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February 9, 2016 - Regular Meeting Agenda Item #39 Subject Sarasota/Manatee Metropolitan Planning Organization Citizen Advisory Committee Appointments Briefings None Contact and/or Presenter Information Contact Person: Colleen McGue, MPO Transportation Planner, 941-359-5772 Action Requested Recommend appointment of: One individual to the vacant At Large seat - 7 applicants One individual to the vacant At Large seat representing the disabled - one applicant Enabling/Regulating Authority Section 339.175, Florida Statutes Background Discussion According to the Bylaws of the Citizen Advisory Committee (CAC) for the Sarasota/Manatee Metropolitan Planning Organization (MPO), nominations for CAC members are recommended by the member governments for ratification by the MPO Board. Manatee County Commissioners make recommendations for appointments to the CAC apportioned as follows: three (3) representing Unincorporated Manatee County; one (1) representing the disabled; one (1) representing minorities; and four (4) at-large. A vacancy for an At-Large seat was advertised and applications from seven individuals should be considered for recommendation for appointment: John Conte Megan Lui Michael Miller Brett Pollock Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - February 9, 2016

Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue ([email protected])€and Marianne Lopata ([email protected])

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Page 1: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

February 9, 2016 - Regular Meeting Agenda Item #39

Subject Sarasota/Manatee Metropolitan Planning Organization Citizen Advisory Committee Appointments Briefings None Contact and/or Presenter Information

Contact Person:  Colleen McGue, MPO Transportation Planner, 941-359-5772

Action Requested

Recommend appointment of:

One individual to the vacant At Large seat - 7 applicants

One individual to the vacant At Large seat representing the disabled - one applicant

 

Enabling/Regulating Authority

Section 339.175, Florida Statutes

Background Discussion

● According to the Bylaws of the Citizen Advisory Committee (CAC) for the Sarasota/Manatee Metropolitan Planning Organization (MPO), nominations for CAC members are recommended by the member governments for ratification by the MPO Board.

● Manatee County Commissioners make recommendations for appointments to the CAC apportioned as follows:  three (3) representing Unincorporated Manatee County; one (1) representing the disabled; one (1) representing minorities; and four (4) at-large.

● A vacancy for an At-Large seat was advertised and applications from seven individuals should be considered for recommendation for appointment:

❍ John Conte ❍ Megan Lui ❍ Michael Miller ❍ Brett Pollock

Manatee County Government Administrative CenterCommission Chambers, First Floor

9:00 a.m. - February 9, 2016

acornwell
Approved
acornwell
Typewritten Text
02/09/16
Page 2: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

❍ George Rauch ❍ Anne Ross ❍ Richard Wellenberger

● A vacancy for the At-Large Seat representing the disabled was advertised and an application from one individual should be considered for recommendation for appointment:

❍ Shaun Koby ● Upon recommendation of the Manatee County Board of County Commissioners, an item will be placed

on the next MPO agenda for ratification by the MPO Board.

County Attorney Review Not Reviewed (No apparent legal issues) Explanation of Other Reviewing Attorney N/A Instructions to Board Records

Please email name of appointee to Colleen McGue ([email protected]) and Marianne Lopata ([email protected]).

Cost and Funds Source Account Number and Name Amount and Frequency of Recurring Costs Attachment:  MPOCAC Conte John APP 12.28.15.pdf Attachment:  MPOCAC Conte John Resume 12.28.15.pdf Attachment:  MPOCAC Lui Megan 01-19-16.pdf Attachment:  MPOCAC Miller Michael APP 12.21.15.pdf Attachment:  MPOCAC Pollock Brett APP 01-12-16.pdf Attachment:  MPOCAC Rauch George 07-22-15.pdf Attachment:  MPOCAC Ross Anne APP 12.8.15.pdf Attachment:  MPOCAC Wellenberger Richard APP 06-25-15.pdf Attachment:  MPOCAC Koby Shaun APP (disabled rep) 02-03-16.pdf

Manatee County Government Administrative CenterCommission Chambers, First Floor

9:00 a.m. - February 9, 2016

acornwell
Typewritten Text
Emailed 02/16/16
Page 3: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

MANATEE COUNTYBOARD OF COUNTY COMMISSIONERS

P.O. Box 1000Bradenton, FL 34206-1000

Phone: (941) 745-3709Fax: (941) 745-3790

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Advisory Board/Commitee/Commission you are applying for:

Are you willing to be considered for an alternate Board/Committee/Commission

If applying for the Senior Advisory Board, are you over the age of 50:

Are you a registered voter? (Need only answer if a requirement for the entity for whichyou are applying)

Name

Address

City Zip

I reside in Commission District # (can be found on back of your Voter Registration Card)

Year Round Resident?

Do you reside in the unincorporated area?

Employer

Address

Occupation (if retired, please indicate)

Please list any governmental Advisory Boards/Committees/Commissions on which you currently serve

The Board of County Commissioners strives to ensure equal access for minorities and women to serve on advisory boards/committees/commissions.Completing this information will help the County Commissioners Office compile information needed to comply with Florida State Statutes 760.80.

African American

Hispanic American

Asian American

Native American

American Woman

Other

For Office Use OnlyReceived:_________________________Entered: __________________________Meets Qualifications: Yes_____ No_____Forwarded to Department: ___________

Acknowledgement Sent: ________________BOCC Mtg Date: ______________________Action: ______________________________Letter Sent: __________________________

Yes No

Yes No

Yes No

Yes No

If no, please indicate city:

Yes No

State

Email

Cell PhoneHome Phone Work Phone

MPO Citizen Advisory Committee

John L. Conte

12922 Yacht Club Place

Cortez 34215

self Employed

12922 Yacht Club Place, Cortez, FL, 34215

Aviation Consultant

None

White Male - Senior Citizen

Cortez

Florida

[email protected]

(941) 962-2218(941) 962-2218 (941) 761-9236

Page 4: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Complete the following. Please describe those facets of your background/experience which you feel may be useful formembership on this Board/Committee/Commission.

Academic - Degrees, Diplomas

Professional - Certification

Knowledge - Training, interest or experience

Community Involvement - List organizations/positions

Organizations - Memberships

IMPORTANT INFORMATION1. Eligibility for membership on certain advisory boards/committees/commissions requires a valid voter registration card.2. Membership on certain advisory boards/committees/commissions requires financial disclosure or the submission of other

information.3. Florida State Statute 119.07 designates this application as a public document to be made available for anyone requesting

to view it.4. Manatee County Land Development Code Ordinance 90-01, states that no member of the Planning Commission or

Board of Zoning Appeals shall be a member of another land development related advisory board serving unincorporatedManatee County.

The Board of County Commissioners of Manatee County, Florida does not discriminate upon the basis of any individiual's disability status. This nondiscriminationpolicy involves every aspect of the Board's functions including one's access to, participation, employment, or treatment in its programs or activities. Anyonerequiring reasonable accommodation for meetings as provided for in the Americans with Disabilites Act should contact Kaycee Ellis, three days before meeting at749-7100; TDD ONLY 749-1000 and wait 60 seconds; FAX 745-3790

PLEASE NOTE: Application will remain active for one (1) year. Resumes may be included, however, the application MUST still be completed.Read Important Information section, then sign the application.

By typing my name and submitting this application, I acknowledge this constitutes my signatureunder the Florida Electronic Signature Act.

Electronic Signature Type Name

Revised 08/01/2006

Date

Information with respect to the following questions/form is submitted in the accompanying Abbreviated Resume

John L. Conte Dec 28, 2015

Page 5: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

JOHN L. CONTE

12922 Yacht Club Place

Cortez, FL 34215

Cell 941-962-2218, E-Mail: [email protected]

Education

Manhattan College – B.S. Civil Engineering

Brooklyn Polytechnic Institute Transportation Planning (3 credits short of M.S. degree)

Business Interests

Executive Vice President – R. Dixon Speas Associates, Boston, MA

Responsible for the direction and accomplishment of technical and management consulting

services for US and International airlines Served as a technical expert witness in numerous legal

proceedings in Federal courts including several high profile airline bankruptcies, and directed

several high profile airline safety/management programs including the ValuJet accident.

President and Owner - John L. Conte Associates

Provides complete management of a private aircraft for a family. Employees a team of

ten personnel (4 pilots, 2 technicians, 3 flight attendants, and a dispatcher) with a budget

of $6.0M

Provides aviation safety and management services to major US corporations with fleets

of business aircraft

Vice President and Owner – Aviation Consulting Incorporated

Provided aviation consulting services to airlines and corporations throughout the US and

worldwide with a staff of 25 and annual revenues in excess of $3M. Sold the company in 1985

to Planning Research Corporation, Hunt Valley, Maryland.

Board of Director Positions:

Champion Airlines (2002 – 2009)

Subsidiary of Northwest Airlines that operated twenty one B-727 aircraft with 1000 employees

and annual revenues of $800M. We dissolved the airline as part of the Northwest and Delta

Airlines merger negotiations.

R. Dixon Speas Associates (1995 – 2000)

Subsidiary of Arthur D Little with approximately 50 senior associates and annual revenues of

approximately $5M. Arthur D. Little was dissolved in a bankruptcy in 2000 and we spun off R.

Dixon Speas Associates as a private company.

Other Volunteer Positions:

Cove Sound Yacht Club (2002 – 2008)

Served as a Director and President of the Board for the Homeowner’s Association

Bradenton Yacht Club (2009 – 2011)

Served for two years on the Long Range Planning Committee

Bradenton Country Club

2011-2012 - Served on the Golf Committee

2015 - President

Page 6: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

MANATEE COUNTYBOARD OF COUNTY COMMISSIONERS

P.O. Box 1000Bradenton, FL 34206-1000

Phone: (941) 745-3709Fax: (941) 745-3790

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Advisory Board/Commitee/Commission you are applying for:

Are you willing to be considered for an alternate Board/Committee/Commission

If applying for the Senior Advisory Board, are you over the age of 50:

Are you a registered voter? (Need only answer if a requirement for the entity for whichyou are applying)

Name

Address

City Zip

I reside in Commission District # (can be found on back of your Voter Registration Card)

Year Round Resident?

Do you reside in the unincorporated area?

Employer

Address

Occupation (if retired, please indicate)

Please list any governmental Advisory Boards/Committees/Commissions on which you currently serve

The Board of County Commissioners strives to ensure equal access for minorities and women to serve on advisory boards/committees/commissions.Completing this information will help the County Commissioners Office compile information needed to comply with Florida State Statutes 760.80.

African American

Hispanic American

Asian American

Native American

American Woman

Other

For Office Use OnlyReceived:_________________________Entered: __________________________Meets Qualifications: Yes_____ No_____Forwarded to Department: ___________

Acknowledgement Sent: ________________BOCC Mtg Date: ______________________Action: ______________________________Letter Sent: __________________________

Yes No

Yes No

Yes No

Yes No

If no, please indicate city:

Yes No

State

Email

Cell PhoneHome Phone Work Phone

MPO Citizen Advisory Committee

Megan Lui

8076 Glenbrooke Lane

Sarasota 34243

5

Sarasota County

1660 Ringling Blvd., Sarasota, FL 34236

Planner

N/A

Sarasota

[email protected]

9413131091N/A N/A

Page 7: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Complete the following. Please describe those facets of your background/experience which you feel may be useful formembership on this Board/Committee/Commission.

Academic - Degrees, Diplomas

Professional - Certification

Knowledge - Training, interest or experience

Community Involvement - List organizations/positions

Organizations - Memberships

IMPORTANT INFORMATION1. Eligibility for membership on certain advisory boards/committees/commissions requires a valid voter registration card.2. Membership on certain advisory boards/committees/commissions requires financial disclosure or the submission of other

information.3. Florida State Statute 119.07 designates this application as a public document to be made available for anyone requesting

to view it.4. Manatee County Land Development Code Ordinance 90-01, states that no member of the Planning Commission or

Board of Zoning Appeals shall be a member of another land development related advisory board serving unincorporatedManatee County.

The Board of County Commissioners of Manatee County, Florida does not discriminate upon the basis of any individiual's disability status. This nondiscriminationpolicy involves every aspect of the Board's functions including one's access to, participation, employment, or treatment in its programs or activities. Anyonerequiring reasonable accommodation for meetings as provided for in the Americans with Disabilites Act should contact Kaycee Ellis, three days before meeting at749-7100; TDD ONLY 749-1000 and wait 60 seconds; FAX 745-3790

PLEASE NOTE: Application will remain active for one (1) year. Resumes may be included, however, the application MUST still be completed.Read Important Information section, then sign the application.

By typing my name and submitting this application, I acknowledge this constitutes my signatureunder the Florida Electronic Signature Act.

Electronic Signature Type Name

Revised 08/01/2006

Date

Masters in Urban and Regional Planning

I have spent the last 8 years working in various levels of local government in the US and Canada. 6 of those years were focusedon sustainable transportation at both the municipal level and county level.

My work experiance and the knowledge I have gained from living in Portland, Honolulu, and Toronto provide me with a uniqueknowledge of how to deal with transportation concerns under various constraints. I have had an interest in transportationplanning since I first discovered it as a career in 2004.

I moved to FL just over a year ago and have been looking for ways in which I can become involved in my community. I havebeen involved in municipal transportation advisory committees in the past and enjoyed the experiance. The MPO CAC would bea great fit for me.

American Planning Association 2005-2016Canadian Institute of Transportation Engineers 2008-2014

Megan Lui January 19, 2016

Page 8: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)
Page 9: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)
Page 10: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

MANATEE COUNTYBOARD OF COUNTY COMMISSIONERS

P.O. Box 1000Bradenton, FL 34206-1000

Phone: (941) 745-3709Fax: (941) 745-3790

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Advisory Board/Commitee/Commission you are applying for:

Are you willing to be considered for an alternate Board/Committee/Commission

If applying for the Senior Advisory Board, are you over the age of 50:

Are you a registered voter? (Need only answer if a requirement for the entity for whichyou are applying)

Name

Address

City Zip

I reside in Commission District # (can be found on back of your Voter Registration Card)

Year Round Resident?

Do you reside in the unincorporated area?

Employer

Address

Occupation (if retired, please indicate)

Please list any governmental Advisory Boards/Committees/Commissions on which you currently serve

The Board of County Commissioners strives to ensure equal access for minorities and women to serve on advisory boards/committees/commissions.Completing this information will help the County Commissioners Office compile information needed to comply with Florida State Statutes 760.80.

African American

Hispanic American

Asian American

Native American

American Woman

Other

For Office Use OnlyReceived:_________________________Entered: __________________________Meets Qualifications: Yes_____ No_____Forwarded to Department: ___________

Acknowledgement Sent: ________________BOCC Mtg Date: ______________________Action: ______________________________Letter Sent: __________________________

Yes No

Yes No

Yes No

Yes No

If no, please indicate city:

Yes No

State

Email

Cell PhoneHome Phone Work Phone

MPO Citizen Advisory Committee

Brett Pollock

3604 10th Lane West

Palmetto 34221

1

Retired effective 1/24/2016

Palmetto

Florida

[email protected]

(941) 737-0199(941) 531-4386

Page 11: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Complete the following. Please describe those facets of your background/experience which you feel may be useful formembership on this Board/Committee/Commission.

Academic - Degrees, Diplomas

Professional - Certification

Knowledge - Training, interest or experience

Community Involvement - List organizations/positions

Organizations - Memberships

IMPORTANT INFORMATION1. Eligibility for membership on certain advisory boards/committees/commissions requires a valid voter registration card.2. Membership on certain advisory boards/committees/commissions requires financial disclosure or the submission of other

information.3. Florida State Statute 119.07 designates this application as a public document to be made available for anyone requesting

to view it.4. Manatee County Land Development Code Ordinance 90-01, states that no member of the Planning Commission or

Board of Zoning Appeals shall be a member of another land development related advisory board serving unincorporatedManatee County.

The Board of County Commissioners of Manatee County, Florida does not discriminate upon the basis of any individiual's disability status. This nondiscriminationpolicy involves every aspect of the Board's functions including one's access to, participation, employment, or treatment in its programs or activities. Anyonerequiring reasonable accommodation for meetings as provided for in the Americans with Disabilites Act should contact Kaycee Ellis, three days before meeting at749-7100; TDD ONLY 749-1000 and wait 60 seconds; FAX 745-3790

PLEASE NOTE: Application will remain active for one (1) year. Resumes may be included, however, the application MUST still be completed.Read Important Information section, then sign the application.

By typing my name and submitting this application, I acknowledge this constitutes my signatureunder the Florida Electronic Signature Act.

Electronic Signature Type Name

Revised 08/01/2006

Date

A.A Degree, Business Administration - Manatee Junior College B.S. Degree, Real Estate - Florida State University A.S. Degree, Fire Science Technology - Manatee Community College Master's Degree, Public Administration - Barry University

Firefighter Fire Officer I & II Fire Safety Inspector Fire Instructor III

36 years fire service career, with training in aspects of Public Safety, Incident Management, Emergency Response, Disaster Response and Service Delivery. Serviced on Manatee Chamber of Commerce Transportation Committee. Interest: Helping to create a better quality of live in Manatee County, by improving transportation needs.

Bradenton Kiwanis Club (Board of Directors) Served on Transportation Committee of the Manatee Chamber of Commerce Served on Community Traffic Safety Team (served as chairman) Blood Donor - One Blood

Leadership Manatee Alumni Association Florida Fire Chiefs Association International Fire Chiefs Association Managerial Association of Emergency Services

Brett Pollock Jan 12, 2016

Page 12: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)
Page 13: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)
Page 14: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

MANATEE COUNTYBOARD OF COUNTY COMMISSIONERS

P.O. Box 1000Bradenton, FL 34206-1000

Phone: (941) 745-3709Fax: (941) 745-3790

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Advisory Board/Commitee/Commission you are applying for:

Are you willing to be considered for an alternate Board/Committee/Commission

If applying for the Senior Advisory Board, are you over the age of 50:

Are you a registered voter? (Need only answer if a requirement for the entity for whichyou are applying)

Name

Address

City Zip

I reside in Commission District # (can be found on back of your Voter Registration Card)

Year Round Resident?

Do you reside in the unincorporated area?

Employer

Address

Occupation (if retired, please indicate)

Please list any governmental Advisory Boards/Committees/Commissions on which you currently serve

The Board of County Commissioners strives to ensure equal access for minorities and women to serve on advisory boards/committees/commissions.Completing this information will help the County Commissioners Office compile information needed to comply with Florida State Statutes 760.80.

African American

Hispanic American

Asian American

Native American

American Woman

Other

For Office Use OnlyReceived:_________________________Entered: __________________________Meets Qualifications: Yes_____ No_____Forwarded to Department: ___________

Acknowledgement Sent: ________________BOCC Mtg Date: ______________________Action: ______________________________Letter Sent: __________________________

Yes No

Yes No

Yes No

Yes No

If no, please indicate city:

Yes No

State

Email

Cell PhoneHome Phone Work Phone

MPO Citizens Advisory Council

Anne Ross, P.E.

23706 SR 70 East

Myakka City 34251

5

Lakewood Ranch Inter-District Authority

8175 Lakewood Ranch Boulevard

Executive Director

None at this time.

Florida

[email protected]

650-5275322-9674 907-0202

Page 15: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Complete the following. Please describe those facets of your background/experience which you feel may be useful formembership on this Board/Committee/Commission.

Academic - Degrees, Diplomas

Professional - Certification

Knowledge - Training, interest or experience

Community Involvement - List organizations/positions

Organizations - Memberships

IMPORTANT INFORMATION1. Eligibility for membership on certain advisory boards/committees/commissions requires a valid voter registration card.2. Membership on certain advisory boards/committees/commissions requires financial disclosure or the submission of other

information.3. Florida State Statute 119.07 designates this application as a public document to be made available for anyone requesting

to view it.4. Manatee County Land Development Code Ordinance 90-01, states that no member of the Planning Commission or

Board of Zoning Appeals shall be a member of another land development related advisory board serving unincorporatedManatee County.

The Board of County Commissioners of Manatee County, Florida does not discriminate upon the basis of any individiual's disability status. This nondiscriminationpolicy involves every aspect of the Board's functions including one's access to, participation, employment, or treatment in its programs or activities. Anyonerequiring reasonable accommodation for meetings as provided for in the Americans with Disabilites Act should contact Kaycee Ellis, three days before meeting at749-7100; TDD ONLY 749-1000 and wait 60 seconds; FAX 745-3790

PLEASE NOTE: Application will remain active for one (1) year. Resumes may be included, however, the application MUST still be completed.Read Important Information section, then sign the application.

By typing my name and submitting this application, I acknowledge this constitutes my signatureunder the Florida Electronic Signature Act.

Electronic Signature Type Name

Revised 08/01/2006

Date

Bachelor and Masters Civil Engineering

Professional Engineer

Over 18 years of professional experience; 7 years as a consulting engineer and 11 years as a local government engineer and manager. Former alternate for Longboat Key for MPO Technical Advisory Committee

Lakewood Ranch Business Alliance

Florida County and City Managers Association, American Water Works Association

Anne L. Ross December 8, 2015

Page 16: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)
Page 17: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)
Page 18: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

MANATEE COUNTYBOARD OF COUNTY COMMISSIONERS

P.O. Box 1000Bradenton, FL 34206-1000

Phone: (941) 745-3709Fax: (941) 745-3790

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Advisory Board/Commitee/Commission you are applying for:

Are you willing to be considered for an alternate Board/Committee/Commission

If applying for the Senior Advisory Board, are you over the age of 50:

Are you a registered voter? (Need only answer if a requirement for the entity for whichyou are applying)

Name

Address

City Zip

I reside in Commission District # (can be found on back of your Voter Registration Card)

Year Round Resident?

Do you reside in the unincorporated area?

Employer

Address

Occupation (if retired, please indicate)

Please list any governmental Advisory Boards/Committees/Commissions on which you currently serve

The Board of County Commissioners strives to ensure equal access for minorities and women to serve on advisory boards/committees/commissions.Completing this information will help the County Commissioners Office compile information needed to comply with Florida State Statutes 760.80.

African American

Hispanic American

Asian American

Native American

American Woman

Other

For Office Use OnlyReceived:_________________________Entered: __________________________Meets Qualifications: Yes_____ No_____Forwarded to Department: ___________

Acknowledgement Sent: ________________BOCC Mtg Date: ______________________Action: ______________________________Letter Sent: __________________________

Yes No

Yes No

Yes No

Yes No

If no, please indicate city:

Yes No

State

Email

Cell PhoneHome Phone Work Phone

Metropolitan Planning Organization

Shaun Robert Koby

9705 58th Street East

Parrish 34219

1

Lydecker Diaz

403 North Howard Ave., Tampa, FL 33606

Attorney

None.

American Male

Florida

[email protected]

(850) 591-5382(305) 416-3180

Page 19: Manatee County Government Administrative Center Commission ... · Please email name of appointee to Colleen McGue (colleen@mympo.org)€and Marianne Lopata (marianne.lopata@mymanatee.org)

APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION

Complete the following. Please describe those facets of your background/experience which you feel may be useful formembership on this Board/Committee/Commission.

Academic - Degrees, Diplomas

Professional - Certification

Knowledge - Training, interest or experience

Community Involvement - List organizations/positions

Organizations - Memberships

IMPORTANT INFORMATION1. Eligibility for membership on certain advisory boards/committees/commissions requires a valid voter registration card.2. Membership on certain advisory boards/committees/commissions requires financial disclosure or the submission of other

information.3. Florida State Statute 119.07 designates this application as a public document to be made available for anyone requesting

to view it.4. Manatee County Land Development Code Ordinance 90-01, states that no member of the Planning Commission or

Board of Zoning Appeals shall be a member of another land development related advisory board serving unincorporatedManatee County.

The Board of County Commissioners of Manatee County, Florida does not discriminate upon the basis of any individiual's disability status. This nondiscriminationpolicy involves every aspect of the Board's functions including one's access to, participation, employment, or treatment in its programs or activities. Anyonerequiring reasonable accommodation for meetings as provided for in the Americans with Disabilites Act should contact Kaycee Ellis, three days before meeting at749-7100; TDD ONLY 749-1000 and wait 60 seconds; FAX 745-3790

PLEASE NOTE: Application will remain active for one (1) year. Resumes may be included, however, the application MUST still be completed.Read Important Information section, then sign the application.

By typing my name and submitting this application, I acknowledge this constitutes my signatureunder the Florida Electronic Signature Act.

Electronic Signature Type Name

Revised 08/01/2006

Date

Florida State University, Bachelor of Arts in Criminology and Political Science (Class Rank #1 out of over 9000 students) University of Florida Levin College of Law, Juris Doctor Degree (honors)

Florida Bar, United States Northern District of Florida, United States Middle District of Florida, United States Southern District of Florida

Law, Political Science, Criminology

I was involved with several advisory boards in Dania Beach prior to moving to Parrish.

Florida Bar Association.

Shaun Koby Feb 3, 2016