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HomeMy WebLinkAbout2014-01-07 Appointment01 -07 -14 7a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: AIRPORT COMMISSION Two Vacancies — Four Year Term March 1, 2014 - March 1, 2018 Duties: To exercise all the powers granted to cities and towns under Chapter 330 of the Code of Iowa, except the power to sell said airport. To annually certify the amount of taxes within the limitations of the Statutes of the State of Iowa to be levied for Airport purposes. All funds derived from taxation or otherwise for airport purposes shall be under the full and absolute control of the Airport Commission, deposited with the City Treasurer, and disbursed only on the written warrants or order of the Airport Commission. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Airport Commission meets the second Thursday of each month at 5:45 p.m. Applications must be received by 5:00 p.m., Wednesday, December 18, 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 Airport Commission should be directed to Michael Tharp, Airport Operations Specialist at 356 -5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step- child, aunt, or uncle. (Resolution 85 -354) Males: 2 Females: Council Announcement Date: November 12, 2013 Application Deadline: Wednesday, 5:00 p.m., December 18, 2013 Council Appointment Date: January 7, 2014 After 02/10/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT COMMISSION Two Vacancies - Four Year Term March 1, 2014 - March 1, 2018 Term expires for Howard Horan and Christine Ogren Gender Balance Requirement: 1 Female, 1 None No applications as of Wednesday, 5:00 p.m., December 18, 2013 ODenotes applicant completed the Confidential page of the application. m7r-6 r� 7b & 7c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION Three Vacancies — Three Year Terms March 29, 2014 - March 29, 2017 (2) At Large Representative (1) Longfellow 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., December 18, 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. 10/22/2013 x 0 0x u u u u z>> v O N cr N N CD CD N CD m E3 � or CD y CD Q 2 --I O X D n --I -p m rn Nvc' D rn N Z n o m -DI L m O n z O n O v � cn cn O z dx �o a CD N ^b cn N 0 W O z C) jC7SO 1� H cn 4 zz W o D > n O v DO�oo � D n D 4 = n m m rn D m z D O v D z Z O D O o Z z z In = z 3 CA m n M v � _ _ O Z O Z < m D m D z T rn v m D -i Cl) w w w w w w w w w Cl) N N N N N N N N N N N j11 to co ch CA 0) 0) 4A M =' x X x X X X 1 X w X X x X i X x i X c X o O o X X X I X m m rn X x x ° x x X X w X X x x X i X X x X x X ° x x X x x o X X o x X x X X X ,+ co O O O X X X X X O X i m m m m x x x x x x x x X ° V X X X X X X X X X N O O X X X 0 0 X X X P2 X O O O X X X X X I X m m m °- X X ° ° X X X X x X 0 X X X m X X X X X m A O O x 0 o X X° x x x N m m m m m N 2 --I O X D n --I -p m rn Nvc' D rn N Z n o m -DI L m O n z O n O v � cn cn O z dx �o a CD N ^b cn N 0 W O z C) jC7SO 1� H cn 4 zz 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: 4 Council Announcement Date: November 12, 2013 Application Deadline: Wednesday, 5:00 p.m., December 18, 2013 Council Appointment Date: January 7, 2014 After 02/10/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HISTORIC PRESERVATION COMMISSION Gender Balance Requirement: 1 Male Three Vacancies - Three Year Term March 29, 2014 — March 29, 2017 (2) At -Large Representatives Term expires for Andrew Litton and Thomas Baldridge (M) Ben Sandell M 2125 F Street (M) Andy Litton 0 (Currently serving 1 st Three year term) 430 W Park Rd. ' iCTi1N� (F) Betsy Potter 121 1 1630 Morningside Dr. (M) Ryan J. Prochaska ❑ 935 Dewey St. (1) Longfellow District Representative Term expires for David McMahon (F) Gosia S. Clore 121 1133 E. Court St. 0 Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board /Commission /Committee r A lication Form I L ;p p CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMEI� D N AS C BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAG a WNFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMgJV LL N�9t AED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name [tt 0294C 4>GWftDNI Cowl l` i AR(.c�) Term NAME HOME ADDRESS Z ZS F STKl�LT 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� `(EA -S Gender: Male 0 Female OCCUPATION La- r4pscer- Al2C tiTecr EMPLOYER C- QkVLV6405 PHONE NUMBER: HOME S 15 • 1 0. 5590 CiC�dL� BUSINESS 31 `I . 3 37. 6(.,3q EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: MY CDvch -notj /WCW TE4 ItA S, PK0 0 0 ED ML t0 l rlt \tA Ier.No�+�.�:D4� o F ►C. P��S cu - Tto�.j C or T oAATE tt (S -rz;>A e`3 r.1�D w r Tr+ Y P1455iD� C=ow 1t �gTvr�Y fi C.u`TvaAL- O fl voVt�N �N54 DE �4 I+1sT0f-1c..NL D%�fCt NT P i-k 5 Ci<v kT Io N WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? �loT r ���5 Poi- T. wrtt S ►tkvE oNt -`' �� v �p rt�t� - , Fob .Z yekrs , = A ^n C.b NS T A NTL`; Lr-AV-N) r.I&% MO K E- &Bo uT -T At t,- ►tjsro f y ok Sowk C-%TN . Tai t WILL 5C A- (4 Or-- P,T To Go +N1 KI B uM X H 0 5: v K T KZx M `I 1t % S To R i Lrk 1_ aG.r).o.J LL D4� WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? COVL.D 'gLov r P ��1 a P6 rtS Pe:cT' r v FE ON TI+L L* ND So 4 PE S10 L 6( 1t(5T01e4C.AL f'12�S �vlkTlo►.1. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest S (k ? "f %j 00 #kA- ( 1 "po 1-k o'T Wog -W-- S V1tc.af) C1t o N '�t»<.1GS�l�v�tT+or► �1ao3Cl -TS i 5V S Vo I►oT BSc£ Pki GoNFLIC.TS of �M1'�7C IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YR. Yes R No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RYes �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 I to answer all the questions, Council may not consider your application. General Application October 2012 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES„"10� FILE 1 OJSINESS LISTING CITY OF IOWA CITY Name of City 2013 DEC I I AM 11: 55 Board /Commission /Committer k� �t2p� "Alr1orl Date t2., lD • I 10 IA CITY, f0WA Name bt✓r4 ,c�,64DLL.L 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 I e --- NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an a ' " "___I �.._ :____ Applicant Signature Address 2125 IF STK.E6T 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; 1pplication 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 Historic Preservation Commission Term 3 years NAME Andy Litton HOME ADDRESS 430 W Park Rd. Iowa City IA 52246' Is your home address (listed above) within the corporate limits of Iowa City? ❑✓ Yes FJ No How long have you been a resident of Iowa City? 32 years Gender: Male Q Female OCCUPATION Realtor EMPLOYER Jowa Realty PHONE NUMBER: HOME 319 - 621 -7072 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have served on this commission for approx. 6 years and would like to continue to serve. E WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? M 6 years on HPC. C-) — �... w --tom =<r' --p M tV WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I have enjoyed being on this commission over the years and would like to continue. 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? Q Yes F-1 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 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Historic Preservation Commission Name Andy Litton � r Al CITY OF IOWA CITY Date 12/12/2013 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 Gaslight Village Rentals (50% partnership) 430 W. Park Rd Iowa City IA 52246 Eiji w rn tv 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 430 W Park Rd. Iowa City IA 52246' 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 mow. ®�7 Advisory Board /Com n i Committee' Application Form -t-�- CITY OF IOWA CITY YO I��9 PM 4' SI• THIS APPLICATION IS A PUBLIC DOCUMENT AND AS�+SSU H AN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MY UAFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMAMN&MILMOb FOR ANY VACANCY DURING THAT TIME. ,' Advisory Board /Commission /Committee Name Historic Preservation Commission Term " NAME Betsy Potter HOME ADDRESS 1630 Morningside Dr. Iowa City,IA 52245 Is your home address (listed above) within the corporate limits of Iowa City? R✓ Yes F� No How long have you been a resident of Iowa City? 2006 -2010, 2013 - present Gender: Male El Female? OCCUPATION Director of Operations PHONE NUMBER: HOME 319 - 331 -9557 EMPLOYER Iowa City Downtown District BUSINESS 319 - 354 -0863 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: a graduate student in Urban and Regional Planning at Eastern Michigan University, many of my courses and :rnship work was focused on the role of Historic Preservation in downtowns, neighborhoods and to cities in feral. I have had the chance throughout my studies and through my work both at the Ypsilanti Downtown ✓elopment Authority and the Iowa City Downtown District the importance of picking up the pieces of our historic Idings and neighborhoods for purposes of heritage retention, economic development, and cultural vibrancy. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The City of Iowa City has a very extensive Historic Preservation designation with 8 designated Historic Districts and 3 Conservation Districts. The advisory board has been actively taking actions to educate and inform the community on the importance and advantages of historic districts since the Historic Preservation Update in 2008. This board reviews applications and alterations to historic landmarks but also deals with large issues such as the Dubuque St Gateway as how these developments would effect the historic character of the area. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYINGI? I can bring to the advisory boad my experience in Downtown Revitalization with an intense knowledge and relationships with the Northside Marketplace and Downtown areas. With I can bring an understanding of economic development, knowledge of historic preservation policies and passion for the conservation of all historical elements of an area. I would like to help better inform the region about the importance of the historic elements of this City. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I am the Director of Operations for the Downtown District IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ✓0 Yes R No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RYes r;�]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 � r ��. ®� at BOARD, COMMISSION AND COMMITTEESXW-1 h BUSINESS LISTING,,i_ CITY OF IOWA CITY Name of City Board /Commission /Committee Historic Preservation Commission Date 10/07/2013 Name Betsy Potter 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 None NOTE: A new form must be complet1 if the above information changes or an ownership interest is acquired in an addition usines Applicant Signature _ { 315C) o 1630 Mornin side Dr. Iowa Ci IA 52245 Address Morning side tY� �..,.. Misrepresentations on this application will constitute just cause for removal of an ��dintl e. If }fail to answer all the questions, Council may not consider your application. cn W General Application October 2012 Page 3 of 7 City of Iowa City i r Advisor y Board /Commission /Committee I ;NP lication 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 �ii�(ar, �v did.,► dx1W ss,Ck Term 2013 j� NAME PYan Boeu.s k-, HOMEADDRESS 93S'Dewu/l S �'- 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? 3�yc��5 Gender: Male Female OCCUPATION !�/naic �ti-F - EMPLOYER &/- f PHONE NUMBER: HOME 3/q r 32 (� d3 4 ( BUSINESS 37?^ 321 --o 341 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: /I/20yv-1 ?w 5(iov�c�l ` PPnI� ?M,�.0 /JL 05 - Ru%v✓4,7 e,k / "o V, —ha,t �II..cC�� r �i.6 f . 1 �vi,f.,S Pivv1T �h �� /V ! S . & `9- eAVw-p- t`/l TI �� �✓�4 b4�✓v0. Ti al l . VVHA1 IJ YUUK VKtbtN 1 KIVUVVLtUUt UI' 1 rlIJ AUVI7UKY DUAKU ! ry N t �'►�, �. ��a w� �c,,.,, -F N�-s , / Gca He or.a�¢ -( 3e-v, 00 r o= WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYL9)? �C{e.�ts cue Y Uw t:e4q 2 0 . A't 45- -- a h 11,4 , sec• 6/ /1 /. s74t �,t vdS , wk. 74,- — ce b% fi-e-14- �4ervt ✓h, (,,e- nc 9 V�olv�l� AP %SSvtS. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest l wc�, k p..�cssi�ll� �s � ��cS�w•t.�+� ��'vl� � R waod�,� vz ��, !� IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? OYes "No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD O COMMISSION? FlYes o (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same tim .) 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 ::III�� CITY OF IOWA CITY Name of City Board /Commission /Committee Date g zY go 63 Name TyaP. Two C, tv g, k 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 1? t t J l��o��r.� sly Q 3S 'Drw S.t , %ryti �i GI ' S+ w � (nd •• sit N c D` Gl C-7-< ru ..�r- NOTE: A new form must be completed if the above ' formation changes or an ownership interest is acquired in an additional businev!97j� Applicant Signature. Add '557 11� eA A , , %wa6t4i, /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. General Application October 2012 Page 3 of 7 City of Iowa City ► r 1 Advisory Board /Commission /Committee; N 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 Historic Preservation Commission Term 2014.2017 NAME Gosia S. Clore HOME ADDRESS 1133 E Court St Iowa City. IA 52240 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 years Gender: Male ❑ Female0 OCCUPATION Research Scientist EMPLOYER Humana PHONE NUMBER: HOME 973- 342 -5599 BUSINESS 973- 342 -5599 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have restored older homes and worked with architects and construction professionals on restoring and adapting new building materials to reflect and mimic the historic character of the buildings. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have worked with the board while restoring and updating the 1924 Foursquare Longfellow home my family and I reside in. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I'm passionate about restoring and maintaining the historic character of the unique Iowa City turn of the century architecture in general. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? © Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ❑Yes 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 i to answer all the questions, Council may not consider your application. General Application October 2012 Page 2 of 7 0 CJ A "f C.-' C—) �..'.''.°. � r BOARD, COMMISSION AND COMMITTEES �► °t►'� BUSINESS LISTING ��m� -ter._ CITY OF IOWA CITY Name of City Board /Commission /Committee Historic Preservation Commission Date 12/17/2013 Name Gosia S. Clore 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 I 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 1133 E Court St Iowa IA 52240 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application October 2012 Page 3 of 7 o. C-) Q n � — itV v 7d NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMITTEE.: PUBLIC ART ADVISORY COMMITTEE One Vacancy — Unexpired Term Effective Upon Appointment — January 1, 2015 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, December 18, 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. 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: 1 Council Announcement Date: November 12, 2013 Application Deadline: Wednesday, 5:00 p.m., December 18, 2013 Council Appointment Date: January 7, 2014 After 02/10/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PUBLIC ART ADVISORY COMMITTEE One Vacancy - Unexpired Term Effective Upon Appointment - January 1, 2015 Amanda Renaud resigned Gender Balance Requirement: 1 Female No applications as of Wednesday, 5:00 p.m., December 18, 2013 ElDenotes applicant completed the Confidential page of the application. 01-0� 7e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: TELECOMMUNICATIONS COMMISSION Two Vacancies — Three -Year Term March 13, 2014 - March 13, 2017 The duties of the Telecommunications Commission include serving as a review board to resolve disputes between any subscriber or potential subscriber and the cablevision company; reviewing and auditing reports by the cablevision company to the City as required by the Cable Television Ordinance; working with the public, the media, the City, and the cablevision company for the purpose of making recommendations on various issues; engaging in other activities pursuant to the effective monitoring and evaluation of the CATV system in the City. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Telecommunications Commission meets the fourth Monday of each month at 5:30 p.m. Applications must be received by 5:00 p.m., Wednesday, December 18, 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 Telecommunications Commission should be directed to Bob Hardy, Cable Television Administrator at 356 -5047. 10/22/2013 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: 2 Females: 1 Council Announcement Date: November 12, 2013 Application Deadline: Wednesday, 5:00 p.m., December 18, 2013 Council Appointment Date: January 7, 2014 After 02/10/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. TELECOMMUNICATIONS COMMISSION Two Vacancies - Three -year Term March 13, 2014 — March 13, 2017 Term expires for Nicholas Kilburg and Alexa Homewood Gender Balance Requirement: 1 Female No applications as of Wednesday, 5:00 p.m., December 18, 2013 0 Denotes applicant completed the Confidential page of the application.