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Juanita Goza Application PackageGoza Juanita A Last Name First Name Middle Initial 1120 Pennsylvania Ave #108 Miami Beach Home Address City FL 33139 State Zip Code 32169829743056021771 HomeWork lexi@lexigoza.com Email Address 3216982974 Cellular Miami Business Address 11098 Biscayne Blvd, #102 City FL State 33161 Zip Code Lexi Goza State Farm Occupation:Business Name: Agency Owner 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: LGBTQIA+ Advisory 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: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? ● 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 part of the LGBTQIA+ community, identifying as a lesbian. I own a business that is certified as an LGBTBE by the National LGBTQ Chamber & employ LGBTQIA+ employees in Miami. I leverage that business to support and advance LGBTQIA+ organizations in Miami-Dade & beyond. -Held Board seats on multiple non-profit LGBTQIA+ organizations as referenced on my resume -Led successful efforts to implement inclusive language for school board employees and students in Brevard County through coalition building and citizen mobilization -Facilitated UCC Open & Affirming sessions, obtained unanimous vote -Co-Chaired PRIDE Employee Resource Group as State Farm employee Thank you for your consideratio 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:Female Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.No Physically Challenged:No UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING APPLICATION AND THAT THE FACTS STATED IN IT ARE TRUE. ADDITIONALLY, I AGREE AND ACKNOWLEDGE THAT ANY FALSE STATEMENTS OR FALSE INFORMATION SUBMITTED AS PART OF THIS APPLICATION SHALL BE A BASIS FOR MY REMOVAL FROM A CITY BOARD OR COMMITTEE. 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 CITY, COUNTY, AND/OR STATE LAWS AND STATUTES ACCORDINGLY. I Juanita Goza agreed to the following terms on 1/25/2023 6:07:08 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. J Lexi Goza 7/21/2022 http://www.linkedin.com/in/lexigoza/ 1120 Pennsylvania Ave, #108, Miami Beach, FL 33139 321-698-2974 lexi_goza@gmail.com E X P E R I E N C E Agent | State Farm Insurance 10/2019 – Current Built profitable agency in 2 years, 2021 qualifications include Chairman’s Circle, SVP & Level 2 Travel, serviced TASP Agent Intern/Senior Agency Field Specialist | State Farm Insurance 11/2017 – 10/2019 Selected as Agency Intern and began internship 5/2019. Provided coaching and training to Dade North agency group, consistently exceeded goals including production metrics and adoption of customer relationship management platform (Salesforce-ECRM) & DSS Independent Business Consultant | Self Employed 1/1/2014 – 10/2017 Opened my firm in 2014 developed and provided training and support to local insurance agents to assist with every aspect of running their agencies including sales processes, team hiring and accountability, marketing via all channels including social media platforms, and implementation of systems and processes for increased book penetration and lower lapse/cancellation ratios Producer, Process Improvement Specialist, Manager, etc. | State Farm -Various Agents 7/14/2013 – 3/2017 Provided support to agent with leading and supporting team of producers, quadrupled life and financial services production over prior years to travel for the first time in 11 years Sales Manager | Farmers Insurance 2/2013 – 7/2013 Responsible for recruiting and starting new market agents in the Atlanta, GA market, provided assistance to existing agents with first year of agency-successfully recruited and started 5 agents in 5 months Senior Agency Field Specialist | State Farm Insurance 6/2006 – 2/2014 Provided training support to Atlanta Metro NE Agency Field Office agency group, exceeded all goals including all production metrics and adoption of integrated customer platforms, qualified for bank promotion with reward trip to Miami Beach E D U C AT I O N Bachelor of Arts Degree Business Administration Management | Keiser University 2003 – 2006 Salutatorian 10K Small Business Program Graduate| Goldman Sachs 2021 J Lexi Goza Page 2 L I C E N S I N G 220 Property & Casualty 215 Life & Health Mortgage Loan Originator O T H E R C E R T I F I C AT I O N S Microsoft Office Specialist Notary Public Social Media Masters Course Completion A G E N C Y A C C O M P L I S H M E N T S 2021 Chairman’s Circle Qualifier 2021 Ambassador Travel Level 2 by October 2021 2021 Consistently top 5 agent on Front Run 2021 Selected to manage second (temporary) State Farm Agency 2020 Ambassador Travel Level 1 by October 2020 2020 #1 in Market Area for life production with 92 issued and paid 2020 Contract 2020 Qualified for all Corporate Life/Health Promotions 2020 Certified as LGBTBE by National Gay and Lesbian Chamber of Commerce V O L U N T E E R E X P E R I E N C E / A C C O L A D E S 2021-Current AQUA Foundation Board Member 2020-Current Chair of Women’s Empowerment Council, Miami Dade Gay and Lesbian Chamber 2019-2021 AQUA Foundation Mentor 2016 Florida Today Volunteer of the Year Award Finalist 2013-2017 President of Space Coast Pride; built Board of 10 with over 125 volunteers; led and inspired team to change date, location, expand event to multi-day, and obtain large business sponsorships to double income stream and attendees, coordinated entertainment on two stages; grew Facebook likes to almost 1,700 in less than twelve months; expanded social media to include Twitter and Instagram; coordinated all fundraising events; coordinated with other progressive organizations in the County to build coalitions for events and efforts including the successful effort to add sexual orientation and gender identity to the Brevard County School Board non-discrimination policies for both students and employees. 2006-2011 Started local chapter of non-profit PFLAG (Parents, Families and Friends of Lesbians and Gays), grew local membership to over 150 paid members, created and maintained Facebook page and website; assisted with the creation of the youth group “Rainbow Youth of Brevard,” which continues to serve the youth in that County today.