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Oliver William Application PackageWilliam Oliver Last Name First Name Middle Initial 650 West Avenue South beach Home Address City Florida 33139 State Zip Code 91783888389175927726 HomeWork OliverWilliam02@icloud.com Email Address 9175927726 Cellular NORTH MIAMI BEACH Business Address 1970 ne 153 street, #20 City Florida State 33162 Zip Code Watrline Occupation:Business Name: Distribution of bathroom fixures 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: Youth Commission Committee on the Homeless 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's learners Licencse W450-640-06-271-0 9/29/2021 7/31/2030 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:Yes AFFILIATION WITH THE CITY OF MIAMI BEACH a. ● I am resident of:South 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:No If yes, which board? I am not serving on a board/committee of any City Board just yet. ● 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 do not have any Special abilities, knowledge, or experiences. 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? Name Position Best buddies I am the Vice president of my chapter at my schoo ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property I have interest in being a youth commissioner, committee on the homeless, and disability access committee. If so, which department and title?No● Are you now employed by the City of Miami Beach: I am not 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?Yes If "Yes", identify person(s) and department(s): Name Department Relationship Type N/A N/A Spouse 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. WhiteRace/Ethnic Categories What is your race? No details providedOther Description: Gender:Male 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 Oliver William agreed to the following terms on 9/6/2022 5:26:49 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. Oliver William 10/4/2021 Resume for Youth Commissioner Hi, My name is Oliver William, I am in 10th grade and I go to Miami Beach Senior High School. Because I am in 10th grade I do not have that much of a resume, but I am looking to do abundance amount of extra circular activities and increase my APS classes and strength in schedule throughout the rest of high school. Firstly, let’s talk about Extra circular activities. Here is my agenda for extra circular activities this year: 1. I am doing food drives once a month to help my community and to even better my community’s status, I will make my own community service project which will be to hold a annual yearly thanksgiving food drive as food drives are the biggest and are needed the most during the holidays such thanksgiving. 2. Also, I have a job working a Front store clerk which I have been doing 2 months now and looking to continue for years to come. I will look to get promotions as I get more experience with my job. I will also use this platform to help my community by getting the food and materials for the annual Thanksgiving food drive I will host. 3. I will join 4 total clubs such as Best Buddies, Big Brothers Big Sisters, Model UN, and start my own club with my temple that I am starting this week Thursday. The purpose of this club would be to give back to the holocaust survivors and provide healthcare, housing, or any else they are needing. 4. I am also on the basketball team and tennis team. I was on the Basketball team last year and this would be my first year of Tennis. I am looking to do both for the rest of high school. 5. Lastly, I am doing Debate which I will compete for Tournaments 4-5 Saturdays and will definitely finish debate the rest of high school Next, here is my agenda for the rest of high school. As I will continue to do the activities for this year to show consistency adding the following: 1. I will join the HIP program and be on the board and executive board. 2. I will be captain or president of Debate as you can only get elected Junior or Senior Year. 3. I will do the National Honors Society that it could only do as a Junior or Senior 4. I will HJSI during junior summer which is where I go to Israel and do some learning and see and explore other countries. 5. Also, do an internship in another country Senior Summer. 6. Lastly, I have citizenship because I have a Belgium passport and I am a Belgium Citizen. Not only extra circular activities I am doing that is good for my resume, I am doing a bunch of extra school credits also. For example, this year I am taking 3 APS which include, AP Human Geography, Ap Language Arts, and AP computer science. Not only APS I’m taking, dual enrollment is also a great opportunity to start your College GPA which I am in of them. I am also n Honors classes like Algebra 2 and Physics. Finally, I will do IB next year which is a lot of work but ultimately worth it at the end. This concludes my future goals for high school and my ultimate resume. To whom commissioner this may concern, I think I would be a great fit for this program as I am very interested in brainstorming ideas to help my community as shown in my resume. I would love to represent any official that would give mt the amazing opportunity to be a youth commissioner. Thank you, Oliver William