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Francinelee Hand Application Package1A1 A MLB H 3A3 AN COMA, T=A ..CATO Last Name HA¡ First Name íoanelee Middle Initial - Home Address 6313 1.AY Cellular Telephone ' Work Telephone 3, l3fo3o ' ............... Business Name City eje7e, Home Telephone gli4 State Zip Code She @<laaon&lee Email address • ~ Occupation Business Address City State Zip Code 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 Office of the City Clerk. ks Affordable Housing Advisory Health Advisory Committee Normandy Shores Local Government Committee Neighborhood Improvement District Advisory Council Animal Welfare Committee Health Facilities Authority Board Parks and Recreational Facilities Board Art in Public Places Committee Hispanic Affairs Committee Personnel Board Audit Committee Historic Preservation Board # Planning Board Black Affairs Advisory Committee Housing Authority Police/Citizens Relations Committee Board of Adjustment Human Rights Committee Production Industry Council Budget Advisory Committee LGBTQ Advisory Committee Program for Public Information Committee Committee for Quality Education in Marine & Waterfront Protection Senior Affairs Committee Miami Beach Authority Committee on the Homeless Mayor's 41 st Street Committee Sustainability Committee Convention Center Advisory Board Mayor's General Obligation Bond Transportation, Parking, and Bicycle- Oversight Committee Pedestrian Facilities Committee Cultural Arts Council 1 I Mayor's Panel on Ocean Drive {Visitor and Convention Äuthorit+ Desian Review Board] Y t M i ¡aA A¡ P e a ch Commission for Women H Youth Commissioñ Disability Access Committee Next Generation Council 1. 2. 3. \0Ad , Cowl«os /Vu,lo @ 7 Professional License Type of Professional License License Number State of Issuance License Issuance Date License Expiration Date Note: If you are seeking appointment to a professional seat (e.g. attorney, architect, etc.), you must attach a copy of your currently effective correspondina professional license. Page 1 of 6 F:\C LE R\$A LL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\BOARD AND COMMITTEE APPLICATION.docx Updated: June 2020 AFFILIATION WITH THE CITY OF MIAMI BEACH Pursuant to City Code section 2-22(4) a, b, and c: Members of Agencies, Boards, and Committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways. a. Resident of the City for a minimum of six months: Yes Ld LhNo • I am a resident of: South Beach O Middle Beach ~rth Beach O Or b. Demonstrates an ownership inteyest (for a minimum of six months) in a business established in the City (for a minimum of s months) e s El or[Ikí "Ownership Interest" shall mean the ownership of ten percent (10%) or more (including the ownership of 10% or more of the outstanding capital stock) in a business. "Business" shall mean any sole proprietorship, sponsorship, corporation, limited liability company, or other entity or business association. Or c. Full-time employee of such a business (for a minimum of six months); and I am based in an office or other location of the business that is physically located in Miami Beach (for a minimum of six months): Yes L ) oldNo Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by a 417th vote of the Mayor and City Commission. NOTE: Members of Agencies, Boards, and Committees shall be required to demonstrate compliance with the City affiliation requirements of sections 2-22 (4) a and b of the Miami Beach City Code by executing an affidavit, stipulating that they have met either (or both) of said affiliation requirements. The original affidavit shall be filed with the Office of the City Clerk prior to being sworn in as a member. • I am applying for an appointment because I have special abilities, knowledge, and experience. Please list below: ±err¢%a _sil , Si. Rl., «4e se 't ».ice Lhg>Clede let ol o one ol ei- Ildo . 7 oasl 2$.Es =.. -±,%±..8 5 e fai.a -l~"$cl @L SEt. socco,sa $ l/qk eral@! tales Doce Us»a.» tc,= Ass ltd5E ) Page 2 of 6 F:\CLER\$ALL\BO ARD AND CO M M ITT IES DATABASE\CHECKLI ST MASTER\BOARD AND COM M ITTE E APPLICATION .docx Updated: June 2020 • • Are you a registered active lobbyist with the City of Miami Beach? Yes O or No✓ • Have you ever been convicted of a felony? Yes Lh or Noli es, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes O or No~ yes, please explain in detail: • Do you currently owe the City of Miami Beach money? Yes O or No ~s, please explain in detail: • Are you currently serving on any City Board or Committee? Yes e or No D If yes, which Board/Committee? Comm. on Que) Name Ku Uort Sale se @s?lu. Cl ef@ -Gice s$%8) • List the address of all properties owned or in which you have an interest within the City of Miami Beach: 53is ls Gay hom€ • Are you now employed by the City of Miami Beach? Yes O or No~. which department and title? • Pursuant to ciy code section 2-25 (b): Do you have a pare ' l, spouse lh, cha l I Brother l or sister LI who is employed by the City of Miami Beach? Yes L lor No a If "Yes," identify person(s) and department(s): _ • ik Note: If applying for the At-Large position of the Historic Preservation Board, please answer the below questions: Have you ever resided in one of the City's Historic Districts for at least one year? Yes Dor No O If you answered "Yes," please indicate: 5 >0> 10 @e, A Address From: 20o t To 2020 Dates From: To Address Dates Page 3 of 6 F:\C LER\$ALL\BO ARD AND CO M M ITT IES DATABASE\CHECKLIST MASTER\BOARD AND COMMITT EE APPLICATION.docx Updated: June 2020 . . NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: 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 the Board/Committee you have served on for period of one year after leaving office. (Miami Beach City Code Section 2-26) o Requirement to disclose certain financial interests and gifts. (Miami-Dade County Code section 2-11.1) o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of Boards, Commissions, and other governing bodies of state and local governmental agencies or authorities. o Voting conflict - Form 8B is for use by any person serving at the county, city, or other local level of government on an appointed or elected Board, Council, Commission, Authority, or Committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WIL L ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATl;il LAWS AND STATUTES ACCORDINGLY." 22 ha.a ee-land Applicant'Sgnature / D4te / Name of Applicant (PLEASE PRINT) Board and Committee Application Checklist: Please ensure you have provided all information before applying or reapplying to any Board and Committee ~ave answered all questions fully. [l have attached additional sheets, if necessary, to provide required information. [ ¡Have attached a current resume, photograph, and a copy of any applicable professional license. [have completed and attached the Board & Committee Financial Acknowledgement Statement. [ have completed and attached the Diversity Statistics Report. [ submit complete application package. Via Email: BC@miamibeachfl.gov Via U.S. Mail or in Person: City of Miami Beach Office of the City Clerk/ Board and Committee Section 1700 Convention Center Drive, 1°Floor Miami Beach, FL 33139 If you have any questions, please contact the Office of the City Clerk via email: BC@miamibeachfl.gov or telephone: 305.673. 7 411. Note: Florida Statutes §119.071: The role of the Office of the City Clerk is to receive and maintain forms filed as public records. If your home address, telephone numbers, and/or photograph are exempt from disclosure and you do not wish your home address, telephone numbers, and/or photograph to be made public, please: 1) Use your office or other address for your mailing address; 2) Use your office or other telephone number for your contact number; and 3) Do not attach a photograph. Page 4 of 6 F:\C LE R \$A LL\B O A RD A ND C O M M ITT IE S DA TA BA S E \C HE C K LI S T M A S TE RIB OA RD A ND CO M M ITT E E A P P LI C A TIO N.docx U pda ted : Ju ne 20 2 0 IAMAIBE H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www_miamibeachl]_go OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT ST ATE MENT Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) E}EL -ha acielee --- Last Name First Name Middle Initial I understand that no later than July 1,_of each year all members of Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year: 1. A "Source of Income Statement;" or 2. A "Statement of Financial Interests (Form 1)1;" or 3. A Copy of your latest Federal Income Tax Return. Failure to file one of of no more tha to the Miami-Dade County Code, may subject the person to a fine Signature D 1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. §112.3145(1 )(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State requirement. Page 5 of 6 F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTERIBOARD AND COMMITTEE APPLICATION.docx Updated: June 2020 MI AMIBE H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miarnibeachfl.gov OFFICE OF THE CITY CLERK Email: C@miamibeachf_gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT HA ±a nnelee s Last Name First Name Middle Initial The following information is voluntary and has no bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. Gender: @.. O Other O I prefer not to answer. Race/Ethnic Categories: What is your race? O African American/Black L}Asian or Pacific Islander LUI Caucasian/White Di Native American/American Indian E other - Print Race: ------------ □I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? ves Ll o O I prefer not to answer. Do you consider yourself Physically Disabled? L2vs Lí o O I prefer not to answer this question. Page 6 of 6 F:ICLER\$ALL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\BOARD AND COMMITTEE APPLICATION.docx Updated: June 2020 1 1 /3 /2 0 2 0 Mail - Francinelee Hand - Outlook Reply v [@] Delete ) Junk Block Re: BOARD & COMMITTEE RE-APPOINTMENT REMINDER NOTICE sunshine@francine... Francmnelee Hand FH tue 11/3/2020 5:56 PM > To: D'Agostin, Charles resume for francinelee hand commission for women appointment: november 3, 2020 miami beach resident since 2001 graduated from MBHS 1955 graduated from U of M 1959 masters degree columbia university 1964 miami beach city involvement: completed leadership training program miami beach city hall commission on human rights commission on women (twice) trustee for miami city ballet for 26 years patron of new world symphony collectors circle BASS museum of contemporary art miami beach garden club chaplin 9 years participant in annual tour of private residential gardens for many years.. taught music and art... manhattan 15 years now retired member of la gorce country club ... home under historic protection born here and grew up on miami beach 1937-1955 married 45 years ...mother ..... arandmother of 2vouna children 5 d - francinelee hand 5313 north bay road miami beach, florida 33140 et( s/3403o https://outlook.live.com/mail/deeplink?version=20201024001.04&popoutv2=1 1/1