Alan Fishman Application Package . •
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AAI Atv'\I EC BOARD AND COMMOTTEE,APP TION FORM I
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M Middle Initial
Last Name r
qb Past First Ati (vt6 Name �f 33 /(-(o
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Home.Address City State Zi p Code
9 S '? ?.--2-.A /O s p c, t'O
Home Telephone Work Telephone
Cellular Telephone Email address
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���/Y r Y 6-/j V tj Occupation
Business Name �+1 �� Ari0a #6 7l V 0
io o /''N , `^ 6S-C-eGi �f�' Zi Code
Business A.dress , City State Zip
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Professional License(describe): Expires:
. Please attach a copy of currently effective professional license.
Pursuant to City Code.section 2-22(4)a 8 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 or No
• Demonstrates ownership/interest in a business i M* . .i Beach for.a minimum of six months:Yes.TA or No L
•Are you a registered voter in Miami Beach:Yes .or No
y
• I am now a resident of.. North Beach�. South Beach ch Middle Beac,.
• I am applying for an appointment because I have special abilities;knowledge and experience. Please,list below:
.
to;'
•Are you presently'a registered lobbyist with the City of Miami Beach?Yes Ca or N• !l! _
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:Office of the'City Clerk.:
0 Affordable Housing Advisory Committee 0 Health Facilities Authority Board 0 Normandy Shores Local Government
Neighborhood Improvement
O.Art in Public Places.Committee ❑Hispanic Affairs Committee, ❑Parks and Recreation Facilities Board c°
0 Board.of Adjustment•* 0 Historic Preservation Board * 0 Personnel Board
0 Budget Advisory Committee 0 Housing Authority 0 Planning Board`*
0 Committee on the Homeless 0 LGBT Advisory Committee o Police Citizens Relations Committee
ci Committee for Quality Education in MB CI Marine 8,Waterfront Protection Authority '0 Production Industry.Council
O Convention Center Advisory Board 0 Miami Beach Commission for Women 0 Sustainability Committee
0 Design Review Board°* 0 Miami Beach Cultural Arts Council 0 TranspC.ommittParking,&Bicycle-Pedestrian
0 Disability Access Committee Miami Beach Human Rights Committee ❑Visitor and Convention Authority
0 Health Advisory Committee ❑ iami Beach Sister Cities Program
* 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 License License Number
License Issuance Date License Expiration Date
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F:ICLERI$ALLIaFORMSIBOARD AND COMMITTEESIBC APPLICATION REVISED 06052015.docx
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°° 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(indude dates of service):
•
Present participation in Youth Center activities by your children:Yes
ca No P
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 or No If yes,please explain In detail:
•Do you currently have a vlolation(s)of City of Miami Beach Code?Yes[D or N.�r4 If yes,please explain in detail:
•Do you currently owe the City of Miami Beach any money?Yes or o��l If yes,explain in detail:
n City Board or Committee?Yes or No If yes,which board/committ C,_—C/tver)e ,
•Are you currently serving on any ty
•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 inhere t within p C Miami each: 0 �
'.-- 17v\/'.' , ...--
0
rl---- --t e)
•Are you now employed by the City of Miami Beach?Yes El or N.
Which department and title?
• Pursuant to City Code Section 2-25 (ND!)Do you h ve arent 0, spouse D. child DI brother 11 or sister Ca who is
employed by the City of Miami Beach?Yes �or 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: Mal Female U
Race/Ethn c C tegories
What is your race?
•..-frican-American/Bled(
4 CaucasianMlhite
I Asian or Pacific Islander
U Native-American/American Indian
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F:ICLERI$ALL1aFORMSIBOARD AND COMMITTEESIBC APPLICATION REVISED 08052015.docx
4�9 Other=Print Race:
Do you consider yourself to be Spanish,Hispanic or Latino/a:?Mark the'Wo"box if not Spanish,Hispanic,Latino/a.
o
Yes-
DO you consider yourself Physically Disabled?
o
UJ 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 1.12.3143,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 A D AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND1OR STATE LAWS AND
S.TATUTES.ACCORDINGLY."
olL
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Applicant's Signature Date Name of Applicant.(PLEASE PRINT)
Received in the Office of the City Clerk by
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)
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Board Member's Name: /'■v
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 j or both.
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Signature Date
Updated:Monday,April 20,2015
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ALAN B. FISHMAN, ESQ.
• Suite 102
560 Arthur Godfrey Road
• Miami Beach, Florida 33140 •
(305) 532-2810
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PROFESSIONAL
AFFILIATIONS: The Florida Bar, 1987.
Certified Public Accountant (Florida), 1987. .
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EXPERIENCE:
Solo Practitioner, Law Office of Alan B. Fishman, Miami Beach,
Florida: i
May 1989 - Present. Practice in real estate, bankruptcy and corporate
law.
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Therre.l Baisden & Meyer Weiss, Miami Beach, Florida.
October 1987 - May 1989, Attorney. Research and writing opinions and
memoranda involving banking and real estate law. Tax research in
partnership, corporate, foreign, estate planning and federal and state tax
controversies. Research and writing pleadings and memoranda for civil
litigation proceedings.
_Michael J. Moorhead, Professor of Law, University of Florida,
-Gainesville, Florida. September 1985 - May 1987, Research Assistant.
• Researched labor law, administrative law and civil rights law to assist in
the preparation of articles for publication. Extensive use of WESTLAW
computer research and legislative materials.
•
PUBLICATION: '
Co-author, Florida Civil Practice Damages Chapter Six, (CLE Second
Edition, 1989 Supplement). .
EDUCATION:
Juris'Doctorate,
University of Florida College of Law, May 1987..
Bachelor of Science in Business Administration in Professional Accounting
and Finance,
The American University, May 1984. .
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HONORS AND . .
ACTIVITIES: University of Florida College of Law Merit Loan (1984 - 1987).
The American University Merit Scholarship (1981 - 1984).
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Charles Glover Scholarship (1983).
Sidney Ludwig Foundation Scholarship (1980 -1983).
Outstanding Student Service Award, Kogod College of Business
. i Administration, The American University (1984).
Chairman, Commencement Committee (1.983 - 1984).
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Senator, Kogod College of Business Administration Student Representative to
Faculty Senate (1983 - 1984).
Student Representative, Senate Finance Committee (1983 - 1984).
Student Representative, Board of Trustees Finance Committee
(1983 - 1984).
Assistant Academic Advisor, entering freshmen (1983).
Student Confederation Judge, Criminal and Conduct Code Tribunal
(1980 - 1981).
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MEMBERSHIPS:
Dade County Bar Association:
Director, Young Lawyers Section (1988 - 1991).
Treasurer, Young Lawyers Section (1991- 1993).
American Bar Association.
Phi Delta Phi Legal Fraternity.
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