Leif M. Bertrand Application packageCITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
BertrandLeifM
NAME:
First Name
Last Name
Middle Initial
FL33139
HOME ADDRESS
:
208 Jefferson Ave APT 113Miami Beach
Home No./StreetState
Apt No.City
Zip Code
leif_bertrand@hotmail.com
305 525-5519305 538-8050305 538-8739
PHONE
:
WorkEmail Address
HomeFax
President
Business Name:
Bertrand Realty Group LLC
Position:
208 Jefferson Ave APT 113
Miami BeachFL33139
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
Yes
Yes
South Beach
circle one): I am now a resident of:
I have an interest in contributing my time to make Miami Beach b
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 Clerks Office.
(Regular Boards of City)
Choice 1:Transportation and Parking Committee
Choice 2:Police Citizens Relations Committee
Choice 3:
Safety Committee
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:
No
Are you currently serving on any City Boards or Committees:If yes, which board?
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
208 Jefferson Ave APT 113, Miami Beach, FL 33139
No
I am now employed by the city of Miami Beach:Which department?
The following information is voluntary and is neither part of yo
being asked to comply with federal equal opportunity reporting r
Gender:Male
Race/Ethnic Categories
White
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:
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 Leif Bertrand agreed to the following terms on 12/9/2013 1:07:
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No.Date
Leif Bertrand
12/6/2013
208 Jefferson Ave APT 113
Miami Beach, FL 33139
305 525-5519
leif_bertrand@hotmail.com
EDUCATION
University of California at Santa Cruz (UCSC)
Graduation 1996
Undergraduate degrees in Biology and Economics
EXPERIENCE
| Summit Capital Mgt.
Private Equity Trader
Sept 1995 Dec 1997
| Esquire Investments
Private Equity Hedge Fund Manager
Jan 1998 Dec 2001
|Bertrand Realty Group LLC
Real Estate Broker
Feb 2003 Current
Qualifying Broker for firm
|Evercrete Corporation
Partner/Investor
Feb 2004 Current
Managing Director, USA and EU operations