Jack Benveniste Application PackageBENVENISTE JACK NAME:
Last Name First Name Middle Initial
8075 Miami BeachHOME ADDRESS:
Apt No.Home No./Street City
Florida 33141
State Zip Code
3055381124 3055381124PHONE:
Home Work
jack@sefmss.com
Email Address
Miami Beach
Street
8075 Noremac ave
City
Florida
State
33141
Zip Code
Address:
Position:Business Name:business owner
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.
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Ɣ 3OHDVHcircle one): I am now a resident of:
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Yes
Yes
No
served approx 15 years on budget advisory board
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:
Budget Advisory Committee
Personnel Board
Police/Citizens Relations Committee
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
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
* 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
_______________________
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
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:
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.
MaleGender:
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 JACK BENVENISTE agreed to the following terms on 11/8/2017 2:06:13 PM
Received in the City Clerk's Office by:
Name of Deputy Clerk
Control No.
Date
Jack
Benveniste
8075
Noremac
Avenue
Miami
Beach,
Florida
(305)
538-‐1124
• Born
February
26,1941
New
York
City,
New
York
Education:
Attended
the
University
of
Miami
Miami
Beach
resident:
48
years
Personal:
• Married
48
years
to
Michaele
2
children
6
grandchildren
• Business:
President
of
All
Dade
Bail
Bonds
-‐
46
years
President
of
Southeast
Florida
Motorcycle
Safety
School
(provider
for
DHSMV
Florida
Rider
Training
Program
)
-‐
18
years
.
President
TOAD
Program
(
court
ordered
youthful
offender
traffic
program)
7years
President
of
Gun
Depot
-‐36
years
President
All
Florida
Driver
License
Testing
(provider
for
Florida
Department
of
Highway
Safety
and
Motor
Vehicles
to
administer
the
Florida
Driver
License
Permit
exams.)
• Community
service
involvement:
Past
member
of
City
of
Miami
Beach
Budget
Advisory
Board
–
12
years.
Past
Flotilla
Commander-‐
United
States
Coast
Guard
Auxiliary
(
currently
Serving
as
Vice-‐Commander.
Served
on
City
of
Miami
Beach
Police
Citizens
committee
as
well
on
Parks
and
Recreation
Board.
Currently
Vice
President
of
Ohev
Shalom
Congregation.