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Home My WebLink About2011-08-02 AppointmentMarian Karr From: Mike Moran Sent: Wednesday, July 27, 2011 4:06 PM To: Marian Karr Cc: Tammy Neumann Subject: Fw: Resignation FYI. Mm Sent from my Verizon Wireless BlackBerry From: "Raaz, Jerry" <jerry.raaz @pearson.com> Date: Wed, 27 Jul 2011 08:20:24 -0500 To: Clay Claussen <clayclaussen @remax.net> Cc: Mike Moran <Mike - Moran @iowa- city.org >; Tammy Neumann Tammy- Neumann @iowa - city.org> Subject: Resignation To Clay Claussen Due to a family emergency I am resigning my position as commissioner for the Iowa City Parks and Recreation Commission effective immediately. I regret the short notice but my attention is needed elsewhere for the next several months. I enjoyed my time on the commission and wish your team continued success. Sincerely Jerry Raaz 319.631.0246 21a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy — Unexpired + 5 -yr Term Effective Upon Appointment, ending December 31, 2011 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Johnson County /Iowa City Airport Zoning Board of Adjustment should be directed to Michael Tharp, Airport Operations Specialist at 356 -5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step- child, aunt, or uncle. (Resolution 85 -354) Males: 1 Females: 1 Council Announcement Date: June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008; January 6, 2009; February 24, 2009; March 24, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:00p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy - Unexpired + 5 -yr Term Ending December 31, 2011 Carl Williams resigned Gender Balance Requirement: None No applications as of Wednesday, 5:00p.m., July 13, 2011 ElDenotes applicant completed the Confidential page of the application. L 21b ii NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy — Five -Year Term January 1, 2009 - December 31, 2013 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Johnson County /Iowa City Airport Zoning Board of Adjustment should be directed to Michael Tharp, Airport Operations Specialist at 356 -5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 1 Females: 1 Council Announcement Date: September 23, 2008; November 3, 2008; December 16, 2008; February 10, 2009; March 10, 2009; April 6, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:00p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy - Five -Year Term January 1, 2009 - December 31, 2013 Term expires for Dennis Keitel Gender Balance Requirement: None No applications as of Wednesday, 5:00p.m., July 13, 2011 0 Denotes applicant completed the Confidential page of the application. 21c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy — Six -Year Term January 1, 2006 - December 31, 2011 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Airport Zoning Commission should be directed to Michael Tharp, Airport Operations Specialist at 356 -5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step- child, aunt, or uncle. (Resolution 85 -354) Males: 1 Females: 1 Council Announcement Date: September 20, 2005; November 1, 2005; December 13, 2005; January 23, 2006; February 28, 2006; March 21, 2006; April 18, 2006; June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008; January 6, 2009; February 24, 2009; March 24, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:OOp.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING COMMISSION One Vacancy - Six -year Term January 1, 2006 - December 31, 2011 Term expires for Mark Anderson Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., July 13, 2011 0 Denotes applicant completed the Confidential page of the application. Z NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy — Six -yr Term January 1, 2010 - December 31, 2015 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Airport Zoning Commission should be directed to Michael Tharp, Airport Operations Specialist at 356 -5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step- child, aunt, or uncle. (Resolution 85 -354) Males: 1 Females: 1 Council Announcement Date: September 15, 2009; November 2, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011, May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:OOp.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING COMMISSION One Vacancy - Six -year Term January 1, 2010 - December 31, 2015 Term expires for Brian Sponcil Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., July 13, 2011 0 Denotes applicant completed the Confidential page of the application. a 21 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy— Five -Year Term January 1, 2009 - December 31, 2013 One (1) Mechanical Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at 356 -5122. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 4 Females: Council Announcement Date: September 23, 2008; November 3, 2008; December 16, 2008; February 10, 2009; March 10, 2009; April 6, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:OOp.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One vacancy - Five -Year Term (1) One Mechanical Professional January 1, 2009 - December 31, 2013 Term expires for Tim Fehr (Mechanical Professional) Gender Balance Requirement: 1 Female No applications as of Wednesday, 5:OOp.m., July 13, 2011 0 Denotes applicant completed the Confidential page of the application. Z NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy— Unexpired Term Effective Upon Appointment - December 31, 2014 One (1) Building Design Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at 356 -5122. Spouses and relatives of City Council Members and members of comparable County Boards and certain Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 4 Females: Council Announcement Date: January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:00 p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 04/10/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One Vacancy - Unexpired Term Building Design Professional Effective Upon Appointment — December 31, 2014 (Unexpired term for Stephen Buckman) Gender Balance Requirement: 1 Female No applications as of Wednesday, 5:OOp.m., July 13, 2011 0 Denotes a completed application has been filed. L21 L NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three Vacancies — Three Year Terms September 1, 2011 — September 1, 2014 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. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. 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. The Housing and Community Development Commission will have monthly meetings. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Housing and Community Development Commission should be directed to Tracy Hightshoe, Community Development Planner at 356 -5244. ZOXPCD n n n u Z Z > T O p N MKcoCn m = m m Q. co 0 CD C: co CD CL m z v NZ O � �m X n O v O c Z C) z v 0 O ic c z_ v m m O v r 3 m z n O 9 3 N N O z x v v 0 = D 3 n C 3 °o m m r� 3 ;a 3 z O ? n n x _ ? M r z� x r- O m n z 3 m r Z p m - = n m r r m n D cn ca cD co cfl coo coo ca --1 m N 0 N 0 N 0 N 0 N 0_ N 0 N 0 N 0 N o X X X x X X X X i x Os X x X x X X X X X y X X X X x X x X X W c X X X X X X X X x x x X x m x x x A m z v NZ O � �m X n O v O c Z C) z v 0 O ic c z_ v m m O v r 3 m z n O 9 3 N N O z Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 4 Females: 2 Council Announcement Date: May 17, 2011 Application Deadline: Wednesday, 5:00 p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 08/15/2011 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three Vacancies - Three -Year Terms September 1, 2011 — September 1, 2014 Term expires for Cheryll Clamon, Rebecca McMurray, Michael McKay Gender Balance Requirement: 2 Females, 1 None (F) A. Maria Tyson rx-1 1408 Brookwood Dr (F) Michelle Bacon Curry 0 2807 Eastwood Dr (M) Michael McKay 0 1105 Keokuk St (F) Cheryll Clamon FX1 1023 Village Green Blvd I] Denotes applicant completed the Confidential page of the application. City of Iowa City r _ j Advisory Board /Commission /Committee..,` h %pplication Form FIL CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODU A464 1= FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APP, I L BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACAI��1;��i T TIME. Advisory Board /Commission /Committee Name Housing and Community Dev. Commission Term 3 yr. Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME A. Maria Tyson HOME ADDRESS ldnu Brookwood Drive Is your home address (listed above) within the corporate limits of Iowa City? 0 Yes ❑ No How long have you been a resident of Iowa City? 2002 Gender: Male El Female 0✓ OCCUPATION Administrative Assistant EMPLOYER Iowa City Area Assoc. of REALTORS@ PHONE NUMBER: HOME 319 - 430 -8118 BUSINESS .- WMr- r% runc AKIMInO A/+r1\nriCC 1A1W1rW v(i11 FFFI QUALIFY YOU FOR THIS POSITION: ' have worked at an unlicensed real estate assistant since 2004. This has allowed me to gain an understanding of ands and housing needs in Iowa City. I have also worked with the public frequently through non - profit endeavors and through other employment which has allowed me to grasp the community development challenges of Iowa City. .AI"AT IQ vnl 10 00CCCk1T i[nInWi Fn[,F nF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYINU)? I feel that my experience in real estate and spending my youth and early adulthood in Iowa City can bring a youthful, yet knowledgable insight to issues that the commission may face with housing, jobs, and services for low to moderate income residents. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes. QNo lit has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. HCDC Application June 2010 Page 2 of 9 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commissi on /Committee Name A. Maria Tyson Iowa City Housing & Community Dev. Commission CITY OF IOWA CITY Date 06/08/2011 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. A copy of Section 362.5 is attached (see page 8). List all businesses in which you or your spouse /domestic partner have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS None. N C� got NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Address 1408 Brookwood Drive, Iowa City, Iowa 52240 .Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. HCDC Application June 2010 Page 3 of 9 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective May 14, 2010 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,350 $27,250 $32,700 $43,600 $54,500 2 18,700 31,150 37,380 49,800 62,300 3 21,050 35,050 42,060 56,050 70,100 4 23,350 38,900 46,680 62,250 77,800 5 25,250 42,050 50,460 67,250 84,100 6 27,100 45,150 54,180 72,250 90,300 7 29,000 48,250 57,900 77,200 96,500 8 30,850 51,350 61,620 82,200 102,700 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: Lower Income (see table) F-1 Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and /or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and /or training. CDC Application June 2010 page 4 of 9 N O CD C� E44 - Q LT1 CDC Application June 2010 page 4 of 9 City of Iowa City r _ Advisory Board /Commission /Committee � P hplication Form E 0, ~`-"- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE R CFiIbSTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAIET �FII PPI,ICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOFfjj, j�. ,`DURING THAT TIME. r�E1 J !a !1-7 Advisory Advisory Board ommissio Committee Name IXI,VOM7 e &)XAiIIA/ Y Term 9 / 12011 - k/ J Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME N% //� �3Al�b/lJ (�u1 1 HOME ADDRESS.2807 �A�syl .V0Q Ae., -1G . Is your home address (listed above) within the corporate limits of Iowa City? N Yes F] No How long have you been a resident of Iowa City ?ZA57' 6gA5P4&-_ L6W- render: Male Female � e7 rte` OCCUPATION t?)" D. T EMPLOYER 4f -r47JA yy PHONE NUMBER: HOMES /q• .30 • Y782 BUSINESS s5~f7: cVOC O1C41f-C AAllllno APTnnT1GC WHICH Vn1I FFFL QUALIFY YOU FOR THIS POSITION: f02 4 yEtW, - G� ,zdi2 .Z. C. /i g 6� Lo711-lNCOivoj GtiE'i 7 N 7;in Z a- iw my, EmPlt)(ine✓ivt Avine To W4if --r 14b9&E0 Wir, .4 74 4 /d Z"W,BEie d'r- L0141- cSoC✓` �1G J6WV1C2 �'9Gi£J.Ci�`g ¢ l�i�Oh"TJ. Tlgy! Let.L_ i) -red _z *AA Lei Zc/ r4e 1wrsr or 7'/¢ '50% ye'�S .Y ""�'x WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? , ,ry e Sf" YoIN (j 7yC- jtcLL m11VP4T3 c-w -rz w r+�•, .� A1,45 �Je� t; a ,�� v �vE �r T;.�G� 7w,« C3 Co er_ ;N jPt�,i; o eAJ 7,V4). tfAY� R c�,otu� c�lLtSP QF 7�� i tc�S A�EN�i�,S /NtidLl/EY7, OG T'1°L A a'q�A zzaN &S, 7'fZ AFL- in/Rr��T •EIC�'v�Y�s WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYINU -! Z 7 ,/ my Ee-iE'r s -Al of Tsfe s7�eue�u�l- A+vv � Lb�.7rr�1 � �E &7;X1nu/Ui ZV 1ONC,- TE,¢p, -� oJ%CC l&iu!J •4 LtE�r�+s:✓ &A3WC1irE YD We ftXWi9S;oN• -7 4450 •fiN� T�/�lifgri�JC, Vi2�-Ay--P ALLGl2 &&At Z i�CL�' -` p i W`6W�Alf �lil�'.S 7iCAL LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest E,n VZ0yN1kNY � 7tff lj %'tIV ��A e`, "may WiL �,J,0 P•e orz To q1112011 CA16111C* Wf-S 4--Fif C.YeAJ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? XYes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? [—]Yes �No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. HCDC Application June 2010 Page 2 of 9 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Boa o Boar ommis on /Committee Name ml,(Willf CITY OF IOWA CITY Date / Section 362.5 of the Code of Iowa generally �rohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 8). LIST all ousinesseS in wnicn you Or you( SpUUse, /UUMti a it, pdiuivi iia Vu all vvviic10111N ...Lc.coL %.V. example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. E BUSINESS ADDRESS 0� N Q . �C-, l7 C1'1 NOTE: A new form must be completed if the above information changes or an ownership interest is acaan addi or al business. Signature Address 2807 645- 144ia,001 At. �A -A' '47Z-ZS Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. HCDC Application June 2010 Page 3 of 9 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective May 14, 2010 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,350 $27,250 $32,700 $43,600 $54,500 2 18,700 31,150 37,380 49,800 62,300 3 21,050 35,050 42,060 56,050 70,100 4 23,350 38,900 46,680 62,250 77,800 5 25,250 42,050 50,460 671250 84,100 6 27,100 45,150 54,180 72,250 90,300 7 29,000 48,250 57,900 77,200 96,500 8 30,850 51,350 61,620 82,200 102,700 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION iN UKutK I U ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: Lower Income (see table) a Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and /or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and /or training. HL;DC Application June 2010 page 4 of 9 : ---4 c'l cr?w... Ga HL;DC Application June 2010 page 4 of 9 City of Iowa City r _ Advisory Board /Commission /Committee lzklt Application Form "`-"- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name Housing and Community Development Term 2011 -2014 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Michael L. McKay HOME ADDRESS 1105 Keokuk St Is your home address (listed above) within the corporate limits of Iowa City? 7 Yes ❑ No How long have you been a resident of Iowa City? 22 Years Gender: Male ✓0 Female El OCCUPATION nwncr/Genaral Manager EMPLOYER Keystone IT Inc. PHONE NUMBER: HOME 319- 337 -6185 BUSINESS -i1q- 6Ft8 -Q,31A �..oMMICK -C AKrninQ A(-T1X11T1F£i WHICIH YOU FFFL QUALIFY YOU FOR THIS POSITION: N O C:) WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISOKY BuAKu -., nq 1 have been on the Board for three years and am currently the Chair. - i 7 -<: iy�q� Pry 3 9 ' Y WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR-APPLYING)? I would like to continue to work with the commission and the citizens to improve the application an Mview process for making recommendations to the City Council. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest have a computer systems business. So far there have been no conflicts, but in those occasions where there could have been a perceived conflict, I have gone to the staff and the City Attorney for an evaluation. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes 7No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. CDC Application June 2010 Page 2 of 9 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Comrnissi on /Committee Housing and Community Development Commission Name Michael L. McKay r -it wr ®,�� CITY OF IOWA CITY Date 06/29/2011 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. A copy of Section 362.5 is attached (see page 8). List all businesses in which you or your spouse /domestic partner have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS Keystone IT, Inc. 365 E. College St., Iowa City, IA N a C� _ _ r- r t ''t NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Address �ro''i�✓ �C �% T w.4 C! T`�ZZ d Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. -ICDC Application June 2010 Page 3 of 9 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective May 14, 2010 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,350 $27,250 $32,700 $43,600 $54,500 2 18,700 31,150 37,380 49,800 62,300 3 21,050 35,050 42,060 56,050 70,100 4 23,350 38,900 46,680 62,250 77,800 5 25,250 42,050 50,460 67,250 84,100 6 27,100 45,150 54,180 72,250 90,300 7 29,000 48,250 57,900 77,200 96,500 8 30,850 51,350 61,620 82,200 102,700 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: Lower Income (see table) F-1 Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and /or a person receiving rental assistance. If vni i have exnertiSe in construction or finance, please describe your experience anCVpr training. I have experience with evaluating financial statements as well as proper financial /accounting practipcs___' c-, �U CJ7 t_r HCDC Application une 2010 page 4 of 9 Ill PTV 6 City of Iowa City ► r Advisory Board /Commission /Committee ks A replication Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME/ I f Advisory Board /Commission /Committee Name Housing and Community Development Term Next-avai4ab�-- Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Cheryll Clamon HOME ADDRESS in 23 Village Green Blvd Iowa City Is your home address (listed above) within the corporate limits of Iowa City? F-7 Yes R No How long have you been a resident of Iowa City? 30 Ig us years Gender: Male Female 21 OCCUPATION Retired from Univ. of Iowa Hospitals & Clinics EMPLOYER _ PHONE NUMBER: HOME 319- 331 -9086 BUSINESS PYVg=RiFNrrF ANninR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSIT*ft- o I' " —re a MSW and have been employed (in Iowa City)at Systems Unlimited, Oaknoll Retirdbimt Rider and at t� JIHC (19 yrs) as a Patient Representative then Legal Assistant working in Risk Manag"gent.4rrer o am a Small Claims Mediator and co -chair of the Book End. Involved in various community activitids during 30+ years in IC. CID WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? It is important to the entire community to provide all citizens with housing, jobs and other necessities. I see this board as assisting in that process thru assisting the staff and the City Council in development of policies and educating the public. I am willing q do the hard work necess ry to acco plis the bo rd's Kes onsi ' ates C �i .. Ate, � 0 Nty -rjl �ti A ,`n� nr�Oeh c7 � '1,t. -l�o� 14G WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? iJ- lV,R,1.ML I moved to Iowa City in 1976, raised my family here, my career was here, and retired here. I have worked with many populations and am a long time resident of SE IC. Jobs, housing and education are the basics from which a vibrant community develops. We are fortunate have much diversity, cultural offerings and a more complete community. My experience and knowledge as well as my desire to serve my community are contributions I can provide. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest none IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? W✓ Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes [Z]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) '4isrepresentations on this application will constitute just cause for removal of an appointee. If you fail ,o answer all the questions, Council may not consider your application. HCDC Application June 2010 Page 2 of 9 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commissi on /Committee Housing and Community Development Name Cheryll Clamon CITY OF IOWA CITY Date 6 3o t� 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. A copy of Section 362.5 is attached (see page 8). List all businesses in which you or your spouse /domestic partner have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS none —< w- cv - NOTE: A new form must be completed if the above information changes or an ownership interest uired in an ad I business. Signature Address 1023 Village Green Blvd, Iowa City, IA Misrepresentations on this application will constitute just cause for removal of an appointee. if you fail to answer all the questions, Council may not consider your application. HCDC Application June 2010 Page 3 of 9 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective May 14, 2010 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,350 $27,250 $32,700 $43,600 $54,500 2 18,700 31,150 37,380 49,800 62,300 3 21,050 35,050 42,060 56,050 70,100 4 23,350 38,900 46,680 62,250 77,800 5 25,250 42,050 50,460 67,250 84,100 6 27,100 45,150 54,180 72,250 90,300 7 29,000 48,250 57,900 77,200 96,500 8 30,850 51,350 61,620 82,200 102,700 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: Lower Income (see table) F-1 Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and /or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and /or training. HCDC Application June 2010 page 4 of 9 C -D W N C4? HCDC Application June 2010 page 4 of 9 21h NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION One Vacancy — Unexpired Term Effective Upon Appointment - January 1, 2014 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, 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. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Parks and Recreation Commission should be directed to Mike Moran, Acting Parks & Recreation Director at 356 -5110. PARKS AND RECREATION COMMISSION ATTENDANCE RECORD YEAR 2011 NAME a m rn M ao ° a r °' T_ r, N M N TERM EXPIRES David 1/1/15 O/E O/E X X X X X Bourgeois Clay 1/1/14 X X X X X X Claussen 1011E Lorin 1/1/13 X X X X Ditzler Maggie 1/1/13 X O/E X X X X X Elliott Aaron 1/1/13 O/E O/E X O/E X X O/E Krohmer Lucie 1/1/15 X X X X Laurian Margaret 1/1/12 O/E X X X X X O/E Loomer Jerry Raaz 1/1/12 X X O/E O/E X O/E O/E John 1/1/14 X X X X X X X Westefeld KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting LQ = No meeting due to lack of quorum * = Not a member at this time Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 4 Females: 3 Council Announcement Date: May 17, 2011 Application Deadline: Wednesday, 5:00 p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 08/15/2011 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PARKS AND RECREATION COMMISSION One Vacancy - Unexpired Term Effective Upon Appointment — January 1, 2014 Lorin Ditzler resigned Gender Balance Requirement: 1 Female (F) Joye Ashton McKusick D 805 Normandy Dr (M) Michael Healy FX1 430 Hawaii Court (F) Cara Hamann rX_1 5131/22nd Ave (M) Joe Younker 0 1011 6th Ave (F) Allison Gnade I] 512 N Van Buren El Denotes applicant completed the Confidential page of the application. City of Iowa City r _ Advisory oard /Commission /Committee `'� �Y 'i application Form CITY CCIITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name ka 5 4-, f e c r e o- 1k1b n Term — f V' , Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME 11,i V @ �� t n . ij6 r — JL HOME ADDRESS f D � I`%ru�� rt �l t 17 Is your home address (listed above) within the corporate limits of Iowa City? 0 Yes No How long have you been a resident of Iowa City? �r-.:5. Gender: Male 0 FemaleQ OCCUPATION Ile 1reA '_ vs'r - zkzEMPLOYERRty�s PHONE NUMBER: HOME 17 IV (e BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITI�Ia�� ` �, .a►� .m y z��r �-. eT�vi° y4'4 r 4v'l d 1A11 I AT t� ./.,i 10 o1:)ccC:k1T VMMAn I=nr F= rnF THIS ADVISORY BOARD? C >> WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYINU) T( r rnra.n I- r LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? JK Yes LJ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes [:]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute ,just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Ne ykee� Name S �'1 ©Vt 1' iC.� 7t u SIDE ` r CITY OF IOWA CITY Date 6 na 7 -1I 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS tA ZTs $ NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature G��iE�� E� Signature of parent/gua�dian (Youth Advisory Commission only): Address Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. veneral Application June 2010 Page 3 of 8 City of Iowa City Advisory Board /Commission /Committee #�� -� Application Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name Parks and Recreation Commission Term Ending 1/1/14 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Michael Hear HOME ADDRESS 43^ Hawaii Court 1omp CiM Iowa Is your home address (listed above) within the corporate limits of Iowa City? s EliNo How long have you been a resident of Iowa City? 1 year and 1 month Gen g M*e male El Residency f lcwa �; OCCUPATION sid n y Program Coordinator EMPLOYER Univn— �--� —� PHONE NUMBER: HOME (518)301 -0702 BUSINESS 0)357 - �y : EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION', The three activities, which I believe provide me with the experience to serve on this commission, were my time we ig in the New York State Assembly, the office of the president at the University at Albany and at the department of i _.idential life at the University at Albany. These positions have provided me with a combination of experiences in committee work, administrative review of budgets, rules and policies, as well as developing culturally specific programming. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Of most importance, this commission is responsible for oversight over the policies, regulations and rules regarding the parks and recreational centers as well as developing new partnerships and incentives, while keeping cultural inclusion, effectiveness and the public good in mind. This can be seen through the public discussion on behalf of the Iowa Coalition of Off -Road Riders regarding the request to build a mountain bike trail within a park in the Iowa City limits and the necessary review, discussion and decision makinq process that follows. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I have been involved in state politics and have seen the direct impact that involved and passionate individuals have made upon the community in which they live in. With this in mind I believe that I can bring my experience, provide a fresh prospective, and bring a desire to serve the citizens of Iowa City. I have lived in Iowa City for a little over a year now and have been able to develop a sense of community through many activities and events including the parks, playgrounds, recreational centers and I want to help provide beneficial oversight and guidance for the future. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest N/A IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? F✓ Yes D No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? FlYes ✓]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) isrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Parks and Recreation Commission Name Michael Healy �'►'` wrlr ®��iil CITY OF IOWA CITY Date 6/27/2011 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS N/A N/A N L � NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional busigess. Applicant Signature Signature of parent/guardian (Youth Advisory Address 430 Hawaii Court, Iowa City, Iowa ission only): Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 City of Iowa City r Advisory Board/Commission/Committee .,,'!`, f �plication Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name Parks and Recreation Commission Term Present - 1/1/14 Youth Advisory Commission (shall not be more than 18 years of age at the time of *�Plication) Name of Iowa City High School or high school equivalent: Signature of parent /guardian: _ �C71 w t HO F1 Q 1 /7 7nrl Ova, �ptaia C, lAs ME ADDRESS 51 M _ NAME Cara Hamann -_ _ e FO Is your home address (listed above) within the corporate limits of Iowa City? Yl How long have you been a resident of Iowa City? 3 years Gender: Mal Female OCCUPATION Research Assistant and Graduate Student EMPLOYER University of Iowa PHONE NUMBER: HOME 319 - 594 -5770 BUSINESS 31q_5o4_.770 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: F -r the past several years I have led a grassroots effort to both promote bicycle riding and racing and to increase I lumber of women bicyclists in the greater Iowa City area. In this role I continually make recommendations and implement efforts to further the initiative. I also have over 8 years experience analyzing and evaluating data and programs as part of my research and continuing work as a graduate student. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? he board is responsible for reviewing and making recommendations related to all park and recreation activities in he interest of the people who live in Iowa City as well as visitors. I know that this board can have a significant impact on the maintenance and creation of park and recreation activities and facilities within our community. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I am applying to this board for several reasons: 1) to represent females in the area 2) to represent all types of outdoor sport and recreation enthusiasts, with emphasis on areas that I have perspective -- bicycling, running, hiking, swimming, farmer's market, and trails 3) to contribute to the maintenance and long -term development of the park and recreation experience in the area at both micro and macro levels. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? [✓ Yes [:] No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes ❑✓ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail ,o answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Parks and Recreation Commission Name Cara Hamann CITY OF IOWA CITY Date 06/28/2011 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS arm .Ny r✓ N CZ) NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature Signature of parent /guardian (Youth Advisory Commission only): Address 513 1/2 2nd Ave, Iowa City, IA 52245 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 City of Iowa City - I Advisory Board /Commission /Committee.,` pplication Form CITY IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Remaining term Advisory Board /Commission /Committee Name Parks & Recreation Commission Term endinq 1/1/13 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Joe Younker HOME ADDRESS 1011 6th Ave Iowa City. IA 52240 Is your home address (listed above) within the corporate limits of Iowa City? 0✓ Yes 0 No How long have you been a resident of Iowa City? Almost 30 years Gender: Male W1 Female OCCUPATION attorney EMPLOYER Bradley & Riley PC PHONE NUMBER: HOME (319) 321 -5587 BUSINESS (,,j1Q)466 -1511 FYPFRIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: P -e Attachment A. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING►-! See Attachment A. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest See Attachment A. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes FZ]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Parks & Recreation Commission Name Joe Younker � r ��..02 mO CITY OF IOWA CITY Date 07/13/2011 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS Brewed Awakenings, Inc. - 1271 First Ave., SE, Cedar Rapids, IA 52401 wife is a shareholder in a family business. r—i a: r. NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional Applicant Signature Signature of parent/guard Address 1011 6th Ave, low outhVAdvisory Vommission only): IA 52240 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 Attachment A Experience and /or activities which you feel qualify you for this position: My background as a lawyer will help qualify me for this position. I maintain a general practice including the areas of land use, environmental law, and commercial litigation. My practice requires me to engage in creative problem solving, strategic planning, analysis of rules and regulations, and analytical thinking on a daily basis. Through my practice, I am also familiar with assessing financial information and developing budgets. I also have experience serving on other boards and commissions and have engaged in strategic planning for those groups. For instance, I am a current member of the Johnson County Bar Association Young Lawyers Division Executive Committee and the City High Alumni Association. In the past, I have served as a board member for Corridor Free Wireless, Iowa Volunteer Lawyers for the Arts, and the Creighton University Chapter of Habitat for Humanity. I am also a graduate of the Iowa City Chamber's Community Leadership Program. I am an honorary native of Iowa City — my family moved here when I was four. I attended Regina, South East, City High, and the University of Iowa. I have worked for many local employers ranging from a hardware store, a factory, and a department store, to a data center and a law firm. I am invested in the community and hope that my experience of growing up in Iowa City will be of benefit to the Commission. I am an enthusiastic outdoorsman. My hobbies include hiking, camping, and enjoying parks in Iowa City and across the country. As a heavy user of the City's park system, I have a good sense of how consumers relate to the City's outdoor recreation opportunities. What is your present knowledge of this advisory board? I understand that the Commission recommends and reviews rules, regulations, and budgets relating to the City's park system, recreation centers, and cultural functions also understand that the Commission is involved with developing new parks and recreational opportunities. I have discussed this position briefly with Mike Moran. What contributions can you make to this advisory board (reason for applying)? Attractive recreation opportunities are essential for the City's positive growth. As a young professional, I appreciate that young people consider whether or not an area has a strong park system when deciding where to live. A city with a variety of recreational and cultural opportunities will be in a better position to attract and retain employers and workers, and to improve the quality of life for its citizens. Neighborhood parks also serve to foster stronger, friendlier neighborhoods. I would like to serve on the Commission to help the City maintain its strong recreation program and develop new opportunities. As someone who has benefited from the City's parks and recreation program for nearly thirty years, I would appreciate the chance to contribute to the program. EE! rE CD {01090472.DOC} N Attachment A (cont'd) List potential conflicts of interest: Although it is unlikely that these relationships would present a conflict of interest, I am and attorney with Bradley & Riley PC, my wife is an employee of Willowwind School, I serve on the board of the City High Alumni Association, and am on the Johnson County Bar Association Young Lawyers Division Executive Committee. { 01090472.DOC ) t t i - Pn sv { 01090472.DOC ) F. James Bradley Byron G. Riley Michael K. Denney Patrick M. Courtney Donald G. Thompson ',ly R. Baier —regory J. Seyfer Dean A. Spina Joseph E. Schmall Bradley G. Hart William J. Neppl William T. McCartan Maureen G. Kenney Vernon P. Squires Timothy J. Hill Paul D. Burns Michael J. Pugh Janice J. Kerkove Nancy A. Wood July 13, 2011 VIA HAND - DELIVERY Marian Karr Iowa City City Clerk 410 East Washington Street Iowa City, IA 52240 RE: Iowa City Parks & Recreation Commission Application Dear Ms. Karr: Kevin C. Popp Laura C. Mueller C Kimberly H. Blankenship Joseph W. Younker Jessica A. Doro Jeremy B. P. Hagan Natalie K. Ditmars BRADLEY &RILEY PC Adam S. Tarr Raymond R. Rinkol, Jr. ATTORNEYS AND COUNSELORS CEDAR RAPIDS - IOWA CITY WEBSITE ADDRESS: TOWER PLACE www.bradleyriley.com ONE SOUTH GILBERT STREET IOWA CITY, IA 52240 -3914 E -MAIL ADDRESS: jyounker@')brad1eyri1ey.com TELEPHONE: 319- 466 -1511 DIRECT DIAL: FAX: 319 - 358 -5560 319- 358 -5569 RE: Iowa City Parks & Recreation Commission Application Dear Ms. Karr: Please find enclosed my application for the Iowa City Parks & Recreation Commission. I am applying to fill Lorin Ditzler's unexpired term. Please contact me if you have any questions, or if you require any further information. Thank you. Very truly yours, BRADLEY & RILEY PC eph . Younker JWY /grf Enclosure N C Please find enclosed my application for the Iowa City Parks & Recreation Commission. I am applying to fill Lorin Ditzler's unexpired term. Please contact me if you have any questions, or if you require any further information. Thank you. Very truly yours, BRADLEY & RILEY PC eph . Younker JWY /grf Enclosure City of Iowa City I ? - I Advisor Board /Commission /Committee A - 1II 1h*. )plication Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name FA.✓tirT 9LCVt1 --t;'0 ^ �' aN Term Pmt- 1)2D1' Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME 04M CnnALdC HOME ADDRESS S 12 YAN $vcK.�N Is your home address (listed above) within the corporate limits of Iowa City? gYes No How long have you been a resident of Iowa City? 2-4 TrS.ar''" ^�s ^ kw Gender: Male Female F1 OCCUPATION r—, - [PW_k&hJA C,oDlrg00AW EMPLOYER Ntw P; D&Lw Food CA-Of PHONE NUMBER: HOME C3tR� s�ti'�lS3"Lo BUSINESS (3tq) "9- (94107 rn.r I/1 A w.P r%ln A f+ MA11TICC 1AIWIr'_14 Vni I FFF1 QUALIFY YOU FOR THIS POSITION: :�rCRICIVL.GANU UKAV..v.... -- • - -- - ' I r►�►- a� inv,Ivtd y�,w�a►,o✓ aIF -+1tit Cav�r►'►1nR �l- t�- ,►.v.�:r` l c� w�+�,� „•.1^.� ,�,�{w,di.a.� U�Y1,r,.tiw.�yt„ .t:,1r.(,•�v4-L. Yu�- Ivt,��c de^us cni±c nc ruic AnvICnRV Rr1APm WHAT Izi YOUR rmcammI KIVVVr w%JL- W. - I �%� a A.-b *,A.1 -V* % L [.OrvWvl.i LfLi�n a �n d DQ twi r�) 'F+�w� S ervuu�`t -I'l/u - •i 1 j i o r, p I LA •� + W.r`.rd dF %*+ �C r*rrt / �wI- w� i r•- 4��-1t u►+M Qi� ut� WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISOKY LSUAKU IKCAJUIV rymmrrLrllo-a,: 1 ' sic -tro vt tLu ro {u , V1 PA (,✓h.AU^*`" sp.. CM A"t w-uc c.An.�� PLe't e, aM-d 1 rI ro" A ,.l . 1 'v1n. c.v�,c +>~,.�. { l C,M -...w ( r"J ' A + (w1.' .�44et't K-d. ' C rvw►� H.wi i� - �jw: I �•ry5 w,,..,d i rwr^vt ✓►m$ -fV%& AA rA4Ld 1 o.-W -JA-Vl . P IA Gt I .L��v� e' h . IST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest Ntw V tlw� wr 044- Lxv-54 Y v (�.gn�r7u►`y S:;„u�,t�an) or*vc N.rr•h.CNk Nt1�ltirarl - VAVt a St" &►• O.AIµ C.4 +,7 FiwW_&V -I %V,&eILA& Also ti►A-HV+ R,�.r d a V 0 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? gYes N 0DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSI© :., 5Yes `p No ' S� (It has been Council policy not to, permit an individual to serve on two Boards or Commissionmat4he-same .) .� — - _ Misrepresentations on this application will constitute just cause for removal of an4rWpintee. If fail answer all the questions, Council may not consider your application.' General Application C0 June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee ea-S 0"`A 5U0r4^A """ &'` (A `" «' °A Date rl Name MU on Vvxd -t 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS Fj wlrrp�,.,i Dw I S 12, N. Jar *44 -no's to U D W., %' i c' t e•F Q .P ..J NOTE: A new form must be completed if the above information changes or an ownership Interest is acquired in an additional business. Applicant Signature /WLA ►„— Signature of parent/guardian (Youth AYVisory Commission only): Address S 12 N • V ta-Vti UJ%% - Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. L-. General Application June 2010 Page 3 of 8 21i NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: POLICE CITIZENS' REVIEW BOARD One Vacancy — Four -Year Term September 1, 2011 — September 1, 2015 Duties of the Police Citizens' Review Board include reviewing Police Department investigations into allegations of misconduct lodged against police officers, conducting further investigation of the complaint when the Board deems it necessary, and issuing a public report which explains why and the extent to which the complaint is sustained or not sustained; maintaining a central registry of complaints against sworn police officers and issuing annual reports regarding the disposition of the complaints to the City Council; reviewing police policies and practices from time -to -time and recommending changes to the City Council when the Board deems it appropriate. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. The City Council also reserves the right, for good cause shown, to waive the requirement that the Board include one current or former "peace officer" as that term is defined by State law. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Police Citizens' Review Board should be directed to Marian Karr or Kellie Tuttle at 356 -5041. 5/18/2011 ��OyC zz��b a. y C�J N trj O O b O C� Y� n n Y� H z C O v C �� _ z o� �_e� 'A a = > x N W W N a x x x x IQD N A x x x x x N x x x x x o O x x x x Y 1 i i y C�J N trj O O b O C� Y� n n Y� H z C O v Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 2 Females: 2 Council Announcement Date: May 17, 2011 Application Deadline: Wednesday, 5:00 p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 08/15/2011 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. ** Appointments to the Board shall include one current or former "peace officer" as that term is defined by State law. The City Council reserves the right, for good cause shown, to waive the requirement that the Board include one current or former peace officer. ** The City Council also reserves the right to waive the residency requirement for good cause shown. POLICE CITIZENS' REVIEW BOARD One Vacancy — Four Year Term September 1, 2011 — September 1, 2015 Term expires for Donald King Gender Balance Requirement: None (M) Donald King 0 Currently serving 1St 4 -yr term 2374 Kristian St 0 Denotes applicant completed the Confidential page of the application. City of Iowa City r 1 Advisor Board /Commission /Committee f )plication Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY ��CONSIDERED /FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name T/"r� 1� CL t 04.1 G'Y' t (= ylr3�J ►�C Term Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: I NAME HOME HOME ADDRESS ? I y �✓� �5 S fl Cs � • Is your home address (listed above) within the corporate limits of Iowa City? Yes No How long have you been a resident of Iowa City? Gender: Male ❑j Female OCCUPATION EMPLOYER A)015 PHONE NUMBER: HOME 1�t _S�a. a6 BUSINESS .31q X31- S�2 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITI N: Co v\ iiC•� CIA-(A- NA l 0 1, v 9 P"5 L- VV4`�ti h7 Q WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? �> C7- FT1 NHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR�CI'PLYIl11b ►! C 1 V6 LOA 41 bop ^ J i �'� �� JCS_ a� c, �� `� 11,r �ltv,� Vjvati `- POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? We No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? 0Yes VfNo ti+ hmc haan (-.r,i innil nnlicv not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING #-- r - 4 i ��r p A CITY OF IOWA CITY Name of City Board/Commission/Committee Pc) \ k ce, C �� 1 -� -a111- 4,414- Date Name r7 -.7 .... I . / 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additioml business. Applicant Signature Signature of parent/guardian (Youth Advi��ry Commission only): Address Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 a 21' NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION One Vacancy — Unexpired Term Effective Upon Appointment - December 31, 2012 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. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Senior Center Commission meets the third Tuesday of each month at 3:00 p.m. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Senior Center Commission should be directed to Linda Kopping, Senior Center Coordinator at 356 -5225. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 3 Females: 3 Council Announcement Date: June 7, 2011 Application Deadline: Wednesday, 5:00 p.m., July 13, 2011 Council Appointment Date: August 2, 2011 After 09/05/2011 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. SENIOR CENTER COMMISSION One vacancy — Unexpired Term Effective Upon Appointment - December 31, 2012 Unexpired term for Jean Martin Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., July 13, 2011 El Denotes applicant completed the Confidential page of the application. M 21k NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: YOUTH ADVISORY COMMISSION One Vacancy — Unexpired Term + 2 -yr Term Effective Upon Appointment, January 1, 2012 - December 31, 2013 One (1) person — Regina High The mission of the Youth Advisory Commission is to promote understanding and awareness of Iowa City among Iowa City youth, allow a select group of youth to help make decisions concerning them and their peers, enable youth members to utilize and expand on their leadership abilities, to serve as a mechanism for communication between youth and adults in Iowa City and create a bridge whereon youth and adults can develop partnerships. Membership shall consist of seven [7] members appointed by the City Council currently enrolled in an Iowa City high school or high school equivalent. Four members shall represent City, Regina, Tate, and West high schools. The three remaining members shall be at large. All ages shall be calculated on the date of the filing of applications, and shall not be more than 18 years of age at the time of application. All members shall be residents of Iowa City. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Youth Advisory Commission should be directed to Marian Karr, City Clerk at 356 -5041. D m O u x u u n zza� z 0 N y y N 3 0 CD = m CD c � � k a� n O N CD A 0• c 0 c 3 O c _ ma mo 3 �v< m zo °3° N0� ;u C) m -�m 0 co v 7 7 0 vCl) 0 z C 3 m -� m -a N W N W N W N W N W N W N W-0 X M X x x x x x x x 0 x x x x w x rn x x x x w rn x x x x x x w x x x x x x O c _ ma mo 3 �v< m zo °3° N0� ;u C) m -�m 0 co v 7 7 0 vCl) 0 z Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step- child, aunt, or uncle. (Resolution 85 -354) Males: 2 Females: 3 Council Announcement Date: June 7, 2011 Application Deadline: Wednesday, 5:OOp.m., July 13, 2011 Council Appointment Date: August 2, 2011 (Recommendations to be made by Council liaison) After 09/05/2011 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. YOUTH ADVISORY COMMISSION One Vacancy — Unexpired ( +) Two Year Term Effective Upon Appointment, January 1, 2012 — December 31, 2013 One (1) person — Regina High (Matt Lincoln resigned) Gender Balance Requirement: 1 Male (M) James Nepola 0 355 Butternut Ln (F) Katherine Rapp 0 4314 Cumberland Ln El Denotes applicant completed the Confidential page of the application. City of Iowa City r � 1 Advisory Board /Commission /Committee�� "'� Application Form CITY OF IOWA CITY THIb APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLI, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY ONSIDERE FOR ANY VACACY DURING THAT TIME. Advisory Board /Commission /Committee Name I%9"erm ,� Youth Advisory Commission (shall not a more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: CLe- j'`ti Signature of parent/guardian: NAME j� r„� >, o (cam HOME ADDRESS `� , t i //'i y t L,i Is your home address (listed above) within the corporate limits of Iowa City? Yes How long have you been a resident of Iowa City? I-� Gender: Male EMPLOYER —z BUSINESS OCCUPATION St. Jcnr PHONE NUMBER: HOME No Female 11 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: N G� WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON Fd-RAPPMNG LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest � oti IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ffYes 0 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? FlYes DNo (it has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 Experience and /or activities which you feel qualify you for this position: I participated in the 2010 -11 Community Youth Leadership Program in which I learned about the city and completed a service project with the Children's Museum. I demonstrated leadership as a house leader with the God's Child Project this summer in Guatemala. I used my previous experience with God's Child, Spanish proficiency, and project management skills to lead a team of 5 fellow students in constructing a house for a Guatemalan family in need. What is your present knowledge of this advisory board? The Youth Advisory Commission is an important committee designed to give the youth of Iowa City a voice in the city's government, and facilitate dialogue between youth and city officials. It also prepares youth to become community leaders and educates them in city governance and decision - making. What contributions can you make to this advisory board? I will bring an enthusiastic willingness to learn about the interworkings of the city government and to serve my community. I am a lifelong member of the Regina community and am active in athletics, community service, tutoring programs, math team, and leading retreats for Regina's faith ministry. I will be a responsible and informed representative of the Regina community on this commission. The Nepola Family 355 Butternut Lane IoIv1, r City, 1A 52246 w 0 7 v N ry BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Name \ J 4ml'z7S W r CITY OF IOWA CITY Date 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS L 7 NOTE: A new form must be completed if the above information changes r an ownership interest is acquired in an additional business. Applicant Signature Iyr� L//K" Signature of parent/guardian (Youth Advisory Commission only): Address X55 G ✓kle%)� l-A (o�i,, �, ,, IA Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 City of Iowa City r Advisory Board /Commission /Committee: "';"`_'� Application Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name Youth Advisory Commission Term to fill vacancy Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: 4gr;1 Hi� -)C- Signature of parent/guardian. NAME Katherine Rapp HOME ADDRESS 4314 Cu mberland Lane, Iowa CiJy 52245 Is your home address (listed above) within the corporate limits of Iowa City? 0✓ Yes [—] No How long have you been a resident of Iowa City? 4 years Gender: Male F] Female 0 OCCUPATION student EMPLOYER N/A PHONE NUMBER: HOME (319) 354 - 4022 BUSINESS NSA EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am president of the junior class at Regina. I was one of 200 sophomores in Iowa selected to attend Iowa HOBY, a service -based leadership conference. At HOBY, I was one of two students selected to attend the World Leadership )nference (400 students attend from several countries). I was selected for CYLP, a youth service program for IC. nG TWIC AnvlSnRY ROARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (KLAWN 1-UK ArrLT W10.71 f I believe I am a great leader. After attending HOBY, I am especially motivated to be very involved in my community. I aspire to make a difference and to be a part of making changes in Iowa City. The opportunity to represent the youth of Iowa City would be a great honor. Using leadership and service to be involved in the community is my goal. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes "No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? QYes No (It has been Council policy not to permit an individual to serve on two Boards or Commissio#at the-same time.) Misrepresentations on this application will constitute just cause for removal of aI oir ee. Ubb fail to answer all the questions, Council may not consider your application. neral Application ^y -0 z ® i June 2010 Page 2 of 8 ° `' C--) 5 BOARD, COMMISSION AND COMMITTEES,, ,,,W, ® „h BUSINESS LISTING - ••r6NN6- CITY OF IOWA CITY Name of City Board /Commission /Committee Youth Advisory Commission Date 07/10/2011 Name Katherine Rapp 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. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature Kc :-u- Signature of parent/guardian (Youth Advisory Commission only): �' F? Address 4314 Cumberland Lane, Iowa City 52245 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. neral Application June 2010 Page 3 of 8 Marian Karr From: Marian Karr c nt; Monday, July 11, 2011 5:00 PM 'Colleen Rapp'; Council Subject: RE: Youth Advisory Commission Thank you for your letter. A copy will be provided to the City Council with your application. Marian Karr, MMC City Clerk From: Colleen Rapp [mailto:colleenrapp @msn.com] Sent: Monday, July 11, 20114:54 PM To: Council Cc: Marian Karr Subject: Youth Advisory Commission City Council Members - My name is Katherine Rapp and I am a junior at Regina High School. The purpose of this email is to let you know that I have applied for a position on the Youth Advisory Commission. I think I am well qualified for this role. I am the junior class president at my high school. In my role as class president, I have so far been in charge of fundraising efforts including planning and running high school baseball concessions. My additional responsibilities will include planning prom 2012 and fundraising for senior trip. . .iddition, I was selected to represent my school at Iowa HOBY (Hugh O'Brien Youth Leadership Conference). Two hundred juniors -to -be from the state of Iowa attended this service -based leadership conference last month. At this conference, I leaned how to be a confident, enthusiastic, and passionate leader. I also learned the importance of being involved in my community. At Iowa HOBY, I was one of two students selected to go to the World Leadership Congress later this month. This week long leadership conference will include 400 student leaders from across the United States and several other countries. I have been selected for CYLP (Community Youth Leadership Program), a leadership program in Iowa City that is based on learning about and providing service to our community. I hope to have the opportunity to contribute to the Youth Advisory Commission. I am eager to become even more involved in the community. I think I would be a very beneficial addition to the commission. Thank you for your time! Sincerely, Katherine Rapp 211 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: YOUTH ADVISORY COMMISSION One Vacancy - Two -Year Term January 1, 2011 - December 31, 2012 One (1) person — Tate High The mission of the Youth Advisory Commission is to promote understanding and awareness of Iowa City among Iowa City youth, allow a select group of youth to help make decisions concerning them and their peers, enable youth members to utilize and expand on their leadership abilities, to serve as a mechanism for communication between youth and adults in Iowa City and create a bridge whereon youth and adults can develop partnerships. Membership shall consist of seven [7] members appointed by the City Council currently enrolled in an Iowa City high school or high school equivalent. Four members shall represent City, Regina, Tate, and West high schools. The three remaining members shall be at large. All ages shall be calculated on the date of the filing of applications, and shall not be more than 18 years of age at the time of application. All members shall be residents of Iowa City. Applications must be received by 5:00 p.m., Wednesday, July 13, 2011. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.ic-gov.org. Questions about the Iowa City Youth Advisory Commission should be directed to Marian Karr, City Clerk at 356 -5041. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step- child, aunt, or uncle. (Resolution 85 -354) Males: 2 Females: 3 Council Announcement Date: October 26, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011 Application Deadline: Wednesday, 5:OOp.m., July 13, 2011 Council Appointment Date: August 2, 2011 (Recommendations to be made by Council liaison) After 01/24/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. YOUTH ADVISORY COMMISSION One Vacancy — Two Year Term January 1, 2011 — December 31, 2012 One (1) person — Tate High Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., July 13, 2011 Denotes applicant completed the Confidential page of the application.