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Moni Cohen Application PackageID MIAMI BEACH NAME: Cohen Moni Last Name First Name HOME ADDRESS: 880 Lakeview Drive Miami Beach Apt No. Home No./Street City PHONE: 305-867-3345 Home Work CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Middle Initial FL 33140 State Zip Code moni@monicohen.com Email Address Business Name: Real Estate Enterprises Position: Broker Address: 419 Arthur Godrey Rd Miami Beach FL Street 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 have traveled with the City of Miami Beach Chamber to the World Fair in China. Golden Triangle in India and to Japan in 2017. • 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: Sister Cities Program 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: . 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: Property 880 Lakeview Drive, Miami Beach FL 33140 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. 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 Moni Cohen agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date I Tj MO..1N.- COHEN 880 Lakeview Drive, PAHarni Beach, FL 33140 mor:', rn'c- -, d3, e n. co M 786-200-6664 EXPERIENCE 1982-1988 FEDERATED DEPARTMENT STORES / MIAMI Buying & Management 1981 NATIONAL COUNCIL OF JEWISH WOMEN MIAMI BEACH Involved in the formation of the organization Board of Directors Vice President of Fundraising 1991-1999 FOUNDATION SCHOOL BOARD /SISTERHOOD BOARD / ADVISORY BOARD OF TEMPLE BETH SHOLOM 2000-2015 CFO OF REAL ESTATE ENTERPRISES FULL SERVICE COMMERCIAL REAL ESTATE FIRM 2015 -PRESENT BROKER OF REAL ESTATE ENTERPRISES EDUCATION 1981 BACHELOR OF ARTS DEGREE / INDIANA UNIVERSITY CITY OF MIAMI BEACH COMMITTEES 9223M DEPARTMENT OF •REGULATION OWWON OF ESTATE 2601 BLAIR STONE.,, TALLAHASSEE FL. 32399;-0783 • a : Y ! about,' Departmnt's Initiatives.