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Dr. Barry Ragone 12/31/2009. ~~ ~~ /a ~/o ~ ~ cam, 03/31 /2008 Barry Ragone 6961 Indian Creek Dr Miami Beach, Florida 33141 G, ~,~~ ~ ~~~ ~ ~m~ SUBJECT: Loan Review Committee Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson to the above referenced agency, board or committee for a term ending: 12/31/2009. If you are unable to accept this appointment, please notify the City Clerk's Office at (305) 673-7411. Please read the enclosed material carefully. Again, congratulations and good luck. Sincerely, Gov ~~ ~~i~~~~ ~'~ . Robert Parcher City Clerk cc: Saul Frances, Parking Director John Quade ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-2458, 2-459 Ordinance 2006-3543 -Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance City Wide Permit Application - (Parking Department Form) Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Barry Ragone RE: loan Review Committee 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: 12/31/2009. 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 theF/orida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Of/icers 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 1st, following the closing of the calendar year on which I have served. v Barry Ra'~one Sworn to and subscribed before me this day of , 200 Q~ Silvia Prieto ~L,~~_ ~~I~ U'~~ ~RI'-P/~ 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. We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. ---`-T.. NAME e ~..... ~.3C~'~irl.T~~~J«,i ~ti e'~~s .~. ~.,aR3~~~~~r?~~g ,.i '. ~,,. ?~~. it}6 °i._1~. ~ "iC,;'fib1 ~ p„1K''C i~U: J ` i /' La t ame First Narp(e ~ Middle Initial /' ~ ~.~ ~, .~~ ~gaa 33/ No. Street City ~ State Zip Code HOME ADDRESS Home %9 ~~~-yy Fax Email address ~~ G ~f Business Name:~,~~.1 ~^ ~'-' ~l~t- .,~°/~/~'~ Positiori: , ~~if/ ~ ~ ~~~~ Address',~QI~~/1}N C.• ree.~C ,Niy~~u9~~~ .33i~/ No, Street City State Zip Coda Professional License (describe) ~~ S'Z Expires ~G ~ ~~~ ~3~~~,}` ?i ti'r ',y ,~t ;718 fr•ib':e 3~~ Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a} an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownershiplinterest for a minimum of six months in a business established in tfie city. • Resident of Miami Beach for a minimum of six (6j months' Yes J~or No l:J • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes >lfior No 0 • Are you a registered voter in Miami Beach: Yes for No • (Please check one): I am now a resident of: North Beach~7South Beach ~ Middle Beach 0 • I/am applying for an appointment because 1 have special abilities, knowledge, experience. Please list below° .!/~ ,. Please list your preferencPS in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3l choices will be observed by the City Clerk's Offico. (Regular Boards of City) ~ Art in Public Places Committee G Beach Preservation Soard Beautification Committee Board of Adjustrnent' :~ Budget Advisory Commiriee ^ Committee on Homeless Committee for Quality Education in MB ~ Community Development Advisoryi ^ Community Relations Board C~ Convention Center Advisory Board ^ Debarment Committee ^ Design Review Soard" ^ Disability Access Committee ^ Flne Arts Board u Golf Advisory Committee G Health Advisory Committee ~ Health Facilities Authonty Board u Hispanic Affairs Committee ^ Historic Preservation board` " Board Required to File State Disclosure form ~? Housing Authority" Loan Review Committee` u Mayor's Green Ad-Hoc Committee CI Marine AuthorityA [~ Miami Beach Cultural Arts Council Miami Beach Commission on Status of Women 0 Miami Beach Florida Sister Cltles u Normandy Shores Local Gov't Neigh. Improvement 0 Oversight Committee for General Obligation Bond Parks and Recreation Facilities Board C~ Personnel Board* C Planning Soard* ^ Police Citizens Relations Committee ~ Production Industry Council ~ Public Safety Advisory Committee 0 Safety Committee ^ Transportation and Parking Committee r~' Visitor and Convention Authority" 0 Youth Center Advisory Board .~ ti<t)..Cr~A liP.. rPt~ ~~"~a .,,'. ~.'"y~.t,U~ft}a.~.f 1,1 .~,ur ,(, Yt i;'i.~,A, ;.Y.,~ r~ 1.'lic f ¢..i~~,S`,C. I.Y '~~.~.~ ~. L., .1(];,«ac.i+l r+.u it,dnC .~,i,y Y:, Wit. Cl C{CJC: s~,DI° S0/~6 3rt'7d pJt;l~d~('IHS IdII',~iC4J SE@~9L~98/_ 9c ~ T~ b~0~lL4ITC~ ,~ Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: Yes ~ No a Years of Service: 2 Present participation in Youth Center activities by your children Yes^ No ~. If yes: please list the names of your children ages, and which programs. List below: Child's name: ABe: Program: Child's name: Aye; Program: .Have you ever been convicted of a felony: Yes t~l or No ~ If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes:. Yes ^ or No)$'If yes, please explain in detail: • Do you currently owe the Ciry of Miami Beach any money: Yes 0 or No,>~ If yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes for No ~7. If yes; which board? • What organizations in the City of Miami Beach do you currently hold membership in? Name: L° e /1~ / Tttle/. Name: l~Lr L L~ Ti(I~l,~iyyl//G~y-,L ~jj/~~L~f • List all proprerties owned or have an interest in, which are located within the City of Miami Beach: ~~-~1.1~ ~ ~c°s~ ~f'i f't~ • I am now employed by the City of Miami Beach: Y®s ~I or No~'Which department? • Pursuant to City Code Section 2-25 (b): Do you have a parent 'l, spouse Ct child ~, brother ~, or sister i ~ who is employed by the City of Miami Beach? Check all that apply. Identify tho department(sj: NO This section is "not required" but desired Age:1~ years old Gender; Male AY Female ^ Ethnic Origin (Check one) White~4African-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ Employment Status: Employed C~ Retired C/~ Home-maker ^ Other ~~~ "I hereby attest to the accuracy and truthfulness of th® application and have received, read and will abide by Chapter 2, Article VII - of the City Code "Standards of Conduct for Clry Officers, Employees and Agency Members." o~,~ ill_ p-~ ~W~ ' ~ ~ p Applicant's Signat (T Date Name of A licant (Pt. A E PRINT) Please attach a copy of your resume to this application NOTE: Applications will remain an file for a period of one (1) calendar year. Received in City Clerk's Office by Name of Doputy Clarh~~ Document Control Number (Assigned by the City Clerk's Office)I~-"~~ Entered By Oate ~.:~CIC~r;tal"i.rZ. i+l K,! ,~~.t.-~.,....~~r,l„k2.1,I:rt:al +...,.r.,i`,, y~~;.,}5:...:s;v. ln.;.~'~tJt_i'r C...`:~C r"',:t:!l., ,wa,r,~.i~ ,aJ?iy ti~.2;:.,:i~.,(: their 'Z//~/~7 ~j ~~ ~ s~l~~ 3~~hd r~+~l^1~fIHS r~?r,~~w srrs~y~~ye~ 5~ ~ti/ rF~t~~!~~/T~ BARRY AI. RAGUNE DMD 6961 1NDIAN CREEK DRIVE MIAMI BE.ACFi, FL 33141 305-865-x419 (HOME) 786-=+a~-9Y46(GELL) RESIDENCE LIVED ON MIAi'Vll BEACH SINGED 1957 EDUCATIOA` UN~IERSITY OF LOUISVILLE, LOUISVILLE, KY DOCTOR OF DENIAL MEDICINE Dh1D 1969 UNIVERSITY OF MIAMI, IvIIAMI FL. UNiVERSi1-Y OF ALABAMA, TL~SGAL,OOSA, AL MIAMI BEACH HIGH SG1dOOL CLASS OF 1958 PROFESSIONAL EXPERIENCE 1971-2005: PRIVATE PRC1'ICF. IN M1An'lI, FL. 1986-1996: DIRECTOR OF EDiSON FAMILY M];llICAL CEN'1'F.R. M1A1vTl, FL 1971-1973;UNIVERSITY OF MIAMI SCHOOL OF MEDICIE: ADJUNCT' CLINICAL PROFESSOR; DEPT. OF YEDIATRICS~ GHILDRENS HEALTH CARE PRO)ECC (CMCP). 1969-1971; DIRECTOR OF DENTAL SERVICES, LOGAN COUNTY 1NEST VA P_ROFE SIONAL ACTIVITIES_ SERVED AS MEAIBEROF: • BRO«`ARD COCiNTY MEDICAL ASSOCIATION E;YIERCENCY MEDICAL RESPONSE TEAM EAST COAST DISTRICT' DENTAL SOCIL"TY MASS DISASTL~R IUEiVT1FiCA7'ION • TEAM. ASSISTED IN 1'I-IE IpEI~'IIFICATION OF VICTIIvIS OF THE CRASH OF VALUJEI' FLIGHT 592 CIVIC ND NON PROFESSIONAL ACTIVITIES cuRRENT PosrrloNS: CHAIiK: CITY OF MIAMI BEACii LOAN REVIEW COMMITTEE PAST ;VIE1yIgERSFIIY POSITIONS; PAST PRESIDENT NORTH BEACH DEVE~~.OPMENT CORPORATION MEMBER; NATIONAL SOCIETY OF FUNDRAISING EXECUTIVIr5 (NSFKE) DIREC"COR OF MARKETING; HIGHER AL"CHURITY PRODUCTIONS (HAP); WOR,ICING WTIH JERRY LEVINIr)1N THIS vIDEOJFILM PRODUCTION COMPANY SERVING BO"fH THI=NUN PROFI'C AND COMMERCIAL WORLD. ivIEMBER OF' TtIE BOARD OF DIRECTORS AS A 1='OUNDIIVG MEMBER OF THE LIBERTY CITY CHARTER SCHOOL WORKING ALONG SIDE AND SERVING WITH OTHER BOARD MEMBERS WHICH INCLUDED; JEB BtiSH, GOVERNOR OF FLORIDA T. WILLARD FA1R, PRESIDENT AND CEO OF THiw URBAN LEAGUE OF GRC~?ATIR MIAMI, VICk CHAIMAN STATE OIL FLORIDA BOARD OF EDUCATION NILMBER OF TIiE. BOARD OF DIRECTORS AS A FO[7NDCNG MIrIVIBER UP THE DIZZY GILLESPIE CHARTER SCI"IOOL,S"CUART, PL S~Ib(-1 E~~/d PJ~Jb~I~~iHS P~Ir'+c~~.:b~d 9E8~9L~98L 5~ ~t~ b~Ci~/L~/I0 -