Barbara D. Kaufman Application PackageCITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
KaufmanBarbaraD
NAME:
First Name
Last Name
Middle Initial
FL33141
HOME ADDRESS
:
6417 Pinetree Drive CircleMiami Beach
Home No./StreetState
Apt No.City
Zip Code
bdkmiami@gmail.com
3053218021
PHONE
:
WorkEmail Address
Home
Business Name:
Position:
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
No
Yes
circle one): I am now a resident of:
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 Clerks Office.
(Regular Boards of City)
Choice 1:Miami Beach Commission For Women
Choice 2:
Choice 3:
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 Barbara Kaufman agreed to the following terms on 11/1/2016 12:
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No.Date
Barbara Kaufman
I have lived at the same home at 6417 Pinetree Dr. Circle for tht 25 years. I am a
proud graduate of Treasure Island Nautilus and Beach High. A mother of two daughters,
a grandmother of six and wife of 46 years. I am a Jewelry Designer and Co Owner of
Charles Kaufman Enterprise, a wholesale jewelry business located
I am a founder at Mount Sinai, have donated the racquetball cour
JCC and have been named the 2016 Love and Hope Honoree by the DiResearch
Institute.
I have enjoyed working with
forward to another productive year.