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Aimee Kamat Application PackageKamat Aimee Last Name First Name Middle Initial 1908 NE 118th Rd North Miami Home Address City Florida 33181-3316 State Zip Code 786-346-8415 HomeWork aimeekamat@gmail.com Email AddressCellular Miami beach Business Address 1900 Purdy Avenue, 1A City Florida State 33139 Zip Code Vitruvia Occupation:Business Name: Medical Doctor 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: Health 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 License Number Issuance Date Expire Date Medical ME101393 4/9/2008 1/31/2024 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: NoResident 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):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 ,b or c of the Miami Beach City Code by executing an affidavit, stipulating that they have met one or more 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: A board certified anesthesiologist with decades of experience at the University of Miami Miller School of Medicine and the Miami VA. Held an academic appointment with the University of Miami Miller School of Medicine as Assistant Professor of Anesthesiology for over ten years. Joined the Miami Be 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. o If an appointee is engaged to provide services, for compensation, to either (1) a candidate for City elected office, or (2) a political committee or electioneering communications organization expending funds for or against candidates for City elected office, such engagement shall be deemed a tender of resignation from such City agency, board, or committee. (Miami Beach City Code Section 2-22) ● In what organization(s) in the City of Miami Beach do you currently hold membership in? Name Position North Beach Elementary PTA member/supporter ● 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) and 2-448: 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 Copy of your latest Federal Income Tax Return. Members of the Planning Board and the Board of Adjustment must electronically file a “Statement of Financial Interests (Form 1)¹” directly with the Florida Commission on Ethics. 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. Acknowledgment to Comply with Miami Beach Code of Ordinances Sec. 2-22 (23) 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 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. Acknowledgment to Comply with Miami Beach Code of Ordinances Sec. 2-22 (24) I understand that if I am engaged to provide services, for compensation, to either (1) a candidate for City elected office, or (2) a political committee or electioneering communications organization expending funds for or against candidates for City elected office, such engagement shall be deemed a tender of resignation from the City agency, board, or committee. _____________________________ 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: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 Aimee Kamat agreed to the following terms on 11/15/2024 9:39:56 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. 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. YES I understand that (2). (2) If am engaged to provide services, for compensation, to either (1) a candidate for City elected office, or (2) a political committee or electioneering communications organization expending funds for or against candidates for City elected office, such engagement shall be deemed a tender of resignation from the City agency, board, or committee. Curriculum Vitae PERSONAL Name: AIMEE KAMAT M.D, D.A.B.A. Citizenship: USA HIGHER EDUCATION University of Sint Eustatius School of Medicine, MEDICAL DOCTOR, 02/2003 University of Miami Miller School of Medicine, Research Fellow, 03/2003- 05/2004 Anesthesiology Residency, Jackson Memorial Hospital; 2004-2008 Medical License, State of Florida 2008-Current DEA License, State of Florida 2008-Current DIPLOMATE OF THE AMERICAN BOARD OF ANESTHESIOLOGY 2008-Current EXPERIENCE VITRUVIA CHIEF MEDICAL OFFICER OCTOBER 2020-PRESENT UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE ASSISTANT PROFESSOR OF ANESTHESIOLOGY ATTENDING ANESTHESIOLOGIST 2008-June 2021 BRUCE W. CARTER MIAMI VETERANS AFFAIRS HEALTHCARE SYSTEM, ATTENDING ANESTHESIOLOGIST 2008-JUNE 2020 Curriculum Vitae Page 2 NON-ACADEMIC Assistant Chief Division of Anesthesiology, Miami VA Chair of Moderate Sedation Committee, Miami VA OPPE(Ongoing Professional Practice Evaluation)of VA Moderate Sedation Physicians Relief Designee in VA FPPE appointment committee Miami VA Department of Anesthesia designee of Operative and Invasive Committee University of Miami/Jackson Memorial Hospital Anesthesiology Residency Program Admissions Committee PUBLICATIONS Juried or refereed journal articles and exhibitions: Candiotti KA, Birnbach DJ, Lubarsky DA Nhuch F, Kamat A, Koch WH, Nikoloff M, Andrews D. The Impact of Pharmacogenomics on Postoperative Nausea and Vomiting: Do CYP2D6 Allele Copy Number and Polymorphisms Affect the success or Failure of Ondansetron Prophylaxis. Anesthesiology 2005; 102:543-9. Candiotti KA, Kamat A, Barach P, Nhuch F, Lubarsky DA, Birnbach DJ. Emergency Preparedness for Biological and Chemical Incidents – A Survey of Anesthesiology Residency Programs in The United States. Anesth & Analg 2005; 101: 1135-40. Candiotti KA, Nhuch F, Kamat A, Deepika K, Arheart K, Birnbach DJ, Lubarsky DA. Granisetron vs. Ondansetron Treatment for Breakthrough Postoperative Nausea and Vomiting After Prophylactic Ondansetron Failure. Anesth & Analg 2007;104: 1370-1373. Dave, SP, Polak M, Kamat A, Casiano RR. Secondary Analysis of Microdebriders Used in Functional Endoscopic Sinus Surgery. Laryngoscope; 2005: 115(9): 1641-1645. Curriculum Vitae Page 3 Other works, publications and abstracts: Candiotti KA, Kamat A, Nhuch F, Lubarsky DA, Birnbach DJ. Treating PONV Ondansetron Prophylaxis Failure: A Comparison of Redosing with Ondansetron vs Granisetron. IARS,Honolulu, HI, March 2005. Candiotti KA, Kamat A, Nhuch F, Lewis M, Barach P. Biological and Chemical Terrorism Preparedness – A Survey of Anesthesia Training Programs in the United States. American Society of Anesthesiologists (A-1316) Las Vegas, NV, 2004. Candiotti KA, Nhuch F, Kamat A, Lubarsky DA, Birnbach DJ. Pharmacogenomics Affects Postoperative Nausea and Vomiting: The Effects of CYP2D6 Allele Frequency on Ondansetron Prophylaxis Failure. American Society of Anesthesiologists (A-1611) Las Vegas, NV, 2004. Salom E, Mendez L, Lambrou N, Kamat A, Gomez-Marin O, Ghurani G, Mirhashemi R, Almeida Z, Penalver M, Averette H. Bulky Stage IB2 Cervical Cancer: Feasibility and Survival With Surgical Management VS. Radiation Alone. Society of Gynecologic Surgeons 2003 Scientific Meeting. PROFESSIONAL -AMA-American Medical Association -FSA-Florida Society of Anesthesiology -Diplomate of the ABA-American Board of Anesthesiology -Association of VA Anesthesiologists Post-Doctoral Fellowships: Post-Doctoral Research Fellow Dept. of Anesthesiology UM/JMH June 03-June 04 Responsible for organizing and conducting research studies, with and emphasis on post- operative nausea and vomiting and pharmacogenetics. Curriculum Vitae Page 4 Other Professional Activities (e.g., papers presented; performances; conference proceedings; seminar or conference panel member; catalogue work; etc.): GUEST LECTURER FOR FAPA (FLORIDA ASSOCIATION OF PHYSICIAN ASSISTANTS) 09/2010 GUEST LECTURER FOR PRSA (PUERTO RICO SOCIETY OF ANESTHESIA ) 04/2010 GUEST LECTURER FOR GRAND ROUNDS FOR UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE DEPARTMENT OF UROLOGY 10/2012 GUEST LECTURER FOR GRAND ROUNDS FOR MIAMI VA MEDICAL CENTER DEPARTMENT OF PODIATRIC SURGERY 07/2019 GUEST LECTURER FOR GRAND ROUNDS FOR MIAMI VA MEDICAL CENTER ADVANCE PRACTICE REGISTERED NURSES 08/2019 TEACHING MOCK ORAL BOARD EXAMINER 2008-2015 UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE DEPARTMENT OF ANESTHESIOLOGY RESIDENT LECTURER 2008-2015 INSTRUCTOR FOR THE ABA MOCA (maintenance of certification in anesthesiology) at the UNIVERSITY OF MIAMI SIMULATION CENTER INSTRUCTOR FOR MIAMI VA MEDICAL CENTER DEPARTMENT OF DENTAL SURGERY