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Atiosis Blanco Abbott Application PackageBlanco Abbott Atiosis Last Name First Name Middle Initial 900 Bay Drive. Apt. 619 Miami Beach Home Address City Florida 33141 State Zip Code HomeWork atiosis@mac.com Email Address 305-801-3221 Cellular Miami Beach Business Address 900 Bay Drive. Apt. 619 City Florida State 33141 Zip Code Self Employed Occupation:Business Name: Web and Graphic Designer 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: Hispanic Affairs 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 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: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:No If yes, which board? ● 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 of Hispanic heritage and emigrated from the Dominican Republic 17 years ago because of social and economic issues. I was looking for a more welcoming home where I could grow my career as a Graphic and Web Designer and be who I am. In short, I am a gay man who grew up in what, at the time, was a 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 900 Bay Drive. Apt 619. Miami Beach FL 33141 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. OtherRace/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.Yes 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 Atiosis Blanco Abbott agreed to the following terms on 11/15/2022 7:15:00 AM 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. AREAS OF INTEREST Visual Communication; Graphic User Interface Design and Usability; Content Management Systems; Interactive Media; Video Editing and Animation. EMPLOYMENT EXPERIENCE Self Employed Miami Beach, Florida. United States of America. Wed and Graphic Designer, Photographer, Video Animator, and Video Editor (2017 - current). Miami Beach 411/ Miami Tour Company Miami Beach, Florida. United States of America. Industrial, Wed, and Graphic Designer, Photographer, Video Animator and Editor (2012 - 2014). Lehman Center for Transportation Research Florida International University - Miami, Florida. United States of America. Specialist, Computer Research (2006 - 2012). Specialist, Computer Research (2014 - 2017). Miami Dade College Miami, Florida. United States of America. Student Assistant, Graphic Designer (2005 - 2006). Instituto Tecnológico de las Américas (ITLA) Santo Domingo, Dominican Republic. Webmaster, Web Designer and Instructor (2002 - 2004). Terra-Lycos Networks Santo Domingo, Dominican Republic. Web Designer (2001 - 2002). Javig (JAV Industrial Group) Santo Domingo, Dominican Republic. Industrial Designer, Web Designer and Webmaster (2000 - 2001). WORK EXPERIENCE Raquel Pacheco Campaign Miami, Florida. United States of America. Campaign Manager, Graphic Designer, Photographer, Video Animator, and Video Editor (2022). ML Consulting Group Miami, Florida. United States of America. Freelance - Graphic Designer and Photographer (2022). Flamingo Democrats Miami, Florida. United States of America. Freelance - Graphic Designer (2022). SAVE LGBT Miami, Florida. United States of America. Freelance - Wed and Graphic Designer, Photographer, Video Animator and Editor (2020 - current). Faded Lines Hollywood, Florida. United States of America. Freelance - Graphic Designer (2019 - current). Miami Beach Democratic Club Miami Beach, Florida. United States of America. Freelance - Graphic Designer (2018). Affinity Books Miami Beach, Florida. United States of America. Freelance - Graphic Designer (2017). David for Florida Miami Beach, Florida. United States of America. Freelance - Wed and Graphic Designer, Photographer, Video Animator and Editor. Volunteered as canvasser (2012, 2014, 2016, 2018, 2019). Robert Fontaine Gallery Miami, Florida. United States of America. Freelance - Web and Graphic Designer (2012 - current). Shook Steel Inc. Miami, Florida. United States of America. Freelance - Web and Graphic Designer (2012 - 2014). Ananda Life Miami, Florida. United States of America. Freelance - Wed and Graphic Designer, (2012). Hispanet Santo Domingo, Dominican Republic. Freelance - Web Designer (2001 - 2003). EDUCATION Graphic Design Technology Associate in Arts Miami Dade College - Miami, Florida. United States of America - August 2010. Industrial Design Bachelor of Fine Arts Instituto Tecnológico de Santo Domingo - Santo Domingo, Dominican Republic - August 2002. SKILLS Graphic Design Adobe Photoshop, Adobe Illustrator, and Adobe inDesign. Web Design and CMSs Adobe Dreamweaver, Expression Engine, SquareSpace, Drupal, and Nation Builder.. Video and Audio Editing Adobe After Effects, Adobe Premier, Apple iMovie, Apple Final Cut Pro, Adobe Audition, and Apple GarageBand. Office Software Microsof t Word, Microsoft PowerPoint, Apple Pages, and Apple Keynote Languages Fluent in Spanish and English REFERENCES References available upon request.