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Lori Gold 12/31/08 lD City of Miami Beach, 1700 Convention Cec,ter Drive, Miami Beach, Florida 33139, www miomibeochflgov OFFICE OF THF CITY CLFRK, Robert Parcher, City Clerk Tel 305-673-7411, Fax 305673-7254 01-03-2007 Lori Gold 3 Island Ave #15-H/I Miami Beach, Florida 33139 'illllleOT: Committee for Quality Education in MB Congratulations! You have been appointed by Mayor David Dermer to the agency, board or committee named above for a term ending: 12/31/2008. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, ~~ )!:JP.~ Robert Parcher City Clerk cc: Saul Frances, Parking Director Leslie Rosenfeld ATTACHMENTS: 1. City Code Ordinance section, applicable to agency, board or committee 2. General Provisions of Ordinance No.97-3086 Amended by Ordinance No. 2006-3543 3. Ordinance No. 97-3105 4. Citywide parking permit application - Return completed application to the Parking Department located at Palm Court Building, 309 23rd Street, Suite 200 - Tel: 305-673-7505 5. Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employe 6. Miami Beach Code Section 2-459 7. Miami-Dade County Code Section 2-11.1 , ~ , . ": l..' .'e ure .~c:::~r;:,'~~:<J P'" '-~""'~1 e .,-;,,,-j.,,A<.:-':",, fc~ 0'.",';'0 i:ve, \'Y\yk. crr.d r'fo~, .:n [~'U! .,.,,;bioni, :IDp!r~ol. hi:,t()(;C communii}/ lD City of Miami Beach, 1700 Canvention Center Drive, Miami Beach, Florida 33139, www.miamibeachflgav OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel 305-673-7411, Fax 305.673.7254 TO Lori Gold RE: Committee for Quality Education in MB I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the above-mentioned board or committee of the City of Miami Beach to which I have been appointed for a term ending: 12/31/2008. I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Interest and Code of Ethics Ordinance), as well as theFlorida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require- ments of Miami-Dade County or the State of Florida (depending on the board or committee on which I serve) on July 1 st, following the closing of the calendar year on whic I have serv . Gold Sworn to and subscribed before me this ~ day of ,200.Z ,-( -- Elizabetl1n~ibSOn Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. v ,Ie ~'ire '-u.'nrnli.~~-:\(i excc.:-'_'/!r.;-"i'i,' ; f1~,) '," ':A?() /ive, ",,/()!k. urd plov in viSioni, tl,.Jpicc:f, historic cornrnu{Jiiy lD ........:^_i.... MIAMIBEACH BOARDS AND COMMITTEE APPLICATION FORM Pursuant to City Code section 2-22(4) 0 and b: Members of agencies, boards, and committees sholl be affiliated with the city; this requirement sholl be fulfilled in the following ways: 0) on individual sholl hove been 0 resident of the city for 0 minimum of six months; or b) on individual sholl . demonstrate ownership/interest for 0 minimum of six months in 0 business established in the city. Resident of Miami Beach for a minimum of six (6) months: Yes [~or No [ ] 1 Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes [ or No [ ] I am applying for a Board appointment because I have special ab~ities, knowledge, experience: Yes [ My special abilities, knowledge, or experience is: ~~ ~ ~ Are you a registered voter in Miami Beach: Yes ~ or No 0 bOl_D Last Name \~\Q)\~ NAME: LoR \ No. Street ~e *\&t+ City Middle Initial \\\J\\aM\~~~ 'f"L "3~13~ State Zip Code ooS,5o\-~LtOl tt \0\\ ~d\~ ~ 0..0 { '<:6 Fax Email address ~ North Beach 0 South Beach UYMiddle Beach 0 Applicant's Position: O\~\C~, 0\\am\ ~~0, F\ City State First Name Home Address: -0 --- --3 L I C{. ..... Phone: CDS . 0 .., - a:::,0 Home Work (Please check one): I am now a resident of: :::\' A L \ \ S-- \ - Address: Q \S \ ~ FN <<- ti:- \5" Tt No. Street Business Name: ~? \3( Zi p Code DOwner 0 Stockholder/Shareholder E:JC:orporate Officer 0 Other Explain: Professional License (describe): Attach a copy of the license listed above. 1. Have you ever been convicted of a felony: Yes 0 or No ~es, please explain in detail: Expires: 2. Do you currently have a violation(s) of City of Miami Beach codes: Yes 0 or No ~f yes, please explain in detail: 3. Do you currently owe the City of Miami Beach any money: Yes 0 or No ~ If yes, explain in detail: 4. Are you currently serving on any City Boards or Committees: Yes 0 or No ~ If yes; which board? What organizations in the City of Miami Beach do you currently hold membership in? Name: \-<\\D~\S ~\~\..:J D~ M 1:) Title: V)C.~ Y<es1de'(\ \- Name: Title: List all properties owned or have an interest in, which are located within the City of Miami Beach: 2:> \~\~~ Av'9 ~ l~ - i - C:\DOCUMENTS AND SETTINGS\CLERHERK\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK5D2\BC APPLICATION JAN 2006.DOC LORI GOLD, J.D., l\I.S. 3 ISLAND AVENUE #15-HII l\'lIAMI BEACH, FL 3313g Land line: (305) 534-4050 JVIobile: (786) 390-7444 ttlorigold@aol.com EDUCATION: B.A., 1963, QUEENS COLLEGE, UNIV. OF CITY OF N.Y. M.S. IN EDUCATION, 1965, CITY COLLEGE, UNIV. OF CITY OF N.Y. J.D., 1983, KMORY UNIVERSITY, ATLANTA, GA. PROFESSIONAL WORK EXPERIENCE: SCHOOL PSYCHOMETRIST, DIRECTOR OF ELEMENTARY SCHOOL GUIDANCE PROGRAM, TEACHER A TTORNEY, MEMBER OF THE GEORGIA BAR EXECUTIVE DIRECTOR GEORGIA PROFESSIONAL LICENSING BOARDS DIVORCE MEDIA TOR RECOGNITION & HONORS: 2006 MIAl\U BEACH KIW ANIAN OF THE YEAR 1981 WHO'S WHO IN AMERICAN \VOl\rlEN 1980 LEADERSHIP ATLANTA COMMUNITY LEADERSHIP ACTIVITIES (FLORIDA 1996-PRESENT) 2006- EESAC COMMITTEE, TREASURE ISLAND ELEMENTARY SCHOOL 2005-2006 MIAMI BEACH NEIGHBORHOOD LEADERSHIP ACADEMY 2006-2007 VICE PRESIDENT, KIWANIS CLUB OF MIAl\rll BEACH; CHAIR OF SCHOOL ACTIVITIES COMMITTEE 2006- VICE PRESIDENT, FMIILY COUNSELING SERVICES OF GREATER MIAMI & THE JOURNEY INSTITUTE; BOARD MEMBER SINCE 2000 1999-2004 TERRACE TOWERS CO-OP BOARD MEMBER; VICE PRESIDENT; CHAIR OF BYLAWS REVISION AND LEGAL l\rIATTERS COl\rIMITTEES COMl\rlUNITY LEADERSHIP ACTIVITIES (GEORGIA 1969-1996) PUBLIC ACCESS TELEVISION, PRESIDENT 55 PHARR ROAD CONDOMINIUM ASSOCIATION, PRESIDENT (6 YEARS) AND MEl\rmER OF THE BOARD (8 YEARS) BRANDEIS WOMENS COMMITTEE, CHAIR OF VARIOUS COMMITTEES ARTS FESTIVAL OF ATLANTA, CHAIR OF VARIOUS COMMITTEES NATIONAL COUNCIL OF JEWISH \VOl\rIEN, CHAIR OF VARIOUS COMMITTEES ~"'~'."---' LORI GOLD 3 ISLAND AVENUE 15-1 MIAl\t1I BEACH, FL 33139 Ph: 305-534-4050 Fax: 305-531-8401 Email: ttlori201drQ\aol.com November 1, 2006 Honorable Mayor Richard Dermer Miami Beach City Hall l\liami Beach, Florida 33139 Dear Mayor Dermer: I am requesting that you appointment me to the Committee for Quality Education. I have worked with children from preschool through high school. I was a psychological evaluator, guidance counselor and teacher. Presently, I coordinate school activities for the Miami Beach Kiwanis Club and am a member of the EESAC Committee of Treasure Island Elementary School. Further, as a lawyer, I have good analytic and organizational skills. My experience as a divorce mediator has taught me resolve complex issues in tense settings. I believe that I would be an asset to the Committee for Quality Education. I welcome a meeting with you to discuss this further. Sincerely, ~G'ld