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Palmela Brumer Application PackageBrumer Pamela DNAME: Last Name First Name Middle Initial 300 S Pointe Drive #1102 Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33139 State Zip Code 305 450-2660 305-531-1223PHONE: Home Work pamelabrumer@allstate.com Email Address Miami Beach Street 141 Alton Road City Florida State 33139 Zip Code Address: Pamela Brumer Ins Agency Position:Business Name:Allstate Agent 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. YesƔ5HVLGHQWRI0LDPL%HDFKIRUDPLQLPXPRIVL[  PRQWKV Ɣ'HPRQVWUDWHDQRZQHUVKLSLQWHUHVWLQDEXVLQHVVLQ0LDPL%HDFKIRUDPLQLPXPRIVL[  PRQWKV Ɣ$UH\RXDUHJLVWHUHGYRWHULQ0LDPL%HDFK Ɣ 3OHDVHcircle one): I am now a resident of: Ɣ,DPDSSO\LQJIRUDQDSSRLQWPHQWEHFDXVH,KDYHVSHFLDODELOLWLHVNQRZOHGJHDQGH[SHULHQFH3OHDVHOLVWEHORZ Ɣ$UH\RXSUHVHQWO\DUHJLVWHUHGOREE\LVWZLWKWKH&LW\RI0LDPL%HDFK" Yes Yes South Beach No Born in Miami Beach and lived here all my life except for undergraduate study Syracuse University BA Political Science 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: Choice 2: Choice 3: Police/Citizens Relations Committee Production Industry Council Committee for Quality Education in Miami Beach No2. Present participation in Youth Center activities by your children Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: No Years of Service: ages, and which programs. List below: if yes, please list the names of your children, their Name Title NoƔHave you ever been convicted of a felony:If yes, please explain in detail: ƔDo you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail: ƔDo you currently owe the City of Miami Beach any money:No If yes, please explain in detail: ƔAre you currently serving on any City Boards or Committees:Yes If yes, which board? Police /Citizens Relations Committee ƔWhat organizations in the City of Miami Beach do you currently hold membership in? ƔList all properties owned or have an interest in, which are located within the City of Miami Beach: CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Property 300 S Pointe Dr. 1102 Miami Beach, Fl. 33139 141 Alton Road, Miami Beach, Fl. 33139 ƔI 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. It is being asked to comply with federal equal opportunity reporting requirements. FemaleGender: Physically Challenged:No White Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.No NOTE: If 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 2-11.1). (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. “I 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 Pamela Brumer agreed to the following terms on 11/8/2016 1:32:08 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Allstate Insurance: Pamela Allstate Insurance: Pamela About As a Personal Financial Representative in Miami Beach, I know many local families. My knowledge and understanding of the people in this community help me provide customers with an outstanding level of service. I look forward to helping families like yours protect the things that are important – your family, home, car and more. I can also help you prepare a strategy to achieve your financial goals. EDUCATION  B.A. Syracuse University CIVIC SERVICES  Informed Families of Miami Dade County  Miami Beach Chamber of Commerce  Miami Beach Police Athletic League (PAL) COMMUNITY SERVICES  Miami City Ballet Artists Circle Member  Miami Beach Chamber of Commerce  Mount Sinai Hospital Young Founders  Miami Beach Latin Chamber of Commerce  South Beach Aids Project  Syracuse University Alumni Association Contact Phone (305) 531-1223(305) 531-1223 Fax (305) 531-8003(305) 531-8003 EMAIL: pamelabrumer@allstate.compamelabrumer@allstate.com ADDRESS: 141 Alton RdMiami Beach, FL 33139