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Craig Garmendia Application PackageMIAMI BEACH Garin=oda BOARD AND COMMITTEE APPLICATION FORM 4 Middle Initial 33/V9 Zip Code Cram Last Name (2 01 Lake Ove Home Address /174 309-54-W7 Home Telephone Work Telephone F// Business Name First N e Adm betxch City 7f -�66 2O�D -I1 isiemNw67maAve Sttib 4� O Business Address Cellular Telephone TAke577j�j i_ State Occupation fillami Latices P1- 330 1 g' E i ddress City State Zip Code Professional License (describe): Expires: Please attach a copy of currently effective professional license. Pursuant to City Code section 2-22(4)a & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. • Resident of Miami Beach for a minimum of six (6) months: Yes ] or No • Demonstrates ownership/interest in a business in M)ami Beach for a minimum of six months: Yes or No I! • Are you a registered voter in Miami Beach: Yes or No 1._. • I am now a resident of: North Beach South Beach Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: A member b Lc $ 7t communi 0.4 e bii€ r �7etam, Be, j% �n CG �a �r (D Cb �. `M�ai47: pr eiscAr , .7" ()Al. a-*-ig dflet.� • Are you presently a registered lobbyist with the City of Miami Beach? Yes or No1.4 Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Office of the City Clerk. ❑ Affordable Housing Advisory Committee 0 Health Advisory Committee• parks and Recreation Facilities Board °O 9 Art in Public Places Committee 0 Health Facilities Authority Board 0 Personnel Board 9 Audit Committee 9 Hispanic Affairs Committee 0 Planning Board** 9 Board of Adjustment ** 9 Historic Preservation Board* 0 Police Citizens Relations Committee ❑ Budget Advisory Committee ❑ Housing Authority 0 Production Industry Council ❑ Committee on the Homeless 0 Human Rights Committee 0 Sister Cities Program Committee for Quality Education in MB 1 LGBT Advisory Committee ❑ Sustainability Committee ❑ Convention Center Advisory Board 0 Marine & Waterfront Protection Authority ❑ Transportation, Parking, & Bicycle -Pedestrian Facilities Committee ,/.Cultural Arts Council 0 Miami Beach Commission for Women 0 Visitor and Convention Authority 0 Design Review Board* 0 Normandy Shores Local Government Neighborhood Improvement 0 Youth Commission 0 Disability Access Committee * Board members are required to file Form 1 — "Statement of Financial Interest" with the State. * If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently -effectively license, and furnish the following information: Type of Professional License License Number License Issuance Date License Expiration Date Page 1 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx CO Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: /1//4 Please describe your past service with the City's Youth Centers (include dates of service): /t///7 • Present participation in Youth Center activities by your children: Yes La No If yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Age: Program: Child's name: Age: Program: • Have you ever been convicted of a felony? Yes or No If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes LZ1 or Nolf yes, please explain in detail: • Do you currently owe the City of Miami Beach any money? Yes LZI or No If yes, explain in detail: • Areyou currently serving on,any City Board or Committee? Yes or No If yes, which board/committee? L , 13 7 if say Corr4;`Z e • In what organization(s) in the City of Miami Beach do you currently hold membership? Name Position Name Position • List all properties owned or in which you have an interest within the City of Miami Beach: f 'c .e +4th ye, ces+e • Are you now employed by the City of Miami Beach? Yes or No 71 Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent , spouse , child 4 brother I or sister who is employed by the City of Miami Beach? Yes or No If "Yes," identify person(s) and department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. Gender: Male Female Race/Ethnic Categories What is your race? _ African-American/Black A Caucasian/White Asian or Pacific Islander --A Native-American/American Indian Page 2 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx ZI Other — Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. No 0. Yes Do you consider yourself Physically Disabled? No ,;Yes NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2-459). o Prohibition from contracting with the City (Miami -Dade County Code section 2-11.1). o Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2-11.1). o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611). o Sunshine Law - Florida's Government -in -the -Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict — Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. It applies equally to members of advisory and non -advisory bodies who are presented with a voting conflict of interest under Section 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." cant's ig ature Received in the Office of the City Clerk by: ll/D3/02D16 C,ni4 .barri'en4i Date Nam f Applicant (PLEASE PRINT) Name of Deputy Clerk ROCl/6 Control No. //14/6 Da e 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 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx AtAMI BEACH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK CityClerk@miamibeachfl.gov Telephone: 305.673.741 1 Fax: 305.673.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami - Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member's Name: (i i Craig A. Garmendia Experience Consumer Safety Officer — Investigator (February 2009 —Current) U.S. Food and Drug Administration (15100 NW 67th Avenue, Suite 400, Miami Lakes, FL 33014) Duties Inspections (Bioresearch Monitoring [GCP (Experimental {CI, IRB, CRO, Sponsor} and Observational Studies) and GLP], Food [Acidified, Generic, Seafood, Shell Eggs], Pharmaceutical, Medical Device, Radiation) Investigations (BIMO, Food [Acidified, Generic, Seafood, Shell Eggs], Pharmaceutical, Medical Device, Radiation) Program Monitoring (Shell Eggs) Sample Collections Trainer Regulatory Actions Criminal Convictions Clinical Investigator Disqualification Warning Letters Untitled Letters Regulatory Meetings Clinical Trial Invalidation Awards 2016 ORA Honor Award (Group Recognition [Non -Cross Cutting] — Florida District Bioresearch Monitoring Team) 2015 ORA Honor Award (Group Recognition[Non-Cross Cutting] — "Improving Human Clinical Research" Seminar Committee) 2012 Commissioner's Special Citation (Shell Egg Inspection and Program Monitoring) 201 1 CBER Center Director's Honor Award (IRB Inspection) 201 1 Leveraging Collaboration Award (Adulterated Dietary Supplement) Presentations 2016 FDA/UM Symposium on Improving Human Clinical Research — Emerging Issues and Trends in Clinical Research 2014 FDA/UM Symposium on Improving Human Clinical Research — FDA Inspectional Process Working Groups 2015 Clinical Bioequivalence Compliance Program Guidance Manual Revision 2014 ORA Clinical BIMO Investigator Certification Program Test Item Writing Workshop / Certifications Inaugural FDA BIMO Investigator Certification Resume: Craig A. Garmendia Education PhD in Public Health — Epidemiology from Florida International University (December 2017) Dissertation Pattern of Research Noncompliance Identified by the U.S. Food and Drug Administration and their Effects on Meta -Analyses ► Awards 2015 Federal Employee Education & Assistant Blue Cross & Blue Shield Federal Employee Program Special Distinction Scholarship ► Publications Cancer Epidemiol Biomarkers Prev. 2014 Jul; 23(7): 1435 ► 2016 Epidemiology Congress of the Americas, June 21-24, Miami, FL M.S. in Chemistry from Vanderbilt University (December 2008) ► Thesis In Vitro Replication Studies of Oligonucleotides Containing Site -Specific DNA Adducts in Frameshift -Prone Sequences ► Awards P Graduate Assistantship in Area of National Need Fellowship Chemical Biology Interface Fellowship ► Publications ► Chemical Research in Toxicology. 2010 Mar 8: 1076-1088 B.S. in Chemistry from Florida International University (August 2008) Awards Florida Bright Future Fellowship Robert E. McNair Post -Baccalaureate Fellowship Minority Biomedical Research Support -Research Initiative for Scientific Enhancement Fellowship Publications Bioorganic Medicinal Chemistry. 2008 Mar 14: 5090-5102 Nucleosides Nucleotides Nucleic Acids. 2007; 26 (8-9): 1051-1055 Page 2 1 786-266-8020