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Guy Simani Application package ® CITY OF MIAMI BEACH MIAMI BEACH ° BOARD AND COMMITTEE APPLICATION FORM NAME: Simani Guy Last Name First Name Middle Initial HOME ADDRESS: 4017 N Meridian Ave Miami Beach FL 33140 Apt No. Home No./Street City State Zip Code PHONE: 646-220-5800 561-245-4600 561-245-4601 GuySimani @gmail.com Home Work Fax Email Address Business Name: West Boca Executive Suites Position: CEO Address: 100 7777 Glades Rd. Boca Raton FL 33434 No. Street City State Zip Code Professsional License(describe): Realtor Expires: 2014 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 ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes •Are you a registered voter in Miami Beach: Yes •(Please girda 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: Converted gutted space into Class A flourishing turnkey executive suite;currently owned and •Are you presently a registered lobbyist with the City of Miami Beach? Yes 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 Loan Review Committee Art in Public Places Committee Marine Authority Beautification Committee V Miami Beach Commission for Women Board of Adjustment* Miami Beach Cultural Arts Council t Budget Advisory Committee ami Beach Human Rights Committee Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program Committee for Quality Education in MB v ir Normandy Shores Local Gov't Neigh.Improvement Committee on the Homeless Parks and Recreation Facilities Board Community Development Advisory Personnel Board Community Relations Board Planning Board* Convention Center Advisory Board Police Citizens Relations Committee Debarment Committee Production Industry Council Design Review Board* Safety Committee Disability Access Committee Single Family Residential Review Panel Fine Arts Board Sustainability Committee Gay,Lesbian,Bisexual and Transgender(GLBT) Tennis Advisory 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 Youth Center Advisory Board Historic Preservation Board Youth Center Advisory Board Housing Authority 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: 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: Age: Program: Child's name: Age: Program: 511"7 (�4 9 4 s