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Laura Levey Application PackageID MIAMI BEACH NAME: Levey Laura Last Name First Name HOME ADDRESS: 5801 Collins Avenue #700 Miami Beach Apt No. Home No./Street City PHONE: (305) 905-2680 (305) 672-5007 Home Work CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Middle Initial Florida 33140 State Zip Code lauraleveyll@gmaii.com Email Address Business Name: Globe Guard Position: Sales Person Address: 1688 Meridian Ave. Miami Beach Florida 33140 - Street City State 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 No • 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: Speak and write Spanish. Public Relations Agent • 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 Citv Clerk's Office. (Regular Boards of City) Choice 1: Sustainability Committee Choice 2: Sister Cities Program Choice 3: Visitor and Convention Authority * 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: Female 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. Yes 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 Laura Levey agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date LAURA RIVERO LEVEY CANDIDATE FOR MAYOR OF MIAMI BEACH - NOVEMBER 3, 2009 BACKGROUND AND EDUCATION ■ Miami Beach resident since 1981 ■ Born 1965 - Caracas, Venezuela ■ Miami Beach Senior High School ■ Miami -Dade Community College ■ Florida International University, B.A. ■ Lives on Pine Tree Drive with her husband and their 5 children COMMUNITY AFFAIRS ■ President of North Beach Elementary School Parent Teacher Association ("PTA"), 2007- 2008 ■ Hispanic Liaison to City of Miami Beach, 2007-2008 ■ Miami Beach Senior High School PTA -Membership Co -Chair, 2006-2007 ■ Hosted Consuls General of France, Israel, Germany and East European government officials ■ Co -Chair of South Florida's Interfaith Coalition on behalf of the American Jewish Committee, November, 2006 ■ Diplomatic tour of Germany as guest of Goethe Institute as representative of the American Jewish Committee, October, 2005 ■ Founder of Miami Beach Senior High School's Marine Biology Program World Ocean Watch ("WOW"), 2007 ■ Co -Chair of Immigration and Naturalization Ceremony at Miami Beach Convention Center 1999 (speaker) and 2000 ■ President of Temple Beth Sholom's Parent Teacher Organization ("PTO"), 1996-1998 ■ Cancer Link at Sylvester Jackson Memorial, Member Board of Director 1996-1998 MEMBERSHIPS ■ American Jewish Committee, Member of the Board of Directors, 1999-2009 ■ North Beach Elementary School PTA ■ Miami Beach Senior High School PTA ■ Miami Beach Gifted Association ■ National Council of Jewish Women ■ Temple Beth Sholom ■ Chabad of Venetian Islands, founding member of Womens' Circle ■ University of Miami School of Law Dean's Circle ■ Jewish Museum of Florida ■ Girl Scouts