Jack Benveniste Application Package F t
NAME: N ti/ /3 T ar-A
Last Name s�1 First Name Middle Initial l
HOME ADDRESS: E 0 17� A/0 LE- / /rL 'U_ `•t7/J¢jiJ $,�i52G%' Fe— $ :?
No. Street City State Zip Code
PHONE: ��.5=�` � /i�y 3 j-60-G/c- 8 v//As-v/J.7 .
Home Work Fax Email address GO
Business Name: SO, � sT G Al 0 To/c C ,e Position:
Address: if<j/ Ala/ /d-3 R7 / Tin '7/, f G:S2'
No. Street City State Zip Code
Professional License(describe) /9- 0/ v Expires: "4/51- :; t w
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 No ❑
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6) months: Yes No ❑
• Are you a registered voter in Miami Beach: Yes or No ❑
• (Please check one): I am now a resident of:.North Beach South Beach ❑ Middle Beach ❑
• I am applying for an appointment because I have special abilities, knowledge, experience. Please list below:
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)
0 Art in Public Places CommitteeI-lousing Authority*
❑Beach Preservation Board ❑Loan Review Committee*
❑Beautification Committee ❑ ayor's Green Ad-Hoc Committee
01;1-Berard of Adjustment* dp a Marine Authority*
❑Budget Advisory Committee ❑Miami Beach Cultural Arts Council
❑Committee on Homeless 0 Miami Beach Commission on Status of Women
❑Committee for Quality Education in MB ❑Miami Beach Florida Sister Cities
❑Community Development Advisory* ❑Normandy Shores Local Gov't Neigh. Improvement
❑Community Relations Board 0 Oversight Committee for General Obligation Bond
❑Convention Center.Advisory Board r cs and Recreation Facilities Board
❑Debarment Committee nnel Board*
❑Design Review Board* 0 Planning Board*
0 Disability Access Committee ®- ariEee Citizens Relations Committee -; n,
0 Fine Arts Board s ❑Production Industry Council
0 Golf Advisory Committee ❑Public Safety Advisory Committee
0 Health Advisory Committee 0 Safety Committee
❑Health Facilities Authority Board 0 Transportation and Parking Committee
0 Hispanic Affairs Committee ❑Visitor and Convention Authority*
0 Historic Preservation Board* ❑Youth Center Advisory Board `0
*
Board Required to File State Disclosure form
a,,:.$),T..,. ..n and ,J,ft;6 c ;\,,m L €Ir :«'s , 3 :. } f I l'-1:'l:.:5\13;:;Application Re,sa,-i.t i i'f 18 2007.Aoc
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: Yes❑ No❑ Years of Service:
2. Present participation in Youth Center activities by your children Yes❑ No O. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
•Have you ever been convicted of a felony: Yes❑ or No Ga'lf yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes❑ or No k. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ❑or No 44es, explain in detail
• Are you currently serving on any City Boards or Committees: Yes, -No D. If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: • Title:
Name: Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
6o91- /V-0 &Ai /
• I am now employed by the City of Miami Beach: Yes❑or No hich department?
• 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 the department(s):
This section is"not required" but desired: Age: 77' years old Gender: Male Female ❑
Ethnic Origin (Check one)
White frican-American/Black ❑Hispanic: ❑Asian or Pacific Islander ❑American Indian or Alaskan Native ❑
Employment Status: Employed ❑Retired ❑Home-maker ❑Other ❑
"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."
/ /1— /2—ga/J cT j0L/5— R,6-/l/U /t'/S'
Ap.,.cant's Signature Date Name of Applicant(PLEASE PRINT)
Please attach a copy of your resume to this application i
NOTE:Applications will remain on file for a period of one(1)calendar year.
' 7/__/1-7-1//
Received in City Clerk's Office by C./al-a D ate
Name of Deputy Clerk = - rV
Document Control Number(Assigned by the City Clerk's Office) Entered By DateLl ����
R jsed 1/25/07 jo
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\:."...3 a # .ee..:g s\c 1 £ oca. ,:.. . .".D . 1C s \B i Application - /0 " d r
Jack Benveniste
8075 Noremac Avenue
Miami Beach, Florida
(305) 538-1124
• Born February 26,1941
New York City, New York
Education:
Attended the University of Miami
Miami Beach resident: 40 years
Personal:
• Married 44 years to Michaele
2 children
5 grandchildren
• Business:
President of All Dade Bail Bonds - 45 years
President of Southeast Florida Motorcycle Safety School
(provider for DSHMV Florida Rider Training Program) - 13 years .
President TOAD Program (court ordered youthful offender traffic
program) 7years
President of Gun Depot-32 years
President All Florida Driver License Testing (provider for Florida
Department of Highway Safety and Motor Vehicles to administer the Florida
Driver License Permit exams.)
• Community service involvement:
Currently a member of City of Miami Beach Budget Advisory Board - 12 years.
Currently serving as Flotilla Commander- United States Coast Guard Auxiliary
Served on City of Miami Beach Police Citizens committee as well on Parks and
Recreation Board.
Currently Vice President of Ohev Shalom Congregation.
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