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HomeMy WebLinkAbout2012-01-24 Appointment24d Steve Crane 765 Kennedy Parkway Iowa City, Iowa 52246 January 16, 2012 Iowa City Council Members 410 E Washington Street Iowa City, IA 52240 Dear Council Members: With this letter, I hereby submit my resignation on the Iowa City Airport Commission effective immediately. I have enjoyed my time on the commission the past two years, unfortunately due to family and business obligations in the evenings it has become more difficult to attend the required meetings. I have notified the airport manager as well as the current chair of the commission. Sincerely, Steve Crane I -2y -lZ 2 Michael L. McKay 1105 Keokuk, Iowa City, Iowa 52240 January 18, 2012. Steve Long Community Development Coordinator Y City of Iowa City` 410 E. Washington St. Iowa City, IA 52240 3 Dear Steve: Since I was a long time member of the non - profit community, my company, Keystone IT, is now a technology provider to a large number of non - profits. All of them have been applicants for assistance through CDBG and HOME funding. As you and I have discussed, this sets up a potential conflict of interest for me. After discussing some current situations with the City Attorney, I have decided to resign from the HCDC. There are two problems. One is a direct conflict in some upcoming projects where Keystone's involvement could be in violation of HUD rules. Then there are those projects where even if we are technically clear of a conflict of interest, there could be a perception of one. Perception, of course, is just as bad for all concerned as a real conflict of interest. The best solution is for me to resign from the HCDC. I have enjoyed my three plus years on the commission and believe that we did a very good job in allocating a lot of money during my time on the commission. I hope that in your search for a replacement, a member of the business community can be found. I believe that someone from the business community is required to achieve a mix on the commission that is truly reflective of the City of Iowa City. I have a couple of people in mind and will encourage them to apply. A big thank you to you and Tracy for your good work in supporting the HCDC. Without your knowledge and hard work, the HCDC would not be able to function as well as it does. Sincerely, Home Phone: 319 - 337 -6185 Cell Phone: 319 - 530 -6186 email: mike @keystoneit.com 01 -24 -12 25a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: AIRPORT COMMISSION One Vacancy — Four Year Term March 1, 2012 - March 1, 2016 Duties: To exercise all the powers granted to cities and towns under Chapter 330 of the Code of Iowa, except the power to sell said airport. To annually certify the amount of taxes within the limitations of the Statutes of the State of Iowa to be levied for Airport purposes. All funds derived from taxation or otherwise for airport purposes shall be under the full and absolute control of the Airport Commission, deposited with the City Treasurer, and disbursed only on the written warrants or order of the Airport Commission. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Airport Commission meets the second Thursday of each month at 5:45 p.m. Applications must be received by 5:00 p.m., Wednesday, January 11, 2012. 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 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: 3 Females: 1 Council Announcement Date: December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 11, 2012 Council Appointment Date: January 24, 2012 After 03/05/2012 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT COMMISSION One vacancy — Four -Year Term March 1, 2012 — March 1, 2016 Term expires for Jose Assouline Gender Balance Requirement: 1 Female No applications as of Wednesday, 5:OOp.m., January 11, 2012 0 Denotes applicant completed the Confidential page of the application. 25b 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, 2012 - December 31, 2016 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, January 11, 2012. 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: December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 11, 2012 Council Appointment Date: January 24, 2012 After 03/05/2012 (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, 2012 — December 31, 2016 New Full Term Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., January 11, 2012 0 Denotes applicant completed the Confidential page of the application. 25c 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, January 18, 2012. 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; August 2, 2011; September 6, 2011; October 4, 2011; November 1, 2011; December 6, 2012 Application Deadline: Wednesday, 5:00p.m., January 18, 2012 Council Appointment Date: January 24, 2012 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., January 18, 2012 ❑x Denotes applicant completed the Confidential page of the application. 01-24-12 1 25d I, 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, January 18, 2012. 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; August 2, 2011; September 6, 2011; October 4, 2011; November 1, 2011; December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 18, 2012 Council Appointment Date: January 24, 2012 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., January 18, 2012 El Denotes applicant completed the Confidential page of the application. 25e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy — Six -yr Term January 1, 2012 - December 31, 2017 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, January 11, 2012. 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: December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 11, 2012 Council Appointment Date: January 24, 2012 After 03/05/2012 (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, 2012 — December 31, 2017 New Full Term Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., January 11, 2012 El Denotes applicant completed the Confidential page of the application. 25f NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: CIVIL SERVICE COMMISSION One Vacancy — Four -year Term April 2, 2012 — April 4, 2016 Duties: Approve all entrance and promotional examinations used by the City of Iowa City; holds hearings involving employee discharge or reduction in rank or compensation and ascertains to the best of its ability the facts of the case. After weighing all evidence, takes action as provided in Chapter 400 of the Code of Iowa. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. Members of the Civil Service Commission must be residents of the City of Iowa City preceding their appointment. The Commission meets when deemed necessary. Applications must be received by 5:00 p.m., Wednesday, January 11, 2012. 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 Civil Service Commission should be directed to Karen Jennings, Personnel Administrator at 356 -5025. Board /Commission: Civil Service Commission Attendance Record 2011 NAME TERM EXPIRES 9/1/2011 Absent O/E = Lyra Dickerson 4/7/14 X ___ _ Not a Member Bill Cook 4/1/13 X Elizabeth Cummings 4/4/12 X KEY: X = Present O = Absent O/E = Absent/Excused NM = No Meeting ___ _ Not a Member 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: December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 11, 2012 Council Appointment Date: January 24, 2012 After 03/05/2012 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. CIVIL SERVICE COMMISSION One vacancy — Four -Year Term April 2, 2012 — April 4, 2016 Term expires for Elizabeth Cummings Gender Balance Requirement: None (M) Paul Hoffey I] 35 Somerset PI 0 Denotes applicant completed the Confidential page of the application. City of Iowa City , r i Advisory Board /Commission /Committee "' I !, Application Form "`�am_ 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 Civil Service Commission Term 4/2/2012 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 Paul C Holley HOME ADDRESS 35 Somerset Elam Iowa City, IA 52240 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? 42 years Gender: Male Female OCCUPATION Retired EMPLOYER N/A PHONE NUMBER: HOME 319 339 -8939 BUSINESS NiA EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL YOU FOR THIS POSITION: ad after 22 years as Director of Public Safety and Chief of Police, Cedar Falls, IA. Assisted the Cedar Falls Civi ce Commission in the qualifications, testing and selection of personnel for both the police and fire departments. very familiar with Chapter 400 of the Code of Iowa and the duties of commission members. r...T o^ %ffp,r re ni5=a=uT Irunwl Cnr_= nc TNIS ADVISORY BOARD? VWrl r11 10 T VVR rnV-��r� ■ r�rw�.r.�.+...� - -- I am not familiar with this particular advisory board. I had, however, served a 4 year term on the Police/Citizens Review Board when it was initially created by the City Council. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD SON FOR APPLYING ? I believe the most important selection of candidates for police and fire positions with the potential for long term and successful employment begins at the entry level with the testing process being fair and impartial. Previous experiences with employee discipline, discharge, reduction in rank or other issues involving Chapter 400 should be of some benefit in the decision making process for matters coming before the Commission. UST POTENTIAL CONFLICTS OF INTEREST: See page 1 for infortna*m regarding Conflict or InOE'reSi None ra 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; Ye — t/ No (It has been Council policy not to permit an individual to serve on two Boards or Commissiorts'alihe (ome .) Misrepresentations on this application will constitute just cause for removal of an ap - in ft. If Wd fail to answer all the questions, Council may not consider your application. ;neral Application ` ", June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES so°°"°� BUSINESS LISTING _WS-22 _ CITY OF IOWA CITY Name of City Board /Commission /Committee Civil Service Commission Date 01/05/2012 Name Paul C Hoffey 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 r ,? NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional Wsiness. Applicant Signature =_ true Signature of parent/guardian (Youth Address only): 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. meral Application June 2010 Page 3 of 8 pop NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION Four Vacancies — Three Year Terms March 29, 2012 - March 29, 2015 (1) At Large Representative (1) Woodlawn Representative (1) College Green Representative (1) East College Representative Duties of the Historic Preservation Commission include: conducting studies for the identification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; cooperating with property owners and city agencies regarding remedy of dangerous conditions; furthering the efforts of historic preservation in the City by making recommendations on preservation issues, when appropriate, by encouraging the historical, architectural or cultural value, and by encouraging persons and organizations to become involved in preservation activities. This Commission meets the second Thursday of each month at 5:30 p.m and, if necessary, the fourth Thursday of each month at 5:30 p.m. Iowa City appointed members of the boards and commissions must be eligible electors of the City of Iowa City. Applications must be received by 5:00 p.m., Wednesday, January 11, 2012. 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 Historic Preservation Commission should be directed to Christina Kuecker, Associate Planner at 356 -5243. 12/9/2011 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: 5 Females: 2 Council Announcement Date: December 6, 2011 Application Deadline: Wednesday, 5:00p.m., January 11, 2012 Council Appointment Date: January 24, 2012 After 03/05/2012 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HISTORIC PRESERVATION COMMISSION Four vacancies — Three -Year Terms (1) At -Large Representative (1) Woodlawn Representative (1) College Green Representative (1) East College Representative March 29, 2012 — March 29, 2015 Term expires for Frank Wagner, Ginalie Swaim, Pam Michaud, Esther Baker Gender Balance Requirement: 3 Females, 1 None No applications as of Wednesday, 5:00p.m., January 11, 2012 0 Denotes applicant completed the Confidential page of the application. 25h NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION One Vacancy — 3 -Yr Term January 1, 2012 - December 31, 2014 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, January 18, 2012. 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. I zoox u u z 90 y >'o � m .A -< D� 90 a3 3 z -o CD °< o� _ 2S ic � 9L � r � H a� w � � c3 c3 c3 c3 J J N J W J W � �i N .► N N x m X x t m x V X x X x X m x m x x x m V x m x x x X X X m X X CO x m m x X X x 0 x x X m x m m V -< D� 90 a3 3 z -o CD °< o� 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: September 20, 2011; November 1, 2011; December 6, 2012 Application Deadline: Wednesday, 5:00p.m., January 18, 2012 Council Appointment Date: January 24, 2012 After 12/19/2011 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. SENIOR CENTER COMMISSION One vacancy — Three -Year Term January 1, 2012 - December 31, 2014 Term expires for Mercedes Bern -Klug Gender Balance Requirement: 1 Female (M) Mark Holbrook 0 317 Fairview Ave 121 Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board /Commission /Committee A pplication Form ,i �lllt�tt CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH C t � REPkOb'u' &[ SAD 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 F E A�JY"Vi�bANCY DURING THAT TIME. Advisory Board /Commission /Committee Name Senior Center Commission Term 3 years 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 Mark Holbrook HOME ADDRESS 317 Fairview Avpnup Iowa City 52245 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? 18.5 yrs Gender: Male ✓❑ Female ❑ OCCUPATION a art firer /co inspinr EMPLOYER University of Iowa /Systems Unlimited PHONE NUMBER: HOME (319)- 338 -6564 BUSINESS (n1g)- 353 -1387 GY0=01F: If_F Amn/nR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: m a professor in the Aging Studies program and have knowledge about human senescence. I also have spent any years (19) working with inidividuals with physical and mental disabilities in a group home; I realize that the elderly at the Center are not the same as the clients in the group home but there are some common challenges for both groups. WNeT IS vnI IR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD7 I have attended a meeting of the board and have asked Center staff and former commissioners about the responsibilities. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? I would like to continue the work that Mercedes Bern -Klug has done on the commission to facilitate interactions between the Aging Studies Program and its students at the University of Iowa with the individuals at the senior center. I am also want to have an active, inclusive and vibrant center when I am old enough to join! LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest No known conflicts. No contracts involved. Do have an interest in encouraging students in the Aging Studies Program to become involved as volunteers at the Center... IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ✓❑ Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes 7]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) _ _,__.._._ —_.__...... .._,_...__..._,___...___._.._._ _.. -___. ___..M__...,___ ,,_ ...._._.._._.._....___ _ ._.. _ ..._..._,. _ _._._. _.____., ..._..__ _.___ ... _ ....... ..__-_. _._. 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 Senior Center Commission Name Mark Holbrook Q 7W CITY OF IOWA CITY Date 11/30/2011 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 None G: NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional busin s. Applicant Signature 1. � Signature of parent/guardian (Youth Advisory Commission only): Address 317 Fairview Avenue 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. General Application June 2010 Page 3 of 8 a 25i NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: TELECOMMUNICATIONS COMMISSION Two Vacancies — Three -Year Terms March 13, 2012 - March 13, 2015 The duties of the Telecommunications Commission include serving as a review board to resolve disputes between any subscriber or potential subscriber and the cablevision company; reviewing and auditing reports by the cablevision company to the City as required by the Cable Television Ordinance; working with the public, the media, the City, and the cablevision company for the purpose of making recommendations on various issues; engaging in other activities pursuant to the effective monitoring and evaluation of the CATV system in the City. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Telecommunications Commission meets the fourth Monday of each month at 5:30 p.m. Applications must be received by 5:00 p.m., Wednesday, January 11, 2012. 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 Telecommunications Commission should be directed to Bob Hardy, Cable Television Administrator at 356 -5047. 12/9/2011 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: December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 11, 2012 Council Appointment Date: January 24, 2012 After 03/05/2012 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. TELECOMMUNICATIONS COMMISSION Two vacancies — Three -Year Terms March 13, 2012 — March 13, 2015 Term expires for Saul Mekies, Laura Bergus Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., January 11, 2012 rx-1 Denotes applicant completed the Confidential page of the application. Z--01-24-1 25' NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: YOUTH ADVISORY COMMISSION One Vacancy — 2 -Yr Term January 1, 2012 - December 31, 2013 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, January 18, 2012. 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. A 0x u u m u u 0 o D D � y y N � rt � = m 3�x . (D z c ' O H CD A CL O c 3 0 c a m° z D c 3 o � m v�0� ic vcn cn 0 z < 3 m N3 X m N N N X x x x X x N o X X X x x w 0 m X x x X x X X x X X X w x x X X X x cn Z I I Z 3 Z 3 Z 3 Z 3 Z 3 c X x m x x x V x x X x x o m x x X x X m i O X x O X x o� X x x x x X 0 c a m° z D c 3 o � m v�0� ic vcn cn 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: 3 Females: 2 Council Announcement Date: September 20, 2011; November 1, 2011; December 6, 2011 Application Deadline: Wednesday, 5:OOp.m., January 18, 2012 Council Appointment Date: January 24, 2012 (Recommendations to be made by Council liaison) After 12/19/11 (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, 2012 — December 31, 2013 Term expires for Alexandra Tamerius Gender Balance Requirement: 1 Female (F) Alexandra Tamerius D (Previously served one 2 -year term) 2911 Eastwood Dr D Denotes applicant completed the Confidential page of the application. City of Iowa City � ? 1 Advisory Board /Commission /Committee P 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. V Co ✓Jl 0"/�i SC i � Advisory Board /Commission /Committee Name 6�L'°�i Term ���Z �b Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or 4i h school equivalent: Signature of parent/guardian:_.�''��<r_`_' -� NAME A�Q.k(�ir� �:-cL i pvy, : 0 ` HOME ADDRESS I �a_i�wca 1 V$ Is your home address (listed above) within the corporate limits of Iowa City? N Yes No c How long have you been a resident of Iowa City? S 1 -Ge l j. q Gender: Male Female OCCUPATION A/oa E EMPLOYER IJorLc PHONE NUMBER: HOME '6 � � 3.377 JT 3 BUSINESS 1U� r- vn�e cklnc AKInino ArTIVIT1 =c \AA-11(_W Vr111 FFFI QIIALIFY YOU FOR THIS POSITION: = ArV.rX iL--;wv" / uw.v.x �........ . -- - -- - - - - a-t-1— C -, - WHAT IS YOUR PRESENT KNOWLEDGE OF THIS AuVISUKY rsUAKU r fi f1Av c- b-a " 0- ftkgrr� -,erg- ;Zo 10 �.,r? V-C e CLQ v� WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISUKY M)AKU jMMAOUN rum ArrLr uvu LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict.' Vhierest A1o7?Pi /�r o✓v^- G�C.cJZLi�' °/ e IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes rL1 N6-,n, DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes ONO (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 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City � ���� �� C j,,,i w,�3 S o,, Board /Commission /Committee vJ � f, `x Name CX c Ot �� vyl c CITY OF IOWA CITY ' L/ j Date F ! 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 Non r -J ;Y 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/guard AddrPSS 2-'? 1 f L Gzs (Youth Advisory Commission only):. 0- 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 25k 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, January 18, 2012. 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: 3 Females: 2 Council Announcement Date: October 26, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011; May 3, 2011; June 7, 2011; August 2, 2011; September 6, 2011; October 4, 2011; November 1, 2011; December 6, 2012 Application Deadline: Wednesday, 5:OOp.m., January 18, 2012 Council Appointment Date: January 24, 2012 (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., January 18, 2012 0 Denotes applicant completed the Confidential page of the application.