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Gary Martinez Application PackageMartinez Gary R Last Name First Name Middle Initial 1061 Euclid Avenue #102 Miami Beach Home Address City FL 33139 State Zip Code HomeWork yonsider@msn.com Email Address (310) 347-8942 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: Human Rights 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: Trained in cross-cultural dialogue with the Catholic Foreign Mission Society and had overseas experience in Guatemala, Peru, and Bolivia. Served with Witness for Peace in Nicaragua, received training in non-violent resistance and consensus-based decison making. I organized observer delegations, conducted investigations of human rights violations, and served as a journalist and election observer. Served successfully in such diverse communities as Syracuse, New York, Fayette County, West Virginia, and 18 years in central Los Angeles. I helped design and deliver the Curriculum for Diversity for LAUSD and chaired the Gay and Lesbian Issues Committee for United Teachers Los Angeles. 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. o Commencing with terms beginning on or after January 1, 2024, and as a condition of applying for appointment to a City agency, board, or committee, each applicant must voluntarily agree that in the event the applicant files with the City Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City Clerk shall be deemed a tender of resignation from the City agency, board or committee, and the member's automatic resignation shall thereby immediately create a vacancy in the agency, board, or committee. ● In what organization(s) in the City of Miami Beach do you currently hold membership in? Name Position CERT volunteer Flamingo Park Neighborhood Association Member Miami Beach Community Church Member ● 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. 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 Gary Martinez agreed to the following terms on 1/30/2024 12:22:11 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. YES I voluntarily agree to the resignation from the City agency, board, or committee, if I file a Statement of Candidate for a City Elective Office (1). (1) I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying for appointment to a City agency, board, or committee, I must voluntarily agree that in the event I file with the City Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City Clerk shall be deemed a tender of resignation from the City agency, board, or committee. Profile After retiring from public school administration in Los Angeles, drove tractor-trailers for a year on a national route, currently employed as a security guard with Live Nation at the Fillmore Theater in Miami Beach. Experience Usher/Security Live Nation at the Fillmore Theater, Miami Beach April 2019 to Present • Usher event attendees to seats, provided general security needs. US Census Enumerator August 2020 to October 2020 Over the Road Driver CR England RV Fleet Oct. 2017-Nov. 2018 Assistant Principal, LAUSD, Central Continuation High School/CDS Tri-C - 2011-2016 Assistant Principal, LAUSD, David Starr Jordan High School 2005-2011 English Learner Coordinator, LAUSD, Trinity Street Elementary School 2001-2005 National Board for Professional Teaching Standards Certification, Middle Childhood Generalist, 2001 Teacher, Grades 2, 3, 5, and 6, LAUSD, Trinity Street Elementary School 1991-2001 United Teachers Los Angeles Chapter Chair and Lead Teacher, Member of the UTLA House of Representatives Education MS Educational Administration Administrative Services Certificate of Eligibility 2002 National University, San Diego, CA California Professional Clear Multiple Subject Teaching Credential K-12 Bilingual Certificate of Competence/Spanish Gary Martinez 1061 Euclid Ave. Apt. 102 Miami Beach, FL 33139 (310)347-8942 yonsider@msn.com 1993 Los Angeles Unified School District District Intern Program New York Public School Provisional Teacher Certificate/Spanish 7-12 1983 Syracuse University, Syracuse, NY B.A. Spanish 1976 Virginia Polytechnic Institute & State University, Blacksburg, VA High School Diploma 1971 Oscar Frommel Smith High School, Chesapeake, VA Licenses and Certifications: Florida Class D Security License Florida Real Estate Sales Associate License Skills and Interests Proficient in oral and written communication in both English and Spanish, basic fluency in Portuguese, training and practice in public relations, conflict resolution, consensus-based decision-making, word-processing and on-line navigation, record-keeping. PADI Certified Advanced Open Water Scuba Diver. Well traveled in the United States and abroad, good driving record. References Meldra Wade Immediate supervisor at the Fillmore (954) 802-6374 Los Angeles Unified School District Office of Human Relations 333 S. Beaudry Ave., Los Angeles, CA 90017 (213) 241-6131 Helene Cameron Principal, Central Continuation High School 714 E. 14th Street Los Angeles, CA 9102 (213) 745-1901 (310) 251-8377 hmc1420@lausd.net Keith Wilkinson Driver Manager, RV Fleet CR England 2100 South Street Salt Lake City, UT 84120 1 (888) 254-0655 keith.wilkinson@crengland.com Others available upon request