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BMRC Agenda Packet 6-2-14 CITY OF ATLANTIC BEACH BOARD MEMBER REVIEW COMMITTEE June 2, 2014 @ 5:00 p.m. City Hall, North Conference Room AGENDA Call to Order 1. Approval of the minutes of the BMRC meeting of October 17, 2013. 2. Interview the new candidates (listed below) for consideration to the Board/Committee(s) indicated. A. 5:05 pm Robert Liggero (for PBOT) B. 5:25 pm Grant Healy (for PBOT & CARAC) C. 5:45 pm Nick Malie (for PBOT & CARAC) D. 6:05 pm Ray Brandstaetter (for PBOT) 3. Discuss the applicants listed above and make a recommendation on filling the one vacant unexpired term on the General Employees’ Pension Board of Trustees. 4. Interview additional new candidate(s) (listed below) for consideration to the Cultural Arts and Recreation Advisory Committee. A. 6:25 pm Pam White B. 6:45 pm Sheena Rupert C. 7:05 pm Martha Marshall 5. Discuss the current member on the Cultural Arts and Recreation Advisory Committee whose term expires on 7/8/14 and is interested in reappointment. A. Louis Cantania 6. Make recommendations on filling the current and upcoming vacancies on the Cultural Arts and Recreation Advisory Committee. Adjournment MINUTES Board Member Review Committee Meeting October 17, 2013 Call to order The meeting was called to order by Commissioner Jonathan Daugherty at 5:10 pm. Those in attendance were Commissioner Jonathan Daugherty (Chairman); Members Jerry Johnson, Rita Pierce and Solomon Brotman; Police Officers’ Pension Board of Trustees Chair Vic Gualillo; Community Development Board Chair Brea Paul; and Recording Secretary Nancy Bailey. Also in attendance were the liaisons for the Boards, Nelson Van Liere and Jeremy Hubsch. Commissioner Daugherty explained the vacancies to address on the Police Officers’ Pension Board of Trustees. Item 3 was taken out of sequence and acted on at this time. 3. Discuss current members on the Police Officers’ Pension Board of Trustees, whose terms are expired/expiring and are interested in reappointment. A. William (Bill) Tomson (term expires 12/31/13) B. John Wolfel (term expired 10/11/13) Nelson Van Liere explained that both Mr. Tomson and Mr. Wolfel were interested in reappointment. Chair Vic Gualillo stated both members were very engaged in public pensions and were very valuable members of the Board. The Committee discussed their attendance records as well as their contributions to the Police Officers’ Pension Board of Trustees. Item 2 was taken out of sequence and acted on at this time. 2. Interview the new candidate (listed below) for consideration as a new member of the Police Officers’ Pension Board of Trustees. A. Robert Liggero The Committee interviewed Mr. Liggero. Mr. Gualillo explained the purpose of the interview and an overview of the duties and responsibilities of the Police Officers’ Pension Board of Trustees were explained. Mr. Liggero explained his personal accomplishments, experience, goals and interests in the community. The Committee asked questions of the candidate and offered the opportunity for him to ask questions and the Committee responded to those questions. The Committee also asked Mr. Liggero if he was interested in interviewing for the Community Development Board. He stated he was and they also interviewed him for this Board, explaining what the duties of the Board entailed. The Committee gave him the opportunity to ask the Committee questions and responded to those questions. Item 4 was taken out of sequence and acted on at this time. 4. Make recommendations on filling the two vacancies on the Police Officers’ Pension Board of Trustees. Minutes of the Board Member Review Committee Meeting on October 17, 2013 Page 2 of 3 Motion: Recommend reappointing Mr. Tomson and Mr. Wolfel to serve an additional term on the Police Officers’ Pension Board of Trustees. Moved by Brotman , seconded by Johnson Motion carried unanimously 1. Approval of the minutes of the BMRC meeting of July 30, 2013. Motion: Approve minutes of the Board Member Review Committee meeting of July 30, 2013. Moved by Brotman, Seconded by Pierce Motion carried unanimously 2. Interview the new candidate (listed below) for consideration as a new member of the Police Officers’ Pension Board of Trustees. This item was taken out of sequence and acted on earlier in the meeting. 3. Discuss current members on the Police Officers’ Pension Board of Trustees, whose terms are expired/expiring and are interested in reappointment. This item was taken out of sequence and acted on earlier in the meeting. 4. Make recommendations on filling the two vacancies on the Police Officers’ Pension Board of Trustees. This item was taken out of sequence and acted on earlier in the meeting. 5. Interview new candidate(s) (listed below) for consideration as new member(s) to the Community Development Board. A. Linda Lanier B. Mitchell Reeves The Committee interviewed Ms. Lanier and Mr. Reeves separately. Mr. Liggero was also interviewed for this Board during his interview for the Police Officers’ Pension Board of Trustees. The purpose of the interview and an overview of the duties and responsibilities of the Community Development Board were explained to the candidates. Both candidates explained their personal accomplishments, experience, goals and interests in the community. The Committee asked questions and the candidates responded to those questions. The Committee offered the candidates the opportunity to ask questions and the Committee responded to those questions. 6. Discuss the current members on the Community Development Board (CDB) whose terms expire on 12/31/13 and are interested in reappointment. A. Kirk Hansen B. Patrick Stratton Jeremy Hubsch stated both current members are fantastic and he highly recommends them for reappointment. The Committee discussed their attendance record as well as their contributions to the Community Development Board. Minutes of the Board Member Review Committee Meeting on October 17, 2013 Page 3 of 3 7. Make recommendations on filling the three upcoming vacancies on the Community Development Board. Motion: Recommend reappointing Kirk Hansen and Patrick Stratton to serve an additional term on the Community Development Board beginning January 1, 2014. Moved by Pierce, Seconded by Brotman Motion carried unanimously Motion: Recommend appointing Linda Lanier to serve on the Community Development Board for a term beginning January 1, 2014. Moved by Pierce, Seconded by Brotman Motion carried unanimously Mr. Brotman asked to make an amendment to the motion. Amended Motion: When a vacancy comes up on the Board, do not interview; appoint Mitch Reeves to the vacancy. Moved by Brotman, Seconded by Daugherty Discussion ensued. Mr. Brotman withdrew his motion and Commissioner Daugherty withdrew his second. Adjournment There being no other business, the meeting adjourned at 6:22 pm. __________________________________ Jonathan Daugherty Chairman Pension Board of Trustees Membership List as of December 31, 2013 Page 1 of 3 CITY OF ATLANTIC BEACH GENERAL EMPLOYEES’ PENSION BOARD OF TRUSTEES: 4 year term; no term limit The board members are required to file Statement of Financial Interests Business Home Term Name and Address Position Phone Phone Expiration Employee Elected Tim Townsend Chair (904) 247-5839 (904)247-5839 02/16/14 902 Assisi Lane Atlantic Beach, FL 32233 ttownsend@coab.us Employee Elected Dennis Roberts Member (904) 705-5858 (904) 705-5858 09/24/14 800 Seminole Road Atlantic Beach, FL 32233 droberts@coab.us Civilian Appointed by Commission VACANT 12/31/15 Civilian Appointed by Commission – Alan Gleit Secretary 241-9966 10/11/15 10 Tenth Street #32 Atlantic Beach agleit@hotmail.com Resident selected by Board, Confirmed by Commission Gil Flores Member 613-4195 05/09/15 271 Sailfish Drive E. Atlantic Beach, FL 32233 5-10-13 CULTURAL ARTS AND RECREATION ADVISORY COMMITTEE Created by Resolution #02-13 July 8, 2002; Amended by Res. #03-5 & 10-08 Total of nine (9) citizen members Meets at 6:00 p.m. the 4th Tuesday of the month 2-year term; 4-term limit NAME/ADDRESS EXP. DATE CONTACT INFORMATION Tammy Lally 2233 Seminole Road # 22 Atlantic Beach, FL 32233 07/08/2014 (2nd term) 536-7944 (daytime) 241-3999 (h) tammylally@aol.com Wanda Wilson Martin 1920 Francis Avenue Atlantic Beach, FL 32233 07/08/2015 (2nd term) 766-6680 (daytime) 704-5990 (evening) 241-8824 (fax) Wamartin2@bellsouth.net Louis Cantania 2279 Seminole Road # 4 Atlantic Beach, FL 32233 7/08/2014 (1st term) 616-7800 lcatania@bellsouth.net VACANT 07/08/2015 Cris Garrard 341 9TH Street Atlantic Beach, FL 32233 07/08/2014 (4th term) 887-7966 crisgarrard@gmail.com Lynne Knecht Roskein (Vice Chair) 1220 East Coast Drive Atlantic Beach, FL 32233 07/08/2014 (4th term) 249-2930 (h) 434-5705 (daytime) lynneandjeff@comcast.net VACANT 07/08/2015 Hollie Stephens 390 Dudley Street Atlantic Beach, FL 32233 07/08/2014 (2nd term) 237-8850 247-5125 (FAX) hroar@comcast.net Jolyn Johnson 2322 Beachcomber Trail Atlantic Beach, FL 32233 07/08/2014 (4th term) (904) 372-7064 artsjolynjohnson@bellsouth.net Timmy Johnson Director, Recreation & Special Events Staff Liaison (904) 247-5828 (w) Della Giovanni Administrative Assistant Recording Secretary (904) 247-5828 (w) Va c a n c i e s f o r 2 0 1 4 a s o f 5 / 2 9 / 1 4 Va c a n c i e s t h r o u g h 2 0 1 2 a s o f O c t o b e r 4 , 2 0 1 1 Te r m e d I n t e r e s t e d Te r m O u t i n R e a p p t ? Pe n s i o n B o a r d o f T r u s t e e s St a t u s S e r v i c e ( 4 y e a r t e r m s w / n o t e r m l i m i t ) E x p i r a t i o n N / A Y o r N Mi k e D i a z Re s i g n e d 1s t T e r m 1 2 / 3 1 / 2 0 1 5 N / A N Te r m e d I n t e r e s t e d Te r m O u t i n R e a p p t ? Cu l t u r a l A r t s & R e c r e a t i o n A d v i s o r y C o m m i t t e e St a t u s S e r v i c e ( 2 y e a r t e r m s w / 4 t e r m l i m i t ) E x p i r a t i o n Y o r N Y o r N Jo l y n J o h n s o n A c t i v e 4 t h T e r m 7 / 8 / 2 0 1 4 Y N / A Ho l l i e S t e p h e n s A c t i v e 2 n d T e r m 7 / 8 / 2 0 1 4 N N Ly n n e R o s k e i n A c t i v e 4 t h T e r m 7 / 8 / 2 0 1 4 Y N / A Cr i s G a r r a r d A c t i v e 4 t h T e r m 7 / 8 / 2 0 1 4 Y N / A Lo u i s C a n t a n i a A c t i v e 1 s t T e r m 7 / 8 / 2 0 1 4 N Y Ta m m y L a l l y A c t i v e 2 n d T e r m 7 / 8 / 2 0 1 4 N N Lo r i G a g l i o n e R e s i g n e d 4 t h T e r m 7 / 8 / 2 0 1 5 N / A N Resigned 5/14/14 Je f f W i g h t R e s i g n e d 4 t h T e r m 7 / 8 / 2 0 1 5 N / A N Resigned 3/25/14 GE N E R A L  EM P L O Y E E ’ S  PE N S I O N  BO A R D  OF  TR U S T E E S :   4 ye a r  te r m ;  no  te r m  li m i t PO L I C E  EM P L O Y E E ’ S   PE N S I O N  BO A R D  OF  TR U S T E E S :   4 ye a r  te r m ;  no  te r m  li m i t  (b e g i n n i n g 6 / 1 0 / 1 3 ) Th e  bo a r d  me m b e r s  ar e  re q u i r e d   to  fi l e  St a t e m e n t  of  Fi n a n c i a l  In t e r e s t s CU L T U R A L  AR T S  AN D  RE C R E A T I O N  AD V I S O R Y  CO M M I T T E E :     2‐ye a r  te r m ;  4‐te r m  li m i t Cr e a t e d  by  Re s o l u t i o n  #0 2 ‐13  Ju l y  8,  20 0 2 ;  Am e n d e d  by  Re s .  #0 3 ‐5 & 10 ‐08 Me e t s  at  6: 0 0  p. m .  th e  4th Tu e s d a y  of  th e  mo n t h Te r m e d I n t e r e s t e d Te r m O u t i n R e a p p t ? Co d e E n f o r c e m e n t B o a r d St a t u s S e r v i c e ( 3 y e a r t e r m w / 3 t e r m l i m i t ) E x p i r a t i o n Y o r N Y o r N Ju l i e t t e H a g i s t R e s i g n - 3 / 2 9 / 1 4 3 r d T e r m 9 / 3 0 / 2 0 1 4 Y N / A Ia n L u t h r i n g e r A c t i v e 1 s t T e r m 9 / 3 0 / 2 0 1 4 N * N o t e : I f t h e c u r r e n t a l t e r n a t e i s a p p o i n t e d a s a r e g u l a r m e m b e r , a n a l t e r n a t e m e m b e r w i l l b e n e e d e d a l s o . Te r m O u t i n R e a p p t ? Co m m u n i t y D e v e l o p m e n t B o a r d St a t u s S e r v i c e ( 2 y e a r t e r m w / 4 t e r m l i m i t ) E x p i r a t i o n Y o r N Y o r N Ke l l y E l m o r e A c t i v e 2 n d T e r m 1 2 / 3 1 / 2 0 1 4 N A. B r e a P a u l A c t i v e 2 n d T e r m 1 2 / 3 1 / 2 0 1 4 N Ha r l e s t o n P a r k e s A c t i v e 3 r d T e r m 1 2 / 3 1 / 2 0 1 4 N Sy l v i a S i m m o n s A c t i v e 1 s t T e r m 1 2 / 3 1 / 2 0 1 4 N CO M M U N I T Y  DE V E L O P M E N T  BO A R D : 2‐ye a r t e r m s ;  4 co n s e c u t i v e  te r m  li m i t ;  pe r  Or d i n a n c e  5‐03 ‐42   ad o p t e d  Ju l y  14 ,  20 0 3 Re g u l a r  me e t i n g s  ar e  he l d  in  th e  Co m m i s s i o n  Ch a m b e r s  at  6: 0 0  pm  th e  th i r d  Tu e s d a y  of  ea c h  mo n t h . Th e  bo a r d  me m b e r s   ar e  re q u i r e d  to  fi l e  St a t e m e n t  of  Fi n a n c i a l  In t e r e s t s CO D E  EN F O R C E M E N T  BO A R D :   3 ye a r  te r m s ;  3 co n s e c u t i v e  te r m  li m i t Me e t  in  Co m m i s s i o n  Ch a m b e r s  6: 0 0  p. m .  Se c o n d  Tu e s d a y  od d  nu m b e r e d  mo n t h s Th e  bo a r d  me m b e r s   ar e  re q u i r e d  to  fi l e  St a t e m e n t  of  Fi n a n c i a l  In t e r e s t s Bo a r d / C o m m i t t e e o f I n t e r e s t Na m e o f A p p l i c a n t App l i c a t i o n D a t e La s t I n t e r v i e w D a t e Ex p i r a t i o n Last Status Check Bo a r d M e m b e r R e v i e w C o m m i t t e e He a l y , G r a n t 3/ 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Bo a r d M e m b e r R e v i e w C o m m i t t e e Ho g a n , G l a d 3/ 1 4 / 2 0 1 4 n/ a 3/ 1 3 / 2 0 1 6 3/14 Co d e E n f o r c e m e n t B o a r d He a l y , G r a n t 3/ 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Co d e E n f o r c e m e n t B o a r d Ma l i e , N i c k 5/ 1 5 / 2 0 1 4 n/ a 5/ 1 4 / 2 0 1 4 5/14 Co m m u n i t y D e v e l o p m e n t B o a r d He a l y , G r a n t 3/ 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Co m m u n i t y D e v e l o p m e n t B o a r d Ka l l a o , S t e p h e n C . 4 / 7 / 2 0 1 4 na 4/ 6 / 2 0 1 6 4/14 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e R u p e r t , S h e e n a 1/ 9 / 2 0 1 2 n/ a 1/ 8 / 2 0 1 4 5/14 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e B a l d w i n , W i l l a m ( B i l l ) 5 / 1 8 / 2 0 1 4 n/ a 5/ 1 7 / 2 0 1 6 5/14 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e M a l i e , N i c k 5/ 1 5 / 2 0 1 4 n/ a 5/ 1 4 / 2 0 1 4 5/14 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e M a r s h a l l , M a r s h a 5 / 2 8 / 2 0 1 4 n/ a 5/ 2 7 / 2 0 1 6 5/14 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e H e a l y , G r a n t 3/ 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e T h o m p s o n , P a u l a 8 / 1 / 2 0 1 2 5/ 1 5 / 2 0 1 3 7 / 3 1 / 2 0 1 4 8/12 Cu l t u r a l A r t s & R e c . A d v i s o r y C o m m i t t e e W h i t e , P a m e l a 3/ 2 7 / 2 0 1 4 n/ a 3/ 2 6 / 2 0 1 6 5/14 Pe n s i o n B o a r d o f T r u s t e e s Br a n d s t a e t t e r , R a y 3 / 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Pe n s i o n B o a r d o f T r u s t e e s He a l y , G r a n t 3/ 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Pe n s i o n B o a r d o f T r u s t e e s Ma l i e , N i c k 5/ 1 5 / 2 0 1 4 n/ a 5/ 1 4 / 2 0 1 4 5/14 Pe n s i o n B o a r d o f T r u s t e e s Li g g e r o , R o b e r t 3/ 1 1 / 2 0 1 3 10 / 1 7 / 2 0 1 3 3 / 1 0 / 2 0 1 5 3/13 Ot h e r He a l y , G r a n t 3/ 1 3 / 2 0 1 4 n/ a 3/ 1 2 / 2 0 1 6 3/14 Ap p l i c a n t s a s o f M a y 2 8 , 2 0 1 4 Pa g e 1 o f 1 CITY OF A 1lLANTIC BEACH BOARD I C0~\1MITTEE MEMBER APPLICATION FORrVI Please check (1) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board/ committee by order of priority. (A summary of each board/committee is available on page 2 of this fonn.) Code Enforcement Board Pension Board of Trustees Cultural A1is and Recreation A.dvisory Committee Community Development Board Board Member Review Committee DATE: _3Gh___ Arruc ANrs NAI'vTF: ---;~" lv.A L 43-'-t..--r_J_· _ ADDRESS: -.3 ~~~~[_ ___ l L ~~--~\·~--___1~ t I 'i_.~J' ( -~: k (I ~)I_ s ~ DAYTIME PHONE: -~l~~(-~ L-u~--~i_X~ EVENING PHONE: ~'i 1 'i ( q ( ~ y E-MAIL ADDRESS: j~:=~~_;_J-~-e ~:~')A--:'~~,~--'·1__ FAX: ~t__j_ ___ '1. / L cc {; '1 Please explain any employment experience. board/committee experience. and/or •.::ommunity volunteer experience rclati\ e to the board/committee applying for. ------------r----------------____ t-ht--"='=---------""x ~~--~------~') b .( .... ~<f .,~:"-!_,, . ,,.p ___ _ -----f~"1_1t'L<--L __ --;'-'~L ----J~·Jj __ --+~--y-L';4------- Please pro\ ide a brief explanation of your interest or any special qual iii cations yuu have in this tield and your reasons for \\ishing to be appointed to this board/committee. Please retum completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members ofthe Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to tile Statement of Financial Interest Forms. Also, information regarding '"Conflict of Interest" is provided on page t\\ o of this application. This application \\ill expire t\\ o (2) years after date of submittal. Rober·t R. Liggero, MBA, CFP® 389 Twelfth Street, Atlantic Beach, Florida .32233 (904) 241--9634 Email: RLigge(a'aol.com EDUCATION: CFP Certificate course. North Florida University. Jacksonville. Florida. 2001 MBA. North Florida University . .Jacksom ille. Florida. 1997 Physician Assistant. /\.lhany Medical College. Albany. New York .. 1987 BS Chemistry. Siena College. Loudonville. New York. 1983 EXPFRIIENCE: Phy:sician Assistant. Pediatric !CU. 1990 to Present Wolfson Children·s Hospital at Baptist Medical Center. Jacksonville. Florida Personal Financial Advisor. 2012--present Sanchez Wealth Management Group .Jacksonville Fl Personal Financial Advisor. 20 II -2012 Independent Financial Partners Tampa Fl Personal Financial AdYisor. 2002 -20 II Bull & Bear Capital Advisors. Inc . .lack~onvdk Fl Physici;m Assistant. Ambulatory Emergency Room. 1988-1990 St. ~1ar.y" s Hospillal. Troy. New York Physician /\ssistant. General Adult Medicine. 1988-1989 Ellis Hospital. Schenectady. >.Jew York Phys1cian Assistant. Neonatal ICU. 1987--1988 Wolfson Children·s Hospital at Baptist Medical Center. Jacksonville. Florida CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM Please check (--1) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) ____5 Code Enforcement Board + Pension Board of Trustees l Cultural Arts and Recreation Advisory Committee ·z_ Community Development Board _j_ Board Member Review Committee ~ o-+~ DATE: 3-I"J ~ I~ APPLICANT'S NAME: 0 ...... <-.:-R.-l...LA-tJ-r--'--'--"--+--4-'--._W: __ A_L_tf----- d-o:{5 V6LA 0oKR ADDRESS: DAYTIME PHONE: q'OL.i--~ lf I-5 ~Cf I EVENING PHONE: cj"o tf q'( 0 -C(& l Lf E-MAIL ADDRESS: q"\-,"-4CiQ ~CM}.~AX: _________ _ Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict of Interest" is provided on page two of this application. This application will expire two (2) years after date of submittal. 1 CITY OF ATLANTIC BEACH BOARD/COMMITTEE MEMBER APPLICATION FORM Please check (--f) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) v-;-Code Enforcement Board 1 Pension Board of Trustees _L(" Cultural Arts and Recreation Advisory Committee DATE: tJ! J-l!i r (' APPLICANT'S NAME: ADDRESS: j 2/ ~ d,v~ 121:=s DAYTIME PHONE: __,d-OL.:........LJ/__,_9_··--=-f--=· 3'---f-=---L-__ _ Community Development Board Board Member Review Committee 4 TL/1-A/ TJ ~ J3-f"" .4 t 1-/-l:;2 ~223 3 . I EVENING PHONE: ~ ~ Cf-f 3 G-2- Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. ~ , . 1 ----:::> W fr'l~5 L.79r;ca. /<?J.£L/-?1/PAJ5 ~ l'¥«414/\/ ~2Sc:?t-t~5 Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict of Interest" is provided on page two of this application. This application will expire two (2) years after date of submittal. 1 CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM Please check (-f) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) Code Enforcement Board J Pension Board of Trustees Cultural Arts and Recreation Advisory Committee Community Development Board Board Member Review Committee DATE: 3 )J3 /rJ APPLICANT'S NAME: ((,__'j, 8 <~A) sf"'-<--H-e< ADDRESS: -~~--"'-S____,Lj_-=--()-=-ce-=-------'''"-1'1---=-=w_,·"---=--l -'-/c--""D-'--r----""'S'--. -+-J-:J-'-+L---><L'------"-'---ir~'c:______J6c...L-=-e."V=-.:-(__,___5cL__2-2-3? DAYTIME PHONE: ~UL(-).06 --~C:-55 EVENING PHONE: 9ut..(-? 'i 7--d!Jbf Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict oflnterest" is provided on page two of this application. This application will expire two (2) years after date of submittal. CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM Please check (-..J) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) Code Enforcement Board Pension Board of Trustees _L_ Cultural Arts and Recreation Advisory Committee DATE: 6 \~1 \ \ '-\ APPLICANT'S NAME: Community Development Board Board Member Review Committee ADDRESS: "d..O 6'\. ~~\oo.... ~~,,~~ ~c \.\)~ ~~\.~"'-\..~L ~eC<.~ DAYTIME PHONE: £to '-t b\ 6 ~I~ C( EVENING PHONE: qo '-\. ~'\ ~ ·10'-\\ .. \ '\ .,;)\ . ~e.~ E-MAIL ADDRESS: y~ \.UV'..\.'~ ~et..D'«\.~ FAX: __ -__________ _ Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. ' \oSg,_ -\o ~'c....'-l5i\. ~-~~g_,·,~c_~ o~~(" c..~\\~r""~ ~~o~~~.::::. ~S' ... '<\~ ~~w ()..._~~ ~"'<\~\&, ·.\.~-e_~ -\u -\"'-~ (f::)(!\.'ffi.\.\.'V•~ '\c (_C("'.." \.'C\.\l~ ~c VY\,a..\c_~ Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members ofthe Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict of Interest" is provided on page two of this application. This application will expire two (2) years after date of submittal. CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM Please check (..J) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) Code Enforcement Board Pension Board of Trustees ~ Cultural Arts and Recreation Advisory Committee APPLICANT'S NAME: Community Development Board Board Member Review Committee ADDRESS: 3&4 IT\-\ STR~E.T I AILA-NT\C..... 6~--ACH DAYTIME PHONE: "?:> t 'L -00q I ( H ) EVENING PHONE: 5D4-3 S l Lf= {C..) E-MAIL ADDRESS: h S (U Pf~{ t @ FAX:_/ _________ _ Co'vv"\.c Ci\.. 5 t-. rt-e-4 Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the b~/c~ttee applyin~ for. · c OM M L. ~ S • t W Ol ) &\J ~o CVV\. ct c.J~N'e.... Me 1M be/f of-! +1A.Q_ p t ct V\6 Bnosk~ Club d--Doucott\~ ArJ~son ~hcolof ~ &~ fnWl c;206l-d-D l 0 . Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. '1\.<-V\l ~ l a-whe-B-e-t~tch f'e~ ~ VOGGV'e. ~ fu_ COYV\MV ~ • Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: This application will expire two (2) years after date of submittal. 1 CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM Please check (.J) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) Code Enforcement Board Pension Board of Trustees :]( Cultural Arts and Recreation Advisory Committee DATE: sjaB/JY-APPLICANT'S NAME: ADDRESS: 1&&3 ocds Community Development Board Board Member Review Committee ----·--------------- DA YT!ME PHONE: fblf 5/7 7/32 EVENING PHONE: 5!7 7!32 E-MAIL ADDRESS: /}J_!/12:fttlf (!) /(;." 3 ~IJ>t'J5t0h FAX: -0- Please provide a brief explanation of your interest or any special qualifications you have in this tield and your reasons for wishing to be appointed to this board/committee. . ~~~~~~:=~J ~a~ 4 tfl4/Ju~M_;J .~Ill ~~-~-­-~4f/IU{. ;tu/ t£1~ h ~ ~~d-f -.L~~~---~ ~A-~, cpu7j yu~ . ·~--~ .:1/!L&u7 ,.: &~0 Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board ol' Trustees are required to tile Statement of Financial Interest Forms. Also, information regarding ''Conflict oflntcresC is provided on page two ofthis application. This application will expire two (2) years after date of submittal.