Stephanie S. Rosen Application PackageIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Last Name First Name
S;S- 4(srn i
Middle Initial
h F�- 313�i
Home Address City
X35—iICA .-9916)'
Home Telephone Wo k Telephone Cellular Telephone
Occupation
Business Name
ate Zip Code
Email addres
Business Address City State
NR
Professional License (describe):
Zip Code
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 Miami Beach for a minimum of six months: Yes or No
• Are you a registered voter in Miami Beach: Ye9)Sti or No
• I am now a resident of: North Beach 1Zi South Beach RSJ Middle Beach
• I a,pclAng for an appo.ntment bec usel havg�sp�eial abiliti knowled a ani-experie ce. Please list elow, ,
c5;per-3 b
• Are you presently a registered lobbyist with the Ci' of Miami Beach? Yes La 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.
0 Affordable Housing Advisory Committee
0 Health Advisory Committee
0 Health Facilities Authority Board
arks and Recreation Facilities Board °o
Personnel Board
0 Art in Public Places Committee
❑ Audit Committee
0 Hispanic Affairs Committee
0 Planning Board**
0 Board of Adjustment''
❑ Historic Preservation Board'
0 Police Citizens Relations Committee
❑ Budget Advisory Committee
0 Housing Authority
0 Production Industry Council
❑ Committee on the Homeless
0 Human Rights Committee
0 Sister Cities Program
❑ Committee for Quality Education in MB
0 LGBT Advisory Committee np
Sustainability Committee
❑ Convention Center Advisory Board
0 Marine & Waterfront Protection Authority (��
Transportation, Parking, & Bicycle -Pedestrian
Facilities Committee
❑ Cultural Arts Council
eliami Beach Commission for Women
0 Visitor and Convention Authority
❑ Design Review Board *
0 Normandy Shores Local Government
Neighborhood Improvement
0 Youth Commission
❑ 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 1C\_
License Issuance Date r‘ C\ License Expiration Date nIct
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cO Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board, please 'ndi ate your affiliation with
Al•Q_ dmof k)(cm oPO, 3a-(‘ PnIC2?:Z
• Please describe your past service with the City's Youth Centers (include dates of service):
the Scott Rakow Youth Center and/or the North Shore Parks Youth Center:
• Present participation in Youth Center activities by your children: Yes No
If yes, please list below the names f your children, their ages and the programs in which theyTparticipate:L
Child's name: Ne -Ci Age: \` Program: \ \`'S Y` 1 �
Child's name: Age: Program:
• Have you ever been convicted of a felony? Yes 1 or NoIf 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 Za or No If yes, explain in detail:
• Are you curr,kntlyruing on anyCity ar¢-Qre mmittee? Yes
or No If yes, which board/committee?
• In what organization(s) in the City of Miami Beach do you currently hold membership?
Name
Position
Name
Position
• List all properties ownedN`-E3. or in whiFh you ve ainterest wiNn thg ty �f Miami�Be� : ^n /l
• Are you now employed by the City of Miami Beach? Yes or Not
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you haye a parent spouse , child Zi brother or sister who is
employed by the City of Miami Beach? Yes Ebor 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 L1 Female'
Race/Ethnic Categories
What is your race?
African-American/Black
Caucasian/White
Zi Asian or Pacific Islander
Native-American/American Indian
`i
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F:\CLER\$ALL1aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx
LI 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
La Yes
Do you consider yourself Physically Disabled?
M 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
govemment 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 OFF - EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND
STAT • ES ACCO' ' INGLY."
Applicant's
Received in the Office of the City Clerk by:
S ., l(
Date Name of Applican (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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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.
No
Yes
Do you consider yourself Physically Disabled?
I 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 OFF - EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND
STATINGLY."
Applicant's ig
Received in the Office of the City Clerk by:
.0'
D to
e RI
Name ofApplican (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
1 700 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:
to
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 Tater 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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111111b
Date
EXPERIENCE
2013 - Present
2011 - Present
2010 - Present
2012- Present
2008 - 2012
2003 - 2008
January 1999 -
March 2001
November 1994 -
December 1998
March 1996 -
December 1998
November 1994 -
March 1996
September 1993 -
November 1994
STEPHANIE SYLVERE ROSEN
325 N Hibiscus Drive
Miami Beach, FL 33140
(305) 970-5603
Florida Foster Care Review - Panel Chair & Participant. Part of a citizen
review panel which makes judicial recommendations overseeing the health
and well being of Florida Foster children
Temple Beth Sholom - Board Member - Community Activist and Event
Organizer - Active participant of the Social Justice Network
Wendy Walk - Helped to create plan the Florida Wendy Walk, an annual 4
state walk to raise awareness and funds for Lyposarcoma, a rare cancer
(www.wendvwalk.com)
Miami Beach Parks & Recreation - Board member
Scott Rakow Youth Center Advisory Board - President
Miami Children's Museum - Board Member
The New York Mortgage Company (New York, N.Y.) - Loan Officer
Initiated and closed over $20 million in residential loans
Conducted over 70 loan applications and followed each from inception to
close
The Bank of Nova Scotia/Scotia Capital Markets (USA) Inc. - (N.Y, N.Y.)
Institutional Fixed Income Sales
Represented the Section 20 subsidiary in marketing and sales of fixed income
securities to institutional accounts. Sales focus on Canadian $ products
Personally achieved annual sales of Canadian $8 Billion
Real Estate Banking - Account Officer
Assisted in the restructure/repossession of over $400 million in commercial
real estate loans across the U.S.
Assisted the sale of bank owned properties and mortgage notes by marketing
to pension funds, REITS, and private investors
AIG Real Estate (N.Y., N.Y.) - Asset Manager
Managed over 500,000 square feet of AIG owned commercial real estate in the
Eastern U.S. Managed distressed Western European properties. Conducted:
• Leasing strategy development and implementation
• Property acquisition and disposition analysis
• Detailed market analysis, property valuations, alternative property use
analysis
June 1991 - AUGUSTE-THOUARD (Paris, France) - Real Estate Analyst/Broker
August 1992
EDUCATION 1993 New York University - Masters of Science in Real Estate
(Investment & Development) GPA 3.9/4.0
1991 McGill University - Bachelor of Commerce (Finance and Entrepreneurial
management)
SUPPLEMENTAL Languages: Fluent in French, Conversant in Spanish
Sports: Triathlon and marathon participant