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HomeMy WebLinkAbout2023-08-01 AppointmentAttachments:Vacancy Announcement & Coversheet.pdf Board Demographics & Attendance.pdf Campbell-Martin, Selena - Application.pdf Earnhart, Benjamin - Application.pdf Hartig, Connor - Application.pdf Mohamed, Lubna - Application.pdf Mohammed, Wifag - Application (1).pdf Nakihinga, Emmanuel - Application.pdf Simmons, Chad - Application.pdf Subramanian, Saranya - Application.pdf Tassinary, Louis - Application.pdf Tran, Catherine - Application.pdf Item Number: 10.a. August 1, 2023 Ad Hoc Truth & Reconciliation Commission - Two vacancies to fill an unexpired term, upon appointment date to December 31, 2024. (Mohamed Traore and Kevo Rivera resigned). Submit Date: Jun 27, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 3 Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Female Boards & Commissions Selena E Campbell-martin 1550 Deerfield Dr. North Liberty IA 52317 Home: (708) 310-0218 helphopeandlovefoundation@gmail.com Entrepreneur Selena E Campbell-martin Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) TRC Interests & Experiences Experience and/or activities which you feel qualify you for this position: Community Leader & Humanitarian What is your present knowledge of each advisory board you are interested in? I have attended a number of meetings for the TRC. I am familiar and aware of the primary functions and goals related to the TRC. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. Selena E Campbell-martin List your answers here: My Personal Nonprofit Help Hope and Love Foundation Founder, President & CEO Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 51 Country of Origin US Sexual Orientation Heterosexual Religion Christian Do you have a disability No Ethnicity African American Selena E Campbell-martin Race Black Gender Identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Selena E Campbell-martin Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 25 years Occupation: investor Gender* This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics sectionof the application below. Male Female Experience and/or activities which you feel qualify you for this position: MA in Sociology from the U of Iowa, then worked for them for a decade. Involvement in diversity activities, consciously or unconsciously, treated everybody a full human being. What is your present knowledge of each advisory board you are interested in?* Not much, I have seen in the news that it has been complicated. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision -making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half - siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Select a Board or Commission you are interested in:* Climate Action Commission Select a Board or Commission you are interested in:* Civil Service Commission Preference on first choice If multiple boards are being applied for. Ad Hoc Truth and Reconciliation Comission How long have you been a resident of Iowa City? 2 years, 9 months Occupation: * Service Manager at Chipotle Mexican Grill Gender* This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics sectionof the application below. Male Female Experience and/or activities which you feel qualify you for this position: Political Science B.A., Philosophy in Philosophy, Human Rights Certification, Pre -Law (expected May 2024) Leadership and Non -Discrimination Training (2022/23 through Chipotle) Academics and Professionalism Committee Member of Phi -Alpha Delta (Pre -Law Fraternity) (2021-present) Dubuque Caucus Precinct Captain & County Democrats Committee Member (2020) What is your present knowledge of each advisory board you are interested in?* The knowledge I have pertaining to each advisory board is limited to the content provided on the Advisory Board/Commission site, as I just recently heard about the opportunity from the instructor of my "Governance and Human Rights" course. Although I do not have a thorough understanding of the work that each commission has done, I am eager and willing to put in the work to establish that knowledge. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision -making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. Submit Date: Jun 29, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 10 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Female Boards & Commissions Lubna D Mohamed’s 1905 Gleason Ave Iowa city IA 52240 Mobile: (319) 330-1421 Home: (319) 333-1613 mohamed.lubna@iowacityschools.org Para substitute - Arabic interpreter Lubna D Mohamed’s Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I’m from Sudan and we have a lot of people from Sudan in Iowa city, Coraville and north liberty, I deal with issues and also I’m a member at the NAACP, I usually work closely with Mr Sanders and reported to him the issues and discrimination issues in my community. What is your present knowledge of each advisory board you are interested in? As a member of NAACP i have an experience about the discrimination in housing, educations and different area addition to my Sudanese community racial discrimination issues. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. Lubna D Mohamed’s List your answers here: Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gender Identity Lubna D Mohamed’s *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Lubna D Mohamed’s Submit Date: Jul 13, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Emmanuel Last Name (Phonetic spelling) Nakihinga Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 7 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Emmanuel B Nakihinga 742 Keswick Dr. Iowa City IA 52246 Mobile: (319) 259-3530 Home: (319) 202-2945 enakihinga@gmail.com Student Emmanuel B Nakihinga Boards & Commissions Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: As a recent college student, I participated as the Treasure on the African Student Union. I was tasked with finding various financial avenues that the student organization could use to fund events that could promote unity. Our events also were safe spaces for various African people to interact and share their stories. I am also on the board of a newly funded non-profit organization called Neighborhood Youth United. We aim to create safe spaces youths in all minoritiy groups and to progive them with the resources that they need to be successful in life. What is your present knowledge of each advisory board you are interested in? The Truth and Reconciliation Commission aims to carry out restorative justice through the collection of testimonies and public hearings. Members of this commission are focused on addressing various forms of discrimination and aim to promote structural change. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Emmanuel B Nakihinga Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: N/A Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 21 Country of Origin Democratic Republic of Congo Sexual Orientation Male Religion Christian Emmanuel B Nakihinga Do you have a disability no Ethnicity Congolese Race African American Gender Identity male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Emmanuel B Nakihinga Submit Date: Jul 19, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? N/A Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Boards & Commissions Chad D Simmons 650 Pacha Pkwy Ste 1 North Liberty IA 52317 Mobile: (773) 531-7051 Business: (319) 826-1809 chad.simmons@iowasoulfood.com Business Owner Chad D Simmons Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have been involved in the community for more than 15 years. I was the creator of The Soul Festival. What is your present knowledge of each advisory board you are interested in? I am aware of the mission of the board and hope to bring a calming and strategic voice to the group. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: Iowa Soul Food Company Seven Jewels Founation of Iowa Chad D Simmons Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 57 Country of Origin USA Sexual Orientation Heterosexual Religion Non-denominational- Christian Do you have a disability No Ethnicity African American Race Black Chad D Simmons Gender Identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Chad D Simmons Submit Date: Jul 18, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Louis G Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 1984-1990, 2022-Present Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Louis Tassinary 1645 Teg Drive Iowa City IA 52246 Home: (979) 220-4755 ltassinary@mac.com Professor Emeritus, Texas A&M University (TAMU) Louis Tassinary Boards & Commissions Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: EDUCATION J.D. Law (Environmental) Boston College 2003 Ph.D. Psychology (Perception & Cognition) Dartmouth College 1985 B.A. Psychology (Experimental) Eckerd College 1976 EXPERIENCE Full Professor, Texas A&M University (TAMU), 2000-2021 Acting Department Head, Department of Visualization, TAMU, 2020 Executive Associate Dean, College of Architecture, TAMU, 2009-16 Associate Dean for Research, College of Architecture, TAMU, 2004-16 COMMITTEE MEMBERSHIPS Diversity Committee, Society for Psychophysiological Research, 2012-7 Delegation to Brazil, TAMU, 2010 CRY Inc, Faculty Advisor (TAMU), 1999-2000 Faculty Senate (TAMU) Subcommittee on the Status of Women, 1996-9 Subcommittee on Minority Conditions, 1996-7 Task Force on Women and Underrepresented Groups and Minorities, TAMU, 1994-5 Committee for a Discrimination-Free Campus, TAMU, 1991-93 MISC Tassinary, L.G., Jordan, D. & Parsons, R. (2010). Equal Protection and Aesthetic Zoning: A Possible Crack and a Preemptive Repair. The Urban Lawyer, 42(2), 375-94. Tassinary, L.G. (2013-5). Atheism & Agnosticism. Annual Religion Panel sponsored by TAMU GENTS What is your present knowledge of each advisory board you are interested in? I recently retired after a career in academia. Throughout my tenure I had the good fortune to work with a wide diversity of students, faculty and staff in many different capacities. I have read about the TRC and believe my background in collecting evidence and creating environments that enable shared understandings would make me a valuable member of the commission. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Louis Tassinary The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: None Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 68 Louis Tassinary Country of Origin United States Sexual Orientation Heterosexual Religion None Do you have a disability No Ethnicity European American Race Caucasian Gender Identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Louis Tassinary Attachments:Vacancy Announcement & Coversheet.pdf Board Demographics & Attendance.pdf Armbruster, Sandra - Application.pdf Beaird, Mike - Application.pdf Brown, Jordan - Application.pdf Chrischilles, Gene - Application.pdf Crain, Carin - Application.pdf DeGraw, Sharon - Application.pdf Eckhardt, Alan - Application.pdf Koczara, Camilla - Application.pdf Lingo, Mitchell (Mitch) - Application.pdf Mellecker, Susan -Application.pdf Pfohl, Beth - Application.pdf Stanton, Alex - Application.pdf Szecsei, Denise - Application.pdf Item Number: 10.b. August 1, 2023 Parks & Recreation Commission - One vacancy to fill an unexpired term, upon appointment - December 31, 2023. (Pending vacancy for Boniface Penandjo Lemoupa). Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 48 Occupation: Retired Gender* This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics sectionof the application below. Male Female Experience and/or activities which you feel qualify you for this position: Lifelong enthusiast and user of city, county, state and national park and recreational facilities. What is your present knowledge of each advisory board you are interested in?* Review agenda packets and attend commission meetings informed and prepared for the topics of discussion. Provide thoughtful input pertaining to issue. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision -making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half - siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Submit Date: Jul 22, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) 13193250596 Last Name (Phonetic spelling) Beaird Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 51 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Mike Beaird 123 Montrose Ave. Iowa City IA 52245 Mobile: (319) 325-0596 mabeaird65@gmail.com Retired Mike Beaird Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: Live and used Hickory Hill park for decades so know the value of green spaces & other amenities to the fabric of the community What is your present knowledge of each advisory board you are interested in? I have limited knowledge of the need for each board but no specific information on their particular issues. Just want to give back to the community that has been good to me. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. Mike Beaird List your answers here: None Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 72 Country of Origin United States Sexual Orientation Heterosexual Religion No affiliation but raised Catholic Do you have a disability No Ethnicity Caucasian Mike Beaird Race White Gender Identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Mike Beaird Submit Date: Jul 25, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) jeen Last Name (Phonetic spelling) chris shill' us Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 40+ years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Gene Chrischilles 1020 Deerfield Drive IOWA CITY IA 52246 Mobile: (319) 331-8636 tgenec@gmail.com retired Gene Chrischilles Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have served two terms on the Board of Adjustment, my last one ending December 31, 2022. Therefore, I am knowledgeable in the workings of a city board. I consider myself a clear thinker and a person that likes to cooperatively find solutions and improvements. Iowa City has excellent parks and recreation facilities, and I would like to be a part of maintaining and improving that tradition. I will be prepared to work toward those goals on this board. What is your present knowledge of each advisory board you are interested in? Although I have no direct knowledge of this board, I do have an interest in quality recreational facilities for all Iowa Citians. I am a quick learner that likes to see results. As stated above, I would enjoy the chance to continue the excellence of our recreational opportunities for all citizens in our city. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Gene Chrischilles Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gene Chrischilles Gender Identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Gene Chrischilles Submit Date: Mar 25, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) 3196211517 Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 15 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Female Beth Pfohl 712 River Street Iowa City IA 52246 Mobile: (319) 621-1517 Home: (319) 621-1517 bmp262@yahoo.com Pediatric dentist Beth Pfohl Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I am an active member of the Iowa City Community and have lived and worked here continuously for 15 years. My husband and I are currently raising two teenagers in the community as well. Our family has and continues to enjoy the recreational amenities our community has to offer, and I would like to help with the continued effort to shape and grow these amenities in our community. I have sat on the Eastern Iowa Girls on the Run Board in the past as well as worked as a staff member for the Eastern Iowa and Western Illinois Ronald McDonald House where I prepared for and attended board meetings. Prior to becoming a dentist, I was a licensed civil engineer and worked for JCCOG. In my role working for JCCOG, I prepared for and attended numerous commission, committee, and council meetings for the City of Iowa City and Johnson County. What is your present knowledge of each advisory board you are interested in? This committee works to maintain as well as grow the recreational aspect of our community. The committee does this by assessing policies, budgets, rules and regulations, etc as they relate to all aspects of the parks and recreational facilities of the City of Iowa City. The committee also takes into account public views and interests when making these decisions. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Beth Pfohl Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: Free Medical and Dental Clinic of Iowa City University of Iowa College of Dentistry Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin United States Sexual Orientation Religion Do you have a disability Ethnicity Beth Pfohl Race Gender Identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Beth Pfohl Submit Date: May 24, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 11 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Boards & Commissions Alex W Stanton 1111 Church St. Iowa City IA 52245 Mobile: (641) 218-4594 alexwstanton@gmail.com Elections Technician III Alex W Stanton Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Library Board of Trustees Interests & Experiences Experience and/or activities which you feel qualify you for this position: Most of my experience comes from my being a long-time resident of Iowa City and especially being a parent to two children. As a family that is comfortable but not possessing a lot of money disposable income, we have spent hours and hours exploring and enjoying the parks of Iowa City, attending Storytimes, attending and helping in setting up and tearing down the Book Sale and Arts and Crafts Bazaar, and participating in ICPL programming in the community. These free resources for knowledge, adventure, and exploration are such a vital part of having an open and welcoming community, and I feel like my perspective as a middle-class member of the community provides a useful, often- underrepresented view on Boards and Commissions. As someone who works in government, it's important to me that our government services function as efficiently and accessibly as possible, so I know I would be a valuable addition to the Library Board of Trustees or Parks and Recreation Commission. Professionally, in my role as an Elections Technician III at the Johnson County Auditor's Office, I regularly interact with the Iowa City Public Library to facilitate satellite voting stations, as well as with Robert A. Lee Recreation Center and Mercer Park Aquatic Center to set up Election Day voting. What is your present knowledge of each advisory board you are interested in? My present knowledge of the Library Board of Trustees and the Parks and Recreation Commission consist of what I have read on agendas and meeting minutes. For my primary choice, the Library Board of Trustees, I know they meet on the fourth Thursday and the Board consists of 9 members. The Board directs the funding and create short and long-term goals for the Library. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Alex W Stanton The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: None Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 33 Alex W Stanton Country of Origin United States Sexual Orientation Straight Religion None Do you have a disability No Ethnicity Non-Hispanic Race White Gender Identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Alex W Stanton Submit Date: Apr 29, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Denise Last Name (Phonetic spelling) Say Chay Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 14 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Female Denise A Szecsei 146 Friendship Street Iowa City IA 52245 Home: (774) 314-1574 Home: (774) 776-5255 docszecsei@gmail.com Educator Denise A Szecsei Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Police Review Board Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in property management? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in nonprofit management? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you receive rental assistance? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in construction? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in finance? Yes No Interests & Experiences Experience and/or activities which you feel qualify you for this position: I am a property owner, and have managed rental properties, renovated properties, and am concerned about housing issues for the community as a whole as well as our student population. I am also concerned about issues related to law enforcement, economic development, and planning/zoning. My children graduated from City High, and have extensively benefitted from a variety of Parks and Recreation services offered. I am a foster parent, and am concerned about "at-risk" youth in our community. I moved to Iowa City in 2007, and would like to become more involved in its civic components. I am a problem- solver and am able to appreciate the complexity of a situation, identify key aspects of a problem, and develop innovative solutions to a problem. Denise A Szecsei What is your present knowledge of each advisory board you are interested in? Law Enforcement: I understand the complex role that police play in our community and am aware of the various resources and alternatives available when situations require intervention outside of the scope of the police. Housing, Economic Development, Planning/Zoning: I am a home-owner, I own and manage some of my rental properties, and I run a small software development consulting business. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: I have owned rental property in Iowa City (as well as in Florida) and am in the process of selling my Iowa City rental property. I run a small business where I develop web sites, write software, and create games. My main employment is through the University of Iowa, where I teach math and computer science, and engage in outreach activities related to robot theater. Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Denise A Szecsei Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gender Identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Denise A Szecsei Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Denise A Szecsei Ir �jpm = �� all! W& City Council Supplemental Meeting Packet CITY OF IOWA CITY July 31, 2023 Information submitted between distribution of packet on Thursday and 4:00pm on Monday. Late Handout(s): 6. Consent Calendar - Setting Public Hearings Item 6.a Rezoning 614, 622 and 630 Orchard Court - See correspondence from Michael Pugh. 9, Regular Formal Agenda Item 9.d Adding New Fee for Electric Vehicle Charging - See revised comment. Comment: This ordinance would add a new fee of $-046 $.16 per kilowatt hour for electric vehicle charging in public parking facilities. It is intended to reimburse the City for the cost of providing the electric vehicle charging, which includes the cost of electricity, the cost of the platform to facilitate the charging session and the state's excise tax on electric fuel. 10. Council Appointments Item 10.b Parks & Recreation Commission - See revised cover sheet. July 31,2023 City of Iowa City Attachments:Vacancy Announcement & Coversheet.pdf Board Demographics & Attendance.pdf Bopp, Ty - Application.pdf Cunningham, Dallas - Application.pdf Quellhorst, Scott - Application.pdf Szecsei, Denise - Application.pdf Wallace, Ed - Application.pdf Item Number: 10.c. August 1, 2023 Planning and Zoning Commission - One vacancy to fill an unexpired term, upon appointment - July 30, 2026. (Michael Marut resigned) Submit Date: Jun 04, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 6 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Boards & Commissions Dallas Cunningham 630 S Johnson St 3 Iowa City IA 52240 Home: (612) 806-1878 runswithraptors@gmail.com Cook Dallas Cunningham Which Boards would you like to apply for? Planning and Zoning Commission (P&Z) Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have a desire to create a more liveable and safer community for more people What is your present knowledge of each advisory board you are interested in? Beginner to intermediate. I have a good grasp on the basics of zoning laws and practices Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: Currently employed at Walker Homestead otherwise I have no other business or financial interests in the city at this time. Dallas Cunningham Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gender Identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Dallas Cunningham Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Dallas Cunningham Submit Date: Jul 25, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Last Name (Phonetic spelling) Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? Four months, though I previously lived in Iowa City for more than ten years. Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Male Boards & Commissions Scott Quellhorst 1211 Muscatine Avenue Iowa City IA 52240 Home: (319) 936-1491 scott.quellhorst@gmail.com Attorney Scott Quellhorst Which Boards would you like to apply for? Planning and Zoning Commission (P&Z) Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I graduated from the University of Iowa and the University of Iowa College of law. I have since practiced law for approximately ten years, including experience in private practice, government service and as in- house counsel. I accordingly have experience reviewing, interpreting and applying laws and regulations. My professional qualifications are available here: https://www.linkedin.com/in/scott-quellhorst-7091a824/ More importantly, I have a deep and abiding love for Iowa City. I grew up here, and recently chose to return. I recognize that planning and zoning determinations often involve hard choices that require balancing varying considerations, including the need for housing and development, and the preservation of Iowa City's unique character. If given the opportunity to serve on the Commission, I would do my best to make those decisions in the interest of all Iowa City residents. What is your present knowledge of each advisory board you are interested in? I have limited prior experience with planning and zoning, though I have reviewed the Commission's website (including a representative sample of its prior meetings and agendas) to familiarize myself with its work. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Scott Quellhorst Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: I am currently employed by UL Solutions. I do not have a business or financial interest in any non-profit entities. Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 37 Country of Origin USA Sexual Orientation Religion Do you have a disability No Scott Quellhorst Ethnicity Race White Gender Identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Scott Quellhorst Submit Date: Apr 29, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Primary Phone Alternate Phone Email Address Occupation Advisory Board/Commission Application Form This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application (Date will be captured on form submission) First Name (Phonetic spelling) Denise Last Name (Phonetic spelling) Say Chay Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? 14 years Gender (*This question is mandatory for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demographics section of the application below.) * Female Denise A Szecsei 146 Friendship Street Iowa City IA 52245 Home: (774) 314-1574 Home: (774) 776-5255 docszecsei@gmail.com Educator Denise A Szecsei Boards & Commissions Which Boards would you like to apply for? Planning and Zoning Commission (P&Z) Board Member Information: Submitted Preference on first choice (If multiple boards are being applied for.) Police Review Board Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in property management? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in nonprofit management? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you receive rental assistance? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in construction? Yes No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in finance? Yes No Interests & Experiences Experience and/or activities which you feel qualify you for this position: I am a property owner, and have managed rental properties, renovated properties, and am concerned about housing issues for the community as a whole as well as our student population. I am also concerned about issues related to law enforcement, economic development, and planning/zoning. My children graduated from City High, and have extensively benefitted from a variety of Parks and Recreation services offered. I am a foster parent, and am concerned about "at-risk" youth in our community. I moved to Iowa City in 2007, and would like to become more involved in its civic components. I am a problem- solver and am able to appreciate the complexity of a situation, identify key aspects of a problem, and develop innovative solutions to a problem. Denise A Szecsei What is your present knowledge of each advisory board you are interested in? Law Enforcement: I understand the complex role that police play in our community and am aware of the various resources and alternatives available when situations require intervention outside of the scope of the police. Housing, Economic Development, Planning/Zoning: I am a home-owner, I own and manage some of my rental properties, and I run a small software development consulting business. Potential Conflicts of Interest Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: I have owned rental property in Iowa City (as well as in Florida) and am in the process of selling my Iowa City rental property. I run a small business where I develop web sites, write software, and create games. My main employment is through the University of Iowa, where I teach math and computer science, and engage in outreach activities related to robot theater. Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Denise A Szecsei Do you currently serve on another Iowa City board or commission? Yes No (Optional) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gender Identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Denise A Szecsei Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. I Agree Denise A Szecsei Attachments:Recommendation from JC re Appointment to ICPL Board of Trustees.pdf Email re JC Appointment to ICPL Board of Trustees.pdf Item Number: 10.d. August 1, 2023 Library Board of Trustees - Consider a recommendation from Johnson County Board of Supervisors to reappoint Robin Paetzold as the County representative, July 1, 2023 - June 30, 2029. (Term expired for Robin Paetzold) See correspondence included in Council Packet. Attachments:Resignation HCDC - Haylett.pdf Resignation Parks & Recreation - Mixon.pdf Item Number: 11.a. August 1, 2023 Housing & Community Development Commission - One vacancy to fill an unexpired term, upon appointment - June 30, 2025 (Jennifer Haylett resigned). Correspondence included in Council packet. Parks & Recreation Commission - One vacancy to fill an unexpired term, upon appointment - December 31, 2023 (Doloris Mixon resigned). Correspondence included in Council packet. Applications must be received by 5:00 P.M., Tuesday, September 12, 2023.