Michael I. Feldman Application PackageMIAMI BEACH
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BOARD AND COMMITTEE APPLICATION FORM
Last Name
First Name
Home Address City State
3o S- 111 a- 9'O'-(- sc'ti
Home Telephone Work Telephone
rkvss L4,13
Business Name Occupation
Q00 Z?rcf'&c.(- A.V6, Su r0 /,5-0( 114(PriY►[ r- 3131
City State Zip Code
0 6 C 5—S -c ( Expires:
Middle Initial
Zip Code
3oS- I/a ichael--r'ear1att .pmA [.Cv►►-►
Cellular Telephone Email address
Business Address
Professional License (describe):
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 mi Beach for a minimum of six months: Yes or No
• Are you a registered voter in Miami Beach: Yes or No
• I am now a resident of: North Beach 1....... South Beach Li Middle Beach [2(
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes or 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 Office of the City Clerk.
61 Affordable Housing Advisory Committee
❑ Health Advisory Committee
A.Parks and Recreation Facilities Board °O
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*
❑ Police Citizens Relations Committee
0 Budget Advisory Committee
0 Housing Authority
0 Production Industry Council
0 Committee on the Homeless
0 Human Rights Committee
0 Sister Cities Program
0 Committee for Quality Education in MB
0 LGBT Advisory Committee
4 Sustainability Committee
0 Convention Center Advisory Board
0 Marine & Waterfront Protection Authority
0 Transportation, Parking, & Bicycle -Pedestrian
Facilities Committee
0 Cultural Arts Council
o Miami Beach Commission for Women
3 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 fi-421 `MI ?ice License Number 06 6 3-51-t
License Issuance Date 7/0? License Expiration Date iJt ii
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°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: 1410E
• 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 V.; No U
If yes, please list below the names of your children, their ages and the programs in which they participate:
Child's name: ik.k ft1-)01--S Age: 9 Program: 3C-' ''L' ft. `Z-6 SCCth
Child's name: ltt6 61,1)1A00-) Program:
Age:
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• Have you ever been convicted of a felony? Yes La or No 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 LI or No arrf yes, explain in detail:
• Are you currently serving on any City Board or Committee? Yesor No Zi If yes, which board/committee?
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• In what organization(s) in the City of Miami Beach do you currently hold membership?
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Name Position
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Name
Position
• List all properties owned or in which you have an interest within the City of Miami Beach:
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• Are you now employed by the City of Miami Beach? Yes L.D or No
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent La, spouse I , child LA brother LA or sister ID who is
employed by the City of Miami Beach? Yes l„-,.e..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 Li
Race/Ethnic Categories
What is your race?
RAfrican-American/Black
Caucasian/White
Asian or Pacific Islander
li Native-American/American Indian
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F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx
t 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
t 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 ACC • • GLY."
Applican s Signature
Received in the Office of the City Clerk by:
ti41,61,
Name of Applicant (PLEASE PRINT)
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.
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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: 305.673.741 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 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
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Michael I. Feldman is a Partner in the Miami Office of Krinzman, Huss & Lubetsky, LLP. As a commercial
litigator, Michael frequently advises financial institutions, real estate developers, title insurance
companies, entrepreneurs, businesses and individuals on complex commercial and real estate litigation
matters in Florida, State and Federal Courts as well as in Arbitration. Michael utilizes his significant
litigation experience on a daily basis to assist his clients and help them navigate complex litigation
matters.
Examples of the types of cases Michael has handled are commercial foreclosures, commercial evictions
(he has prosecuted over 100 of these types of disputes), quiet title and ejectment actions, shareholder
and partnership disputes, lender liability, banking litigation, creditor's rights, construction litigation and
general breach of contract claims. Michael also has experience in litigating premise liability, insurance
coverage, and auto negligence cases. Additionally, he handles all aspects of commercial lease
transactions.
Michael is Martindale -Hubbell "AV Peer Review Rated." In 2010 he was recognized by his peers in
Florida Trend Magazine as an "Up & Coming" attorney, and has been recognized as a "Rising Star" by
Superlawyers Magazine from 2012 through 2015. He is admitted to practice in all Florida courts as well
as in the United States District Court for the Southern District of Florida and the United States
Bankruptcy Court for the Southern District of Florida.
Michael obtained his JD and MBA degrees from Nova Southeastern University Shepard Broad Law
Center and the H. Wayne Huizenga School of Business and Entrepreneurship. He obtained a Bachelor of
Science in Communication from the University of Miami (FL)
Michael is a former member and Vice -Chair of the Florida Bar Grievance Committee Region 11(A), a
member of the International Counsel of Shopping Centers and he has lectured on for the National
Business Institute on drafting commercial leases. He served as a member of the School Board for the
Foundation School at Temple Beth Shalom in Miami Beach and assisted the Kushner Family in the
formation of the John E. Kushner Family Foundation to help the Kushner's create a partnership with the
Alpha-1 Foundation to promote awareness about Alpha -l's disease. Michael has also served three (3)
terms as President of the Business Networking International (BNI) Chapter, BNI Synergy.
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