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Thomas Musca Application PackageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM MuscaThomasG NAME: First Name Last Name Middle Initial Florida33141 HOME ADDRESS : 6365 Collins Avenue, #908Miami Beach Home No./StreetState Apt No.City Zip Code tmusca3@miami.edu 31046317413052845219 PHONE : WorkEmail Address Home filmmaker Business Name: Musca Productions, Inc. Position: University of Miami Coral GablesFlorida33124 Address: State CityZip Code Street Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi   months; or b) an individual shall demonstrate ownership/interest Yes Yes Yes circle one): I am now a resident of: North Beach film and television No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1:Production Industry Council Choice 2:Art in Public Places Committee Choice 3: Miami Beach Cultural Arts Council Note: If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: No Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: No Have you ever been convicted of a felony:If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach code No If yes, please explain in detail: Do you currently owe the City of Miami Beach any money:No If yes, please explain in detail: No Are you currently serving on any City Boards or Committees:If yes, which board? What organizations in the City of Miami Beach do you currently h List all properties owned or have an interest in, which are loca I am now employed by the city of Miami Beach:No Which department? The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:none Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself t none Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No No Physically Challenged: NOTEIf appointed, you will be required to follow certain laws which :   These laws include, but are not limited to, the following:    Prohibition from directly or indirectly lobbying city personnel o    Prohibition from contracting with the city (Miami-Dade County Co o    Prohibition from lobbying before board/committee you have served o Beach Code section 2-26).    Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I Thomas Musca agreed to the following terms on 1/15/2016 8:31:4 Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date CURRICULUM VITAE TOM MUSCA (screenwriter-producer-director) Stand Tom Musca first captured attention as the producer and co-writer of and Deliver .The popular Warner Bros. filmstarred Edward James Olmos, who earned Best Actor Golden Globe and Oscar nominations, andfeatured earnedsix Independent Lou Diamond Phillips and Andy Garcia.The film Spirit Awards,including Best Picture and Best Screenplay and was preserved as a cultural, artisticand historical treasure in the National Film Registry of the U.S. Library of Congress. Musca is a Phi Beta Kappa graduate of Rutgersand went on to earn a Masters of Fine Arts degree at UCLA. Recently, hewas commissioned to One Mile North write the screenplay for , a story about a restaurant near Ground Zero and the recovery workers who frequented it. He is Co- Bad HurtPray For Producer of Mark Kemble’s and Associate Producer of Rain ,which completedprincipal photography in fall of 2015. Musca has worked witha wide array of acting talent including John Cusack, James Gandolfini, CCH Pounder, Cliff Robertson, Phillip Seymour Hoffman, Benicio del Toro and America Ferrera. Tortilla Soup Produced screen credits include:,an Imagen Award winner; Gotta Kick It Up! the popular for the Disney Channel; HollywoodPictures’ Money For NothingRace ;,a comedic take on a L.A. City Council electionfor Little NikitaFlight of Fancy HBO; Columbia Pictures’ ; and for Showtime. Musca has been a guest lecturer at the Sundance Institute, Slamdance, UCLA, NYU, USC, AFI, and has conducted MPA workshops on four continents. He was named the Moseley Fellow for Creative Writing at Pomona College, and currently serves as Coordinator of the Screenwriting MFA Concentrationat the University of Miami. t.musca@miami.edu 310 463-1741