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RELEASE _ 2 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 10,2017 SUBJECT: City Commission At-Large Nominations for January 11, 2017 - Release # 2 Below please find the City Commission At-Large Nominations received to date for the January 11,2017 Commission Meeting. Changes made after Release # 1 are reflected in red. BOARD AND COMMITTEES: 1, AFFORDABLE HOUSING ADVISORY COMMITTEE VACANCY (1) / POSS|BLE REAPPOINTMENTS TO BE MADE (3): o David B. Smith (Release # 2, Page 5) Nominated for reappointment (banking or mortgage industry in connection to affordable housing) by Vice-Mayor Malakoff. 2. ART IN PUBLIC PLACES COMMITTEE VACANC|ES (3) / POSS|BLE REAPPO|NTMENTS 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. . Nominated for reappointment (competence in evaluation of art history, etc. category) by Commissioner Alem6n. o Michae! McManus (Release # 1, Page 1 1) Nominated for appointment (competence in evaluation of art history, etc. category) by Commissioner Arriola. o 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 AlemSn. 1 3. BOARD OF ADJUSTMENT POSSTBLE REAPPOTNTMENTS TO BE MADE (2): No nominations received. 4. BUDGET ADVISORY COMMITTEE VACANCTES (1): o Marc A. Gidney (Release # 1, Page 23) Nominated for appointment (CPA position) by Vice-Mayor Malakoff. 5. CULTURAL ARTS COUNCIL POSSTBLE REAPPOTNTMENTS TO BE MADE (1): No nominations received. 6. DESIGN REVIEW BOARD Clerk's Note: On December 14, 2016, the City Gommission agreed to postpone the appointments to the Design Review Board to the February 8, 2017 Commission meeting. VACANC|ES (1) / POSS|BLE REAPPOINTMENTS TO BE MADE (2): . James L. Bodnar (Release # 2, Page 9) Nominated for appointment (At-large position) by Commissioner Alem6n. Nominated for appointment (At-large position) by Vice-Mayor Malakoff. o Pierre Leon Elmaleh (Release # 1 , Page 31) Nominated for appointment (At-large position) by Commissioner Alem6n. . Frank J. Kruszewski (Release # 1, Page 39) Nominated for appointment (At-large position) by Commissioner Grieco. 7. HEALTH ADVISORY COMMITTEE VACANCTES (4) / POSS|BLE REAPPO|NTMENTS TO BE MADE (3): . Dr. Mark L. Rabinowitz (Release # 1, Page 47) Nominated for reappointment (CEO, Miami Beach Community Health Position) by Vice- Mayor Malakoff. o Steven D. Sonenreich (Release#2, Page 17) Nominated for reappointment (CEO, Mt. Sinai Medical Center Position) by Vice-Mayor Malakoff. 2 8. HEALTH FACILITIES AUTHORITY BOARD VACANCTES (0) / POSS|BLE REAPPO|NTMENTS TO BE MADE (1): No nominations received. 9. HISTORIC PRESERVATION BOARD VACANCTES (0) / POSSTBLE REAPPO|NTMENTS TO BE MADE (1): . Scott A. Needelman (Release # 1, Page 57) Nominated for reappointment (Miami Design Preservation League (MDPL) position) by Commissioner Grieco. 10. HOUSING AUTHORITY OF MIAMI BEACH . Mojdeh L. Khaghan (Release #2, Page (_) Designated for appointment as a Commissioner to the Housing Authority of Miami Beach by Mayor Levine. Appointment Cosponsored by Commissioner Grieco. Clerk's Note: See application and resume in item R9 C on the January 11, 2017. 11. HUMAN RIGHTS COMMITTEE vAcANCtES (1) / POSSIBLE REAPPO|NTMENTS 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, Page 75) Nominated for reappointment (At-Large position) by Commissioner Alem6n. 12. NORiIANDY SHORES LOCAL GOVERNMENT NEIGHBORHOOD IMPROVEMENT VAGANCTES (0) / POSSIBLE REAPPO|NTMENTS TO BE MADE (3): No nominations received. 13. PARKS AND RECREATIONAL FACILITIES BOARD VACANCIES (0) / POSS|BLE REAPPOINTMENTS TO BE MADE (1): . No nominations received. 14. PERSONNEL BOARD vACANCY (1): No nominations received. 3 15. PLANNING BOARD VACANCY (1): No nominations received. 4 David B. Smith 5 THIS PAGE INTENTIONALLY LEFT BLANK 6 g AAlAMlBrnuH CITY OF AJiIAMI BEACII BOARD AND COMMITTEE APPLICATION FORM NAME: Last Name First Name HoME ADDRESS: F5 ) '.- 5L'aila- /-r5No. Street ,/.^b FL 33t-€o City State Middle lnitial PHONE:4t '-I o \S Zip Code - C-an^ Business Name: Address: Position: No.Street City State Zip Code Professional License (describe)Expires:Afrach a copy af the lr'cense Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three (3) choices will be observed bv the Citv Clerk's Office. (Regular Boards of City) 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 gdo I o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes edf-No U o Are you a registered voter in Miami Beach: Yes *d*o o /'/-''.' o (Please circle one): I am now a resident of: North Beach South Beach (_ Middle Beach )-----.-<---..--- o I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: Aff ordable H ousi n s Advi sory -orn-rnitree-=! Historic Preservation Board* E Housino AuthoriM O Beach Preservation Board D Loan Review Committee* ! Beautification Committee D Marine Authoritv* n Board of Adiustment"tr Miami Beach Commission for Women D Budoet Advisorv Committee E Miami Beach CulturalArts Council n Caoital lmprovements Proiects Oversiqht Committee D Miami Beach Sister Cities Proqram E Committee on the Homeless n Normandy Shores LocalGov't Neigh. lmprovement E Committee for Qualitv Education in MB tr Parks and Recreation Facilities Board B f,emrnuniFevelo ment Advrserv" ,! Personnel Board" E Communitv Relations Board cffinninq Bo:-itF> D Convention Center Advisory Board E Police Citizens Relations Committee ! CulturalArts Neiqhborhood District Overlay (CANDO)E Production lndustry Council D Debarment Committee ! Public Safetv Advisorv Committee nffiReview Rnard* --t-\! Safetv Committee I I Utsabtlltv Access L;ommrnee ! Sinole Familv Residential Review Panel tr Fine Arts Board E Sustainability Committee ! Gav Business Develooment Ad Hoc ! Transparency Reliability & Accountability Committee "TRAC" tr Golf Advisorv Committee tr Transoortation and Parkinq Committee ! Health Advisory Committee ! Visitor and Convention AuthoriU. ! Health Facilities Authority Board I Youth Center Advisory Board tr Hispanic Affairs Committee * Board Reouired to File State Disclosure form F:\CLER\SALL\Board & Comrnrttees"B&C Application\3&C Appiicatiott RevisEd 1-1 1308 2.doc 7 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: Yes ! No n Years of Service: 2. Present participation in Youth Center activities by your children YesI No n. lf yes, please list the names of your children, their ages, and which programs. List below: Child's name: Child's name: Age: _ Program: Age: _ Program: /- oHave vou ever been convicted of a felonv: Yes E or noffi ves. olease explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: Yes ! or No Eif-yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: Yes n or No FtA,explain in detail o Are you currently serving on any City Boards or Committees: Yesgtf(o tr. lf yes; which board? f1 D ,qa- o What organizations in the City of Miami Beach do you Name: currently hold membership in? Title: Name:Title: o List all properties owned or have an interest in, which are located within the City of Miami Beach: ^^E -( S7e SLr-*-:,,{. 4^t /\.ll ), )3 ( t'. o I am now employed by the City of Miami Beach: Yes I or Nogfh/ich department? o Pursuant to Gity Code Section 2-25 (b): Do you have a parent !, spouse !, child [, brother [, or sister D who is employed by the City of Miami Beach? Check all that apply. ldentify the department(s): ,. This section is uired" but desired:Gender: Male€-- Female n Alaskan Native tr African-American/Black n Haitian: tr White/Hispanic: tr Asian or Pacific lslander u iqin Ethnic: Hispanic: Yes or No "l hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Ghapter 2, Article VII - of the City Gode "standards of Conduct for Gity Officers, Employees and Agency Members." {I"--- r..z-o* l)z--lo ..\} I-*tE, Date Name of Applicant (PLEASE+ tr Retired n Home-maker tr Other !Employment Status: Employed Received in Gity Clerk's otlice dy 94 Li Date 1 /( 2'//D Document Gontror Number (Assisned r""-il":::::y-,":;:2zL-Entered ,, €,/ ,^r" F:iCLER\SAI-L\,Board & Comnlitiees\B&C Applicaiion\,B&C Application Revi'*r-., 1 1 i 308 2.doc fl.I..a $^-'^ 8 James L. Bodnar 9 THIS PAGE INTENTIONALLY LEFT BLANK 10 g MIAMIBEACH NAME: Bodnar CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM James Last Name HOME ADDRESS: 301 Ocean Drive First Name Miami Beach Middle lnitial Florida 33139 PHONE: Apt No. Home No./Street City State Zip Code Jbodnar@bodnar.com Home Work Email Address Business Name: Address: position: Architect Street State Zip Code Pursuant to City 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: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Architecture and Urban Design 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: Design Review Board Choice 2: Choice 3: * Board members are required to file Form I - "Statement of Financial Interest" 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 Pianning 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: ;qo years of Service: 2. Present participation in Youth Center activities by your children if yes, please list the names of your children, their ages, and which programs. List below: City 11 . 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: 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 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 opporlunity 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 570.611). 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 Vll - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." I James Bodnar agreed to the following terms on 11312017 9:01:10 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 12 Resume I James Bodnar Architect, PLLC ,AMES L BODNAR, ABCHITECf, P[I,C Page I of2 I{ome About Contact Pordollo Resume EDUCATION t t0Esl-S&Dlll&irArust American A€demy in Rore, ltaly post 6mduate FellowshiF. 19?9.1980 Yale Udwl$ty, New Hov.n, Cf Msstei' 0lArchllecur*, 1979 cetllolic Univerclryof AmerlB, WashinSton, DC Bachelor of Art'hitgcture, 197,i Ecole du BuuxArts. Fontrhqblean, Fr.ltce S0mmef Proglrm, l97Z tarns Bodnar Archite6 New York NY Pfinclpal. 1990 to pre*nt Skidmm, Os'lrgs & Menill lrndoil, l{tr YorI and Washitrgton, DC Its$iate Ptrher, Dsi8rler, 1982 to 1990 Asciate" Designer, l9g0 to 1982 D6tg:rs,1974 to l*7? l,U. Pelsd P.rtneB ilew York NY D*igncr, 1978 EXPEn NCE PROrESSIOII I RegistBred Professional ArchiBc!, New York MassrchEetti and Malo€ AEhltechrBlRegbtmdon Co&ncil of the Untred Khgdom National Coundl o{Architectural Rcgisiration Boards PI'OrES'IOI{AL American lnstitut4 ofAr.hltects OnGAI{liZTlOMl RajrdllnstiurtlofBrltlshArchiEcts Amerks Aadem, ln Rom,l-cllow, Tmstae EmerltB Socirty of F.Ums, AAR Pr€sidG$t EmerthF sculptre CeoDer, Bosrd dfTrosB€s, cllair EftreritrB Socisty of Archite€turdl Htstofl ans AWANDS Amcrican Aradmyin Rore, Rome lil:e gellowship, t979-1980 Stccdrnaa Travdllng fellowship. 1979 AIA &hml Medal, Yate Univrr$ty, 1979 AU S$ool Design Compedtion,Y0le Uniw:ctty, 1977 http /4 bodnar. corlresume/u6not713 Resume I James Bodnar Architect, PLLC TMCHING Universi ty of Texas, Austin, Deparlment of Architecture, Visiting Critic, 1992 Harvard Univereity, Craduate School ofDesign, Visiting Critlc,7991 Massaclruserls lnstitute of l'echnoloB/, School of nrchitecture, Thesis Advisec 1991 Universiry of lvlarylatrd, Department of Architecture, Visiting Critic,1982 Page2 ofZ Iames [,. tsodnar . Architect, Pl,l.,C jbodnar(qli bodnarpllc.colr Phont:917.673.1)12 http :/ij bodnar.corn /resume/t/6t201714 15 'YTN. # #'t 16 Steven D. Sonenreich 17 THIS PAGE INTENTIONALLY LEFT BLANK 18 ',,lil /\1,,i I BIACH -Cone-nr<,ch -S*e- V e- rrr Last Name First Name Middle lnitial 5nnf -fW l3l Te-rrq.ce- hArqmt trlori dc. 3:t<6 Home Address City Zip Code .-bJ1E6l-19aI . ?qsi6',l Y.2223 =._-rgJ:Y3r- z'lG9 S=)SGPrnj'mc., cc,^1 Home Telephone . Work Telephone Cellular Telephone Email address Pr e< r dcn* Business Name OccuoationY3oo AlTsnRoo.cl rvr,r,rnrB<((L,' Florrd\ 33 l+o Business Address State Zip Code Professional License (describe): h\ cr-Expires: n\ q. 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 sha/l have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownershipiinteybst 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: Ves ff or ruo E / o Demonstrates ownership/interest in a business in Miami Aeac{for a minimum of six months: yes ffi or Ho H o Are you a registered voter in Miami Beach: yes ff or no B o I am now a resident of: North Beach E Souttr Beach E nniOat" Beacn E o I am applying for an appointment because I have special abilities, knowledge and experience. Please list betow: / o Are you presently a registered lobbyist with the City of Miami Beach? yes E or ruo ffi Please list your preferences in orderof ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three (3) choices will be observed bv the Office of the Citv Glerk. Page 1 of4 F:\CLER\SALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016 docx City I Affordable Housing Advisory Committee itHealth Advisory Committee -n Parks and Recreation Facilities Board € - Art in Public Places Committee i Health Facilities Authoritv Board I Personnel Eoard I Audit Committee i Hisoanic Affairs Committee ! Planninq Board'XI Board of Adiustrnent '*D Historic Preservation Boardt E Police Citizens Relations Committee I Budoet Advisorv Committee E Housino Authoritv I Production lndustrv Council- Committee on the Homeless f Human Riohts Committee n Sister Cities Prooram- Committee for Qualitv Education in MB LGBT Advisory Committee ! Sustainabilitv Committee! Convention Center Advisory Board i Marine & Waterfront Protection Authority 0 Transportation, Parking, & Bicycle-Pedeskian Facilities Committee Cultural Arts Council E Miami Beach Commission for Women E Visitor and Convention Authority! Design Review Board ft i Normandy Shores Local Government Neiohhorhoorl lmnr6v.mant C Youth Commission I Disability Access Committee * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. fr 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-effectlvely license, and furnish the following information: Type of Professional License License Number License lssuance Date License Expiration Date 19 € Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: . Please describe your past service with the City's Youth Centers (include dates of service): . Present participation in Youth Center activities by your children: yes E f.lo E lf yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Child's name: Age: _ Program: Age: _ Program: o Have you ever been convicted of a felony? Yes lf yes, please explain j . Do you currently have a violation(s) of City of Miami Beach Code? yes f] or lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money? yes E or No E lf yes, which lf yes, explain in detail: o Are you currently serving on any City Board or Committee? Yes o ln what organization(s) in the City of Miami Beach do you currently hold membership? Position Name Position o List all properties owned or in which you have an interest within the Clty of Miami Beach: Which department and title? /_ o Pursuant to City Code Section 2-25 (b)-po you nauy'a parent E, spouse E, child E brother E o, sister ff who is employed by the City of Miami Beach? Yes Uor No |J 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: Male IJ Female Race/Ethnic Categories What is your race? E ntrican-Rmerican/Black H CaucasianANhite E R.i"n or Pacific lslander E ruative-nmerican/American lndian F \cLER\sALL\aFoRMS\BoARo AND coMMrrrEEs\Bc AppucAro* *uu,S$n?ui itolu o*, 20 E otn"r- Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Ma* the "No" box if not Spanish, Hispanic, Latinola. ENoE y", Do you consider yourself Physically Disabled? E r.roff y". NOTE: IF 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 afler leaving office (Miami Beach City Code section 2-26). o Requirement to disclose certain financial interests and gifls (Miami-Dade County Code section 2-11.1). o CMB Community Development Advisory Committee: prohibitlon, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611). o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chaoter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict - Form 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. 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 ACCORDINGLY.'' lo.2s-,U S +c-.,a :b- _r Applicant's (PLEASE PRINT) Received in the of the City Clerk by: Name of Deputy Clerk Control No.Date ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATTON REVTSED 061420.!6 docx 21 MiAAAIBEACH City of Miomi Beoch I Z0O Convention Cenier Drive, Miomi Beoch, Florido 33.]39, www. miomibeochfl.gov OFFICE OF THE CITY CLERK CiryClerk@m iom ibeochfl. gov Telephone: 305.673.7411 Fox: 305 623.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade Gounty Financial Disclosure Code Provision Code Section 2-11.{(i) (2) 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 later than 12:00 noon of July l, of each year. 1. A "Source of lncome 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\$ALLTaFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016 docx 22 Mount Sinai MEDICAI CENTER Steven D. Sonenreich Steven D. Sonenreich, President and Chief Executive Officer, joined Mount Sinai Medical Center, Miami Beach, Florida, in 1976. After serving as Executive Vice President and Chief Operating Officer from 1990 to 1996, Mr. Sonenreich became the Chief Executive Officer of Cedars Medical Center in Miami, Florida. ln November 2007, Mr. Sonenreich returned to Mount Sinai Medical Center and became its President and Chief Executive Officer. Under Mr. Sonenreich's leadership, Mount Sinai has been named as one of America's Top Hospitals in Geriatric Medicine for five consecutive years by U.5. News ond World Report. Mr. Sonenreich spearheaded Mount Sinai's affiliation with Columbia University, New York, New York, creating The Mount Sinai Columbia University Divisions of Cardiology, Cardiac Surgery and Urology. He was honored as Citizen of the Year by the Miami Beach Chamber of Commerce in 2012. He served as chair of the Florida Hospital Association Board of Trustees in 2013; and has been a member of the board of The safety Net Hospital Alliance of Florida since 2005. Mr. Sonenreich earned his Bachelor of Arts degree from the State University of New York at Binghamton and a Master of Business Administration and Certification in Healthcare Administration from the University of Miami, Coral Gables, Florida. Mount Sinai Medical Centet 4i00 Alton Road Miam;Beich Fl 31140 Phoner 105 674 2 l/1 ntsm c. c om Mount SinaiPrimary & Specialty Care .Aventura ,(eyBlscayne ,suniylsle5Bed.h ' Corit rl.ibie5 . Mramt Shores , Mount Slnar Lardroiogy ,Hraleah . SkyiakL, oithetioridaKey: Mount Sinai Free-Standing Emergency Oepartments ,llraleah Mount Slnai Comprehen!iveCancerCenter 4300 Alton Road MiamiBeach, f L 13140 Phoner 31.15.576.4557 mSccc.com23 24