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Aaron B. Perry Application package i IAMI BEACH CITY OF MIAMI BEACH BOARD.AND COMMITTEE APPLICATION FORM Last Name a e Middle Initial Home Address C' 3 State Zip Code Home T le h / Wo Telephone Cellular Telephone Email address X Position: )A CAM& Business Name Business A dress 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. • Resident of Miami Beach for a minimum of six(6) months: Yes or No • Demonstrate an ownership/interest in a business i iami Beach for a minimum of six months: Yes or No • Are ou registered voter in Miami Beach: Yes or No Y 9 • I am now a resident of: North Beach South Beach Middle Beach Zr • 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?Yes or No LJ 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 Committee 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 ❑Committee on the Homeless ❑ Historic Preservation Board ❑Safety Committee ❑Committee for Quality Education in MB ❑ Housing Authority ❑Single Family Residential Review Panel ❑Community Development Advisory ❑Loan Review Committee ❑Sustainability Committee ❑Community Relations Board ❑Marine Authority ❑Tennis Advisory Committee ❑Convention Center Advisory Board ❑ Miami Beach Commission for Women ❑Tr s ortation and Parking Committee ❑ Debarment Committee ❑ Miami Beach Cultural Arts Council isitor and Convention Authority ❑ 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 , License Issuance Date ,and License Expiration Date F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc d 1� 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:Yes No 0 Years of Servi 2. Present participation in Youth Center activities by your children Yes ID No 0. 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: *Have you ever been convicted of a felony:Yes ID or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:Yes or No 21 If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money:Yes or No Us If ves. explain in detail •Are you currently serving on any City Boards or Committees:Yes or No 1Z If yes;which board? •What organizations'n the ity of iami 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: elk • I am now employed by the City of Miami Beach:Yes ZI or No .Which department? • Pursuant to City Code Section 2-25(b): Do you have a parent , spouse ID, child rother Z1, 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: C, hene onl 1) Gen . Male L43 Female UJ White (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe, North Africa or the Middle East. ID African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa. ID Hispanic: 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 throw h tribal affiliation or community recognition. Physically Challenged: Yes or Employment Status: Employed Retired Homemaker Other Please remember to attach a current resume and a copy of any applicable professional I icense. Attach additional sheets, if necessary, to provide required information. F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc 0 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 TICLE VII — OF THE CITY CODE "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES A AGE EMBERS." I 121v) vlyn\RQO�) Ap icant's Signature Date Na a of Applicant(PL ASE PRINT) Received in the City Clerk's Offi by: D 9 ce ✓ am of Deputy Clerk Control No. Date F:\CLER\$ALL\a FORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc a i MIANV BEACH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.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 Financial Disclosure 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 Date F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc January 10-23,2013 CO.WUNITYNEWSPAPER&COM 64 , till IURON PERRY Aaron Perry,currently the managing part- ner and co-owner of Sobol-Perry Fashion Productions Inc.,is an invaluable asset to the Miami Beach community at large. At the forefront of any issue that affects Miami �.. Beach,whether it is chairing the Committee to review Gaming or spearheading the out- reach efforts for the recent 502 resort tax campaign and the initiative to renovate of the convention center.Perry has been an integral l part, collaborating with all stakeholders in i the City's best interest. Education is at the heart of his altruistic efforts,serving on the board of the Miami Beach Education Foundation Board and the City's Quality of ,. Education Committee.Most recently,he ini- tiated the movement to name the High School Drive,Rosann Sidener Way. In his role at Sobol-Perry, he focuses on the development of strategic business part- nerships and the global expansion of the Miami Fashion Week brand. Sobol-Perry AARON owns a number of brands including the wild- ly successful Miami Fashion Week; this in supporting the local economy. Awarded year's production, which will take place annually, this accolade honors a business from March 20-24 at the Miami Beach leader who has used creative tactics to help Convention Center, marks the event's 15th lead their organization down a road to suc- anniversary. In addition, Sobol-Perry owns cess. Past recipients include business and Miami International Bridal Week and The music entrepreneur Emilio Estefan and auto- Fashion Collective Pop-Up Boutique Show. motive magnet,Warren Zinn with this year's Philanthropy is also a priority for his compa- award being presented to owner of The ny.Miami Fashion Week's Foundation pro- Forgc,Sharccf Malnik. vides scholarships to emerging talents from Perry's service to the Chamber did not across the globe,including last year's win- stop with his tenure as Chairman. tic cur- ners from India, Austraila and Poland. rently sits on the Chamber's Executive Additionally, Sobol-Perry recognizes the Board and plays a key leadership role on community's most generous philanthropists other Chamber Councils including by hosting their annual Humanitarian Government Affairs,Finance and Marketing. Awards party which takes place this year on He has also served as Chair of the Chamber's February 7th at the Mondrian. Dinner Gala Committee for four consecutive Coupling his business acumen with com- years. munity leadership strength is what has led In 2010,Mr.Perry oversaw the formation him to be so impactful with the Miami Beach of a partnership between the Miami Beach Chamber of Commerce. While serving on Chamber and Community Newspapers to the Mayor's Blue Ribbon Taskforce for create the Miami Beach News,a bi-weekly Tourism, Perry played a key role in the publication serving the citizens and business development of the INcard program,a busi- community on Miami Beach. He continues ness stimulus program, which boosted to sere as the chairman of the editorial Miami Beach vendors during the recession board. and continues to grow. Mr. Perry is also the co-founder of As a Past Chairman of the Miami Beach Reputation Protection Group, a web based Chamber of Commerce,he had the strategic company focused on online reputation man- foresight to implement a leadership infra- agement. structure and attract the collaboration of In 2010,Aaron was appointed to the Board Miami Beach's strongest business leaders to of Directors of the Miami Beach Visitors and build the 91 year old Chamber to National Convention Authority by the City of Miami recognition for which he was recognized by Beach Commission. Most recently, he was his peers with the 2012 Past Chairman selected as a member of the prestigious City Award. of Miami Beach Charter Review and The "Aaron B. Perry Innovation in Revision Board.Aaron Perry is truly devoted Business Award" was created by the to the Miami Beach community; he is an Chamber to honor Perry's accomplishments example for citizens everywhere.