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Dale Stine Application PackageStine DaleNAME: Last Name First Name Middle Initial 1573 Pennsylvania Ave. #1N Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33139 State Zip Code 305-761-3253PHONE: Home Work dale@dalestine.com Email Address Miami Beach Street 1573 Pennsylvania Ave. # 1N City Florida State 33139 Zip Code Address: Heart Prints, Inc.Position:Business Name:President/Photographer 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. YesƔ5HVLGHQWRI0LDPL%HDFKIRUDPLQLPXPRIVL[  PRQWKV Ɣ'HPRQVWUDWHDQRZQHUVKLSLQWHUHVWLQDEXVLQHVVLQ0LDPL%HDFKIRUDPLQLPXPRIVL[  PRQWKV Ɣ$UH\RXDUHJLVWHUHGYRWHULQ0LDPL%HDFK Ɣ 3OHDVHcircle one): I am now a resident of: Ɣ,DPDSSO\LQJIRUDQDSSRLQWPHQWEHFDXVH,KDYHVSHFLDODELOLWLHVNQRZOHGJHDQGH[SHULHQFH3OHDVHOLVWEHORZ Ɣ$UH\RXSUHVHQWO\DUHJLVWHUHGOREE\LVWZLWKWKH&LW\RI0LDPL%HDFK" Yes No South Beach No Photographer - Dale Stine views the photographic lens through his creative, academic and professional experiences in the perf 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: Human Rights Committee Art in Public Places Committee Animal Welfare 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 Child Name Age Program 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? LGBTQ Advisory Committee 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 Dale Stine agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Dale Stine Committee Application Statement Dec. 5, 2018 Having served on the LGBTQ Advisory Committee for several years, I am well-aware of the goals, responsibilities and mission of city committees. For the last five years, I was chair of the sub-committee which was responsible for procuring a perfect score on the Human Rights Campaign's Municipality Equality Index. I have been a full-time resident of Miami Beach since 2001 and opened my own photography/arts/music business (HeartPrints, Inc.) in 2002. I am fully engaged in the community; I am active in many arenas; I am an advocate for quality of life for all who live here, for all who visit here and for all who do business here. DALE STINE Dale Stine views the photographic lens through his creative, academic and professional experiences in the performing arts. A North Carolina native who obtained a Master’s Degree in Opera from the world-renowned Juilliard School (NY), Dale enjoyed a 16-year run in many off- Broadway productions. Never one to pass up an opportunity to flex various muscle groups, Dale simultaneously pursued a dual career in personal training and fitness instruction, alongside his acting, modeling and theater pursuits. A self-taught shutterbug, Dale quickly established himself as one of those most sought-after photographers in Miami. Since 2001, his photographs and images have graced countless magazines, cd covers and websites. Internationally-acclaimed DJ’s, drag personas as well as various politicos, businesspeople and entertainers are among his favorite clients., including many who hire him to photograph interiors and exteriors of well-known restaurants and clubs in the Miami area. Dale has been an official photographer for the internationally-acclaimed South Beach Wine and Food Festival as well as having been involved with Aqua Girl, Miami Gay and Lesbian Film Festival, Miami-Dade Gay and Lesbian Chamber of Commerce, The National LGBTQ Task Force, The Hub at the LGBT Visitor’s Center, Pridelines and Miami Beach Gay Pride, to name a few. In addition to his photography, Dale is also involved with many of the aforementioned organizations in a hands-on volunteer capacity. He is honored to sit on Mayor Phil Levine's Miami Beach LGBTQ Advisory Committee, appointed by several commissioners in the last six years. Exhibitions have included The Diva Collection: Illusion Series, featured at the historic Royal Palm Hotel during White Party, The Starlet Series at Miami Beach Cinematheque, Communion Celebrates Art at the Bakehouse Art Complex, Decline in Civilization for Art Basel 2006 and A Different Angle for Art Basel 2008. Dale was featured in the show Leaders, Legends & Lovelies at Miami Beach's newly-renovated Deco Center in both 2010 and 2011. In 2012, he was one of the four annual honorees at the same event, being awarded with Unity Coalition’s medallions. Dale also photographed The DELICIOUS Campaign, an "icon-and-star-studded" happening in conjunction with DINING OUT FOR LIFE, a national organization whose proceeds benefited Care Resource in Southeast Florida. In addition to his solo work, Dale works with Bob Gramatges as part of an artistic collaboration known as GRAMSTINE. Their work has been seen in a number of galleries and exhibitions, including Art Basel in 2015. Musically speaking, Dale is currently the Director of Music Ministry at Unity on the Bay. Prior to his two years in this position, he was the resident choir director. He performs regularly in the Miami area and continues to travel as a guest artist. “Whether it’s photography or music, my passion emanates from the same place. It’s all in the phrasing, whether I’m singing it or seeing it.”