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8.3. SR 12-05-2016City of Elk az — River Request for Action To Item Number Mayor and City Council 8.3 Agenda Section Meeting Date Prepared by General Business December 5, 2016 Jessica Miller, Executive Secretary/Deputy City Clerk on behalf of Mayor Dietz Item Description Reviewed by EDA, HRA, and Library Board Appointments Tina Allard, City Clerk Reviewed by Cal Portner, City Administrator Action Requested Appoint, by motion, the following Mayoral recommendations for terms beginning January 1, 2017: 1. Charlie Blesener — Economic Development Authority Term Expiration: December 31, 2022 2. Mary Keifenheim — Library Board Term Expiration: December 31, 2019 Margaret Stoffers — Library Board Term Expiration: December 31, 2019 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. Financial Impact N/A Attachments ■ Applications P0WIAED 0 NaA f RE] Oty Ei� _ River 111'6, t ) -, MIA—, a1 l.1 61:1 11.91 C07Y BOARDICOMMMSHOM EDA, HRA, AND LOBRARY BOARD Terms beginning in January Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. .- Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term for the Councilmembers coincides with the terse of office for Council. The length of term for the citizen - members is six years. Housing and Redevelopment Authority The HRA consists of five Commissioners composed of one City Councilmember and four citizens at large. The term of office is five years. Library Board The Library Board consists of five members. The term of office is three years. See the specific hoard and commission description for additional information. APPLICANT INFQRtMATI!QN Name: 1 �r �J le6f n'PC City of Residence:El k! V � Occupation: Koe- �kM Employer: i A WV1L1 r C� t2 awl Statement of Interest. Please state briefly why you are interested in serving on this that q you to serve on J l9 l4il� . �5 . �iP_e-A :e: Describe your educational and professional experience or board/commission. 1 , n. A. 4 YAWY4 �tA4 *� 10.1,5�,a 1.104 tir6 &Z 61,V kt -►v W- P4hfty 1 C-# m mlal,1`hi Vv#W.►- . I i A yrs h' - Lf"9tV MV Z5 It y �, J 1A M.. - W21 AO 4 �ZP. Relevant Personal/Professional Experience: Please describe your professional, civic, or �� community pa ci atipps .1 whic may be eleva it in serving n this board/,commission. ,r / k mr l 41 6vl lyi �►rrr '� er f S xr/ je loth'° f Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved preparing for meetings, and do you feel you have the time available to be an active participant? f Yes ❑ No SLi MAIe .. ._y 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 No If yes, provide details on a separate pkce of 12al2er. Z4441'&M% WV///,/, Apphcant Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: New Applicant ❑ Not Appointed Ll Appointed to: _ Date Appointed: Term Expires: _ ❑ Applying for Reappointment i -,y ver APPLICATION FOR APPOINTMENT TO UTY BOARD/COMMISSION OCT 26 2016 IEDA, HRA, AND LIBRARY BOARD Terms (fie&nm ng in January Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term for the Councilmembers coincides with the term of office for Council. The length of term for the citizen - members is six years. Housing and Redevelopment Authority The HRA, consists of five Commissioners composed of one City Councilmember and four citizens at large. The term of office is five years. Library Board I -lie Library Board consists of five members. The term of office is three years. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: VVLTQ City of Residence: EAK Occupation: Employer: Statement of Interest: Please state briefly why you are interested in serving on this board/commission for which you are submitting this application. tarn kyec IVA -i4k M Lv- 6-C Wd fag lvi aur, Cir-livii, , - �tk I Le r Nt5 aL t M � V1is_mc- suppa`�' �rnr' CUV- t k k r q CL V d. ifs � cr s- Education/Professional Experience: Describe your educational and professional experience or skills that qualify you to serve on this board/commission., [ W Cry-k"p 1 k 0. 5 C%? ad 1 1 { })r' a S 6t- �$ -P rVYS a u. IIb av A4gve- 5 Mca, 5t 'c`hk -c ., lis Relevant Personal/Professional Experience: Please describe your professional, civic, or community participation, which may be relevant in serving on this board/commission. 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? ;A 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 an business, however organized, which could be construed as a conflict of interest? C7 Yes f"No If yes, provide details on a separate ece of paver. Ib � Applicant ature Date Questions may be directed to the Administration Department at 763.635.1000. This application III-ik�i17- 6fiw 1Z:QCS�i'r i'- LbT OFFICE USE ONLY The Applicant is: Council meeting date: "* New Applicant ❑ Applying for Reappointment ❑ Appointed to: Term Expires: ❑ Not Appointed OCT 12 2016 CITY BOARDICOMMUSSUON o( E1_ .� � EDA, Hen A5d® LOBRAI#Y BOARD 1�►iV� Terms beginning in January Thank you for your interest in serving your community! Picaw indicate in order of preference on which of €hc following lxfards and co mmimions you are interested itt serving widt I indicating yctur first choice, 2 your second choice, and 3 your third choice. Economic Development Autiority The MA is composed of four Councilmembers and three citizens.11c length of term for the Councilmembers coincides with the term of office for Council. The length of terns for the citiven- ruernbers is six years. Housing and Redevelopment Authority '11he I-IRRA consists of five Commissioners composed of one City Councilmernlxer and four citizens at large. I'lie terra of office is five years. 1 Library Board The Library Board consists of five members. `I7te tarn of office is three years. See the specific hoard and commission description for additional information. APPLICANT INS „ ,_, TION Name: Margaret Stoffers t:ity of Residence: Zimmerman Occupation: Retired Employer: Statement of Interest: Please state briefly why you are interested in serving on this board/ commission for which you are submitting this application. I understand the importance of the Elk River Public Library being a facility that is well maintained, inviting to the the public and an asset to the community. Education/Prof+essional Experience.- Describe your educational and professional experience or skills that qualify you to serve on this board/commission. Served as Branch Manager at the Elk River Library for 27 years and during that time dealt with maintenance issues pertaining the the building and grounds. Relevant Personal/Professional Experience: Please desctibe your professional, civic, or community participation, which may be relevant in serving on this board/ commission. See Above Attendance: Are, your aware of the importance of regular meeting attendance including the time commitment involved in preparing; for sneetings, and do you feel you have the time available to be an active participant? lel Yes Q No Comments: Con ict 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, whethet it be direct or inditect. (Sce attached "Conflict of Interest" Ordinance) In accordance with this dchnitios4 do you have any legal or equitable interest in any bushwss, however organized, which could be construed as a conflict of interest.? f> Yes d No If yes, provide details on a st: arate ]tiece 2 tuner, Aplyuca t Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: New Applicant U Not Appointed Appointed to: _ Date Appointed: Term Expires: s• _ © Applying for Reappointment