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Dale Stine Application PackageStine Dale G Last Name First Name Middle Initial 5375 NW 7th Street, 710 Miami Home Address City FL 33126 State Zip Code 30576132533057613253 HomeWork dale@dalestine.com Email Address 3057613253 Cellular Miami Beach Business Address 1400 Lincoln Road, 604 City FL State 33139 Zip Code HeartPrints, Inc. Occupation:Business Name: photographer and musician 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: Human Rights Committee LGBTQIA+ Advisory Committee Art in Public Places 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:Yes 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):Yes 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? Human Rights 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 served on the LGBTQIA committee for the full term limit and am now serving on the HRC. I believe I bring to the table a passion for working to improve the quality of life in the city of Miami Beach. As for the HRC, I bring with me my desire to find ways in which we as a city can make our accessibi 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: No Owned Property Information submitted. 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 Dale Stine agreed to the following terms on 11/25/2022 3:01:42 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. DALE STINE - dale@dalestine.com dalegstine@icloud.com 305.761.3253 Dale Stine views the photographic lens through his creative, academic and professional experiences in the performing arts. A North Carolina native who obtained a Master’s Degree in Opera from the world- renowned Juilliard School (NY), Dale enjoyed a 16-year run in many off- Broadway productions. Never one to pass up an opportunity to flex various muscle groups, Dale simultaneously pursued a dual career in personal training and fitness instruction, alongside his acting, modeling and theater pursuits. He has performed in countless venues in NYC, Miami, across the country and in Europe. A self-taught shutterbug, Dale quickly established himself as one of those most sought-after photographers in Miami. Since 2001, his photographs and images have graced countless magazines, cd covers and websites. Internationally-acclaimed DJ’s, drag personas as well as various politicos, businesspeople and entertainers are among his favorite clients., including many who hire him to photograph interiors and exteriors of well-known restaurants and clubs in the Miami area. Dale has been an official photographer for the internationally-acclaimed South Beach Wine and Food Festival as well as having been involved with Aqua Girl, Miami Gay and Lesbian Film Festival, Miami-Dade Gay and Lesbian Chamber of Commerce, The National LGBTQ Task Force, The Hub at the LGBT Visitor’s Center, Pridelines and Miami Beach Gay Pride, to name a few. In addition to his photography, Dale is also involved with many of the aforementioned organizations in a hands-on volunteer capacity. His latest exhibitions have included THE LEGACY COUPLES PROJECT, 400+ YEARS OF LGBTQ LOVE for Miami Beach Pride, which was at both the ART DECO MUSEUM on Ocean Drive as well as HISTORY MIAMI MUSEUM in downtown Miami (2021); FACES OF PRIDE for Miami Beach Pride (2021); The Diva Collection: Illusion Series, featured at the historic Royal Palm Hotel during White Party, THE STARLET SERIES at Miami Beach Cinematheque, Communion Celebrates Art at the Bakehouse Art Complex, Decline in Civilization for Art Basel 2006 and A Different Angle for Art Basel 2008. Dale was featured in the show Leaders, Legends & Lovelies at Miami Beach's newly-renovated Deco Center in both 2010 and 2011. In 2012, he was one of the four annual honorees at the same event, being awarded with Unity Coalition’s medallions. Dale also photographed The DELICIOUS Campaign, an "icon-and-star-studded" happening in conjunction with DINING OUT FOR LIFE, a national organization whose proceeds benefited Care Resource in Southeast Florida. Dale is also a co-anchor on QUEER NEWS TONIGHT of IT’S HAPPENING OUT TV, an LGBTQ+ news and talk show that is available on all streaming services. Musically speaking, Dale is currently the Director of Music Ministry at Unity on the Bay. Prior to his two years in this position, he was the resident choir director. He performs regularly in the Miami area and continues to travel as a guest artist. A longtime resident and business owner in Miami Beach, Dale sat on the Miami Beach LGBTQIA Advisory Committee for the full eight-year term. He is now the vice-chair of the Miami Beach Human Rights Committee.