RELEASE # 1 20150127 REG
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
FROM: Rafael E. Granado, City Clerk
DATE: January 23, 2015
SUBJECT: City Commission At-Large Nominations for January 27 – Release # 1
Below please find the City Commission At-Large Nominations received to date for the January 27, 2015
Presentations & Awards Commission Meeting.
BOARDS AND COMMITTEES
a. Affordable Housing Advisory Committee
• Jordan S. Nadel (Release # 1 Page 7)
Nominated for appointment (resides in jurisdiction position) by Commissioner Grieco.
• Allison L. Stone (Release # 1 Page 11)
Nominated for appointment (for-profit provider of affordable housing position) by Commissioner
Grieco.
b. Art in Public Places
• Alpesh K. Patel (Release # 1 Page 21)
Nominated for appointment by Vice-Mayor Malakoff.
c. Health Advisory Committee
• Dr. Richard Cuello-Fuentes (Release # 1 Page 29)
Nominated for appointment (physician position) by Mayor Levine
Nominated for appointment (physician position) by Commissioner Grieco.
Note: Replacing Dr. Andrew Nullman who is term limited.
• Dr. Jeremy B. Green (Release # 1 Page 39)
Nominated for reappointment (physician position) by Mayor Levine.
• Dr. Stacey J. Krueger (Release # 1 Page 51)
Nominated for reappointment (physician position) by Commissioner Grieco.
• Dr. Mark L. Rabinowitz (Release # 1 Page 61)
Nominated for appointment (CEO/Community Health Center) by Vice-Mayor Malakoff.
1
d. Historic Preservation Board
• Dominique F. Bailleul (Release # 1 Page 69)
Nominated for reappointment (at large position) by Vice-Mayor Malakoff.
• Jane D. Gross (Release # 1 Page 75)
Nominated for reappointment (Dade Heritage position) by Commissioner Steinberg
Nominated for reappointment (Dade Heritage position) by Commissioner Grieco.
• Herb J. Sosa (Release # 1 Page 83)
Nominated for reappointment (at large position) by Commissioner Steinberg.
Note: Replacing Jo Manning who is term limited.
• F. Michael Steffens (Release # 1 Page 87)
Nominated for appointment (MDPL position) by Vice-Mayor Malakoff.
e. Miami Beach Cultural Arts Council
• Dale A. Gratz (Release # 1 Page 97)
Nominated for appointment by Vice-Mayor Malakoff.
Nominated for appointment by Commissioner Grieco.
• Dawn L. McCall (Release # 1 Page 107)
Nominated for appointment by Commissioner Grieco.
Nominated for appointment by Vice-Mayor Malakoff.
• Israel Sands (Release # 1 Page 111)
Nominated for appointment by Vice-Mayor Malakoff.
f. Miami Beach Human Rights Committee
• Monica Harvey (Release # 1 Page 119)
Nominated for reappointment by Commissioner Weithorn.
• Amy L. Rabin (Release # 1 Page 125)
Nominated for reappointment by Vice Mayor Malakoff.
Nominated for reappointment by Commissioner Weithorn.
Nominated for reappointment by Commissioner Grieco.
Nominated for reappointment by Commissioner Tobin.
• Rachel J. Umlas (Release # 1 Page 135)
Nominated for reappointment by Commissioner Weithorn.
g. Parks and Recreational Facilities Board
• Ronald M. Krongold (Release # 1 Page 143)
Nominated for reappointment (golf position) by Commissioner Steinberg.
2
h. Personnel Board
• Lori E. Gold (Release # 1 Page 153)
Nominated for reappointment by Vice-Mayor Malakoff.
• Mojdeh L. Khaghan (Release # 1 Page 161)
Nominated for reappointment by Mayor Levine.
• Gabriel J. Paez (Release # 1 Page 167)
Nominated for reappointment by Commissioner Grieco.
Nominated for reappointment by Vice-Mayor Malakoff. (Release # 1 Page 15)
i. Visitor and Convention Authority
• Margaret (Peggy) A. Benua (Release # 1 Page 175)
Nominated for reappointment (hotel industry position) by Commissioner Weithorn.
Nominated for reappointment (hotel industry position) by Commissioner Grieco.
• Deborah (Debbie) A. Castillo (Release # 1 Page 183)
Nominated for appointment (at large) by Vice-Mayor Malakoff.
• Aaron B. Perry (Release # 1 Page 191)
Nominated for reappointment (at large position) by Commissioner Weithorn.
Nominated for reappointment (at large position) by Commissioner Grieco.
F:\CLER\$ALL\REG\COMMISSION MEETINGS\2015\01272015\RELEASE # 1.docx
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Affordable Housinq Advisorv Committee
. Jordan S. IVadelo Allison L. Sfone
5
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6
E MIAMIBEACH
NAME: Nadel
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Jordan
Last Name
HOME ADDRESS:
PHONE:
First Name
iiiami Beach
Middle lnitial
FL 33139
Apt No. Home No./Street City State Zip Code
Fax Email Address
BusineSS Name: Mlaml-Dade State Attomefs Ofilce posilion: Asslstant State Attorney
Address: '1350 NW 12th Ave.Miami, FL 33136
Street State Zip Code
Pureuant to Crty Code section 2-A2Fl a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fullllled in the following wala: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ovvnership/interest for a minimum of six months in a business established In the city.
o Resident of Miami Beach for a minimum of six (6) months yes
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months. No
o Are you a registered voter in Miami Beach: yes
o (Please Oi@!e one): I am now a resident of: South Beach
o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Assistant State Aftorney with Miami-Dade Stab Attorney's Office
o Are you presently a registered lobbyist with the City of Miami Beach? No
Please list your preferences in order-of rgnking [1] rirst 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: Police Citizens Relations Committee
Choice 2: Community Relations Board
Choice 3:
Note: lf applying for Youth AdMsory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past seryice on the Youth Center Advisory Board: ;go years of Service:
2. Present participation in Youth Center activities by your children No 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 lf yes, please explain in detail:
City
o Do you cunently have a violation(s) of City of Miami Beach codes: No ll yes, please explain in detail:
o Do you cunently owe the City of Money Beach any money: No ll yes, please explain in detail:
o Are you ornently serving on any City Boards or Commiflees: No lf yes, which board?
o what organizations in the city of Miami Beach do you cunently hold membership in?
o List all properties owned or have an interest in, which are located within the City of Miami Beach:
o I am now employed by the city of Miami Beach: No Which department?
7
The lollowlng Informatlon ls_voluntary and b neltrer parl of your appllcatlon nor has any bearlng on your conslderation ior appointment. lt lsbelng asked to complyr wlth federal equal opportuntty Eportlng requlrernents.
Gender: Male
Race/Ethnic 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 / Hispanic / Latino. No
PhysicallyChallenged: No
NOTE: lf appolnted, you wlll be requlred to follow certaln laws whlch apply to clty board/c,ommltee members.
These laws lnclude, but are not llmited to, lhe followlng:
o Prohibition from direcfly or indirccdy lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from onkaclirg with the city (Miami-Dade County Code section 2-11.1).o Prohibition ftom lobbying before boardlcommitbe you have served on for period of one year after leaving office (Miami
Beach Code sedion 2-26).o Requirement lo disdose certain financial interests and gifis (Miami-Dade County Code section 2-11.'l).
(re: CMB.Community DerrelopmentAdvisory Commitee): pohibition, during tenure and for one year after leaving office,
frorn having any interesl in or receiving any benefit from Community Deve6pment Block Grant funds for either y-ourself,
or those with whom you have business or immediale family ties (CFR 570.611 ).
Upon request, copbs of these laws mey bo obtalnod from the Clty Clerk.
"l hercby attert to the accuracy and lruthfulness of the applicatlon and have recelved, read and wlll abHe by Chaler 2, Artlcle
Vll - of the Clty Code "Standards of Conduct for Clty Off,ccrs, Employees and Agency i|ember:,"
I Jordan Nadel agreed to the following terms on 11612014 ii:51:16 pil
Received in the City Clerk's Ofiice by:
Name of Deputy Clerk Control No.Date
8
JORDAN NADEL
BARADMISSIONS
Florida
EXPERIENCE
Mlaml-Dade State Attorney's Olfice, 1lth Judiclal Clrcuit of Florida, Miami, FL
Assistant State Attomey. August 2012 - Present
Prosecute felony and misdemeanor cases throughout Miami-Dade County. Litigate jury trials from voir dire to
verdict. Draft, file, and argue pre-trial motions related to constitutional and evidentiary issues. Handle bench
trials in juvenile and assorted misdemeanor cases. Conduct depositions of victims and witnesses.
Lincoln Square Legal Services, Fordham Law School Tax and Consumer Litigation Clinic, New York, NY
Leeal Intem, January 2Ol2 -May 2Ol2
Represented indigent victims in lawsuits alleging violations of New York consumer protection laws. Counseled
clients owing money to the IRS, negotiated settlements, and arranged feasible payment plans. Dralled pleadings,
motions, and settlement agreements.
Clayman & Rosenberg LLP, New York, NY
Summer Associate,May 2Ol I - August 201 I
Assisted in the representation ofclients under investigation by federal regulatory agencies and facing
prosecution for white-collar offenses. Provided litigation support to attomeys throughout all stages of trial.
Drafted intemal memoranda outlining stat€ and federal law on RICO, bribery, and fraud. Participated in
attomey-client strategy meetings.
New York County District Attorney's Oflice
Office of the Special Narcotics Prosecutor, Special Investigations Bureau, New York, NY
Leqal Intem. January 20ll - April 201I
Drafted motions, warrant applications, and appellate opposition briefs. Researched procedural and substantive
law on iszues surounding domestic and international narcotics conspiracies. Prepared grand jury presentations.
Analyzed wiretaps, bank statements, and other evidence related to ongoing investigations.
The Honorable Barbara S. Jones
United States District Court, Southern District of New Yorlq New York, NY
Judicial Intern,May 2Ol0 - August 2010
Drafted preliminary summary judgment opinion denying Freedom of Information Act request directed at the
Central Intelligence Agency and the Department of Defense. Researched applicable law and drafted bench
memoranda for a variety of cases, including in a billion dollar contract dispute between pharmaceutical
companies. Drafted order and opinion for pro se habeas corpus petition
EDUCATION
Fordham University School of Law, New York, NY
Juris Doctor,May 2012
Honors: Dean's List (201 l-2012)
FordhunJournal of Corporate and Financial Law
University of Floridq Gainesville, Florida
BSBA - Economics, cum laude,May 2009
Honors: Dean's List (all semesters)
Anderson Scholar
VOLUNTEER EXPERIENCE
South Florida Crime Commission, Ft. Lauderdale, FL
June 2008 - January 2009, September 2012 - Present
9
Granado, Rafael
From:
Sent:
To:
Subject:
Bonini, Danila
Friday, January 09, 2015 L:10 PM
Prieto, Silvia; Hatfield, Liliam; Granado, Rafael
Nominations
On behalf of Commissioner Grieco please nominate Jordan Nadel to Affordable Housing position that resides within the
jurisdiction, Dale Gratz to the Cultural Arts Council, Aaron Perry for the At-Large Position on the Visitors and Convention
Authority and Peggy Benua for the hotel industry position to the Visitors and Convention Authority. Thank you for your
attention on this matter.
Ddrcild
I.3,.a"
",,\
j;1, 0..,',iBEACH
Danila E. Bonini
Aide to Commissioner MICHAEL C. GRIECO
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 78G338-3865 / Fax: 305€73-7G)6 / www.miamibeachfl.oov
We arc committed to ptoviding ex@llent public seruie and safety to alt who tive, work ancl play in our vibrant, tropical, hiyrotic
@mmunW.
10
E MIAMI BEACH
NAME: Stone
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Alllson
Last Name
HOME ADDRESS:
PHONE:
First Name
Miaml Beach
Middle lnitial
FL 331tO
Apt No. Horne No./Street
None
City State Zip Coct=
lorlstar22@me.comNone
Home
Business Name: NotAppficable
Work Fax
positim: NotAppllcabl€
Email Address
Address: NotAppllcable Miaml Beach FL N/A
Street State Zip Code
Pureuant to Cfi Code 1ec'ti on 2-22(11a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shell be fulfilled in the folloring ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an lndlvldual shall demonstrate ownershlp/lnterest for a mlnimum of slx months ln a buslness establlshed ln the city.
. Resident of Miami Beach for a minimum of six (6) months yes
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: yes
o fue you a registered voter in Miami Beach: yes
. (Please drcle one): I am now a resldent of: Middle Beach
o I am applying for an appointment because I hane special abilities, knorledge and experience. Please list below:
! prevloucly rerved on a dlsablllty aco333 commlttee at the Unlverslty ol illaml School of Law
o Are yan presently a registered lobbyist wih the City of Miami Beach? No
P.teqse list your preferences in order_of Lalkr-n-S [ll_first toice [2] second choie, and [3] third choice. Please note that onty thme (3]
cholcet wlll be obseryed by the Gity Clerk's O,fflce. (Regular Boards of City)
Cholce 1: Disability Access Committee
Gholce 2: Police Citizens Relations Committee
Cholce 3: Transportation, Parking and Bicycle Comm.
Note: lf applying for Yguth Advisory Board, please indicate your afiiliation with the Scott Rakow Youth Center:
1. Pest sorvice on the Youth Center Advisory Board: ;r1o years of Service: None
2. Present participation in Youth Center activities by your drildren No if yes, please list the names of your children, their
ages, and which programs. List below:
r Have ),ou e\rer been convicted of a felony: No lf yes, please explein in detail:
City
r Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail:
r Do you cunently owe the City of Miami Beach any money: No lf yes, please explain in detail:
o Are yo.r atnenty serving on any City Boards or Committees: No lf yes, which board?
o what organizations in the city of Miami Beach do you cunenfly hold membership in?
r List all properties owned or have an interest in, which are located within the City of Miami Beach:
11
Property
615 sth Street Corp, LLC
4775 Collins Avenue #1905
o I am now employed by the city of Miami Beach: No Which department? Not Appllcable
The following lnformatlon ls,voluntary and le nelther part ol your appllcatlon nor hae arry bearing on your consideration for appolntment. lt b
belng arkod to comply wlth iederal equal opportunlty r"pofilng roqulEm€nts.
Gender: Female
Race/Ethnic Categories
What le your race? Mark one or more races to indicate what you consider yourself to be. Whlte
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No
PhysicallyChallenged: No
NOTE: lf appolnted, you wlll be requlred to follo certaln laws urhich apply to city boardlcorrmlttee memberc.
Theae laws lncluds, but arp not llmlted to, the followlng:
o Prohibition fom direcdy or indirec'tly lobbying city personnel (Miami Beach City Codo section 2-459).o Prohibition trom contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition fom lobbying before board/commltEe you have served on for period of one year after leaving ofiice (Miami
Beach Code section 2-26).o Requirement to disclose certain financial inlerests and gifts (Miami-Dade Coung Code section 2-1 1 .1).
(re: CMB Communlty Development Advlsory Commltee): prohlbltlon, durlng tenure and br orn year after leavlng offce,
from having- any interesl in or recdving any beneft from Community Development Block Grant funds for either yourself,
or those wittr whom you have business or immedhle family ties (CFR 570.61 1).
Upon request, copbs of these law3 may be obtalned from thc Clty Clerk.
"l hercty attelt to the accuracy and truthfulnecc of the appllcatlon and hane recelved, rcad and will abide by Chapter 2, Aruch
VII - of the Clty Code "Standardr of Conduct for Clty Offlcerr, Employeer and Agency Member!."
I Alllson Stone agreed to the lollowing terms on11l11l'i201411:27:52 Ail
Recoived in the City Clerk's Offce by:
Name of Deputy Clerk Control No.Date
12
ALLTSON LORI STO\8, ESQ.' .05 MIAMI BEACH, tr'L 33140
D-marr ; ioristafl2@me. c om
LEGAL EXPERIENCE:
ALLISON STONf,, ESQ., Miami, Florida
April 2010 - Present
MILLENNIUM MANAGEMENT, LLC, Miami, Florida
General Counsel, July 2008 - April 2010
Responsible tbr all legal and risk nunagement aftairs tbr more than 22 skilled nursing tacilities in Florid4 South
Carolina and North Carolina-
Liaison between Federal and State governmental enlilies including CMS, AHCA, and variou licensure boards and
investigative agencies.
Engage, supervise and assist outside counsel with respect to various litigation and corporate rnatters.
Arbitration of labor claims and client representation at union grievance sessions.
L[SE& IIUNTE& TAUBMAN & TAUBMAN, Miami Beach, Florida
Associale, January 2008 - July 2008
Draft and negotiate various corporate documents, including real estate agreements, contracts for the sale of
intellectual property, and corporate governance agreements.
Audit websites and &aft privacy policies to ensure compliance with Federal and State laws, rules and regulations.
TRI-STATE HEALTII INVESTORS, LLC, Miami Beach, Florida
General Counsel, March 2004 - August 2007
Responsible tbr all legal and risk management aflhirs fbr I I skilled nursing facilities in six states. Liaison between
Federal and State govermnental entities including CMS, AHCA, and various licensure boards and investigative
agencies.
Engage, supervise and assist outside counsel with respect to various litigation and corporate matters. Represented
client on a variety of real estate matters including purchase acquisitions and leases, eviction proceedings, code
enforcement hearings and zoning nutters.
KUBICKI DRAPER, Miami, Florida
Associate, Appellate Division February 2003 - January 2004
Research and draft appellate briefs.
Provide insurance coverage analysis to insurers for specifrc incidents.
Research and drat memorandums of law and motions for litigation attorneys within the tlrm.
THIRD DISTRICT COTIRT OX'APPIALS, Miami, Florida
I^aw Clerk, The Honorable David M. Gersten, July 2002 - January 2003
EDUCATION:
UNMRSITY OF MIAMI SCHOOL OF LAW, Coral Gables, Florida
Juris Doctor, December 2001
Honors: Dean's List, Phi Delta Phi Legal Fratemity, Alpha Epsilon Lambda Graduate Honor
Society, Dean's Certificate of Achievement for Outstanding Academic Perfonnance (Contracts,
Professor R. Hausler).
UNryERSITY OF MIAMI, Coral Gables, Florida
Bache.lor oJ'Arts, May 1998
Honors: Recipient of numerous scholarships and academic and civic awards.
13
BARAIIMISSIONS: Florida,2002
VOLUNTDDRWORKAIYD AWARDS: Voluntcer, Mt Sinai Medical Ccnter (2006-200?); Vohurreer, Miani
Heart Instihrte (2006 - 2007); Yoluntecr, Icwish Cornnunity Services Mcal Center (200G2007); Attomey Position,
City of Miami Beach Health Facilities Authority Board (2006-2013); Menrbcr, Yorng Leaderstrip Division and
Volunteer, Volunteer Chai Li&line (2004 - Present): Mernber, Yomg Professionals Commitee, Greater Mied
Jewish Federarion (2m3-2m4). Recipient, Chai LifelineYoung lradershiplnitiarive Awant(2010).
14
15
Granado, Rafael
From:
Sent:
To:
Subiect:
Bonini, Danila
Thursday, January 22,2OLS 5:11 PM
Granado, Rafael; Hatfield, Liliam; Prieto, Silvia
RE: Allison stone
Position #5 One citizen actively engaged as a for-profit provider of affordable housing.
Thank you!
From: Granado, Rafael
Sent: Thursday, January 22,20L5 2:51 PM
To: Bonini, Danila; Prieto, Silvia; Hatfield, Liliam
Cc: Granado, Rafael
Subject: RE: Allison stone
Hello Dani
What category?
Regards,
-.C,.-.
--r-
=::-,-Ii:'';'lrrl
BEAC H
Rafael E. Granado, Esq., City Clerk
CITY CLERK'S OFFICE
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 www.miamibeachfl.eov
We ore committed to providing excellent public service ond safety to ollwho live, work and ploy in our vibront, tropical,
historic community.
From: Bonini, Danila
Sent: Thursday, January 22, Z}LS 11:37 AM
To: Granado, Rafael; Prieto, Silvia; Haffield, Liliam
Subject: FW: Allison stone
On behalf of Commissioner Grieco, please nominate Allison Stone to the Affordable Housing Committee. Thank you for
your attention on this matter.
From: Grieco, Michael
Sent: Wednesday, January 2L,20LS 11:26 AM
To: Bonini, Danila; Allison Stone
Subject: Allison stone
Nominate for affordable housing.
16
I believe she's already got a board application in.
All she needs to do is change her preference.
Sent from my iPhone
Michael Grieco
MIAMIBEACH
Michael C. Grieco
Commissioner
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive. Miami Beach. FL 33139
T el: 3 0 5 - 67 3 -7 20 4 / Fax : 3 0 5 -67 3 -7 09 6 / www. miamibeachfl . eov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,
tropical, historic
community.
SIGN UP FOR OUR NEWSLETTER
HERE<http ://visitor.r20.con
F0 eb& 5 9 6 6 - I 6 60 - 4 6 I 2 -9 5 9 l - e9 addf3 32 d9b>
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Art in Public Places
. Alpesh K. Patel
19
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20
b
--
MIAMIBEACH CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPUCANON FORM
NAME: Patel Alpash
Last Name
HOME ADDRESS:
First Name Middle lnitial
FL 33133
PHONE:
Apt No. Honre No./Street City State Zip Code
alpesh. patel@aya.yale.edu
Horne Work Fax Email Address
BusinesS Name: Florlda lntemagonal Unlver:lty positon: Asslstant Professor, Contemporary Art
Address:MlamlBeach FL
Purauant to Clty Cole tec.t!o! 24!q a and b: Mgmbers of agencies, boards, and committees shalt be affiliated with the clty; this
requirement shall be fulfilled in .the following wap: a) an indlvidual shall have been a resident of the city for a minimum of six
months; or b) an lndlvldual shall demonstrate ot/nershlp/lnterest for a mlnlmum of slx months ln a buslness establlshed ln the clty.
o Resident of Miami Beach for a minimum of six (6) months No
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No
o Are you a registered voter in Miami Beach: No
o (Please clrde one): I am noiv a resldent of: South Beach
o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
contemporary art scholar
o Are you presently a registered lobbyist with the City of Miami Beach? No
Street state Zip code
P,teape list your preferences in_9rde1_of F.nkiry tll-!r"t toice [2]_second ctroice, and [3] third choice. Please nore that onty thrce (3]
cholces wlll be observed bv the Clty Clor{<,s Offlce. (ReguliiBoards of Cig)
Choice 1: Art in Public Places Committee
Choice 2:
Choice 3:
Note: lf applying for Youth Advisory Board, please lndicate your afiiliation with the Smtt Ri[our youfl,r Center:
1. Past servicc on the Youth Center Advisory Board: po years of Service:
2. Present particlpatlon in Youth Center actlvities by your children No if yes, please list the names of your children, their
ages, and which programs. List below:
r Have you ever been convlcted of a felony: No lf yes, plaase explaln in detall:
City
o Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail:
e Do you cunently owe the City of Miami Beach any money: No lf yes, please explain in detail:
. Are you arnenUy serving on any City Boards or Committees: No lf yes, which board?
o what organizations in the city of Miami Beach do you cunently hold membership in?
r List all properties owned or have an interest in, which are located within the City of Miami Beach:
o I am now employed by the city of Miami Beach: No Which department?
21
The lollowlng lnformadon ls-voluntary and ls nelther pari of your appllcatlon nor has any bearlng on your eonslderatlon for appoir*ment. !t lsbelng asked to comply wlth federal equal opportunlty mpordng re{rilernentr.
Gender: Male
Race/Ethnic Categories
What ls your rao.? Mark one or more laces to indlcate what you conslder yourself to be. Asian or Pacalic lslander
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No
PhysicallyChallenged: No
NOTE: lf appolnted, you wlll be requlred to follow certaln laws whlch apply to clty boardrcommittee memberc.
Thece lawg lnclude, but are not llmlted lo, the followlng:
o Prohibition from dlrectly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibilion from ontraclirB with the city (Miami-Dade County Code section 2-1'1.1).o Prohibition from lobbying before boardcommitbe you have seryed on for poriod of one year after leaving ofiice (Miami
Beach Code section 2-26).o Requirernenl to disclose certain financial interesB and gifts (Miami-DaG County Code section 2-1 1.1).
(re: CMB. Community DevelopmentAdvisory Commitee): prohiHtion, durirg tenure and for one year after leaving ofiice,
frorn having any interest ln or recaiving any benefit from Community Development Block Grant funda for either y-ourself,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request coples of tteso lawr may be obtalned from the City Clerk.
"l hereby atte3t to the accuracy and truthfulnerc of the applicatlon and have recetvcd, read and wltl abHe by Chapter 2, Artlcle
Vll - of the Clty Gode "Standards of Conduct for City Offlcers, Employeea and Agency hmbers."
I Alpesh Patel agreed to the followlng terms on11812015 8:47:32 AM
Received in the City Clerk's Ofilce by:
Name of Deputy Clerk Conhol No.Date
22
Alpssn KaNTII.al PATEL
CURNCULUM T/ITAE
. Email: alpesh.patel@fiu.edu
ACADEMIC PosITIoNs
Aug 201l-present Mraur BoaCs URBAN STUDIoS, FIU, Miami Beach
Assistant Professor, Contemporary Art and Theory
Jul 2012-present Director, Master in Fine Art in Visual Arts
Sep 2010-May 201I NEw YoRK UNrvERsrry, New York City
Visiting Scholar, Center for Study of Gender and Sexuality
EDUCATIoN
Apr 2009 UNrvERsrry oF MANCHEsrrn, England
PhD, Art History and Visual Studies
MPhil, Drama./Screen studies (upgraded to PhD in 2006)
Sep 1997 YALE UNIvERSTTy, New Haven, Connecticut
BA in History of Art with distinction in major
ARTS ADMINISTRATIoN Expnnmxcr
Jan 2002-Jul 2005 NEw MUSEUM oF CoNTErupoRARy ART, New york City
Executive Assistant to Lisa Phillips, director
Sep 2000-Dec 2001 Cr,rxrce EsrETrco/MAGNET ENTERTATNMENT, New york City
Production Assistant to Ed Saxon, producer
Dec 1998-Aug 2000 WHrrNEy MUsEUM oF AMERTcAN ART, New york City
Project-based Curatorial and Research Assistant Curator
Sep 1998-Mar 1999 RoSELEE GoLDBERG, New York City
Part-time Research Assistant
Summer 1998 SoLoMoN R. GuccEr\rHErM MusEUM, New york City
Curatorial Intern
HoNoRs, GRANTS, AND OTHER AwARDs
2012 National Endowment of Humanities (NEH)
2008 College Art Association (CAA), Professional Development Fellowship finalist2005 F'ulbright Foundation, Fulbright Fellowship finalist, for graduate study in UK
DocroRAL AwARDS
University of Manchester, England
2006-8 School of Arts, Histories and Cultures
2006-8 Art History and Visual Studies
2006-8 Art Gallery and Museum Studies
2006-7 Drama and Screen Studies
2006-7 Studentship
UNorncnenuATE AwARDS
Yale University, New Haven, Connecticut
1995-7 Werner F. Gossels Scholarship
1996 Richter Summer Fellowship
1995 Mellon Undergraduate Research Grant
Alpesh Kantilal PatelPage I of 2
23
INVITED LECTURES
2014 School of Art Institute of Chicago, Illinois.
2013 Reed College, Portland, Oregon.
2013 New York University, New York City, New York.
201I Florida International University, Miami, Florida.
201 I Universi,ty of South Florida, Tampa, Florida.
2010 New York University, New York City, New York.
2010 University of Cambridge, England.
2009 University of Oxford, England.
2009 Yale University, New Haven, Connecticut.
2008 University of Manchester, England.
2008 University College London, England.
2007 Urbis: Museum of the City, Manchester, England.
2005 Middlebury College, Middlebury, Vermont.
PusLrcarroNs/BooKs
"PRoDUCTIVE FAILURE: WRITTNG TRANSNATIoNAL Sourg ASIAN ART HISToRTES" (under contract with Manchester
University Press, Rethinking Art's Histories Series, eds Marsha Meskimmon and Amelia Jones)
"ART HIsroRY AS ACTIVIST PRACTICE: TRANSREGIoNAL AppRoAcHEs ro LGBTQ-THEMED ARTWoRKS" (in progress)
BooKs (EDrroR + CoNrRrBrJ"roR)
Tsts Too Sseu Pess: NEw WoRK By SARAvANAN PArL{suRJ{vrANr. Miami Beach: Miami Beach Urban Studios
Gallery,20l4
TRANSFoRMAnoN. Miami Beach; Miami Beach Urban Studios Gallery, 201I
Alpesh Kantilal PatelPage2 of 2
24
25
E MIAMIBEACH
OFFICE OF THE,\AAYOR AND COMMISSION MEMORANDUM
TO: Rofioe! E. Gronodo, City ClerkFROM: Joy Molokoff, Commissioner
DATE: Jonuory 16,2O15
SUBJECT: BOARD NOMINATION FOR YEAR 2O15
My nominotion is os follows:
Boord & Committee Nominee
Art in Public Ploces Alpesh Porel
!f you hove ony questions, pleose contoct Bonnie Stewort ot extension 6722.
JWVM/bhs
We ore commitled to providing ercelbnt public *wice ond sofety to oll who live, work, ond ploy in our vibrcnt, tropicol, historic community.26
Health Advisorv Committee
o Dr. Richard Cuello-Fuentes. Dr. Jeremy B. Greeno Dr. Stacey J. Krueger. Dr. Mark L. Rabinowitz
27
THIS PAGE INTENTIONALLY LEFT BLANK
28
EITY CIF MIAMI BEACH
BOARDS AND COMMITTEE APPLICAT]ON FORM
NAME: Cuello-Fuentes Richard
g AATAMTSHAff*{
Last Name
HOME ADDRESS: -No'
PHONE:
Business Name: Alma - Afa l-{aalfhnara I I (1
First Name Middle lnitial
Miami FL 33131City State Zip Code
drrcr rello@almaatahe. com
Email address
flhief hledinal Offiner
Street
Fax
Position:
Address: 1225 Alton Road lrrliami Rpanh trlnrirle ?1,1C,O
No. Street City State Zip Code
Professional License (describel MediCal DOctor expires:-..1Q!f,131[l[ Auach a copy of the ticense
Pursuant to Gity Gode section 2-22141a and b: Members ol agencies, boards, and committees shall be affiliated wiih 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.
o Resident of Miami Beach for a minimum of six (6) months: Yes I or No tJ
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yesdor No n
o Are you a registered voter in Miami Beach: Yes o or No t-l
o (Please check one): I am now a resident of: North Beach ! South Beach n Middle Beach !
r I am applying for an appointment because I have special abilities, knowledge, experience. Please list below:
Please list your prebrences in order of ranking [] first choice [2] second choice, and [3] third choice. Please note that onlv three (3)
cholces will be observed bv the Citv Clerk's Office. (Regular Boards of City)
0 Housing Authority*
O Loan Review Committeer
0 Mayor's Green Ad-Hoc Committee
D Marine Authority'
o Miami Beach CulturalArte Council
0 Miami Beach Commission on Status of Women
O Miami Beach Florida Sister Cities
E Normandy Shores Local Gov't Neigh. lmprovement
n Oversight Commillee for General Obligation Bond
E Parks and Recreation Facilities Board
O Personnel Board*
tr Planning Board*
0 Police Citizens Relations Committee
O Production lndustry Council
tr Public Safety Advisory Committee
D Safety Committee
O Transportation and Parking Commitlee
O Visitor and Convention Authority*
O Youth Center Advisory Board
1
C:\Docurnents and Settings\cornpurbrn\Local Settings\Temporary lnternet Files\OLK1C5\BC Application Revised July lB 2007 doc
E Art in Public Places Committee
tr Beach Preservation Board
tr Beautification Committee
D Board of Adjustment*
n Budget Advisory Committee
I Committee on Homeless
tr Committee for Quality Education in MB
n Community Development Advisory'
tr Community Relations Board
D Convention Center Advisory Board
E Debarment Committee
n Design Review Board*
tr Disabilig Access Committee
I Fine Arts Board
tr Golf Advisory Committee
E Health Advisory Committee
2 Health Facilities Authority Board
E Hispanic Affairs Committee
E Historic Preservation Board'
* Board Requlred to Flle State Dllclosuro rorm
29
Note; lf 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 D No u Years of Service:
2. Present participation in Youth Center activities by your children YesE No o. lf yes, please list the names of your children, their
ages, and which programs. List below:
Child's name:Age: _ Program:
Child's name:Age: _ Program:
oHave you ever been convicted of a felony: Yes J or No tr lf yes, please explain in detail:
r Do you currently have a violation(s) of City of Miami Beach codes: Yes Lt or No D. lf yes, please explain in detail:
o Do you currently owe the City of Miami Beach any money: Yes l.i or No n. lf yes, explain in detail
o Are you currently serving on any City Boards or Committees: Yes tr or No tr. lf yes; which board?
o What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name:Title:
o List all properties owned or have an interest in, which are located within the City of Miami Beach:
r I am now employed by the City of Miami Beach: Yes n or Norr. Which department?
o Pursuant to Clty Code Section 2-25 (b): Do you have a parsnt D, spouse o, child E, brother i-:, or sister n who is employed by the
City of Miami Beach? Check all that apply. ldentifo the department(s):
This section is "not required" but desired: Age: _ years old Gender: Male I Female n
Ethnic Origin (Check one)
White D African-American/Black E Hispanic: E Asian or Pacific lslander E American lndian orAlaskan Native O
Employment Status: Employed D Retired E Home-maker tr Other I
Recelved in Clty ClerKs Omce by DatB
Name of Deputy Clerk
DocumentControlNumber(AssignedbytheCityClerk'sof{lce)-EnteredBy
2
Cl\Docutnents and Settings\compurbm\Local Settings\Temporary lniernet Files\OLK1C5\BC Application Revised July 1B 2007.(loc
"l hereby attest to the accuracy and truthfulness of the appllcatlon and have received, read and wlll abtde by Chapter 2,
A4iplc.tftl- of the City Code "Standar{s of Conduct for CIty Offlcers, Employees and Agency Members."
12-03-2016 Richard Cuello-Fuentes M D
Date Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to thls appllcatlon
NOTE: Appllcatlons wlll remaln on flle for a perlod of one (1) calendar year.
30
WOBK EXPERIENCE Alma-Ata Healthcare
1225 Alton Rd
Miaml.Beach, Florida, 33139
2010-Present
RICHARD CUEtto -FUENTES, M.D.
__12_25_ALTON.RD
MIAMT BEACH, FIORIDA, 33139
Hammocks Medlcal Offices
10201 Harnmocks Boulevard Ste 123
Miami, Florlda,33196
2010-Present
Miami Beach Medical Gnoup
Mlami beach, Florida, 3313g
2000-2010
HOSPIT-A.L€ Mount-Sina
AFILIATIONS University of Miami
POSTGRADUATE lnternalMedlcineResldency
UMass Memorial Health Care
University of Massachusetts
Worcester, MA (Julyl9 gl -2OOO\
M inl-Residency progra m
lnternal Medicine and lnfectious Disease
Mount Sinai Medical Center
31
Miami, Florida (Oct-Nov 1996)
EDUCATION AutonomousUnlversityofCentralAmerica
San Jose, Costa Rlca (1991-1995)
Degree: M.D.
Florida lnternational University
Miami, Florida (1989-1991)
Degree: BA Chemistry
Miaml Dade Cornmunlty College
Miami, Florida (1996-19g9)
Degree: AA in Liberalsciences
LICENSURE Florida Medical License
CERTIFICAT|ON Basic Life Support
Advanced Cardiac Life Support
ECFMG (valid tndefinitely)
MEMBERSHTpS Ameriean College of physlcians
-America
n-Societyof tnte rna I Med icine
Amerlcan Medical Associatlon
PRESENTATIONS Dyslipidemlas
Grand Rounds.
presented at UMass Memorlal Health Care
Worcester, MA (Aprll 2000)
Prostate Cancer Screenlng
Presented at UMass Memorial Health Care
Worcester, MA (Aprll lggg)
32
Breast Ciincer Screen!ng
Presented at UMass Memorlal Health Care
Worcester, MA (October 1998)
LANGUAGES English, Spanish and French
PERSONAL Travel, readlng theater, exerclse and nutrition
INTERESTS
33
H+ITrtrl
b, 2()14 b: I /PM t(rchard No.4l/5 P, 1
#ut*4t,il'Ili
I g''ri,,,ir.r,;,.''ii!.r' 1i,e] d.r.
''^.\:jffifljf$,,Fffi&;*F'
-'futrffi*t
tf-,,
34
35
Granado, Rafael
From: Miranda, Alex
Sent Tuesday, December !6,20L4 L0:04 AM
To: Hatfield, Liliam; MaYor's Office
Cc: Prieto, Silvia; Granado, Rafael
Subject: Re: Board and committee application, resume and photograph submitted by Dr. Richard
Cuello-Fuentes
On behalf of Mayor Levine, please nominate Dr. Cuello to the Health Advisory Committee.
Thanks,
Alex
MIAMIBEACH
Alex Mlranda
Ghief of Staff
OFFICE OF THE MAYOR AND COMMISSION
1700 Conventlon Center Drlve, Miaml Beach, FL 33139
Tel: 305-673-7035 I Cell: 786-375-1463
36
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Grieco, Michael
Tuesday, December 16,201,4 L0:27 AM
Miranda, Alex
Hatfield, Liliam; Mayor's Office; Prieto, Silvia; Granado, Rafael
Re: Board and committee application, resume and photograph submitted by Dr. Richard
Cuello-Fuentes
Please add me as co-nominator
Sent from my iPhone
Michael Grieco
MIAMIBEACH
Michael C. Grieco
Commissioner
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive. Miami Beach. FL 33139
Tel: 305-673-7204 / Fax: 305-673-7096 / www.miamibeachft.gov
We are committed to providing excellent public service and safety to all who live, work
and play in our vibrant, tropical, historic
community.
SIGN UP FOR OUR NEWSLETTER
HERE<
59 2 2 &sit= u Tdqvsd i b&f = 0e bB 59 66- 1 660-46 1 2-9 59 1 - e9a d df3 3 2d 9 b >
37
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38
MIAMIBEACH
-r-4 t u:n/,tBew * 3rR2,
Businss
Prohssbnel Licsrrs tol"rilrll, Sfrt€ 0f ,0t C€,{t6 Bgins:
altach a copy of cumfiy elfccttue prof*alonal llcense
Please llst prehoncas in order of ranking [fl first choice [2] eeond choice, and ltl third choice. Plum note thlt
' ''- -- {ekuYGt2e*laDeeaarc't 'J4
Honre Tebphoru Wod< Telephom CcllularTelephonc Email addreea
PoJ( Dt
I E/lvq+rateCrls F
Ocanoation/t\ ffi?to ae*-6acf Fc ,rttt
BOARD AT{D COTITTTEE APPLICATION FORi'
Purrurnt to Clty Codc aocton 2-4aD & b: Mcmbcrs of agcrcies, bosrd3 end ccmmltiees ahall be effiiebd witr thc City;
this rcqulnment shafl b€ tullillsd in the bllowing wayr: a. An individual sheil hew been a rBidcnt of the Clty fu a mlnfinum of :h
months; or b. An indivldual shsll dcmonstate ownelshMnbr€st for. minimum of six monh3 in a bueines ert blilmd in thc Clty
fua mlnlmum of slxmmthc.
o Resident of Mbmi Beach for a mlnimum of six (6) months: Vor [E[or fo E
o Demongffic ownershlp/lntercet in a burhcsa in Uiami BGach b e manimum of six months: Yel EEI or fo El
o Are you a reglstered voter in Miami Beeglr: Yet Elor Xo -Elo I am now a resident of: North Berch E Sou0r Bcach El muor Beech El
o I am applying for an appointment because I hare specialabilties, knowledge and experience. Plceee llrtl bclow:
o Are you preeently e regEt€Ed lobbybt with the Clty of Miami Beach? Yer E] or l{o El
I aoerC mrmben rtt rrqulnd to fllr Fonn 't -;strbrncm ot Flnanchl lnb|! f w|th tn. Strb.*lt vo,t rct eppolntn.nt to . prof.aalonrl r..t (c.g,, !awt'or, rrchltoct, rb.) on ttrr Bolrd rrr veu rtlf,.ppor]Isr.il _lo . Pnolralonl ..at (c.g,r !awl'or, .rchltcct, .b.) on tia Borrd of Adlurlnont Drelgn Rcvlru8o.rd, Hmrlc Ptrcrvetlon Bord or Plrnnlng liorri, rticti . copy oi youi cumnoyrfbcwotj lrcomo, md frmbh theiollowlng tnllormdbru
Typr olPrcfrrlona! Ucona._ Llconr lfumb.r
F:\cLERlaALLr.FoR[s\BoARD Atrto coMiilTTEEs\Bc AppLrcATtoH 40 B&iR lr:r'"0r,, *
39
a l{otr: lf epplyine trr Youh Cenbr Advirory Boad, pbere indacab }our efilitton wlth tF Scot Relow Youth Ccnbn
1. Psst s6n ie on tha Youir Cenbr Advisory Bogrd: Yes U J{o I I l}atss of Servicc:
2. Prurcnt putidpeUon ln Yordr Cenicr ac&ites by your childr€n: Ves El t.to El
lf yee, plcua lln bokry Ote nrrns of your drldrsn, tnir ager and Orc progrms in wtrlch thcy perlldpeb:
Child's neme:
Chlld'g neme:
Age: _ Program:
Aoe: Prmrem:
. Httte you ewr been convlcbd of e lblony? Yol or llo lf yes, plcae erglain in detail:
o Do you cunffuy hsw I vloletlon(s) of Clty of Mbmi Baecfi Co<tc? Yol El or rEh yec, pberc explaln in dctril:
o Do you cuttrlrtly ow. the City of tllemi B.dr my mory? Yo El o, ffo El I ycr, oglcin in detelt:
r Aru you curnmtly toMne on eny Clty Eord or Commife? Yor fl o, ffoEl tf yco, whlch board/cornmilbc?
r ln whrt organtseUon(c) In ihe Clty d itlrnl Boach do you cumnty hold rnsnborlhip?
PooiUon
Nrme - Pooiton
r Lirt a[ prcpcrds oumed or ln wttch you lnn an lnbrst within trc ciU of i/liami Beacfr:
2{ Sr
. Arr you nw cmplqpd by fre ctty o, lrlaml Be*h? Vra E or ffo El
ltYhldr @etUnent and litle?
r htlruni b cly codo Eocooo 2{c Ol: Do you hew a psr€nt E *r." E "r,ir El oru", f] o, rtrrr'El urro r
employod by th. CiV of Miami B.edr? Chcdr altthrt appty. - . tll Ycr,'ldcn0f porson(r) tnd dcp.ilmcn(.):
Tlr iolloultp lnlonnr0onl Yoluilrry-tttd b ill0rrt p.t! of your rpplhrilon m, he3 my b11rlng on your conrldrrrlton lorrppolntll.nt lt lr botrp rrbd io comply rl0r Clty dlv.ldry nio]uni 'nqulrrmntr.
El efri"-,+-"rican/Bhd(
Elceuurmrvuur
Elrrl"n or padfic BlendorLl xeO,,.an"rican/Amcricen lndianU Otrcr- print Racc: -
F:ELERuALLLFfi $slso^Ro Axo coilulTrEEst8c Apr.oror, .. B&?B ?.31"10rr.*
40
Do you con.!d.r yourr.tt to b. Sp.nbh, HbDrnb or Lrtnole? Mul< ttp ailoo tut il tro[ Spanslr, Hisptntc, Latfipla.
Eht"
Ev",
Do yor conrldcryounrll Phyrlcelly Dlrrbted?
E[*o
Elv".
]IOTE; IF APPIOINTED, YOU WLL BE REOUIRED TO FOLLOW CERTAI}I LAWS TiHAT APPLY TO CITY BOARD,COIXTTTEE
f,EXBERS. THESE ljWE IT{CLUDE, BI'T ARE NOT UTITED TO:
o Prohibllion from drecdy or indlnctly lobbying Crty penornct (Miami Bcadr City Cod€ sedion 2459).
o Protibitim from conbrchg wih thc City (Miami-Dade County Code scdion 2-11.11.
o !rchibltict ts1 tobOyttU b€ble thc boad/committee you have .er\rod on lbr period of ote ycar albr leaving oftlo (ffismi Beeh
City Cod€ socilon2-261.
o Requiement to dildolo csttBin finarcial inbrBsB erd gifB (Miam i-Dade Coung Code cedion 2-1 I . 1 ).o CMB Communlly D€toloPmont Advloory Commit@: pmhlbilim, during brurc and br one yasr afbr baving offie, liun havhg
any hbrest in or rucoivitlg any benefit fom Communig Danlopment Blodr Grant fun(b br cither youccll, or tlrco niti uliotn
you herobuoirrcs orimm€diab lbmilytbs (CFR 870.611).
o Sunrhhc Lew - Floffa! Govsmment-h-llre-Sunahhe La,v wes enedod h '1907. Today, thc Sunrlrhc Lnr f€garding opmgorrammilt can be fuund ln Cheotcr 286 of the Florkta St tuEs. Thcte ctstrbs cstaS'flrh e bilb dght of eccre to nioct
I€ctinll| { Ooa{s, commFslons end otlrr governing bodbs of rtlb erE local gor,cmrncntal egandB or autroritbt.
o Voting conflkt - Fqm 88 ls br ure by any peson serving a Otc county, cfi or dher local lercl of govenmutt on rn ppoin6d or
d€cbd boad, comd!, comrnbrbn, rubority or conmltbe. lt appliee eguelly b membac of advbory rnO nonoOvti6ry bodle
who ara pIBlanbd txith a wtmg conf,id of hb'3st urder Sedion I 12.31ll3, Floridr Statrtes.
Upm ruqmal coph! ot$rr. lrn mty br obtrlnrdhoor tr. Clty Cl.rt"
I HEREBY ATTEET TO THE AGCURAGY At{D TRUI}lFULllEgg OF TtlE APPLTCATIO{; A}lD I HAVE RECEIVED, READ AND
WILL ABIDE BY CIIAPTER 2, ARTELE Yl!, OF THE rt m BEACH CtW COOE, EilnTLED "STAI{DARD8 OF COXOT CT FOR
CITY OFFICERS, ETPLOYEES AiID AGE]ICY TETBEITS Al{D ALI. OT}GR APruCAEILE coI,TiIw AxryoR g?ATE IIIUS Al{D
D. izqlu .Y 3. &al 14 ,l
Rcoelwd in Otc City Clcrk'r Ofice by:
PLEASE REMETUBER TO ATTACH A CURRENT RESUiIE, PHOTOGMPH AND A
COPY OF ANY APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED
INFORilATION.
F:ELERrtAulrFfi reBoARo Ar{o cot,r rrEEsr8c Applor* .. Jffi, ?r3l"1.orr.*
41
MIAMI BEACH
Crry of illoml B.och
lTOO Convcntion Centor Drive,
Miomi Bcoch, Florido 331 39,
www.miomibeochfl.gov
CITY CLERK'S OFFICE
Telephone: 3O5.673.7 41 I Fox: 305.673.7254
CiD€lorkOmiomibeochfl .gov
Acknowledgfiient of flner/euspenrlon for Board/Commlttee temberr for falturc to comply wlth illaml.
Dade @unty Flnanchl Dlscloeure Code Prcvirlon Code Secflon Z-11.ilt,ll1l
Board ilembe/c Name:l{,0.
I underSand that no later than {uh l. of each vear all members of Boards and Committeeg of the City of
Mlami Beach, including thoso of a purely advisory-ndure, alr required to comply wlth Mlami-Da<b County
Finandal Disdogure RequiranrenB. This means that the memberc of Crty nOvisory Boards, f,iltocc role o-r
primary respotsibility is to recommcnd legislatbn or give advie to the'City Conimiosion, must file, ewn
thorgh they may hane been recently appointed.
Qgg of the lollodrq formg lDlEL!! nhd with the City Clerk of Miaml Beach, 17(D Conwntion Centcr Ddvc,
Miami Beach, Fbrila, no laterthan 12:00 noon of July l, ol each 1nar.
1. A'Source of lncome Statement'
For your corwenlence, the fmn is attached. The form can also be downloaded at
htto://umr.miam6ade.oov/elections/Librarv/source of income staternent.pdf
2. A "Statement of Financial lnterests (Form 1)'
For your corweniance, the form is attached. The form can also be donrnloadcd at:
htto://www. ethics. state.fl . us/effi ics/fsms. html
3. A Copy of your 2013 Federat lncome Tax Retum
Fallure to flla one of these foqns, pursuant to the Miami-Dade County CodG, may subfeci the person to a fineof no more than S500, 60 days in jail or bdh.
Updded: Mondry, Docembe i0,2013
F:rclERrtArrbFoRrslso^Ro ANo couurrEEg\rc
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42
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4,12, Pmocdc t ol Bhd. Suits 200
Co.d 6h, FL 33146
305.143.6606 (r) 305.+t3.{t90 (0
rnrv.tfrqticbrudtcom
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EDUAITToI{
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IrlploilE, Aacrlcra Eorrd of Dcrrrtolog;r
fbrldr Dard olMcdlclr
M.r.cnu.ctb Eord olRcalrtrrthn h Mcddoc
Anc'icu Socicty for Damrtotqic Su.tpry, lpDdrtd to Dcmt tologic SrrS.ry Fcllorwhip
Accrtdifior Wort Groop
Arncricrn sodoty for Lrrcr trlcdicirr rnd surFry, .Dpohrcd b stntcgic phnni4 commlrc ldMd?tirErdfublicRdtiarCormltt c -
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Jrinr Bmt OuttD.tEiomtc Pdat Crc Avrn( ln rtcognitisr of outrndh3 rcridort dalcrticr topahil,
Elcscd Cf lcf ncddGot of Zl rcri.hrf, protrrn by ftotty
Plcr Rcvicrr,tr, & tatlqb hrgcry
JEREMY BLAIR GREEN, MD, FAN)
SBrCrrt Pbydchrr, Chcstlu Hill, MA, Fctlow$ip in t scr, Sutgi.,rl, rld Coonaic
Dcrmnolosr. McrE3 CtinFd Fsculty d Hrrrlrd md Yrh Doprrtrcnffi of llnnrtoloSr
Urhotrlgof Mhnl ifilhrSchoolof Mcdldog Mimi, fL Rcri&rn, Dcplmrof
Danolosr e ClEtous Suryny
Mourr gml llcdlcrl Ccrrcr, Mimi Bcrti, FL
lntcrq lntcrnd Modioir
Urhnd! of ilhal MllLr &hool of Mcddm, Mird, FL MD, Alptr! Omct Alph.
(AOA)
NortlrcrGr! Ullv.rdty F.lobcrt Scfool ot Mdildrq Chicrgp, ll. MD Cmdirhc
Prlmrtoo Urhsdty, Ptincoq NJ
AB in Hiclory of SciGn6, Cfrm lrrrdc
Urhcrrlty of Mbcl Dcg.rrrGrt of llcruetologr rl Cttrrou Srl;rrr/&clooo
ilcmrld Hopltll, Mirni, FL
VohDtrty &rittntr hoesc of ncmmlry. rttsnliry ftr afiolinic providing pdarr oc
utd rtsi.lcot c&c{iqr.
Dr. krrdt D.t..tolo3y Amd.r.
+125 PmcG dr l,or Blvd", Soil! 2(l(), Co.rl G$1G5, FL
Full<im srfi dcrmrolqist
Dcmrtdojr naorti lrrdtrtc lIC
L25 pooe dcLon Btv(, SuiE200,CadCnbha FL
Pcftnn* r prinoiprl md roinvctijor, FDA.eppovcd clhicd uirls for &anfrlo6r
pmooaru forptumdoJ, bkncdirl, nd osrncticdcvioc conpnhs.
Ncr EAhod E p&r IIaCnl, Bosh, MA
Sdf damrobgii, ioplicnr cooriluims,
Codrrn Squrrc Had0 Cclir. tlorlllci&r, MA
Sddc'nrlologrrt for oommrnity hcr&tr o6E.fEliedwidr Bcloo lthdicrt CarEr.l
Boen Urivcttlty Oca$uan of Danodogr scrvin3 HritfurAmaicr nd Hhpnt
DoDrlrio"
2013
20t2
20t I
2010
2m9
2W
43
2m6
205
200a - 200t
2(x)3
M2-?N'
200r
2m
2000
V. SCIENNFIC AND OTIIEN PUBUCATIONS
!. GrtcrJB,FrU$KltnotJ,Udtorlrccnforrnclrnn" hnrotologtThut,ecjrod6rprbli*irnJuty2013.2. Frcldnm Jn, Grffi RM, Gncl JD, Hilologic cftcts of rcorfaring lrcts . Fciall Plafic slrtazrtreccatcd for publioeion July 20t3.3. Grtcnc RM, Gncr JB Slin tE|ruilng Edmolotic3. Febl Plolrltc srfaDty rccptod for F Uicaio July 2013.4. Sqoulo K Srdi N, Krrfulr r, Gtt r JB. FoBiun Titny' Ptosghrc [scr. Acotptcd &r prblicaion runc 20t3, Goldbcrg D cd.Larnodllghtt.5' Grro JE Klfiut J. Vrqdr lrs rcrcrtlr rcvcrh rdvrnccd rctrort optidr. bt dol@ Thrls,ltqtl7ol3.5. Grtcn JB. Brllin A Krfin n J. Ltlco md lithr ftr src Acccpt d for Frblicrio Mu 2013, Aichncr J 3d. tolt thrn.rryttdn bt
dc rabbg : o dfr ilrr;t d dtqrrrt it.1. Grccr Jl' Kafinu J, Mlnimizing mulr - Ccrwt oombindion of hscr dsvics $th t,?c of mrc rcarboar clrmcc of clcrmca
Dcnaulogr Titr,s, Jlt 20 t 3,8. Grccr JE, frrl8nrn J. Sor inrighr: larr opricu contirrE !o trou fur hypodrophic, lddd rcuing . bnuolog fircs,DGc 2012.9. Grctr JB, Aolik & Ktuftln J. Nor6lrivc firaknrl lucrr rfiord nsults, nhinizr dornirrc" Orlrrtolo33' h;;r. tlov ZOt2,10. Sdi N, Gttcr Jlt Dorct J$ Amd KA. Thc Ewtutiot of Qrnlity.Swidrcrl l-rrrxr. Jwad dDn g, tn ht flolq,nl2
Nov;l l(l l) 1296129.
I I ' Gttco Jll, Gcdda E& XtufrDln J. Mdlrh nrcernrrnt ool clr ircrcc rfiy, clfcy of lijht.brscd &vis. bnnou@t Ttut.
Mry2012.
t2. Mctlliu.A[GrccnJB.Cmsrtrryltallfirciomldcvir- cqurluithr4lrdtoindrctimoffbmcis? hnutologtc&4cry20l2Mrgt(3)4f3.t.
13. Grur Jl, Klfrrm J. IaN8+utlcd lplictiqrc 0f 1064 nm l'!rjt. bmuologr ?l,rs. Mrdr 2012.14. Grcot Jl, Kruftut J. Shotl-prlrod plkrtiqrs of 1064 mr luq. Dardolry fi*s.Fcyrlsy 2012.lJ' SpockC,KruflnoJ,GrccrJB,cirl.tscnudlighnrccstoraivncfibrobh$.Carrrb Dcrraalogr.Jmlry20t22'(l)27-33,15' Srcdi N, Grtcn JB, Klutht! r. Alonndritc hsa r vcrsailc tool frr r vriay ofdammbgi c rylicrIrur. bnonlogr D:ri, i11lrry
2012.
17. Gr::oJ$Mctdi!.Al.OprimizinSourcomoftrscrtltloor!flroval..tti, llrrryyLeaer,20tt;t6(10):l-3.It Ktl4l P, Gla JE,lvtaclitrr At. Emcryiry rcn&rrrd trqmmt rygro*hc in n6iunclmmr skin clrccr - r Cndhn pcopccrivc..lo*nl gCwtotu tHtctr ad Swgrry.20ll Nov.Doc:l!(Sup9l l):5365-?0.
!!. Qrccn lA fruftE ,. Hmrc-rxc rnc dcvta oftr cxDsr&d ogttir for pticrnr . hnaologt Ttns. Ocrobcr 201 l.20. GrctnJLKruftnlJ,lmdtF,arl.Hyrlururicridfiltcn. lnlLnraaoios,cgrgc4rlripfisrptstcdirbn,NouriKo.t.AcocDcd
for publictiqr i.lov 20t l.
2l . Grtcn JB, Kruhm J' Brrdt F, a rl. Bonrlinum toxin: ortiuluir oris, rnortatis, md d.prEsor mluti oft. ln Pt1g,;dtcs la C$rruttcDcdqr nn C,djtiq Dovcr JS d, Aoccpad tur publac1im Ocr 20 t I .22. GrccrJB,lr{ctsliBrAl. lnuoductirntooGmccarlicds.s.shrorr,.at&,r2a..s|ldtctnaDdfurgery.2ollScprro(3):t39-10.
23. IrdadiBr At, Groce JB. . Honrc-urc lucr lrd ligh *h &vica fc tfic stin - o rprhc . S.nhe+ -in Cubret iaiil .a grr.3rry.
201 I ScptJ0(3): l{+147.
24. Gttco JB' Dorcr JS, Kuhcr-MS. Tolcrtbility of . morqdr ndioftcquarcy frcid rtin tighurin3 pooc6rrc: tu obscnraimrl sody.Carrlb bffiolog,. Joly 201 l.25' Grccr & Itl*lilsr At, Kuftnn J. lnlrruc ultlcomd rtrcnpy for bcid rod nGd( rldn rithiing bnwlry Tlnt. tttty 2011,25. Grccr JB, I(ruftnar J, Dov-cr J. Shonlutscd tasa ftftn nr iihicrrcc rtoo rsnwrl $&;!s . *hwWt nftt. Dooonbir 2010.27. Grccr JB' Gut6om L, Karflnar t. irscr, llfn frcnpv urclirl in conrbling signs of sun cxpocuro on dlgsl ncck. Or nta4qt Tlr7;tJuly 2010.
28. Prics Cl, Grrcr J, Kirna RS Meiloqrcoir in dril&sr is csocircd wi$ mubtionr in o-Kfl, Jouml g llrristtriltw
2010 Mrql30(3):639.
29. RiooT'GncnJ,KinnaRS.Novclmtivinldrcpybrcdoninncimmnrty.JatdqltnwagofivchrnuloEr.Z@
l,rov; r29(r r):2510.
30. Rio T& Grtcl J, Kirsncr RS. ^v!sc,rlT-@!tdirl gro$ah froor &livcry vie grnc 0rcnpy 6r di$aic woun &i f:ml nrrr.,. Jd.tpl dhtuiltgat e. Ut abrogp. 20()9 Scp;129(9)20S4.
f!' lncnJr KimN,Kirmsr_RS. DctrniqRopoonfirry.Jantloltrrwsreoltrra hnstolqt 200gAugt2g(t):ltt&32. Ronmdli P, GltG! JB, Riooni c, a tl. mhunolrbtoctrcmiotivarutlr of o.ic .pia.n-t rcornir rcida *mr humg antrwg;lol3immmojhhlln G lbl Dcnurot launol.200t AuEl43(4):Z!9-33.33' Hdcm M, GmGt J, Kttdcl F. ct tl. Comrmnity r$ild;fricillin rcsistrr[ Strehlococcu unar skin hftction. &rrrurr laCtonas Lt&at* od Srlrlauy.2006:it1ell:it*ti .3{. Grcdt JB' t*hrottl M. c.ldpdoiol rti, uitimatlrarc aipropionc: r thcrrgcurlc combiiliqr lbr trorl6i!. ps6y4lasg F*tnt.2006;12(l):+5.
35. GrccnJ'Roys.Aqi*Gtiotttrofthcorrlrurguc.tntcrmtturdJdtttrdolPdbnicoorhia&4nyohgtMt205;l(2):107-9.
.TEREMY BLAIR GREEN, MD, T'AAI)
M6tO$lrr.liu Mcdid St dc|rirl)tnn*ologr, Mltri MillcrScholof Mdicinc Dcpt of
Dunrtologr & Cutrnous SuArry
Alphroncgr Alphr (AOA) Nihrd Mdirl Hooc Scicty
A*rdcd Hffis in Univcnlty of Mimi Clinicrl Clc*rh[: Ccnal Su4cry, Frnily ttlcdicinc,
Obrrdcs ltdGmcolqy, Pcdirrics, NcunbCy, AnailEaiolqyard lLrurnlog(Mount Sind,NrO
Firil Prizr P6E d 4'Bkmnid lntlmiiqr.l Sosicry of Adroccopy, KIrc Surpry, srd Or{ropaodlc
Sporrl ltcdictuE 2(n3, Auddrtd, NZ
No,rduacm Fsinbcry School of ltlcdicirc Tuitkm ilcrit Scholurhip
Prirc.lon UniE3ig D.9rtmst ofHktory, dctr!3crm [[rdc
Cetrin, Prinoaon Uniwlity V6ity Sprint Foolbrll Tcrm
Fir* Tcrar Collqidc Sprim Fodbdl f,cryr Dcensive B*&
Scoond Tcun (1999) Hmor$lc [r{.ntkn (1997)
44
JEREMY BLAIR GREEN, MD, FAAI)
36. UdbcJW, SdndpfiM& Grcn JB, ct C. Rouroroufrnpdr in gind ord iniuy piicm. Jaurulot$luil&rod Elbov &trycry.
2(t0l;12(11:327-332.
37. Uribc JW, SchunoilMR, Grccr JD, Frilurc ofpolyrcriad{rric rid ucls in rhouldct *ttgry. J Shaldcr ru W.200t;12(2}.ll7-
t2t.3t, GrtcrJB.TtccvolutinofAlzlrcimcr'sdbcGc:oohorcrric3ovcchsrilictlnshcc1900.PrinoctonUnivmirySailorTh3i!'2001.t9. Grrcr JL lrtnrohl M. lmar$oos of common psorirsis tscltmcnB. Psolr<ts Fou. wiflE, 2001.
40. Bcdrcr JR, Grccr J, Dirrrich WD, a d. Sprmicrlly dminirtcrod inarlcutin-!0 rcduoB ornxr nocro3is Baor.dphr prodrction md
rigrificrdy impwcr ftnctianl rcowry bllowingtrruntnicaDind cord tfilryinru-Jovml qf Ncworraum. l9*16(10):ttl{63.
VII.'NESEIITATTONS'NOSTERS
l. -Lracr Updc," Grt r JB, lfl lntcrnrtiond Dcrmuologic Odilei Synporium o Proriris md C.:cnrric &melotF-tJnivcnity of
Pitl, July 2013, Piq ITALY.
2.
3.
1.
5.
6.
7.
t.
9.
r0.
u.
,2.
t3.
r4.
tt,
16.
17.
It.
19,
"liirr lilcnrtty Focntcd Ulusound for Frirl Li0inf atd Tithtainf Grtco JB, Junc 2013, Cdl, COLOMBI,A.
'lera Up&: Vuculrr nd Pijnott," Grcco JB Florida Sociay of lhrmaology rttd Dcmlologic Snrllry Atrnn l Mcdrg. M.y
2013, Boc.Req Floriala
"531gfug Frog" I(cyne SIatGr, Grtcr JE, Biodcnnr Middtc E $,6dr ftrntd Rcndczvonq May 2013, Srvottg ITALY.
Gncn tB, Prlomr l&dicrl T*hnologi.tr Mvurccd Uscr Symporiuu locnucs nd livc llccr dcmorrtrliot, April 2013, Boce Rrton,
Fh.idr
'Vrcoilr lrrr:: rwicv ad ,cdr," Grctn JE. Lccurc c drc Ancriclr SoGiGfy f6 Lcer Mcdicir ud Sugcry fuinual lvtcding enrit
2013, B@q Mrrrdruscrc.
'Erycro in th Hdl: Strting r Crccr in Lrcn," Grccr Jt. Lrc[rr! d thc Amcricar Sc,iGty for Lscr tt GdicitE ad Su[rry Annurl
luoain& ADril 2013, Bocoq M8$drtr3a$.
Vrrcrhr l-rscr RorndtrUc, GrcGr JE, Alcxidca.ArmalrlG, Sldidr N, Vrdly Q Doocr IS oa belntfof Cut rr l.rcr!, AFil 2013,
Bomi lvfissshlatt3.
"Uldrnpy: amriarcil ttsulE ffom mkmfoorcd ultlourd." Grur JB. Lcctlc md livc dmodrtioo ftr ultftcrr Mrrdt 20t3, Mhmi,
Flo(il[.
"!loldircorcr's in rlh rcjuvarim od vrarlu tbcnpy.- GncrJE. OhndoDt'mmlojy Ac*taic rdClinicC Corftnn*, Podium
Fsatrioa/livc lr*r dcmmrtaln fu Cutsn lJtcr!, Jatlu.ly 2011. o'lorb, Flaidl
'Ctdnlc.l rccb," Grtcn Jl, KiryP, Grud un&, Univcnity of Mirmi Dcprtnatof CIoriinolrfmfobty, Jnurry3,2013,Minf,
Fhridr
'Vrcculu hcr upda. ard rdvmccs in body cornurinj." Grccr JE. kctut or bchdfof CuEn Lr*n, Sc@nbcr 2012. OLdo.
Fbidr.
'Vlcculr bc. rpdla nd dvnccs in body ormring" Gmcr J8. kcrur on bdrdfof Cucn Lrecr:, Ser.rnb.r 2012, Tqonb,
Oildo.CAIIADA.
"Adwr6 in lut-bocd vaerlrr mahalr." Grtcr JB. Lrc0lr! !o t.s.' trrcitiotcn olr bchrlf of Pdqnr Mcdicrl Tcchnologi6,
Aulut 1)12, Ncr ollcns, Lauisime
"Lgt ternoloOt in llE tertncntof m &, rwr." Gttctl JE. A,mt'ic]r AcrdenyofDcnnrolory Surnmcr McailE. AEB$ 2012,
Bocbn.I{rcluscnr.
'Advnocd As0tctic S)@ochm: hhmr lout ndftrltt, Prtoln!' Acl*r Photogncrmtic Acnc Dvicc, .ld Pdomr MrrG lntansc
fulrod U3ht fr VrorbApplicains"" Gncn JB. Irciuls to lrra prrcitionrrs qr bdrdf of Prlorar lvlcdicat Tcchnotofica, Jurrc 2012,
Fon L^rrdcdic, Flai&.
"A l.lovd 532tm/t00lnm Lonphrlscd Lcscr,' Grccl JB. Florktr Sociry of Dcrrnelog/ rnd Danrtologic Srrylry Armud tr,loaing
Mry 2012, Oludo, Floridr.
'Boulinum Tch My Wry," GrccnJB, FlorkLsocicty of Dcrmelo6/ trd Dcnrilolo3ic Srrglry Annud Maing Mry 20t2, Olndq
Florilr.
"Mvorcod Acrttcio SyDpociuttt: Prbnr lccr Plrtronrl Prbms Achn Photofranruic Acrr Drrioc, ad Pdoma MnG lngttt
Pttltcd_LiShr-fot VcqdrrApplictiors." Grc.rJB. l-ccturcs o ls pncdtiomfi qr bdulfof Prlornr ltcdical Tcchmbgics, Mry20t2,NcluYoL"tkr Ysk
20. Tlcw discovcricg h s&h ttiuwrakn rrd vrorlr thanpy." Gno JB. Lrcias to dcimatologlsB ard laccr pnaftirrcrr on bdtrtf ofCu.n L.r!i Apil20le Wtl0rrm, MGslobntatr3.2l' "Ral'tittErtbninac&nqtstBboprittrizlEldncntecningsrodrvoidcqplicrbns.'RcEv.VrilyD,ColrcnJ,WcirsR,Grtct
l^B-, Kofttrt ,t podim prcscotrtion rt Anrcricn Strrcg frr 1116 Modtcinc riO Snrpry A*unl ttaUj 4pi1 2Ot2,-Orhdo,
-ltlqidr.
Zl. 'Nar discovcris in slin rcjwcnlirn ud vrarlrr ilrcr7y.' Grtcr JE. kctrrc to dcmraologbr md trc pircrilioncn r Arncrir:ur
Acrdanyof Danrldoryarud mcain3qr bdrdfofCitcrrLGcr$ M&f 20t1 SrDiqo;Cdifomia23. ?'|ry dircorrcrhr h rth rcjworrirn md vtorlrttcrrgy,'GrrnJt. Irctrc o locJ plretic srrlcoos, dcrriltologbg, rnd ltcllluyIlfim bchrtrofcucrLG.llr Mr.h2012. Cdgry, ltcrtr, CAI.{ADA.U. "ltlcv disovafus in skin rcjuwnekn ltd vlsqd[0rilpy." Gncr JB. orlm& Darnaolo6r ecsdrcric ud Clinisd Cotftrstcc,
Fodim pcrartrtbnlivc lEcr dcnrorgntion ftrCrrcn t rart, Jrrury 2012, orlrldo. nai.h2t. 'Vsodrr l.s!: gr rDddc." Grccr JB. Mirmi Socicty for Dcnntologr e Cumus Srrjcry [,lcoting, Podium prcrcnaioq 1lovcmbct
2011, Mimi Bcldr, Floridr"
26' 'tcmciic pclb," Gncl I Brod FS. Podiulr prcrmioq Arrriclr Socirty ftr Dcmraotqis strsry OctoDct z6t t, Wrhir6tor
D.C.
27. -Prgicll cqncocttic.b tttd Frb fot tcsinni4 irluon,' Grcca JE. Conaic Boccamp Unirc6iry, portiurn prcconraior/tivc 163rlld ird.ct-hdqltoedo4 OCobcr 20t l, Mirni Ec.d[ Flori&2t. "S*y lf,d c6baivcnos of rhlslFitilqslty_bqlcd utEtoud dcvior 6r noninvoivc boty conburing: r rrnrtomizod rftul.coilrolhdrMy,- Grcco rq Dovct J, ltlrtin P, c d. Podium pcscntrion. Arrcricar Socicty sr L,3; Mcdicinc-rnd Srrjcry fot t, cr*vinc,Tql.
45
JE,REMY BII\IR GREEN, MD, FAAI)
29. rcomllin ddornoopic, cur6cd md hi*ontlplofiol &*rcr of pigncatcd bsJ cdl crcimml" Grccn JB Oivicro M, Bdirvr
EV, Gl d. Podim Praenrdict, Miami Socirty fo Dcrrn.olory ard Crfanur Sr4cry Rcsi&nt Rcscrdt Synpoim 20 I 0, Mimi,
Florid!-
30. "Difirc &md qimooir h thc lcoinS of c.lciphylair nd duorckrorb," Grtco JE, Bcrmar B. Militosti C, a rl. Podiurn
pnrauuiot, &w & MictocoDic Scalon, ArrE ic]r Acadfiry of Donrrblogr 20()l,, Srn Fnncircq Crlifonrie
3 L "liquid injoa$lc silicorc (Pdldiffilryldlquc); Four ,rgt of clinicd cxpeirncc," Grtcl JB, Cani3r A Bnndt F, ct d. Poot tptsaldcl ArlEhn Aodony of Damrolo6r 2007, W.3hington D.C.32, Tho roh of vdgr srcs ndiqnphy in rfu evdurtior of putirl rcts of dlc utrr colllcnl lit!m.nr,- Shib.,4tnrt ,, Sdl0ilrofi M&
Grtto JD, d.l. Fodium prcrtal4 Anrud lloailB d0tc Arncrkur dtoDdic Sociciy br Sp6r' Mdicino 2(D, Drllc, Tcxar.
VIII. SOOEirY IIEMEENSINES/I,EADEN$IIP
o ArcdcuAcrdcly dlhnrtd{r Fcllowo Ancdc[Soclcty for llcrI.tologlc Su4crp Menbc, Commicc tr,lontcrr An:rlcra Soclcty lor llrr Mcdldrc eod lLqcry: Monbcr, Cormritoc Mcmbcro Mlrul Sodcry br lfcrotohsl rod CstrlGor Strlcry: Mcmba, Trcrurtro Flcldr Sodciy of l,ctreblo6r rrd lr.ru.tol0llG Surt rr! MGnbGt
u.PnEss
Grcu JB'"Ark dr Sp6idi4- CBS'Ttrc Doon", eir ddc Jalrry 15,2013, diru*d h*rrfuy md hscrs forurocrrod in dlt
rtLncd pliane
G]CGi JBt "Aflrcric.'! Md Bcailiful Doctil!," CtsS 'Ttr3 M, rir dlc lmry t, 2013, discurrd rdulr tmrlc ..no,
Gttco JB a{o I Dith't Gct r Fc-Linf Dccanbcr 20t2 Lu*y lrrlrgzilr Bcarty Blog by Jcnniftr Scruby.
h!p/wtrw.luct![n$; wolfuiry ml! I 2No-l-Dilln{a-}Froc-Uft
GrcrJB,"Sonl,conr Hcro: Ersingrcrn ordl rkiD tmc.'Ar[r.l2012. lrrp://rvw.rcorl.cooV]lcm/Dr_lcruny_B_Grar
Grcco JE, "Ertqdtin! yot ttcad to knou $orn ernrcrrn drb armmcr,' Intcrvbw by Janriftr Scnrby frr Hcal$.con rtro prbllfiod by
cm.oom od forrr!.cot l,lry 16,2012.
Grtcr JE, "Prlomr Llcdic{ Tcchnolqio InhqluccE dtc Skintctr lt&larin R.rdcr - For hcll&d Confi&rcc in Adminirctirf, A€rthdicTrcttut!.'lntcnicw by Prlanulrodicd Tcdimloshs ftrGlobc}{c*lM't Ftss trlc8c [&rch 13,2012.
Grttr JB, "Exccl V Tlct Full Sp.coum of Vlodar Cmditiom," Tltc Acathstic Guitb, Jurogy/Fcbnrrry 2012,
Gccl JB 'Ar& tL. Brurdl." Grrei rmarme qr Dr, Brnd's SiriurD(M Stm Nanodr rrdio slrory, Fcbruary 4, 2Ot 2.
!ry1 ff,-'CotOa Sbrr: t doctor's prcscraptiql fu ho.ltlry r&in" Haiann tr&3n inc Thc Exclrnirrc Ufcstyh Mrjr,inc of RoyrlCtSbclt lntcttr.tiond." Royd Mcdir Prtrsq 2012 Isrrr 6r rll Ror/.! Crittcen Cl1i* sj1goqnr.
9tf ff,-R! lhoppinjNcuotlt (PllN): Cnrbc vuim sn sfiy.'Ocrobcr20ll, inncrvicw ptryins h rtl fitsloornr onRoyrl
Cuibbcrn ud Cclcbity Cruirc Lfop rorldwids.
hEPrtut x.yu|oSc.cottArth?wlrAQRrru-rcc&|l5FPljBEcDo234F4El3EB&in(br.2eft&rtlplpp_vi&o
Grtco Jl, Dorcr JS. "Skin carscr: four qrrcgiors !o hctp you bctEr rndcrstn dl Efu Uryain, Sunrmcr 201 l.
Grccr JB lntcrvkryod in Stin nd Altcqy NGrr by Trclcr ME, "Ili$-inlarsily focrrcd utursond stinr nrigs $rdy finde' July 201 l.
GrccrJB,DovaIS,'Trkingcarcofyurstin: fourcornrnorqrrgicnunrrcrcd,"&ah Uogat2,sry,11162Lll.
X. CLTNICAL TNNI.SNESEARCII EXPERIDNC.E
201 l-Prrct trl Dcmrlolejr lmrci lrdur, Canl G$bq FL. $btwGtriglor/ftitrcip.l httrtillor:l. R:vmct: A phoc 3 mdomfucd rhuc{lind psrlhl-group pt.ccDo.rinso[cd ri'uldcarrcr rtnlyScydurE thc cfficry ud srtry of RT(nl bpic.l rc for thc rrcanrnt of nodcrac to scrcrGhcrd c.ndul linc3 in ddr(Rdirnr).2. Ilbrwl: An opGl$cl lnrgh c.trtlr cxploilny fidy !o cydue Azfiocl-T (Lrviv) br
inprovcnat in gpcrrarc of lil: pcrionl tirs.3. Alo;rl: Bimeplo3t (lrisc) 6rrhc rcOncar of gdrh hpridrorir1. CrDoclpr: Do lrlqrirofiS S.fuy Bmd ftr CSoOron ecalriio' Muquisc Spcnr for
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tocdizod ubcttnrcour ff in the crhnsrtd ua usiryngnaic rcoqforcc ftnrghg rnd a brncry ofclhicbr od s6irt rcDortcd mclunnou. Emnmclrt itritiatkm F$ 2012. - -
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JERET'Y BLAIR GREEN, MD, FAAD
6. Mctlldr Rcrtyhnc Up: MA-t 700-0{ A nndorizod, eveluror-blindcd, rD-r! En rlt ont]I'l $ldy
of ttc oftcrivarcs lrd sefty of trCl prricL hydururic rcid p}r lidocdrr (SPHAL) in rhcrugmttin ofofr tislE ftrllncrs ofttc lips.7. Ucdlct Pcd.m illGF.cc: Ir{A.t400.05 Arrdooriad, cvdoa.btindd no.teuror-
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mdminoErsring EclIrclo5/ to d*rmirc rgpmpr&t inmsc pulrod light idiryt 201 l.9. AIc4m: A mutttrnrce, dotlc blin( plrccDo conto[cd rtdy r$c$i4 prirnt sdrfuicr uith
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ruhrylrl orydroolrcodr of thc toardlr. 201l.
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Adminkmdons of Rclqin in thc Trmcnt ofGldcllr Uncs. Trid cnd dre: lZt0,5) Allcqu: JULIDO'002 lwodcmrtlur)g,injccrbhgcl 6rliprujnrcmhn.Trirlcnddt:ogil.
O Mdldc A Phl3G lV, ogor lrbcl ndy cvrlurhg llic urc of Solodyn, Zi.o.. rrd Trh. frtrtuA
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I t/t t.7) Al.r1rr: Mulirntct douUc blird rurdomid phocto-currolhd prnlhl jrorp rtdy !o crJurc
thc rrG*y nd cfficry of Borq purifiod ncurfftrin in Dricrd! widr llcirt drryrid* crorr't fca
lits rnd jffilr lis. Trirl std dt: OUl l.t) 9ornd Sr4hd Tcchdolhar Protood to ordue pditnt nrrursnars rftcr ullsolrio
ucainau of brdc fu.9) Pdonrr ilcdlcrk PilO rady of lercr ucrrncot of rcthi: kcraoli3. Trid dur*iml 3 nrorths.l0) Cyrooora Piotocol CYl.l0g-PlCo,ll Oiniel cvdut'lon of picohc 755nm dcxudrir lrla for
bcrnril of mrmd teG. Strt &08: Zl3ll I
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of locdizcd subcutmoou fa in thc sSnrcnd rce
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study. sbil drtc: zl5ll I
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Canplaod 22.lnr vasculrr nr3ay oounc $tgrvircd E namlqicd rurgeon &. Edir Siqual
UHZ Seortt Mcdldrc lnrdtulq Univmiry of Mimi, FL
Full-tirr lescgch &llor pcrfurniry cliniol orlcm ordis,
MhEi ProJ.C b Crlrc Drnlydr, Mimi, FL
Srmrrr rtrcrch G$sm to Drs. Alcxlrdcr Mrrcilb crd Joh 8Gthc." Efiiincd vrrios rrro.
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Sy'vctts, Cfrcct Cclllr Dccrfcl4 Wmcn's ltcnneobjic Socir:ty, fbrid. Kcyr lLiln Frir, Sursmlt
SDrlnt 5K fu Lfclltoou Awrrcncr (blonr mcdrti* in rg! 3lqp 2(Xlt. 2009. md 2OtO)
Prolcct MGdbDrrc lor lhld, Mirmi, FL rnd H-fi
Five ripl to Fm ru Pritre ]ld ttrc carrt plur or rnodlcel mlsk'nr wirh UrivcEity of Miarli
mdicrl sndars nd glty:tgrrr. lnvohrcd in poct-Jrnurry 20t 0 crrrlrqr*c ttrndnfm! na mcaiottrlicfcffurt, All .3pcct ofcrrc opocirlly mpiol dcmlololDr.
Prircctor Orbrof SouO Florllr/llcr E[h!d, Mimi, FL, Bo.ion,MA
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Voluma a hmrlcs rhcltcr rnfEng Damddqy dinic.
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Ccrtifod oancr for 1.2! ycrr rrdicd studcrti in phyiis.l Gxrm.
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47
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.IEREMY BLAIR GRBEN, MD, FAAI)
Twicc dcod Studcnt Scrnor ty ClGs of 2006. or3niad ftnfuism, clrr ctrnt, rnd ocndcd
monhly mcaing ui0r drru. Elcccd ro Ereuivr Bood by Srdcrrt Sanrr, Surdcil Orsrrizaio3
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Oinic roJar frr undcrcrvcd Spnisrtrgcrfing pquldioo.
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Tublld Lain /f,naicrr immlgm h orvcreforrl Eflidr.
Pdrccor UolrenQ Vrnl! Sprll Forhi, Prinoam, NJ
2000 Crpt*l of 40-pcroo tGor. +yco l,aq wiup.
Tlcr In Erlh3 Olb, Fhcaon, lU
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tontWp My hleuba uicla ElccEd Oficcr, rrnrtcr Princctoo lniler€luD Coutctr ftr lt0-
nomboclub.
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Vr2.tlmll - NIH ucb.blsod Eriniq ounrc 'Plreairg lluma ncscrnlr Priiciems.'Ccrtificrim Numbcr: ?2Ant7
48
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49
Granado, Rafael
From:
Sent:
To:
Cc:
Subiect:
Miranda, Alex
Wednesday, January 07,20L5 5:12 PM
Granado, Rafael
jeremygreenmd@gmail.com
Health Advisory Committee Reappointment/Nomination
Good afternoon Ralf:
Mayor Levine would like to nominate Dr. Jeremy Green for another term to the Health Advisory Committee
Please place this item on the agenda for the 01/14 City Commission meeting.
Thank you,
Alex
MIAM!BEAGH
Alex tlranda
Ghbf of Etaft
OFFICE OF THE TAYOR AND COTTISSION
1700 Convention Center Ddve, illaml Beach, FL 33139
Tel: 305-673-7035 I Gell: 786-375-1463
50
'-{ rrt\/\ Ir v \t BTAC${CITY OF l,illAilll
BOARS,qN.D COiVli$ ITTEE APPLICATIOIi
BE.qCH
FORIN
Y CC
NameLast Name
__.---=.:-
rT
rn!FL
,)
hone
State
f(
SiK Zip Code
SHo4:e Telephone Worr< Teleohone
s<6
Business Address --/Citv
proressionar License (describe)- }rr\E t i CA U Mgg= I 813
State
Expires:
vz)+v
Zip Code
l- zt' ao tfAttach a copy of the license
Please list your preferences in order of ranking [1]first choice [2] second choice, and [3] third choice.Please note that.onl choices will erved Clerk's Office. (Re Boards of City)
! Art in Public Places Committee - Gay, Lesbian, Bisexual and Transgender
Enhancement Committee(GLBTI Beautifi cation Committee I : Gott Advisory Committee ! Personnel Board
Committee I Health Facilities Authori Board
tI Communi nt Advi | _ Loan Revtew Committee n Sustain CommitteeI Community Relations Board J lrlarine A
I r Convention Center
* Board Required to File State Disclosure Form
*ttyouseekappointment toaprofessional seat(e.g., lawyer,architect)ontheBoardofAdjustrnent,DesignReviewBoard,
Historic Preservation Board, or Planning Board, attach a copyof yourcurrently-effectivelylicense, and furnish the
followi ng information:
Type of Professional License , License Number M6ESI&)
License lssuance Date l- I 0 "tz
, and License Expiration oate I - 3 t - t'l
Pursuant to City Code sectio n 2-22$) 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 sixmonths; or b. An individual shall demonstrate ownership/interest for a minirj0m of six months in a business established in the cityfor a minimum of six months /
o Resident of Miami Beach for a minimum of six (6) months: yes B or No E
o Demonstrate an or,vnership/interest in a business ir/r,liami Beach for a minlmum of six months: yes E or ruo E
o Are you a registered voter in Mtami Beach: yes B or. ruo E-,
o I am now a r'esident of: North Beach E souttr Beach E/nllioat" Beach E
o I am applying for an appointment because I have special abilities, knowledge and experrence. Please list below:
o Are you presently a registered lobbyist with the city of Miami Beach? yes
.; Afiordable Housing Advisory Committee tr Fine Arts Board I Normandy Shores Local Government
r Parks and Recreation Facilities Board
I Board of Adiustment *Health Advisory Committee 1r Planntno LJoarcl"
i Police Citizens Relations CommitteeI Capital lmprovements Projects . Hispanic Affairs Committee ! -: Production lndustry Council
I
Oversiohi Committee
J Committee on the Homeless I r Historic Preservation Board - Safetv CommitteeI Committ=oe for Quality Education in MB I ! Housinq Authori r Sinqle Familv Residential Review Panel
! Tennis Advisorv Committee
I Miami Beach Commissron forWomen I r Transportation and Parkinq Committee' Debarment Committee i tuliami Beach Cultural Arts Council E Visitor and Convention
f, Desiqn Review Board* *r , IVliami Beach Human Rights Committee I Youth Center Advisory Board
- Disability Access Committee I lt/iami Beach Sister Cities Prooram ! Waterfront Protection Committee
F:\CLER\SALL\aFORI\/S\BOARD AND CO[l1MITTEES\BC Application NEVvLy REVTSED NE\l/ LANGUAGE.doc
51
1
#{
I
Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center, N / 7Aa
1. Past service on the Youth Center Advisory Board: Yes u No U Years of Service:
2. Present participation in Youth Center activities by your children yes E ruo E. lf yes, please list the names of your children,
their ages and which programs. List below:
Child's name:
Child's name:
Age: _ Program:
Age: _ Program:
.Have you ever been convicted of a felony: yes E or f.t lf yes, please explain in detail:
r Do you currently have a violation(s) of City of Miami Beach codes: yes E o,lf yes, please explain in detail:
o Do you currently owe the City of Miami ,"r"n . "*'*. "*
o Are you currently serving on any
o What organizations in the City of Miami Beach do you currenfly hold
r.ro E. lf yes; which board?
v tuu
Name Ti,e
r List all properties owned orhave an interest in, which are locaied r,vithin the City of tr/iami Beach:
Lx' N )<D
r I am now employed by the City of tvliami Beach: yes E cr. uo K. Which department?
r Pursuant to City Code Sectio n 2-25 (b): Do you have a parent E, spouse E, cnirO E therE, or sisterE,,vho is
employed by the city of lVliami Beach? check all that apply. ldentify the department(s):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment. lt is being asked to complywith federal equal opportunity reporting requirements.
Ethnic.Oriqin: Check one onlv.fi )
c"n{"r, rtr]ur. E remae*
E*n,r" (NotofHispanicOrigin): All personshavingoriginsinanyofiheoriginal peoptesofEurope,NorihAfricaortheMiddleEastI I---rI L=J African-American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of A'rrica.I r--1
i !! Hispanic: AII persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.tt!I l:J Asian or Pacific lslander: Ali persons having origins in any of the original peoples of the Far East, SoutheastAsia, the Indian Subcontinent, or
I
-
the Pacific lslands. Thrs area includes, for eiam[le, China. lndia, Japln, (orea, the Philippine lslands and Somoa.T--1L"# American lndian or Alaskan Native: All persons having origins in any of the original peoples oi North Amerrca, and u/ho maintain
Cultural identification throggh. tribal affiliation or community recognition.
Physically Challenged: yes U or 5fo LJ
-JEmployment Status: Employed [S Retired E HomemakerE otherE
Please remember to attach a current resume and a copy of any applicable
professional license.
Attach additional sheets, if necessary, to provide required information.
F:\CLrR\$ALL\aFORVIStBOARD AND CON'livllTTEES\tsC Applicaiion NEWLY REVTSED NEVV LANGUAGE.doc
52
NOTE: lF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE
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 (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
City Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
o 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 570.61 1).
Upon request, copies of these laws may be obtained from the City Clerk.
1 HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION, AND 1 HAVE RECEIVED, READ AND
WILL ABIRE BY CHAPTER 2, ARTICLE VII - OF THE CITY CODE "STANDARDS OF CONDUCT FOR CITY OFFICERS,
AND AGENCY MEMBERS."
v-8'l)Stocry J. K
Applicant'
Received
Name of Applicant (PLEASE PRINT)
79 '/7P
Name of Deputy Clerk
F:\CLER\$ALL\aFORtulS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NE\l/ LANGUAGE.doc
53
54
AAIAAAIBTACL{
City of Miomi Beoch,l700 Conveniion Center Drive,
Miomi Beoch, Florido 33.l39,
www.miomibeochfl.qov
CITY CLERK'S OFFICE
Telephone: 305.673.741 1 Fox: 305.673.7254
C ityCl erk@m i o m i beoc h fl. gov
Acknowledgement of fines/suspension for Board Members for failure to comply with Miami'Dade
County Financial Disclosure Code Provision Code Section 2'11.1(i) (2)
Board Member's Name:J.(.<.,f
lunderstandthatnolaterthan@allmembersofBoardsandCommitteesoftheCityof
Miami Beach, including those of a purety aOrisorV nature, are required to comply with Miami-Dade County
Disclosure Requirements. This means ifrat the members of City Advisory Boards, whose sole or primary
responsibility is to recommend legislation or give advice to the City Commission, must file, even though you
may have been recently apPointed.
you must file one of the following with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami
Beach, Florida, by July 1 each Year.
" 1. A "source of lncome Statement" (attached); or
2. A "Financial Statement" (attached); or
3. A Copy of the person's current'Federal lncome Tax Return
Failure to file, according to the Miami-Dade County Code Ghapter 1, General Provision, Section 1-5'
may subject the person or firm to a fine not to e*ceed $500.00 or by imprisonment in the county jail for
a period not to exceed sixty days, or both.
Signa
F:\,CLER\$ALL\aFORLIS\BOARD AND COiVIMITTEES\BC Application N=WLY REVISED NE\l/ LANGUAGE.doc
55
CunrucuLUMVrcnn
STACEY J. KRLTGER, M.D.
=.:.._._
suite 203
Miami, FL 33173
(305) 2744123sjkrugerAoT@gmail.com skuger@childeyecare.com
EtvtPlOyufffr
ATTENDNG PI{YSICIAN
StaceyJ. Kruger, M.D. &Associates, p_A,.
ATTENDING PHysIcIAN
Pediatr ic O phthalmo logy Cons ultants
F ELLow, p ED r AT RIc O pHT HALMoLocy
Medical University of South Carolina
R Es r D ENT, O pan rutt wo tocy
Mount Sinai School of Medicine
I NTERN, INTERNAL M E D I cI NE
St. Yincent's Hospital
Eoucarrou
DEc.2N5-PRESENT
Miami, FL
Styt. 2002 - Nov. 2005
Miani, FL
JULY2OOl-JUNE 2OO2
Charleston, SC
JULY 1998-JUNE 2OO1
NewYorN NY
Jur,y lwTJuNr 1998
NewYorlg NY
M.D. CUMLAUDE
S.U.N.Y. Health Science Center at Brooklyn
B,A.
Washington University in Saint Louis
Resrancu AND PUBLTcATIoNS
Aucusr 1993-MAY 1997
Brooklyn, NY
AUGUST 1989-uev 1993
Saint Louis, MO
Saunden, RA Kruger SJ. bll-Trail JK. Rust PF. A l?-year overview of doubte elevator
weakniag procedures. Archc Ophthalrrcl,zNT May; 125(5): 634-8
Kruger SJ, Wilson ME, Hutchinson AK, et al., Cataracts and Glaucoma in Patients with
Oculcerebrorenal Syndrome, Arch Ophthalmol, Sep 2OO3; 121;1234-37.
Jacobs MS, Kruger SJ, Peterseim MM, el al., Immediate PostQperative Alignment as a
Predictor of Long Term Alignment After Bibural Medical Rectw Muscle Recession for
Esotropia, Presented at the American Association for Pediatric Ophthalmology and Strabismus
Annual Meeting March 2003, Waikoloa, HI.
Kruger SJ, Wilson ME, el al. Baerveldt Seton Implantation h the Pediatric Population,
Presented at theAssociation lor Research and Vision and Ophthalmology, Annual Meeting May
5-10,2002, Ft. Iauderdale, FL.
56
Kruger SJ, Saunders Rd et a/., Lower Eyelid Deformity After Inferior Oblique Muscle Anterior
Transposition, Presented at Amerban Association for Pediatric Ophttutmology and Strabismus,
annual meetidg, March 20-24, 2002, Seaule, WA.
Kruger S, Mindel J, Friedman A A Case of a Alost € Contacr Lens and Actinomyces Colonizarion
in an Asymptomatic Patient, Arch Ophthal, April, 2000.
Independent study: Interleukin4 production and T-cell proliferation studi.es via aRNA in situ
hybridiza tion, J une 1992-May 1993.
Current Projectsr Infant APhakia Treatmcnt Study; NIH sponsored Multicenter Clinical Trial
PROFESSIoNAL MEMBERSHIPS
o American Board of Ophthalmology; Certified June 2003. American Association for Pediatric Ophthalmoloflv and Strabismus; Full Uembero American Academy of Ophthalmology; Fellowo Florid.a Society of Ophthalmologyc MiamiOphthalmologySocicty
HosPrrAL Pnrvurces
o Miami Children's Hospital; Active. Bascom Palmer Eye Institute; Activeo Joe DiMaggio Children's Hospital; Courtesyt Surgical Park Center, Miami, FL; Active
RemngNces
M. EDWARD WILSONJR., MD
Chairman, Department of Ophthalmology
NCH^RD A. SAUNDERS, MD
Profe ssor, Pediatric O phthalmology
EDWARD L. R}A,B, MD
Professor, Pedia tric O phtha lmo lo gy
MEDTCAL UNIWRSITY OF cotrra CAROUNA
MEDICAL UNIyERSITY OF SOWH CAROLINA
THE MOUNT SINr'./ SCHOOL OF MEDICINE
57
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Please see below. Thank youl
Bonini, Danila
Tuesday, December L6,20'J,4 L:14 PM
Granado, Rafael
Hatfield, Liliam; Prieto, Silvia
FW: Health Advisory Committee
From: Grieco, Michael
Sent: Friday, December L2,2014 L0:47 AM
To: Bonini, Danila
Subject: Fwd: Health Advisory Committee
Re-nominate
Sent from my iPhone
Michael Grieco
MIAMIBEACH
Michael C. Grieco
Commissioner
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive. Miami Beach. FL 33139
T el: 3 0 5 -67 3 -7 204 / Fax : 3 05 - 67 3 -7 09 6 / 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.
SIGN UP FOR OUR NEWSLETTER
HERE<http ://visitor.120
tsO eb8 5 9 6 6 - 1 660 - 4 6 12 -9 5 9 1 - e9 addB 32 d9b>
Begin forwarded message:
From: Stacey Kruger <qikrueer007@gmail.
Date: December 12,2014 at l0:41:45 AM EST
To: "Levine, Philip" <philiplevine@mi ), "Grieco, Michael"<MichaelGrieco@mi >, Ed Tobin <ed@miamibeachfl.goP, "Deede Weithorn"
<deede@miamibeachfl ,JonahWolfson@,"joymalakoff@miamib " ,
"mickysteinber g@.miamibeachfl . eov " (mickysteinberq@mi
Subject: Health Advisory Committee
58
Dear Mayor and Commissioners,
I am writing because my term as a member of the Health Advisory Committee expires
l2l3ll20l4. I would like to express my interest in continuing my service on this
committee. There are several active issues in progress such as preparing for the upcoming
legislative agenda of which I feel I am part of at this juncture.
In addition, as Vice President of the Florida Society of Ophthalmology I am actively working on
lobbying for a vision screening bill in the state of Florida which would require all preschool
children to have their vision screened prior to entering kindergarten. This would result in the
prevention of reversible causes of blindness in many children and I would hope that I would be
able to help integrate this into our community health centers and schools here in Miami Beach
assuming that it passes.
Please do not hesitate to contact me should you require any additional information.
Sincerely,
Stacey Kruger, MD
59
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60
E MIAMIBEACH
NAME: Rablnowlts
CITY OT.: MIAMI BEACI{
BOARB AND COMMITTEE APPLICATION FORiI
Itlarlr
Last Name
HOMEADDRESS:,
Flrst Name
Mlaml
Mlddle lnltlal
FL 33138
Apt No. Home No,/Street Clty
PHONEI 305-538€835 305-9384044
State Zip Code
mrablnowltz@mbchc.com
Fax
Buslness Nafne; Mlaml Beach Communltv Health Center positlon: CEO and Chief Medical Offlcer
Address: 710 Alton Road Mlaml Beach FL
Email Address
33139
State Zip Code
Purerantto Clty Code sec{lon.zlzlal a and b: Members of agencies, boards, and cunmhtees shall be affillated wltr the city; thiq
requirement shall be fulfflled in the following wap: a) an lndivldual shall have been a resldent of the clty for a mlnlmum of six
months; or b) an lndlvldual shall demonstmte orvnershlp/interest for a mlnlmum of six months in a buslness establlshed ln the clty.
o Resident of Miami Beach for a minimum of six (6) months No
o Demonstrate an ownership/interest in a buslness in Miami Beach for a minirium of six (6) months: Yes
o Are lou a registered voter in Miami Bbach: No
r (Please cirde one): I am nonr a resldent of: South Beach
o I am applying fur an appointment because I have special abllities, knowledge and experlence. Please list belowi
I am the CEO and Medlcal Director of the only communlty health center on Mlaml Beach. The center ls the safety net provlder fo
o Are you presentiy a registered lobbyist with the City of Miami Beach? No
City
Please list your preferences ln order of ranklrE t'llfrst cholce [2] second cholce, and [3] thlrd cholco. Pteage note that only three (3)
choloes wlll bo obseryed bv the Clty Clerk's Offlce. (RegulaiBoards of Clty)
Gholce 1: Health Advisory Committee
Ghoice 2:
Gholce 3:
Note: lf applying for Youth Advisory Board, please indicate your affiliation wlth the Scc*t Rakow Youth Center;
1. Past service on the Youth Center Advisory Board: tr1o years of Servlce:
2. Present participation in Youth Center activitles by your chilciren No _ lf yes, please llst the names of your chlldren, thelr
ages, and which programs. Llst below:
o Have you ever been convided of a felony: No lf yes, please explain in detail:
o Do you cunently have a vlolation(s) of Clty of Miami Beach codes: No lf yes, please explaln In detall:
o Do you cunently orve the CIty of Mlaml Beach any money: No lf yes, please explain ln detail:
o Are you currently serving on any City Boards or Gommittees: yes
I serve on the Health Advlsory Gommittee.
lf yes, which board?
o what organizatlons in the clty of Mlaml Beach do you cunenfly hold membershlp in?
r List all properties owned or have an lnterest in, which are located wlthin the Clty of Mlami Beach:
o I am now employed by the cty of Mlaml Beact: No VVlrich department?
61
The follorlng lnformatlon lsvoluntary and ls nelther part ol your apptication nor has any bearing on your conslderatlon for appolntment. lt ls
belng asked to c.omply wlth federal equal opportunls rtpodlirg redri[ements.
Gender: Male
Race/Ethnic Categories
what !s your ltce? Mark one or morc races to indicate what you consideryourself tc be. white
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No
PhyslcalllChallenged: No
NOTE:
-
lf appolnted, you wlll be regulrcd to follow cerlaln larrs whlch apply to clty board/commlttee members.
These laws lnclude, but are not llplted to, the followlng:
o Prohibitlon from directly or Indkectly lobbylng clty personnel (Miaml Beach Clty Code sestlon 2-459).o Prohibition from contractlng with lhe ciV Uiami-Dade County Code section 2-1 1.1).o Prohibidon from lobbylng beforo board/committes you have served on for period oione year after leavlng office (Miaml
Beach Code section 2-26).o Requhemen{ to disdose certaln flnancial lnterests and glfis (Mlaml-Dade County Code sectbn 2-11.1).
(re: CMB Community Development.Advlsory Oommltteo): prohlblton, durlng tenure and for one year afier leavlng office,
from having dny lntsrBst ln or recelvlno any benelft from Coinmuntty Development Block Grant funds for elther yourself,
or those wlh whom you have buslness or lmmedlate fumlly tlbs (CFR 570.611).
Upon request coples ofthese laws may be obtalned from the Gity Clerlc
"! hereby attast to the accuracy and truthfulness of the appllcatlon and have recelved, read and wlll abldo by Chapter 2, Artlcle
Vll - of the clty Gode '.Standards of conduct for Glty offlcbrc, Employeee and Ag€ncy MemboB."
I Mark Rablnowltz agleed to the followlng terms on l2nSnOM 12:33:57 pM
Recsived in the Clty ClerKs Office by:
Name of Deputy Clerk Contoi No.Date
62
MARK LAWRTNCE RABINOWIT Z, M,I),, F,A.C.O.G.
Phone: 305-424-5535
Bax: 30$695-2189
MEDICAL EDUCATION
University of Miami School ofMedicine, Miauri, Fiorida
M.D. Degree rcceived June 1979
Medical License: Florida (Issued July 1, 1980) ME0036B2Z
WORKEXPERIENCE
Chief Executive Officer: Miami Beach Comrnuuity Health Center
Interim Chief Executive Officer; Miami Beach Commuity Healtb Center
Chief Medical Officer Mami Beach Cormunity Health Center
Adjunct Clinical Faculty, Barry University
Clinical Instructor, Florida lnternational University
Assistant Clintcal Professor, Nova Southeastem University
Clinical lnstnctor: University of Miami Schooi ofMedicine
Private Medical Practice, Bay Harbor Islands, Florida
Vice Chairman: Departded of OB/GYN Miami Heart Instihte
Mernber: Credeutials Conunittee: Miami Heart Institute
Volunteer Physician: Stanby C. Meyus Con:mrrnity Health Ceuter, Miami Beach
voluntegr physician: HRS Health Clinic, South Miarni Branch
Chaimran: Credentials Committee, Miami Beach Cotnnrun8
Hospital/St. Francis Hospital, Mlaml Beach
Co-Clmimran: Department of Obstetrics and Gynecology,
St. Framis Hospital, Mianri Beach
co-Medical Director and Developer: shared Birth Placefvlianri Heart hlstitute
Intem and Resident: Jaclsorr Memorial HospitalAJniversity of Miarni tlospitals
Research Technician: University of Man{ Biochemistry Departnent
SOCIETYMEMBERSHIP
Natioual Association of Cormnunity Health Centers
lvilliarn A. Little Sociery
Florida Obstetical and Gynecological Society
Americafl college of obstehics and Gynecology (cerrifrcation l2l85, l2tg9 &,12/oo)
Dade Comty Medical Association (Public Sqrvice Committee 1987 - 1989)
Florida Medical Association
American Associatlon of Gynecologic Laparoscopists
American Fertility Society
Miami Obstetrical and Gynecological Society
American Medical Association
42014-Present
5120t2-412014
2003 - Present
z}tt-2012
2009-Present
2008-Present
1983 - 2003
1983 - 2003
1996 - 1997
1993 - t99',1
1993 - 1994
1992- 1993
1992- 1993
t99t - 1992
1987 - 1996
1979 - 1983
1974 - 1976
1975 - 1979
2003-Present
1983-Present
1983-Present
1983-Present
1e87-2000
1987-2000
1987-Fresent
I979-Present
PUBLICATIONS
Marsball JJ, Rabinowitz ML, Modification of the properties of rrypsin by covaleut Attaclunent toDexftin Arch Bioclrem Bioplrys 1976.
Marshalt JJ, Rabinowitz ML, Slabilization of Catalase by Covalent Attachfent to Dextran fuch
BiocheniBiophys 1976.
Rabinowitz ML, Throat Swabbing in Epiglottitus (Letter), JAMA 1978.
Marshall JJ, Rabinowit4 ML, Preparation and Characterization of a Dexhan-Trypsin Conjugate.
JBiol Cherr 1981.
Rabiuowitz ML, Bassou I, Robinsou MI. Sexually Transmitted Cytomegalovirus Proctitis in a Woman:
A Case Report. Am J of Gastoenterology 1988.
Rabinowiu ML, Gilibert JE, Lenes BE. a'voiding Blood Transfllsion: A Report of Two Cases.
J. Rep Med 1990.
63
AC#5735313
331 81
'',,,,,,SfATE OF FLORI0A''
DEPAR{MENT OF HEALTH
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EXptRATtON DATE: JANUARY 31,2016Your tlllm& nuabcr lr \E 3f,a22, plcase use it in all cotrespondetre with your boudlcomcit. &ch licensce is sohly responoible for nbGfi'ing the deparunmt in miting of
thc licensee's current mailing addae$s and practicr lotati*rr addrcss. lf you have not rc.civcd your rencwal noticc g0 dryb prior b dre apimtion dat Bhovn on this tice nse ,
plese call (8501 484-0595.
Use this eectioa to report nm change. Nanre changeo rtquire lega-l dtrumentction ehowing the m ch{ng€, Please make sue that a phobcopy o[oru of the fouosing
a(compsnica thia form: a mriage liceme. a divore dccrce or a cout order.
Medicst Quality A$auraDct offers you the corryenience of s€vcral online seruices. Thcse seruices give you the ability to renm yow license, updaE your m.iling md practice
lftefion addresses sd updqte your profilc inlomation
1. Co to xrrJl&al
2. Click on License*/Prwider
3. Click on Prrctitioner IlgIn
4. Select your pmfession
5. &rl-er the mcouf,t lD md password thal. was provided to you on you.r initial license md click on,Logh.,.
6. lf you do not know you ecount lD md presrcrd, clich on 'Gct Lo6ln lte{/ or call our Cusbrer Contact Centcr at {8S0) aB8-OS9S 5or asisiancc
MAIL TO:DEPARTMEHT OF HEALTH
DIVISION OF MEDICAL QUALITY ASSURANCE
LICENSURE SUPPORT SERVICES UNIT
P.O. BOX 6320
TALLAHASSEE, FLORID.A 323I 4.6320
tr NAME cHANGE (ATTAcH LEGAL DocuMENTATtoN)
I M F$;RTANT AN NOUNCEM E{t
THE OEPAflTEENT OF HEATH VYILL NOW REVIEW
YOUR CONTINUING EDUCATION RECOROS AT
THE TIME OFLICENSE RENEWA.
TO LEARN fr,QRE, FLEASE USIT lrlflrVW.CEatREI.tEwAL.COl,
64
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Malakoff, Joy
Tuesday, December 16,20L4 5:16 PM
Granado, Rafael
Stewart, Bonnie; Miranda, Alex
Nomination of Mark Rabinowitz to the Health Advisory Committee
I would like to nominate Dr. Mark L. Rabinowitz for reappointment to the Health Advisory Committee effective January
1st, 2015. Dr. Rabinowitz is the CEO and Medical Director of the only community health center on Miami Beach. The
center is the safety net provider for disadvantaged residents of the City of Miami Beach.
Thank you.
Joy
Sent from my iPad
Commissioner Joy V.W. Malakoff
65
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66
Historic Preservation Board
o Dominique Bailleul. Jane D. Grosso Herb Sosao f. Michael Sfel?ens
67
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68
I MIAMIBEACH CITY OF MIAMIBEACH
EOARD AND COMMITTEE APPLICATION FORM
fL"8'-ri.-Gqr' , ',6- ---J. )av -Cellular Telephone
Position: d*.lrttet?
Professlonal Ucense (desr:rlbel 4ftI1.t bs*<*-;rgar*,U,a]fa/ dr+.*C*t( Expires: oq l+^ lzokAttach a copy ot the llcense
t lf you seek appolntment to.a professlonal eeat (e.g., lawyer, architect) on the Board of Adjustment, Deslgn Revlcw Board,Hlsiorlc Prescrvatlon Board, or Plannlng Board, altach a copy of yourcurrenily-effectlvely ilcense, and firnlsh thefollowing lnformatlon:
cJAlSCSti
FICLER\$ALt\sFORMS\BOARO AND COMI\,llTTEES\BC Applica$on NEWLY REVTSEO NEW LANGUAGE.doc
Ptease list your preferences in order of ranking [t] first choice [2] seconO cnoice, anO tSl thl
Boards of
f, Atfordable Housing Advisory Committee
E Personn€l Board
Capltal lmprovements Projects
Marine Committee
Miami Beach Cultural Visitor and Convention
D Youth Center
' tsoard Requlred to Flle State Dlsclosum Form
7
flnmo alr'---
J#tri;;TEt"it on" ---.-worrf€-iEtr,#;
lue cera€ tJ-<
Pursuant to City Code section 2-2214'l a and b: Members of agencies, boards and committees shalt be aff ltated with the city;
this requirement shall be fulfilled in the following ways: a. An lndividual shall have been a resident of the city for a minimum of six
monthsi or b' An indlvidual shall demonstrate ownership/lnter€st for a minimum of six months in a business established in the city
for a minlmum of six monhs.
r Resident of Miami Beach for a minimum of six (6) months: yes El or ruo E
o Demonstrate an ownership/interest in a business in Miami Beach foi a minlmum of six months: Ves K o. No E
o Are you a registered voter in Miami Beach: Yes Bl or No E
r I am now a resident of: North Beach fl South Beach [Etr miaat" Beach Er I am applying for an appointment because I have speclal abilities, knowledge and experience. Plsase list below:
r Are you presently a reglstered lobbyist with the City of Miami Beach? yes
O Fine Arts Board I X Normandy Shores Local Government
I Nclnhhnrhnarllmnrnvemcnl
O Art in Public Places Commlttee E Gay, L€sbian, Bisexuat and Transgender I O Parks and Recrealion Facilities Board
0 Hispanic Affairs Committee E Production lndustry Council
0 Miami Beach Human Riqhts Committee
Type of Proferslonal Llcense I an
69
t
b
. Hav€ you €ver been convlcted of a f€lony: Ves E or xo [El lf yes, please explaln ln detail:
lv/b
Not.: lf epplying for Youth Advisory Board, please indicate your aflilietion with the Scott Rakow Youth Center: bt L
1 . Past servlce on the Youth center Advisory Board: yes LJ No t*J yeaa of service:
2. Present partlcipation in Youth Center acdvlties by your chlldren v". E r,ro E. trffirr" list the names of your children,
thelr ages and which programs. List below:
Chlld's namo: - l
Child's name:
Age: _ Programl
Age: -- Program:
r Do you currently have a vlolatlon(s) of Clty of Miami Beach codes: ves El or uo Etr. tf yes, please explain ln detail:
h-rt A
e Do you cunendy owe the City of Mlami Beach any money: Yes f,f or' No El lf yes, explaln in detail
r Are you.currently serving on any City Boards or Committees: ycs El or No E. lf yes; which board?*tif a.a*'c- ?,eglevz va.tlar *---rt,fu
r wlrat organizations ln the city of Miami Beach do you currenuy hold membership in?
r Llst all properlies ownsd or hav€ an int€rest in, which are located within he city of
r I am now employed by the City of Miami Beach: yes E o. uo IEL Which deparrment?tttE
. Pursuant to clty code Scction 2-25 (b): Do you have a parentE, ,por.. E, child E urotnerE, or sisterE who is
employed by the city of Miami Beach? check all that apply. ldentify the dspartment(s):
The followlng lnforrnatlon ls voluntary and is nelther part of your appllcatlon nor has any beadng on your conslderation for
appolntmcnt. lt 13 bGlng askcd to complywith fcderal cqual opportunity reportlng requircments.
I *Jffi'.[ffiT;:,:H'1)
_ thePacificlslands. Thisarealncludes,forexample,China, lndia,Japln.Korea,thephitippinetstandsandSomoa.
El lmorican lndlan or Aa3kan Natlvc: Ali pecons having crlglns in any of thc original peoples of Norh America, End who maintain
Cultural identflcation thmugh, tribal 6ffiliation or community recognlton.mmuoh tnDat amtiat
v".Eorruo[EI
Please remember to attach a current resume and a copy of any applicabte
professional license.
Attach additional sheets, if necessary, to provide required information.
FICLER\$ALL\aFORMS\BOARD AND COMMTTTEES\BC Appticarron NEWLY REVISED NEW LANGUAGE.doc
8
Emptoyment Status: Employed [E Retireo f,f, Homemaker ff other ff,
70
,-:
t
NOTE: IF APPOII{TED, YOU WLL BE REOUIREO TO FOLLOW CERTAIN LAW9 THAT APPLY TO CITY BOARD'COUMITTEE
UEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWINGI
o Prohlbltlon from dlrecUy or indirectly lobbying ctty personnel (Mlamt Beach Ctty Cod€ eEction 2-459),o Prohlbitlon from contractlng rytth ttt€ city (Mlami-Dede County Code section Z:11.1).
o Prohlbltlon lhom lobbying before board/commlttee you have served on for period of one year after leavirg offce (Miami Beach
CW Code secUon 2-26).
o Requirement to dbclosa certaln llnancial lnterests and giffs (Mlaml.tlade County Code section 2-1 1. i ).o CMB Community Development Advieory Commlttae: piohhitlon, durlng tenure-and for one lrear afrei leavlng oflie, frorn having
any lnterest in or recdving any benellt ftom Cornmuntty Development-Block Grant funds bi either youtself,ir trose with whom
you have businoss or immediate family ties (CFR 570.61 i ).
Upon rcqucs( cophe of thrsr lawr may be obtalncd from thc Clty Glcrk.
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF T}IE APPLICAT'ON, AND I HAVE RECENED, READ AND
WLL ABIDE BY CHAPTER 2, ARNCLE VII - OF TtlE CIW COOE "STANDARDS OF CONDT'GT FOR CIW OFRCERS,
EMPLOYEES AND AOENCY MEMBER!!."
Recalved in th6 Clty Clerk'a Oficc by :
FICLER\$ALI\aFORMS\tsOARO AND COMMITTEES\BC Appllcation NEWLY REVISEo NEW lINGUAGE.doc
I
Nam€ 0f Applicant
71
STATE OF FLORIDA
FIJ 33139
'' ,at ...\i
DISPLAVAS REQUIRED BV LAW
KBT IJAI{8ON
SBCRETARY
SESr,rzog2oo3s2o
1072
Dominique Bailleul
unmt 8ehFL3ll139 dlballouhhe{arch.nt[
RESUITIE
PROFILE A seaoned professkrnaland effectual leader with a poven ability to manage businesses:
o Twenty years of sffong inside/oubide leaderehip experiencer Passion for gaining personal relationshipo with clbnB
ETIPLOYIIENT
2000 - Present Otner- Presldont Btue Leaf LLC
A local oompany based in Miami Beach, managing Condominium and Homeorrrners Associations. A
local market organtration, Blue Leaf LLC employs iS people bcafly.
o Administration of bulldings and associaUons. OrganizaUon of meeUngs and necessary requirements for Board of Directors. Physical management of bulldingse Financhl management of Associations
1995 - 2000 Saler Rcprosentatlve MetLife
One of fie leaders in insurance and financial products company. Performed sales prasentations and
conducted financlal revietrc for dlents. Followcd up wiilr clienb to answer questions and generate
referrals.
KeyAdlwenenb
r Awarded top sales rspresentailve eight timca in first yearr Million dolhr round table achievemento LUTCF Graduate
1990 - 1805 Senior VIce Precident Gabetli US INC
o Development of North Amerban Subsidhry for French Companye Creation of sales forcas and developmant of distribution networkso Ma*eting development
1989 - 1990 Mltltary Serylce
Franch Navy military seruice
1987 - 1989 Cuth.r;el Reprctontaffvo - Buyer Wall Disney Wortd
Cultural representatho in EPCOT Center French Pavilion; Merchandlsing buyer for the French stor€o
EDUCATION
Studicd lntomaUonal BucinGss Chamber of Commerce of paris
Stdiad Agribuainera, Supcrior Techniclan in Food ProductionB, Lycae d, Arras
1173
Granado, Rafael
From:
S€nt
To:
Cc:
SubJect:
Malakoff, Joy
Monday, January 12, 2015 5:25 PM
Granado, Rafael
StewaG Bonnie; Miranda, Alex
Nominations
I nominate Debbie Castlllo for appointment to the Visltor and Conventlon Authority. She is experlenced in sales,
marketan& and revenue management in the Hospitality industry and will be an exceltent, knowledgeable addition to the
Board. She is currently a member of the Greater Miami and the Beaches Hotel Association.
I nominate Dominique Bailleulto the Historic Preservation Board for an At Large Positaon.
Thank you.
Joy
Sent from my iPad
Commissioner Joy V.W. Malakoff
1274
E MIAMIBEACH
NAilE: Groga
i
CITY OF MIAMIBEAGH
BOARD AND COMMITTEE APPLICATION FORM
Jan€ D
Last Name
HO}IE ADDRESS:
Flrst Namo Mlddle lnitial
33140.,.laml Beach FL
PHONE:
Apt No.
I
Home No./Str€et CW Stare Zip Code
idgross@hotmall.com
Home
Business Nams: tUA
Work Fax Email Address
Poaltlon:
Addrees:Mlaml Beach FL
Steet State Zp Code
Professslonal Llcense (describe): Florlda Real Eetrte Llcenea ExpiIBs: 913012014 Attach a copy 1116 ,iccnse
Purauant to clty Code eectlon 2-22(41a and b: Members ol agencles, boards, and commiitoos shall be afflllated wlth the clty; thls
requiroment shall be fulfilled in the following ways: a) an lndividual shall have been a resident of th6 clty for a minimum of six
months; or b) an indlvidual shall demonstrate ornorshiilinterest for a minimum of six months ln a buslness established ln the clty.
o Resldent of Mlaml Beach for a mlnlmum of slx (6) months: Yes
o Demonstrate an ownership/interest in a buslness in Miami Beach for a minimum of six (6) months: No
o Are you a raglstered voter in Mlaml BEach: yeg
o (Please q;9419 one): I am now a resident of: Mlddle Beach
o I am applying fur an appolntment because I have special ablllties, knorvledge and experience. Please llst below:
Experlence and knowledge of hlstorlc preaeruaflon for 30 plus yearu ln ililaml Beach.
o Are you presently a reglstered lobbyist Wth the City ol Mlami Beach? No
CityNo.
Please list your preferences in ordej of La-nklng [1] flrst cholce [2] second choice, and [3J thlrd choice. Plea8e nots that onlv three (3]
cholcer wlll be observed bv the CIty Clerk,e Offlce. (Regular Boards of City)
Affordable Housing Advlaory Commlttee Loan Revlew Commiltee
Art ln Publlc Places Commlfree Marlne Auttrorlty
Beaullflcatlon Commlttee Mlaml Beach Commleelon for Womon
Boad of Adlustment*Mlaml Beach Cultural Arls Councll
Budget Advlsory Comrnltte€Mlaml Beach Human Rlghte Coinmlflee
capltal lmprcvemenb Prolects oveIslsht Commlttee Mlaml Beach Slster Clt6B Program
Commlttee lor Quallty Educaton ln MB Normandy Shores Local Gov't Nelgh, lmprovement
Commltlee on lhe Homelese Parke and Recreallon Facllltles Board
Communlty Development Advlsory Pereonnel Bmrd
Communlly Relatlone Board Plannlng Board"
Convenllon Center Advlsory Board Pollce Clllzens Relatlons Commltlee
Debarment Cormltee Producdon lndustry Councll
Deslgn Revlanv Board*Safety Commltlea
Osablllty Aocess Commlttee Slngle Famlly Resldontlal Revlerv Panel
Flne Arh Board Sustalna blllty Commlfr ee
Gay, Lesblan, Bleexual and Transgender (GLBT)Tennle Advleory Commlftee
Golf Advlsory Cornmltlee Transportatlon and Parklng Crommltbe
Health Advlsory Commlttee Vlsltor and Convenllon Authorl(y
Health Facllllles Authorlty Board Waterftont Protecilon Commlltee
Hlepan lc Affalra Commlttee Youth Center Advlsory Board
t1l Hlstorlc Preservatlon Board Youth Center Advlsory Boatd
Houelng Authorlty
Nots: lf applylng for Youth Advlsory Board, pleese lndlcate your affiliailon w
1. Past service on the Youth Center Advisory Board: No years of Service:
2. Present particlpaUon in Youth Center actlvlties by your chlldren No if yes, please lisi the names of lour children, their
ages, and whlch programs. Llst below:
Program:
Progrem:
Ohlld'8
chlld,s
Age:
Age:
75
. Have you ever been convicted of a felony: No lf yes, please explaln in detall:
o Do you cunently have a vlolatlon(s) of City of Mlaml Beach codes: No lf yes, please explaln in detall:
. Do you curr€ntly owe the Clty of Money Beach eny money: No lf yes, please explain in detall:
r Are you cunently Bsrvlng on any City Boards or Commlttees: ye8
Wlsh to contnue servlng on Hlstorlc Prcs. Eoard
!f yes, whictr board?
o What organizations ln the City of Miami Beach do you cunently hold membershlp ln?
Name: Mlaml Derlgn Prerervatlon Leaguo Tifle: Board liember
Name: Mlami Beach Botanclal Garden Tlte: ilember
o Llst all properties owned or have an lntercst ln, which ar€ located within lhe City of Miami Beacfr:
2900 Flamlngo Drlve
r I am now omployed by lhe clty of Mlami Beadl: No Whlch department?
o.Pursuant to_Crty 9o!e $9ct!on 2.25(b): do you have a relaUve who is emptoyed by the
Clty of Mlaml Beach? Check allthat apply. ldentifi the departmen(s):
The followlng lnformadon b_voluntary lnd lr nclther parl of.your appllcallon nor har .ny bearlng on your oonlderrtlor ior appolntment. lt lrbclng mkcd to comply wlth fedoral equal opportunlty pporing re{rihmcntr.
Gender: Female
Ethnic Orgln: Cheok one only (1)
Chellenged: No
Employment Stetus: Homomaker
Date: I nU2 Control No. Date: I n}1,2
l{oTE:.!fappolnled,youwlllbeFq.uhedtofollowcerialnlrwewhlchapptytoclt6
Thcre lawl lnclude, but arc nol llmlted to, the foilowtng:
o Pmhlblton from dlrecfly or lndlrecfly lobbylng clty pereonnel (Mlaml Beach Clty Code secgon 2459).o Prchlbluon fom contracflng wlth lhe clty (Mlaml-Dade County Code 8€ctqt 2:11.,1).o Prohlblton tom lobbylng beftre boardcommlttee you have iewed on ta perlod olone year after havlng oflce (Mlaml
Beach Oode sectlon 2-26).o Requlrement to dlaclose certaln f,nandal Inbreeb and glfts (Mlaml-Dade Corng Code secqon 2-i 1.1).(re CMB. Cormunlty Developrnent Advlsory Conmlttee):
-prohlblUon, durlng t6nure and for one yeai affer leavlng oflce,ftom havlng any lnteregl ln or recelvlng arl fenent torir communlty'Devel6pmenietoo, er,ani funortoi eirtreiy-our,lsett,
or thoee wlth whom yqt have buslneae br lmmedlate hmlly fleo (CFR S7O.61i ).
Upon rcquerl, copler of lhese lawr may be obtalned tom lhe Chy Clerk.
il[-nerq$t at!?et to the lccuraoy-and truthfulnesr of lhe appllcaflon end have rece lvcd, rcad and wlll ablde by chapter 2, ArtlchVll - of the Clty Gode "Slandardr of Conduct for Clty Offitere , empoyeeJ ana lganoi yemler":;"- ----- -' -
I Jane Grosa agreed to tfie lollowlng torms on12t41fr12 E:4i:16 pt
Recelved ln the Clty Clerlde Offce by:
Name of Depug Clerk
76
Jane D. Gross -0
l) - jdgross@hotmail.com
In September 1982 Jane was hired by Andrew Capitman and Mark Shantzis, the original pioneers of the Art
Deco District, to assist in the fust hotel restoration of the Carlyle Hotel on Ocean drive. Her corporate
marketing background and willingness to work for a room at the Victor Hotel, free meals at the Cafd Cardozo
and a ridiculously small salary, as well as her knowledge and love of Art Doco, made this a perfect life-
changing move, After this, and because of her relationships with both Barbara Capitrnan (for whom she
campaigned for City Commission) and l.eonard Horowitz ( established color palate in district) became leasing
agent for the 30's Promenade (formerly the H,S. Kress Five & Dime -1201 Washington Avenue), the fust
commercial historic restoration in the district. The owner servod as a conduit in the early days, for anyone who
was interested in developing in the Art Deco District and Jane, thetr assistant to the President and Owner, was
appointed as the liaison to all potential investors. Jane assisted the New Y
Cinema Theater and created South Beach's first premiere nightclub,
"I\dansion"). She procured work for struggling artists who would pay
owners who restored the
, after rnany incarnations,
ur rveli, DasKPasK an(I scnoor il*p'Ey onvss for neeoy cniloren. A cancef survlvof, Jane vo luulqffs at the
American Cancer Society'pffia! for Lifo, the stronglypromotes random acts of kindnQ,rIkftir as diiving the
elderly or domestic hopdqry :iilPlt si3ns with her sorL Jon- Responsible for.weelffihrfich at:Igew Lifi
Homeless Shelter
ffi*" ,1nd's[ster the summer of 2003. (preparation, servln{q&;nue)
artwork for lack of money.
Moving ftorn the Victor to the Amsterdam Palace (now the V ) and then to the Locust
apartments (Cafd Des Arts building) Jane got rent reduction i other young terumts to live
firther south on Ocean Drive. On the construction side,to all subcontractors, prepared bank
documents on both renovations and new construction.as a carpenter's helper many years
before. She also held positions for DACRA fbr both Craig and Scott Robins while
serving on the Young Professionals Board of the
Since 1988, Jane's focus has been on including projects for Temple Bah Sholom (chairs
Project Isaiah which raises 2 tons of food for thd Daily Bread Food Bank) armual Mitzvah Day
shirt drive for the Community Homeless). Certified by Leam to Read Volunteers
adult literacy (currently Project LBA wecklV for WLRN Radio Reading Service (
of absence to volunteer for I s robding tutoring in Miami Beach) was vice oftho
Board of Cushrnan School Pareq[Afficiation. Patticipates ongoing in toy drives, sweater dri
drives, backpack and school UpSlIrdrivos.for needy children. A cancer survivor, Jane vo$E"ffiat the
{ane-'s p.r-rtaig$fn r*..i'irtoded: Assistant corporate controller " ffid5aints Corporation in
Danbury, SffiE she,wq$charged with computerizing all depts. Instal$ffi managed firsf custom color
sYstems iqffioap.l-homo center chains. Manager of Sales Services foffitcfiaUulltD,-iv. of Chesebr.ough
Azizh.doprnetics and Fragrances); Marketing Consultangi$-{4icroghosis for an innovative
softwai'e system that revolutionized the trading nop$&flWAl StLet. Subcontracted to provide
cable work for trading floor installations. V wrfting projects zuch as employee
product descriptions, inshuction booklets, assern!^lg;ipstitctiobs as well as jlngles, lyrics and sorne. Jane worked her way through college as art gqe$+ifigr, ballet studio asst and-carpe,nter's helper.
Education: B.A. Western Connecticut University; ffitf fia,.Real Estate License for. i5 years
Associations: Executive Board Member Cqnrtriunity Health Center, Board member ofthe
Miami Design Preservation Menrber Woman 2000, Board MernberMiami
PACT representing T
Mernbership samples: Miami dfu,it* member NCJW, Nat'l Trust for Historic
Preservation,Urban Environment League, Amnesty International,
Conservancy, Women for Women International.Greenpeaoe, Miami
Continued on page 2-
77
pase 2
Jane Dee Gross - |
Sponsor: Yourg Womer's Leadership events,
Confererrcg local HIV/AIDs social ovents
Education/Certifi cation: BA
Certifi catior (Laubach Method) ;
Acaderny (haduate.
Communitv Servico otc.
yliarni Beach FL 33140
St&tb
Cid2en'e
Ser Society (Fciuberg Fisher Elernentary School), Miarni Beach Wamdet
iesideil isilstance) and rrarious anmymous activities. qF*
Uyriversity; State of Florida Real Estate Liaens€ (ZS yearfu,ffiflult Lirdracypolice Acadunv Graduate; Miami Beadr N"chbffi;:rt in
Board of Directors - Miarni Beach Cqrrmunity HeElth Center - 6 years; Secretary of Board of Directors MBCHC - 3 years
Honored as "A Woman Worth Knou,ing" by Ctty of Miami Beach 2006
Neighborhood Police liaison - 2 years;
Co Chair Project Isaish for Ternple Bsth Sholom (food drive beircfiting Daily Bread Fmd Bank) - Sruted thc nadition and chaired
for 9 yoars
Boatd Me'mbcr, Miami Design heservation League for many years and current .dh"
WLRN Radio Reading Service on airn€wsreader l0 years plus (served on tte aavisogffiwett)
Board Membsr PACT (Peoplc Acting fot Commmity Tog€ther) a socialjustice *df-$ii=; ;rortium (representing Tcrnple Beth
Sholon) 5 yoars. PACT rops 100,000 people in Miami Dadc Counry tr1#f
Literacy Vohmteer for Miami Dade Public Schools (Kindergarten/l - *Iqdf$.Mr. Sinai satellite as well as orre year 4th grade at
North Beach Elementary); Viae Presideflt Par€nt Assoclation at Cqg[ffiffiool 2 years: Class Mother fenrple Bah $Trolom pre
school 3 yeats; Classroom volunteer Heb,rew Aoademy 2 years; C;ffi&her t ehrman Day School 2 years; Team Mother various
sprts teams 12 years plus. ,*.ftfr"*
Book, Food and video drives to benefit comm*iry nrrygffiffi* the Homeiess many years.
Life mernber NCJW Founding Monbsr Women 2000 ,6$ii
-ffi,+-
*-:.*d"
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79
From:
Sent:
lo:
Cc:
Subject:
Trofino, Tathiane
Thursday, January 08, 2015 9:18 AM
Granado, Rafael; Cardillo, Lilia; Hatfield, Liliam
Steinberg, Micky
Board Nominations for Reappointment
Good Morning,
On behalf of Commissioner Steinberg please nominate the following for reappointment:
L. Please nominate Carol Housen for reappointment to the Design Review Board.
2. Please nominate Kathleen Phang for reappointment to the Design Review Board.
3. Please nominate Jane Gross for reappointment to the Historic Preservation Board.
4. Please nominate Herb Sosa for reappointment to the Historic Preservation Board.
Thank you,
E.-h. *,:I-.-,1-,
*: t.t.t."t1:11
.lil ;--.l
Tathiane Trofino
Aide to Commissioner Micky Steinberg
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7103 I Fax 305€73-7096 / www.miamibeachfl.qov
we are committed to providing excettent public se@e, wo* and ptay in ourvibnnt, tropicat, histoicammunity.
80
Granado, Rafael
From:
Sent:
To:
Subject:
l'11 ' e:rl
Bonini, Danila
Thursday, January 08, 2015 1.0:49 AM
Prieto, Silvia; Hatfield, Liliam; Granado, Rafael
Nominations
On behalf of Commissioner Grieco please re-nominate Jane Gross to the Historic Preservation Board, Richard Baron to
the Board of Adjustment, Gabriel Paez to the Personnel Board, and Frank Kruszewskito the planning Board. Thank you
for your attention on this matter.
Ddr4ila
--. .-,.r--,
,1r, 1, l,i,,i,rrl i B E AC H
Danila E. Bonini
Aide to Commrssioner MICHAEL C. GRIECO
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 78G338-3865 / Fax 305€73-7096 /www.miamibeachfl.oov
we arc @mmitted to ptoviding ex@ltent puotic ser@e, wok and play in our vibnnt, ttopical, historic
ammunity.
81
THIS PAGE INTENTIONALLY LEFT BLANK
82
AMIBEACH
Last Name
GITY OF MlAlvll BE.ACI{
BOARD,.\ND CO$]MITTIE APPLICATIOI'| FORM
First
citi,Home Address
Business Name *--'--
{fLlBEtrtf,o
J-J 'z
Cellular T
Position:6
Business Address
Professio nal Licenso (descrlbe)
Altach a copy of the license
Zip Code
Pleaselistyourpreferencesinorderofranking[1]firstchoice[2]secondchoice,ano
Cfty State
Expires:
Pursuant to City Code sectio n 2-22141 a and bl Members of agencles, boarCs and committees shall be afflliated with the city;
this requirement shall be fulftlled ln the foilowing ways: a. An individual shall have been a resident of the city for a minimum of six
months; or b. An individual shall demonstrate ownershipiinterest for a minimum of six months in a business established in the city
for a minimum of six months.
o Resident of Miami Beach for a minimum of six (6) months: v".&o, ruo ff ^)o Demonstrate an ownership/interest in a businesgjg,Ivliami Beach fdr a minimum of six months; yes &r ruo ff
o Are you a registered voter in MiamiBeach:YeJIJQor Noo!
o I am now a resident of: North Beach E souftr B-eacrrffi Middre Beach E
o I am applYing for an appointment because I have special abitities, knowledge and experience. please list below:
o Are you presently a registered lobbyist with the City of Miami Beach? yes
ular Boards of
D Affordable Houslng Advisory Committee X Fine Arts Board E Normandy Shores Local Govemment
Neiqhborhood lmDrovement
E Art in Public Places Committee D Gay, Lesbian, Bisexual and fransgender
Enhancement Committee(GLBT')
E Parks and Recreation Facilitles Board
O Beautifi cation Committee tr Golf Advisory Committee O Personnel Board
tr Board of Adlustment * Il tr Health Advisory Committee tr Plannino Board*fr
tr Budoet Advisorv Committee E Health Facilities Authoritv Board D Police Cltizens Relations Cornmittee
tr Capital lrnprovements Projects
Oversioht Committee
D Hispanic Affairs Committee E Production lndustry Council
O Committee on the Homeless Jistoric Preservation Board )(O SafeU Committee
tr Committee for Qualitv Education in MB O Housino Authoritv tr Single Familv Residential Review Panel
fl Communitv Develooment Advisorv tr Loan Review Committee U Sustainabilitv Committee
tr Communitv Relations Board D Marlne Authoritv D Tennis Advisorv Committee
tr Convention Center Acivisorv Board tr Miami Beach Commission forWomen n Transportation and Parking Committee
tr Debarment Committee E Miami Beach Cultural Arts Courrcil B Visitor and Convention Authoritu
tr Desiqn Review Board* *tr Mianri Beach Human Rights Committee o Youth Center Advisory Board
tr Disability Access Committee tr Miami Beach Sister Cities Prooram O Waterfront Protection Committee* Board Requlred to Flle State Disclosure Form
Llcense lssuance Date *-Z and Llcense Expiration DlAl:l-{0-sljfrt A'Ll3
4\
FIoLER\$ALL\aFoRMS\BoARD AND ooMMITTEES\Bo Application NEWLY REVISED NEW uANGUAG$IH A I 3 'J 3 U
83
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY To CITY BoARDICoMMITTEE
MEMBERS. THESE LAWS |NCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWTNG:
o Prohibition from direcUy or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibitlon from contractlng wlth 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 afler leavlng office (Miami Beach
City Code section 2-26).
o Requirement to dlsclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
o CMB Community Development Advisory Committee: prohlbition, during tenuraand for one year after leaving offlce, from having
any interest in or recaivlng any benefit from Community Development Block Grant lunds for either yourself, or those with whom
you have business or immediate family ties (CFR 570.611).
Upon request, coples of these laws may be obtained from the Clty Clerk.
I HEREBY ATTESTTO THE ACCURAGY AND TRUTHFULNESS OF THE APPLICATION, AND I HAVE RECEIVED, READ AND
WILL ABIDE BY CHAPTER 2, ARTICLE VII - OF THE CITY CODE "STANDARDS OF CONDUCT FOR CtW OFFICERS,
Received in the Clty Clerk's Office by:
Name of Deputy Clerk Control No,Date
F:\CLER\$ALL\aFORMS\BOARD AND COMMIfiEES\BC Appllcaton NEWLY REVTSED NEW LANGUAGE.doc
84
HERffi SSSA
r, Florido 33]39
herb@herbsoso.com
A proven trock record in verbol & written communicofions ond exce//enf
public relations ond couse morkefing successes
Community octivist, Mlomi historion, preservotionist ond freelonce writer, Herlc Soso is o founding
member of, ond cunently seryes os President of UNITY COALITION ICOAL|C|ON UNIDA, the
leoding non-profit 50.l(c)3 Lotino I Hisponlc goy civil-rights nonprofit initiotive, offering leodership
on issues thol concern Lolino I Hisrcnic IGBT (lesbion, goy, bisexuol, tronsgender) ond olher
mlnority groups ocross lhe U.S. since 2002 ond mosl recently. producers of the Celebrote
ORGULLO Festivol in Miomi Beoch. Soso is olso PublisherlEditor-ln-chief of AMBIENTE Mogozine,
AMBIENTE Mogozine is the first & only LGBT publicolion offered in English. Sponish & Portuguese,
produced bi-monlhly. offered free of chorge, ond distributed digltolly oround the globe lo
thousonds of iis reoden
Mr. Soso Mngs over20 yeors of corporote ond not-for-profit leodership experience in the
community.
Previously, Mr. Soso wos Corporote Creotive Director for Burdines Dept. stores, wos
Executive Director of Miomi Design Preservotion Leogue ond the Arl Deco Weekend Festivol inMiomi Beoch.
ln 1995 Mr. Soso creoted ond developed the Bo-Bolu Siore concept in Miomi & Mlomi
Beoch, eorning ihe store ihe uni,que distinction of being nomed one of Conde N'osi Troveler
Mogozines top 100 deslinotions in the world in 1996. Mr. Soso hos receive vorious coreer ond
personol
occolodes from hls peers. including the Up ond Comers Business Leoders Aword (1??d), City of
Miomi Beoch Herb Soso Doy proclomotion (1997), ond feotured in Cofe Con Leche, o
documenlory on first- generotion Cubon-Americons (19?6|. Soso served os choirmon of Miomi
Beoch's Historic Preseryotion Boord for over six yeors, ond hos seled on the Boord of Direclors oflhe Miomi Design Preservotion Leogue, Miomi Beoch Community Developmenl Corp.,
Shelbourne & Fernwood HIV/AIDS Housing, ond voriety of other orgonizotions throughout South
Florido. While president of Dode Heritoge Trusl, Soso wos honored to be involved in ihe
reslorotion ond re-lighting of the l?25 Cope Florido lighthouse in Key Biscoyne, culminoting with-o Golo Re-tighting Ceremony in July 1996, copping -Miomi's Centenniol Gelebrotion.
ln Jonuory 2004, Herb Soso wos nomed one of Tentoci6nes Mogozines Top Ten Lotino/o
octivists in the U.S. ond in 2005 wos nomed one of OUT mogolnes Top IOO LGBT Activists ond
feotured on LOGO TV. On April2008 Soso wos nomed Teno.com's Activlst of the Monlh.
ln 2009 Soso received o Clty Proclomotion from Miomi Beoch - Herlc Soso Doy - for his
community work, wos nominoted for o Glood Medio Aword in 2009 for Outstonding Digilol
Journollsm for his work in Ambiente Mogolne ond wos nomed one of ihe 25 Most lnfluentiol
GLBT Lotinos in the U.S. by miopogeo.com.
On December l, 2009 - World AIDS Doy- U.S. Congresswomon lleono Ros-Lehlinen
recognizes Herlc Soso personolly for his wo* in the community, olong with thol of Unity Coolltion
ond Ambiente Mogolne, os she oddressed the U.S. House of Representotives.
Cunenlly Soso is once ogoin serving os choirmon of the City of Miomi Beoch's Historic
Preservotion Design Review Boord ond in Moy 20llwos nomed one of 5 "People To Know', in
MiomiBeoch by the MiomlHerold.
85
I"IERB $OSA
t, Miomi Beoch, Florido 33139
herb@herlcsoso.com
Experience
Edlfor-ln-chlef, Amblente E-Mogorine
AMBIENTE Mogozine is the first & only LGBT publicotion offered in English, Sponish &
Portuguese. produced bi-monlhly, offered free of chorge, ond distributed digilolly oroundlhe globe to over 30,000 loyol reoders monthly, with o direct morket of Florido, lhe
Coribbeon & Lotin Americo www.ombiente.us
Hetb Soso Deslgn
A full seMce imoge, public relolions ond web design service, wilh on impressive list of locol,
notionol ond intemotionol clienls www.herbsoso.com
Freelonce wdler
Published locolly & notionolly in House King Mogozine, Revislo House King, Preservotion
Todoy, Ambienle, SunPost, MiomiHerold, Miomigo, Tentociones & vorious other publicotions
2000-2003
Executlve Dlreclor, Mloml Deslgn Preservo{lon Leogue & Arl Deco Weekendo
Non profit hisloric preseruolion orgonizotion, with over 600 members ond yeor round
educolionol progroms, lhe Art Deco Museum, the Art Deco Welcome Cenler, Art Deco
Weekend with over 500,000 vlsitors to Mioml Beoch eoch yeor, ond dedicoted lo prolecling
Miomi Beoch's seven historic districts ond lheir orchitecturol legocy www.mdpl.org
Responsible tor 12 employees. 300 volunteers ond o combined onnuol budget of $1,4S0,00b
r 9?5-2000
Owner, Bobolf
A gift ond memorobilio boulique for everylhing Cubon - With slores in Miomi Beoch, Boyslde
ond on the web, Bobol0 wos nomed one of Conde N'ost Troveler Mogoines top 100
deslinotions in the world in 1996 ond feotured on vorious movies, TV ond news shows.
Orgonlzer, Espofiolo Woy Arllst Morkel
Creoled ond monoged the weekty Espoholo Woy Artist Morket, including over S0 ortists &
vendors weekly. entedoinment schedullng ond slreet improvemenls
1992-1995
Owner, Beoch lmoge Group
lmoge development for smoll businesses including promotion, product design, odvertising
ond grophic services - Clienls included The Govt. of Mexico, Commissioner Noncy Liebmon
Lorio's Restouront, ond Goodbodies Shop
1990-1992
Cresllve Dlreclor, Visuol Presenloilon producls
A mulli level design ond monufocturing firm in Florido. Orgonizolionol ond personnel
responsibilities of corporole retoil design. producl development ond quollty control of locol
nolionol ond internotionol monufocturing, supenrising stoff of over 80 in Florido with clients os
Lerner New York, The Limited, Bloomingdole's, Henri Bender, ond Burdines
1982-1990
Creqlive Dlreclor, Slore Plonnlng & Visuol Merchondlslng, Burdlnes Depl. Slores
Oversow for the cotporoie imoge ond development of 42 deportmenl slores ocross Florido
& developed speciol projecls for Federoted Dept. Stores Corporote offlliotes ocross the U.S.
Responsibilities included seosonol ihemes & development, new store concepis, fixture, shop
concept, monnequin design, ond overoll corporote imoge. Supervised 250+ employees,
ond o 2.4 million onnuolbudgel.
86
(9 MIAMIBEACH
NAf,IE: Steffens
CITY OF MIAi,II BEAGH
BOARD AND COMMITTEE APPLICATION FORM
Francis
Last Name
HOTllE ADDRESS: .
First Name Middle lnitial
FL 3314/'
Apt No. Home No./Street City state Zipcde
mlk@nevlllesteffens.comPHONE:
Home
Buslness Name: F. tlchael Stoffens pA
Address: 316 mlracle mlle
Work Fax Email Address
posigon: lrlnclPal
Coral Gables FL 331i,,,
Steet City State Zipcl:die
Pursuant to Clty Code_sec.tlon2-22141a and b: Members of agencies, boards, and committees shall be affiliated with the city this
requlrement shall be fulfilled lnlhe followirg waya: a) an indivHual shall have been a resklent of the clty for a mlnimum of slx
months; or b) an individual shall demonsttate ournershiy'interest for a minimum of six months in a business established ln the city.
o Resident of Miami Beach for a minimum of six (6) months No
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No
o Are you a registered voter in Miami Beach: No
o (Please cirde one): I am now a resident of: Mlddle Beach
o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Archltect wlth extenslyt Hlstorlc Preservatlon Exporlence
o Are you presently a registered lobbyist with the City of Miami Beach? No
PJeape list y-our Pleferenqg in _order_of r!-nkin-S fll frst ctroice [2] second choice, and [3] third choice. Pbase note that onlv three (3]
cholces wlll be observed by the GIU Clert's Ofllce. (RegularBoards of City)
Choice 1: Historic Preservation Board
Choice 2: Design Review Board'
Choice 3: Board of Adjustment'
Note: lf applying for Youth Advisory Board, please indicate your afiiliation with the Scott Rakow Yor.rth Center:
1. Past service on the Youth Center Advisory Bmrd: 1o years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their
ages, and which programs. List below;
o Have you ever been convided of a felony: No lf yes, please explain in detail:
o Do you cunently have a violation(s) of City of Miami Beacfr codes: No lf yes, please explain in detail:
o Do you cunently owe the City of Miami Beach any money: No lf yes, plase explain ln detall:
o Are you ornently serving on any City Boards or Committees: No lf yes, whicfr board?
o what organizations in the city of Miami Beach do you cunenfly hold membership in?
o List all propertes owned or have an interest in, wtrich are located within the City of Miami Beach:
o I am now employed by the city of Miami Beactr: No \{hictr department?
87
The followlng lnformaUon is-voluntary and ls neltlter part of your appllcatlon nor has any bearlng on your consld€ratlon br appolntment lt ls
belng asked to comply wlth federal equal opportunity mpordng re{rilrements.
Gender: Male
Race/Ethnic Categories
What ls Your race? Mark one or more Eces to indicate what you oonsider yourself to be. White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No
PhysicallyChallenged: No
[{OTE: lf appolnted, you wlll be requlred to follow cedaln laws whlch apply to clty board/cornmtttee membo6.
These laws lnclude, but aro not llmited to, the followlng:
o Prohibiton from dlrectly or indirecdy lobbying city personnel (Miami Beach City Code section 2-459).o Prohibitlon from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohittitbn lrom lobbyng berore board/committee you have served on for period of one year after leaving office (Miami
Beacfi Code sec{on 2-26).o Requirement to disdose certaln financial interests and gifls (Miami-Dade County Code sectb n 2-11 .11.
(re: CMB_ Community Developnent Advisory Committee): prohibition, during tenure and for one year afler leaving office,
from having, any inlerest in or receiving any benefit from Community Dweloprnent Bloc* Grant iunds for either yourself,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request copls of these laws may be obtalned ftom the Clty Clerlc
"l hereblt atlert to the accuracy and truthfulness of the applbatlon and have rocelved, road and wlll ablde by Chaptor 2, Artlch
Vlt - of ths Clty Code "Standards of Conduc't for Clty Officers, Employeer and Agency Hembens."
I Francls Stefiens agrced to the following terms on 121ff2014 11:31:42 pt
Received ln the City Clerk's Offoe by:
Name of Deputy Clerk Control No.Date
88
Nevi I le/Steffens Architects LLp
Gregory A. Neville
F. Michael Steffens
AR 0012197
AR 001 1 052
F. MICHAEL STEFFENS
FIELDS OF SPECIALIZATION
Architectural Design
Historic Preservation
EDUCATION
Rice University, Houston, Texas
University of Florida, Gainesville, Florida
REGISTRATTON
Florida Personal
Florida Corporate
Masters of Architecture 1984
Bachelor of Design in Architecture 1gg1
AR 001 1 052
AA 0003466
EXPERIENCE
Neville/Steffens Architects LLP was formed in December of 1g99 for the practice of architecture,interior design, planning, and related design services. Mr. Steffens 'project iesponsibilltiesencompassed the public sector and corporate ind private clients who express a'oesire ior quality inthe built environment. F,9r tl-re fourteen years previous to that date, Mr. Steffens was engaged as aSenior Project Manager/project Architeci for Zyscovich lnc.
Mr' Steffens has lived in South Florida for 55 years and in Coral Gables for 30 years. Mr. Steffens ispast Vice Chairman of the Coral Gables Planning and Zoning Board and past Chairman of the City ofMiami Beach Design Review Board. He also served on the CoralGables Board of Architects and theCoral Gables Historic Preservation Board.
Specific South Florida projects lnclude:
(ltems underlined are Historic preservation projects)
' chaminade'Madonna High schoo/ pertorming Arts Facifity
' chaminade-Madonna High schoolAthtetic Fietds and Facitities. Sf. Thomas University Master ptan. ?320 Ponce de Leon Office Buitdinq. La Goulue Restaurant. Yuga Restauranto The Daily Restaurant. Miami lnternationat Airport Terminat E Renovation. Qoral Gables Citv Hall Restorationt St Mori2 Hotel Renovation./
a
o China Grill Restaurant, Las O/as RivertrontShops. SIK Restaurant, Miami Beach. Morton Towers Addition and Renovationo Bef Shira Synagogueo B'nai lsrael Synagogue and School, Toussainf L,Ouverture Elementary Schoo/. Numerous Residential Restorations
316 Miracle Mile
Coral Gables, Florida 33i34
89
Ag.tr: , r-\r+J,DtArE 9r TL(,KTUA
SEO# LLzLzzToLlos
gTEFEENS, FRA![Crg316 ITIRACLB MrI.ECORAIJ OABI'ES
' RICr SCOIE'"' GOVBRIIOR ,.REN TrAI'SON
SECRATARY
90
AV# t rcJcu
Naued bclow I8 - LICEI{SED, , .'uada; Eui-provr-ronl-;E "IfpgtBxpLratLot'date: FEB 28, 20i5,:
ul;AtE.Lr.i FLUt(luA
9EQ# r.rzr227o:.sro
'.316
CONAL
KEN I.AI|SON
SECRBTARY
91
92
g MIAMI BEACH
OFFICE OF THE N,IAYOR AND COMMISSION MEMORANDUM
AMENDED
TO: Roloel E. Gronodo, City Clerk
FROM: Joy V. W. Molokoff, Commissioner
DATE: Jonuory 8,2015
SUBJECT: BOARD NOMINATION FOR YEAR 20]5
My nominotion is os follows:
Boord & Committee Nominee
Historic Preservotion Boord (MDPL) F. Michoel Steffens
lf you hove ony questions, pleose contoct Bonnie Stewort ot extensio n 6722.
JWVM/bhs
We ore commilted to providing excellent public service ond sofety to oll who live, wo*, ond ploy in our vibront, tropicol, hisroric community.
93
MIAMI DES]GN PRESERVATION LEAGUE
December 5,2014
Mayor and City Commissioners
City of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
Re: Nominations for Historic Preservation Board Appointment
Dear Mayor and Commissioners:
The City Code calls for the Miami Design Preservation League to nominate three people as candidates for a
position on the Historic Preservation Board.
Miami Beach City Code Section 118-103(aX1) describes the Historic Preservation Board membership (in part) as
follows:
"Sec. 118-103. Membership.
(a) The historic preservation board shall be composed of seven members.
from each of the following categories:
(1) A representative from the Miami Design Preservation League (MDPL),
nominated by such organization."
There shall be a member
selected from three names
in accordance with our obligation under the law, Miami Design Preservation League wishes to nominate the
following three individuals as our representative on the Historic Preservation Board:
1) Neal Deputy, Architect
2) Michael Steffens, Architect
3) Bill Lane, Architect
We believe each individual listed possesses the background and characteristics necessary to serve the city with
distinction. We enthusiastically recommend them for your consideration. Each candidate has extensive experience
in Historical Preservation and Architecture.
On behalf of the MDPL, we sincerely appreciate the opportunity to participate in this process and know you will
make the right choice.
Respectfully,
Steven J. Pynes
Chairman
CC: Jimmy L. Morales, City Manager
Rafael Granado, City Clerk
1001 Ocean Drive, Miamj- Beach, EL 33130
Mailing Address: PO Box 190180, Mj-ami Beach, FL 22119-0f80
94
Miami Beach CulturalArts Council
. Dale GraE. Dawn L. McCallo lsrael Sands
95
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96
BOARD AND COTIIiIIITTEE APPLICATION FORT
Zp Code
Business Name Occupation
Business Addcss City State Zp Code
Profeasional Licanse (deeqibe): Enir€s:.
Please list your preferences in order of ranking [{] first choice [2] second choice, and [3J third doice. Please note that
onlv three (31 cholces wlll be observed bv the Cltv Clerk's Offlce.
lS:llt{U il AOHft0Z
U:,\li3iU
Puruant to Clty Codo sectlon2-22l1la & 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 br a minimum of six months in a
business established in the City br a minimum of six months . ,/
o Resident of Miami Beach for a minimum of six (6) months: yes EI or Xo E
r Demonstrates ownership/interest in a businese in Mjami Beach for a minimum of six months: Yes f] or No
o Are you a registered voter in Miami Beach: Yes EIor l{o E ,r ^ l, y(,u a rEgll'lerEs y(,le] tfi ]Yltamt Eeacn: I95 rg or ilo LJ -r'
o tam now a resident "r, r"ii E"."n-E ;;,h B;;i-El-r,oo,e Beach d)one'fian
I have speqial abilities, knorledge and
,WWfut
City of Miami geaihZ Yes U or trto [lI
a Ad Hoc Comffitee Centennial Cdebraton
O Parlrs and Recreation Faeilities Board €
O Transpodatlon, Parlfig, A BiclulPcdG.fian
O Gey, bsHEn, EtEarual axl
* Bmrd membeE am nqulnd to llle Form I - "Statemetil of Flnarrclal lnte,Bsf'wlth the Strte.*1t Vq le3k .ppolnttltent to a profe$lonll reat (e.g., larryer, archltect etc.) on tre Board of Adfurtmen! Deslgn Revlew
Board, Hbtorlc Pnceryatlon Board or Plannlng Boeld, attrch a copy of youi cununUyoffeclvely llcenre, end firmbh thefollowlng lnfonnetlon:
FrcEil$LL\.FoRMS\BoARo AND ooMMrryEEs\Bc AppLlcAroN **5#i*ot o
97
€ Nob: lf applying fur the Youth CEnter positions of the Parks and Recreations Facilities Board, please indicate your affiliation with
the Scott Rakow Youth Center and/orth6 North Shore parks youth Center
o Please desqibe your past seMce witr the city's Youh cenbrs (include dabs of seMce):
o Present participation in Youth Cenbr acliviiies by your children: Ves E] ruo E
lf yes, please list below the names of yorr children, their ages and the programs in wtrich they participate:
o Have you ever been conMcad of a tslony? Yer U or No h4 [ yes, please e)elain in detail:
serving on any City QoaJd lf yes, whictr
o ln what
an
in the Cfi of Miami Beaclr-dg ycnr cunendy hold
o List all properties owned or in which you have an interest within the City of Miami Beach:
. Are you nor employed by the City of Miami Beach? Ver E or lo EI-
lMtich department and tite?
o Punuant to clty code Sectlon 2-25 (b): Do yor have a parent E, spouse E], child E] orourer E o, sister E who is
employed by the City of Miami Beach? Check all that apply.
lf Yes,' ldentify person(s) and departnen(s): _
The followlng lnformation le voluntrry and ls nelther part of your appllcaton nor has any bearlng on your consaderaton forappolntment lt lr belng asked to cgrnply wlth clty dlvenlty repordng iequ[umenb
RacelEthnlc Categorles
Urhat F vour race?
Elerion+lnerica n/Btadr
E[Caueian/whib
E n"i* or Pacific lslander
E NrW*Arerican/American lndian
f] orr"r- Print Race:
F:ELER\IALL\aFORMS\BOARO ANO COMMITTEES\BC APPUCATIoN
"*s,XN.i3O'
O
98
Do you consideryoullelf to be Spanlsh, Hlspanic or Lalinola? Mad<the "No" box if notSpanish, His,f,nic, Latino/a.
d^"flv""
Do you conslderyoucelf Physlcally Dtsabled?
d.,
EY""
NOTE: IF APPOINTED, YOU WLL BE REQUIRED TO FOII.OW CERTAIN LAWS THAT APPLY TO CITY BOARD'COMMITTEE
UEMBERS. THESE !_AWS |NCLUDE, BUTARE NOT UMITED TO:
o ProhiUtion from direc{y or indirecty lobbying Cig personml (Miami Beactr City Code section Z45g).
o Prohibition from contracling with the City (Miami-Dade Coung Code section 2-111.11.
o ProhPition from lobbying before the board/commitEe you harae senred on for period of one year after leaving ofioe (Miami Beadr
City Code section 2-26).
o Requirement to disclos€ certain financial intercsts and gifts (Miami-Dade County Code section Z-1'1.1).
o CMB Community Derploprnent Mvisory Commitbe: prohit*tion, dudng tenure and br on6 year abr leaving offce, fronr having
any interest in c rcceiving any benefit from Community tlevelopment Block Grant funds hr either yourself, or those with whom
you have business or immediate iamily ties (CFR 570.611).
o Sunshine Law - Florila's Gonarnment-in-tre€unshine Lar was enac,tsd in 1967. Today, the Sunshine Law rcgarding open
govBmment can be lbund in Chater 286 of the Florida Statubs. Theso stetutes establish a basic right of access to most
meetings of boads, commissions and othergowming bodies of steb and local govemmenhl agencbs oriuthorities.
o Voting conf ict - Form 88 is for use by any person s€Mng at tm counff, ci$ or other local lerrel of govemment on an appointed or
elEcted board, ouncfl, commission, affioti$ or commitlee. lt applies egually to members of advlsory and non-edvii6ry bodies
who are presenEd with e vding conf,ict of inbrest under Seclion 112.3143, Fl-orida StatuEs
Upon rcqueot, coples of these lawe may be obteined fiorn tre City Clert.
I HEREBY ATTEST TO THE AGGURACY AND TRUTHFULNESS OF THE APPUCATTON; AND I HAVE RECEIVED, READ AND
YYILL ABIDE BY CHAPTER 2, ARTICLE V!I, OF THE TiNilI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR
CITY OFFICERS, EMPLOYEES AND AGENCY IIEMBERS AND AtL OTHER APPLICABLE COUNTY AND'OR STATE LAI'VS AND
STATUTES ACCORDINGLY."
Receiwd in the City Clerk's Ofice by :
Name of Deputy Clerk Contol No.DaE
PLEASE ATTACH A CURRENT RESUME, PHOTOGRAPH
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, tF NECESSARY, TO
INFORMATION.
AND A COPY OF ANY
PROVIDE REQUIRED
F:\CLERSALL\EFORUS\BOARD AND COMMTTTEES\BC AppLtCATtON *=r,sffiirot O
99
MIAMIBEACH
Cl0y of iliomi Bcoch
l70O Conwntion Cenhr Drive,
Miomi Beoch, Florido 331 39,
,ryum.miomibeochfl.gov
CIW CLERK'S OFFICE
Talephone: 305.673.711 I Fox 305.673.7251
C iqClcrk@m io mibeochfl . gov
Acknowledgement of fines/suspension for Board/Commlttee Members for failure to comply wlth Mlami-
Dade County Financlal Disclosure Code Provision Code Section 2-f i.f 0) (2)
Board Membe/g Name: D / I Q,no* =-
I understand that no later than Julv l. of each vear all members of Boards and Commiftees of the City of
Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County
Financial Disclosure Requiremenb. This means that $e members of City Advisory Boards, whose sole or
primary responsibility is to recommend legislation or give advice to the City Commission, must file, even
though they may have been recently appointed.
One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July l, of each year.
1. A "Source of lncome Statemenf
2. A'Statement of Financial Interesb (Form 1)'
3. A Copy of your latest Federal lncome Tax Return
Fallure to flle 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.
Updated: Monday, Jun€ 02,201.1
F:\CLERSALL\.FORMS\BOARD AND CoMMITTEEs\Bc APPLIoATIoN,,,5.1N.i"lO'
O
100
Dole Grslz
Ms. Grotz hos lived in Miomi Beoch for over 40 yeors. She ond her
husbo nd hove three children ond five grondchildren. Ms. Groh
received her degree frorn Sophie Newcomb College (todoy port of
Tulone University) ond spent severol yeors os o sociol worker in
New Orleons ond Chicogo. Throughout her 40 yeors on Miomi
Beoch, Ms. Grotz hos never hesitoied to give of herself to her
community. She begon her volu nteer effods with the Notionol
Council of Jewish Women ond todoy is o liferime member of thot
orgonizotion. She served os o Guordion Ad Litem for 1 I yeors,
odvocoting on beholf of obused ond neglected children. Dole hos
volunteered in oreo public schools ond served os o mentor for ot-
risk students. She hos served on the Boord of Trustees ond the
School Boord for Temple Beth Sholom, in oddition to volunteering
in the synogogue's monthly "Feeding the Hungry" progrom for the
post l5 yeors. Eight yeors ogo, Dole signed on os poll worker
eorning minimum woge "to help moke voting o more pleosont
experience" for lhe citizens of Miomi Beoch. Also, Ms. Grolz is o
long-tirne member o{ the Commission on the Stolus of Women
unlil she wos recently "termed out". We were sorry to see her go -
but hoppy to honor her tonight. For Ms. Grotz is one of those
quiet, lireless worker bees. When told she would receive this
oword, she wos shocked, overwhelmingly honored ond most of oll,
humble. "l've never done onything big or spectoculor." However
heroutlook on life sums it oll up: "l've olwoys felt fortunote in my
life ond felt I hod to give bock in sorne woy or I would not be oble
to live with myself."
101
S ;n ce + h o' Lc)oft-) ct a tDor* h /vnoct) in g'
f'e,SL( rTiO LOa.s ca)r'','f*e't1 t'T-- hA Ue-. -Se rU{q o11
*he-, C.o rTr ra) i 'tle, €t on *h e- 'Horyte/e--s-s a nd
@ i / I /oe-, *<-rrnin g, o,+f i n De-ce-rn be,r'- { oU.
Z croni in L<e *o Jolan*eerr t n 7A rrt p le- Be.A4
.Sh olorn3 ry)on+ hl.t- rT)Azg,r-l' F.-e.{{ng lLh e-
f{qngFY"pt- ogr'.q rno o nd C,on*i nuL <1s o-)rtv ' Jrcu'.F {or a-l /elec:LrofrS oo rT))qrn't Fua"h,lpat I I 4)o
T Sre i-uv on *t->o- r;e-6 o larsrri P cor^'ni l{**e-s I
*ar *-hz r]a*i p-2*1, .Coq11 ei l, o.F -E'r':is hq)orrt*n ct nc|'fffl??ftofwfug( i n *h<-
7,;'i;iEur'*lo n 'ri+gMt A*s *or C,'*t'z-e-ns
In*er-Ps / ed i n *heY nrf s,
102
103
Granado, Rafael
From:
Scnt
To:
SubJcct:
Joy Malakoff < beachjoy2 @gmail.com >
Monday, November L7,201411:47 AM
Granado, Rafael
Nomination
, , nominate Dale Gratz for the Cultural Arts Councll. she handed in her application today.
Thank you.
Joy
Sent from my lPhone
I Joy V. W. Malakoff
104
Granado, Rafael
From:
Sent:
To:
Subject:
Bonini, Danila
Friday, January 09, 2015 1.:10 PM
Prieto, Silvia; Hatfield, Liliam; Granado, Rafael
Nominations
On behalf of Commissioner Grieco please nominate Jordan Nadel to Affordable Housing position that resides within the
jurisdiction, Dale Gratz to the Cultural Arts Council, Aaron Perry for the At-Large Position on the Visitors and Convention
Authority and Peggy Benua for the hotel industry position to the Visitors and Convention Authority. Thank you for your
attention on this matter.
Da4ild
r.-, .e, r
--:
l+.:t'.'i1]
,,.,,'I," . ,IBEACH
Danila E. Bonini
Aide to Commissioner MICHAEL C. GRIECO
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 786-338-3865 / Fax: 305€73-7096 / www.miamibeachfl .oov
We ap ammifted to ptoviding ex@llent public sevic€ and sary to ail who live, wo* and play in our vibnnt, tropical, hidoric
communW.
105
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106
DAWN L. McCall
I am the co-owner of the Williams McCall Gallery located in the South of Fifth neighborhood on Washington Ave. The
Williams McCall Gallery is the first fine art gallery located South of Fifth. The gallery represents a diverse roster of local
and international artists creating contemporary paintings, works on paper, fine art photography, encaustic collage and
sculpture. ln addition to the gallery, I am a business leader experienced in establishing and operating businesses in
domestic and international markets. Most recently I was head of the Bureau of lnternational programs at the U.S.
Department of State. ln 2009, lfounded lnternational Media & Entertainment Partners, LLC, an international media
consultancy.
From 1996 to 2OO7,l was President of Discovery Networks lnternational, a division of Discovery Communications, a
global media company best known for its flagship Discovery Channel. During my tenure as president, I established what
today is known as one of the most profitable and professionally staffed international television businesses of any US-
based media company. As the senior executive in charge of Discovery's international business, I built and managed a 51g
revenue business, managed a staff of 1,000 professionals worldwide and oversaw all aspects of the business including
new business development, strategic planning, sales and marketing, program production and operations.
As President of Discovery's international business, I also served on the company's six-member executive committee
responsible for running Discovery Communications. As a senior executive, I sat on a number of boards overseeing joint-
venture businesses with large global media organizations including the BBC, Alliance Atlantis and Liberty Media.
I began my career in international business when I was named Senior Vice President and Managing Director of Discovery
Networks Latin America in 1994. ln this position, I established Discovery's business in Latin America through a series of
acquisitions and product launches. I also established the region's first trade association representing television network
interests with the formation of TAP Latin America, where I also served as the organization's first president.
An active member of the industry and community, I currently serve on Miami Beach's Centennial Ad Hoc Committee,
South Of Fifth Neighborhood Association(SOFNA), and Smithsonian Center for Folklife and Cultural Heritage boards. I
am a former board member of the lnternational Academy of Television Arts and Sciences and winner of numerous
professional awards, including being recognized as one of the 20 most influential figures in the international television
business by industry trade publication IBl.
I hold a B.A. degree in Journalism, Advertising and Public Relations from the Henry W. Grady School of Journalism at the
University of Georgia.
107
Granado, Rafael
From:
Sent:
To:
Subject:
Bonini, Danila
Thursday, January 22,20L5 11:34 AM
Granado, Rafael
FW:Nominate
From: Bonini, Danila
Sent: Tuesday, January 13, 2015 4:52 PM
To: Granado, Rafael; Hatfield, Liliam; Cardillo, Lilia; Prieto, Silvia
Subject: Nominate
On behalf of Commissioner Grieco please nominate Dawn McCall to the Cultural Arts Council. Thank you for your
attention on this matter.
Ddrcrld
r.e,.-,"I-r-
--.*.5;a3
t'!"?itt.IJ., ,' BEACH
Danila E. Bonlni
Aide to Commissioner MICHAEL C. GRIECO
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 78&338-3865 / Fax: 305€73-7096 / www,miamibeachfl.oovwearc@mmittedtoptovidingexcellentpublicse@e,workandplayinourvibrant,tropicdt,historic
communW.
108
Granado, Rafael
From:
Sent:
To:
Cc:
Subiect:
Malakoff, Joy
Wednesday, January L4,20L5 3:02 PM
Granado, Rafael
Stewart, Bonnie; Miranda, Alex
Dawn McCall for Cultural Arts Committee
Please add my name to Commissioner Grieco's in nomination of Dawn McCall for membership in the Cultural Arts
Committee.
Thank you.
Sent from my iPad
Commissioner Joy V.W. Malakoff
109
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110
g MIAMIBEACH
NAME: Sands
CITY OF MIAMI BEACH
BOARD AND COTUIMITTEE APPLICATION FORM
Last Name
HOUE ADDRESS:
First Name
Miami
Middle lnitial
FL 33133
Apt No. Home No./Street City State Zip Code
isands@aol.comPHONE:
Home
Business Name: lsraet Sands Law. P.A.
Work
position: Prlnclpal
Address: 1130 Washington Avenue, Third Floor Miami Beach
Fax Email Address
FL 33139
City Strate Zip Code
Pursuant to City Code section 2-22141a 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.
o Resident of Miami Beach for a minimum of six (6) months No
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes
o Are you a registered voter in Miami Beach: No
o (Please circle one): I am now a resident of: South Beach
o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
I have served on CAC before for 6 years.
o Are you presently a registered lobbyist with the City of Miami Beach? No
Plea_se list your preferences in order of ranking Fl first choice [2] second choice, and [3] third choice. Please note that only three (3)
choices will be observed by the Citv Clerk's Office. (Regular Boards of City)
Choice 1: Miami Beach Cultural Arts Council
Choice 2: Miami Beach Sister Cities Program
Choice 3: Hispanic Affairs Committee
Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: 1o years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their
ages, and which programs. List below:
o Have you ever been eonvicted of a felony: No lf yes, please explain in detail:
o Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail:
o Do you cunently owe the City of Money Beach any money: No lf yes, please explain in detail:
o Are you currently serving on any City Boards or Committees: No lf yes, which board?
o what organizations in the city of Miami Beach do you cunenfly hold membership in?
o List all properties owned or have an interest in, which are located within the City of Miami Beach:
. I am now employed by the city of Miami Beach: No Which department?111
belng asked to comply wlth federal equal opportunlty r€pordng requlrements.
Gender: Male
Race/Ethnic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be. none
Other Description: JEWBAN
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes
PhysicallyChallenged: No
NOTE: lf appolnted, you wlll be requlred to follow certaln lawe whlch apply to clty board/commlttee memberc.
These laws lnclude, but are not llmltod to, the followlng:
o Prohibition from directly or indirecdy lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1r.
o Prohibition from lobbying before board/committee you have seryed on for period of one year afier leaving offce (Miami
Beach Code section 2-26).o Requirernent to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1'1.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year afler leaving offrce,
from having any interest in or receiving any benefit from Community Developmenl Block Grant funds for either yourself,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, coplee of these taws may be obtalned from the Clty Clert.
"l hereby attest to the accuracy and truthfulnes of the appllcaUon and have received, read and wlll ablde by Chapter 2, Artlcle
Vll - of the Clty Code "Standards of Conduct for Clty Offlcerc, Employees and Agency tembelB."
! lsrael Sands agreed to the following terms on f n5n013 10:13:29 AM
Received in the City Clerks Office by:
Name of Deputy Clerk Control No.Date
112
ISRAEL S^I.ruos . ISRAEL S^e,Nos Lnw. P.A.
Born May 16, 1955 in Guanajay, Cuba
Admitted to the Florida Bar, 1979
EDUCAT!ON
University of Miami School of Law: LL.M. Estate Planning
J.D. (Dean's List)
University of Miami: B.A. (President's Honor Roll, Dean's List)
LANGUAGES
Native Spanish and fluent French.
NON-PROFIT ACTIVITIES
Board Appointments: Next @ 1gtn Street
Present
MiamiAmerican Civil Liberties Union (ACLU)
2011
1978
1974
EXPERIENCE
Principal lsrael Sands Law, P.A. Miami Beach FL (Rated AV) March, 2011 - present
Solo practice, emphasis on Estate Planning and Probate Law. www.israelsands.com
Lega! Researcher Chasen and Associates, P.A. ,Miami, FL April- August 2010
Research on valuation discounts for family limited partnerships for WealthCounsel and on trans-
jurisdictional recognition of same-sex mariiages.
Event Planner lsrael Sands Events 2001 -2009
Contract negotiation, concept design, vendor sourcing, and co-ordination of all facets of special
events for high-profile families, corporations, and government entities.
TV Show Host MGM Netwoks Latin America 2001 -2007
Wrote, produced, and hosted 78 episodes of lz hour show Entre Petalos y Ramas.
Conducted related presentations for large audiences in Spanish and in English.
Founder, CEO, COO Flowers & Flowers 1990 - 1999
Premier flower/gift concept store in Miami, annual gross over $1 million. Pioneer South Beach
entrepreneur, active in redesign and re-branding of Lincoln Road. Handled all aspects of
management, operations, and publicity. Cultivated high net worth and celebrity clients. Work
featured in Architectural Digest, W, Veranda, and many upscale publications; collaborated on
internationally published advertising campaigns.
Director of Sales, Counsel Domino Footwear 1979- 1990
Product design, purchasing, and quality control in Southeast Asia. Developed and maintained
distribution network in the U.S. and throughout the Caribbean. Negotiated all contracts and
managed relationships with vendors and clients.
2012-
2012 - Present
Active with many non-profits: MOCA, Miami Light Project, South Beach Chamber Ensemble, Arts
for Learning, Temple Menorah, and Miami Lighthouse for the Blind.
113
114
E MIAMI BEACH
OFFICE OF THE IIAYOR AND CO
^MISSION
MEMORANDUM
TO: Rofoel E. Gronodo, City ClerkFROM: Joy Molokoff, Commissioner
DATE: Jonuory 9,2A15
SUBJECT: BOARD NOMINATION FOR YEAR 2015
My nominotion is os follows:
Boord & Committee Nominee
Miomi Beoch Culturol Arts Council lsroel Sonds
If you hove ony questions, pleose contoct Bonnie Stewort ot extension 6722.
JWM/bhs
We ore commild b prwidirg ercelbnt public selice ond sofety to oll wlp live, va*, ord ploy in our vibront, tapicol, historic community.115
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116
Miami Beach Human Riqhts Committee
o Monica Haruey. Amy L. Rabino Rachel Umlas
117
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118
ID
NAME:
MIAMIBEACH CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Harvey Monica
Last Name
HOME ADDRESS:
First Name
Miami Beach
Middle lnitial
FL 33139
Apt No.Home No./Street City State Zip Code
monica@monicaharvey.comPHONE:
Home
Business Name: EWM Realtv lnternational
Address: 419 Arthur Godfrey Rd.
Fax Email Address
position: Realtor
Miami Beach FL
State Zip Code
Pursuant to Gity Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fultilled in the following ways: a) an indivldual 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.
o Resident of Miami Beach for a minimum of six (6) months Yes
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes
o Are you a registered voter in Miami Beach: yes
o (Please circle one): I am now a resident of: South Beach
o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
I served in the Miami Beach Human Rights Board in 2014 and would like to complete several projects we are working on current
o 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 Gity Clerk's Office. (Regular Boards of City)
Choice 1: Miami Beach Human Rights Committee
Choice 2:
Choice 3:
Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: ;r1o years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their
ages, and which programs. List below:
o Have you ever been convicted ofa felony: No lf yes, please explain in detail:
City
. Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail:
o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail:
o Are you currently serving on any City Boards or Committees: yes lf yes, which board?
Miami Beach Human
o what organizations in the city of Miami Beach do you currenfly hold membership in?
o List all properties owned or have an interest in, which are located within the City of Miami Beach:
o I am now employed by the city of Miami Beach: No Which department?
119
The following anformation is voluntary and is neither parl of your application nor has any bearing on your consideration for appointment. tt isbeing 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. White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes
PhysicallyChallenged: No
NOTE: lf appointed, you will be requlred to follow certain laws which apply to clty board/committee members.
These laws include, but are not llmlted to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/commiftee 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 2-1 1.1 ).
(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 iunds 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.
"l hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Arflcle
Vll - of the City Code "Standards of Conduct for Clty Officers, Employees and Agency Members,"
I Monica Harvey agreed to the following terms on 1213112014 10,.27247 AM
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No.Date
120
Monica Harvey
Miami Beach, FL 33139
mon ica@monicahanvey.com
I am yery interested in seruing on the Human Rights Commission for
which I am submitting this resume. I am a graduate from Miami Dade
College and have been a resident of Miami Beach since 1980.
Work History:
1982-1992- Manager of a Plastic Surgery Center in Miami
1992 - 1993 - Self-employed / Catering Company
1993- Present - Realtor at Esslinger Wooten Maxwell International
Realty.
Activities:
I was an activist in Chile in the early 1970s.
I was appointed to the Miami Beach Community Relations Board and
served from 2002-2006.
I volunteered at the Children's Home Society for several years. (1998-
2004)
I am currently a member of the ACLU Police Practices Committee. Our
main purpose is to monitor police practices in regards to minorities,
particularly during Memorial Day weekend in Miami Beach.
I am currently serving in the Miami Beach Commission for lVomen.
I volunteer and participate in other events in an unofricial capacity.
Activism is in my heart
121
Page I of 1
http://www.monicaharvey.com/wp-content/uploads/2013/1 1/Monica-Harvey-_065 1 jpg 11712015
122
Granado, Rafael
From:
Sent:
To:
Subject:
Carra, Lauren
Wednesday, January 07, 2015 5:01 PM
Granado, Rafael
Board Nominations
Commissioner Weithorn would like to nominate:
Carol Housen: DRB
Neal Deputy: HPB
Monica Harrey, Amy Rabin & Rachel Umlas: Human Rights
r.*..**
IJ-,-
' ' rr l-... ,- L;. : - LrLi-1 ._! |
Lauren Garra
Aide to Commissioner Deede Weithorn
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-573-7030 www.miamibeachfl.eov
We are committed to providing excellent public service and safety to allwho live, work and ploy in our vibrant, tropicol,
historic community.
123
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124
(9 MIAMIBEACH
NAI;E: Rebln
CTTY OF T|AM BEACH
BOARD AIID COXMITTEE APPLICANON FORT
Amy
Last Name
HOIE ADDRESS:
First Name
Ilaml Berch
Middle lnitial
FL 33lrO
Apt No. Home No./Street
PHONE: I
City
a
Stete Zip Code
amy023@belbouth.nci
Home
Business Name: Amy Lltt Rrbln
Work Fax
posltlon: yogr lnrtrucilor
Email Addrees
Address:Ilaml Bcach FL 331to
Street stete Zip code
PuEuantio Clty CoF rection 2-22lal a and b: Members of agencies, boards, and committ€es shalt be affillated with the city; this
requirement shall be fulflletl in the following ways: a) an indivlJual shall have been a resilent of the city for a minimum of six
months; or b) an indivklual shall demomtrate ownershidinter$t for a minimum of six months in a business established in the city.
o Resident of Miami Beach for a minimum of six (6) months Yea
o Dermnsffie an ornerehip/interest in a business in Miami Beach for a minimum of six (6) mnths: No
o Are you a registered voter in Miami Beach: ycs
o (Please ClfClgone): I am not a resident of: Ilddle Beech
o I am applying for an appointment because I have special abilities, knowledge and experienca. Please list belor:
aee retume pbaSe
o Are you presenUy a regbtered lobbyist with the City of Miani Beach? No
Pleqse list y-our prcferences in order-of ranfing tlfrst cfroice l2l second choice, and [3] third choice. Phero notc thet onry thrce (3]
cholcra wlll be obrerved by the Cttl Clert'r Cl,ffice. (Regular Boards of City)
Gholco l: Beautlfication Committee
Cholce2: SustainabilityCommittee
Cholce 3: Transportation and Parking Committee
iloie: tf applying for Youth Advisory Board, flease indicate your afiiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Cenler Advisory Board: po years of Seruice:
2. Present participation in Yqrth Center activities by your childran l{o if yes, please list the namos of your chiklren. their
ages, and which programs. List below:
o Have you aver been convic,ted of a felony: No tf yes, please explain in detail:
City
. Do you cunently have a violation(s) of City of Miami Beacfi codes: ilo lf yes. please explain in detreil:
. Do you cunently owe the City of Money Bsach any money: Io lf yes, please explain an detail:
o Are yor qln€nty ssrving on any City Bosrds or Commitees: ilo
l2nffig termed out of parte & mc.
lf yes, whicfr board?
o what organizations in the city of Miaml Beach do you anen0y hold membership in?
. List all propeilles owned or have an intorest in, which are located within the City of Miami Beacfi:
Property
331 W. 28th Street 33140
125
Tho tollowlng lnlormrton lt-Yofutrtrry.nd lr n lhcr prtl of your rppllcrtlqr nor hr rrry ba.rlne on your conrld.?.tlon ior.ppolntm.nt. lt lr
bclng rtlod io conply wlth irdorel equrl opportm$ rrportng ,.qultrtrrrilt.
Gendcr: Femab
Race/Ethnic Cabgories
tthat lr your rae? Mark one or more raoes to indicate what you consider ycurself to be. Mite
Oher Description:
Are you Spanish/Hispanid Latino? Mark the 'No' box if not Spanish / Hispanic / l-atino. No
PhysicallyChallenged: ilo
I{OTE: lf rppolntod,.you wlll bc roqulrud io follor ccrtrln latr rrltch .pply to clty bocrdloommlttce mombon.Thcr hwr lncludr, but uo not lknlicd lo, thr iollwlng:
o PttohiUticn fiom dirccty or lndirecdy lobbying city perconrcl (Mlanri Beach civ code secdon 2-459).o PrchlUtlon from contradlrq wr'th the dty (Miami0ade County Code sectioo 2-11.1).o Ptohlttilion hom lobbylrp before board/conmittee you hav€ served on fc perbd d one year aller leaving ofioe (Miami
Beach Code secdon 2-81.o Requlrerrent to dlsdos€ @rtaln fnanclal hteresis and Srlb (Mhmi0ade County Code section2-11.11.
(re: CMB Comrnunlty Oevelopment Advbory Cqnmi[ee): prohlbltlcn, dudrq tenure and for me yea alter learrlng offce,
from havlrg- any anterest h or ]Belving any Mt fom Commurlty tlqebpnrent Blod( Grant funds fc eilher y-ourself.
or those witr wtpm yor have business or lrnmcdlate hmlly tles (CFR 570.611).
Upon nqurlt, cogho ot tlmo hwr mry br obirlnd from th. Ctty Cbdc
lllctoty .tE!t to th. sccut ctr-.nd truthtulncr 9f thg rpgllcelbn rnd ftrvr rccrtvcd, n.d end wll rbldo by Chrpbr 4 ArthhVll - ol th. Clty Cod. "Stendrrdc of Colduct lor Cfi O{flcon, Etployrcr rnd Agency lembcrr."
I Amy Rrbln agmcd to the tollowlng tcnm on 1211012Oi3 6:17:03 pI
Reelved ln the City Cledds Ofice by:
Name d Deputy Cleft ConEolNo.Data
126
Amy Litt
Rabin
Beautification
Committee
Sustainability
Committee
Transportation and
Parking Committee
Community Relations
Board
Mlrmi &rch, Ft 331/rc
amyr923@ bcllsouth.nct
ofilli'l t\,r
To serve as a mcmber on one of thc aforcmentioncd Clty of Mlaml Beach, F[
Boards, as ofJanuary 2O14
TXPERII NtrF
2003-present
Yoi. lmtructor, Green Monkcy
Miami Beach
2q)6-2013
Borrd Mcmbcr, Par*s & Recrcatlon
Mlaml Beach
From inception-2005
GO Eond Ovoal3ht Commltt.e
Mieml Berch
2006-2qr8
Executive Dlrrgctor
SungetBbnds3&4HOA
Dctrils upon requ.rt
19!r&2@6
Pr*ldent &/or Borrd membcr
Sunsetlshnds3 &4HOA
Other Prior Experlencc
Cre.ted the Ml.ml Berch Klds Cultural Crlcndar (Sy Gclbcr, Mayor, Cuhurrl Forum)
Nonh Berch Elemontrry, Frlendc of North Berch, Fun Ftlr Cheir
Mhml Country Dey School, Yot. lnstructor, Mlddlc & UpprrSchoolt
Yog. ln3tructor, SRYC
Lyon Frcrc, CatcrlnS Srlce
Dctalls upon requert
t t)l lr,\ t 6.,11
1979-1983
9lmmonr Collqr, Sorton, ilA
BA, Managcmcnt
1979 graduatlng class
Palmctto Hlgh
Mlaml FL
Brt tHt N( rs
Refcrcnces arc avallable upon regucat.
127
128
E MIAMI BEACH
OFFICE OF THE A^AYOR AND COMAAISSION MEMORANDUM
TO: Rofoe! E. Gronodo, City Clerk
FROM: Joy Molokoff, Commissioner
DATE: Jonuory 6,2O15
SUBJECT: BOARD NOMINATION FOR YEAR 2014
My nominotion is os follows:
Boord & Committee Nominee
Miomi Beoch Humon Rights Committee Amy Robin
lf you hove ony questions, pleose contocl Bonnie Stewort ot extension 6722.
JWM/bhs
We ore ammitled lo proliding excelbnt public seruice ond afety a ollwlp live, vvo*, ond ploy in our vibront, tropicol, hisbric community.
129
Granado, Rafael
From:
Sent:
To:
Cc:
Subject:
Prieto, Silvia
Tuesday, January 06, 2015 4:55 PM
Granado, Rafael
Hatfield, Liliam; Bonini, Danila
FW: human rights committee reappointment
Ralph please find a nomination to the above Committee below.
Silvia Prieto, Administrative Aide I
CIW CLERK'S OFFICE
1700 Convention Center Drive, Miami Beach, FL 33139
Phone: 305-673-7000 ext. 6269 I Fax: 305-573-7254 www.miamibeachfl.eov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
---Origina I Message---
From: Bonini, Danila
Sent: Tuesday, January 05, 2015 4:2LPM
To: Prieto, Silvia
Subject: RE: human rights committee reappointment
Please nominate Amy Litt Rabin to the Human Rights committee. Thank you!
---Origi na I Message----
From: Prieto, Silvia
Sent: Tuesday, January 06, 2015 4:18 PM
To: Bonini, Danila
Cc: Hatfield, Liliam;'amyr923@bellsouth.net'
Subject: RE: human rights committee reappointment
HiDanila,
This is a "City Commission" appointment, she will have to be nominated and then re-appointed by the Commission.
Silvia Prieto, Administrative Aide I
CIW CLERK'S OFFICE
1700 Convention Center Drive, Miami Beach, FL 33139
Phone: 305-673-7000 ext. 6269 / Fax: 305-673-7254 www.miamibeachfl.eov
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: Bonini, Danila
Sent: Tuesday, January 05, 2015 11:59 AM
130
To: Prieto, Silvia
Cc: Hatfield, Liliam
Subject: FW: human rights committee reappointment
lmportance: Low
Please advise regarding below. Thank you!
---Original Message---
From : Amy Litt Ra bi n [mailto:amvr923@bellsouth.netl
Sent: Monday, January 05, 2015 1:17 PM
To: Bonini, Danila
Su bject: h uma n rights committee rea ppointment
lmportance: Low
hi dani, my board appointment has ended on l2l3LlL4. please pass along to commissioner grieco my desire to serve
another term. thank you and happy new year! regards, amy rabin
131
Granado, Rafael
From:
Sent:
To:
Subject:
Carra, Lauren
Wednesday, January 07,20L5 5:01 PM
Granado, Rafael
Board Nominations
Commissioner Weithorn would like to nominate:
Carol Housen: DRB
Neal Deputy: HPB
Monica Harrey, Amy Rabin & Rachel Umlas: Human Rights
r.* **Il-Lr-
*: l':1 .?,;r:.
' Ll L-:-". \- I 1
Lauren Garra
Aide to Commissioner Deede Weithorn
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7030 www.miamibeachfl .eov
We ore committed to providing excellent public service and safety to oll who live, work ond play in our vibrant, tropical,
historic community.
132
From:
Sent:
To:
Cc:
Subject:
Kane, Dessiree
Tuesday, January 13, 2015 3:59 PM
Granado, Rafael; Prieto, Silvia
Hatfield, Liliam; Barbou, Regis;'Edward
RE: re: Commissioner Tobin Board and
Reappointments
Tobin'
Committee Nomination, Appointments and
Please revise as below:
Nominations:
Board of Adjustment - Mr. Noah Fox
Miami Beach Human Rights Committee - Ms. Amy Rabin
Thank you.
Best Regards,
Dessiree
MIAMIBEAGH
Desclrca l[ane, Aide to Commissioner Tobin
OFFICE OFTHE MAYORAND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305{73-7107 I Fa<:. 305{73-7096 / www.miamibeachfl.oov
133
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134
IBEACI-I CIW OFMIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Email
State
Explres:
Zp CodeAddress
Professional License (describe)
Atlach a copy of the license
Pursuant to Clty Gode sectlon 2-22141a and b: Members of agencies, boards and committees shall be afliliated with the city;
thls requirement shall be fulfilled in the following.ways; a. An individual shall have been a resldent of the city for a minimum of six
months; or b. An indivldual shall demonstrate ownership/interest for a minimum of six months ln a business'gstablished in the city
for a mlnlmum of six months, \ ,
o Resident of Miami Beach for a minimum of six (6) months: V".por. no fl \-
o Demonstrate an ownership/interest in a businesl]gMiami Beqch fdr a minimum of six months: Ves $o1 ruo E
o Are you a registered voter in MiamiEqgfr:Yesti[tn Uo LJ
e t am now i resident of: North Beachffi South Beach E UlaOt. Beach E
knowledge and experience. Please liet below:
. Are you presently a registered lobbyist wlth the Clty of Miaml Beach? Yes
Boards of
D Affordable Housing Advisory Commlttee O Flne Arts Board O Normandy Shores Local Government
Neiohtnrhood lmnrdvemant
tr Art in Public Places Committee B Gay, Lesbian, Bisexual and Transgender
Enhancement CommifteelGLBfl
O Parks and Recreation Facilitles Board
O Beautification Committee O Golf Advisorv Committee o Personnel Board
E Board of Adlustment * *tr Health Advisory Committee O Plannino Board'Il
tr Budoet Advisorv Committee O Health Facilities Authority Board O Police Citizens Relations Committee
E Capital lmprovements ProJects
Oversiqht Committee
E Hispanic Affalrb Commlttee E Productlon lndustry Councll
E Committee on the Homeless O Historic Preservation Board II tr Safetv Commitiee
E Committee for Qualitv Education in MB E Houslno Authorltu E Sinole Farnilv Residential Review Panel
E Community Development Advisorv D Loan Review Commlttee D Sustainabilitv Committee
D Communltv. RelaUons Board tr Marine Authorltv D Tennis Advlsorv Commlttee
0 Convention Center Advisorv Board O Miaml Beach Commisslon forWomen E Transoortatlon and Parkino Committee
E Debarment Comniittee E Mlami Beach Cultural Arts Count E Visltor and Conventlon Authorltv
E Design Review Board* *Vliami Beach Human Rights Committee o Youth Center Advisory Board
1 Dlsabllitv Access Committee E Miaml Beach Slster Clties Prooram E Waterfront Protection Committee* Board Required to Flle Stat€ Disclosure Form
* lf you seek appolntmelt to a professlonal seat (e.g., lawyer, architect) on the Board of Adjustment, Design Revlew Board,
Hlstorlc Preservatlon Board, or Plahnlng Board, attach a copy of your currenfly-effecflvely [cense, and furnlsh thefollowinginformatlon: N Ir.
Type of Professlonal l3l :1.J0 s,Hul-13,{1tc
Llcense Number
Llcense lssuance Date and Llcense Explratlon r"$S :Zlt'ld g I l{Vl El0Z
Please list your preferences in order ] first choice [2] second choice, and I third
4t
FICLER\SALL\aFORMS\BOARD AND COMMITTEES\BC Appllcation NEWLY REVTSED NEW LANGUAGE.doc
135
?
Note: lf applying for Youth Advisory Board, please lndlcate your affiliation wlth the Scott Rakow Youth Center:
1, Past service on th€ Youth Center Advlsory Board: Yes
2. Present participation ln Youth Centar activities by your please list the names of your children,
oHave you ever been convicted of a felony: YEs ff or lf yes, please explain ln detail:
o Do you currently have a violatlon(s) of City of Miami Beach codes: yes ff, or
o Do you currently owe the City of Miami Beach any moneyl yes E or No lf yes, explain in detail
or f3.',r r"r, wtrich board?r Are Boards or
ln the City of do you currently rnernbership in?
Name nile
Name Title
owned or have yithin the City of
r I am now employed by lhe Clty of Mlaml Beach: Yes |J or departnent?
o Pursuant to Clty Code Sectlon 2.25 (b): Do you have a parent E,
"porr"
fl,
employed by the City of Miaml Beach? Check all that apply. ldentify the department(s):
The followlng lnformatlon ls voluntary and is nelther part of your appllcatlon nor has any bearing on your consideration for
appointment. lt ls being asked to comply with federal equal opportunity reporting requirements.
Please remember to attach a current resume and a copy of any appticable
professional license.
Attach additional sheets, if necessary, to provide required information.
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Appllcation NEWLY REVISED NEW LANGUAGE.doc
: Check one
- Gender: n,rleE remarJEi
@wntt. (Not of Hispanlc orlgln): All persons having origtns in any of the original peoples of Europ6, North Africa or the Middle East,
E Xrtcan+merlcan/Black (Not of Hlspanic Origin)r AII pecions havlng orlglns ln any of lhe Black radal groups of Afrlca,r--1t-l Hlsoanic: All Dersons of Mexican, Puerto Rican, Cuban, Central or South Amerlcan, or other Spanlsh culture or origln, reggrdless of 1gce.I-tt-.[ Aslan or Paclflc lslander: All persons having orlglns ln any of the orlglnal peoples of the Far East, South€ast ptsla, the lndlan Subconilnent, or
the Paclflc lslands. Thls area includes, for example, China, lndla, Japan, Korea, the Philipplne lslands and Somoa.
E *"A"rn lndian or Alaskan Native: All percons having orlgins in any of the original peoples of Norh America, and who maintain
Cullural identification through, trlbal.ef,llpflon or communlty recognition.
rlcally Challenqed: YesU or ruoJAl-
136
[:-lrli
T'
NOTE; IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAws THAT APPLY To cIw BoARD/CoMMITTEE
MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLO^/!NG:
o Prohlbition from direcdy or indirectly lobbying city personnel (Miami Beach Clty Code sectlon Z-4SS}o Prohibltlon ftom oontractlng with the city (Miarni-Dade county code section z:11.1).
o Prohibltion tom lo_bbying before boardlcommittee you have served on for period of one year after leaving office (Miami Beach
City Code section 2-26).
o Requlrement to dlsclose certaln financlal lnterests and glfts (Miaml-Dade County Code section 2-11.1).
o CMB Community Development Advlsory Committee: prohibition, during tenure and for one year after leavlng office, from havlng
any interest in or receiving any benefit from Communlty Development Block Grant funds foi elther yourself,-or those with whori
you have businesE or lmmedlate family tles (CFR 570.61 1),
Upon request, coples of these laws may be obtalned from the Clty Clerk.
ATTEST TO THE ACCURACY AND TRUTHFULNESS OF T}IE APPLICATION, AND I HAVE RECEIVED, READ AND
lE Flc-t1lfI_EB ?_r lRrlgLE vll - OF rHE crw coDE "STANDARDS OF CONDUCT FOR Ctry OFFlcERs,
Received ln the City Clerk's Office by :3?7
Name of Oeputy Clerk Control No.
FTCLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REMSEO NEW LANGUAGE.doc
137
l,
'.tl
I
MIAMI BEACI{
City of Miomi Beoch
1700 Convention Cenler Drive,
Miomi Beoch, Florido 33139,
www.miomibeochfl.gov
CITY CLERK'S OFFICE
Telephone: 305.673,7 411 Fox: 305.673.7254
C ityClerk@m io mi beochfl. gov
Acknowledgement of fines/suspenslon for Board Members for failure to comply wlth
Gounty Financial DisclosSTeQode Provision Gode Section Z-11.1(il l2l
Mlaml-Dade
Board Member's Name:
I understand that no later than .fulv 1. of each vear all member.s of Boards and Commiftees of the City of
Miaml Beach, including those of a purely advisory nature, arg required to comply with Miami-Dade County
Disclosure Requirements. This means that the members of City Advisory Bciards, whose sole or prlmary
responsibility is to recommend legislation or give advice to the Ciiy Commission, must file, even though you
may have been recently appointed
You must file one of the following with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami
Beach, Florida, by July 1 each year.
1. A 'source of lncome Statement" (attached); or2. A "Financial Statement" (attached); or3. A Copy of the person's current Federal lncome Tax Return
Failure to file, according to the Miami-Dade County Code Ghapter 1, General Provision, Section 1.S,
may the person or firm to a fine not to exceed $500.00 or by imprisonment in the county Jail for
a to exceed sixty days, or both.
t5
FICLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Applicatlon NEWLY REVISED NEW LANGUAGE.doc
138
Rachel Umlas
Education
1986 Falrport Hlgh School, Falrport, NY Regents Diploma
1990 Boston Unlversity, Boston, MA BA, psychology
1993 Boston University, Boston, MA Masters of Social Woik
Work History
1993-1995 Boston Senior Home Care, Boston, MA Elder Abuse lnvestlgator
1995-19S, MiamlJewish Home & Hospltal, Miami, FL Social Worker
1999-Present Marc E. Umlas, M.D., P.A., Miaml Beach, FL Office Manager
2OO3-2ll{J7 Blscayne Point Homeowners Association Member
Volunteer Historv
2005-2011 Temple Beth Sholom
2005-Present Temple Beth Sholom
2005-2008 Temple Beth Sholom
2007-Present North Beach Elementary
2007-Present Glrl Scouts of America
Me:lhgJshios
Hadassah, Llfe Mernber
:
National Council of Jewlsh Women, Llfe Member
Frlends of North Eeach Elementary Schoot
United States Power Squadron
Academy of Model Aeronautics
Bones Society of Florida
Member, Board of Directors
Member, School Board
Member, PTA
Member, PTA
Current Troop leader
139
Granado, Rafael
From:
Sent:
To:
Subject:
Carra, Lauren
Wednesday, January 07,20L5 5:01 PM
Granado, Rafael
Board Nominations
Commissioner Weithorn would like to nominate:
Carol Housen: DRB
Neal Deputy: HPB
Monica Harrey, Amy Rabin & Rachel Umlas: Human Rights
r-f. *.I.-L-f
*: t9:t,?l:t3
Lj ].- ;-. :..:.i, :.,,,, *L-'--E.\* ;*1
Lauren Garra
Aide to Commissioner Deede Weithorn
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-573-7030 www.miamibeachfl.eov
We are committed to providing excellent public service ond sofety to oll who live, work and play in our vibront, tropical,
histaric community.
140
Parks and Recreational Facilities Board
o Ronald Krongold
141
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142
ill() ;1r li,ili ri, Ii E:' {: +l*lrg}? f i {: A i}I,i- ! (. i\'i itli*i iL C i:i iil
Last Narne Middle lnitial
Zip Code
/,!/-,,/
Home Address
^^rr"i^r Telephone Email address
\2 -J t a - | uvv / l4/jJ J ''llv 7vPft
Business N-ame
. _____ /r.lt? k.r.otqd,/#€oil {,,:spa,r:tn
Gcupation
Business Address
Professional License (describe):__.*
City State
Expires:
Zip Code
Please attach a capy of currently effective professiona/ /icense.
Please list your preferences in order of ranking [1J first choice [2] second choice, and [3j third choice. P,lsase note that
F:\CLER\$ALLlaFo:RMS\aCARD At\D coMMrrgES\BC AppLtCATTON ou ,JO1nf" lrlrto1r,r , o*
Pursuant to City Gode section 2-22(4la & b: Members of agencies, boards and commilees shali be affiliated with the Ciiy;
this requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of slx
months; or b. An individual shall dernonstrate ownership/irrterest for a nririrnurn of six rnonths in a business established in the City
for a m:nimum of six months ./
o Resident of tuliami Beach for a minimum of six (6) months: Ves iE or Uo H
r Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: yes ffi or no E. Are you a registered voter in MiamiBeach:Yes ffi or Uo E
. I am now a resident of: North Bsach E Soutn Beach fL fniOOt" Beach *r I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
r Are you presently a registered tobbyist with the City of Miami Beach? yes H or No ff
ts
E Ad Hoc Charter Revievr and Revislon Eoard ! Debarm6rtt Commilte E Miami Beach Human Rlqhts Committeo
O Ad Hoc Committee Csotennial Celebralion E Desrqn Review Boardr a!D Miami Beach Sister Cities Prooram
n Ad Hoc Conmittee Flooding Task Force D Disability Access Commi[ee I NormaMy Shores Local Govsrnment
Neigh5orhood lmprovement! Affordable Housino Aduisorv Commillee ! Fine Arts Board EiParks snd Recreetion Facilities Board
U Art in Public Placee Committee IJ Gay. Lesbian, Eisexual and Transgender
=nhancom€nt
Committee (GLBT)
E Personnel Board
! Beaut fication Committee E Golf Advisorv Committee fl Plannino Board ft
n Bicvcle-Pedestrian Advisorv Commlttee O H€alth Advisory Committee C Pol,ce Citizens Relatlons Commifl6e
E Board oi Adiustmenr . tl ! Heallh Facililies Authority Board tr Production lndustrv Councii
U Buduet Advisorv Commillee ! Hlsoanic Affairs CommitteE C Satsty Commi'.tee
U Capital lmprovemenls Projects Over8ight
Commiltee
! Historlc Presen,al:on Board C Single Family Res:dential Review Panel
il Committee on the Homeless Il Housind,Ariihorilv E Sustainabilitv Commitlee
O Committee for Oualilv Educalion in MB 3 Loan Revieni Commillee I Tennis Advioorv Committee
tr Commuritv DeveloDment Advisorv Commiltea O Marine Authoritv O Transoortation-and Parkino Commillap
C Communitv Relatrons Board O Miani Beach Commission forrrl,lombn D Visitor and Convention Authcrilv
0 Convenlion Center Advisory Board O Mlarnl Beach Crllural Ar{s Councii E Youth CenterAdvlsorv Boari *
Li Watertront Proiection Committee* Board member3 are required to file Form 1 - "statement of Financlal lnterest' wittr the State,fr lf you seel appointment to a professlonal seat (e.g., lawyer, architect, etc,) on tho Board of AdJus0neilt, Deslgn ReviewBoard, Historic Preeervatlon Board or Planning Board, attach a copy of youi currently-effectively license, and f-urnish thefollowing information :
Type of Professional License
License lssuance Date
License Number
Llcense Expiration Date
143
m Nots: lf aoplying for Youth Center Advisory Bcard, please indicate your affiliation with the Scot Rakow Youth Center:
lf yes, please fist below the names of your children, their ages and the programs in which they pariicipate:
1. Past service on the Youth Center Advisory tsoad: Yes tJ No LJ Dates of Service:
2. Present participation in Youth Center activities by your children: yes fJ f.f o [f
o Have you ever been convicted ofa felony? Yec lf yes, please explain in detail:
. Do you currently have a violalion(s) of City of Miami Beach Code? ves El or. Uffiff yes, piease explain in delait:
r Do you currently owe the City of lliami Beach any money? yer fl o, Xo ffi lf yes, explain in detail:
r Are you cunently serving on any City Board or Gammittee? yes E o, tlo ffi [ yes, which boarc/comrnittee?
e [n what organization(s) in the city of Miami Beech do you cunently hold membership?
Name Position
Name Position
. List all propefties owngd or in which you have an interest witnin the Clty of Miarni Beach:_fib ' * ,ir'*,,,
ffi;;,ffi
Which department and title?
r Pumuant to Clty Code Section 2-25 (b):
employed by the City of fr{iami Beach? Gheck
lf "Yes,' identify pereon($) and department(s):
Do you have a pareni spouse H, crrflo fJ nrottrer fI or sister E v;ho is
all that apply.
The following information is voluntary and is neither parl of your application nor has any bearing on your conelderalon forappointment. lt ir being asked to comply wlth city diversity reporting requirements,
Gender: Ma,e l-[ Female
Race/Ethnic Categorles
What is your race?
il efrican-RmericaniBlack
fl caucasianArVhite
[l n*iun or pacific lslander
ffl N ailve-american/American lnd ian
H otner- print Race;
F:\CLER\$p-LL\aFoRMS\B0ARD
^ND
coMfurITTEEsBc APPLIcATIoN 4. ,JoTNot?,O,'J,o.,. o*
144
Do you conBider yourself Phlrsically Disabled?
ffr*o
fI v".
Do you consider youreelf to be gpanich, Hlspanlc or Latino/a? Mark the "No" box if not Spanislt, Hispanic, Latino/a.
Bruo
fJy""
gLTY_oJllcERs, EMEFOYEES AND AGENcY MEMBERS AND ALL orHER AppucABLE couNTy AND/oR srATE LAWS ANDSTATUTES
Received in the City Clerk's Office by
Name of Deputy Clerk Control No Date
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARDICOilIIIITTEE
IJIEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:
c Prohibition from directly or indlrectly lobbying City personnel (Miami Beach City Code section 2-459)c Prolribltion from contractirrg with the city (Miami-Dade county code section z-11.1\.c Prohibition forn lobb-ying before the board/committee you have served on for period of one year after leaving office iMiami Beach
City Code secbon 2-26).
c Requirement to disclose certaln financial interests and gifts (Miarni-Dade County Code sec-tion Z-11.11.c CMB Ccmmunity Develcpment Advisory Commiltee: prohibition, durir:g tenr.lre and for ofle year aF.er leaving office, from ha'/ing
any interest in or receiving any beneftt from Community Devetopmenl Blcck Grant funds foi either yourself,-or those rvith wtroriyou have business or immediate family ties (CFR 570.611).
o Sunshine Law - Florida's Government-in{he-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding opengovernment can be found in Chaoter 286 of the Florida Slatuies. These statutes establish a basic right of adess ti niost
meetlngs of boards, commissions anc other goveming bodies of state ancl local governmental agencies or authorities.
r-l Voting confiict - Form 8B is for use by any person serving at the courrty, city or other local level6f governrnent on an aprpoinled orelscied ooard, council, commission, authority or commit:ee. lt applies equaily to members of advlsory and non-advis6ry bodies
who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes.
Upon r€guest, copies of these laws may be obtalned from tho City Cterk-
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND ! HAVE RECEIVED, READ ANDWILL ABIDE BY CHAP.,ER 2, ARTICLE V}I, OF THE MIAI'rII BEACH CIry CoDE, ENTITLED "STANDARoS oF coiIDUcT FoR
PLEASE REMEMBER TO ATTACH A CURRENT RESUME,
COPY OF ANY APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NEGESSARY, TO
INFORMATION.
PHOTOGRAPH AND A
PROVIDE REQUIRED
F:\CLER\$ALL\.FORMS\AOARD ANO eOMiTITTEES\BC AppLtCATtOf., 46 ,iOXnO? ?r?i$o,t r.O*
145
tciA&4isffiAt$-{
City of Miqmi Bcoch
17C0 Convent,on Cenler Driye,
Miorni Beqch, Floridq 33139,
www.miomibeochfl.gov
CITY CLERK'S OFFICE
felephone: 305,673.741 I Fox: 305,673.7254
C iryClerk@m i o nr ibeochf l. gcv
lcknowledgement of fineslsuspensaon for Board/Commlttee Members for faiture to comply with Miami-
Dade county Financial Disclosure code Provision code section 2-t{.i(i) (z}
Board Member's Name:lOpn pr r! ,$l.,roro e.i-t't,J {1o, /, fi *r dror*d * {iaie
I understand that no later than Julv 1. of each vear all members of Boards and Cornmittees of the City of
Miami Beach, including those of a purely advisory nature, are required to comply with Miami,Dade County
Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole orprimary responsibility is to recommend legislation or give advice to the Cig Conimission, must file, even
though they may have been recently appointed.
9Ie of the follor,,ring forms musl be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beaeh, Florida, no laterthan 12:00 noon of July {, of each year.
1. A .Source of lncome Statement'
For your convenience, the form is attached, The form can also be downloaded at:
http://wlrtw.miamidadq.gov/glggtiongilihrerv/so.rlr,gg of-iJrcome slglgment.orlI
2. A "Statement of Financial lnterests (Form 1)"
For your convenience, the form is attached. The form can also be downloaded at:
h tl p/rJyww. elh i q.s-,statp,!!.r{s/et h icsfform-s.,.hllml
3. A Copy of your 2013 Federal lncome Tax Return
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $500, !.0 days in jait or both.
Updatod: Monday, December 16,201i
F:iCLER\$ALL\aFOAMS\BCARD AND CoMMI'I-iEES\Bc APPtIcATIoN ou ,JoXNo?.0,?,'u1,0,, ,,"
146
M. RoNALD KnoNcoLD
Ron Krongold was born in Clarkesburg, West Virginia and moved to Miami Beach in the
late 1950's. Ron attended Miami Beach High, as did his wife Glenda who was born at St.
Francis hospital Miami Beach. Ron attended the University of Florida and University of
Miami where he received a degree in accounting and law (Juris Doctorate).
The lkongolds live on Miami Beach as do three of their married children and 8
grandchildren.
Business career developing real estate properties in the late 1970's in Miami-Dade
County. In 19'79 he and a business associate built single-family homes in South Dade.
Gold Krown built, owned and managed a diverse portfolio of properties including
warehouses, shopping centers, office building and such. His development company
Gold Krown, L.L.C. built the Federal Express Distribution Center in downtown Miami..
Recently Gold Krown Fidelity,LlC purchased 539 condominium units in Midtown
Miami . Krongold is the president and majority owner of Gold Krown Fidelity,Llc.
Gold Krowns along with his partner Bern Levine are the developing partners and
owner of the Parrot Jungle of Watson Island, now known as Jungle Island. This is
the first new attraction built in Miami over the last 20 years and will see close to
1,000,000 visitors a year.
President and Chairman of the Board of CORNER SHOT a joint Israel-U.S.
venture which developed a devise manufactured in Israel which is a solution for a
soldier to shoot around corners without exposing himself.
Additional Companies that Krongold has an interest in:
HSBC LAND TITLE AGENCY (FLORIDA),LLC, a Florida limited liabitity
company and U.S. Fidelity Title Agency.
STRONG AND QUALITY, L.L.C. dealing in affordable work force housing.
Snong and Quality LLC of Miami, one of the first private developers putting up
affordable new modular homes in the Lincoln Park cornmunity of Fort Pierce
Florida.
MAGIC BOX, INC. Past chairmaa of the Board of Magic Box, Inc. a Florida-
based network integrator. Magic Box, founded in 1986, ranked by LAN
Magazine as one of the country's Top 100 Network lntegrators as well as being
recognized as one of Florida's fastest growing technology companies and best
high-tech company. It was also named Reseller of the Year by the Computer
Tcchnology Industry Association.
Magic Box specialized in professional services, including integration and training.
They qualified at the highest level for technical certihcations and were classified as
a Novell Platinum reselleE Microsoft Solution Provider, Intel Advanced Network
reseller, 3com wizard, cisco Pro Reseller and Citrix Advanced Reseller cold.
147
PHOTO EVENT SOLUTIONS, LLC a Photo Event Imaging Solutions leader in
croating imaging services and solutions that deliver once-in-a-lifetime memories
Operating in Florida, Nevada, Washington D.C. and Hawaii.
Chsritrble Orqenizrtions
1983 lnternational Chairman of New Leadership for Israel Bonds.
Southeastern Chairman of the Israel Bonds Campaign and then Vice-Chairman of the
national campaign.
Past Member of Board of Directors of the Miami Jewish Federation,
Past Board of Directors of South Dade Jewish Community Center,
Past Board of Directors of Zitr Museum,
Past Member of [srael Chamber of Commerce,
Member of the National Board of Israel Bonds.
Appointed by the mayor of Miami to serve for two years as Chairman of the Music Fest
ofMiami.
Member for 5 years of the Dade County Metropolitan Planning Organization whose
members are the Dade County Commissioners. This organization's main function is to
deal with transportation within Dade County.
Appointed by President George Bush to sorve as a member of the Holocaust Memorial
Council . He presently serving his second term and is a member of the Committee on
Conscience and the Finance Committee of the Memorial.
Recipient of the David Ben-Gurion Peace Award, City of Peace Award, Israel Solidarity
Award, Jerusalem Peace Award, Israel Bonds Jerusalem 3000 medal, Tower of David
Award and Golda Meir Leadership Award.
148
149
Granado, Rafael
From:
Sent:
lo:
Cc:
Subject:
Krongold
Sent from my iPad
Steinberg, Micky
Thursday, January 22,2015 3:29 PM
Granado, Rafael
Trofino, Tathiane; Cardillo, Lilia; Hatfield, Liliam
Re: Nomination Reappointment Parks and Recreational Facilities Board Golf Position
on Jan L2,2075, at 1:10 PM, "Granado, Rafael" <Rafae-lGranado@oramibeachfl.gov> wrote:
150
Personnel Board
. Lori E. Gold. Moideh L. Khaghano Gabriel J. Paez
151
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152
r#,IAAAIBEAC}-{EOARD +.}.ID COTfrT"I1TTST APPLiEA?IQilJ FOE*]
t""E.,,o First Name Middle lnltialLof<-r eU-\i'r
Home Address Zip Code
Home Telephone Work Telephone
, (L hX b? tt | "r,qdaeo.,jtrmail address-----.--ICellular Teleohone
Suslness l.lame ,M/4 Occupation
fe-*t r
Business Address
Professional License (describe):
Zip Code
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that
onlv three (3) choices will be observed bv the Citv Glerk's Office.
Page 1 of 4
F:\CLER\$ALL\aFORllls\BOARD AND COMMTTTEES\BC AppLtCATlOtt REVtSrOlOocx
City State
Expires:
Please attach a copy of currently effective professional license.
Pursuant to City Gode section 2-22(4la & b: Members of agencies, boards and committees shall be affiliated with the
City. This requirement shall be fulfilled in the following ways: a. An indlvidual 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 for a minimum of six months.
o Resident of Miami Beach for a minimum
"f "i, fOl ;".,n., "." E/oNo E
o Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: yes E or Uo E
o Are you a registered voter in Miami Beach: yes El'or ruo E
o I am now a resident of: North Beach E soutn Beach E uiool" Beach E
o I am applying for an because I have soecial abilities. knowledoe and e6Aa I L,r c<.ryr:rnc {-;cra-{d3 G,ence. Please list below:r\-
r Are you presently a registered lobbyist with the City of Miami Beach? Yes E or No E-
D Ad Hoc Committee Centennial Celebration tr Health Advisory Committee
D Parks and Recreation Facilities Board €
O Affordable Housing Advisory Committee E Health Facilities Authoritv Board Efrersonnel Board
n Art in Public Places Committee tr Hispanic Affairs Committee tr Plannino Board t
n Board of Adiustment * *D Historic Preservation Board '#D@nlinc ailizcnc Pclalinnc Cnmmiltca
tr Budoet Advisorv Committee E Housino Authoritv tr Production lndustrv CouncilI Committee on the Homeless B Marine & Waterfront Protection Authoritv D Sustainabilitv Committee
tr Committee for Quality Education in MB tl Miami Beach Commission for Women O Transportation, Parking, & Bicycle-Pedestrian
Facilities Committee
E Convention Center Advisorv Board tr Mjami Beach Cultural Arts Council tr Visitor and Convention Authoritu
E Desiqn Review Board* *fflVliami Beach Human Riohts Committee
tr Disability Access Committee E Miami Beach Sister Cities Prooram
E Gay, Lesbian, Bisexual and Transgender
Enhancement Committee (GLBT)
E Normandy Shores Local Government
Neiohhorhood lmnrovement
* Board members are required to file Form 1 - "statement of Financial lnterest" with the State.f lt you seck appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review
Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the
following information:
Type of Professional License License Number
License lssuance Date License Expiration Date
153
@ Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore parks youth Center:
. Please descnbe your past service with the City's Youth Centers (include dates of service):
. Present participation in Youth Center activities by your children: Ves E Uo E
lf yes, please list below the names of your children, their ages and the programs in which they participate:
Child's name:
Child's name:
Age: _ Program:
Age: _ Program:
r Have you ever been convicted of a felony? Yes or No lf yes, please explain in detail
o Do you currently have a violation(s) of City of Miami Beach Code? yes E or" lq#tr yes, please exptain in detait:
o Do you currently owe the City of Miami Beach any money? yes [} o, nodttves, explain in detail:
r Are you currently serving on any City Board or Committee? v"" E'or. uo E lf yes, which board/committ u"l (errS5o t\ 1 €rl
o ln what organization(s) in the City of Miami
Mut*r A.rrru : C^ltaex^rr
Lu ad.r A <-a' c\e-
ch do you currently hold membership?
olrc-e -Lc-d
Name Position
r List all properties owned or in which you have an.interest within the City of Miami Beach
(.,.l \ \r rz(
r Are you now employed by the City of Miami Beach? yes E or lto EHl
Which department and title?
o Pursuant to city Code Section 2-25 (b): Do you have a parent E, spouse E, child E orottrer E or. sister E who is
employed by the City of Miami Beach? Check all that apply.
lf "Yes," identify person(s) and department(s):b. I r';
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment. lt is being asked to comply with city diversity reporting requirements.
Page 2 of 4
F:\CLER\$ALL\aFORMS\BOARD AN D COMMTTTEES\BC AppLtCATION REVISED-.docx
Gender: MaleU Femate
Race/Ethnic Categories
What is your race?
E Atrican-RmericaniBlack
El'CaucasianA/y'hite
E n.i"n or Pacific lslander
E ruative-Rmerican/American I ndian
E otn"r- Print Race:
154
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a.
ff*off v",
Do you consider yourself Physically Disabled?
EI r.roE v",
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 the board/committee you have served on for period of one year after leaving office (Miami Beach
City Code section 2-26).
o Requirementto disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
o 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).
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, comrnissions and other governing bodles of state and local governmental agencles or authorities.
o Voting conflict - Form 88 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. lt applies equally to members of advisory and non-advisory bodies
who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes.
Upon request, copies of these laws may be obtained from the City Clerk.
I HEREBY ATTEST TO THE ACCUMCY 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 AGGORDINGLY.''
Received in the City Clerk's Office by
Name of Deputy Clerk Control No Date
PLEASE ATTACH A GURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NEGESSARY, TO PROVIDE REQUIRED
INFORMATION.
Page 3 of4
F:\C LER\$ALL\aFORIUS\BOARD AND COMMTTTEES\BC AppLtCATtON REVTSED-.docx
155
MIAMI BEACH
City of Miqmi Beoch
'I 700 Convention Center Drive,
Miomi Beoch, Florido 33139,
www.miomibeochfl.oov
CITY CLERK'S OFFICE
Telephone: 305.673.741 1 Fox: 305.673.7254
C ityC lerk@mio m i beochfl. 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)
Board Member's Name: L-.o e-r G-ou>
I understand that no later than Julv 1. of each vear 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. This means that the members of City Advisory Boards, whose sole or
primary responsibility is to recommend legislation or give advice to the City Commission, must file, even
though they may have been recently appointed.
One of the following forms must be filed 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 lncome Statement"
2. A "Statement of Financial lnterests (Form 1)"
3. A Copy of your latest Federal lncome Tax Return
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $500, 60 days in jail or both.
Updated: Monday, June 02, 2014
Page 4 of 4
F:\CLER\gALL\aFORMS\BOARD AND COMMTTTEES\BC AppLtCATtON REVtSED.docx
156
LORr GOLD, J.D., M.S.
MIAMI BEACH. FL 33139
ttlorigold6juof *o-
EDUCATION:
8.A., 1963, QUEENS COLLEGE, LTNIV. OF CITY OF N.y.
M.S. IN EDUCATION, 1965, CITY COLLEGE, UNIV. OF CITY OF N.y.
J.D., 1983, EMORY UNIYERSITY, ATLANTA, GA.
PROFESSIONAL WORK EXPERIENCE:
SCHOOL PSYCHOMETRIST, DIRECTOR OF ELEMENTARY SCHOOL
GUIDANCE PROGRAM, TEACHER
ATTORNEY, RETIRED MEMBER OF THE GEORGIA BAR
EXECUTI\TE DIRECTOR GEORGIA PROFESSIONAL LICENSING BOARDS
DIVORCE MEDIATOR
RECOGNITION & HONORS:
2006 MIAMI BEACH KIWAI\IAN OF THE YEAR
1981 WHO'S WHO IN AMERICAN WOMEN
1980 LEADERSHIP ATLANTA
COMMUNITY LEADERSHIP ACTIYITIES TFLORIDA 1996-PRESENT)
2012-2013 MIAMI BEACH CITIZENS POLICE ACADEMY
2007-2008 COMMTTTEE FOR QUALITY EDUCATION IN MrAMr BEACH
2OO6-PRESENT PRESIDENT, EESAC COMMITTEE, TREASURE ISLAND
ELEMENTARY SCHOOL
2005.2006 MIAMI BEACH NEIGHBORIIOOD LEADERSHIPACADEMY
2007 --2008 SECRETARY, ALUMNI ASSOCIATION
2OO7 PRESIDENT ELECT, KIWANIS CLUB OF MIAMI BEACH
2OO6.PRESENT PRESIDENT, BOARD MEMBER, FAMILY COUNSELING
SERVICES OF GREATER MIAMI & THE JOURNEY INSTITUTE,
SWITCHBOARD MIAMI
1999-2004 TERRACE TOWERS CO-OP BOARD MEMBER; VICE PRESIDENT;
CHAIR OF BYLAWS REVISION AND LEGAL MATTERS COMMITTEES
2013-PRESENT, MIAMI BEACH PERSONNEL BOARn
COMMUNITY LEADERSHIP ACTIYITIES (GEORGIA 1969.1996)
GEORGIA PUBLIC ACCESS TELEVISION, PRESIDENT
55 PHARR ROAD CONDOMINIUM ASSOCIATION, PRESIDENT (6 YEARS)
AND MEMBER OF THAT BOARD FOR 8 YEARS
BRANDEIS WOMENS COMMITTEE, CHAIR OF COMMITTEES
ARTS FESTIVAL OF ATLANTA, CHAIR OF COMMITTEES
NATIONAL COI,INCIL OF JEWISH WOMEN, CHAIR OF COMMITTEES
157
158
E MIAMIBEAcH
OFFICE OF THE lvlAYOR AND COM 4ISSION MEMORANDUM
TO: Rofoel E. Gronodo, City ClerkFROM: Joy Molokoff, CommissionerDATE: Jonuory 16,2015
SUBJECT: BOARD NOMINATION FOR YEAR 2015
My nominotion is os follows:
Boord & Committee Nominee
Personnel Boord Lori Gold
lf you hove ony questions, pleose contoct Bonnie Stewort of extension 6722.
JWVM/bhs
We ore ammitlad lo providing excellenl public *rvice ond lr;lhty to oll who tive, wo*, ond ptoy in our vibront, ttopicol, historic conmunity.159
THIS PAGE INTENTIONALLY LEFT BLANK
160
(9 MIAMIBEACH CITY OF IiIAMI BEACH
BOARD AND COi/IMITTEE APPLICATION FORM
Ho,EADDREB': . f .,44f'^ A;; $##"
PHONE:,ffi Hom6
Buaheeo Name:
Addprs:
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Punurntto CIS Codr eecOon.2,?;Wl r md br Membcra of agendu, boade, and conmlflecs shall bo aflhlcd r'vllh the cltyi thla
ruqtdramsrl ehall bc fullfiled ln fic blloufirg waya a) an lndfuHrnl shell haus baeh a rpoldent of the clty fur a mlnhnum of dr
montrri or b) an hdlvldualrhall thnqorlntc *rnonhip/lntaart ftry a mlnlmum of$ montfu.ln a .buetne.sa qgtabllahsd q hq olty.
o Rerldeirt of Mlett{ Bercfr br r mhhrum of sk (0) monhc:,Ydrpor ilo n
r Damnstatc.en orncrahWl{?q I f P",lIl1NtM!qB","h tor a mlnhnum of sh (0) monthe: Yct 0 or tlo \fr Damnstatc.an omffshlprlmuuil ln i tUBh9sF ln Mrmf I
. Aru you a ruglrtcrud roE ln Mlaml Baedt: Yc for ]lo_ tr
r (Ploi* elpli one): I am now a talHenl ot tlot$ Borch gouth Bc.oh
r I am epffig ftr an appoln0irnt bccaurc I harc godal abllltce, knowlcdge and
r Arc yorr plprn0y a ngNdard lobbybt ffih he O[ of trlhml Bcaoh? Yo E] or ll,o
Plcare h-yeur pru&runor ln.ordoofqnltpl|lnn dtoE tA scond_t9lF, srd Fl hlrd drolcc. plrr.Jnorb tr.t only,otnc (:ll
(R6gt larBondr otClty)
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tr Ailbflhtrh Fbrr&to Advlror Commllo tr iliadnctutprltv
tr'&tJn Publlo'Pllqr Conrhtb!n lfdnl Badr r:ltlhrlil.rlrn frrvlrdiarr
E B0lt0lloi[on commlt .E Mhml Eodr Culhmel tub
tr Bod of ,tdudrsil}U MhmlBch I'tlnm Rlohb Commltt!.
o BlffiAdUhoov Canniilcc trl redr ShrCltl.r Prmr*il
B CslLl lmDrurattlnb Pmrcb q,lrlEht Goilml0.c tr , Sltdru" LdlGm,.mmed i.leldt- lmorolrllnLr{
ll Commlthr on thr l-ldnCraa tr Pafu and Rcrruetm Frcil0rr Boed
Dcrmdtbbr Qufiv Eduor0m triltncnndBost Ct)
E Oamnnltv DaEhpmlnt Advltory
EcomDuru RaEtlom Boanl E Po$go ClUIons RsldorE Conmltbe
trCa.tttett0m CrrftrAddffir Boen
O Ocbrmcnt CommltFc
trDtlhn RfflilvBdftr OSfrtYCommltha
I Dlubllltv Asocr Cormffics n lmllv Ruldttnlld Revl.n, Pand
lFlno r\& Bocd B SurHt$ttv Cqnnffiai
Ef gg,taeUgr, Ebarual.ro{Tnnrsudor (GLBT)tr1 ErsDortaton and Paddro CommltIa
E6olf AdncowCuur{tlc tr Vlelor end Corurdon Authodtv
E FleilrAd&orv oomoiltbc tr W.bffont Probc0cn Commlthc
o Eer& FrdUat-Attthffltv Bo.rd
o HlrpgrlcAftlil Colllmltb
U Hbbtu Pneann0on Bocnl
E Ho$rhgAuhody
tr l.gatr Rovlcu!{ -Qomm!ilqc rBoard Reoulnd b Flle Strb Orolourp Forrn
No0: lf epplyltn lbrYoulhAtMiory Board, plearc lndlcatc youraflllla0on yrttl lhe Scott ful(ou, youth C.nter;
1, Pr*,rcwlca sn tho Youh Cantu Mrbory Boad yes E No E ysa,s of Scrvloei
2, PGssnt pEttldpatlfi ln Youth Centcn griilvlloa by your chlldrun yceo . No dJ ttEiii|aae,llrt the namry of youf drydrrn, thek
agaa, and Wrloh plgrams. Uet bclow:Chlld'rnamc:--._ , _ Age: _ progr*n:
Chlld's namo:Age: _ Prcgram:
F;\CIER\IAII\oFORMS\BOARD AND COMMI'ITEES\BC Appllcstton, doc
161
.Have you Bver been convioted of a felony: Yer o or nohf yes, plcase explain ln detall:
o Do you ourrently have a vlotatlon(s) ot citybl ilrf"ri'rfgi
-o Do you currantly owq the Clty of {laq! Bqoh anl
Tol'B.yl Ye9 tr o1ltop tf yea,.expti[ tn d6ql."
lit,,' ,- , t'i ''.i ",
;" : .,'t' l''",", . ,; . .
t nru yo, burqrlu qoryJng on 0Q a9.a1ds jr Commtttaesl Yec\br f{o.E.
r Wrat in he Clty of Mhml do you cunenfly hold i
Name:
NaME:
ln?
t. ,r \N 'i . Tftl6j ,.r. ,. ., r i rl .r ., i
.Tltle: ''" ' '
o Llet all propartbs oi,ned or have an lnterest ln, whloh are looated wlthin he Clty of Miaml Baactr:
o.Pureuarrt h Clty Codr sc$9n 2-26 (bl:.Do.you have a parent CI, spousc q'otrlld o, brothrtr, or dstcro who le emplqed by he
Clty of Mlaml Beaoh? Chcok all hst apply, ldg{ry 66 dcpartment(e):
Ihg toloulqg ldonnrtlon h v{unF y rnd b ml0rr prrt of.yorr rpptodm nor hrr rny bcerlne on you? oonrtdrrdon ior rypolilmcnt lt lrbrhg &Ird to odttply wl0t Ld.nl *d opporhmfry rrporil-rg niilnmrnb.
Genden E Mdc AGemde
Employrnent Status: Employedft ReflEd u Homemaker E Oher D
on9
,Bnfu tfa c mnrnto Orlgln); All prnom haulng *lglnr ln any d thr ortelnat paoph d Eumpq Nortrr Afrhe orfr|| MHdb Ead,
E ttrtornntru'tarn/Ehalt (i,lot d tlrpmlc Orlglttl A[ pcnom hrvlrg orlglno ln any ol tlu Bhdr raolal gpupe of Afrlor.
E tttrprtlle Al pcrronr d tldcm, Putb Rbm, Cubu, Crnh.l or Eouh Amcrban, or o&cr Spmbh artun or odgln, Ge$uhlr o, nco.
E A.hn or Profila lthnrhr: Ai.prnorn havlng odgh-ln my.of trc ofilnrl proplar dttr F$ E|'l Southrr.tMa, thc lndhn Suboontncnt, onh. Prono hhndr, Ihb Nrrt hdrdrt tu mnpb, Clrtna, lndlr, Japin, tconi nafMfrnttcfid;;nd $d;;
E Atrcrtcrn lndea or A[tt{tr lllhl: Al pcnonr hrlng ofilrn ln any of ho orlglnrl pcopbo ol Norgr Ancrlca, ffid lylro mahtrhCuhrd Hrdior0m throtOh tbel @}{bn or oorrnrntry troognl0fi,
YoUorilo0.
NOTE:. lf rppoLtbd, you wlll bo lcqulnd to bllorr ccrbln leurg whloh epply to clty boadtcommttbe menbrn.Thr.o hxl lndudor butrn noiltmlbd.b, thrfollwlng:
o Prchlblton fiom dhsoily-fl]tt{l$ty lobbyfirg dty_pcnonnat fitamt Bcactr Clry Code scotion 2-{50).o Prchlbl0on frun conhadtng tlttt tr.ltt UEmioaoc counti cooa eedton zit,ti,o Pml{U0on trom lobqhg bafu]€ boardcommltee you travri serveo on tr p"rro,f of one yoar dfur leaxng ol;ce (Mlaml
P€adr Oty Code seo0on2-26),o Fsqglplnent to dhdore oerhln'finandd lntseub a{ *1r (Mlaml-Dade County codo sodon 2"11,1),(re: CMB. Communlty Devebpment Mvlsory cornmntdp): ijnrriumun, o,rrns 6nwe and fur one vcar rncr l"errhd offid.rop hadnp- apr mqgl-ln ol gplvlne py b"mf,t-fioir t[nmurny'o-aprirriit aGii'Ei;;i rffi; il;ffi;;&#f:or ttroee wlh whom vou have hrcnarg or tm-mcome hmlty tteo icin'oio,br ri.
upon lqueat' coplcs of there lewr mry bc obhlned lronr 0ro clty chrk.
xl hoDry rfrtlt to tfie eoouraoy end buthfulmra of-thc^1npllcatlon and have moelved, reed and wl[ rbldo uy ctrrptar {Artlclo vl! - of tho iI To" '8hnd.7& or conoux:roi ciE ffi;;,Eriproymr rnd Agrncy lternbcn.,, r
Rccelvcd ln tho Clty Clcttt Ofilct by:
162
MOJDEH L. KIIAGHAN
mlk@morganreed.com
EDUCATION Columbia University School of Law, J.D. 1991
Joumal of Law & the Arts, Articles Editor
Arts Law ClinicA/olunteer Lawyers for the Arts
Law Sohool Senate Parliamentarian
Columbia College, Columbia University
B.A. mama cum laude 1988, English Litffature
Phi Beta Kappa
LICENSTIRE The Florida Bar, United States Disfiot Court, S.D. Florida,
1995; New York State Bar, United States Distriot Courts, S.D. and E.D. New
York, 1992; New York State Real Estate Broker, 2008; Florida Real Estate
Broker,20l0.
E)(PERIENCE Morgan Reed Group LLC - Miami Beaoh, FL
Principal, Counsel
Officsr, director and shareholder of divefsified investrnent holding cornpany
specializing in real estate and securities; review and negotiate contacts, leases,
equity offerings, shareholder agreernents.
1997 to present
Mojdeh L. I(haghan - Miami Beaoh, FL
Attorney
Practice specializilg in securities litigation, shareholder class and derivative
actions, trusts and estates litigation. Extensive rnerger related document review
and analysis for disputed transactional cases.
1996 to 2007
Goodkind Labaton Rudoff & Suoharow - New York, NY
Litigation Associate
Concentrated in '33 and '34 Act litigation and seouities class actions in federal
and state courts. Handled all aspects ofcases from discovery throtrgh trial and/or
setflement, post-settlement distribution of recovery to olients and class mernbers.
Established Miami offrce of New York based law firm.
1992to 1996
163
COMMIINITY Jaclcson Health Systems, Finanoial Reoovery Board Membe4 2012 to presentDWOL\EMEIYT Chair, Audit & Compliance, Bylaws Suboommittees
Greater Mlami Jewtsh Federatlon,1999 to present
Agenoy Support Committee, Vioe Chair, 20l2to prese,nt
Women's Philaothropy Presidont, 2010-12, Campaign Chair, 2007-09
Responsible for $7 million Women'g annual fimdraising effort,
leadoship devoloprnent and taining
2008 Stanley C. Myos Prosideut's loadership Award
CiU of Mldnl Beach, Personnel Boar( 2011 to present
Chair, Rules Rwision Committee, 2012-13
Youth Cento Boan( 2007 -l I
The Tizcayara. Meurber of the Board, 2004 tD present
PERSIONAL Languagos -Farsi, Spanish, Frenoh, Italian
Int€resb - Travel, Literatrug Arts & Musio
164
Granado, Rafael
From:
Sent:
To:
Cc:
Subiect:
Miranda, Alex
Tuesday, January 20,20L5 8:05 AM
Moj Khaghan
Granado, Rafael
Re: Personnel Board ReaPPointment
Rall
On behalf of Mayor Levine, please reappoint Ms. Khaghan to the Personnel Board.
Thanks,
Alex
MIAMIBEACH
Alex Miranda
Chief of Staff
OFFICE OF THE MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7035
On tlLBltS, 9:31 PM, "Moj Khaghan" <@> wrote:
>Esteemed Mayor and Miami Beach Commissioners,
> I hope that this email finds you all well as we embark upon 2015.
>l would like respectfully to request your considering my reappointment
>to the Personnel Board. ln the last two years, I have served dutifully
>and effectively as Vice chair, with excellent attendance. ln addition,
>l headed the Personnel Rules Revision Subcommittee, where I undertook
>an entire overhaul of the rules with the assistance of susan Potter
>Norton, the City's employment attorney. The revised rules reflect
>updated procedures, practices and policies; they include heightened
>codes of conduct, reporting and ethical behavior as they never did
>before. The Personnel Board adopted these revised rules and has
>submitted them to the Commission with its recommendation.
> I have enjoyed serving and representing the interests of MB
>employees, the City and residents vigorously over the past years, and
>would welcome your support and confidence in continuing my efforts in
>service. Please advise me at your earliest convenience and feel free to
>contact me with any questions or comments, too.
> Wishing each of you an inspiring Martin Luther King observance,
>with gratitude for your attention and service to our great City,
>Moj
165
>Mojdeh L. Khaghan
>305-772-4444
166
E MIAMIBEACH
NAME: Paez
i.:: | ) )'-rl": ,h"';xl\$i! *li,,i"fiil
i},(]jr.l:llt :ri{i: il,;.. } : ;.'i lrrl-- .: "; l" l"jij\i':{,,!.N F{,ijtiiii
Gabriel J
Last Name
HOME ADDRESS:
First Name Middle lnitial
33139Miami Beach FL
Apt No. Home No./Street City State Zip Code
gJpl225@yahoo.comPHONE; ]
Home
Business Name: SaplEnlNltro
Work Fax Email Address
position; People StratEglst
Address:'1688 Meridian Ave 7th Floor Miami Beach FL 33139
No.
Professsional License (describe):
Street City State Zip Gode
,riji...,,.. 9: r,.fi':.r, ;jtt r:li.:iiiiliExpires:
Pursuant to Gity Code seclion 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following waysi 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 esiablished in the city.
o Resident of Mlami Beach for a minimum of six (6) months: yes
o Demonstrate an ownershlp/interest in a business ln Miami Beach for a mlnimum of six (6) months: No
r Are you a registered voter in Miami Beach: yes
o (Please Citde one): I am now a resldent of: South Beach
o I am applying foran appointment because I have special abillties, knowledge and experience. Please list below:
I am a certlfled HR Professlonsl
. 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 ihe Gity Clerk's Office. (Regular Boards of City)
Affordable Housino Advisory Committee Loan Revlew Committee
Art in Public Places Committee Marine Authority
Beautlfl catlon Commlttee Mlaml B€ach Commisslon for Women
t2l Board of Adjustmont'Miami Beach Cultural Arts Councll
Budget Advlsory Committee Miaml Beach Human Rlghts Committee
Capltal lmprovements Projects Overslght Commlttee Miami Beach Slster Cities Program
Committee for Quallty Education in MB Normandy Shores Local Gw't Neigh. lmprovement
Commlttee on the Homeless Parks and Recreatlon Fadlities Board
Communlty Dwelopment Advisory tll Personnel Board
Community Relatlone Board Planning Board*
Conventhn Center Advlsory Board Police Citizens Relatlons Committee
Debarment Commlttee Production Industry Councll
t3l Deslgn Revlew Board'Safety Commlttee
Disability Access Commlttee Single Family Resldential Revlew Panel
Fine Arts Board Sustainability Committee
Gay, Lesbian, Bisexual and Transgender (GLBT)Tennis Advisory Committee
Golf Advisory Commlttee Traneportation and Parking Commlttee
Health Advisory Committee Vlsltor and Conventlon Authority
Health Facllitles Authorlty Board Waterfront Protectlon Committee
Hlspanlc Affalrs Commlttes Youth Center Advlsorv Board
Hlsto rlc Preservatbn Board Youth Center Advisory Board
Houslng Authority
Nole: lf applying for Youth Advisory Board, please indicate your affiliation wiflt the Scott Rakow Youth Center:
1, Past service on the Youth Center Advisory Board; No Years of Service:
2. Present participation in Youth Center acflvlties by your children No if yes, please list the names of your children, their
ages, and which programs. Llst below:
Chlld's name:Age;_Pmgram:
Program:Child's name:Age:167
. Have you ever been convicted of a felony: No lf yes, please explain in detail:
o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, pleqse explain in detail:
o Do you currently owe the City of Money Beach any money: No lf yes, please explain in deteil:
. Are you currenlly serving on any Cig Boards or Committees: yes
Personnel Board Associate Membor
lf yes, which board?
o What organlzations ln the City of Miaml Beach do you currenUy hold membershlp in?
Name: Citizen Pollce Academy Alumni Tille: Ghairman
Assoclatlon
Name:Title:
o List all properties owned or have an interest in, which are located within the City of Miami Beach:
100 Llncoln Road #1638
o I am now employed by the city of Miami Beach: No Which department?
o Pursuant to Glty code Section 2-25(b): do you have a relative who is employed by the
City of Miami Beach? Check all that apply. ldentify the department(s):
The lollollng lnformatlon le volunlary and ls nelther part of your appllcatlon nor has any bearlng on your conslderatlon for appolntment, lt ls
belng asked to comply wlth federal equal opportunlty reporilng requlrements.
Gender; Male
Orgin: Check one only (1)
Challenged: No
Employment Status: Employed
NOTE: lf appolntod' you wlll be requlr€d to follow certaln lawe whlch apply to clty board/commlttes members.
These laws Include, but sre not llmltod to, th€ followlng:
o Prohibltion from dlrectly or lndirectly lobbylng dty personnel (Mlaml Beach Clty Code sectlon 2-459).o Prohibitioh from conhacting with the cily (Miaml-Dade Coung Code section 2-11.1).o Ptohibition from lobbying before board/commlttee you have served on for perlod of one year after leaving offlce (Miami
Boach Code secUon 2-26).o Requirement to dlsclose certain financlal lnterests and giffs (Mlaml-Dade County Code aectlon 2-11.1).
(re; CMB Communlty DevelopmentAdvlsory Commitlee): prohlbltlon, durlng tenure and for one year after leavlng office,
from having any lnterest in or receiving any benolit fom Community Developmont Block Grant iunds for either yourself,
or those wlth whom you have business or lmmediate family ties (CFR 570.611 ).
Upon requestr coples of these lawg may bs obtained from the Ghy Clerk,
"l herety attest t-o the lecuracy and truthfulne$ of the appllcatlon and have recelved, read and wlll ablde by Chapter 2, Artlcle
Vll - of the Clty Gode "Standards of Conduct for Glty Offlcers, Etnployeee and Agency Mehbers."
I Gabriel Paez agreed to the following tenns on 1110120,13 8:13:28 pM
Date: I 12013 Contol No. Date: I 12013Recelved ln the Clty Clerlds Ofllce by:
Name of Deputy Clerk
168
Gabriel I,Paez,PHR
Miami Beach, Florida 33139
Phone 13 (Q Email: gipl225@yahqosaE
Summary: Adaptive bi-lingual Human Resources professional with progressive experience in all disciplines
in Human Resources; specializing in benefrts administration, conflict resolution, labor and empioyee relations
and new hire orientation activities. I{aving wod<ed on programs and plans to meet speciEc cornpariy
challenges and partnering rvith C-levei to create a more effecdve department. Possess strong commruicalion
skills thaf have proveu to establish cooperalive telationship vdth aII levels of clients (intenraL and external) as
well as adapting to different industries. State of Florida-Notary litrblic
Organizational Development. Benefits . Payroll . Conflict Resolution . Ernployee Relations . Inrmigration
' Compliance ' Recnriunentflalent Acquisition . On-boarding/New Hire Odentation & Training
Experience
SAPIENT, Miami Beach, EL
Senior Assooiate, People Strategiat
Deuclop i ag coxtrzsnitiet that no rk&
Report to t}re Director; ptovicle support to the enLire creedve persoonel, production studio and specialDed delivery in
Notth America. Also support tvo additional teams Tlre Global lvlarkets (Comrnodiry Platform) Tenm and APAC region.
o Integtnl part of the Perforrrance People Gtowh annual review team
I Contact person for the Globel Relocation Team
o Employee Relations ct Reduction in Force (XIF)
UNIDAD, lvliami Beach, FL
Career Advisor
71 /2008 - 3/2011
D e ue lopiag a n ntw itier tb al pvrkt.
Itepott to the Executive Director; given conrplete responsibility for defrning orgalDationa.l culhrre while positioning I{R
as a proactive partner to all business turits.
e Dralted employee harrdbook nnd travel & expense policy manual
o Condtrcted compliance enalysis (wbich ircluded but not limited to I-9, FLSA, payroll, reouitment) with .impact
analysis and implenrentadou of cortectiol plan
o Execute ttaining needs in areas such as Sexual Harassnrent, EEOC Compliance, Progtessivc Discipline,
Worke/s Compensation, etc.
o C,onduct ao:rual benelits enroll:nent campaign by infomring clients of changes to benefits as well as Ieading
open entollment meeting with assoc.iates
Gevity I{R, trIiami, EL 2006 -2A08HUMAN RESOURCES CONSULTANT - Generalist
GeuiE h aptofusional cnpbler otyaliption (PEO) and?rthlicb-beld nnpatg tpuiati$tgin hurun ntoilrcct.
Reported to Professional Service Nlanager; sewed the function of e Humsn Resources Business Parttrer to
90* clients,/ 1 675* employees.
o Lead the on-boardiug ofnew clients per coritrect specificrtions-payroli, benefits and FIR systenrs
e Championed dient issues nnd problems to fiual resolution wit-h ifrtetnal depzutments
r Conducted dient scorecard through survey of management and enrployees, compare resrilts to industry
standards aud offer recommendntions to dient by dcvcloping 12 month impiementation plan of offered
services such as perfotmance appraisals, empioy"e.rervards system, 401(K) implementation, compauy
handbook, treini:.:g, etc
o Conducted workplace investigations for clients on a requested basis as well as help clients develo,p and
implement poLicies ancl ptocedures and company handbook for employees
o Executed dient training and conrrnunication requiremerrts regarding haining needs in areas such as
Se-xual Flarassmcnt, EEOC Complialcc, Progressive Dsciplinc, Wo&efs Compeusation, etcr Conducted aanual beneftts enrollment campoigr by infoming clients of chauges to benefits as well as
open enrollment meeting,"vith associates at c.lient locations
e Iovestigated potential wage and hour violntions and ptovide clients with recommenclecl corrective actiogs
to be io compliance rvith fecleral and state regulations
3/2011 - Present
169
Gabriel I Paez 2
Ryder System,Iac., Miarrri, FL 2005 -2006
HUMAN RESOURCES REPRESENTATTVE
Garnnhl Fhet mandgamn! badquttcrt - nrporato ftantc diaisioa.
Reported to Senior HR Menager; served as Human Resources Gcncralist to 700* corporate employees throughout
mrrltiple locations iucluding international locctjous of Nlexico and Chile,
o Contingency Planner for the Ryder Employee Disaster Fund; distributed $185k in grants while supporting Field
staffpost Hurricene Kahina in Louisiana & Mississippi. Responsible for manpou,er covcrage of call center
r Coordinaied on-s:ite events to engage and integrate employees in helping the community
. Act as ttre liaison in stofling between candidates, hidng managers and HR for entire hire process
o Mannged ernployee investigrtions while recommeuding corrective actions to senior mnnagcment
r Resolved employee concems while providing guidance regarding FMLA/FLSA/ADEA/EEO telotedissues
r Conducted exit interviews; gatheted and rneintained database for disseminating IIR metrics for turnover reports
. Restructured uerv employee orientation from a l-hour prese[tatiol1 to a Vz dey compreherrsive ioteractive progmm
r Aclministered HR processes, including anntral perfotrnance evaluations, pay eqnity analysis snd benefit enrollrnent
r Participeted in the capacity of inten'iewer & asse$sot for the managerial aosessmort program & succession planning
I-Iertz Rent-A-Car,lvliami, FL 2002 to 2004
SENIOR STATION MANAGER-Human Reaou.(cea
The leadu'it tvbiclo rental
Reported to Employee Relations Manager nnd assisted in leading and ditecting the HR departmen! as well as
interpretirg policies and plocedures to managgmeut
r Flertz N'Ianagement Labor Agrcement Borgainir:g Team nrembet
o Completed tle selection, perfoftrrance appraisal and temrination of eorployees
o Maintained nll persormel records. and ensured eompliance to federal and state laws
o Recoociled and audited benefit's andpayroll $ystem interface ancl responded to detn issues
r Initiated ernployee relations fiv6stigntions from initiation all the way through trp to incltrding atbitration
o Admi.o"istered benefit progra.ms and assisted rvitl the researching and resolutiou of coqplex benefits situations
r Coordinnted ond atten&d iob fairs, intewiewed ancl made recommer:dations in the selection of ernployees to 6ll
exempt and non-exempt positions and handled separation notices and exit intervierps
Education
o B.A. Htrman Resou-tces Manegement-St Tfromas University, Miami, FL
Memberships and Community Service
o Member in good stnnding of SHtu\f & GMSIIRM
o City of Miami Beach Personal Board-Associate Member
. Gty of lvliami Beach Police Citizen's Police Academy Alumni Association-Chairman
. Gty of Miami 3.".[ \Jeighborhood Leodership Sewice Academy-Associrte Member
Public $ervice Awards
. Gty of Mami Beech Hispanic Hedtage Month Public Service Octobet 2009
Computer Skills
o Commancl of current softvrare-rllicrosoft Word, Excel, aocl PowerPoint
o PeopleSoft-Oracle, SAP-I-IRIS; I{ireRight; ADP, PayChex and Gevity payroll systems
170
Granado, Rafael
From:
Sent:
To:
Subject:
Bonini, Danila
Thursday, January 08, 2015 l-0:49 AM
Prieto, Silvia; Hatfield, Liliam; Granado, Rafael
Nominations
On behalf of Commissioner Grieco please re-nominate Jane Gross to the Historic Preservation Board, Richard Baron to
the Board of Adjustment, Gabriel Paez to the Personnel Board, and Frank Kruszewskito the Planning Board. Thank you
for your attention on this matter.
Dar4ila
r*..*.t
--L-,
*: i+:1r?'irl,' {.-r ': ,. ."- * j
L: : ..*.. \- .
Danila E. Bonini
Aide to Commissioner MICHAEL C. GR//ECO
OFFICE OF MAYOR AND COMMISSION
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 786-338-3865 / Fax: 305-673-7096 / www.miamibeachfl .qov
We are committed to ptoviding excetlent public sffid safety to att vrtho tive, work anct ptay in our vibrant, tropicat, histoic
communW.
171
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172
Visitor and Convention Authoritv
. Margaret (Peggy) A. Benua. Deborah (Debbie) A. Castilloc Aaron B. Perry
173
THIS PAGE INTENTIONALLY LEFT BLANK
174
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
.-BENUA_**-. . Margaret(peSSy) . . ,
i.',/\ [,r': liA I f,[At l-'{
_1'
Home Address
*Dream South Beach Hotel
Business Name
Coral Gables--.'."- _ FL 33133State Zp Code
Posilion: _General Manager
Citv
- ,9- l-*-peggybenua@dreamsouthbeach.com-
horrre r ercphone Work T'elephone Cellutar rerep,hOne Email addreSs
ElilJ"SJlfifvenue-,, -,,, , ,- ,,.-, iamiBet $r__.3,3e_
Profeesional Llcense (describe) -FL DBPR Community Assoclaton Manager_CAM3l436_ Expires:_09-30-2014
Attach a copy of the license
your order of ranking [1] first choice [2] second choice, and [3] third choice.
Pursuant to Clty Code sectlon 2-22141a and b: Members of agencies, boards and commitlees shall be affiliated wlth the dty;
thls requirement shall be fulfilled ln tho following ways: a, An lndlvidual shall have been a resldent of the clty for a minimum of slx
monlhs; or b, An individual shall demonstrale oramership/interest for a mlnimum of slx months in a buslness established in the city
for a minlmum of six months.
o Resident of Miami Beach for a minimum of six (6) months: yes ff or No X
r Demonstrate an ownershiplinterest ln a business in Miami Beach for a minimum of six months: Yes X or no E
o Are you a registered voter in Miami Beach: Yes fl or No X
o I am now a resident of: North Beach fJ south Beach f] miaau Beach E
o I am applying for an appointment because I have spocial abilities, knowledge and experience, Please llst below:
-l have held senior Indnageh€rnt positions in Miami Beach hotels since January 2000.-*--.-
o Are you presently a registered lobbyist with the City of Miami Beach? Yes
of
B Affordable Housing Advisory Committee E Flne Arts Board D Normandy Shores Local Gorernrnent
O Art in Public Places Commlltee O Gay, Lesbian, Bisexual and Transgender
Enhancemenl Committee(GLBT)
O Parks and Recreation Facllitles Board
E Beautification Committee
oB"*d"fAdj;;iffif-* _-.o Golf 4dvisory Cgnnitteq
o Health Advlsbry Commlttee
O Personnel Board
o PlaffiiffiEoard3f**
O Budget Advisory Committeq _E I eqlllf qcil i!i9s Authoflty F-o,ar4 D Police Cilizene Relations Committoe
D Capital lmprovements Projects
Oversioht Commlttee
D Hlspanlc Affairs Comrnlttee D Productlon lndustry Council
D Committee on the Homeless O Historic Preservation Board )(u Safetv Committee
I cqgr$rttee for Ouality Educa n MB_O Housino Authoritv o Sinole Famllv Residential Review Panol
D Communitv Develooment Advlsorv o Loan Review Committee fl Suilainabllitv' Committee
0 Communitv Relations Board o Marine Authorttv D Tennis Advlsdrv Commlttee
tr Convention CenterAdvisorv Board f Miami Beach Commission for Women o Trarigportation and ParltlnE Cornmlttee
o Debarment Committee 0 Miami Beach Cultural Arts Council x vlg,tor and convenflon Authoritv
D Desion Review Boardr *E Miami Beach Human Rights Commitlee D Youth Center.Advlso,v Board
o Disabilitv Access Committeo O Miami Beach Slster Cities Prorreri O Waterfront Protectlon Commlttee* Board Requlred to File State Dlscloaure Form
* tt you seek appolntment to a professlonal seat (e.g., lawyer, archltect) on the Board of Adjustment, Deglgn Review Board,
Historic Preservatlon Board, or Plannitlg Board, attach a copy of your currenfly-effectively license, and furnlsh the
lollowlng lnformatlon:
Type of Professlonal License, ., Llcense Number
Llcen8oleeuanceDatE-'......--..,..,andLlcenseExplratlonDate-.
C:\Users\mbcnua\DocumentrsVCAWCA Application 01.201 3.doc
175
Note: lf applying for Youth Advisory Board, please indicate pur affliatlon with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advlsory Board: Yes LJ No U Yeqrs of Servlcts: _
2. Present participation in Youth center activilles by yo.rr children y", E] r,ro ff. rffi'"r" llsl the nsnes of your chlldfen,
thelr ages and whlch programs. List k{ow:
Child's name:
Child's name:
Age: _ Program:
Age: _ Program:
.Have you ever been convlctecl of a felony: v". fJ or No X lf yes, please explain in detail:
r Do you currently have a vlolatlon(s) of City of Miami Beach codes: yes fJ or No X. lf yes, please explain in detail:
o Do you cunently ow€ the City of Miarni Beach any money: ves E or No X lf yes, explain in detail
o Are you currently seruing on any City Boards or Committees: Yes X or Ho E. I yes; which board?
Yisitors Convention Authority
o Whal organlzatlone in the City of Miami Beadt do you currently hold membership ln?
Miami Beach Chamber of Commerce , ,"..,, .. _ .,,,. _ ,,,,,, . Pillar Board Member.Name Title
-GMEBeachesHotelAssociaiion.*ExecutiveBoardMember.Name Title
r Llst all propertles owned or have an inleresl in, rvhich are located withln thc Cily of Miarni Bcachr Dream South Beaoh Hotel
. I am now employed by the Clty of Miami Beach: Yes ff or No X. Whlch department?
r Putsuant to clty code Sectlon 2-25 (b): Do you have a paront fJ, ,por* E, chitd fJ brotrer E, or sisier E who is
omployed by the City of Miaml Boach? Check allthat epply. ldentiff the department(s):'
Tha following inlormation ls volunhry and is nelther parl ol your appllcation nor has any bearlng on your consldoation for
appolntment, lt l8 belng asked to comply wlth federal equal oppo(unlty reportlng requiremsnts.
one
Gendor: l,tare fl Fernate x
X Sntte (Not ot Hlspanlc Origin): All persons havlng origins in any of the original pcoples of Europe, North Afiica or the Middlo East.
!3t Afrlcan-lmcrtcan/Black (Not of Hispanic Orlgin): All persons having orpins in any of the Black raclal groupe of Afrlca.
p ,,"Orn'., All persons of Mexicen, Puerto Rlcan, Cuben, Centrel or South American, or other Spanbh culturo or orlgln, rogardless ol rsca.
U a"|.n or Pacltlc lslander: All perEons hevlng origlns in any of the originel peoples of the Fa, Easq Southeast Asla, th€ lndian Subaontlnent, or
-_. the Pacfic lElands, This aea includes, for examplo, Chlna, lndia, Japan, Korea, the Philipplne lslands and Somoa,
ff lmerlcan lndlen or Alaskan Natlve: All persons havlng orlglns ln any of the orlglnal peoples of Norlh Amerlca, and who maintain
Cultural ldentllicatlon throlqh trlbal afflliatlon or communlty recognition.
Fhwlcally Challenqed: Yos U or fio U
Employment$tdiurr: EmployedX RetlredfJ HomefrakerE CIner[l
Please remember to attach a current resume and a copy of any applicable
professional license.
Attach additional sheets, if necessary, to provide required information.
C:\UsersVnbonua\OocumenIsWCAVCA Appllcelion 01.201 3.doc
176
NOTE: IF APPOINTED, YOU WLL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY To cIw BoARD/CoMMITTEE
iIIEMBERS. THESE LAWS INCLUDE, BUT ARE NOT UMtTEo TO, THE FOLLOWTNGT
o Prohibltlon from directlyor indirectly lobbylng city perronnel (Miarni Beach City Code section 2459).o Prohlbitlon from contractlng wlth the clty (Mlami.Dade County Code section Z:11.1').
o Prohlbltion from lobbylng before board/commlttee you have served on for period of one year after leavlng ofiice (Miami Beacfr
City Code seciion 2-26).
o Requiremenl to disclose certain financial interests and gifts (Miami-Dade County Code section Z-11.1).
o CMB Communily Developmenl Advisory Committee: prohibition, during tenure and for one year afler leavlng office, from having
any lnterest in or recelvlng any benefit from Communlty Development Block Grant tunds for eithor youne$,br those wilh whom
you have business or immediate family lies (CFR 020.61 1).
Upon rcquest, coples of these lawa may be obtalned from the Clty Glerk.
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION, ANO I HAVE RECEIVED, READ AND
WLL ABIDE BY C}IAPTER 2, ARTICLE VII _ OF THE CIW CODE "STANDARDS OF CONDUCT FOR CITY OFFICERS,
EITIPLOYEES AND AGENCY MEMBERS,"
/-lY-aon rfst A. Benua-
ol Applicant (PLEASE PRINT)
Received ln the City Clerk's Oflice by :
Name of Depuly Clerk Gontrol No,Date
C:\Users\mbenua\DocumentsVCAVCA Appllcatlon 01.201 3,doc
177
,ri,iii\Adl mfiACI"={
Clty of Miami Beach
l70O Conventlon Cenler Drive,
Miami Beach, Ftofida 33139,
www.mlamibeachfl.gov
CITY CLERK's oFFIcE
Telephone: 305,673.7411 Faxr 305.673.7254
Acknowledgement of fines/suspension for Board Members for fallure
County Financlal Disclosure Code Provision Code Secflon Z-11.1(,1l?l
CityClerk@ mlamibeachfl , gov
to comply wlth Mlami-Dade
Board Membe/s Name: M*Unut I (?ail ?plu^
I understand that no later than Ju!y.1.-of each year all membere of Boards and Cornmittees of the City of
Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County
Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or primary
responsibility is to recommend legislation or give advice to the City Commission, must file, even though you
may have been recently appointed.
You must flle one of the following wlth the City Clerk of Miami Beach, 1700 Convention Center Drive, Miaml
Beach, Florida, by July 1 each year.
1, A "Source of lncome Statemenf' (attached); or2. A "Financial Statement' (attached); or
3. A Copy of the person's current Federal lncome Tax Return
Failure to file, according to the Miami-Dade County Gode Ghapter l, General Provision, Section 1-5,
may subject the person or firm to a fine not to exceed $500.00 or by imprisonment ln the county jail for
a perlod not to exceed slxty days, or both.
l'OL(-&:t3
Signature Date
,--,
C:\Usersvtlbenua\AppDatauocaAMioosoft\Windows\Temporary lnternot FlleE\ContonLOuUookB03zTWRT\BC fuplioalion.doc
178
Peggy Benaa
Coral Gables, Florida 33133
PROFILE
Creative, goal oriented managerial professional with a proven track record in development of results,
team building and management for teading hospitality operations. Areas of expertise includel
Strategic planning Staffing and training
Customer service Hotel operations
Revenue generation Project management
oUALTFICATTONS ADIp,COMPETENCTE$
o Proven leadership skills and professionalism. Successful implementation of systems and tracking of guest satisfaction, revenues and cost
controls
. Strong communication and interpersonal skills. Sucoessful project manager of hotel capital projects including planning, bidding and execution. Strong forecaster and in budget preparationo Revenue generator in both group and transient markets. Ability to manage flow through for bottom line results
PROFESSTONAL EXPERTENCE rrrGr_{LrSrIJrS
lll08-present DREAM SOUTH BEACII Mlami Beach, Florida
General Manager
Opening General Manager for 108 room luxury Boutique property located in the heart
ofSouth lJeach.
o Trip Advisor Travelers' Choice Award for Trendiest Hotel 2012
o Expedia Insiders'Select Award 2012
o Orbitz Best in Stay Award 2012
o Trip Advisor Sexiest Hotel in the World 201 I
9/06 - 11/08 MARRIOTT SOUTH BEACH Miaml Beach, ['lorida
Gener.ol Manaqer
234 room ocean front boutique style property on Ocean Drive in South Beach with
2630 sq fl of meeting space and full service F&B operations.
U00 - 9/06 EDEN ROC RENAISSANCE RESORT AND SPA Minmi Beach, Florida
Resldent Mapaser
Responsible for Rooms and Related departments and Spa and Recrcation Operations
for a 349 room ocean front resort with 55,000 sq.ft of meeting space. Converted to
Maniott's Renaissance brand in October 2000,
10194-12199 LE MERIDIEN DALLAS IIOTEL Dallas, Texas
03195 - 12199 Hotel Manager (Promoted)
Responsible for all day to day operations and Capital Projects for a 400 roorn four
diamond hotel located in a downtown market.
Acting Generel Manager of The Watergate llotel (Washington, DC) - 7/97 -919'1.
10194 -03195 Resident Manaeer
179
06t93 -1u94
08190 -06t93
08/9t -06/93
0E/90 - 08/91
08/89 - 08t90
SHERATON GRANDE IIOTEL Ins Angeles, California
Front OIfice Maneser
Responsibilities included the management and supervision of Front Desk operations,
Guest Services (including Bell Staff and Transportation), Concierge and pBX
Telephone Operations for a 469-room four-diamond luxury downtown property,
SIIERATON IJOS ANCELES AIRPORT HOTEL Las Angeteo, Californie
Executlvo 4ousekeeoer (Promoted)
Responsibilities included the management and supervision of 130 personnel
housekeeping and laundry operation for an 807-room airport property,
Assistant Front Office Meneser
SHERATON HARBOR ISI,AND HOTEL San Diego, Californla
Manasement .A,ssociate
completed ITT sheraton Intemship hogram in all aspects of hotel operations in a 7l I
room resort property.
SHERATON BISCAYNE BAY IIOTEL Miami, Florida
Front Office Supenisor
Supervised Front Oflice shift operations for a 598 room downtown properly.
0u88 - 08/89
EDUCATION
Florida lnlernalional University Miami, FL
Master of Science l{otel and Food Service Management
University of North Florida Jaclsonville, FL
Bachelor of F'ine Arts
Graduated 1989
Graduated Cum Laude 1985
PROFESSIONA! ACHEMMENTS
Florida DBPR Community Association Manager License # 3379321
Food Sanitation - Serve Safe Certification 5 year
Appointed to Miami Beach Visitors Convention Authorlty April 2012
2012 Recipient HSMAI South Florida Chapter - General Manager of the Year
Appolnted to Miami Beach Commission forWomen 2010-2012
Appointed to Creater Miami and Beaches Hotet Association Executive Bonrd 2008
GMBHA Sustainable Hospitallty Committee Co-Chair since 201I
Appointed to the Miami Beach Chamber of Commerce Pillar Board since 2008
1999 Recipient Women in Executive Leadership, Dallas Chapter - Woman of the Year
1992 Nominee for ITT Corporation l4th Harold s Geneen Award for Speclal Team
.dchievement - Housekeeping Management Team Nomination
1992 Sheraton Los Angeles Airport - 4th Quarter Manager of the Quarter
l99l Recipient ITT Sheraton - President's Award for Outstanding Performance
180
TAIJITNIABSEE Err 32399-0783
STATE OF FLORIDA
DEPAR$TBTT OT EUSIISESE TIID PNOFBSSTOIIT&
clmGnrrnr .tsSocrArrolr tIalIAcBRg1940 NORIE IOTROE STREEE
RECIIrI,ITrOlY
(850) {87-139s
AC,f;:s;'t 19 3 t
l'5 LIC![0S$O und.r tho proldrlor oi 0.46.8 tt.
iuetnttor drEr, SEP. 30, 201,{ L1206050033?
BETUA, II1RGTRET NWE115 T' SIINRISE A\IE[I'ECORIL, CllELEg FLr 33133
Gongratulstlonel Wlh.ttis llconse you beoomo me dthe neilfy one rilllon
Floddhns lhemed by the D€p€fiHrt of Br.dnoss and Prolbselinal Reouhtbn.
Orr fofeq*mds arE busix*ms rams fom ndribcts to vactt brcloi, from
borers to barbogue redauantr, ,rd tfiey koep Fldihl sirromy Soitg.
Everyday we ruorft b imptwe tha Hy *B O hrsftoes h order to sewe you botbr,
For hfuirirdion aboti or sgn hss, etEE b0 @ rrr.nrylbdrhlca*raGml.For hfrnidion abod dr seruhoq dim bo mb rrr.nndbddelcs*rr.coln.
Thero_you can-find.rnore inhrmetorr about ofo dvilinc ard tre rqn,lalbns that
ffi*ffi.P dapatbront ntnrdden ard loam rmro Bhut thg
Our mlsoion at the Oepcfnent ls: Lbort8s Efficlsr0y, Resul6b FaiL. We
constanlry rilivo to eoirro you belter so 0oat you cen isv6 yor or*6more.
Thanl you for dolng busln-ess ln Fhrida, eml ccrErilrlatons on your ner,y llcensel
\C#6Z4S3Z:$TATE OF FLORIDA
DE PABTIdEMcSfloB$$$$*H,g rEffiofi [gfirflgsBHBHsRE6uLArroN SEQ# r.taooosoo3gT
*:rgt Yl-*- I
Ii.p-_o_i-gr.r,1'at1+? ilLgtap_g+:1"_."tgrt$atf*)_g- .-_-.,^_ _ ,
'.thqr i)OHtdYJllI?g J\SStlf IAT1 r-\u lfJtNt GER!.l,enotl h,alow f S I;I(iHNS.nfl
I,t:...1.t-'.' ghe pf C...fl..gf.nnp ,rf ,1 i...:i:r::::l .1 68 FS .
Iili.-.,.i ::ef.i,lr .i.i.t-= I SEp :lt), i:'t'i,l
ss.g{]s. -!4&E!}At^E'r Arrhrl
181
Granado, Rafael
From:
Sent:
To:
Subject:
Please nominate:
Aaron Perry
"Pegg/'Benua
VCA
--, e,.r--,
Carra, Lauren
Thursday, January 08, 2015 12:59 PM
Granado, Rafael
Nomination for VCA
-t1*EAeH
Lauren Garra
Aide to Commissioner Deede Weithorn
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7030 www.miamibeachfl .Eov
We are committed to providing excellent public service and safety to allwho live, work ond ploy in our vibront, tropicol,
historic community.
182
MIAMIBEACH
Castillo Deborah
BOAFO AND COMMIITEE APPLICATION FORM
A
Last Name
i{ome Address
First Name
Bar; Harbor lslands. FL
Middle lnitial
33154
City State Zip Code
dcast, llo tlitdrrvtngroi.eom
Home Telephone Work Telephone
Drivrng R.O l., lnc.
Cellular Telephone Emeil addross
Busineas Name Occupation
Bay Harbor lslands. FL ta l i !
Busln€BB Aodrsss
Professlonal License (describe):
Zip Code
Please list your pr6ferenc6s in ordor of renking [U first choice [2] second choics, and [3] third choice, Plere nole that
Page 1 of 4
F:ELER\$ALLbFORIVS\8OARO AND COMMITTEES\BCAPPTICATON 4S BOARbS 12.1&2013.dA
Clty State
Expires:
Plcose att c;1, a copy ol cutlr,ntly etlactlw prolmslonal llctnse.
Purguant to Clty Code sectlon 2-22(4la & b: Members of agencies, boardE snd committees shall be affiliated with the City;
this requirement ghall be fulfilled in the following yvays: a. An individuat shall have been a resident of tho City for a minimum of six
months; or b. An individual shall demmstrete ownership/interest for a minimum of srx months in a business esteblish€d in the City
for a mlnlmum of slx months.
o Residerf of Miami Beacir for e minimum of six (6) months: Vcs E or No El
o Demonstretes ownerehip/intereet in a bueinese in Miami Besch for a minimurn of elx months: Yec E or No f]
o Are you a regiserod voter in Miami Beach: Vcc E or Uo El
. I am now a reBtdent of: North Boech El sortn Beach El uuot" eecn f]
o I am applying for en appointment because I have special abilities, knowledge and experlence. Pbase ll3l below:
I hAve becn aCtlvglV illvolved rn the Minnr, Beach hoqnrtahtv anrmilnrtv lnr 14 vonrq 1rd (opl rlrnr mv rryF^il'^r .an na nl hnr6til !,- rhr tu,trrm.
Eeach VCA have a passtorr lor tf{Sr3.reztng comnrJnrty anc \roulct love to have ltte oppoitunilv to corttnbuic
o Are you prmently E rogistcred lobbyisf with fhe City of Miami Beach? Yca fl or No El
O Ad Hoc Chartcr Rcvlew ard Revlslon Boerd El Dsbarmcnt Commlttes E Mlaml Beach Human Rlohts Commltlge
0 Ad Hoc Cqnmltlee Centsnnial Celebration E Deslgn Revlew Boad' +O Mlaml BEach Shter Cltles Prcoram
B Ad Hoc Cdnmltbo Flooding Task Face 0 Dlsablllty Access Committee O Normandy Shoras Local Govammenl
Nalohborhoad lmmum.nl
U Afiordable Hourlno Advisorv Committoe E Fine Artr Board tr Psrl(8 and RecrB.tlon Facilllios Borrd
U Art in Publlc Plscc! Commltlce E Gay, Lerblan, Blaexusl and Transgender
Enhancament Commlttae {GLBT}
E Personnol Boatd
0 Beaufillcatirn Commlllae E Golf Advhorv Comminee E Plannino Board P
0 Blcycleffistrlan Advlsorv Commlttoe 0 Health Advlsav Commlttee O Pollce Clilzens Relatlons Cqnmlttse
O Boerd of Adlurlmrnt r A O H.ehh Faclltlee Authodtv Eoard E Producllon lnduatrv Coundl
E Budoet Advlcm Cqnmlttoe E Hlspanlc Aflalrs Commlttee E Safetv Commltee
E Capltal lmprowmentr Polecir Oversight
enmmll,lrc
E Hletorlc Prcservallon Board E Slngle Fam[y Resldential Revierr Panel
0 Commlttse m th6 Homeb3a D Houslno Aulhoritv E Sustainaulltv Commifiee
O Commlltc. br Quelltv Educatlon ln MB 0 Loan Rcviour Commiltaa O Tennls Advieory Committes
E Communlty Dewlopment Advisory commltt€o 0 Mrine Adhorttv E Transportatlon and Parkinq Cornmlttee
E CornmunlN Releuons Board O Mlaml Beech Commleelm for Women E Vlgltor End Gonvenuon Aulhorltv
0 Conwntlon Ccntcr Advlaoru Board O Miaml Bcadr Cultural Art3 CourEil D Youth CanlerAdviloru Borrd -
O Watarlroni Prdecdon Commlllae
' Board mombcn ttt r.qulr.d to fllc Fonn I - "Strten.nt ot Ftntncld lnteLst" wtth th. Stab.*!t Voq lok rppolntmtrtt to ! profrarloml rrt (a.g., hwycr, archltlct, atc.) on fia Borrd ol Adluetmmt, Drllgn icvlew
Board, Hlrtodc Prorrva$on Board or Plannlng Board, attach a copy ol your currrntlfrflcctlvcli llccnrc, and lirrnlrh thclollowlng lnformatlon :
Typo of Proloulonrl Llcfllq
Llcenre ltruanca Date
Llcenr Number
Llc.n3e Erplratlon Date
183
E llob: f epCylttg lor Yqrtlr Cenier Advicory Boad, pbr!. indi:46 pur aftliation with tho Scott Rakow Youth Ccnbc
1. Pd ..rvb on the Youh Cent r A{tvmry Boed: Yee U Ho tJ E}alce of Servioc:
2. Prucent parffipatbn ln Youth Center adivltior by your c*rlldrun: yer f,l no E
lf yeo, pleaee li.t belotx [L nmrcr ol your childGn, their ege snd the prcollrfts in which ftey pertictpale:
Child'r nams:
Child'r nanr:
Age: _ Prognm:
Age: _ Prognm:
o Hem you .\rr beon onviot d of r fdony? Yr U or Xo l5l ll yer, pleere erylein in detall:
r Do you currnty haw e vlolrtlon(r) of Clty of Mlami Beacfi CoO"f V- E or l&l I yer, pleam exptdn kr dcbll:
o Do 1ou ornttily o*B ihe clU of MElril B.rch .ny money? vrr fl or no EI r yes. erptlln h doteil:
o Ara you curcnlly rrr$ng on eny City Eorrt or Commitbe? Vr El or No El I yer, whictr board/comrni[ee?
. ln whlt ofgintsrtlm(e) in thc Clty ol Mbmi Brolr & ,ou cfiinty hold nrcrnben*rlp?
Neme Posluon
o Liat all prop.ttlGs owncd or ln whlcfi ytu h.w rn ktcrtrt wlhln Uro City of Miami Baach:
. Ar€ yol, nil employld by rle Clty of Miami B.scrr? Vr E] or No EI
Whlctr tlcp.ttmcnt and Utlc?
o Rrnruri to ctU Gortr trton 2.20 (b): Do you h.y. e parenr f]. ,pol"" fl, .niu El orur", fl ol, rncr E wm r
empby.d by th. Cty of MrmlBorch? Chcdr rllth.t epp!.
lf 'Ycr,'ldantlly panon(t) and dcpertnot(!):
Thr rbllcltle hloat$o b Yolunrrry rnd lr nrlthr prr d For.pglbr[on nor lrr .ny l..ing on pur conelrlmilon lorrppolntnrrt n b b.lry dad b oornpty rllh Clty Omty qoruq rqulrmrnt
Orlxlln ilalel-l Fsnale
Brollthnlc Cargofi.
Wutlryourru?
El erir."r,+rno,tcsrratecft
Elcerccrsrrwnne
Elrrr.norPafic td.nder
El f.fd-*rn fcen/Amarcan tnrtim
Elot"r-fttntR.6:
F:\cLERlaArrEonG\BoARD
^rE
corillrrEE$ac xrrruc^flo* o Jffi? ?r3l&r...*
184
Do yott cottald.r rourrll to br 8pIbh, Hlrprnb or lrdooL? f#,tt(ttc'lvp'0pix il nd Sanbh, lltrynb, Lrttt ott.
EIE No
Yaa
Do yul cotlrkar yourdl Phydc.lly Ot rbLd?
EIE No
Yec
NOTI: ll AtnoslflD, Yot, wlLL !t icoulilD rlo FoLLou cliTAlN LAW! THAT APFLY TO CrTy BOATD/GOIITTTEEItllcit, flGaE LAWS |NCLUOC, !t ? liC ]toT urtTED To:
o fronlllum fiorn dfldy or lnd[tdly bbry'le Oty p.nomcl (ilf*arni Bcrctr City Code $ction 2{80).o PrdilblUqr fionr ontrodng wilh U,t OU (lfl.ml.I}rdr Coudy Codr mcilon 2:11.11.
o Pmhlilot fom tdbyhg bdoto the bctd/cdnmltbe you hnlc te{rrcd on br pertod of one yoar rftor taevtng oft6 (Milmi Beacfi
CltyCotb teo0on 2-20).
o Requltunrnt to dado.r c.rt h llnmdrl lnbrrtr fl(t dn! (t bmi.t).dc county code rrction 2-l 1 . t ).
" Cq lonm$U tlvrnopmont Advt?ty Cormttbr: prct{Bl0on, dudng tanur. rnd ,br one tlerr rfiri reUng dllcr. tronr hrvlng
rny lnblrt h ot natufig rny Dornllt frqn CmrnrunlV O.wlopmml Blsk Grunt fund! foi Elurcr yortrroll. or rrco wlli utromyou h.y. hnlil.. of lrm.dthm[ytb. (cFR 570.81t).
o Surhlnr Lry - Flsl(lt (haflrmant{Dhe-&rn hhc Llw sar cn cted h t$7. Todly. th€ Sunshhc trw ngerlkrg opengovsnm.d orn b. ftlfll h Chr* 2I of lha Fhdda Ebubc. Thrc rbtrta caaOmr e brto rlght of .s.* ao moatlt dnt ofborrdr, oogmhrimo rnd othrgovcmlng bodb. of $rb nd loc.l gorrmrncnbl rgrndo a ruttroaru.o Vodttgottfid - Foan 88 lr br un by rny pcnon aorvtng d ho cdlnty, Oty or oUrer loccl lenolil goverm.nt on fi .ppolnt d oralc.i.d borl. oultdl, omlmLabt, rrutotlty or emrrltr. lt rpptet- eCtialty b rnomben d a<libory and nm-rrididry bo<llcr
nho tll pn..nbd s,llh . voone odllct d hbrrt md.r S.coon 112.3143. Flo.tdr Stllutta
Upon trque.t' cglr ol tho lm nry br ottrln d frian tll. Clt, CLrt.
I HEREIY lTl38T ?o THE AocURAcY lrD Tiufl{ruLill8l G ?HE APPUcAnoil; A}rD I HAVE REcEmD, READ AilD
WILL AIOC TY CHAPTIT 1Ai'IGtE YII, OF THE IlIIl SEACH C]rV GOOE, EilTTTLED "ETATIIT'ARD8 OF COiIIDUCT FORCIIY Omclta EfPtovEE8 Ailo toE]lgY rExlER3 Al{o ALL orxEn AFpLc BLE couxry Aro/on srATE trwg Al{D
STATUTES ACCORDII{OLY.'
PLEASE REIIEiIBEB TO ATTACH A CURRENT RESUiIE, PHOTOGRAPH AND A
COPY OF ANY APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REOUIRED
INFORilANON.
Rcehrud ln thc City Clcrl'r Olllcc by :
F:rcLrRfALr\rForlGrroAFo
^ro
comflrrrlstlc AFpuomo* .. riig; ?r:lrtr..o*
185
MIAMI BEACH
Clf,f .l thlt{ lcch
I70O Connnlion Ccnbr Driw,
Miomi Bcocfi, Flcrido 33 1 39,
wrrnrr. mlom ibeochff -gov
CITY CIERK'S OFFICE
TCcphom: 3A5.673.741 I fox 305.673.7251
C if€lerkemiomiboochf . gw
Aolaprldglrlrtt ol flndru.p.ndm fq Boardl0ommlttr iLmbn tor hllurr to oqrply wlth lfitml.Dd. comty Flnenclel ilrclorurc coil Ptovtrton Godc srcdon 2-1i.1(t) (2)
Bgatd f,fnbdf Nernr: Deborah Castrilo
I undsSand that no ldcr thEn Julv 1. ol rctr nr all membera of Boadg erd Commltbc d the Cfi ofMltril Elclch, lndt dftg hgsa ot a puraty edvtory netutu, aru rcqulrcd to cornply srlth Mlaml-Dade County
Flnandal Ellrdooun Roqulrcmenb. Thb mcena that thc nrerrbena of Clty AOUe6ry Boadq wtrce eole or
Prlmary rucponrUttty ls b recqnmend leglalalion or ghle advlce to the
-CiV
CorimlaCon, mtat flh, ovon
thongh they may have becn recently ap@ntcd.
9!f ot_Uto lUlowlrp formr [lt|d.hf.I[l wlth thc Clty CLrk of Mlaml Beach, 1700 Conwnilon Cantar Drtvr,
Mhrnl Eldl, Florlda, no laErthan 12:00 nmn of July i, ol ch yrr.
1. A'Souce d lncomc Stetsnenf
For lour onrnnlenae, the fofin le sttacfied. The brm can alao be doumloaded at
hto://$**.mlrnrlffi.oov/decilonr/Llbnrrv/rouru d lncorna *ate*nat.odf
2. A'SXrHncnt of Finarrcial lntcrcgB (Fonn 1),
For your oonrrrnlcrm, ttp fonn la sttecfi€d, The hrm can alao bo donnloaded at
htio://**w.ethhr.dete.ll - udrft hr/tonnr. tfinl
3. A Copy of your 2013 Federal lnooma Tax Rdum
Fdlun !o flb ono d thaa fonng, pururant to the Mlaml-Dade Coung Code, may sublecl the perron to a flne
of no rflorc ttlan $500, 60 days ln Jall or bdh.
Deborah Castrllo
Ugdrlrd; lrqtdry, Dcinb.r lC,20lg
F:rcLERmr^uLFomuo m
^ro
cqilrrEEarm rpptoro, . Jffi?.o.lliro,. -"
January a. 2014
186
o *Y'n,?.*frirNc
Executive Bio: Debbie Castillo
Debbie Castillo has more than 25 years of experience specializing in sales, marketing and
revenue management in the hospitality industry. ln the Fall 2014, alter 14 rewarding years with
Loews Hotels, serving in Senior Sales & Marketing Executive Leadership positions, Castillo
launched a new business venture focused on providing consulting services in the areas that she
is most passionate about. ln creating the scope of services, she designed them to be in
alignment with her strengths and where her expertise can bring the greatest value and retum to
her clients.
Driving R.O.l., lnc. serves as an invaluable resource to the hotel owner, investment group, asset
manager and/or hospitality management company by providing integrated sales, marketing
and revenue enhancing strategic plans designed to drive top line revenues to achieve EBITDA
goals and increase asset value. Primary areas of focus include due diligence and market
analysis for new hotel acquisitions, business diagnostic assessments, analysis for capital
investments and ongoing sales & marketing asset management services.
Castillo held the position of Vice President, Sales & Marketing, East Coast & Canada for Loews
Hotels for the past 4 years and prior to that, was Regional Vice President, Sales & Marketing for
Loews' Resort Division for 6 years, She began her Loews career in 1999 as Director of Sales &
Marketing for Loews Miami Beach Hotel and was an integral player in creating the business
platform to success{ully launch the hotel as one of the most prominent market leaders in the
South Florida hotel community. Castillo was responsible for the sales, marketing and revenue
strategy delivering 14 years of positive REVpar growth and increased market share.
Prior to her position with Loews Hotels, Castillo was the Regional Director of Marketing for
Sonesta Hotel and Resorts, Director of Sales & Marketing for the Sonesta Beach Resort Key
Biscayne and Director of Sales and Marketing for the Doral Ocean Beach Resort.
Castillo has received numerous awards throughout her career including Marketing Master of
the Year & Director of Marketing of the Year for Sonesta Hotels and Resorts, twice awarded
Marketer of the Year for Loews Hotels and most recently was awarded the 2013 Professional
Achievement Award from Flagler College. She holds a bachelor's degree in Business
Administration from Flagler College and is a Past Chair of the Marketing & Tourism Committee
of the Greater Miami Convention & Visitors Bureau.
187
188
Grenedo, Refecl
From:
Scnt
?o:
Cc:
Subfrct:
Malakoff, Joy
Monday, January 12,2015 6:25 PM
Granado, Rafael
Stewart, Bonnie; Miranda, Alex
Nominations
I nominate Debbh Castillo for appointment to the Visitor and Convention Authority. She is experienced in eles,
marketing rnd reircnue managemcnt in the Hospftality industry and wlll be an excellent, knowledgeabh eddition to the
Board. She ls currendy a member of the Gruatar Miami and the Beaches HotelArsociation.
I nominate Domldque Bailleul to the Histork Prescrvation Board for an At Large Posltion.
Thankyou.
Joy
Sent from my iPad
Commissloncr Joy VW. Malakoff
189
THIS PAGE INTENTIONALLY LEFT BLANK
190
t
.i
q
AMIBEACI-.I
Name
Home Addresr-
Home T
Professional License (descrlbe)
Atlaeh a copy of the llcense
BOARD AND COMMITTEE
CIfi OF MIAMI BEACH
FORM
Cellular Telephone
Pursuant to Clg Code sectio n 2-22(41 a ahO b; Members of agencies, boards and commlttees shall be affillated with the city;
this requirement shall be fulfllled 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/lnterestlor a mlnlmugr of slx months ln a buslness established ln the city
for a mlnimum of slx months. _J
o Resident of Miarni Beach for a minimum of six (6) months: yes [Z[ or No E ./
o Demonstrate an ownership/interest in a business iqrloliami Beach for a minimum of six months: Yes EI or' Ho ff
o Are you a registered voter in MiamiBeqqfr: Yes Zl or ruo E ./
r I am now a resident of: North Beach E south Beach f] ntlUOt" BeachZ
o I am apptying for an appointment because I have special abilities, knowledge and experienco. Please list below:
l'lease list yourpreterences in order oI"rahKtltg[1] first choice [2] second choice, and [3] third
onlv three (3) ctroices wlll be observed bv flie Citv Glerk's Office. (Resular Boards of Citv)
o Affordable Houslng Advisory Commiftee O Fine Arts Board tr Normandy Shores Local Government
Neiohborhood lmDrovement
E Art in Public Places Committee B Gay, Lesbian, Bisexual and Transgender
En hancement Commiftee( G LBTI
tr Parks and Recreation FaciliUes Board
O Beautificatlon Committee O Golf Advisorv Commitlee tr Personnel Board
E Board of Adiustment i fr o Health Advisory Committee 0 Plannino Board*'fr
tr Eudoet Advisorv Commiftee O Health Facllities Authoritv Board tr Police Citizens Relations Committee
tr Capital lmprovements Projects
Overslqht Committee
D Hispanic Affairs Committee tr Production lndustry Council
tr Committee on the Homeless o Historic Preservatlon Board I(E Safetv Commlttee
D Committee for Quality Education in MB E Housino Authoritv E Sinole Familv Residentlal Review Panel
tr Communitv Development Advisorv O Loan Revlew Commitlee E Sustainabllitv Committee
tr Communitv Relatlone Board E Marine Authorttv tr Tennis Advlsorv Committee
E Conventlon Center Advlsory Board E Miaml Beach Commlssion forWomen o TransDortauon and Parkino Committee
tr Debarment Commltteo D Mlami Beach Cultural Arts Councll EPfisitor and Convention Authorltv
E Desiqn Revlew Board* *D Mlaml Beach Human Rlghts Committee O Youth Center Advisory Board
tr Disabilitv Access Committee E Miami Beach Sister Citles Prooram E Waterfront Protection Commlttee* Board Required to Flle State Disclosure Form
* f you seek appointment to a professlonal seat (o.g., lawyer, archltect) on the Board of Adjustment, Deslgn Rcvlew Board,
Hlstorlc Prsservatlon Board, or Plannlng Board, attach a copy of your currently.effectlvely llcense, and furnlsh the
followlng lnformatlon:
T1rye of Professlonal License Number
License lssuance Date and Llcense Explratlon Date
FTCLER\SALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE,doc lr('
191
J
t.Note: lf applylng br Youth Advisory Board, please indicate your affillation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advlsory Board: Yes U ruo ld years of SeM 6 _
2. Present participation in Youth Center acUvities by your children yes E No E. trlileu"" llst the names of your chitdren,
thelr ages and whlch programs. Llst below:
Child's name: Age: _ Program:
lf yes, please explaln in detail:
lf yes, please explain ln detail:
r Are you curently seMng on any City Boards or Committees: Ye" ff or ruo Z!. lf yes; whlch board?
r What organizqlons(n the Qity of ,{Miami Beach do you currently hold membership in?
Name Title
r Ust all propertles owned or have an interest ln, which are located withln the Clty of Miami Beach:
o Pursuant to Clty Code Sectlon 2-25 (b): Do you have a parent E, spouse E, chllcl
employed by the City of Miami Beach? Check allthat appty. ldentifu the department(s):
The following lnformatlon ls vbluntary and ls nelther part of your appllcatlon nor has any bearlng on your conslderatlon for
appolntment lt ls belng asked to comply with federal equal opportunlty reportlng regulrements.
RetiredE HomemakerE
Please remernber to attach a current resume and a copy of any applicable
professional license.
Attach additional sheets, if necessary, to provide required information.
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Appllcatlon NEWLY REVISED NEW LANGUAGE.doc
r I am now employed by the City of Miami
fl, o, sisterff who is
Ethnlc Orlgln: Checkrcne odyll )
GenderfMaleld remaeLJ
W*n r" (Not of Hispanlc origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
Cultural identlflcatlon throlg[ kibal
rlcallv Challenoed: Yes U or N
Q Afnc"n-Lertcani Black (Not of Hlspanlc Origin): All persons iaving origlns in any of the Btad( racial groups of Arrica,
El Xi=panl", All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanlsh culture or origln, regardless of race. .
l*J A"i"n or Paclflc lslander: AII persons havlng origlns In any of the orlglnal peoples of the Far East, Southeast Asla, the lndian Subcontlnent, or
the Paclflc Islands. This area lndudes, for example, China, lndia, Japan, Korea, the Phllipplne lslands and Somoa.
E At.ria"n lndlan or Alaskan Native: All persons having orlglns ln any of lhe origlnal peoples of North America, and who maintain
192
I1--
NOTE: lF APPOINTED, YOU WLL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT IpPLY TO CIW BOARD/COMMITTEE
MEMBERS. THESE LAWS INCLUDE, BUTARE NOT LIMITED TO, THE FOLLOWING:
o Prohibltlon from dlrectly or indlrectly lobbying city personnel (Miami Beach City Code sectlon 2-459).
o Prohibition from contracting with the city (Miami-Dade County Code sectlon 2-11.1).
o Prohibitlon from lobbying before board/committee you have served on for perlod of one year after loaving office (Mlami Beach
Clty Code section 2-26).
o Requirement to dlsclose certain ffnanclal lnterests and gifts (Mlaml-Dade County Code secton 2-1 1.1).
o CMB Community Development Advisory Commlttee: prohibition, during tenure and for one year after leaving ofice, fom having
, any lnterest in or receiving any benefit from Community Development Blook Grant funds for either yourself, or those wlth whom
you have buslness or lmmediate family ties (CFR 570,61 1).
Upon request, coples of these laws may be obtalned from the City Clerk.
I HEREBY ATTEST TO THE
WLL ABIDE BY CHAPTER
AND TRUTHFULNESS OF THE APPLICATION, AND I HAVE RECEIVED, READ AND
VII - OF THE CITY CODE XSTANDARDS OF CONDUCT FOR CITY OFFICERS,
EMPLOYEES
Slgnature
z9 +S >9 t3Received in the Clty Clerk's Office by :
Control No.Date
FICLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC AppllcaUon NEWLY REVISED NEW t-ANGUAGE,doc
193
,I
a
MIAMIBEACFI
City of MiomiBeqch
1700 Convenlion Center Drive,
Miomi Beoch, Florido 33 139,
www,miomibeochfl.gov
ctw ctERK'S oFFlcE
Telephone: 305,673.741I Fox: 305.673.7254
CifyC lerk@m iomi beochfl. gov
Acknowledgement of flnes/suspension for Board Memtiers for failure to'comply with Miami.Dade
County Financial Disclosure Gode Provision Gode Section 2-11.11i1l?.l
Board Member's Name: \..
l understand that no later than Julv 1. of each vear all members ol Boards and Committees of the City of
Miami Beach, lncluding those of a purely advisoly nature, are required to comply with Miami-Dade County
Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or primary
responsibility is to recommend legislation or give advice to the City Commission, must file, even though you
may have been recently appointed
You must file one of the following with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miaml
Beach, Florida, by July 1 each year.
1. A "Source of lncome Statement" (attached); or2; A "Financial Statement" (attached); or
3. A Copy of the person's current Federal lncome Tax Return
Failure to file, according to the Miami-Dade Gounty Code Chapter 1, Generat Provislon, Section i-5,
may subject the person or firm to a fine not to exceed $500.00 or by lmprlsonment ln the county jall for
Signature Date
FTCLER\$ALL\aFORMS\8OARD AND COMMTTTEES\BC Apptication NEWLY REVISED NEW LANGLAGE.doc
194
,d -es_,zolg qQ MU,u_ N[_Yj{ EW$,APE Rs. CO_!4 laee_9
AARON PDRRY
Aaron Pcrry. currcntly thc managing part'
ncr and co-owncr of Sobol-Perry Fashion
Produclions Inc., is an invaluablc assct to thc
Miami Bcach community al large. At thc
forcfront of any issuc thal affccts Miami
Bcach, whelhcr ir is chairing thc Committee
to revicw Gaming or spcsrhcading lhc out-
rcach cfforts for lhc rccenl 502 rcsort lax
campaign rnd the initiative to rcnovale ofthe
convcntion ccntcr. Pcrry hes bccn an integral
part. collsborating with all stakeholdcrs in
thc City's bcst intercst. Education i3 at the
hearl of his rllruistic cfforts. 3crving on thc
board of thc Miami Bcach Education
Foundation Board and th€ City's Quality of
Education Commiltee, Most rcccntly. hc ini-
tiatcd thc movcmcnl to namc the HiSh
School Drive. Rosann Sidcncr Way.
In his role at Sobol-Perry. hc focuscs on
thc development of strrtcgic busincss pan-
nerships end thc global cxpansion of thc
Miami Fashion Week brand. Sobol-Pcny
owns a numbcr ofbrands including thc wild-
ly $uccessful Miemi Fashion Weekt this
year's production, which will takc placc
from March 20-24 at thc Miami Beach
Convcntion Center. marks thc event's l5th
anniversary. ln .ddilion. Sobol-Perry owns
Miami Inlcrnational Bridal Wcek and The
Farhion Collective Pop-Up Boutiquc Show.
Philanthropy is also a prigrity for his compa-
ny, Miami Fashion Wcck's Foundation pro-
vidcs scholarships lo cmerging lalcnts from
across ahc globc. including last ycar's win-
ncrs from Indie. Auslraila and Poland.
Additionally, Sobol-Pcrry recognizcs thc
community's mosl Scncrous phihnlhropistg
by hosting thcir annual Humanitrrian
Awards party which takcs place this ycar on
Fcbruary ?th .t lhc Mondrian.
Coupling hic businegr ecumcn wilh com-
munily leadcrship strcngth is wha3 has lcd
him to bc so imp.ctful wilh thc Miami Bcach
Chambcr of Commcrcc. Whilc :cwing on
the Mayor's Bluc Ribbon Trskforcc for
Tourism. Pcrry playcd r kcy rolc in thc
dcvclopmcnt of the lNcard ptognm. a busi-
ncss stimulus program. which boostcd
Miami Bcach vendors during lhc tccession
and cohlinues to grow.
As , Pasl Chairman of lhe Miami Bcach
Chambcr of Commcrce, hc had thc stratcgic
foresighl to implcmcnl . le.dership infra-
slructurc and attract the collaboration of
Miami Beach's strongcsl busincss lcaders to
build thc 9l ycar old Chambcr to National
rccognition for which hc war rccognizcd by
his pecrs rvith lhc 2012 Patl Chairman
Aword.
The "Aaron B. Pcrry Innovation in
Busincss Award" wa3 crcated by thc
Chambcr lo honor Pcrry'r accomplishmcnts
in supporting thc local cconomy. Awardcd
annurlly. lhis rccoladc honors a busincss
lcadcr who hrs uscd crcativc tactics to hclp
lead their organization down a road to suc-
ccss. Pa3t rccipicnts include busincss and
music cnlrcprcneur Emilio Estcfan and auto-
motivc magnel. Werren Zinn with lhis ycar's
award bcing prcscnlcd to owncr of Thc
Forgc, Sharccf Malnik.
Perry's scrvicc to the Chrmbcr did nol
stop with his tcnurc as Chairman. He cur-
renlly sits on lhc Chambcr's Excculivc
Board and plays a kcy lcadcrship rolc on
other Chamber .Councils including
Governmcnt Affairs, Finance and Markcting.
Hc hrs 6lso scrvcd as Chair oflhc Chambcr's
Dinner Gala Committee for four conscculivc
ycars.
ln 2010, Mr. Pcrry oversaw the formalion
of a pailnership bstwcco the Miami Bcach
Chamber and Community Ncwspapers to
crcalc thc Miami Beach News. a bi-wcckly
publication servine lhe citizcns and business
community on Miami Beach. Hc continucs
to scrsc as thc clEirman of lhe editorial
board.
Mr, Pcrry is slso thc co-founder of
Rcputalion Prolcction Group, a rvcb bascd
company focuscd on onlinc rcputation man-
agcmcnl.
In 20 I 0, Aaron was appointcd to lhc Board
of Dircctors of thc Miami Bcach Visitors and
Convcntion Authority by thc City of Miami
Beach Commission. Most rcccntly. hc was
selectcd rs a mcmbct of thc prestigious City
of Miami Beach Charlcr Rcvicw and
Revision Board. Aaron Pcrry is truly dcvoted
to thc Miami Beach community: hc is ao
examplc for citizcns cvcrywhcrc.
195
Granado, Rafael
From:
Sent:
To:
Subject:
Please nominate:
Aaron Perry
"Peggr/'Benua
VCAr.-. f "I--
Carra, Lauren
Thursday, January 08, 2015 12:59 PM
Granado, Rafael
Nomination for VCA
,L
=EACH
Lauren Garra
Aide to Commissioner Deede Weithorn
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7030 www.miamibeachfl .sov
We ore committed to providing excellent public service ond safety to all who live, work ond ploy in our vibront, tropical,
historic community.
196