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HomeMy WebLinkAbout2020-05-19 AppointmentItem Number: 14.a. �r CITY OE IOWA CITY www.iogov.org May 19, 2020 Airport Commission - One vacancy to fill a four-year term, July 1, 2020 - June 30, 2024. (Term expires for Robert Libby) ATTACHMENTS: Description Vacancy Notice/Coversheet Board Demographics/Attendance Orozco, Hellecktra -Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: AIRPORT COMMISSION One Vacancy: Four -Year Term July 1, 2020 — June 30, 2024 • Duties: To exercise all the powers granted to cities and towns under Chapter 330 of the Code of Iowa, except the power to sell said airport. • To annually certify the amount of taxes within the limitations of the Statutes of the State of Iowa to be levied for Airport purposes. All funds derived from taxation or otherwise for airport purposes shall be under the full and absolute control of the Airport Commission, deposited with the City Treasurer, and disbursed only on the written warrants or order of the Airport Commission. • The Airport Commission meets the third Thursday of each month at 6:00 p.m. Iowa City appointed members of the boards and commissions must be 18 years of age and live in 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., Tuesday, May 12, 2020. An application can be completed and submitted on the City of Iowa City website at www.icgov.org. or by contacting the Clerk's office. Questions about the Iowa City Airport Commission should be directed to Michael Tharp, Airport Operations Specialist at 356-5045. Board/Commission Application Cover Board/Commission: Airport Commission One vacancy to fill a four-year term 7/1/2020 - 6/30/2024 It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council Announcement Date: 4/7/2020 Application Deadline: 5/12/2020 Council Appointment Date: 5/19/2020 Date of Non -Gender Appointment: 7/6/2020 After date above Council may appoint without regard to gender Gender Balance Requirement: 1 -Female Current Gender Balance: Female: 1 Male: 3 Gender Name and Address Female Orozco, Hellecktra 2627 Rushmore Drive Airport Commission Demographic Report Name Term Type Term Stop Term I Resident Years Occupation Gender* Age* Country of Origin* Sexual Religion* Disability* Ethnicity* Gender Race* Number Orientation* Identity* Christopher Lawrence Full 1 6/30/2021 10 years Systems Administrator Male 29 Judy Pfohl Unexpired 6/30/2022 since 1974 retired (UIHC accountant Female 68 United States (San heterosexual Protestant No anglosaxon Female Caucasian I then school teacher) Francisco By Area) Warren Bishop Full 1 6/30/2022 29 years Physician, Professor of Male 65 USA heterosexual None No USA Male Caucasian Pediatrics Scott Clair Full 1 6/30/2023 2003-2005, 2007 Business Development Mgr. Male 49 USA Heterosexual None No European Male European to present (13 yr (total) VACANT Full 6/30/2024 Please note: The information provided is the information provided on the application at the time of submission. * Information is voluntary Airport Commission ATTENDANCE RECORD 2019-2020 KM X = Present X/E = Present for Part of Meeting O = Absent O/E=Absent/Excused NM = Not a Member at this time TERM 0 {U1 0 C" 0 -4 0 co 0 -h O j O i i Q NAME EXP. as i o i m �n i N J 0 N i i ' A i ns 0 W i� > m_ N +roe .�0a O W t9 to SD W W W W O O IV O O Warren Bishop 06/30/22 X X X X O/E X 01E X X O/E OIE X X Scott Clair 06/30123 NM NM X X X X X X X X X X X Robert Libby 07/01/20 X O/E X X X O/E O/E OlE OlE O!E X X X Christopher Lawrence 07/01121 X X X X X X X X X X X X X .Judy Pfohl 06/30122 NM X X X X X X X X X X X X KM X = Present X/E = Present for Part of Meeting O = Absent O/E=Absent/Excused NM = Not a Member at this time r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 12/6/2019 First Name Hellecktra Last Name Orozco Home Address* 2627 Rushmore Drive City IOWA CITY State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 2103810525 Email Address* poneloyagirl@hotmail.com Boards & Commissions Select a Board or Commission you are interested in:* Parks and Recreation Commission Select a Board or Commission you are interested in: Community Police Review Board (CPRB) Select a Board or Commission you are interested in:* Review, Board of Board of Review Category* At -Large Select a Board or Commission you are interested in: Airport Commission Preference on first choice If rrultiple boards are being applied for. Parks and Recreation How long have you been a resident of Iowa City?* 2017 Occupation:* Human Resources Specialist Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" xray be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* I am an active volunteer member of the community and would like to be involved and in the process of developing and incorporating new goals and plans for the City of Iowa City. Currently I am serving in CCC Census 2020 Committee and others at the University of Iowa. What is your present knowledge of each advisory board you are interested in?* The information I have regarding the boards I am applying on is from the previous agendas an minutes from previous meetings. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 39 Country of Origin Nicaragua Sexual Orientation Heterosexual Religion Christian, Muslim Do you have a disability? No Ethnicity Latinx Race White Gender identity She/her/hers *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Item Number: 14.b. r � � At + at1Mw��al +•ate_ CITY OF IOWA CITY www.icgov.org May 19, 2020 Community Police Review Board - Two vacancies to fill a four-year term, July 1, 2020 - June 30, 2024. (Term expires for Monique Galpin, Orville Townsend) and One vacancy to fill an unexpired term. Effective upon appointment - June 30, 2023. (Samuel Conaway resigned) ATTACHMENTS: Description Vacancy Notice/Coversheet Board Demographics/Attendance MacConnell, Jeri -Application Nichols, Amanda - Application Orozco, Hellecktra -Application Sodahl, Bruce -Application Townsend, Orville -Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: COMMUNITY POLICE REVIEW BOARD Two Vacancies: Four -Year Term July 1, 2020 — June 30, 2024 and One Vacancy to fill an unexpired term Upon appointment - June 30, 2023 Duties of the Community 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. • The Community Police Review Board meets the second Tuesday of each month at 5:30 p.m. Iowa City -appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, May 12, 2020. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the Iowa City Community Review Board should be directed to Chris Olney City Clerk's Office at 356-5043. Board/Commission Application Cover Board/Commission: Community Police Review Board (CPRB) Two vacancies to fill a four-year term 7/1/2020 — 6/30/2024 and One vacancy to fill an unexpired term Upon appointment — 6/30/2023 It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council Announcement Date: 4/7/2020 Application Deadline: 5/12/2020 Council Appointment Date: 5/19/2020 Date of Non -Gender Appointment: 7/6/2020 After date above Council may appoint without regard to gender Gender Balance Requirement: 1 -Male, 1 -Female, 1 -None Current Gender Balance: Female: 1 Male: 1 Gender Name and Address Female MacConnell, Jerri 320 E. Washington St Female Nichols, Amanda 2711 East Court St Female Orozco, Hellecktra 2627 Rushmore Drive Male Sodahl, Bruce 1030 Saint Clements St Male Townsend, Orville 713 Whiting Ave 11 full term ending 6/30/20 Community Police Review Board (CPRB) Demographic Report Name Term Term Stop Term Resident Occupation Gender* Age* Country of Sexual Religion* Disability* Ethnicity* Gender Race* Type Number Years Origin* Orientation* Identity* David Selmer Full 1 6/30/2021 4 Years Lawyer Male 38 USA Male Unitarian No Caucasian Latisha McDaniel Unexpired 6/30/2021 6 years Research Female 40 United States Bisexual Agnostic No cisgender Black Associate VACANT Unexpired 6/30/2023 VACANT Full 6/30/2024 VACANT Full 6/30/2024 Please note: The information provided is the information provided on the application at the time of submission. * Information is voluntary COMMUNITY POLICE REVIEW BOARD ATTENDANCE RECORD YEAR 2019-2020 eetin Date KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting --- = Not a Member 4/9/19 4/29/19 5/14/19 6/11/19 7/11/19 8/13/19 9/10119 9/24/19 10/8/19 11/12/19 12/10/19 1/14/20 2/11/20 3/10/20 NAME "" Donald X X X X King - Monique X X X X X X X X X X X X X Galpin Orville X X X X X X X X X O/E X X X Townsend Latisha X X X X O X X X X X O/E X X McDaniel David X X X X O X X X X X X X X Selmer I Sam X X X X O/E O O O O Conaway KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting --- = Not a Member ^ r FILED 'A Advisory Board/Commission/Committee Applic 3riti , aAty'�j p ""•� This application is a public document and as such can be reproduced a d distribuid for CITY of IOWA Ciro the public. This application will be considered for twelve months only a6tqu[WMAtically UNESCO CITY OF LITERATURE considered for any vacancy during that time. POW a City, Iowa NOTE: Must be 18 years of Age and live within city limits of Iowa City to apply Date of Application ( P o t Q Which Board or Commission are you interested in �( t^Ce t7 ; e10 Applicant Information: l etYt 1 First Name 'i..) � J� �� Last Name �Lj C CU n fi e it Home Address 5i`• City 62;"f` State pt.DZip Code 5,--1 -;tgC, Contact phone number57q 13y?j J&1d49 E-mail Address 1. Is your home address (listed above) within the corporate limits of Iowa City? YES A NO _ 2. How long have you been a resident of Iowa City? S5Fl J 3. Occupation: �7 t i� - { it', `F %l kn 56, r � A c `; &) 4. Gender* "This question is mandatory in order for the Cityl, comply with the State's gender balance requirement which treats gender as binary "Gender Identity" may be provided in the demographics section of the application below. Male Female ,.,...--. Y—...... yv...v. yvauuvu. +�e-c; o 1,/,429:1vs ky LA) —n ct C !`l; f c� � cz t�n � an; za >fT haoe— CA)a r h'� r i I i"�;n try go d m 3 za Z 5 t2�C,) r-t(�i,�,,�� ] �li`ec.J�tr `foP' t��>ec� Q',.. 5,;cr�l4l/ ✓�',I-_41` IZ o. w nai is your present tcnowteage of each advisory board you are interested in? Lpikv' y UL /,12v Ce G� Cl Y�2 { LQrJ c i 61c htv�tt 'ham Y �`�cris a 6 e --e- Gig- a�T-ate t YL{ iYz �s �t a 11e@ -S1 c Please contact the city attorney at 319-356-5030 to discuss questions or concerns reg'�rrdil en, a q conflict of interest. The following describe some but not all potential conflicts. Potential Conflict of Interest MAY 0 8 2019 City Clerk The Housing and Community Development Commission makes recommendations tol(awalti*00mv regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision—making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally -assisted activity, or have a financial interest in any contract, subcontract, agreement with respect to the proceeds of the federally—assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. Section 362.5 City Council Resolution #15-300 established a policy that the following persons shall not be eligible for appointments to Boards and Commissions. A council member's spouse, domestic partner or partner in cohabitation, children, step children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in- law, sister-in-law, grandparents, and grandchildren, aunt, uncle, niece, nephew, fust cousin, foster parent, poster child, persons who are parents of the sante child, and persons whom the employee is in an intimate relationship. Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full tern in order to increase the opportunities for new applicants to serve. ................................................................................................................................ 7. Do you currently have a conflict of interest? YES NO—t— Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer/ 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). List potential conflicts of interest (See above for information regarding conflict of interest) Please indicate if there are none. BUSINESS NAME I BUSINESS ADDRESS Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. 8. Do you currently serve on another Iowa City board or commission? YES N04 If yes, which one do you prefer? The City Council values all types of diversity on its boards and commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the board and commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Demographic Information: 9. Age 10. Country of Origin� � �� ���� te— ll. Sexual Orientation F6-- ' 12. Religion 13. Do you have a disability? YES X NO 14. Ethnicity Ceraz4ry lro/1 15. Race caue'g5: d ✓� 16. Gender Identity Note: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise finance and one person who receives rental assistance. (Resolution) Signature of Applicant* �j— Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are eouraged to contact individual Council Members to express your interest in F`1 in n ct information is attached. MAY 0 8 1019 City Clerk Iowa City, Iowa r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/21/2020 First Name Amanda Last Name Nichols Home Address* 2711 East Court St City IOWA CITY State IA Zip Code* 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-677-1153 Email Address* director@corridorcan.com Boards & Commissions Select a Board or Commission you are interested in:* Community Police Review Board (CPRB) Select a Board or Commission you are interested in: Human Rights Commission Select a Board or Commission you are interested in:* Parks and Recreation Commission Select a Board or Commission you are interested in: Climate Action Commission Preference on first choice If multiple boards are being applied for. Community Police Review Board How long have you been a resident of Iowa City?* 20 years Occupation:* Clerk III, UIHC Gender* "This question is mandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" may be provided in the Demographics sectionof the application below. F Male V Female Experience and/or activities which you feel qualifyyou for this position:* As director of Corridor Community Action Network and someone who has lived in Iowa City for 20 years, I am deeply concerned with the health and safety of our community. What is your present knowledge of each advisory board you are interested in?* I have an acquaintance on the Police Review Board and am involved with many local climate action groups. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 37 Country of Origin United States Sexual Orientation Bisexual Religion Agnostic Do you have a disability? No Ethnicity Iowa city Race Caucasion Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 12/6/2019 First Name Hellecktra Last Name Orozco Home Address* 2627 Rushmore Drive City IOWA CITY State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 2103810525 Email Address* poneloyagirl@hotmail.com Boards & Commissions Select a Board or Commission you are interested in:* Parks and Recreation Commission Select a Board or Commission you are interested in: Community Police Review Board (CPRB) Select a Board or Commission you are interested in:* Review, Board of Board of Review Category* At -Large Select a Board or Commission you are interested in: Airport Commission Preference on first choice If rrultiple boards are being applied for. Parks and Recreation How long have you been a resident of Iowa City?* 2017 Occupation:* Human Resources Specialist Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" xray be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* I am an active volunteer member of the community and would like to be involved and in the process of developing and incorporating new goals and plans for the City of Iowa City. Currently I am serving in CCC Census 2020 Committee and others at the University of Iowa. What is your present knowledge of each advisory board you are interested in?* The information I have regarding the boards I am applying on is from the previous agendas an minutes from previous meetings. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 39 Country of Origin Nicaragua Sexual Orientation Heterosexual Religion Christian, Muslim Do you have a disability? No Ethnicity Latinx Race White Gender identity She/her/hers *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/6/2020 First Name Bruce Last Name Sodahl Home Address* 1030 Saint Clements St City IOWA CITY State IA Zip Code 52245-6108 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3195691883 Email Address* bsodahl@reagan.com Boards & Commissions Select a Board or Commission you are interested in: Community Police Review Board (CPRB) Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City?* 2 Years Occupation:* Real Estate Appraiser Gender* *This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Dermgraphics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* Throughout my adult life (I am 62 years old), I have resided in a number of communities and observed with interest the evolution of and the challenges faced by law enforcement. As a self-defense instructor, I have both utilized law enforcement input for my classes and instructed techniques to law enforcement. What is your present knowledge of each advisory board you are interested in?* I have followed the minutes and activities of the CPRB since becoming a resident of Iowa City in 2018. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 62 Country of Origin United States Sexual Orientation Heterosexual Male Religion Christian Do you have a disability? No Ethnicity American of Norwegian heritage Race Caucasian Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* putt 104 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission/Committee Application This application is a public document and as such can be reproduced and distributed for Ci a lowA CIryp UNESCO CITY OF LITERATURE pp the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. NOTE: Must be 18 years of Age and live within city limits of Iowa City to apply Date of Application , a j g Z b Z b Which Board or Commission are you interested in C -O rnmt.trl1� of I Ce,'Kc t Li Applicant Information: First Name O gy) Last Name -T© Home Address de-, �1 City D its 2 C i' State - Zip Code 43 Contact phone number f 351i-79.9 Email Address r owc C-ej fj, L Is your home address (listed above) within the corporate limits of Iowa City? YES 4 NO 2. How long have you been a resident of Iowa City? � 3. Occupation: -Su D @I ill - L iUfSilsw 6% Voc.c{+(o(2aj 4. Gender* *This question is mandatory in order for the City to comply with the State's gender balance requirpRent which treats gender as binary "Gender Identity' may be provided in the demographics section of the applies}ion below. [V Malea ❑ Female 5. Experiences and/or activities which you feel qualify you for this position: CGri-ec.A1art a 1 Swd re- tom(C,e1YLrn a Q:Se:S-t h50 -n./ -4c o y1 +e4,0, 1�1cs.s -- ' e, C. ea rn rrL LL M t -i j Sc kc. Alli--t->r a 'Old- Hssc�e.r eeZrL C-,-- Me-"d-LVV-( LL n e Ss o. w nat is your present knowledge of each advisory board you are interested in? ' ,,,-,,,, rrujr2cl �+ Gic.mP�i�ch�S °� .Lo., *)P-1 ver .10P—e— t. U Please contact the city attorney at 319-356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflict of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision—making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally -assisted activity, or have a financial interest in any contract, subcontract, agreement with respect to the proceeds of the federally—assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. Section 362.5 City Council Resolution #15-300 established a policy that the following persons shall not be eligible for appointments to Boards and Commissions. A council member's spouse, domestic partner or partner in cohabitation, children, step children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in- law, sister-in-law, grandparents, and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, poster child, persons who are parents of the same child, and persons whom the employee is in an intimate relationship. Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one .... reappointment to a full term in order to increase the opportunities for new applicants to serve. .........................................................................................:......................., 7. Do you currently have a conflict of interest? YES NO_K_ i D Please identify any potential conflicts between membership on the advisory board' ai"ec# you personalTr interests, including financial interests and your duties to an employer/ List all busingis"es iaVhich;jO'4 or your spouseldomestic partner, have an ownership interest (for example, sole prop'rieto#, pii ier, 5%a.Qr more of corporation's stockholdings). List potential conflicts of interest (See above for information regarding conflict of interest] Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS a. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. 8. Do you currently serve on another Iowa City board or commission? YES NOX If yes, which one do you prefer? The City Council values all types of diversity on its boards and commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the board and commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Demographic Information: 9. Age 10. Country of Origin 11. Sexual Orientation �A tte RG S e, x-t�L 12. Religion f3 Dtl S 13. Do you have a disability? YES NO 14. Ethnicity fi-e lZ t ca " t4I'> -m 4 ce-i- 15. Race -B L ct--c-1�- 16. Gender Identity W a..! e- Note: The Human Rights Commission strives to ensure the Commission is representative of the Teommunity. Therefore, appointment shall take into consideration persons of various racial, religious, citural, social and economic groups in the city. (Ordinance) - c The Housing and Community Development Commission strives to satisfy its pui�Ose intent, (when possible to have at least one person with expertise in construction, at least one perotrvvithpertise finance and one person who receives rental assistance. (Resolution) " Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Contact information is attached. (rev. 5/8/18) Item Number: 14.c. CITY OIF IOWA CITY www.icgov.org May 19, 2020 Historic Preservation Commission (At -Large) - Two vacancies to fill a three- year term, July 1, 2020 - June 30, 2023. (Term expires for Kevin Boyd, Austin Wu) ATTACHMENTS: Description Vacancy Notice/Coversheet Board Demographics/Attendance Boyd, Kevin -Application Builta, Zac -Application Wu, Austin - Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION Four Vacancies: Three -Year Term July 1, 2020 — June 30, 2023 (2) At Large Representative (1) Longfellow St. Representative (1) Northside Representative • Duties of the Historic Preservation and Land Marks 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. Iowa City appointed members of the boards and commissions must be 18 years of age and live in 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., Tuesday, May 12, 2020. An application can be completed and submitted on the City of Iowa City website at www.icgov.org. or by contacting the Clerk's office. Questions about the Iowa City Historic Preservation Commission should be directed to Jessica Bristow, Sr Planner at 356-5243. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Board/Commission Application Cover Board/Commission: Historic Preservation Commission - At -Large Two vacancies to fill a three-year term 07/01/2020 - 6/30/2023 It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council Announcement Date: 4/7/2020 Application Deadline: 5/12/2020 Council Appointment Date: 5/19/2020 Date of Non -Gender Appointment: 7/6/2020 After date above Council may appoint without regard to gender Gender Balance Requirement: 2 -Male Current Gender Balance: Female: 5 Male: 1 Gender Name and Address Male Boyd, Kevin Unexpired + 15Y term ending 6/30/20 i 622 N Van Buren St Male Builta, Zac 920 E Burlington St Apt 1 Male Wu, Austin Unexpired term ending 6/30/20 422 South Dubuque St Apt 21 Historic Preservation Commission Demographic Report Name Category Term Type Term Stop Term Resident Occupation Gender* Age* Country of Sexual Religion* Disability* Ethnicity* Genu Number Years Origin* Orientation* Identi VACANT East College 6/30/2021 VACANT Woodlawn Unexpired 6/30/2021 Helen S College Green Full 1 6/30/2021 17 years Retired/Sales Female 69 USA Jewish No White/Caucasian Burford Quetin At-Large Full 1 6/30/2021 44 Years Remodeling Male 66 USA Hetro No White Pitzen Contractor Sharon Brown St. Full 2 6/30/2022 20 Years Letter Press Female 51 U.S. Hetro None No Dutch, English, F I look white, DeGraw Printer & Book German, Russuan, I believe. Designer Polish, 1/16 Nat Am. Lyndi Kiple Jefferson St. Full 1 6/30/2022 seasonally Student Female 20 United heterosexual Christian No Caucasian cisgender Caucasian since 2017 States of America Cecile Summit St. Full 2 6/30/2022 49 years Retired teacher Female No Kuenzli Jordan At-Large Full 1 6/30/2022 June 2012 Art Director, Female 36 USA Sellergren Little Village VACANT At-Large Full 6/30/2023 VACANT At-Large Full 6/30/2023 VACANT Longfellow Full 6/30/2023 VACANT North Side Full 6/30/2023 Please note: The information provided is the information provided on the application at the time of submission. * Information is voluntary HISTORIC PRESERVATION COMMISSION April 9, 2020 HISTORIC PRESERVATION COMMISSION ATTENDANCE RECORD 2019-2020 TERM NAME EXP. 5/09 5123 6113 8108 8119 9112 10/10 11/14 12112 1 /C9 2113 3/12 4109 AGRAN, THOMAS 6130/20 O/E X X X X X X X X X O/E X X BOYD, KEVIN 6/30/20 X O/E X X X X CIE X O/E X X X X BUILTA, ZACH 6130/19 X X X BURFORD, HELEN 6130/21 X X X X X X X X XX X CIE X CLORE, GOSIA 6130/20 O/E X O/E O/E X X X X O/E X X X X DEGRAW, SHARON 6/30119 X X O/E X X O/E O/E X O/E X X O/E X KARR, G. T. 6/30/20 X X X X X X KUENZLI, CECILE 6/30/19 X X O/E X X O/E O/E X X X X O/E X KIPLE, LYNDI 6130/22 ._ _ _. X X X X X X O/E O/E X X PITZEN, QUENTIN 6130/21 X X X X X X X X X X X O/E X SELLERGREN, JORDAN 6/30122 -- -- -- X X X X X X O/E O/E X X SHOPE, LEE 6/30121 X X OIE WU, AUSTIN 6/30/20 __ __ __ _ _ __ _ __ _ O/E X X O/E r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live vWthin city limits of Iowa City to apply Date of Application 5/10/2020 First Name Kevin Last Name Boyd Home Address* 622 N Van Buren St City IOWA CITY State IA Zip Code* 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-400-2051 Email Address* kevinmboyd@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Historic Preservation Commission (HPC) Historic Preservation Commission Category* At -Large Preference on first choice If rrultiple boards are being applied for. How long have you been a resident of Iowa City?* Iowa City Occupation:* Political Consultant Gender* `This question is mandatory in order for the City to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" rray be provided in the Gerrngraphics sectionof the application below. rJ Male r Female Experience and/or activities which you feel qualifyyou for this position:* I have been the Chair of the Commission since July 2018. 1 was appointed at the end of 2016 to fill 8 months of an unexpired term. As chair, I work closely with City Staff to help move the day-to-day work of the commission - helping quickly approve those items that staff and chair can approve and think through upcoming work. With the reduced staff time of the Historic Preservation Planner, that often means that some of that work moves to the commission members. We've encouraged more engagement from individual commission members. I've worked to build bridges, be responsive to applicants, and to creatively think about preservation. Nancy Bird, shared with me an article "Historic Preservation Needs a New Approach" written by Patrice Frey, Preservationist and President of National Main Street Center That article which talks about expanding the toolbox that those of us who care about preservation have What is your present knowledge of each advisory board you are interested in?* In addition to my current role as chair, I've also owned a historic home since I returned to Iowa City in 2015. 1 specifically bought a historic home in a historic district. The protections historic districts provide gave me confidence to invest in my home, neighborhood, and community. I know the challenges and joys of owning an older home. I know the work of the commission well. But I also know we have more to do. We need to carefully consider how we expand our toolbox. We need to think about how our work ties into climate change - the greenest buildings are the ones already built. We need to make sure the history of historically underrepresented communities is told. Much of the physical part of that history, the structures that tell that story, have given way to modern developments, but that doesn't mean we shouldn't find ways to tell those stories. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 40 Country of Origin United States Sexual Orientation LGBTQ+ Religion Not practicing Do you have a disability? No Ethnicity European -American Race White Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* IZ, 4�,�4 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/13/2019 First Name Zac Last Name Builta Home Address* 920 e burlington st apt 1 City IOWA CITY State IA Zip Code* 52242 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3194324172 Email Address* zac-builta@uiowa.edu Boards & Commissions Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Select a Board or Commission you are interested in: Historic Preservation Commission (HPC) Historic Preservation Commission Category* At -Large Preference on first choice If rrultiple boards are being applied for. Housing and Community Development Commission How long have you been a resident of Iowa City?* 9 years Occupation:* research assistant/lab manager Gender* `This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Demographics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* I believe that my time living as a low income/at risk of homelessness resident of Iowa City has given me a unique perspective. My living situations have fluctuated my entire life but especially the last decade in Iowa City where my work or school was so varying. I have lived and dealt with multiple rental property businesses and have dealt with a multitude of the problems that come into living in some of these locations. I was almost evicted earlier this year after having been laid off from my work. I was able to secure work after using some of the resources that Iowa City offers such as general assistance and the food bank for food. While I was handling these obstacles I was also completing my third year as a commissioner on the historic preservation commission where I served as vice chair for the last half year(I became vice chair before all of the disaster that was my life really started kicking in and everything fell apart) and continued to be a contributing member to the commission despite the personal and housing problems that I was facing. I enjoyed serving the community as a member of this commission and thought it might be interesting to broaden my horizons and try to serve the city and use my experiences and perspective to improve conversations on lower income housing, homelessness, and underemployment on the HCD. What is your present knowledge of each advisory board you are interested in?* The Housing and Community Development commission appears to be a commission that represents the residents of Iowa City in regards to lower income housing and building a community that can help provide jobs and opportunity to everyone regardless of socioeconomic class. This could be done through outreach, programs, jobs assistance etc. The Historic Preservation Commission is a group of representatives that review proposals from city residents for updating, replacing, or repairing houses that are of historical value to the community. Other tasks this commission take responsibility for are helping decide on historical preservation districts in the Iowa City area and designating different houses and buildings as historically important to the character and architecture of the city. Its because of this commission that the rich character of Iowa City has been preserved for so long without letting an abundance of modern development and construction take away from that character. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* Yes Board current serving on* Historic Preservation Commission (HPC) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability? Ethnicity Race Gender identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* 0 lI Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/21/2020 First Name Austin Last Name Wu Home Address* 422 South Dubuque Street., Apartment 21 City IOWA CITY State IA Zip Code 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-654-4394 Email Address* austin-wu@uiowa.edu Boards & Commissions Select a Board or Commission you are interested in: Historic Preservation Commission (HPC) Historic Preservation Commission Category* At -Large Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* Four years Occupation:* Student, Research Assistant Gender* `This question is mandatory in order for the City to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" rray be provided in the Gerrngraphics sectionof the application below. rJ Male r Female Experience and/or activities which you feel qualifyyou for this position:* Previous membership on the Iowa City Historic Preservation Commission in an at -large position from December 2019 until expiration on 30 June 2020 has provided exposure to the workings and tasks assigned to the Historic Preservation Commission Previous tenure as UISG Deputy City Liaison and City Liaison from May 2018 to May 2020 has provided exposure to workings of City Council and City government, status of student -heavy core neighborhoods such as Collge Green and the Northside, as well as UI campus planning efforts and how they relate to the preservation of buildings such as the Sanxay-Gilmore House Personal knowledge of how to use Johnson County GIS/property information viewer to track building modifications and history, usage of University and Public Library photo archives to track eastern Iowa history on interactive map bit.ly/21dgAfr (scroll south to see Iowa City locations) What is your present knowledge of each advisory board you are interested in?* The tasks of the Iowa City Historic Preservation Commission include approving certificates of appropriateness for proposed modifications to historic properties, provide input on proposed developments in historic districts, study the identification and designation of historic districts and landmarks, promote historic preservation in Iowa City generally Upcoming tasks include surveying mid-century houses for historic significance, discussions regarding the future preservation/movement of the Sanxay-Gilmore House Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* Yes Board current serving on* Historic Preservation Commission (HPC) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 21 Country of Origin United States Sexual Orientation Heterosexual Religion Agnostic Do you have a disability? No Ethnicity Chinese/Korean, not Hispanic/Latino Race Asian Gender identity Cisgender *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* s �! my Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Item Number: 14.d. �r "m J IM% CITY OE IOWA CITY www.iogov.org May 19, 2020 Housing & Community Development Commission -Three vacancies to fill a three-year term, July 1, 2020 - June 30, 2023. (Term expires for Charles Eastham, Vanessa Fixmer-Oraiz & John McKinstry) ATTACHMENTS: Description Vacancy Notice/Coversheet Board Demographics/Attendance Builta, Zac -Application Eastham, Charles -Application Erb Firmstone, Liz -Application Lewis, Theresa -Application Mohammend, Nasr - Application Mohammed, Wifag -Application Nichols, Amanda - Application Schillig, Kimberly -Application Sprowell, Kelsey -Application Vogel, Kyle -Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three Vacancies: Three -Year Term July 1, 2020 — June 30, 2022 • 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. • The Housing and Community Development Commission will have monthly meetings. Iowa City -appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. 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. Applications must be received by 5:00 p.m., Tuesday May 12, 2020. An application can be completed and submitted on the City of Iowa City website at www.icgov.org.or by contacting the Clerk's office. Questions about the Iowa City Housing and Community Development Commission should be directed to Kirk Lehman, Community Development Planner at 356-5247. Board/Commission Application Cover Board/Commission: Housing and Community Development Commission(HCDC) Three vacancies to fill a three-year term 7/1/2020 - 6/30/2023 It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council Announcement Date: 4/7/2020 Application Deadline: 5/12/2020 Council Appointment Date: 5/19/2020 Date of Non -Gender Appointment: 7/6/2020 After date above Council may appoint without regard to gender Gender Balance Requirement: 2 -Male, 1 -None Current Gender Balance: Female: 4 Male: 2 Gender Male Male Female Female Male Female Name and Address Builta, Zac 920 E burlington St Apt 1 Eastham, Charles 953 Canton St Erb Firmstone, Liz 265 N Westminster St Lewis, Theresa 1314 Hollywood Blvd Mohammed, Nasr 505 Westwinds Dr Mohammed, Wifag 758 Westwinds Dr Ap4 Female Nichols, Amanda 2711 East Court ST Female Schillig, Kimberly 554 Westside Drive Female Sprowell, Kelsey 1479 Terrapin Drive Male Vogel, Kyle 2115 Abbey Lane 1St full term ending 6/30/20 Housing and Community Development Commission(HCDC) Demographic Report Name Term Type Term Stop Term Resident Occupation Gender* Age* Country of Sexual Religion* Disability* Ethnicity" Gender Ramp* Number Years Origin* Orientation* Identity* Maria Padron Unexpired 1 6/30/2021 since 2008 designer Female 42 argentina heterosexual none No hispanic Female Mixed + Full Peggy Aguilar Unexpired 6/30/2021 2 Years Retired Female 65 United Methodist Yes hetrosexual White States Megan Alter Full 1 6/30/2021 23 yrs manager at Female 48 USA straight none No Northern Female White ACT European (Education ancestry and equity) MattDrabek Full 1 6/30/2022 11+years Content Male 35 USA Queer None No White Man White Specialist/Non- Profit Educational Management Lyn Dee Hook Full 1 6/30/2022 2006 Social Worker Female 55 United heterosexual Lutheran/P No Caucasian Female White Kealey LISW States rotesta nt Peter Nkumu Unexpired 1 6/30/2022 16 Johnson Male 51 Democratic Straight Christian No Non white Male Black + Full County Office Republic of African Clerk the Congo VACANT Full 6/30/2023 VACANT Full 6/30/2023 VACANT Full 6/30/2023 Please note: The information provided is the information provided on the application at the time of submission. * Information is voluntary Housing and Community Development Commission March 12, 2020 Housing and Community Development Commission Attendance Record Name Terms Exp. 7111 8115 9/19 10117 12119 2120 3112 = Vacant Aguilar, Peggy 6/30122 0 X X O/E X X OIE Alter, Megan 6/30121 X X O/E X X X X Drabek, Matt 6130/22 O/E X X X O/E X X Eastham, Charlie 6130/20 X X X X X X X Flxmer-Oralz, V 6130/20 X X X X X O/E X Kealey, Lyn Dee Hook 6/30122 O/E X O/E O/E X X X McKinstry, John 6/30/20 X O/E X X X X X Nkumu, Peter 6/30/22 O/E X X X O/E X O/E Padron, Maria 6/30/20 X X X X I O/E X O/E Resigned from Commission K X = Present O = Absent O/E = Absent/Excused --- = Vacant r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/13/2019 First Name Zac Last Name Builta Home Address* 920 e burlington st apt 1 City IOWA CITY State IA Zip Code* 52242 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3194324172 Email Address* zac-builta@uiowa.edu Boards & Commissions Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Select a Board or Commission you are interested in: Historic Preservation Commission (HPC) Historic Preservation Commission Category* At -Large Preference on first choice If rrultiple boards are being applied for. Housing and Community Development Commission How long have you been a resident of Iowa City?* 9 years Occupation:* research assistant/lab manager Gender* `This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Demographics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* I believe that my time living as a low income/at risk of homelessness resident of Iowa City has given me a unique perspective. My living situations have fluctuated my entire life but especially the last decade in Iowa City where my work or school was so varying. I have lived and dealt with multiple rental property businesses and have dealt with a multitude of the problems that come into living in some of these locations. I was almost evicted earlier this year after having been laid off from my work. I was able to secure work after using some of the resources that Iowa City offers such as general assistance and the food bank for food. While I was handling these obstacles I was also completing my third year as a commissioner on the historic preservation commission where I served as vice chair for the last half year(I became vice chair before all of the disaster that was my life really started kicking in and everything fell apart) and continued to be a contributing member to the commission despite the personal and housing problems that I was facing. I enjoyed serving the community as a member of this commission and thought it might be interesting to broaden my horizons and try to serve the city and use my experiences and perspective to improve conversations on lower income housing, homelessness, and underemployment on the HCD. What is your present knowledge of each advisory board you are interested in?* The Housing and Community Development commission appears to be a commission that represents the residents of Iowa City in regards to lower income housing and building a community that can help provide jobs and opportunity to everyone regardless of socioeconomic class. This could be done through outreach, programs, jobs assistance etc. The Historic Preservation Commission is a group of representatives that review proposals from city residents for updating, replacing, or repairing houses that are of historical value to the community. Other tasks this commission take responsibility for are helping decide on historical preservation districts in the Iowa City area and designating different houses and buildings as historically important to the character and architecture of the city. Its because of this commission that the rich character of Iowa City has been preserved for so long without letting an abundance of modern development and construction take away from that character. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* Yes Board current serving on* Historic Preservation Commission (HPC) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability? Ethnicity Race Gender identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* 0 lI Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/27/2020 First Name Charles Last Name Eastham Home Address* 953 Canton St. City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319.541.3972 Email Address* eastham@outlook.com Boards & Commissions Select a Board or Commission you are interested in: Housing and Community Development Commission(HCDC) Do you receive rental assistance? (�) r Yes r No Do you have expertise in construction?*(?) r Yes r No Do you have expertise in finance?*(?) r yes r No Preference on first choice If rrultiple boards are being applied for. How long have you been a resident of Iowa City?* 49 years Occupation:* Retired Gender* "This question is mandatory in order for the City to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" rray be provided in the Demographics sectionof the application below. Male r Female Experience and/or activities which you feel qualifyyou for this position:* Previous member of The Housing Fellowship Board of Directors for 25 years. Active member of the Affordable Housing Coalition. Member of the Black Voices Project. Member of the Center for Worker Justice Board of Directors. Past president of the Consultation of Religious Communities. Former member of the Iowa City Planning and Zoning Commission. Member of the Iowa City Community School District School Board. What is your present knowledge of each advisory board you are interested in?* The principle responsibility of the HCDC is to make recommendations to Council regarding the use of public funds to meet identified needs of low and moderate income residents. The Commission also reviews various planning documents and policies regarding housing, jobs, and services for low and moderate income residents. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 78 Country of Origin United States Sexual Orientation Heterosexual Religion None Do you have a disability? No Ethnicity English Race White Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/8/2019 First Name Liz Last Name Erb Firmstone Home Address* 265 N Westminster St City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3195415292 Email Address* lizfirmstone@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Housing and Community Development Commission(HCDC) Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 9 years Occupation:* Real Estate Professional Gender* *This question is rrandatory in order for the 0ty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* I have always been keenly interested in community development and looking for ways to improve and enhance the amenities and services that government can offer that have a positive impact on the community and the people who live in it. I stay informed and have been an active volunteer in the various cities in which I have lived. I served on the Park and Recreation Board in South Elgin, IL and have management and teaching work experience in large corporations as well as experience running my own business. I would be happy to share my resume with you upon request. Most importantly, I care deeply about the community I call "home" and wish to make it the best it can be! What is your present knowledge of each advisory board you are interested in?* General knowledge as an interested community member who follows trends and developments within Iowa City. I had the pleasure of meeting with Stefanie Bowers and Tracy Hightshoe this past February at which time they suggested that the Housing and Community Development Commission would be a good fit for me. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 48 Country of Origin United States Sexual Orientation Religion None Do you have a disability? No Ethnicity Race Caucasian Gender identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* L 14 fir Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/9/2020 First Name Theresa Last Name Lewis Home Address* 1314 Hollywood Blvd City IOWA CITY State IA Zip Code 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-621-8209 Email Address* theresamurphylewis@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Housing and Community Development Commission(HCDC) Do you receive rental assistance? (�) r Yes r No Do you have expertise in construction?*(?) r Yes r No Do you have expertise in finance?*(?) r Yes F No Select a Board or Commission you are interested in:* Human Rights Commission Preference on first choice If rrultiple boards are being applied for. Housing and Community Development How long have you been a resident of Iowa City?* 14 years Occupation:* Region President, Four Oaks Gender* `This question is mandatory in order for the 0ty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male rj Female Experience and/or activities which you feel qualifyyou for this position:* I have a passion for serving struggling families and affordable housing. In my role with Four Oaks, I not only oversee a variety of child and family serving programs and 120 residential beds for children with significant mental and behavioral health issues, I also oversee the Affordable Housing Network, Inc. (AHNI) in Cedar Rapids. In our daily work, we manage over 800 units with CBDG/HOME, TBRA and other specific funding sources. We also have rehabbed over 150 homes that reduced density in a low income Cedar Rapids neighborhood and reduced crime. I have first hand experience in understanding how affordable housing, reducing housing density, supportive services, and community engagement can positively impact the residents of marginalized neighborhoods. Four Oaks currently does not have housing programs in Johnson County, but I am very invested in my community and want to use my knowledge and experience to assist the City Council and the families of Iowa City. What is your present knowledge of each advisory board you are interested in?* The Housing and Community Development Commission recommends to the City Council how to utilize federal funding, reviews policies and planning documents in relation to low income residents, and best address affordable housing needs within Iowa City. The Human Rights Commission is responsible for assuring equity and the civil rights of all Iowa City residents are upheld. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 50 Country of Origin us Sexual Orientation straight Religion none Do you have a disability? No Ethnicity caucasian Race caucasian Gender identity female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/13/2019 First Name Nasr Last Name Mohammed Home Address* 505 Westwinds Dr City IOWA CITY State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 5156125795 Email Address* oshar2008@gmaii.com Boards & Commissions Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 6 Years Occupation: * QA Associate Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* Member of Sudanese Community Center, Former member of Phi Theta Kappa, participating in the Habitat for Humanity Women Build Project. What is your present knowledge of each advisory board you are interested in?* Housing and Community Development Commission is responsible for reviewing policies related to housing in Iowa City and making recommendation to the City Council members to make the correct and fair decisions. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 39 Country of Origin Sudan Sexual Orientation Heterosexuality Religion Islam Do you have a disability? No Ethnicity African American Race Black Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/13/2019 First Name Wifag Last Name Mohammed Home Address* 758 Westwinds Dr Ap4 City IOWA CITY State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Not Sure Contact Phone Number* 9733937738 Email Address* mohammedwifag@yahoo.com Boards & Commissions Select a Board or Commission you are interested in:* Human Rights Commission Select a Board or Commission you are interested in: Civil Service Commission Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Preference on first choice If rrultiple boards are being applied for. Human rights How long have you been a resident of Iowa City?* 2 years Occupation:* Hospitality double tree hotel Gender* `This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Demographics sectionof the application below. F Male V Female Experience and/or activities which you feel qualifyyou for this position:* Have workexperience for 10 years of activist of human rights in sudan What is your present knowledge of each advisory board you are interested in?* It's inter cultural and biolangular community as I used to live with and communicate during my life in the USA Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 41 Country of Origin Sudan Sexual Orientation Female Religion Muslim Do you have a disability? No Ethnicity Black Race African Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* ila� Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/30/2019 First Name Amanda Last Name Nichols Home Address* 2711 East Court ST City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3196771153 Email Address* amanda-nichols@uiowa.edu Boards & Commissions Select a Board or Commission you are interested in: Human Rights Commission Select a Board or Commission you are interested in:* Civil Service Commission Select a Board or Commission you are interested in: Housing and Community Development Commission(HCDC) Do you receive rental assistance? (?) r Yes r No Do you have expertise in construction?*(?) r Yes r No Do you have expertise in finance?*(?) r Yes r No Preference on first choice If multiple boards are being applied for. Human Rights Commission How long have you been a resident of Iowa City?* 19 years Occupation:* Nursing Unity Clerk Gender* "This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may be provided in the Demmgraphics sectionof the application below. F Male V Female Experience and/or activities which you feel qualifyyou for this position:* I have been a resident of Iowa City for 17 years and a University employee for 13. 1 have a vested interest in the community and I network local nonprofit and activist organizations. What is your present knowledge of each advisory board you are interested in?* I have thoroughly read the descriptions of each board's responsibilities that are available on the City of Iowa City government web site. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 36 Country of Origin USA Sexual Orientation Bi/Pan sexual Religion NA Do you have a disability? No Ethnicity White Race Caucasion Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* -��1� 04 14 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/14/2020 First Name Kimberly Last Name Schillig Home Address* 554 Westside Drive City IOWA CITY State IA Zip Code 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 310-795-2133 Email Address* kimschillig@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Planning and Zoning Commission (P&Z) Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Do you receive rental assistance? (?) r Yes r No Do you have expertise in construction?* (?) r Yes r No Do you have expertise in finance?*(?) r Yes r No Preference on first choice If rrultiple boards are being applied for. Planning and Zoning How long have you been a resident of Iowa City?* 25 years (in total) Occupation:* Realtor Gender* `This question is rrandatory in order for the Oty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the rkrrographics sectionof the application below. F Male V Female Experience and/or activities which you feel qualifyyou for this position:* 20 plus years as a population based strategic/facility planner for healthcare, including master planning, preparation and defense of Certificate of Need. 6 years as a Realtor in Iowa City What is your present knowledge of each advisory board you are interested in?* Planning and Zoning: to consider use/changes to the current zoning of property in the municipal area and to consider requests for use of property. To consider future planning for land/property in the municipal area. Housing and Community Development: Broad spectrum related to fair housing, housing code, funds use to support housing needs, supply of housing for the workforce in the municipality. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 52 Country of Origin United States Sexual Orientation heterosexual Religion Catholic Do you have a disability? No Ethnicity American Race White Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/15/2019 First Name Kelsey Last Name Sprowell Home Address* 1479 Terrapin Drive City IOWA CITY State IA Zip Code* 52240-8300 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 9709885526 Email Address* ksprowell@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* Since June 2018 Occupation: * Customer Success Manager at Pear Deck Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* I have no experience serving on a commission, because this is the first place I've lived since high school for longer than 1 year. However, having lived in so many places - Berkeley, CA; Aspen, CO; Denver, CO; Highlands Ranch, CO; Colorado Springs, CO; Fort Collins, CO - I've worked with a wide variety of people and have a wide range of experience. Also, as a millennial, I have a different perspective on problems than people from other generations. What is your present knowledge of each advisory board you are interested in?* I've read the Duties for the Commission, all available meeting minutes, and the Action Plan posted online. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 34 Country of Origin USA Sexual Orientation Straight Religion Christian Do you have a disability? No Ethnicity White Race Caucasian Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/14/2019 First Name Kyle Last Name Vogel Home Address* 2115 Abbey Lane City IOWA CITY State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3196310526 Email Address* kvogel@keystoneproperty.net Boards & Commissions Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 10 Occupation: * Broker / Property Manager Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* 22 years in property management. 3 of those with low income bond properties. 19 of those handling multiple property types, including HCV tenants. Close working relationship with ICHA and other local aid agencies providing housing assistance. 2 terms (4 years) as a City Council member in Nixa, Missouri. 1 year as a member of the Planning and Zoning Commission in Nixa, Missouri. What is your present knowledge of each advisory board you are interested in?* I have a working knowledge of what the HCDC does for the City in an advisory position to the Council and City Staff. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 45 Country of Origin United States Sexual Orientation Prefer Not to Answer Religion Prefer Not to Answer Do you have a disability? No Ethnicity Unknown Race Light skin color - brown hair - blue eyes Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* .e le .S_ C tlo�el Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Item Number: 14.e. �r A�� CITY OE IOWA CITY www.iogov.org May 19, 2020 Planning & Zoning Commission -Two vacancies to fill a five-year term, July 1, 2020 - June 30, 2025. (Term expires for Michael Hensch, Max Parsons) ATTACHMENTS: Description Vacancy Notice/Coversheet Board Demographics/Attendance Craig, Susan -Application Hensch, Michael -Application Parsons, Max -Application Pretorius, Adam - Application Schillig, Kimberly -Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PLANNING AND ZONING COMMISSION Two Vacancies: Five -Year Term July 1, 2020 — June 30, 2025 • The duties of the Planning and Zoning Commission members include: making (or causing to be made) surveys, studies, maps, plans, or charts of the whole or any portion of the municipality and any land outside which --in the opinion of the Commission --bears relation to a comprehensive plan; also include recommending to the City Council from time -to -time amendments, supplements, changes, and modifications to the Zoning Ordinance. This Commission conducts formal meetings the first and third Thursdays of each month at 7:00 p.m. (Informal workshops are held the preceding Mondays at 5:30 p.m. on a as needed basis.) Iowa City -appointed members of boards and commissions must be at least 18 years of age 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., Tuesday, May 12, 2020. An application can be completed and submitted on the City of Iowa City website at www.icgov.orq. or by contacting the Clerk's office. Questions about the Iowa City Planning and Zoning Commission should be directed to Anne Russett, Senior Urban Planner at 356-5251. Board/Commission Application Cover Board/Commission: Planning and Zoning Commission (P&Z) Two vacancies to fill a five-year term 07/01/2020 - 6/30/2025 It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council Announcement Date: 4/7/2020 Application Deadline: 5/12/2020 Council Appointment Date: 5/19/2020 Date of Non -Gender Appointment: 7/6/2020 After date above Council may appoint without regard to gender Gender Balance Requirement: 1 -Male, 1 -None Current Gender Balance: Female: 3 Male: 2 Gender Name and Address Female Craig, Susan 225 N 7th Ave Male Hensch, Michael 815 Pepper Drive Male Parsons, Max 1307 E College Street Male Pretorius, Adam 670 Walker Circle Female Schillig, Kimberly 554 Westside Drive 1st full term ending 6/30/20 111 full term ending 6/30/20 Planning and Zoning Commission (P&Z) Demographic Report Name Term Term Stop Term Resident Occupation Gender* Age* Country of Sexual Religion* Disability* Ethnicity* Gender Race* Type Number Years Origin* Orientation* Identity* Mark Signs Full 1 6/30/2021 Realtor Male Carolyn Full 2 6/30/2021 38 Professor Female Stewart Dyer Phoebe Martin Full 2 6/30/2022 13 Realator Female 44 United None No States Larry Baker Full 1 6/30/2023 35 years writer Male US Yes Billie Full 1 6/30/2023 29 years retired from Female 72 United heterosexual Methodist No American Female Black Townsend University of Iowa States VACANT Full 6/30/2025 VACANT Full 6/30/2025 Please note: The information provided is the information provided on the application at the time of submission. * Information is voluntary PLANNING $ ZONING COMMISSION ATTENDANCE RECORD 2019-2020 KEY: X = Present O = Absent O/E = Absent/Excused --- = Not a Member 1117 (W.S.) 214 2121 317 3121 414 4118 5116 616 6120 7118 8115 915 1013 10117 1117 BAKER LARRY X X X X X X X O/E X X X X X O/E X X DYER CAROLYN O/E X X X X X X O/E X X X X X O/E X X FREERKS ANN — -- -- — -- — -- — -- — _ -- _ -- _ -- -- — -- — -- — -- -- -- -- — -- — -- — -- HENSCH MIKE X X X X 01E X I X X X O/E X X X X X X MARTIN PHOEBE X O/E X X X O/E X X X X OIE O/E I X X X X PARSONS MAX X X X X I X X X X X X X X 0/E X X X SIGNS MARK X X X X X O/E X X X X O/E X X X X X THEOBALD JODIE --- - — -- -- - — — — - --- -- --- --- ---- - -- --- --- — TOWNSEND BILLIE X X X O/E X X X X X X X X X X X X KEY: X = Present O = Absent O/E = Absent/Excused --- = Not a Member ®MMMMMMMMMMEM MM KEY: X = Present O = Absent O/E = Absent/Excused --- = Not a Member I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/25/2020 First Name Susan Last Name Craig Home Address* 225 N 7th Ave City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193373076 Email Address* skjeldcraig@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Planning and Zoning Commission (P&Z) Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City?* 43 years Occupation:* retired librarian Gender* *This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the I)errugraphics sectionof the application below. F Male V Female Experience and/or activities which you feel qualifyyou for this position:* I was the director of the Iowa City Public Library for almost twenty years, in that position I was well informed about decisions facing the City Council, and took an interest in the growth and development of the City. I continue to be a regular reader of Council packets. Many years ago as an undergraduate I worked in the Urban and Regional Planning Library at UI and learned about basic issues facing local government, I have maintained that interest over the years, but was unable to apply for a board/commission appointment because I worked at the City. I am passionate about Iowa City as a quality place to live and visit and would like to help work to maintain the current excellence. I have experience in digesting complicated information and working with groups to come to a decision. What is your present knowledge of each advisory board you are interested in?* I know that meetings are twice a month and that there is a considerable amount of work and reading material. I have a basic understanding of the process of zoning and development which I know is the primary work of the Commission. I have followed with interest the Form Based Code conversations in recent years and am eager to learn more about it. I understand that the Commission is advisory to the City Council. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 66 Country of Origin us Sexual Orientation straight Religion none Do you have a disability? No Ethnicity Race white Gender identity female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/16/2020 First Name Michael Last Name Hensch Home Address* 815 Pepper Drive City IOWA CITY State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-331-0673 Email Address* mhhiowa@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Planning and Zoning Commission (P&Z) Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 31 years Occupation: * Executive Director, Johnson County Board of Supervisors Gender* *This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the I)errugraphics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* Five years of experience serving on the Iowa City Planning and Zoning Commission - 2 years as chairperson and 2 years as vice -chairperson. Two years experience serving on the Johnson County Compensation Commission. Four years experience serving of the Johnson County Veterans Affairs Commission - serving as both chairperson and vice -chairperson. Seven years of experience serving on the Iowa Donor Network board of directors - currently serving as treasurer. What is your present knowledge of each advisory board you are interested in?* Five years of current service on the Iowa City Planning and Zoning Commission. I have in-depth knowledge of the issues that come before the Commission. I enjoy working on the Commission, with my fellow commissioners, and with the dedicated and competent Iowa City staff. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 61 Country of Origin USA Sexual Orientation Heterosexual Religion Roman Catholic Do you have a disability? No Ethnicity German Race Caucasian Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* M'ch'gd # gepsc� Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 5/7/2020 First Name Max Last Name Parsons Home Address* 1307 E College Street City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-430-7976 Email Address* mparsons@tallgrassbiz.com Boards & Commissions Select a Board or Commission you are interested in: Planning and Zoning Commission (P&Z) Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City?* 8 years Occupation:* CFO Gender* *This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the I)errugraphics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* Currently serve on the commission. Outside of P&Z, I currently remain active with the Iowa City Area Chamber of Commerce and the Iowa Valley Habitat for Humanity. What is your present knowledge of each advisory board you are interested in?* With each application, members of the board study and observe data from plans, maps, and charts of the original zoning district and potentially districts nearby as well. Many factors are considered, including anticipated pedestrian and vehicle traffic, locations of business, residential, and industrial districts, and ensuring safety of citizens and property as it relates to the Comprehensive Plan. Following a presentation and recommendation from staff, public comment, and discussion within the board, the Commission votes on a recommendation for the application submitted, along with any changes and modifications the Commission sees fit, to be forwarded to City Council for consideration. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 33 Country of Origin USA Sexual Orientation Straight Religion Christian Do you have a disability? No Ethnicity Non-Hispanic/Latino Race White Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* `? i �i�C �'tc41 c' Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/14/2020 First Name Adam Last Name Pretorius Home Address* 670 Walker Circle City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3194002741 Email Address* adam@adampretorius.com Boards & Commissions Select a Board or Commission you are interested in: Planning and Zoning Commission (P&Z) Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City?* Resident since 1997 Occupation:* Realtor, Broker Associate at LKR Gender* *This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the I)errugraphics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* Served on multiple Boards as the HOA President for my neighborhood for two terms and on the Board of Directors for the Iowa City Area Association of Realtors. I am very familiar with the importance of Roberts Rules that guide associations and Boards. Progressive and open-minded to other perspectives and have been known to change positions on based on circumstantial perspectives. What is your present knowledge of each advisory board you are interested in?* Passion for real estate and community development and my love of Iowa City. Driven by creativity and innovative thinking and a two time winner of a Gold Star Award, nominated by my peers for my outstanding professionalism and integrity. I have extensive knowledge of the local market trends and am knowledgeable in the new construction sector with my wife as a respected local builder. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 36 Country of Origin United States Sexual Orientation Heterosexual Religion Christian Do you have a disability? No Ethnicity German -Irish Race Caucasian Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 4/14/2020 First Name Kimberly Last Name Schillig Home Address* 554 Westside Drive City IOWA CITY State IA Zip Code 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 310-795-2133 Email Address* kimschillig@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Planning and Zoning Commission (P&Z) Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Do you receive rental assistance? (?) r Yes r No Do you have expertise in construction?* (?) r Yes r No Do you have expertise in finance?*(?) r Yes r No Preference on first choice If rrultiple boards are being applied for. Planning and Zoning How long have you been a resident of Iowa City?* 25 years (in total) Occupation:* Realtor Gender* `This question is rrandatory in order for the Oty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the rkrrographics sectionof the application below. F Male V Female Experience and/or activities which you feel qualifyyou for this position:* 20 plus years as a population based strategic/facility planner for healthcare, including master planning, preparation and defense of Certificate of Need. 6 years as a Realtor in Iowa City What is your present knowledge of each advisory board you are interested in?* Planning and Zoning: to consider use/changes to the current zoning of property in the municipal area and to consider requests for use of property. To consider future planning for land/property in the municipal area. Housing and Community Development: Broad spectrum related to fair housing, housing code, funds use to support housing needs, supply of housing for the workforce in the municipality. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. 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. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 52 Country of Origin United States Sexual Orientation heterosexual Religion Catholic Do you have a disability? No Ethnicity American Race White Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving.