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Kevin H. Kelsick board and committee application CITY OF MIAMI BEACH MIAMI BEACH _ BOARD AND COMMITTEE APPLICATION FORM NAME: Kelsick Kevin H Last Name First Name Middle Initial HOME ADDRESS: 1621 Bay Road,#1102 Miami Beach FL 33139 Apt No. Home No./Street City State Zip Code PHONE: 305 934 2040 786 360 3221 n/a kevin@cre8tivjuice.com Home Work Fax Email Address Business Name: Cre8tiv Juice Group Position: President Address: 1602 Alton Road,#355 Miami Beach FL 33139 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: Yes •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: •Professional experience needed to understand the pragmatism, process and inspiration required for successful culture buildi •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(31 choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Miami Beach Cultural Arts Council Choice 2: Choice 3: 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: • 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 Miami 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? I 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. none Other Description: Are you Spanish/Hispanic/Latino? Mark the No box If not Spanish/Hlspanlc/Latlno. No Physically Challenged: No NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee 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 VII—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." I Kevin Kelsick agreed to the following terms on 10/3/2014 1:04:42 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Kevin Kelsick Bay Road, T Miami Beach, • 3059342040 kevino•,cre8fivjuice.com Kevin is a successful entrepreneur and 25-year resident of Miami Beach who is dedicated to the delivery of visual and experiential messages that matter. Over his three-decade-long career in branding & advertising, he has worked with many brands like American Express, FeclEx, Disney, City of Miami Beach, Young Arts, The Adrienne Arsht Center, Bass Museum and many other prominent arts organizations. Since 1996, Kevin has focused his entrepreneurial passion in his role as partner and creative director at brand design firm Cre8tiv Juice Group, executing award-winning brand strategy, positioning and design for an impressive list of world-renowned brands. Additionally, in 2007, Kevin started MoK2, a brand strategy consultancy dedicated to working with brands of consequence that are seeking environmental, social and financial sustainability. Kevin hails from a family that claims many generations of artists, both fine and commercial. His passion for the arts and culture in his community runs deep. His personal and professional drive has allowed him the experiences of working with many professional art- ists and arts organizations, both large and small. In his work, he has assisted such organizations to develop authentic brands, position themselves to their community, drive culture and create revenue. • Long standing professional engagement with arts and culture on Miami Beach including the MBVCA, City of Miami Beach and many prominent local and national arts organizations • Senior member of the Professional Advisory Council of Miami International University of Art and Design, "Industry Hero" (Visiting Professional Instructor) at Miami Ad School • Informed understanding of the MB CAC having been involved in the original brand positioning of the council as well as previously having read grants on the panel • Experienced in the pragmatism, empathy and inspiration needed for the successful execution of art and culture building productions • A long-term home owner and involved businessman on Miami Beach who is passionate about safeguarding and evolving the role of art and culture in our unique community