Loading...
HomeMy WebLinkAbout2014-02-18 Appointment78a 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, February 12, 2014. 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, January 7, 2014 Application Deadline: Wednesday, 5:00 p.m., February 12, 2014 Council Appointment Date: February 18, 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 (F) Christine A. Ogren El 140 Cardiff Circle ElDenotes applicant completed the Confidential page of the application. G o O .i % £ w o v V 4 o z CL w C o � N E U .n t E m n u ai v M aoa co T N 12/19/13 12/17/13 Z x X x x x 12/10/13 z X x w x x 11/21/13 X X x z 11/05/13 x x w X x z 10/17/13 z x x x x 10/1/13 z X X X x x 09/18/13 Lu w z x X X 08/15/13 2 z X X X x x 08/12/13 z 0 x 0 x X 07/18/13 z X X o X x 06/20/13 w z X X x x 05/16/13 g z X X X X X 04/18/13 z X LU x X X 03/21/13 z X x o x x 02/21/13 X X X w X O z 01/17/13 O X x x x z m It to w Rt ti a w X O o o O O o ~ w O o O Q o O R c � N = d C cm z d .__ •3 O _ Y 3 c � H °� 'L oC =° c7 Q (L c m E a� D o C 7 a) x ° w a) � N cc N N a. a(L <z >+ II II 11 II II W Yx 00z City of Iowa City Advisory Board /Commission /Committee'�r' � .J. ®��� 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 Airport Commission Term 3/1/14 - 3/1/18 NAME Christine A. Ogren HOME ADDRESS 140 Cardiff Circle, Iowa City, IA 52246 Is your home address (listed above) within the corporate limits of Iowa City? 0 Yes [:] No How long have you been a resident of Iowa City? 14.5 years; since 7/1999 Gender: Male El Female0 OCCUPATION Professor (Educational Policy & L'ship Studies) EMPLOYER University of Iowa PHONE NUMBER: HOME 319.338.8253 BUSINESS 319.335.5202 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Since my appointment in August 2012 to an open seat on the airport commission, I have attended every commission meeting and learned a lot about how it and city government work. I am currently secretary of the commission and an active member of the committee to plan Fly Iowa, a two -day statewide aviation event that our airport will host June 28 -29. Before I joined the commission, I volunteered for numerous events at the airport. My husband is building an airplane which we plan to house at the Iowa City Airport. Outside of aviation, I have leadership experience in professional organizations, including my current position as President -Elect of the History of Education Society. /HAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have fairly extensive - -and growing -- knowledge of the airport commission because I have served on it for a year and a half. We recently completed interviews of engineering services firms to serve for the next five years and airport master plan consultants to write our next twenty -year master plan. 1 learned a lot in these interviews and look forward to working with the firms we selected. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? My short experience on the Airport Commission and my experience with stewardship and leadership in other local as well as national organizations has helped prepare me to bring the skills of critical analysis and organization to the Airport Commission. I am applying because I have enjoyed my experience on the commission thus far and want to continue to combine my interest in aviation with my desire to contribute to the Iowa City community. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information_ regarding Conflict of Interest My only potential cQnflicts of interest relate to my employment by the University of Iowa and plans to rent an airport hangar. After my Habandand I become hangar tenants, I would recuse myself from voting on hangar rental rates. IF YOU AWO. EL TED, DO YOU 1NANTTO BE NOTIFIED? W] Yes []No DO YOU WREWLYZSERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F Yes QNo (It has been°Oounci'iof�c� ,Tt to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresenta#ons this application will constitute just' cause for removal of an appointee. If you fail to answer all ft questions, Council may, not consider. your application. General Application January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Airport Commission Name Christine A. Ogren CITY OF IOWA CITY Date 01/17/2014 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) Q c_ Qn ray -o 'AJ ry " cn 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 140 Cardiff Circle, Iowa , 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 January 2014 Page 3 of 7 :18b 18-14 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, 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, January 29, 2014. 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, November 12, 2013, December 17, 2013 Application Deadline: Wednesday, 5:OOp.m., January 29, 2014 Council Appointment Date: February 18, 2014 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 Previously advertised; term expired for Dennis Keitel January 1, 2014 — December 31, 2018 Gender Balance Requirement: None No Applications as of Wednesday, 5:OOp.m., January 29, 2014 0 Denotes applicant completed the Confidential page of the application. 18c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy — Five -Year Term January 1, 2012 - December 31, 2016 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, January 29, 2014. 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, November 12, 2013, December 17, 2013 Application Deadline: Wednesday, 5:OOp.m., January 29, 2014 Council Appointment Date: February 18, 2014 After 03/05/2012 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy — Five -Year Term January 1, 2012 — December 31, 2016 New Full Term Gender Balance Requirement: None No Applications as of Wednesday, 5:OOp.m., January 29, 2014 123 Denotes applicant completed the Confidential page of the application. 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, January 29, 2014. 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: 3 Females: Council Announcement Date: 1- October -2013, November 12, 2013, December 17, 2013 Application Deadline: Wednesday, 5:00 p.m., January 29, 2014 Council Appointment Date: February 18, 2014 After 01/27/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS Gender Balance Requirement: 1 Female One Vacancy — to fill a five year term January 1, 2014 - December 31, 2018 Term expires for Chad Campion No Applications as of Wednesday, 5:OOp.m., January 29, 2014 El Denotes applicant completed the Confidential page of the application. 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, January 29, 2014. 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. 3 4 lvor� - v�e5sio� Anna Moyers Stone 7 Andy Chappell 5 Dee Vanderhoef 5 Karen Kubby 5 4 females Adam Sullivan 5 5 males Karrie Craig 5 Melvin Shaw 5 Mark Schantz 4 Steve Atkins 4 Larry Baker 3 Bob Elliott 3 Paul Burns 3 Rockne Cole 2 Linda Schreiber 2 Scott McDonough 1 Charles Eastham 1 (Cathy) Eisenhofer 1 Nancy Carlson 1 Brian Richman 1 Rod Sullivan Nikki Herbst Gene Chriscilles Polly Horton John Deeth Caroline Dieterle Ryan L. O'Leary /8 e (NOTE TWO PAGE COVER SHEET OF APPLICANTS) Page 1 - CHARTER REVIEW COMMISSION 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: 0 Females: 0 Council Announcement Date: January 7, 2014 Application Deadline: Wednesday, 5:00 p.m., February 12, 2014 Council Appointment Date: February 18, 2014 After 4/7/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. CHARTER REVIEW COMMISSION Nine Vacancies — One -Year Term April 1, 2014 to no later than April 1, 2015 (M) Larry Baker El (M) Andy Chappell El *1217 Rochester Ave. 911 Rider St. (M) Rod Sullivan 0 (M) Charles Eastham 0 *2326 E. Court St. *37 Colwyn Ct. (M) Scott McDonough 0 (F) Dee Vanderhoef 0 10 Bella Vista Place 2403 Tudor Dr. (M) Paul Burns 1XI (F) Linda Schreiber 0 425 Beldon Ave. 45 Sumac Court (M) Bob Elliott D (M) Adam B Sullivan El 1108 Dover St. 311 S. Lucas St. (F) Nikki Herbst 0 (M) Stephen Atkins 0 1007 Briar Drive 816 Sugar Loaf Circle (M) Gene Chriscilles I] (F) Karrie Craig 0 1020 Deerfield Dr. 2415 Mayfield Road (M) Mark E. Schantz El (M) Melvin O. Shaw 1XI 526 Larch Lane 1034 Chamberlain Dr. (M) Brian Richman 0 (F) Anna Moyers Stone 0 20 Ashwood Dr. 920 River St. 0 Denotes applicant completed the Confidential page of the application. (NOTE TWO PAGE COVER SHEET OF APPLICANTS) Page 2 - CHARTER REVIEW COMMISSION (F) Polly Horton 0 (F) Caroline Dieterle [R] 221 E. College St. 727 Walnut St. (M) John Deeth D (F) Catharine(Cathy) Eisenhofer 0 *313 W. Benton 1721 Gryn Dr. (F) Karen Kubby 0 (F) Nancy E. Carlson D 1426 Ridge St. 1002 E. Jefferson St. (M) Rockne Cole rx-1 (M) Ryan L. O'Leary 0 *1607 E. Court St. *161 Westside Dr. *address correction 0 Denotes applicant completed the Confidential page of the application. 2 of 2 Marian Karr From: John Deeth <jdeeth @mchsi.com> Sent: Monday, February 17, 2014 11:10 AM To: Council; Marian Karr Subject: Charter review applicant: address In reviewing the list of other charter review commission applicants I discovered I had inadvertently left my address off my application. Since I hope to be rejected on my own merits rather than on a technicality, for the record I live within the city limits at 313 W. Benton St. Thank you for your consideration. John Deeth 78e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: CHARTER REVIEW COMMISSION Nine Vacancies — One -Year Term (April 1, 2014 to no later than April 1, 2015) The duties of the Charter Review Commission will be to review the existing City Charter and within twelve months recommend any charter amendments that it deems fit. A report from the Charter Review Commission shall be presented to the City Council no later than April 1, 2015. The Charter Review Commission shall consist of at least nine (9) members to be appointed by the City Council. Members of the City boards and commissions may serve on the Charter Review Commission and must be residents of Iowa City. Member terms shall begin April 1, 2014 and end no later than April 1, 2015. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City Applications must be received by 5:00 p.m., Wednesday, February 12, 2014. 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 Charter Review Commission should be directed to Marian Karr, City Clerk at 356 -5041. �. I r_. CITY OF IOWA CITY p � one MEMORANDUM Date: February 12, 2014 To: City Council From: Matt Hayek, Mayor Re: Charter Review Commission Appointments Attached is a list of applicants to the Charter Review Commission. As a way of facilitating and narrowing the discussion, I suggest we implement the following procedure: • Each Council Member will select nine members from this list. • Council Members should provide their selections to Marian no later than noon on Tuesday. • Marian will tabulate and provide a list at the Tuesday work session. • Discussion of those applicants having support of 4 or more Council Members will not be necessary. • Discussion at the work session will then focus on the remaining applicants and the selection of the Chair. Please contact Marian no later than noon on Tuesday so information can be available to our work session discussion. s /CRC /mayorselection memo.d oc (NOTE TWO PAGE COVER SHEET OF APPLICANTS) Page 1 - CHARTER REVIEW COMMISSION 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: 0 Females: 0 Council Announcement Date: January 7, 2014 Application Deadline: Wednesday, 5:00 p.m., Febru 12, 2014 Council Appointment Date: February 18, 2014 After 4/712014 (3 mo from the announcement date ouncil may appoint any qualified applicant without regard to gender. CHARTER REVIEW COM ISSION Nine Vacancies — One -Year erm April 1, 2014 to no later than pril 1, (M) Larry Baker 0 Rochester Ave. (M) Rod Sullivan 0 37 Colwyn Ct. (M) Scott McDonough El 10 Bella Vista Place r (F) Linda Schreiber f J (M) Paul Burns 1 (M) 425 Beldon Ave. 0 (M) Bob Elliott (M) 1108 Dover St. 0 816 Su r Loaf Circle (F) Nikki Herbst 0 1007 Briar Drive (M) Melvin O. Shaw [R] (M) Gene Chriscille, sr El (F) 1020 Deerfield ibr. 0 (M) Mark E. Sch ntz 0 526 Larch ane (M) BAan R' hman 0 20 As ood Dr. 5 (M) Andy Chappell El 911 Rider St. (M) Charles Eastham 0 2326 E. Court St. (F) Dee Vanderhoef 0 2403 Tudor Dr. (F) Linda Schreiber [R] 45 Sumac Court (M) dam B Sullivan 0 3 S. Lucas St. (M) Step n Atkins 0 816 Su r Loaf Circle (F) Karrie Crai IKI 2415 Mayfie Road (M) Melvin O. Shaw [R] 1034 Chamberlai r. (F) Anna Moyers Stone 0 920 River St. 0 Denotes applicant completed the Confidential page of the application. (NOTE TWO PAGE COVER SHEET OF APPLICANTS) Page 2 - CHARTER REVIEW COMMISSION (F) Polly Horton ❑ 221 ". college St. (M) John Deeth �` 0 (no address fill in) (F) Karen Kubby 0 1425 Ridge St. (M) Rockne Cole El 161 Westside Dr. (F) Caroline Dieterle El 727 Walnut St. (F) Catharine(Ca ) Eisenhofer I] 1721 Gryn r. (F) Nanc )fE. Carlson 10 E. Jefferson St. (M) Ryan L. O'Leary 1607 E. Court St. 0 Denotes applicant completed the Confidentfgl page of the application. 2of2 ❑x 0 City of Iowa City Advisory BoardlCommissionlCommittee ' *�`I�r; 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 11�T -�.2 9 W i Ycc/ Term 4 NAME L.4 HOME ADDRESS (Z 1.7 v'2o 5, r t Is your home address (listed above) within the corporate limits of Iowa City? �.Y ss No How long have you been a resident of Iowa City? -70 f yt',4,15• Gender: Male 0-5emalell OCCUPATION (4 Jlz- EMPLOYER 5-< PHONE NUMBER: HOME T? X29 3? BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: �il f 1"r✓r�t �i cam' �fF�cl�rnn( v� evOl //v civic— C vx ril yr � Vt� Ji.t}S'T «1'YO. t� <�e (5 !� 41 0- Ce��i1/E14N•(�m�tR r2'i?i .f(z) fC CE, 6- /6 5 j o. -tie /dil (='S'w9ty A= ;load, L�r.Y� %r.., i%'(J r .r � � vv � `/� •'f Ns+?yr. -v j h rf. f �=J • t �'(? S �c "� f �� e- 1//"PC•�+r �f�- / •i/� u/ f 7Y� L 4..,Vc i�@ k-,'�, �,Ft� e✓tr ✓'t rC;�/ Pal = tt' �``)r) �'tvrv/ 7/ �7'�•f� f+' WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Tt',✓ > w-t i$c- z�� /`essAt TyOV/t',•c.i/.n/%/r✓r cl�ntq•; -p� �s�s,�3�is1➢•,�'G- gilt '� �CI ��I ICY ✓/r't'� / /.. /`'� sl ezV C-1V-1 e- WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? i� if .}✓�. 5r "P�✓ 77ie Sr -rC w7 ltiS 4NJ %/p.,;1k111V 5.fW f- C .� 1 J 0f c. J�i^P W�'! P• yr A N ��vs'/ rrP p✓l rq �d� o r S r a �� r b-C e vy 7-A-017- $ trC 6, �1`/✓e.c t "PrvC� a.✓iLt_ .+�4IC! /7 Vf4LV�3' 7-,, `/ his CO 47.4'J y,�r✓ LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? MA's n No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? es nNo (it has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) MisrepreseZtions* this application will constitute just cause for removal of an appointee. If you fail to g6ber afhe "'stions, Council may not consider your application. plicaTon � 12 ' t.2 � v LL --� v ..s a n N Page 2 of 7 CD o r GU • °- ^Tr ®i�� LLJ a BOARD, COMMISSION AND COMMITTEES �" �y : BUSINESS LISTING _"'r a rd CITY OF IOWA CITY Nameof m � ca Board /Cogs iss!QCommittee p;,i� Date IV N Name lcy 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 busir}ess. Applicant Signatu Address s 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 Marian Karr From: Matthew J. Hayek <mhayek @hhbmlaw.com> Sent: Thursday, January 09, 2014 9:44 AM To: Marian Karr subject: FW: application for Charter Review Commission - - - -- Original Message---- - From: Larry Baker [mailto:flamingo @avalon.net] Sent: Thursday, January 09, 2014 9:41 AM To: Matthew J. Hayek; James Throgmorton; Richard Dobyns; michelle -payne @iowa - city.org Subject: application for Charter Review Commission Hi everybody, Just submitted my application for the Charter Review Commission. I'd appreciate your consideration. Thanks, Larry Baker vlty vN ovwwa vity �� i Advisory Board /Commission /Committee kr,`� Application Form CITY OF IOWA CITY ,S APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLI, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name L Ln + (- R .y i e U) Term N NAME RC, 1 � T \Iaf). HOME ADDRESS 23a6) E . Cou r -- <3+v Is your home address (listed above) within the corporate limits of Iowa City? ® Yes 1:1 No How long have you been a resident of Iowa City? 30 Loaf S Gender: Male [a Female OCCUPATION �e�nSot1 C ©� tl Defyi -so EMPLOYER J o so n C_ou rte-. PHONE NUMBER: HOME 35L4 —71 q BUSINESS 3C5 to --(000 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: OF rn U n 1 c pal 9 over()me1r\+ QrAc g- s` ,mangy forms_ i n &,8c i 1 o n 4-o too f k ► na n 3ove- n me,4 , s p� r-� c� r�'lan hov r5 fe a ng cODo o - 9oJer n rner+o� s-- r-oc -I ofe5 4 Fond -►onS e I love .ULOQ 0.nc woff v M6 +o w .rl +o +v f 1 ve e "'1HAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I ��v2 �o 110 LJed e-06\ of 4-ke pas+ 4,oO Ckar-ter ReUiewls \j P-%- do Se` rL ctm verb f o m i � i ar- Lo i -E f S �-r uc+o re- o r J Fu n��'(' of7 o v c-v Nervy WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? Know JOLOO. C►-+- j o nc i -S C 1 1� n t'��. �x� t % we- U d �- kncu) Iohoj- does o.n8 �oQs nod LilorK -to loco-1 goUernm -W+. 1- am noi- g o i n� are r,J ln�re , 50 =C W i 1( I i ve W N+% -f i le- re's v LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest Norp, IF YOU A OT3SE @' TED, DO YOU WANT TO BE NOTIFIED? U Yes R No DO YOU ��REN�TLRVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RYes ®No (It has be e�iunci-oliayQAbt to permit an individual to serve on two Boards or Commissions at the same time.) Misrepk6ent Blns"o this application will constitute just cause for removal of an appointee. If you fail to answer all tR questions, Council may not consider your application. General Application I- - - - - - - ^^A , o,,.... � -4 BOARD, COMMISSION AND COMMITTEES e ` BUSINESS LISTING _ CITY OF IOWA CITY .dame of City Board /Commission /Committee c h og fA-P— f Rle,U i 2u) Date 1— 13 — 1 q Name Prt4 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 business. Applicant Signature_ CE Address a X �p Misrep�ntaPons� his application will constitute just cause for removal of an appointee. If yo]fai]l to ans r r all tQ@ gtmabons, Council may not consider your application. a General Application -- - -. - - - AAA City of Iowa City r i Advisory Board /Commission /Committee; ' ARSON Application Form -�-� CITY OF IOWA CITY THIS APPLICATION IS k 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 Charter review commision Term 2014 NAME ScotfMcDonough HOME ADDRESS 10 Bella Vista Place 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? 7 years Gender: Male Q Female OCCUPATION contractor EMPLOYER McDonough Structures PHONE NUMBER: HOME 319 - 631 -0405 BUSINESS 319 - 512 -6491 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: currently on: the Board of Appeals, Habitat for Humanity Board, Englert Board of directors. I am currently DIled in the Chamber's community leadership program. /HAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? of this is per the phone conversation I had with Marian Karr. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? I feel I have good common sense, and can get along with various types of people even if we disagree on issues. selfish reason for applying is curiosity. I enjoy learning about Iowa City and it's history. information p £� 1 IF YOU A NOT SECj :rED, DO YOU WANT TO BE NOTIFIED? Q✓ Yes � No DO YOU i4REWL -MRVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? R✓ Yes F-JNo (It has beeCounCltpo@*t to permit an individual to serve on two Boards or Commissions at the same time.) 0 Misrepresentgons 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 January 2014 Page 2 of 7 _ I r 1 BOARD, COMMISSION AND COMMITTEES � i0 0- BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee Charter review commision Date 01/13/2014 Name Scott McDonough 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 McDonough Structures 340 Highland Ave. Iowa City, IA 52240 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signgi re Address Mis eserlteti �n this application will constitute just cause for removal of an appointee. If you fail to aewer aijhe- stions, Council may not consider your application. C) General Application January 2014 Page 3 of 7 City of Iowa City _ J r Advisory Board /Commission /Committee It. h 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 Charter Review Commission Term 2014 NAME Paul Burns HOME ADDRESS 425 Beldon Ave., Iowa City, IA 52246 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? 19 years Gender: Male ✓0 Female OCCUPATION Attorney EMPLOYER Bradley & Riley PC PHONE NUMBER: HOME 319 - 331 -9431 BUSINESS 319- 466 -1511 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: My legal experience should be helpful on this important commission. My legal practice has included representation of public entities, including cities, as well as representation of individuals and media groups with interests opposed to public entities, and has encompassed issues ranging from open records and meetings law, land use and zoning, election law, and constitutional claims. I have been active in civic groups (e.g., Noon Rotary, Red Cross) and have served in various capacities with local non - profits (e.g., Englert Theatre Board, Past President, Mission Creek Festival, cFree Wireless Project) and state and local bar associations (Past- chair, ISBA Federal Practice Comm). WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? am familiar with the terms of the current charter, the purpose of the ten -year review process, and the history of mendments recommended by past charter commissions. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? My contributions would include legal expertise and a solid understanding of Iowa City's political and cultural institutions based on a long tenure in Iowa City. I have experienced Iowa City as a student (1993 UI law grad) and for the last 16 years as a resident and business owner, raising a family (two daughters in the ICCSD) with my wife Joan. I have been a close observer of local government and an active participant in the democractic process throughout. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest N/A IF YOU ARE Ndr SEL�FCTED, DO YOU WANT TO BE NOTIFIED? 7 Yes ❑ No DO Yr URk19NJk�§ERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes QNo (It has 5epi Coil @R not to permit an individual to serve on two Boards or Commissions at the same time.) Misre resEWati5t`ICbn this application will constitute just cause for removal of an appointee. If you fail to :mower gth stions, Council may not consider your application. veneral AppllcAtlon b January 2014 ° Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Paul Burns CITY OF IOWA CITY Date 01/11/2014 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 Bradley & Riley PC 1 One South Gilbert St., Iowa City, IA NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional busingss. Applicant Signatu Address 425 Edon Ave., Iowa City, IA 52246 Mi resentatipy4"on this application will constitute just cause for removal of an appointee. If you fail to a rarer a the,,gFxstions, Council may not consider your application. General Applicoon January 2014 " Page 3 of 7 City of Iowa City I r i Advisory Board /Commission /Committee' SIN A4 Tqk pplication 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 c/)/-)i-!1 i L-f,- Term Z701'f NAME Rob c '. /46 bf HOME ADDRESS /M (f 6ou r2 Sr. Is your home address (listed above) within the corporate limits of Iowa City? [N'Yes F-] No How long have you been a resident of Iowa City? 61A.)CE 19'66- Gender: Male © Female OCCUPATION rloo c -c4 EMPLOYER A'� PHONE NUMBER: HOME .3/F - 3-1--1 - c/0-G-6 BUSINESS 411V EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: �iJ ;1IUs'/'T�iLdCeS �.ifJcu �2.UgrL�aTZs �;tid ,y'J�J�G�s. VHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? 6Js�vE eX�oc--Alex) ej GJi t ;,Z4 t.vr i2 sT AVti P12.�UJ0US LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest A41E., &F Z min A� rz!. . � I �r IF YOU ARE ROT S&Eq-: D, DO YOU WANT TO BE NOTIFIED? N Yes n No DO YOU CU EWVe( ,%kk ON ANOTHER IOWA CITY BOARD OR COMMISSION? []Yes ®No (It has been (scil policy 0o permit an individual to serve on two Boards or Commissions at the same time.) Misreprewmtatiobg oh-tQs application will constitute just cause for removal of an appointee. If you fail to answeIJ thew, Council may not consider your application. General Application N January 2014 Page 2 of 7 T/Z u c 7-u , E 4Ara Cope g,4 aw &4 �ocvr� G'uy `s L� i ry C-v r ae�2�r�z�x�7 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? 6Js�vE eX�oc--Alex) ej GJi t ;,Z4 t.vr i2 sT AVti P12.�UJ0US LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest A41E., &F Z min A� rz!. . � I �r IF YOU ARE ROT S&Eq-: D, DO YOU WANT TO BE NOTIFIED? N Yes n No DO YOU CU EWVe( ,%kk ON ANOTHER IOWA CITY BOARD OR COMMISSION? []Yes ®No (It has been (scil policy 0o permit an individual to serve on two Boards or Commissions at the same time.) Misreprewmtatiobg oh-tQs application will constitute just cause for removal of an appointee. If you fail to answeIJ thew, Council may not consider your application. General Application N January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Name Abc-o-v A '—Ma 4 =".G21,26NPf "4 �mI - ".as._ CITY OF IOWA CITY Date /- -'10 i y 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 CD N I Q� � cq- CIO 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 A08 l)z'uc-- �-9 7, , _OWAVG r r /, � /� 5 1 d Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application January 2014 Page 3 of 7 Member of boards or otherwise actively involved with: Boy Scouts of America Citizens for the Future of Iowa City Ecumenical Housing Corporation Iowa City Area Chamber of Commerce Iowa City City Council Iowa City Planning & Community Development Commission Johnson County Community Foundation Johnson County Criminal Justice Committee United Way of Johnson County University of Iowa Center on Aging's Lifetime Enrichment Adult Program (LEAP) Iowa City resident 49 years. During that time, employment included the following: Iowa City Press - Citizen (sports, 3years) ACT (public & employee relations, 10 years; human resources, 20 years) University of Iowa (career management consultant, 2 years) N ... rn W � C �1 a Y E; r C) 4.n City of Iowa City r Advisory Board /Commission /Committee J;'� 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 Charter Review Commission Term 4/1/14 - 4/1/15 NAME Nikki Herbst HOME ADDRESS 1007 Briar Drive, Iowa City, IA 52240 Is your home address (listed above) within the corporate limits of Iowa City? 7 Yes F] No How long have you been a resident of Iowa City? 20 years Gender: Male 11 FemaleQ OCCUPATION Editor /writer (retired) EMPLOYER Self .PHONE NUMBER: HOME 319 354 -8981 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: With over 20 years as an editor of scientific journal papers and many years as a college teacher, I have skills in examining language and in writing that could be useful in the Commission's work. I hope that my life experiences and intelligence encourage critical thinking and a predisposition toward keeping an open mind, proceeding with fairness, and accomplishing tasks. I have a long history of volunteerism. As examples, I have volunteered at Macbride Raptor Project for 20 years and am a member of the Johnson County DogPAC Board. I am a member of several national -level task forces and committees of the Country Dance and Song Society. NHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? My understanding is that the board will examine the existing City Charter and recommend, in a report presented to the City Council, any charter amendments that it feels are needed. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I like Iowa City and care about its future course. Examining the City Charter periodically is prudent, and if the charter needs to be amended, I feel I could participate actively in discussions about what might be best for the city and assist) in expressing the commission's recommendations clearly. I am well versed in the use of many types of technology and am organized, energetic, and, I hope, a good communicator. 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 r_1 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F]Yes W]No (It has been CouncciTpolic mot to permit an individual to serve on two Boards or Commissions at the same time.) Misrge ntons. this application will constitute just cause for removal of an appointee. If you fail to an all A;e cPWions, Council may not consider your application. General Micatim E--< January �C) Page 2 of 7 � r BOARD, COMMISSION AND COMMITTEES, BUSINESS LISTING CITY OF IOWA CITY Name of City Board /Commission /Committee Charter Review Commission Date 01/21/2014 Name Nikki Herbst 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 N O -r N .. NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an Applicant Signatur Address 1007 Briar Drive, Iowa City, 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 January 2014 Page 3 of 7 City of Iowa City r i Advisory Board /Commission /Committee It -Ma'�'I"t Application Form CITY 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 C ha y � y &lie Co on of i55'i_ATerm �"% "t� ' i " NAME 04 rl,5 C6 i f Z5 HOME ADDRESS %00 Deer,P i e- ld 721-1 i6e- Is your home address (listed above) within the corporate limits of Iowa City? 5' Yes ❑ No How long have you been a resident of Iowa City? 32- Very Gender: Male �Female� OCCUPATION Vetl VM OkAY -E PHONE NUMBER: HOME 3-5;- (F(' 3- EMPLOYER BUSINESS �- FYPFRIFNCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: A4.v'.Z s�w i, Ttti✓ Boar o'F AlljiLKy."�I, eltt Y fhe ppaSt li t/.C4V5 11KA 6"AtINKe- % r'S � I i �zt Wuz i �gi %1 JT ikjff eev-ta i n i " ��trl' Si YG9 Ct c� kir'LS G111d �" �,,,�±i ++ 1 1 / L tvhelled cif f � �© ` trrY � �1 N'r Ye Y19 1'• �'t7� +y 1"r -kiv -j also ghf(�S A -"e- A, devo�� f a ���� in� jn r �c �► a✓�.ol � c� , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? q-vsy- y /0 L/ep ri A �liSrCrSt i G5s'�% C%a_v�� es �5 et�r rr'fy o1�t1' yt- 1re*�"s �� "atS e,�wld e�c +ue.�e ap,rze.'f ��Yh'� -�d+'� / ��•d e�ee�o� ��tcuf� �1 � `hcj��� l hef�►er ryvi uun�i I eh A e,+ -wry basi> ©r �� S �n�t(le�' .ia► tai i1 o0y, 5 V i„ rf5 4'` { i t, tcs %l �Y SCttL d �t i� C�CtYt G f �Y a110;,ri�►� 1ii�1� + 7v5iAh ins t�► `fit L /fiero ti cati � %u-544, �;- 5; -w % 7;1;r,- a h exeelic;4 -a -► ^T�t, i -, YsV-e fian�ol G i� WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? c�pp1�a r �c5� f"ciru i ► k er' tv i s'on /9 !i'e-c� �� c' e r.o'e i VxV01 '�ztF' i;► city ©ire rc1 �l Cc`'ty tt qr C)ce %) ✓� �r �..th ItQ 40 LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict-*Mte%t F- M 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? 1XIYes [:]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) _ _� - .. - ---, , —, '--­- w.,,­ , 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. I eneral Application January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I i ::�mllr CITY OF IOWA CITY Name of City / Board /Commission /Committee r-h Rev; e-W 6"O PK lSSiylll Date Name 6:41e lamy- i 5-� 1 IICS' ► 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 D A/ NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. /j Applicant Signature Address 102-o 12,ee W, - /e lG� �'lirsz�a c� 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. Jeneral Application January 2014 Page 3 of 7 City of Iowa City Advisory Board /Commission /Committee Xpplication 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 Charter Commission Term 1 year NAME Mark E. Schantz HOMEADDRESS 526 Larch Lane. Iowa City 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? last 21 yrs;34total Gender: Male x FemaleFl OCCUPATION Arbitration, Emeritus Professor EMPLOYER self PHONE NUMBER: HOME 319.339.7419 BUSINESS 319.335.9169 (assistant's 4/) EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: In my more than 40 years of practicing and teaching law, a large proportion of the work has involved "public" law, the law involving governments at all levels: the United States and Iowa Constitutions, state and federal statutes, municipal ordinances and University rules. It has involved both challenging and supporting the lawfulness of government actions and it has involved a great deal of rule and policy development or revision, usually in collaboration with a variety of stakeholders. My CV is posted at the UI College -%f Law website: Faculty /Emeritus Faculty. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am generally familiar with the City Charter and the function of this Commission, which only occurs once a decade. I also have some knowledge of the original Charter Commission, on which I recall my friend and colleague David Baldus played an active role. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? -- Knowledge concerning the workings of government at several levels -- Experience in governmental policy development and revision -- Skills in facilitating group decision making - -An open mind LIST POTENTIAL qRNFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest 6f! ax W_a IF YOU A OlMEL gED, DO YOU WANT TO BE NOTIFIED? []Yes Fx No DO YOU MREk7LY RVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F Yes [K]No (It has beeMuncDioIiWP9t to permit an individual to serve on two Boards or Commissions at the same time.) MisrepresentdMi ns 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 January 2014 Page 2 of 7 � r BOARD, COMMISSION AND COMMITTEES *Jqap BUSINESS LISTING -^-�- CITY OF IOWA CITY Name of City Cf�G r Jan Cgs, &" W0. Date ,O /I/�' Board /Commissiion /Committee Name 0104 - r . Q401*Js Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, 362 5 sbattached a city Board or Commission from having an interest in a city pY (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. NOTE: A new%rm must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature Address ,�26 R ✓Gli LQ 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 Page 3 of 7 January 2014 City of Iowa City r Advisory Board /Commission /Committee.. ,.,,W,�,�� 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 Charter Review Commission Term 2014 -15 NAME Brian D. Richman HOME ADDRESS 20 Ashwood Drive Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? 12 years Z Yes E] No Gender: Male Q Female OCCUPATION faculty EMPLOYER University of Iowa PHONE NUMBER: HOME 319- 339 -4300 BUSINESS 319 - 335 -0853 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I served for six years (2004 -2010) on the City's Housing and Community Development Commission, including two as chairman. During that time, I worked diligently to build consensus among board members, city staff from various departments, local nonprofits and members of the public. In addition, before moving to Iowa in 2001, 1 spent 12 years as a public finance investment banker and advisor, working with dozens of state and municipal governments and agencies. As a result, I am familiar with the benefits and challenges associated with a variety of governmental + electoral formats and have a deep knowledge of municipal finances. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The Charter Commission is responsible for a decennial review of the City's charter. TheE§ommMion's one -year mandate is to examine all aspects of city government delineated in the charter, conduct rc "etinM solicit input from the citizens of Iowa City and make recommendations to the City Council. M WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOKAFt -rYI U) r In the 12+ years that I have resided in Iowa City, the city's government has been, in many ways, a model of effectiveness. As Iowa City becomes larger and more diverse, it faces new challenges, and I would like to help ensure that the city positions itself to continue to perform at a high level and to represent the needs and goals of the citizenry. I can also offer insight on how proposed charter changes might affect city finances, credit ratings, etc. 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? Z Yes 0 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION. Yes �No ,141 G,,..,., r ^i inr•il nnliny 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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Brian D. Richman � r CITY OF IOWA CITY Date 01/29/2014 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 Iowa Wordwrights, LLC 20 Ashwood Drive, Iowa City C*) �- �- =a C-) ry 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 20 Ashwood 11 1 lisrepresentations on this application will constitute just cause for removal of an appointee. If yod' fail to answer all the questions, Council may not consider your application. General Application January 2014 Page 3 of 7 City of Iowa City I r I �._. ®fir Advisory Board /Commission /Committee` "''� .pplication 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 Charter Review Commission Term 2014 -15 NAME Andy Chappell HOME ADDRESS 911 Rider Street 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? Nineteen years Gender: Male Q OCCUPATION Lawyer PHONE NUMBER: HOME 319.354.7073 Female EMPLOYER Johnson County Attorney's Office BUSINESS 319.339.6100 evnr-o!CK1trc eKininQ et-TiViTIFC WHICH YOU FEEL OUALIFY YOU FOR THIS POSITION: I served on the last Charter Review Commission (2004 -05). 1 am the current Chairperson of the Iowa City Housing and Community Development Commission. I have experience serving on several professional boards, committees and /or commissions, including but not limited to the Iowa Supreme Court Grievance Commission, the Iowa State Bar Association Iowa Jury Instructions Committee, and the ISBA Government Practice Section Counsel. I am a lawyer with experience representing a local governmental body. And I also have some teaching experience having taught isiness Law as an adjunct professor at Kirkwood Community College (Iowa City Campus) for several years. IAIUAr !e vn"D oQFCFHT KNnWI Fnrr- OF THIS ADVISORY BOARD? The Charter Review Commission is charged with conducting a decennial review of the Ic Cit hart d recommending to the City Council any charter amendments the Commission believes shbedopt , -•-- C-) M WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FO� APP NG ? I have a good understanding of the process the Commission will have to undergo and the document itself. As the lawyer for a local governmental body I work with representatives from other local governments and I understand how those governments function. I work well in small groups and can help build consensus among unique viewpoints. And I can conduct, or participate in, a meeting that incorporates public comment while completing the task at hand. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I represent Johnson County, Iowa, but can perceive of no potential conflicts arising between that work and serving on this Commission. 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? Q✓ Yes F�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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission � r . :ruts %� • r mom,1 Za, CITY OF IOWA CITY Date 01/28/2014 Name Andy Chappell 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 n/a Z5 n w 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 911 Rider Street 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 January 2014 Page 3 of 7 City of Iowa City r Advisory Board /Commission /Committee��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 Charter Review Commission Term Full NAME Charles Eastham HOME ADDRESS 37 Colwyn Ct. Is your home address (listed above) within the corporate limits of Iowa City? ✓7 Yes F� No How long have you been a resident of Iowa City? 40 years Gender: Male Z Female OCCUPATION Retired EMPLOYER Retired PHONE NUMBER: HOME (319) 541 -3972 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION- Planning and Zoning Commission(7 yrs.); The Housing Fellowship, Trustee; Consultation of Religious Communities, President; Center for Worker Justice, Board Member; Coalition for Racial Justice, steering committee member; FasTrac Advisory Board, Chair. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The charge to the Charter Review Commission is to review the City Charter and within twelve months recommend any charter amendments it may deem fit to the Council. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? As we undertake this periodic review of the basic principles and procedures which govern our community it is my hope that all people in Iowa City will be represented on the Charter Review Commission and in any recommendations the Commission may bring to the Council. I believe my experience with groups composed of all races and ethnicities will add to that representation. L101 rU 1 M 1 tAL WNFut; 15 Uf- INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ANOE6TED, DO YOU WANT TO BE NOTIFIED? Yes No DO YOU J RE4TL�1iRVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? W]Yes ONo (It has been ( uncs oli �t to permit an individual to serve on two Boards or Commissions at the same time.) Misre Lssent *nEtg his application will constitute just cause for removal of an appointee. If you fail to answer all the queft ons, Council may not consider your application. General Application January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Charles Eastham CITY OF IOWA CITY Date 01/29/2014 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 rw , rt) ry NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional busine s Applicant Signature Address 37 Colwyn Ct. 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 January 2014 Page 3 of 7 City of Iowa City 1 oar Advisory Board /Commission /Committee MAW Advisory .pplication 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 F�eu;ccw ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name t-� Term NAME I/Qmdqf-U oe4� HOME ADDRESS a �Q T CL h- pr- Is your home address (listed above) within the corporate limits of Iowa City? V1 Yes [] No How long have you been a resident of Iowa City? Gender: Male[-] FemaleQ OCCUPATION &Lyle-A • EMPLOYER PHONE NUMBER: HOME, /9 6R7.- BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: s � �. ���� 0& � � t mob �~ D �b© S Lp0YA ('S!Dxs d p re ss -fit :e+YL —�Ee?r yn 'M��r a+WQ p f G r- C o Nc'2, WW AT Ic vni IR PRFSFNT KNOWLEDGE OF THIS ADVISORY BOARD? -1L'( ,S Is I E: �eAA PC �` r �v e td `� to 661L1L Q qL 14e- r �o Zee 1 , r�P�5hei 4)ay� fs r Dr'`sZS ® 1�5 �7Li�G�Y1S� q p q WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAP_PLYI ' ? t-- 1 / :*Ir� L y c) «� rc)6 wig r�/ 2�l ers -, - ov� ' � er- � ter' &04 w - LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding ConflicBVInteMt CD cri IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Z] Yes R 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 ► r 1 CITY OF IOWA CITY Name of City Board /Commission /Committee Aa r` te / e Pe ew Date Name I Dee V .c erkne t , Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, 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 c? cw rZ NOTE: A new form must be comp acquired in an additional busin Applicant Signature Address CD if the above information changes or an anerslug interest is 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 i Advisory Board/Commission/Committee.;' pplication 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 Charter Review Commission Term 1 Year NAME Linda Schreiber HOME ADDRESS 45 Sumac Court Is your home address (listed above) within the corporate limits of Iowa City? 7 Yes [—] No How long have you been a resident of Iowa City? 15 months Gender: Male El FemaleQ OCCUPATION citizen -volunteer EMPLOYER retired PHONE NUMBER: HOME 319 - 936 -8600 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have enjoyed a long career in Johnson County in the public and private sectors as an administrator and journalist/writer (Iowa City, Clear Creek Amana Community School, The Gazette, UI Foundation and Iowa City Area Development Group). And I have served on numerous boards and committees including Iowa City Downtown District, Clear Creek Amana Community School Board, Project GREEN Steering Committee and PTDN (Professional and Technical Diversity Network (now defunct) and many others. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Every 10 years, since adoption in 1973, elected city officials appoint representatives to review the city's charter and make recommendations regarding the city's policy and practices. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REA5UN FUKAPPLYR-Wa-)! I am interested in Iowa City's future, making information accessible and interesting for the public, ail haveeaa strong interest in collaboration. LI5 L PV I tN I IAL UUNI-LIG I, Ur IN I CKC, I. bee page -I ror rnrormamm re arum a.vnuw n� a� See attachment regarding affiliations. co IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes 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. General Application January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Linda Schreiber P �s CITY OF IOWA CITY Date 02/03/2014 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 C) -� zt NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. n It Applicant Signature Address 45 Sumac Court 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 January 2014 Page 3 of 7 Linda Schreiber - Charter Review Commission Application List possible conflicts of interest: Community Foundation of Johnson County (Publicity / website / community fund grant) Iowa Women's Leadership Conference (exhibit committee chair) Downtown District Plant Project (volunteer coordinates efforts with city staff) Iowa City Downtown District (committee assignments: projects / membership) Project GREEN (publicity) League of Women Voters (nominating committee) Englert (volunteer) Master Gardeners of Johnson County (newsletter/ calendar) Johnson County Democrats Committee on Committees (arrangements) ZTE S_ Y$ _ <r r,ri 3 -, Charter Review Commission February 3, 2014 N .C" rn r� •i. T =11, CO City of Iowa City 'Xdvisory Board /Commission /Committee;�'� ..m .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 Charter Review Commission Term 2014 -2015 NAME Adam B Sullivan HOME ADDRESS 311 S. Lucas Street Is your home address (listed above) within the corporate limits of Iowa City? 0 Yes ❑ No How long have you been a resident of Iowa City? 22 years Gender: Male F✓ Female OCCUPATION Nonprofit administrator EMPLOYER Crisis Center of Johnson County PHONE NUMBER: HOME 319.430.7882 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I'm a long -time Iowa City resident with an active background in the community. I worked as a journalist for about five ears, covering Iowa City government, other local governments, state politics, and education. In addition to my professional work, I've been an engaged community member through attending public events, volunteering, and closely following local politics. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? a read and I understand the city charter, including the section establishing the charter review commission. I've ad minutes from some previous charter review commission meetings, so I understand the process and the scope the work. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? have a strong grasp of how Iowa City government operates. I also understand the community's uniquely engaged citizenry and the need to make careful decisions which balance a wide range of interests. This commission will benefit from a variety viewpoints and I hope to offer the perspective of a young professional. Commission members should understand the city is well managed and the form of government is effective. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest My current emplo , The Crisis Center of Johnson County, receives aid to agencies funding and has previously received c muni� deve ment block grant funding. I own a small number of shares of Gannett, which owns the Press -Cit , whi�b re Eps some. advertising revenue from the city. IF YOU A NO' TED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes No DO YOU RREINTU*i ERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? [:]Yes Q✓ No "+ has be CounW p0goot to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresenions 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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Adam B Sullivan � r CITY OF IOWA CITY Date 01/31/2014 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 362.6 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 one CY5 "s 8 �� R.- G.7 NOTE: A new form must be acquired in an additional bu Applicant Signature, Address 311 S. Lucas Street 'a if the above information changes or an ownership interest is 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 January 2014 Page 3 of 7 City of Iowa City 1 r I Advisory Board /Commission /Committee k ~I or, Kh ' Form �-AZW- -pplication 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 9`E' ViC� Term U,4, )4 -� NAME'�Ll /�21.w G� HOME ADDRESS Is your home address (listed above) within the corporate limits of Iowa City? 0 Yes [-] No How long have you been a resident of Iowa City? 2.9 t,/ -e- vu Gender: Male Q Female OCCUPATION IU- 1 i2e7 0 PHONE NUMBER: HOME EMPLOYER 19-C= t < !,574-f 1 - U �5 o-7 q BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: �r� o 0'/ rri ,-: M WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? o WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING ? 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? R)( Yes F-1 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F]Yes FNo (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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING � r - ^a.aa_ CITY OF IOWA CITY Name of City ,'//�� - Board /Commission /Committee � '�- Y(� �t4uf' 6M,,� Date Name 'Y /Ll /I y 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 Olt/& CD 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 Y! (o L s 1-1 z1 S 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 January 2014 Page 3 of 7 Z I I 4 �.ty 7w d-" + �t Pte- Alt- 0 / O J -- -0 �m (2Dr,a� X- c cn _, (D-3 2- ol '7 N C9 ,`. City of Iowa City _ I, r 1 Advisory Board /Commission /Committee �.pplication 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 Charter Review Commission Term 4/2014- 4/2015 NAME Karrie Craig HOME ADDRESS 2415 Mayfield Road Is your home address (listed above) within the corporate limits of Iowa City? Ft/ Yes[] No How long have you been a resident of Iowa City? 18 years Gender: Male r_� Female ✓0 OCCUPATION community volunteer and mother EMPLOYER none PHONE NUMBER: HOME 319- 339 -9403 BUSINESS cell 319-331-6816 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have been a community volunteer with local & county -wide agencies including United Way, ICCSD, Project GREEN, ToGather Together and the Free Lunch Program. I lived in Iowa City from 1981 -1989 as a teenager and young adult and moved back to Iowa City in 2004 as an adult and a parent. I have experienced the Iowa City community in a variety of life stages. I have a PhD in Behavioral Medicine and will be able to make considered and thoughtful decisions. I have also been a part of city level politics by serving on various election campaigns and )mmittees. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have reviewed the documents at icgov.org pertaining to the Iowa City Charter and the Charter Review Commission. I have read the 2004 Iowa City Charter Review Commission documents and the 2011 Cedar Rapids Charter Review Commission's agendas and minutes online. I feel that I understand the tasks associated with this commission. CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPL feel I can bring the perspective of a community member that is an active volunteer with a ty RgroupT`'1nd people throughout the Iowa City area and has an enthusiastic interest in Iowa City. �'�' CS7° --i c-) LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflictnfint@*st ne. N w IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Qi/ Yes FJ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? R Yes Q✓ 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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Karrie Craig � r CITY OF IOWA CITY Date 02/06/2014 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 0 rK, rn -.i c-), . ry 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 2415 Road 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 January 2014 Page 3 of 7 City of Iowa City _ i r 1 Advisory Board/Commission/Committee' I% tamp Application Form -ti-AfiL_- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBL 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 Charter Review Commision Term 2014 -2015 NAME Melvin O. Shaw HOME ADDRESS 1034 Chamberlain Dr. Iowa City 52240 Is your home address (listed above) within the corporate limits of Iowa City? ❑✓ Yes F-1 No How long have you been a resident of Iowa City? 20 Gender: Male Q✓ Female OCCUPATION Attorney EMPLOYER The Law office of Melvin o. Shaw, PLC PHONE NUMBER: HOME (319) 430 -3434 BUSINESS (319) 337 -7429 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: -B.A. Political Science, Univ. of Missouri - Columbia; - Regularly review state statues, rules, and some municipal ordinances as part of the practice of law; -Work collaboratively with large, small, formal and informal groups: Member, Board of Directors, The Housing Fellowship; Member, Board of Directors, Systems Unlimited, Inc., Steward, Bethel A.M.E. Church; Member, Johnson County Community Foundation Grant Review Committee (2013); Precinct captain and volunteer various political campaigns 2004 -2008 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Information about the scope and purpose of the Review Comission has been provided to me by city residents, Bob Elliott and Tom Balmer. I obtained other information that has been made public by the City of Iowa City. My understanding is the Review Commission will review the City Charter, gather information from various sources and persons, and will make independent, written recommendations as to the efficacy of the present charter. I further understand that the Review Commission should be diverse with regard to viewpoint and experiences. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? I am skilled at analyzing and ascertaining relevant facts, and interviewing persons for subject matter purposes and consensus building. I tend to view problems from a top -level perspective and gather information from various sources and persons as necessary to solve a particular problem or to resolve a matter. I enjoy public service, and I expect that I would employ my personal and professional skills to meet the purpose of the Review Commission. LIST P-QTENTI&L CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest Non k n P- cx- --� r=) r IF YO ME PDT ECTED, DO YOU WANT TO BE NOTIFIED? ❑ Yes No DO Y6�UFtZENT � SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes ❑✓ Nc (It has been CcF4cil 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 January 2014 Page 2 of 7 � r 1 BOARD, COMMISSION AND COMMITTEES ° h ^ rrr � I BUSINESS LISTING �,Mh&- CITY OF IOWA CITY Name of City Board /Commission /Committee Charter Review Commision Date 02/08/2014 Name Melvin O. Shaw 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 The Law Office of Melvin O. Shaw, PLC 1295 Jordan Street, Suite 2, P.O. Box 815 North Liberty, Iowa 52317 (Temporary-March 2014) 1303 5th Street, Suite 104 -B Coralville, Iowa 52241 (Permanent -March 2014) Renewal Skin & Body Center, LLC 347 East Court Street, Iowa City 52245 N c>-< — R --� C'a tl r-- NOTE: A new form must be completed if the above information changes orwrrshiterest is acquired in an addi)jonal busines R Applicant Signature Address 1034 Chamberlain Dr. Iowa City 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 January 2014 Page 3 of 7 City of Iowa City r 1 Advisory Board /Commission /Committee Application Form -�f-- 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 Charter Review Commission Term 4/1/14 - 4/1/15 NAME Anna Moyers Stone HOME ADDRESS 920 River Street, Iowa City, Iowa 52246 Is your home address (listed above) within the corporate limits of Iowa City? ✓Z Yes ❑ No How long have you been a resident of Iowa City? 33 years Gender: Male ❑ Female0 OCCUPATION Trust Officer PHONE NUMBER: HOME 319 - 338 -2293 EMPLOYER MidWestOne Bank BUSINESS 319 - 356 -5937 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: After graduation from law school, I practiced law in Iowa City for six and a half years. Although my work at the law firm was not necessarily tied to City government, it did give me an opportunity to learn about and become involved in various municipal matters. Since then I have joined the Trust Department at MidWestOne Bank. In both my work as an attorney and as a Trust Officer, I have analyzed and examined complex texts, such as statutes, ordinances, and the like. During this time I have also volunteered for a number of non - profit organizations in the Iowa City area, 'ncluding the Englert Theatre and the Chamber of Commerce. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? It is my understanding that the Charter Review Commission is appointed by the City Council every ten years to review the City's Charter. The Charter sets forth how the City is run and its basic form of government. The Commission then is to take a critical look at the terms of the Charter and make recommendations to the Council as to whether any changes are advisable concerning the structure of our government. I should note that I have not served on this, or any other, City Commission before, and do not have any preconceived notions on how the Charter or the Commission should work. I anticipate a robust discussion of the issues and look forward to participating in that. WHAT CONTRIBUTIONS CAN YOU MAKE TO REASON FORAPPLYI I am a lifelong resident of Iowa City, and I believe that my background adds a different perspective. While I am sure that I can't be the only applicant for this Commission with a law degree, I may be one of the few younger women. I care about our community, and have experience in difficult problem - solving and teamwork. After owing up here, I would like to be a part of making the City better and think that this Commission uses my sills in tlrbest manner. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Confl§ bf Intefbst '_, None �- M IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes` N�j¢t DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? nC] 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. General Application January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Anna Moyers Stone INk ''w' ®��� CITY OF IOWA CITY Date 02/10/2014 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 Simmons Perrine Moyer Bergman PLC 115 3rd Street SE, Suite 1200, Cedar Rapids, Iowa (my husband is a member of the law firm listed above) ry 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 920 River Street, Iowa City, Iowa 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. I General Application January 2014 Page 3 of 7 City of Iowa City _ r 1 Advisory Board /Commission /Committee;�r • MA i Application Form - %du 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 City Charter Commission Term NAME Polly S Horton HOME ADDRESS 221 E College Street, Iowa City Is your home address (listed above) within the corporate limits of Iowa City? 7 Yes F] No How long have you been a resident of Iowa City? 14 years Gender: Male ❑ Femalez OCCUPATION retired teacher EMPLOYER CRCSD PHONE NUMBER: HOME 319- 621 -1685 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: president and current member League of Women Voters Johnson County WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? is formed every 10 years to examine city government WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? Interest in local government LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NQT SELTED, DO YOU WANT TO BE NOTIFIED? 0 Yes [:] No DO YO IRRZITff SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes WlNo (It has b ouncil pcQ ""-ot to permit an individual to serve on two Boards or Commissions at the same time.) Misre�sentoorthis application will constitute just cause for removal of an appointee. If you fail to an ier all a Cj @ions, Council may not consider your application. General Applicatim January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee City Charter Commission Name Polly S Horton � r �_..zzz t To CITY OF IOWA CITY Date 01/29/2014 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 a u3 Imo 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 221 E College Strei' Iowa 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 January 2014 Page 3 of 7 City of Iowa City r Advisory Board /Com miss ion /Committee; "r+r''1� Aaplication 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 jF�OR ANY VACANCY DURING THAT TIME. Advisory Board /Commission /Committee Name C ��r t� ° —(2 U (<2 I") Term NAME )oko ` 22(2+K HOME ADDRESS Is your home address (listed above) within the corporate limits of Iowa City ? ice No How long have you been a resident of Iowa City? (G y Gender Female OCCUPATION G I e r K__ EMPLOYER -/ (/\A s0', CG L 4 7 PHONE NUMBER. HOME'; I Gj <30 666 BUSINESS ­� Ig 6 9? g Io I EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ((� Yt'vJ �, t_9 xj?cfI(. ,,CC , 1\ Ivc,_ I t�,c�grAMeA �--- f e (eC4 -J S ✓di -7- p�eci, /, c+1- d I�,-r(c-1! (& ric-s n ,Z.vvlt WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? �- e i��o�,✓ +L.� i fi's f'c� c�� s� cal �Q M��rilr,�( ,r'�cr�.���AJ�, WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? P r$ Te'C'�`.Jc` e og c: 4 `1 a LIST POTENI.. C01fFIL& OF INTEREST. See page 1 for information regarding Conflict of Interest U. ca ea IF YOU ARE NOT 9E_EC-1*_D, DO YOU WANT TO BE NOTIFIED? �sr'� No DO YOU CURREN�1' 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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Name ( ) 0 1� �^ �1 (2 ) � � t � " 4 Mh i 4 44" CITY OF IOWA CITY Date 112 711 `�+- 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 -s.. ,.,, C,)-< -<r' WSW NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. g Applicant Si nature G fl e -2 V Address �; / � W "r) f c­ ') -z 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 January 2014 Page 3 of 7 (ohn Deeth Blog: Platform, John Deeth for Charter Review Commission Share 0 More Next Blog» Thursday, January 09, 2014 http : / /jdeeth.blogspot.com/2014 /01 /platform john - deeth- for - charter -re... Platform, John Deeth for Charter Review Commission The Iowa City City Council (I hate the redundant City) has completed a mandatory decennial duty and established a commission for the review of the city's home rule charter. They're taking applications and will appoint the members, and I am, no joke, applying. I bring a long resume of government and political experience... but I also bring a lot of baggage. So I'm I'm taking my campaign over the heads of the seven members, two of whom I'm actually on speaking terms with, and taking my message directly to You The People. The major flaw in Iowa City's government structure is the unrepresertative makeup of the city council - specifically, the lack of any voting representation for the student body in over 30 years. Compare that to the historic OVER - representation of downtown retail, and the inevitable impact on policy. Such as No Begging In Front Of Jewelry Stores. Middle -aged Mid - American middle managers taking one class aren't "students." I mean 19 year old undergrads in sweats and jeans. Unless they're a third of the votes at the table, their share of the population then the Iowa City council isn't representative. But, but "the students are orty here for four years." Maybe you hope there will be zero students in town in 2018, at least until you lose your job. Individuals may go but the student community is permanent. The Platform Directly elected mayor is so easy even council incumbent Jim Throgmorton backs it. But take it further. Make it full time and abolish city manager. Policy should be actively made by people who answer directly to voters, not passively rubber - stamped after it's been staff - crafted the way Iowa City has done it for decades. Elect the city attorney and chief of police like we elect the county attorney and sheriff. Put city clerk on the ballot too. Other than those executive jobs, no one should have to win city -wide to serve. Even someone as serious and well - financed as Raj Patel couldrit draw votes outside of mid -town in 2011, proving that the Love The Hawkeyes Hate The Students crowd simply wont vote for a student. All elections will be from precinct-size wards, with only ward residents voting. A larger council of two dozen will almost certainly have four or five student members from campus precincts, and more diversity elsewhere. To deal fairly with turnover within the student population, all council terms are two years. That also makes the council more immediately responsible to the electorate. All city offices will be on the general election ballot with governor and president. That catches stu derts, and other under - represented voters, at the moment of peak interest. Abandon the city clerk's anti - student petition policy of cross - checking signatures to make sure they are "qualified" electors. This policy ignores the 2007 election day voter registration law. Any US citizen of 'the legal age" - and Dr. Dobyns, the Constitution says that's 18 - without a felony is "qualified" to vote. Abolish the requirement that petitions cannot address issues of state and federal law. Maybe if the voters get to symbolically vent in a marijuana referendum, they'll feel better and be able to evaluate our court and jail needs and county attorney race on their own merits. I've just poured extra gasoline on the ashes of the bridges I long ago burned. So no illusions of 3 2216 days since Hillary Clinton has visited Iowa Tweets Follow Janelle Rettig 25m ` @JanelleRettig #EarnSuppert I'm ready for Democrats to come visit Iowa. When can we see Elizabeth Warren @SenWarren ? jdeeth. L- Iogspot.conY2014'Ot i soap -a... Retweeted by John Death Expand John Deeth th @johndeeth John Deeth Blog: Some Are Ready, Some Not jdeeth. L logspot. co n-V2014'01'son'n -a... Expand AJonathan Martin 10h @jmartNYT Subtext of this @PhilipRucker piece on Hillary /Iowa is IA Dems want her to come there, but do so in the Iowa Way eva sh ingto n posteo nYpo litics'h it la... Retweeted by John Deeth Show Summary John Deeth 11h __, @johndeeth Not quite Ready For Hillary. @janet4icwa: "You guys want a list Iowans want engagement" Tweet to @johndeeth Follow by Email Blog Archive (26) (26) ► (275) ► i _ (390) ► _: it (434) ► _01 D (430) ► 7 (529) ► GS (584) ► _0� T (767) ► - _ ;: _ (716) ► pis=: (1064) ► ::.._, (521) ► "`(; -3 (273) 1/27/2014 8:27 PM rr) °0pegte Blog Sign In 311 c—, W 2216 days since Hillary Clinton has visited Iowa Tweets Follow Janelle Rettig 25m ` @JanelleRettig #EarnSuppert I'm ready for Democrats to come visit Iowa. When can we see Elizabeth Warren @SenWarren ? jdeeth. L- Iogspot.conY2014'Ot i soap -a... Retweeted by John Death Expand John Deeth th @johndeeth John Deeth Blog: Some Are Ready, Some Not jdeeth. L logspot. co n-V2014'01'son'n -a... Expand AJonathan Martin 10h @jmartNYT Subtext of this @PhilipRucker piece on Hillary /Iowa is IA Dems want her to come there, but do so in the Iowa Way eva sh ingto n posteo nYpo litics'h it la... Retweeted by John Deeth Show Summary John Deeth 11h __, @johndeeth Not quite Ready For Hillary. @janet4icwa: "You guys want a list Iowans want engagement" Tweet to @johndeeth Follow by Email Blog Archive (26) (26) ► (275) ► i _ (390) ► _: it (434) ► _01 D (430) ► 7 (529) ► GS (584) ► _0� T (767) ► - _ ;: _ (716) ► pis=: (1064) ► ::.._, (521) ► "`(; -3 (273) 1/27/2014 8:27 PM fohn Deeth Blog: Platform, John Deeth for Charter Review Commission http: // jdeeth .blogspot.com /2014 /01 /platform john- deeth- for - charter -re... about my chances for the appointment. But forget me. I'm just another old straight white guy and we have plenty of representation already. Take my name off it and look at the ideas. Posted by ro at 1 N92014 04:20:00 AM 8,1 Recommend this on Google 3 comments: 0 Chris said Interesting proposals. I like the idea of timing council elections with statewide elections that have higher turnout It might lead to more partisan council elections, but rm not sure that that's a bad thing. I'm less crazy about electing by ward, since using single - member districts has its own problems, one of which is that they are so rnajoritarian -- a movement with 40% support spread citywide would get zero representation on the council. One possibility is to move toward a proportional representation system based on voter ranking of choices -- which might help student representation more than wards would (but which also has its challenges). Your description of the council rubber - stamping staff -made policy would sure seemto describe the ICCSD school board too. I'm curious whether you'd apply the same solution (if you could): elect the superintendent? Karla Smith said I favor all your ideas except the precinct city council lines. I would support a more *pod* like system with several (3 or so) precincts coming together to elect one council member. Would still have good representation of specific area concerns, and still increase size of council without having so many serving that nothing gets done. Fr:i John said Fair enough Karla, as long as only the district votes and the districts are small enough that at least one is student- majority. I' PM Links to this post Gi e rte a Link Can Church... Drink? churchcan.org/ Come explore relevant questions considering life and faith. Simple template. Powered by Blogger. :of 3 1/27/2014 8:27 PM 1`10 c� er Fa >t Home "k Subscribe to: R s mi t Coi„nents i�to D + Y - -- --- - - -- -- ubscriLe (Bloglines) Suhe.,. nb (FeedBIRZ) Simple template. Powered by Blogger. :of 3 1/27/2014 8:27 PM City of Iowa City ► ? i Advisory Board /Commission /Committee ipplication 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 Charter Review Commission Term 4- 2014 -4 -2015 NAME Karen Kubby HOME ADDRESS 1425 Ridge St. 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? 39 years OCCUPATION Art/Activist/Administrator PHONE NUMBER: HOME 319 338 -1321 Gender: Male ❑ Femalewl EMPLOYER Kubby Gyrls, Inc. BUSINESS 319 338 -1566 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: In 1983 and 1985, 1 was involved with referendum petitions that made it to the ballot. Since 1978, 1 have been a community activist who registered many people to vote. I served on the city council from 1989 to 2000 and served on the last City Charter Commission. I have a keen interest in the fair, transparent, and accessible workings of local government. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The Charter Review Commission is tasked with reviewing the entire Charter to see if any language or processes need to be updated due to changes in state law or local practice. The Commission will listen to community voices to see if any areas of the Charter are ripe for change based on a changing community and changing technologies. c-a CONTRIBUTIONS CAN YOU ADVISORY BOARD am a local government and non profit nerd who enjoys the tedious review of such fundarngFtty I de umeMhat create structure and function for important community organizations. w. N .7- 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? 7 Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? FYes 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 to answer all the questions, Council may not consider your application. General Application January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Karen Kub ' 1 1 CITY OF IOWA CITY Date 02/11/2014 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 Kubby Gyrls, Inc. dba Beadology Iowa 220 E. Washington St., Iowa City, IA 52240 Pottery and Beadwork by Karen Kubby 1425 Ridge St., Iowa City, IA 52240 r•r••j � n) NOTE: A new form must be completed if the above information changes or an bWnerswp interest is acquired in an additional business. Applicant Signature JCS Address 1425 Ridge St. 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 January 2014 Page 3 of 7 City of Iowa City r Advisory Board /Commission /Committee It- 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 Charter Review Commission Term 2014- Z-,_;15 NAME Rockne Cole HOME ADDRESS 1607 East Court Street 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? 1997 Gender: Male 0✓ FemaleE] OCCUPATION Lawyer EMPLOYER Cole & Vondra, PC PHONE NUMBER: HOME 319- 621 -6307 BUSINESS Legal EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have practiced law for the last 14 years. This has given me good problem solving, communication, and legal skills. All will be helpful in evaluating any changes to the City Charter. I have lived in the East Side for the last 14 years, and during that time, have met a wide variety of neighbors, business owners, artists, musicians and other residents. My wife worked at the New Pi Coop for 15 years, and for the Iowa City Public Library for the last three. My daughter, Nora, attends Longfellow Elementary. I have particularly strong ties to North and Near East Sides; however, I do have friends throughout Iowa City. If appointed, I feel that I will be represent a large cross - section of Iowa City. .., Ar fie. we% A \All Cnr_`C !lC TLJIC An1k1lcnw QnAOn7 This Commission convenes every 10 years to evaluate whether to modify the Iowa City CWTR, ai:2 if so,'u at modifications should occur. The Charter is our "constitution" governing how our city is run, - a7 if appoint will uphold the trust given to me by this Council. _j C-.' J r-ri "L7 `I WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING ? I am an excellent listener, and collaborator. I am frequently stopped in the street, or in coffee shops to discuss local issues. I believe that a large section of the community will feel that they can talk with me about their concerns, and I will try to ensure that their voices are heard. Every effective commission should represent a wide geographical, and cultural cross - section of Iowa City. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I have no pending financial interest against the City of Iowa City. I have filed an appeal relating to a zoning application; however, our organization is not seeking any financial compensation, and does not relate to charter. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes [Z]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same tir e.) 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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Rockne Cole � r i CITY OF IOWA CITY Date 02/11/2014 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 There are none. I do no business with city. o r� 4] n - -- u �� w i CA) ' w f� NOTE: A new form must be completed if the acquired in an additio ess. Applicant Signature, Address 1607 East Court Street ove information changes or an ownership interest is 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 January 2014 Page 3 of 7 City of Iowa City r Advisory Board /Commission /Committee' ' ®�•e 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 I AR. ,� C014P65/0W Term NAME I E'7� %� L� C� AI Lt i(!� HOME ADDRESS I QZ - � ,yUr S% 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? StNC6- x1769 ,p� Gender: Male 0 Female OCCUPATION I?e-7r�� EI afl� R t)A /tUE,PSiTk/ o F /, o WK -�q, PHONE NUMBER: HOME 4f BUSINESS ('AL0A)45) EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: pG6"4Si✓ �� A- -rr-*c.4(-- IAILI AT IC V/11 M n130C%= 1'r 1ldlf%IAII Cr%^ -C AC TLIIC A r11/I0%/Ar2V CA A 13r10 E3 X- WWI Ir%I IV I VV 1\ r1 \VVL�I^ \�1 VVV1.. yr III %A MVV1�7vI�1 wMlw: C �n%ll%.-rW^W pt�� -Sj es 771 wc,�' C7'� MJC`) O N tf'I WHAT GONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? PLcAg-6- lser&- . 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? �.1 Yes F-] 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 January 2014 Page 2 of 7 Experience and/or activities, which you feel qualify you for this position I have lived in Iowa City for more than 45 years and have been active in local politics for all of that time. This includes many appearances before the Council to offer my opinion regarding issues before the community; gathering signatures on petitions to influence public policy; attending meetings on local topics of interest, attending forums held for City Council candidates and voting in every City election since 1969. I also helped to have the present Charter changed to make the Citizens Police Review Board permanent and give it the power of subpoena; I have served on the JC Democratic Central Committee for several years as well as being twice on the Democratic Platform Committee; and I helped pass bond issues for building and funding the Iowa City public library. I have read the City Charter as it currently stands and understand its contents. What is your present knowledge of this advisory board? The Charter Commission meets every ten years to review and propose suggested changes to Iowa City's Home Rule Charter. Its recommendations are given to the City Council for adoption ov referral to the voters. What contributions can you make to this advisory boajd1 (reason for applying)? = Answered previously in the `Experience and /or Activities' section: I have been watching Iowa City for a long time and therefore have a perspective many do not. In addition, I take pride in arguing strongly for my position, but I also listen respectfully to others and am capable of changing my mind. BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee 01+aF - -F6-e 0-0,g1 1 CS 16 Name �D- i 6TFo LE, 0 AP-0L1/ N6- �Mi CITY OF IOWA CITY Date Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). List all businesses in which you, 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 E5 7I — 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 702 WkiLALI- 972 10 Y) - 0l = 522 -qO Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail Lo answer all the questions, Council may not consider your application. General Application January 2014 Page 3 of 7 City of Iowa City I, r 1 Advisory Board /Commission /Committee 4; ;�'� ..m A, � pplication 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 Charter Review Commission Term 12 months NAME Catharine (Cathy) Eisenhofer HOME ADDRESS 1721 Gryn Dr. Iowa City IA 52246 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? 40 years Gender: Male El Female F/ OCCUPATION Purchasing EMPLOYER PHONE NUMBER: HOME 319 -338 -7595 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ty of Iowa City employee for 25 years - Manager of Purchasing Iowa City Community Leadership Program ,gina School Board member parson Iowa City employee for 14 years - Director of Procurement o Pearson Wellness Committee - Pearson Blue Zone certfcation, United Way, etc .=- Organizational skills in project management, lean & change management ter WHAT IS YOUR PRESENT KNOWLEDGE OF THIS AUVI50KY 13OAKL)7 Cy _. liscussion of the advisory board with City Clerk and reviewed the Citizen's Guide to the 1 6 ity-ldome ,harter - December 2007 cit _WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I would like to get more engaged in the local community again and I think the Charter Review Commission could be that path. My years of work experience I believe will lend themselves to the upcoming review process. I look forward to your review and consideration for appplication. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for infonnation regarding Conflict of Interest None IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? rV1 Yes F 1 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? r Yes F✓ 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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Catharine (Cathy) Eisenhofer CITY OF IOWA CITY Date 02/11/2014 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 rn zr r= cn NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. , , _ n Applicant Signature, Address 1721 Gryn Dr. 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 January 2014 Page 3 of 7 City of Iowa City Advisory Board /commission /committee Application Form FILED t—Ir p m 7 -111 , CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUd014fgDq BEWPQy� 1T 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 CONSIDERMF'ft, ef9 'y� kCANCY DURING THAT TIME. fovi CITY. Iii g��j,,% Advisory Board /Commission /Committee Name bw-yk� r 'vyittA) C:oyhbn;8S��1^ Term ► t �' g NAME N)004 t CJAWQI� HOMEADDRESS Mel 3t�-S�Olsoh Sf', X.C. Is your home address (listed above) within the corporate limits of Iowa City? Yes F] No 5aayS How long have you been a resident of Iowa City? 'A°k w rl, Gender: Male E] Female® OCCUPATION Szk Q- C-fttlgMeA PHONE NUMBER: HOME 351-3131 EMPLOYER BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: V0 -t e4 .re. %p0 w C.Vt1cfe vckb�ti to /t, ,vhp 41rejav% dyrr, r -ent+i -h wiW �ovv4e vivViGM- I` K he, o'� �c r -I'f I1 xnup W` 69 cc F7t''. C.atTkyrS. P$ C -MtocT fdrs6vl -Pov cotter. reeh 0557. b,rc,n ry e,.Tcht „� i fie�5�' � rt`ht: heyqi_►bo r ho0d1,L nvu� �+. d'1►G rGVNgQvli�aTl00 ke nt�c��'Y�ev hto4 cou►ta;� WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Le► Y'ead� ^I- M&%1 t X e. .euaTk-v, 7-WS C0n,xvj.Sr1ah IS 7b ethOLIA1 ►i rev►ct� o�r C4►ar v+ 'hn 6ec'� �k is ertIewt k 'vine- ��i iKc�11� o4 -t 1w, Prc -ain 6� 6 Am st- k4r� �f V9S, bIC,4wel ;; hI ��� "th0v{gh4�;►(1 rhake, c6ACYrs tb �� 5 Corn'r►�►fiYr►an'� 'fb �a5e � QncQc �S. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING ? JGwau1�- ,QGppt`Ca�a }e �►'l�t• npP&,,'t�w +t+ oeyrc��lly - Xan►�w�'t'h�s r�ry,)v►,porfian,d�co� � wq, tj VhC3 N't a 4 0 '. : t•; 7ch , c,I, i-4--+ boa I,, h o- iq h b e r halo i a c0 vv, vOaer csr+ve- he IOOV, 600to COUVIZ"i, LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IR�� pvso:k -C. bar a.+ny � Y►Ow'e- IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? r-] Yes ZNo DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes Rlo (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 January 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Z. ..I - �►S Mai CITY OF IOWA CITY Name of City Cm Wt Board /Commission /Committee C..Y14Wt -r 4V,1CW CM4 1'l�&Sioh Date Name 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 ilsj N �Y7 scrca CV gar 1 kV yY � p� <Y� s • i NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. s Applicant Signature C6111 Address 100` E. t 3,-�-$jcrsm T`. . G• .La, Sa145 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 January 2014 Page 3 of 7 City of Iowa City FILED r 1 Advisory Board /Commission /Committee'+"- "' Application Form 2014 FEB 12 PM 4: Sc3 _�a� "� CITY CLERK CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUC�d M DISTRIBUTED FOR THE PUBL 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 Charter Review Commission Term 4/14 -4/15 NAME Ryan L O'Leary HOMEADDRESS 161 Westside Drive Is your home address (listed above) within the corporate limits of Iowa City? © No How long have you been a resident of Iowa City? 36 years Gende < Male Female OCCUPATION Real Estate Agent and Business Conultant EMPLOYER Self Employed PHONE NUMBER: HOME 319 -594 -7926 BUSINESS 319 - 936 -7926 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Various experience in drafting policies and procedures for non - profits, businesses, condo regimes and governmental boards. Iowa City Parks & Rec Commission and 25 Year Master Plan Johnson County Land Use Plan Committee Kickers, Optimist Club, Arts a La Carte, Iowa Children's Museum, Film Scene, ICAAR, IAR, WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am aware of the prescribed duties and directives set forth in the description. I did a little bit of reading on the history of the committee and former members when it was mentioned recently, but not much. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I anticipate that you will find applicants and/or appointees with various perspectives, and I tend to be rather skilled at finding compromise, seeking consensus and insisting on rational and reasonable discussion. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of interest I really don't foresee any conflicts of interest. I have in the past represented the City of Iowa City in commercial and residential real estate transactions. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? es No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yesi (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 ,Ianuary 2014 Paqe 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Charter Review Commission Name Ryan L O'Leary r Mi'l CITY OF IOWA CITY Date February 11, 2015 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 Ryan O'Leary Real Estate Corporation 2346 Mormon Trek Blvd Irish Innovations Incorporated 2346 Mormon Trek Blvd Counseling and Wellness Center 52 Sturgis Corner Drive c+ E N p•y rr./ 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 1 � C �,J U 4"� 1 CI e 1 p— V � 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 January 2014 Page 3 of 7 18f NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: CIVIL SERVICE COMMISSION One Vacancy — Four -year Term April 5, 2014 —April 7, 2018 Duties: Approve all entrance and promotional examinations used by the City of Iowa City; holds hearings involving employee discharge or reduction in rank or compensation and ascertains to the best of its ability the facts of the case. After weighing all evidence, takes action as provided in Chapter 400 of the Code of Iowa. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. Members of the Civil Service Commission must be residents of the City of Iowa City preceding their appointment. The Commission meets when deemed necessary. Applications must be received by 5:00 p.m., Wednesday, January 29, 2014. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Civil Service Commission should be directed to Karen Jennings, Personnel Administrator at 356 -5025. 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: 0 Council Announcement Date: December 17, 2013 Application Deadline: Wednesday, 5:00 p.m., January 29, 2014 Council Appointment Date: February 18, 2014 After 03/17/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. CIVIL SERVICE COMMISSION One Vacancy - Four -Year Term April 5, 2014 - April 7, 2018 Term expires for Lyra Dickerson Gender Balance Requirement: 1 Female (F) Lyra W. Dickerson El 324 Post Rd. 0 Denotes applicant completed the Confidential page of the application. Board /Commission: Civil Service Commission ATTENDANCE RECORD YEAR 2013 (Meeting Date) NAME TERM EXPIRES 118113 4130/13 818113 Absent/Excused NM = No Meeting - -- = Not a Member Lyra Dickerson 417/14 X X X Paul Hoffe 414/16 X X X Jesse Case 413117 -- X X Bill Cook 411/13 j O/E - -- KEY: X = Present O = Absent O/E = Absent/Excused NM = No Meeting - -- = Not a Member City of Iowa City i r Advisory Board /Commission /Committee;, -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 Civil Service Commission Term 4/5/14 - 4/7/18 NAME Lyra W. Dickerson HOME ADDRESS 324 Post Rd Iowa City 52245 Is your home address (listed above) within the corporate limits of Iowa City? ✓0 Yes FJ No How long have you been a resident of Iowa City? 45 years Gender: Male r] FemaleQ OCCUPATION Director University HR Employment Services EMPLOYER University of Iowa PHONE NUMBER: HOME 319- 351 -7567 BUSINESS 319 - 335 -2721 EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have been a member of the Iowa City Civil Service Commission for over 15 years and currently serve as the chairperson. In my HR positions with The University I have worked with the regents merit system and the AFSCME contract since our merit positions have been covered by it. I believe that I have demonstrated my ability to be fair and impartial in my review of policies and proceedures that guide the activities of the Commission. VHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I currently serve as the chairperson of the IC Civil Service Commission. Having been a commission member for several years I feel I understand the areas of responsibility as they relate to the testing /selection /appointment of the Iowa City firefighters and police officers and the appointmant of other civil service employees. I have also participated in and chaired employment action appeal hearing meetings. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY My history with the commission has demonstrated my committment to upholding fair and consistent application of the Code of Iowa as it applies to civil service employees. car LIST POT IAL GDN 2�S OF INTEREST: See page 1 for information regarding Conflict of Interest None. °' �>= Q IF YOU A NOi%EtA3TED, DO YOU WANT TO BE NOTIFIED? 0 Yes O No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes 7No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application October 2012 Page 2 of 7 • WiA 4 to �_■ ►_ Name of City Board /Commission /Committee Civil Service Commission Name Lyra W. Dickerson .—.4 �► � m � i CITY OF IOWA CIT'- Date 01/07/2014 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 cis- -- . cr NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature_J� �, U--� Address 324 Post Rd Iowa City 52245 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application October 2012 Page 3 of 7 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION One Vacancy — Three Year Term March 29, 2014 - March 29, 2017 (1) Northside Duties of the Historic Preservation Commission include: conducting studies for the identification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; cooperating with property owners and city agencies regarding remedy of dangerous conditions; furthering the efforts of historic preservation in the City by making recommendations on preservation issues, when appropriate, by encouraging the historical, architectural or cultural value, and by encouraging persons and organizations to become involved in preservation activities. This Commission meets the second Thursday of each month at 5:30 p.m. and, if necessary, the fourth Thursday of each month at 5:30 p.m. Iowa City appointed members of the boards and commissions must be eligible electors of the City of Iowa City. Applications must be received by 5:00 p.m., Wednesday, January 29, 2014. 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. 2/7/2014 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 5 Females: 5 Council Announcement Date: December 17, 2013 Application Deadline: Wednesday, 5:00 p.m., January 29, 2014 Council Appointment Date: February 18, 2014 After 03/17/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HISTORIC PRESERVATION COMMISSION One Vacancy - Three Year Terms March 29, 2014 — March 29, 2017 (1) Northside Term expires for Thomas Agran, Gender Balance Requirement: 1 None (M) Thomas Agran I] (Currently serving unexpired term) 512 N. Van Buren St. 0 Denotes applicant completed the Confidential page of the application. Z N W 0 Z 00 o Lu a W o Z N r N Z N W a v a 0 N_ 2 O z W M � UN O C. N ~ aQQZ° 11 11 11 11 XOW O w Y LU x x x x x o x x x o x V. x x x x x x o x x o x 94 x O x x X 0 X X X X X X X X X X L.Li X x X r a X X X X X X X X X X X I 1 X X x x X X X X X I I X O X X X X X X X I 1 x O O O O x o w X x X I I X X X X X O ax x x I I o x x x o x o� r X X X I I X X X x X o x x x I I x o x x x x M X X X I I X X X o: O O X X X I I X X X 0 X a X a i I X X X X X :E co v in co co st v a v Vo �a p� a W O) a O) 'QQQ`�??? � O) r Orn I ~ Z W O W Z W S J zY Y H I- O D Z 1i a y a W 9 Ff a o" z w Z w a Z x a �_ Q W W OC Y V x O Q V Q � o m aQQZ° 11 11 11 11 XOW O w Y r City of Iowa City i r ® 1 � Advisory Board /commission/ ommitte "' - ft, .pplication 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 U t S -IDYLI L �� 5{�-1, �i7 Term NAME '1� 6VW, ��i � HOME ADDRESS �)2 N • u�0 �`� `� �►'L.��N 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? ?�o�� Gender: Male 7emaleF-1 OCCUPATION �� �C'1S —s" EMPLOYER S F� PHONE NUMBER: HOME S>j �-c l (-0--2e BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: iO A T�S� `, �/`ti 1�c t /3sJZ �-t,oz /) '' yo +1i4 ✓ y A, �✓ <,l 311 A,--0 t r`rN l ),�,q L t! 5F F 4� (` L,5- �Va= Iii A K—nc - °-UT V Ov✓'t- A fii� �1 , 'm l j' _ t L T 061 ��' 71 L 1 �'v if i - -v T �tij'h m ; Ly �" l n (v i �' Nt v� t r-. Ya ��^ C� 'Ic. j k F� F' F'.2� f-tVt -•Y l N� J iv�0N1Yl.S U�(.�J i /.� �VL.._ l"y�'1g.tj1 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 41J-T-d-y-z,1, C I "r't -"� u.. A6E -L 7D �— tv TLr 1 7-x. +` -. �' t,� . t 7-7 u f_ 67 )�2� (I ? Z (,?- WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? r YZ- 1i rt VIG- I T-�It r A t< y /"-j b nv (v\-- 71e P ' rrw,' J A l ,-C,\, J M �� m i _ r r f �>✓ f r d� �� t.�-zr 1 ( 714 c 13 `f r(t- t C P 0-VT f-(Z-- L- WV-'1 o F1 L ��,E.. _ c� vT, l N .�v uva 1 _. ln�o+`'f f I�� t3 I_ t., co 1 �-c l i ti),. IF YOU ARE NOT RELEC 'TED, DO YOU WANT TO BE NOTIFIED? �es E] No DO YOU RERLY VE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes 2/No (It has bee unc "oliay get to permit an individual to serve on two Boards or Commissions at the same time.) Misre ent9Mns}oaRhis application will constitute just cause for removal of an appointee. If you fail �I to aner all 16 gUons, Council may not consider your application. General ApplicatiRp `- - January 2014 �' Page 2 of 7 Name of City (7 Board /Commission /Committee �j S�-6-(L t C- \ �� �� r " \-/ATO Date Name .t - -?--CA , I `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 BUSINESS ADDRESS N � r-- r p NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicar Address Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application January 2014 Page 3 of 7 18h 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, January 29, 2014. 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. 2m2o14 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child, aunt, or uncle. (Resolution 85 -354) Males: 5 Females: 5 Council Announcement Date: February 5, 2013; March 19, 2013; April 23, 2013; June 4, 2013; July 23, 2013; August 20, 2013, September 17, 2013, November 12, 2013, December 17, 2013 Application Deadline: Wednesday, 5:00 p.m.; January 29, 2014 Council Appointment Date: February 18, 2014 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 None Jefferson St District Representative (New District) No Applications as of Wednesday, 5:OOp.m., January 29, 2014 0 Denotes applicant completed the Confidential page of the application. 18i 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, February 12, 2014. 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: 3 Females: 1 Council Announcement Date: November 12, 2013, January 7, 2014 Application Deadline: Wednesday, 5:00 p.m., February 12, 2014 Council Appointment Date: February 18, 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 (F) Elizabeth Marilla Pusack rx-1 7126 th Ave. ODenotes applicant completed the Confidential page of the application. d .E E� 0 0 V v as M N V � N Q � C Q � a CL CO 10 OX XOXX o N r M r x XXXX co co W OX w OX X X co XXOX0 XO N N CO0d'LO �q-'d' O X 0 0 0 0 0 0 0 W������� 0000000 N co ch _ .0 N a� E t a i as 0 a) E-o N y y i ch Z mWLLmH30-zu m c m E a� U N ` Q 7 N N W N cu u) N N N ca E cc N N -0-0 O Q n- Qaz o Ix Y X00 ~ 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 Public Art Advisory Committee Term - Jan. 2015 NAME Elizabeth Marilla Pusack HOME ADDRESS 712 6th Avenue, 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? Since 1986, see below. Gender: Male ❑ FemaleQ OCCUPATION Writers' Workshop M.F.A. / Residential Staff EMPLOYER U of Iowa / shelter House PHONE NUMBER: HOME 319 - 321 -2008 BUSINESS EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I was born and raised in Iowa City and grew up with all the wonderful art this city has to offer. After graduating from City High in 2005 1 studied Comparative Literature and Studio Art at Smith College in MA. I lived for several years in Portland, OR, working as the events coordinator at a children's bookstore, at a family shelter, and at a literary magazine. I ran a roving public poetry reading series there as well. I am earning my M.F.A. in poetry as an Iowa Arts Fellow at the Writers' Workshop and am especially excited about public art relating to Iowa City's status as a City of Literature. I am also on the residential staff at Shelter House and am very interested in the use of public spaces. VHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have long enjoyed Iowa City's many sculptures, sidewalk inscriptions, and murals. I love how an ordinary walk to the library or to the grocery store can turn into an art experience! It has been wonderful to discover all sorts of new sights on familiar streets and to see how engaged with contemporary art my hometown remains. I have attended many City Council meetings and have a little bit of experience with how local governance works here. I have studied the available policies and procedures for this commission. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I care a lot about art, have studied it, and I know well how important public art is to the personality of a city. I'd bring a lot of energy to the position. I love living in Iowa City and I want to be a part of its evolution. I've seen this town from so many different perspectives - -as a child in school, as a university student, and through working with some of this town's most vulnerable citizens. I want to make Iowa City as welcoming as possible for everyone. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I am on the residential staff of Shelter House, which receives funding from the city. IF YOU ARE NONELECTED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes � No DO YOU � REbkTLY. RVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? [:]Yes W]No (It has bee un ' oli f Ret to permit an individual to serve on two Boards or Commissions at the same time.) Misrepre entattong-M this application will constitute dust cause for removal of an appointee. If you fail to la.n.swff all tte q4 ons, Council may not consider your application General Ap ip ip catia January 2014 ° �. Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board /Commission /Committee Public Art Advisory Committee Name Elizabeth Marilla Pusack ` r j k!7IMPA-11 =1 CITY OF IOWA CITY Date 01/20/2014 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 INONE NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additopakousiness, Applicant Signature ci Address 76th A nu , a . UJ_ 4 City, IA 52240 � �,� � Misrepentafions,-.o0his application will constitute just cause for removal of an appointee. If you fail to ans rr all t% gWZ%tpns, Council may not consider your application. —, v General Application January 2014 Page 3 of 7 18j 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 CAN 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, February 12, 2014. 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. 2/12/2014 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, January 7, 2014 Application Deadline: Wednesday, 5:00 p.m., February 12, 2014 Council Appointment Date: February 18, 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., February 12, 2014 0 Denotes applicant completed the Confidential page of the application. Marian Karr From: Marian Karr Sent: Thursday, February 13, 2014 11:29 AM To: Marian Karr Subject: FW: resignation email From: Elyse Miller [mailto:elyse- miller @icpl.org] Sent: Thursday, February 13, 2014 11:17 AM To: Marian Karr Cc: Susan Craig Subject: RE: resignation email 19a Meredith Rich - Chappell, President of the Library Board of Trustees reported in the President's Report at the January 23, 2014 Library Board of Trustees meeting that Mark Edwards tendered his resignation from the Library Board of Trustees as he had a new job which required a lot of travel. . Marian X Xam", A"te City Clerk I City of Iowa City P. 319 - 356 -5041 F. 319 - 356 -5497 Population 67,862 Proud Home of the Iowa Hawkeyes!