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Israel Sands Application PackageMIAMIBEACH s'ANDS Last Name g- ,0 - 7 (/l Cs/ Home Address 30s) 95-/ First Name 3_ /14 City BOARD AND COM TTEE APPLICATION FORM State Middle Initial 3 /)3 Zip Code Home Telephone Work Telephone Cellular Telephone 1S r % 44..✓ Business Name 1 l 30 t1/4A1-64-7-0/ i 3c Business Address Email address Occupation iv 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 Li or No �-' • Demonstrates ownership/interest in a business in Miami :each for a minimum of six months: Ye • Are you a registered voter in Miami Beach: Yes or • I am now a resident of: North Beach South Beach L Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I OC/1.--rt (rice- rP c) ail/ c4 -c. 11. or No • Are you presently a registered lobbyist with the City of Miami Beach? Yes o 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 0 Parks and Recreation Facilities Board °O 0 Art in Public Places Committee 0 Health Facilities Authority Board 0 Personnel Board 0 Audit Committee 0 Hispanic Affairs Committee 0 Planning Board"* 0 Board of Adjustment * * 0 Historic Preservation Board* 0 Police Citizens Relations Committee 0 Budget Advisory Committee 0 Housing Authority Sil Production Industry Council 0 Committee on the Homeless 0 jan Rights Committee 2SGBT Advisory Committee 0 Marine & Waterfront Protection Authority er Cities Program 0 ustainability Committee 0 Transportation, Parking, & Bicycle -Pedestrian Facilities Committee 0 Committee for Quality Education in MB 0 Convention Center Advisory Board Cultural Arts Council 0 Miami Beach Commission for Women ElVisitor and Convention Authority 0 esign 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 o° 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: • 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 No ZI 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 LJ or Rfo If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes or No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money? Yes EZ! or If yes, explain in detail: • Are you currently serving on any City Board or Committee? Y or No If yes, which board/committee? C • In what organization(s) in the City of Miami Beach do you currently hold membership? Name Positio Name Position • List all properties owned or in which you have an interest within the City of Miami Beach: • Are you now employed by the City of Miami Beach? Yes L, ? or Which department and title? • Pursuant to City Code Section 2-25 (b): Do youave arent , spouse , child brother or sister who is employed by the City of Miami Beach? Yes �or No4 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? Afr - • merican/Black Caucasian/White Asian or Pacific Islander Native-American/American Indian Page 2 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx Other – Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. Do you co ider yourself Physically Disabled? EZI 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." Applicant's Si nature 76/ Date srfro-n1DS Name of Applicant (PLEASE PRINT) Received in the Office of the City Clerk by:it—Pt NI04 qt,--C---eAt 1/ / /(yName of Deputy CControl No. /00 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 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx MIAMI 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: 305.673.7411 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: 'L'S4Ec J»ff I understand that no later than July 1, of each year 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 1, of each year. 1. A "Source of Income Statement" 2. A "Statement of Financial Interests (Form 1)" 3. A Copy of your latest Federal Income 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. Signature Updated: Tuesday, October 04, 2016 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx Date ISRAEL SANDS - ISRAEL SANDS LAW, P.A. 1 130 WASHINGTON AVENUE, THIRD FLOOR, MIAMI BEACH, FL 33139 ISRAELSANDS@GMAIL.COM (305) 951.3333 WWW.ISRAELSANDS.COM MAILING ADDRESS: 3520 EAST FAIRVIEW STREET, MIAMI, FL 33133 Born May 16, 1955 in Guanajay, Cuba Admitted to the Florida Bar, 1979 EDUCATION Mastery program completed at Purposeful Planning Institute 2013 University of Miami School of Law: LL.M. Estate Planning 2011 J.D. (Dean's List) 1978 University of Miami: B.A. (President's Honor Roll, Dean's List) 1974 EXPERIENCE Principal Israel Sands Law, P.A. Miami Beach FL (Rated AV) March, 2011 - Present Solo practice, emphasis on Estate Planning and Probate Law. Legal Researcher Chasen and Associates, P.A. ,Miami, FL 2010 Research on valuation discounts for family limited partnerships for WealthCounsel and on trans - jurisdictional recognition of same-sex marriages. Event Planner Israel Sands Events 2001— 2009 Contract negotiation, concept design, vendor sourcing, and co-ordination of all facets of special events for high-profile families, corporations, and government entities. TV Show Host MGM Networks Latin America 2001— 2007 Wrote, produced, and hosted 78 episodes of hour show Entre Petalos y Ramas. Conducted related presentations for large audiences in Spanish and in English. Founder, CEO, COO Flowers & Flowers 1990 —1999 Premier flower/gift concept store in Miami, annual gross over $1 million. Pioneer South Beach entrepreneur, active in redesign and re -branding of Lincoln Road. Handled all aspects of management, operations, and publicity. Cultivated high net worth and celebrity clients. Work featured in Architectural Digest, W, Veranda, and many upscale publications; collaborated on internationally published advertising campaigns. Director of Sales, Counsel Domino Footwear 1979 —1990 Product design, purchasing, and quality control in Southeast Asia. Developed and maintained distribution network in the U.S. and throughout the Caribbean. Negotiated all contracts and managed relationships with vendors and clients. LANGUAGES Native Spanish and fluent French. NON-PROFIT ACTIVITIES Board Appointments: Miami American Civil Liberties Union (ACLU) South Beach Chamber Ensemble Miami Beach Cultural Arts Council 2012 - Present 2012 - Present Jan 2015 - Present r N a� o c ▪ L0 N O N o j0 O LO NM O o Vai 0 c 0) vuv, r ° Hmto Wcc- - N a 7o Q z V O I i COcO �.CC � t`6U WX 0 r o� y W -• Q ZQ O c • y X 00 Y ~ Lrl y eao o Wca�� ami �3 W,ccl a,> v 43 'O U cc a C °'a mE 1 0. ti) C t0 G X h N RI W cc ▪ x } r- E.=la ti .- y .. 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