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Laurie Kaye Davis 12/31/2014 i4-A\ St E_'A C City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miomibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305) 673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov January 4, 2013 Laurie Kaye Davis 5965 Alton Road Miami Beach, Florida 33140 SUBJECT: Community Relations Board Dear Ms. Davis, Congratulations! You have been re-appointed by Kathie G. Brooks, Int. City Manager to the agency, board or committee named above for a term ending: 12/31/2014. If you are unable to accept this appointment, please notify the City Clerk's Office at 305-673-7411. Please read the enclosed material carefully. Again, congratulations and good luck. Sincerely, Rafael E. G do City Clerk cc: Saul Frances, Parking Director Lynn Bernstein 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 City Wide Permit Application -,(Parking Department Form) Booklet- Guide to the Sunshine Amendment and Code of Ethics for Public Officers and We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. MAMBEACH 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 Email CityClerk @miamibeach.gov TO Laurie Kaye Davis RE: Community Relations Board 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: 12/31/2014. 1 have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Interest and Code of Ethics Ordinance), as well as the Florida Commission on Ethics Guide to the Sunshine Amend- ment 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 ithe 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. /6-,Lv da'-e' Laurie Kaye Davis y� d Sworn to and subscribed before me this—/*day of 1AA1 t11}� , 2013. Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfi.gov under City Clerk/Board and Comm for additional information regarding the Financial Disclosure Requirement We are committed to providing excellent public service and safely to all who live, work and play in our vibrant, tropical, historic community. i MIAMI BEACH CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Davis Laurie Kaye Last Name. First Name Middle Initial HOME 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 ownershipfinterest 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 l3i choices will be observed by the CijX 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 I 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 L; .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: E' 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 iiOA Title: Secretary Name: Miami Beach High PISA Title: President •List all properties owned or have an interest in,which are located within the City of Miami Beach: 5965 Alton Road •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. Gend®r: 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: o Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459).. o Prohlbition 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. B hereby attest to the accuracy and truthfulness of the application and have received,read and will abide by Chapter 2,Article Vll—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 Received in the City Clerk's Office by: Date: / /2012 Control No.�' Date: 12012 Name of Deputy Clerk QUALIFICATIONS Over 25+years of successful business management experience in a broad spectrum of industries as well as extensive leadership participation in civic and community organizations. Unique ability to assess current situations, create better team collaborations, and bring about better performance in short order. Respected as a motivational, lead-by-example manager. Outstanding communication, administrative, analytical, and organizational skills. Managed or directed: • Mentor program for a non-profit with a budget over$7 million and development department for a non-profit with a budget exceeding$5 million • Sales/leasing program for$25 million mall renovation • Retail department with sales exceeding$1.5 million • Sales, operations, and personnel management for a 90- office executive suite business WORK HISTORY 2000-Present LKD Consulting Group Provide consulting and business support to a wide variety of organizations including a federally funded not-for-profit academic achievement program, a not-for-profit child care center, Montessori school, and a start-up children's clothing manufacturer. Most recent projects required orchestrating all elements of a school-to-work and peer-to-peer mentor programs from concept and design to selection, assessment, matching and training 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 Interim Director of Development, Children's Home Society Volunteer role led to interim 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. 19884989 Marketing Agent,American Express Corporation Brought on board for a temporary position through grand opening of a 650,000 sq.foot mall renovation project.Successfully marketed the Mall bringing occupancy from 65%to 95%. 19841988 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. 19824984 Sales and Purchasing, Fiesta 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,(Marketing)High Honors - University of Florida CIVIC AND COMMUNITY SERVICE Miami Beach Senior High School PTSA President& Board Member Peer 2 Peer Mentor Program Coordinator 2009-Present St.John's United Methodist Church Board Chair 2008-Present Building Committee 2007-Present Staff/Parish Relations Chair 1995-1999 City of Miami Beach Community Relations Board 2006-Present Alton Road Homeowners VP/Secretary 2005-Present Mt. Sinai Hospital The Cancer Lifeline Board 2007-2010 Miami Children's Hospital Hugs& Kisses Committee 2000-2006 St.John's Child Care Center Board Chair 1997-2003 The Daily Bread Food Bank Advisory Board 1992-2000 Guardian Ad Litem Volunteer Guardian 1991-1999 Children's Home Society Infant Center Volunteer 1988-1992 INTERESTS Running, Yoga, Golf, Book Club, Travel A M I BEACH city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrwvr miamibeochfl.pov CITY CLERK Office CityClork@mic3mibeochfi..gov Tel: 305.673.7-411 , Fax: 305.673.7254 Acknowledgement of fines/.suspension for Board Mem hers for.failure to comply with Miami-Dade County Financial .Disclosure Code Provision Code Section 2--11.1(1) (2) Board Member name: Lou,_kr, 6t C1`%� I 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 ofthe following with the City Clerk of Miami Beach, 1700 Convention Center.Drive, Miami Beach, Fionda,.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 Z may subject the.person or firm to a f ne not to exceed .$500.00 or by imprisonment]n the county jaill for-a period ncpt to exceed sixty days, or both. y �L z `7 Signature: .Date: eo M I A M I•DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure i � a � fi Vl s For Tax Year Name: Y..*— /1 Ending: Z Mailing Address: 5 C(65 C�. City/State/Zip: Kk cl-.,\t Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: r Board where serving(?OM kllfll� �� p,{JS Term or Employment Began on: • Department where employed: Work Address: If your home address is exempt from public records pursuant to Florida Statutes§119.07 please check here(read instructions): ® Work Telephone: Home Address: Street Address 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 r I hereby swear(or affirm)that the aforesaid information is a true and correct statement. ignature of person disc) sing Date signed