Amended Agenda Item 10A-Charter Review CommAGENDA ITEM:
SUBMITTED BY:
DATE:
BACKGROUND:
CITY OF ATLANTIC BEACH
CITY COMMISSION MEETING
Charter Review Committee
Carolyn Woods, Mayor
April 7, 2014
AMENDED AGENDA ITEM # 10A
APRIL 14, 2014
The City's Charter serves as the City's fundamental governing document
and outlines certain authority and restrictions the City has over municipal
affairs. A review of the State laws, regulations and considerations for City
Charter reviews has been prepared by our City Attorney and is included
as reference.
Our City Charter was last reviewed and updated by vote, as required, in
August 1993. There have been a few changes to certain sections over
the years, of note to our voting districts and timing of the election cycle.
However, there have been many societal, economic and technological
changes in the past two decades that warrant new consideration of how
we govern and are governed.
This concern has been echoed during the past few years in Town Hall
meetings, Commission meetings and during the election cycles. A variety
of citizens have expressed an interest in having a review preformed with
specific items of concern mentioned including, but not limited to, the
need for a City Mission Statement, incorporation of more open
government policies, and protections of our neighborhood parks.
Please note that no changes can be made to the City's Charter
without the vote of the people. To this end is a proposal for the
formation of a Citizen Charter Review Committee.
Charge:
The Committee is tasked with conducting a comprehensive review of the City's
Charter. The purpose of the Committee is to evaluate the Charter and make
recommendations to the Commission. The Committee is authorized and empowered
to conduct a comprehensive study of any or all phases of the City government. The
Committee will be as self-sufficient as possible, performing their own research, taking
their own minutes and dictating their own schedule, with aid and guidance provided by
the City Attorney and insight from all Department Heads. Each member shall first
review completely the current Charter before the first Committee Meeting.
Membership:
Size —7 members
• Appointments The following citizens are known to be very thoughtful, studied
and of serious intent for the task at hand and may be considered for
appointment to the Committee.
Dr. Joan Carver
Mr. David Vincent
Mr. Donald Wolfson
Mr. Tom Goodrich
Dr. Mark Tomaski
Ms. Judith Leroux
Ms. Kathy Carithers
Ms. Sally Clemens
Mr. Mike Borno
The Mayor shall appoint two members, each Commissioner shall appoint one
member, and the Commission as a group shall appoint the final member for a
total of seven (7) members.
All members shall be chosen from applications received by the City Clerk as of
April 4, 2014.
• Committee Structure — The members shall elect among themselves a
Chairperson, a Vice Chairperson, and a Secretary to take the minutes of each
meeting. All members must be Atlantic Beach residents. The Committee shall
determine its own schedule.
Referendum:
By ordinance, the recommendations adopted by the City Commission, in accordance
with Florida Statute, will be placed on an upcoming ballot for voter approval. Based
upon this ballot requirement, the City Commission may decide to propose one
amended Charter, or propose individual amendments, which ask the citizens of the
City of Atlantic Beach to approve or reject each amendment. Either method of
amending the Charter requires ballot language to be submitted to the Duval County
Supervisor of Elections, in accordance with the following deadlines for the 2015
elections: a.) May 18, 2015 for the August 25th Primary Election; or b.) August 28,
2015 for the November 3rd General Election.
Committee Meetings:
Charter Review Committee meetings are required to allow for public comment and
input from the community at each publicly noticed meeting. Considerations should be
viewed in the context of protecting and promoting the general health, safety and well-
being of the citizens of Atlantic Beach. Meetings should follow Robert's Rules of Order.
The Charter Review Committee shall ask for input from each of the City's Department
Heads, including the Chief of Police. Time should be allowed for the Department
Heads to do their own research and present to the Committee separately.
Timetable and Sunset Provision:
• Meetings — The dates and times of the meetings are to be determined by the
committee with the first meeting to take place within 2 (two) weeks of the Committee
approval.
• Sunset Date — This Committee shall make a written report to the Commission six (6)
months after its first meeting. Committee duration may be extended up to two (2)
months, as needed. Sunset will be automatic with the Committee's Final Report to the
Commission.
BUDGET: Any anticipated costs are comprised of staff time.
RECOMMENDATION: Appoint the Charter Review Committee as charged.
ATTACHMENTS: 1. Charter Review Memorandum by Richard Komando March 11, 2014
2. Board / Committee Member Applications
AN,11 NoL:1) A, ,Hs0A. 11 rm
Apith 14.,a.,01,4
M li:MORANDIJli
To: Ci ty of At hunk' Beach. 'Commissioners,
From: Richard Komondo
Date: April 8,2014
Re: Charter Review
Issue:
What procodurals steps should be l'ollowed for the City olAtlantic 1 each to r..vie‘v any
potential Charter revisituis?
Background Information, Apirlicable 'tinder Provkions and Florida Statutes:
Section 1 a the City of Atlantic [teach, (..)rdinance Nunther 28-93-3 was atlopted on
August 2r, 003, and a new Charter Was LIdOplCd which amended repealed all 1.(inner
Charter provisions. he current (.,laarter was approved at, an election held on (..)etober 5, 1993.,
The former' Charter derived from Chapter 57-1126 or the 1957 Laws of Florida.
,Seetion 166.031, Florida Statuk.'s titled. -Charter arnenclitients,-rcuds is lidlo‘vs:
(it The governing body or a municipality may, by ordinance, iir the elector,s til' t
municipality may, by petition signed by. 1.0 percent, ol the registered electors as or die last
preceding municipal general election, submit to the electors said municipality a
proposed amendment. to its charter, which amendment limy be to any part or to all ol said
charter (,.xecp1 that pail describing the boundaries or such municipality. 'lite governing
body °fate municipality shall place the proposed amendment contained in die ordinance
or petition to a vote or the electors al the next general election held within the
municipality or al a special election called for such purpose,
(2) 1.„ipon .1(„Ioption ol an 1,inen1inent. to the charter of a munieinalny by a majority of
eleetors voting in a referendum upon mica amendmvnt, the governing hod or said,
municipality shall have the amendment incorporated into the charter and shall lila the
'revised charter with Ihe Department or Slate. All such :,41101(1111el)tS Z.1 re dICCti Ve On the,
date specitied therein or ;.ls otherwise provided in the charter.
(3) A municipality may amend its charter pursuant to this section notwithstanding any
charter provisions to the contrary. This section shall he supplemental to the provisions
other laws relating to the innendi11en1 Id numicipal charters is twit intemied 10
diminish any substanth'e or procedural power vested in any municipality( by present Iaw,
/1 numicipality may, by ordinance and williont leleuencitan, rcdciine its tintindarics Lo
Pave 1
AraM)1$ At irNivk 1 NI Ho
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include only thr)se lands previously Liiinexed and shall tile said redefinition kvith the
flepartinent rif S4tto pursuant to the provisions of subsection (2).
(41) There shall be, no resitit:no s by the municipality on any employee's or employee
group's 1)01ilical \vhik: nett workiit.q, iii any rclervndtiln changing emPloYee
rights.
(5) A municipalny may, by unanimous vote of the governing body, municipal
departments provided for in the municipal charter and amend provisions or language out
()I' the charter which has been...judicially construed, either by judgment or by binding legal
c'dtifroirl ukkeiSlOrt Or a court of last resort, to be contrary to either the State
(Onstitution or Federal Constitution,
(() Fad) municipality shall, by ordinance or chiter provision, provide procedures lin.
Idling a vacancy in oftice caused by death. resignation, (fl removal 111.1111 Office, nh
ordinance or charter provision shall also prirvide procedLll'eS (61 tiHilig k,'acancy in
candidacy caused death, withduiwal. or removal from the ballot 01 i qualified
candidate following the end of the qualifying period which leaves lover ffizm two
condiciates for an office,
Practical Considerations:
Since the last Cliarter rovisions in 1993, the, population of the (...ity of Atlantic .lierich has
grown ..11)1)rk.:),Xl111,llte,1),' 6.7%.1 Over die past twenty-one years, we have realited changes in the
.0i 10i1 increased use of technology and an improved awareness of our environment and its
protection. ^nese Cl111iC lfld numerous others rimy from time to time require zt revic,W OI hoky
(11C City's government 'functionst hider llome 1...trle authority, a Charter is similar in concept to
local constitution which provides broad guidance and :.,tuthorily lo an leaders eiti/ens.
Proposed Process:
1, "11,tc City (..',onimission may first wish to decide if the current time iippipt'late for
(.',Iiarter Review.
2. Irate City Commission answersIIie Iii( question 010 i 110 01111 \ L a designated number
01 proposed Charter Ri...wiew C'ammillee members shoukl he decided, understanding that
the corninitment ma)! take ;..1 number of meetings, usually twice 0 111011111.
3. The ( ity should accept applications consistent with the City'S CSidbliShed t'orninittee
member appointment process„ See, 2-1 9 Ride N. The mayor-ecanmissioner may app()int,
from time to time, such special or select committees as in his discretion he deerns
desirable, or ,,ts may be desired by the city commission, to expedite the 'handling or the
business and affairs of the city.
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4, The (1'ity 'ominission may wish to dulit a brief charge for the proposed Charter Review,
Committee. Generally, the direction requires that each ('.onimittee member first review
cunipletely the cnrrent (1:harter before attending the lirst seheduli:d meeting, The purpose
of the Charter Review il'on-uniusee will he to present recommended iallendinentSLo 11
C01111111Stii011, understanding that there IS a possibility after discussion and review
that no recommended amendments ;:tre necessary.
Charter Reviery C utituittee meetingslre fe(111.111ed t() allow for ptiblie comment and input
from the cortlimmity at each pulflically noticed meeting. Considerations should t10 he
vievvecl iu he context of protecting and prouhning the general health. safety and well-.
being of the citizens of Atlantic Ileac:11, Meetings should also follow Robert's Rules of
6, The Charter Review Committee would likely want to ask for input from each of the
(ity's 1 )epartinent 1 leads., ineludint.! the C'hiel of Police.
7, 11 he r'harler Review Conunince may. wish to establish a regular schedule tin- future
Charter review.
8, Upon the conclusion of the (....'harter Review Committee's \;vork., i report shall he
presented to the City tfommission with the (..‘onnitlee's Findings,.
9. hy ordinance, the recommcmlations adopted by the City Commission in accordanec with
Florikla Statute will be placed 11) im upcoming I I
oaot :or voter approval. Rased upon this
ballot requiretnent, the City (..1'ommission int ) decide to propose one amended (fharter, or
propose individual amendments Nvhich .itsk the cirvens o1 the (.11ty of Atlantic Beach to
approve in reject each amokhheut f':ither method t1 iinending the Charter requires ballot
langttage to be submitted to the 1.)uval County Supervisor of 1 ',tedious in iiceordancc unit
the following dvadlines for the 20 1 5 elections: it.) Nlay 18111, 201 4 hn the August 26°1'
Primary FieLtion. or b.) August 111.l,7111 for the No%enihel 4ili Cieueral 'Hection.
Page 3
AMENDED AGENDA ITEM # 10A
APRIL 14, 2014
CITY OF ATLANTIC BEACH
BOARD / 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 / 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: .3 111- l 1 "+ APPLICANT'S NAME:
ADDRESS:
1 t
o•
_ Community Development Board
Board Member Review Committee
Chet -1- e r Ke .'W
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DAYTIME PHONE: `1 y - z � '-1 s' -z EVENING PHONE: 9 O 4- - 2'4 1 '-f y
E-MAIL ADDRESS: J G r J `+ 1 p [CAD m «1 ' FAX:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
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for wishing to be appointed to this board/committee.
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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.
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Dr. ,Joui Carver is Dean of the College of Arts and Sciences alfid
Professor of Political Science at, Jacksonville University. Prior to
becoming dean in 1983 Dr. Carver %%MS fult-time member of the
teaching faculty. Dr. Carver holds a B.A. (magna coin horde) from
lk) k1
Willard College, an M.A. from the tlniversity of North Carolina
(Chapel Hill), and a PILE). from the University of Florida. Her irtajor
for all three degrees was political science.
D. Carver has been involved with as IfitilibCf Or 'professional and
community activities, She served from 1990 through 1993 as a
member of the Defense Advisory Committee on Women in the
Services, at. coltunitict: advisory to the, Secretary of Defense, Mid SIMS
chair of the Career Opportunities Subcommittee and a inember of the
Executive Committee. She is a (Kist member of the Board of
Directors of the Florida Humanities Council and chairman of the
Board of Advisors of the World ,Affairs past. president of the
Women's CIWCUS fear Political Science: South; of the 1;lorida Poli tical
Science Association; of the NI .1, Florida Chapter of the American
Society for Public Administration; and of the Jacksonville Wornen's
Network. Dr, Carver is a past member of the Mayor's Commission
on the Status of Women, of t he lloard of the Jacksonville YWCA,
member and President of the Board of St, johns Country Day
School„ and a past Board iember and Secretary of the Jacksonville
Community Council Inc. She is currently on the boards of Meninak
and the jacksonvillei.eague of women voters. 1)r. Carver has served
as Chair of the .1.0. ['acuity and kit' a number of university
committees.
Dr. Carver's research interests are in urban government and politics,
Florida paitics, and women in polities. Among the journals in which,
her articles, have appeared are (he Journal of Politics, Urban Affairs
Quarterly, .American Polities Quarterly, iind The Florida
Quarterly.
1:lonors and awards received include being selected as jacksonville
(iniversity Professor of the Year in 1971 and as an EVE award
recipient in education in 1982. She i a Wernher of Phi Beta Kappa
and Phi kappa Phi.
AMENDED AGENDA ITEM # 10A
APRIL 14, 2014
CITY OF ATLANTIC BEACH
BOARD / 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 / committee by order of priority.
(A summary of each board/committee is available on page 2 of this form.)
Code Enforcement Board Community Development Board
Pension Board of Trustees Board Member Review Committee
Cultural Arts and Recreation Advisory Committee C j'y-r 'Q i 11,) c.na CO AAM i e -
DATE: 3 " 1 l - I tA_ APPLICANT'S NAME: —T-V‘a Mois !/O .. Cr0 o c(r� i c l
ADDRESS: Ptc-1 Cc ekk. rc t L. 1 S c 3223'
DAYTIME PHONE: C la'l 1 ZclG1- 333 (' EVENING PHONE: (ColttP{ it l -0(c CO
E-MAIL ADDRESS: Vt.nooar; c y E. 9e..Aa,(. FAX: (`la -t (e I.- Ore Ss`
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
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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.
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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.
AMENDED AGENDA ITEM # 10A
APRIL 14, 2014
CITY OF ATLANTIC BEACH
BOARD / 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 / 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: /42,61 J if APPLICANT'S NAME:
ADDRESS: 2�3 C? ea -n %3,r a 8
DAYTIME PHONE: ti - ZOU
E-MAIL ADDRESS:
Community Development Board
Board Membe Review Committee
.. .0- Ce -m. .
EVENING PHONE: D�
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
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for wishing to be appointed to this board/committee.
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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
AMENDED AGENDA ITEM # 10A
APRIL 14, 2014
CITY OF ATLANTIC BEACH
BOARD / 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 / 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
a./ Community Development Board
Board Member Review Committee
✓ eAar e Revel,/ C0,41).4,) -fee
DATE:filo-re-14 1/, .201S/ APPLICANT'S NAME: DAV ; 0►' V4'1 t-eri
ADDRESS: ►130 S' "ede Roo. a/ ilk•lanj c Reaeb, GL .r020233
DAYTIME PHONE: %4 -4A? - 34a 3 EVENING PHONE:
E-MAIL ADDRESS: .Dv n 7//® ja.(oo, Go rt FAX: —
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
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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.
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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
DAVID VINCENT
1130 Seminole Road 0 Atlantic Beach, FL 32233 0 (904) 422-3423 O dvin711@yahoo.com
AREAS OF EXPERTISE
• Strategic/ Tactical Planning • Business Development • Operational Risk Mitigation
• Regulatory Compliance • Anti -Money Laundering Practices • Relationship Management
• Project Management • Process Improvement • Six Sigma Methodology
• Business Requirements • Technology Release Testing ■ Employee Development
EDUCATION
BACHELOR OF BUSINESS ADMINISTRATION - FINANCE University of Central Florida - Orlando, FL
PROFESSIONAL DEVELOPMENT
• FINRA - Registered Representative (Series 7 & 66) • Undergoing Six Sigma Greenbelt Certification
• Licensed FL Life, Health and Variable Annuity • Formal Training in MS Excel, Access and Visio
PROFESSIONAL EXPERIENCE
BANK OF AMERICA MERRILL LYNCH - JACKSONVILLE, FLORIDA 2003 - Present
GLOBAL WEALTH AND INVESTMENT MANAGEMENT
FINANCIAL ADVISOR - PRACTICE MANAGEMENT DEVELOPMENT PROGRAM (FEBRUARY 2013 -PRESENT)
Worked with mentors and managers to develop a pipeline of affluent clients, identify client needs, develop
relationships with existing and prospective clients, review investment goals, prepare investment recommendations
that align with client goals, and the business management skills needed to operate an optimal practice model.
INVESTMENT SOLUTIONS - CLIENT ONBOARDING SERVICES
OPERATIONS TEAM MANAGER - MONEY MANAGER SERVICES (JANUARY 2012 -FEBRUARY 2013)
Responsible for ensuring the Service and Operations teams consistently provide world-class service to 200 institutional
money manager clients with more than $18 Billion in assets under management resulting in over $25 million in annual
revenue to the Firm. Other activities include fraud prevention, anti -money laundering and identity theft prevention by
ensuring adherence to Customer Information and Know Your Client program requirements in compliance with the
USA Patriot Act Successfully migrated the entire business to the Jacksonville campus from New Jersey induding
facilitating the recruiting and training of eleven service and four operations representatives. Currently leading a Six
Sigma project team to reduce the number of manual trades processed by the Mutual Fund Trading Desk at Merrill
Lynch.
FINANCIAL DATA SERVICES, INC
SENIOR OPERATIONS ANALYST - UK TRANSFER AGENCY DEALING TEAM (SEPTEMBER 2009 -JANUARY 2012)
Responsible for the UK equity trading desk which executed more than One Million trades annually for BlackRock UK
clients. Managed the daily responsibilities of the team to shift resources where business conditions required in order
to ensure the highest level of service was provided in the most timely and accurate way possible. Created and
enforced internal controls while maintaining trading and custodial relationships with offshore business partners
representing more than £30 Billion in assets under management
SPECIALIST - MONEY MARKET TRADING DESK (JUNE 2008-Srrl'EMBER 2009)
Managed the daily functions of the Money Market Services team. Developed talent on the team through mentoring
and providing written feedback as part of the performance management process. Designed, implemented and
managed a manual process to support the rollout of a new feature of the Merrill Lynch Bank Deposit Program®
allowing the team to enroll over $25 Billion in the program within the first six months.
ANALYST - MUTUAL FUND TRADING DESK (OCTOBER 2005 -JUNE 2008)
Responsible for ensuring accurate and timely execution of more than 240 million automated mutual fund trades and
corrections per year. Participated in the successful migration of thousands of Mutual Fund holdings from an acquired
broker dealer, Advest, onto the Merrill Lynch trading platform.
MERRILL LYNCH INSURANCE GROUP SERVICES
ANALYST - ANNUITY CLAIMS AND FINANCIAL PROCESSING TEAM (MARCH 2003 -OCTOBER 2005)
Verified and paid death claims associated with the Firm's proprietary annuities. Obtained Series 7 and
Series 66 licenses. Completed the Merrill Lynch Six Sigma Apprentice Program.
1'1
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Charter keview Committiee
/14 / 14 Mark Tomaski
448 AAhiapping Turtle Court Wont, Atlantic Beach, Florida 32233
cell 881-0984
mtomaski,AA.icomeast ,nor 904 54 A 9172
cell 861-09H4
Nh!''
11 am a participant of a prolerision that demands me 1 think critically and logically, and I
make docisions in a diilciplined manner. I have chaired and conducted meetingo Cot 20+ yearn,
beginning an chief resident uid continuing to the present time AIS a small business owner.. 1
was i member of a peer review committee tor in insurance provider., darector 01 more than one
mcdAcal unite chaired a committee on Rchool start times, Ul(1 now medical director at a private
medical practice, I am experienced ar public speaking, have paiticapated in campaigning for
public otfice, have been. a Tient lecturer and appeared neveral 1. 11111 in court_ ao ar, expott
witness,
A „woorAir,,a e
f am very familiar with the city &b14 1 '4 and am committed Lo the principle that the charier
review committee exintn to serve citizens, and rhat itn primary. consideration is ro '114414 14 that
its concAnsiono ale beneficial to the COA1A, eitiAAens. Being a longtime A5 z4; 4(11 who boo ,A
stAake inthe eity's futAure without any financial, or ether, conflicts I '1,M certain 1 can be a
menthe) (1[ thin committee 1]L,11 io approachable, nonjudgmental and receptive 1(1 community lopnt,
it would indeed be a privilege to participate in this compreheniiiive review of ouu city chavAci
lo ensure that it reflects the will of its citizens.
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r 1 14 14:1114>
CITY OF ATLANTIC BEACH
AMENDED AGENDA ITEM #
10A
APRIL 14, 2014
BOARD / 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 / 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
Community Development Board
Board Member Review Committee
4X. 7-Z4- /r(d, ',.r&..
DATE: 1 - it --1,001- APPLICANT'S NAME: , /,� w� e n -
--
ADDRESS: f 4 3 2 for kk re_ R f4t)
DAYTIME PHONE: 9 - EVENING PHONE: S a -�
E-MAIL ADDRESS: G -c. 1-r on. s f Q FAX:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
/1 O h t -
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.
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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
AMENDED AGENDA ITEM 4
10A
CITY OF ATLANTIC BEACH APRIL 14, 2014
BOARD / COMMITTEE MEMBER APPLICATION FORM
Received
Please check (I) 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. APR - 2 2014
(A summary of each board/committee is available on page 2 of this form.)
Code Enforcement Board Community Development Board orate of city Clerk
Pension Board of Trustees Board Member Review Committee
Cultural Arts and Recreation Advisory Committee Ata C 11Ai2Te 2tv IE W @Oa--( ,
DATE: \/ i A --
APPLICANT'S NAME: 's-V)o,.) P L) M . \J o. ESD n�
ADDRESS: 1-7 25 2 Cal PrkJE
DAYTIME PHONE: go o-
Pel-lN-r,-t1C ��F�c (cam 3 2233
EVENING PHONE: q o4 - aAc - ep134 7
E-MAIL ADDRESS: cl, 1 a Id s ,cert --i FAX: 04 - 394 - S Y C7
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
C W R w 2rtra t- L \ 1 ri .12_ - a (-1 r`1 J n � r` t / `F � AT
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�.fP�p�•23a4 p CCESS/oANN4XA-T7cN OF 1`r/iv
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/comm
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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.
AMENDED AGENDA ITEM #
10A
APRIL 14, 2014
CITY OF ATLANTIC BEACH
BOARD / COMMITTEE MEMBER APPLICATION FORM
Please check 01) 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 form.)
Code Enforcement Board
Pension Board of Trustees
Cultural Arts and Recreation Advisory Committee
Community Development Board
Board Member Review Commigge
Chca.art-e- r Rev i o adfr-ac.
DATE: ' 3 " 1 APPLICANT'S . NAME: \ (ACl t
ADDRESS: 1 `{'c I J GL a_/y, v�G DY1 A 8
a;
DAY--T-IME-PHONE: GD 0 �%3 EVENING PHONE: .1-.7 r 14-1
0� Ind ao I. L 'Ax: q 04 2-7. v P 2-t l
E-MAIL ADDRESS:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
- vada -4S nna — 21 ►. Fra,k cC r c �-- E�ax)
•- rns. A6 cornms 5 I w.pL4 1) e -Y r?•
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.
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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
AMENDED AGENDA ITEM #
10A
APRIL 14, 2014
CITY OF ATLANTIC BEACH Received
BOARD / COMMITTEE MEMBER APPLICATION FORM
APR - 4 2014
Please check (4) 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 form.) Office of City Clerk
Code Enforcement Board Community Development Board
Pension Board of Trustees Board Member Review Committee
Cultural Arts and Recreation Advisory Committee CN'it+t 11.441'ilk3
DATE: 1ol APPLICANT'S NAME: eS Aga 156R.Jo) ?l2
ADDRESS: 2.13 6 2ofiti 65/2"T DRi'dit illifkerrA r4TL , r fe ti/Ate A 321?3— 5"%0
DAYTIME PHONE: 004) 2-44 4 ?79 EVENING HONE: N O ? o^ q?$
cote Cloy) Ge7— 3,15�
E-MAIL ADDRESS: ib4,..iltodr^+Nu4.oat,7: Aust" FAX: "JM
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relave o the CAboard/committee applfor.,
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.
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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