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Laurence Herrup Application package
10 10 1 A/0 I BEAC 1-41 nCAP'D A140 COMMITTEE"'%PPI iCATIO N FORM Herrup Laurence A. Last Name First Name Middle Initial 10209 West Bay Harbor Dr Bay Harbor Islands FL 33154 Home Address city State Zip Code 305-794-9838 305-866-6611 305-79+:9838 IherruI2(a-)Iherrupgpa.com Home Telephone Work Telephone Cellular Telephone Email address Laurence A Herrup CPA PA CPA Business Name Occupation 326 71-Street Miami Beach FL 33141 Business Address city State Zip Code Professional License(describe). Certified Public Accountant Expires: 1213112014 Pursuant to City Code section 2-22(4)a & 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 x • Demonstrates ownershiplinterest in a business in Miami Beach for a minimum of six months: Yes x or No •Are you a registered voter in Miami Beach:Yes ED or N©-x • I am now a resident of: North Beach Z) South Beach 1—J Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: We versed in budgets, financial statements and grants •Are you presently a registered lobbyist with the City of Miami Beach?Yes�-.]or No x Please attach a copy of currently effective professional license. Please list your preferences in order of ranking [1] first choice [2) second choice, and (3) third choice. Please note that on1v three(3)choices will be observed bv the City Clerk's Office. mffi� F.;7 Affordable Housing Advisory Committee F-1 Fine Arts Board E-1 Normandy Shores Local Government Neighborhood Improvement 7 0 Art in Public Places Committee ',;..'j'DisabiI!!X_Access Committee ol Parks and Recreation Facilities Board I .0 Beautification Committee D Gay, Lesbian,Bisexual and Transgender Personnel Board Enhancement Committee(GLBT) 0 Bicycle-Pedestrian Advisory Committee C,Golf Advisory Committee Planning Board I.',.Board of Adjustment* * Ej'Health Advisory Committee Police Citizens Relations Committee _L Budget Advisory Committee -U Health Facilities Authority Board Production Industry Council [7,Capital Improvements Projects Cl Hispanic Affairs Committee rU Safety Committee I L1 Oversight Committee y Committee on the Homeless [.'.I Historic Preservation Board [.'.I Single Famil Residential Review Panel .r n Sustainability Committee Committee for Quali i in MB Housing Authority Committee u Community Development Advisory D Loan Review Committee 0 Tqnnis Advisory r-I Community Relations Board E,Marine Authority 0fransportation and Parking Committee > Convention Center Advisory Board [.."Miami Beach Commission for Women N(Visitor and Convention Authority ci Debarment Committee Miami Beach Cultural Arts Council 0 Youth Center Advisory Board 00 Review Board* D Miami Beach Human Rights Committee 'EJ Waterfront Protection Committee o Miami Beach Sister Cities P!29!aT__ Page 1 of 4