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Agenda Item 5A- Appt. to the Community Development BoardCITY OF ATLANTIC BEACH COMMUNITY DEVELOPMENT BOARD AGENDA ITEM #SA MARCH 23, 2015 2-year terms; 4 consecutive term limit; per Ordinance 5-03-42 adopted July 14, 2003 Regular meetings are held in the Commission Chambers at 6:00pm the third Tuesday of each month. The board members are required to file Statement o(Financial Interests NAME & ADDRESS Linda Lanier 1768 Park Terrace West Atlantic Beach, Florida 32233 Kelly Elmore 1650 Beach Avenue Atlantic Beach, Florida 32233 Patrick Stratton 361 6th Street Atlantic Beach, FL 32233 A. Brea Paul-Chair, 2013 330 Sargo Road Atlantic Beach, Florida 32233 Harleston G. Parkes 1838 Seminole Road Atlantic Beach, Florida 32233 Sylvia Simmons 211 Beach Avenue Atlantic Beach, FL 32233 Kirk Hansen 2393 Ocean Breeze Ct. Atlantic Beach, Florida 32233 Richard Komando City Attorney Jeremy Hubsch Building & Zoning Director 800 Seminole Road Atlantic Beach, Florida 32233 Derek Reeves Zoning Technician 800 Seminole Road Atlantic Beach, FL 32233 EXP. DATE BUSINESS 12/3112015 (1st term) 3/31115 12/31/2014 241-8382 (fax) (2nd term) Ext 90 days 12/3112015 (3rd term) 3/31115 HOME I MOBILE/EMAIL (904) 246-9678 linda.m.lanier@gmail.com 246-6219 333-7 483 -cell kellmore@comcast.net (904) 619-3094 (843) 614-7390-cell ptstratton@gmail.com 12/31/2014 242-4710 (2nd term) 303-3987 -cell Ext 90 days andabrea@bellsouth.net 3/31115 12/3112014 962-6368 (3rd term) hparkes@comcast.net Ext 90 days 3/31115 12/31/2014 241-7195 (1st term) Sylvia.the.gardener@gmail.c Ext 90 days om 12/3112015 910-9660-cell (4th term) 241-7859 241-7859 (fax) Schmirldey@bellsouth.net (904) 269-1111 rich@claylawyers.com (904) 269-1115 Fax 247-5817 jhubsch@coab.us 247-5845 (fax) 270-1605 247-5845 dreeves@coab.us As of January 2015 Call to order MINUTES Board Member Review Committee Meeting March 4, 2015 5:00p.m. AGENDA ITEM #SA MARCH 23,2015 The meeting was called to order at 5:00 p.m. by Commissioner Jimmy Hill. In attendance were Commissioner Jimmy Hill (Chairman), Members Jerry Johnson, and Solomon Brotman, Community Development Board Chair Brea Paul, Building and Zoning Director Jeremy Hubsch and City Clerk Donna Bartle. Rita Pierce was absent. 1. Approval of the minutes of the BMRC meeting of February 25, 2015. Motion: Approve minutes of the Board Member Review Committee meeting of February 25, 2015. Moved by Brotman, seconded by Johnson Motion carried unanimously 2. Interview current members and new candidate(s) (listed below) for consideration to the Community Development Board. A. B. c. D. E. 5:05p.m. 5:20p.m. 5:35p.m. 5:50p.m. 6:05p.m. Sylvia Simmons Kathryn Humphries Harleston Parkes Kelly Elmore Steve Mandelbaum The Committee interviewed each candidate listed above separately. An overview of the duties and responsibilities of the Community Development Board was explained to each of the applicants. Each candidate explained their personal accomplishments, experience, goals and interests in the community. The Committee offered the opportunity to ask questions and the Committee responded to those questions. 3. Discuss the current Community Development Board (CDB) members whose extended terms expire on 3/31/15 and the new applicants. Current Members: 1. Kelly Elmore 2. A. Brea Paul 3. Harleston Parkes 4. Sylvia Simmons New Applicants: A. DonFord B. Judy Hoedel-Workman C. Steve Kallao D. Richard Reichler E. Jay Wilson F. Susan Carr G. David Vincent H. Robert Liggero I. Kathryn Humphries J. Steven Mandelbaum The Committee discussed the candidates. AGENDA ITEM #SA MARCH 23, 2015 4. Make recommendations on filling four vacancies on the Community Development Board. Motion: The four appointments will be determined by the highest points, with each voting member ranking their top ten candidates from 1-10 with first choice being 10, second choice 9, etc. Moved by Brotman, Seconded by Johnson The motion passed unanimously The Committee discussed whether it is appropriate for Brea Paul to vote when considering herself. Mr. Brotman suggested taking a vote to address her reappointment and not include her in with the rest to be ranked. Amended Motion: Reappoint Brea Paul to the Community Development Board to serve an additional term and change the four appointments being determined by the ranking system to three. Moved by Brotman, Seconded by Johnson The motion passed unanimously (Ms. Paul did not vote) The voting members ranked their top ten candidates for the three remaining vacancies. The Committee discussed whether Ms. Paul's ranking should count, so they decided to have City Clerk Bartle tally the rankings to include Ms. Paul's and a second tally to exclude it. Mrs. Bartle reported there was a three way tie when Ms. Paul's rankings were excluded, so until the tie could be broken, a comparison could not be made. Motion: Take an alternate vote to break a three-way tie in order to determine whether the outcome, with or without Ms. Paul's vote, would be the same. Moved by Brotman, Seconded by Johnson The motion passed unanimously The results from both tallies were the same. The top three candidates, Don Ford, Kelly Elmore and Sylvia Simmons were to be the Committee's recommendation. 5. Next Meeting: March 18,2015@ 5:00p.m. There was no discussion on this item. Adjournment There being no other business, the meeting adjourned at 7:30p.m. Jimmy Hill Chairman Draft-Minutes of the Board Member Review Committee Meeting on March 4, 2015. Page 2 of2 Call to order MINUTES Board Member Review Committee Meeting February 25, 2015 5:00p.m. AGENDA ITEM #SA MARCH 23, 2015 The meeting was called to order by Commissioner Jimmy Hill. In attendance were Commissioner Jimmy Hill (Chairman), Members Jerry Johnson (left at 6:25 p.m.), Rita Pierce and Solomon Brotman (arrived at 5:27p.m.), Community Development Board Chair Brea Paul, Building and Zoning Director Jeremy Hubsch and City Clerk Donna Bartle. Commissioner Hill explained the vacancies to address on the Community Development Board. The Committee discussed whether the current members seeking reappointment should also be interviewed just as the new applicants are. Discussion ensued. The consensus of the committee was to have another meeting to interview the current members seeking reappointment and the two new applicants who were unavailable for tonight's meeting. Since Brea Paul was in attendance, they agreed to go ahead and interview her tonight. It was also decided that the Committee would not make any recommendations on appointments until the next meeting. 1. Approval of the minutes of the BMRC meeting of June 2, 2014. Motion: Approve minutes of the Board Member Review Committee meeting of June 2, 2014. (Mr. Brotman was absent for this vote.) Moved by Johnson, seconded by Pierce Motion carried unanimously 2. Interview new candidate(s) (listed below) for consideration as new member(s) to the Community Development Board. A. DonFord B. Judy Hoedel-Workman C. Steve Kallao D. Richard Reichler E. Jay Wilson F. Susan Carr G. David Vincent H. Robert Liggero The Committee interviewed each candidate listed above separately and interviewed Brea Paul from the list below. An overview of the duties and responsibilities of the Community Development Board was explained to each of the applicants. Each candidate explained their personal accomplishments, experience, goals and interests in the community. The Committee offered the opportunity to ask questions and the Committee responded to those questions. Commissioner Hill explained to each of the candidates that there will be no recommendations made tonight but they will be notified once a decision is made. AGENDA ITEM #SA MARCH 23, 2015 3. Discuss the current members on the Community Development Board (CDB) whose extended tenns expire on 3/31115 and are interested in reappointment. A. Kelly Elmore B. A. Brea Paul C. Harleston Parkes D. Sylvia Simmons This item was discussed earlier and the decision was made to interview each current Board member who is up for reappointment at the next meeting, with the exception of Brea Paul, who was interviewed tonight. 4. Make recommendations on filling the four upcoming vacancies on the Community Development Board. It was decided earlier in the meeting that the Committee would not make any recommendations on appointments until the next meeting, to allow for the interviews of the current members being considered for reappointment and the two additional candidates. 5. Next Meeting The Committee provided City Clerk Bartle with possible dates for the next meeting to finish addressing membership on the Community Development Board and was asked to check with Mr. Johnson about his availability and confinn the meeting once that date was detennined. The Committee also agreed to hold a meeting on March 18,2015 to address vacancies on other boards/committees. Adjournment There being no other business, the meeting adjourned at 7:25p.m. Minutes of the Board Member Review Committee Meeting on February 25, 2015. Page2 of2 AGEN DA IT EM liSA CITY OF ATLANTIC BEACH MARC I-1 23,20 15 BOARD/COMMITTEE MEMBER APPLICATION FORM Please ch eck (.Y) the box bes ide eac h Boa rd or Co mm ill ee that you arc app lyin g to serve on. l fyou c heck more than one, plea se ran i< you r in terest in each board I com mi ttee by order of pri ori ty. (A s umma ry of each boa rd/co mm itl ee is ava il ab le on page 2 of thi s form.) Code En force men t Board Pensio n Board ofTrustecs Cu ltural Art s and Recrea ti on Adviso ry Com mittee DATE: 1:3 ·12. I 0 APPLICANT'S NAME: ADDRESS: Jl. Commu ni ty Developmen t Board Board Me mb er Review Committee ceHA DAYT IME PHONE: 1'Jf.Z!fi,. C,2---{j_ ~PHONE: 1of. 733· /'f~~ E-MAIL ADDRESS: _¥ei~GoV}1~ FAX:_iO f · Vf:(· bZ..B7 + r<A /i--/tte t; ~d h s 4 (. 0~as<c'~o mp ete fo· 0 v,r~ &.si'""" (s~ Do nn a L. Bartl e, City C le rk, 800 Sem ino le Road, At lan ti c llcach, rL 32233 PLEASE NOTE: This ap pli cati on w ill expire two (2) yea rs afte r date of sub mitt a l. CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM AGENDA ITEM #SA MARCH 23, 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 fonn.) Code Enforcement Board Pension Board of Trustees Cultural Arts and Recreation Advisory Committee DATE: \\-@ -\ Q APPLICANT'S NAME: ADDRESS: \)X) 60.\:)0 ~d. DAYTIME PHONE: ()D:)-::J\'l] ~ Community Development Board Board Member Review Committee EVENING PHONE: Q4d -l\ I\() Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. T ldOS 9(e.JH\\V.S\\t o. mem'bec C\nO ~~~~.e. cko.'~c .\Dr -\ne \\~. \(ee, 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 fonn 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 ATLANTrC BE AC H A GENnA ITEM #SA I MAUCH 23,20 15 BOARD I COMMITTE E MEMBER APPLIC ATION F~I VGD Pl ease ci.M:ck (~)b esid e each Bon rd or Co mmitt ee th at yo u arc app lyin g to serve o n: (A summary o f each board /committee is ava ilab le on page 2 of thi s form.) NOV 1 2 2007 OI·FICh 01· I 1\1 CITY CLF.RX 0 0 0 Co de Enfo rcement Board Pe nsion Board ofTmstees Cullurul Art s and Recreat ion Advi sory Comm ittee ~ 0 0 Co mmunity Development Bo urd Tree Co nse rvat io n Boa rd Board Member Re vie w Co mm iltcc APPLJ CANT 'S NAME : 8 fl.12. ~ON G' QI2WS \ ADDREss: I CO~ ~ ~u '~"--'~ M t1 c::;> DAYTIM E PHONE: '?\(o'Z ·&~(o<b EVE NIN G PHON E: ~'1\J\~ E-MAfL ADDR ESS : t\£'6,<2..~(5 CUUG-~ f~::.....:.. _ __.;_;:;;_ _____ _ Pleas ~; explain any employment experience, board /conunillcc cxpcticn cc, and/or commun ity vo lunteer ex peri en ce.: relative to the board/comm itte e app lying for. & \ , r2...C-~'T Plcu sc provid e a brief explanation of your interest or any specia l qua li fication c you h.:t·;c in thi s field and yo ur renso ns for wi s hing to be appointed to thi s board/committee. ~::s Q~ ~Qc.t;:1:-r1:c<:tA ~ co~CA5¥2-~~ w \--cR ~ ~-BM.65IS o'E-tf\\.-~~3\ G tt<tJG\-\ 6\No :t~ ~ D j=a ~.ow1ze & P'<2-oilin4 Ch~~Et<ks ~trr-:-=2 ~K?,' t wiTt\. u:y \ :z.,6Ng c J.\ t-.~ c .k"))L,§'VS . Pl ease ret urn compl eted fo rm to Donna L. Bussey , City Clerk, 800 Sem inol e Road , Atl a nti c Beac h, FL 32233 AGENDA ITEM# SA CITY OF ATLANTIC BEACH H~~~K,~a3 • 2015 BOARD/COMMITTEE MEMBER APPLICATION FORM NOV 2 9 2012 Pl eas\! ch ccl{ (V) th e box besi de eac h l3 oard o r 'ommillec that you arc applyi n g to serve on. I f you check more than one, please nmk yo ur intere st in eac h board I commiucc by order or priori ty. (A sum mary or eac h board/co mmittee i s avai l ablc on pa ge 2 of th i s l'orm.) Office or City Clerk C'ode l ~nl'orecmt.:nt Board / 'ommunity D cvc l opmt.:nt Board Pensio n Board of Trustees Board Member Review Committee Cultura l A rt s and Rec rea ti o n Advi sory Commillec DA'I'I:: // ~ 1..1-t} A PPLI CANT'S NAM I ~: A DDR I ~SS: -J II --g€.6 c" A-v~ DA Y'II M I ~ Pil ON I ·:: ;)L-J I 11'7 ".) __ EVI ~N I NG PIIO N I ~: ------- ~ C t.MP-d · C Oc#'-. E-MA IL ADD RESS: 4 !vt c;__ ~e~y~_r~f\E?..II'\:_-, " F/\X: -~---------- Plea se exp l ain any emp l oymen t ex perience , hoard /committee experience, a nd /or commu nity vo l unt eer experie nce rclnti ve to th e hoa rd /co mmittee app l y in g lor. re-hred<. fS --(Ch.o {od~ 9-fC:r~ -lfi'--\ f-_________ _ -+c\fY\.er A-B c:,, ~t S£'1(57'\e.r ____________ _ -.S_+olh\. (r.f~~ C:-OYY\~'h.tfi-e - A1'\l~~m\ 5fw.L~f)\ ~-: C (\a_ r ______ c_~_-_ Plea se provi de n bri ef' exp l anati on of' your interest or any spec i al qual i ficat i ons yo u have i n thi s lield and y our n.!aso ns f'or \\ishi ng to be appoi nt ed l o th i s board/comm ittee . Pl ease return co mpleted l'orm lo D onn a 1.. Bartle, Ci ty C l erk , ROO Sem inole Road . At l antic Beac h, Fl. 32213 J>l.l ~i\Sl ·. N()l'l ·:: M em be r s ol'the 'od e En l (m;em enl Hoa rd , Co 111mun ity Development B oard and Pe nsionl3oard or l ru stecs arc requi red to lite Statem en t or Financ i al I ntere st Fo rms. A l so, inl(mnu ti o n rega rd ing "Conflict or Interest'' i s provid ed o n page two o f' thi s applica tion . This app lica ti o n w ill expi re t wo (2) yea rs a11e r date of's ubmillal. AGENDA ITEM# SA MARCH 23, 2015 CITY OF ATLANTIC BEACH Received BOARD/COMMITTEE MEMBER APPLICATION FORM OEC 2 2 2014 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.) Office of City Clerk Code Enforcement Board Pension Board of Trustees Cultural Arts and Recreation Advisory Committee DATE: I 't t>£C I I tf APPLICANT'S NAME: ADDRESS: DAYTIME PHONE: (CJoy) ~5"'3-L, 777 I I s Community Development Board Board Member Review Committee EVENING PHONE: __ ____,.,S'-."Wii!___,C __ _ E-MAIL ADDRESS: Jh w o~kiA'tC#\@) y~/too • FAX:----------- ....) -t c~ 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. ·r cks-/rt-e -fo b< tvtcuiJ~ ~~ rui /o<'c.l 0rsMJt1.Vyl_i·+1 , 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. CITY OF ATLANTIC BEACH AGENDA ITEM# SA MARCH 23, 2015 Received BOARD I COMMITTEE MEMBER APPLICATION FORM APR -'1 2014 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.) Office of City Cieri< Code Enforcement Board Pension Board of Trustees J Community Development Board Board Member Review Committee Cultural Arts and Recreation Advisory Committee DATE: 3-I{ ·dO Jtf 5'5"2 ))u-r-r!() fA) ·~/4 'tJJ) APPLICANT'S NAME: ADDRESS: DAYTIME PHONE: qoy -fa/0--fl{'£t:. EVENING PHONE: _____ _ E·MAIL ADDREss: Ka. f la.a& tP)Ubrske..er:coftlx: tlo~ -l!/'1-2b71 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. () tvvY'VtttJ tJ ;/-v ~~ c(_, 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 ofinterest" is provided on page two of this application. This application will expire two (2) years after date of submittal. CITY OF ATLANTIC BEACH BOARD/COMMITTEE MEMBER APPLICATION FORM AGENDA ITEM# SA MARCH 23, 2015 Please check (V) 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 ofTrustees Cultural Arts and Recreation Advisory Committee DATE:4"""' '5'""1 2..o1S" APPLICANT'S NAME: ADDRESS: DAYTIME PHONE: ~0'/,. -5~7/-y'o9L E-MAIL ADDRESS: 0 ,,L~·,&IJt_,...e6r.~Jerl>l..., _L Community Development Board Board Member Review Committee EVENING PHONE: c;oy-2..'(?.. -6s<~J FAX: e;o'/ ·-2.-'1 z.. .... oro I . Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. R.ect ..,+17 o.±iceJ -M'1 no:>-t-r<:.c..,....,.+ cel~v~.~± """"PJ"'fne.~ e."i'pe.,;•Lv--c..-c. ..,..,s C\.S G,, ... jyt, Ue,..... "f R..sy~ !'.I 'e.r·, k""-i ~ f2e., l esJ=~.j..._ D i,:i ~ l .... _ {y-o • ..,_ "Z.oe>(, •• 'LC i ', ...., L.-tn:. -:I; ,'line cL v,.h"'"l..-!1!. ~aovlf.,.J,~ o/; fk {!)-cl c!.e.!lc,l.:p,....~.f tlerJ.-'d.-lene-4-'pcou~u, "'Ju&,~"j .feJ.u=J 1 s h.\c...:l <~-J }oc.._J r«'n~d+i~'j (,"c.. I. ce J .COL,;~>))c:,.,...l R ec:.o'""~"'ic.. i c..f de.tlt.l12(lr'e"'--l-ro.J', .... -h' -;e,.. 111.'1 •c..t 'fC<>Cl '1"> ~ Ct!$~ J-e "'+ o..f dB I r 'V\lC"e.. 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. CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM AGENDA ITEM #SA MARCH 23, 2015 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 Trustee(]> ~ Cultural Arts and Recreation Advisory Committee 0 / Community Development Board (3-....._ 1/ Board Member Review Committe~ DATE: 9/5)'1{ APPLICANT'S NAME: "J"CJ...1 ~J, \so VI ADDRESS: ___,__,( 8--~-~--'--'-\-\-.:....:;; '~\.{.::....:.oJf-+-----'k""-V')__,_.,'-'-· -C....LM...:..:....tV\"'-'--\-U-". <.~\S'--""'ep.y=· '-----'~~1 _,_(-_{.,_] __ ~_,_l--""---]_J ___ _ DAYTIME PHONE: ____,9;~0'{--'-----"'. ~~\_. =~ ~)-"-').._\ __ EVENING PHONE: _______ _ Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. < oo"'v w, Q.J\lt. 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 oflv?-.. ~c.>t.. ~ ~~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 Craniomaxillofacial, Jacksonville, FL, 2012-2014 Sales Representative AGENDA ITEM# SA MARCH 23, 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 specialists. • 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 Karrass Negotiation Course to secure sole source agreements which helped achieve 30% growth in 2013 Stryker Craniomaxillofacial, 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 23, 2015 THE THONBURI HOSPfT AL PUBLIC CO. .LTD www.thonburihospitol.com :14· ~ ls~;ilml~up Road S:~ ·14. [b),j<,t'A<.!1f~. Barwlk !Ui'C'J·; Tel. 02·866·1333. 02-412·0020 Fox. 02 412·7343 To whom it may Concern, My name is James Nanakornpanom 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 docs: The ability to conn~t and impire people on a different/eve/, this includes but not limited to: great charisma. great communication. making people laugh. and being sincere. These qualities are 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. It was a special thing watch Jay talk to customers and motivate us every morning to do a job, door to door sales, in which 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 detennined which are great traits but there are two roads to choose from: 1. A Selfish way and just work for yourself and making money off of people and 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 from 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 International Business Development D" 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# 5A MARCH 23, 2015 Wealth Management One Blue Hill Plaza Suite: 100 Pearl River, NY 10965 tel 845 731 2500 fax 845 731 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 professioi].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 of his personal matters are in order, he attac?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 beyond and never s~ttle for tile b~e-minimum-. His work would almost leave a signature. The next thing that remarkable was his teamwork. Jay's humble 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 he never seemed to ever take a step back in his own pel'Sonal 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 able to watch Jay cultivate 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 instrumental for my development. Few people I have worked with have left as much of~ impact. I str~mgly recommend Jay for any position, opportunity or endeavor that he pursues. He will be valuable to any organization. Sincerely, ~hd~- Joseph Brunelli Financial Advisor Morgan Stanley 914 589 9960 M<>rgan. Stanley Smith Barney LLC. Member S1PC. MICROFIXATION To Whom It May Concern: AGENDA ITEM# SA MARCH 23, 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 all challenges and encourages collaboration. The phrase "team 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 Gt9·. 8(pt'{. 5 314 1520 Tradepon Dri\18 Jad<sonvllle. FL 32218-2480 omce: 904741.4400 Fax: 904.741.4500 WYNI.blomatmictolixaliln.com LORENZ PLATING SYSTEMS I LACTOSORB I STERNALOCK I PECTUS BAR I MIMIX I TMJ I DISTRACTION I HTR I LORENZ SURGICAL INSTRUMENTS I<C+I KINGSTON GENERAL HOSPITAL To Whom It May Concern: AGENDA ITEM# SA MARCH 23, 2015 l!1 S11Jf,l<1 S:t<f:ET K:NGSTON ONTArl!<.~· K IL 2:'/7 rr~ oi3·'i4!:l<ln7 Please accept this letter as my personal letter of recommendation tbr James Wilson. I have known Jay tor over lO years and he has played an integral part in my personal life and 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, I have no doubts that he will be an asset to your organization. Jay is an accomplished and self motivated individual who never seems to be content ,.,.-ith 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 to succeed. His hard 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. I've known him to go above and beyond. and have ah:\·ays 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 I am certain he \Viii make an extremely valuable asset to your organization. If you have any questions. please do not hesitate to contact me. /. .. . .../<~~4---: . .?· / Si~-· /', _,,;-~~~~·~---- Felipe Pereira B.Sc., M.D. F.R.C.S.C. Candidate Orthopaedic Surgery Resident Queen's University 938 Swanfield Street Kingston. ON. K7M OA5. Email: felipe.pereira@queensu.ca TeJ: 613.449.4433 Fax: 613.544.917 An Accrecilte(J feac.t"•ing Hc:;piiol ·;ffi!iutt~d w>lh Quec,r, s :.:roiversity S81'/irl(J Southeostern <)ntorio for more thon 1.')0 yeru:; CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM AGENDA ITEM# SA MARCH 23, 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.) B Code Enforcement Board Pension Board of Trustees Cultural Arts and Recreation Advisory Committee DATE: ____ _ APPLICANT'S NAME: ADDRESS: 1024 Ocean Blvd DAYTIME PHONE: 904-595-5425 (cell-301-787-8102) E-MAIL ADDRESS: carr.susanjo@gmail.com ~ Community Development Board t:j Board Member Review Committee Susan Carr EVENING PHONE: 904-595-5425 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. 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. Susan Carr Application for Community Development Board 11/23/2014 #1 AGENDA ITEM# SA MARCH 23, 2015 I retired from the Dept of the Navy in 2011. I started as a secretary in 1973 and worked my way up the career ladder as a business financial manager in various capacities to the Chief Financial Officer for the Program Executive Office for Ships. I have extensive financial, budgeting, and contracting experience. 1 have a BS degree and a Masters in Public Administration. I served on my neighborhood Homeowners Association for several years as both a member and as the Treasurer in the 1990's. I designed both my home in Rockville, MD and our home here at 1024 Ocean Blvd and worked closely with the Architect, the Contractor, the Engineer, the tradespeople and the COAB permit/approval people. #2 My husband and I moved to Atlantic Beach in September 2013. We heard about the area from a friend and were in love with the neighborhood as soon as we saw it-mainly because of the trees and the mix of home styles and family atmosphere. We purchased our home and had it renovated and added to prior to moving in. We kept the older portion of the home, removed a garage space that had been enclosed, and added space well within the boundaries of our lot size. I am concerned with the extensive destruction of the older homes being razed and replaced with huge homes which is, in my and many of my neighbors' opinions going to ruin the small town feel that drew us to Atlantic Beach. While the new homeowners are well within their rights to build within current codes/zoning regulations, it seems that much of the increased development is being driven business-people versus homeowners. As part of this community, I would like to be on this committee to be involved in the current and future changes to Atlantic Beach. ACENDA ITEM# SA c.m· oF ATLAl."'TTC BEACH MARcu 23,2o r s BOARD I CO~ll\fiTITE 1\H:l\ffi£.R APPLICATIO~ FORl\1 Please chtc k ( ') the box besade each Board or Committee that you are applying to senre on. If )''OU check more th..m one , please 1omk your interest in each board I committee by order ofprionty. (A summary of each boardfcoiilllllttee as avadabl.e on page 2 of this folDl.) § Code Enforcement Board Pension Board ofT rustees Cultural Arts arad Recreation AdviSOI)' Committee DATE : 01fl0115 APPUCAi'IT 'S NA.\ffi: ~ Conummity Development Boord t:j Board Member Review CoOlDllttee DaVId Vanoenl ADDRESS : 1130 Seminole Rood; Allantic Beactl. Fl32233 DA YI1ME PHONE: 904-422-3423 -------------------EVENING PHO~: _sam_e _____ _ E-:MAIL ADDRESS : dVln711 ®yahoo .oom F~X :_N_~-------------- Please explain any employment experience. boardlconmuttee e.~ence. and/or coDlDllUUt}' voltmteer experience relatl\'e to the board/connnittee applying for 1 flill/9 h&d lhe nonor or i41rvtng on the Chilft8r Rewtaw Commlnee ror me tasa nine months. lllt& exp&:rtence n.u ta&q\1 me ll grNI delll ilbOUt o ur City and the Committee Process in generaf. AdditionaDy, after 11 years at Merrill Lynch , I nave been involved tn reviewing complex prooesses and documents (both as a team member and as a leader). Other re1evnnt expenence mdooes a brief period pracnang as a real estate agent, during whX:h tme, 1 gained expenet'lCe with re411 estate contracts and transactions. I am also on the boa.ld for the Beaches Loall Food Network (BLFN), whictl operates the Green Market in Neptune Beach and is not affiliated wilh D IG local, the opetator of the mid-week market in Bull Park. Pi ease provide a brief explanation of your interest or any specml qualifications you have m dus field and your reasons for wishing to be appointed to this board'commJttee. I grew up in Atlantic Beach and have recent ly returned (Jan 2014) after attending UCF in Orlando and stariWlg a family in Jacksonville Beach. I have been fonunate enough 10 have the opponunity to lake over my childhood home on Seminole Road . Now thai I am raising my family here. ll would be an honor 10 be a part of safeguarding the quality of life in our City in th.e coming yea rs by being a member of the Comm~ity Development Board. Please return completed form to Donna L. Bartle. Caty Clerl.:, 800 Seminole Rood, Atlantic Beach. Fl.. 32133 PLEASE NOTE: Member.; of the Code Enforcement Board, Comnnnuty Development Board and Peus1on Board of Tmstees are required to file Statement of financial Interest Forms. Also. information regardmg ''Conflict oflnteresf' J.S provided o:n page two of this appltcatlon . Tins application wil l expire two (2} }rears after date of submittal 1 DAVID VINCENT AGENDA ITEM II SA MARC H 23,2015 1130 Semino le Road 0 Atl antic Beach, FL 32233 0 (904) 422-3423 0 dvin711@yahoo.com AREAS OF EXPE RTISE • Regula tory Complia n ce • Bu s iness Development • Operationa l Risk Mi ti ga ti o n • Proj ec t Management • Anti-Money Launde rin g Practices • Re la tions hip Ma na geme nt • FinCen SAR Require me nts • Financia l In vestigatio ns • Six Sigma Methodology EDUCATION 8AC H 13LO R OF BUS INESS ADMlNJSTJ'tATI ON-FINANC E Univer s i ty of Central Flo rida -O rlando, FL AFFILIATI ONS • City of Atlantic Beach, FL Charter Review Co mmittee Member (04/2014-02 /201 5) • Beach es Lo cal Food Ne two r k-Board Member • Me n's Garden Club of Jacksonville • FINRA -Series 7 & 66 (01 /2004-04 /2014) • Boy Sco uts of America -Pa ck 37 PRO FESSION AL EX PERIEN CE CIT G ROUP, INC.-J ACI<SONVILLE, FLORIDA G tODAL COMPLI ANC E ANALYST-FINANCIAL INTELLIGEN CE UNIT (APRIL 2014-PRESENT) 2014-Present Assist w ith imple m e n ting and improving an effec tive Anti-Money La undering p rogr a m ultimately e nablin g Cl'T to become a Systemically Important f ina ncial Ins titution as d efin e d by the Federa l Government. Develop a n d imple m e nt processes a nd policies which adhe re to the require me n ts o f the USA PATRIOT Act a nd the Bank Secrecy Act with the goal o f maintaini n g satisfacto•y regulatory revie ws a nd a Uowing the Firm to con ti nue it's significa nt pace of g ro wth e nte rprise wide. BANK OF AMERICA M ERRILL LYN CH -JACKSONVILL E, FLORIDA 2003 -2014 G LOBAL W EALTH AND I NVESTMENT M ANAGEMENT FINANCIAL ADVISOR-PRACTICE MANAGEMENT DEVELOPM ENT PROG RAM (FEBRUARY 2013-APRJL 2014) Worke d w ith m e nto rs a nd m anagers to d eve lop a pipe line of affluent cl ients, id e ntify client needs, d evelo p re latio ns hips with exis ting a nd prosp ec tive clie nts, re vi e w investment goals, p re p a re investme nt recomme ndations tha t a Ug n w ith clie n t goa ls, a nd d e ve lop the busi ness managemen t skills need e d to operate an o ptima l prac tice m o d el. I NVESTMENT SOLUTI ONS-CLIENT O N OOARDI NC SERVICES OPERATIONS TEAM MANAGER-MONEY MANAGER SERVI CES 0 ANUARY 2012-FEBRUARY 2013) Resp o ns ible fo r e ns uring the Service a nd Opera tio ns team s cons is te ntly provide w o rld-class service to 200 ins titutio na l m o n ey manager clien ts with m o re than $18 Billio n in assets unde r m ru1age m e nt resu lting in over $25 mil li o n in a nnu a l revenue to the Firm. S uccessfully migrate d the e ntire bus in ess to j acksonville including fa cili ta ting the rec ruiting a nd tra ining of e leven service and fo ur o pe rations representatives. Led a Six S igma project team to red uce the numbe r of manu a l b·ades processed by the Mutua l Fw1d T rading Desk at Me rrill Ly nc h . FINANCIAL DATA S EIW I CES, I NC SENIOR OPERATIONS ANALYST-UK TRANSFER AGENCY D EALING TEAM (SEPTEMB ER 2009-JANUARY 2012) Respons ibl e for the UK equity b·a d ing d esk Create d a nd e nforced inte rnal co nb·o ls w ltile main taini ng trading a nd c u s tod ia l re lationships with offshore prutners representing more than CO Billio n in assets under ma nagem ent. SPECIALIST -MON EY MARKET TRADING D ES K 0UN G 2008-SEPTE MBER 2009) Managed the daily func ti o n s of the Mo ney Market Services team . Designe d , impleme nte d a n d ma n aged a m a n ual process to s uppo rt the ro ll out of a ne w fea ture of the Me rr ill Lynch Bank Deposit Program® a ll owing the tea m to enroll over $25 Billion in the p rogram within the firs t six m o nths. ANALYST-MUTUAL FUND TRADING DESK (OCroBER 2005-JUNE 2008) Res po ns ible for e ns uring accurate a nd time ly execution o f more than 240 millio n automated mu tual fund b ·ades a nd correc ti o ns p e r year . MlHtiii LL LY NC H I NSURANCE GROUI' SERVICES AGENDA I TEM# SA MA RCH 23,2015 ANALYST-ANNUITY CLAIMS AND FINANCIAL PROCESSI NG TEAM {MARCH 2003-0crOBE R 2005) Verified and paid beneficiar y claims associated with the Firm's proprietary a nnuities. Obtain e d Series 7 and Se ries 66licenscs. Completed the Merrill Lynch Six S igm a Apprentice Program. AGENDA ITEM# SA MARCH 23, 2015 CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM 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 Pension Board of Trustees Cultural Arts and Recreation Advisory Committee DATE: ~ ' LS -=__.._.._____ ADDRESS: 381 DAYTIME PHONE: 9 0 t.-( ;)_ £.../ I -1' :> '-f E-MAIL ADDRESS: \L L,IJ e@Aot-· Cd'M rgj Community Development Board [j Board Member Review Committee EVENING PHONE: qoL( J_ <--t f r b]i FAX: ____._q_o ~--~___,_7---=-)__CXJ __ b_7_ 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 ofinterest" 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 AGENDA ITEM# SA MARCH 23, 2015 NOV -5 2014 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.) Office of City Clerk Code Enforcement Board Pension Board of Trustees Cultural Arts and Recreation Advisory Committee Community Development Board Board Member Review Committee DATE: tr}; j;'l APPLICANT'S NAME: (Eebe)/{&ih&y.J f/a1-yiU!Lt=S ADDRESS: 1_1'7 ;s--/h S:-1. lf-6 Ce1U DAYTIME PHONE: J/1-& 0 ~ q d-_ EVENING PHONE: 7 0<? ~Lf 2( ~ ~ E-MAIL ADDRESS: bAvrnphe.,,e>ci) fe2Jtdc. FAX:_~1J=---------- 6f$T. eT 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. J:~ 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 AGENDA ITEM #SA CITY OF ATLANTIC BEACH MARCH23,20ts BOARD I COMMITTEE MEMBER APPLICATION FORM Please check (.Y) 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.) B Code Enforcement Board Pension Board of Trustees Cultural Arts and Recreation Advismy Committee DATE: 2/5/2015 APPLICANT'S NAME: ADDRESS: 906 Stocks St Atlantic Beach Florida 32233 DAYTIME PHONE: 301 602 7215 ----------------------- E-MAIL ADDRESS: steve.mandelbaum@gmail.com rzl Community Development Board u Board Member Review Committee Steven Mandelbaum EVENING PHONE: _______ _ FAX: __________________________ _ Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. While living in Maryland, I worked with the home owners association to establish community by-laws that protected and enhanced and protected neighborhood and did not violate any existing city code. This expericne has given me greater insight into working on a committee for the greater good of the neighborhood. 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. I am currently a home owner in Atlantic Beach. I am interested in perserving the character and beauty of the city. This board is an intergal part of acheiving that goal. Additionally, I am interested in serving the greater good of the city. 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