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RELEASE # 3 061020151915 • 2015 MIAMIBEACH 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 Email: CityClerk©miamibeachfl.gov MEMORANDUM TO: Mayor Philip Levine and Members of the City Commission FROM: Rafael E. Granado, City Clerk DATE: June 5, 2015 SUBJECT: City Commission At-Large Nominations for June 10, 2015 — Release # 3 Below please find the City Commission At-Large Nominations received to date for the June 10, 2015 Commission Meeting. For a list of the vacant categories on each board/committee, please see Item R9A1 of the June 10, 2015 Commission Meeting Agenda. Changes made after Release # 2 are reflected in red. BOARDS AND COMMITTEES a. Affordable Housing Advisory Committee (Vacancies: 6) No nominations received to date. b. Budget Advisory Committee (Vacancy: 1) No nominations received to date. c. Health Advisory Committee (Vacancies: 4) Dr. Richard Awdeh (Release # 1 Page 5) • Nominated for appointment (individual from the corporate level category) by Commissioner Grieco. • Nominated for appointment (individual from the corporate level category) by Commissioner Malakoff. (Release # 2 Page 3) • Nominated for appointment (individual from the corporate level category) by Commissioner Tobin. (Release # 3 Page 3) Rachel Schuster (Release # 1 Page 17) • Nominated for reappointment (administrator from an Adult Congregate Living Facility (ACLF) and/or an Assisted Living Facility (ALF) category) by Commissioner Grieco. • Nominated for reappointment (administrator from an Adult Congregate Living Facility (ACLF) and/or an Assisted Living Facility (ALF) category) by Commissioner Tobin. (Release # 3 Page 3) • Updated Application, Resume and License. (Release # 3 Page 7) d. Miami Beach Cultural Arts Council (Vacancy: 2) Daniel Novela (Release # 1 Page 27) • Nominated for appointment (At-Large category) by Commissioner Grieco. • Nominated for appointment (At-Large category) by Commissioner Malakoff. (Release # 2 Page 3) 1 e. Miami Beach Human Rights Committee (Vacancies: 1) Carl H. Linder (Release # 1 Page 35) • Nominated for appointment (At-Large category) by Commissioner Grieco. • Nominated for appointment (At-Large category) by Commissioner Malakoff. (Release # 2 Page 3) • Nominated for appointment (At-Large category) by Commissioner Tobin. (Release # 3 Page 3) FACLER\SALL \REG \ COMMISSION MEETINGS\2015 \ 06102015 \RELEASE 3 06102015.docx 2 Granado, Rafael From: Kane, Dessiree Sent: Tuesday, June 09, 2015 12:46 PM To: Hatfield, Liliam Cc: Granado, Rafael; LaRosa, Clara Subject: re: Co Nominations for Commissioner Tobin Hi Lily, Commissioner Tobin would like to co-nominate the following people: Dr. Richard Awdeh — Nominate for Appointment, Health Advisory Committee Rachel Shuster— Nominate for Reappointment, Health Advisory Committee Carl Linder — Nominate for Appointment, Miami Beach Human Rights Committee Thank you. Best Regards, Dessiree MIAMIBEACH Dessiree Kane, Aide to Commissioner Tobin OFFICE OF THE MAYOR AND COMMISSION 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7107 / Fax: 305-673-7096 / www.miamibeachfl.qov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 3 THIS PAGE INTENTIONALLY LEFT BLANK 4 Rachel Schuster • Updated Application, Resume and License. 5 THIS PAGE INTENTIONALLY LEFT BLANK 6 Pursuant to City Code section 2-22(4)a & 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 owners /interest for a minimum of six months in a business established in the City for a minimum of six months. • Resident of Miami Beach for a minimum of six (6) months: Yes or No D • Demonstrates ownership/interest in a business in Mi I Beach for a minimum of six months: Yes 't1 or No • Are you a registered voter in Miami Beach: Ye or No • I am now a resident of: North Beach South Beach C3 Middle Beach • I am a plying,for an anpointment bp,cak4e I hpve special abilities, knowledge and experience. PleRse list below: it tilroitN•e 111( olivri)v) 1..01 f -e • Are you presently a registered lobbyist with the City of Miami Beach? Yes rZI or No MIAN BEAC Rrhf:ril) ANi) Ct)M1Vil'FITIT APPLICA'Siciik1 rortm Last Name 1-4-11 Home Address A • Work Teieiahone ksines ( s Name ( 01 /15 11k Business Address Professional License (describe): Please attach a copy of currently effective professional license. Please list your preferences in order of ranking [1] f. t choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by th ity Clerk's Office. Cl Ad Hoc Committee Centennial Celebration Vealth Advisory Committee 0 Parks and Recreation Facilities Board c° 0 Affordable Housing Advisory Committee 0 Health Facilities Authority Board 0 Personnel Board 0 Art in Public Places Committee 0 Hispanic Affairs Committee 0 Planning Board P Board of Adjustment * * 0 Historic Preservation Board * D Police Citizens Relations Committee 0 Budget Advisory Committee 0 Housing Authority 0 Production Industry Council 0 Committee on the Homeless 0 Marine & Waterfront Protection Authority 0 Sustainability Committee 0 Committee for Quality Education in MB 0 Miami Beach Commission for Women 0 Transportation, Parking, & Bicycle-Pedestrian Facilities Committee 0 Convention Center Advisory Board 0 Miami Beach Cultural Arts Council 0 Visitor and Convention Authority 0 Design Review Board* * 0 Miami Beach Human Rights Committee 0 Disability Access Committee 0 Miami Beach Sister Cities Program 0 Gay, Lesbian, Bisexual and Transgender Enhancement Committee (GLBT) 0 Normandy Shores Local Government Neighborhood Improvement * Board members are required to file Form 'I — "Statement of Financial Interest” with the State. * If you seek 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 Issuance Date License Expiration Date Page 1 of 4 FACLER SALLNaFORMS1BOARD AND COMMITTEESTIC APPLICATION REVISED 06022014.docx Fjome Telephone oc) .7 „1 - (r-t• -7/ Z /45s- Ccupa on 383 r First Name City State 4 Ati r rik Cellular Te7phone 111 i0VVI 'l 6.e 3:313 City State Zip Code Expires: / %, Middle Initial Zip Code I 3s/ Email address niez1,4;4/A), 7 o° Note: If 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 describe your past service with the City's Youth Centers (include dates of service): • Present participation in Youth Center activities by your children: Yes 0 No 0 If yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Age: Program: Child's name: Aged Program: • Have you ever been convicted of a felony? Yes La or No If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes 0 or N If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money? Yes 0 or No If yes, explain in detail: • Are you currently servingir any it Boa,cd qr Committee? Yes if yes, which board/committee? TI tot 14 IA P-a 4 150 r 60 fvlev) • In what organization(s) in the City of Mlami Beach do you currently hold membership? IAW1 I 11 ((AR oASet (-0.1,1,--e•-c4 Name Position Name Position • List all properties owned or in which you have an interest within the City of Miami Beach: • Are you now employed by the City of Miami Beach? Yes 0 or No Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a e t 0, spouse La child 0 brother :I or sister 0 who is employed by the City of Miami Beach? Yes Eor No If "Yes,' identify person(s) and department(s): The following information is voluntary nd is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to co ply with City diversity reporting requirements. Gender: Male 1-1 Female Race/Ethnic Categories What is your race? 9icin-American/Black Caucasian/White 0 Asian or Pacific Islander 0 Native-American/American Indian L:1 Other— Print Race: Page 2 of 4 F:1CLER \SALL1aFORMS \BOARD AND COMMITTEES4BO APPLICATION REVISED 06022014.docx 8 Do you sider yourself to be Spanish, Hispanic or Latino/a? Mark fhe "No" box if not Spanish, Hispanic, Latino/a. No al Yes Do you con id6rYcCurself Physically Disabled? No LI Yes 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 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 570.611). 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, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict — Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. It applies 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 ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." PJAJI LJiA) Applicant's Signature Date Name of Applicant (PLEASE PRINT) Received in the City Clerk's Office by : Name of Deputy Clerk Control No. Date PLEASE ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 FACLEMSALL1aFORMS18OARD AND COMMITTEESIBC APPLICATION REVISED 06022014.docx 9 AM P City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S OFFICE CityClerk@miamibeachil.gov Telephone: 305.673.7411 Fax: 305.673.7254 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: ek_ccw s,ho f I understand that no later than July 1, of each year all members of Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. 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 Income Statement" 2. A "Statement of Financial Interests (Form 1)" 3. A Copy of your latest Federal Income 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. Signature Dat Updated: Monday, April 20, 2015 Page 4 of 4 F NCLER1SALL1aFORMS1BOARD AND COMMITTEES \BO APPLICATION REVISED 06022014 docx 10 Rachel Schuster rschuster@hebrewhomes.org Summary of Qualifications: • 15 years of Rehabilitation and Nursing Center experience • 2014 and 2015 America's Best Nursing Homes according to U.S News and World Report • Experience managing the direct day-to-day functions and overall operations of the facility Education Northeentral University 2015 Post Master Business Administration Certificate Florida International University 2003 Master of Public Administration Miami, FL. Florida International University 2001 Bachelor of Health Services Administration Miami, FL. Sum Cum Laude Experience Administrator 2007-Curremt South Point Plaza Rehabilitation and Nursing Center Miami Beach, FL. • Oversee the direct day-to-day function and overall operation of the 230 bed facility • Manage diverse staff of 300 • Assist department directors in the planning, scheduling in -service training classes, on-the-job training and orientation programs • Lead facility staff members in all aspects of facility operations, including setting priorities and job assignments • Develop strategic business plan for operations of facility that includes business growth opportunities, competition, potential market area changes, etc. • Update and manage facility policies and procedures for employees, residents and visitors 11 • Serve on various committees including quality assurance, risk management, cost control, utilization review, infection control, etc. • Assist Human Resources to ensure compliance with employment laws and company policies • Ensure facility personnel, residents and visitors follow safety regulations • Oversee operating budget for facility Administrator 2003-2007 Aventura Plaza Rehabilitation and Nursing Center North Miami Beach, FL. • Oversaw and managed the operations of 75 bed facility • Directly managed a staff of (how many did you over see) • Monitored the Human Resources practices to ensure compliance with employment laws and company policies • Developed and implemented a marketing strategy for the facility that reflects services opportunities, competition, potential market areas • Meet with department directors on a regularly scheduled basis, conduct and participate in in- service classes and supervisory level training programs • Ensured the residents rights to fair and equitable treatment are followed by all facility staff Administrator in Training 2000-2002 Arch Plaza Nursing and Rehabilitation Center North Miami, FL. • Oversaw the training of staff in policies and procedures of the facility • Collaborated with other administrative members to create appropriate training programs for staff • Ensure that all personnel attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management and bloodborne pathogens standards • Assist in creating and maintaining a sense of warmth, personal interest and positive emphasis in the facility References Available on Request 12 :iAtt;*tP0f0i0. • tre. • 5<•W = -, - •••:. ..,-. ... . .,..... ••:.- .... . • . ';DATE ..• • - • . . ..UtENSE NV ':'':i. :'•'''. ::i.:.' li.,.••••-wc-t-- .7:-:. ' O .'.". N 'i'-:". TR .,.,..- OV :::.... ' . NO. C 06118/2014. NH 4421 " - 13473 Rick Scott • :; • 9. ON/ERN:OR Jahn H. Armstrong, MD; FA S •z•X. z. S7:-;ATE SURGEON GENERAL iTEQUIREb• < • LAW The NURSING M!!:ritSTRATOR named .beloiii:ft mete.tiai• 0,:.. all i-equfrements of I .1:i11?-tate of cen-,..., EMBER Florida. RACHEL§d BER 30, 9ni -- .6 DEPA013,*KtOfi!!iti.Pg-TH ISION Pr. uk?!.AN, •1•14,:s.4. 13