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RELEASE _ 1 01112017MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.qov COMMISSION MEMORANDUM TO: Mayor Philip Levine and Members of the City Commission FROM: Rafael E. Granado, City Clerk DATE: January 6,2017 SUBJECT: City Commission At-Large Nominations for January 11,2017 - Release # I Below please find the City Commission At-Large Nominations received to date for the January 11, 2017 Commission Meeting. BOARD AND COMMITTEES: 1, AFFORDABLE HOUSING ADVISORY COMMITTEE vAcANCy (1) / POSSIBLE REAPPOINTMENTS TO BE MADE (3): No nominations received. 2. ART IN PUBLIC PLACES COMMITTEE VACANCTES (3) / POSSTBLE REAPPOiNTMENTS TO BE MADE (1): o Cathy A. Byrd (Release # 1, Page 5) Nominated for reappointment (competence in evaluation of art history, etc. category) by Vice-Mayor Malakoff. o Nominated for reappointment (competence in evaluation of art history, etc. category) by Commissioner Alem6n. o Michael llllcManus (Release # 1, Page 1 1) Nominated for appointment (competence in evaluation of art history, etc. category) by Commissioner Arriola. . Alpesh K. Patel (Release # 1, Page 17) Nominated for appointment (competence in evaluation of art history, etc. category) by Vice-Mayor Malakoff. Nominated for appointment (competence in evaluation of art history, etc. category) by Commissioner Alem6n. 1 3. BOARD OF ADJUSTMENT POSSTBLE REAPPOINTMENTS TO BE MADE (2): No nominations received. 4. BUDGET ADVISORY COMTUIITTEE VACANCTES (1): o Marc A. Gidney (Release # 1, Page 23) Nominated for appointment (CPA position) by Vice-Mayor Malakoff. 5. CULTURAL ARTS COUNCIL POSSTBLE REAPPO|NTMENTS TO BE MADE (1): No nominations received. 6. DESIGN REVIEW BOARD Glerk's Note: On December 14, 2016, the City Commission agreed to pgstpone the appointments to the Design Review Board to the February 8, 2017 Commission meeting. VACANCTES (1) / POSSIBLE REAPPO|NTMENTS TO BE MADE (2): o Pierre Leon Elmaleh (Release# 1, Page 31) Nominated for appointment (At-large position) by Commissioner Alemdn. . Frank J. Kruszewski (Release # 1, Page 3g) Nominated for appointment (At-large position) by Commissioner Grieco. 7. HEALTH ADVISORY COMMITTEE vAcANCtES (4) / POSS|BLE REAPPO|NTMENTS TO BE MADE (3): o Dr. Mark L. Rabinowitz (Release # 1, page 47) Nominated for reappointment (CEO, Miami Beach Community Health Position) by Vice- Mayor Malakoff. 8. HEALTH FACILITIES AUTHORITY BOARD VACANCIES (0) / POSSTBLE REAPPO|NTMENTS TO BE MADE (1): No nominations received. 2 9. HISTORIC PRESERVATION BOARD vAcANCtES (0) / POSSIBLE REAPPOTNTMENTS TO BE MADE (1): . Scott A. Needelman (Release # i, Page 57) Nominated for reappointment (Miami Design Preservation League (MDPL) position) by Commissioner Grieco. 10. HUMAN RIGHTS COIUMITTEE vAcANCtES (1) / POSSIBLE REAPPOINTMENTS TO BE MADE (3): o Jesse Fleet (Release # 1, Page 65) Nominated for appointment (At-Large position) by Commissioner Grieco. o Rachel J. Umlas (Release # 1, PageTS) Nominated for reappointment (At-Large position) by Commissioner AlemSn. 11. NORMANDY SHORES LOCAL GOVERNITIENT NEIGHBORHOOD IMPROVEMENT vAcANCtES (0) / POSSIBLE REAPPO|NTMENTS TO BE MADE (3): No nominations received. 12. PARKS AND RECREATTONAL FACILITTES BOARD vAcANCtES (0) / POSSIBLE REAPPOINTMENTS TO BE MADE (1): . No nominations received. 13. PERSONNEL BOARD VACANCY (1): No nominations received. 14. PLANNING BOARD vACANCY (1): No nominations received. 3 THIS PAGE INTENTIONALLY LEFT BLANK 4 Cathy A. Byrd 5 THIS PAGE INTENTIONALLY LEFT BLANK 6 g MIAMIBEACH NAME: BYTd CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Cathy Last Name First Name HOME ADDRESS: 2395 Lake Pancoast Drive, #13 Miami Beach Middle lnitial 33140 Apt No. Home No./Street City PHONE: 3055099625 3055099625 State Zip Code cathy.a.byrd@gmail.com Home Work BUSineSS Name: Fresh Art lnternational position: director/curator/writer/educator Address: 2395 Lake Pancoast Drive, #13 Miami Beach Florida Email Address 33140 Street 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. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am an experienced contemporary art curator, writer and educator with extensive knowledge and experience in the field of publ o 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: Art in Public Places Committee Choice 2: Choice 3: * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: ;r1o 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: City 7 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Art in Public Places lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? r List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Female The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf 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 Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .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 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. "l hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article Vll - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." I Cathy Byrd agreed to the following terms on 11412017 10:34:04 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 8 CATHY BYRD 2017 CATHY BYRD Curriculam Vitae 2395 Lake Pancoast Drive, #13 MiamiBeach, Florida 33140, U.S.A. +1 305 509 9625 - cathy@freshartinternational.com PROFESSIONAL EXPERIENGE 1995 to Present Director/Curator/Writer/Podcaster, Fresh Art lnternational, Miami Beach 2013-2016 Museum Grants Manager, The Wolfsonian-Florida lnternational University, Miami Beach 2009-2011 Executive Director, Maryland Art Place, Baltimore 2001-2009 Art Gallery Director, Georgia State University Welch School of Art & Design, Atlanta SELECTED PODCASTS AND LECTURES . Fresh Talk audio podcast programming, October 2011 to present http://www.fresha rtinternational. com/category/fresh{al U . Jolt Radio show, September 2016 to present http://www.joltrad io.org/artisUfresh-a rt-international/ . Live broadcast from 32nd S5o Paulo Biennial on Jolt Radio, S5o Paulo, Brazil https://soundcloud.com/freshartinternational/fai-radio-show-sao-paulo-biennial-08sep2016 . Creative Mornings Miamitalk on Change, Miami https J/www.youtube.com/watch?v=KsRwQ Bffu n M . Sculpture Project Baltimore 2011 , lgaite Baltimore https ://www.youtu be.com/watch?v=A296 HZuq IWA . Lecturer and Director, Welch School Gallery, Georgia State University, Atlanta, GA 2001 - 2009 . Lecturer, Towson University, Towson, MD,2010 PROFESSIONAL AFFILIATIONS lnternational Association of Curators of Contemporary Art (lKT); lndependent Curators lnternational; ArtTable; Association of lndependents in Radio;South Florida Podcasters COMMUNITY ENGAGEMENT 2014 - Present Art in Public Places Committee, Miami Beach 2015 - 2A16 Chair, Art in Public Places Committee, Miami Beach 2012 Panelist, City of Atlanta Public Art Projects, Atlanta 2008 - 2009 Panelist, Hartsfield lnternational Airport Public Art, Atlanta 2008 Panelist, City of Atlanta Public Art Projects, Atlanta EDUCATION 1995 Master of Fine Arts, Fiber Art, Savannah College of Art and Design, Savannah, Georgia 1975 Bachelor of Arts, French, Southwest Texas State University, San Marcos, Texas LANGUAGES English, French, Spanish 9 ffi $ u ..r$ -si$s ?/t::ltt $' l:l:::,.: \:!:::.t:: H $f nT:Si*i .*j .J :::jI: ,$ @ i=.,.,,, ;itti;1;;t;jlA:l;-:..::, l1'1,1a!a!.a:.iiiji.,7;;:4 rirj!?ntlih: h-u W w * I tt , .: :: , : ::::::::' .ajaa:].::; .,i.'t,':-.:.:::lir sr.i:: ::::,. l. ...:.::. 1'.,g,$' t='t'', i-ij;?..!!-..:::.: :.: 10 Michael McManus 11 THIS PAGE INTENTIONALLY LEFT BLANK 12 Last Name First Name^)Middle lnitial Home Address Zip Code s Cellular T Zip Code Professional License (describe):Expires: Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice Ptease note that onlv three (3) choices will be observed bv the Office of the Cltv Gterk. Page 1 of4 F:\CLER\$ALL\aFORMS\BOARO AND COMMITTEES\BC APPLTCATTON REVTSEO 0Oi4ZO1e docx City Please attach a copy of currently effective professional license. Pursuant to City Code section 2-22l4la & 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. o Resident of Miami Beach for a minimum of six (6) months: yes ffi or No E o Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: yes E ot. f.fo {o Are you a registered voter in Miami Beach: Ves p or ruo E o I am now a resident of: North Beach S Sorti.r Beach E nnioOt. Beacn E o I am Sppl I have o Are you presently a registered lobbyist with the City of Miami Beach? ves E or ruo ff I Affordable Housing Advisory Committee C Health Advisory Committee i Parks and Recreation Facilities Board € ,dArt in Public Places Cornmittee C Health Facilities Authoritv Board ! Personnel Board f, Audit Committee I Hispanic Affairs Committee ! Plannino Board*t! Board of Adiustment "t D Historic Preservation Boardt I Police Citizens Relations Committee! Budoet Advisorv Committee E Housino Authoritv Production lndustrv Council I Commiftee on the Horneless D Human Riohts Commiftee C Sister Cities ProqramI Committee for Qualitv Education in MB C LGBT Advisory Committee I Sustainabilitv Committe6 tr Convention Center Advisory Board n Marine & Waterfront Protection Authority i Transportation, Parking, & Bicycle-Pedestrian Facilities Committeef Cultural Arts Council i Miami Baach Commission for Women L-] Visitor and Convention Authoritv C Design Review Boardft E Normandy Shores Local Government Neiohborhood lmorovement ! Youth Commission I Disabilitv Access Committee * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. ft tt 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+ffectively license, and furnish the following information: Type of Professional License License lssuance Date License Number License Expiration Date 13 € Note: lfapplyingfortheYouthCenterpositionsoftheParksandRecreationsFacilitiesBoard,pleaseindicateyouraffiliationwith the Scott Rakow Youth Center and/or the No(h Shore Parks Youth Center: . Please describe your past service with the City's Youth Centers (include dates of service): . Present participation in Youth Center activities by your children: yes E ruo E lf yes, please list below the names of your children, their ages and the programs in which they participate: Age: _ Program: Age: _ Program: r Have you ever been convicted of a felony? Yes lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach Code? yes E ", N"S lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money? Ves E or ruo ffi lf yes, explain in detail: . Are you currently serving on any City Board or Committee? Yes E or No organization(s) in the City of Miami Beach do you curyently hold nlembership? Position the City of Miami Beach: o Are you now employed by the City of Miami Beach? Yes H or No Which department and title? o Pursuant to City Code Section 2-25 (b): Do you lpvq.a parent E, spouse H, child * brotner E or. sister fl who is employed by the City of Miami Beach? Yes flor Ho H lf "Yes," identiiT person(s) and department(s): \ \ The following information is voluntary and is neither part of your application nor has any bearing on your conslderation for appointment. lt is being asked to comply with City diversity reporting requirements. Gender: Male u Female Race/Ethnic Categories What is your race? African-American/Black iCaucasianA/Uhite t----1l=J Asian or Pacific lslanderr-1l:I Native-American/American lndian Page 2 of 4 Fr\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx 14 ffi ornur- Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. H*"U y". Do you consider yourself Physically Disabled? &,"E v.. 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 AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDING LY.:' \.1 ,lL ( Applicant's Signature Name of Applicant (PLEASE Received in the Offlce of the City Clerk by:/L,3//d/l'?- Name of Deputy Control No.Datd ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. NOTE: IF APPOINTEO, 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-i1.1). 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 Coung Code section 2-11.1). o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving ofiice, 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 570.61 1). o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict - Form 88 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. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Upon request, copies of these laws may be obtained from the City Clerk. open most Page 3 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLTCATTON REVTSED 06142016 docx 15 MICHAEL MCMANUS 3tt4 Meridian Ave. f4A Miami Beach, FL 33139 305 531 5089 m32140@bellsouth.net BA John Carroll University (Jesuit) MA New York University Cinema v6rit6 documentary filmmaker: CBS Specials Bill Moyers Journal 20120 Director of Exhibitions Museum of American Folk Art: Admlnistratlon Curatorial Writer Florida Humanities Council Speakers Bureau Adjunct Professor Art Department: University of Miami Florida lnternational University Two terms Miami Beach CulturalArts Council Published: Knopf Viking Yale University Press Condominium owner 16 Alpesh K. Patel 17 THIS PAGE INTENTIONALLY LEFT BLANK 18 g MIAMIBEACH NAME: Patel CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Alpesh Last Name First Name HOME ADDRESS: 2665 SW 37th Avenue Unit 501 Miami Middle lnitial 33133 Apt No. Home No./Street PHONE: 7865318433 City State Zip Code alpeshkantipatel@gmail.com Business Name: Miami Beach Urban Studios Address: 420 Lincoln Road Email Address pos itio n : 199!9!q! P rof es191to ! rycto1 ol M F]1' rggg m Miami State Zip Code Pursuant to Gity Code section 2-22(41a 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. o Resident of Miami Beach for a minimum of six (6) months No o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: No o (Please circle one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: contemporary art scholar o 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: Art in Public Places Committee Choice 2: Choice 3: * Board members are required to file Form I - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, aftach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po 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: City 19 . Have you ever been convicted ofa felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluniary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. RaceiEthnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. Asian or Pacific lslander Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf 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 Code section 2-26). o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .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. "l 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 Alpesh Patel agreed to the following terms on 11412017 12:21;29 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 20 AIpeSH KANTILAL PATEL CunarcutuuVtee Telephone: 1-786-531-8433 . Email: alpesh.patel@fiu.edu Aceoeurc PosFtoNS Aug 2011-present MtlMI BEAcH UReaN Sruoros, FlU, Miami Beach, Asst. Professor, Contemporary Art & Theory Jul 20'f 2-present Mtamr BEAcH URenH Sruotos, FlU, Miami Beach, Director, Master in Fine Art in Visual Arts Sep 2010-May 201 1 NEwYoRK UNNERsrry, New York City Visiting Scholar, Center for Study of Gender and Sexuality Eouclnot Apr 2009 UNUERsrry oF MANGHESTER, England PhD, Art History and Visual Studies MPhil, Drama/Screen studies (upgraded to PhD in 2006) Sep 1997 Yale UNrvensrrv, New Haven, Connecticut BA in History of Art with distinction in major Anrs AomrrursrRATroN Jan2002-Ju12005 NewMuseuuoFCoNrEMpoRARyARr,NewYorkCity Executive Assistant to Lisa Phillips, director Dec 1998-Aug 2000 Wxrxev MUSEUM or Auenrcrur Anr, New York City Project-based Curatorial and Research Assistant Curator Summer 1998 Solonrtou R. Guccenxetu Museuu, New York City Curatorial lntern HoNoRS, GRANTS, AND OrHER Amnos 2016 Cranbrook Academy of Art, Bloomfield Hills, Michigan, Critical Studies Fellow 2015-16 Fulbright Foundation, Fulbight Fellowship, for research on contemporary art in Eastern Europe 2012 National Endowment of Humanities (NEH), Summer lnstitute Scholar 2008 College Art Association (CAA), Professional Development Fel/owshrp finalist DocronnuAwnnos University of Manchester, England 2006-8 School of Arts, Histories and Cultures 2006-8 Art History and Visual Studies 2006-8 Art Gallery and Museum Studies UNoenemouATE AwARDS Yale University, New Haven, Connecticut 1995-7 Werner F. Gosse/s Scholarship 1996 Richter Summer Fellowship 1995 Mellon Undergraduate Research Grant SELECTED INVIED LEGTURES 201A Centre de Cultura Contemporinia de Barcelona, Spain. 2015 Adam Mickiewicz University, Poznai, Poland. 2014 School of Art lnstitute of Chicago, lllinois. 2013 New York University, New York City, New York. 2010 University of Cambridge, England. 2009 University of Oxford, England. 21 22 Marc A. Gidney 23 THIS PAGE INTENTIONALLY LEFT BLANK 24 b NAME: MIAMI BEACH CITY OF MIAI'II BEACH BOARD AND COMMITTEE APPLICATION FORM Gidney Marc A Last Name First Name Middle lnilial HOMEADDRESS: tOtOl E.Harbor Dr. # 704 Apt No. PHONE: (305)E66€266 Home No./Street (30s) 866-6266 Florida State Gidney98@yahoo.com Harbor 33154 Zip CodeCity Home Work Email Address Business Name: Gldnev & Comoanv. pA cpA Adctress: 326 71st St. position: Owner Miami Beach Florida 33141 Pursuant to City Code section 2-?2141a and b: Members of agencies, boards, and committees shall be affiliated witn tne cittt nisrequirement shall be fulfilled inthe 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. r Resident of Miami Beach for a minimum of six (6) months No r Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: yes r Are you a registered voter in Miami Beach: No . (Please circle one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. please list below: CPA o Are you presently a registered lobbyist with the City of Miami Beach? No Street City State Zip Code Please list your preferences in order of r,anking [1] lirst choice [2t second choice, and [3] third choice. Please note that only three (3)choices will be observed by the City Clerk's Office. (RegularBoards of City) Choice l: Budget Advisory Committee Choice 2: Choice 3: Note: lf applying for Youth 4lvisory Board, please indicate your affiliation with the Scott Rakow youth Center: 1. Past service on the Youth Center Advisory Board: po 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: 25 . Have you ever been convicted ofa felony: No lf yes, please explain in detail: o Do you curently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: r Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currenfly hotd membership in? o List all properlies owned or have an interest in, which are located within the City of Miami Beach: o I am now employed by the city of Miami Beach: No \rVhich department? Tho following lnformataon i8 voluntary and ls neather part of your applicatlon nor has any bearing on your consideration for appointment. ll ls being asked to comply with federal equal opportunity reporting requirements. Gender: Male Race/Ethnic Categories What ls your race? Mark one or more races to indicale what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: tf appolnted, you wlll be required to follow certaln laws whlch apply to clty board/commlttee members. These laws lnolude, but are not llmlled 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 2-1 1 .1).o Prohibition from lobbying before board/eommittee 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 2-1 1.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year afier lsaving oflice, from having any interest in or receiving any benelil from Community Development Block Grant iunds for aither y6urself, or those wilh whom you have business or immediate family ties (CFR 570.611). Upon rsquolt, coples of these laws may be obtained from the Glty Clerk. :'! hsreby att$t to thc accuracy and truthfulness of the applicatlon and have recelvad, read and wlll ablde by Chapter 2, Article Vll - of the Clty Code "Standards of Conduct for City Officerc, Employees and Agency Members." I Marc Gidney agreed to the following terms on Received in rhe ciry cterk,s office by: E a ,r.u ,l 4) ,rlrzn l,_ n arlt , o ? Name of Deputy Clerk Control No.Date 26 MARC A. GIDNEY 326 Seventy-First Street Miami Beach, Fl.33141 \rITAE Professional Certification and Afliliations: Certified Public Accountant, State of Florida since 1979 Member American Institute of Certified Public Accountants Member of Florida Institute of Certified Public Accountants Member of South Florida Tax Litigation Association Past member of the Florida Bar Grievance Committee l1C as a lay member) Chairperson of FICPA Gold Coast Chapter CPE Education: Masters of Accounting - University of Miami, 1976 Bachelor of Business Administration - University of Miami, 1975 Numerous courses on a continuous bi-yearly basis for Florida required continuous education in taxation, auditing, theory, litigation support activities and other miscellaneous subjects related to the profess ion of accounting. Experience: Owner of Gidney & Company, PA, CPAs 2001 - Present Partner of Kirsh, Gidney & Company, CPAs 1980-2000 Gurland & Goldberg, 1977-79 Laventhol & Horwath, 1976-77 William R. Ellis & Co., l9'75-76 During my career in accounting I have been involved in the many facets of the profession including but not restricted to the overall topics of Taxation, Audit, Business Management consultations, Computer Hardware and Software consultations, Forensic and Fraud accounting, and Insurance Business Valuation loss consulting. 27 '88 IT ii.lrI 9'r' fi 1r [I EE rt ri ilg ili. :ir tl,'rE r ir lo.E TI lfrilt $ ,oxtioo Too f,frz fl !,\\ ,'t\ i,.i{|\\,i }}i l\!\ Ect ar Itti H HI mnm xtr : lllt2 iHioi7t. ll,i lll:oitr:grl ;( 'iti,-*t--4i#. -. L*.1yl/,.t 1 t tt., 2 : 28 7r'r-fi;!li ,r:i_: i.;,11;!:1,r,J.,,,.r,,1/!: 'tt!t-;'r;-,.-'.""!s ! ' 7',': ;,ij,!,,j, l',fr r Ei ' ;rc11.sr= -e. ffi""g N Na E II f;,., E,' ffi"/t;,m EIQtt at 2utn E]t, E Iln2 Ef rf,o il t E* f E I 3 29 THIS PAGE INTENTIONALLY LEFT BLANK 30 Pierre Leon Elmaleh 31 THIS PAGE INTENTIONALLY LEFT BLANK 32 EIMAT,EII PIERRE ',EON Lasl Nam6 4545 PRAIRIE A\rE First Name MIAUI BE.ACH !.I' Middle lnitial 33140 Homo Addrsss 30S-S32-59r5 786-999-8455 City ?86-303 *? 255 Zip Code PELI-IALEI{€ GMAIL . COM State Home Telephone Work Telephone SI'NSTONE EROKERS Cellular Telephone PRINCIPAT AROXSR Email address Business Narne 407 LINCOTN RD SUITE 9D Occupalion HIAMI BEACH FL 33139 Business Address Professional License {describe): City State REAL ESTA?E BROKER 1 GE$E8.AL CON?RACIOR Expires: Zip Code 2 018 plclsss frrr"rcrl $ .rosu ot f#rrsrfly effe+lilre prof*sslanal rlsBrlss. Pursuant to Cily Coda saction 2-22l4la & b: Members of agencies, boards and cornrnittees shall be affiliated with the City. This requirement shall be fulfilled in the following $/ays: a. An individual shall have been a resident of the City for a rninimurn of six months; or b. An individual shall demonstrate ownarship/interest for a minimum of six monihs in a business e$tablished in the City for a minimum of six months. r Resident of Miami Beach for a minimum of six {6) months: yas fEi or No E r Demonstrates ownershiplinlerest in a business in Miami Beach for a minimurn of six months: Yes EI or Ho ff . Are you a registered voter in Miami tseach: Ves fJ or No EI r I am now a resident of: Nor{h Beach fJ Soutfr Beach l--1 uiaat" Beacn El r I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:I AU PR,SSSNTLY BUITDING A 5 STORY-BUITDTNG IN NORTII BEECB. I HAVE BEEN TBROUGT{ THS g IICENSED GENERAL CONTRACTOR r Are you presently a registered lobbyist with the City of Miami Beach? yas fl or No El Please list your preferences in order cf ranking [1] first choice [2] second choice, and [3] third choice. PlEase note that onlv three (3) ch$ices will be observed bv the Oftice of the City Clerk. Page 1 of4 F:ICLEFISALL\pFORMS\BOARO ANO COMMITTEEStsC APPLTCAT,ON REvrSgO OOr*20r6.Oocx [,Affordable Housing Advisury Commitee I $€alth Advisory Comfiitiee I Parks and Recreation Facilili€s Board * fr Arl in Public Places Committe€C Heatth Facilities Authoritv Boa.d D Peasofinel Board nAudit Committea il Hisosnic Akirs Committaa i Plannina Board'* Board ofAdiustrn€flt'f n Histork Preservation Board*X Po:ice Citizens Relations Committm C Budoet Advisorv Committed i'i H0Finn Ar,thnritv Produdion lndustry Council Il Gornmittee on the Horflele$$I Hurn n Rlohts Cofimittee n Sister Cities ProoramI Cornmittee for Oualitv Educaton in MB I LGBT Advisorv Committee tr Sustainabiliic Committea 0 Convention Center Advisory Board n Maria€ & Waterfront Protection Al,lhority n lransportalion, Parking, & Bicyde-Pedestrian Facilities Cornmiltae f Cultural Arts Council il Miami Beach Commision ftrW6mAn f Vbitor and Coflyention Authorilv & Design Review Boardfr C Normandy Shores Local Goyemm*ni Neiohbo/nood lmorovornent C Youth Commission tr Disabilfu Access Conrmittee * Board memberc are required to file Form 1 -'$tatemant of Financial lntarsst* {yilh the State.f f you seek appointment to a professional seat {s.g,, lawyer, architect, etc,} on tha Board of Adjurtment, Design Revie* Board, Hlstorir Prcservetion Board or Planning Board, attach a copy of your currently.effectively licerce, and furnish tha following information: Tlpo of Professlonal Licens€BEAI, ESTATE BROKER LicenseNumber BK3120g95 Licsnse Isruance Date eS { -..n { ?.r}.o 5 License Expiration oae flltO {Zo r? 33 x Note: lf applying lor the Youth Center positions of the Pa*s and Recreations Facilities Board, please indicate your affliation wilh the Scott Rakow Youth Center and/or the North Shore Parks Youlh Center: . Please doscribo your past service with the City's Youth Cenlers (include dates of servics): . Present participation in Youth Cenler activities by your children: yes ff No fl lf yes, please lisi below the narnes of your children, their ages and the programs in which they participate: Child's name: Child's name: Age: _ Frogram: Age: _ Program: r Have you ever been convicted ofa felony? Yes or No lf yes, please explain in detail: I Do you cunenUy have a violalion(s) of CiE of Miami Beach Code? yes E o, N& [ yes, please explain in detaii: r Do you currenlly owe the City of Miami Beach any money? yos E or Xo & lf yes, explain in detail: . Are you currently serving on any City Board or Committee? Ves f,f or ruo EI H yes, which boardlcommittee? r ln what crganization(s) in the Cily of Miami Beach do you cunently hold membership? Nams Position Name Position r List all prope(ies owned or in which you have an interesl wilhin the City of Miami Beach: 8421 CRESPI BLVD, 8427 CRXSFI 8LVD, 8415 i{ARDItrc AVE, 550 hlBsf AVE, 45{6 P&ArRrE AVS . Ars you now employecl by the City of Miami Beach? yes [l or No ffi Which department and title? r Pursuant to City Code Section 2.25 (b). Qo you employed by the City of Miami Beach? Yes Uor llo havets a paronr ff, .por"" ff, chitd I brorher fJ or sister ff wrro is lf 'Yes," idenlify person(s) and departmeni(s): The following lnformation is voluntary and is neither part ol your applicaiion nor has any baaring on your considsration for appointment. lt is being asked to complywlth City divarslty reportlng requlrements. Gender: Male EI Female RacelEthnic Catogorie* Utlhat is your race? ff ltrican -emericarfBtack fll Caucasianrunite ff Asi"n or Pacific lslander ff Native-American/American tndian FIcLERsALL\aFoRMs\&oARo Arlo CoMMTTTEES',BC AppLrcAroN *uu,3fa1*tofu.o*- 34 ff otn*r- Print Race: Oo you sonsidsr yoursoll to be $panlsh, Hlspanlc or Latlnda? Mark the "No" box if nat Spanisi. ttispasic, Lalino/a. Hr'roflv", Do l,ou consider yoursef Ph,3ically Oisablsd? Er.roIy"u l,lOTE: lF APPOINTED, YOU WLL BE REQUIRED TO FOLLOI,Y CERTAIN LAWS THAT AFPLy TO CITY BOARDICOMMITTEE MET]iBERS. THESE LAI'YS IT{CLUDE, BUT ARE NQT LIMITED TO: o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2459). o Prohibition from sntracting $rith the City (Miami-Dade County Code section 2-11.1'). o Prohibilion from lobb'ying before lhe boardicommittee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). o Requirement 1o disclose certain financial interesls and gifts (Miami-Dade County Code section 2-1 1 .1). c CidB Community Development Advisory Commiitee: prohibition, duilng tenure and for ona year aftar baving office. from having any intgrest 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.$1 1). o Sunshing Law - Florida's Govemment-in-the-$unshine Law was enacied in 1967. Today, the Sunshine Law regarding open government can be found in fiea$gLe&S of the Florida Statutes. These siaMes establish e basic right of accsss to mosi meetings ol boards, commissions and oth6r govgming bodies of state and local governmental agencies or authorities. o Voting conflici - Form 8B is for u$e by any person serving ai the county, city or olher local level of governmont on an appointed or €lected board, council, commission, authority or committee. lt applies equally to members of advisory and non-advisory bodies who are presenled with a voting conflict of interesl under Section'112.3143, Floride Statutss. Upon request, copies of these laws may be obtainod from the City Clerk. ! IIEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RESEIVED, REAO At-lO WLL ABIDE BY CHAPTER 2, ARTICLE \TII, OF THE I'I,AMI BEACH CITY COOE, ENTITLEO "STANDAROS OF CONDUCT FOR CITY OFFICERS, EiTPLOYEES AND AGENSY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAW$ A}ID STATUTES z')1tr r'*e*-e #r-., ft'LG4,, NBmo otApplicanl {PLEASE PRINT} Received in the Oflice of the City Clerk by: Narne of Deputy Clark Control No.Oate COPY OF ANYATTACH A CURRENT RESUME, PHOTOGRAPH AND A AFPLICABLE PROFESSIONAL LICENSE. ATTAGH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 F:ICLERIiALL\aFORMSIEOARO Ar{D COMMITTEEE1AC APPL,CATION REVISED 06142016.dmr 35 Pierre Elmaleh 407 Lincoln Rd, Suite 9D, Miami Beach fL-33139 pslmaleh&igmail"$$m 53 years old Real Estate Construction, Developmeut and Brokeroge Professional Experience SUNSTONE DEVELOPERS Miami BEACH since 2At5 General Contractor, building in North Beach on Crespi Blvd A S-story, 16 aparunent building on &e Biscayne waterway GD Construction, Miami USA 2010-2016 Construction Manager ' KLA Schools in Brickell 15,000 sft ' Bridge Invest Offices ' Freedom Hotel and Resort ' Francisco Mehech Offices ' Kydoo Kids Cafe+Club Brickell Miami Sunstone Brolwrs - MiamiBeach, tlSA 2008-2016 Real Estate Broker - Principal Brokerage and property management Miami Invesrmefi Brokers - Miami Beach, USA 2005-200g Real Estate Sales Associate Toars Promotion Paris, France Construction Manager - Real Estate Development- ' La Coupole, Tours * France, 6 floors, 60,000 sft ' Le Bellevue, Tours * Franceo 4 floors, 29,000 stf ' Le Bellevue, Le Mans - France, 4 floors, 47,000 sft ' Le Bellevue, Rennes- France, 3 floors, 50,000 sft ' Le Parc Tonneld, Tours - France, 5 floors, 55,000 sft Accenture - Arthur Andersen Consulting- Paris, France Consultant - Real Estate Departrneot 1996-200s 1988-r996 Edxc*tion Licensed General Contractor - 2015 Licensed Real Estate Broker *2AA5 ESSEC * Ecole Supdrieure des Sciences Economiques et Commerciales Class of 86 Master in Business Administration Lycee Janson de Sailly - High School Scientific Baccalaureste Cum Laude 1981 Languages Completely fluent in 6 languages : French, English,Italian, Spanish, Portuguese and Gennan 36 ,:2a:1a F{ ,tl&lilttd Data Contained ln Search Results fs Current Ae Of 11/23,r20f5 O3:23 PM. $o*r*$ &eeutrts Pleas€ sele our Slg*t4ff-Srlcf![s for an explanation of the license status shown in these search results. For additional informttion, including any oomplaints or discipline, click on the name. ucarynm1l Certified General Contractor *mp:fi certifiedGeneral qlHAuxH,.ltrEB&&trolt ILHALEH-PIEE*E LEOU Primary l{aln Addr€arr: 407 UNCOLN ROAD SUITE 90 X,AMI BEACT-|, FL 33139 08/31/?018 CGC1523270 Current, Actlve Cert General 08/31/2018Prlmary li.ln Addr6sr: d07 UNCOLII ROAD SUm 90 iIIAMI BEACT-i, FL 33119 Real Estate Broker r.illtalHil, pTERRE LEofr Prrmary BK312oees .[ffSr#]," lilaln lddrerr*r 407 UNcoLN ROAD SUITE 90 MIAtr,tI 8EACH, FL 33139 @tsg@ . dGnotrs Main Address - This address is the Prirnary Address on file, Hailing dddreas - This is the address lrhere tne mail associated wirh a partlcular license will be s€nt (if different from the Main or Ucense Location add.esses)" Licens€ Loaallon Address - ThiS is tha address where the place of busifi€ss l9 physically located. ?601 Alair.5r+n?..Faad, TFlrallec*3o f L 3:39t :; emait: CuitomGr qpnti$ Crnttf :: Cusromer Coilt ct Crnter; 850"4S7.1395 ?}1e Sbte of Floride ,$ an AA/EEo emplsy*c ?rlYacv $.t$[{at Urder Flsrrda law, ema, ,ddtess*6 ,re publig recor{$, If ysu dd n$l wntra yut}r €mril addr?ss taL*ad in (asponsa to a public-raco(dsifillr*et, dr nor s*rd elactronic r4sil to ih,* efitity. lnst sd, Itntact lt* *mce by &o{}e rr by trdiiion l msil. If ytu ha{e- lny qu.6|tort,pl€a* r:entact 850.48r.1395. 'tursoint ts S€ctlon 455.?75{l}, Eorida Stat}tei. de(tty! Octobcr f, eOfz, dasacs *carlr* undx ' t:hapterlI5. L5. tn!.t pr$v,dr tha o(or.tment rlth in *mil addre$ il th€y hayr ofie. Ih* cmltr pro\,6ad fnrry ba uad &r of,tcirl(&r11rililrrtat$,1 fith th. llcadse . Hor{yef €mail addres:*r are Blb{ic rccord. Ia yotl alo oot wtsh to supply a paton* aaarr$, pt*x i! avde the *caartxleat s,th an *fsail addrsss whi{h can be firde aysilrbi. to tle srbtta. gcasc rce o* (tuoFt,tlt rrid tode(erftine if ytu .re ,ft€cted by this cian{6. ':. '.*lllk,xul:-:r cGc1524125 Cert General 37 lb'sx&rqg* Pierre Elmaleh Otr*ner / Brcker 78&303-7255 * '';tJ;*l Plerre Elmaleh Owner / Quallfier 786-30&72s5 38 Frank J. Kruszewski 39 THIS PAGE INTENTIONALLY LEFT BLANK 40 g MIAMIBEACH NAME: Kruszewski CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Last Narne First Name HOME ADDRESS: 1800 Sunset Harbour Drive - 2002 Miami Beach Middle lnitial FL 33139 Apt No. Home No./Street C1y PHONE: 3055863191 State Zip Code fksobe@icloud.com Home Business Name: Address: Position: Email Address Street State Zip Code Pursuant to Gity Code section 2-22(41a 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. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes r (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: 4 years prior experience on the Planning Board, three years on the Budget Advisory Board, three years on the Police Advisory r 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. PIease note that only three (3] choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Design Review Board Choice 2: Planning Board Choice3: Police/CitizensRelationsCommittee Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 'l . Past service on the Youth Center Advisory Board: po 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: o Have you ever been convicted of a felony: No lf yes, please explain in detail: City o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? N"*" Title ,,,,i o List all properties owned or have an interest in, which are located within the City of Miami Beach: 41 Property 1800 Sunset Harbour Drive - 2002 o I am now employed by the city of Miami Beach: No Which department? The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Gender: Male Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. llYhite Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf 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 Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 I .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 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. "l hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article Vll - of the City Code "Standards of Gonduct for City Officers, Employees and Agency Members." I Frank Kruszewski agreed to the following terms on 1111612016 12:34:23 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 42 FRANK J. KRUSZEWSKI 1800 Sunset Harbor Drive, Miami Beach, Florida 33139 Home: 305.695.8571 . Cell: 305.586.3191 . fksobe@icloud.com SUMMARY OF QUALIFICATIONS Eight years of Community Association Management Experience in properties ranging from 187 to over 500 units. Over 15 years of progressive management and project management experience ranging from Financial Systems lT lntegration Projects. Throughout my career I have consistently been recognized as driving organizations to the highest levels of customer satisfaction. PROFESSIONAL EXPERIENGE First Service Residential lnc. 2008 - July 2016. Community Association Manager -o Association Manager luxury high rise properties ranging in size from 187 to over 500 units.o Managed the startup of a new condominium property for First Service Residential; implemented corporate policies and procedures, staff training and on-going maintenance policies. o lnstilled in building staffs at four condominiums to strive to exceed resident's expectations.o successru',U#il'ffL?:,1::Hlllixl:t?iJ.'#',ffi::1.1,1'p.intins, waterproonns and roorrepairs and/or replacement projects at five condominium properties.. Total Pool Restoration & Pool Deck Rebuild. Manage the successful renovation of common areas including; hallways, lighting systems, carpeting and lobby refurbishments. :3ffiii,,:1,1ffi',Ti,',.'i:ff #':il;',f l,,i#HfiJ;::,ff :'llT;131,,,,,o Working with Board implemented shict collections policies which significantly reduced delinquencies.o Prepared weekly and monthly financial and management reports. lmplemented weekly resident newsletter and moved associations forward to total electronic communications with owners and residents. Gary Hennes Realtors 2005 - 2008. Closed over $3.5M in residential real estate sales NDS AMERICAS, Newport Beach California 2000 - 2005 Account Director - DirecTV Latin America Account, Miami Lakes, Florida. Full responsibility for service delivery to DirecTV LA and its subsidiary companies in 13 countries.. Outsourcing Services Manager responsible for Video, Voice and Data Encryption services for DIRECTV Latin America. Responsible for the live encrypted broadcast feed for 1.5M subscribers in Latin America COMPAQ COMPUTER SERVICES 1986 - 2()O(l ProjecilProgram Manager - Various Locations. lmplementation manager for lnternet based retail banking project at a major global financial services company. ' Successfully implemented Citibank's first true lnternet Portal for Full Service Banking.. Developed systems implementation and deployment project schedules, staffing plans and operational support model, in support of mission critical 24 x 7 operations. GENERAL ELECTRIC - NEUTRON DEVICES DIVISION 1983 - 1986 Data Center Manager. Designed, implemented and managed the VAX Cluster Data Center for Engineering Operations at the General Eleckic Facility in support of the Department of Energy Nuclear Weapons Program. DOE 'Q' Clearance. Security Officer for all engineering computer systems at the facility. Designed and implemented both electronic and physical security controls on ADP resources. 43 MODERN TALKING PICTURES, 1981 - 1983 Systems Programmer and Computer Systems Manager CATHOLIC TEACHING ORDER OF DE LA SALLE CHRISTIAN BROTHERS 1975 - 1981. Taught High School Mathematics and Computer Science in Queen of Peace High School - North Arlington NJ. Dean of Studentsl/ice-Principle La Salle High School - New York New York EDUCATION /TRAINING Licensed Community Association Manager, Licensed Real Estate Sales Associate College of Staten lsland - City University of New York, New York, New York Bachelor of Science, Mathematics, Secondary School Education Teachers College - Columbia University - Studied Secondary School Administration COMMUNITY SERVICE. Served four years on the Planning Board of the City of Miami Beach. Served as Vice-Chairman of the City of Miami Beach Budget Advisory Committee. Served on the City of Miami Beach Police-Citizens Relations Board. City of Miami Beach Citizens Police Academy Graduate. City of Miami Beach Leadership Academy Graduate. Vice President Sunset Harbor South Condominium Association Board of Directors AWARDS & RECOGNITIONo FSR Annual Excellence in Unit Owner Communications. FSR Annual Excellence in Board and Association Relations. FSR Annual Excellence in Board and Owner Reporting 44 45 THIS PAGE INTENTIONALLY LEFT BLANK 46 Dr. Mark L. Rabinowitz 47 THIS PAGE INTENTIONALLY LEFT BLANK 48 MIAMiBTACh{ Rabinowitz Mark B*ARD ANO CCS}NiI?EE APPLI{ATlOiI FORi\T L Last Nsme Miami Beach [ommunity Health Center Fird Nam6 Middle lnitial 155[Il{E [uavsidq]errace _Miami _ ___Ffuda 331!8 3U5/885-6888 3[5-538-8835 78-E/28!:8874, mfabinowitz*mbrhc.com _ Fhysician Eusiness Name 710 Alton [load Oc<r.lpation Miami Eeach Florida 33t38 Business Address Ap Code profBs$ional License (d6scribq: Medical 00ct0t *- Expiree: . Pursuanl to Clty Code section ?-22{.,}a & b: Members of agencies, boards and committees shall be effliated with the City. This requirernent shell be fulfillrd in the following ways: a. An individual shall have been a resident of the City for a minimum of six rnon$rsi or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business estahlished ln the City for a minimum of six nronths. r Resident of Mlami Beach for a minimum of six (6) months: yas ff or No ffi . Oemonst€tes ownership/interest in a businesE in Ml€mi Beach for a minimum ol six months: Yec E or Xo fJ e Are you a registered voter in Miarni Beach: Yes fJ or No [f . I am nov/ a resident of: North Beach (J Souta seach f,J Middte Beach fl l{une r I am applying for an appointment because I have special abilities, knowledge and exparience. Pl3ise list below: lameryp.diceldnnlntatrl lernthlfFlland.lhiefMedir:el flflinpJnf the"idiarulBeachllnmmrnityHpalthIentnr eFpriepallytlrralifiprl . Are you presenily a regislered lobbylst with the City of Miarni Beach? Yes ff or No E Please list your preferences in order of ranking Fl first choica [2] second choice, and [3] third choice. Please noje thal onlv three {3) choicigc wlll be obsen od bv the Offlce of the Cltv Clerk. Heaiin AdvEory Commitce il Park3 and Recreation Facilitiss Board 6 City ' Board members are r€qulred to lile Form 1 - "statement of Flnanclel lntare€f'$,ith thg $tate. fr tt you 6eek appoinlrnent to a profeosional e6at (..g., Iawyer, archltrct, atc.) on the Board of Adiuslmen! Oeslgn Revlow Eoard' Historic Prcservation Boa.d or Plennlng 8oard, attach a copy of your currenuy{ffactively llcsnee, and fumish the followlng information: Type of Protealional Licsnsa Ucenae Number Licenso l6suanc6 Date Licente Expir.tion Date : Afardable Houring Advhory : Ad in Public Pla* Committee O Convgntion Ceoter Advisory Board Page 1 of 4 F:\CLER1$ALLIaFORMSIBOARD ANO COMMITTEES1BC APPLTCAnON REVTSEO 06t42oro.dccx 49 € NotE: lf applying fior the Youth Center positions of the Park! and Recrea$one Facilitiec Bo5rd, plcase indicate your affliation witt the ScoU Rakow Youth Center and/or the North Shore Parks Youth Centec ' Please d$cribr yourpast s.rvicewlth lhe Citfs youth Ceotars (ncludedatesof6ervice): . Pres€nt psrticipauon in Ycuth Center adlvitie! ry your ctridren: ves E No fl l, ye3, pleaso list below the nam63 of your cfiildren, tiek ages and thE prognms ln raflich hey padidpate: Chlld'E name: Child's nama: Age: _ Program: Age: - Prograrn: , Have you ever b6en ccnvic.ted of a felonr? Yoa or No |fyes, pl6*6 rxpleln in deteil: r Do you cunen$y have a violatlon(t) ot City ol Miami B€adr Code? yer ff, or ||{0 f yos, ptease orptain h detan: r Do you cunently owe the city of Mtami Besch any money? yes f3 or xo U3 r yea, crptain in daiail: . Are you cutrently sewing on any City 6oard or Commifi.B? Yo! [| or rc ff f ye3, whlch board/corrmtflee? Hgalth Advisory [ommittee r ln whal organiaadon{!) in the City ot Miami Beacfi do you cunently ho{d membership? ilone Position r List all propedies owned or in whlch you have an in:erest within ths City of Miami Beech: . Are you n6w employed by the Clty of Miami Bsach? ye€ ff or Xo I WhLtl deprrtment and title? I Punsu.nt to clty cod. s€ctton 2-2t (bliQo you hava a parent f], .pou.. f3, chiB ff brottrer El or eise, ff who is employed by the Cily of Miami Beach? Yas l-Jor Xo (JJ lf Yes,' idenlify p.rson(6) and daparimant(s): Tho follow{ng infomrrtion lr voluntary nnd ll nslthor part of your .pptlc.Uon nor has arry bcaring on your conrldention forappolntner[ lt i3 bclng esk€d io cornply wl{,1 Clty divottity rcportini i.qutr€monb, Gender: Male IAJ F Racs/Eihnic catogorie3 What l3 your rac6? D nfriban-*rnen carugrtac* El Caucasianll{,hite f,l Asian or Paciic tslandor fJ Nafi v+lmorican/American tndian F.\cLER$ALL\aFoRMs\BoARo ANo coMurrrEEs\sc AppucAroN Rs!fl !$n:.1$1a0"* 50 ff otner- Prinr Race: Oo you con-ider yoursalf to be Spanish, Hiepanic or Latnala? Ma* tfie "Na" box il not Spanish, Hispanic, Lalinafa. ffiruo f,J v*' Oo you coneldar youraelf Physically Dlsabled? [f No f,f vu, NOTE: lF APPOINTED, YOU llVlLL BE REQUIRED TO FOLLOW CERTAIiI L.AWS THAT APPLY IO CITY SOARD/COMMITTEE MEMBERS. THESE LATYS INCLUDE, BUT ARE NOT LIMITED TO: o Prohibition from directly or indirect y lobbying Gity p€rsonnel (Miaml Eeach City Code seclion ?-459). o prohibition from con'tra..ting with lhe City tMlaml.Dade County Cod€ sac.tion 2-11.1). o Prohibition trom tobbying betore the boardlcammittee ycu have served on fot pariod of one year after leaving offii€ (Miarni Seach City Code section 2-26). o Reguir6ment tc disclosa cetlain {inancial interssts and girt6 (Miami-Dad€ County Code section 2-1't.1). o CMB Community Deveiopmsfit Adylsory Committee: prohibilion, during tenure 6nd for one year 6fier leaving ofiae, from having any interest in or recaiving any ben6{it trom Cor,rrnufllty Dwelopmeni Block Grant funds fror either yourself, or those with whom you have business or immediate farnity tis$ (CFR 570.811)^ o Sunshine Lew - Florida's Govemmaffin-the-Sunshine Law was enactad ln '1967. Today, the Sunshina l-aw regarding ope'l government c€n be found in g!AA!9.*9S of the Fllrida Statules. These statutes establish a basic right of ac{ess lo most meetings ol boards, commissiong and other goveming bodiss of state and local govemmental agancies or authotitios. o VoUng conf,ict - Fotm 88 i6 for use by any person seffin! at th6 county, city or other local level of government on an appointed or eleded board, council, commigsion, authoriv o. comrnittee. lt appli€s equally to members ot advi6ory and non-advisory bodies who are pre$ented with a voting conffi:t of lnierest unier Seclion 1 12.3143. Flcrida Statules. Upon requeit, coplor of thesc law€ mey be obtainad lrom the Clt Clork. I HEREBY ATTEST TO THE ACCURACY Al{D TRUTHFULNESS OF THE APPUCATION; A}lD I HAVE RECEIVED, READ AND $/ILL ABIOE BY CHAPTER 1, ARTICLE VII, OF THE MIAMI BEACH CITY COOE, ENTITLED "STAHDARDS OF CONDUCT FOR ctw oFFlcERs,AND AG€NCY MEMBERS ANO ALL OTHER APPLrcAALE COUHTY ANDIOR STATE LAI'VS AHD STATUTES lal'l,lark Rabinnwitz Received in t le Office ot lh€ Cjty Clerk by: ATTACH A. CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLfCABTE PROFESSIOAIAL I.'CEII{SE. ATTACH AODITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. PagE 3 ot 4 FlCLER!3ALL\BIORMSI8OARO ANO COM$llfTEES\gC APPLlcATiCl.l RE1,/ltED 681,12410.ddx 51 AAIAMI BEACH City of Micmi Bcoch I700 Convention Center Drive, Miomi 8eoch, florido 33139, www.miomiteochfl,gqy OFFICE OF TTIE CIfi CLERK CityClork@miomibeochfl .gov Telephone: 3O5.673.741 I Fox: 305,673.7254 Acknowledgement of finesrrulponslon for EoardlCommittee iiembers forfailura to comply wlth Miaml' Dade County Financial Disclorure Code Provlsion Codc Section 2.1f 'l(l) (2) Board Membeda Name:Marlr Rehinnwitz I understand lhat no later than Jqlv l. of each vea{ all memb€rs of Boards and Committees of lhe CiU of Miami Beach, including those of a anrely advisat nature, are required to comply with Miami'Dade County Financial Disctosure Requirementa. This means that the members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation or give advice lo the City Commission, must file, even though they may have been recently appointed. Qne of the following forms Egg$glllgd with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12100 noon of July l, of each year. 1. A'Source o, lncome Statement' 2. A'Statemer* of Financial Intere$ts (Form 1)' 3. A Copy of your latest Federal lncome Tax Return Failure to llle one of theso forms, pursuant to the Miami-Dade County Code, may subject the person lo a fine of no more than $500,in jail or both. {t,l t Date Updarr* Trs6day, Octnbcr 04 2016 Pags 4 of 4 F:\CLERSALLTaFORMS\AOARO ANO COlmrmEEStsC APPLICATION REVI$ED 031420'lE.doo( l,t 52 SII'}8ION OF MESICiEL QUALITY AS$UN.$ICE DATE L}CENSE NO.cox,rRoLNo. 11'03r20r$$q"I9.$-e?5$?$S7 *c# ::,1 ;:. DISPLT1Y lF ng0t IRF-S Bf LAYf ;XFltrlATlON DA1[: JAilTHI{f 31i 2{ll8 t"rrr lLs!. ild5 .- E SdfiE! ,leM le it 6 e,ll smca&,rdtd;r. rlttr yoUr hxdfi**r,rll &! k*lrlNaf.i Gllrre*rt ndlrlrg rdd:t48 el l,'flcrlse lilt{t'll &i[drt{r. fr]Bu t^'€ rx,l Gccircrl y*t1 ,rleuc tr{ tE$0} a8&o.tflt. r1uc tfua r:st d! tn r6pqrt nar1. ch6p ;taalr chr{Go nr6&t lttrtr d{crruro{rrn &pniig t* nra* +}raqF. tLr$ rrd.c ilnE lhrt i ?hobc.tt, $ err of tlc &[*ttU co,rpat{.a thra &na: aflrarqp lkcaryrtiilorDs orcrta d as.rl!!6cd!r, ,utn,!r ddd,$.&{ rsl npdrr$ torr }t{,AL ialurnturn I lbb::rr&IT$HN$fisg tl, Cllelr lE T:orldcr 8rro6i' ,j. g[*ra'rr.d{a ry tla{r*f,l B.lsrl,IourlB(,baram .tr th$r tr. srr 3n rfl[Dqd!q?*0 fr|ft *6 F]lvldrd tD Iou arr ]e ttrrui llsot* 6d rhch igqfr fi tr}llrlt our lcllrri xt'?r 'r 6 Uyau4onotLooqt'&qa*rbmCpnurea,ctrct 6atlciI.*rEclp)'oo*lleruCuttetrtC.nrt(ianbral{ti0}a&}Oti{!ln&lra.ono. t,' !ti ' $TA{Ecrrm*mA I. , DEPARY$fiTNT OF HEALTH as rla Ee ?,., d b :,{ *,t(tt N Ito2Uu is FBIr:r.ET t$ Tg XEtig- il,o a) s Jt7tu sIF N EoT.iit E Irt{J gl G.tI t*c{:r GOVIRNOR D0flBlql{ gF trI0lclL QuALtrY AaB$IreXCE LEEI{81M8 8I'FFORT SERVICES UT{II P.SBOXG]:ao TAuAlTn€r, FLOn$A S$14{t o I Next ctrlr*og {ATTAc}l LTGAL oocuxEt{rlrofi) &Dh lj{.{,!.' h .$e}1 nrp.trarblc &r r*o(yln6 lht d.FsltBut lrt rrrtiru td . rrx'sal rurtci 9O d.rya },${r ro lbt.8&lr&d6'n }ia& *ttorrn od ftir licdtic' IHPORTAHT AT{NOUT{CEfiIENT lHE oEPIHllt4Et{r-Or HEAJH W[,L t't0e{ REVbItl YOirR COf{TI!,nfiN{i ESUC$UhI RECOfiDS A1' I}l e T[€ OFI-nEslSk Kgt{&wr\L. TO LE ARN [&{?E" {,LEAEF- VlSr @ rl*6,! f.;E5T r,$:rlrli # itt; 53 MARK LAWRENCE RABINOWT'I'2, M.D., F.A.C.O.G. I1645 Biscayne Boulevard, Suite 308 Miami, Florida 33181 Phone: 305-424-5535 Fax: 30S'695-2189 MEDICAL EDUCATION University of Miami School of Medicine, Miami, Florida M.D. Degree received June 1979 Medical iicense: Florida (lssued July l, 1980) ME0036822 WORK EXPERIENCE t975 - 1979 5/2012-Present 2003 - Present 2Alt-2A2 2009-Present 2008-Present 1983 * 2003 1983 - 2003 1996 - 1997 1993 - t997 Miami Beach 1993 - 1994 t992 - 1993 1992 - t993 t99r - 1992 1987 - 1996 1979 1983 1974 - 1976 2003-Presenl 1 983-Present 1983-Present 1983-Present 1987-2000 1987-2000 1987-Present I 979-Present Chief Executive Officer: Miami Beach Community Health Center Chief Medical Officer: Miami Beach Community Health Center Adjunct Clinical Faculty, Barry University Clinical Instructor, FIodda lnternational University Assistant Clinical Professor, Nova Southeastem University Clinical Instructor: University of Miami School of Medicine Private Medical Practice, Bay Harbor lslands, Florida Vice Chairman: Department of OB,IGYN Miami Heart lnstitute Member: Credentials Commiftee: Miami Heat Instirute Volunteer Physician: Stanley C. Meyers Community I'lealth Center, Volunteer Physician: HRS Health Clinic, South Miami Branch Chairman: Credentials Committee, Miami Beach Community Hospital/St. Francis Hospital, Miami Beach Co-Chairman: Department of Obstetrics and Gynecology, St. Francis HosPital, Miami Beach Co-Medical Direitor and Developer: Shared Birth Place/Miarni Heart Institute Intem and Resident: Jackson Memorial HospitaliUniversiry of Miami Hospitals Research Technician: University of Miami, Biochemistry Department SOCIETY MEMBERSHIP National Association of Community Health Centers William A. Little SocietY Florida Obstetrical and Gynecological Society American College of obsietrics and Gynecology (Certitication l2l85, 12199 &" 1200) Dade County Midical Association (Pubtic Serrice Committee 1987 - 1989) Florida Medical Association American Association of Gynecologic Laparoscopists American FertilitY SocierY Miami Obstetrical and G;necological Society American Medical Association PUBLICATIONS Marshall JJ, Rabinowitz tvIL, Modification of the Properties of Trypsin by Covalent Attachment to Dextran. Arch Biochem Biophys 1976' Marshall JJ, Rabinowitz tvtt , Siatitization of Catalase by Covalent Attachrnent to Dextran' Arch Biochem BioPhYs 1976. Rabinowitz Mi, Throat Swabbing in Epiglottitus (Leuer). JAMA 1978' Marshall JJ, Rabinowitz, ML, Preparation and Characterization of a f)extran-Trypsin Conjugate' J Biol Chem 1981. Rabinowitz ML, Basson I, Robinson MJ. Sexually Transmitted Cltomegalovirus Proctitis in a Woman: A Case Report, ,Am J of Castroenterology 1988' Rabinowitz vtt , citiu"* JE, Lenes BE. Avoiding Blood Transfusion: A Report of Two Cases' J. Rep Med 1990' 54 55 THIS PAGE INTENTIONALLY LEFT BLANK 56 Scott A. Needelman 57 THIS PAGE INTENTIONALLY LEFT BLANK 58 ' MlA,\,'tlef&t*-^{ - 6'.77- 14 69 Cellular T 7it3 Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three {31 choices will be observed bv the Office of the Citv Clerk. Page 1 of4 FlCLER\SALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016-dOCx First Name 7aq- rll ililqfi * rXF,$ i) il#tuX lH i'fl'* fl i{p !LAl lr-,i{ f L.rtaf{l Middle lnitial Ltg Email address lq57 DreF<l fi,ue,,,k7 '{h,b FL 3Vt3? Home Address City State Zip Code Pursuant to City Code section 2-22{4la & 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. r Resident of Miami Beach for a minimum of six (6) months: yes El or ruo fJ r Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: yes B or No D o Are you a registered voter in MiamiBeach: yesEl or ruo * r I am now a resident of: North Beach ff Souttr Beach ffi Uiaal" Beacn ff ipg for an appointment I have abilities, knowledge and experience. Please list below: a r Are you presently a registered lobbyist with the City of Miami Beach? Yes H or NoEl I Affordable Housing Advisory Committee X Health Advisory Committee Li Parks and Recreation Facilities Board 6 a- Art in Public Places Committee il Heakh Facilities Authoritv Board { l Personnel Board I Audit Committee tr Hispanic Affairs Committee il Planninq Board'X ! Board of Adiustment "t aHistoric Preservation Board Jtr I Police Citizens Relations Committee j-] Budoel Advisorv Committee O Housino Authoritv u Production lndustrv Council il Committee on the Homeless Human Riohts Committee I Sister Cities Proqram ! Committee for Qualitv Education in MB C LGBT Advisory Committee x Sustainabiliiy Committee n Convention Center Advisory Board E Marine & Waterfront Protection Authority ; Transportation, Parking, & Bicycle-Pedestrian Facilities Committee il Cultural A(s Council I Miami Beach Commission forWomen il Visitor and Convention Authoritv il Design Review Boardfr I Normandy Shores Local Government Neiohhorhnarl lmnravamani : Youth Commission I Disability Access Committee * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. -,; fr f you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustme'n! De{iln Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, anilifumibh the fol lowing i nformation : Type of Professional License.License Number License lssuance Date License Expiration Date 59 Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, the Scptt Rakow Youth Center and/or the North Shore Parks Youth Center: ' Present participation in Youth Center activities by your children: yes ff ftfoB lf yes, please list below the names of your children, their ages and the programs in which they Child'soa.me;. -tlA Age:_ Program: chitd's n ^., W Age:- program: Please describe your past service with the City's Youth Centers (include dates of service): r Have you ever been convicled ofa felony? Yes lf yes, please explain in detail: . Do you currently have a violation(s) of City of Miami Beach Code? yes * or ruol8 tt yes, please explain in detail: o Do you cunently owe the City of Miami Beach any money? yes t or Uo Hl lf yes, explain in detail: o Are you currently serving on any City Board or Committee? yesEl or No ff I yes, which board/committee? ) in the City of [/iami you have an interest within the City of Miami Beach: . Are you now employed by the City of Miami Beach? yes E or Hoffi Which department and ttile? N / A o Pursuant to city Code Section 2-25 lbl: Do you have a parent H, spouse [, child * urotfrer ff ot sister E who is employed by the City of Miami Beach? yes [or Ho fiI r lf '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. lt is being asked to comply with City diversity reporting requirements. Gender: MaleJdLI Female Race/Ethnic Categories What is your race? I efrican-Rmerican/Black CaucasianMhite Asian or Pacific lslander t ruatire-American/American lndian Page 2 of4 F:\CLER\$ALL\aFORMS\BOARDAND COMMITTEES\BC APPLICATION REVISED 06142016.docx 60 * otn"r- Print Race: Do you consider yourself to be Spanish, Hispanic or Latinola? Mark the "No" box if not Spanish, Hispanic, Latino/a. BNoE v". Do you consider yourself Physically Disabled? EI no * y", NOTE: lF APPOINTED, YOU WLL 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 ce(ain 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 irnmediate 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 govemmental agencies or authorities. o Voting conflict - Form 88 is for use by any person serving at the county, city or other local level of government on an appointed or eleded board, council, commission, authority or commitlee. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, 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 W]LL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED 'STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND Received in the Office of the City Clerk by:,10i / Narne of Deputy Control No. ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 FlCLER\$ALL\aFORMS\8OARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx 61 AAIAAAIBTACH City of Mi<rmi Beoch 'I 200 Convention Cenler Drive, Miomi Beoch, Florids 33.I39, www.miomibeochfl.gov OFFICE OF THE CITY CLERK C ityClerk@miom i beochfl. gov Telephone: 305.673.7 41 1 Fox: 305.673.7254 Acknowledgement of fines/suspension for Board/Gommittee Members for failure to comply with Miami- Dade County Financial Disclosure Gode Provision Code Section 2'11.1|it l2l Board Member's Name: I understand that no later than Julv 1. of each vear 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 laterthan 12:00 noon of July {, of each year. 1. A "source of tncome Statement" 2. A "Statement of Financial lnterests (Form 1)" 3. A Copy of your latest Federal lncome 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 jail or both. Updated: Tuesday, October 04, 2016 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD ANO COMMIfiEES\BC APPLICATION REVISED 06142016.docx 62 Scstt Needelman 1455 Drexel Avenue #1 Miami Beach, Florida 33139 305-710-s584 EDUCATION Bachelor of Science, Civil Engineering, May I993, Florida State University, Tallahassee, Florida Graduated, Miami Beach Senior High School, June 1988 COMMITTEES/ Member, Historic Preservation Board, City of Miami Beach, ACTIVITIES May 2015-present Director, Flamingo Park Neighborhood Association, August 20 l4-present, Member, January 2009-August 2014 Member, Debarment Committee, City of Miami Beach, January 2009-December 2010 Member, General Obligation Bond Oversight Committee, City of Miami Beach, March 2003-April 2008 Member, Eleventh Judicial Circuit Grievance Committee A, State of Florida, February 200 l-January 2004 Member, Safety Committee, City of Miami Beach, January 2002-December 2002 Member, Planning Board, City of Miami Beach, January 2000-December 2001 Graduate, Miami Beach Citizens Police Academy, November 2000 Member, Community Development Advisory Committee, CiU of Miami Beach, January l998-December 1999 WORK President, SAN Development, Inc., September 2002-present EXPERIENCE Single-family home construction. Property Manager, York Towers Apartments, May 1993-present Responsible for the day-to-day operation of 24 apartment units and four commercial spaces. Assistant Project Manager, Fisher lsland Holdings, LLC, January 2005-May 2008 Managed the submittal and RFI processes for the consfiuction of a ten-story luxury condominium building and oversaw various other small construction projects. Project Supervisor, Carmel at California Club Property Owners Association, . September 200 1 -December2O0 I Oversaw repairs to 34 condominium buildings due to flooding. Froject/Construction Manager, York'fowers Apartments, February 1995-August 2000 Conceived and executed the substantial renovation of three historic multi-family buildings, approximately 18,000 sq. ft. Oversaw on a daily basis the various subcontractors from concept to completion of projects. CERTIFICATIONS Certified Building Contractor, State of Florida Engineer lntern, State ofFlorida 63 64 Jesse Fleet 65 THIS PAGE INTENTIONALLY LEFT BLANK 66 g MIAMIBEACH NAME: Fleet CITY OF MIAM] BEACH BOARD AND COMMITTEE APPLICATION FORM Last Name HOME ADDRESS: 855 Euctid Ave First Name Mlami Beach Middle lnitial 33139 Apt No. Home No./Streel PHONE: 3057468999 State Zip Code djbombjack@hotmait.com City Email Address Business Name: stlrman & Fleet position: Partne, Address: 2475 NW 38th Street Florida 33112 Pursuant to Clty Code section 2-22(41a 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. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes . Are you a registered voter in Miami Beach: No o (Please Cifgle one): I am now a resident of: South Beach r I am applying for an appointment because I have special abitities, knowledge and experience. Please list below: father r Are you presently a registered lobbyist with the C'ty 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) Street City State Zip Code (Regular Boards of City) Choice 1: Human Rights Committee Choice 2: Art in Public Places Committee Choice 3: Affordable Housing Advisory Committee Note: lf applying for Youth Advisory Boarcl, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o 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: o Have you ever been convicted of a felony: No lf yes, please explain in detail: . Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: r Do you cunently owe the City of Miami Beach any money: No . lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No lf yes, which board? r What organizations in the City of Miami Beach do you currently hold membership in? o List all properties owned or have an interest in, which are located within the City of Miami Beach: r I am now employed by the city of Miami Beach: No Which department? 67 The following information is voluntary and ls n€ither part of your appllcation nor has any bearing on your consideration for appointment. lt is beang ask6d to comply with federal oqual opportunity reporting rcquiremants. Gender: none Race/Ethnic Categories What ls 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 PhysicallyChallenged: No NOTE: lf appolnted, you will be requlred to follow certaln laws whlch apply to cltyr board/committoe members. These laws lnclude, but are not lSmlted to, the followlng: 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 2-1'l .1).o Prohibit'ron from lobbying before board/commitiee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain tinancial interests and gifts (Miami-Dade County Code section 2-11.1). (re: CMB Community Development Advisory Comminee): prohibilion. during tenure and for one year after leaving office, from having any interest in or receiving any benelit 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, coples ot these laws may be oblalned from ihe Clty Clerk. "l hereby attest to the accuracy and truthlulness of the application and have recelved, raad and will abide by Chapter 2, Article Vll - of the Clty Code "Standards of Conduct for Clty Offlcers, Employees and Agency Members." I Jesse Fleet agreed to the following terms on 10120120161:02:45 PM Received in rho citv crerk's ofiice bv: hvt ur, eu.eal * / o zn t6 t /o tzo ' Name of Deputy Clerk Control No. Date 68 E'C(o g.: g .C+,oo ; (U.Eo E9.9:!+ cL o-EogJ O!,lr+rc.c*jo6 S.e :1 y ->Hts9 EA = 8-e -EIEr: =y 3fiE +i i s!"qA H: '= s H*-Eu fl# $ sEPBi E; ; ;nE€t =1 .3 g :.#EE EE H T.SY c.9 ,X q : ={EE.E €: s E slrg rH = E9tg- I.8 E E -L-g z ! ol vt-c! YY o 6 't 5 -. .o'C (u(u v.E O-o =6=; Ea#g-9, e Ho- [ r- 9EE+fouroEtrtN.=E-c!!(^E= H I,ro E(, b 3 =o 69 70 71 72 "W.{P*.,It' ## 73 THIS PAGE INTENTIONALLY LEFT BLANK 74 Rachel J. Umlas 75 THIS PAGE INTENTIONALLY LEFT BLANK 76 g MIAMIBEACH NAME: Umlas CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Last Name First Name Middle lnitial HOME ADDRESS: 1424 S. Biscayne Point Rd Miami Beach Florida 33',t41 Apt No. Home No./Street City PHONE: (305) 86s-5605 (30s) 865's605 State Zip Code rachelmsw@aol.com Home Business Name: Marc E. Umlas. MD. PA position: Office Manager Email Address Address: 4302 Alton Road #950 Miami Beach Florida 33140- State Zip Code Pursuant to Gity Code section 2-22{4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfllled 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. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Masters in Social Work, Extensive experience in community outreach and geriatric social work. o 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 Gity Clerk's Office. (Regular Boards of City) Choice 1: Human Rights Committee Choice 2: Choice 3: * Board members are required to file Form 1 - "Statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adiustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the following information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. present pargcipation in youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: Child Name ,Age |Program I I .: i i City 77 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Human Rights Committee lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 1424 S. Biscayne Point Rd 4302 Alton Road #950 Gender: Female The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/commiftee 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 2459). 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 2-1 't .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 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. 78 "! 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 Rachel Umlas agreed to the following terms on 1213112016 9:43:33 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date 79 Rachel Umlas L4245 Biscayne Point Road, MiamiBeach, Florida 3314L,305-409-0225 Education 1986 Fairport High School, Fairport, NY Regents Diploma 1990 Boston University, Boston, MA BA, psychology 1993 Boston University, Boston, MA Masters of Social Work Work Historv 1993-1995 Boston Senior Home care, Boston, MA Elder Abuse lnvestigator 1995-1999 MiamiJewish Home & Hospital, Miami, FL SocialWorker 1999-Present Marc E. Umlas, M.D., P.A., Miami Beach, FL Office Manager Volunteer Historv 2005-2011 Temple Beth sholom Member, Board of Directors 2005-Present Temple Beth Sholom Member, School Board 2005-2008 Temple Beth Sholom Member, pTA ZOOS-2OA7 Biscayne Point Homeowners Association Member 2007-Present North Beach Elementary Member, pTA Membershios Hadassah, Life Member : National Council of Jewish Women, Life Member Friends of North Beach Elementary School United States Power Squadron Academy of Model Aeronautics Bones Society of Florida 80