Mojdeh Khaghan Application Package e,
MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM
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Last Name First Name Middle Initial
6i 51 CAJLUi Ave 1! 21 its 33114 0
Home Address City State Zip Code
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Home Telephone Work Telephone Cellular Telephone Email address
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Business Name Occupation
yin." A'1, e\C'Dov c .
Business Address City State Zip Code
Professional License(describe): l �C ��I�v^ � ��
( ) (,,- �Lf7W?MP. rt--)u -- Ge✓ - �1.P .L4'roV Expires:
Please attach a copy of currently effective professional license.
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 kli or No
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Ye or No
•Are you a registered voter in Miami Beach: Ye-sIO or No
• I am now a resident of: North Beach Zli South Beach La Middle Beach.LA
• I am applying for an appoi tment because I have sRe ial abi itie , know-dge and experience. Please list below:
A " 1" ', 1 r r `I ►+ 'ti °I s •V . ' A
•Are you presently a registered lobbyist with the City of Miami Beach?Yes I or No -11i
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.
❑Ad Hoc Committee Centennial Celebration ❑Health Advisory Committee
0 Parks and Recreation Facilities Board oO
❑Affordable Housing Advisory Committee ❑Health Facilities Authority Board XNrsonnel Board
❑Art in Public Places Committee 0 Hispanic Affairs Committee ❑Planning Board
❑Board of Adjustment* * ❑Historic Preservation Board * 0 Police Citizens Relations Committee
0 Budget Advisory Committee ❑Housing Authority ❑Production Industry Council
0 Committee on the Homeless 0 Marine&Waterfront Protection Authority 0 Sustainability Committee
0 Committee for Quality Education in MB ❑Miami Beach Commission for Women 0 Transportation,Parking,&Bicycle-Pedestrian
Facilities Committee
0 Convention Center Advisory Board ❑Miami Beach Cultural Arts Council ❑Visitor and Convention Authority
0 Design Review Board* ❑Miami Beach Human Rights Committee
0 Disability Access Committee ❑Miami Beach Sister Cities Program
0 Gay,Lesbian,Bisexual and Transgender ❑Normandy Shores Local Government
Enhancement Committee(GLBT) Neighborhood Improvement
* Board members are required to file Form 1 -"Statement of Financial Interest"with the State.
If you seek appointment to a professional seat e. lawyer, architect, etc.) on the Board of Adjustment, Deign Review
� Y pp p ( 9•� Y
Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license; an&furniish'the
'
following information: --"
—
Type of Professional License License Number •
License Issuance Date License Expiration Date `_�-`
`u
-.1 ,�..R
N
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F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
o° Note: If applying for the Youth Center positions of the-Parks and Recreations Facilities Board, please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore Parks Youth Center:
• Please describe your past service with the City's Youth Centers(include dates of service):
• Present participation in Youth Center activities by your children: Yes UI No LD
If yes, please list below the names of your children,their ages and the programs in which they participate:
Child's name: Age: Program:
Child's name: Age: Program:
• Have you ever been convicted of a felony?Yes 4 i or No 1.A If yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach Code?Yes U or N• If yes, please explain in detail:
►�
• Do you currently owe the City of Miami Beach any money?Yes or N• �� If yes,explain in detail:
•Are you current! servi n any City oar o Committee?Ye rE or No U If yes,which board/committee?
• In what organization(s)in the City of Miami Beach do you currently hold membership?
Name Position
Name Position
• List all •roperties o ned or in which you have an interestwit•'n he City of Miaf i Beach:
in i • 1 0
•Are you now employed by the City of Miami Beach?Yes 1:::31 or No 1112
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you ave a parent �, spouse Za, child IZt brother U or sister U who is
employed by the City of Miami Beach?Yes I71or No
If"Yes,"identify person(s)and department(s):
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 City diversity reporting requirements.
Gender: Male
Female '-�.1
Race/Ethnic Categories
What is your race?
U African-American/Black
Caucasian/White
Asian or Pacific Islander
U Native-American/American Indian
Other—Print Race: M
1
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Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a.
'NI No
Yes
Do you consider yourself Physically Disabled?
►i2! o
Yes
NOTE: IF APPOINTED,YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE
MEMBERS.THESE LAWS INCLUDE,BUT ARE NOT LIMITED TO:
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 the board/committee you have served on for period of one year after leaving office(Miami Beach
City Code section 2-26).
o Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1).
o 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).
o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open
government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most
meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities.
o Voting conflict—Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or
elected board, council, commission, authority or committee. It applies equally to members of advisory and non-advisory bodies
who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes.
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 I HAVE RECEIVED, READ AND
WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR
CITY OFFICERS,EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND
STATUTES ACCORDINGLY."
I 14 map-Del-1 k A AJ A•• icant's gnature Da e Name of Applicant(PLEASE PRINT)
Received in the City Clerk's Office by: Cf-Cj264■- //taik
Name of Deputy Clerk Control No. Date
PLEASE ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED
INFORMATION.
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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: MUSI)60 4 kJk@1+Ikti
I 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"
2. A "Statement of Financial Interests (Form 1)"
3. A Copy of your latest 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.
►'i I t(3-1
Signa re Date
Updated:Tuesday,January 06,2015
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MOJDEH L. KHAGHAN
5151 Collins Avenue,Miami Beach,FL 33140
305.772.4444 . mlk @morganreed.com
EDUCATION Columbia University School of Law,J.D. 1991
Journal of Law&the Arts,Articles Editor
Arts Law Clinic/Volunteer Lawyers for the Arts
Law School Senate Parliamentarian
Columbia College,Columbia University
B.A.magna cum laude 1988,English Literature
Phi Beta Kappa
LICENSUIRE The Florida Bar,United States District Court,S.D.Florida 1995;
New York State Bar, United States District Courts, S.D. and E.D. New York
1992;New York State Real Estate Broker 2008;Florida Real Estate Broker 2010;
Florida Supreme Court Certified Circuit Civil Mediator 2013.
EXPERIENCE Morgan Reed Group LLC Miami Beach,FL
Principal,Counsel
Officer, director and shareholder of diversified investment holding company
specializing in real estate and securities; review and negotiate contracts, leases,
equity offerings,shareholder agreements.
1997 to present
Mojdeh L.Khaghan Miami Beach,FL
Attorney
Practice specializing in securities litigation, shareholder class and derivative
actions, trusts and estates litigation. Extensive merger related document review
and analysis for disputed transactional cases.
1996 to 2007
Goodkind Labaton Rudoff&Sucharow New York,NY
Litigation Associate
Concentrated in '33 and '34 Act litigation and securities class actions in federal
and state courts. Handled all aspects of cases from discovery through trial and/or
settlement,post-settlement distribution of recovery to clients and class members.
Established Miami office of New York based law firm.
1992 to 1996
COMMUNITY Jackson Health System
INVOLVEMENT Treasurer,Public Health Trust 2013-15
Chair,Audit&Compliance Subcommittee 2012-15
Financial Recovery Board Member 2012-14
Wexner Heritage Fellow
Miami 2009-11
Greater Miami Jewish Federation
1999 to present
Agency Support Committee,Co-Chair 2012-15
Women's Philanthropy President 2010-12
Campaign Chair 2007-09
Responsible for$7 million Women's annual fundraising effort,leadership
development and training
Stanley C.Myers President's Leadership Award 2008
City of Miami Beach
Vice Chair,Personnel Board 2011 to present
Chair,Personnel Rules Revision Committee 2012-14
Youth Center Advisory Board 2007-11
PERSONAL Languages—Farsi,Spanish,French,Italian
Interests—Travel,Literature,Arts&Music
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