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HomeMy WebLinkAboutOAB Nomination Applications for Elected Members 2014-09-29City of Ali am i OVERTOWN ADVISORY 1tOARD/OVERT0fPN COMMUNiTY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the 1V0311,11A TOR and to he submitted by 4:00 P.M. on FRIDAY, AUG(JST 8, 2014, to the office of the OVERTOIVN NEIGHBORHOOD ENHANCEMENT 7E-4.11 (N.E.T.) at 1490 N.IV. 3kb A VENUE, Suite 112-R, or to the OFFICE, OF THE CITY CLERK, at 3500 Pun American Drive.. NOTE: A person may vote fir himselfrhersell. A.. I, Dr. Mae Christian , qualified voter fOr members of the Over town Advisory Board/Overton Community Oversight Board (0AW00011)., 'hereby nominate Dr. Mae Christian as a candidate fbr election of membeiship of the OABJOCOB. 1 am IS years of age or older and as proof of my qualifications as an elector of the OA IVO CO B, I hereby submit my e redenals as indicated below: 1. 1 am a resident attic Overtown Area residing at I .arn the originator of the Multipurpose Center now known as the Culmer Center I designed along with Middlebrook along with housing, and Booker T Washington along with the Community Development, , or 2. 1 Lin i the current on of property in the 0 vertown Area located at I originated the Culmer Center to provide services to the Overtown Community Lind I intend to continue r,,,hat I started in Overtown development through Commuty Development. , or 3. 1 am an employee or board member of American Workforce Netviiork community development corporation or community based organization located at 6025 N. W. 6 Ct., Miami, Fla. 33127 which provide services for Overtown workforce, and providing services in the Overtown Area, or 4. 1 ppera te or urn aneniployee of a business, American Workforce network has members from the Overtown community that are un-employed and willing, to work. The residents of overtown need to be hired on these jobs. in the oxiertown Area weateu at Thetis the purpose of the American Workforce network to assist the resident s in our community to be hired on these jobs. 1.3. 1 nominate Dr. Mae Christian to serve on the Overtown Advisory Board/ Overtown Community Oversight Board. Fle.,'she meets the eligibility lequirements because heishe u 18 years of age and also meets one or more of the Lawns: I. Resides in the Overtown Area at Work in the over Town and Miami Dade area or 2. Is the current owner of proper ty in the Overtown Arcu located at I developed and designed the Culmer center with the Architer ..fyliddlebook.and-Booker-T. Washingtoalong-wthe-housing-on.20.-SL2-and-3-Ave, or 3. ls an employee ear a board member of American Workforce network community development corporation or community based otganization located at 6025 N. W. 6 Ct., Miami, Fla. 33127 and providing, services to the Overtown Arta at the address or 4. Owns or is an em pl °yet ail business in the °vet -town Area located at 1.-ara-tionored4e reclaira.the-wark-t started -in 'Overtown 5. Nominee's Info: Phone nuinher a01311142,4 ptione same E-mail felta@bellsouth.net Fax mi.mber CO ---..,- , -.-1 ,. CZ tr. Please provide your contact intermit non fix the putp-use of ektrifying the above and sign below .„1 i,...0 Phone number 3053084294 Cell phone same Fax nunther E-mail _felta@beltsoult4net D. Please sign here: Signature . „.„. FOR 0FF1CLL 1.3SEONLY; .. • .. • ..••••• • • • • . . : NOMINEE'S ADD.R.ESS 1NS1DE 1$CTUNEll'ARIES'1.. • ••„•••••••• •• • ••• NOMINEE MEETS AGE REQUIREMENTS „ • • PKOQFOV:QUAEjiFSQATION. D.r.iYlaehristi a o_ Printed Name N/A NIA 8/7r2014 Date Signed AFFIDAVIT OF BUSINESS OPERATOR/EMPLOYEE OF BUSIN STATE OF FLORIDA ) SS: COUNTY OF MIAMI-DADE ) S BEFORE ME, the undersigned authority, this day personally appeared s 4 ('Who being by me first duly sworn, upon oath, deposes and says: 4, fl/371, ' , am a business operator / i 4 - 4 tf 1/1/ ( �J/ /p� » treet( address inOvertow n /// FURTHER AFFIANT SAYETH NAUGHT. or an employee of (Business Operator/Employee of Business) SWORN TO AND SUBSCRIBED BEFORE ME this /2 day of ao , by ,e cva who has produced oath. SIGNATURE OF NOTARY PUBLIC STATE OF FLORIDA My Commission xpires: 2o1 , who is personally known to me or as identification and who did/did not take an Notary Public State of Florida Dwight S Danie c` My Commission EE026185 o� Expires 11/26/2014 PRINTED, STAMPED OR TYPED NAME OF NOTARY City of Miami OVERTOWNADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3" AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself. A. I, , 1 n e4 � fhyl\S le a qualified voter for members of the Overtown Advisory Board/Overtown Community Oversight (Board (OAB/OOtOB), hereby nominate rn t�sf'-� as a candidate for election of membership of the OAB/OCOB. I am 18 years of age Ilan older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the OvertownArea residing at, j_j 1 !' '(I �-� Ste, C7\ i -Ca i Q✓ GLI-l4.1, ! I` (- 2. I am the current owner of property in the Overtown Area located at , or , or CDC 3. I am an employee or board member of community development cmporatl or community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at B. I nominate to serve on the Overtown Advisory Board/ OVertown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at or or 3. Is an employee or a board member of community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Cell phone Fax number E-mail C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number 7 & _..31 s - > / 9 t j Cell phone Fax number E-mail D. Please sign here: 0ZrZ ignature n�. 3) r s Printed Name SIS` LL Date Signed L4' vnOti( iv\ FOR OFFICIAL USF ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES`? NOMINEE ,MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFERRED: City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N..W 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE C TY CLERIC, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself A. I, , a qualified voter for members of Ov rto n Advisory Board/Overtown Community Oversight Boar (0 /OCOB), hereby nominate �rj� as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area re' ding at tit/ 2. I am the current owner of property i the Overtown Area located at tAl 3. I am an employee or board member of community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at ri 141 l am , or , or community development corporation or B. I nominate to serve on the Overtown Advisory Board/ Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at or or 3. Is an employee or a board member of community develdpmetEorporation or community based organization located at c > and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at TMi 5. Nominee's Info: Phone number Cell phone Fax number E-mail C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone Fax number E-mail Printed Name Date Signed FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES NOMINEE MEETS AGE REQUIREMENTS NOMINEE' S PROOF OF QUALIFICATION PROFER City of Miami OVERTOWNADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself. A. I, ire jif , a qualified voter for members ,of the Overtow visory Board/Overtown Community Oversight Board (OAB/OCOB), hereby nominate ad MS as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or of er and as proof of my qualifications as an elector of the OAS/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at 2. I am the current owner of prop91 in t�Ove n �rea located at 3. I am an employee or board member of community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at , or , or community development corporation or Cr B. I nominate to serve on the Overtown Advisory Board/:: OverttRvvn Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets ono or more of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at or or 3. Is an employee or a board member of community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Cell phone Fax number E-mail C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone Fax number E-mail Printed Name FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDA NOMINEE MEETS AGE REQUIREMENTS NOMINEE' S PROOF OF QUALIFICATION PROIERRED: Date Signed City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERIC, at3S00 Pan American Drive.. NOTE: A person may vote for himself/herself A. a qualified voter for errbers of the Overtown A visory Board/Overtown Community as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1, A-N!),).- Oversight Board (OAB/OCOB), hereby nominate 1. I am a resident of the Overtown Area residing at , or 2. I am the current owner of property in the Overtown Area located at , or 3. I am an employee or board member of community dev-elopmerftorporation or community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at B. I nominate Oversight Board. He/she meets the elig following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at to serve on the Overtown Advisory Board/ Overtown Community bility requirements because he/she is 18 years of age and also meets one or more of the or or 3. Is an employee or a board member of community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Cell phon Fax number E-mail C. Please provide your contact information for the purpose of clarifying the above and sign belo Phone number Cell phone Fax number E-mail D. lease aign her, Signature (0) It io Pi cc 41 J L 4Ccie FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDAI NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROF RED' City of Miami OVERTOPIINADVISOR ' IJOA. D/O ER OWN COMMUNITY OVERSI. 'T BOARD NOMINATION FORM FOR FLECTFOIN/EMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOIYIV NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself. A. I Ui. / l'`' 1 Nam s , a qualified voter for members of the Overtown Advisory Board/Overtown Community Oversight Board (OAB/OCOB), hereby nominate (,1(fr, / 44�r%5 as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as procf of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at t lG 3 N�� 1 s ��� � %�'JiG� �1. l G 33/36, , or 2. I am the current owner of property in the Overtown Area Joptey at St.1'hn I/4y Cook p✓1 74?% trr.FL 3313 5 or 3. I am an employee or board member of I'Ucl:-.) P') 'i wrfh 6-e community development corporation or community based organization located at `? l I N hi lJ f" etv e tam: rL 3 313 I. and providing services in the Overtown Area, or 4. I operate or am an employee of a business i<i Llts oh_ Iilhze /S in the Overtown Area located at / 76 Nam' i Or 1(17,' 17"ni `G 33/3 b B. I nominate to serve on the Overtown Advisory Board/ Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at c a fr 2. Is the current owner of property in the Overtown Area located at 3. Is an employee or a board member of community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Fax number community develo ent corporation Cell. phone E-mail C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone 74 f77- 1/50 Fax number E-mail (/%;n y 47N ya h„a, ca"7 D. Please sign here: Signature Haar/-;1 Printed Name Date Sign d > /`F City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (NE.T.) at 1490 N.W. 3ieD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself A. I, 3v S R 1I I _L 1, a qualified voter fo embers of the Overtown Advisory Board/Overtown Community Oversight Board (OAB/OCOB), hereby nominate AR {-(E.LyD MILLER as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at B. C. 2. I am the current owner of property in the Overtown Area located at 3. I am an employee or board member of community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at , or , or �� �� Q T 1� ‘21�b community development corporation or ?J' _ 3L3ty 1 • �.S I nominate GARS E —b 1IW.ERj to serve on the Overtown Advisory Board/ OvprtowfirCommunity Oversight Board. He/she meets the eligibility require rents because he/she is 18 years of age and also meet4iie or more of the following qualifications: 1. Resides in the Overtown Area at or 2. Is the current �ow2-- of roperty in thesgerto Area located ,at� 1 1 k n l� ' ®v 23 t or 3. Is an employee or a board member of cj' -� �`O - CDC, co Witty development corporation or community based organization located at 13g. `3" \ qU� (PPfM 1- ?J�� 3 ( and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Cell phone -3 O 5 6 OS a D. $ Fax number E-mail Please provide your contact information for th purpose of clarifying the above and sign below Phone number ej 372. 6$ 2—Cell phone Fax number 3Q5 51i if E-mail D. Please sign here: Signature I SuLsAo Ili-a-Y Printed Name Date Signed FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDAI NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFERB 4 rn C.) N.) 8181 SI John Community :,Development forporationAn 132-4W id Avenue Mia.mi, Florida 33136 P0. Box 015344 Miami,. Florida 33101-5344 Tel.: (305) 372-0682 Fax: MOM 381-9575 7r010010MINVIIIIIM. it,N NIP,'r„il%0 d 11[11111ROu 4 uw 5 , s.F 1`;":.M ur P, M -ME ..MAI, rer'IiS��niNi46+r"n. hMlh9lryM: d,Mn %IaY,'M�4'MMtlINi�nj '191r�. re'r�l a'iP�IC4 IpV; SN�M'�," r np it ,'IN�iI ��,.�.. F.:3.410101111I1 [ -Statement ission of the St. John Community Development Cor- poration, Inc. is to energize the vitality and positive image of Ovc rtown, through partnerships that build and rehabili- tate housing, strengthen the economic base; and enhance the puality of life in Overtown, £II,.: aINI�,II„II,IINIs:NIIIIIIII ,,._ �,.III,NIII;,IIIrNIIII, III,II NNIMr3,rrIIINNI� , Nelson L. Adarr° s, ill, M.D. Homer Humphrey, R. Ph. Waiter Dennis Mary Louise Williams Betty Burke -Clayton Rev, John H. Taylor Grace K. Humphrey Bishop Llamyes Adams Ugene S. Adkins Rev. Antonio Bolden Corey B. Collins, Esq. Franklin Clark Martha Day Edwin Cemeritte, Ed, D. Cecil Andrew Duffie Rosa Greer" Delores Davis Hills Eddie Hudson Doris P. Isaac Garfield A. Miller,, Esq, Will Miller Mitzi D. Parlor Darryl Spence Ulysses Terry, Esq. Eugene iaiker Andrew Wilcox Chairman of the Board 1st Vice Chairman 2nd Vice Chairman Secretary Assistant Secretary Treasurer Assistant Treasurer NIINIINIaafluu w �M NMll,r,l„I M till ter,. : Y.IIIIININIr Nllulllll ,� Gla Ai>,c, MBA, AAIA Filar Saenz Susan Kelly Hurlette Brown Danielle Stedman President & CEO CFO & VP. ofAaministratien Executive Assistant Housing Coordinator inator A rnMstrati e Assistant A. A. 1 City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FO FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N. W. 3" AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for hinzselfherself. E--srt= Oversigh oa (OAB/OCOBI, hereby nominate a q alified voter fjnernbers of4he Ov toTt rclvisor Board/Overtowu Community -e e_nr. c as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or lder and as proof of m/ qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at 2. 1 am the current qwner of proper N \c. 3. I am a board member of the Overtown ea located corrummity based organization located at 2_ and providing services in the Overtown Area, or , or W4AVA slpt,ry (Ni tAN corporation or 4. I operate or am an employee of a business in the Overtown Area located at B, I nominate to serve on the Overtown Advisory BoarcU Overtown Community Or Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: I. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at or 3. Is an employee or a board member of community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at C") "c•'•• 5. Nominee's Info: Phone number Cell phone • Fax number E-mail C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone Fax number E-mail D. Please sign here: Signature N, (ley ic cn CO c•--) FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES? NOMINEE MEETS AGE REQUIREMENTS NOMINFP' pRonF ni LA 1 !PICA Trni\I PR CIPFIZR PIM Y N NIA Y N NIA City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1990 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself. A. 1, a qualified voter for mep hers of the Overtown Advisory Board/Overtown Community Oversight Board (OAB/OCOB), hereby nominate ovu"42 itts as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: I. I am a resident of the Overtown Area residing at , or 2. I am the current owner of property in the Overtown Area located at , or 3. I am an employee or board member of community- evelopnt Corporation or community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at n B. I nominate vtto serve on the Overtown Advisory Board/ Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at 3. Is an i<nployee o' a board member of e ff11,1t C.. commmlity ased organization located at / 4,0-5 & i 7 t a, and providing services to the Overtown Area at the address or 4. Owns or is an empl yee a business in the Overtown Area located at / - j A/444 7Y{ 5. Nominee's Info: Phone number Fax number ,OP,rf =/7yS Cell phone E-mail or or community development corporation or 't.cQ C i,1/1if.05- C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number 3t'S- " 29a J Cell phone ''J6�S xfa( ^61eg [8' Fax number E-mail N2.1'h/L Ry,,e (LvS , c dlt; D. Please sign here: Signature Printed Name FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES? NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFERRED: Date Signed 57, Direc, MS, CAPP, CS tor of Pirect Care Mini us Caraithrs /louse, AfinisPy of the friC of the cood She h j.e P err/ Th36 e Campus Averioe FL 331 wvInv.caoliltu5.0rg Tel: (305) 374-7065, a7. 429 Cek (786)299-2238 Errrai1: frecifnk-arnIlias.or8 City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself A. I, r`% VIr t/ r', Ofa044-1,tetlivalified voter for members of the Overtown Advisory Board/Overtown Community Oversight Board (O.AB/OCOB),rli reby nominate fit. S ( as a candidate for election of membership of the OAB/OCOB. I am 18 years of age car older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at l 000 AI. A -' C / . A )i= 3 31 , or 2. I am the current owner of property in the Overtown Area located at , or 3. I am an employee or board member of di: TI ste C ( 9... community development corporation or community based organization located at C.�., c t. z..,vr G,s` ,.ems 7r"1,.sz.,,stv' and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at B. I nominate to serve on the Overtown Advisory Boafd/-.bvertpwn Community Oversight Board. Ike/she meets the eligibility requirements because he/she is 18 years of age and alsd r ets ode or rt -ore of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at 3. Is an employee or a board member of community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Fax number or or community development corporation or Cell phone E-mail C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone(, Fax number E-mail t j d tV 1Lr" i D. Please sign here: Signatu!e FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFER] City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself. A. I, All Pp" a qualified voter for members of the Overtown Advisory Board/Overtown Community Oversight oard (OAB/OCOB), hereby nominate y- { • as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at 1' z• z, 2. I am the current owner of property in the Overtown Area located at - 0Z itJ &) (SrA-V 44 /0 t'c�crfv7-r / LA S /J‘ 3. I am an employee or board member of /;2 ) Lu1-1 ,r(Ai g,ij )/ o V community development corporation or community based organization located at , or , or and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at B. I nominate o Prrsto serve on the Overtown Advisory Board/ Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at j 2- LJ �'S r Al . /0 3 ,r //22 or 2. Is the current owner of property in the Overtown Area located at 3. Is an employee or a board member of 1�r� AA/ r L community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at or 5. Nominee's Info: -e Phone number '{f . R-0 3 c 7 Cell phone 66 Fax number E-mail a �a C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number 305--5//t,- /) ; , ‹ e=,�, Cell phone ?S' 6 2 Zm $'f ` Fax number E-mail a,- / U AO tie O D. PI se sign here: Signature t °e ( ihn u'-) Printed ame FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOTJNDAR NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFERREL City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3" AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself. A. I, c.e-KeAct rd rin , a qualified voter for mepiVrs of th O town Advisory Board/Overtown Community Oversight Board (OAB/OCOB), hereby nominate ,wee, as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing ati 15 � 2. I am the current owner of property in the Overtown Area located at Pi ;5 Iv; ,or , or 3. I am an employee or board member of community development corporation or community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at B. I nominate 6 �~ (,�, to serve on the Overtown Advisory BoardL`Overtown C,bmmunity Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also, meets afte or more of the following qualifications: 1. Resides in the Overtown Area at ? 5 /4 c �i' ` or 2. Is the current owner of property in the Overtown Area located at or 3. Is an employee or a board member of community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Cell phone SOS`7076-16 Fax number E-mail 'pr ii .e ///005,, .Ca)r-s C. Please provide your contact information for the Phone number Fax number D. Please sign here: Signature FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES?' NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFERRED: urpose of clarifying the above and sign below 05-Z26-- l S i Cell phone c E-mail ejirir1. if ©tarJ Art(LDi.) Printed Name oh; hi/ Date Signed AFFIDAVIT OF RESIDENCY STATE OF FLORIDA ) ) SS: COUNTY OF MIAMI-DADE ) BEFORE ME, the undersigned authority, this day personally appeared /sic CG r ; hC Q , who being by me first duly sworn, upon oath, deposes and says: I,c;cc_ rdS�t✓� Ps address in Overtown). s am a resident of % 7Oq 7 �� Apt fi (street FURTHER AFFIANT SAYETH NAUGHT. (Resident) SWORN TO AND D SUBSCRIBED BEFORE ME this day of 2c) A.(, b arc(' r Pr *.)c , who is personally known to me or who has produced SIGNATURE OF NOTARY PUBLIC STATE OF FLORIDA My Commission Expires: as identificatgr,yrdhoy/dlrQra.n r1 Public t ;i: of F riwa c, ) ;n ie x� M r mission i_c0.2' 1_15 sx'Nire_ 1112612C,1 PRINTED, STAMPED OR TYPED NAME OF NOTARY City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 RM. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.ET.) at 1490 N.W. 3RD AVENUE. Suite 112-B, or to the OFFICE OF THE CITY CLERIC, at 3500 Pan American Drive.. NOTE: A person may vote for himselflherself. I, C e c ilia St ew a r t -, a qualified voter for members of the Overtown Advisory BoardlOvertown Community Oversight Board (OAB/OCOB), hereby nominate Cecilia St ew a r t as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I ` id r ent of the Overtown Area residing at i99 N.W. 1st Court, Miami, Florida 33136 2. I am the current owner of property in the Overtown Area located at 1899 N.W. 1st Court, Miami, Florida 33136 3. I am an employee or board member of N / A community development corporation or community based organization located at N / A and providing services in the Overtown Area, or 4. I operate or am an employee of a business N / A in the Overtown Area located at N / A A. , or , or B. I nominate Cecilia Stewart to serve on the Overtown Advisory Board/ Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 1 899 N . W . 1st Court , Miami , Florida 331 36 or 2. Is the current owner of property in the Overtown Area located at 1899 N.W. 1st Court, Miami, Florida 33136 3. Is an employee or a board member of N / A community based organization located at N / A and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at Nominee's Info: Prase pro or community development corporation or N/A Phone number 305-573-5892 Cell ph eliver stewart@yahoo.com Fax number N / A E-mail eliver_stewart@yahoo.com your contact information for the purpose of clarifying the above and sign below N / A Phone number 305-573-5892 Cell phone Fax number N/A E-mail Deliver_stewart@yahoo.com D. Please sign here: Signature FOR. OFi41C1AL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES? NOMINEE MEETS AGE REQUIREMENTS NOMINEE'S PROOF OF QUALIFICATION PROFER. Cecilia Stewart Printed Name City of Miami OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR ELECTED MEMBERS To be completed by the NOMINATOR and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 8, 2014, to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.) at 1490 N.W. 3RD AVENUE, Suite 112-B, or to the OFFICE OF THE CITY CLERK, at 3500 Pan American Drive.. NOTE: A person may vote for himself/herself A. I, " e^ , v4 (C' �� t. u e-t.ualified voter for members of the Overrtown Advisory Board/Overtown Community Board (OAB/OCOB), ereby nominate I k': c (AAA 11 s` as a candidate for election of membership of the OAB/OCOB. I am 18 years of age or older and as proof of my qualifications as an elector of the OAB/OCOB, I hereby submit my credentials as indicated below: 1. I am a resident of the Overtown Area residing at , 2. I am the current owner of property in the Overtown Area located at %. , or , or 3. I am an employee or board member of community developmenticorporation or community based organization located at and providing services in the Overtown Area, or 4. I operate or am an employee of a business in the Overtown Area located at t,•: B. I .nominate ,r A-r - (2 r /C '11.44`'` to serve on the Overtown Advisory Board/ Overtown Community 4.1 Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the , /,,; following qualifications: - 1. Resides in the Overtown Area at / 61 c) ✓ / e ) 2. Is the current owner of property in the Overtown Area located at or or 3. Is an employee or a board member of community development corporation or community based organization located at and providing services to the Overtown Area at the address or 4. Owns or is an employee of a business in the Overtown Area located at 5. Nominee's Info: Phone number Fax number - - 70 Cell phone E-mail 0//S41 rz-c2 f (� C. Please provide your contact information for the purpose of clarifying the above and sign be Phone number Cell phone Fax number E-mail . Please sign here: glr /1. Signature Printed -Name )Sy/ J FOR OFFICIAL USE ONLY: `NOMINEE'S ADDRESS INSIDE BOU NOMINEE MEETS AGE REQUIREMENT'S NOMINEE'S PROOF OF QUALIFICATION PROFERRED: