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HomeMy WebLinkAbout2023-12-12 Appointment Item Number: 10.a. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Board of Adjustment - One vacancy to fill a five-year term, January 1 , 2024 - December 31 , 2028. (Term expires for Paula Swygard) Attachments: Vacancy Notice & Coversheet.pdf Board Demographics & Attendance.pdf Bopp, Ty - Application.pdf Brown, Jordan - Application.pdf Swygard, Paula - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One Vacancy: Five-Year Term January 1, 2024—December 31, 2028 • Duties: The Board of Adjustment is a citizen panel that reviews requests for special exceptions and variances. • The Board also considers appeals when there is a disagreement about an administrative decision made by the City. • Members of the board act like judges, making decisions about individual properties and uses that may have difficulty meeting a specific zoning regulation or to resolve disputes about administrative zoning decisions. • The Board is assisted in its work by planning staff and the City Attorney's office. Decisions made by the Board of Adjustment are binding upon all parties unless overturned upon appeal to District Court. • The Board meets the second Wednesday of each month at 5:15 p.m. Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City.The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, December 5, 2023. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Board of Adjustment Commission should be directed to Kirk Lehmann, Planner at 356-5247. Board/Commission Application Cover Board/Commission: Board of Adjustment One vacancy to fill a five-year term January 1, 2024—December 31, 2028 It is hereby established, as a formal policy of the City Council of Iowa City,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 Announcement Date: 1 011 712 02 3 Application Deadline: 12/05/2023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512024 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-Female 3-Male Current Gender Balance: Female: 1 Male: 0 Gender Name and Address Male Bopp, Ty 210 S. Clinton St. Apt. 208 Male Brown,Jordan 1953 Lakeside Dr. Female Swygard, Paula Serving unexpired term ending 1213112023 426 Douglass St. � r Nall City Council Supplemental Meeting Packet CITY OF IOWA CITY December 12, 2023 Information submitted between distribution of late handouts on Monday and 3:00 pm on Tuesday. Late Handout(s): 8.a. Zoning Code Amendment - Reduction of maximum allowable height in the RNS-12 Zone - See City Council correspondence from Kevin Boyd 10.a.1 Board of Adjustment - See revised cover sheet 10.d. Human Rights Commission - See revised cover sheet 10.f. Public Art Advisory Committee - See revised cover sheet 10.g. Senior Center Commission - See revised cover sheet December 12, 2023 City of Iowa City Item Number: 10.a. CITY OF OF IOWA CITY COUNCIL ACTION REPORT December 12, 2023 Board of Adjustment - See revised cover sheet Attachments: BOA cover sheet Boa rd/Com mission Application Cover Board/Commission: Board of Adjustment One vacancy to fill a five-year term January 1, 2024—December 31, 2028 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 1011712023 Application Deadline: 12/05/2023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512024 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-Female 3-Male Current Gender Balance: Female: 1 Male: 0 Gender Name and Address Male Bopp,Ty 210 S. Clinton St.Apt. 208 Male Brown,Jordan 1953 Lakeside Dr. Female Swygard, Paula Serving unexpired term ending 1213112023 426 Douglass St. C N N E c x' 3 `m 2� Im ayci �m C N � da � om L Q w w'3 n m m O O O � Z Z Z c c o @ m d - L m K J O — N C X N 1p d 10 C (A LL LS C 0 O �♦ N c � E 0 Of a a 9 O 0 N m N 0 UO > o r N E ul al Q m nL c O a`1 d - 0 c d E d d v (7 i n }� m L C N O o s a c N O C m o 'N E d a d O N p pN C N @ i } N O m m O O O O O a O D O � n a 6 E E o m Z m m E c c c NF 9 LL T > LL LL > > > F O LL O J O N / y Y O m 7 m C F C m Z N Board of Adjustment July 12,2023 Page 9 of 9 BOARD OF ADJUSTMENT ATTENDANCE RECORD 2023 318 4112 4/19 5110 6/14 7112 NAME TERM EXP. BAKER, LARRY 12/31/2027 X X O/E X X X PARKER, BRYCE 12/31/2024 X X O/E X X X SWYGARO, PAULA 12/31/2023 X X X X X X CARLSON, NANCY 12/31/2025 X X X X X X RUSSO, MARK 12/31/2026 X X X O/E OlE X Key: X=Present O=Absent O;E=AbsenUExcused --—=Not a Memoer Advisory Board/Commission Application Form 5M This This application is a public document and as such can be reproduced and distributed for the -1a.n._ public.This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY of LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 11/9/2022 First Name" Ty Last Name Bopp First Name(Phonetic spelling) Optional Last Name( Phonetic spelling) Optional Home Address" 210 S Clinton St Apt 208 City* Iowa City State IA Zip Code"` 52240 Is your home address(listed above)within the corporate limits of Iowa City?" Yes Contact Phone Number" 3192599412 Email Address"` ty.bopp2l@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Adjustment, Board of Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? June 2022 Occupation:* Manager at Hy-Vee 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: I have a pre-law track degree that consist of History and American Politics. I interned for State Rep Dave Jacoby and State Senate Minority Leader Zach Wahls. I answered emails, meet with lobbyist,sat in on committees and debates. I also ran for state hours but stepped down after the primary to focus on my masters degree. What is your present knowledge of each advisory board you are interested in?* The Board of Adjustments is a civilian panel that reviews specials cases and considers appeals in disagreements about an administrative decision by the city.The panel members act like judges as they review zoning regulations or to resolve disputes about administrative zoning decisions.The decision the board comes up with is final unless the individual appeals to the District Court. 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. Do you currently have a conflict of Interest?" No Do you currently serve on another Iowa City board or commission?" 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 23 Country of Origin United States of America Sexual Orientation Gay Religion Methodist Do you have a disability? No Ethnicity White 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) Signature of Applicant" —�PZ30 _ 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. Advisory Board/Commission Application Form 5N This 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 CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY of LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 11/30/2022 First Name" Jordan Last Name Brown First Name(Phonetic spelling) Optional Last Name( Phonetic spelling) Optional Home Address" 1953 Lakeside Drive City* Iowa City State IA Zip Code* 52240 Is your home address(listed above)within the corporate limits of Iowa City?" Yes Contact Phone Number" 3194703559 Email Address* jbrown4l3@hotmail.com Boards & Commissions Select a Board or Commission you are interested in: Parks and Recreation Commission Select a Board or Commission you are interested in: Adjustment, Board of Preference on first choice If multiple boards are being applied for. Board of Adjustment How long have you been a resident of Iowa City? 11 years Occupation:* Financial Advisor 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: Master's of Science in Urban and Regional Planning from The University of Iowa, previous Outreach Coordinator for UI's Office of Community Engagement.Worked directly with members of city councils and boards across the state in graduate school to enact proper planning measures in zoning,parks and recreation,and overall comprehensive city planning. Experience as a financial advisor has given me background knowledge of cost structures and programs. What is your present knowledge of each advisory board you are interested in?* I have worked previously with the Parks and Rec commission during projects in graduate school and assisted students with working with the commission as an advisor during my professional career at the University. Worked for the Coralville Parks and Recreation division for 3 years. For the Board of Adjustments, previous planning career has given me knowledge and tools to analyze specific zoning decisions for the city. 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. Do you currently have a conflict of Interest?" No Do you currently serve on another Iowa City board or commission?" 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 29 Country of Origin us Sexual Orientation Religion Do you have a disability? No 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) Signature of Applicant* CA-e w rX/¢lWIW 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. Advisory Board/Commission Application Form Submit Date: Oct 30, 2023 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) Paula Swygard First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 426 Douglass Street Home Address Suite or Apt Iowa City IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 39 years Home: (319) 338-1980 Primary Phone Alternate Phone pswygard@gmail.com Email Address retired Occupation 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.) ' W Female Boards & Commissions Paula Swygard Which Boards would you like to apply for? Board of Adjustment 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: I am currently a member of the Board of Adjustment, having served a little over a year (August 2022) when I was appointed to step in to fill an unexpired term. I previously served on the Planning and Zoning Commission for three years (2012-2015)when I was also appointed to complete a vacated term. My service on both has given me a valuable foundation on which to make decisions. I have knowledge of the Zoning Code, the Comp Plan, various district plans, the terminology, and the processes involved. I value the work of city staff, the city attorney, and my fellow commissioners. I appreciate the impact of the Board of Adjustment decisions on the applicant and the community. It's important to me to be objective and to fully research applications for special exceptions,variances, and appeals to staff decisions that come before the board. I also have been actively involved in the Miller Orchard Neighborhood for over 15 years, and have served as a neighborhood association representative. What is your present knowledge of each advisory board you are interested in? The Board of Adjustment reviews and potentially grants requests for special exemptions and variances to the zoning code regarding land use and adjustments to zoning requirements. The board also hears appeals when there is a disagreement about an administrative zoning decision. The rulings of the Board of Adjustment are binding unless overturned on appeal by the District Court. 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. Paula Swygard 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. #22-78 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? r Yes n 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 Paula Swygard 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. r 1 Agree Paula Swygard Item Number: 10.b. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Climate Action Commission - Three vacancies to fill three-year terms, January 1, 2024 - December 31 , 2026. (Terms expire for Benjamin Grimm, Matt Krieger, & Matthew Walter). Attachments: Vacancy Notice & Coversheet.pdf Board Demographics & Attendance.pdf Anderson, Michael - Application.pdf Bork, Emma - Application.pdf Caras, Melissa - Application.pdf Cargo, Hannah - Application.pdf Grimm, Benjamin - Application.pdf Halley, Michael - Application.pdf Haralson, Zach - Application.pdf Hartig, Connor - Application.pdf Havel-Sturdevant, Jinxx - Application.pdf Josten, Josephine - Application.pdf Mckeone, Abigail - Application.pdf Nielsen, Rebecca - Application.pdf Patricio, Garry - Application.pdf Reagan, Mark - Application.pdf Traer, Robert - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: CLIMATE ACTION COMMISSION Three Vacancies: Three-Year Term January 1, 2024—December 31, 2026 • Duties of the Climate Action Commission include advising the City Council on climate issues; • researching, analyzing and promoting climate actions, with particular attention to equity; • educating and engaging with the public on climate action and the City's climate and sustainability goals; • assisting City staff, City Council, and members of the community with implementing approved initiatives that support the City's climate and sustainability goals, including the Climate Action and Adaption Plan and any related or updated plan here after. • The Climate Action Commission meets the first Monday of each month at 3:30 p.m. in the MPO (Metropolitan Planning Organization) Conference Room at City Hall, 410 E. Washington Street, subject to change. Iowa City-appointed members of boards and commissions must be at least 18 years of age and Iowa City residency is preferred, but members are not required to be Iowa City residents as long as they are residents of Johnson County and meet the requirements of knowledge and expertise for guiding climate objectives. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, December 5, 2023. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Climate Action Commission should be directed to Sarah Gardner, Climate Action Engagement Specialist, at 887-6162. Board/Commission Application Cover Board/Commission: Climate Action Commission Three vacancies to fill a three-year term January 1, 2024—December 31-2026 It is hereby established, as a formal policy of the City Council of Iowa City,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 Announcement Date: 1011712023 Application Deadline: 1210512023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512024 After date above Council may appoint without regard to gender Gender Balance Requirement: 3-males Current Gender Balance: Female: 6 Male: 2 Gender Name and Address Male Anderson, Michael 1185 E.Jefferson St. Female Bork, Emma 100 Currier Hall#5323 Female Caras, Melissa 2420 Miami Dr. Female Cargo, Hannah 417 S. Gilbert St. Male Grimm, Benjamin 222 Stanwyck Dr. (Unexpired term expires 12131123) Male Halley, Michael 310 Finkbine Lane #2 Male Haralson,Zach 410 N Governor St. Male Hartig, Connor 108 S Linn St. Apt 25 Female Havel-Sturdevant,Jinxx 1908 Delwood Dr. Female Josten,Josephine 1656 Vesti Lane Female McKeone,Abigail 658 Tipperary Rd. Female Nielsen, Rebecca 611 Potter St Male Patricio, Garry 1984 Mackinaw Dr. Male Reagan, Mark 500 Kimball Rd. Male Traer, Robert 311 Woolf Ave. ) $ / $ ) ) ) ! ! ui y A 2 lz 2 ! 2 ) ) t \ } ) }% \ f £ ƒ - - A2 1p v < ) ® r ~ / L \ ) O a § 2 Ln E ) _ \ SEE R k ± ° � G ) ) � ) C9 t, m0 \ - z Climate Action Commission Page 6 of 6 CLIMATE ACTION COMMISSIONATTENDANCE RECORD 2023 N W ? ch W - co s Cn NAME TERM EXP, N O O O O o o N o r) N w N N N N N N N O N O O N W W W W W W N W N N O W W W N W Michel Eynon- 12131/2024 X X X X X X NM X X X X X Lynch Elizabeth 12131/2025 X X X X X NM O/E X Fitzsimmons John Fraser 12131/2024 X X X X X 0/E NM X O/E O/E X X Jamie Gade 12/31/2025 X X X X 0/E NM X X X O/E X Ben Grimm 1 0/3 112 02 3 X X X X X X NM X O/E X X X Clarity Guerra 1213112022 X Kasey 12131/22 X Hutchinson Matt Krieger 12/31/2023 X X X X X X NM X O/E X O/E X Wim Murray MidAmedcan X X X X Rep Michelle Sillman 12131/20025 X X X O/E OJE NM X X X X X Brinda Shetty UI Rep X X O/E X X X NM X O/E X X X Angie Smith 1213112025 X Gabe Sturdevant 12/3112024 X X X X X X NM X X X X O/E Matt Walter 12/3112023 X X X X O/E X NM X X X I X I CIE KEY:X= Present 0 =Absent O/E =Absent/Excused NM= No Meeting ' No longer on Commission 6 Advisory Board/Commission Application Form Submit Date: Sep 21, 2023 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) Michael Anderson First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 1185 E Jefferson St Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 7 years Mobile: (847) 744-0419 Primary Phone Alternate Phone manders.freelance@gmail.com Email Address Writer Occupation 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.) ' W Male Boards & Commissions Michael Anderson Which Boards would you like to apply for? Climate Action 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 journalist and freelance writer with more than a decade of experience, I have written extensively about sustainability--particularly as it pertains to urban design and the built environment. Some of the sustainability topics I've explored in my writings include tactical urbanism, green buildings, green cities, green certification standards, green building codes, New Urbanism (human-scale city design), walkability, green roofs, embodied carbon, transit oriented development, adaptive reuse, suburban sprawl, and large- scale applications of green building materials such as Cross-Laminated Timber. I also reported on/participated in the Standing Rock anti-DAPL protests of 2016. As a member of the commission, I would strive to bring sustainable urban design to the forefront by pushing for greater walkability across the length and breadth of the city, adaptive reuse of derelict buildings, progressive housing policies, and the creation of a Green Urban Corps that would educate and engage youths in service of citywide climate initiatives. What is your present knowledge of each advisory board you are interested in? I am aware of the commission's existence and some of its initiatives around town. Bottom Line: Sustainability and climate action are of utmost importance to me, and nothing would please me more than being able to use my skills as a communicator to push for a more sustainable future in the city I call home. 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. Michael Anderson 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 self-employed as a freelance writer, but my primary client is Milwaukee Tool (the power tool company). Res. #22-78 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? t- Yes r 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 36 Country of Origin United States Sexual Orientation Religion Do you have a disability Ethnicity Michael Anderson 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. r I Agree Michael Anderson Advisory Board/Commission Application Form Submit Date: Dec 04, 2023 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) Emma Bork First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 100 Currier Hall#S323 Home Address Suite or Apt Iowa City IA 52242 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? This is my second year. The above address is current and will be changing after the school year is over. Home: (515) 493-8445 Primary Phone Alternate Phone emmaabork@gmail.com Email Address Student at the University of Iowa Occupation 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.) ' [;F Female Boards & Commissions Emma Bork Which Boards would you like to apply for? Climate Action 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: I am majoring in Environmental Policy and Planning and I have a good amount of knowledge on the environment, but I would love to use that knowledge in a professional setting and gain more experience. What is your present knowledge of each advisory board you are interested in? After hearing from two former members, I know the CAC is an advisory board to the Council where environmental issues within Iowa City are brought up and voted on. I was also told that they are looking for more students to be representatives and that appealed 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. Emma Bork List your answers here: Res. #22-78 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? r Yes n 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 19 Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gender Identity Emma Bork '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. W I Agree Emma Bork Advisory Board/Commission Application Form Submit Date: Sep 26, 2023 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) Melissa J Caras First Name Middle Initial Last Name First Name (Phonetic spelling) Muh-lis-uh Last Name(Phonetic spelling) Care-us 2420 Miami Drive Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 8 years Home: (563) 581-2857 Primary Phone Alternate Phone mel.j.caras@gmail.com Email Address Software Support Supervisor Occupation 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.) ' r Female Melissa J Caras Boards & Commissions Which Boards would you like to apply for? Climate Action 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: Over the past several years, I have wholeheartedly committed myself to reducing my personal carbon footprint through various means such as gardening, native planting, and enhancing the insulation and appliances in my home. I have acquired a deep understanding of best practices for sustainability on an individual level and have continuously sought to expand my knowledge by studying how infrastructure can be leveraged to create more sustainable cities. What is your present knowledge of each advisory board you are interested in? I'm familiar with events that the board has organized, such as Climate Fest and the Donation drive-thru. I was able to participate in the Spot the Hot campaign,which was a great opportunity to get involved in gathering data to help with tangible action to improve our city's walkability and climate resilience. 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. Melissa J Caras 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: LeepFrog Technologies Res. #22-78 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? r Yes n 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 Melissa J Caras 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. r 1 Agree Melissa J Caras Advisory Board/Commission Application Form Submit Date: Sep 25, 2023 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) Hannah Cargo First Name Middle Initial Last Name First Name (Phonetic spelling) HAN-nah Last Name(Phonetic spelling) CAR-go 417 S Gilbert Street#2338 Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 2 years Home: (469) 510-6020 Primary Phone Alternate Phone hannahecargo@gmail.com Email Address Student and Water Safety Instructor Occupation 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.) ' r Female Hannah Cargo Boards & Commissions Which Boards would you like to apply for? Climate Action Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) I think I tried to submit a form but it got deleted, apologies if this is a double Interests & Experiences Experience and/or activities which you feel qualify you for this position: I'm currently a third-year environmental planning and policy major who is trained in GIS (mapping technologies). This summer I worked at Lakeside Lab in Okoboji with Green AmeriCorps and university researchers, acquiring hands-on experience in water testing, wildlife surveys, and environmental education. I've got a special interest in environmental justice and urban ecology. I'm also a great writer and communicator, especially when it comes to explaining complex ideas to children or the general public. What is your present knowledge of each advisory board you are interested in? Before I even knew about the Climate Action Commission, I was able to feel its footprint when deciding to live here. Iowa City is a uniquely sustainable place, both in its design and in its maintenance, and it ties these practices together with community involvement. I've enjoyed going to the Climate Fest events in the past, as well as more casual displays of Iowa City eco-awareness:farmers markets, biking trails,the Prarie Preview, and the like. I know the Climate Action Commission exists to enable the city's climate goals and has a special interest in energy conservation (winter insulation), carbon emissions (net zero 2050 plan), and equity (housing and public areas). I know the panel has successfully set a trajectory that, if maintained should meet a lot of these goals. I would be honored to help along that progress. 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. Hannah Cargo 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: University of Iowa, Iowa City water safety instructor and lifeguard Res. #22-78 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? r Yes F 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 Hannah Cargo Country of Origin United States Sexual Orientation Asexual Religion Christian Do you have a disability No Ethnicity Race White 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. ❑p I Agree Hannah Cargo Advisory Board/Commission Application Form Submit Date: Oct 05, 2023 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) Benjamin P Grimm First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 222 stanwyck drive Home Address Suite or Apt iowa city IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 10+ years Home: (319) 540-5398 Primary Phone Alternate Phone grimm.ben@iowacityschools.org Email Address Grounds Manager Occupation 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.) ' W Male Boards & Commissions Benjamin P Grimm Which Boards would you like to apply for? Climate Action 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: I am a 20+ year veteran of the horticulture industry with over 15 years of management experience. I have extensive knowledge of Integrated Pest Management (IPM) and maintaining pesticide free municipal facilities. Among my many responsibilities, I am the IPM Coordinator for Iowa City Community School District and the Sustainability Representative. I manage and facilitate both indoor and outdoor IPM Programs for the school district. I have been charged by the District Administration to be the Climate Action Commission and be a representative of the district. Area of responsibility and experience: Managing district grounds in compliance with the Good Neighbor Iowa Program • District Conservation efforts, and student educational opportunities. • ICCSD Representative in the Corridor Tree Canopy Group• Iowa City Climate Action Commissioner(currently at end of term) • Member of the Iowa City Climate Commission Transportation Working Group• Member of the Iowa City Climate Commission Building Working Group• City of Iowa City Fleet Transition Plan Staff Committee (Current) •Attend Iowa City Climate Commission meetings as the representative for ICCSD • Manage ICCSD Tree Canopy Initiative •Tree canopy expansion • Monitor emission sequestering. • Carbon sequestering • Building energy savings from tree canopy coverage• Manage ICCSD outdoor conservation efforts • Forest, Prairie, and wetland •Water retention and conservation • Performed lectures on IPM and Pesticide Free Maintenance• Presentation at IPM Institute of North America• Presentation forlowa Sports Turf Managers Association-State Conference• Presentation for Good Neighbor Iowa Program-Workshop Kirkwood Community College-Guest Speaker for Greenhouse Program • Kirkwood Community College- Guest speaker for Parks and Natural Resources Program • University of Iowa-guest speaker for Sustainability class • My work was directly involved in the receiving 2023 US Department of Education Green Ribbon Schools Award for sustainability. What is your present knowledge of each advisory board you are interested in? I have been serving on the Climate Action Commission for 3 years and am currently one of the longest standing commission members. My understanding is the Climate Action Commission is intended to assist and advise City Council on Climate Action issues as the relate to the Climate Action Plan. This could consist of community outreach, review of scientific information, data collection, and Climate Action progress. Recent global attention on climate action has brought local climate action groups together for a concerted effort to reduce carbon footprints. Local Climate Action assemblies such as Ecopolis, Iowa City Climate Advocates, Sunrise Movement, Iowa City Climate Strikers, 100 grannies, Students strikers are working together and seeking greater climate action out of the City of Iowa City. The commission will help to engage the public on climate goals advise the council on climate issues and assist staff in achieving goals. Having me as an ICCSD representative on the Commission would be beneficial to the success of the commission. ICCSD representation complements and expands the reach of the commission into the larger community. It provides the Commission a more consistent way of reaching into the education system and ultimately affecting the next generations of students. Efforts and information could be more effectively coordinated on subjects related to Grounds, Facility Design, Facility Energy Conservation, etc. Benjamin P Grimm 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 City Community School District Res. #22-78 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? r Yes r No (Optional) Demographic Information Benjamin P Grimm 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 44 Country of Origin United States Sexual Orientation Religion Do you have a disability Ethnicity Race 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. Benjamin P Grimm Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. r I Agree Benjamin P Grimm Advisory Board/Commission Application Form 5N This 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 CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY of LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 11/1/2022 First Name" Michael Last Name Halley First Name(Phonetic spelling) Optional 6412330445 Last Name(Phonetic spelling) Optional Home Address* 310 Finkbine Lane#2 City* Iowa City State IA Zip Code* 52246 Is your home address(listed above)within the corporate limits of Iowa City?* Yes Contact Phone Number* 641-233-0445 Email Address mhalley25@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Climate Action Commission Preference on first choice If multiple boards are being applied for. Climate Action Commission How long have you been a resident of Iowa City? 1 month Occupation:* Account Manager Ideal Energy 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: I'm currently enrolled in the city's Climate Ambassador Program, have 12 years experience working on community sustainability initiatives as a Fairfield city council member,and have been working in the solar industry for the past six years. What is your present knowledge of each advisory board you are interested in?* I know more about the Climate Action Commission than the Human Rights Commission,mostly through the Climate Ambassador Program. 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. Do you currently have a conflict of Interest? No Do you currently serve on another Iowa City board or commission?" 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 47 Country of Origin United State Sexual Orientation Heterosexual Religion Do you have a disability? No Ethnicity European-American 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) Signature of Applicant" 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. c Advisory Board/Commission Application Form 5M This This application is a public document and as such can be reproduced and distributed for the -1a.n._ public.This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY of LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 11/5/2022 First Name" Zach Last Name Haralson First Name(Phonetic spelling) Optional Last Name( Phonetic spelling) Optional Home Address" 410 N Governor St City* Iowa City State IA Zip Code"` 52245 Is your home address(listed above)within the corporate limits of Iowa City?" Yes Contact Phone Number" 4175299017 Email Address` zoharalson@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Climate Action Commission Preference on first choice If multiple boards are being applied for How long have you been a resident of Iowa City? 8.5 years Occupation:' Applied physicist at Collins Aerospace 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: I have studied renewable energy since college,and after obtaining my PhD in experimental physics from the University of Iowa, I worked for 3 years on a fusion energy reactor development project. I pursued this as my contribution to the fight against climate change,and now that I have moved away from that job,back to Iowa City, I am excited to contribute in a different way on the Climate Action Commission. In Jan-Mar 2022, 1 went through the City's Climate Ambassador program,where I Teamed about the Climate Action Plan and how it is being carried out. Since then, I have been active with activities organized by the Climate Action Office--volunteering in the Energy Blitz, participating in several facility tours to learn more about City operations,and giving an interview with KCRG to promote the application period for the next class of the Climate Ambassador Program. What is your present knowledge of each advisory board you are interested in?' I have sat in on a few meetings of the Climate Action Commission,gaining a feel for how the meetings work and the mission.Then,during the Climate Ambassador Program, I learned the details of the Commission's mission and the Action Plan. 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. Do you currently have a conflict of Interest?" No Do you currently serve on another Iowa City board or commission?" 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 Country of Origin United States Sexual Orientation Gay Religion Agnostic Do you have a disability? No 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) Signature of Applicant* Z"A SIM. z(iolT 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. Advisory Board/Commission Application Form Submit Date: Mar 14, 2023 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) Connor Hartig First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 108 S. Linn Street Apt 25 Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 2 years, 9 months Home: (563) 845-1232 Primary Phone Alternate Phone connorhartig1232Qa gmail.com Email Address Service Manager at Chipotle Mexican Grill Occupation 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.) ' W Male Boards & Commissions Connor Hartig Which Boards would you like to apply for? Climate Action Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Ad Hoc Truth and Reconcilliation Commission Interests & Experiences 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. 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. Connor Hartig 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? r Yes n 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 20 Country of Origin United States Sexual Orientation Gay Religion Agnostic Connor Hartig Do you have a disability No Ethnicity German 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. p 1 Agree Connor Hartig Advisory Board/Commission Application Form Submit Date: Dec 01, 2023 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) Jinxx D Havel-sturdevant First Name Middle Initial Last Name First Name (Phonetic spelling) Jin-kks Last Name(Phonetic spelling) Ha-vel Stur-de-vant 1908 Delwood Drive Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 30+ Mobile: (319) 930-6756 _ Home: (319) 354-9676 Primary Phone Alternate Phone jinxx-havelsturdevant@uiowa.edu Email Address Full time student at the University of Iowa Occupation 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.) ' r Female Jinxx D Havel-sturdevant Boards & Commissions Which Boards would you like to apply for? Climate Action Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Climate Action Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: I am a junior at the University of Iowa majoring in both EPPL (Environmental Policy and Planning) and International Studies: Sustainable Development. Also working towards a certificate within sustainability. What is your present knowledge of each advisory board you are interested in? My husband (Gabriel Sturdevant) is currently a member on the Climate Action Commission. I am unfamiliar with the other commissions but I am willing to learn. 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. Jinxx D Havel-sturdevant List your answers here: I do not have any conflicts of interest with businesses or non-profit entities. Res. #22-78 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? r Yes n 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 36 Country of Origin United States Sexual Orientation Bi Religion Catholic Do you have a disability Yes Ethnicity Race Jinxx D Havel-sturdevant Gender Identity cisgender '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. p 1 Agree Jinxx D Havel-sturdevant Advisory Board/Commission Application Form Submit Date: Nov 09, 2023 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) Josephine V Josten First Name Middle Initial Last Name First Name (Phonetic spelling) Jody Last Name(Phonetic spelling) JO-sten 1656 Vesti Lane Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 20 + years Mobile: (319) 930-1582 Primary Phone Alternate Phone jo.jostenl9Qa gmail.com Email Address Associate at International Economic Development Council Occupation 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.) ' r Female Josephine V Josten Boards & Commissions Which Boards would you like to apply for? Climate Action 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: I have my bachelor's degree in Political Science. I have worked for the last 5 years in economic development nonprofit organizations which have worked closely with local government. I have my master's degree in public affairs from the University of Iowa and studied economic development and sustainable economic development. I currently work with an international nonprofit organization, where a core component on our work is focused on helping cities to grow sustainably. I work in research and projects with economic and community development experts to help guide cities in projects. I am very passionate about sustainability, and find that this must be an imperative function for all cities and local government. This cannot be an issue that is left up to only federal government to regulate. I am a strong advocate for citizen participation in local government as well! What is your present knowledge of each advisory board you are interested in? I do not have a deep understanding of the current work the advisory board is doing, but am aware of both Iowa City's sustainability work, and current municipal and public best practices for sustainable development. 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. Josephine V Josten 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: Not applicable Res. #22-78 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? r Yes n 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 United States Sexual Orientation Religion Do you have a disability Ethnicity Josephine V Josten Race White 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. r 1 Agree Josephine V Josten Advisory Board/Commission Application Form Submit Date: Sep 20, 2023 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) Abigail A Mckeone First Name Middle Initial Last Name First Name (Phonetic spelling) Ab-e Last Name(Phonetic spelling) Mck-Q-In 658 Tipperary Road Home Address Suite or Apt Iowa City, Iowa IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? Entire life (20 yrs) Mobile: (319) 621-9540 Primary Phone Alternate Phone abmckeone23@gmail.com Email Address Full time student(University of Iowa) Occupation 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.) ' r Female Abigail A Mckeone Boards & Commissions Which Boards would you like to apply for? Climate Action 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: I am a third-year student at the University of Iowa studying Environmental Policy and Planning. I am also getting minors in Social Justice and Environmental Science as well as a certificate in Sustainability. I currently work at CAMBUS where I promote environmental justice and reducing collective emissions by driving the bus. Additionally, I work at the historical Dairy Queen on Riverside for four years now, which is very engrained into the community. I have also worked with the Office of Sustainability and Environment at the University working as a Research Intern. In that position we researched sustainability within the dining halls based off of the Real Food Challenge criteria. I am also a part of the student group, Underrepresented Students in Sustainability, which promotes environmental justice and action across the University. Within this program, I have been mentored by professors Eric Tate and Travis Kraus about environmental work+ careers. What is your present knowledge of each advisory board you are interested in? I am somewhat knowledgeable about this board; I know this board collaborates with the City Council and occasionally other boards to work towards the city's sustainable goals, such as the Climate Action and Adaptation plan. Additionally, I know that the board is working with several local sectors of larger organizations like MidAmerican and Green Iowa Americorp to help achieve more sustainable practices. From reviewing some of the previous work, it looks like the board has been able to meet some important goals such as lowering co2 emissions! 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. Abigail A Mckeone 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 currently work at CAMBUS and Dairy Queen on Riverside (owned by the McWane's, not a corporate location) Res. #22-78 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? r Yes r 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 20 Abigail A Mckeone Country of Origin United States Sexual Orientation Religion Do you have a disability Ethnicity White Race Caucasian Gender Identity Woman '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. r I Agree Abigail A Mckeone c Advisory Board/Commission Application Form 5M This This application is a public document and as such can be reproduced and distributed for the -1a.n._ public.This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY of LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 11/4/2022 First Name" Rebecca Last Name Nielsen First Name(Phonetic spelling) Optional Last Name( Phonetic spelling) Optional Home Address" 611 Potter St City Tiffin State IA Zip Code"` 52340 Is your home address(listed above)within the corporate limits of Iowa City?" No Contact Phone Number" 319-688-5872 Email Address` rnielsen@johnsoncountyiowa.gov Boards & Commissions Select a Board or Commission you are interested in: Climate Action Commission Preference on first choice If multiple boards are being applied for How long have you been a resident of Iowa City? Occupation:' Emergency Preparedness Planner 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 v Female Experience and/or activities which you feel qualify you for this position: As part of my work in emergency preparedness, I have focused in the impact climate change has had on natural disasters and how to adapt preparedness plans to mitigate this impact. What is your present knowledge of each advisory board you are interested in?* The Climate Action Committee advises on Iowa City's climate and sustainability goals and works to meet those goals through education,community programs,and other initiatives. 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. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?" 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) Signature of Applicant* &em w��lw 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. Advisory Board/Commission Application Form Submit Date: Sep 11, 2023 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) Garry Patricio First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 1984 Mackinaw Dr. Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 2 years Home: (319) 981-6098 Primary Phone Alternate Phone garry.patricio@outlook.com Email Address Engineer Occupation 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.) ' W Male Boards & Commissions Garry Patricio Which Boards would you like to apply for? Climate Action 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: I currently lead ENGIE's utility operations, sustainability initiatives, and energy transition at the University of Iowa. Deeply passionate about creating a cleaner, green future, my vision for the Public-Private Partnership (P3)with the university includes a near-future biomass fuel changeover from coal. I lead the ENGIE team in investigating efficiency and energy-use reduction techniques using available technologies and data acquisition. I am an advocate of using the Department of Energy's Measur software tools to model plant operation, steam distribution, and chiller operation. These and prior experiences within the traditional power generation and renewable energy space, I feel qualifies me for this position. What is your present knowledge of each advisory board you are interested in? The Climate Action Commission acts as an advisory board to Iowa City in its climate, sustainability, and climate action and adaptation plan goals. 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. Garry Patricio 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. #22-78 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? r Yes n 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 Garry Patricio 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. r 1 Agree Garry Patricio Advisory Board/Commission Application Form Submit Date: Sep 20, 2023 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) Mark K Reagan First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 500 Kimball Rd. Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 36 years Home: (319) 321-7797 Primary Phone Alternate Phone mreagan4@yahoo.com Email Address Professor Emeritus Occupation 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.) ' W Male Boards & Commissions Mark K Reagan Which Boards would you like to apply for? Climate Action 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: I am an emeritus professor at the University of Iowa, where I taught and conducted research for 35 years. I taught a course called Natural Disasters (formerly Natural Hazards)for many years, including the sections on climate history, climate change, and meteorology. While I taught this course, I kept up on the climate change literature and reports from organizations like the IPCC about how the climate is changing and why. I have participated in paleoclimate research, including contributing to the the highly cited Dorale et al., (1998) paper in Science magazine about how Iowa's climate and vegetation changed over the past 8,000 years. I have authored or co-authored 96 peer-reviewed scientific publications. This published research was funded in large part by National Science Foundation grants. I also was the Department Executive Officer(DEO) of the Earth and Environmental Sciences Department from 2009 to 2014. 1 also served on the University's Sustainability Certificate Task Force and Curriculum Committee from 2008 to 2010. What is your present knowledge of each advisory board you are interested in? I know that the Climate Action Commission is an advisory body tasked to help implement the city's climate and sustainability goals. 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. Mark K Reagan 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 retired and I am not currently employed. My retirement fund investments are largely managed by TIAA, although I manage about 9% of my investments through TIAA. My investments include Vanguard market ETFs, Berkshire Hathaway, and AKREX. Res. #22-78 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? r Yes r 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 69 Country of Origin USA Sexual Orientation straight Religion none Mark K Reagan Do you have a disability no Ethnicity 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. r 1 Agree Mark K Reagan Advisory Board/Commission Application Form Submit Date: Sep 07, 2023 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) Robert Traer First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 311 Woolf Avenue Home Address Suite or Apt Iowa City IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 2 years 10 months Home: (909) 541-6650 Primary Phone Alternate Phone rtraer@gmail.com Email Address Retired teacher Occupation 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.) ' W Male Boards & Commissions Robert Traer Which Boards would you like to apply for? Climate Action 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: I taught environmental ethics for more than a decade and am the author of the university textbook"Doing Environmental Ethics" (Routledge, third edition 2020). As an Iowa City Climate Ambassador, I have made presentations at Oaknoll retirement community and the Senior Center, and will lead three sessions beginning on September 17th at St. Andrew Presbyterian Church. What is your present knowledge of each advisory board you are interested in? The training for becoming an Iowa City Climate Ambassador including reviewing the City's climate action plan and reports on the progress being made. 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. Robert Traer List your answers here: Res. #22-78 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? r Yes n 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 80 Country of Origin USA Sexual Orientation Husband, father, grandfather Religion Christian Do you have a disability No Ethnicity Dutch/English Robert Traer 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. r 1 Agree Robert Traer Item Number: 10.c. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Housing & Community Development Commission - One vacancy to fill an unexpired term, upon appointment-June 30, 2025. (Michael Eckhardt resigned) [Deferred from 11/21/2023] Attachments: Vacancy Announcement & Coversheet.pdf Board Demographics & Attendance.pdf Atkins, Colette - Application.pdf Dimambu, Clinton - Application.pdf Hanson, Nolan - Application.pdf Kivarkis, George - Application.pdf Shaver, Robert - Application.pdf Vogel, Eric - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HOUSING & COMMUNITY DEVELOPMENT COMMISSION One Vacancy: Unexpired Term Upon Appointment—June 30, 2025 • Duties of the Housing and Community Development Commission include assessing and reviewing policies and planning documents related to the provision of housing, jobs, and services for low- and moderate-income residents; • reviewing policies and programs of the Public Housing Authority and Community Development Division and make recommendations regarding the same to the City Council; • reviewing and making recommendations to the City Council regarding the use of public funds to meet the needs of low- and moderate-income residents; housing policies and programs, and seeking public participation in assessing needs and identifying strategies to meet these needs; recommending to the City Council from time-to-time amendments, supplements, changes, and modifications to the Iowa City Housing Code. • The Housing and Community Development Commission will have monthly meetings. Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. When possible, Council will appoint persons with expertise in construction and/or finance, a person receiving rental assistance, and a member of the Local Homeless Coordinating Board. Applications must be received by 5:00 p.m., Tuesday, November 14, 2023. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Housing and Community Development Commission should be directed to Brianna Thul, Planner Neighborhood Services at 356-5240. Board/Commission Application Cover Board/Commission: Housing and Community Development Commission(HCDC) One vacancy to fill an unexpired term Upon appointment—June 30, 2025 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 1010312023 Application Deadline: 1111412023 Council Appointment Date: 1112112023 Date of Non-Gender Appointment: 0110112024 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-Male Current Gender Balance: Female: 5 Male: 3 Gender Name and Address Female Atkins, Collette 927 Walker Circle Male Dimambu, Clinton 1819 Lower Muscatine Rd. Male Hanson, Nolan 702 Carriage Hill, Apt. 5 Male Kivarkis, George 435 S. Linn St. Male Shaver, Robert 1603 Crosby Ln. Male Vogel, Eric 518 N. Van Buren % § ) ) ) # / { \ ) } \ $ \ mo 'ffi° ° \ / ) ) - ) : \ § C ) ) \ \ ( z 7 }\ ) / / \ A y 3 z - ) ; @ > « « o 2 z ± 2 k § \ \ - \ - _ + o/ \ U) \ \ ) E0 ` § e - y S ; 2 CO \ ) ) ] _ _ ] loo : CID S 45 % r / t 7 7 { ) E - \ \ ; ; a E 2 o ® ` 2 § /\} / : \ { \ \ E0 5 § j } \LL \ § { E2 E2 2 { IN ) f , \ � ILI \ ItI / ® 121 JW 1�- / j , 2 _ 122 \ (D) 2 _ \ )1� ILL ) 0 ) _ : ! / \ ) 2 _ z ) ! J £ ! ! U) g2a \ / � Housing and Community Development Commission October 19,2023 Page 8 of 8 Housing and Community Development Commission Attendance Record 2022-2023 Name Terms Exp. 9/15 10120 11/17 1/19 2116 3130 4/20 5118 7/20 9/21 10121 Beining, Kaleb 6/30/24 O/E X X X 0/E X X O/E X X X Dennis, Maryann 6/30/25 0/E X X X X X 0/E X X O/E X Haylett,Jennifer 6/30/25 X O/E O/E X X O/E X O/E Krotz,Karol 6/30/24 X X X X O/E X X X X X X Reedus, Becci 6/30/24 X X X X X X X X X X X Vogel, Kyle 6/30/26 X X X O/E X X O/E X X X O/E Eckhardt, Michael 6/30/25 X X X X X X O/E O/E Patel, Kiran 6/30/26 — - O/E X X X X X O/E Pierce,James 6/30/2026 - X X X Subramanian,Saranya 06/30/2025 — • Resigned from Commission Kev: X = Present O = Absent O/E = Absent/Excused = Vacant 8 Advisory Board/Commission Application Form Submit Date: Aug 13, 2023 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) Colette Atkins First Name Middle Initial Last Name First Name (Phonetic spelling) Colette Last Name(Phonetic spelling) Atkins 927 Walker Cir Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 1 month Mobile: (319) 213-8075 Primary Phone Alternate Phone atkinsx4@gmail.com Email Address Administration at College Occupation 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.) ' r Female Colette Atkins Boards & Commissions Which Boards would you like to apply for? Housing and Community Development Commission (HCDC) Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? OYes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? r Yes c No Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have served as a city council member for 5 years previously in Marion, IA. I stepped down from that role because I moved to IC. I also have several years of experience managing in higher education and I am a veteran of the US Air Force. What is your present knowledge of each advisory board you are interested in? I have reviewed several of the previous agendas and also spent time understanding the recent strategic plan set by the council in Iowa City. My knowledge of how city government works and my desire to serve my community have brought me to applying for one of the open boards/commissions. I don't come with a personal agenda- I am committed to serving the larger IC community. Potential Conflicts of Interest Colette Atkins 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: NA 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? r Yes r 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: Colette Atkins Age 50 Country of Origin USA Sexual Orientation Religion Do you have a disability NA Ethnicity White Race 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. r I Agree Colette Atkins Advisory Board/Commission Application Form Submit Date: Nov 03, 2023 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) Clinton M Dimambu First Name Middle Initial Last Name First Name (Phonetic spelling) CLINTON Last Name(Phonetic spelling) DIMAMBU 1819 LOWER MUSCATINE RD Home Address Suite or Apt IOWA IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 5 Mobile: (319) 333-6490 Primary Phone Alternate Phone clintondimambul4Qa gmail.com Email Address Organizer Occupation 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.) ' r Male Clinton M Dimambu Boards & Commissions Which Boards would you like to apply for? Housing and Community Development Commission (HCDC) Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? OYes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? r Yes c No Interests & Experiences Experience and/or activities which you feel qualify you for this position: i have Knowledge. What is your present knowledge of each advisory board you are interested in? I have Knowledge in Human Right and zoning 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. Clinton M Dimambu 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: Res. #22-78 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? r Yes n 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 28 Clinton M Dimambu Country of Origin DR Congo Sexual Orientation Male Religion Catholic Do you have a disability no Ethnicity black Race black 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. r I Agree Clinton M Dimambu Advisory Board/Commission Application Form 5N This 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 CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY of LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/10/2023 First Name" Nolan Last Name Hanson First Name(Phonetic spelling) Optional Last Name( Phonetic spelling) Optional Home Address" 702 Carriage HI,Apt. 5 City* Iowa City State IA Zip Code* 52246 Is your home address(listed above)within the corporate limits of Iowa City?" Yes Contact Phone Number" 5635689922 Email Address* nolanhansonl923@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Housing and Community Development Commission(HCDC) Do you have expertise in property management?"(9) Yes " No Do you have expertise in nonprofit management?*(?I n Yes No Do you receive rental assistance?P) Yes No Do you have expertise in construction?"(?) Yes ` No Do you have expertise in finance?*(?) Yes No Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 4 years Occupation:" State Senate Legislative Aide 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. v Male Female Experience and/or activities which you feel qualify you for this position:" I first came to Iowa City as a closeted country kid who had only lived in a city two years up to that point in my life. I enrolled at the University of Iowa in 2019 and quickly became engaged in the community by volunteering for both student organizations and local not-for-profits.The more involved I became,the more Iowa City has felt like home. In the process of adjusting to the city, I learned some harsh realities as my friends and I struggled to attain affordable,quality housing with responsible landlords—things that are in far too short of a supply for a community as large as ours.All of my adult life I have lived paycheck to paycheck,always having to worry about bills and choosing what to give up in order to afford the bare essentials as many young residents of our community have to do. During the 2020 presidential caucuses, I knocked doors in every nook and cranny of the city I would not have otherwise seen. I was able to talk to people from all walks of life and hear their concerns directly.The most impactful of these was when I canvassed a local mismanaged trailer park,a place too often ignored. It was a grim reminder of the impoverished experiences my rural friends and I had to endure growing up. I felt a need to get more involved in the community to address these experiences of poverty. Building off of my experiences from the presidential caucuses, I attempted to organize with my friends and fellow community members. I decided to rally folks around labor issues at the university and in the local community, which led to my founding of the student organization Hawks'Union at the University of Iowa. I built the organization's structure through its founding documents and have served as co-chair managing leadership development,finances,and event organization. I helped lead an incredible team of students to create a productive community space where people of all backgrounds and ideologies could discuss our shared grievances and have fun doing it.Our organization has hosted educational events to teach students and non- university affiliated members of the community alike about their rights as workers by connecting with important local activists and labor leaders,something we feel is critical for students to be aware of as many head out into the world for the first time. I feel my past leadership experience and passion for bringing people together around shared issues would be extremely beneficial to the Housing and Community Development Commission.More experiences of young residents/renters living paycheck to paycheck in Iowa City need to be incorporated into city structures and decision making while also paying close attention to the experiences of those who have lived in Iowa City the longest under financial strain. What is your present knowledge of each advisory board you are interested in?" The Housing and Community Development Commission serves the community by making recommendations to city council in the areas of affordable/public housing and community development.The commission seeks to meet the needs of low and middle income residents and recommend changes to the Iowa City Housing Code. There are many restrictions placed on the city by state code preemptions that disallowing the city from implementing experimental and potentially beneficial policies that many community members yearn for.The city, however,still has many powers and financial levers at its disposal.The Commission which the commission does the critical first steps of public involvement and recommends spending to various programs and City partners.Of particular note and interest is the Commissions responsibility for recommendations of distribution of grants to local non-profits that support the City's work in affordable housing and neighborhood development initiatives. 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. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* 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 United States Sexual Orientation Bisexual/Pansexual Religion Agnostic Do you have a disability? No Ethnicity American Race Caucasian Gender identity He/Him `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) Signature of Applicant* 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. Advisory Board/Commission Application Form Submit Date: Oct 22, 2023 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) George E Kivarkis First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) ki-VAR-kiss 435 S Linn Street 515A Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? O Yes r No How long have you been a resident of Iowa City? 6 years Mobile: (224) 239-6779 Primary Phone Alternate Phone g.kivarkis96@gmail.com Email Address Student (Full Time) Occupation 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.) ' r Male George E Kivarkis Boards & Commissions Which Boards would you like to apply for? Housing and Community Development Commission (HCDC) Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? OYes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? r Yes f No Interests & Experiences Experience and/or activities which you feel qualify you for this position: Through my administrative (treasurer)work with a local nonprofit organization (WONPO for Vets), I have developed real world experience with grant and fund management, tax preparation and bookkeeping, and comprehensive organizational outlook. I'm excited to work with the Housing and Community Development Commission to continue my work in supporting and learning about our community. What is your present knowledge of each advisory board you are interested in? With regard to the HCDC, I am aware of the duties of the position which include reviewing and scoring grant proposals, making funding recommendations to City Council, and reviewing and approving City reports. I'm also aware that public meetings for the HCDC are held on the third Thursday of every month at 6:30 p.m. at the Iowa City Senior Center. Potential Conflicts of Interest George E Kivarkis 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: As mentioned, I am currently employed with a local nonprofit--WONPO (World's Okayest NonProfit Organization)that utilizes donated and raised funds to invest in a variety of care and resources for veterans struggling with their mental health. This is the only potential conflict of interest I have to report. Res. #22-78 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? r Yes r No (Optional) Demographic Information George E Kivarkis 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 26 Country of Origin USA Sexual Orientation Pansexual Religion Christian Do you have a disability N/A Ethnicity Assyrian Race White Gender Identity M '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) George E Kivarkis 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. [;F I Agree George E Kivarkis Advisory Board/Commission Application Form Submit Date: Oct 30, 2023 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) Robert E Shaver First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 1603 Crosby Ln Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 39 Years Mobile: (319) 325-1551 Primary Phone Alternate Phone rshaver6l @gmail.com Email Address Retired Occupation 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.) ' W Male Boards & Commissions Robert E Shaver Which Boards would you like to apply for? Housing and Community Development Commission (HCDC) Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? 0Yes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? 0Yes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? O Yes r No Interests & Experiences Experience and/or activities which you feel qualify you for this position: 1981-1994 property maintenance. 1994-1998 City of Iowa City Public Housing maintenance. 1998-2021 City of Iowa City Housing Inspector. 2021 to present Retired. What is your present knowledge of each advisory board you are interested in? Reviews applications for CBDG and Home funds and make recommendations to City Council. 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. Robert E Shaver 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. #22-78 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? r Yes a 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 62 Robert E Shaver Country of Origin us Sexual Orientation Religion Do you have a disability No Ethnicity Caucasian 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. W I Agree Robert E Shaver Advisory Board/Commission Application Form Submit Date: Oct 30, 2023 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) Eric W Vogel First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 518 n Van Buren 5 Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 4 yrs Home: (319) 936-8123 Primary Phone Alternate Phone ericvogel75@gmail.com Email Address Contractor Occupation 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.) ' W Male Boards & Commissions Eric W Vogel Which Boards would you like to apply for? Housing and Community Development Commission (HCDC) Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? 0Yes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? 0Yes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? O Yes r No Interests & Experiences Experience and/or activities which you feel qualify you for this position: Maintenance for 60 plus rental properties for 15 years What is your present knowledge of each advisory board you are interested in? Absolutely no knowledge but I am 100%sure I can take on the task and be beneficial for Iowa 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. Eric W Vogel 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: Res. #22-78 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? r Yes n 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 48 Eric W Vogel Country of Origin USA Sexual Orientation Male Religion Na Do you have a disability Yes Ethnicity Iowa City Race White 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. ❑p I Agree Eric W Vogel Item Number: 10.d. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Human Rights Commission - Three vacancies to fill three-year terms, January 1, 2024 - December 31 , 2026. (Terms expire for Roger Lusala, Bijou Maliabo, & Kelsey Paul Shantz) Attachments: Vacancy Notice & Coversheet.pdf Board Demographics & Attendance.pdf Covington, Mika - Application.pdf Dimambu, Clinton - Application.pdf Fennell-Chametzky, Aaron - Application.pdf Halley, Michael - Application.pdf Hartig, Connor - Application.pdf Kiche, Anne - Application.pdf Kreger, Grace - Application.pdf Lusala, Roger - Application.pdf Mendez-Shannon, Liz - Application.pdf Parker, James - Application.pdf Paul Shantz, Kelsey.pdf Steger, Deandre - Application.pdf Tippe, Allison - Application.pdf Vogel, Eric - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION Three Vacancies: Three-Year Term January 1, 2024—December 31, 2026 • Duties of the Commission include: Disseminating information to educate the public on illegal discrimination and civil rights, such as organizing and facilitating educational public forums that address one or more of the broad range of topics included within the rubric of human rights; • making recommendations to the City Council for such further legislation concerning discrimination as it may deem necessary and desirable; • cooperating within the limits of any appropriations made for its operation with other agencies or organizations both public and private whose purposes are not inconsistent with those of Title 2 of the City Code(Human Rights Ordinance) • planning programs and activities designed to eliminate racial, religious, cultural and other intergroup tensions including but not limited to sex, color, creed, disability, gender identity, sexual orientation, marital status, age, and national origin. • The Human Rights Commission meets the third Tuesday of each month at 5:30 p.m. in the Lobby Conference Room at City Hall, 410 E. Washington Street, Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, December 5, 2023. An application can be completed and submitted on the City of Iowa City website at www.icqov.org or by contacting the City Clerk's office. Questions about the Iowa City Human Rights Commission should be directed to Stefanie Bowers, Human Rights Coordinator at 356-5022. Board/Commission Application Cover Board/Commission: Human Rights Commission Three vacancies to fill three-year terms January 1, 2024—December 31, 2026 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 10/17/23 Application Deadline: 12/05/23 Council Appointment Date: 12/12/23 Date of Non-Gender Appointment: 01/15/23 After date above Council may appoint without regard to gender Gender Balance Requirement: 3 - None Current Gender Balance: Female: 3 Male: 3 Gender Name and Address Female Covington, Mika 2401 Hwy 6 East, Apt. 40-106 Male Dimambu, Clinton 1819 Lower Muscatine Rd. Male Fennell-Chametzky, Aaron 810 Roosevelt St. Male Halley, Michael 310 Finkbine Lane 2 Male Hartig, Connor 108 S. Linn St. Apt 25 Female Kiche, Anne 2958 Keel Boat Loop Female Kreger, Grace 20 S. Lucas St. Apt D. Male Lusala, Roger 909 Tamarack TH. (Serving 1st Term ending 12131123) Female Mendez-Shannon, Liz 788 Sherwood Dr. Male Parker,James 1908 B. St. Female Paul Shantz, Kelsey 409 Taft Ave. (Serving an unexpired term that expires 12/31/23) Male Steger, Deandre 100 Mayflower Hall Room 535C-1 Female Tippe, Allison 1105 Prairie du Chien Rd. Male Vogel, Eric 518 N. Van Buren N. '�►�`wNr®��� �` City Council Supplemental Meeting Packet CITY OF IOWA CITY December 12, 2023 Information submitted between distribution of late handouts on Monday and 3:00 pm on Tuesday. Late Handout(s): 8.a. Zoning Code Amendment - Reduction of maximum allowable height in the RNS-12 Zone - See City Council correspondence from Kevin Boyd 10.a. Board of Adjustment - See revised cover sheet 10.d. ,'Human Rights Commission - See revised cover sheet 10.f. Public Art Advisory Committee - See revised cover sheet 10.g. Senior Center Commission - See revised cover sheet December 12, 2023 City of Iowa City Item Number: 10.d. CITY OF OF IOWA CITY COUNCIL ACTION REPORT December 12, 2023 Human Rights Commission - See revised cover sheet Attachments: HRC cover sheet Board/Commission Application Cover Board/Commission: Human Rights Commission Three vacancies to fill three-year terms January 1, 2024—December 31, 2026 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 10/17/23 Application Deadline: 12/05/23 Council Appointment Date: 12/12/23 Date of Non-Gender Appointment: 01/15/23 After date above Council may appoint without regard to gender Gender Balance Requirement: 3 - None -- ( Mcde i I Fent0.CCe + I rioiLe- Current Gender Balance: Female: 3 Male: 3 Gender Name and Address Female Covington, Mika 2401 Hwy 6 East,Apt.40-106 Male Dimambu,Clinton 1819 Lower Muscatine Rd. Male Fennell-Chametzky,Aaron 810 Roosevelt St. Male Halley, Michael 310 Finkbine Lane 2 Male Hartig,Connor 108 S. Linn St.Apt 25 Female Kiche, Anne 2958 Keel Boat Loop Female Kreger,Grace 20 S. Lucas St.Apt D. Male Lusala, Roger 909 Tamarack Trl. (Serving 1st Term ending 12/31/23) Female Mendez-Shannon, Liz 788 Sherwood Dr. Male Parker,James 1908 B.St. Female Paul Shantz, Kelsey 409 Taft Ave. (Serving an unexpired term that expires 12/31/23) Male Steger, Oeandre 100 Mayflower Hall Room 535C-1 Female Tippe,Allison 1105 Prairie du Chien Rd. Male Vogel, Eric 518 N. Van Buren Ix d , a = rI` _ Z CD a g LL w n m ° 0 0 o O o O Z Z Z Z 2 O m = s 0 o E E d 2 S V N K N N p N A N d N_ (A O G O O y c . _ E c G C O N N z M ¢ m m m m d = O .` N o n 'E 00 7 c y N m o E E Q R N N ti a N c } t O L N d d 0 E ca 76 O N E V Q) [7 LL lL rL IL N ry CJ c m fl. cj wv o E' dm � do o O N O C L� U N d0OtOO O 7 T OO O d O W LO LORi O -E 9> _Jd Q O O O Er y LO m O � e N � y d d o � 0 o a � r � I� O O � U E E I o -iJ LD d @ c - o E d x o. x x y N c tom- c 7 IL M N O C6 m o m O dc a m 1- F F- N W N N v= N o Q Q Q N O E i, oosc E E m mm U V U c Z Z 0 0 1' nm a 4 °i Z '> O 7 > > O. x Human Rights Commission ATTENDANCE RECORD YEAR 2023 Meetin Date TERN 1/24 2/28 3128 4/25 5123 627 8122 9126 10124 11/28 NAME E%P. Roger Lusala 2023 P P P P P P A P p Bijou Maliaho 2023 P p P P P P A P p Kelsey Paul Shantz 2023 P P A Z P P P P A Jahnavi Pandya 2024 P P A Z P Z p P P Sylvia Jons 2024 P A P P Z Z P A Z Doug Kollaseh 2024 P P P Z P P P P P Viana Qadoura 2025 - - - - - - - p Ahmed Ismail 2025 P P P P P P A P A Mark Pries 2025 - _ _ _ _ P P p KEY: P = Present A =Absent Z =Present via Zoom Advisory Board/Commission Application Form Submit Date:Jun 07, 2023 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) Mika J Covington First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 2401 Highway 6 East, Apt 40-106 Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 5 years Mobile: (712) 314-8258 Primary Phone Alternate Phone mika.j.covington@gmail.com Email Address Nonprofit President Occupation 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.) ' [;F Female Boards & Commissions Mika J Covington Which Boards would you like to apply for? Human Rights 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: I am the co-founder and President of Next Generation of Cystinosis. NGC is a nonprofit org, run for and by adults living with the ultra-rare disease called cystinosis. We work to represent the interests and needs of adults living with cystinosis, provide support to the community, lobby the state legislature to pass a Rare Disease Advisory Committee and help locate resources. I have worked with the ACLU of Iowa on a lawsuit to establish civil rights for transgender people in Iowa. The decision from the IA Supreme Court this last May. I currently serve on the UIHC Patient and Family Advisory Board. I volunteered with the Iowa Pride Network from 2010 to 2013 on their College Leadership Team organizing and leading IPN's Southwest Iowa Regional Gay-Straight Alliance Coalition. Finally, I have been involved with organizations focused on protecting people's civil rights. I am not an attorney. Finishing my BA in psychology and German (language, culture, history, politics). I speak English and intermediate German. I am proficient in Microsoft Word, Excel, PowerPoint, and Google Apps. What is your present knowledge of each advisory board you are interested in? I understand that the Human Rights Commission ensures that the Iowa Civil Rights Code is enforced. They help employers and residents understand the law and participate in events such as Juneteenth and Pride,which I would volunteer to help at those events. 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. Mika J Covington 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 serve on the Board of Next Generation of Cystinosis. I am not paid for that position. I do not believe there would be a financial interest issue. 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? t- Yes r 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 32 Country of Origin USA Sexual Orientation Queer Religion Methodist Mika J Covington Do you have a disability Yes Ethnicity Race White Gender Identity Transgender woman '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. r 1 Agree Mika J Covington Advisory Board/Commission Application Form Submit Date: Nov 03, 2023 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) Clinton M Dimambu First Name Middle Initial Last Name First Name (Phonetic spelling) CLINTON Last Name(Phonetic spelling) DIMAMBU 1819 LOWER MUSCATINE RD Home Address Suite or Apt IOWA IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 5 Mobile: (319) 333-6490 Primary Phone Alternate Phone clintondimambul4Qa gmail.com Email Address Organizer Occupation 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.) ' r Male Clinton M Dimambu Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? OYes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? r Yes c No Interests & Experiences Experience and/or activities which you feel qualify you for this position: i have Knowledge. What is your present knowledge of each advisory board you are interested in? I have Knowledge in Human Right and zoning 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. Clinton M Dimambu 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: Res. #22-78 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? r Yes n 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 28 Clinton M Dimambu Country of Origin DR Congo Sexual Orientation Male Religion Catholic Do you have a disability no Ethnicity black Race black 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. r I Agree Clinton M Dimambu Advisory Board/Commission Application Form Submit Date:Jun 25, 2023 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) Aaron J Fennell-chametzky First Name Middle Initial Last Name First Name (Phonetic spelling) Air-in Last Name(Phonetic spelling) Fenn-1 (like the letter 1) Cha-met-ski 810 Roosevelt St Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 21 years Mobile: (319) 471-2683 Primary Phone Alternate Phone fcaaron02@gmail.com Email Address Paraeducator Occupation 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.) ' Wo Male Aaron J Fennell-chametzky Boards & Commissions Which Boards would you like to apply for? Human Rights 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: Experience volunteering for presidential campaigns, attending rallies such as a gathering against the overturning of Roe v. Wade and as an ally at a march on Transgender Day of Visibility, going to a number of my college's Office of Intercultural Life events, being a Student Senate member in high school, and being close to done with my degree- majoring in history, minoring in Gender, Sexuality, and Women's Studies, and getting a certification to teach secondary social studies-all of which I feel relate to this position. What is your present knowledge of each advisory board you are interested in? All I know about it is what is listed on the card I was given:the duties of"Make recommendations on the racial equity and social justice grants" and "Plan programs and activities to eliminate unlawful discrimination,"as well as the requirements and term length. 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. Aaron J Fennell-chametzky 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: Pedal Power MYEP Iowa City Community School District 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? r Yes n 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 United States Sexual Orientation Bisexual Religion None Aaron J Fennell-chametzky Do you have a disability A very mild one- high functioning autism. I don't anticipate it would impact my ability to fill a role like this one Ethnicity Race White Gender Identity Cisgender 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. r 1 Agree Aaron J Fennell-chametzky Advisory Board/Commission Application Form Submit Date:Jan 09, 2023 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 Michael Halley First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 310 Finkbine Lane 2 Home Address Suite or Apt Iowa City IA 52246 City State Postal Code mhalley25@gmail.com Email Address How long have you been a resident of Iowa City? 1 month Account Manager Ideal Energy Occupation 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.) ' r Male 641-233-0445 _ Primary Phone Alternate Phone Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Michael Halley Interests & Experiences Experience and/or activities which you feel qualify you for this position: What is your present knowledge of each advisory board you are interested in? 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. 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. 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 have a conflict of interest? OYes 0No Do you currently serve on another Iowa City board or commission? OYes 0No Michael Halley (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 47 Country of Origin United State Sexual Orientation Heterosexual Religion Do you have a disability No Ethnicity European-American 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) Michael Halley 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. Michael Halley Advisory Board/Commission Application Form Submit Date: Mar 14, 2023 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) Connor Hartig First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 108 S. Linn Street Apt 25 Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 2 years, 9 months Home: (563) 845-1232 Primary Phone Alternate Phone connorhartig1232Qa gmail.com Email Address Service Manager at Chipotle Mexican Grill Occupation 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.) ' W Male Boards & Commissions Connor Hartig Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Ad Hoc Truth and Reconcilliation Commission Interests & Experiences 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. 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. Connor Hartig 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? r Yes n 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 20 Country of Origin United States Sexual Orientation Gay Religion Agnostic Connor Hartig Do you have a disability No Ethnicity German 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. p 1 Agree Connor Hartig Advisory Board/Commission Application Form Submit Date: May 29, 2023 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) Anne O Kiche First Name Middle Initial Last Name First Name (Phonetic spelling) 3194003877 Last Name(Phonetic spelling) Keycha' 2958 Keel Boat Loop Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 30 Home: (319) 400-3877 Home: (319) 400-3877 Primary Phone Alternate Phone aokiche@gmail.com Email Address Educator Occupation 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.) ' r Female Anne 0 Kiche Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Human Rights Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: A strong advocate for marginalized communities. Chair of African community network, Director of DEI at AAUW. Strong advocate RVAP among other responsibilities. What is your present knowledge of each advisory board you are interested in? Advocates for human and civil rights. Mediate discrimination complains 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. Anne 0 Kiche 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? r Yes n 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 58 Country of Origin Kenya Sexual Orientation Heterosexual Religion SDA Do you have a disability No Ethnicity Black Anne 0 Kiche 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. r 1 Agree Anne 0 Kiche Advisory Board/Commission Application Form Submit Date:Jan 09, 2023 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 Grace Kreger First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 20 S. Lucas Street, Apartment D Home Address Suite or Apt Iowa City IA 52240 City State Postal Code gkreger@gmail.com Email Address How long have you been a resident of Iowa City? 11 years Program Director Assistant, Reach for Your Potential. Inc. Occupation 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.) ' ❑p Female 5157107634 Primary Phone Alternate Phone Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Grace Kreger Interests & Experiences Experience and/or activities which you feel qualify you for this position: What is your present knowledge of each advisory board you are interested in? 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. 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. 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 have a conflict of interest? OYes 0No Do you currently serve on another Iowa City board or commission? OYes 0No Grace Kreger (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 31 Country of Origin United States of America Sexual Orientation Bisexual Religion Unitarian Do you have a disability No Ethnicity Caucasian Race White 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) Grace Kreger 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. Grace Kreger Advisory Board/Commission Application Form Submit Date: Nov 10, 2023 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) Roger B Lusala First Name Middle Initial Last Name First Name (Phonetic spelling) Roger Last Name(Phonetic spelling) Lusala 909 Tamarack Trl Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? Iowa City Mobile: (319) 430-4919 Mobile: (319) 430-4919 Primary Phone Alternate Phone rlusala@hotmail.com Email Address Department of Health and Human Services, Child Wellbeing Division Occupation 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.) ' r Male Roger B Lusala Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Human Rights Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: I'm currently serving as the Chair of the Human Rights Commission, I'm finishing my first 3-year term, in which I took over an unexpired term of a previous member about two and an half years ago. I would like to serve another term to continue with the work the commission started with the new Strategic Plan,we established in 2022. I'm fond of my work with the Commission and many of the current Commissioners have asked me to re-apply to serve another term, including our the Human Rights Coordinator Stefanie Bowers. What is your present knowledge of each advisory board you are interested in? I have a vast knowledge of the Human Rights Commission's background, history, mission, and the duties of the Commissioners. I'm currently serving as this year's Chair of the Commission, and have been very involved with the Commission's work in the community. in addition, I was very instrumental and heavily involved and invested in the development of the new Strategic Plan in 2022, in the revision of the Racial Equity and Social Justices Grant application process, including the actual application document, in the establishment of the new rubrics for scoring the grants applications, and new continual, and ongoing support plan for the selected grantees for a better grant funded experience. I was also involves in the development of guidelines to assist new Commissioners for a better integration in the Commission. I'm proud of the work this Commission have done, is currently doing, and the plans of the future. I still have the desire to serve our community through the Human Rights 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. Roger B Lusala 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 None, as I'm Employed with the State of Iowa in the Department of Health and Human Services in the child wellbeing division. Res. #22-78 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? r Yes r 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 48 Roger B Lusala Country of Origin Democratic Republic of Congo, Africa Sexual Orientation Strait Religion None Do you have a disability No Ethnicity Not Hispanic Race Black (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. r I Agree Roger B Lusala Advisory Board/Commission Application Form Submit Date: Dec 04, 2023 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) Liz Mendez-shannon First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 788 Sherwood Drive Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 1 Mobile: (303) 330-3611 Primary Phone Alternate Phone elizabeth.mendez.shannon@gmail.com Email Address Director Occupation 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.) ' [;F Female Boards & Commissions Liz Mendez-shannon Which Boards would you like to apply for? Human Rights 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: I feel a calling to help people. I worked as a Social Worker for more than 10 years helping children and families. I believed in working across cultures and language embracing the process of finding common ground. I received my doctorate in social work from Uiowa and then pursued research about resilience while teaching. I'm now leading work related to diversity, equity and inclusion by consulting and working at UIOWA. What is your present knowledge of each advisory board you are interested in? I believe that the Human Rights Commission exists to serve the communities of Iowa City and collectively empower residents to use their voice towards positive change and equitable outcomes 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. Liz Mendez-shannon List your answers here: I work for the College of Liberal Arts at the University of Iowa Res. #22-78 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? r Yes n 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 Ecuador Sexual Orientation Religion Do you have a disability Ethnicity Latina Race Gender Identity Female Liz Mendez-shannon '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. W I Agree Liz Mendez-shannon Advisory Board/Commission Application Form Submit Date:Jun 21, 2023 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) James L Parker First Name Middle Initial Last Name First Name (Phonetic spelling) Jayms Last Name(Phonetic spelling) Pahr-kehr 1908 B Street Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 18 years Mobile: (319) 331-9419 Primary Phone Alternate Phone jparkeria@gmail.com Email Address Registered nurse Occupation 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.) ' r Male James L Parker Boards & Commissions Which Boards would you like to apply for? Human Rights 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: -10+ years as an RN working ob-gyn/ent/urology post surgical, med/surg float pool, emergency department, psychiatric/mental health division -fluent in french, beginner fluency in Spanish -2.5 years living abroad in France as a young adult-active in the Boy Scouts of America throughout my youth and returned to it as an adult; obtained rank of Eagle in 1992 and completed Wood Badge Leadership course in 2007. -BS in Management with an IT concentration; BS in Nursing; MS in Nursing student with anticipated graduation in December 2023; plan to obtain a PMHNP license in Iowa after graduation. - currently serving as a young men advisor (ages 13-15) at church -Addiction recovery program facilitator with weekly meetings -moved around in my childhood and adolescence to various states providing racial, cultural and socioeconomic experiences-10 years in the over-the-road transportation industry-3 years as a jailer and 911 dispatcher in Smith County Texas What is your present knowledge of each advisory board you are interested in? Next to nothing. 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. James L Parker 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: UnityPoint Health 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? r Yes n 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 49 Country of Origin United States Sexual Orientation Male Religion The Church of Jesus Christ of Latter Day Saints James L Parker 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. p 1 Agree James L Parker Advisory Board/Commission Application Form Submit Date: Dec 04, 2023 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) Kelsey Paul Shantz First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) Paul Shonts 409 Taft Ave Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? O Yes r No How long have you been a resident of Iowa City? 6.25 years Home: (563) 770-0400 Primary Phone Alternate Phone kelseynshantz@gmail.com Email Address Program Officer, Mass Violence and Atrocities Prevention, Stanley Center Occupation 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.) ' ❑p Female Kelsey Paul Shantz Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Human Rights Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: Growing up in the poorest county of Iowa, I saw firsthand how much civic engagement, in particular support and investment from community members in human rights, the arts, and education could foster a richness of community that, although not a fix to economic and financial hardships for individual families, could bolster and uplift the community. In 2008, as a 17 year old, I left Iowa to pursue education and a career in international relations and public policy. After living and studying on both coasts of the United States, as well as Canada,the UK, the Netherlands, and Germany, I returned to Iowa in 2017 to work for the Stanley Center in Muscatine, where I currently work on policy approaches to prevent identity-based violence, including mass violence and atrocities. In this work, I am a co-facilitator of the Peace in Our Cities network, whose members—including city officials and community organization leaders from 23 countries globally—have all committed to reduce violence in their communities by 50%by 2030. Since 2017, Iowa City has been home. However, one unexpected consequence of the pandemic for me was that a pause in work travel encouraged me to take in this wonderful community in Iowa City, including issues we face here at home, as well as inspiring actions to foster greater wellbeing, mental health, just society, and greater equity in economic opportunities. I am so encouraged by efforts in this community to build a stronger, more racially and socially just city. There is a tremendous opportunity to further deeper efforts across the community to implement the three values of the City's 2023-2028 Strategy Plan, including racial equity, social justice and human rights; climate action; and partnerships and engagement. If reappointed, I would be thrilled to offer my background in global efforts of community resilience and wellbeing,violence prevention, and human rights to support advocates and community leaders as we work together for a just Iowa City for all residents--not in spite of, but because of their diverse identities. Education: Bachelor of Arts International Studies, University of Evansville; Master of Arts International Relations (economics and development), Maxwell School of Citizenship and Public Affairs, Syracuse University; Master of Public Policy (security and defense), Hertie School of Governance, Berlin, Germany. Kelsey Paul Shantz What is your present knowledge of each advisory board you are interested in? I am seeking a reappointment for a full term on the HRC. Since July 2022,when I filled a vacant appointment mid-term, I have had the tremendous pleasure and privilege of serving on the Human Rights Commission. During this time, it has been exceptional to witness how community leaders have shared their time, expertise and advocacy with commissioners. I am especially familiar with those HRC efforts I have participated in, in particular:to connect with local indigenous representatives, including Great Plains Actions Service (GPAS); build new subcommittees, including the subcommittee on "building bridges"with our local leaders; as well as statements and efforts to bring light to ongoing human rights issues both locally here in Iowa City and the state, as well as across the globe. I have especially appreciated being involved in this year's racial equity and social justice grant process, including reviewing and recommending grant recipients and actively engaging in the HRC's efforts to build closer ties with grant recipients,fostering connection and relationship with grantees throughout the grant process. The commission is currently made up of exceptional individuals, each with ties across our wonderful community and with unique experiences and expertise. If reappointed, I would seek to bolster the work of advocates for human rights in our community, including those on the HRC and those not always recognized or with a platform. 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 am employed by the Stanley Center in Muscatine, Iowa, where I work globally on policy approaches to reduce identity-based violence, including mass violence and atrocities. "The Stanley Center for Peace and Security is a private operating foundation based in Muscatine, Iowa, with projects and partnerships that span the globe. We believe inclusive dialogue and diverse perspectives create better policy solutions, and we consistently build new collaborations to exchange ideas, foster innovation, and take collective action." I don't see this causing any conflict of interest for me with the HRC and the city of Iowa City. Kelsey Paul Shantz Res. #22-78 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? r• Yes n 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 Country of Origin Canada Sexual Orientation Religion Do you have a disability Ethnicity White caucasian Race Gender Identity Female Kelsey Paul Shantz '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. W I Agree Kelsey Paul Shantz Advisory Board/Commission Application Form Submit Date: Oct 29, 2023 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) Deandre Steger First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 100 Mayflower Hall Room 535C-1 Home Address Suite or Apt Iowa City IA 52242 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 12 months Home: (319) 804-6477 Primary Phone Alternate Phone Osteger.deandre@gmail.com Email Address Student Occupation 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.) ' W Male Boards & Commissions Deandre Steger Which Boards would you like to apply for? Human Rights 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: I'm a member of the Food Pantry, the Basic Needs at Ulowa Student Board, Diversity Council, Dean of Students Advisory Board, and the Foundationalist, and I use those different avenues of community engagement to highlight different aspects of myself. The Foundationalist is literary based, the Diversity Council highlights actively listening to communities of color and representing them, the Dean of Students Advisory Board provides a space to directly engage with University Staff, and the Food Pantry provides necessary items for the Student Population. I love all of my experiences. What is your present knowledge of each advisory board you are interested in? I like to think of the Iowa City Human Rights Commission as a collaborate effort to learn, recognize, and act against prejudice and discrimination against the factors that separate but strengthen us, like sex, color, disability, sexual orientation, marital status, age, and nationality. The Committee meets on the fourth Tuesday of every week and it's open to the public. Depending on the event, it can be held at 410 E Washington St or as needed. 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. Deandre Steger 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. #22-78 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? r Yes n 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 19 Country of Origin United States Sexual Orientation Bisexual Religion N/A Deandre Steger Do you have a disability N/A Ethnicity African American, White Race Mixed 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. p 1 Agree Deandre Steger Advisory Board/Commission Application Form Submit Date: Nov 14, 2023 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) Allison K Tipple First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 1105 Prairie du Chien Rd Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 7 years Mobile: (319) 321-4459 Primary Phone Alternate Phone a.k.tippe@gmail.com Email Address Social Worker Occupation 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.) ' [;F Female Boards & Commissions Allison K Tippe Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Human Rights Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have been a licensed social worker since 2009 and currently work as a victim advocate with the Domestic Violence Intervention Program in Iowa City. I have spent several years working as a reproductive rights activist, working as a doula in underserved communities. Additionally, I have What is your present knowledge of each advisory board you are interested in? Human Rights Commission educates the public on discrimination and civil rights within our community. They consider grantees and grant applications presented to the commission. Additionally, they design programs and events within the Iowa City community to help educate the public about issues of race, class, gender, sexual orientation, and national/ethnic identities. 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. Allison K Tippe 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: Domestic Violence Intervention Program -full-time employment Res. #22-78 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? r Yes n 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 36 Country of Origin United States Sexual Orientation Bisexual Religion Agnostic Allison K Tippe Do you have a disability Yes Ethnicity Race White Gender Identity Non-binary '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. r 1 Agree Allison K Tippe Advisory Board/Commission Application Form Submit Date: Oct 30, 2023 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) Eric W Vogel First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 518 n Van Buren 5 Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 4 yrs Home: (319) 936-8123 Primary Phone Alternate Phone ericvogel75@gmail.com Email Address Contractor Occupation 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.) ' W Male Boards & Commissions Eric W Vogel Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in property management? 0Yes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in nonprofit management? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you receive rental assistance? 0Yes 0No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in construction? O Yes r No Question applies to Housing and Community Development Commission(HCDC)Board Member Information Do you have expertise in finance? O Yes r No Interests & Experiences Experience and/or activities which you feel qualify you for this position: Maintenance for 60 plus rental properties for 15 years What is your present knowledge of each advisory board you are interested in? Absolutely no knowledge but I am 100%sure I can take on the task and be beneficial for Iowa 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. Eric W Vogel 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: Res. #22-78 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? r Yes n 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 48 Eric W Vogel Country of Origin USA Sexual Orientation Male Religion Na Do you have a disability Yes Ethnicity Iowa City Race White 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. ❑p I Agree Eric W Vogel Item Number: 10.e. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Parks & Recreation Commission - Two vacancies to fill a four year term, January 1 , 2024 - December 31 , 2027. (Terms expire for Melissa Serenda & Alex Stanton) Attachments: Vacancy Notice & Coversheet.pdf Board Demographics & Attendance.pdf Armbruster, Sandra - Application.pdf Beaird, Mike - Application.pdf Bird, Stephen - Application.pdf Chrischilles, Gene - Application.pdf Crain, Carin - Application.pdf DeGraw, Sharon - Application.pdf Dorman, Brady - Application.pdf Eckhardt, Alan - Application.pdf Garter, Bryan - Application.pdf Havel-Sturdevant, Jinxx - Application.pdf Hayes, Virginia - Application.pdf Klockau, David - Application.pdf Pfohl, Beth - Application.pdf Rodgers, Benjamin - Application.pdf Serenda, Melissa - Application.pdf Stanton, Alex - Application.pdf Trigures, Edy - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION Two Vacancies: Four-Year Terms January 1, 2024— December 31, 2027 • The duties of the members of the Parks and Recreation Commission are; to recommend and review policies, rules, regulations, ordinances, CIP (Capital Improvement Program) funds and budgets relating to parks, playgrounds, recreation centers, and cultural functions of the City and make such reports to the City Council as the Commission deems in the public interest; to exercise broad responsibility for the development of parks, recreation centers, playgrounds, and cultural facilities to serve the City--including the creation and appointment of advisory groups to make studies. • The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, December 5, 2023. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Parks and Recreation Commission should be directed to Jut Seydell- Johnson, Parks R Recreation Director at 356-5104. Board/Commission Application Cover Board/Commission: Parks & Recreation Commission Two vacancies to fill a four-year term January 1, 2024—December 31, 2027 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 10/17/23 Application Deadline: 12/05/23 Council Appointment Date: 12/12/23 Date of Non-Gender Appointment: 01/15/24 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-Female 1-None Current Gender Balance: Female: 3 Male: 4 Gender Name and Address Female Armbruster,Sandra 1133 Downy Dr. Male Beaird, Mike 123 Montrose Ave. Male Bird,Stephen 359 Magowan Ave. Male Chrischilles, Gene 1020 Deerfield Dr. Female Crain, Carin 742 South 7th Ave. Female DeGraw,Sharon 519 Brown St. Male Dorman, Brady 720 Walnut St. Male Eckhardt, Alan 233 Colchester Dr. Male Garter, Bryan 3821 Winnsboro Dr. Female Havel-Sturdevant,Jinxx 1908 Delwood Dr. Female Hayes,Virginia 5 Bedford Court Male Klockau, David 943 Tamarach Trail Female Pfohl, Beth 712 River St. Male Rodgers, Benjamin 76 Westside Dr. Female Serenda, Melissa (Serving 1St term ending 12/31/23) 1607 Vesti Lane Male Stanton, Alex 1111 Church St. (Serving_ an unexpired term ending 12/31/23) Male Trigures, Edy 2801 Hwy 6E Lot 26 C 1 I N V d N E V N ag 3 13 3 m 3 d i d ac d E t E U ry � c E o N C L � � v _ N Z _ 0 O Z IZ m C C C A O N N n w c U d K U U W e c m m d m o 0 m O o O U O m C C A C C m l/J J f/J f/J f/J C N Q N V IIn I(J V m O t .. E O o v m m Q c m m E d E E dL. LL LL LL C NI i C U p N N d t O O_ o m m � '- n m •• E rn� j ly o } a n d Y s O U E T EN M d O O N N OO 2 E go ,a C ¢D LoC 0 Q N N N N N N D O h A N N ) T m C 0 C ry N T d m m V fn L OIL_ O N E N N N N N N N N ry C F N N ON N N N N rl H p C p m m cn m_ m m m N ; N O E E 'o `y 0 z a 6 c'— � d d d o r m � E d E ILL LL � LL � C O L C C C En .2 o c s o mLL o m I- H E d d C m O L ¢¢Z Z N M E ° x .N m o a w ,V U c d Z Q 2 m` U a9 2 U > 7 E: s i r I City Council Supplemental Meeting Packet CITY OF IOWA CITY December 11, 2023 Information submitted between distribution of packet on Thursday and 4:00pm on Monday. Late Addition(s): 6-d. Sale of 1311 Sandusky Dr Resolution setting a public hearing for January 2, 2024, on a proposal to convey a single-family home located at 1311 Sandusky Drive. Comment: On December 12, 2023 City Council will set a public hearing for January 2, 2024 to consider a resolution authorizing the conveyance of 1311 Sandusky Dr. as part of the South District Program. This will be the seventh home sold under the program. 9.g. Grant Agreement with Free Medical Clinic for Facility Renovations Resolution authorizing the City Manager to sign a grant agreement with Iowa City Free Medical Clinic for facility renovations. Comment: This resolution will approve the allocation of $1,000,000 of State and Local Fiscal Recovery (SLRFR) funds to the Iowa City Free Medical Clinic to renovate their facility to accommodate more exam rooms, provide accessibility to the lower level, increase medical storage, including refrigerated medication, create a dental laboratory, administrative offices and acquire related medical equipment to serve a growing number of uninsured and underinsured individuals seeking care. 11.b. Announcement of Vacancies -New Ad Hoc Truth & Reconciliation Commission - One vacancy to fill an unexpired term, upon appointment ending December 31, 2024. (Eric Harris was removed by City Council on November 6, 2023) Applications must be received by 5:00 P.M., Tuesday, January 30, 2024. Late Handouts 1�. ] Parks & Recreation Commission - See attendance chart. The incorrect chart _J was inadvertently attached. December 11, 2023 City of Iowa City Item Number: 10. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 11, 2023 Parks & Recreation Commission - See attendance chart. The incorrect chart was inadvertently attached. Attachments: Parks & Recreation Attendance Sheet PARKS AND RECREATION COMMISSION November 09,2023 Page 12 of 12 PARKS AND RECREATION COMMISSION ATTENDANCE RECORD NAME N M M M M M M M O O O O NN N N N N N N N N N N TERM e : © I r o I N a n i I EXPIRES " N o N *� N M 7 kn � r Go O1 O Aaron 12/31/24 * * * * * X NM X X X X X Broe e Missie 12/31/25 NM X O/E LQ X X NM O/E X X X O/E Forbes Alex 12/31/24 NM X X LQ X X NM X X X X X Hachtman Rachel 12/31/26 * X X LQ X X NM X X X X X McPherson Connie 12/31/25 NM X X LQ X X NM O/E X X X X Moore Brian 12/31/25 NM X X LQ X X NM X X X O/E O/E Morelli Caleb 12/31/26 * * * * * * * * * * X X Recker Melissa 12/31/23 NM X X LQ X X NM X X X X X Serenda Alex 12/31/23 * * * * * * * * X X X O/E Stanton KEY: X=Present O =Absent O/E =Absent/Excused NM=No meeting LQ=No meeting due to lack of quorum * =Not a member during this meeting Advisory Board/Commission Application Form 5N This 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 CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY or LITERATURE If appointed to a Board/Commission,all other applications will be removed from consideration. NOTE:Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/19/2023 First Name" Sandra Last Name Armbruster First Name(Phonetic spelling) Optional 3194303754 Last Name(Phonetic spelling) Optional Home Address* 1133 Downey Dr City* Iowa City State IA Zip Code* 52240 Is your home address(listed above)within the corporate limits of Iowa City?* Yes Contact Phone Number* 3194303754 Email Address sandraarmbruster@msn.com Boards & Commissions Select a Board or Commission you are interested in: Parks and Recreation Commission 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 My 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. Do you currently have a conflict of Interest?" No Do you currently serve on another Iowa City board or commission?" 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) Signature of Applicant" A� 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. Advisory Board/Commission Application Form Submit Date:Jul 22, 2023 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) Mike Beaird First Name Middle Initial Last Name First Name (Phonetic spelling) 13193250596 Last Name(Phonetic spelling) Beaird 123 Montrose Ave. Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 51 years Mobile: (319) 325-0596 Primary Phone Alternate Phone mabeaird65@gmail.com Email Address Retired Occupation 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.) ' r Male Mike Beaird Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: 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? r Yes n 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. r 1 Agree Mike Beaird Advisory Board/Commission Application Form Submit Date: Sep 06, 2023 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) Stephen Bird First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 359 Magowan Ave Home Address Suite or Apt Iowa City IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 7 Mobile: (206) 419-4583 Primary Phone Alternate Phone smbirdl 1 @yahoo.com Email Address Supply Chain Manager Occupation 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.) ' W Male Boards & Commissions Stephen Bird Which Boards would you like to apply for? Parks and Recreation 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: I previously served on the Parks Commission,two of those years I was the Commission Chair. During my term on the commission I maybe missed 2 or 3 meetings. I have an excellent knowledge of the commissions responsibilities and past directives from council. My family has spent many hours in the parks over the years and I believe quality parks and recreation opportunities are an essential part of community. Personally I spend between 3-4 days a week in the parks throughout the year. Additionally I'm a life long swimmer and over the years there are countless drownings in the news that are totally preventable if we made sure everyone has access to swim lessons. What is your present knowledge of each advisory board you are interested in? My knowledge of the Parks Commission is based off previous experience. There are a number of ongoing projects of the parks commission that are of interest to me me including urban forestry, the future state of swimming pools, providing access to swim lessons. 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. Stephen Bird 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: UIHC is my employer Res. #22-78 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? r Yes n 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 Stephen Bird 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. r 1 Agree Stephen Bird Advisory Board/Commission Application Form Submit Date:Jul 25, 2023 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) Gene Chrischilles First Name Middle Initial Last Name First Name (Phonetic spelling) jeen Last Name(Phonetic spelling) chris shill' us 1020 Deerfield Drive Home Address Suite or Apt IOWA CITY IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 40+ years Mobile: (319) 331-8636 Primary Phone Alternate Phone tgenec@gmail.com Email Address retired Occupation 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.) ' r Male Gene Chrischilles Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: 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? r Yes n 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. r 1 Agree Gene Chrischilles Advisory Board/Commission Application Form Submit Date: Apr 10, 2023 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) Carin Crain First Name Middle Initial Last Name First Name (Phonetic spelling) Karen Last Name(Phonetic spelling) Crane 742 South 7th Avenue Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? Since 2007 Home: (319) 471-7507 Primary Phone Alternate Phone carinnylacrain@gmail.com Email Address Associate Dean at the University of Iowa College of Law Occupation 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.) ' r Female Carin Crain Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Parks and Recreation Commission Board Interests & Experiences Experience and/or activities which you feel qualify you for this position: My family and I have enjoyed and appreciated activities sponsored by the Parks and Recreation Department for over a decade. My children have participated in Parks and Recreation programs in swimming, tennis, disc golf, crafts, aquacise, basketball, soccer, and baby sitting. I have observed both programs and facilities and wish to support and promote them. As a rec user and parent of rec users, I have experienced the satisfaction and pride that comes with having first-rate recreational services in my community. I would sincerely embrace the Commission's efforts to make recreational services available to all members of the community. In my current role as a law school administrator, I have developed skills that would be useful to the commission such as reviewing policies, rules, regulations, ordinances and budgets. In short, my experience as both a rec user and an administrator qualify me for this position. What is your present knowledge of each advisory board you are interested in? I understand that the Parks and Recreation Commission must recommend and review policies, rules, regulations, ordinances and budgets relating to parks, playgrounds, recreational centers and cultural functions of the city and make such reports to the City Council as the commission deems in the public interest. Further it must exercise broad responsibility for the development of parks, recreation centers, playgrounds and cultural facilities to serve the City, including the creation and appointment of advisory groups to make studies. I have attended and observed many meetings if the Commission. For this reason I understand that membership requires a serious commitment of time to prepare for and participate in its meetings. I an keenly interested in the matters before the Commission and would therefore devote the time needed to give matters before the Commission my full consideration. 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. Carin Crain 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? r Yes F 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 61 Carin Crain Country of Origin United States Sexual Orientation Heterosexual Religion Catholic Do you have a disability No Ethnicity Black and White (Biracial) Race African American 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. r I Agree Carin Crain Advisory Board/Commission Application Form Submit Date:Jan 09, 2023 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 Sharon DeGraw First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 519 Brown Street Home Address Suite or Apt Iowa City IA 52245 City State Postal Code sharondegraw@yahoo.com Email Address How long have you been a resident of Iowa City? 22 years book designer, letterpress printer Occupation 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.) ' ❑p Female 319-936-0021 _ Primary Phone Alternate Phone Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Sharon DeGraw Interests & Experiences Experience and/or activities which you feel qualify you for this position: What is your present knowledge of each advisory board you are interested in? 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. 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. 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 have a conflict of interest? OYes 0No Do you currently serve on another Iowa City board or commission? OYes 0No Sharon DeGraw (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 55 Country of Origin USA Sexual Orientation Religion Do you have a disability No Ethnicity caucasian Race white Gender Identity she '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) Sharon DeGraw 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. Sharon DeGraw Advisory Board/Commission Application Form Submit Date: Sep 12, 2023 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) Brady Dorman First Name Middle Initial Last Name First Name (Phonetic spelling) Brady Last Name(Phonetic spelling) Door-man 720 Walnut St Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 9 years Mobile: (319) 360-4437 Business: (319) 248-5674 Primary Phone Alternate Phone dorman.brady@gmail.com Email Address Architect Occupation 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.) ' r Male Brady Dorman Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: In the coming years, the Parks and Recreation Department will be tasked with implementing recommendations from the 2017 Parks System Master Plan and 2022 Recreation Master Plan. Working as a licensed architect for nearly 12 years, I have developed a deep undersatnding of site and facilities planning, construction, and community development, that would be a valuable perspective on this commission. I have always been interested in the development of cities, public space and facilties. Having two young children, I really appreciate the shear number and diversity of public parks and playgrounds in Iowa City- an asset that really sets our community apart. The range and affordability of programming offered in Iowa City is also commendable. My family has enjoyed participating in various youth sports programs, swimming lessons, and family events offered by Iowa City Parks and Recreation. Professionally I have been involved with multiple building projects at local K-12 school and a range of proejcts on the Univeristy of Iowa campus. I have previously served as a member of the Johnson County Historic Preservation Commission (2016-2021) and the Czech Village New Bohemia Main Street District Board of Directors in Cedar Rapids (2014- 2016). 1 have a general interest and undersatnding of municipal government and stay informed on current initiatives and issues facing the City. I recognize the value in processes, planning and the realities of budgets when making decisions on capital investments and operations, while also striving to make our parks and recreation offering the best they can be for residents and vistors now and in the futre. I am excited for the opportunity to serve on the Parks and Recreation Commission that has been a positive part of my family's experience living in Iowa City. Thank you for your consideration. What is your present knowledge of each advisory board you are interested in? The Parks& Recreation Commission reviews and advises the City Council on policies, planning, and operations related to Iowa City parks, recreation facilities, and programming. The Commission has been engaged in a master planning process for the city's primary recreation and aquatic facilties (Robert A Lee, Mercer, and City Park Pool). While the Commission will be deeply involved with the City Park Pool replacemet and planning for other major facilities in the coming years, I am especially interested in the day to day operations, maintenance, and incrememental improvements at Iowa City's many park spaces that make our community so attractive to live. 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. Brady Dorman 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: My employer is OPN Architects which has provided architectural and planning services for the City of Iowa City. Res. #22-78 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? r Yes r 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 36 Brady Dorman Country of Origin United States Sexual Orientation Straight Religion Do you have a disability no 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. W I Agree Brady Dorman Advisory Board/Commission Application Form Submit Date:Jan 09, 2023 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 Alan Eckhardt First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 233 Colchester Drive Home Address Suite or Apt Iowa City IA 52245 City State Postal Code 2dogspubiowacity@gmail.com Email Address How long have you been a resident of Iowa City? 20 years Business Owner Occupation 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.) ' r Male 3196213562 Primary Phone Alternate Phone Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Alan Eckhardt Interests & Experiences Experience and/or activities which you feel qualify you for this position: What is your present knowledge of each advisory board you are interested in? 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. 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. 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 have a conflict of interest? OYes 0No Do you currently serve on another Iowa City board or commission? OYes 0No Alan Eckhardt (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 43 Country of Origin USA Sexual Orientation Religion Do you have a disability No Ethnicity Race White 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. Alan Eckhardt Advisory Board/Commission Application Form Submit Date: Oct 31, 2023 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) Bryan L Garter First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 3821 Winnsboro Drive Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 2 years Mobile: (563) 210-1721 Primary Phone Alternate Phone bryan.garter@gmail.com Email Address Hospital Administrator Occupation 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.) ' W Male Boards & Commissions Bryan L Garter Which Boards would you like to apply for? Parks and Recreation 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: I have lived in the Iowa City area for nearly nine years total. Seven of which were as a student. Post- graduation, I moved to the Quad Cities for employment and lived there for almost nine years. I moved back to the area roughly two years ago with my family, and I have been employed at UIHC since. I have two young children ages four and two. My family frequents the many community events and spaces supported by the Iowa City Parks and Recreation Department. My son is autistic, and my wife and I have been very impressed with the accommodations made at various City sponsored events to help aid the participation of individuals with all abilities. Through our experiences with our son, I have become a strong advocate for supporting inclusive spaces and events to foster participation by all community members. My family enjoys exploring all of the parks Iowa City has to offer. We frequently park-hop with the kids to check-out different play areas and trails. While in the Quad Cities, I served on various community boards and organizations including the Chamber of Commerce's Young Professionals group. At the prior healthcare organization I was employed at, I was responsible for all facilities and grounds design, maintenance, budgeting and support. This included, but was not limited to, the maintenance of large tracts of land, development of landscaping areas, construction of outdoor public gathering areas, and seasonal maintenance. This helped provide me an understanding of all of the work and support required for public buildings and grounds. I have also been involved in many master planning and strategic visioning initiatives throughout my career. I feel my prior work experience, young family, and advocate for individuals with disabilities provides me a unique background that would be well suited on the Iowa City Parks and Recreation Commission. I would be honored to serve on a Commission that provides input on important community benefits that would benefit my family, friends and the greater community for years to come. What is your present knowledge of each advisory board you are interested in? I have reviewed the last several work session agenda packets on the City website for the Parks and Recreation Commission. I am aware of the Committee's role in reviewing policies, regulations and budgets related to parks, recreational facilities, and other related areas. I am also aware of the current initiative to re-envision the City Park Pool. I have read and reviewed the Recreation Facilities and Programs Comprehensive Master Plan that was published last fall to become aware of other initiatives and current community feedback. 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. Bryan L Garter 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: Employed by the University of Iowa Res. #22-78 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? r Yes a 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 36 Bryan L Garter Country of Origin United States Sexual Orientation Straight Religion Christian Do you have a disability No 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. ❑p I Agree Bryan L Garter Advisory Board/Commission Application Form Submit Date: Dec 01, 2023 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) Jinxx D Havel-sturdevant First Name Middle Initial Last Name First Name (Phonetic spelling) Jin-kks Last Name(Phonetic spelling) Ha-vel Stur-de-vant 1908 Delwood Drive Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 30+ Mobile: (319) 930-6756 _ Home: (319) 354-9676 Primary Phone Alternate Phone jinxx-havelsturdevant@uiowa.edu Email Address Full time student at the University of Iowa Occupation 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.) ' r Female Jinxx D Havel-sturdevant Boards & Commissions Which Boards would you like to apply for? Parks and Recreation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Climate Action Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: I am a junior at the University of Iowa majoring in both EPPL (Environmental Policy and Planning) and International Studies: Sustainable Development. Also working towards a certificate within sustainability. What is your present knowledge of each advisory board you are interested in? My husband (Gabriel Sturdevant) is currently a member on the Climate Action Commission. I am unfamiliar with the other commissions but I am willing to learn. 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. Jinxx D Havel-sturdevant List your answers here: I do not have any conflicts of interest with businesses or non-profit entities. Res. #22-78 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? r Yes n 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 36 Country of Origin United States Sexual Orientation Bi Religion Catholic Do you have a disability Yes Ethnicity Race Jinxx D Havel-sturdevant Gender Identity cisgender '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. p 1 Agree Jinxx D Havel-sturdevant Advisory Board/Commission Application Form Submit Date: Sep 15, 2023 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) Virginia G Hayes First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 5 Bedford Court Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 2 years Home: (630) 649-9661 Primary Phone Alternate Phone virginiahayes22@gmail.com Email Address arborist Occupation 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.) ' [;F Female Boards & Commissions Virginia G Hayes Which Boards would you like to apply for? Parks and Recreation 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: Previous city government experience serving on the University Heights city council 10 years working locally as an arborist and landscape designer frequent parks user, brought my kids to a different Iowa City park nearly every day while they were ages 0-4. 1 think Iowa City has some of the best parks in the world. What is your present knowledge of each advisory board you are interested in? I admire the work the board has done at improving accessibility at city parks in the past ten years. 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 am employed by Sustainable Landscape Solutions, who has done work for the City of Iowa City. Virginia G Hayes Res. #22-78 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? r Yes r 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 41 Country of Origin USA Sexual Orientation Bi Religion none Do you have a disability no Ethnicity white Race caucasian Virginia G Hayes 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. p 1 Agree Virginia G Hayes Advisory Board/Commission Application Form Submit Date: Nov 21, 2023 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) David W Klockau First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 943 Tamarack Trail Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 41 years Home: (319) 351-6739 Mobile: (319) 359-9851 Primary Phone Alternate Phone dklockau@msn.com Email Address Sales and Service Occupation 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.) ' W Male Boards & Commissions David W Klockau Which Boards would you like to apply for? Parks and Recreation 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 long time IC resident I have enjoyed our parks and recreation areas. I also helped found a non profit which created the sand prairie preserve on the south side of IC What is your present knowledge of each advisory board you are interested in? I am familiar with most of our parks and recreation areas 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: My company is a contractor for the City of Iowa City, ABC Disposal Systems David W Klockau Res. #22-78 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? r Yes r 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 65 Country of Origin USA Sexual Orientation Heterosexual Religion Christian Do you have a disability No Ethnicity Northern European Race White David W Klockau Gender Identity Binary '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. p 1 Agree David W Klockau Advisory Board/Commission Application Form Submit Date: Mar 25, 2023 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) Beth Pfohl First Name Middle Initial Last Name First Name (Phonetic spelling) 3196211517 Last Name(Phonetic spelling) 712 River Street Home Address Suite or Apt Iowa City IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? O Yes r No How long have you been a resident of Iowa City? 15 years Mobile: (319) 621-1517 Home: (319) 621-1517 Primary Phone Alternate Phone bmp262@yahoo.com Email Address Pediatric dentist Occupation 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.) ' ❑p Female Beth Pfohl Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: 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? r Yes n 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. r I Agree Beth Pfohl Advisory Board/Commission Application Form Submit Date: Aug 17, 2023 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) Benjamin J Rodgers First Name Middle Initial Last Name First Name (Phonetic spelling) Benjamin Last Name(Phonetic spelling) Rodgers 76 Westside Dr Apt. 76 Home Address Suite or Apt Iowa city IA 52246 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? 0Yes 0No How long have you been a resident of Iowa City? 3 years Mobile: (319) 461-3985 Primary Phone Alternate Phone bjrodgers23@gmail.com Email Address Self employed Occupation 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.) ' r Male Benjamin J Rodgers Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: Living in iowa city for more than two years. versed in geographic areas for understanding what routes to take and how to get there. Hope for a brighter future for iowa city and anyone who wants to go outside and breathe fresh air. What is your present knowledge of each advisory board you are interested in? Brief 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. Benjamin J Rodgers List your answers here: Technology,population maps 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? r Yes n 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 23 Country of Origin Nepal Sexual Orientation M Religion Religious Do you have a disability Yes Ethnicity Asain Benjamin J Rodgers Race Nepalese Gender Identity M '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. r 1 Agree Benjamin J Rodgers Advisory Board/Commission Application Form Submit Date: Oct 27, 2023 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) Melissa Serenda First Name Middle Initial Last Name First Name (Phonetic spelling) muh LISS uh Last Name(Phonetic spelling) suh REN duh 1607 Vesti Lane Home Address Suite or Apt IOWA CITY IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 20 years Home: (319) 333-2505 Primary Phone Alternate Phone msserenda@gmail.com Email Address Program Specialist 11 at ACT, Inc. Occupation 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.) ' r Female Melissa Serenda Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: I am a passionate advocate for our local parks and trails, sharing information about the Sycamore Greenway trail and other city properties via social media and blogs. I spend many hours volunteering each year(as an Iowa Master Naturalist, a Johnson County Master Gardener, and individually), from picking up litter on McCollister Blvd.to cutting brush at the Greenway to working on public gardens downtown. Living in the South District I see the importance of greenspace and diverse recreation opportunities for everyone, particularly community hubs like Wetherby Park and TTRA. I'm excited at what the future holds for our city with its plans for the coming years. What is your present knowledge of each advisory board you are interested in? I am currently serving on the Parks& Recreation commission,wrapping up my first term. 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. Melissa Serenda 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. #22-78 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? r Yes n 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 46 Country of Origin USA Sexual Orientation Religion Do you have a disability no Melissa Serenda Ethnicity Race white 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. ❑p I Agree Melissa Serenda Advisory Board/Commission Application Form Submit Date: Dec 04, 2023 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) Alex W Stanton First Name Middle Initial Last Name First Name (Phonetic spelling) Last Name(Phonetic spelling) 1111 Church St. Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? f Yes r No How long have you been a resident of Iowa City? 12 years Mobile: (641) 218-4594 Primary Phone Alternate Phone alexwstanton@gmail.com Email Address Elections Technician III Occupation 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.) ' W Male Boards & Commissions Alex W Stanton Which Boards would you like to apply for? Parks and Recreation 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: The most relevant experience I hold comes from serving on the Parks and Recreation Commission since August. I have attended meetings, participated in the Park and Recreation Commission Focus Group for the City Park Pool remodel, and participated in numerous Parks and Recreation-sponsored events. Beyond serving on the Commission, I am a long-time resident of Iowa City and parent to two energetic, young kids who love playing at all of our incredible parks, participating in Parks and Recreation classes like gymnastics and dance, swim in the amazing pools, and ride down to the Farmer's Market every Saturday in the summer and fall. So we are intimately familiar with everything the Parks and Recreation department does. As a family that is comfortable but not possessing a lot of money or disposable income, I think I provide a unique perspective to many people who get involved on Boards and Commissions, and I understand why the openness, diversity, and accessibility of our parks, recreation centers, and their events is so critical to the health and vitality of our community. These free resources for knowledge, adventure, and exploration are such a vital part of having an open and welcoming city. Moreover, ss 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 valued continued resource on the Parks and Recreation Commission. Professionally, in my role as an Elections Technician III at the Johnson County Auditor's Office, I regularly interact with Brad Barker and Matt Eidahl to coordinate polling places for Election Day, as well as with other City leadership to facilitate satellite voting opportunities at the Iowa City Public Library. What is your present knowledge of each advisory board you are interested in? My present knowledge of the Parks and Recreation Commission comes from serving on the Commission since August, as well as reading minutes and watching meetings before my term started in August 2023. 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. #22-78 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? r Yes a 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 34 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. r I Agree Alex W Stanton Advisory Board/Commission Application Form Submit Date: Oct 04, 2023 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) Edy E Trigures First Name Middle Initial Last Name First Name (Phonetic spelling) edy Last Name(Phonetic spelling) trigures 2801 highway 6 e lot 26 Home Address Suite or Apt iowa city IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 15 years Home: (319) 594-1957 Home: (319) 594-1957 Primary Phone Alternate Phone edy722trigueros@gmail.com Email Address f Occupation 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.) ' r Male Edy E Trigures Boards & Commissions Which Boards would you like to apply for? Parks and Recreation 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: custodian iowa city school district, cosco, university of iowa hospital &clinics food & nutrition services , panera salads pre. What is your present knowledge of each advisory board you are interested in? panera 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. Edy E Trigures List your answers here: Res. #22-78 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? r Yes n 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 56 Country of Origin Estados Unidos Sexual Orientation m Religion catolic Do you have a disability no Ethnicity iowa city Edy E Trigures Race hispanic Gender Identity m '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. r 1 Agree Edy E Trigures Item Number: 10.f. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Public Art Advisory Committee - One vacancy for an art or design professional to fill a thee- year term, January 1, 2024 - December 31, 2026. (Term expires for Steven Miller) Attachments: Vacancy Notice & Coversheet.pdf Board Demographics & Attendance Sheet.pdf Miller, Steven - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMITTEE: PUBLIC ART ADVISORY COMMITTEE Two Vacancies: Three-Year Term January 1, 2024—December 31, 2026 (1)At-Large (1)Art or Design Professional • Duties of the Public Art Advisory Committee include: developing by-laws and procedures for the Iowa City Public Art Program; • administering the Public Art Program by determining the placement of public art, the type of art to be used in a specific project, and the artist to be engaged; • overseeing the acceptance of gifts of art; • overseeing the maintenance and disposition of public art; • overseeing expenditures of the Public Art Program budget; • overseeing the Poetry in the Public Program. • The Public Art Advisory Committee meets the first Thursday of each month at 3:30 p.m. Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, December 5, 2023 An application can be completed and submitted on the City of Iowa City website at www,icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Public Art Advisory Committee should be directed to Rachel Kilburg, Assistant City Manager, at 319-356-5014 or rkilbura diowa-citv.org. Board/Commission Application Cover Board/Commission: Public Art Advisory Committee Two vacancies to fill a three-year term January 1, 2024—December 31, 2026 (1) At-Large (1) Art or Design Professional It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 1011712023 Application Deadline: 1210512023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512023 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-none Current Gender Balance: Female:2 Male: 2 Gender Name and Address Male Miller,Steven 515 Oakland Ave. (Currently serving 2"d Term) '�►wM1®��� City Council Supplemental Meeting Packet CITY Of IOWA CITY December 12, 2023 Information submitted between distribution of late handouts on Monday and 3:00 pm on Tuesday. Late Handout(s): 8.a. Zoning Code Amendment - Reduction of maximum allowable height in the RNS-12 Zone - See City Council correspondence from Kevin Boyd 10.a. Board of Adjustment - See revised cover sheet 10.d. Human Rights Commission - See revised cover sheet 101 Public Art Advisory Committee - See revised cover sheet 10.g. Senior Center Commission - See revised cover sheet December 12, 2023 City of Iowa City Item Number: 10.f. CITY OF OF IOWA CITY COUNCIL ACTION REPORT December 12, 2023 Public Art Advisory Committee - See revised cover sheet Attachments: PAAC cover sheet Boa rd/Com mission Application Cover Board/Commission: Public Art Advisory Committee Two vacancies to fill a three-year term January 1,2024—December 31, 2026 -(1)-At-targe-- (1) Art or Design Professional It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 1011712023 Application Deadline: 1210512023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512023 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-none Current Gender Balance: Female:2 Male:2 Gender Name and Address Male Miller,Steven 515 Oakland Ave. (Currently serving 2"d Term) m \ \ \ \ c f ( - ) )$ , / y / ! { / < z \ _ \ 00 / ' - ! $ 3 2E A6/ _M « ± ,> ) \ : - SR - f t ) ] k ) ! oCL E $ \ / : \ y! ! r ■ » ® 0 ( o } r ° // \ k /\ }/ \ } 0 E2 ` - (1) \ \ \ Q e m ƒ \ \ \ \\ \ \ \ E E [ ) 00z 2 ! - \ \ \ 2 � -9 a , < i $ $ & « < _ / / { ) - ® ; \ _ : \ DRAFT,p.3 Public Art Advisory Committee Mtg, 111212023 Public Art Advisory Committee Attendance Record 2022-23 Name Term 1113122 1211122 115/23 212/23 416122 514/22 6/8123 7!6(23 813123 9/7123 1112/23 Expires Ron Knoche X X X X X* X X X X X* X Juli Seydell- X* X X* X X X X X X X O/E Johnson Steve Miller 12/31/23 X X X X O/E X X X X X X Eddie 12/31/24 X X X O/E X O/E O/E O/E O/E 0 Boyken Andrea 12/31/25 O/E X X X X X X X X X X Truitt Anita Jung 6/30/23 0/E O/E X X X X X 0/E O/E X X Jenny 12/31/23 X X X X 0/E O/E X X X DIE O/E Gringer Jeremy 12/31/25 O/E X X O/E 0/E X X O/E X 0 O/E Endsley Nate 6130/26 — --- --- — — X X X X Sullivan Key: X = Present X* = Delegate attended 0 = Absent O/E = Absent/Excused --- = Not a member Advisory Board/Commission Application Form Submit Date: Nov 10, 2023 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) Steven J Miller First Name Middle Initial Last Name First Name (Phonetic spelling) Steven Last Name(Phonetic spelling) Miller 515 Oakland Ave Home Address Suite or Apt Iowa City IA 52240 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 7.5 years Mobile: (319) 389-7519 _ Primary Phone Alternate Phone stevem@slingshotarchitecture.com Email Address Architect Occupation 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.) ' r Male Steven J Miller Boards & Commissions Which Boards would you like to apply for? Public Art Advisory Committee Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Public Art Advisory Committee Board Member Information Public Art Advisory Committee Category ' ❑p Art or Design Professional Interests & Experiences Experience and/or activities which you feel qualify you for this position: I'm a local architect with 16 years of experience and I have served two terms on the Public Art Advisory Committee. I have enjoyed getting to meet and collaborate with city staff and artists in the community through my work on the committee. While I understand that the city typically doesn't appoint someone to a third term on a committee or commission, I was encouraged by staff to re-apply and I would be honored to serve a third term if the council would appoint me. What is your present knowledge of each advisory board you are interested in? I've served on the committee for 6 years and I am currently the Chair. I also served on the subcommittee that created the current Public Art Strategic Plan that was adopted by City Council in 2019. If appointed, I would be eager to work with the City Council, city staff, and local arts organizations to align Iowa City Public Art programs to the city's strategic plan with the goal of increasing community pride and sense of place throughout all neighborhoods in the 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. Steven J Miller 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: Slingshot Architecture Res. #22-78 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? r Yes r 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 41 Country of Origin USA Sexual Orientation Religion Do you have a disability Steven J Miller Ethnicity Race 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. ❑p I Agree Steven J Miller Item Number: 10.g. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT December 12, 2023 Senior Center Commission - One vacancy to fill a three-year term, January 1 , 2024 - December 31 , 2026. (Term expires for Nancy Ostrognai) Attachments: Vacancy Notice & Coversheet.pdf Board Demographics & Attendance.pdf Ostragnai, Nancy - Application.pdf NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION Two Vacancies—Three Year Term January 1, 2024— December 31, 2026 • The duties of members of the Senior Center Commission are to: serve in an advisory role to the City Council with regard to needs of the Senior Center; • make recommendations with regard to policies and programs at the Senior Center; • join staff and other interested persons in seeking adequate financial resources for operation of the Senior Center; • encourage full participation by senior citizens in the programs of the Senior Center; • ensure that the Senior Center is effectively integrated into the community and cooperates with organizations with common goals in meeting the needs of senior citizens; • serves in an advocacy role with regard to the needs of senior citizens in Iowa City. • The Senior Center Commission meets the third Thursday of each month at 4:00 p.m. Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, December 5, 2023. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Senior Center Commission should be directed to LaTasha DeLoach, Senior Center Coordinator at 356-5225. Board/Commission Application Cover Board/Commission: Senior Center Commission Two vacancies to fill a three-year term January 1, 2024—December 31, 2026 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 1011712023 Application Deadline: 1210512023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512024 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-Female Current Gender Balance: Female:2 Male: 3 Gender Name and Address Female Ostrognai, Nancy 2003 Glendale Road (Unexpired term expires 12131123) Art �wW®+�- City Council Supplemental Meeting Packet CITY OF IOWA CITY December 12, 2023 Information submitted between distribution of late handouts on Monday and 3:00 pm on Tuesday. Late Handout(s): S.a. Zoning Code Amendment - Reduction of maximum allowable height in the RNS-12 Zone - See City Council correspondence from Kevin Boyd 10.a. Board of Adjustment - See revised cover sheet 10.d. Human Rights Commission - See revised cover sheet 10.f. Public Art Advisory Committee - See revised cover sheet 10.g. Senior Center Commission - See revised cover sheet December 12, 2023 City of Iowa City Item Number: 10.g. CITY OF OF IOWA CITY COUNCIL ACTION REPORT December 12, 2023 Senior Center Commission - See revised cover sheet Attachments: SC cover sheet BoardjCommission Application Cover Board/Commission: Senior Center Commission Two vacancies to P1 a three-year term January 1,2024—December 31, 2026 It is hereby established,as a formal policy of the City Council of Iowa City,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 Announcement Date: 1011712023 Application Deadline: 1210512023 Council Appointment Date: 1211212023 Date of Non-Gender Appointment: 0111512024 After date above Council may appoint without regard to gender Gender Balance Requirement: 1-Female Current Gender Balance: Female:2 Male:3 Gender Name and Address Female Ostrognai, Nancy 2003 Glendale Road (Unexpired term expires 12131123) I { ) ` v � \ ) \ § LU § A + 3 s y k § ;k Z f ƒ } / f 76 ƒ / t / , ) ! ƒ / / \ ) \ « / / / / y ) ) \ ) E i / ) e + ` u ) } \ (D _ � - z k LO - ) \ « t OfCL r - o � \ - / m G r ) - �/ \ / | & } x _ � EL : � 2 ) m { � / { {k/ m § \ \ \ \ jj / \ Preliminary Minutes September 21, 2023 Senior Center Commission Attendance Record Name Term Expires 10/2022 11/17/22 12/15/22 1/14/23 211623 3/16/23 4/20/23 5/18/23 6/1523 7/20/23 8/1723 9/2123 Jeannie Beckman 1213122 O/E NM NM — — — -- — — -- — -- Jay 1281/25 — -- — NM NM O/E NM O/E X X X X Gilchrist Douglas 12/31/24 O/E -- — — -- — -- — _ -_ _. Korty Tasha 12/31124 X NM NM NM NM X NM X O X O X Lard Angela 12/3124 X NM NM NM NM X NM X X X O/E X McConville Lee 12/31/24 — -• — — — X NM O/E X X X X McKnight Susan 12/3123 — •- — NM NM X NM X X X CIE X Mellecker Nancy 5/18/23 -- -- — — — — -- X OE X X X Ostrognai Karen 12/3123 X -- -- .. — Page Warren 12/3125 -- — NM NM 0 NM X X X X X Paris Paula 12/31/22 X NM NM — — -- — -- -- — — — Vaughan Linda 12/3123 X NM — -- -- -- -- -- — — — .- Vogel Key: X=Present 0=Absent 0/E=AbsenVExcused NM=No meeting --=Not a member 3 Advisory Board/Commission Application Form Submit Date: Nov 09, 2023 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) Nancy Ostrognai First Name Middle Initial Last Name First Name (Phonetic spelling) Nancy Last Name(Phonetic spelling) O-strawg-nee 2003 Glendale Road Home Address Suite or Apt Iowa City IA 52245 City State Postal Code Is your home address (listed above)within the corporate limits of Iowa City? OYes 0No How long have you been a resident of Iowa City? 33 years Home: (319) 321-8699 Primary Phone Alternate Phone nancy.ostrognai@gmail.com Email Address Retired Occupation 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.) ' r Female Nancy Ostrognai Boards & Commissions Which Boards would you like to apply for? Senior Center 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: Member of the Senior Center for 16 years. I've been a member of parks and rec. commission with Terry Trueblood leading and Johnson County Seats commission with Tom Brase. My experience is in ADA matters What is your present knowledge of each advisory board you are interested in? I don't want to move. I think that's a stupid idea I think there should be a dedicated bus stop. There are a lot of people who no longer drive. Finally Seats eligibility should expand to include the category of over 80 frail elderly. Even if they appear to be healthy, at that age bones are fragile and balance is poor. 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. Nancy Ostrognai List your answers here: Res. #22-78 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? r- Yes n 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 Country of Origin USA Sexual Orientation Female Religion None Do you have a disability Yes Ethnicity Hungarian/German Nancy Ostrognai Race White 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. r 1 Agree Nancy Ostrognai City Council Supplemental Meeting Packet CITY OF IOWA CITY December 11, 2023 Information submitted between distribution of packet on Thursday and 4:00pm on Monday. Late Addition(s): 6-d. Sale of 1311 Sandusky Dr Resolution setting a public hearing for January 2, 2024, on a proposal to convey a single-family home located at 1311 Sandusky Drive. Comment: On December 12, 2023 City Council will set a public hearing for January 2, 2024 to consider a resolution authorizing the conveyance of 1311 Sandusky Dr. as part of the South District Program. This will be the seventh home sold under the program. 9.g. Grant Agreement with Free Medical Clinic for Facility Renovations Resolution authorizing the City Manager to sign a grant agreement with Iowa City Free Medical Clinic for facility renovations. Comment: This resolution will approve the allocation of $1,000,000 of State and Local Fiscal Recovery (SLRFR) funds to the Iowa City Free Medical Clinic to renovate their facility to accommodate more exam rooms, provide accessibility to the lower level, increase medical storage, including refrigerated medication, create a dental laboratory, administrative offices and acquire related medical equipment to serve a growing number of uninsured and underinsured individuals seeking care. �7711D.bAnnouncement of Vacancies - New Ad Hoc Truth & Reconciliation Commission - One vacancy to fill an unexpired term, upon appointment ending December 31, 2024. (Eric Harris was removed by City Council on November 6, 2023) Applications must be received by 5:00 P.M., Tuesday, January 30, 2024, Late Handouts 10. Parks & Recreation Commission - See attendance chart. The incorrect chart was inadvertently attached. December 11, 2023 City of Iowa City