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HomeMy WebLinkAbout2015-07-27 Appointment75a 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 at least 18 years of age and live in Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, July 22, 2015. 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, 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, April 8, 2015, May 6, 2015, June 16, 2015 Application Deadline: Wednesday, 5:OOp.m., July 22 2015, Council Appointment Date: July 27, 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., July 22, 2015 0 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 — Unexpired Term Upon appointment - December 31, 2018 One (1) HVAC Professional or Building Design Professional Or A qualified trade representative, with experience and training (if after 3 months no professional applies or is appointed) • It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire Code, and the Iowa City Housing Code. • The Board meets the first Monday of each month at 4:00 p.m. or at the call of the Building Official. • City -appointed members of boards and commissions must be at least 18 years old and reside in the City of Iowa City. The City of Iowa City encourages diversity in the appointment to boards and commissions. • Applications must be received by 5:00 p.m., Wednesday, July 22, 2015. 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: 1 Council Announcement Date: June 16, 2015 Application Deadline: Wednesday, 5:00 p.m., July 22, 2015 Council Appointment Date: July 27, 2015 After 09/14/2015 (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 an unexpired term Upon appointment -December 31, 2018 One (1) HVAC Professional or Building Design Professional Or A qualified trade representative, with experience and training (if after 3 months no professional applies or is appointed) No Applications as of Wednesday, 5:OOp.m., July 22, 2015 0 Denotes applicant completed the Confidential page of the application. 1-10 E15c 1 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: COMMUNITY POLICE REVIEW BOARD One Vacancy - 4 year term September 1, 2015 - September 1, 2019 Duties of the Citizens' Police Review Board include reviewing Police Department investigations into allegations of misconduct lodged against police officers, conducting further investigation of the complaint when the Board deems it necessary, and issuing a public report which explains why and the extent to which the complaint is sustained or not sustained; maintaining a central registry of complaints against sworn police officers and issuing annual reports regarding the disposition of the complaints to the City Council; reviewing police policies and practices from time -to -time and recommending changes to the City Council when the Board deems it appropriate. Iowa City -appointed members of boards and commissions must be 18 years of age and reside in the City of Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. The City Council also reserves the right, for good cause shown, to waive the requirement that the Board include one current or former "peace officer" as that term is defined by State law. Applications must be received by 5:00 p.m., Wednesday, July 22, 2015. The City of Iowa City encourages diversity in the appointment of people 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 Police Citizens' Review Board should be directed to Marian Karr or Kellie Tuttle at 356-5041. 7/23/2015 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: 3 Council Announcement Date: May 19, 2015 Application Deadline: Wednesday, 5:00 p.m., July 22, 2015 Council Appointment Date: July 27, 2015 After 09-16-2015 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. ** Appointments to the Board shall include one current or former "peace officer" as that term is defined by State law. The City Council reserves the right, for good cause shown, to waive the requirement that the Board include one current or former peace officer. ** The City Council also reserves the right to waive the residency requirement for good cause shown. COMMUNITY POLICE REVIEW BOARD One Vacancy — four year term September 1, 2015 — September 1, 2019 Term expires for Fidencio Martinez Perez Gender Balance Requirement: 1 Male (F) Tineke Melvin 0 1840 S. Gilbert St. (M) Donald King rx-1 542 Foster Rd. OO Denotes applicant completed the Confidential page of the application. City of Iowa City r , Advisory Board/Commission/Committee �;..��°� Application Form -�.•• CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANC' DURING THAT TIME. Advisory Board/Commission/Committee Name _4 nAAUw& /D�G�P Alga) &A-ge-lS Term NAME r%��eke lWely/'t! HOME ADDRESS (;j`i&eJ Is your home address within the corporate limits of Iowa City? aYes R No How long have you lived in Iowa City? 9/!2 Gender: MaleO Female Er Contact # J 0&5Y 555q Email Address CONTRIBUTION AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 04190vrtuN;),� /'Ioalel" Akoa.he e 4 lolkek llel �J meftbek Xdwz-1,41z� A&A69- 4 rd :.w. 01 -GN . :: 1n N -u IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yeses , o DO YOU CURRENTLY SERVE ON AN � OTHER IOWA CITY BOARD OR COMMSIONYes E�Jft (If yes, please indicate which board would be your first choice to serve on.)a Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application April 2015 Page 2 of 7 � r i BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission/Committee L'pnt/r al dy P-6/1'rP kE-ViezL) ��Q Date 7—J Ns Name -nlek.'e— NoIVI,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. I- . 1 BUSINESS NAME I BUSINESS ADDRESS Qn ko NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional busineAs. Applicant Signature 11 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 April 2015 Page 3 of 7 City of Iowa City r Advisory Board/Commission/Committee �;��'� c'`� '►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 Term NAME '3>oon4o) jL; ,r-� HOME ADDRESS Y f L l oS4- a /?J c"A gz-L(c— Is your home address (listed above) within the corporate limits of Iowa City? 54 Yes F-] No How long have you been a resident of Iowa City? Gender: Male FemaleF1 OCCUPATION �cz,,,ti„�„ �ti EMPLOYER Uf-hd-Tl!GN-S�-r PHONE NUMBER: HOME 3/q -may- -7"y BUSINESS ,314 S,9q -7b6a EMAIL ADDRESS: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: fit ;6AL MtiM-bC, ti 4� S#' yAS- P,) -t Pae3�-.J.T-,4 0d 11*- bo AAJ / s Avg 4G- fA, fA.�,€ ?r 2�As�. A l ,YK-c 44t,,;; b� WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? A WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYINal? r0l ( ��3-� Es1G p�%L/`tom w� jl "�4 % n h �►nG� lc' J)DAAC� + At'A. CI;A ). us 1 eU I M i IAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest /0vt%; IF YOU ARE NOT SE't�§ 5',%U WANT TO BE NOTIFIED? MYes D No DO YOU CURRF-N.TLY SERVE N ANOTHER IOWA CITY BOARD OR COMMISSION? [:] Yes MNo (It has been Council` AOdot?4WigWindividual to serve on two Boards or Commissions at the same time.) Misrepresentatioication will constitute just cause for removal of an appointee. If you fail t o answer all the=10301uncil 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 l� Name � r ~'�' CITY OF IOWA CITY Date Section 362.5 of the Code of Iowa geherally 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. L 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 Address 04, IIMisrepresentations on this application will constitute just cause for remogl of aFpiVF4A1ou fail to answer all the questions, Council may not consider your application. General Application February 2015 Page 3 of 7 CITIZENS POLICE REVIEW BOARD (Formerly Police Citizens Review Board) ATTENDANCE RECORD YEAR 2014-2015 (Meeting Date KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting -- = Not a Member TERM 6/11 8/26 9/15 10/13 11/10 11/25 12/3 12/8 12/29 2/10 3/10 4/7 4/28 5/20 NAME EXP. Melissa 9/1/16 X X X X X X X X X X X X X X Jensen Donald 9/1/15 King Joseph 9/1/17 X X X X X X O/E X X X X X O/E X Treloar Royceann 9/1/16 X X O X O O X X X O X X X O Porter Mazahir 9/1/17 O/E O X X X X X X O/E X O/E X X O/E Salih Mazime 9/1/15 — X -- — — — — — —_ --- -- — __ — Tremblay Fidenclo 9/1/15 — — — — X X X X O/E X X O X X Martinez KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting -- = Not a Member Asa 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. Applicants for district representatives to the Historic Preservation Commission must reside in the district that is specified. 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, July 22, 2015. The City of Iowa City encourages diversity in the appointment 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. 7/23/2015 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, April 8, 2015, May 6, 2015, Application Deadline: Wednesday, 5:00 p.m.; July 22, 2015 Council Appointment Date: July 27, 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., July 22, 2015 0 Denotes applicant completed the Confidential page of the application. M07-27-15 15e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three Vacancies — Three Year Terms September 1, 2015 — September 1, 2018 Duties of the Housing and Community Development Commission include assessing and reviewing policies and planning documents related to the provision of housing, jobs, and services for low- and moderate -income residents; reviewing policies and programs of the Public Housing Authority and Community Development Division and make recommendations regarding the same to the City Council; reviewing and making recommendations to the City Council regarding the use of public funds to meet the needs of low- and moderate -income residents; housing policies and programs, and seeking public participation in assessing needs and identifying strategies to meet these needs; recommending to the City Council from time -to - time amendments, supplements, changes, and modifications to the Iowa City Housing Code. Iowa City -appointed members of boards and commissions must reside in the City of Iowa City. When possible, Council will appoint persons with expertise in construction and/or finance, a person receiving rental assistance, and a member of the Local Homeless Coordinating Board. The Housing and Community Development Commission will have monthly meetings. Applications must be received by 5:00 p.m., Wednesday, July 22, 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 Housing and Community Development Commission should be directed to Tracy Hightshoe, Community Development Planner at 356-5244. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step -father, step- mother, step -child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 3 Council Announcement Date: May 19, 2015 Application Deadline: Wednesday, 5:00 p.m., July 22, 2015 Council Appointment Date: July 27, 2015 After 09/16/2015 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three Vacancies - Three -Year Terms September 1, 2015 — September 1, 2018 Term expires for Andrew Chappell, Christine Ralston, and Rachel Zimmerman Smith Gender Balance Requirement: None (F) Edie Pierce -Thomas rx-1 631 Stuart Court (M) Mark Signs 191 1825 Hollywood Blvd. (F) Syndy M. Conger 1915 Calvin Ave. (F) Emily Seiple 0 47 Valley Ave. #7 (F) Tineke Melvin 0 1840 S. Gilbert St. El Denotes applicant completed the Confidential page of the application. Marian Karr From: Sally Scott <salwah.scott@gmail.com> Sent: Thursday, July 23, 2015 2:48 PM To: Council Subject: We Support Signs, Seiple and Conger for HCDC To the Iowa City City Council, On behalf of the Johnson County Affordable Homes Coalition, I am writing in support of Mark Signs, Emily Seiple and Syndy Conger, who are applying for vacant positions on the Iowa City Housing and Community Development Commission. Emily and Mark have volunteered extensively with the Johnson County Affordable Homes Coalition. Mark is a realtor who has helped strengthen our partnership with the Iowa City Area Association of REALTORS, who has served as a host on our PA TV "Housing Focus" show, and who works tirelessly to improve his neighborhood in southeast Iowa City. Emily is a graduate student in Urban and Regional Planning at the Univ of Iowa, who has extensive knowledge of the Pheasant Ridge neighborhood in west Iowa City, and has undertaken research that informs our education and advocacy work. Syndy is a member of the League of Women Voters who has been attending our Affordable Homes Coalition meetings and brings substantial knowledge of the community and awareness of key issues to her volunteer work. I think each of these candidates would bring new ideas and energy to the Commission. Sincerely, Sally Scott Chair, Johnson County Affordable Homes Coalition Sally J. Scott LinkedIn Profile salwah. scottA email. com 410-370-2495 (c) Wendy Mayer From: Edie Pierce -Thomas <epiercethomas@yahoo.com> Sent: Thursday, July 23, 2015 10:26 AM To: Wendy Mayer Subject: Housing and Community Development Commission Dear City Council, After further consideration, I want to clarify that the HCDC is my preferred commission as I have an extensive background in housing and see no conflict that would prevent me from serving on this commission. I believe I would add much more value to this commission over the HRC. Thank you for your time and I hope the City Council will consider my application. Edie Pierce -Thomas eniercethomas(a,,vahoo. com 631 Stuart Court Iowa City, IA 52245 Phone: 765-414-4407 r.a ca t� ter+ City of Iowa City 4-- > AdvisoryBoard/Commission/Committee '.0 Application Form IP* of J2YA CITI' awr�.www.ww THIS APPLICATION IS A PUBLIC DOCUMENT WITH THE EXCEPTION OF THE LAST PAGE NAKED TC ONFIOENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANC' DURING THAT TIME. Advisory Board/CommissionlCommittee Name 1-�U�S1 ` Y4�itU�v� er"'"Term NAME rcz -TY'as HOME ADDRESS Is your home address within the corporate limits of Iowa City? a Yes D No How long have you lived in Iowa City? `A A Gender: Male Female Q �J Contact # -76S-414- 4-4CD Email Address ..f,.T�irm iAur►Jn0 erTRATM-Q WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: W C V k Qd L4.1 :3%lA V S + r ori, 3 u.�I'�" i';-r--� �yZ�ti '� I `t ""i - ?" �' T S¢�t trete U� St+ -v at PtJS c -#-6M v -S I V"C-1tk0L - IP -2 Comma V\-aic t- 1-it�. s�►� > Q,A.r t.c �. �, ;moi yJ0,+ I� L o[�u s �`+ 1�r ri_Vic- G2..1�-iT1 . W14AT IA YOUR FRESFNT KNOWLEDGE OF THIS ADVISORY 13OARO? �.Q'1�.a c ►� a,k� CJ� LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest CVl . 4-k-0wt,-n a,h I cO -� �ivYl rwl .S Scyi� �r.t✓. -N,2-0(e' LA �iy +-�''n s - �v a +fAa+ IS a con �l�c�t D{ U -JCA- - IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? N Yes [-� No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RlYes E]No (If yes, please indicate which board would be your first choice to serve on,) RR, (,e* rVU SS.c.�CLAA- " M) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application April 2015 Page 2 of 7 It- .:rn A- BOARD, COMMISSION AND COMMITTEES�, BUSINESS LISTING CITY OF IOWA CITY Name of City f } Board/Commission/Committee �' I -M3 -y__ ' S %k-,ty% Date Name ea 12- ID _ a.S Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract_ A copy of Section 362.5 is attached (see page 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.M 3"< N NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an a Applicant Signature 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 April 2015 Page 3 of 7 0 cr+ TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOV%'6ITt Effective March 15, 2013 orn Household 30% Median Income 50% Median 60% Median 8Q% Median ane n Size ipoverty Level) Income Income (low Inco ) Income 1 $16,700 $27,850 $33,420 $44,550 $55,700 2 19,100 31,800 38,160 50,900 63,600 3 - - 21,500 35,800 42,960 57,250 M 71,600 4 _ 231850 39,750 47,700 63,600 79,500 5 25,800 42,950 51,540 68,700 85,900 6 27,700 46,150 55,380 73,800 92,300 7_ 29,600 49,300 59,160 78,900 98,600 8 31,500 52,500 j 63.004 _ 84,000 1051000 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: F1Lower Income (see table) F-] Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and/or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and/or training. wc'hA� &I,,-� tit -- vb i c9� w"3rY 10- - t ; v6) f HCDC Application February 2015 page 4 of 8 City of Iowa City —,i r 1 Advisory Board/Commissio ittee Ate" ;W h Application Form CITY OF IOWA CITY MQ15.11IN 21; PM 1. 17 THIS APPLICATION IS A PUBLIC DOCUMENT WITH THE T �jT E LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONT,OMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/ ommission/Committee Name UtJ �✓� Cc�wu'�vnl� ( Term NAME Gf�i� �� �S HO EADDRESS S fi �� ?,I . Is your home address wit4 the corporate limits of Iowa City? CgYes rJ No How long have you lived in Iowa City? 19' Gender: Male❑ Female ❑ Contact Email Address 0111� t �/ ��'t°leSe may;-\ CONTRIBUTION ANDtOR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: /./' S 61�t vie ped o✓s�v �� �.v1 �jv5�u�i /1d� d '��•z�t WHAT 1S YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Lf (y WkyavVJe4Sr"J(�k5 Ace Ars /vl��/w �� �OC� `i4vS/�f /Stv>°s /�( !�/�G�r�- Gz��G(o�2_ �'ltJ✓�(k-I LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of interest uwt a l oGd 04ea%�ol-, " �v��rf Q!2 u�� cwtc�ttce /k e C 5e.,rv� o►- Vii- h� fwf f�ti yi��, c � a4,d awec tw,",er erA i✓► t� S��rr�„ i�. � ti,� t /J�.�rG�h rrLic�xOs /,J" �i 49 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? JgYes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ❑ Yes (if yes, please indicate which board would be your first choice to serve on.) 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 April 2015 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City , Boa rd/Commission/Com mitte/i Name R".1-1 <�, h "afttAll- CITY OF IOWA CITY Section 362.5 of the Codedf 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 spouseldomestic 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 I 7 0701 N: A rl, Ar forimust be corn leted if the above information changes or an ownership interest is acquired irFln additional i Applicant Signature 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 April 2015 Page 3 of 7 TABLE OF INCOME GUIDELINES AND DEFINITIONS F►IfAtITY Effective March 15, 2013 D Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income Income�m �:18 Median Income 1 2 3 $16,700 19,100 21,500 $27,850 31,800 35,800 $33,420 38,160 42,960 57.260'71,600 $55,700 63,600 4 23,850 39,750 47,700 63,600 79,500 5 25,800 42,950 51,540 68,700 85,900 6 27,700 46,150 55,380 73,800 92,300 7 29,600 49,300 59,160 78,900 98,600 8 31,500 52,500 63,000 84,000 105,000 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: F-1 Lower Income (see table) F7 Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and/or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and/or training. (4/t 72� /&J, ek HCDC Application February 2015 page 4 of 8 City of Iowa City r 1x Advisory Board/Commis, r&mmittee Application Form CITY OF IOWA CITY 36 THIS APPLICATION IS A PUBLIC DOCUMENT AND AS Slic E REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGEMARJ ?IAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATIC LL E FdR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name ti o_ u5` n t 6thmun-i4-14 Q eyilep m en.t Term 3 y,- s NAME S Al. Coit HOME ADDRESS I?/S /vin AU.,e'. Is your home address (listed above) within the corporate limits of Iowa City? Yes ❑ No /fib /•-7� How long have you been a resident of Iowa City? 2603-!T d 31'n all. Gender: Male ❑ Female0 OCCUPATIONRefizedP-1o� EW66 14 _ EMPLOYER Was Wes ken TL. 61" / v.l 97P7 -2 PHONE NUMBER: HOME 3lci-3S f5 -701y BUSINESS No N.Q. EMAILADDRESS: -VyhCtyernall ct. co -M EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: h em erg �oc..�c r oeI. sJ�q f� y P i►r►:tt d>a W � Vomit �S/ JOhh � Co dGps—t�� Vr,Qu.r -� TG s 1�vocl Ba.tk. >:c /n�crvi�ulcltep7`S Vvhoa.✓44, aQwo✓ 0..o lu' n/ ricin Gc:c�Q u s 5 Sri �1 e�' �f i u,i p h..� u n dch,o "la nce i n tt ou s i.� a a d lrrint/1 /i -S S S f� n C2 / ►-� J/ C:0 , vt`a �� �e-e n ori i a r- x �r Set Vi Sr 1-0r)rM W e-&'0, z/1', Wh a✓.�- 1`# 6Us. l=/'e-s `0k wa�o w, 461 °� i . Mv,.� a -e l/zaU4eznCA� L W -u S T /t eetU Ce cC '� m tg o f S vu s /� J n rl 5 cJ j C' -A f/'a (-t R UA CA ar'aj"a eA v r' S fJ ( q k S YOUR THIS 0-" vS . Q A cM .a .r�-/ �c - a+ cc ca �/%' onrn.e oQ , r m,I <j 6L ' �n - c.v e�e- be 66 S of ' / rcr i J %Pct "A- 64 LC r ' l ao / 5 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISOR BOARD SON FOR APPLYING ? '4 ` n�.� t s f !%r► oc� Q �h.c` S e'- 6h o ce s ti sQv,',tg _ y 6 C4Z4� Ce L7CW �£c c ep ✓' LV `� cf- / 7' s C44JL4r�.,� h crK S j ti u s h -t la 5 i )'- c -cd ..e✓Q Sd-c.c� �j °a c� iJ o -s i 1t� ars � 7is aCoF ji 01 h W e wu C.t` LIST POTENTIAL CONFLICTS OF INTEREST: See page 4 for information regardind Conflict of Interest /l G &-f- IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ® Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ❑Yes ©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. HCDC Application February 2015 Page 2 of 8 � r FILE BOARD, COMMISSION, & COMMITTEES-•�..�._ ��� BUSINESS LISTING CITY OF IOWA CITY 2015 JUL -8 AM 9: 3 Name of Ci ' Board/Co i e H o u s r` K t o �`— Date___Z�1�24L'�J Name SCon jvv- Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 8). List all businesses in which you or your spouse/domestic partner have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. NOTE: Signature Address BUSINESS NAME I BUSINESS ADDRESS A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. / rS (�eGUiki i4U� Z 6-1cp 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. HCDC Application February 2015 Page 3 of 8 TAB OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY "1` Effective March 15, 2013 Household SPJ45 JU 30% Median Income -8 (Me%Uvel) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 PA.700 $27,850 $33,420 $44,550 $55,700 2 N0 31,800 38,160 50,900 63,600 3 1, 0 35,800 42,960 57,250 71,600 4 23,850 39,750 47,700 63,600 79,500 5 25,800 42,950 51,540 68,700 85,900 6 27,700 46,150 55,380 73,800 92,300 7 29,600 49,300 59,160 78,900 98,600 8 31,500 52,500 63,000 84,000 105,000 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: f E] Lower Income (see table) F-1 Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and/or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and/or training. fly .t n ado( --1 % trvl o a e mac' �� Cc .t c( ►P ni n `� 3' h a c{ .c -c" -k, 4-r u_; n -r ti � cc 50t V:, l J a 1-1 ct/ SS o c a -t-; 0--n . w h 4 1-e I w w 1,-c c( �C'V 2 +, ..0- , $ Z w a -a C -e_ ex i S �.� ��� - -n--t C'L� 0, n i n's i ` - i aye Le a'� eL CA e C l g d an e,,o 4 Ecc,',I-r-V a,-( ct 7` ou r -,v" G! -2 -7 `t -173 HCDC Application February 2015 page 4 of 8 City of Iowa City _1 Advisory Boar-C[/COP mission/Committee` Application Form- ,'�_ q{LCITY OF IOWA CITY THIS APPLICATION IS A PUBLAPOCUMENT WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CO 'IMM.J REE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANC DURING THAT TIME. r C, I Advisory Board/Commission/CommitteeName rfOUSing „<�%mmunAA. rhe_ Term 9h is_q j i$ NAME tiffiJi lul S- le, HOMEADDRESS 41 Val -e -# --f iowu U u4 Is your home a dress within the corporate limits of Iowa City? Yes 0 No 52Z4lo How long have you lived in Iowa City? AW 200q-._resefft- Gender: Male[] Female Contact # 2t - zl - 9 o-i(Q Email Address e_ tkv i S T t��ilna i Lc iMNTRieUTION AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Tease ste 17trf- pa9e- Oy af-acresponse - WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Somme as aWVf/- LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest S'6161 ct& a bo ve . IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes [] No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD O -COMMISSION? []Yes ONO (If Yes, please indicate which board would be your first choice to serve on.) 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 April 2015 Page 2 of 7 Advisory Board/Commission: Housing and Community Develop�e#Cr�sion Term: Sept 1, 2015 to Sept 1, 2018 Name: Emily Seiple Home Address: 47 Valley Ave #7, Iowa City, IA 52246 �� �(- 22 i Is your home address within the corporate limits of Iowa City? Yes.r How long have you lived in Iowa City? Aug 2009 - Present j ,W.A CIT' , It Gender: Female Contact #: (217) 621-7076 Email Address: emily.seiple@gmaii.com CONTRIBUTION/ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: As a member of this commission, I would contribute detailed knowledge of current housing needs built from years of enthusiastic civic engagement, as well as the ability to act as a caring and informed liaison between a diverse group of community members. - I have served 10 months with the Johnson County Affordable Homes Coalition by attending monthly meetings, representing JCAHC at city council meetings, and reporting to a subcommittee on new developments and key housing concerns within Iowa City. - I have 4 years of volunteer experience within immigrant and refugee communities, primarily in the Sudanese community of the Pheasant Ridge neighborhood. I established trust via weekly home visits, identifying needs, and connecting women to driving and English help. Members of this community (as well as select Neighborhood Centers of Johnson Count staff) consider me a safe person to bring housing and neighborhood concerns and ideas to. I also acted as a liaison between JCAHC and a housing research project focused on Latino mobile home owners conducted with the College of Public Health and Center for Worker Justice. - I continuously seek to leverage my educational and professional opportunities to educate others about Iowa City and the importance of civic engagement. In 2013 1 organized a field trip and multimedia presentation to educate undergraduate students and young professionals about Iowa City's Willow Creek watershed. As a mentor for students through 24:7 College Ministry for, I designed an eight-week curriculum to introduce students to Iowa City's unique culture and areas of need in the summers of 2014 and 2015. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have studied the commission agendas and meeting notes for the past year. The commission's primary role is to make recommendations to the city council regarding the allocation of CDGB and HOME funds based on CITY STEPS priorities and other guidelines such as the Affordable Housing Location Model. Additional recommendations help determine funding for local agencies. The commission also discusses key issues such as changes in voucher policies. LIST POTENTIAL CONFLICTS OF INTEREST Starting in August, 2015, 1 will be enrolled as a student in the University of Iowa's School of Urban and Regional Planning. It is my understanding the city of Iowa City and UI are careful in how they cooperate on housing issues, but this could be a potential area for conflicts of interest. (All other responses on provided application.) FILE Name of �W AM 11= 3 Board/(WVift6W- omn 100 CITY, 1 11A Name U Vh i [ L4 Teio BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I , I=;�a4� + �"n ats CITY OF IOWA CITY LAVs IN OJ (,eM{ro 0tV t uifi 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 NOTE; A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature 11 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 April 2015 Page 3 of 7 B INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY I L Effective March 15, 2013 Household Size ��Qgf�, Mt fg" 1 a verty Level) 50% Median income 60% Median Income 80% Medan Income flow income) Median Income 1 2 )WX ' rf , `` $27,850 _ 31,800 $33,420 38,160 $44,550 50,900 $55,700 63,600 3 21,500 35,800 42,960 57,250 71,600 4 23,850 39,750 47,700 63,600 79,500 5 25,800 42,950 51,540 68,700 85,900 6 27,700 _ 46,150 55,380 73,800 92,300 7 29,600 49,300 59,160 78,900 98,600 8 31,500 52,500 1 63,000 84,000 105,000 ATTACHMENT TO APPLICATION FOR THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU f a►RE A MEMBER OF EITHER OF THE FOLLOWING CATEGORIES: Lower Income (see table) a Receive Rental Housing Assistance Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction, finance and/or a person receiving rental assistance. If you have expertise in construction or finance, please describe your experience and/or training. I hay wrlivl ahiltsg0adk0,k, CatrSe6VWIK, In I'anf WHIir G( ars, Pro'Iech P"Mo-finq '4 avis a4 Cov mural I w� b-Aj -- Itir��i�, e�� k i�au Uy ear ' %ewe LA zS Cdtr►t�IztQ �a" r,�;' a I a cad yra► �, wn h rn rz�ht, llosi hbet k-oo j C&e -- a t� N bV Of Vis i fiii sG� TLC lf'tk-viafi� 44 ry r ftv- HCDC Application February 2015 page 4 of 8 Marian Karr From: Emily Gmail <emily.seiple@gmail.com> Sent: Wednesday, July 22, 2015 12:53 PM To: Council Subject: Seeking Appointment to the Housing and Community Development Commission Dear Council Members, My name is Emily Seiple, and I would be honored to serve on the Housing and Community Development Commission. Six years ago I came to Iowa City as a student and have made every effort to make this community a home - for myself and for others. I have volunteered extensively with immigrant and refugee families, becoming a trusted friend who learns about housing needs and concerns from the community itself. This involvement motivated me to join the Johnson County Affordable Homes Coalition where I could learn about and influence housing policy developments, which I have done for the past 10 months. By applying for the HCDC, I hope for the opportunity to recommend key support to the leaders, organizations, and laudable council efforts that work towards making Iowa City a welcoming home where all its members can thrive. Thank you, Emily Seiple City of Iowan City 1.1 1 Advisory Board/Commission/Committee �;�"' in ;RX, � Application Form FILED-�...._ qk CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MON7 Oa- gWAUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. C - I / IOft T Y, Inst Advisory Board/Commission/Committee Name /`i�Ou,Sia!!� � Oom o"r �etl• 64tm Term J Sake NAME /�(/CAe A/1 A/i✓ HOME ADDRESS /9W Ls' r�iIzl Is your home address within the corporate limits of Iowa City? FrYes ❑ No How long have you lived in Iowa City? 9/1t Gender: Male❑ Female Contact # Email Address 7 4 ee( W/ ' &4( CONTRIBUTION AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: (,WN1)(dN1% 4P..Illd�i� a ane b J WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? -Iam ate -5 L T POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest lAle, IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? nYes No (If yes, please indicate which board would be your first choice to serve on.) 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 April 2015 Page 2 of 7 B D, COMMISSION AND COMMITTEES BUSINESS LISTING 2015 JUL 22 Ph 3: 41, � r ' ERE Ir CITY OF IOWA CITY Name of City , ; ,Ai . Board/Commissio / Sok�/lN����� �6/yl/1l. Date q Name%fir✓ ��Yl�✓ 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 usinr. _ Applicant Signature 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 April 2015 Page 3 of 7 0 E 0 U z US ci i 0 z W a IL O W O z 0 z c� Z N 7 O O W W V z 0 z LU a x X x x X X X O x T M b x X x x x x x x x T a x x x x ; x o o X T NO x O X ; x x x X T 1 X X x x x X x o� X I x LU 0 I x LU O LLI O 1 x x x = x x X a x ; X x I.x x x X co ti Ln r. co co Ln ti a 0 0 0 0 0 0 0 0 0 W J J W _ W z C? C �_ W_ �p F to W ZJ zx W � Q' Z O m 8 V 2 OQ O z a a 2z O o p� LU 0 W 0 Y 0) J O Lu '!�H :U Z m m Q V a H i NW v W Nexoa 1 07-27-15 15f NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION One vacancy — Unexpired term Upon appointment - January 1, 2018 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, and budgets relating to parks, playgrounds, recreation centers, and cultural functions of the City and make such reports to the City Council as the Commission deems in the public interest; to exercise broad responsibility for the development of parks, recreation centers, playgrounds, and cultural facilities to serve the City --including the creation and appointment of advisory groups to make studies. Iowa City -appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, July 22, 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 Parks and Recreation Commission should be directed to Mike Moran, Parks & Recreation Director at 356-5110. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step -father, step- mother, step -child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 4 Council Announcement Date: June 2, 2015 Application Deadline: Wednesday, 5:00 p.m., July 22, 2015 Council Appointment Date: July 27, 2015 After 08/31/2015 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PARKS AND RECREATION COMMISSION One Vacancy — Unexpired Term Effective upon appointment — January 1, 2018 Katherine Jones resigned Gender Balance Requirement: None (M) Paul Roesler rx-1 30 Mary Ct. 0 Denotes applicant completed the confidential page of the application. City of Iowa City r Advisory Board/Comm' gF�ED on/Committee 1pplication Form -.�.r._. 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 QUELL tfkNFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATIMA MWft FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name AQJCS Atir,� RM26TY10rJ 6011SNN Term 2oie NAME �PUL HOME ADDRESS _3o MSA CT 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? 3(o JEAg5 Gender: Male R Female[] OCCUPATION U&iC"1W,S 600) > S LE"ADEV— EMPLOYER PHONE NUMBER: HOME g3o•3gI� BUSINESS 31�►_(oZ5-��5� EMAIL ADDRESS: VYOC�I e,reJ grnp; I. cOM EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: As\, {'u. Pe, }� G �; lov, tts; dere- o(r Iowa. G+,/. I dw— pr,, Jill pa -Ica as a lc�e� a, �(A coa�l� in ►�.a o(^ I -Lk_ Cttl Zec- 5?z' ' �"� ►�rg;^g �ro,� tc P,ohs 6as{bZll 1aGIrIS J,,"r -'1, le"d 5 Aa�1+ vol �'Il G�1 nnaw� o+l�tS- arm ve 'I,�• h [.� l '�`� f �1urv�+uus larks q��,-,a,P �l-p�„�- � �� }-w� 1c��dr,cn a�Qs �rr ANS I► 3.,d n,, y wJc J'S a fl -s `I t +4 AAd CL e-nfs ttc. 4r o4 .ilAu/r/ IM�Qre /U,c I z(W for 4,t los} 11 yft4(5 I RW1 k' ..j Q Ue.,.1 ,v�lv eLl lf(Z I,^ rcc,r c+i3Or\ i-, A-\�k Ctre� WHAT IS YOUR PRESENT KNOWLEDGE OF THIR nnviGnQv RneRn7 My fob'fi'CAI g4te cl 6, b'"111 of L Scho()) i'�e.�.'r l . `�'l2 �joa�� qr,d RNA W.1 U' I � � � A•vt } rz-J� �in�,,i;gr '� �'b Qo +kL C-,s'C.CC N toS�eQd� q} clt,�`c�US P x551 �JLt VVMA1 WN I KWU I IONS CAN YOU MAKE TO THIS ADVISORY BOARD (RFARnN FnR npaI VW -111 lel pXP-erl'ty, cJL qs a Coach �aK +� veil v�du-r G G��e n y IC a. e� I✓Y w� A rta+ r 5 K c+yam- on �l e.S i r �5 e .0 �''ll j_,, ` �` f SVC(avAi,+'.is IVWn- 1�� Ai �6't il16,JS &1k + r'Isv �a 1kWJ SP"JL Ui�.s-r C1�'VL'S ST POTENTIALL CONFLICTS OF INTEREST: See page 1 for information ation regarding Conflict of Interest 11"k okA11 pDT�4'C', l C©JJ S -<t 1 S 4"0-1 1 V".'/ L TOr 9_1_ k. Pk_ J V dpi S�a��irq �Oo�S jw'�- SL -6 ` -6 s as cI41:& 6th as q �as �'i i �e - J _I IF YUU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ® Yes FJNo DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes E]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 February 2015 Page 2 of 7 � r BOARD, COMMISSION AND COMMITTEES►^ BUSINESS LI�"�"� i� STING CITY OF IOWA CITY Name of City Board/Commission/Committee IZACS AN) �C��YIbrJ M►�ISS1D� Date 'g 1� Name NL) - PEES Lal_ Section 362.5 of the Code of Iowa generally prohibits, with certain important exceons, anember of a city Board or Commission from having an interest in a city contract. A copy of Sfi�n :192.5 itached (see page 7). w,TT List all businesses in which you, or your spouse/domestic partner, have an owner��' s��interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings).d Please indicate if there are none. -» w BUSINESS NAME BUSINESS ADDRESS Dt J, 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 _�;o /v wul C -r / A Su 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 PARKS AND RECREATION COMMISSION April 8, 2016 Page 6 of 6 PARKS AND RECREATION COMMISSION ATTENDANCE RECORD NAME V" "A � w ^ o� w o TERM EXPIRE •r S Suzanne 1/1/17 X O/E X X X X X X X X X X X Bentler David 1/1/15 X X X X X X X X X X X O/E O/E Bourgeois Larry Brown 1/1/18 X O/E X X X X X X X X O/E X X Clay 1/1/18 X X X X X X X X X X X X X Claussen Maggie 1/1/17 X O/E X X O/E X X X O/E X X X O/E Elliott Cara 1/1/16 X X X X X X X X X O/E X X X Hamann Katie Jones 1/1/18 X X X X X X X X X O/E X X X Lucie 1/1/15 X X X X O/E X O/E X X X X X X Laurian Joe Younker 1/1/16 O/E X X X O/E I X X X X I X I X X X KEY: X = Present O = Absent O/E = Absent/Excused NM — No meeting LQ = No meeting due to lack of quorum * = Not a member at this time