Release # 1 3-05-2014
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Em ail: CityClerk@miamibeachfl.gov
MEMORANDUM
TO: Mayor Philip Levine and Members of the City Commission
CC: Jimmy L. Morales, City Manager
Jose Smith, City Attorney
FROM: Rafael E. Granado, City Clerk
DATE: February 26, 2014
SUBJECT: City Commission At-Large Nominations for March 5, 2014 – Release # 1
Below please find the City Commission At-Large Nominations received to date.
BOARDS AND COMMITTEES
Affordable Housing Advisory Committee (Effective May 31, 2014: Vacancies: 11)
No nominations received to date.
Capital Improvements Projects Oversight Committee (Current Vacancies: 6)
Note: Committee will sunset on May 31, 2014
Design Review Board (Current Vacancies: 2)
No nominations received to date.
Health Advisory Committee (Current Vacancies: 3)
• Dr. David Facyr – (Release 1 – Page 7)
Nominated for appointment (Private Individual Position) by Commissioner Michael C. Grieco.
Health Facilities Authority Board (Current Vacancy: 1)
No nominations received to date.
Historic Preservation Board (Current Vacancy: 1)
No nominations received to date.
Parks and Recreational Facilities Board (Effective May 31, 2014: Vacancies: 6)
Youth Center (Vacancies: 1 Scott Rakow Youth Center and 1 North Shore Park Youth Center)
• Dana Turken – (Release 1 – Page 25)
Nominated for appointment (Scott Rakow Position) by Mayor Philip Levine.
Golf (Vacancies: 2)
• Gail P. Williams – (Release 1 – Page 33)
Nominated for appointment (Golf Position) by Commissioner Joy Malakoff.
1
Tennis (Vacancies: 2)
• David J. Berger – (Release 1 – Page 45)
Nominated for appointment (Tennis Position) by Commissioner Joy Malakoff.
F:\CLER\$ALL\REG\COMMISSION MEETINGS\2014\03052014\AT LARGE NOMINATIONS RELEASE 1 03052014.docx
2
Health Advisory Committee
• Dr. David Faycr
3
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4
Dr. David Faycr
5
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6
MIAMI BEACH CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME: Faycr David A
--~-----------------------------------------------------------------------Last Name First Name Middle Initial
HOME ADDRESS : 6515 collins ave 1805
Apt No. Home No./Street
PHONE : 3066062363
Home Work
Business Name: Mount Sinal Medical Center
Address : 4300 alton rd
Street
Miami Beach
City
8883154822
Fax
FL
State
dfarcy@me.com
Email Address
Position : Chairman, deptarment of emergency medicine
Miami Beach FL
City State
33141
Zip Code
33140
Zip Code
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 ownership/interest for a minimum of six months in a business established in the city .
• Resident of Miami Beach for a minimum of s ix (6) months Yes
• Demonstrate an ownership/interest in a bus i ness i n Miam i Beach for a minimum of six (6) months : Yes
• Are you a registered voter in Miami Beach : Yes
• (Please circle one): I am now a resident of: North Beach
• I am applying for an appointment because I have special abilities , knowledge and experience . Please li st below:
run the emergency room at mount sinai with a volume approaching 65000 visits per year, volunteer on florida disater team, 15 y
• Are you presently a registered lobbyist with the City of Miami Beach? No
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: Health Advisory Committee
Choice2: Health Facilities Authority Board
Choice 3:
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 : No =--Years of Service : ----------------
2 . Present participation in Youth Center activities by your children .;..;N"'o __ _ if yes , please list the names of your children , their
ages , and which programs. List below :
• Have you ever been convicted of a felony : No 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?
• What organ izations in the City of Miam i Beach do you currently hold membership in?
• List all properties owned or have an interest in, which are located within the City of Miami Beach :
Property
6515 collins ave 1805 miami beach 33141
7
• I am now employed by the city of Miami Beach : No Which department?
The following Information Is voluntary and Is neither part of your application nor has any bearing on your consideration for appointment. It Is
being asked to comply with federal equal opportunity reporting requirements.
Gender: Male
Race/Ethn ic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be. White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish I Hispanic I Latino. No
Physically Challenged: No
NOTE : If appointed, you will be required to follow certain laws which apply to city boardlcommlttee members.
These laws Include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the city (Miam i-Dade County Code section 2-11.1 ).
o Prohibition from lobbying before boardlcommittee 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 (Miam i-Dade County Code section 2-11 .1 ).
(re : CMB Community Development Advisory Committee): prohibition , during tenure and for one year after leaving office ,
from having any interest in or rece iving any benefit from Commun ity Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties (CFR 570 .611 ).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article
VII -of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
I David Faycr agreed to the following terms on 2/17/2014 11 :59:17 AM
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No . Date
8
David A. Farcy, MD, FAAEM, FACEP, FCCM.
Professional Experience:
6 5 15 Coll ins Av e.
Ap t. 180 5
Miam i B each , FL 33 141
Cell : (305) 606-2363
dfarcy@me.com
dfarcy@msmc.com
01/12 -present: Mount Sinai Medical Center. Miami , FL
Chairman, Department of Emergency Medicine.
05/09-present: Mount Sinai Medical Center. Miami, FL
Medical Director, Surgicallntens ivist Program .
Critical Care Attending Physician
07/06-present: Mount Sinai Medical Center. Miam i, FL
Director , Emergency Medicine Critical Care
Emergency Medicine Attending Physician
02/09-02/10: Jackson Memorial Hospital. Miami , FL
Department of Emergency Medicine
Emergency Medicine Attending Physician (Per-Diem)
07/06-09/07: Southwest Regional Medical Center . Fort Myers , FL
Acute Care Specialists
Critical Care Attend ing Physic ian
Postgraduate Training:
07/05-07/06 : R Adams Cowley Shock Trauma Center , Baltimore , MD
Emergency Medicine/Critical Care Fellowship
07/02-07/05: Maimonides Medical Center , Brooklyn , NY
Eme rgency Medicine Residency
07/01-07/02: New York Medical College, Valhalla , NY
Fifth Pat hway Program
St. Mary's Hospital , Brooklyn , NY
9
Education :
07/96-06/00 : Universidad Autonoma de Guadalajara , Jal isco , Mexico
Medico Cirujano (Medical Degree)
09/92-05/96: Texas Tech University , Lubbock , TX
B.A . in Psychology
Professional Experience:
07/00-06/01: Research Assistant, Department of Orthopedic Surgery
Maimonides Medical Center, Brooklyn , NY
01/94-05/96 : Ass istant Director, Emergency Medical Services
Shallowater EMS, Shallowater, TX
09/90-09/93: Medical Technic ian
United States Air Force , Wichita Falls , TX
Certification and Licensure:
Faculty Appointment:
ABEM Diplomate , exp . 07/2018
New York License: 235076
Florida License : ME 96083
ACLS , exp. 10/2014
02/09-present: Clinical Assistant Professor
NOVA Southeastern University
01/1 0-present: Clin ical Assistant Professor
Florida International University College of Medicine
Awards and Honors:
1. Medical Procedure Coordinator. Maimonides Medical Center
2. Robert Brandstetter Memorial Award . New York Medical College,
Award for highest academic record .
3. Semi-finalist in the 2004 CPC competition sponso red by Society for Academic
Emergency Medic ine
4. Emergency Medicine Resident Association 2005-2006 -President of Critical Care
Committee
5. Chair, Florida American Academy of Emergency Medicine/Resident Student
Association: 2004-2006 Crit ical Care Comm ittee Task Force
6. Shock Trauma Hero Award 2007
10
7. Florida American Academy of Emergency Medicine: Board of Directors 2009-2011
8. Founder and President of Florida American Academy of Emergency Medicine, 151
Scientific Assembly held in Miam i Beach . Aug 2011 .
9. Florida American Academy of Emergency Medicine, President 2011-2013
10. Florida American Academy of Emergency Medicine, Pres ident 201 1-Present
11 . Medical Director: International Med ical Surgical Response Team (IMSuRT)-South
NDMS/HHS/ASPR/OPEO
12 . President Florida American Academy of Emergency Medicine, 2nd Sc ientific Assembly
held in Orlando , Fl. Jan 2013 .
13 . American Academy of Emergency Medicine oral board examiner: Fall Orlando course
2013
Professional Society Membership:
American College of Emergency Physicians (Fellow)
Amer ican Academy of Emergency Medic ine (Fellow)
Society of Critical Care Medicine (Fellow)
European Society of Intensive Care Med icine (Associate)
Eastern Association for the Surgery of Trauma (Assoc iate)
Disaster Training and Law Enforcement Experience:
Training: Paramedic , Search and rescue , Confined space rescue, Fire train ing (basic, advanced),
under water rescue, radiation emergency , agent of opportunity or bioterrorism
Position : Medical Director for Internationa l Medical Surgical Response Team -South
Consultant: Drug Enforcement Agency , Miam i Dade , FL
"Clandestine Laboratory Team "
Disaster experience:
Hurricane: "Andrew", Florida 1992
Earthquake: Queretero , Mexico 1996
Terrorist act: New York City 2001
Hurricane : "Mitch ", Nicaragua 2003
Earthquake : Port au Pri nce , Ha iti 2010
Professional Committees and Administrative Services:
Member, Intensive Care Committee , Mount Sinai Medical Center , 2009-present
Member, Medication Safety Committee , Mount Sinai Medical Center , 2009-present
Member, Pharmacy and Therapeutics Committee , Mount Sinai Medical Center , 201 0-present
Member, Ethics Committee, Mount Sina i Medical Center, 2010-present
Founder and Member , Hypothermia Post Card iac Arrest Committee , 2011-present
11
Research, Presentations & Publications:
Posters
Presentations
1. Schwab, F.J.; Farcy, D.; Hoffman, B.; Farcy, J-P .C.; Schechter, C.: Sagittal Plane
Pelvic Rotation : A compensatory mechanism in spinal deform ity . Poster Presentation.
Annual Meeting of the lntemational Society of Study of the Lumbar Spine. June 1999 .
2. Schwab , F.J.; Farcy, D.; Hoffman, B.; Farcy , J-P.C.; Gamez , L The Turkey as animal
model for spinal degeneration : prelim inary findings. Poster Presentation. Annual
Meeting of the International Society of Study of the Lumbar Spine . June 1999.
3. Schwab , F.J., Farcy, J.P., Farcy , D., Gamez, L., Pagala , M: Une analyse quantitative,
radiologiue et clinique de Ia scoliose chez l'aduite avec un essai preliminaire de
classification. Annual Meeting of the Group d'Etude sur Ia Scoliose . Bruxelles , 2004
4. Rouhizad , R. A.; Farcy, D.; The Usage of Recombinant Activated Factor VII for an
Intracerebral Hemorrhage: A Case Report ; AOAJACOEP, San Diego, 2007
5. Scumpia , A.; Fernandez J.;, Cajina J.;, Longenecker B.;, Farcy D. EMTALA
Knowledge Among Emergency and Medicine Residents : A Need to Become Educated!
Annual meeting of ACOEP, San Francisco. Oct. 2010 and Florida ACEP , Boca Raton
Fl , July 2010 .
6. Campfield N., Farcy D. Paraphimosis : A case Presentat ion . Florida AAEM Scientific
Assembly , Miami Beach , Fl. Aug 2011
7. Suarez, J. Azubuike F. Cajina J., Farcy D. Aortic Dissection in the setting of end stage
renal disease and bicuspid aortic valve . Florida AAEM Scientific Assembly, Orlando,
Fl. Jan 2013.
8. David Farcy, Janelle Suarez . Therapeutic Hypothermia in post cardiac arrest patients :
How long to reach target temperature, a retrospective study . 7 th. Mediterranean
Emergency Medical Conference . Marseille , France. Sept 2013
1. Clinical Pathologic Conference. "Hypokalemia Period Paralysis " SAEM annual
meeting , Orlando Fl, May 15 2004 .
2. Clinical Pearls and Visua l Diagnosis finalist. "Pacemaker failure " SAEM annual
meeting , New York , May 23 2005 .
3. Sepsis Update. Medicine Grand Round . Mount Sinai Medical Center , Miami beach , FL.
September 2006
4. Ultrasound Basic. Emergency Medicine Conference . Mount Sinai Medical Center ,
Miami beach, FL September 2006
5. Thoracic Trauma. Emergency Medicine Conference. Mount Sinai Medical Center ,
Miami beach, FL October 2006
6. IUP and Ultrasound. Emergency Medicine Conference. Mount Sinai Medical Center,
Miami beach, FL November 2006
7. Mechanical Ventilation. Emergency Medic ine Conference. Mount Sinai Medical
Center , Miami beach, FL January 2007
a. Ultrasound of Aorta Emergency Medicine Conference . Mount Sinai Medical Center,
Miami beach , FL February 2007
9. Arterial Blood Gas Emergency Medicine Conference . Mount Sina i Medical Center,
Miami beach, FL April 2007
12
10. Ultrasound Guided central line placement. ACOEP , COLA essentials Feb 6, 2007
11. Hypothermia in Post Cardiac Arrest. Medicine Grand Round . Mount Sinai Medical
Center , Miami beach , FL November 14 2008
12 . Sepsis update . Medicine Grand Round. Mount Sinai Medical Center, Miami beach , FL
May 2009
13 . Sepsis update . Medicine Grand Round. Mount Sinai Medical Center , Miami beach , FL
June 2009
14. EKG interpretation for EMS . Grand round EMS week , Mount Sinai Medical Center,
Miami beach , FL May 2010
15 . Hypothermia Grand Round . North Broward Hospital System , Broward, FL. June 2010
16. Mechanical Ventilation . Medic ine Grand Round . Mount Sinai Medical Center, Miami
beach , FL Aug . 2010
17 . Sepsis update . Medicine noon Conference . Mount Sinai Med ical Center, Miami beach ,
FL Oct . 2010
18 . EMS hypothermia Post Cardiac Arrest. ACEOP Spring Seminar , Fort Laude rdale , FL ,
April2011
19. Disaster Response in Haiti. ACEOP Spr ing Seminar, April 2011
20 . Mechanical Ventilation . Florida American Academy of Emergency Medicine, Scientific
Assembly , Miami Beach , FL Aug 2011
21. Sepsis Update . Florida Amer ican Academy of Emergency Medicine , Scientific
Assembly , Miam i Beach , FL Aug 2011
22. Shock Update . Surgical Grand Round. Mount Sinai Medical Center , Miami beach , FL
Oct 2011
23 . EKG : STEMI recognition . Emergency Department Teaching day , Mount Sinai Medical
Center , Miami beach , FL Nov 2011 .
24 . Bedside Ultrasonography in Critica l Care . 3rd Annual State of the Science Symposium ,
Miami , FL. June 2012
25. Hypothermia in Post Cardiac arrest. Surgical grand Round , Mount Sinai Medical
Center , Miami beach , FL , Aug 2012
26 . ACLS update and Hypotherm ia update , Emergency Med icine confe rence , Mount Sina i
Med ical Center , Miami beach , FL. Aug 2012
27 . Critical Care Update. Florida American Academy of Emergency Medicine Sc ientific
Assembly, Orlando , Fl. Jan 2013
28 . Scvo2 vs Lactate in EGDT. Mediterranean Emergency Medicine Congress , Marseille ,
France. Sept 2013
29 . Neuromuscular blockade or deep sedation in hypothermia for post cardiac arrest
patient. Mediterranean Emergency Medicine Congress , Marseille , France. Sept 2013
30 . Scvo2 vs Lactate in EGDT . Emergency Medic ine conference , Mount Sinai Medical
Center , Miami beach , FL. Oct 2013
31. Update in Sepsis Management , Temp le Un iversity , EM day . Ph iladelphia , PA Nov
2013.
32 . Surgical Airway. Emergency and crit ical care medicine : the cutting edge , Aruba, Jan
27-31 ,2014.
33 . Scvo2 versus Lactate in severe sepsis and sept ic shock . Emergency and critical care
med icine: the cutting edge , Aruba , Jan 27-31 ,2014
34. Transvenous Pacemaker, 20 th Amer ican Academy of Emergency Medicine , New York ,
NY , Feb 12-15 2014 .
35 . C, 20 th American Academy of Emergency Medicine , New York , NY , Feb 12-15 2014.
36. CVP is useless . Dynamic marker of fluid responsiveness . 20 th American Academy
Emergency Med icine , New York , NY , Feb 12 -152014.
13
Publications
Chapter
1. Farcy D. Abu Khan . Sergey Motov. "Infant with Persistent Umbilical Discharge".
Consultant for Pediatricians, 2005, val 4;2 , 81-82.
2. Sergey Motov . Abu Khan . Farcy D. "5 year old with Frost bite " Consultant for
Pediatricians , 2004 ;vol 3,1 0, 488-491
3. Farcy, D. Hannan , H. Cohen, H. Marshall , J "My hand is swollen " Consultant 2005;
vol.46 , 6, 703-704
4. Hernandez , C. Williams , J. Farcy , D. "Emergency Medicine -Critical Care Medicine:
Are You Ready For the Critically Ill Patient?" EM Resident , October-November 2005
5. 'The Sepsis Card ". Emergency Medicine Residency Association pocket card. Endorse
by ACEP , Surviving Sepsis Campaign , 2006
6. Menaker J, Farcy D et al. Cocaine-induced agitated delirium with associated
hyperthermia: A Case Report , Journal of Emergency Med icine , sept 2008.
7. Hoffman RJ, Farcy D, Scalea T. Ethics , equipoise , and evidence : when should
investigators decide to not test their hypothesis American Journal of Emergency
Medicine-October 2009 Vol. 27 , Issue 8:983-985.
8. Farcy D. Petersen P. Rabinowitz D. Scalea T. Controversies in Fluids Resuscitation.
Emergency Medicine Reports. 201 O,Vol. 31 ;14:157 -168.
9. Farcy D. Chan J. Rabinowitz D., Illuminating community acquired pneumon ia.
Emergency Medicine . 2010, Vol42 :12; 14-20
10. Farcy D. Rabinowitz D. Marshal J. Ectopic glandular breast tissue in a lactating young
female: a clinical communication , Journal of Emergency Medicine, 2011 , val 41:6 .
1. Farcy D., Chiu W., Scalea T. Critical Care Fellowship in Emergency Medicine.
Emergency Medicine , The medical student survival guide. EMRA.2007
2. Gens D., Farcy D., Yeatts D.J. The Failed Airway . Critical Care Emergency Medicine .
1th ed . New York : McGraw-Hill ; 2011 .
3. Farcy D., Petersen P., Heard D., DeBiieux p. Mechanical Ventilation. Critical Care
Emergency Medicine. 1th ed. New York: McGraw-Hill; 2011.
4. Farcy D., Rabinowitz D., pieri P. Extracorporeal Cardiopulmonary Membrane
Oxygenation . Critical Care Emergency Medicine. 1th ed. New York: McGraw-Hill ;
2011 .
5. Farcy D., Yashou J., Rivers E. Sepsis and Septic Shock. Critical Care Emergency
Medicine . 1th ed. New York : McGraw-Hill ; 2011.
6. Osborn T.M., Farcy D. Classification of Shock. Critical Care Emergency Medicine . 1th
ed . New York : McGraw-Hill; 2011 .
14
Pod cast:
1. Albert David ; David Farcy,; Keeping our children Safe and Healthy from pre-K through
High School. Abey World Press , 2007
2. Senior Editor of Critical Care Emergency Medicine. 1th ed. New York : McGraw-Hill;
2011.
American Academy of Emergency Medicine Critical Care Podcast
1. Review of the Updated Surviving Sepsis Campaign
2. Scvo2 vs Lactate Clearance in Early Goal Directed Therapy
3. Hypothermia for Post-Arrest Patient with ROSC part 1
4. Hypothermia for Post-Arrest Patient with ROSC part 2
s. Post Cardiac Arrest Syndrome
s. Central venous Pressure versus dynamic maker like ultrasound
May 2013
July 2013
Sept2013
Sept 2013
Dec 2013
Jan 2014
Unpublished Research, Pending Publication
Personal:
References:
1. Church , A. Farcy , D. Utility of an Off-service Orthopedic Rotation for Emergency
Medicine residents . Manuscript is in process.
2. Farcy, D. Suarez J. Hypothermia for post cardiac arrest in a community teaching
hospital , Article submitted to WEST.
Special Interest: Tactical medicine , Critical Care , Hypothermia, Early Goal Directed
Therapy and Ultrasound
Languages: Fluent in French and Spanish
Thomas M. Scalea, MD, FACS
Physician-in-Chief
R Adams Cowley Shock Trauma Center
22 south Greene St.
Suite T3R32
Balt imore , MD 21230
( 41 0) 328-8976
tscalea@umm.edu
15
02/17/2014 10:33 3056742602 ER CARDIC PAGE 01/01
16
17
Granado, Rafael
From: Grieco , Michael
Sent:
To:
Tuesday, February 25 , 2014 6:10 PM
Granado, Rafael
Cc:
Subject:
Hatfield, Liliam ; Prieto, Silvia ; Martinez, Maria; Bonini, Danila ; Granado, Rafael
Re : Board and committee package submitted by Dr. David A. Farcy
Private individual
Sent From my I Phone , please excuse any typos.
Michael C. Grieco
Commissioner, City of Miami Beach
Emails from and to this address are subject to public records laws pursuant to Florida Statutes.
>On Feb 25, 2014, at 5:49 PM, "Granado, Rafael" <RafaeiGranado@miamibeachfl.gov > wrote:
>
>Good afternoon Commissioner Grieco,
>
>You have nominated Dr. Faycr to the "Mt. Sinai" Administrator Position in the Health Advisory Committee. That
position is occupied by Steven Sonenreich.
>
> Currently there are three vacancies, to wit:
>
> . The chief executive officer (CEO) from Stanley C. Myers Community Health Center or his designated administrator.
>. The administrators from an adult congregate living facility (ACLF); and/or an assisted living facility (ALF).
>. One private individual.
>
>Would you like to nominate Dr. Faycr to one of these three positions, possibly the Private Individual Positions?
>
>Regards,
>
> MIAMIBEACH
> Rafael E. Granado, Esq ., City Clerk
> CITY CLERK'S OFFICE
> 1700 Convention Center Drive, Miami Beach, FL 33139
>Tel: 305-673-7411 www.miamibeachfl.gov
>
>We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,
tropical, historic community.
>
>
>
>-----Original Message-----
> From: Grieco, Michael
>Sent: Thursday, February 20, 2014 12:01 PM
>To: Hatfield, Liliam
> Cc: Mayor's Office; dfarcy@me.com ; Prieto, Silvia; Martinez, Maria;
1 18
>Granado, Rafael; Bonini, Danila
>Subject: Re: Board and committee package submitted by Dr. David A.
> Farcy
>
> Please nominate Dr. David Farcy for the designated Mt. Sinai administrator position on the health advisory committee
and ensure placement on the march commission agenda.
>
> Sent From my I Phone, please excuse any typos .
>
> Michael C. Grieco
>Commissioner, City of Miami Beach
>
> Emails from and to this address are subject to public records laws pursuant to Florida Statutes .
>
»On Feb 19, 2014, at 9:29AM, "Hatfield, Liliam" <LiliamHatfield@miamibeachfl.gov> wrote:
>>
>>
»Attached please find board and committee application, resume, license and photograph, submitted by David A. Farcy,
M.D., who is interested in serving in one of the following boards:
>>
» Choice 1: Health Advisory Committee
»Choice 2: Health Facilities Authority Board
>>
» Respectfully submitted,
>>
>>
» MIAMIBEACH
» Liliam Hatfield, Office Associate V
» CITY CLERK'S OFFICE
» 1700 Convention Center Drive, Miami Beach, FL 33139
»Tel: 305-673-7411/ Fax: 305-673-7254 I
>> www.miamibeachfl.gov<blocked::blocked ::http://www.miamibeachfl.gov/>
>>
»We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,
tropical, historic community.
>>
>>
»<David A. Farcy, M.D. board application package.pdf> <imageOOl.gif>
2 19
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20
Parks and Recreational Facilities Board
Youth Center
• Dana Turken
21
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22
Dana Turken
23
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G //1/AJ /\!EACH
NAME :~ JuAJ( ~
Last Name~ \
HOME AOORESS~O.f> -j/ LJrrL-/~o 7E(vt
CfTY OF MIAMI BEACH
BOARD AND COMMrTTEE APPLICATION FORM
First Name Middle Initia l
~ ~, & 3.S/.Y ")
Apt No . House No./Street
PHONE: ;) aJ' ~ -f5 b) -So Ool._ '"'J;J-.Jr1 -f'<f ?t
~c~rt~y~~--------~s~~·'---~~~P-~~o-d~e-
s£/n 0/)'7C/I\ k~ 6 #}/f-.{_,~
Home Work Fax Email address
Business Name :-------------------------------Position :-----------------------
Add~ss : __________ ~--------------~~------------~~---------~----~~~~--No . Street City State Zip .Code
Professional Ucense (describe)-------------------------------Expires : ______ Attllr:h • copy of the /icen•t
Pu111uant to City Code aection 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 individua l shall have · been a resident of the city tor a minimum of six
months ; or b) an individua l shall demonstrate ownership/interest for a minimum of six months in a business established in the city .
• Resident of Miam i Beach to r a minimum of six (6) months : Yes 0 or No 0
• Demonstrate an ownership/interest in a business in Miam i Beach tor a minimum of six (6) months: Yes o or No o
• Are you a registered voter in Miami Beach : Y• 0 or No D
• (Please grm one): I am now a resident of: Norttl BNch Soutil Beach Mldd6e Beach
• 1 am applying for an appointment because I have special abilities, knowledge and experience . Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes 0 or No 0
Pleue list your pnnrances in order of ranking [1] firat choice [2]second choice , and [3] third choice. F'IH!t nota thlt ontv th!!! (3 '
chola. will be ot.erwd bv the Cltv Clertr:'a Offtce (Regular Boartts of City)
0 At'tord.tM HoUiing Advillory Commltble 0 Houaing Authority
0 Art In F'ublic F'l8ce& Commlbee 0 Loan Review Commltile
0 Buuttticdon Cornmttt.e 0 Marine Author1ty
0 eo.d of Ad;UibnBnt* 0 Mt.ml Beach Cammiaion for Women
D Buc:IDBt .,.,.,;.., 1 Commltile D Mt.mi a.ch Cultural Arts Council
0~1 F'raiect& Cammlbae D Mt.ml Buch Siltllr Cltills Proarwn
0 Ccmmltllle on the Homeills ON Shcns Local Govarrment Neiah .
0 Commlblle fer QualitY Education in MB 0 F'artcs and Recreation Facilities Board
o Communttv O.V.acmwrt Advisory 0 Personnel Board
0 Communtty R*tions BOIIrd 0 F'lannina Boan:r
0 Convention Cenlar Advisory Board 0 Police Citizens Relations Commlbe
0 Debarment Commltile o F'roduction Ina~ Council
0 Deeign Review Boartr 0 F'ublic Saf8tv ~ ... ;...,, Commltlae
D Disability Aetas Commltllle 0 Sa1atv CommiUee
0 Fine Arts Board 0 Singte Family Residential Review Panel
0 Gay , Lesbian. Bilexual and Transgencier (GLBT) D Sustainablllty Commltllle
0 Golf ....... ~. r Commlbae DTra Reliablltty & ,6.,..,.... I Commllble 'TRAC"
0 HMith Commlttlle 0 Transportation and Parking CommiUBe
D Health F aclllties Author1tv Board o Visitor and Convention Authority
0 HiBPanic Aftairs Commmae 0 ,~_ .. .,...,· ... nt Protection CommiUee
D Historic Preservation Board ~'outh Center Advisory Board
"Board Required to File State Discl011ure Form
Note : If applying for Youth Advisory Board . please indicate your affiliation with the Scott Rakow Youth Center:
1 . Past service on the Youth Cente r Advisory Boa~ No ~ Years of~: __ _
2 . PreHnt participation in Youth Center activities oy you r children Yes J ~If yes , please list the names of. your children , thei r
ages , and whiCh programs List below
Child's name · Age : __ Program : ---------------
Child 's name : Program :
0 · \~lEP. ·,~AI.~ \cF':>RIII'.S \B':>AR C AND :OMMITTEES\BC Accl•cct•on062609 N:W .do:
25
•Have you eve r oeer. :;:>nv1::tec o7.1on y Yes · ~ i' ves . please explai.etail:
• Do you currently have a vio latlon ts) oi City of Miami Beach ::odes : Yes ~ o r No : yes . p lease explalr; 1r. detai !:
• Do you currently owe the City oi Miam 1 Beach an y money: Yes : o r No ~s explain m detail
• Are you currently serving o n an y Cit y Boards o r Committees : Yes · r No ~--If yes whd·; board? '1crv1-A (!_ ~n:tt. w
• What organizations m the City of Miam i Beach do you currently hold membership m?
Name : ____________________ T itle ·-------------------
Name : Title : __________________ _
• List all p~rties owned or have an interest in , which are located within the City of Miami Beach:
trw.trlL ·.
• I am now employed by the City of Miami Beach : Yes rJ
• Pui"Buant to Ctty Code Section 2-25 (b): Do you have a parent 0 , spoUBe D, child C, brother C:, or sister D who is employed by the
City of Miami Beach? Check all that apply . Identify the department(&):
The foflowtng information is volum.ry and Is Mltlwr pllrt of your application nor ha any t..rtng em your constct.rdon tor appointment.
being uud to comply with federal equal opportunity reporting reCfUINmenta.
Gender: 0 Male ~le
Ethl)ie"Origin: Check one only (1)
~ (Not of Hispanic Origin): Al l penons haVIng origins In any of the original peoples of Europe , North Africa or the Middle East .
0 Afric:a~mericaniBaack (Not of~ Origin): .All penons having origins in any of the Black racial groups of Africa .
0 ~: All p8I"SDn6 of Mexican. F>latD Ran. eut.r\, c.wra1 or South Amertcan . or other Spanilh ClJture or origin .~ of race .
It is
0 --or P.clftc ..._!dar. All ~ twWig Drigln5 In any at the orlginlll peoples of the Far Eat. ScKiheest Alia, the lndl8n Sl.ix:ontlnent. or
the Pacltc latanaa. Thll .. inc&!~*, tar ..... Ct*w., India . Japan , Korea . the Pt-..ne tallmds lnd Soma&.
o ~ • ......, • ~ ......_: All ~ ~wv~ng origins in lnY of the original peop~es of North America, n who IMinlllln
Cdllnl id&i dlllcidkJ; 1 through trt.l ~ or comrrullty recognition .
Pnyaicalty CnaUengect: Y• o or NoD.
Employment Status: Employed 0
~ro __________________________ __
NOTE : If appotm.cl., you wll be -.-q'*-1 to tolkJw certain laws which apply to Ctty boardlcomm.._ membera.
TheM laws mctude , but are not lmllacl to, the tollowtng :
o Prohibition from directly or indirectly lobbying city personne l (Miam i Beach City Code section 2-459).
o Prohlbttion from contracting with the city (Miami-Dade County Code section 2-1 1 . 1)
o Prohibition from lobbying bBfcre boardiCDTtmltiBe you have sei'V'8d on for period of one year nr leaving office (MI&m t
Beach City Code II8Ction 2-28).
o Requirement to d~ certain financial intBreats and gifts (Maam i-Dade County Code 98Ciion 2-11 .1 ).
(re : CMB community o..elopnent AdYtsory Commlbae): prohibition . during tenure and for one year llflllr luving offl:::e
from having any ~ in or rao8Mng any benefit from Community Development Block Gnmt funds for either yourself
or those with whom you hhe buairas or immediat!e family ties (CFR 570.611).
Upon ,.queat, ~ of tt..e l8ws may be obtained from the City Clert..
"I hereby 11tt11et to the accur~~cy and truthfulnees of the application and h•ve received , naad •nd will abide by ChaDte r Z.
A cle vtl -of the City Code "Standards of Conduct tor City Officers;, mployees and ~ency Membeno ."
/. 8--/) I 0 If-A) ,f T c.) I(. IC.JvJ
of Apol1can l (PLEASE PRINT )
/Jv,~~vLC~
Rece•vec 1r1 tne 8 ity ::1erk·s :::>ff1ce oy
26
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
HI all,
Miranda, Alex
Thursday, February 13 , 2014 10:58 AM
Malakoff, Joy; Granado, Rafael
Stewart, Bonnie ; Rebar, John; Hernandez, Leonor
RE : Tennis and Golf
Mayor Levine would like to nominate Dana Turken. to fill the Scott Rakow position .
Thanks,
Alex
-----Original Message-----
From: Malakoff, Joy
Sent: Thursday, February 13, 2014 9:17AM
To: Granado, Rafael
Cc: Miranda, Alex; Stewart, Bonnie; Rebar, John
Subject: Tennis and Golf
The Mayor and Commission will now need to select two tennis players and two golfers plus one parent with child or
children at the Scott Rakow Youth Center and one with children at North Shore Youth Center to serve on the new
combined Parks and Recreation Board .
I am nominating David Berger for tennis and Gail Williams for golf.
Thank you.
Joy
Sent from my iPhone
Commissioner Joy V. W . Malakoff
1 27
THIS PAGE INTENTIONALLY LEFT BLANK
28
Parks and Recreational Facilities Board
Golf
• Gail P. Williams
29
THIS PAGE INTENTIONALLY LEFT BLANK
30
Gail P. Williams
31
THIS PAGE INTENTIONALLY LEFT BLANK
32
MIAMI BEACH CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME : Williams
Last Name
HOME ADDRESS : 1000 5. Pointe Dr. #2101
Apt No .
PHONE : 301-910-5111
Home
Home No./Street
786~359-4321
Work
Gail
First Name
Miami Beach
City
Fax
Fl
p
Middle Initial
State
gpwill1 @aol.com
Email Address
33139
Zip Code
Business Name : Williams McCall Gallery LLC
Address : 110 Washington Avenue, CU-3
Street
Position : Owner ---------------------------------------
Miami Beach
City
FL
State
33139
Zip Code
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 ownership/interest for a minimum of six months in a business established in the city .
• Resident of Miami Beach for a minimum of six (6) months Yes
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes
• Are you a registered voter in Miami Beach : Yes
• (Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience . Please list below:
I have extensive business experience in marketing strategy, business development, customer operations, retail management, a
• Are you presently a registered lobbyist with the City of Miami Beach? No
Pl~ase list your preferences in order of ranking [1) first choice [2] second choice , and [3] third choice . Pl«iase note that only three (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
Choice 1: Golf Advisory Committee
Choice 2: .Fine Arts Board
Choice 3: Miami Beach Cultural Arts Councii
Note: If applying for Youth Advisory Board , please indicate your affiliation with the Scott Rakow Youth Center:
1. Past serv ice on the Youth Center Advisory Board : No .:..:.;:. __ Years of Service :----------------
2 . Present participation in Youth Center activities by your children :..;N:.=o;.._ __
ages, and which programs . List below :
if yes , please list the names of your children , their
• Have you ever been ·convicted of a felony : No 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 Money 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?
• What organizations in the City of Miami Beach do you currently hold membership in?
• List all properties owned or have an interest in, which are located within the City of Mia.mi Beach :
33
t:•rty
1000 S . Pointe Dr ~210~---·------------_j
j11 0 Washington Ave . .CU-3/4 ---~
• I am now employed by the city of Miami Beach : No Wh i ch department?
The following Information Is voluntary and Is neither part of your application nor has any bearing on your consideration for appointment. It Is
being asked ·to comply with federal equal opportunity reporting requirements .
Gender: Female
Race/Ethnic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be. African-Americ;:an/Biack
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish I Hispanic I Latino. No
Physically Challenged: No
NOTE : If appointed, you will be required to follow certain laws which apply to city board/committee members.
These laws Include, but are not limited to, the following:
o Prqhibition from directly or indirectly lobbying city personnel (Miami Beac;h City Code section 7-459).
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 lei disdose certain financial interests and gifts (Miami-Dade County Code section 2-11.1 ).
(re : CMB Community Development Adv isory Committee): prohibition , during tenure and · for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties (CFR 570.611 ).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and ·will abide by Chapter 2, Article
VII -of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
I Gail Williams. agreed to the following ·terms on 9/16/2013 6:09:26 PM
Received in the City Clerk's Office by :
Name of Deputy Clerk Control No . Date
34
Experience:
2/12-present
1/09-2/12
2/06-12/08
4/03-2/06
5/98-4/03
7/93-5/98
GAIL P. WILLIAMS
1000 S . Pointe Drive #21 01
Miami Beach, FL 33139
301-910-5111 (Cell)
gpwill1@aol.com
WILLIAMS MCCALL CALLERY, LLC
Owner Miami Beach, FL
The Williams McCall Gallery is the newest addition to the trendy South of Fifth
neighborhood of South Beach, an9 the first fine art gallery in the area. The stylishly
minimalist gallery exhibits emerging, mid-career and established artists creating
contemporary works on paper, paintings, fine art photography, encaustic collage and
sculpture . The mission of the Williams McCall Gallery is to bridge various artist
· communities and provide its artists greater exposure to new markets .
INTERNATIONAL MEDIA & ENTERTAINMENT PARTNERS, LLC
Interim Managing Partner! CFO Miami Beach, FL/Washington, DC
Advising media companies on how to build or strengthen their businesses outside
their home borders. Leverage expertise in marketing strategy, account'management,
and finance to develop solutions that meet the needs of clients. Responsible for the
fi.nancial .management of the finn .
CAlL P. WILLIAMS, CFP® Bethesda, MD .
CFP ®Professional
Served individuals and small businesses with comprehensive financial planning
services. Developed and implemented financial solutions that helped clients create,
grow, preserve and transfer their wealth in the most tax-advantaged way.
SUNTRUST BANK
Wealth and Investment Management
First Vice President/Private Client Advisor
Washington, DC
Served as a trusted advisorto the bank's most affluent clients. Primary relationship
manager on $120 million in investment assets. Annual production in excess of $3
million. Promoted from Vice President in 9/06 . Licenses included NASD Series 7,
66, and 65; Life/Health/Variable Annuity in multiple states.
PRUDENTIAL SECURITIES IN CORPORA TED
Private Client Croup
Wealth Advisor
Miami FL/Bethesda, MD
Certified Financial Planner in the Bethesda, Maryland branch office. Provide
individuals and businesses with comprehensive fee-based financial planning and
investment advisory services . Built successful practice from scratch .
CW CONSUL TINC SERVICES
President
Miami,FL
Advised emerging businesses in the cable television and new media industries on
.consumer marketing and sales strategy, product management, strategic ·partnering,
business development and customer operations . Clients included Sega Channel
and America Online .
35
GAIL P. WILLIAMS
1000 S. Pointe Drive #2101
301-910-5111 (Cell)
gpwilll @aol.com
Pagel
8/90-7/93
1179-8/90
6/77-7178
Education:
Boards:
2007 -present
2010-present
2002-2012
Other:
TIMES MIRROR CABLE TELEVISION, INC. Irvine, CA
Vice President of Marketing and Sales (6/92-7/93), Vice President of Field
Marketing and Sales Development (8190-5/92).
Actively managed the national marketing, sales and customer operations functions .
Responsible for all acquisition, retention and value-building programs.
Developed award-winning direct response marketing, brand and usage campaigns.
Instituted product line organization; managed $16 mi Ilion budget and staff of six.
HOME BOX OFFICE, INC. New York, NY
Regional Director (7/87-7/90); National Accounts Director (1/84-6/87); National
Accounts Manager (5182-12/83); Regional Manager (2/80/8180); Account Executive
(J/79-2/80).
Progressively responsible sales executive positions in national accounts and regional
operations in San Francisco, New York and Los Angeles. Exceeded goals every
year; negotiated HBO and Cinemax .distribution contracts; designed deal valuation
models; and created marketing strategies to promote premium subscriptions and
re.tention.
CHASE MANHATTAN BANK, N.A. New York, NY
Credit Ana~}·st
Recruited out of college for top credit training program on Wall Street. Performed
financial analyses of mid-sized companies for credit purposes .
MBA, Harvard Business School, 1982
BS, The Wharton School, University of Pennsylvania, 1977
Web Design Certificate, University .of Miami, 2011
Travel Video Certificate, The Travel Channel Academy, 2010
PROVINCETOWN ART ASSOCIATION AND MUSEUM Provincetown, MA
Board of Trustees and Dev.elopment Committee Membe.r
The mission ofPAAM is to promote and cultivate all branches of the fine arts, to
asse1nble and maintain a collection of works of art of merit, to hold exhibitions, and
to promote education of the public in the arts.
PROVINCETOWN FILM SOCIETY Provincetown, MA
Board of Trustees, Finance, and Development Committee Member
The Provincetown Film Society is dedicated to showcasing new achievelnents in
independent American and intemationa.l film; honoring the work of acclaimed and
emerging director5 1 producers and actors; and preserving film as an art form.
FOOD AND FRIENDS Washington, DC
Bqard ojDirectors, Treasurer, and Finance Chair
The mission of food & Friends is to foster a community caring for men, women and
children living with HIV/AIDS, cancer, aild other life-challenging illnesses by
preparing and delivering specialized meals and groceries in conjunction with
nutrition counseling.
Certified as a CFP Licensee by the Certified Financial Planner Board of Standards;
9199; member of Highland Links Golf Course, Truro, MA.
36
37
MIAMI BEACH
OFFICE OF THE MAYOR AND COMMISSION
TO :
FROM :
DATE:
Rafael E. Granado, City Clerk
Joy V. W . Malakoff, Commissioner
January 13, 2014
MEMORANDUM
SUBJECT : BOARD & COMMITIEES APPOINTMENTS FOR YEAR 2014
Please appoint as follows:
Board & Committee Appointee
Golf Advisory Committee
(Parks & Recreation Facilities Board-Golf Position) Gail Williams
If you have any questions, please contact Bonnie Stewart at extension 6722.
JVWM/bhs
We ore commiffed to providing excellent public service and safety to all who live , work. and ploy 1n our vibrant , tropical, historic community . 38
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Malakoff, Joy
Thursday, February 13 , 2014 9:17AM
Granado, Rafael
Miranda, Alex; Stewart, Bonn ie; Rebar, John
Tennis and Golf
The Mayor and Commission will now need to select two tennis players and two golfers plus one parent with child or
children at the Scott Rakow Youth Center and one with children at North Shore Youth Center to serve on the new
combined Parks and Recreation Board .
I am nominating David Berger for tennis and Gail Williams for golf.
Thank you .
Joy
Sent from my iPhone
Commissioner Joy V. W. Malakoff
1 39
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Malakoff, Joy
Thursday, February 20 , 2014 1:30 PM
Granado, Rafael
Miranda, Ale x; Stewart , Bonnie
Parks and Recreation Committee
The Commissioners need to select two representatives from the Tennis community, two from Golf, one from Scott
Rakow Youth Center with children in programs there, and one from North Shore Youth Center with children there, to the
new Parks and Recreation Committee .
I have already nominated David Berger (chair of the old Tennis Advisory committee) and Gail Williams, member of the
former Golf Advisory committee to serve in these capacities . Other commissioners may want to make nominations as
well, along with members for the P&R from the two Youth Centers .
Joy
Sent from my iPad
Commissioner Joy V,W . Malakoff
1 40
Parks and Recreational Facilities Board
Tennis
• David J. Be r ger
41
THIS PAGE INTENTIONALLY LEFT BLANK
42
David J. Berger
43
THIS PAGE INTENTIONALLY LEFT BLANK
44
MIAMI BEACH
NAME: Berger
Last Name
HOME ADDRESS : 1836 WEST 23 STREET
Apt No.
PHONE : 3055329500
Home
Home No./Street
3055329500
Work
David
First Name
Miami Beach
City
Fax
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
FL
J
Middle Initial
State
33140
Z ip Code
bergerdav@aol.com
Email Address
Business Name: ________________ Position : ---------------------
Address: Miami Beach FL
Street City State Zip Code
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 ownership/interest for a minimum of six months in a bus iness established in the city.
• Resident of Miami Beach for a minimum of s ix (6) months Yes
• Demonstrate an ownership/interest in a business in Miami Beach for a min imum of six (6 ) months : Yes
• Are you a registered voter in Miami Beach : Yes
• (Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities , knowledge and experience . Please list below:
Former Chair of Tennis Advisory Committee and Tennis Management Contract Evaluation Committee, former Special Counsel t
• Are you presently a registered lobbyist with the City of Miami Beach? Yes
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: Tennis Advisory Committee
Choice2: Planning Board*
Choice 3: Health Facilities Authority Board
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: No ;.;..;;;.. __ Years of Service : -----------------------------
2 . Present participation in Youth Center activities by your children .:..:N:.:o;..._ __
ages , and which programs. List below:
if yes , please list the names of your children , their
• Have you ever been convicted of a felony : No If yes , please explain in deta il:
• Do you currently have a violation(s) of City of Miam i Beach codes : No
• Do you currently owe the City of Miami Beach any money: No
• Are you currently serving on any City Boards or Committees : No
Chaired Tennis Advisory Committee untll12/31/13
• What organizations in the City of Miami Beach do you currently hold membership in?
If yes , please expla in in detail :
If yes, please explain in detail:
If yes, which board?
• List all properties owned or have an interest in , which are located within the City of Miam i Beach :
• I am now employed by the city of Miami Beach : No Which department?
45
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: Male
Race/Ethn ic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be . White
Other Description :
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish I Hispanic I Latino. No
Physically Challenged : No
NOTE : If appointed, you will be required to follow certain laws which apply to city boardlcommlttee members.
These laws Include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miam i Beach City Code section 2-459).
o Proh ibition from contracting with the city (Miam i-Dade County Code section 2-11 .1 ).
o Prohibition from lobbying before boardlcommittee 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 ).
(re: CMB Community Development Advisory Committee): prohibition , during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties (CFR 570 .611 ).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article
VII-of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
I David Berger agreed to the following terms on 1/18/2014 4:06:23 PM
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No . Date
46
IV\ I AMI BEAC AN C0 111 ,11TT cE ?PLICAT ION FORt>.l
Bt:re.Gt t R..
Last Name Firs Name Middle Initial
,·~~·· Bett(.k FL 33/tfO
Home Address State Zip Code {
her9erda.V~Cl.O .co~ 3oS" w.r-ll'f'i
Email address
VIe! .::r""ve.1f.or AAcH\ 11 ) ...l
Home Te lephone Work Telep h one Cellular Telephone
R~o.l Es-kif( E. 1>
Occupa tion Busi ness Name
Business Address City State
Pro fess ional License (des cribe): A+fov"t'le ~, ~eo..( E~We. 'Broke y-Expires: ..:.fw.;._..:..:..:...:..:;;..:;.....;..;:;..-=..;..:.,_;;,~
Please attach a copy of currently effecti ve professional license.
on lv three (3) choices will be observed by the City Clerk s Office.
0 Ad Hoc Charter Review and Revis ion Board 0 Debarment Committee 0 Miami Beach Huma n Rights Committee
0 Ad Hoc Committee Centennial Ce le bratio n ~esign Review Board' -& 0 Mia mi Beach Sister Cities Proa ram
0 Ad Hoc Committee Flooding Task Force 0 Disability Access Committee 0 Normandy Shores Loca l Govern ent
Neigh borhood Improvement
0 Affordab le Housing AdVISory Committee 0 Fine Arts Board o Parks and Recreation Facil ities Soard
0 An in Public Places Com littee 0 Gay, Lesbian . Bise xual and Transg ender 0 Personn el Boa rd
Enh ancemen t Comm ittee IGL BT ) I
C! Beautification Comm ittee o Go lf Advisory Committee }!(P ianninQ Board 't:r LlA.a
0 Blcvcle-Pedestrlan Advisory Committee 0 Hea lth Advisorv Co mmittee ..... D Police Citizens Re lations Co mmi ttee
w Board of Adjustment ' * ~earth Fa clfitles Authority Bo ard 31a... 0 Produc ti on Industry Cou ncil
D 5udQet Advisory Committee 0 Hisoamc Affairs Committee 0 Sa{ety Commi tt ee
Capi!al Improve ments Projects Overs ight 0 Historic Preservatio n Board 0 Sing le Family Resident ial Review Pan el
Committee T:r
0 Committee on the Home ll:l::.::. 0 Housing Authority D Sustainability Co mmittee
0 Committee for Quality Ed ucatio n in Ma 0 Loan Review Committee )(Tennis Advisorv Committe e J ~,..Ale)
0 Commun ity Development Advisory Committee D Mari ne Authority 0 Transportat ion and Park ing Committee~
~0 Com mumr~ Relations Board 0 Miami Beach Commiss ion for Women 0 Visitor and Convention Authori ty
I :Convention Center AdVJSO!}: Board 0 Miami Beach Cultural Arts Council 0 Youth Center Advisory Soard ..
0 Waterfront Protection Committee
* Board members are re quired to file Form 1 -"Statem ent of Financi al Interest" with the State.
"kIf you seek appointment to a professional seat (e .g ., lawyer, architect , etc.) on the Board of Adjustment. Design Rev iew
Boa rd , Hist o ric Pre se rvation Board or Planning Board, atta ch a copy of your currently -effectively license, and furnish the
foll owing information :
Type of Prof essiona l License i='lo v:d" Sc.r-License Num ber 2..(3>~1Q
License I ssuance Date l'\l j License Expi rati on Dat e tJ I A
47
00 Note : If applying for Youth Center Adv isory Board. pl ease indicate your affiliation with the Scott Rakow Youth Center.
1. Past service on the Youth Cent er Advisory Board : Yes 0 No 0 Dates of Service : ---------------
2 . Present participatio n in Youth Center activities by your children : Yes (]j No 0
If yes . please list below the names of your children, their ages and the programs in which they participate :
Child 's name :-----------------
• Ha ve you ever bee n convicted of a felo ny? Yes
Age:___ Program: --------------
Age :___ Program : --------------
If yes. please explain In deta il:
• Do you currently ha ve a vi olation (s) of Ci ty of Miami Beach Code? Yes 0 or N If yes, please exp lain In detail:
• Do you currently owe the City of Miami Beach any money? Yes 0 or No~ If yes , explain in detai l:
• Are you now empl oyed by the City of Miami Be ac h? Yes
Which department and title?----------------------------------
• Purs uant to City Code Section 2-25 (b): Do you have a parent , spouse 0 . child 0 brother 0 or sister 0 who is
emp loyed by the City of Miami Beach ? Check all that apply
If "Yes ," identify person (s) and department(s): ________ _:__...:.._ __________________ _
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment. It is be in g asked to comply with City diversity reporting requirements.
Gender : Male
Race /Ethnic Categories
What is your race?
0 Af rican-American/Bl ack
~ Caucasian hite
0 Asian or Pacifi c Islander
0 Native-American/American Ind ian
0 Other -Print Race ·-------------------------------
Pag e 2 of 4
"F·1CLER ALL\aFOR SIBOA RD AND COM ITIEES',SC AP PLIC ATION 46 BOARDS I ·16-2 013 doc
48
Do you consider yourself to be Spanish, Hispanic or Latina/a? Mark the "No' box if not Span ish, Hispanic , Latinola .
[8)No
Oves
Do you consider yourself Physically Disabled?
[E) No
Oves
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD /COMMITTEE
MEMBERS. THESE LAWS INCLUDE , BUT ARE NOT LIM ITED 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 the boa rd/committee you hav e served on for period of one yea r after leaving office (Miami Beach
City Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11 .1 ).
CM B Community Development Advisory Committee : prohibition , during tenure and for one year after leavi ng office , from having
any inte rest in or receiving any benefit from Community Development Bloc Grant fu nds for either yourself, or those wi th whom
you have business or immediate family ties (C FR 570.611).
o S nshine Law -Florida's Government-in-the-Sunshine Law as enacted in 1967 . Today, the Sunshine Law regarding open
government can be fo und in Chapter 286 of t he Florida Statutes. Th ese statutes establish a bas ic right of access to most
meetings of boards , commissions an d other governi ng bodies of state and local governme ntal agencies o r authorit ies .
Voting confl ict -Fo rm 8B is for use by any person serving at the county, city or other local leve l of government on an appointed or
elected board , council. commission , authority or committee . It applies equally to members of advis ory a nd non-advisory bodies
who are presented with a voting conflict of interest under Section 11 2 3143 , Fl orida Statutes .
Upon request, copi es of these laws may be obtained from the City Clerk.
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."
cw , J T. .:& e. r-e v
Date Name of Applicant (PLEASE PRINn
R ece~ed~~eOyCier~s Officeby:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-
Nam e of Deputy Cle rk Contro l No. Date
PLEASE REMEMBER TO ATTACH A CURRENT RESUME, PHOTOGRAPH AND A
COPY OF ANY APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS , IF NECESSARY, TO PROVIDE REQUIRED
INFORMATION .
Page 3 of 4
F •CL!:R SALL.aFORMS1BOARD AND COMMrrTEES BC APPUC:,TION 4 BOARDS 12,16-2013 dec
49
MI AMI BEAC H
City of Miami Beach
1 700 Convention Center Drive,
Miami Beach , Florida 33139,
www.miamibeocbA.9ov
CITY CLERK'S OFFICE
Telephone: 305 .673.7411 Fox : 305.673.7254
CityCierk@miomibeochA .gov
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Section 2·11.1 (i) (2)
I understand tha t no later than July 1, of each year all members of Boards and Committees of the City of
Miami Beach, includin g those of a purely advisory nature , are required to comply with Miam i-Dade County
Financial Disclosu re Requirements . This means that the members of City Advisory Boards whose so le or
primary respons ibili ty is to recomme nd legislation or g ive advice to the City Comm ission , must file , even
though they may have been rece ntly appointed .
One of the fo llowi ng forms must be filed with the City Clerk of Miami Beach, 1700 Convention Cent er Dr ive ,
Miami Beach , Florida , no later than 12 :00 noon of July 1, of each year.
1. A "Source of Income Statement"
For your convenience , the form is attached . The form can also be down loaded at:
http://www.miamidade.gov/elections/library/source of i ncome statement.pdf
2. A "Stateme nt of Financial Interests (F orm 1)"
For your convenience , the form is attached . The form can also be downl oaded at:
http://www.ethics.state.fl.us/ethics/forms.html
3. A Copy of yo ur 2013 Federal In come Tax Return
Failure to file one of these forms , purs ua nt to the Miami-Dade County Code may subject the person to a fine
of no more than $500 , 60 days In jail or both .
Signature
Update d : Monday, Dec em ber 16, 2013
Page 4 of 4
F:\CLERISA LLi aFO RMS'.SOt,RO AND CO M MITIEESIBC APPLI CATION 6 BOARDS 12·16-20 13.doc
Date
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DAVID J. BERGER
David J . Berger is the founder, president and principal shareholder of Mega Capital Corporation, a privately held
real estate and corporate investment business and a licensed real estate brokerage entity . All investment transactions
originated by Mega Capital are conducted through separate special purpose private investment entities.
Mr. Berger is an attorney , real estate and corporate investor, real estate dev eloper and merchant and investment
banker. Mr. Berger brings a broad base of talents and multi-dimensional experiences to his ventures. For sixteen
years, Mr. Berger practiced law as a prominent real estate and business attorney. He was a senior partner in
the statewide Florida law firm of Broad and Cassel , resident in the Miami office and a member of its management
committee and head of its real estate group in Miami . As a lawyer, Mr. Berger has extensive legal experience in the
areas of real estate , corporate business, finance , government contracting, lending and other areas . While a practicing
lawyer, Mr. Berger handled a great number of sophisticated and complicated projects well in excess of one billion
dollars and has repre sented creditors, debtors, owne rs and government agencies involved with a multitude of real
estate , business, financing, financial and other creative matters in virtually every product type.
Mr. Berger has served as Special Counsel to the City of Miami Beach and to its Redevelopment Agency in
connection with a variety of transactions including various public private ventures , acquisitions , negotiations,
eminent domain, RFPs (including the Loew's Hotel and African-American Hotel RFPs) and tax increment financing
transactions . In this capacity he has worked closely with the City Attorney and City Manager office. He has also
served as Chair of the Tennis Advisory Committee, Chair of the Tennis Evaluation Committee, Chair of the City 's
Health Facilities Authority and member of the Convention Center Capital Improvements Committee.
Mr. Berger left the practice of law and went into business full time in 1995 as an active real estate and business
investor as well as an investment and merchant banker. David is a founding member of a merchant banking and
investment banking business involved in debt and equity fundings , business and financial negotiations , strategy ,
consulting and advisory se rvices , business analysi s, turnarounds , debt restructures and other matters.
David Berger has been a successful real estate and business inve stor and developer for more than thirty years
through a variety of entities and a myriad of product types. His proj ects includ e office , indu strial, retail , multi-
family , leisure, government occupied , and other uses, including a vari ety of mixed uses, with primary focus on
industrial , office , retail and leisure . Mr. Berger's real estate and busines s activities focus on value-creation wh ere he
and his partners develop and implem ent strategic solutions and structures fo r hi s real estate business interests .
David Berger received his Bachelor 's Degree from the University of Florida and his Juris Doctor Degree from the
University of Miami where he was an editor of the law review . Mr. Berger has an A V rating from Martindale-
Hubbell which represents the highest rating for legal skills and ethical considerations as determined by other lawyers
in Florida . David Berger is a licensed member of the Florida Bar and a licensed Florida real estate broker and Mega
Capital Corporation is a licensed Florida brokerage company . Mr. Berger is involved in , and has served on the
boards and as chair of numerous charitable and civic organizations, including th e Greater Miami Hebrew Academy
where he served as Chair of the Board for many years .
Perhaps most relevant is that David Berger is an avid sportsman, with particular interest in tennis and golf. He grew
up in Miami Beach where he continues to reside. He regularly plays tennis at the various City parks (usually
Flamingo Park) several times per week and is familiar with th e City 's te nnis centers and has insight into the needs of
th e tennis sports community and the managem ent and operations of the tennis facilities .
1111 14
51
52
MIAMI BEACH
OFFICE OF THE MAYOR AND COMMISS ION
TO:
FROM :
DATE :
Rafael E. Granado, City Clerk
Joy V . W . Malakoff, Commissioner
January 13, 2014
MEMORANDUM
SUBJECT : BOARD & COMMITIEES APPOINTMENTS FOR YEAR 2014
Please appoint as follows :
Board & Committee Appointee
Tennis Advisory Committee
(Parks & Recreation Facilities Board-Tennis Position) David Berger
If you have any questions , please contact Bonnie Stewart at extension 6722 .
JVWM/bhs
We ore comm itted to pro viding excellent public service and safety to all who live , work , and ploy in our vibrant , tropical, historic community.
53
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Malakoff, Joy
Thursday, February 13 , 2014 9:17 AM
Granado , Rafael
Miranda , Alex; Stewart, Bonnie ; Rebar, John
Tennis and Golf
The Mayor and Commissio rt-will now need to select two tennis players and two golfers plus one parent with child or
children at the Scott Rakow Youth Center and one with children at North Shore Youth Center to serve on the new
combined Parks and Recreation Board .
I am nominating David Berger for tennis and Gail Williams for golf.
. I
Thank you .
Joy
Sent from my iPhone
Commissioner Joy V. W. Malakoff
1 54
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Malakoff, Joy
Thursday, February 20 , 2014 1:30 PM
Granado, Rafael
Miranda, Alex; Stewart, Bonnie
Parks and Recreation Committee
The Commissioners need to select two representatives from the Tennis community, two from Golf, one from Scott
Rakow Youth Center with children in programs there, and one from North Shore Youth Center with children there, to the
new Parks and Recreation Committee.
I have already nominated David Berger (chair of the old Tennis Advisory committee) and Gail Williams, member of the
former Golf Advisory committee to serve in these capacities . Other commissioners may want to make nominations as
well, along with members for the P&R from the two Youth Centers .
Joy
Sent from my iPad
Commissioner Joy V.W. Malakoff
1 55
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