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Barton Goldberg Application PackageID MIAMI BEACH NAME: Goldberg Barton Last Name First Name HOME ADDRESS: 5969 North Bay Road Miami Beach Apt No. Home No./Street City PHONE: (305) 868-9430 (305) 532-8894 Home Work Business Name: Barton S. Goldbert / Attorney Address: 300 West 41 Street # 214 Street CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM S Middle Initial Florida 33140 State Zip Code hoofbtz@aol.com Email Address Position: Miami Beach Florida City State 33140 - Zip Code 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. • Resident of Miami Beach for a minimum of six (6) months Yes • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes • Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I was Chairman of the Board of Adjustment from 1971 - 1991. Retired Banker. • Are you presently a registered lobbyist with the City of Miami Beach? 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 City Clerk's Office. (Regular Boards of City) Choice 1: Board of Adjustment Choice 2: Choice 3: * 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 Issuance Date License Number License Expiration Date 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: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: Child Name Age Program • Have you ever been convicted of a felony: No If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: No If yes, please explain in detail: • Are you currently serving on any City Boards or Committees: No If yes, which board? • What organizations in the City of Miami Beach do you currently hold membership in? • I am now employed by the city of Miami Beach: No Which department? • List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male 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. Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No Physically Challenged: 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 Barton Goldberg agreed to the following terms on 11/25/2017 9:35:45 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date RESUME OF BARTON S. GOLDBERG DATE OF BIRTH: October 20, 1933 PLACE OF BIRTH: Brooklyn, New York Miami Beach resident since 1942 EDUCATION: Miami Beach Senior High School January 1948 — January 1951 University of Miami January 1951 — February 1956, BBA University of Miami January 1951 — February 1957, LLB, JD Rutgers -Stonier Graduate School of Banking — Diploma in Banking MILITARY SERVICE: United States Army Reserve, Captain, February 1958 — 1963 EMPLOYMENT: Self-employed as an attorney 1958-1963 Courshon & Courshon, 1701 Meridian Avenue — 1963-1976 During active practice served as responsible attorney primarily in corporate, real estate and probate work. Still maintain active status as an attorney. Assistant Trust Officer Jefferson National Bank 1964-1968 Vice President and Counsel Jefferson National Bank 1965-1968 Executive Vice President Jefferson National Bank 1968-1970 President, Jefferson National Bank and Jefferson Bank of Florida October 27, 1970 to 1996 Secretary/Treasurer, Jefferson Bancorp, Inc. September 1970 to 1996 Chairman Colonial Bank - South Florida Region 1996 to 2007 Chairman Emeritus Colonial Bank - South Florida Region 2007 to Present LICENSES & Licensed by State of Florida Board of Bar Examiners as an Attorney CERTIFICATES: RESUME OF BARTON S. GOLDBERG MEMBERSHIPS AND CIVIC ACTIVITIES PAST PRESIDENT: Florida Bankers Association — 1996 to 1997 PAST CHAIRMAN: Comptroller of the Currency Regional Advisory Committee PAST PRESIDENT: The Founders, Mt. Sinai Medical Center FOUNDER AND Mt. Sinai Medical Center TRUSTEE: PAST PRESIDENT Mt. Sinai Medical Center Foundation CURRENT DIRECTOR: PAST CHAIRMAN: Young President's Club — Mt. Sinai Hospital DIRECTOR: Temple Emanu-El, Miami Beach PAST PRESIDENT Miami Beach Chamber of Commerce AND LIFE TRUSTEE: Man of the Year 1989 PAST PRESIDENT: Miami Beach Civic League Civic Leader of Year Award — 1974 and 1981 PAST PRESIDENT: Miami Beach Homeowners Association PAST PRESIDENT: 41" Street Merchants Association PAST CHAIRMAN First Housing Development Corp. of Florida CURRENT DIRECTOR: Director 25 years, Chairman 13 years CO-CHAIRMAN: Zoning Board of Adjustment, City of Miami Beach, 1971 to 1991 PAST PRESIDENT: Junior Achievement of Greater Miami, Inc. PAST VICE PRESIDENT, United Way of Dade County DIRECTOR, TRUSTEE, TREASURER: PAST CHANCELLOR Miami Beach Lodge Knights of Pythias COMMANDER: VICE PRESIDENT Jewish Museum of Florida AND DIRECTOR: MEMBER: Florida Bar Association Miami Beach Bar Association Dade County Bar Association Citizens Board — University of Miami and Presidents Council Civic League of Miami Beach Tau Epsilon Phi Alumni -3- ►o