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HomeMy WebLinkAboutItem #03 Appointment to the Community Grant Review BoardN\ 1 % OCOQ( fIorida AGENDA ITEM COVER SHEET Meeting Date: August 19, 2014 Item # Contact Name: Contact Number Diana Turner Reviewed By: Department Director: Beth Eikenbe Extension 1023 City Manager: Robert Frank Subject: Appointment to the Community Grant Review Board (2 -year terms) Background Summary: Members of the Community Grant Review Board serve two -year terms. The Ordinance provides that the Community Grant Review Board membership shall consist of five (5) members. Currently, the board has four (4) members and there are no other applications on file for this board. Jane Rainer has expressed her interest in serving on the Community Grant Review Board. Issue: Should the Honorable Mayor and City Commission appoint Jane Rainer to the Community Grant Review Board with term ending March 2016? Recommendations One application was recently submitted for appointment to the Community Grant Review Board, therefore, staff recommends that the City Commission consider appointing Jane Rainer to the Community Grant Review Board with term ending March 2016. Attachments: Board List Application Financial Impact: None Type of Item: (please mark with an 'V) Public Hearing For Clerk's Dept Use: Ordinance First Reading Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda Commission Approval Discussion & Direction Original Document/Contract Attached for Execution by City Clerk Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. N/A Reviewed by () N/A �l 000C�(? florida APPLICATION FOR SERVING ON CITY BOARDS This Applicant Information Form, when completed and filed with the City Clerk's Office, is a PUBLIC RECORD under Chapter 119, Florida Statutes, and therefore, is open to public inspection by any persons. 1 2 Name: J A I� E RA I N E R Home Address: Z - MA N V.1 LLE OAK' City, State, Zip: OCCEE , L JA, Business: UN 1T'EIJ AIP .LI ALES Business Address: (y E VII A 1811 1 N1 L Brief Summary of Qualifications and Experience: s I Rca P RIE S MEN'T t f W4 S L aIP's V P o d�l5 CtkRRE NZL*- 1 5E9, V1 N & CAM 3 m I E -mail Address: rn I r cl r0.ln ere as I.COh, r Home Phone: A0 AA,'B QlQG4 -I Business Phone: AIRPORT A 10 *FINANCIAL DISCLOSURE FORMS ARE REQUIRED FOLLOWING APPOINTMENT By my signature below, I attest that the information provided herein is true and correct and I acknowledge and agree that a background check may be required when duties include contact with children. SIGNATURE: DATE: 0 b - I ( - Note: (1) Application e fective for ONE YEAR from date of completion. It can be faxed to (407) 905 -3168. (2) If you have any questions, please call the City Clerk's office at (407) 905 - 3105. City of Ocoee • 150 N. Lakeshore Drive - Ocoee, Florida 34761 Phone: (407) 905 -3100 • Fax: (407) 905 -3168 - Website: www.ocoee.or w CC C� �C'1 oc�c n uS *Code Enforcement Board ADVISO 13OAR13 5. Are you a U.S. citizen? Yes: No: .� Are you a registered voter? Yes: No: ./ District #: , 6. Resident of the City for 6 months or longer? Yes: No: 7. Do you hold public office? Yes: No: f 8. Are you employed by the City? Yes: No: ✓' 9. Do you now serve on a City Board or Committee? Yes: ✓� No: 10. Please attach any information that would assist Commission in making appointments. PLEASE CHECK THE BOARDS WHICH INTEREST YOU BY INDICATING YOUR FIRST AND SECOND CHOICE ( #1, #2). *FINANCIAL DISCLOSURE FORMS ARE REQUIRED FOLLOWING APPOINTMENT By my signature below, I attest that the information provided herein is true and correct and I acknowledge and agree that a background check may be required when duties include contact with children. SIGNATURE: DATE: 0 b - I ( - Note: (1) Application e fective for ONE YEAR from date of completion. It can be faxed to (407) 905 -3168. (2) If you have any questions, please call the City Clerk's office at (407) 905 - 3105. City of Ocoee • 150 N. Lakeshore Drive - Ocoee, Florida 34761 Phone: (407) 905 -3100 • Fax: (407) 905 -3168 - Website: www.ocoee.or w CC C� �C'1 oc�c n uS *Code Enforcement Board Human Relations Diversity Board *Board of Adjustment Parks & Recreation Advisory Board Community Grant Review Board Personnel Board Citizen Advisory Council of Fire *Planning & Zoning Commission Department (CACOFD) Citizen Advisory Council of Police *Police Officers' and Firefighters' Department (CACOPD) Retirement Trust Fund Board of Trustees *General Employees' Retirement OTHER: Trust Fund Board of Trustees *FINANCIAL DISCLOSURE FORMS ARE REQUIRED FOLLOWING APPOINTMENT By my signature below, I attest that the information provided herein is true and correct and I acknowledge and agree that a background check may be required when duties include contact with children. SIGNATURE: DATE: 0 b - I ( - Note: (1) Application e fective for ONE YEAR from date of completion. It can be faxed to (407) 905 -3168. (2) If you have any questions, please call the City Clerk's office at (407) 905 - 3105. City of Ocoee • 150 N. Lakeshore Drive - Ocoee, Florida 34761 Phone: (407) 905 -3100 • Fax: (407) 905 -3168 - Website: www.ocoee.or w CC C� �C'1 oc�c n uS COMMUNITY GRANT REVIEW BOARD Appointed March 2002 pursuant to action taken January 15, 2002, and adoption of by -laws by Resolution No. 2004 -09 (2 year terms). By -laws amended in September 2008 by Resolution No. 2008 -012 (name change and eligibility guidelines) (5 members) MEMBER DISTRIC CONTACT INFORMATION ETERM 407 -461 -8004 (H) Keith Carrington (Vice- 407 - 335 -0726 (W) 1. Chair) 1 407 -461 -8004 (C) March 542 Fortanni Circle KCARRINGTON @CRCCOMPLIANCE.COM 2015 407 - 656 -0644 (H) 2 Jim Sills (Chairman) 2 407- 656 -3700 (W) March 205 S. Lakeshore Drive 321 - 303 -3374 (C) 2016 sills9570 @aol.com Glenda Dunn 407 - 656 -1741 (H) March 3 18 North Lakeshore Drive 2 407 - 443 -4328 (C) 2016 magil948 @aol.com Tim Henderson 407 -291 -2655 (H) March 4. 108 Olympus Drive 2 561- 385 -3637 (C) 2015 Ocoee, FL 34761 tlhend @bellsouth.net 5. Vacant STAFF LIAISON Joy Wright Community Relations Manager RECORDING CLERK Diana Turner Record Coordinator City Clerk's Office 407 - 905 -3100 ext. 9 -1530 iwriaht@ci.ocoee.fl.us 407 - 905 -3100 ext. 9 -1023 dturner @ocoee.org Page 1 of 2 DECLINED REAPPOINTMENT Daniel Axtell March 2005 Max Jacobs February 2007 Laurie Nickels March 2010 Kristine Bauske March 2011 Julie Butler March 2014 RESIGNED Michael Miller Jeffrey Cox John Grogan Rosemary Wilsen Shakeel Anjum July 2006 June 2007 July 2008 March 2009 February 2013 Page 2 of 2