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APPLICANT Myles Schlam

APPLICANT Myles Schlam

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APPLICANT Myles Schlam

Town of Highland Beach Town Clerk's Office

3614 S. Ocean Boulevard Highland Beach, Florida 33487

Phone: (561)278-4548 Fax: (561)265-3582

BOARDS AND COMMITTEES APPLICATION

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This infonnation is for consideration of appointment to a Town Board. Please complete and return� fonn to the Town Clerk, along with your resume and proof of residency such as a government issued identification or voter

registration card.

PLEASE NOTE: Florida Public Records Lavv is very broad. Documents relevant to Lown business is public records and is subject to public disclosure upon request. Your information provided within this application may therefore be su�j ect to public disclosure.

NAME: Myles B Schlam

HOME ADDRESS: 3594 S Ocean Blvd

SUBDNISION: Highland Beach Club

PHONE: 954-804-6888

APT. NO. 607-------

EMAIL ADDRESS: [email protected]

PLEASE SELECT THE BOARD(S) / COMMITTEE(S) ON WHICH YOU ARE INTERESTED IN

SERVING IN NUMERICAL ORDER FROM 1 THROUGH 5, \VITH 1 BEING YOUR FIRST CHOICEAND 5 THE LEAST CHOICE. (A description of the responsibilities of each Board is on the back of thisapplication.)

2 Board of Adjustment & Appeals 1 Code Enforcement Board

3 Financial Advisory Board 5 Natural Resources Preservation Board

4 Planning Board 6 Other Board /Committee

PLEASE MARK YES OR NO FOR EACH OF THE FOLLOWING QUESTIONS:

Are you a resident of Highland Beach?

Are you a registered voter in Highland Beach/Palm Beach County, FL?

Are you cunently serving on a Town Board?

Have you ever served on a Town Board/Committee?

If so, please indicate the Board(s)/Committee(s)? Beaches/Shores15-18 andCodeEnforc;emenl18-Presenl

Are you willing to attend monthly board meetings? In Person / Telecom

Yes X No

Yes X No

Yes X No

Yes X No

Date of Service: 2015-Present

Yes X No ---

Per Town Code of Ordinance, I understand any member absence from three (3) consecutive meetings will be

considered as resignation from the board/committee. Yes X No ___ _

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0

Please list any special talent, qualification, education or professional experience that would contribute to your

service on the Board/Committee you have selected?

I am licensed Attorney in the State of Florida and have handled code enforcement cases before other city commissions. I am

presently the longest serving member on that board and Vice-Chair.

Please summarize your voltmteer experience(s):

CERT member since '15, Beaches and Shores member '15-'18, Code Enforcement board member since '18, Vice Chair since 6/8/21.

15th Circuit Sober Homes Task Force: Member since '16.

Florida Law requires appointed members on the Planning and Board of Adjustment and Appeals Boards to file a F01m 1 - Statement of Financial Interests Disclosure form on an annual basis.

Vetting by the Board Chairperson. The Chairperson of each Board shall interview the applicant and submit a memorandum of recommendation to the Town Clerk's Office 14 days prior to the Town Commission Workshop Meeting for final appointment.

Palm Beach County Commission on Ethics requires appointed members to take the Code of Ethics Training every two (2) years.

I hereby certify that the statements and answers provided are true and accurate to the best if my knowledge.

/]01 6/10/21

Date

□ Resume Attached.

TO:

FROM:

DATE:

SUBJECT:

M MORAN

Lanelda Gaskins, MMC, Town Clerk

Thomas (fim) B. Burnich

June 23, 2021

Initial Vetting of Applicant:

M

On June 23, 2021 (date), I met with Myles B. Schlam (applicant's name) to discuss his/her community involvement, education, professional experiences and the positive impact he/ she could bring to this Board for the betterment of the Highland Beach community.

Detail Explanation:

Based upon my review of the Resume', the Board Application and the Interview today, my recommendation is as follows:

IZJ For the Appointment of this Applicant

D Against the Appointment of this Applicant

Signature of Board Chairperson

3614 SOUTH OCEAN BOULEVARD• HIGHLAND BEACH, FLORIDA 33487

Palm Beach County, Florida Main: 561-278-4548 FAX: 561-265-3582

APPLICANT Thomas Burnich

Town of Highland Beach Town Clerk's Office

3614 S. Ocean Boulevard

Highland Beach, Florida 33487

Phone: (561)278-4548 Fax: (561)265-3582

BOARDS AND COMMITTEES APPLICATION

This information is for consideration of appointment to a Town Board. Please complete and return this form to the Town Clerk, along with your resume and proof of residency such as a government issued identification or voterregistration card.

PLEASE NOTE: Florida Public Records Law is very broad. Documents relevant to town business is public records and is subject to public disclosure upon request. Your information provided within this application may therefore be subject to public disclosure.

NAME: 7"'4�/1\&S Qi•..,.) /J 01.4./IJ...l,'t.� PHONE: {n1) d)J3-:JO(;t.

APT. NO. tf cJ '-J------

SUBDIVISION: EMAIL ADDRESS: 7t'�(¼,w,'ct-'�tT: A.Jtrr-------------

PLEASE SELECT THE BOARD(S) / COMMITTEE(S) ON WHICH YOU ARE INTERESTED IN

SERVING IN NUMERICAL ORDER FROM 1 THROUGH 5, WITH 1 BEING YOUR FIRST CHOICE

AND 5 THE LEAST CHOICE. (A description of the responsibilities of each Board is on the back of this application.)

Board of Adjustment & Appeals

Financial Advisory Board

J Planning Board

I Code Enforcement Board

Natural Resources Preservation Board

Other Board /Committee

PLEASE MARK YES OR NO FOR EACH OF THE FOLLOWING QUESTIONS:

Are you a resident of Highland Beach?

Are you a registered voter in Highland Beach/Palm Beach County, FL?

Are you currently serving on a Town Board?

Have you ever served on a Town Board/Committee?

Yes X

Yes X.

Yes X ---

No

No

No

Yes )(. No

----

----

----

----

If so, please indicate the Board(s)/Committee(s)? CE/!, -1-- &�,MJ.l'Jl/1 _

Are you willing to attend monthly board meetings? In Person / Telecom

Date of Service: /Aj r ..J *MS

Yes X No ___ _

Per Town Code of Ordinance, I understand any member absence from three (3) consecutive meetings will be

considered as resignation from the board/committee. Yes ,X No ___ _

Please list any special talent, qualification, education or professional experience that would contribute to your

service on the Board/Committee you have selected?

Please summarize your volunteer experience(s):

Florida Law requires appointed members on the Planning and Board of Adjustment and Appeals Boards to file a Form 1 - Statement of Financial Interests Disclosure form on an annual basis.

Vetting by the Board Chairperson. The Chairperson of each Board shall interview the applicant and submit a memorandum ofrecommendation to the Town Clerk's Office 14 days prior to the Town Commission Workshop Meeting for final appointment.

Palm Beach County Commission on Ethics requires appointed members to take the Code of Ethics Training every two (2) years.

I hereby certify that the statements and answers provided are true and accurate to the best if my knowledge.

Signature of Applicant Date

'/J Resume Attached.

EDUCATION

SKILLS/LICENSES

ORGANIZATIONS

CAREER PROFILE

THOMAS (Tim) B. BURNICH

4505 South Ocean Boulevard, Apartment 404 Highland Beach, Florida 33487

561.279.8403; Cell: 561.213.2066 E-mail: [email protected]

CASE INSTITUTE OF TECHNOLOGY, Cleveland, Ohio Case Western Reserve University 8. S. Degree in Management Science

Computer Literate in Microsoft 10, Word, Excel, Office 365, QuickBooks accounting systems. Florida Real Estate Sales Associate License & Florida Community Association Manager License.

Past Memberships: International Council of Shopping Centers (ICSC), National Association of Industrial & Office Properties (NAIOP), Board of Directors of the Tampa Downtown Partnership, Business Development Board Palm Beach County and Currently: Board of Directors & Treasurer of 45 Ocean Condominium Association, Inc in Highland Beach. Chairman: Town of Highland Beach Code Enforcement Board.

• VILLA COSTA CONDOMINIUM, Highland Beach, Florida (2013-2019)Condominium Manager

• ENGEL RETAIL GROUP, Birmingham, Alabama (2010)Property Consultant

• THE SEMBLER COMPANY, St. Petersburg, Florida (2006-2007)Property ManagerManaged Legacy Place in Palm Beach Gardens, Florida a 425,000 square footlifestyle retail and office development from construction finalization, tenant buildout and opening. Developed initial budget, security program, negotiatedmaintenance contracts.

• DENHOLTZ ASSOCIATES, West Palm Beach, Florida (1999-2004)Leasing DirectorResponsibilities included overseeing leasing and marketing for three (3) retail andfive (5) office properties in Broward, Palm Beach, Pinellas and HillsboroughCounties, in Florida approximately 820,000 square feet of GLA. Participated indue diligence process in acquisition of new properties.

• THE CAFARO COMPANY, Youngstown, Ohio (1982-1984 & 1995-1997)Assistant to the Vice-Chairman & Administrator for the Real Estate Dept.

Responsible for special leasing assignments with the Vice-Chairman and thepreparation and monitoring of real estate department reports.Retail Leasing Representative for in-line mall locations in Michigan, Ohio,and Virginia. Malls totaled approximately three (3) million square feet of GLA.Company had in excess of thirty (30) million square feet of GLA.

• GFS MANAGEMENT OF FLORIDA, INC., Boca Raton, Florida (1991-1992)Executive Vice PresidentResponsible for leasing and management of three (3) apartment communitiestotaling 846 units and six (6) retail and office properties totaling 600,000 square

THOMAS (Tim) B. BURNICH Page 2

CAREER PROFILE (Continued)

feet of GLA in Florida. Duties included: budgeting, marketing, leasing, receivables, payables, payroll, maintenance, purchasing and capital improve­ment projects with a staff of 32 individuals.

• BAYSHORE MANAGEMENT COMPANY, Chicago, Illinois (1990-1991)PresidentResponsible for the management of five (5) apartment communities totaling2,500 units located in the greater Chicago area and Northwestern Indiana, plusThree (3) shopping centers located in greater Atlanta totaling 200,000 squarefeet of GLA. Responsibilities included: budgeting, marketing, leasing,receivables, payables, payroll, maintenance, purchasing, and capital improve­ments, with a staff of approximately 100 people.

• AUGUST MANAGEMENT, INC., Chicago, Illinois (1986-1990)A Glendale Federal Company, Glendale, CaliforniaVice President - Asset Management - Midwest OfficeEstablished Midwest Office. Developed, implemented, and supervisedBudgets, leasing, marketing, maintenance, and capital improvements fortwenty-nine (29) office, retail and residential properties in six (6) states.Commercial properties totaled 1,978,789 square feet of GLA.

• BALCOR PROPERTY MANAGEMENT, INC., Skokie, Illinois (1984-1986)An American Express CompanyVice President - Midwest Commercial RegionSupervised immediate staff of seven (7) and property staff of fourteen(14). Developed and implemented budgets, directed leasing, marketing,and capital improvement projects for ten (10) commercial properties in five (5)states, totaling 1.2 million square feet of GLA.

• WALCO CONSTRUCTION CORPORAT1ON & WALDON MANAGEMENTCORPORATION, Youngstown, Ohio (1972-1981)

Treasurer Developed and managed apartment communities totaling 946 units and two (2) office buildings of 40,000 sq. ft. GLA. Responsible for accounting, budgets, payables, collections, payroll and tax reporting for three (3) related corporations and five (5) partnerships. Remain as a General Partner in four (4) partnerships.

• UNITED STATES ARMYPersonnel Specialist SP4Honorable Discharge after serving in with the Army 12th Evacuation Hospital, CuChi, Vietnam.

APPLICANT Jane Perlow

Town of Highland Beach Town Clerk's Office

3614 S. Ocean Boulevard

Highland Beach, Florida 33487

Phone: (561)278-4548 Fax: (561)265-3582

BOARDS AND COMMITTEES APPLICATION

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This information is for consideration of appointment to a Town Board. Please complete and return this ibrm to the Town Clerk, along with your resume and proof of residency such as a government issued identificat/;;;z or voter registration card.

PLEASE NOTE: Florida Public Records Law is very broad. Documents relevant to town business is public records and is subject to public disclosme upon request. Your infmmation provided within this application may therefore be subject to public disclosure.

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NAME: __ 0--"'----'a'-'-----L-12-------"""'&----L-lt--....:-4'.da�u1�J _____ PHONE:,(b1 SLJQ- �czl�"c; HOME ADDRESS;_, £'):10 5 Cceatl £Iv d APT. NO. -�_-po_· --

SUBDIVISION: � It--- IA.Jsf EMAIL ADDREsslf!lrttn{!4 ll/2 bfJ /2)-/0:IJ Co!J:t PLEASE SELECT THE BOARD(S) / COMMITTEE(S) ON WHICH YOU ARE INTERESTED IN

SERVING IN NUMERICAL ORDER FROM 1 THROUGH 5, WITH 1 BEING YOUR FIRST CHOICE

AND 5 THE LEAST CHOICE. (A description of the responsibilities of each Board is on the back of this application.)

/ Board of Adjustment & Appeals / Code Enforcement Board

Financial Advisory Board

__ Planning Board

Natural Resources Preservation Board

Other Board /Committee

PLEASE MARK YES OR NO FOR EACH OF THE FOLLOWING QUESTIONS:

Are you a resident ofHighlandBeach? Yes / No ___ _

Are you a registered voter in Highland Beach/Palm Beach County, FL? Yes/ No ___ _

Are you currently serving on a Town Board? Yes ,.7' No ___ _

Have you ever served on a Town Board/Committee? . Yes / No

If so, please indicate the Board( s )/Committee( s)? & £h/o& Ml Date '.;f Service: f!._!1_/\_/'8-.1/)-1Are you willing to attend monthly board meetings? In Person I Telecom Ye\L,._ No ___ _

Per Town Code of Ordinance, I understand any member absence from three (3) consecutiv�etings will be

considered as resignation from the board/committee. Yes __;V ___ No ___ _

Please list any special talent, qualification, education or professional experience that would contribute to your

service on the Board/Committee you have selected?

Please summarize your volunteer experience( s):

Florida Law requires appointed members on the Planning and Board of Adjustment and Appeals Boards to file a

Form 1 - Statement of Financial Interests Disclosure form on an annual basis.

Vetting by the Board Chairperson. The Chairperson of each Board shall interview the applicant and submit a memorandum ofrecommendation to the Town Clerk's Office 14 days prior to the Town Commission Workshop Meeting for final appointment.

Palm Beach County Commission on Ethics requires appointed members to take the Code of Ethics Training eve1y two (2) years.

I hereby certify that the statements and answers provided are true and accurate to the best if my knowledge.

□ Resume Attached.

MEMORANDUM

TO:

FROM:

DATE:

SUBJECT:

Lanelda Gaskins, MMC, Town Clerk

Thomas (Tim) B. Burnich

June 23, 2021

Initial Vetting of Applicant:

On June 23, 2021 (date), I met with Jane Perlow (applicant's name) to discuss his/her community involvement, education, professional experiences and the positive impact he/ she could bring to this Board for the betterment of the Highland Beach community.

Detail Explanation:

Based upon my review of the Resume', the Board Application and the Interview today, my recommendation is as follows:

IZ! For the Appointment of this Applicant

D Against the Appointment of this Applicant

SJMb'lZ,Signature of Board Chairperson

3614 SOUTH OCEAN BOULEVARD• HIGHLAND BEACH, FLORIDA 33487

Palm Beach County, Florida Main: 561-278-4548 FAX: 561-265-3582

Objective:

Jane Perlow, M.A.

3720 S. Ocean Blvd., #710

Highland Beach, Florida 33487 561 276-3345 Home 561 542-6965 Cell

email: [email protected]

To seek a position as a member of the Highland Beach Advisory Board

Education: St. John's University, New York-Masters Degree Major: Spanish Literature Minor: Spanish Language Graduation Date: 01/1977 GPA: 3.5

Boston University, Boston, Massachusetts-Bachelors Degree Major: Spanish Minor: Education Graduation Date: 08/1967 GPA:3.2

Business Experience:

2005-2007 Concerned Seniorcare- Geriatric Care Manager 3720 S. Ocean Blvd.Highland Beach, FL.33487

1996-2004 Realty Unlimited LLC-Property Manager. Management of apartments and gas stations. 130 Horace Harding Blvd. Great Neck, NY.11020

1984-1996 Highland Care Center, Nursing Home Administrator and Owner 91-31 175th St. Jamaica,NY 11432

1976-2004 Stewart Perlow DMD PC.Office Manager. 130 Horace Harding Blvd., Great Neck, NY.11020

Professional Teaching Experience:

01/08/08 -May 2016 PBSC Boca Raton, Boca Raton Florida

Position : Adjunct Instructor Spanish 1-2 Supervisor Stephen Frishman

08/2006 to 06/2007 John Paul II High School. 4001 N. Military Trail, Boca Raton, FL. 33431

Position Held: Spanish Teacher Grades 9-12. Spanish I,II, III. Supervisor: Maria Grivas, Foreign Language Dept. Head.

05/2006 to 08/2006 PBCC Boca Raton. Boca Raton Florida, Position Held: Appointed Adjunct Instructor 02/15/2006 Supervisor: Fred Niditch Phone: 561 740-1850 Description: Spanish 1 and 2 for Summer Term 2006

09/1978 to 06/1983 Great Neck School System. Great Neck, NY. Position Held: Teacher of English to Foreign Born Adults ESOL

09/1975-06/1976 Public School Forty-two. Ozone Park, NY. Position Held: ESOL Bilingual Common Branches, 5th & 6th Grades.

09/1968-06/1969 Lawrence Road Junior High School. Uniondale, NY. Position Held: English and Spanish Teacher, 7-9th Grade.

Professional/ Academic References:

Name: Mr Bruce Berman Phone: 561 274-8828 Email address: [email protected]. Relationship: Toscana West Building Manager, Highland Beach, FL

Name: Mr Bart Satsky Phone: 561 279-2601

Relationship: Toscana West President Board Of Directors Email Address: [email protected]

Name: Claire Clum Email address: [email protected] Relationship: Curator of Education, Boca Raton Museum of Art.Supervisor of Ed. Dept. Bi-lingual Docent, Boca Raton since 2005 -current At the Boca Raton Museum of Art Boca Raton, FL..

APPLICANT Bryan Perilman

Town of Highland Beach Town Clerk's Office

3614 S. Ocean Boulevard Highland Beach, Florida 33487

Phone: (561 )278-4548 Fax: (561 )265-3582

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BOARDS AND COMMITTEES APPLICATION � fl? �

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This information is for consideration of appointment to a Town Board. Please complete and returnjs form to theTown Clerk, along with your resume and proof of residency such as a government issued identification or voterregistration card.

PLEASE NOTE: Florida Public Records Law is very broad. Docwnents relevant to town business is public records and is subject to pub lie disclosure upon ;,iuest. Your informatio rov'.ded within this application may therefore be

_subjec

Ho pub 1 ic disclosure.

NAME: 1J c:f r\ e_ II ) vn q 11 PHONE: t;(o / � !;db - gf S()

HOMEADDRESS: 3 7'/0 s. CJct:C/11 f5/vtt APT. NO. /20 7

SUBDIVISION: __ 1,__/�0�· S<_Ql_.....___._ll_((�--- EMAIL ADDRESsf??n /4q.17@ ye/4o . O)m,

PLEASE SELECT THE BOARD(S) / COMMITTEE(S) ON WHICH YOU ARE INTERESTED IN SERVING IN NUMERICAL ORDER FROM 1 THROUGH 5, WITH 1 BEING YOUR FIRST CHOICE AND 5 THE LEAST CHOICE. (A description of the responsibilities of each Board is on the back of this application.)

Board of Adjustment & Appeals

Financial Advisory Board

__ Planning Board

C.----Code Enforcement Board

Natural Resources Preservation Board

Other Board /Committee

PLEASE MARK YES OR NO FOR EACH OF THE FOLLOWING QUESTIONS:

Are you a resident of Highland Beach?

Are you a registered voter in Highland Beach/Palm Beach County, FL?

Yes �- No

Yes L..------ No ----

----

Are you currently serving on a Town Board? Yes �- No ___ _

Have you ever served on a Town Board/Committee? Code -Eii/orif /}112/(tes �, No---­

If so, please indicate the Board(s)/Committee(s)? f5;<cej;//mc:t- lff1/'-ea/s- Date of Service: �6 l:1- -

Are you willing to attend monthly board meetings? In Person / Telecom Yes � No ___ _

Per Town Code of Ordinance, I understand any member absence from three (3) consecutive meetings will be

considered as resignation from the board/committee. Yes �-No ___ _

Please list any special talent, qualification, education or professional experience that would contribute to your

service on the Board/Committee you have selected?

//IC> r Ch::/ /m 4 // ZJ 7 Ckcc�} /Js;: if ,

L tJ rrerif--lr z, rJ Code 6h ff) /CP� �

Please summarize your volunteer experience(s):

Florida Law requires appointed members on the Planning and Board of Adjustment and Appeals Boards to file a F01m 1 - Statement of Financial Interests Disclosure form on an annual basis.

Vetting by the Board Chairperson. The Chairperson of each Board shall interview the applicant and submit a memorandum of recommendation to the Town Clerk's Office 14 days prior to the Town Commission Workshop Meeting for final appointment.

Palm Beach County Commission on Ethics requires appointed members to take the Code of Ethics Training every two (2) years.

I hereby certify that the statements d answers provided are true and accurate to the best if my knowledge.

7 7 Date

□ Resume Attached.

TO:

FROM:

DATE:

SUBJECT:

MEMORANDUM

Lanelda Gaskins, :J\.1M:C, Town Clerk

Thomas (Tim) B. Burnich

June 23, 2021

Initial Vetting of Applicant:

On hrne 23, 2021 (date), I met with Bryan Perilman (applicant's name) to discuss his /her comm1:1:1irity involvement, education, pro£essio1;1aJ. experiences and the positive impact he/ she could bring to this Board for the betterment of the Highland Beach community.

Detail Explanation:

Based upon my review of the Resume', the Board Application and the Interview today, my recommendation is as follows:

IZ! For the Appointment of this Applicant

D Against the Appointment of this Applicant

�7 Signature of Board Chairperson

3614 SOUTH OCEAN BOULEVARD• HIGHLAND BEACH, FLORIDA 33487

Palm Beach County, Florida Main: 561-278-4548 FAX: 561-265-3582

APPLICANT Christine Converse

Town of Highland Beach

Town Clerk's Office 3614 S. Ocean Boulevard

Highland Beach, Florida 33487

Phone: (561) 278-4548 Fax: (561) 265-3582

BOARDS AND COMMITTEES APPLICATION

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This information is for consideration of appointment to a Town Board. Please complete and return this fonpho the Town Clerk, along with your resume and proof of residency such as a government issued identification or voterregistration card.

PLEASE NOTE: Florida Public Records Law is very broad. Documents relevant to town business is public records and is subject to public disclosure upon request. Your information provided within this application may therefore be subject to public disclosure.

NAME: C/2 r, �rh h-c.- !l). Cox ue,e..s

e_ PHONE: 5/ �.,. 27<S"-3 tJ;:;L0

HOME ADDRESS: _di�/_D_O_S�)'-' ---"'a"'--==�=----rJ_g_�_v_cl_. ____ APT. NO. l/ () �

SUBDIVISION:&.,,i/h,:,r(.�"4!.- /�)4 /c,;,,;.Lj EMAIL ADDRESS: repcu // .Q.!;/,Mc.-,,_,/ CA/7'7

PLEASE SELECT THE BOARD(S) / COMMITTEE(S) ON WHICH YOU ARE INTERESTED IN

SERVING IN NUMERICAL ORDER FROM 1 THROUGH 5, WITH 1 BEING YOUR FIRST CHOICE

AND 5 THE LEAST CHOICE. (A description of the responsibilities of each Board is on the back of this application.)

✓ Code Enforcement BoardBoard of Adjustment & Appeals

Financial Advisory Board Natural Resources Preservation Board

__ Planning Board Other Board /Committee

PLEASE MARK YES OR NO FOR EACH OF THE FOLLOWING QUESTIONS:

Are you a resident of Highland Beach?

Are you a registered voter in Highland Beach/Palm Beach County, FL?

Are you currently serving on a Town Board?

Have you ever served on a Town Board/Committee?

Yes

Yes

Yes

Yes

V

V

No

No

No

No

r-/

If so, please indicate the Board(s)/Committee(s)? _�-=---�-------=---=---::::.:==---

---- Date of Service: ___ _

Are you willing to attend monthly board meetinp . In Person / Telecom Yes _1L_ No ___ _

Per Town Code of Ordinance, I understand any� nee from three (3) consecuti✓etings will be

considered as resignation from the board/committee. Yes ___ No ___ _

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Please list any special talent, qualification, education or professional experience that would contribute to your

service on the Board/Committee you have selected?

Please summarize your volunteer experience(s):

no

Florida Law requires appointed members on the Planning and Board of Adjustment and Appeals Boards to file a

Form 1 - Statement of Financial Interests Disclosure form on an annual basis.

Vetting by the Board Chairperson. The Chairperson of each Board shall interview the applicant and submit a memorandum ofrecommendation to the Town Clerk's Office 14 days prior to the Town Commission Workshop

Meeting for final appointment.

Palm Beach County Commission on Ethics requires appointed members to take the Code of Ethics Training every two (2) years.

I hereby certify that the statements and answers provided are true and accurate to the best if my knowledge.

Signature of Applicant Date

D Resume Attached.

MEMORANDUM

TO:

FROM:

DATE:

SUBJECT:

Lanelda Gaskins, MMC, Town Clerk

Thomas (Tim) B. Burnich

June 28, 2021

Initial Vetting of Applicant:

RECEIVED

JUN 2 S 2021

Town of Highland Beach, FL Town Clerk's Office

----------------------------------------------------------

----------------------------------------------------------

On June 28, 2021 (date), I met with Christine Converse (applicant's name) to discuss his /her community involvement, education, professional experiences and the positive impact he/ she could bring to this Board for the betterment of the Highland Beach community.

Detail Explanation:

Based upon my review of the Resume', the Board Application and the Interview today, my recommendation is as follows:

IZ! For the Appointment of this Applicant

D Against the Appointment of this Applicant

Signatur�

3614 SOUTH OCEAN BOULEVARD• HIGHLAND BEACH, FLORIDA 33487

Palm Beach County, Florida IVlain: 561-278-4548 FAX: 561-265-3582

APPLICANT Robert Lasorsa

RECEIVED Town of Highland Beach

Town Clerk's Office 3614 S. Ocean Boulevard SEP O 1 2021

Highland Beach, Florida 33487 Ph . (561) 278-4548 F . (561) 2

6%��ighland Beach, FLone. ax. ,-,own Clerk's Office

BOARDS AND COMMITTEES APPLICATION

This information is for consideration of appointment to a Town Board. Please complete and return this form to the Town Clerk, along with your resume and proof of residency such as a government issued identification or voterregistration card.

PLEASE NOTE: Florida Public Records Law is very broad. Documents relevant to town business is public records and is subject to public disclosure upon request. Your information provided within this application may therefore be subject to public disclosure.

NAME:--�:.:. chev::+· La. -.)co Y-.S0 PHONE: Ctt:s-1) 2ft-.'f- .. .n o:?8'

HOME ADDREss: I I c<-1 ·1-32: L_ A/ K µ K \ ✓ f==- APT. No.-�"----

suBo rvrsroN: J;.L '1:t::1-fr 1il c 6n.J'J;i[!nll ,.)_ 1 up1 S EMAIL AD ORES s: a2--,t/.c:5.5 1 e�/ry <ii..'cCvTJc!t,, sf. 1 7 J ne-t-

PLEASE SELECT THE BOARD(S) / COMMITTEE(S) ON WHICH YOU ARE INTERESTED IN SERVING IN NUMERICAL ORDER FROM 1 THROUGH 5, WITH 1 BEING YOUR FIRST CHOICE

AND 5 THE LEAST CHOICE. (A description of the responsibilities of each Board is on the back of this application.)

""2- Board of Adjustment & Appeals

_!:l. Financial Advisory Board

-✓ _2_ Planning Board

Code Enforcement Board

Natural Resources Preservation Board

Other Board /Committee

PLEASE MARK YES OR NO FOR EACH OF THE FOLLOWING QUESTIONS:

Are you a resident of Highland Beach?

Are you a registered voter in Highland Beach/Palm Beach County, FL?

Are you currently serving on a Town Board?

Have you ever served on a Town Board/Committee?

Yes /"

Yes ./.�

Yes ---

Yes ---

No ----

No ----

No ✓---�-

No / ----

If so, please indicate the Board(s)/Committee(s)? __________

Y

D

e

a

s

te of,rvice

N

:

o Are you willing to attend monthly board meetings? In Person / Telecom ___ _Per Town Code of Ordinance, I understand any member absence from three (3) consecutive m�etings will be

considered as resignation from the board/committee. Yes / No ___ _

Please list any special talent, qualification, education or professional experience that would contribute to your

service on the Board/Committee you have selected?

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Please summarize your volunteer experience(s):

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Florida Law requires appointed members on the Planning and Board of Adjustment and Appeals Boards to file a Form 1 - Statement of Financial Interests Disclosure form on an annual basis.

Vetting by the Board Chairperson. The Chairperson of each Board shall interview the applicant and submit a memorandum of recommendation to the Town Clerk's Office 14 days prior to the Town Commission Workshop Meeting for final appointment.

Palm Beach County Commission on Ethics requires appointed members to take the Code of Ethics Training every two (2) years.

I hereby certify that the statements and answers provided are true and accurate to the best if my knowledge.

'

,,,.

I

JZf Resume Attached.

TO:

FROM:

DATE:

SUBJECT:

MEMORANDUM

Lanelda Gaskins, MMC, Town Clerk

Thomas (Tim) B. Burnich

September 8, 2021

Initial Vetting of Applicant:

On September 8, 2021 (date), I met with Robert Lasorsa (applicant's name) to discuss his/her community involvement, education, professional experiences and the positive impact he/ she could bring to this Board for the betterment of the Highland Beach community. ·

Detail Explanation:

Recommend for the Code Enforcement Board.

Based upon my review of the Resume', the Board Application and the Interview today, my recommendation is as follows:

_ !ZI For the Appointment of this Applicant

D Against the Appointment of this Applicant

-�Signature of Board Chairperson

3614 SOUTH OCEAN BOULEVARD• HIGHLAND BEACH, FLORIDA 33487

Palm Beach County, Florida Main: 561-278-4548 FAX: 561-265-3582