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Johann Moore Application PackageMoore Johann Last Name First Name Middle Initial 717 Jefferson Ave. Apt 8 Miami Beach Home Address City Florida 33139 State Zip Code 84570540228457054022 HomeWork johannmoore859@gmail.com Email Address 8457054022 Cellular Business Address City State Zip Code Occupation:Business Name: 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: Ad Hoc Iguana Remediation Advisory Committee Mayor's Art Deco Cultural District Panel Cultural Arts Council 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 717 Jefferson Ave.4/1/2020 9/30/2022 Address From: Dates To: If you answered "Yes", please indicate: Professional License No Professional Licenses Submitted. 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:N/A 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? Sustainability Cttee ● 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: Ran for Attorney General of New York state 1998. Have been active in politics and community organizing since 1978 Masters degree Language Active member of FPNA Cofounder of Meridian Court Co Cofounder emeritus Green Party USA Native plants gardener Appointee to Sustainability Cttee 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 FPNA / MCC / Wolfsonian active member ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property Mangrove House Condos 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. 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 Johann Moore agreed to the following terms on 9/30/2022 4:01:07 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. JOHANN MOORE- Resume 1978 First public protest, founded Sandia High School Anti-nuclear Cttee 1979 Co-founded Sandia fraction of Young Socialist Alliance, ﬁrst Indigenous solidarity action, High School trip overland from Albuquerque to Mexico City 1980 Friendship Force/Sister Cities exchange to Costa Rica, graduated High School, joined Socialist Workers Party, ﬁrst Palestine solidarity work First likely encounter with probable Cuban intelligence agents(unrecognised til recently) Anti-Pershing missile protest in Heidelberg, Germany, approached by likely Soviet intelligence and my grandmother, Trip to Budapest, ﬁrst encounter with likely Soviet intelligence ops. 1981 On the ground organising support for MLK day protest in Wash DC and Central America solidarity work 1982 Left SWP 1983 First homeless solidarity work 1984 UNM Bachelor of University Studies in languages and literature 1986 Course work complete for MA in French, some toward MA in German 1986-87 Professeur assistant, Lycee des Pontonniers/Lycee International Strasbourg 1987 co-founder NM Green Party, helped save life of Iranian dissident by witnessing marriage 1988 MA awarded after comps, worked for ACORN in Albuquerque 1989 Moved to Durham, NC worked at D Food Co-op 1990 co-founded NC Green Party, Act-Up NC, Queer Nation NC, ﬁrst civil disobedience actions, John Doe plaintiff in successful lawsuit against NC Dept of Health to maintain all HIV testing sites, alliance building with southern Anarchists 1991 First national Green Party gathering/congress, founded LGBTQ caucus, co- founded Stonewall 25 Organising Cttee, marched with Rev Jesse Jackson for chicken plant workers in NC 1992 Co-founded Green Justice umbrella caucus of identity caucuses, alliance building with Minnesota anarchists and social/racial justice protest, relocated to NYC, joined Act- Up, co-founded Queer Nation, co-founded NYC Medical Marijuana Buyers Club, supported single-payer healthcare, Haiti refugee solidarity work, incl cd with Rev's Jackson, Butts and Sharpton plus celebrity afﬁnity group 1992-98 alliance building with NYC anarchists, homeless and addict support, door security for Buyers Club, stage security for former Black Panther political prisoner Dhoruba bin Wahad at annual medical marijuana rally in NYC, head marshal for annual march, ~ 37 cd actions 1993 Co-founded NYC Greens 1994 Homeless(squeegee men) solidarity cd, co-founded Brooklyn Greens and NYS Green Party, Stonewall 25 Organising Cttee and direct action for LGBTQ rights at UN 1995-1996 De-facto legalisation(toleration)of distribution of medical marijuana in NYC after 11 court appearances over 8 months resulting in ACD 1996 Opposed Nader presidential campaign while supporting Winona LaDuke vp run ~1997 Buyers Club held up at gunpoint by ex-supplier, sent up by Maﬁa for it 1998 NYS Green Party candidate for AG, debate with Elliott Spitzer re. respective capabilities for meaningful radical change in Dem and Green Parties, secured ballot line with Al Lewis as gubernatorial candidate 1999 Opposed Nader presidential run while supporting Winona LaDuke for vp 2000 Left politics and Buyers Club in hands of its Board which I founded in 1994 with Ann Northrop as my board president and Eric Sawyer(co-founders of Act-Up NY) as member 2013 Finally permitted legally to marry as my health insurance was dependent on Pentagon acceptance of marriage, "integrated" West Point hospital 2015-present Half year residents of Florida 2019 -present residents of Florida and Miami Beach -- Johann Moore