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Allison Stone Application PackageStone Allison L Last Name First Name Middle Initial 4775 Collins Avenue #1905 Miami Beach Home Address City Florida 33140 State Zip Code (305) 725-5283305-725-5283 HomeWork loristar22@me.com Email Address 305-725-5283 Cellular Miami Business Address 1200 Brickell Avenue #1470 City FL State 33131 Zip Code none Occupation:Business Name: Attorney 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: Affordable Housing Advisory Committee Police/Citizens Relations Committee Disability Access Committee BOARD AND COMMITTEE APPLICATION FORM 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 No Address in City Historic District submitted. Professional License License Number Issuance Date Expire Date Florida Bar 558001 5/7/2002 1/31/2023 Notary Public 820733 2/19/2018 2/18/2022 Sales Associate SL3412617 5/1/2018 3/31/2022 Note:If you are seeking appointment to a professional seat (e.g. attorney, architect, etc.), you must attach a copy of your currently effective corresponding professional license. 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: YesResident of the City for a minimum of six (6) months: Demonstrate an ownership interest in a business established in the City for a minimum of six (6) months:No AFFILIATION WITH THE CITY OF MIAMI BEACH a. ● I am resident of:North Beach Or b. "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. 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):No Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by a 4/7th 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 section 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 filled with the Office of the City Clerk prior to being sworn in as a member. Or No● Have you ever been convicted of a felony: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:Yes If yes, which board? Affordable Housing Advisory Committee ● Are you presently a registered lobbyist with the City of Miami Beach?No ● I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am an attorney who has dealt with real estate, nursing homes, appellate law (research, analysis and writing), landlord tenant law and insurance law, among other areas. I assist in management of real estate on Miami Beach and have my sales associate's license. I have sat on City Committees before. 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 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). 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 equality to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143. Florida Statutes. ● In what organization(s) in the City of Miami Beach do you currently hold membership in? No Organization Information Submitted. ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property 615 5th Street Corp.LLC 4775 Collins Avenue #1905 If so, which department and title?No● Are you now employed by the City of Miami Beach: ● Pursuant to City Code Section 2-25 (b): Do you have a parent, spouse, child, brother, or sister who is employed by the City of Miami Beach?No If "Yes", identify person(s) and department(s): No relative's information submitted. BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-Dade County Financial Disclosure Code Section 2-11.1(i)(2) 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 filled 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 these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail, or both. _____________________________ 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. DIVERSITY STATISTICS REPORT 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. Race/Ethnic Categories What is your race? No details providedOther Description: Gender:None Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.No Physically Challenged:No I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL 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 STATE LAWS AND STATUTES ACCORDINGLY.” I Allison Stone agreed to the following terms on 12/15/2020 7:51:49 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Board and Committee Application Checklist: Please ensure you have provided all information before applying or reapplying to any Board and Committee. YES YES YES YES I have answered all questions fully. I have uploaded a current resume, photograph, and a copy of any applicable professional license. I have completed and attached the Board & Committee Financial Acknowledgment Statement. I have completed and attached the Diversity Statistics Report. If you have any questions, please contact the Office of the City Clerk via email: BC@miamibeachfl.gov or telephone: 305.673.7411 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. ALLISON LORI STONE, ESQ.
 4775 COLLINS AVENUE APARTMENT 1905 MIAMI BEACH, FL 33140 Phone: (305)725-5283 E-mail: loristar22@me.com LEGAL EXPERIENCE: ALLISON STONE, ESQ., Miami, Florida April 2010 - Present MILLENNIUM MANAGEMENT, LLC, Miami, Florida General Counsel, July 2008 – April 2010 Responsible for all legal and risk management affairs for more than 22 skilled nursing facilities in Florida, South Carolina and North Carolina.
 Liaison between Federal and State governmental entities including CMS, AHCA, and various licensure boards and investigative agencies. Engage, supervise and assist outside counsel with respect to various litigation and corporate matters. Arbitration of labor claims and client representation at union grievance sessions. LESER, HUNTER, TAUBMAN & TAUBMAN, Miami Beach, Florida Associate, January 2008 – July 2008 Draft and negotiate various corporate documents, including real estate agreements, contracts for the sale of intellectual property, and corporate governance agreements.
 Audit websites and draft privacy policies to ensure compliance with Federal and State laws, rules and regulations. TRI-STATE HEALTH INVESTORS, LLC, Miami Beach, Florida General Counsel, March 2004 – August 2007 Responsible for all legal and risk management affairs for 11 skilled nursing facilities in six states. Liaison between Federal and State governmental entities including CMS, AHCA, and various licensure boards and investigative agencies.
 Engage, supervise and assist outside counsel with respect to various litigation and corporate matters. Represented client on a variety of real estate matters including purchase acquisitions and leases, eviction proceedings, code enforcement hearings and zoning matters. KUBICKI DRAPER, Miami, Florida
 Associate, Appellate Division February 2003 – January 2004 Research and draft appellate briefs.
 Provide insurance coverage analysis to insurers for specific incidents.
 Research and draft memorandums of law and motions for litigation attorneys within the firm. THIRD DISTRICT COURT OF APPEALS, Miami, Florida
 Law Clerk, The Honorable David M. Gersten, July 2002 – January 2003 EDUCATION: UNIVERSITY OF MIAMI SCHOOL OF LAW, Coral Gables, Florida Juris Doctor, December 2001 Honors: Dean’s List, Phi Delta Phi Legal Fraternity, Alpha Epsilon Lambda Graduate Honor Society, Dean’s Certificate of Achievement for Outstanding Academic Performance (Contracts, Professor R. Hausler). UNIVERSITY OF MIAMI, Coral Gables, Florida Bachelor of Arts, May 1998 Honors: Recipient of numerous scholarships and academic and civic awards. BAR ADMISSIONS: Florida, 2002 OTHER LICENSES: Florida Real Estate Sales Associate VOLUNTEER WORK AND AWARDS: Volunteer, Mt. Sinai Medical Center (2006-2007); Volunteer, Miami Heart Institute (2006 – 2007); Volunteer, Jewish Community Services Meal Center (2006-2007); Attorney Position, City of Miami Beach Health Facilities Authority Board (2006-2013); Member, Young Leadership Division and Volunteer, Volunteer Chai Lifeline (2004 – Present); Member, Young Professionals Committee, Greater Miami Jewish Federation (2003-2004). Recipient, Chai Lifeline Young Leadership Initiative Award (2010); Volunteer for One Blood (blood bank) (2014- Present) Member, Affordable Housing Advisory Committee (2014- Present) (Chairperson 2019)