HomeMy WebLinkAbout1991-03-05 Appointment
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CITY OF IOWA CITY
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THE CIlY COI.flCl OF rNlA CItY IS CQl$1lERtlO Nl AJlPOfIT.
UEHT TO TIE FOUOWflO WIIolIS~(IIt
tlVJAIl8NlO mE~Tl(M caM$S1OH
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Harch 5. 1991
BROADBAND TELECOKHUNICATIONS COHHISSION . Onl v.c.ncy . Un.xplr.d tlrl
Horch 5. 1991 . Horch 13. 1993
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- CITY OF IOIlA CITY -
BROAD BAllO TELEC~UtllCATlOIIS COltllSSIOIl APPLlCATlOII FORH
l~dtvldu.ls urvll\lj 0/1 Bo.rds/COI!11llsslons pl.y .n llI'llort.~t role In .dvlsll\lj the
Council on IMtters of Interest to our cOamlnlty .nd Its future, Appltcants ilUSt reside
In low. City.
The City Council announced Advisory Bo.rd/COIllIllsslon v.c.ncles 90 d.ys prior to the
d.te the appoIntment wIll be made. ThIs perIod provIdes for a JO-day 'dvertlslno perIod
and a 60-da1 training period for new members. The training period .110Wl new ~ers to
becone famflt.r with the responsibilities and duties of the advisory board/coll1lllsslon
before becoming a full votIng member.
After a vacancy has been announced and the 3D-day advertising ptrlod has expired, tho
Council reviews .11 appltcatlons during the Inform.1 work session. The appointment Is
announced .t the neatforlMl Council meeting. Appointees serve .s unp.ld volunteers.
Council prefers that .11 .ppllc.tlons must be subnltted to the CIty Clerk no l.ter
than one week prior to the .nnounced ,ppolntment dates. PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUl~ENT ArlO AS SUCH CAlI BE REPRODUCED AIIO DISTRIBUTED FOR
THE PUBLIC. THIS APPLlCATlOII IIILL BE CONSIDERED FOR 3 MOlnHS OIlLY AND AUTOMATICALLY
CONSIDERED FOR AllY VACANCY DURING THAT TIME.
ADVISORY BOARD/COltUSSION IlAME 8tOJJ~lttJ TtltCCf.(/~U~I(JhcKS TERM
HAHE 'R~1w (~ob) LtlJlc, HOIl ADDRESS S"()8 I!. 't.:~p
Is your home address (listed .bove) within tho corpor.te limits of low. City? '(trS
OCCUPATION r, Sk, J~tl'~ EMPLOYERj~pl:~ ~ 6l'1ltltt/ 'FJ.'l\krs
PHOIIE HUMBER: HOME ,'J~c/ - qfJ, 1/7- BUSINESS 5. 1'3
EXPERIENCE AIIDIOR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR nus POSlTIOI/:
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\/HAT IS YOUR PRESEtlT KNOIILEOGE bF THIS ADVISORY BOARD? ~flIISSI{ll., "J"ISLS e~,,1 i
~1'~MltIIltn~ ,~)o.'tS ~ OU-+~'~ll<\.tl "I'~ CPltffJC.tLItlI JfLl\'JOfH ,1"J i
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WHAT CONTRIBUTIONS DO YO FEEL YOU CAN HAKE TO THIS ADVISORY BARD (OR STATE REASO FOR':t~~1'1
~APPLYltIG)?~-b~I~ a 'WI' rJ (~Jfl)/(I ''''t1''d,I~lt.,) '";: eflll"'~V~IW~I'~"< ,l..lI~l I
~ ~ ~ ~jltt..!lo! ~,,~ Jill ~1~-1; .:llJl1j I\~ i "'/~ '~ ~u ..1.'" ojI,o(.. ~.xJ l
't,. ~ \ \ l...uJ. L C:3!\ oW!<! ooJ r\l1~ w. +~I~ ~, r "I~.~ ~\l. 0 H'Ir~\\;
Specific attention should be directed to possible conflict of nterest" defined In '.
Chapters 362.6. 403A.22 of the Code of low.. Should you be uncertain whether or not.
potentl.l conflict of Interest exists. contact the Leg.l Department. Will you have a '
conflIct of Interest? _____yeS ~NO
If you are not selected, do you want to be notified? ~YES _____NO
Do you currently serve on .nother low. City Bo.rd or Commission
"'it has been Council policy not to permit an Individual to serv
slons at the same time.
~
wo Boards or
JAN J~n~ 1~~~8
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STATEHENT OF INTEREST
A 'yes' answer to any of the following questions will not necessarily
exclude you from consideration for appointment to the Iowa City Broadband
Teleccmnunlcatlons Ccmnlsslon. However, the Information wt11 mist our
Legal Department In determining whether or not there may exist a conflict
of Interest which would preclude your further consideration.
Are you or Is any member of your IlTlIledlate family or anyone
dependent upon you:
a. An employee of or a stockholder In either Heritage Communtca-
tlons, Inc., or a subsidiary or limited partnershlp(s)
(Including Cablevlston Associates VII), the general partner of
which Is or Is controlled by any of the above?
Yes No X
b, An employee of or a stockholder In any radio or television
station or news publtcatlon operating tn Iowa City or serving
the Iowa City area or of any parent company or subsldtary
thereof, or In any other menner a"l1 lated with any of the
above?
Yes
No -IL
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c. An employee, stockholder, partner, or proprietor of any
corporation or business which has or Is likely to have a
significant contract or business connoctlon with either
Heritage Ccmnunlcatlons, Inc., or a subsidiary or llmlted
partnershlp(s) (Including Cablevlston Associates VII). the
general partner of which Is or Is controlled by any of the
above?
Yes No -X-
.
If you have answor 'YGS' to any of the above questions. please Include a
complete explanation using additional paper If necessary.
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B~ D. (~oblltwh
soa K1~ Avenut, Iowl CIIy, IowIS2240
WORK IlISTORY (PART1A1)
13191354.9642
^Pri11990 10 f'menl, AllbtMIl MwSff IIId rrfoPrft. Supmbor, HOIpm " 8tolhtt Prlmen. Jowl Oly,
low.. 10'ItIItt IIIIIUS 01 pIOductIon INII.lgcmcnt, IS wellu much 01 the Invoicing and tIll1N1lna 01
job\. and gen<<1l penonnel policy oIllWCnly amployto prtntlng c~y. ~j Pre.pms SupcMlOt I
0\'tlIC0 ud schedul.11I ~n&.II)'OUVJWIt-llfl, c.vnarol, plltemlJdns ud proofrtldln&. dlrecdy
supeMslnalhtet llllI-Ilme ud l\YO pm.tlme amploytU. 1 coonflnlt. schedullna wlill the pms and blndety
supeMlOl1. Slnee Ftbnwy 1990, 11/11 responslbl.lor purcNslnl a111lOClc. suppllet and seMca lor the
cOll'4ll"Y' 1 11M bttn InlllUmOlllllln iIIe COlI'1W'Y'slnltOductlon oIlour<Olor procetS p1lndns. duocOMl
ud c.vnarl tlfKU 10 III lint oIltI\'lces. 11/11 currently Involved In the Implemanlltlon 011 Covllent
compwt job COllin&. osdlNtlng and tracklnslyllCm In our shop. From October 1989, Pre-pml
Suptnbor, M.vth 198910 5tpltmbet 1989, CImm Opcnlor md Plltttmker.
llRUll'( 1985IO December 1988, Pltlner, NnbIOlO" Lewfs dbllIbetty Crlpllies, Aullln, Tew. My
JlIIIl1tI and I wred III doslsn, production, IIlet and INIllgel11entlunctlons 010 convnetclllsrlphlcs
studio. Stf\<lclt Included dtllsn Ind IIYOUt, illustration, phololyptltnln&. CAmerl servlctl, IIthogrlphy Ind
pl1ndns ConlUltlncy.
5fpIembcr 190] 10 D<<.mbet 1984. Penonne\ Tcchnlclln, BenefitS Section 01 ill. Office 01 PttIOIllltl
Stf\<lccs (OPSER), the Unlvenll'f 01 T em II Aultln. My IndlvldUlllrm 01 responslbllll'f and e)ptfllle wtle
the bentIlll ~ck.lges 01 employttt on Inve wllhoul PlY lrom the unlvelllly Ind unlvelllly relpoflltllO
10I11ICf amployeo clllmslor sllte unerroployment compenslllon.
AUSUII1981 10 Augult 198J, Administrative Clerk wlill splltlppolnuncnt, OPSER, the unlvenlly 01 Tew II
AUIlln. 25 houri I week I operated the IINII dcpll1mCnt pllnl shop, nmnlnsm Ml12S0 olfset dupllcllor,
RlIlnlllnlnsille office'sltOleroom I/ld record Ilcllltles, md supervising three plll.tlme clerks. 15 houri a
week 1 WIJ InIChed to iIIe Temporlry 5efvlcet Prolect IUTempl) 01 OPSER. The purpose 01 UTempI Is 10
p1ovldesholl'lerm secrelllllllnd clerlcllsupport (or unlvenlly depll1mCnll. I Interviewed Ind pllced
IppllClllll, INlntllned monthly hiring records, Ind preplred plyroll dill. Speclll prolecllllllllgned.
November 1979 to April 198 " CaLllosJns AsslsW1~ thellblllY, the EpllCO~1 TheolOSIClI Semlrwy 01 the
Southwest, Austin, TeXlI. I resellchcd and ~ orlslnll clIIloslnslor books ~nd periodiCAls, wlsted
scholllS and semllWims with rtlellch problems, cruled monthly lobby dlspllys IIld conduded
cOllCSpondcncelor the C~llloser Ind Relerence lIbrlrllll.
luna to July 1978, Rtltuch Alslsllnt iIIe E/1Sllsh Prosram, Austin College, SherRlln, TeXlI. Althe
reclplenl 011 Cullen Prosrlm Developmenl Crlnt, I hId brold responslblllly for deslsn or ~n Inttoductory
COUIlO In IIterlry illeory and criticism lor prosr.un concenttltOrl. 1 re~d and evalulted pOIslble COUIlO texts, .
Ind rtltlrched md drlhed In Inltlllsylllbus. In Addition, I wrote ~nd delivered lIYO lecturtllor ~Ideollpe,
one on Arlltotle's POfI/a and the other In Introdudlon to th~rlC\ olarchelypes In literature.
.
Occulonll, Freell/lce scriptwriter, ~olco ~nd O/IoClmeri ulent, Eyecon Produdlons, Austin, Tuu.
E/lfs Counry Derent/on Fac/lfry And E/lfs Counry Courthouse Renovllfon, Mlxey & Riffle MlSrer Plan.
Voice IIlenl Ind salpt rawrltalor I prllentallon ~Ideo, November 1987.
Three public servlcelnnouncemenlllor Trlvls Counly (Texu) Elller Suls. Scrlpll ~nd volcelllenl,
Februlry 1988. .
For I L1vlble Futuro, I conversltlon with WillI Kenoyer. Produdlon design, finll edltlnssalpll/ld on.
ClRICfllllenl for I video Inlervlew 011 third party presidential CAndldlte, Mlrch.AprIl1988.
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rlSbY
RobM D. IR~ lelth
EDUCATION
~nwry 194/10 MMCh 1942. The Unlvtnlry 0( TWlIl Aullln. 30 houn sr~AIO aedll'n R.ldJo.
T.,....blon-Fllm, Ipec'~IIudon In film lheory, hlllOly.llld alllcllm. CPA.I wflhd"wll wu 4.0.
Stp!embct 197510 Moly 1974. AuslIn CoIl..t, ShetrNn, Tew. 8Uhtlor o( Arts "flh honOR In [nsfllh.
May 1974. MIllOn In phlloloplty.llld IlUcIlo lit.
, Mcmbet, [nail." Prosram Advlloty COINllIatt, Sepcembct 197610 Moly 1974
H.w F,'kM1hlp In [nSIllh, April 1977
[d/lOr 0( coll"llIlttlly INSlllne,.../on, JMlUIIy 1977 10 MItch 1974
Honon ThelII, DIKfm/nl Ncherypts: poetty 01 Robett LOMI/ W Ann, Swon, Dee"
1977
DIII(onh F,'lowshlp nom/ntt, Aprtl1974
June 197410 Moly 1975. Nonh T.XlI S~le Unlvenlry, Denlon, Texu. Study In IIlft1rure, phllosophy.nd
Iludlo lit.
$qllembct 1973 10 Dee.mbtt 1973. The UnlI'Cltlry 01 Houllon, Houllon, Tem. B~lle studl.s.
CONTlNUINC [DUCATlON
April 1985. Kod.Illtmlnm on Cr~phlCJ pholosr~phy, lhrtt W)1 01lnltnlh11nlllUctlon In Itch-
nlqucs olsr.phles pho!osraphy .nd d~rkroom optr~llon. The ltlllonl W<<o dlvldld Inlo .n Inlloducllon 10
(und~menl~111IId INlttl.11 lwy I), h~l~one photosllphy rd~y 2', .nd Ipecl~1 .lftcts (d.y J). Kod~l.nd
C'mpbell P~pet COR1p.Iny )olnlly hollld Ihesemlnul, which were held In lIlel~clllllot 01 Kod~k'l
IOIIlhwestttn rea'on.1I h'~dquMlen In D~IIu, T'm.
July 1990. Kod.Ilsemln.1r on Conl.1ctlna I.ehnlqult, . h~"-cl~y ltlllon on mtlhods Ind ijltt o( conl.Ict
prlnllns UIId In sr~phlCJ pholosr~phy. Thesemlnolt W~I hOllld Jointly by Kodak .nd Mldll'C11.rn P~p.r
ComplllY In lIle Sh.IIlon HOI,'ln CId~r R'pldl, low..
$qllembct 1990. Blllc SUPt~IIJon, . Keyo Stmln.r de1laMII 10 cI.rl~ IIId Improve IUptlVlsoty Ikllls.nd
mtlhods. The .II-cl.y semln.u wu held In Ihe Sloul'.r Five Se.uonl HOC.lln Cldolt R.plds, lowl.
VOlUNmR $[RVICE
Sprlna.nd lummer 1990. Cr~ph'c Atb AdvIsor, Unllld Action (or Youlll, low. Clry, low.. 's.vellllll.
IIlce.nd InlllUctlon In 1IIoI11r/"I, loolll/ld ltchnlquot 10 a sroup Ollttnl produclns a IIII11ty lNaulne,
11lllm.llve Sh.ptI o( R..llty, In . prOSllm rundld by lIlelow. Arts Councll.nd .dmlnllllrld IhrouSh lIle
Synlhotll Arts Workshop or Unllld Action ror Youlh.
Sprlna 199010 Prtltnl. [dllorLaJ II1d Dltlan Advllor 10 Ihelludlnlll.fr or The HUlnln Condition, 'l.1blold
publlClllon devolld 10 pollllClI, socl.l.nd cullurllllluot. The publlClllon II rundld Ihrough lIle Sludtnl
Stn.le II lIle Unlvlltlry or low.. I h.ve .110 conlrlbulld lIIulll.llonl ror IOme or Ihalrtlcles.
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INDfFlNDOO PUBlISllINC ACTIVITY I'
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,v/tfOll, , IItmty joutru/, P. O. Box 891, Auslfn, Tew 78767. Cuesl fdIlO1lot Volume X. NItIIbct J 01
lhll joItNl oIpoeIIy anchholl nCllon, Juno 1989.
AmIlIOIt & Lewll. P. O. Box 4201, AuSIIn, Tew7876S. Publlshetl oIaltriel 01 cNpboobolpoelly.
1'oInd 8<<Ia, by I. R. Etlaon, July 198a
XUtt, by fctwtn Bulflloa, July 198a ,
MfUIJo.aa, by M1cNel DIImOIt, Oclober 198a I
,
51<<chft In I1If CmnhouIf, ~ HcUln&f\llMll, Oclobtt 198a \
RtIIfm NIIM, by Rob Lewll 10, MItch 1989
NJlNul, P. O. Box 4201/ Autdn. Tew7876S. ConIrlbudn8 fdllor IIld produc1Jon conlUlunlllnc.l983
(No. 91 of I llI1l11y and weird nCllon lMuaI.
.'
L'ecol. \'t11ltrNn, AuSIIn, Toul. becutl'lo fdllOl 01 IIINII pml publllhln8 collCdM IClM lrom 198210 I'
1986. Publlc~lonllncludc:
hrdIdo, II lon81l0l'f In JUlI'flhlet 10111IoI0 by Rlcolldo Slnchu, 1986
NlshlDlntr, (lolne publlclllon with AIICIOII Prell 01 I book.lcngdl poem IeqUCRCol by Alben
HU((lllckltr, 1985 . '
Wlncbv MI,ulne.a 1hoIl.11vcd 131J1uol m.lBulno of 1rt.lIletllurO and cuhura, 1982033
PUDlICAnON CREDITS
i - -------.-'_.-
I. 1/1. CtffiI Book, Slcopy rrco Publllhlns. rOIl Wonh, TOXlI, 1981, Chlpbook 01 pocmtlOUI oIprinO I
! 6, AJICIOII PIOU, ""'tin / Tew, 1983. Chlpbook 01 pocmtlout of prlnO I,
Resllm NIt/WI, Ambroit & Lewll, AlIItln, TOUI, 1989, llCO aboYol
Pocnu, rovltwlllld emysln numeroulllNlI pml joumlll, m.lBl.llntllnd 11111101081".
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- CITY OF 10UA CITY _
BROAOBAIIO TELECllIflUll/CATlOIIS CO/fllSSIOII APPLICATION FORIl
Individuals seNlno on BoardS/COamllsslons play an l"1lortant rol. In advlslllQ the
r Council on matters of Int.rest to our COllmInlty ana Its future. Applicants IllJst reside
' In JOlla City.
Th. .Clty Counc! I announCed Addsory Ooard/COftlIlIss Ion Vac4nc les 90 days prior to the
date the appolntm.nt wIll b. mad.. This perIOd provld.s for a JO'day adv.rtlslng p.rlOd
and a 60-dal traInIng periOd for new members. Th. training periOd allows n.w members to
btcone famIliar with the responsibilItIes and duties of the advisory board/coilllllsslon
before becoming a fu 11 vot Ing member.
Mt.r a vacancy hu been announced and the JO-day adv.rt Is Ing periOd hes e.plr'd, the
Council r.vl.ws all applications during the IMorlal work session. The appOintment Is
announced at the next formal Council meeting. Appointees s.rv. as unpaid volunt.ers.
Council pr.f.rs that all applications IllJst be subllltted to the City Clerk no lat.r
than one week prior to the announC'd appotn~nt dates. PLEASE USE A BLACk INK PEN.
THIS APPLICATION IS A PUBLIC OOClJiENT AND AS SUCN CAN BE REPROOUCED AND DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR J HOIITHS OIlLY AND AUTOKolTlCALLY
COIISIDERED FOR AllY VACANCY OURING THAT TIllE.
ADVISDRY 8OARD/COItIlSSION IIAHEhu/..v,) 1,'l,.rr,...,,,,, i, t" (,...., TERH
NA/iE..{[tlr,(~ v C t!:M"'~. J HOlE ADDRESS :J ~r.l' .r/'~ rI. (.1,.. ,1 :I\..,,, (./."
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Is your home address (listed .bove) within the corporat. limits of Iowa Clty1 Y,I
OCCUPATlON-L',"r P~'I,JMI EHPLOYERl1,J,I....fI/. k...., "ll....f
PHOIIE NUMBER: HOllE ?\"4'./'J J./ BUS/NESS--.B1Jj:'
EXPERIEIICE AIID/OR ACTIVITIES IIHICH YOU FEEL QUALIFY YOU FOR THIS POSITIOII:
-t,l~d.lr"lv \,;,'ll/1I1,/, I J I ~"r,:":.v. J I'; J
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I/HAT CONTRIBUTlOIIS DO YOU FEEL YOU CM MAkE TO THIS ADVISORY BOARD (OR STATE REASON FOR
'''LIlII'I':r: 'I \ hi, M rhl, '. HI'" ., r,.""....~.
' -
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Specific .ttentlon should be directed to Possible conflict of Interest as deffned In ,
Ch.pters J62.6, 40JA.22 of the Code of Iowa. Should you be uncertain whether or not .'
potential conflict of Interest exists, contact the Legal Department. Will ,you have a
conflict of Interest1 _YES LNO
If you are not selected, do you want to be notlfled1 ~YES _NO
00 you currently serve on another 1000a City Oo.rd or Commlsslon1
. ,'/t has been Councfl polley not to permit an IndIvidual to serve on
slons at the same time,
f J~Ua~ ~
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. CITY OF IOWA CITY .
BROAD BAllO 'TELECOIf4UlllCATlDIIS CDItIISSIOII APPLICATlOII FOPJI
Indhlduals urvtll9 on Boards/COlI\1llnloM ploy an Iqlortant role in advlslll9 the
Council on matte" of Interest lo our c04lllllnlty ano Its fulure. Applicants II1ISt reside
In Iowa City.
The CI ty Council announced Adv Isory Ooard/Cocnnlss Ion vacanc les 90 days prior to lhe
date the appointment will be made. ThIs period provides for a 30'day advertlslnQ period
and a 6O'da1 tralnlno period for new members, The tralnlnQ period Allows new members to
becClll8 famrtlar with the responsibilities and duties of the advisory board/comnlsslon
before bccOllltnQ a full votlnQ member.
AfUr a vacancy has been announced and the 3D'day advertlslnQ period has expired, tho
Council reviews all applications durtllll the Inforlllal work union. Tho appointment Is
announced at the next 'formal Council meetlnQ, Appointees ,erve as unpaid volunteers.
Council prefers that all applications IINst be sub1lltted to the City Clerk no later
than one waek ~rior to the announced appointment dates. PLEASE USE A BL~CK INK PEN.
TIllS APPLICATION IS A PUBLIC DOC~EIIT MID AS SUCN CAll BE REPRODUCED AIID DISTRIBUTED FOR
TIlE PUBLIC. TIllS APPLlCATlOII WILL BE COIISIDERED FOR 3 HOIITHS OIILY AIID AUTOIlATlCALLY
CONSIDERED FOR AllY VACANCY QURIIIG THAT TlHE.
ADVIS9l\Y BOARD/COItlISS lOll HAIlE ,"" U -. 0 I lilt TERII .
NAJIE~L.\.. ~eA.l HOIf ADDRESS,J.l>/O c;rflol.)ll:'c7':~ A,lJ6" I
Is your home address (listed above) within tha corporate limits of Iowa City?
OCCUPATlOII.-eu(,lu(':cll.. EHPLDYER UA)I~" (lr -r~-\IA
PHDIIE II\JHBER: HOHE...3.S1'~ 1 LfC) BUSIIIESS
EXPERIEIICE AlID/OR ACTlVIT1ES \/HICH YOU FEEL QUALIFY YOU FOR TIllS POSIT lOll:
~~I,J Il ,<:-....\).,0/.1 -~li'1J6c:ll /) M~ 1Jj) AUt.-
~ e/i.{l ~';L~IOGI) AOf'~';B ILJ't/lLFIM-D . I ~I ~ ~,O))6t21l
.,.c:,IA&~C. ~\I'l': "tt) r.AMc ~~~I Co/;\!io t!~(~ ill"^''" ;J: ~I/n) M\l:t'fo Cjd..
'" ~sr<!I> . ilI''' ~ .,,"'. 11<" I'IJ!.II" plD""' 'M","'I. ~ .' '" It/! b..
:m1\1I"~(, II.} ~,. ~~t,(;AP?(tL
\/HAT IS YOUR PRESEIIT K110WlEDGE OF TIllS ADVISORY BOARD? .OmV T!""" Ir,v~.k:;
~L1~ltl',l~H' 10 '1'14(; c.!"~'( C,bLA'tlOtUc:.-/+o111 IIJI"t'L..It\f" CASL~
o ~ ~\
\/HAT COIITRIBU OflS 00 YOU FEEL YOU CAll MAKE TO THIS ~DVlSORY BOARD (OR STATE REASOfl FOR
"PL VlII'I' U.U{ P.EiJ>VA^,~ E~~~' 5" , "1,1 X V"'" ~. '" ,,, /;
~~~ c.~~~ $~~k ~J'!1!!S!~ "'~klt.~~N~ oen"S F!&-
l:&.&: ~~"'~
SpecifiC attention should be directed to possible conflict of interest as defined In
'Chapters 362.6, 403A,22 of the Code of Iowa. Should yeu be uncertain whether or not 4
potent tal conflict of interest ex~st . contact the Legal Department. WI11 you have a
conflict of tnterest? YES NO
-
If you are f10t selected, do you waflt to be notlfled? -J;.JES _NO
00 you currently serve on another Iowa City Board or Commlsslo
It has been Council policy not to permit an individual to ser is.
slons at the same time,
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Japplarl
STATEMENT OF INTEREST
A 'yes' answer to any of the followtng questions will not necessarily
exclude yO\l frOlll constderatlon for appolnbnent to the Iowa City Broadband
TelecOll1llUnlcettons COllIIlsslon. However. the Inforlll4tton wt11 mist our
Legal Department In determlntng whether or not there may exist a conflict
of Interest which would preclude your further consideration.
Are yO\l or Is any medler of your hllnedtate family or anyone
dependent upon you:
a. An employee of or a stockholder In either Heritage COIl1IIUnlca.
tlons. Inc.. or a subsidiary or limited partnershlp(s)
(Including Cablevlston Associates VIII, the general partner of
which Is or Is controlled by any of the above?
Yes Ho -t-
b. An ~loyee of or a stockholder In any radio or television
statton or news publication operating In Iowa City or serving
the Iowa City ma or of any parent company or subsidiary
thereof, or In any other IIl4nner affiliated with any of the
above?
Yes 110 X
c. . An employee, stockholder. partner. or proprietor of any
corporation or business which hu or Is likely to have a
significant contract or business connection with either
Heritage Conmunlcatlons, Inc.. or a subs Idlary or limited
partnershlp(s) (Including Cablevlslon Associates VII). the
genera I partner of which Is or Is controlled by any of the
above?
Yes
"01
If you have answer 'yes' to any of the above questions, please Include a
complete explanation using addlttonal paper If necessary.
~".'J~~:.",,>,:~., ,;",.:"".,_" ,..~.;..._;.'"
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FEtl 2 B 1991
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