8.3. SR 12-16-2013 City of
Elk - Request for Action
River O.
To Item Number
Mayor and City Council 8.3
Agenda Section Meeting Date Prepared by
Administration December 16, 2013 Jessica Miller, Executive Secretary/Deputy City
Clerk
Item Description Reviewed by
HRA and Library Board Appointments Tina Allard, City Clerk
Reviewed by
Cal Portner, City Administrator
Action Requested
Appoint by motion the following Mayoral recommendations:
• Larry Toth- Housing and Redevelopment Authority
Term Expiration: December 31, 2018
• Jayne Dietz - Library Board
Term Expiration: December 31, 2016
• Kathleen Tracy-Library Board
Term Expiration: December 31, 2016
Background/Discussion
Per the Advisory Board and Commission Policy,the Mayor shall make appointments to the Economic
Development Authority, Housing and Redevelopment Authority, and Library Board with approval of the
Council.
There are no term expirations on the Economic Development Authority at this time.
Financial Impact
None
Attachments
■ Applications
P a w E A E U a r
NaA f RE]
APPLICATION FOR REAPPOINTMENT TO CITY
City of ADVISORY BOARD/COM MISSION
RiVer Reappointment to: //�X?A?
13065 Orono Pnek—y
763.635,1000
APPLICANT INFORMATION
Name: City of Residence: !�/A'
Occupation: rd Employer:
Statement of Interest: Please state briefly why you are interested in continuing to serve on the
board/commission for which you are seeking reappointment.
Relevant Experience: Please describe your educational,professional, civic, or community
par 'cipation,which may be relevant in serving on this board/>coIn op.
Attendance: Are your aware of the importance of regular meeting attendance including the time
commitment involved in preparing for meetings, and do you feel you have the time available to be
an active participant? 0 Yes ® No
Comments:
Conflict of Interest is defined as the participation in any activity, recommended action, or decision
from which the individual has or could have the potential to receive personal gain,whether it be
direct or indirect. (See attached"Conflict of Interest" Ordinance)
In accordance with this definition, do you have any legal or equitable interest in any business,
however organized,which could be construed as a conflict of interest? LJ Yes 8 No
If yes,provide details on a sea e iece of 12al2er.
Appli t Signat Date
Applications will be kept on file for one year,after that time, anew application must be filed.
OFFICE USE ONLY
Council Meeting Date:
El Reappointed
Term Expires:
Not Reappointed
' APPLICATION FOR REAPPOINTMENT TO CITY
City of ADVISORY BOARD/COMMISSIO
amft
River way Reappointment to: Y )v o y p
130650....Yack
763.635.1000
APPLICANT INFORMATION
Name: City of Residence: J
Occupation: Employer:
Statement of Interest: Please state briefly why you are interested in continuing to serve on the
board/commission for which you are seeking reappointment.
:^rju ` /j ✓ �'���° �1� Y`t�i� �° 1 �� 6^ o a/ l e �JY,q t om/ ar, a r,,too�j c� Y?"�
Relevant Experience: Please describe your educational,professional, civic, or community
participation,which may be relevant in serving on this board/commission.
pp ,
�j0e?'r , a''YaLa�+�z'� dEf deld.s � �®3eli ! '°��r ! �� ►✓�
U0lur, w ... , 1 yep Vy t..1/� ,A 66r g VA --ys lVe.1 e yl pvk 2
Attendance: Are your aware of the importance of regular meeting attendance including the time
commitment involved in preparing for meetings, and do you feel you have the time available to be
an active participant? Yes ® No
tt
Comments i /i A oc c a,
Conflict of Interest is defined as the participation in any activity,recon- -vended action, or decision
from which the individual has or could have the potential to receive personal gain,whether it be
direct or indirect. (See attached "Conflict of Interest" Ordinance)
In accordance with this definition, do you have any legal or equitable interest in any business,
however organized,which could be construed as a conflict of interest? El Yes No
If yes,provide details on a se arate iece of a er.
Applic nt Signature Date
Applications will be kept on file for one year,after that time, a new application must be filed.
i
OFFICE USE ONLY
Council Meeting Date:
El Reappointed
Term Expires:
EJ Not Reappointed
s
APPLICATION PP I T °T TO CITY
City or ADVISORY BOARD/COMMISSIO
RiVer Reappointment to: , r n TbDatrCL
13065 Orono Parkway
763.635.1000
f
APPLICANT INFORMATION
Name: 7i Cep M le e iCl i-t� City of Residence:
Occupation: &A Employer:
Statement of Interest: Please state briefly why you are interested in continuing to serve on the
board/commission for which you are seeking reappointment.
Relevant Experience: Please describe your educational,professional, civic, or community
participation,which may be relevant in serving on this board/commission.
Z ,6t!?�16 Al'? -fin IF ZJ @ iV }/P cr-e_.c.-r Ac h— %o %P'S
C04- C&kr-
Attendance: Are your aware of the importance of regular meeting attendance including the time
commitment involved in paring for meetings, and do you feel you have the time available to be
an active participant? Yes ® No
Comments:
Conflict of Interest is defined as the participation in any activity,recommended action, or decision
from which the individual has or could have the potential to receive personal gain,whether it be
direct or indirect. (See attached "Conflict of Interest" Ordinance)
In accordance with this definition, do you have any legal or equitable interest in any business,
however organized,which could be construed as a conflict of interest? ® Yes UXINo
If yes,provide details on a separate pjece of 12al2er.
Applicant Signature Date
Applications will be kept on file for one year;after that time, a new application must be filed.
OFFICE USE ONLY
Council Meeting Date:
Reappointed
Term Expires:
D Not Reappointed