Item 5A - Appt. to Bd. Member Review Comm.AGENDA ITEM:
SUBMITTED BY:
DATE:
BACKGROUND:
RECOMMENDATION:
ATTACHMENTS:
CITY COMMISSION MEETING
STAFF REPORT
Appointment to the Board Member Review Committee
Donna L. Bartle, City Clerk~~
February 12, 2015
AGENDA ITEM# SA
MARCH 9, 2015
The Board Member Review Committee (BMRC) was created by
Resolution No. 05-04 on April 11, 2005 and was later amended by
Resolution No. 06-03 on February 13, 2006 and Resolution No.
12-08 on April 9, 2012. The purpose of the Board Member
Review Committee is to encourage citizens to apply to serve on the
City's boards and committees including requesting applicants to
consider boards or committees other than those that they originally
applied for, to review and consider available applications when
vacancies occur, to consider recommending existing board and
committee members to an additional term and to make
recommendations to the Mayor as to which applicants to appoint to
fill those vacancies.
Board Member Review Committee citizen members will be
appointed by the Mayor subject to approval of the commission.
Citizen member Solomon Brotman's 1st term will expire on March
27, 2015. Citizen members may serve two 2-year terms and he has
expressed an interest in being considered for reappointment to an
additional te1m.
Below is a list of applicants to consider for membership on the
Board Member Review Committee.
1) Solomon Brotman (cunent member-te1m expires on 5/27115)
2) Judy Hoedel-Workman (new applicant)
3) Glad Hogan (new applicant)
4) Jay Wilson (new applicant)
Consider each of the four applicants and reappoint/appoint one
member to serve on the Board Member Review Committee for a 2-
year term beginning on March 28, 2015 and ending on May 27, 2017.
1) Resolution No. 12-08
2) Board Member Review Committee Membership List
3) Applications/resumes on all four candidates
RESOLUTION NO. 12-08
AGENDA ITEM# SA
MARCH 9, 2015
A RESOLUTION OF THE CITY OF ATLANTIC BEACH, FLORIDA AMENDING THE
NUMBER OF MEMBERS, APPOINTMENT OF MEMBERS AND MEMBERSHIP
CRITERIA FOR THE BOARD MEMBER REVIEW COMMITTEE, PROVIDING FOR
AN EFFECTIVE DATE AND FOR OTHER PURPOSES.
WHEREAS, a Board Member Review Committee was created by the Mayor and Commission by
Resolution 05-04 adopted on April11, 2005 and amended by Resolution 06-03 which was approved on
February 13, 2006, to review applications and make recommendations for the appointment and
reappointment of members to the city's Boards and Committees, and
WHEREAS, it is desirable to replace the City Manager as a member on this Committee with
another citizen member.
NOW THEREFORE, be it resolved by the City Commission ofthe City of Atlantic Beach as
follows;
SECTION 1. Creation: Resolutions 05-04 and 06-03 of the City of Atlantic Beach creating and
amending the BOARD MEMBER REVIEW COMMITTEE shall be fmther amended as follows.
SECTION 2. Purpose: The purpose of the Board Member Review Committee is to encourage
citizens to apply to serve on the city's boards and committees including requesting applicants to consider
other boards or committees than those that they originally applied for, to review and consider available
applications when vacancies occur, to consider recommending existing board and committee members to
an additional term and to make recommendations to the Mayor as to which applicants to appoint to fill
those vacancies.
SECTION 3. Membership: There will be a total of six (6) members on this Committee. The first
member will be one of the sitting City Commissioners, who shall serve as chairman ofthe Committee,
shall serve a one-year term and will be eligible for additional terms. Each one-year term for the
Commissioner shall begin on December 1st. This member shall be appointed by the Mayor and be subject
to the approval of the commission. The second, third, and fourth members shall be citizens of Atlantic
Beach. They will be appointed by the Mayor subject to approval of the commission. The citizen members
shall have backgrounds or experience in committee work or human resources. The citizen appointments
shall serve two-year te1ms which will be staggered and be eligible to serve a second two-year term. The
fifth member will be the chairman of the board or committee for which vacancy or re-appointment is
currently being considered. They shall serve only for those meetings where membership on their board or
committee is being considered. The City Clerk shall serve as a non-voting member and perform all
necessary administrative duties.
SECTION 4. Duties and Responsibilities
(a) Review available applications for vacancies on city boards and committees and
interview applicants as the Committee determines necessary to make informed recommendations.
(b) Receive input on the needs of the boards and committees that have vacancies for
consideration as to the geographical, professional and philosophical balances needed so that each of those
boards and committees can successfully accomplish their intended purposes established by the Mayor and
Commission.
AGENDA ITEM# SA
MARCH 9, 2015
(c) When a reappointment is being considered, solicit and receive input from the Chairman,
members or the staff liaison of the board or committee where the vacancy has occurred, or others on the
appointee's past record of service including, but not limited to, attendance, preparation and overall
contribution to the board or committee.
(d) Make recommendation(s) to the Mayor on appointments or reappointments to the city's
boards and committees as set forth in the Charter of the City of Atlantic Beach. Recommendations shall
be in the form of committee minutes along with copies of any applications of all candidates interviewed.
(e) Make additional recommendations for membership ifthe Mayor does not approve the original
recommendation for appointment.
SECTION 5. Meetings and Notice: The meetings of this Board Member Review
Committee shall be set at regular times and will be open to the public as well as to the other city elected
officials although non-members of the Board Member Review Committee shall only observe and not be
active participants in the meeting. A notice of meetings shall be provided in accordance with state law.
Additionally, copies of the applications for appointment shall be transmitted to the Mayor and
Commission prior to any meetings where interviews will be conducted and in the city commission agenda
packet.
SECTION 6. Effective date: This Resolution shall take effect immediately upon its
final passage and adoption.
PASSED by the City Commission this _q_+t_· _'_day of Apr; J , 2012.
ATTEST:
4J tJ11/rl,a, JfJM~
DONNA L. BARTLE
City Clerk
Resolution No. 12-08
MIKEBORNO
Mayor
Page 2 of2
CITY OF ATLANTIC BEACH
Board Member Review Committee (BMRC)
AGENDA ITEM# SA
MARCH 9, 2015
Created by Resolution No. 05-04 on Apri/11, 2005; Amended by Resolution No. 06-03 on Feb. 13, 2006;
Amended by Resolution No. 12-08 on Apri/9, 2012
Total of Six Members (5 voting members & 1 non-voting member): Commissioner member-1 year term-no term
limit; Three Citizen Members-2 year term-2 term limit; Chairman of the board or committee for which vacancy is
currently being considered; City Clerk-non voting member.
NAME & ADDRESS
James "Jimmy" Hill
3 72 ih Street
Solomon G. Brotman
2041 Beach Avenue
Atlantic Beach, FL. 32233
Rita Pierce
483 Aquatic Drive
Atlantic Beach, FL 32233
Jeny Johnson
2322 Beachcomber Trail
Atlantic Beach, FL 32233
Chairperson of Related Board
or Committee being addressed
Staff Liaison for Related
Board or Committee being
addressed
Donna Bartle
POSITION/
EXP. DATE
CHAIR
Commission Member
Regular Voting Member
1st Tenn exp. 12/1/15
Citizen Member
Regular Voting Member
1st Term exp. 3/27/15
Citizen Member
Regular Voting Member
2nd Tenn exp. 3/27/16
Citizen Member
Regular Voting Member
2nd Term exp. 5/14116
Board/Committee Chair
Voting Member
No expiration
Attends meeting to provide
information to applicants being
interviewed and to the BMRC
members
No expiration
BUSINESS HOME/CELL/
EMAIL
(904) 759-2758
(904) 249-2041
(904) 396-4091
(904) 396-9091 FAX
(904) 241-1974
ritapierce 1 @hotmail.com
(904) 372-7064
(904) 923-7033
Jhnsnjrry 1654@bellsouth.net
Varies Varies
Varies Varies
City Clerk/Recording Secretary (904) 247-5809 dbat1le@coab.us
(904) 247-5846 Fax
All Official Correspondence Should Be Mailed to:
800 Seminole Road
Atlantic Beach, FL 32233
Email: dbartle@coab.us
CITY OF ATLANTIC BEACH
AGENDA ITEM# SA
MARCH 9, 2015
BOARD I COMMITTEE ME:MBER APPLICATION FORM
Please check (--I) the box beside each Board or Committe~ 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.ofthis form.)
Code Enforcement Board
Pension Board of Trustees
Cultural Arts and Recreation Advisory Conimittee
APPLICANT'S NAME:
ADDRESS:
DAYTIME PHONE: '.3<1 lo-4 oct I
~===================
I!. Community Development .Board
3 Board Member Review Committee
EVENING PHONE: 2 4-q · 2o 4 \
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
5 f'nALL. 'ii)(Jst.--.I'{. . .,SS row 1\..1 f.R. 2.8 '1 (.FHZS
roRNJ(R-coR..PoRAI(: C~b INVot..w::v L.v\11-\ n6~_...,-r-J1olvr-J 'B.l)t.I\NloR.'i 'R~u~vt:t..oP'IYI tr-J' tN 11-1£ lq8<l,.
'PAST C~-tAW-l='"LDP-1!>11 'BoMv a(:' 'D<t>vTIJIP...Y f~A~>Ju.S ()"-~ JA'~ 6r-J-<:J.(lx J~w1sW FAr.'!lL'-f ~
·ca ((\ fl'\UN 11'1 s 't.!l VIC[~ ( JAC\G.s'~:::>N\/1 Ll '(_ Lf-l cc.cs.s' E.. Ct.v.C. I Nl t"'TA L I~(_.() 1..1\.1 k>v'-li)f.l\1 0 ,) Cor(\i>\ 'BoAfl.-o
:PI\sr N\Vi\iJ"<:Jl Lc;f\G~:.f!.si.liP JAc'K~o~JVtlt.."i., 'R1vn G.l\lt\l~>J !~ot.'DINC Corf\flA"''i 'BoA""}). Jf.lc~_(,,•-.JVILVi
Wumr:~'W 'RIG14T.5 Cor(\1':\d~IQ~-') c~:.-JY8>-!={:JP. C.oR~o(tf,\\L' r::-~r''\ll..'-7 H£1-1-t-""'\W 'B()J;)(L.~
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.
Cl4A\R.'<:-b ~f(\1"()1"'\'\~'t T\l.t:.\1 wRoT'i'. 4 c.\..\/IPTtU or.: c.ufl,P-(01 Jf.\c..\<h?JVl\...1.':;. oR.bttvtlr..JCU_
Cor.J~U 1.. TA 1-J\ l'O r=:t..o p_ 11J.t:\ 'b(_pr oc I.J £A l:T'\-1 'R 'E G~/1<-1) 1 r0 c.; V\·Q L.l~ I\() t.J .1: o c.: C'Lo /2.) D A
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
Tmstees are required to file Statement of Financial Interest Fonns. Also, infmmation regarding "Conflict of Interest"
is provided on page two of this application. This application will expire two (2) years after date of submittal.
1
Name: Solomon (Sol) G. Brotman (02/15)
Date of Bh·th: June 23, 1956
Office Address: 3647 Hendricks Avenue, Jacksonville, Florida 32207
Married to Leslie Joan Wilkinson Marital Status:
Children:
Education:
Elizabeth Brotman Daniel (Born 11-24-83)
Post Doctoral:
University of Florida College ofDentistly
Comprehensive Dentistly Program
Cettificate in General Dentistly December, 1990
Doctoral:
University ofMatyland School ofDentistty
Baltimore College of Dental Surgety
I;>egree awarded-Doctor ofDental Surgety May, 1980
College:
Washington and Lee University 1973 to 1976
Towson University Summers 1974 and 1975
Professional Activities:
AGENDA ITEM #SA
MARCH 9, 2015
Dr. Brotman has been engaged in the private practice of general dentistry since July,
1980. In providing comprehensive care of his patients, he maintains patticular emphasis on oral
reconstruction, preventive oral health care, management of orofacial pain and temporomandibular
joint dysfunctions. Service has been provided as an expeti consultant in all aspects of dentistty.
Dr. Brotman is the only dentist in private practice in Nmtheast Florida to be a Master in the
Academy of General Dentistty and Eligible for Board Cettification in General Dentistty. He is
presently one of fewer than two hundred private practice dentists worldwide to have these
credentials.
Appointed Public Service
Florida Board ofDentistty 1996-2000
CHAlRMAN 1999-2000 Vice Chaitman 1998
Chairman, Continuing Education 1997-1999, Budget 1997,
Legislation 1999-2000, Infection Control1997-2000
Jacksonville Human Rights-Commission2002-2006
Chairman, Rules Committee 2003-2006
Secretaty 2004
City of Atlantic Beach Board Member Review Committee 2013-
Professional Memberships:
American Association of Dental Examiners 1997-2004
By-Laws Committee 2000, Chairman 2001-2004
Parliamentarian 2001-2004
American Dental Association 1977-present
Florida Dental Association
Nmth East District Dental Association
Jacksonville Dental Society
University of Florida Facial Pain Center Journal Group 1993-1997
Jacksonville-St. Luke's Dental Study Group
FOUNDING PRESIDENT 1987-1988
Academy of General Dentist1y 1980-present
North East Florida AGD PRESIDENT 1989
Nmtheast Florida Mass Disaster Team 1995-2005
Hospital and Teaching Affiliation:
Lecturer-Nova Southeastern Dental School2006-2009
Clinical Assistant Professor-University of Matyland Dental School200 1-
Clinical Assistant Professor-University ofFlorida College of Dentistry
Depmtment of Operative Dentistty 1986-2008
Parker E. Mahan Facial Pain Center 1992-2008
Active Medical Staff-University Medical Center In
Jacksonville 1984-1998
Courtesy Medical Staff-Baptist Medical Center 1984-1998
Dental Director-Therapeutic Homes in Jacksonville (extended
care adult psychiatric facility) 1984-1987
Jacksonville Health Education Programs-Teaching Staff 1984-1987
Active Teaching and Adjunct Medical Staff-Sinai Hospital
in Baltimore 1982-1984
Certifications
AGENDA ITEM# SA
MARCH 9, 2015
Cettificate for Human Pmticipants Protection Education for Research Teams, National
Cancer Institute, March 2008
Health Insurance Pmtability and Accountability Act & Privacy General Awareness for
Researchers, University of Florida, March 2008
Research and Other Projects:
Practitioner-Investigator, The National Dental Practice Based Research Network Study
N01, Cracked Tooth Registry. University ofFlorida, Southeast Region. 2014-
Practitioner-Investigator, Dental Practice-Based Research Network Study 6,
Questionable Occlusal Carious Lesions. University of Florida, Florida/
Georgia Region. 2009
Practitioner-Investigator, Dental Practice-Based Research Network Study 5.3,
Longitudinal follow-up of restorations placed or replaced/repaired in DPBRN .
Studies 3 and 4.University of Florida, Florida/Georgia Region. 2009-2012
Practitioner-Investigator, Dental Practice-Based Research Network Study 3-4, Reasons
for replacement or repair of dental restorations. University of Florida, Florida!
Georgia Region. 2009
A Twenty Five Year Retrospective of Conservative TM Joint
Therapy in 110 Patients 1983
Re-creation of Compiler and Assembler Language for D17-B
(Minuteman Missile On-Board Computer) 1976
Benchmark of High Speed Computational Languages for
Commercial and Industrial Use 197 5
Publications:
Technical Editor-The Doctors Office (a monthly journal for health care professional and
their staffs) 1986
AGENDA ITEM# SA
MARCH 9, 2015
The Dentists office (a monthly journal for dentists and their professional
staff) 1983-1986
The Dentists Patient Newsletter (the nations largest circulation) 1984-
2007
The Successful Practice 1984
"My Turn" Guest Editorial, ADA News October 20, 2003
'Managed Health Care and Orofacial Pain" Orofacial Pain and Related Disorders WB
Saunders and Co. Aprill997 pp.297-307
'A New Way to Look at an Old Condition" Cranio-The Joumal ofCraniomandibular
Practice Januaty 1995 p.l
'Temporomandibular Joint Sounds "Clicking Jaws" Patt III
Treatment" J. Nmth East Dist Dent Assoc June, 1992 pp. 6
'Temporomandibular Joint Sounds "Clicking Jaws" Part II
Diagnosis' J. Nmth East Dist Dent Assoc April, 1991 pp.S-6
'Temporomandibular Joint Sounds "Clicking Jaws" PattI
Clinical Examination' J. Nmth East Dist Dental Assoc March, 1991 pp. 5-6
'Use of an Interpreter in a Hospital Dental Clinic' Profiles in Hospital Marketing
July, 1982 pp. 62-65
'Computers in the Professional Office-Software' Journal of the MD State Dental
Assoc April, 1981 pp. 11-14
Abstract appeared in September, 1981 ofDental Abstracts and Joumal ofthe
American Dental Association in November 1981
Abstracts: The following were edited and abstracted for a special section of the
October 1982 issue ofDental Abstracts (Vol. 27 No. 10)
Abelson The Revolution in Computers and Electronics
Branscomb Electronics and Computers: An Overview
Meindl Microelectronics and Computers in Medicine
Davis Computers and Electronics for Individual Services
Birnbaum Computers: A survey of Trends and Limitations
Original Seminars and Lectures Presented:
'Risk Management and Reimbmsement in Facial Pain Management' Louisiana State
University Health Science Center Dental School. J anuaty 31, 20 15
'Unlocking the Mysteries of the Intraoral Exam' St. Vincent's Medical Center Primary
Care Residency Program (PGY 1-3) April25, 2013
'Clinical Failures in Orofacial Pain Management and Clinical Failures Resulting in
Orofacial Pain' University ofMatyland Orofacial Pain Center July 6, 2012 and others. (Annual
course)
"Ethics and Professionalism" Nova Southeastern University School of Dentistry
September 16, 2009.
'Professional Ethics and Risk Management' Nova Southeastern University School of
Dentistry September 16, 2009 and others. (Annual Course)
Keynote Speaker-Inaugural F. Harold Wi1th Program on Professional Ethics and
Responsibility. Louisiana State University Health Science Center Dental School September 11,
2009.
'Failures in Facial Pain Diagnosis and Management' University of Maryland Depattment
of Restorative Dentistry AEGD Program. August 28,2008 and others (Annual course).
'Advanced Diagnosis in Craniofacial Pain and Pathofunction' University ofFlorida
Facial Pain Center Continuing Education. December, 2007 and fifteen other dates. (Annual
course)
AGENDA ITEM# SA
MARCH 9, 2015
'Risk Management in Advanced Facial Pain Diagnosis and Management" University of
Florida Facial Pain Center Alumni Update Tampa, FL May, 2006
'Professional Ethics and Jurisprudence' Jacksonville Dental Society and Clay County
Dental Assoc. October, 2005 and others Northeast District Dental Hygiene Assoc. March 8,
2003 and others
'Risk Management in Facial Pain Management Practice' University of Florida Facial
Pain Center, August, 2005 and others
'Facial Pain Evaluation in Clinical General and Specialty Dental Practices' Wake
County Dental Society. Raleigh, NC May, 2005.
'Risk Management in Treatment Planning for Implants" First Coast Implant Study Club
February 19, 2002
'Occlusion, Appliance Therapy & Facial Pain' Alpha Omega Dental Fraternity,
May 3, 2001
'Advanced Techniques in Dental Implants' First Coast Implant Study Club,
March 12, 200 I
'Risk Management in Clinical Dental Practice' Holton-Puriton Study Club,
J anumy 18, 200 I
'Failures in Implant Dentistty-Clinical Risk Management' First Coast Implant Study
Club Februmy 8, 2000
'Professional Ethics and Changes in Dental Practice' Holton-Puriton Study Club
Janumy 20, 2000
'Risk Management Including Treatment Protocols and Recordkeeping' Duval Dental
Study Club May 11, 1999, Holton Purinton Study Club April 8, 1999.
'Orofacial Pain Protocols for the 21st Century' American Academy of Orofacial Pain.
May 2, 1998 Washington, D.C.
'Risk Management and Professional Ethics' Holton-Purinton Study Club. March 5, 1998.
'Orofacial Pain Management in the 21st Century' Amer Acad of Head, Neck and
Orofacial Pain. August 14, 1997. Boston.
'Medicolegal Aspects of Oro facial Pain Management' Univ of Florida Coli Dent Fac
Pain Center Mini-Residency. Aprill6, 1997.
'Orofacial Pain and Managed Care' American Academy ofOrofacial Pain. Februmy 15,
1997. San Diego.
'Diagnosis and Management of Facial Pain in Private Dental Practice' Duval Dental
Study Club. Sept-Dec, 1996. (4 sessions)
'Dental Practice Management-Present and Future Reimbursement Programs and
Financial Planning' Univ ofFlorida Coli Dent June 21-22, 1996.
'Managed Care and Orofacial Pain' PE Mahan Facial Pain Center Update Program Univ
of Florida Coli Dent April19, 1996.
'Dental Forensics-Mass Disaster Ante-Mortem Teamwork' Duval County Coroner's
Office October 21, 1995.
'TMD Evaluation and Management...:.. Consideration in Claims Management and
Litigation' Jacksonville Association of Defense Counsel. August 26, 1995.
'Dental Practice Management-Present and Future Dental Reimbursement Programs'
Univ of Florida Coli Dent. May 21, 1995.
'TMD-Fact and Fiction' Florida Claims Assoc. Feb 18, 1994.
'Effective TMD and Facial Pain Policy' Anthem health Plans of Florida. November 1,
1993.
'In-Service Training for Faculty and Staff of the University of Florida Facial Pain Center'
1992 (3 sessions)
'Dental Management of Medically Compromised Patients' University of Florida College
ofDentishy Jacksonville. Lecturer and Course Co-Director 1991-92 (18 sessions) and 1992-93.
AGENDA ITEM# SA
MARCH 9, 2015
'TMD for Rehabilitation after Workman's Comp Accidents' Rehab Claims Service.
Orlando. April 19, 1991.
'TMD-What the Research Really Shows' Florida Claims Association. Febmaty 7,
1991.
'Case Management and Prosthodontics Considerations in a Patient After Neurosurgery'
UFCD CDP XI December 9, 1989 and St. Lukes Study Club. April3, 1990.
'Computers in a Dental Office-An Update' St. Lukes Dental Study Club. August 1988.
'Medical Histoty and Information Gathering in Treatment of Craniofacial Pain' St.
Lukes Dental Study Club. October, 1987.
'Treatment Planning and Decision Making' University of Florida College ofDentistly
Jacksonville. Lecturer and Course Director. 1986-1987 (12 sessions)
'The Copper Tube Impressions-A Clinical Demonstration' Alpha Omega Fraternity.
Februaty, 1983.
'Computers in the Dental Office' Notthwest Dental Study Club. October, 1981. Sinai
Hospital. December, 1983.
'Periodontal Initial Therapy Re-evaluation' Univ of MD Dental School, Depattment of
Periodontics, August 1981. Sinai Hospital. August, 1982 and November, 1983.
Honors and Awards:
Selected OneJax Silver Medallion Humanitarian Award 2012
Selected Ban1c of America Local Hero Award 2007
Selected, "The Top Dentists in America", 2004-present
Jewish Community Alliance Service Award 2005
Selected, "Best Dentists in Jacksonville", Jacksonville Magazine 2004-present
Selected, "Notable Alumni of Washington & Lee University", 2004
Fellow, Pierre Fauchard Academy, 2003
Fellow, International College ofDentists, 2001
Naming, Brotman Orofacial Pain Center, Univ ofMatyland 2000
Diplomate, American Board of Forensic Dentistty 1997
Fell.ow, Academy of Dentistry International 1996
Fellow, American College of Dentists 1992
Leadership Jacksonville 1991-92
Master, Academy of General Dentistty 1991
Fellow, Academy of General Dentistty 1989
Jewish Family Services Community Service Award 1988
Other Activities:
Life and Specialty Ventures (LSV) Regional Dental Director 2014-
Includes all responsibilities with Florida Combined Life
Florida Combined Life (Florida Blue) Dental Director 2009-2014
Total Quality Networks, Inc. Executive Vice President 1994-2012
Image Dynamics, Inc. Chief Financial Officer & Director
(advetiising, marketing and public relations) 1980-1983
Community Foundation ofNotiheast Florida Trustee 2015-
Programs and Initiatives Committee 2015-
0NEJAX-FOUNDING CHAIRMAN 2005-2006
Senior Advisoty Council2012-
Dana-Farber Cancer Institute
Claudia Adams Barr Program Scientific Advismy Panel, 2011-
Depmtment ofPopulation Sciences Committee of Visitors, 2001
Marathon Challenge Governing Board 2000-2011
United Way ofNmtheast Florida
Stein Fellow Mentor 2011-2013
Stein Fellow Selection Panel 2011-
University ofNmth Florida Pre-Professional Advismy Committee 2013-
Pre-dental student Mock Interviews 20 14
Pre-dental student mentor ( cunently 3 students) 20 13-
Pre-dental Society Lecturer 2014
Pre-medical Society Program Panelist 2013
Florida Depmtment of Health
Consultant-Medical Expe1t
Consultant-Fiscal review
Volunteer Dentist-Project Dentists Care/ Donated
Dental Services
Hands-On Jacksonville PRESIDENT 1997
2012-
2000-2012
1998-
Jewish Family and Community Services PRESIDENT 1992-1994
Mental Health Foundation of Jacksonville
CHAIRMAN Community Board 1988-1989
Jacksonville Lacrosse Club 1985-1991
PRESIDENT 1986-1989 Co-Captain 1986-1989
Gulf Coast Dental Outreach Board of Directors 2007-2012
Founding Board member
River Garden Holding Company (Home for the Aged)
Board ofDirectors 1997-2003
Jacksonville Jewish Federation Board of Directors 1992-1997
Florida Marine Resources Council-County Whale Watch Co-ordinator 1999-2001
Florida Depmtment of Health Impaired Practitioners Comm 1998
Florida Depa1tment of Health Committee on Health Care Credentials 1997-98
Leadership Jacksonville 1991-1992
Leadership Development Team 2003-2005
Chairman-Health Day 2001, 2002, 2003, 2005
Center for Corporate and Family Health Vice Chahman 1990-1993
Jacksonville Community Council, Inc. 1991-
Expe!t Referee-Symposium on Computer Applications in
Medical Care 1983-1992
Expe1t Referee-Medinfo 89 and Medinfo 92
Member-MENSA (since 1974)
USILA/NILOA Ce1tified Referee 1989-2001
Boston Marathon Finisher 1997, 1998, 2001,2003,2007
Hobbies/Interests: Reading, running, kayaking, wine collecting
AGENDA ITEM #SA
MARCH 9, 2015
AGENDA ITEM# SA
MARCH 9, 2015
CITY OF ATLANTIC BEACH Received
BOARD/COMMITTEE MEMBER APPLICATION FORM
DEC 2 2 2014 Pl~ase 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.) office of City Clerk
Code Enforcement Board
Pension Board of Trustees
Cultural Arts and Recreation Advisory Committee
I
DATE: {?{-r;£C ttf APPLICANT'S NAME:
ADDRESS:
DAYTIME PHONE: (CJDc.f) ~s-3-G 777
I
I s Community Development Board
Board Member Review Committee
EVENING PHONE: ----=:5-~___,'L~--
E-MAIL ADDRESS: ~bwo~/t_~VIl@L(~ftoo. FAX: __________ _
...J CC'f11
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.
:C deS-/rt-e. -fo b-e: fvl Ju IJ~ 1 ~ Mf /o(e/ (i(5')M. 1t1 J~i·+<f ,
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
AGENDA ITEM# SA
MARCH 9, 2015
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
Pension Board of Trustees
Cultural Arts and Recreation Advisory Committee
DATE: 3 -I Y ·-I L/ APPLICANT'S NAME:
ADDRESS:
Community Development Board
Board Member Review Committee
I ;
DAYTIME PHONE: ....... :J-'------'-Y_r_--=3'--7'-1;_;~::;_---___ _ EVENING PHONE: t:0 'f r-371 _s
E-MAIL ADDRESS: 91 O:.d ::}~~ t::r@ o/i/,r.{) C/n'l FAX: ________________________ _
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
351 'flU! .. £!(1\ ftol{£:-P 1\S A ft.i(+{lmACtsT,/(1-Jti[l.ftl Mr 0!6'-(l, fft8/lrrlt¥-f IS I?.UrJ As .AtJ I N1Jf!-/tyJD~
ftf4il CF flt£-.tiO{?.f{.(lp7/otJr' f(JU.t:n J3orH9 :r:t.JI)f.'l.IJ£0lEAJT WrtH 'THf.S£: CO/lfbfL/TTIDt?S. {JQI((prt'I!IL-
f\r _/llJ>suHJ t+oust 1 J;oAfl-l> tl11Wi3t;rz. Ill 'PAMo--,'&:.poN9r(JLt<-,eae.ntJ;vv::.Jfll C.t.cafl-,ly1 lr-L-.
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.
. 7
f?,E:..s IJDN> 1 {3t<-1 rfgs .I f-ftt/)e t.e~jlf!}ei;J ro /(£!1!10 PF-o()Lt! UJIE.LL -
MJ"D W 'Bg ~ 111EPt f±mrL. FoiL IW Sl l)e,s, :J; 11m BAJ ADID /}ltf~fiC (ofl-J: 1-l-5f;
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.
CITY OF ATLANTIC BEACH
BOARD/COMMITTEE MEMBER APPLICATION FORM
AGENDA ITEM# SA
MARCH 9, 2015
Please check (~) 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
I Pension Board of Trustee{J>
_:_.L_ Cultural Arts and Recreation Advisory Committee 0
/ Community Development Board G ,-..,..
~ Board Member Review Committee0)
DATE: 9/5h'f. APPLICANT'S NAME:
I
ADDRESS: !&~~ \+;G\.ze>JJ L..~t~-.fu\c:_l\.\-,1.
DAYTIME PHONE: £l,OL{.~ \.~?.:A\ EVENING PHONE: _______ _
E-MAIL ADDRESS:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
' oo"v w, we.
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
ofW'5~ ..
rkc.>e_ ~ ~~J.
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.
EDUCATION
James "Jay" Wilson Ill
1842 Hickory lane, Atlantic Beach, FL 32233
804.221.3211
jayrbwilson@gmail.com
University of South Carolina, Columbia, SC
Bachelor of Administration in Psychology, May 2004
Member of Psi Chi, the International Honor Society in Psychology
Assisted in two published Medical journals (Molecular Psychobiology and Sports Psychology)
Student-Athlete Men's Soccer
Earned Dean's list designation
GPA: 3.3
PROFESSIONAL EXPERIENCE
Stryker Craniomaxilfofaciaf, Jacksonville, Fl, 2012-2014
Sales Representative
AGENDA ITEM# 5A
MARCH 9, 2015
• Plan, direct and coordinate the selling of product portfolio to achieve corporate objectives and maximize volume and
profitability.
• Consulted with Marketing on playbooks, and marketing material newly launched products
• Perform field calls to variety of health care professionals, including on-call and operating room consultation for surgical
specialtsts.
• Lead the effort to change mindset of surgeons and hospital administration, while fostering and strengthening key industry
relationships.
• Implement new sales plans and effective marketing strategies to position the organization competitively and exceed
territory objectives.
• Create and execute new record keeping system to track sales, history, and market trends to increase efficiency.
• Used lessons learned from l<arrass Negotiation Course to secure sole source a~reements which helped achieve 30% growth
in 2013
Stryker Craniomaxillofacia I, Richmond, VA 2010-2012
Associate Sales Representative
• Developed crucial relationships with decision makers in hospital administration and health care systems.
• Created and executed sales and action plans for sales growth strategy.
• Developed business plan for the surgical instrument and implant markets that ensured attainment of growth objectives.
• Achieved 30% sales growth in first year within assigned territory.
• Awarded MVP of Phase 3 training class in April, 2011
• Awarded Sales Rep of the Month
• Awarded Team Player award
• Finished at 111.8% PTQ 2011, and at 101.8% PTQ 2010
Driven Marketing, Dallas, TX 2007-2010
Director of Sales
• Developed a co-promotional marketing platform that allowed discounts for events, products and services to participating
organizations and companies.
• Selected to develop and provide presentations relevant to the return on investment inherent to utilization of the products
and services offered by the J. Reider Group
• Recognized, for increasing sales from $0 to generating over $1.7 million in revenue for fiscal years2007-2009 during tenure
as the Marketing and Sales Director for Driven Marketing in the Dallas Market.
• Managed a team of 121nside Marketing/Sales reps
• Managed a team of 50+ Outside Sales reps
FOREIGN LANGUAGES
Portuguese-beginner level
AGENDA ITEM# SA
MARCH 9, 2015
THE THONBURI HOSPITAL PUBLIC CO .. LTD
www.thonburihospitol.com
J4'1 l%<Waphap Road S:~ '14, [bn;J<-t-*!1rr. 13.-':lr'Q<ok !OTCC
Tel. 02·866·1333. 02-412·0020 Fax. 02-412-7343
To whom it may Concern,
My name is James Nanakompanom and I have had the privilege to work and play soccer with Jay Wilson for
several years.
We met for the first time playing for the Arizona Heat semi-professional indoor soccer team, which
flourished into a great friendship in which I learned how loyal a friend and teammate he is. As all athletes
experience the ups and downs of playing any sport at a high level we all need a supportive teammate, just as
in life, a good friend is like finding a diamond in the ruff, and that is how I describe Jay Wilson·s character
and loyalty to anything he becomes a part of in work or leisure.
l also had the chance to work with Jay in a cold call, door to door sales job in Phoenix, Arizona.
What you have to think about is what separates great salesman from barely getting by salesman, extraordinary
from ordinary salesman. Not all people have it, but Jay does: The ability to connect and inspire people on a
different/eve/, this includes but not limited to: great charisma, great communication. making people laugh.
and being sincere. These qualities nre what I saw instilled in everything that makes Jay who he is, coupled
with his southern drawl, character, and loyalty was an example for me everyday as we entered the cold office
every morning at 6am to get ready for the sales day.
Another important trait that I noticed and learned from Jay is what all sales people need:
Determination, the ability to not be let down by a NO, because as all people on both sides as getting a sale
pitched to them or selling a pitch to a customer, NO is the answer that always comes first Jay's determination
combined with his ability to connect with people made him a sales leader just a week after we started, a
manager just short after. Jt was a special thing watch Jay talk to customers and motivate us every morning to
do a job, door to door sales, in whlch as everyone knows is a pretty difficult job to do, it's not for everyone
but Jay flourished.
You can be great with people and be determined which are great traits but there are two roads to
choose from: I. A Selfish way and just work for yourself and making money off of people lllld not care about
your team, or 2. Concentrating your abilities to be a great leader, team member, and to help people become
great as well, and that is what I learned ftom Jay as I worked with him and played soccer with him. In
everything Jay did, he took the helm of a leader and developed people as well as shown an example of what
great leaders should be like.
Jay Wilson with be a great asset not only managing the sales team and a loyal co-worker but also if
you let him, he will be the pulse to help grow the starting soccer franchise into a great money making
machine.
Sincerely,
James Nanakompanom
Cell:+ 66 (0) 851395142 Email:jnanakom@gmail.com
05/06/2014 10:25 FAX
Morgan Stanley
May 5, 2014
To whom it may concern,
AGENDA ITEM# SA
MARCH 9, 2015
Wealtll Managtment
One Blue Hill Plaza
Suite 100
P=-l River, NY 10965
tel 845 731 2500
fax 845 m 2550
toll free 888 848 5067
It is my pleasure to be writing this letter recommending Jay Wilson. I had the
opportunity to work with James for approximately two years. During this time I was able
build a relationship with him professioJ).ally and personally. Please accept this letter to
learn the reputation of the qualities he has.
First of all I would like to describe his dedication. Whether it is from bringing a
sense of urgency to every work task he has, to making sure all ofhis personal matters are
in prder, be attru;:ks every day to truly exemplify the expression "Seize the day". He takes
personal pride in himself. Therefore, any task no matter how small or large he would go
above and bey9nd and nev~f ~~tlle Wf tbe \>~e-mimmum, lli$ wofk W9ul4 alnw~t leave
a signature.
The next thing that remarkable was his teamwork. Jay's brunble nature and
approachability allowed for him to spread him self out to his teammates. He could work
with anyone and make them feel comfortable to ask tough questions that they could work
through together. While giving of his time be never seemed to ever take a step back in
his ovm personal work. He always believed that the best way to improve· his situation
was to help improve the ones around him first.
Finally I want to address his leadership. He always believed in leading from
amongst and never from above. He would never ask or expect anyone to perform a task
if he had not done and understood it already. Therefore, he had a way to motivate others
to expect the best out of themselves because they saw him generate the best of himself. I
was abie to watch Jay cufti.vate some of the largest and most productive teams in the
nation. His team still holds records in many of the most important categories within the
company. I assure you that this wasn't a coincidence, but a pattern of coaching and
developing talent.
Jay was instrwnental for my development. Few people I have worked with have
left as much of~ impact. I strpngly recommend Jay for any position, opportunity or
endeavor that he pmsues. He will-~ valuable to any organiZation. · ·
Sincerely,
~hd~:
Joseph Brunelli
Financial Advisor
Morgan Stanley
914 589 9960
Morgan Stanley Srnith llarnty LLC. Member SII'C.
MICROFIXATION
To Whom It May Concern:
AGENDA ITEM# SA
MARCH 9, 2015
Please accept this as my personal letter of recommendation for Jay Wilson. As a Sales Representative
for Biomet Microfixatlon and former sale rep for Stryker, I have seen firsthand Jay's exceptional sales
skills, managerial skills, and how he immediately became an integral member of the company. Now, a
few years later, he is in pursuit of new opportunities to expand on his considerable skills. I have
personally tried courting and recruiting him for my current company based in Jacksonville, FL.
Jay has a winning attitude that embraces ali challenges and encourages collaboration. The phrase uteam
player" is often overused, but Jay is truly that. He draws the best out of every person, promotes talent
and has succeeded at every task handed to him. To better my services, I use many of Jay's ideas and
practices. These ideas and practices are now being mirrored by many other regional managers and sales
representatives.
Jay is also an effective leader. He clearly communicates expectations and notes strengths to better
improve his team's performance. Out of the multiple sales reps I have known over the years, Jay was is
the only one that continues to show high amounts of profit and with high marks every year.
It is my pleasure to recommend Jay Wilson for any position or endeavor that he may seek to pursue. He
will be a valuable asset for any organization.
Sincerely,
Michael Balger
Sales Representative
GO·. 8lPq. 5 31-L-\-
1520 Tradepor1 Drive
Jacksonville, FL 32218·2480
omce: 004.741.4400
Fax: 904.741.4500
WIWI.blom&lmictofixalm.com
LORENZ PLATING SYSTEMS I LACTOSORB I STERNALOCK I PECTUS BAR I MIMIX I TMJ I DISTRACTION I HTR I LORENZ SURGICAL INSTRUMENTS
______________________ ............ ..
KINGSTON
GENERAL
HOSPITAL
To Whom It May Concern:
7(> SlUAIH S:I~EET
K:NGSfON. ONTARIO
K 7L 2'17
Ttl: 6 i 3-541:3·.121?
AGENDA ITEM# SA
MARCH 9, 2015
Please accept this letter as my personal letter of recomme11dation tor James Wilson. I have
known Jay tor over 10 years and he has played an integral part in my personal life nnd
professional life. We ha\'e worked together. as well as been teammates on a varsity soccer team
at a high collegiate leveL
Now that he is in pursuit of new opportunities to expand his abilities, 1 have no doubts that he
will be an asset to your organization. Jay is an accomplished and sdf motivated individual who
never seems to be content \Vith just being average. Through his easy going and open minded
nature. he is always looking at personal and profession improvement.
Jay has a winning attitude that embraces all challenges as an opportunity lo succeed. His hnrd
working and positive attitude is contagious, which always encourages collaboration. The phrase
''team player" is often over used, but Jay is truly that. He draws the best out of people, promotes
talent and shares his and their successes.
l've known him to go above and beyond. and have ahvays seen him reach his goals, even if not
successful in his .first attempts. Jay is incredibly intelligent and an amazing leader. He seems to
learn from his mistakes and loves to share his experience and knowledge with others
It is with great pleasure that 1 write to you in recommendation of James Wilson. As a honest and
caring individual with strong moral values 1 am certain he will make an extremely valuable asset
to your organization.
ffyou have any questions. please do not hesitate to contact me.
Felipe Pereira B.Sc., M.D.
F.R.C.S.C. Candidate
Orthopaedic Surgery Resident
Queen's University
938 Swanfield Street
Kingston, ON. K7M OAS.
Email: felipe.pereira(f_iJqueensu.ca
Tel: 613.449.4433
Fax: 613.544.917
An Accrecil1ed reoct·,ing Hospiiol <Jffiiiuted with Quer~n·s :_:rtiversity .lervin(J SouH1eostern Ontario tor more them 1SO yocus.
---------------------------------··---···-····