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Suely Suchodolski Application Package Iv\I A/ V BOARD AND COmmi TTE E APPLICATION FORM 5U O OL— l SUE Ly Last Name First Name Middle Initial 2-c ( t4- 14 i A 3 l' 1`I 5 A I BE6,Cf1 L S3 13<7 _ Home Address City State Zip Code aos- CU? q 7407 s'u e i L h Ci may) Home Telephone Work Telephone Cellular Telephone Email alidress re -4ec Business Name Occupation Business Address 3r 1,Inch City State red Code Professional License(describe): ('C-r 1 eC-- U ,111, E(g 1YV Expires: re,-4 k red 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 a or No • Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes or No •Are you a registered voter in Miami Beach: Yes or No La • I am now a resident of: North Beach Di South Beach ra Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: VA RA-Ai . '&i 01;,i�cf&t/ • Are you presently a registered lobbyist with the City of Miami Beach?Yes or Not 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 0 Health Advisory Committee Parks and Recreation Facilities Board °o 0 Affordable Housing Advisory Committee ❑Health Facilities Authority Board ❑Personnel Board ❑Art in Public Places Committee ❑Hispanic Affairs Committee 0 Planning Board ❑Board of Adjustment* * ❑Historic Preservation Board '( ❑Police Citizens Relations Committee ❑Budget Advisory Committee ❑Housing Authority 0 Production Industry Council ©Committee on the Homeless 0 Marine&Waterfront Protection Authority 0 Sustainability Committee ❑Committee for Quality Education in MB ❑Miami Beach Commission for Women () Ill Transportation,Parking,&Bicycle-Pedestrian Facilities Committee 0 Convention Center Advisory Board ®Miami Beach Cultural Arts Council ❑Visitor and Convention Authority ■Design Review Board** 0 Miami Beach Human Rights Committee 0 Disability Access Committee ❑Miami Beach Sister Cities Program ❑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.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the following information: Type of Professional License ,4k—hi-le#ancicifaxe License Number F__} CtiCh License Issuance Date /7f?[ 47IL License Expiration Date J , o-. �.. c%) ^P Page 1 of 4 F:ICLERI$ALL1aFORMSIBOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx H rV 0° Note: if applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: • Please describe your past service with the City's Youth Centers(include dates of service): • Present partioipetion in Youth°enter ectiyities by your children; Yes No D If yes, please list below the names of your children,their ages and the programs in which they participate: Child's name: Age: Program: Child's name: Age: Program: • Have you ever been convicted of a felony?Yes 1:=:11 or NoZ If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach Code?Yes EJ1 or Nola If yes,please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes DI or NoJ If yes,explain in detail: •Are you currently serving on any City Board or Committee?Yes l or No.% If yes,which board/committee? • In what organization(s)in the City of Miami Beach do you currently hold membership? Name Position Name Position • List all properties owned or in which you have an interest within the City of Miami Beach: e- 0, /y a_7- 200 /tf'e r!c/ia ,vp.r vte •Are you now employed by the City of Miami Beach?Yes lj or No Which department and title? • Pursuant to City Code Section 2-25 (b : Do you have a parent D, spouse �7�, child brother or sister�--11 who is employed by the City of Miami Beach?Yes r No If"Yes,"identify person(s)and department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. Gender: Male L_Ji Female 1 Race/Ethnic Categories What is your race? :African-American/Black Caucasian/White Asian or Pacific Islander 1-7,1 Native-American/American Indian [ ]i Other–Print Race: Page 2 of 4 F:ICLERI$ALL1aFORMSIBOARD AND COMMITTEESIBC APPLICATION REVISED 06022014.docx Do you consider yourself to be Spanish,Hispanic or Latino/a?Mark the"No"box if not Spanish,Hispanic), .. no/d.— DfNo Yes Do you consider yourself Physically Disabled? .----��J No D 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 Beath 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." /59Z,75/S- .064-Y vc�yoboLS K icant's S . ature Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by: �� P/* 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. Page 3 of 4 F:ICLER\$ALLIaFORMSIBOARD AND COMM!TTEESIBC APPLICATION REVISED 06022014.docx MIAMI B City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.m lam i beachfl.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 305.673.741 1 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: 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 $500, 60 days in jail or both. 7 Signature ate Updated:Monday,April 20,2015 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx 7 I ,..-...n . ,} ..,;:., 1 ' 4. - '' .. . . . i, 10(11:, ..:•,,,. . .:A:i ..'• N4A 4--.11,-,, . . .P • 3 I .REPUBLICAFEDERATIVADOBRASIL I IDEADE-AG EXPEDI4.973.846 X SSP/SP 23/01/2014 !''' CONSELHO DE ARQUITETURA E URBANISM°DO BRASIL-CAU/$R /'"^ I CARTEIRA DE IDENTIDADE PROFISSIONAL CPF ANODE fORMATURA :1:, 911.160.908-72 1968 SUELY SUCHODOLSKI A OBSERVAGOES TIPOSANGUINEO F - ;:I NAO DOADOR DE VRGAOS A NEGATIVO , , (----a- E TECIDOS SEX° i'..,:-• FILIAcAO 1 FEMININO r ALEXANDRE SUCHODOLSKI NATURALIDADE . vir SAO PAULO/SP A . CHANA ROIZA A DATA DE NASCIMENTO SUCHODOLSKI REGIS IROCAUN" P9/05/19% - A92775-9 ASSINATURA ltd > M ITiTA[YIIMNISTA f HAROLDbPINHEIROVILLA'DEQUE ROZ VAWD..MIl 1lb "" -EdrEitIROE'ilka/A!1 -_�� rnRT[ pi QWh'n'1�1/IICAEMTOEIOfERRITdIpNAC10NK . - - - _ _ . ^ V 5/4 SUELY SUCHODOLSKI Address: 2001 Meridian Avenue apt 318 City : Miami Beach - FL 33139 Cell: 3059899707 Email: suelyland @gmailocom OCCUPATION: retired Landscape Architect EDUCATION: Graduated in Architecture and Urban Design Program- University of Sao Paulo , Brazil 1968 Specialization in Landscape Architecture- University of Sao Paulo and Brazilian Association of Landscape Architects Specialization in Housing- Japan International Cooperation Agency ( JICA) Japan 1980 EXPERIENCE: Early career as junior architect with well known architecture firms of Sao Paulo Architecture:Becomes a Senior Architect in building design and master plans at the same architecture firms (eight years) eees Housing : Chosen by the Government of State of Sao Paulo as Director of affordable housing at Development and Savings Bank of Sao Paulo state 1983-1985 In around two years she's able to finance thousands of low income houses in 60 different rural towns. Simultaneously she visits small towns and interacts with mayors to improve environmental and urban context. Landscape Architecture: She starts her career in Landscape design following the master Roberto Burle Marx with whom she expands her knowledg with classes and professional advisory over many years. She becomes an independent professional and afterwords a cofounder of the Brazilian Association of Landscape Architects where she is elected to the Board-1976. As a landscape architect she runs her own office and builds up a professional name doing several works in residential and commercial in Sao Paulo City, Sao Paulo state beach towns and other states of Brazil. She designs parks, public squares and recreational facilities. In 1998 she was the head of the Landscape component team who wins the first prize in a national competition for urban and landscape design for Sao Paulo City main highways adjacent to two major rivers. Miami In 1997 she opens a landscape small business Such- A- Landscape, Inc in Aventura, which she runs for eight years. Now retired living in Miami Beach and volunteering in the Botanical Garden, she's open to collaborate with the City offering her accumulated experience. 6G4