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HomeMy WebLinkAbout2023 01 30 Gallo, Arthur Application.pdfSubmit Date: Jan 30, 2023 First Name Middle Initial Last Name Home Address Suite or Apt City State Postal Code Email Address Primary Phone Alternate Phone Occupation City of Winter Springs, FL Boards & Commissions Application Form Profile Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. What district do you live in? District 2 Which Boards would you like to apply for? Parks and Recreation Advisory Committee: Submitted Eligibility Are you duly registered to vote in Seminole County? Yes No Are you duly registered to vote in the City of Winter Springs? Yes No Do you live within the city limits of Winter Springs Yes No How long have you been a resident of Winter Springs? 24 years Arthur W Gallo 199 Nandina Terrace Winter Springs FL 32708 art.gallo@icloud.com Home: (407) 977-4353 Retired Arthur W Gallo Have you ever been convicted or found guilty, regardless of adjudication, of a felony in any jurisdiction? Any plea of nolo contendere (no contest) shall be considered a conviction for the purposes of this question. Yes No Do you currently serve on any other City of Winter Springs board or committee? Yes No If yes to the above, please list each I was on the Parks & Rec Advisory Committee for 12 Years, and have "Termed out". Do you have any private or personal interests which might conflict with serving the City's interests if you were to be appointed to serve on this board or committee? Yes No City ordinance requires that all persons applying for a City board or committee must voluntarily consent to a standard criminal background check before being appointed to a board or committee. Do you voluntarily consent to having a standard background check being performed on you by the City of Winter Springs? Yes No Are you related to a City of Winter Springs Commission member by blood, adoption, or marriage? Yes No If yes to the above, please provide relation Interest & Experiences Why are you interested in serving on a board or committee? I very much enjoyed my time on the Parks & Rec Advisory Committee for 12 years (I am a "plank-owner" as I served since the first day this Committee started). I am happy to continue to give back to my Community and help where I can. If the Commission feels that I could help the City in this capacity, I am happy to serve. Briefly state any specialized knowledge or prior experience you have that would be useful in assisting the board or committee in accomplishing its purpose. I have no special experience. I do however stay involved with City issues in that I attend Commission meetings and respectfully speak up at "Public Input" as I feel may be necessary. I have served on another City Committee as discussed, and have been able to attend most all of those meetings over the 12 years. I served 30 years in the US Navy, so I understand that we have established rules to abide by. That said, every individual has a story to tell and I am willing to listen, I believe that I am a fair minded person and I that am willing to listen to all sides without prejudice. Arthur W Gallo Date of Birth Briefly state any experience you have in serving on any governmental board or committee. As I mentioned above, I was a member of the Parks & Rec Advisory Committee for 12 years and served as its Vice-Chair along side of Mr. Arnie Nussbaum (who was the Committee Chair for all twelve years) at least twice during that 12 year timeframe. I believe that I only missed 2 meetings in 12 years (due to personal conflicts with schedules). Financial Disclosure Requirement Question applies to Planning and Zoning Board/Local Planning Agency,Code Enforcement Board,Board of Trustees Please Agree with the Following Statement All members of the Board of Trustees, Code Enforcement Board, and Planning and Zoning Board are required to annually file a Form 1 - Statement of Financial Interests. By clicking "I Agree" you are stating you understand and agree to comply with this requirement if appointed to one of these Boards. I Agree State Reporting Requirements Florida law requires that the City annually submit a report to the Secretary of State disclosing race, gender, and physical disabilities of board and committee members. Ethnicity * Prefer not to Answer Gender * Male Do you have a physical disability? Yes No Please Agree with the Following Statement You hereby represent to the City of Winter Springs under penalties of perjury that the information provided herein is true and accurate to the best of your knowledge and the City of Winter Springs has the right to rely on that information I Agree 12/07/1950 Arthur W Gallo Please Agree with the Following Statement You hereby acknowledge the existence of the Code of Ethics for Public Officers and the Florida Sunshine Law which may pertain to you if you are appointed to a City Board or Committee. If appointed it is your sole obligation and duty to comply with such laws. I Agree Arthur W Gallo O� SA E= * G) U Incorporated • I959 ' i�COb WE��J�( OATH OF OFFICE "I, Art Gallo, do solemnly swear or affirm that I will support, protect, and defend the Constitution and Government of the United States and of the State of Florida; that I am duly qualified to hold office under the Constitution of the State; and that I will well and faithfully perform the duties of the Code Enforcement Board on which I am now about to enter." 49 J, 8 Art Gallo Witnessed and acknowledged: CHRISTIAN D. GOWAN, MPA CITY CLERK This 28th day of February, 2023