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Barry Ragone Application ApplicationRagone Dr. Barry MNAME: Last Name First Name Middle Initial 4720 Pine Tree Drive, Unit 7 Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33140 State Zip Code (305) 865-6961 naPHONE: Home Work levite6@aol.com Email Address Miami Beach Street NA City Florida State 33141- Zip Code Address: Indian Creek Dental Position:Business Name:Dentist 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 Yes Middle Beach No Although I have served on many boards and committees for the city my request to be appointed to the Disability Access Commi 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: Disability Access Committee Senior Affairs Committee Health Advisory 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:na ages, and which programs. List below: if yes, please list the names of your children, their 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 _______________________ Error: Subreport could not be shown. Error: Subreport could not be shown. NoƔHave you ever been convicted of a felony:If yes, please explain in detail: na ƔDo you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail: na 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? na ƔWhat organizations in the City of Miami Beach do you currently hold membership in? na ƔList all properties owned or have an interest in, which are located within the City of Miami Beach: Error: Subreport could not be shown. ƔI am now employed by the city of Miami Beach:No Which department?na Error: Subreport could not be shown. 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 Dr. Barry Ragone agreed to the following terms on 1/6/2020 11:37:51 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date ● ● ● ● ● ● ● ● ● ● ● ● ● ● Dr. Barry M.Ragone I been have been a long time resident of Miami Beach since 1958 and have a history of service to the city of Miami Beach having been chosen to be a member of various committees and commissions.  EDUCATION: Miami Beach High School Class of 1958 University of Alabama, Tuscaloosa, Alabama University of Miami, Coral Gables Florida University of Louisville , School of Dentistry Class of 1969 COMMUNITY SERVICE: City of Miami Beach Loan Review Committee, Former Chairman  City of Miami Beach, Human Rights Committee, Former Member  City of Miami Beach  Affordable Housing Authority, Former Commissioner Miami Beach Leadership Academy, Graduate Past President  North Beach Development Corporation, Miami Beach, Florida Campaign Manager, Former Commissioner Luis Garcia Jr. City of Miami Beach Campaign Manager, Forme State Representative Luis Garcia Jr., Florida House of Representatives Hurricane Andrew : Broward County Medical Association Emergency Response Team; tasked with establishing initial triage location to assist injured victims of Hurricane Andre w Valu Jet Flight 592 airline disaster: East Coast District Dental Society Disaster Immediate Response Team , Primary assignment was the Identification of victims of the the value Jet crash in the Everglades Liberty City Charter School, Miami Florida; Founding member of Board of Directors  worked alongside fellow Board Members Gov. Jeb Bush and T. Willard Fair President of the Urban League as well as others.  Dizzie Gillespie Charter School, Founding member Board of Directors Stuart, Florida  PROFESSIONAL HISTORY Director Children's Health Initiative; Logan, West Virginia Adjunct Clinical Professor University of Miami School of Medicine;  Department of Pediatrics Children's Comprehensive Health Program, A Pilot program of the  Howard Hughs MedicalInitiative  Director Edison Family/Liberty City Medical Center; Miami Florida Barry M. Ragone DMD; Private practice Indian Creek Dental ; Private practice Director of Development; Levine Films, Bay Harbor Florida Director of Development; Aleph Institute, Surfside, Florida