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HomeMy WebLinkAbout2013-11-12 AppointmentCM NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One vacancy — Five —year term January 1, 2014 — Ending January 1, 2019 Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and intent of the ordinance and in accordance with general or specific rules contained therein. The Board may grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be substantial, serious, real, and of compelling force, as distinguished from reasons of convenience, maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by a City official in the enforcement of the Zoning Chapter. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday November 6, 2013. 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 Board of Adjustment Commission should be directed to Sarah Walz, Associate Planner at 356 -5239. 1- z w N 0 Q LL GC Q m V w cc w V z a z w H Q M r O N N r O N c� a c �N � cc 0 aQQz , XOo w Y X X X x i I X o► N x I x x i i x �o x I X x I x CIA X I X x I X m X X x X I X r X I X X x I x w X x x I x T- X i X p X I X x I x x x N x i x x x x I r a X I x X x x I 0 Q X X O X c I w S r� o N Un 0 (V cfl 0 N v 0 (V U') 0 N co 0 N 00 0 N 1- w z W w z z g m Z 0 w C7 Y m N W O J = V W v 3 V1 z z O Z w a) ui m z J N c� a c �N � cc 0 aQQz , XOo w Y rllq 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: September 17, 2013 Application Deadline: Wednesday, 5:00 p.m., November 6, 2013 Council Appointment Date: November 12, 2013 After 12/16/2013 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF ADJUSTMENT One vacancy — Five Year Term January 1, 2014 - January 1, 2019 Term expires for T. Gene Chrischilles Gender Balance Requirement: None (F) Erin Shane IYI 3626 Foxana Drive (M) Gene Chrischilles IZI (Currently serving unexpired term) 1020 Deerfield Dr. IYI Denotes applicant completed tOhe Confidential page of the application. 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) 1 Males: 2 Females: 2 Council Announ ement Date: September 17, 2013 Application Dead e: Wednesday, 5:00 p.m., November 6, 2013 Council Appointme t Date: November 12, 2013 After 12/16/2013 (3 m from the announcement date) Council may appoin ny qualified applicant without regard gender. BOARD OF ADJUSTMENT One vacancy — Five Year Term \ January 1, 2014 - January 1, 201 Term expires for T. Gene Chrisc Gender Balance Requirement: None (F) Erin Shane 0 3626 Foxana Drive (M) Gene Chri 1020 Deei 53 C 0 Denotes applicant completed tOhe Confidential page of the application. 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 Board of Adjustment Term fill unexpired NAME Erin Shane, AICP HOME ADDRESS 3626 Foxana Drive 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? 5 months - In JC 1.5 yrs Gender: Male 1:1 Femalez OCCUPATION Project Manager EMPLOYER University of Iowa PHONE NUMBER: HOME 319 - 212 70213 BUSINESS 319- 384 -4174 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I've been a city planner for 13 years and have worked in both the public / private side of the field. I have staffed BOA / ZBA's for many years, and have also presented cases for my employers in front of the same. CO ..,' i� O A WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I do not have personal knowledge of the Board or Board members, but have worked w/ professional career. tx� in r WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? I have implemented zoning and subdivision ordinances for several communities and I feel that I am uniquely qualified to review special exceptions /zoning ord amendments for the City of IC. I will approach cases similar to your city staff, in that I have had similar training / experiences that gives me a comprehensive viewpoint in these matters. 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? FYes [Z]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on tnis appiicauon will cvnbULULU jUbL UauaG 1U1 IUlIJVVQJ V1 QlI aNN%.FllMl. +- �nc%Atnx nil +hc micetinnc rnunril may not consider vour aDr)lication. General Application October 2012 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Board of Adjustment Name Erin Shane, AICP I +. yQa��1 CITY OF IOWA CITY Date 7 -5 - -13 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, 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 Wo .. f7= �C a� coo NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature, Address 3626 Foxana Drive 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 October 2012 Page 3 of 7 ERIN D. SHANE, AICP 3626 Foxana Drive W Iowa City IA 52246 Mobile: 319.212.0213n — O Email: eshane3 @gmail.com noi< I __20w : %a r, Work History Project Manager, Iowa Social Science Research Center at University of la X. Iowa City, Iowa �► _.. April 2013 – Present C10 • Provides oversight for data collection services including phone based data collection, web based data collection, mail surveys and other project services • Trained in survey methodology, data collection technology, and certified through the UI Human Subjects Office's CITI human subjects' tutorial for IRB02 Senior Planner, Monroe County Plan Commission Bloomington, Indiana April 2010 – May 2012 • Staff representative for Plan Commission, Board of Zoning Appeals and Historic Preservation Board of Review which required working with a variety of interests such as the general public, elected officials, design professionals, attorneys and special interest groups • Managed long range planning projects such as the 2012 Comprehensive Plan update, Interstate 69 Sections 4 and 5, the Town of Stinesville intedocal agreement and project bond management Represented Plan Commission at Citizen Academy Training and department outreach meetings or events Project Manager, Strategic Development Group Bloomington, Indiana February 2008 – April 2010 (ongoing consultation) • Served as project manager for land use planning projects such as comprehensive plans and housing studies. Served as team member on economic development and downtown plans • Responsible for procuring demographic, historic, economic development data for plan writing while managing a multitude of client projects, meetings, budgets and subcontractors in addition to producing plan products for clients Planner, City of Elmhurst Elmhurst, Illinois October 2004 - November 2007 • Staff representative for the Zoning & Planning Commission and the Historic Preservation Commission • Implemented a Request for Proposal process for a public - private mixed use development on City - owned property that resulted in three development proposals valued at over $30 million dollars Project Manager /Account Manager, American Tower Corporation (ATC) Schaumburg & Crest Hill, Illinois & Kansas City, Missouri September 2000 – September 2004 • Responsible for expanding network capacity and adding launch sites for wireless carriers in a "turnkey" capacity – from ground lease, site acquisition, zoning and construction all the while ensuring tightly scheduled deployments and budgets • Created position within American Tower to act as liaison between ATC and their landlords: set up toll free hotline and responded to all issues and related questions about ATC sites and created and distributed satisfaction survey for landlords Urban Planner, City of Peoria Peoria, Illinois January 1999 — September 2000 • Chairperson of a multi - departmental city development review board, staff representative for Zoning Board of Appeals, staff representative for Liquor Commission and staff representative for the Mayor's Advisory Committee for the Disabled • Zoning liaison between private development agencies and city planning department regarding new development and redevelopment sites Education Bachelor of Urban and Regional Planning University of Illinois at Champaign /Urbana Professional ■ American Planning Association, AICP Certified, 2004 - Present Affiliations 0 CDBG Certified Grant Administrator, 2010 -2012 ■ City of Bloomington Environmental Commission, 2008 -2009 ns CO C? w ao City of Iowa City k Advisory Board /Commission /Committee '%pplication Form CITY OF (OWA 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 TINGE. Advisory Board /CommissioniCommittee Name �� Ctrd 0 ? I iiS 4yt e4 Term % 1 Z4: j%� i j j l. i 4� NAME 45E'W l..�G' 1150 i ! C� H ©HEADDRESS 1024- Dee r-Fieid VY', . u a Ki`- I Is your home address (listed above) within the corporate limits of Iowa City? I'Yes ❑ No How long have you been a resident of Iowa City? .72 kl� Gender: Male IR FemaleE] OCCUPATION -- �YIa(C 15;-f EMPLOYER e ~' o' PHONE NUMBER: HOME BUSINESS EXPERIENCEANDIOR ACTIVITIES WHICH YOU FEEL 4UALIFYYOU FOR THIS POSITION: e YY1 kke- 60 -40 / P a o w. 'NHAT` IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? m y. 3 N WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? jj�V J G iS r � 10-11 4- 6 TC0 + J(Ji'0i1 40 -f 1� e et M P V � i i"A�tA 1� f -� � , r LIST POTENTIAL CONFLICTS OF INTEREST: See page 'I for information rergardinr� Conflict of Interest ki OIAe, IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes nNo DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? nYes NNo (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. ' `�neral Application :toter 2012 Page 2 of 7 t ..:.4�.�RacmMIL� BOARD, COMMISSION AND COMMITTEES %=511 ` BUSINESS LISTING M CITY OF IOWA CITY Name of City � Aot*a4i4 '� BoardfCommissionlCommittee Sdad e , ' Ii Date Name 6emel ar-o;(-�,Uaes 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, 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. PJAHA BUSINESS NAME BUSINESS ADDRESS NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Address C"dcZ 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 October 2012 Page 3 of 7 11b 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, November 6, 2013. 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; January 24, 2012; March 6, 2012; April 3, 2012, May 1, 2012; June 5, 2012; July 31, 2012; September 4, 2012; October 23, 2012; December 4, 2012; January 8, 2013; February 19, 2013; March 19, 2013; April 23, 2013; June 4, 2013; July 23, 2013; August 20, 2013; September 17, 2013 Application Deadline: Wednesday, 5:OOp.m., November 6, 2013 Council Appointment Date: November 12, 2013 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., November 6, 2013 El Denotes applicant completed the Confidential page of the application. M 17c 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 Plus Additional Five -Year Term January 1, 2014 - December 31, 2018 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, November 6, 2013. 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: August 20, 2013; September 17, 2013 Application Deadline: Wednesday, 5:00p.m., November 6, 2013 Council Appointment Date: November 12, 2013 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 Plus Additional Five -Year Term January 1, 2014 — December 31, 2018 Gender Balance Requirement: None No Applications as of Wednesday, 5:00p.m., November 6, 2013 El Denotes applicant completed the Confidential page of the application. Ila NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy — Five -Year Term January 1, 2014 - December 31, 2018 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, November 6, 2013. 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: 1 Council Announcement Date: 1- October -2013 Application Deadline: Wednesday, 5:00 p.m., November 6, 2013 Council Appointment Date: November 12, 2013 After 01/27/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One Vacancy — to fill a five year term January 1, 2014 - December 31, 2018 Term expires for Chad Campion Gender Balance Requirement: 1 Female, 1 None No Applications as of Wednesday, 5:OOp.m., November 6, 2013 El Denotes applicant completed the Confidential page of the application. 17e 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, 2015 One (1) Licensed Electrician Or A qualified trade representative, (if after 3 months no professional applies or is appointed) 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, November 6, 2013. 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: 1- October -2013 Application Deadline: Wednesday, 5:00 p.m., November 6, 2013 Council Appointment Date: November 12, 2013 After 01/27/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One Vacancy - Unexpired Term Effective upon Appointment — December 31, 2015 Matt Neumiller resigned(Licensed Electrician) Gender Balance Requirement: 1 Female, 1 None No Applications as of Wednesday, 5:OOp.m., November 6, 2013 El Denotes applicant completed the Confidential page of the application. M lif NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION One Vacancy — Three Year Term March 29, 2013 - March 29, 2016 (1) Jefferson St 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, November 6, 2013. 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 Bob Miklo, Sr Planner at 356 -5240. 9/18/2013 • • a s i a s T1 N M ■ N xow 0000000000 000000000000 90000oG00000 o0C100000000 80000000000 �o000oGOG�OG 8000001000��' X00000000000 �000000�0000 �000000��0�0 D000o0000000 00001�000�0 e0o0o00�0000 �o0E11�CI�J0000 6C�IO00oG000 loB8m08om1 N M ■ N xow 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: 6 Females: 4 Council Announcement Date: February 5, 2013; March 19, 2013; April 23, 2013; June 4, 2013; July 23, 2013; August 20, 2013, September 17, 2013 Application Deadline: Wednesday, 5:00 p.m.; November 6, 2013 Council Appointment Date: November 12, 2013 After 05/06/2013 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HISTORIC PRESERVATION COMMISSION One Vacancy - Three Year Term March 29, 2013 — March 29, 2016 Gender Balance Requirement: 1 Female Jefferson St District Representative (New District) No Applications as of Wednesday, 5:00p.m., November 6, 2013 EI Denotes applicant completed the Confidential page of the application. LI I -I Z-1,1 119 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION One Vacancy — Unexpired Term Effective Upon Appointment - March 29, 2014 (1) Northside District 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, November 6, 2013. 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 Bob Miklo, Sr Planner at 356 -5240. 9/25/2013 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: 6 Females: 4 Council Announcement Date: August 6, 2013; September 17, 2013 Application Deadline: Wednesday, 5:00 p.m., November 6, 2013 Council Appointment Date: November 12, 2013 After 11/04/2013 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HISTORIC PRESERVATION COMMISSION One Vacancy - Unexpired Term Effective Upon Appointment — March 29, 2014 (Dana Thomann resigned) Gender Balance Requirement: 1 Female Northside District Representative (M) Thomas Agran, 0 514 N. Van Buren St IRI Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board /Commission /Committee application Form THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DI WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATI Dr 10YM CITY PUBLIC, RED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURINd*'HAT TCNE. Advisory Board /Commission /Committee Name Term NAME ;2,G M,A.0 A6 HOME ADDRESS -' l2 N- Iry VLW--rt Is your home address (listed above) within the corporate limits of Iowa City? Yes r-] No How long have you been a resident of Iowa City? 0 9 Gender: Male 0 FemaleE] OCCUPATION APL t S it EMPLOYER S IFL -r PHONE NUMBER: HOME 3l!� S-LO �°lS -t BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: -:�:' -PA VC N,4C- q v � Te A L,011— OFF r 011J # . L_t .l°(+�F 5cr C.'� t M+a i4 C,706-0 jkl4t7tMJ'f4�Cr4Zj1/ t z Vt., (/t,v� mot t � .. E m a l 5 ,L am_ �4-P r€ - ° %1 t ti 014 t L V � [a<- A7- ?° WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ' fzN t ;d (,. ',t;AY J L /t tA,4jr0 1A477VV °Nl lqf A LvW-f 1� YttfriL� I Cav�.,t Jig -t—(L 17 A I 'T " �.r WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? t-fAIt tw-I- CsNl.t.L Lt, 't? I'� L �n.� �•t 1� -Fw A a-� , l t 7.. &m),) 3r2 tMfi A Ct�� St�vGrc t� <$i A thh'fi° Ya ��v�o�vt yr���c� A C —,.F �d N %,, t* e t.Ft:f i or -toma"Ji R ec -r `P -\-Vv -I—A t �t� s v t Iru YKIrl V i✓ °ter I' ldf— �c i . fyy\,� �4 l.S "� rLt( �t�t i�YJ J lv 0,0� W I-rl k 117BY& 4 C.. /%,Y,67` 72 C7,T 1,�J OPL AA OA/ WIYA7- &~'t <,7U/ \1 7 -S Cw V I. c. N N IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes F No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RYes 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 to answer all the questions, Council may not consider your application. General Application October 2012 Page 2 of 7 � Yom. ®oGr BOARD, COMMISSION AND COMMITTEES�'1; BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee I .- � Date G Name I `'JJ6 LA 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, 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 uvZot'v OWL- tAx" N C- C i w LEI UJ J w -- ,, 9 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business,® — _ Applicant Signature ZZ, L-1-14 V---1 I y ` °' V Address Ln 1)A rn7f 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 October 2012 Page 3 of 7 11h NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION Two Vacancies — to fill Three -year terms January 1, 2014 - January 1, 2017 Duties of the Commission include: 1) disseminating information to educate the public on illegal discrimination and civil rights, such as organizing and facilitating educational public forums that address one or more of the broad range of topics included within the rubric of human rights; 2) making recommendations to the City Council for such further legislation concerning discrimination as it may deem necessary and desirable; 3) cooperating within the limits of any appropriations made for its operation with other agencies or organizations both public and private whose purposes are not inconsistent with those of Title 2 of the City Code (Human Rights Ordinance) and; 4) planning programs and activities designed to eliminate racial, religious, cultural and other intergroup tensions including but not limited to sex, color, creed, disability, gender identity, sexual orientation, marital status, age, and national origin. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Human Rights Commission meets the third Tuesday of each month at 6:00 p.m. in the Lobby Conference Room at City Hall, 410 E. Washington Street. Applications must be received by 5:00 p.m., Wednesday, November 6, 2013. 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 Human Rights Commission should be directed to Stefanie Bowers, Human Rights Coordinator at 356 -5022. Norman Rights Commialon ATTENDANCE RECORD YEAR 3012/2013 nyt"g— n.*.a NAME TERM EXP. H/16/ 12 114W _ 12 12/11Z/ 12 1/13/ ` 13 1R11 /13 _ 2/19/ 13 311!/ 13 06 113 $121 113 61H/ 13 9/16/ 13 BW 13 9/19/ 13 Diane Finnerty 1/14/14 O/E X X O/E X X X O/E X X X X X Orville Townsend, Sr. 1/1114 X X X X X X x X X X X X X Dam T&Uon 1/1/14 X WE X X X X O/E X X X O/E R R Kin Hsamban 1/1115 X X X X X X X O/E X X X X X Shama Gkox" 1/1/13 O/E X X O!E ` O/E X X X O!E X O/E X X Jessie ""r 111/13 X O/E X X X X X R R R R R R Jewell Amos 1[1/13 _ _ w - - _ _ - - X X X Kntk Antkomr 1/1/16 X X X X X R R R R R Joe D. Cooker 111116 X X X X X X X OfEr X X Harry H1116 X - X X X X X X X X X X X X Andrea Cohen l /i /16 . - _ - - - - - O/E X Cosnk Goeb 1/1/13 X ` X X - - - - - Howard Cows 1/1/13 X O/E OIE David 13. Drawn 1/1/14 R I R R I R R R R R R R 1 R R R Henri Harper ` 1/1/14 R R R R R R R R R R R R R KEY= X = Present O - Absent O/E- Absent/Excused NM - No min --- = No bn;er a membor R - Resignation I th 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: 5 Council Announcement Date: September 17, 2013 Application Deadline: November 6, 2013 Council Appointment Date: November 12, 2013 After 12/17/2013 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HUMAN RIGHTS COMMISSION Two Vacancies — Three -Year Terms January 1, 2014 - January 1, 2017 Term expires for Diane Finnerty and Orville Townsend, Sr. Gender Balance Requirement: 1 Male, 1 none (M) Ali Ahmed 0 2401 Bartelt Rd. Apt #1A (M) John Westefeld rx-1 4831 Southchase Court (F) Edie Pierce - Thomas El 631 Stuart Court (M) Orville H Townsend, Sr. 0 (Currently serving 1St 3 year term) 713 Whiting Ave. (F) Avinder Deol rx-1 3134 Dubuque St. NE. (F) Diane Finnerty 0 (Currently serving 1 st 3 year term) 728 Dearborn Street (F) Ingrid M. Gronstal Anderson Ex-1 226 Woodridge Ave. 0 Denotes applicant completed the Confidential page of the application. 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: 5 Council Announcement Date: September 17, 2013 Application Deadline: November 6, 2013 Council Appoi ent Date: November 12, 2013 After 12/17/2013 ( mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HUMAN RIGHTS COM Two Vacancies — Three -Yea Terms January 1, 2014 - January 1, 2k17 Term expires for Diane Finnerty ,nd Orville Tow send, Sr. Gender Balance Requirement: 1 Male, (M) Ali Ahmed El 2401 Bartelt Rd. Apt #1A (M) John Westefeld f 4831 Southchase Court / (F) Edie Pierce - Thomas 0 631 Stuart Court (M) Orville H Townsend, 0 713 Whiting Ave. (F) Avinder Deol FED 3134 Dubuque t. NE. (F) Diane Finne IZI 728 Dearb n Street (F) Ingrid M ronstal Anderson I] 226 W dridoe Ave. I] Denotes applicant completed the Confidential page of the application. 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 Term NAME At, hmed HOMEADDR SS �l�uj �(�� ���F *F 4 JA -- I luarac, fia — �2��id 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? Irg Gender: Male Female ❑ OCCUPATION �1a e-��� EMPLOYER- tyo�+In�X!^ c, PHONE NUMBER: HOME 3j�j -FjAy— II, BUSINESS 319 - q3I — g100 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: jinn a(Boyd memLwIrc4 SwAifies AnnQr GaV\ CASSOciu �c�v1 �r6_ vr�Iseer l =rd11 I U f En cn Mew►6✓ o-F Tmrvl? v'�A '1%i0C� rn � &M-(ce Gn�ev-, M a F perie�e /A t)A �"Irwfi CC) CA(A sks'l011' C7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? °D %1.�(Adv&rt✓yi&tir �1Aw►an r- �c�h:�s c�,w�w��ssitih ew, cry ©u�,e� togx�u(�S W lfs Ph,�J zd a ;�y d-�►e h �r2� W Bch ' ► y �n�►h 7-t 1�,1 s v�� 1« h�aY� - �n I � Pad vtl r-n� N,c p to i �L �1Z � :-1 o-� %L� co v.� w+ i 35 v1 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? AS o,,Me,MVe✓- ar4 a in� 9re, , �WI`�� -f � � �wovt� � CGHnw+tsskil . uCev► 'S51G 4k L4,1cx r'k o-4 4k,( C0v\-\q`^iS5c'6R o� n r� � , � d q �'Ir� r�� y r►ee� � � °��2P ��, � s c-r-� G �► -the �clJr� pry ��u ►� LIST POTENTIAL CONFLICTS OF INTERES • See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 0 Yes u No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ❑Yes MNo (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. Human Rights Commission Application March 2013 Page 2 of 8 pis ®t Al BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Com'mpission /Committ e 1Date / Name A W A k m-er� 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 W N 1 q 0 o a 32 owu _t 221-1 ic ow"v►t-axiCab r, . ; rn . NOTE: A new form must be completed if the above information changes or ai83 erWip in(nst is acquired in an additional business. i7 y Signature co Address &I "EA _6)2 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. Human Rights Commission Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94 -3647, 11 -8 -94) 1613 11 rill "A-C PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age Gender M14 1-c f2k -- -a Income (see table) Sexual Orientation F1Other (Please explain below) Religion +'►'► U.S I i >M W I A Disability l� Low_ Race, color or ethnic group -L" National origin 0 C1 Cn r � s Human Rights Commission Application�C .r March 2013 page 4 of 8 Z'' p co City of Iowa City Li; 1 Advisory Board /Commission /Committee � ;' Application Form CITY OF 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 Human Rights Term 2013 NAME John Westefeld HOME ADDRESS 4831 Southchase Court Is your home address (listed above) within the corporate limits of Iowa City? Q Yes ❑ No How long have you been a resident of Iowa City? Since 1991 Gender: Male ❑✓ Female OCCUPATION Psychologist/Professor EMPLOYER University of Iowa PHONE NUMBER: HOME 319 - 339 -1627 BUSINESS 319 - 335 -5562 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: (1) Have served three terms as member of Parks and Recreation Commission (My terms ends this December) - -So am familiar with how boards /commissions interface with the city. (2) 1 work with a variety of human rights issues as part of my work as a psychologist and faculty member at the university. (3) Have previously served on boards of Crisis Center and ICARE - -in both of these situations dealt with multiple human rights issues. LAS C7 ..,.,,. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD ? I rn read about it ont, the website and feel relatively familiar with its role. rn co w WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I have a track record of extensive service to the community as described above. I also think that my work as a counseling psychologist has allowed me to gain an in -depth knowledge and appreciation of many human rights issues. 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? Z Yes LJ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ZYes r_1No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the sa a time.) Misrepresentations on this application will constitute just cause for removal of an appoint e. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application March 2013 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Human Rights Name John Westefeld � r CITY OF IOWA CITY Date 08/27/2013 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 i s 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 Three farms Slaton, Texas N O C) rn s+• �� CO w NOTE: A new form must be completed is acquired in an additional busir Signature Address information changes or an ownership interest 0 �) Misrepresentations on this application will constitute just cause for removal of an appointee. II If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 1 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94 -3647, 11 -8 -94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. 63 Age Male Gender Median Income Income (see table) Heterosexual Sexual Orientation F1Other (Please explain below) Human Rights Commission Application March 2013 page 4 of 8 FPresbyterian Religion None Disability Caucasian Race, color or ethnic group US ,National origin o 'n :fir _ .r- City of Iowa City _ I r Advisory Board /Commission /Committee�'r' Application Form CITY OF 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 HUMAN RIGHTS COMMISSION Term 1/1/2014 NAME Edie Pierce - Thomas HOME ADDRESS 631 Stuart Court 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? 2.5 years this time + 3 yr Gender: Male ❑ Female ✓❑ OCCUPATION Administrative Services Coordinator EMPLOYER University of Iowa PHONE NUMBER: HOME 765 -414 -4407 BUSINESS 319- 335 -2112 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I served on the Tippecanoe County Human Relations Commission while I lived in West Lafayette, IN. I was an inaugral member and served for 9 years. I served as Vice -Chair for the last 3+ years. I have a passion for human rights and would like to be able to continue serving in this area here in Iowa City. helped bring the non - discrimination play "Like Waters Falling Down" to Lafayette IN from the Illusion Theatre in the win Cities. N G7 t..J O WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? E? <'? They recommend ordinance amendments that are in the best interest of the community regatl* ftZan f"s issues. They recieve discrimination complaints and review them. .<r a, M i5;0 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYWA i? I have a passion for human rights and would like to be able to continue serving in this area here in Iowa City. I helped bring the non - discrimination play "Like Waters Falling Down" to Lafayette IN from the Illusion Theatre in the Twin Cities. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None that I am aware of. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? n,/Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? 0Yes QNo (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 I ' to answer all the questions, Council may not consider your application. Human Rights Commission Application March 2013 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Human Relations Commission Name Edie Pierce - Thomas � r 1 CITY OF IOWA CITY Date 10/14/2013 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 ra O w rn °;K ao NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Address 631 Stuart Court, 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. Human Rights Commission Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94 -3647, 11 -8 -94) OPTIONAI PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. 60 Age female Gender Median Income (see table) I Hetro Sexual Orientation F-10ther (Please explain below) Human Rights Commission Application March 2013 page 4 of 8 Fu u-- Religion n/a Disability Caucausian Race, color or ethnic group ILISA National origin r+C M MW oa sv City & Iowa City a r i Advisory Board /Commission /Committee . Application Form -� CffY OF IOWA CITY .�.,.., THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND 1M,"RIBtFTED FGR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLIC BE rMSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY I CONSIDERED FOR ANY VACANCY DU THAT TI . Advisory Board /Commission /Committee Name i��.tWla-r 5kf-i COMMI f5 jo it :x &rm ll 1 NAME � R Ul 16 t�". 1 OLO r�5", SiZ HOME ADDRESS ']l3 W0n4 Ai, 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? URS Gender: Male [M Female ❑ OCCUPATION 1200Irvn atVbcrtfL4Mc � hh�. EMPLOYER SrHTe 6-f 1, ,-6L 1� PHONE NUMBER: HOME Ulg035�L -5995 BUSINESS /t/M EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: w Ci� Comm una 5chno( 6sfric-t 5o rJ Diie o,�S -$, 5 .rc1�°� �D1lzsc+ . Cif" SGho�(pt5+1,e�- ,,-Af C.6mm1ttee-- �Sta4 -t2 5 /xtA✓3UCa- I01s1!tr-�Cu.ifu- L��.� ('�inr/i�fec.Ghai�t t/o� I�u�tji(i�n C71U?�t3! Carhrn / #ce �rl- ZO I�{lurnn(. ileet�- oies- ARC L� x- lclt., f44 vi R�J hf -s mm.ssecrl. � ©fc,— Pneten � Rd {��c l >► t2cfor.S I WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? W cam-% t f'k- c't `�` e` 1n- '�S C es� r L Y� -°•- 'v?� 1 cl e n t ' 1 .S Sci e g o-rld rrLc4<.+z. ' R�Qrl.: -cam a'"� -�, � Pv� {� -F-iu, ot- ��,�r►- rn�sS'� o -/ D _ L,-, l $ x ex "L � �tf S -{ t G S- A 15o f 5 cy t r 0►1. t+ � � I� �duca,�tona�, 1�rn� L.0 �� fL�S �Ks5�aw 1�sf 3 LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest N o rL e- IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ® Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F] 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. Human Rights Commission Application March 2013 Page 2 of 8 � r , BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City � Board /Commission /Committee date n cn Name C� Section 362.5 of the Code of Iowa generally prohibits, with certain important q@gptitrns, ember of a city Board or Commission from having an interest in a city contract. A cof Sactio2.5 is attached (see page 8). a C List all businesses in which you or your spouse /domestic partner have an ownership intg est (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. NOTE: Signature BUSINESS NAME I BUSINESS ADDRESS A new form must be completed if the above information changes or an ownership interest is acauired in an additional business. Address 7 113 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. Human Rights Commission Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 1 30,250 50,400 60,480 80,600 100,800 w 0 ATTACHMENT TO APPLICATION FOR THEc5 w HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect resid-E48 ot9he c rom discrimination as defined in the Human Rights Ordinance. In order to further. is4bal, city strives to ensure that the Human Rights Commission is rep resentative�thgcom ity. Therefore, "appointments shall take into consideration men and women of vat' ious racial, religious, cultural, social and economic groups in the city." (Ord. 94 -3647, 11 -8 -94P OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING. AN APPLICANT. rJf Age M19 I Gender Income (see table) Sexual Orientation F1Other (Please explain below) Human Rights Commission Application March 2013 page 4 of 8 B& +I S � Religion Disability fi Fri co-n 4fne2 Race, color or ethnic group �- National origin city, of IOWA city r i Advisory Board /Commission /Committee weoaiwt Application Form "Nov 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 "upAP4--1 94CUKTS Term Vlli ► I -} NAME R \JaN-gGfL [NE:0L HOMEADDRESS 312. -1 lbKk9N QQ &e st- NE Is your home address (listed above) within the corporate limits of Iowa City? Yes ❑ No How long have ou been a resident of Iowa City? Z- .� --t S Gender: Male ❑ Femals� Y Y OCCUPATION RgL) A CaT..o \w(m(L ,OLxAE SS 9,,C-U .e., EMPLOYER UAN\xpa% l k IwA PHONE NUMBER: HOME �aa- szy.tat�,ti BUSINESS 31ti.3�s.ty EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: P�s (�+"� !� 3 \tz- ��S'hl. � Q�1-' r CfonsnF�S� U�k�M� tvY� b•'f�3 �-1 � �-... G.�� --"(w� Crc , l�.Jrds� S 'lmE rh% \NAtr\ . ��SLN r� &1AM,Au L , �1.Li • j 1 i1� W�Srnc .� t.J�(tt� C SG- ti`1sJv) � 1- rPt�NL +v��to� L- ..x3�"� Z "?� -� �-s � 1 .� Pt<<i o u�.�s� � � (LNL.�'�t- �;�(''''S a� Lc.�a,Y� • Socti ww-, .. l.*N1VC(?<S5'il. 4'�c�SS fl'e5't l'atJW WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ,�v���ct3�. P J I� N� t� s ��,►�� �� Wap Pccv;F%S%t �. teEs c.�rr v xv�n.,r�+NI� ce,�re:��S 1aP�` f -c�vnn ecru u+`'�� GO„�?n�1A WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? M-� ptr_ po. \.q- two PC3C,-CZi NrM �c A�Nl,.it3 w�\-t— L��•,� E�t�'�R -Ilse -C'0 me � �svc'� cs �'^� Act ! P-ks,\` M-k (. \JcD vcP�FNS �Oo�C'SRC- C:4� tq,"C �cs� M� ev�\VtLAn AN 1�SV� k , %-- &,.PA G LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest ~ + .ice 4J IF YOU ARE haT Sf.E . DO YOU WANT TO BE NOTIFIED? Yes ❑ No DO YOU CURR�NTL-Y SSE ON ANOTHER IOWA CITY BOARD OR COMMISSION? [:]Yes o (It has been Ce ciI pay �Z�o permit an individual to serve on two Boards or Commissions at the same time.) Asrepresentatiom on G� application will constitute just cause for removal of an appointee. If you fail to answer all the:questions, Council may not consider your application. Human Rights Commission Application March 2013 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee WNA160 Q-1 Wggn� ISSLW4 Name Nky,�Ual- bEoL CITY OF IOWA CITY Date tfl- 260 - V'S 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 oN'E r1os� •ga w ..�. �'- ""<t Cr N NOTE Signature A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Address tVVA bUU QuC- Na %OWN G-M , �A %-L-L140 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. Human Rights Commission Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 -- $16,060 $26,750 $32,100 $42,750 $53,500 2 ciz. 0 30,550 36,660 48,850 61,100 3 = 0 34,350 41,220 54,950 68,700 4 0 38,150 45,780 61,050 76,300 5 th 0 41,250 49,500 65,950 82,500 6 LJL c-j 0 44,300 53,160 70,850 88,600 7 2E200 47,350 56,820 1 75,750 94,700 8 ° 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94 -3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age `Z, q Gender -N�P'�- Income (see table) (ob°7z!, -f ker,,Arj ,aesar Sexual Orientation QueefL F-10ther (Please explain below) Human Rights Commission Application March 2013 page 4 of 8 Religion S1 V--kA Disability NdN�-_- Race, color or ethnic group 1obX AN y 1 tLksi -i National origin f �MG'Q-Xc AN City of Iowa City Advisory Board /Commission /Committee Application Fora =41-R OF CITY THIS APPLICATION ISA PUBLIC DOCUMENTANDAS SUCH CAN BE REPRODUCED AND E5 IBYZED F rHEPUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICA %N WI L BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THTIME. Advisory Board /Commission /Committee Name Human Rights Commission Term 2014 -2017 NAME Diane Finnerty HOME ADDRESS 728 Dearborn Street Is your home address (listed above) within the corporate limits of Iowa City? R] Yes No How long have you been a resident of Iowa City? 23 years. Gender: Mate 0 Female R OCCUPATION Higher Education Administrator EMPLOYER Ul PHONE NUMBER: HOME 319.321.9015 BUSINESS 319.335.3991 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 1 am currently serving a three -year term as a Commissioner on the Human Rights Commission. I have participated in several projects during that time, including the Immigrant Rights Subcommittee and the iCHRC 50th Anniversary Breakfast subcommittee, supported the Ad Hoc Diversity Committee, and volunteered at several community events. During the past three years, I have also served as a liaison between the ICHRC and the Coalition for Racial Justice (CRJ) and the Center for Worker Justice. I have long - standing experience in diversity education at the U I and also n the community. I am particularly interested in forging stronger community-campus connections to address issues of racial disparities in our community and have been actively involved in wonting with the CRJ to issue the Racial Equity Report in 2013 and also with the Ul Law School to address racial equity in employment and law enforcement. WHAT tS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I currently serve as a Commissioner. Prior to that, I was a supporter of the Commission`s work, having attended the annual breakfast for many years, nominated successful candidates for Human Rights Awards, and working with former HR Coordinators to implement joint educational programs in the community. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? I will serve as a committed and effective liaison between multiple campus, community, and City groups that are engaged in promoting Human Rights and equitable policies /procedures. LIST POTENTIAL CONFLICTS OF INTEREST: See pa2e. 1 for information regarding Conflict of Interest None. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ® Yes LJ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? []Yes 4]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. Human Rights Commission Application March 2013 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commission/Committee IC Human Rights Commission Name Diane Finnerty { L CITY OF IOWA CITY Date 11/05/2013 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. li<L01114 Sign ..i BUSINESS NAME BUSINESSADDRESS C C'a-t �. ra A new form must be completed if the above information changes or an ownership interest 4 acquired 0- wT-additional business. 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. Human Rights Commission Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2513 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 48,850 61,900 3 20650 _____L6,660 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 .61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47 350 75,750 94,700 8 _ _ 30,250 t56,820 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94- 3647, 11 -8 -94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL. TO CONSIDER WHEN CHOOSING AN APPLICANT. E Age Female Gender Median Income (see table) Lesbian Sexual Orientation Other (Please explain below) None Religion None Disability Uiihite /Caucaslan Race, color or ethnic group 1U.S. �J National origin a O w. Human #fights Commission Application `• March 2013 page 4 -of 8 N 0 City of Iowa City 1 r 1 �. ®� Advisory Board /Commission /Committee k =IQ A matt Application Form CITY O 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 Human Rights Commission Term 2014 -2017 NAME Ingrid M. Gronstal Anderson HOME ADDRESS 226 Woodridge Ave., Iowa City, IA 52245 Is your home address (listed above) within the corporate limits of Iowa City? ❑✓ Yes ❑ No How long have you been a resident of Iowa City? 6 years Gender: Male ❑ Female ❑✓ OCCUPATION Compliance Specialist (licensed attorney) EMPLOYER University of Iowa PHONE NUMBER: HOME (319) 541 -3342 BUSINESS (319) 384 -0993 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am a 2011 graduate of the University of Iowa College of Law. During law school, I worked in the Legal Clinic on a project assisting the Cedar Rapids Civil Rights Commission and staff with various aspects relating to the city's Civil Rights Ordinance. Particularly, our group worked on a provision of the ordinance that would have made it illegal to discrimante based on source of income (Section 8 housing was the specific concern). Our group met with the public, local realtors and property managers, and Cedar Rapids city council members. During law school I also worked on a ,/olunteer project helping women immigrant victims of domestic violence obtain VAWA and U -Visa protection. I also have municipal government experience through interning with the City of Houston Mayor's Office of Environmental Programming. I am a board member of the National Alliance on Mental Illness of Johnson County (NAMIJC). WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? My present knowledge of the Iowa City Human Rights Commission is limited, but I have general knowledge regarding municipal government and the roles of municipal commissions, particularly civil rights and human rights commissions. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? I have lived in Iowa City as a student, professional student, and university employee. I want to serve my community, and I am interested in and committed to making Iowa City inclusive and free from discrimination. My education, experience, and previous community service have prepared me well for the Human Rights CommiNon's work. o w BPS 1 1ST PATGNTIAI rf1N1=1 1CTS CIF INTEREST- Spp nane 1 for information reaardina Conflige�nbgst My husband and I are University of Iowa employees, and I serve on the board of NAMUC.,_,;c-) v, r"" ;C n I M IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? cq_j Yes W]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. Human Rights Commission Application March 2013 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Human Rights Commission Name Ingrid M. Gronstal Anderson i r ''W'ca��� CITY OF IOWA CITY Date 11/06/2013 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 Carroll County State Bank 126 W 6th St., Carroll, IA 51401 SoIRWind Energy Development 302 22nd Avenue North, Suite A, Clinton, IA 52732 r.a. 0 O w � rV W NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Address 226 Woodridge 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. Human Rights Commission, Application March 2013 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94 -3647, 11 -8 -94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age Gender Income (see table) Sexual Orientation F710ther (Please explain below) Human Rights Commission Application March 2013 page 4 of 8 Religion Disability Race, color or ethnic group I tional origin :EC') Q ca-< An i-- „c� :, �w .. 71i NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION Three Vacancies — Four -Year Terms January 1, 2014 - January 1, 2018 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, November 6, 2013. 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, Parks & Recreation Director at 356 -5110. PARKS AND RECREATION COKWOSS1ON Am* 44, 2013 pope 7 of 7 PARKS AND RECREATION COMMISSION NAM TERM EXPIREB 0" Bourpolf 111118 LQ X LQ X X Oil OtE X X X LQ X X Clay Chuseen 111114 LO X LQ X X X X X X X LQ X X Maine ENblt 1MM3 LQ X LQ X X X X X 01E X LQ X X dnade 411114 LQ X LQ X X X X X X X LQ X ON Cara Maatam► 11111d LQ X LQ X X X X X X X LQ X Aaron Krolww 1/1113 LQ X LQ O O • • Loch Laurfan 1!1115 LQ X LQ X X 01E OfE Ofg OJE 01E LQ WE 01E Alex Taylor 111146 • X X X X X • Jom VWeMieid VIM LQ X LQ X X X X X X X LQ X 1 Joe Yowefer 4/1n0 X LQ X X I X X X X X LQ X X ATTENDANCE RECORD KEY: X a Present O = Absent O/E = Absent/Excused NM = No meeting LO = No meeting due to lack of quorum a 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: 2 Females: 4 Council Announcement Date: Sept. 17, 2013 Application Deadline: Wednesday, 5:00 p.m., November 6, 2013 Council Appointment Date: November 12, 2013 After 12/17/2013 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PARKS AND RECREATION COMMISSION Three Vacancies — Four -Year Terms January 1, 2014 — January 1, 2018 Term expires for John Westefeld, Clayton Claussen (Chair) and Allison Gnade Gender Balance Requirement: 2 Males (M) Clayton "Clay" M. Claussen 0(Currently serving first 4 year term) 2145 Palmer Circle (M) Larry Brown 0 956 Scott Park Drive (F) Katherine Jones px 714 E. Davenport St. El Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board /Commission /Committee �;; '' h ..III " Application Form ISI 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 ONLYAND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name Parks & Recreation Term 2014 -2018 NAME Clayton "Clay" M. Claussen HOME ADDRESS 2145 Palmer Circle Is your home address (listed above) within the corporate limits of Iowa City? F,-/]Yes F1 No How long have you been a resident of Iowa City? 36 years total Gender: Male ❑✓ Female OCCUPATION Realtor PHONE NUMBER: HOME 319 - 351 -4295 EMPLOYER RE /MAX Affiliates (self employed) BUSINESS 319 - 331 -9911 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have served on the Parks & Recreation Commission from 2010 to the present and been elected Chair for the past 3 years. I have 20 years of experience in Fitness & Wellness Management and Consulting and 10 years as a Realtor in Iowa City. I was on the Iowa City Girls Softball Board when my daughters played for 8 years. My wife & I played Co -Ed Rec softball and volleyball in Iowa City for almost twenty years. My grandchildren are now participating in City Recreation offerings. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am the current Chair of the Commission and wish to continue for another 4 year term as a Comm"Saion member. I am very familiar with the workings of the Parks & Recreation Department and the advisoryaale of t9 Commission. =qc, co M T CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD M have an excellent Department but can always be better. I have extensive business budgetingEyd management arience and a deep and passionate interest in the betterment of the community. I believe physical activity is the component to a healthy lifestyle and will promote current programs and explore new offerings. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None known IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 0✓ Yes F] No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RYes WJNo (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 October 2012 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Parks & Recreation Name _Clayton "Clay" M. Claussen � r - %Aso. CITY OF IOWA CITY Date 10/28/2013 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, 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 CCG Properties (manage owned rental duplex) 1705 -1709 H Street, Iowa City, IA 52240 RE/MAX Affiliates (sole proprietor realtor) 2140 Norcor Ave, Ste 102, Coralville, IA 52241 N O w Zs —" t") I" _. ;30 -C NOTE: A new form must be completed if the above information changes or an owner941P interest is acquired in an additional business. Applicant Signatu Address 2145 Palmer Circle 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 October 2012 Page 3 of 7 City of Iowa City r 1 Advisory Board /Commission /Committee 41; ''I ;' I 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 commissionn Term 2014 -2018 NAME Larry Brown HOME ADDRESS 956 Scott Park Drive Is your home address (listed above) within the corporate limits of Iowa City? ❑✓ Yes F� No How long have you been a resident of Iowa City? 65 years Gender: Male ❑✓ Female[] OCCUPATION retired EMPLOYER PHONE NUMBER: HOME 351 1847 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I worked for the Recreation Department for a number of years during and after college, positions held included Robert Lee Center Supervisor (1 year), City Park Pool Manager (7 years). I have a Masters Degree in physical education and athletic administration from the University of Iowa. I was a teacher, coach and athletic director in the Iowa City Community School District for 45 years. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I have a great deal of experience working with students and adults of all ages in a variety of activities and venues. I am applying for this position because 1 would like to give back to our community and believe that I can make a contribution in fostering relationships with students, adults, organizations, and entities that will improve the quality of life for our community. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I am a minority partner in several businesses and I own some rental property. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? n✓ Yes n 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.) J is representations 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 October 2012 Page 2 of 7 b.r1AT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? CIO I have read the duties listed under Boards and Commissions of Iowa City. ---q �Ny \w7 S M �aRIIp ' � Mn 00 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I have a great deal of experience working with students and adults of all ages in a variety of activities and venues. I am applying for this position because 1 would like to give back to our community and believe that I can make a contribution in fostering relationships with students, adults, organizations, and entities that will improve the quality of life for our community. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I am a minority partner in several businesses and I own some rental property. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? n✓ Yes n 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.) J is representations 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 October 2012 Page 2 of 7 � r BOARD, COMMISSION AND COMMITTEES,��`1 °�" BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee Parks and Recreation commissionn Date Name Larry Brown 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, 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 I BUSINESS ADDRESS NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional Applicant Signature Address 956 Scott Park Drive Misrepresentations on this application will constitute just cause for removal of ► answer all the questions, Council may not consider your application. General Application October 2012 Page 3 of 7 N a 0 4, � a c5 � � app tee. If you fail co City of Iowa City Advisory Board /Commission /Committee A .*Ir��� ,. .wr®� 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 2014 -2018 NAME Katherine Jones HOME ADDRESS 714 E. Davenport St., Iowa City, IA Is your home address (listed above) within the corporate limits of Iowa City? 0✓ Yes F_] No How long have you been a resident of Iowa City? 3.5 years (9 as a child) Gender: Male[] Femaleg OCCUPATION Health Education Specialist PHONE NUMBER: HOME 319.270.9821 EMPLOYER Linn County Public Health BUSINESS 319.892.6065 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have years of experience and knowledge about how to work collaboratively with community members to improve health, including by making evidence -based changes to increase opportunities for physical activity and nutrition. In my position as a Health Education Specialist, I currently manage a $65,500 grant that includes creating environmental -level changes to increase walkability and bikeability. I have worked with Parks & Recreation Department staff in other cities to implement changes. I also personally enjoy taking hikes with friends in Hickory Hill ?ark, buying fresh produce at the farmers market, and biking through the Waterworks Prairie Park and other trails. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The Parks and Recreation Commission oversees the parks, playgrounds, recreational centers and cultural functions of Iowa City. The Commission communicates with community members and responds to any comments they have and provides recommendations to City Council members. I know Allie Gnade, a current member of th%r ommission. CD w WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR14POINGfi? 9 I am very passionate about improving our community's health, and I know how important ac o q -01ity a I , playgrounds, and recreation centers are to a healthy community. I have experience working- slrbor„gtively C9 and gathering feedback from community members, managing grants and budgets, reviewing anmple 'enting evidence -based policies and environmental changes, and event planning. I can contribute these ski and time. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest My employer and the main coalitions I am involved with (such as the Linn County Food Systems Council and Sexual Health Alliance of Linn & Johnson Counties) do not, to my knowledge, apply for funding from the City. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 7 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 to answer all the questions, Council may not consider your application. General Application October 2012 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Parks and Recreation Commission Name Katherine Jones CITY OF IOWA CITY Date 11/04/2013 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, 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 Nona, N C) w NOTE: A new form must be completed if the above information changes or an o rshV intefM is acquired in an additional business. Applicant Signature. Address 714 E. Davenport St., Iowa City, IA W cry 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 October 2012 Page 3 of 7 Katherine Jones 714 E. Davenport St. I Iowa City, IA 52245 1 319.270.9821 1 katherinemaryjones il.cem EDUCATION -4 c-i Master of Public Health °�4 -0 May 2�1 2 Community and Behavioral Health _ University of Iowa College of Public Health, Iowa City, IA •• GPA: 3.74 to cry Bachelor of Arts in History Pre - Medical Focus Grinnell College, Grinnell, IA GPA: 3.50 RELEVANT WORK EXPERIENCE December 2009 Health Education Specialist June 2012 - Present Linn County Public Health Cedar Rapids, IA ■ Managed implementation, reporting, and budget of the Community Transformation Grant, a $65,000 five -year grant that includes improving walkability and bikeability in cities ■ Collaborated and communicated with community partners, including Parks & Recreation staff ■ Facilitated community coalitions to implement changes to improve health ■ Wrote news releases, participated in news interviews, and served as Public Information Officer ■ Created educational materials and presentations on a variety of health topics ■ Collected and analyzed data for the Community Health Needs Assessment Project Coordinator May - July 2009, June 2010 - May 2013 Iowa Consortium for Comprehensive Cancer Control Iowa City, IA ■ Helped organize and plan 6 state -wide conferences and 8 community forums ■ Served as a resource for materials and information ■ Implemented, managed, and evaluated evidence -based cancer prevention and control projects ■ Collaborated and corresponded with diverse partners statewide ■ Facilitated coalitions and committees ■ Participated in strategic planning sessions for the statewide Iowa Cancer Plan revision LEADERSHIP EXPERIENCE Healthy Eating Subcommittee Co- Leader August 2013 - Present Cedar Rapids Blue Zones Project: Community Policy Team • Researched policies and environmental -level changes to improve community access to healthy foods, including through community gardens, farmers markets, and urban farms • Worked with community members and city government staff, including Parks & Recreation staff Board Member July 2013 - Present Linn County Food Systems Council ■ Investigated local food systems policy and environmental issues and solutions ■ Collaborated with farmers, non - profit representatives, and government staff to conduct a food system assessment for Johnson and Linn Counties Facilitator July 2013 - Present Sexual Health Alliance of Linn & Johnson Counties ■ Worked with organizations and individuals in Linn and Johnson Counties to improve sexual health ■ Managed the Neighborhood Outreach subcommittee to gather feedback from at -risk communities ■ Planned free community events in Johnson and Linn Counties, such as 2 documentary screenings Katherine Jones 714 E. Davenport St. I Iowa City, IA 52245 1 319.270.9821 1 katherinemaryjones @gmail.com NOTABLE AWARDS Milford E. Barnes Award 2012 Each year, one student from each department at the University of Iowa College of Public Health receives a Milford E. Barnes Award for outstanding work in their areas of study. University of Iowa Student Employee of the Year 2011 One student per year is selected by the University of Iowa. Criteria for selection are based on: reliability, quality of work, initiative, professionalism and uniqueness of contribution. VOLUNTEER EXPERIENCE Big Sister Volunteer Mentor August 2013 — Present Big Brothers Big Sisters of Johnson County Iowa City, IA ■ Spent one evening a week with a "Little" Sexual Assault Victim Advocate June 2010 —June 2012 Rape Victim Advocacy Program Iowa City, IA • Completed 32 -hour advocate training • Provided assistance and local resources to sexual assault victims at the hospital and through crisis line calls After School Program Health Teacher September 2010 — March 2011 University of Iowa Carver College of Medicine Iowa City, IA ■ Co- taught 15 hour -long health lessons to 60 elementary school children ■ Lessons included topics of health, nutrition, physical activity, and the body Healthy Relationships Class Facilitator April 2010 — May 2010 Iowa Coalition Against Domestic Violence Des Moines, IA ■ Facilitated /taught a 6 week course with 10 female students, aged 12 -15 ■ Worked with high -risk youth staying at the Polk County Juvenile Shelter CERTIFICATION Certified Health Education Specialist SKILLS October 2012 — Present Community outreach; grant writing and implementation; budget management; event planning; research; program development; public speaking; coalition management; social media tools including Facebook and Twitter; and Proficient in Microsoft Access, Excel, Power Point, Publisher, Word, and Adobe In Design. TRAININGS COMPLETED Incident Command System trainings 100, 200, 250.a, 700, 702.a, 800, and G290 PI( —n '{ m CP =1 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMITTEE: PUBLIC ART ADVISORY COMMITTEE One Vacancy — Three year Term January 1, 2014 — January 1, 2017 Duties of the Public Art Advisory Committee include developing by -laws and procedures for the Iowa City Public Art Program; administering the Public Art Program by determining the placement of public art, the type of art to be used in a specific project, and the artist to be engaged; overseeing the acceptance of gifts of art; overseeing the maintenance and disposition of public art; and overseeing expenditures of the Public Art Program budget. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Public Art Advisory Committee meets the first Thursday of each month at 3:30 p.m. Applications must be received by 5:00 p.m., Wednesday, November 6, 2013. 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 Public Art Advisory Committee should be directed to Marcia Klingaman, Neighborhood Services Planner at 356 -5237. d d E� 0 0 o u c� 0 N N •% C r Q � N Q� a 7 a C c� C a) U 7 N c0 c�'w E c wwwoacim U) 2-0 -0 O a<<z .Q 0 L W Y XOO i ~ M M O X ; X 0 X x M x X ; O 0X0 N LO N w xoxxxoX \ co N COLO �LO M� L \ \ \ \ \ \ CL 0 0 0 0 0 0 o \ \ \ \ \ \ LLJ 0 0 0 Q 0 C) E m A 0 M.N G1 a 0E0= E 'a cm V E /R��i Z m tip C c� C a) U 7 N c0 c�'w E c wwwoacim U) 2-0 -0 O a<<z .Q 0 L W Y XOO i ~ [lie 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: 0 Council Announcement Date: September 17, 2013 Application Deadline: Wednesday, 5:00 p.m., November 6, 2013 Council Appointment Date: November 12, 2013 After 12/17/2013 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PUBLIC ART ADVISORY COMMITTEE One Vacancy — Three year Term January 1, 2014 - January 1, 2017 Term expires William Nusser Gender Balance Requirement: 2 Female (M) William G Nusser (Currently serving unexpired term) 508 River Street ❑x Denotes applicant completed the Confidential page of the application. 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, fathe in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, tep- child, aunt, or uncle. (Resolution 85 -354) Males: 3 Females: 0 Council Announcement Da : September 17, 2013 Application Deadline: Wedne ay, 5:00 p.m., Nove ber 6, 2013 Council Appointment Date: No mber 12, 2013 After 12/17/2013 (3 mo from the and uncement d e) Council may appoint any qualified applicant without regard to gender. PUBLIC ART ADVISORY COMMITTEE One Vacancy — Three year Term January 1, 2014 - January 1, 2017 Term expires Tam Bodkin Bryk (A esign Profe Tonal) Gender Balance Requirement: f2 Female (M) William G Nusse;/ Fx-1 508 River Street/ lDenotes applicant completed the Confidential page of the application. City of Iowa City r 1 �a®gar Advisory Board /Commission /Committee' Application Form CITY OF 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 ONLYAND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THATTIME. Advisory Board /Commission /Committee Name Public Art Term full NAME William G. Nusser HOME ADDRESS 508 River Street, Iowa City, IA 52246 Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? 53 years OCCUPATION Jewelry store and downtown property owner PHONE NUMBER: HOME 319 - 354 -9136 0 Yes F] No Gender: Male ❑✓ Femaleo EMPLOYER Hands Jewelers BUSINESS 319- 351 -0333 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? 3AV J--4, 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 F-1 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes F (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 October 2012 Page 2 of 7 ca O"n WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? :<m M abvv NO WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? 3AV J--4, 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 F-1 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes F (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 October 2012 Page 2 of 7 Addendum to page 2 of the City of Iowa City Advisor By oard /Comimssion /Committee Application Form . William Nusser, applicant EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have worked in Iowa City for nearly 44 years and work in an industry (jewelry) that requires a refined aesthetic sense and appreciation. I served on the Friends Development Council of the University of Iowa Museum of Art for three terms and was board chair twice. I was on the Arts Fest board of directors for four years (before it became SOTA). I have paid for the commision of an award - winning work of public art (BookMarks public art project of the Iowa City Public Library: "Treasure Island" by Tam Bodkin Bryk), consulted with the artist on the design concept; then I purchased this same artwork and donated it to the City of Iowa City. I have been a volunteer as well as a significant donor to the UI Museum of Art, have chaired fundraising events for the UIMA, and enjoyed memberships in the Czech and Slovak Museum and the Cedar Rapids Museum of Art "just up the road'„`_. C) I have hired artists to create public art through the two small and one � d *lay. windows of Hands Jewelers for four decades, and thus have private exErtance in how the public can and does respond to public art. I have always consifbd i'a great obligation to the public to exhibit quality and originality in our y = windows by employing and collaborating with artists to present our nantise within the context of public art.' �w I am also the current president of the Iowa City Downtown District so I have had insider experience with the downtown's BenchMarks program from its inception to its current "second phase ". I am the ICDD board representative as a stakeholder in the City of Iowa City's downtown streetscape improvement project, which will necessarily involve public art in many roles. Finally, I applied for and was appointed to this board to finish Jan Finlayson's term, which would have ended right now. WHAT IS YOUR PRESENT KNOWLEDGE OF THISAD VISORY BOARD? I am personally acquainted with several committee members. I have worked with Marcia Mingaman Bollinger in donating Tam Bryk's BookMark sculpture to the city and its current placement on the pedestrian plaza.. I continue to work with Rick Fosse and Mike Moran in my role as a representative of the ICDD in the downtown streetscape project. I have passively paid attention to the work of this committee since its inception, mostly through casual conversations with past and present committee members and through local news reporting of the committee's activities. WHAT CONTRIBUTIONS CAN YOU MAKE TO THISADVISORY BOARD (REASON FOR APPLYING)? Having served as an interim on this committee and through previous association, I am acquainted well enough with the committee members and the city staff so I would not experience the same learning curve as others with less experience. Through my business, I have had experience in presenting public art, experiencing public art, selecting public art and donating public art. As president and board member of the Iowa City Downtown District, I think there might be the potential benefit of my awareness of opportunities for collaboration or avoiding overlap between this committee and the ICDD. As a lifelong resident of Iowa City, as a local business owner, and as a parent who has brought up my children in this great city, I feel obligated to return my gratitude and good fortune in having had the benefit of all of the amenities this city offers, including public art, by "paying it forward" through public service. I tend not to be very political, which could also be a plus, so service on this committee would seem a good fit for my abilities and desires. d o C arl .•p�. r" CA) ry � r BOARD, COMMISSION AND COMMITTEES �-�q BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee Public Art Date Name William G. Nusser 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, 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 WGN Companies (sole proprietor - o. Dubuque, Iowa City Hands Jewelers (sole proprietor ) 109 1:. Washington Street, Iowa City Nussoyd Building Company 50% partner; my wi e, liz 508 Hiver Street, Iowa City (Property owned own own 99 E5 w a NOTE: A new form must be completed if the above information changes or an owner; ip interest is acquired in an additi�n;@l business. Applicant Signature Address 508 River Street, Iowa City, IA 52246 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 October 2012 Page 3 of 7 E :k NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION One Vacancy — Three -Year Term January 1, 2014 - December 31, 2016 Plus One Unexpired Term plus a Three -Year Term Effective upon Appointment- December 31, 2016 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, November 6, 2013. 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. N M � r � O C_ N 0 Q O N v0 L d V C M 0 = N co 4 co x x LU x 0 x 2 2 2 2 ' z z z z z z (0 V x x o x x o x co v z z z z z z CV) x x x x 0 i x 00 N i x x X x LU O i x LO N T x x x x LU x 0 N N z z z z Z Z Z ' T x x x x x o x; T co o z z z z z z z ' T N :z> 2 0) Z z z z z z z x x x x x Lli x N N Lo v M M N LO OL T T T T T T T T X W E M N M N M N M N M N M N l'7 N M N T T T T T T T T rn o C rn N c N � o c I6 O C J N 5 i N Z a 75 0 U v co (D w O -V cu U) Y a� X C E W ^N^ N C C W cu .a .a O O a¢¢zz u n n u w u xOOz a� Y 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: October 1, 2013 Application Deadline: Wednesday, November 6, 2013 Council Appointment Date: November 12, 2013 After 10/01/2013 (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, 2014- December 31, 2016 Term expires for Jay H Honohan One vacancy — Unexpired Plus Three Year Term Effective upon Appointment — December 31, 2016 Michael Lensing resigned Gender Balance Requirement: 1 None (M) Jay H Honohan El (Currently serving e 3 year term) 1510 Somerset Ln El Denotes applicant completed the Confidential page of the application. City of Iowa City _ r Advisory Board /Commission /Committee #�� Vill, .pplication Form o- n T1 F IOA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISPUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATIMfWL Ow COI TIERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURINT�UIE. Advisory Board /Commission /Committee Name Senior Center commission Ters 2014 -1017 NAME Jay H. Honohan HOME ADDRESS 1510 Somerset Ln Iowa City, IA 52240 Is your home address (listed above) within the corporate limits of Iowa City? [Z Yes F� No How long have you been a resident of Iowa City? 1960 - 2013 Gender: Male 0 Female OCCUPATION Semi - retired attorney EMPLOYER Honohan, Epley, Braddock & Brenneman PHONE NUMBER: HOME (319) 338 -6990 BUSINESS (319) 351 -8100 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Practicing Attorney since 1960 in Iowa City. Former Police Judge Iowa City 1961 -1063. City Attorney Iowa City, 1963 -19747 Member United Way, St. Marks Church Board of Directors, Chamber city relations. Coordinator of the Volunteer Attorneys group at the Senior Center. Served on the Senior Center Commission since 1998. Volunteered the legal work for formation of Friends of the Center, the Center's foundation invested in the Community Foundation of Johnson County. One of three coordinators of the drive to fund the skywalk from the ramp to the inter. I have been active in promoting the Center before the Council and the Board of Supervisors. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? am familiar with the duties and responsibilities of the Commission having served on the Commission and having een its chair. Participated in the group which was involved in obtaining national accreditation for the Center from ie national organization on two different times. In addition to the experience outlined above, I have been active in ie development of the guidelines for the Center. Additionally by attending classes at the Center, I am familiar with ie work involved by the Commission. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I am applying for another term because I believe that my experience and background can be used to continue to make the Center the outstanding Senior Center that it is and provide a benefit to the approximatley 1600 members. believe even though it is an outstanding Center that improvements can be still be made and would like to be a part of that effort. 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? 0 Yes [_� No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F]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. General Application October 2012 Page 2 of 7 r BOARD, COMMISSION AND COMMITTEES,` °��' BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee Senior Center commission Date 09/25/2013 Name Jay H. Honohan 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, 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 I BUSINESS ADDRESS Old Feed Store Associates (rental to a law firm) 330 E. Court, Iowa City, IA 52240 Atlasta Farm Trust (rural Johnson County farm rental 330 E. Court, Iowa City, IA 52240 Justa Farm Trust (rural Johnson County farm rental 330 E. Court, Iowa City, IA 52240 NOTE: A new form must be completed if the above information changes or an owhi .0qh. tere acquired in an additional business. OW SAW r M Applicant Signature F<� Address 1510 Somersea Iowa City, IA 52240 A 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. IL- General Application October 2012 Page 3 of 7 12d Marian Karr From: Marcia Bollinger Sent: Tuesday, October 22, 2013 8:20 AM To: Council Cc: Marian Karr Subject: FW: Resignation from Public Art Advisory Committee From: Mandy Vink- Renaud [mailto:mvrenaud @gmail.com] Sent: Monday, October 21, 2013 7:09 PM To: Marcia Bollinger Subject: Resignation from Public Art Advisory Committee Dear Marcia I regret to inform you that as soon as I've been accepted on the Public Art Advisory Committee, I must officially resign from the committee, effective immediately. I've accepted a position as Public Art Coordinator for the City & County of Denver for the Denver International Airport, and will move to Denver to start the position in November. Thank you so much for this opportunity, and please stay in touch. Best, Mandy 720 - 232 -6586 Mandy Vink- Renaud