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Elliott Richard Alhadeff Application A(� UTY OF WAI i BEACH BOARDS AND COMMITTEE APPLICATION FORM NAME: d /_ t �q/-C/ �Last Name First Name Middle Initial J HOME ADDRESS: //� D j2f"e 4Q1_11 No. Street City State Zip Code PHONE: o /l GOhi Home Work Fax Email address Business Name: /� Position: 11VA Address: 1ZA No. �� Street City State Zip Code / Professional License(describe) /V 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 ownershipfinterest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six(6)months:Yeskor No 11 f • Demonstrate an ownershipnterest in a business in Miami Bea/ch1 fora minimum of six(6)months:Yes❑or No T •Are you a registered voter in Miami Beach:Yes/or No ❑ • (Please check one): I am now a resident of: North Beach South Beach❑Middle Beach 0 • I am applying for an appointment because I have special abilities, knowledge,experience. Please list below: 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) 0 Art in Public Places Committee ❑Housing Authority* ❑Beach Preservation Board ❑Loan Review Committee* 0 Beautification Committee ❑Mayor's Green Ad-Hoc Committee 0 Board of Adjustment* 0 Marine Authority* oy Budget Advisory Committee VMiami Beach Cultural Arts Council Committee on Homeless Miami Beach Commission on Status of Women ❑Committee for Quality Education in MB ❑Miami Beach Florida Sister Cities ❑Community Development Advisory* ❑Normandy Shores Local Gov't Neigh.Improvement ❑Community Relations Board o2'k Oversight Committee for General Obligation Bond 0 Convention Center Advisory Board ❑Parks and Recreation Facilities Board ❑Debarment Committee 0 Personnel Board* ❑Design Review Board* ❑Planning Board* ❑Disability Access Committee ❑Police Citizens Relations Committee � ❑Fine Arts Board 0 Production Industry Council � _173 0 Golf Advisory Committee 0 Public Safety Advisory Committee 0 Health Advisory Committee 0 Safety Committee ❑Health Facilities Authority Board 0 Transportation and Parking Committee co 11 0 Hispanic Affairs Committee 0 Visitor and Convention Authority* _: �- ❑Historic Preservation Board* ❑Youth Center Advisory Board *Board Required to File State Disclosure form _n ip W 1 !, .�n.-.. ..s,ni-•-_r.,' ^_.l�i`.i. , -...:n::{�n:�l n:--al C�Hinr;c.Ti- nr:ar. !.:_-r�i'.°--ilo.•r,l '^1�:1�;^ Li :fir�:,:r,is_ 'i.crJ Ili'!R''7 iti:? ;-r � p 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❑ Years of Service: 2. Present participation in Youth Center activities by your children Yes❑ No❑. 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❑or No❑ If yes,please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:Yes❑or No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money:Yes❑or NOY. If yes,explain in detail •Are you currently serving on any City Boards or Committees:Yes❑or NOX If yes;which board? •What organizations in the City of Miami 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: '715 NoE:d Allit /1 G • I am now employed by the City of Miami Beach:Yes❑or N0 hich department? • Pursuant to City Code Section 2-25(b):Do you have a parent❑,spouse❑,child❑,brother❑,or sister❑who is employed by the City of Miami Beach?Check all that apply.Identify the department(s): This section is"not required"but desired:Age: ® years old Gender: Male Female❑ Ethnic Origin(Check one) White African-American/Black❑Hispanic:❑Asian or Pacific Islander❑American Indian or Alaskan Native❑ Employment Status: Employed❑Retired/Home-maker❑Other❑ "1 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." eA 2- ja o i-r A.Vk-.944ir Applicant's Signature Date Name of Applicant(PLEASE PRINT) Please attach a copy of your resume to this application NOTE:Applications will remain on file for a period of one(1)calendar year. Received in City Clerk's Office by Date Name of Deputy Clerk Document Control Number(Assigned by the City Clerk's Office) /3 Z Entered By Date Revised 1/25107jo 2 ',I-'.r ^t.,'..�:t- _.r.,.C�rFir,rtclr'i•.�tit{r:r.�i r.r.p°�'r_"iit :',I.r rn.:..t�r i:scnof 't=ii��•iil i fir:r`r- C.: ',Zi;�l -.r ''.�.:i�ra it'.r'1 r2?(�(li. C RESUME ELLIOTT RICHARD ALHADEFF DOB: DECMBER 17, 1943 POB: MONTGOMERY, AL ADDRESS: 715 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 EDUCATION: BSBA UNIVERSITY OF ALABAMA LLB UNIVERSITY OF ALABAMA LLM TAX UNIVERSITY OF MIAMI MILITARY SERVICE: 1968 -1970 : FIRST LIEUTENANT THEATER OF OPERATIONS - REPUBLIC OF VIET NAM : AWARDS AND DECORATIONS: BRONZE STAR MEDAL ARMY COMENDATION MEDAL 1 NATIONAL DEFENSE SERVICE MEDAL VIET NAM SERVICE MEDAL VIET NAM CAMPAIGN MEDAL COMMUNITY INVOLVEMENT VICE CHAIR OF THE NATIONAL PARKINSON FOUNDATION FORMER CHAIRMAN OF THE CITY OF MIAMI BEACH PLANING BOARD PAST PRESIDENT OF THE FRIENDS OF THE BASS MEUSEUM (DONATED PHOTOGRAPHS HAVING A VALUE WHEN DONATED TO THE MEUSEUM OF $20j000. ) PAST PRESIDENT OF THE MIAMI BEACH TAXPAYERS ASSOCIATION PAST BOARD MEMBER OF ART IN PUBLIC PLACES (THE NFP CORPORATION THAT PURCHASED THE LICHTENSTEIN MERMAID 2 SCULPTURE) PAST PRESIDENT OF THE MIAMI BEACH BAR ASSOCIATION PAST ADMINISTRATIVE VICE PRESIDENT OF TEMPLE ISRAEL OF GREATER MIAMI EMPLOYMENT 1984-2009 FOUNDING MEMBER OF STEARNS WEAVER MILLER WEISSLER ALHADEFF & SITTERSON, PA 2009 - RETIRED PROFESSIONAL ACHEIVEMENT FELLOW OF THE AMERICAN COLLEGE OF EAL ESTATE LAWYERS DESINATED AS A BEST LAWYER IN AMERICA LISTED IN CHAMBERS USA LEADING BUSINESS LAWYERS 3 i SIGNIFICANT CITY OF MIAMI BEACH MATTERS NEGOTIATED AND DRAFTED CONTRACT FOR THE CONSTRUCTION OF THE NEW WORLD SYMPHANY BUILDING NEGOTIATED AND DRAFTED THE CONTRACT WITH FRANK GEHRY FOR THE DESIGN OF THE NWSB 4 t MIAMI 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/Committee Members for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member's Name: 5L L-143""f" (�L c ��b A-(Aw&r!=p C_ 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 Financial 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 they may have been recently appointed. One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year. 1. A "Source of Income Statement" For your convenience, the form is attached. The form can also be downloaded at: http://www.miamidade.gov/elections/Library/source of income statement.pdf 2. A "Statement of Financial Interests (Form 1)" For your convenience, the form is attached. The form can also be downloaded at: http://www.ethics.state.fl.us/ethics/forms.htmi 3. A Copy of your 2013 Federal Income Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. Signature Date Updated:Monday, December 16,2013 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc I