Committee Choice 3: Design Review 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 b our children No if yes, please list the names of your children, their � YY ages, and which programs. List below: • 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: Yes If yes,which board? Board of Adjustment •What organizations in the City of Miami Beach do you currently hold membership in? Q • List all properties owned or ve an* t t in,which are located within the City of Miami each: 5 121 3 3/ r0PNty Principal Residence • I am now employed by the city of Miami Beach: No Which department? Name Department Relationship Type i Lestie Rosenfeld Organizational Development iji F ier 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 Race/Ethnic Categories What is your race?Mark one or more races to indicate what you consider yourself to be. none Other Description: Are you Spanish/Hispanic/Latino? Mark the "No" box if not Spanish/Hispanic/Latino. No Physically Challenged: No 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 Bryan Rosenfeld agreed to the following terms on 12/2/2013 3:34:32 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date II I CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM RosenfeldBryanA NAME: First Name Last Name Middle Initial FL33140 HOME ADDRESS : 5750 Alton RoadMiami Beach Home No./StreetState Apt No.City Zip Code rosenfeldb@atlanticbb.net 305-335-6098 PHONE : WorkEmail Address HomeFax Business Name: Position: Miami BeachFL Address: State CityZip Code Street Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi   months; or b) an individual shall demonstrate ownership/interest Yes No Yes Middle Beach circle one): I am now a resident of:  Two term member of Board of Adjustment No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1:Board of Adjustment* Choice 2:Budget Advisory Committee Choice 3: Design Review Board* Note : If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: No Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: No Have you ever been convicted of a felony:If yes, please explain in detail: No Do you currently have a violation(s) of City of Miami Beach codeIf yes, please explain in detail: No Do you currently owe the City of Money Beach any money:If yes, please explain in detail: Yes Are you currently serving on any City Boards or Committees:If yes, which board? Board of Adjustment What organizations in the City of Miami Beach do you currently h List all properties owned or have an interest in, which are loca Property Principal Residence No Have you ever been convicted of a felony:If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach code No If yes, please explain in detail: No Do you currently owe the City of Money Beach any money:If yes, please explain in detail: Yes Are you currently serving on any City Boards or Committees:If yes, which board? BOA What organizations in the City of Miami Beach do you currently h Name:Title: Name:Title: List all properties owned or have an interest in, which are loca Principal Residence 5750 Alton Road No I am now employed by the city of Miami Beach:Which department? Pursuant to City code Section 2-25(b): do you have a spouse who is employed by the City of Miami Beach? Check all that apply. Identify the departme ODBPI The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:Male Ethnic Orgin: Check one only (1) Hispanic No Physically Challenged: Employed Employment Status: NOTEIf appointed, you will be required to follow certain laws which :   These laws include, but are not limited to, the following: Prohibition from directly or indirectly lobbying city personnel o Prohibition from contracting with the city (Miami-Dade County Co o Prohibition from lobbying before board/committee you have served o Beach Code section 2-26). Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I Bryan Rosenfeld agreed to the following terms on 12/10/2012 12 Received in the City Clerk's Office by:Date: / /2013Control No.Date: / /2013 Name of Deputy Clerk No I am now employed by the city of Miami Beach:Which department? NameDepartmentRelationship Type Leslie RosenfeldOrganizational DevelopmentBrother The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:Female Race/Ethnic Categories none What is your race? Mark one or more races to indicate what you consider yourself t Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No No Physically Challenged: NOTE:  If appointed, you will be required to follow certain laws which These laws include, but are not limited to, the following:    Prohibition from directly or indirectly lobbying city personnel o    Prohibition from contracting with the city (Miami-Dade County Co o    Prohibition from lobbying before board/committee you have served o Beach Code section 2-26).    Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I Bryan Rosenfeld agreed to the following terms on 12/2/2013 3:3 Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 5750 Alton Road Phone 305-335-6098 BRYAN A. ROSENFELD, CPA Miami Beach, FL 33140 Fax 305-861-4447 E-mail: brcpa@hotmail.com EXPERIENCE 2008 – Present Bloom, Gettis & Habib, PA Miami, FL Accounting and Tax Senior Manager 2007 – 2008 Mallah Furman & Co., PA Miami, FL Controller 2001 – 2007 Gerson Preston Robinson & Co., PA Miami, FL Accounting and Tax Supervisor 1996 – 2001 Rachlin Cohen & Holtz, LLP Miami, FL Senior Staff Accountant EDUCATION December 1996 Florida International University Miami, FL Master of Accounting July 1994 Nova Southeastern University Ft. Lauderdale, FL Bachelor of Science, Business Administration Dean’s List: Fall 1993, Winter 1994 Alpha Chi National College Honor Scholarship Society PROFESSIONAL American Institute of Certified Public Accountants MEMBERSHIPS Florida Institute of Certified Public Accountants ATTRIBUTES Computer skills: MS Office, various accounting systems, tax preparation software and other financial applications. Language skills: Fluent in Spanish BryanA.Rosenfeld,CPA