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Zachary Cohen 12/31/2014 MIA/01BEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfI.gov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(30 673-7 b Fax:(305)673-7254 Zachary Cohen 1330 West Ave. Apt. 1712 Miami Beach, Florida 33139 SECT Debarment Committee Congratulations! You have been appointed by Commissioner Michael Grieco to the agency, board or committee named above for a term ending: 12/31/2014. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 2007 the term of rY board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Alex Denis ATTACHMENTS: Letter of Appointment Oath City Code/Ordinance section applicable to agency, board or committee City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 Ordinance No. 2006-3543 -Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance City Wide Permit Application -(Parking Department Form) Booklet-Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,historic community. ............................................................................................................................................... ID NAIANAI BEACH CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Cohen Zachary Last Name First Name Middle Initial HOME ADDRESS, 1330 WEST AVE APT 1712 Miami Beach FL 33139 Apt No. Home No./Street city State Zip Code PHONE.- 3054675628 3054675628 305.993.1883 zcohenll@hotmaii.com Home Work Fax Email Address Business Name: 1PD Analytics Position: Director Address: 1170 Kane Concourse Bay Harbor Islands FL 33154 Street City State Zip Code 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: No •Are you a registered voter in Miami Beach: Yes •(Please circle one): I am now a resident of South Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I'm a attorney; I have previous civic experience serving on the CDAC board of Miami Beach in 2013;plus I have served multiple •Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking[1]first choice[2]second choice,and[3]third choice.Please note that only three(33) choices will be observed by the City Clerk's Office.(Regular Boards of City) Choice 1: Community Development Advisory Choice 2: Bicycle-Pedestrian Facilities Advisory Committee Choice 3: Debarment Committee 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: • Have you ever been convicted of a felony.- No If yes, please explain in detail: 0 Do you currently have a violation(s)of City of Miami Beach codes: No If yes,please explain in detail: • Do you currently owe the City of Money Beach any money- No If yes,please explain in detail- •Are you currently serving on any City Boards or Committees: No If yes,which board? •What organizations in the City of Miami Beach do you currently hold membership in? • List all properties owned or have an interest in,which are located within the City of Miami Beach: • I am now employed by the city of Miami Beach.- No Which department? 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. Gender: Male Race/Ethnic Categories What is your race?Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanicl Latino? Mark the"No"box if not Spanish/Hispanic/Latino. No Physically Challenged: No NOTE: If appointed,you Will be required to follow certain laws which apply to city boardicommitteo members. These laws include,but are not limited to,the following: o Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459), o Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami Beach Code section 2-26). o Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). (re: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 have received,read and will abide by Chapter 2,Article Vil—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." I Zachary Cohen agreed to the following terms on 1/2/2014 12:44:43 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date ............................................................................................................................ ................................................................................................................................................................................................................................................. €: 1 I Zachary A. Cohen 1330 West Avenue•Miami,FL 33139•Apt:1712•uohenlZg1 tam,il.ccgm•(305)467-5628 EXECUTIVE SUMMARY Multi-faceted,results-driven,and highly motivated professional seeks career in management,consulting,and/or business development capacity;with more than 10 years of professional experience as consultant,director,and attorney.Established exemplary track record for best-in-class research and consulting company, responsible for successful strategic client relationships; new product launches,analyst supervision,client management, and cross-over sales. Currently focused on actively managing and consulting to hundreds of existing accounts valued at$20+million and successfully penetrating new clients, accounts,and markets. i PROFESSIONAL EXPERIENCE I.P.D.ANALTYICS LLC,Bay Harbor islands,FL March 2008—Present Directo lr • Managed client services for industry leading consulting firm specializing in analyzing healthcare disputes for institutional investors like hedge/mutual funds and Fortune 500 healthcare companies • Published real-time actionable analysis on important developments in patents in the healthcare industry;providing critical value to clients as patent outcomes often affect market value of private and publicly traded companies • Supervised team of analysts with significant patent expertise to establish prominent track record of accurately forecasting outcomes in patent,commercial,and regulatory litigation in healthcare industry • Exceeded all sales goals for four consecutive years by establishing successful business development and cross-marketing campaign which maximized return on existing accounts and leveraged numerous new accounts accelerating firm's organic growth and profits LAW OFFICES OF STEVEN ZIEGLER,P.A.,Hollywood,FL August 2004—March 2008 ttornev • Member of boutique healthcare litigation firm practicing in areas of healthcare commercial litigation and managed care defense • Drafted and amended group employee benefit plan contracts for national managed care organizations such as Blue Cross Blue Shield,United Healthcare,and Aetna Healthcare • Secured favorable summary judgment decisions in both state and federal court in defense of national healthcare clients • litigated favorable outcomes for clients in commercial arbitration matters and creatively resolved cases in mediation • Advanced from junior associate to entrusted senior associate to manage multiple complex commercial disputes for firm UNITED STATES DISTRICT COURT,SOUTHERN DISTRICT,Miami,FL Fail 2003 Judicial Clerk/intern to Federal Judge lose Martinez * Worked collaboratively with Judge and Federal Clerks in team-oriented environment to prepare for multiple bench and jury trials • Extensively researched criminal and civil legal issues for Judge;legal research was incorporated into federal precedent e MORGAN STANLEY,Washington D.C. Summer 2001,2000,1999 Summer Associate • Analyzed publicly traded companies and developed financial models to support team of senior financial advisors • Conducted extensive business development functions to generate qualified lead/referral database in order to expand client pipelines • Supported Vice President in administration/opening of high-grossing satellite Morgan Stanley office in Potomac,Maryland EDUCATION THE UNIVERSITY OF MIAMI SCHOOL OF LAW,Coral Gables,FL August 2001—May 2004 • Juris Doctor,Cum Laude « Academic Honors:(Curt Marmar Scholarship Recipient,International&Comparative Law Review,Moot Court Board,Student Honor Council, Dean's List Multiple Semesters t SUCKNELL UNIVERSITY,Lewisburg,PA August 1997—May 2001 • Major:Business/Management-Minor:Theology,Cum Laude • Academic Honors:Warren WeberAcodemic Scholarship Recipient,Alpha Lambda Delta Honor Society,Community Judicial Board,Dean's List Multiple Semesters UNIVERSITY COLLEGE-LONDON,UK-International taw Program May 2002—August 2002 UNIVERSITY Of MELBOURNE,AU-Business Study Abroad Program July 1999—November 1999 Admitted • Florida Bar,2004;Washington DC Bar,2006;U.S.District Court,Middle and Southern District,2006 i Other interests • Advisory Board Member-Community Development Advisory Committee for City of Miami Beach • Scholarship Committee Member-Big Brothers Big Sisters of Miami;E-Council Board Member,The Network for Teaching Entrepreneurship • Athletics-Season Premiere Winner of Fear Factor on NBC;Featured Athlete,Race to Cure Blindness Foundation i a i 4 / s x Y �Y 33 t 2 $ i i ' iT` ♦ f F : /N ?mob F a. a r MIMI air Apr ......... ... -...... ... .. ......... ......... .............................................................._... MIAMIBEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.aov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 TO: Zachary Cohen RE: Debarment Committee I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United States,the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the above-mentioned board or committee of the City of Miami Beach to which I have been appointed for a term ending: 12/31/2014. 1 have been issued a copy of Section 2-11.1 of the Miami-Dade County Code(Conflict of Interest and Code of Ethics Ordinance), as well as the Florida Commission on Ethics Guide to the Sunshine Amendmentand Code of Ethics for Public Officers and understand that as a member of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* requirements of Miami-Dade County or the State of Florida (depending on the board or committee on which I serve) on July 1 st, following the closing of the calendar year on which I have served. Zachary Cohen Sworn to and subscribed before me this 5D day of , 2014 d Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. We are committed to providing excellent public service and safety to all who live, work,and play in our vibrant,tropical, historic community,. we are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. MI®°ADE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 'r?"o / 3 A Mailing Address—Street Number,Street Name,or P.O.Box City,State,Zip FL- ID Number If your home address is your mailing address,and your home address is exempt from public records pursuant to Fla.Stat.§119.07,read instructions on the following page and check here. Filing as an Employee ❑County Employee ❑Municipal Employee, Name of Municipality: Position held or sought Department where employed Work address Work telephone Term began on Filing as a Board Member 1 ❑ County Board Member unicipal Board Member, Name of Municipality: Board where serving J> Work address Work telephone Term began on I I% K4'jAq 3G 331 .)q 1 36s-�& -ins I zl List below every source of income you received,along with the address and the principal activity of each source. Include your public salary.Place the sources of income in descending order,with the largest source first.Also,include any source of income received by another person for your benefit. However,the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet,check here.❑ �^ Name of Source of Income Address Description of the Principal Business Activity La-O 1-\rp G J res I I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑Electronic Copy ignature of p on disclosing /39/1 Print name Date signed OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Data/initials: Scanned Date/Initials: 138 SP-1 4 2/13 I HI t V iPV\/k,I b L_A,, City of Wc;ni Secch, 1700 Convention Center Drive, iMic:mi Beach,Flcrida 33113 91 •N,�N:n ion i beech iy.co� CITY CLERK Off"ic—e CiyCler�Cc'rticmibeach�l.gov Tel:305.673.741 i ,Fcx: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 name: understand that no later than JULY 1 OF EACH YEAR cll members of Boards and Commi Lees of the City of Miami Beach, including those of a purely advisory nature, are required to complywith Miami-Dade County Disclosure Requirements. This means"hatthe members of City Advisory Boards; whose sole or primary responsibility is to recommend legislation or give advice to the City Commission:mustfiile,even though you may have been recent ly appointed. You must file one of the folloaving vv'th the Cit,i Clerk of Miami Beach, '700 Convention Center Drive. ,Miami Beach. Florida.. by July i. 2010. `Source of Income Stateme (a«ached) or Z. A inanci=l Statem�ent (atached(or] I Al Copy of the person's current Federal Income Tax Retum Failure to file, according to the Piiami-Dade County Code Chapter 1, General Provision, Section 1-5 may subject the person or firm to a fine not to exceed X500.00 or by imprisonment in the county jail for a period not to excnad sixty days, or both. � = Dc l e!!n�.�ure: