Barbara S. Herskowitz N1 I Atv\I R H
V ESC CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME: � -S l�/I /40 1-"?q 4 J
Last Name / First Name Middle Initial
HOME ADDRESS: 3 7 c TeWees `'E 1,-(A2 .;
No. 2 y Street City State Zip Code
PHONE: .' 6 '23-9'302 .Y -69 3-c c 2c • I ' ' i
Home Work Fax ail addressP�
Business Name: Position:
Address:
No. Street City State Zip Code
Professional License(describe) Expires: Attach a copy of the license
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 Ll' No L
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6) months: Yes or Nd---
• Are you a registered voter in Miami Beach: Yes 'or No [
• (Please circle one): I am now a resident of: North Beach South Beach M ddle Beac
• I am applying for an appointment because I have special abilities, knowledge, experience. Please list below:
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)
Affordable Housing Advisory Committee ❑Historic Preservation Board*
0 Art in Public Places Committee 0 Housing Authority*
Beach Preservation Board 0 Loan Review Committee*
❑Beautification Committee ❑ Marine Authority*
❑ Board of Adjustment* ❑Miami Beach Commission for Women
❑ Budget Advisory Committee 0 Miami Beach Cultural Arts Council
❑Capital Improvements Oversight ❑Miami Beach Florida Sister Cities
❑Committee on Homeless ❑Normandy Shores Local Gov't Neigh. Improvement
0 Committee for Quality Education in MB ❑Parks and Recreation Facilities Board
❑Community Development Advisory* ❑Personnel Board*
❑Community Relations Board Cl Planning Board
❑Convention Center Advisory Board ❑Police Citizens Relations Committee
❑Cultural Arts Neighborhood District Overlay(CANDO) ❑Production Industry Council
❑Debarment Committee ❑Public Safety Advisory Committee
❑Design Review Board* ❑Safety Committee
❑Disability Access Committee ❑Single Family Residential Review Panel
❑Fine Arts Board ❑Sustainability Committee
LI Gay Business Development Ad Hoc ❑Transparency Reliability&Accountability Committee"TRAC"
❑Golf Advisory Committee ❑Transportation and Parking Committee
i 1 Health Advisory Committee ❑Visitor and Convention Authority*
❑ Health Facilities Authority Board ❑Youth Center Advisory Board
❑ Hispanic Affairs Committee
*Board Required to File State Disclosure form
F:\CLER\SALL\Board&Committees B&C Application\B&C Application Revisbd 111308 doc
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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: Yes • No Years of Service:
2. Present participation in Youth Center activities by your children Yes No _. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
•Have you ever been convicted of a felony: Yes =or NoQ'If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes =or f yes. please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes L or No f s, explain in detail
• Are you currently serving on any City Boards or Committees: Yes No 0. If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name: Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
• I am now employed by the City of Miami Beach: Yes or N hich department?
• Pursuant to City Code Section 2-25(b): Do you have a parent C, spouse C, child Z, brother or sister who is employed by the
City of Miami Beach?Check all that apply. Identify the department(s):
This section is "not required" but desired: Age: fq Lt years old Gender: Male 0 Female(01
Ethnic Ori n (Check one)
White frican-American/Black 0 Hispanic: 0 Asian or Pacific Islander 0 American Indian or Alaskan Native 0
"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."
ki/Siba.A.A.L6 5') rtif-aal-/R-
AppliLant's Signature Date Name of Applicant(PLEASE
PRINT)
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a period of one(1)calendar year.
Employment Status: Employed ❑ Retiree-maker Other 0
Received in City Clerk's Office by Date
/3
Name of Deputy Clerk
Document Control Number(Assigned by the City Clerk's Office) Entered By Date
Revised 09/02/08 LI-I
• ._.... Fioarc: keva.C. SOc.CIU:
411.
'Barbara S. . ferskowitz
4205 Meridian Avenue
Miami Beach, Florida 33140
(305) 673-9300
EDUCATION: University of Miami, Coral Gables, Florida; 1985
Masters of Business Administration (M.B.A.), Cum Laude
Major: Accounting
Bachelor of Business Administration (B.B.A.); 1985; Cum
Laude
Major: Accounting
PROFESSIONAL
EXPERIENCE
1986-1992 Carnival Cruise Lines(C.C.L.); Miami, Florida
• Prepared monthly consolidation reports and entries
• Assisted in the preparation of 10K and annual reports
• Prepared forecasts for the cruise line and subsidiaries
• Prepared and compiled the annual budget for the entire
company
• Developed, compiled and wrote the General Ledger manual
by account
• Assisted in the programming of the computer system
• Trained company employees on the computer applications
1985-1986 Centrust Savings Bank; Miami Florida
• Held a multi-level/multi-functional position within the tax
department
• Prepared company consolidations
• Performed special projects relating to consolidations
• Developed tax schedules for the bank's tax returns
• Prepared intangible tax returns
• Prepared monthly reports on interest accruals
• Revised bank's chart of accounts
• Compiled the Substandard Asset report relating to
foreclosed real estate loans underperforming equity
ventures and major real estate loans.
CIVIC
AFFILIATIONS
Hebrew Academy Day School:
• Past member of Board of Directors
(, [ 1
City of Miami Beach:
• Board of Parks and Recreation
o 1997—2005
• Status of Women
o 1/2005— 12/2007
•
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