Bryan A. Rosenfeld Application Package Y
116 CITY OF MIAMI BEACH
IV\IAMIB , oCH
BOARD AND COMMITTEE APPLICATION FORM
NAME: Rosenfeld Bryan A
Last Name First Name Middle Initial
HOME ADDRESS: 5750 Alton Road Miami Beach FL 33140
Apt No. Home No./Street City State Zip Code
PHONE: 305-335-6098 rosenfeldb @atlanticbb.net
Home Work Fax Email Address
Business Name: Position:
Address: Miami Beach FL
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: Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Two term member of Board of Adjustment
•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(3)
choices will be observed by the City Clerk's Office.(Regular Boards of City)
Choice 1: Board of Adjustment*
Choice 2: Budget Advisory Committee
Choice 3: Design Review Board*
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 Money Beach any money: No If yes,please explain in detail:
•Are you currently serving on any City Boards or Committees: Yes If yes,which board?
Board of Adjustment
•What organizations in the City of Miami Beach do you currently hold membership in? AJO
•List all properties owned or ve an inter st in,which are located within the City of Miami each:
3 3/
1,LA'Property '
Principal Residence � ��� " (e•
1
• I am.now employed by the city of Miami lifir Which department?
1 Name !Department A Relationship Type
Leslie Rosenfeld [organ ational Development -a�
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: Female
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/Hispanic/Latino. 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:
i
•
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 Bryan Rosenfeld agreed to the following terms on 12/2/2013 3:34:32 PM
Received in the City Clerk's Office by:
ifii, 'V f
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Name of Deputy Clerk Control No. Date
(111, *
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, , Se SO
Bryan A. Rosenfeld, CPA
-
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. STATE OF FLORIDA
Q" DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
•
` �' = BOARD OF ACCOUNTANCY (850) 487-1395
•
a . 240
AINESVILLE DRIVE, SUFLE32607
ROSENFELD, BRYAN A
2601 SOUTH BAYSHORE DRIVE
SUITE 1450
MIAMI FL 33133
STATE OF FLORIDA AC# ?0 ?II 2:.?..
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation. ti • DPROFESSIO OF REGULATI AND
Our professionals and businesses range from architects to yacht brokers,from
''Q � PROFESSIONA;G REGULATLON... .:.
boxers to barbeque restaurants,and they keep Florida's economy strong.
AC0030713 12/18/12 128164762
Every day we work to improve the way we do business in order to serve you better.
For information about our services,please log onto www.myfloridalicense.com. CERTIFIED=;PUBLIC ACCOUNTANT
There you can find more information about our divisions and the regulations that ROSENFELD, BRYAN A
impact you subscribe to department newsletters and learn more about the •
Department s initiatives. I "
Our mission at the Department is:License Efficiently, Regulate Fairly.We
constantly strive to serve you better so that you can serve your customers. zS :LICENSED u n d e r t h e ..... a of. c .473 gs..:
Thank you for doing business in Florida,and congratulations on your new license!
Pxpxrakion date:.DEc°:31,.?2014 L1212180.0710
DETACH HERE
• •
B RYAN A RcSEkFEL® CPA Alton
h, FL 33140 Fax 305-861-444798
E-mail: brcpa@hotmail.com
EXPERIENCE 2008—Present Bloom, Gets& Habib, PA Miami, FL
Accounting and Tax Senior Manager
2007—2008 Mallah Furman &Co., PA Miami, FL
Controller
2001 —2007 Gerson Preston Robinson&Co., PA Miami, FL
Accounting and Tax Supervisor
1996—2001 Rachlin Cohen& Holtz, LLP Miami, FL
Senior Staff Accountant
EDUCATION December 1996 Florida International University Miami, FL
Master of Accounting
July 1994 Nova Southeastern University Ft. Lauderdale, FL
Bachelor of Science,Business Administration
Dean's List: Fall 1993,Winter 1994
Alpha Chi National College Honor Scholarship Society
PROFESSIONAL American Institute of Certified Public Accountants
MEMBERSHIPS Florida Institute of Certified Public Accountants
ATTRIBUTES Computer skills: MS Office, various accounting systems,tax preparation software and other
financial applications.
Language skills: Fluent in Spanish
y loar •&Committee @ City of Miami
• Page 1 of 3
•
. .• .440.:,i,or" e5arvi[e5 Li,IN_ .J._
a
BOARD AND COMMITTEE l
APPLICATION FORM +
Name
First Name `Bryan _ 14.1 i3OI 3
Middle Initial L?_____ _ _ J 11
Last Name Rosenfeld
Home Address
House#\Street 5750 Alton Road 1
City IMiami Beach ----1
State Florida vI
Zip Code 133140 j
Contact Information
Home/Cell 1305-335-6098 ^1
Work — ___ j
Fax � _ .J
E-mail AddressIrosenfeldb @atlanticbb.ne
Business Information
Business Name[ I
Position 1 ___I
Business Address
-
House#\Street I w
City 'Miami Beach_ ~��
State Florida vj
Zip Code
1
Professional License(describe)! _1 Expires:
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(7%No
•Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: J Yes 0 No
•Are you a registered voter in Miami Beach: O Yes 0 No
•I am now a resident of:0 North Beach 0 South Beach*Middle Beach •
•I am applying for an appointment because I have special abilities,knowledge and experience.Please list DEC 3 2013
below: _
Two term member of BoA
•Are you presently a registered lobbyist with the City of Miami Beach?Yes°)No
Please list your preferences in order of ranking[1]first choice[2]second choice,and[3]third choice.Please note that Wit;(only three(3)choices will be observed by the City Clerk's Office.Click hcr�to view all available Boards and Committees. ---
Choice 1:I Board of Adjustment" `�l A'��!��
Choice 2:1 Budget Advisory Committee vi „
........ ...frize,dp
http://secure.miamibeachfl.gov/bcapp/BCApplication.aspx
12/2/2013
Board&Committee @ City of Miami
•
Page 2 of 3
Choice 3:'Design Review Board'
*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-effective license,and furnish the
following information:
Type of Professional[Certified Public Accou r License Number[AC0030713��
License
License Issuance Date 11/13/1997 License Expiration[12/31/2014
Date
ozNote:If applying for Youth Center Advisory Board,please indicate your affiliation with the Scott Rakow Youth Center:
1.Past service on the Youth Center Advisory Board:()Yes 0 No
Dates of Service:1
2.Present participation in Youth Center activities by your children: C)Yes 0 No
If yes,please list the names of your children,their ages,and which programs.
Child's name: J Age:r
(Program: Add Child I
Have you ever been convicted of a felony: 0 Yes*No If yes,please explain in detail:
Do you currently have a violation(s)of City of Miami Beach codes:0 Yes*No If yes,please explain in detail:
Do you currently owe the City of Miami Beach any money: O Yes*No If yes,explain in detail:
Are you currently serving on any City Boards or Committees: ()Yes O No If yes,explain in detail:
'Board of Adjustment
What organizations in the City of Miami Beach do you currently hold membership in?
Name:1 1Title:L r Add Organization j
List all properties owned or have an interest in,which are located within the City of Miami Beach:
'Principal Residence ; [Add Property
Property
Principal Residence Delete!
I am now employed by the City of Miami Beach: 0 Yes 0 No
Which department?
Department:! 1 Title:
Pursuant to City Code Section 2-25(b):Do you have a parent,spouse,child,brother,or sister who is employed by the
City of Miami Beach?Check all that apply.Identify person and department(s):
Relative Name: Leslie Rosenfeld l Department:�or anzational Dve lo mer Relationship Type: 8 Ou...se
�
J Add Relative
Relative Name Relative Dept. Relative Type
Leslie Rosenfeld Organizational Development Spouse I:h!l�:tc•
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:0 Male 0 Female
Race/Ethnic Categories
What is your race?Mark one or more races to indicate what you consider yourself to be.
O African-American/Black
O Caucasian/White
O Asian or Pacific Islander
0 American Indian or Alaskan Native
0 Other
If other-enter race here:; `_ —
http://secure.miamibeachfl.gov/bcappBCApplication.aspx 12!2/2013
]?Darcy&Ccgimittee @ City of Miami Page 3 of 3
Do you consider yourself to be Spanish,Hispanic or Latino/a?Mark the"No"box if not Spanish,Hispanic,Latino/a.
O Yes 0 No
Physically Challenged: 0 Yes 0 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 City 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.
NOTE:Applications will remain on file for a period of one(l)calendar year.
"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
The City Clerk's Office reserves the right to contact you for verification purposes.
®I Agree
Submit Form I
http://secure.miamibeachfl.gov/bcapp/BCApplication.aspx 12/2/2013