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HomeMy WebLinkAbout2015-04-07 Appointment04-07-15 12a 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 86-354) Males: 1 Females: 1 Council Announcement Date: August 20, 2013; September 17, 2013, November 12, 2013, December 17, 2013, February 18, 2014, April 1, 2014, May 20, 2014, July 15, 2014, August 19, 2014, October 7, 2014, November 19, 2014, January 6, 2015, March 10, 2015 Application Deadline: Wednesday, 5:OOp.m., April 1, 2015 Council Appointment Date: April 7, 2015 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., April 1, 2015 El Denotes applicant completed the Confidential page of the application. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step -father, step- mother, step -child, aunt, or uncle. (Resolution 85-354) Males: 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, February 18, 2014, April 1,2014, May 20, 2014, July 15, 2014, August 19, 2014, October 7, 2014, November 19, 2014, January 6, 2015, March 10, 2015 Application Deadline: Wednesday, 5:00p.m., April 1, 2015 Council Appointment Date: April 7, 2015 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, 5:00p.m., April 1, 2015 El Denotes applicant completed the Confidential page of the application. 04-07-15 12c 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: October 1, 2013, November 12, 2013, December 17, 2013, February 18, 2014, April 1, 2014, May 20, 2014, July 15, 2014, August 19, 2014, October 7, 2014, November 19, 2014, January 6, 2015, March 10, 2015 Application Deadline: Wednesday, 5:00 p.m., April 1, 2015 Council Appointment Date: April 7 2015 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: none One Vacancy — to fill a five year term January 1, 2014 -December 31, 2018 Term expired for Chad Campion No Applications as of Wednesday, 5:00p.m., April 1, 2015 D Denotes applicant completed the Confidential page of the application. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step -father, step- mother, step -child, aunt, or uncle. (Resolution 85-354) Males: 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, February 18, 2014, April 1, 2014, May 20, 2014, July 15, 2014, August 19, 2014, October 7, 2014, November 19, 2014, January 6, 2015, March 10, 2015 Application Deadline: Wednesday, 5:00 p.m.; April 1, 2015 Council Appointment Date: April 7, 2015 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: None Jefferson St District Representative (New District) No Applications as of Wednesday, 5:00p.m., April 1, 2015 0 Denotes applicant completed the Confidential page of the application. :iL12e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF LIBRARY TRUSTEES Three Vacancies — Six -Year Terms July 1, 2015 — June 30, 2021 The Board of Library Trustees is a semi -autonomous body of nine persons empowered by State Law to plan, direct, and control all affairs of the Public Library. This includes determining long-range goals of Library service, adopting written policies to govern operation of the Library, and employing a competent staff to help plan and implement the Board's service goals. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Library Board meets the fourth Thursday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, April 1, 2015. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Board of Library Trustees should be directed to Susan Craig, Library Director at 356-5200. 4/1/2015 is e� Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step -father, step- mother, step -child, aunt, or uncle. (Resolution 85-354) Males: 2 Females: 4 Council Announcement Date: February 23, 2015 Application Deadline: Wednesday, 5:00 p.m., April 1, 2015 Council Appointment Date: April 7, 2015 After 05/24/2015 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. LIBRARY, BIRD OF TRUSTEES Three Vacancies - Six-year Terms July 1, 2015—June 30, 2021 (Term expires for Linzee Kull McCray, Thomas Dean, David Hamilton) Gender Balance Requirement: 2 Male, 1 None * Application inadvertently missed in Thursday packet; distributed late Monday. (F) Linda Farkas 0 221 E. College #1108 (M) Keith Ruff O 601 S. Gilbert St. (M) Adam Ingersoll [] 925 Meadowlark Dr. (M) David Hamilton I](Currently serving an unexpired term) 814 N. Linn St. (M) AI Dawson 0 1815 Graslon Dr. (F) Monique L. Washington* t7 142 Ravencrest Dr. (M) John E. Beasley 0 217 Green Mountain Dr. (M) Matthew Hepworthx❑ 226 Amhurst St. (F) Anna Nelson rx-1 809 Weeber St. *Application inadvertently missed in Thursday packet; distributed late Monday. 0 Denotes applicant completed the Confidential page of the application. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step -father, step- mother, step -child, aunt, or uncle. (Resolution 85-354) Males: 2 Females: 4 Council Announcement Date: February 23, 2015 Application Deadline: Wednesday, 5:00 p.m., April 1, 2015 Council Appointment Date: ._ ril 7, 2015 After 05/24/2015 (3 mo from th announcement date) Council may appoint any qualified applicant without regard to gender. LIBRARY, BRD OF TRUSTEES } Three Vacancies - Six-year Ter � s July 1, 2015 June 30, 2021 (Term expires for Linzee Kull McC ay, Thomas Dean, David Hamilton) y 9 Gender Balance Requirement: 2� Male, 1 None 5 (F) Linda Farkas 221 E. College #1108 (M) Keith Ruff 601 S. Gilbert St. (M) Adam Ingersoll 925 Meadowlark Dr. (M) David Hamilton 814 N. Linn St. (M) Al Dawson 1815 Graslon Dr. (F) Monique L. Washington 142 Ravencrest Dr. (M) John E. Beasley 217 Green Mountain Dr. ❑x 0(C, urrently serving an unexpired term) t D E (M) Matthew Hepwo�h 0 226 Amhurst St. (F) Anna Nelson 809 Weeber St. 0 Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board/Commission/Commiftee 1 4% Anplication Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name t:&.?p i\ -V-0 li\ -'%� SC �Te rm '64 NAME UY�Q-91, HOME ADDRESS '8a \ - Xo Is your home address (listed above) within the corporate limits of Iowa City? es No How long have you been a resident of Iowa City? Vs Gender: Male Fema OCCUPATION �EW IFQ z-- 0 '6K EMPLOYER PHONE NUMBER: HOME BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? LIST POTENTIAL CONFLICTS OF INTEREST: See page I for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Cfe—s) (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. you fail to answer all the questions, Council may not consider your application. General Application Page 2 of 7 February 2015 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I retired from M & I Bank, Milwaukee, Wisconsin, in 2009. 1 served as Sr. Vice President and Director of Treasury Management Corporate Sales. During my tenure of 17 years, my sales team grew from 7 to 90 employees and income of $34 million. Much of my job was strategic planning to ensure we were prepared for the growth that occurred over those years. I know that I could use those skills on the Board of Trustees Board. After I moved to the Iowa City area, I joined the Iowa City Library Foundation Board. I will be completing the second three year term this year. During my time on the Board I was involved in the strategic planning process, served as Board President for two consecutive years and Board Treasurer for two consecutive years. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Because of the deep connection between the Foundation Board and the Board of Trustees, I have been very in touch with outcomes of every Trustee meeting. We, the Foundation, walk hand in hand with the Board of Trustees on raising money for the Library. REASON FOR APPLYING I truly love the Iowa City Library. I would love to continue my Board involvement. I could build on my great experience with the Foundation Board and hopefully help at the Trustee level. also think I have had great experiences both in my banking career and Board Foundation career that would be useful. LIST POTENTIAL CONFLICTS OF INTEREST I am currently serving my second year as President of Riverside Theatre Board. Next year will be my last year, as Past President. Riverside does get funding from the City. For total disclosure I am also on the Board of the Iowa City Noon Rotary, and the board of I Can Read. EH I r i BOARD, COMMISSION AND COMMITTEES,,"��� BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission/Committee V'C_ (�a-J �n�� �P ®�c��` Date `~ Name �� \N �'� 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 y NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an a tional business. Applicant Signature Address � ,4o 11 Aisrepresentations 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 February 2015 Page 3 of 7 City of Iowa City r EX= - Advisory Board/Commission/Committee�sz 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 ., ��-rv�� Term NAME Kel ) VA4* HOME ADDRESS 60 S , 6-16,--4 �t JoWd-6 Is your home address (listed above) within the corporate limits of Iowa City? 0Yes ❑ No How long have you been a resident of Iowa City? _ 1,7- �Sj Ce -.-'3 Gender: Male Female❑ OCCUPATION 4, y d EMPLOYER PHONE NUMBER: HOME :;4 I _ 3912— BUSINESS EMAIL ADDRESS: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITIOC •F-eo-J5 GL c�� gctti" C�l.2cL _ v6 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? have yly,�;-'s h oit; %1���✓�v _IST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IVD c& -8t(-45 of rYik--e5l- - ht+ emp lo(j d - IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YesNo (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 February 2015 Page 2 of 7 � r j BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission/Committee Ch.Adin Soto c z� Date Is 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 IV UV k�� �a CD Fv NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additiofMC'J-Ji Wts. Applicant Signature :. Address c w 1,.w �UL� �' 2 - Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application February 2015 Page 3 of 7 City of Iowa City Advisory Board/Commission/Committee 1pplication Form 1 r i 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 Library, Board of Trustees Term 6 years NAME Adam Ingersoll HOME ADDRESS 925 Meadowlark Dr., Iowa City, IA 52246 Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? 5 years Yes F-] No Gender: Male R] FemaleEl OCCUPATION Owner of education co. & Partner in equity fund EMPLOYER Compass Edu Grp & Built By Iowa PHONE NUMBER: HOME 319-338-8811 BUSINESS 319-338-8855 EMAIL ADDRESS: adam.ingersoll@gmail.com EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: xtensive experience in education, management, fund-raising, governance. 23 years as tutor, instructor, counselor, nanager, and owner. Co-founder in 2004 of Compass Education Group, a tutoring and consulting company with 400 )mployees providing services to thousands of clients annually. Co-founder in 2007 of tech start-up that created an nternet marketing and management platform for real estate brokerages, sold in 2012 to public company. Co-founder 2013 of Built By Iowa fund, invested $2M+ in local start-up companies with ed tech focus, named 2014 Investor of ,ie Year by Silicon Prairie News. Board member & Treasurer of Unitarian Universalist church. Active philanthropist. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? direct knowledge other than what is available publically on the City website. I have reviewed all meeting �ndas/minutes, the strategic plan, and the 2014 Annual Report. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? have a life-long passion for literature and libraries. I grew up in poverty as middle child of seven in a broken home; libraries and bookmobiles were refuges and inspirations. I'm now a father of four elementary -age children who love the ICPL. I believe my managerial and entreprenurial experience would be of benefit in financial stewardship, fund-raising, and otherwise. I would be a committed, thoughtful, collaborative, skilled member of the board. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I believe I have no financial conflicts of interest. Potential personal conflicts: I travel to CA -2x/month on 2 to 4 -day trips for Compass work obligations. I have considerable flexibility with when I schedule these trips and would rarely have unavoidable conflicts with the meetings on the 4th Thu of each month. When in IA, my schedule is very flexible. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes F-1 No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMM ISSION?L>QYes F✓ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at—Ve same time.) Misrepresentations on this application will constitute just cause for removal oLAn aap�ginte9,-11'you fail to answer all the questions, Council may not consider your application. General Application - February 2015 Page 2 of 7 ` ' =t�-a®4. BOARD, COMMISSION AND COMMITTEES 0.0 BUSINESS LISTING,,i� CITY OF IOWA CITY Name of City Board/Commission/Committee Library, Board of Trustees Date .03/27/2015 Name Adam Ingersoll 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 Built By Iowa, LLC 105 Iowa Ave, Ste 231, Iowa City, IA 52240 Compass Education Group 9100 Wilshire Blvd, Ste 520E, Beverly Hills, CA 90212 Willow Ridge Development, LLC PO Box 5041, Coralville, IA 52241 Dubuque Anytime Fitness, LLC 650 Community Drive, Ste 1, North Liberty, IA 52317 Rempel Development Group, LLC 105 Iowa Ave, Ste 231, Iowa City, IA 52240 NOTE: A new form must be completed if the above information changes or an ownershiR interest is acquired in an additional business. E Applicant Signature473 7_ Address 925 Meadowlark 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 February 2015 Page 3 of 7 City of Iowa City Advisory Board/Commission/Committee N-�wr®��'� .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 Namey //-x,-� �;, fe�S N Term Iri ;� NAME t' 2A J. H-tVA HOME ADDRESS Yl� L i q h ` 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? Uf.I" Gender: Male MFemalel:l OCCUPATION —!,-t%1 r -c c� ' EMPLOYER Om IV, d PHONE NUMBER: HOME JI� ���S`�� ��p BUSINESS _- EMAIL ADDRESS: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ..�.. ✓/i't Cn r2 .t� !� � % � +-z,�� P� v'1� . _L ✓�- t� �-�, l� d-71�.c� n L� � +L t- � � �",�' at -at 4o �y1 - -c i WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? -- " 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 r' �';��`� y .-e 44,-- , c. r c ✓k `� ae 6 0-i ti -1'% e u t wv-z l� d L y� cll,� i— vi.� 4.P ` f -c°, G� IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED?Yes � No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD R C MISSION? F]Yes PJJN,(o (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 February 2015 Page 2 of 7 m�r BOARD, COMMISSION AND COMMITTEES! BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission/Committee �- + �t �� t Date Name z� �• J` -LL /'�------ 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. --- cr NOTE: A new form must be completed if the above information changes or an ownershi intefd is acquired in an additional business.ti; Applicant Signature a—►---�" ', Address �j l �i �n 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 February 2015 Page 3 of 7 City of Iowa City Advisory Board/Commission/Com Application Form THIS APPLICATION IS A PUBLIC DOCUMENT A.ND AS SUCH CAN BE RE 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 ' &,,)A C l'pl P06Li'c �� °�� Term 6p i -3 NAME A I-- bPKJ5APJ HOME ADDRESS /8'/-" G1;05 t.OAJ��- 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? 144 P Gender- Male 2 FemaleE] OCCUPATION ��91��� 6fV5VLJ +N7 EMPLOYER %z PHONE NUMBER: HOME 511 33?-�5c?5- BUSINESS 3/15F-530 26 EMAIL ADDRESS: L. �j �°5,�� a EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ° A%A- VlcjnAj W *-5 77/k e#A&L ' etc l �>L FS'e r a►'� C 2�2 -- C� �/'�..� Gam+ - 1./r,va!2� -S WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? J LL S ri �/}-r^t�' ,�} `7 *t f)e ,>/ WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? +�Y�z,4-lis xiZ'1>��` ' S' SIC, c 5-�%/t Vey i-- r 115 &Of- PZA E . LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest f/6nfo� ��e,sjN,�ss '` %r2'/�ef,�l�tll5� IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 54Yes F-] No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F]Yes k�dNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application February 2015 Page 2 of 7 zo �OARD_, COMMISSION AND COMMITTEES BUSINESS LISTING � r i • Owl CITY OF IOWA CITY P)(3 Lr'c .4 Name of City Board/Commission/Commitee mfr 1 C��%5�� Date �J Name L ) 5 QtJ C; %Ac r Dj9eIA) Ng';q,� 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 VA WN �_ � 0 Offull 750 WA �G rFAff&&-Vff.7ANAMAVA 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 h F /S 0 S -Z 2— Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application February 2015 Page 3 of 7 The Identification of Ainslie A tale of literary sleuthing inspired by a letter found in the ACD Collection AL DAWSON Al Dawson is a genealogical consultant and lives in Iowa City, Iowa (a UNESCO - designated City of Literature.) Mr. Dawson holds a Master of Arts degree in Victorian History from the University of North Carolina at Chapel Hill. He is a member of The Younger Stamfords of Iowa City and The Bootmakers of Toronto. THIS RESEARCH WAS INSPIRED by the SinS Symposium. Many thanks to Barbara Rusch for drawing me to Toronto, and to Peggy Perdue for the tour of the special exhibit Z� 4 of items from the Collection, including the letter from ACD to Ainslie, written from the Mena House Hotel in Cairo. That simple one page letter fascinated me. When I got back to �# f my hotel roomy I went online and learned all I could about the dozen letters auctioned at Christie's in 2004 — The ACD Collection has two of them. (See page 6) I started thinking of ways to determine the identity of the unknown recipient. Immediately two problems came to light: "Ainslie" was both a given name and a surname in Victorian times. In the 1891 census, the one closest to the 1895-96 letters, there were 828 people with the surname Ainslie in England, Scotland and Wales.' Peter Calamai listened politely as I outlined a few ideas about finding Ainslie. It is always helpful to brainstorm at the start of a project, especially with a pre -banquet drink in your hand! But the real work began after I returned home. Narrowing down the suspects helped: my search looked for (a) a male younger than ACD (Sins reinforced the notion that ACD would never write to a woman as "Dear Ainslie") (b) a resident of Scotland or the North of England and (c) someone involved in Spiritualism. These criteria were based on internal SEE IDENTIFYING AINSLIE PAGE 6 . . INSIDE THE GREEN -SETTEE CANON FODDER 'NOTEI FRO_ M, TH.E CHAIR THE FIRSTfCk11MIN' AL PROFILER THE, LUMBER ROOM BEYOND SHERLOCK HOLMES "The Three Correspondents" as Living History PETER CALAMAI Peter Calamai has had a long, distinguished and honoured career as a correspondent for Canadian publications both nationally and internationally. He has a particular interest in the press of Victorian England. "The Three Correspondents"first appeared in The Windsor Magazine in October 1896, It is collected in Tales of the Ring and Camp: The Croxley Master And Other Tales Of The Ring And Camp, published by John Murray in 1922. FOR ME CONAN DOYLE'S SHORT STORY"The Three Correspondents" amounts to living history. In fewer than 8,000 words Conan Doyle provides a vivid and highly personal glimpse of a world which few had the privilege to experience even at the time and which no one can experience now. It was the peculiar world of the Special Correspondent (meaning war correspondent) before instant global communications, and it has vanished forever. Not that journalists aren't still coming under fire in hot spots around the world. Think recently of places like Afghanistan, Libya and Syria, where many have suffered much more grievous injuries than the "chip" off the knee inflicted on Scott of the Courier during the desert skirmish recounted in Conan Doyle's story, Yet injuries and deaths among correspondents in such places are widely known within minutes, sometimes 2 3 4 4 5 SEE THREE CORRESPONDENTS PAGE 3... 70 RON7o AIPP�\ PU661 Be sure to visit the Friends of the Arthur Conan Doyle Collection Website at www.acdfriends.org LIBRARY tee/«Ur e J } L: Mr. Grant Duff would inherit several properties, including Delgaty Castle in Aberdeenshire, if he would change his last name to Ainslie and name his first son after the deceased man. Grant Duff immediately changed his awn l0 name to Ainslie Douglas Ainslie and his son was named Douglas Ainslie.' Young Douglas was educated at s� v via cr v,� Eton and Exeter College, Oxford and was a founding member of the 0. U. D. S. — the Oxford University Dramatic Society. He was always destined for _—_ ~�' the diplomatic service, but followed in '7 PizT � z J Identifying Ainslie continued from page 1... evidence from the letters. The list of possible Ainslies, based on the first two criteria, was now under one hundred individuals. By the end of October I had looked at all of these people, utilizing genealogical resources, but I kept coming back to one man, Douglas Ainslie. Confession being good for a sinner, I'll admit that the facts that he was born in Paris in 1866, lived in a Scottish castle at age five, and was at Eton at the time of the 1881 census were mesmerizing to this researcher! As I added more and more items to my Douglas Ainslie file I started to feel in my bones that he was the one. But, as my graduate advisor in Chapel Hill, all those years ago, cautioned me: "Feeling it in your bones is the onset of arthritis! Look for evidence!" Many sources list 1865 as the year of Douglas Ainslie's birth. However, in his 1922 memoir, Adventures Social and Literary, he states that he was born in Paris on December 16,1866. His father was Secretary to the British Ambassador. His mother was also from a diplomatic family, the Morgans, who had served in Russia. She was toying with the name of Augustus Grant Duff (Grant Duff was the family name) when a telegram arrived from a lawyer, informing the father -to -be that his maternal uncle, Mr. Douglas Ainslie had just died. Under the terms of the will another family tradition: literature. As a translator, poet and dramatist (as well as a dramatic critic) Douglas Ainslie made a small splash in that very large pond that was late Victorian England. The importance of Ainslie, however, was as a connection between a myriad of people in the Victorian and Edwardian periods, as well as the years between the two World Wars. Ainslie was friends with Oscar Wilde, Walter Pater, Henry James, Somerset Maugham, James Barrie,Aubrey Beardsley (Douglas contributed to The Yellow Book), Walter Crane, Sarah Bernhardt, Edmond Rostand, Herbert Spencer, Benedetto Croce, Ignacy Jan Paderewski, Isadora Duncan, Lord Dunsany, James McNeill Whistler and Algernon Charles Swinburne. Most of the people in this list (Barrie is a notable exception) grace the pages of Adventures Social and Literary. There are also lesser-known lights, such as William Poel and Charles Conder, and s J rogues like the Marquis of Clanricarde. But, of course, I was looking $ for Arthur Conan Doyle, and he is c nowhere to be found in these pages, written eight years before ACD's '1 death. Douglas Ainslie was perfect for the recipient of the letters, but where was the proof? Yes, he was interested in ghosts and spiritualism; yes, he travelled extensively, with diplomatic postings in Berlin, The Hague, and Paris, as well as trips to Italy, the Far East and America. What I longed for, however, was to see him at Mena House in Cairo in 1895. The researcher trying to unravel a political mystery is told to "follow the money." For the genealogist there is a different mantra: "follow the family!" I spent some time getting sidetracked by Ainslie's younger brothers, Percy and Julian (who get dropped into Adventures in a manner not unlike the first mention of Mycroft by his brother, Sherlock!) Percy Ainslie was an author of literature for children, best known for Bertie Linton, or Lost in Japan. Of Julian we learn that he was the best shot in the family. I next tackled Ainslie's father, also a poet — an investigation that enhanced my knowledge of Scottish themes. But the father had an older brother and it was there that I struck gold! Sir Mountstuart Elphinstone Grant Duff, Douglas Ainslie's uncle, had been Governor of Madras from 1881 - 1886. It is clear from several passages in Adventures, that Ainslie adored his uncle and considered him one of the finest of political diarists.' Notes From a Diary runs to several volumes, and is in the University of Iowa Library. Grant Duff starts his last entry for the year 1895 with the following: My nephew Douglas writes from the Mena House Hotel close to the Pyramids; - 1 have been riding lately with Conan Doyle, the novelist and find him excellent company.' CREYSWOOD BEECHES, HASLENERE. -7 d . a,�J� G1W.l+ nvG , �.J—YJG G ..e( 'vuaf �otc -7 �7A4H6(�%b} yt2 G— . r rJ - There are several more mysteries to explore (such as why the letters had no surviving envelopes!) but only one that I wish to examine here. The Secret Life of Oscar Wilde is an excellent book by Neil McKenna. In it McKenna identifies Douglas Ainslie as one of 6 THE MAGIC DOOR • FRIENDS OF THE ARTHUR CONAN DOYLE COLLECTION • TORONTO PUBLIC LIBRARY Oscar Wilde's lovers, based on a letter written by Wilde to Ainslie, in the spring of 1886, using certain coded phrases. McKenna states, "There is no record of how Oscar and Douglas Ainslie met" S Ainslie tells us that it was, in fact, through Constance, Wilde's bride: "I had known her some years before as Miss Lloyd, and she had come to stay with us at Delgaty, where I had written verses to her eyes..." 6 There is photographic evidence of this visit and an expansion of the puppy -love theme of young Ainslie in a terrific new biography entitled Constance: The Tragic and Scandalous Life of Mrs. Oscar Wilde by Franny Moyle. Ms. Moyle had access to hundreds of unpublished letters pertaining to Constance. According to Moyle, young Douglas Ainslie (this was 1882 and he was 16) was "utterly smitten with Constance, despite the fact that she was a good eight years his senior." Douglas wrote a note to Constance, never delivered, inviting her to his room after hours! Mrs. Ainslie learned of the note, however, and Constance was sent back to London .7 I have permission to quote from another Ainslie letter: one written by Douglas to "my dear Constance" late in 1884. The letter is in the Douglas Ainslie Letters, (Collection 703) Department of Special Collections, Charles E. Young Research Library, University of California, Los Angeles. Ainslie came to Southern California in 1938 to spend his last decade in America. He died in Los Angeles on March 27,1948.8 The letter includes this telling phrase: "all I care about is to know that you do not think I said any of the numerous things which it appears to have been the amusement of some people to circulate concerning you and me. "I So in 1884, prior to the time when McKenna believes Ainslie and Mr. Wilde were lovers, it appears that Douglas was more concerned with Mrs. Wilde! As to Oscar Wilde, Douglas Ainslie has lots to say, some 20 years after Wilde's death. Douglas speaks of his luncheons with the married couple at Tite Street and then mentions hearing the rumors of Oscar's "unpleasant nature." "Anything of that sort has always been inexpressibly shocking and distasteful to me..." and Douglas therefore dropped the connection with the Wildes. "It is easy enough for perfectly normal people, like the present writer, and ninety-nine hundreds of the community to blame those afflicted in the manner of poor Wilde..."writes Ainslie, who hoped that medical help, rather than legal penalties, would be the answer.10 The 21st Century North American reader has to smile at the 99% reference. Perhaps I am being naive in believing these passages, written towards the end of his career, when Ainslie was 56. Perhaps I will have a different view after I go to UCLA and read his other letters. But, for now, I lean towards the view that, whatever his sexual orientation might have been, Douglas Ainslie was not a panther at Wilde's feast. In 1908 Sir Arthur Conan Doyle wrote a short story entitled `A Pot of Caviare" set during the Boxer Rebellion in China. One of the people trapped in the siege was "young Ainslie, of the diplomatic service.."" Another Ainslie has been trapped inside twelve letters for 116 years. The process of his liberation has begun! Endnotes 1. Ancestrycom. 1891 England Census [database on-line]. Provo, UT, USA: Ancestry. com Operations Inc, 2005. 1891 Scotland Census [database on-line]. Provo, UT, USA: Ancestrycom Operations Inc, 2007.1891 Wales Census [database on-line]. Provo, UT, USA: Ancestrycom Operations Inc, 2005. 2. Douglas Ainslie, Adventures Social and Literary. (London, T. Fisher Unwin. Ltd, 1922.) pp. 16-19. 3. Ibid. pp.19,191. 4. The Right Hon. Sir Mountstuart E. Grant Duff, G. C. S. I., Nates from a Diary. (London: John Murray, 1904.) p. 301. 5. Neil McKenna, The Secret Life of Oscar Wilde: An Intimate Biography. (New York: Basic Books, 2006.) p. 75. 6. Adventures. op.cit pp. 95-96. 7. Franny Moyle, Constance: The Tragic and Scandalous Life of Mrs. Oscar Wilde. (London: John Murray, 2011.) pp, 58-61,118,120,135,181. 8. Ancestrycom. California Passenger and Crew Lists, 1882-1957 [database on-line]. Provo, UT, USA: Ancestry.com Operations Inc, 2008- 2011; Ancestrycom. California Death Index, 1940-1997 [database on-line]. Provo, UT, USA: Ancestrycom Operations Inc, 2000. 9. Letter from Douglas Ainslie to Constance Wilde, 12111184. Douglas Ainslie Letters (Collection 703) Department of Special Collections, Charles E. Young Research Library, University of California, Los Angeles. 10. Advenhnres. op. cit. p.100. 11. Sir Arthur Conan Doyle, Round the Fire Stories (New York: The McClure Company, 1908.) p. 66. Canon Fodder continued from page 3... wicker chairs. It was the first room we saw when we entered the ship. You need to see the bustle and hear the chatter to sense it was the heart of First Class. The passengers being greeted by the Captain and the Purser. The luggage. The calls of the bellmen, lift men and stewards. The smell of flowers and perfumes and the aroma of dinner. See the bevelled glass doors with the iron tracery? That led to the First Class Dining Salon. We gathered in the Palm Court. The doors would be opened and we would process in to dine. We did not dress for dinner the first night — a good thing for me because my poor best could not compare with the other ladies' — but formal dinner attire was de rigueur on subsequent evenings." "Donning the `soup and fish'." I nodded vigorously and then blushed at Captain Croker's laugh. "P. G. Wodehouse." "Of course; he replied. "A good thing for me too. I had no `soup and fish', and I was on the bridge at dinner time." "You were on the bridge ALL the time" Mrs. Croker swatted his arm. "Our one holiday in fourteen years of marriage ... My great chance to mingle with Society again and he spends it on the bridge instead of at my side' "But I wanted to watch how they worked her, Mary. I wanted to see how she handled." "Even when at anchor? Oh, you men!" Mary Croker dug an elbow into his ribs. ."Of course Captain Jack had to see the biggest boat in the world with the watertight doors and the latest gadgets;'she riposted. "The one every fool called `unsinkable'." "Now, Mary! I didn't believe she couldn't sink; just that she'd stay afloat longer than any other ship. She was designed for it, and to a sailor, that's what matters most." "But she was a beauty, he told me. "Clean, modern, trim as a yacht and ... well, gigantic. A captain would burst with pride to have such a ship under his command. I envied E.J. Smith that ship' "Well, when the Titanic was berthed in Southampton I went to gawk at her and I met an old shipmate, Charles Lightoller. We were on the Australian service together and now he was Titanic's second officer. He could see I was SEE CANON FODDER PAGE 8... THE MAGIC DOOR • FRIENDS OF THE ARTHUR CONAN DOYLE COLLECTION • TORONTO PUBLIC LIBRARY 7 YJ Volume 59: Issue 2 (No. 238) Spring 2013 Common Ancestor Great -Great - Grandchild 3rd Cousins 40 Great -Great - Grandchild The Quarterly Magazine of the Western Michigan Genealogical Society 'Just a Matter of Degree: r Tlte,i tn,igma of First Cousin Marriages By A 2awson Two Later 20th Century Michigan Marriages In 1965 a woman from Benton Harbor wrote to Ann Landers: "I married my first cousin and we have six bright, healthy children. My brother married a girl he met in Europe during the war. They have four of the nuttiest kids I ever saw." Putting aside the subjective opinion of her broth- er's off -spring, the reason for this lady's letter was that the famous advice columnist had dared to ques- tion the conventional wisdom of the taboo on first cousin marriages, and, in Ann's own words: "started a real donnybrook."' First cousin marriages have always been a prob- lem for some genealogists. I suspect it is one of the many reasons some people decide not to post their trees online. It is fairly hard to hide a first cousin marriage when you suddenly realize that one set of grandparents is the same! I'll state from the outset that I have several first cousin marriages in my own tree. There are more serious issues for Michigan re- searchers who examine first cousin marriages, as they have been illegal in the state since 1846. By un- derstanding the law pertaining to these marriages, you might be able to explain previously inexplicable actions of your ancestors: second weddings, out-of- state weddings or sudden migrations to other loca- tions. Revised Statutes of 1846 (EXCERPT) Chapter 83. Of marriage and the solemnization thereof. 551.3 Incapacity; persons man prohibited from marrying. Sec. 3. A man shall not marry his mother, sis- ter, grandmother, daughter, granddaughter, stepmother, grandfather's wife, son's wife, grandson's wife, wife's mother, wife's grand- mother, wife's daughter, wife's granddaugh- ter, brother's daughter, sister's daughter, fa- ther's sister, mother's sister, or cousin of the first degree, or another man.' There follows a similar section, written specifically for the prospective bride. So what about going across the border to Ontario? Yes, that would have been an option, as there were numerous restrictions, but they did not included first cousin marriages. In fact, Canada's first Prime Min- ister, John A. Macdonald, married his first cousin, Isabella Clark, in 1843. She was actually his half first cousin, as they had the same maternal grandmother. In Ontario, after 1897, there was a form that I have seen attached to a 1911 Ontario marriage: Degrees of AFFINITY and CONSANGUINITY which under The Marriage Act, Chapter 162 Revised Statutes of Ontario, 1897, and Cap. 23, z Edward VII, bar the lawful solemnization of Marriage: A MAN may not marry his 1. Grandmother 2. Grandfather's wife 3. Wife's grandmother 4. Aunt 5. Uncle's wife 6. Wife's aunt 7. Mother 8. Stepmother 9. Wife's mother 10. Daughter 11. Wife's daughter 12. Son's wife 13. Sister 14. Granddaughter 15. Grandson's wife 16. Wife's granddaughter 17. Niece 18. Nephew's wife 19. Wife's niece 20. Brother's wife You can see that, with the exception of first cousin marriage, the Canadian list is more restrictive: in- cluding restrictions against Uncle's wife, Wife's aunt, Nephew's wife, Wife's niece and Brother's wife. The Continued on Page 54 Volume 59: Issue 2 (No. 238) 52 Michigana Spring 2013 Current State Laws Regarding Marriages Between First Cousins in the United States The National Conference of State Legislatures has compiled a listing of the laws governing the marriage of cousins in each state. Twenty-five states prohibit mar- riages between first cousins. Six states allow first cousin marriage under certain circumstances, and North Car- olina allows first cousin marriage but prohibits dou- ble -cousin marriage. States generally recognize mar- riages of first cousins who were married in a state where such marriages are legal. First cousin marriage prohibited Arkansas Delaware Idaho Iowa Kansas Kentucky Louisiana Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire North Dakota Ohio Oklahoma Oregon Pennsylvania South Dakota Texas Washington West Virginia Wyoming Additional information can be found at: http://www.ncsl.org/issues-research/human-services/ state-laws-regarding-marriages-between-first-cousi. aspx First Cousin Marriages are LEGAL Alabama Alaska California Colorado Connecticut District of Columbia Florida Georgia Hawaii Maryland Massachusetts New Jersey New Mexico New York North Carolina* Rhode Island South Carolina Tennessee Vermont Virginia First cousin marriage is allowed in these states under the following circumstances: Arizona - if both are 65 or older, or one is unable to reproduce. Illinois -if both are 50 or older, or one is unable to reproduce. Indiana- if both are at least 65. Maine -if the couple obtains a physician's certificate of genetic counseling. Utah - if both are 65 or older, or if both are 55 or older and one is unable to reproduce. Wisconsin - if the woman is 55 or older, or one is unable to repro- duce. IV r r Volume 59: Issue 2 (No. 238) 53 Michigan Spring 2013 Board or Commission: ICPL Board of Trustees ATTENDANCE RECORD 12 Month KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting Meeting Date Name Terme 3/21/14 5/22114 6/26/14, 7/24/14 8/28114 6125/14 10/16/14. 11/20/14 12/18/14 1/27/15 7/26/75. Diane Baker 6/30/19 x X O/E X X X X O/E x x O/E x Thomas Dean 6/30/15 X X O/E X X X X X O/E X X X Janet Freeman 6/30/19 X X X X X X X X X X O/E X David Hamilton 6/30/15 Noton X X X X X X X X X X X Board Tom Martin 6/30/17 X X X O/E X X X X O/E X X X Linzee Kull 6/30/15 X O/E X X X X X X X X O O/E McCra Robin Paetzold 6/30/17 O/E x X O/E X X x x x X X X Meredith 6/30/17 X X X X O/E X X O/E X X X O/E Rich -Chappell Semel, Jay 6/30/19 X X X X x x X X X X O/E x KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting City of Iowa City® Advisory Board/Commission/Committee"' ►; 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 Iowa City Public Library Board of Trustees Term 2015 201 f NAME John E. Beasley HOME ADDRESS 217 Green Mountain Dr., Iowa City, IA 5221& 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? 54 years Gender: Male ❑✓ Female OCCUPATION PHONE NUMBER: HOME 319-337-5352 EMAIL ADDRESS: beasley@ptmlaw.com EMPLOYER Phelan Tucker Law Firm BUSINESS 319-354-1104 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Board of Director of Ronald McDonald House. o member of Iowa City Parks and Recreation Commission. C7m i ..a -era— WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Role and function of Board of Trustees in relation to the Iowa City Public Library. -- WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I believe my background as a lifetime resident of Iowa City and my experience as a past member of the Board of Directors of the Ronald McDonald House and the Iowa City Parks and Recreation Commission provide me the foundation to provide necessary guidance and input to the Library. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I am not aware of any conflicts of interest. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? F✓ Yes No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ❑ 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, 11 Council may not consider your application. General Application February 2015 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Iowa Citv Public Library Board of Trustees Name John E. Beasley CITY OF IOWA CITY Date 04/01/2015 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 Phelan, Tucker, Mullen, Walker, Tucker & Gelman, LLij 321 E. Market St., Iowa City, IA 52245 124 Building Company L.L.P. 321 E. Market St., Iowa City, IA 52245 6'D'i 1 s 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 217 Green Mcg tain Dr., Iowa IA 52245 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application February 2015 Page 3 of 7 City of Iowa City r i Advisory Board/Commission/Committee � t 'wr`ei Application Form CITY OF OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name gl4rq 4 L `( ,r" `% ✓k keS Term -21V/ / F --11-7012 / NAME �e� e�,�mrt� HOME ADDRESS ZZ(o 4v-dl�rj-4- S+-, Is your home address (listed above) within the corporate limits of Iowa City? Yes ❑ No How long have you been a resident of Iowa City? 1? tilekr5 Gender: Male L]�FemaleD OCCUPATION Cli -epi f S-ervic-e 4/.k 5 EMPLOYER 4e, --W- d- 'G3ZA-44� PHONE NUMBER: HOME M- (2304A'S'S BUSINESS 31st— -/ IT`I EMAILADDRESS: ry q�zv/ a�nau}iI z✓Ite��G���, G� vl EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: -De-lk--kc4 Ii)H-V-01 066-rto0 iuW c L�)Jra.r (1993— �.1}. lhi4'L5 al f�u�l'c tolr'c�/! SoCi%J/��� C7Al�, WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? &) Co Mn," 1i I-� /\e,t�S art ('-Ci I<cltd IN r n�{u �b-J,,-\c-e, otr +t -w,.% k,.t ik-s Jk-4-,F ; w �/" M 6.rfl4 r<��'v1 notiC.u' �j ),D pp A" ke c "i - I> - cttiq ppQla t.-; ,'Ns ex-ve i- JP i u%er-- WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR}3.{$LYING)? M �xpenv.�e s� bob 4 St uf`vl Rti� y�� i ESiP� t '� 4 CAM w;tV e�IV .itcti not ani c} C. .A iti arwti4-,b..� r�io"' s.eSo 'tet„ �fU I1kcl {v a coA,A,ui.-q C`ut bzen C °'F F rl �4 ol¢vccQe LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest _- N/ /4 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? �es F� No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes [2do (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 February 2015 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING t � i `i h CITY OF IOWA CITY Name of City Board/Commission/Committee Library TytwA-tzS Date y z�+J 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 Ai N N � Q Z. Cl I A "VE e NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant 2 2- 2,(,, 4,,Lsk .est- S+, . 5t,,. C:4�4 . EA S -22,/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 February 2015 Page 3 of 7 City of Iowa City ► r I Advisory Board/Commission/Committee 4: 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 ONLYAND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Bonnard/Commission/Committee Name L I9'_a fad � 7eUSf�s Term Z45 — 2,0 NAME Alii& NeAsm HOMEADDRESS 307 WUzJg" 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? s Gender: Male[] Female0 OCCUPATION EMPLOYER5���� PHONE NUMBER: HOME 3\� -S'35 -f�� 2G BUSINESS 31`1 EMAILADDRESS: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFYYOU FOR THIS POSITION: � � ova a (�ut eLv-4 e l e zd CJ K. JiL9 ;-r� j lrNec�vvtkC� '4e�n« A� (�� �-it�hc�S c1v� c�sz'�s�r,1�- li.�mri•��-�a yut,rylo.�;�-arzt'.�twrw� -t-C� SC�a� (��vn ✓V\y Ma- i✓� SDS-li+.Q vda^(lC. ht.',,vi. WNnT IS vnI IR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? �� �oCc,r O( '„n Lcn2�tv�{Z�-�cn.,Wi,i�n i'� CIJI'e1(�tt,Lc�i�: &Pi�S S 6�-�JJ C*vv�p� `Po�'✓c�,' -( I\a.rn S- PJB a�'yvjy Q e de Q� rrYu �wuY L r� dti1✓ . WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? CA�c d;�z csrnmw^j� 1�" wko Ll Sz (V d c� erg N � utC n d P rw� d Ku-d� . 3 i - c w � (_sty,- 61 mze i Fw) t v� r Crm vw 1 J LIST POTENTIAL CONFLICTS OF INTEREST: Seepage 1 for information regarding ConfkA of In Fest c„ Nom. a IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 0 Yes :<n] o DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMI t�N9 s ®No (It has been Council policy not to permit an individual to serve on two Boards or Commi! Inns al the sa 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 February 2015 Page 2 of 7 � r � BOARD, COMMISSION AND COMMITTEES �., °ms's rr1®'%� BUSINESS LISTING �,,� CITY OF IOWA CITY Name of City Board/Commission/Committee L iar �`� °� Virus Date ``I I 4 N� Name Bolo, I-5,-/" 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. I BUSINESS NAME I BUSINESS ADDRESS W" TE: A new form must be completed if the above information changes or an owriersltip interest is acquired in an additional business. Vii' M / J1 rn y Applicant Signature Address S09 W"ai 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 February 2015 Page 3 of 7 City of Iowa City I r -41 Advisory Board/Commission/Committee .� • rw®rm� '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 Iowa City Public Library Term 2016-2021 NAME Monique L. Washington HOME ADDRESS 142 Ravencrest Drive, Iowa City, Iowa 5226 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? 24 years Gender: Mak--,[—]Female OCCUPATION Clerk III PHONE NUMBER: HOME 319-930-9521 EMPLOYER UIHC BUSINESS EMAILADDRESS: moniquewashington142@6 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:.'. II feel I would bring a genuine passion to the position of a board member because of my love for the library. My experience as a pharmaceutical sales representative, clerk, and mother of five children. As a sales representative, I worked on several committees such as advisory board for several products, and the launch of products. I also worked on the diversity action council. As a clerk, I interact with people from all walks of life. As a mother of five .ids, I have been involved with organizing, planning and participating in all programs at their schools. We have 1particicpated in summer reading programs, volunteering, and tutoring offered through the Iowa City Public Library. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? i present knowledge of the advisory board is that the primary goal is to connect with people from all backgrounds to ucate, connect, engage, and enrich the lives of everyone in the community. They haved achieved this goal through rveys, programs, fundraisers, and technology. I hope to bring my experience, ideas and passion to this board and improve all aspects of the library experience. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? The reason I am applying for the Iowa City public library advisory board is to bring more diversity to the board that I hope would appeal to different groups and ultimmately bring more people to the library from diverse backgrounds. My goal as a member of the board would be to touch and engage everyone in the community. Again, my family and I have used the library for all the years that we have lived in Iowa City. They were raised in the ICPL. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I do not forsee any potential conflict of interest with me being a part of or serving on the advisory board. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? FYes �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 anappointee. If you fail I to answer all the questions, Council may not consider your application. General Application February 2015 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Iowa City Public Library Name Monique L. Washington • �Tqb CITY OF IOWA CITY Date 03/31/2015 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 NONE NONE NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. ) / , Applicant Signature Address 142 City, Iowa 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 February 2015 Page 3 of 7