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10-Appointing Member to the Various BoardsCITY COUNCIL AGENDA ITEM BRIEFING SHEET Submittal Date: Originating Department: Presented By: Agenda Item No.: OS/26/11 Council Date: City COUnCiI Gene Anderson 10. 06/13/11 RECOMMENDED MOTION: Move to appoint vacant positions on City Boards and Commissions. POLICY ISSUE(S): City boards and commissions BACKGROUND: On July 14, 2008, by Resolution No. 2008-053 City Council adopted policies and procedure for standing boards, commissions, and committees. There are numerous appointees whose terms expired April 30, 2011 and whose terms will expire June 30, 2011. At the City Council meeting of June 28, 2010, City Council elected to have the terms begin July 1 and end June 30 of each year allowing new Council Members to be involved in the selection process. The open appointment process was advertised on radio stations, The Paris News, and the City's web- site. In addition, Council Members and staff have also promoted committee openings. BOARD/COMMISSION RECOMMENDATION: EXHIBITS: Resolution, Policies and Procedures for Standing Boards, Commissions and Committees; Applications; and list of Board Members ACTION: BUDGET INFO: ❑ Financial Report ❑ Minute Order Expense ❑ Department Report ~ Resolution Budgeted Amt. ❑ Presentation ❑ Ordinance ❑ P bli H i yT'D Actual u c ear ng ❑ Other Acct. Narne Acct. Number Fiscai. NoTES: REVIEWED AND APPROVED BY: ~ Administration Z City Clerk ❑ Community Development ❑ EMS/IT ❑ Eng. ❑ Finance ❑ Fire ❑ Municipal Court E Legal ❑ Library ❑ Police ❑ Public Works ❑ Urilities City of Paris Revised 2/04/08 52 RESOLUTION N0. DRAFT A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS, APPOINTING MEMBERS TO VARIOUS CITY OF PARIS BOARDS AND COMMISSIONS, IN ACCORDANCE WITH POLICIES AND PROCEDURES FOR STANDING BOARDS, COMMISSIONS AND COMMITTEES; MAKING OTHER FINDINGS AND PROVISIONS RELATED TO THE SUBJECT; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, the terms of certain members of various City of Paris Boards and Commissions are expiring on June 30, 2011, and it is appropriate that they be reappointed or that new members be appointed to fill these positions; and, WHEREAS, the following members have terms expiring June 30, 2011, on the various City Boards and Commissions listed below: Airport Advisory Board: Jack Ashmore Billy Copeland Steve Gilbert Building & Standards: Vicki Ballard Chris Brown Historic Preservation: Jerry Raper Susan Scholz Ben Vaughn Library Advisory Board: Bill Kennedy Eddie Poole Linda Vandiver Main St. Advisory Board: Vacant Kari Daniel james Brockway PEDC Board: Planning & Zoning: Dan Smith Chad Brown Benny Plata Vacant Vacant 53 Traffic Commission: Ken Kohls Vacant WHEREAS, on July 14, 2008, by Resolution No. 2008-053 the City Council adopted new Policies and Procedures for Standing; Boards, Commissions and Committees for the City of Paris; and, WHEREAS, on June 28, 2010, the City Council elected to have the terms begin July 1 and end June 30 of each year allowing new Council Members to be involved in the selection process; and WHEREAS, in accordance with the policies and procedures these standing boards and commissions will be composed of seven members and will serve three year terms ; and WHEREAS, several boards and commissions have recently lost members due to expiring terms, resignations, and conflicts of interest and some meetings have been canceled due to a lack of a quorum; and WHEREAS, the City Council hereby finds and determines that new appointments should be made to the Boards and Commissions listed herein to fill the vacancies. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS: Section 1. That the findings set out in the preamble to this resolution are hereby in all things approved. Section 2. That the following appointments are hereby made to the Airport Advisory Board to serve a three year term from July 1, 2011 to June 30, 2014. Section 3. That the following appointments are hereby made to the Building & Standards Commission: to serve a three year term from July 1, 2011 to June 30, 2014. Section 4. That the following appointments are hereby made to the Historic Preservation Commission: to serve a three year term from July 1, 2011 to June 30, 2014. Section 5. Advisory Board:_ 2014. Section 6. Advisory Board:. to June 30, 2014. That the following appointments are hereby made to the Library to serve a three year term from July 1, 2011 to June 30, That the following appointments are hereby made to the Main Street to serve a three year term from July 1, 2011 Section 7. That the following appointments Economic Development Corporation Board: three year term from July 1, 2011 to June 30, 2014. are hereby made to the Paris to serve a 54 Section 8. That the following appointments are hereby made to the Planning and Zoning Commission: to serve a three year term from July 1, 2011 to June 30, 2014. Section 9. That the following appointments are hereby made to the Traffic Commission: to serve a three year term from July 1, 2011 to June 30, 2014. Section 10. That this resolution shall be effective from and after its date of passage. PASSED AND ADOPTED this 13th day of June, 2011. Joe McCarthy, Mayor Pro Tem ATTEST: Janice Ellis, City Clerk APPROVED AS TO FORM: W. Kent McIlyar, City Attorney 55 POLICIES AND PROC:EDURES FOR STANDING BOARDS, COMMISSIONS, AND COMMITTEES MEMBERSHIP 1. Except for the Paris Economic Development Corporation and Civil Service Commission, each committee shall be composed of seven members appointed to serve "at-will" by the City Council. 2. As provided for in Texas Revised Civil Statutes Article 5190.6, Section 4A(c), the Paris Economic Development C;orporation (HDC) shall be limited to five members. In addition, PEDC shall have two ex-officio members appointed by the Council. 3. As provided for in Chapter 143 of the Texas Local Government Code, the Civil Service Commission shall be limited to three members. 4. Committees shall include one Council Member liaison appointed as ex-officio members by a majority vote of the City Council. 5. Committees shall include one or more City staff liaisons appointed as ex-officio members by the City Manager. 6. The Mayor and City Manager shall serve as ex-officio members to each committee. 7. Ex-officio liaison members may participate in discussions of the board, commission, or committee, but shall not participate in voting. QUALIFICATIONS 1. Qualifications for appointment and serving on a City committee shall include: a. No delinquent indebtedness to the City. b. No family relationship within the second degree by affinity (marriage) or within the third degree by consanguinity (blood) to any member of the city council or to the City Manager. c. No conflict between the appointee's private interests and duties and their interests and duties as a committee member. d. Attendance at a minimum of 75 percent of all regular meetings. 2. Appointees shall take an oath of office prescribed by the City Council prior to taking office. 3. Any qualifications mandated by State law shall also apply. APPOINTMENT & TERMS 1. Appointments shall be made at the second regular City Council meeting in June. 2. Applications shall be made available to persons interested in serving on a City committee. City staff shall post notice and advertise that committee appointments will be made as well as distribute and collect applications. The City Clerk or their designee shall review each application for completeness and eligibility prior to the first regular Council meeting in June. 3. The Council shall select from the entire slate of eligible nominees. 4. Each appointment shall be for three-years. City of Paris Board, Commission, and Committee Policies Revised 06/28/10 -56 5. To preserve the continuity of experience, two appointments each will be made in years one and two of the appointment cycle and three appointments in year three. In the case of the Paris Economic Development Corporation, two appointments will be made in years one and two of the appointment cycle and one appointment in yearthree. 6. Appointments are contingent upon attending an orientation workshop covering ethics, the Public Information Act, and the Open Meetings Act. The orientation workshop shall be conducted prior to appointees taking the oath of office. 7. Appointees are limited to a maximum of two consecutive full terms on the same committee. If an appointee has prior consecutive service as the result of filling a vacancy, prior service shall not be included in the count of three, consecutive full terms. Additionally, service on other committees shall not be included in the count of three, consecutive full terzns. 8. Appointees shall be limited to service on no more than one standing board, commission, or committee with legislative authority at one time. Appointees are not prohibited from serving on additional ad hoc committees or standing boards, commissions, or committees that are purely advisory. TRANSITION 1. The years of service of committee members serving on the same committee immediately prior to the adoption of these policies shall not be counted in the calculation of maximum service time on that committee. 2. The first appointments made after adoption of these policies shall include two one-year appointments, two two-year appointments, and three three-year appointments. 3. In recognition of the importance of maintaining a continuity of experience on the committee, one-year and two-year appointments made after adoption of these policies shall be reserved for current committee members. In the event that there are more than four eligible current committee members seeking reappointment, Council shall make four appointments from among that group. This provision shall not restrict the Council from reappointing more than four current members to the committee. 4. Appointees to a one-year or two-year transitional term shall be eligible to serve an additional two consecutive, full terms. 5. In the event that the first appointments made after the adoption of these policies are made prior to the first regular council meeting in April 2008, those terms shall be extended to include the time period prior to April 2008 and run through the next appointments in April 2009. VACANCIES 1. Appointees to vacant positions will serve the remainder of their predecessor's unexpired term. 2. Appointees filling vacancies shall meet with the City Secretary to review ethics, the Public Information Act, and the Open Meetings Act prior to being sworn in. City of Paris Board, Commission, and Committee Policies Revised 06/28/10 _ 57 REMOVAL Members may be removed by an affirmative majority vote of the entire Council. "Entire council" is defined as the entire membership of the council, excluding any vacant positions. OFFICERS 1. Officers of each committee shall include a Chair, Vice-chair, and Secretary. 2. The duties of the Chair include calling and presiding over meetings of the committee, and ensuring that all resolutions of the committee are implemented. 3. The duties of the Vice-chair shall be to serve as Chair in the absence or disability of the Chair. 4. The duties of the Secretary include maintaining correct and complete records of the committee and forwarding originals of all records to the City Secretary in a timely, reasonable, and prudent manner. 5. Officers shall be elected by the membership of the body at their first meeting after appointment of committee members by the Council in February. 6. The term of office for officers shall be from their time of appointment through the first meeting after appointment of'committee members by the Council in April, i. e. approximately one-year. 7. No officer shall serve more than three full, consecutive terms in a single position. 8. Officers may be removed from their office, but not the committee, by a simple affirmative majority vote of a quorum of the committee. MEETINGS 1. Each committee shall meet quarterly, or more frequently as the committee shall deem necessary, and at a time and location determined by the committee. 2. The Chair or a majority of the body shall have authority to call a meeting of the committee. 3. The Chair or his or her designee shall submit a proposed agenda to the City Clerk at least 96 hours before the scheduled date and time of the meeting. The City Clerk shall review the agenda for format, legal requirements, and reservation of City facilities. 4. Meetings shall be posted at the City Hall Annex Building and the City's newspaper of record shall be sent notice of the meeting at the time of posting. TRAINING 1. The City Manager or his designee shall conduct a training workshop on ethics, the Public Information Act, and the Open Meetings Act after appointments are made but before appointees take their oath of office. 2. Appointees shall be required, at the City's expense, to complete any additional training required by any governing statutes, regulations, ordinances, or resolutions. City of Paris Board, Commission, and Committee Policies Revised 06/28/10 58 BOARDS, COMMISSIONS, AND COMMITTEES This list describes each of the City of Paris' standing citizen boards, commissions, and committees. Coirunittees include one Council Member liaison and one or more City staff liaisons appointed as an ex- officio inembers. The Mayar and City Manager also serve as ex-officio inembers to each committee. Ex- officio liaison members may participate in discussions of the board, commission, or committee, but shall not participate in voting. In addition to any qualifications mandated by State law, appointees to a City committee shall also have: 1. No delinquent indebtedness to the City. 2. No family relationship within the second degree by affinity (marriage) or within the third degree by consanguinity (blood) to any member of the city counci] or to the City Manager. 3. No conflict between the appointee's private interests and duties and their interests and duties as a comtnittee member. 4. Attendance at a minimum of 75 percent of all regular meetings. In order to improve the diversity and comtnunity input, appointees are limited to a maximum of two consecutive full terms on the same committee. If an appointee has prior consecutive service as the result of filling a vacancy, prior service shall not be iricluded in the count of three, consecutive full terms. Additionally, service on other cominittees shall not be included in the count of three, consecutive full terms. Appointees are not prohibited from serving on additiona] ad hoc committees or standing boards, commissions, or committees that are purely advisory. AIRPORT ADVISORY BOARD No. of Members: 6 Length of Term: 3 yrs. Appointed B,y: City Council Regular Meeting Day: 3`d Thursday Meeting Time: 5:30 p.m. Meeting Location: Council Chamber Duties/Purpose: Acts in an advisory capacity to the City Council regarding Cox Field, its airfield and business operations, facilities, long-range planning, and special events. Current Members Term Jack Ashmore 07/14/2008 - 04/30/2011 Billy Copeland 07/14/2008 - 04/30/2011 Steve Gilbert 07/14/2008 - 04/30/2011 Ray Ball OS/O 1/2009 - 04/30/2012 Vic Ressler 05/01/2009 - 04/30/2012 Fred Williams 07/01/2010 - 06/30/2013 Jerry Coyle 07/01/2010 - 06/30/2013 Council Liaisoa Edwin Pickle Staff Liaison Shawn Napier Student Liaison Davis White City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 r' s3 BAND COMMISSION No. of Members: 5 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: Quarterly Meeting Time: TBD Meeting Location: TBD Duties/Purpose: Sec. 2-552 of the Code of Ordinances states that the Commission is responsible for the organization, discipline, membership, and duties of the members of the Municipal Band and the Leaders or Instructors thereof, and may regulate same by such rules or bylaws as they may deem it necessary to pass; provided, that no rule or bylaw or amendment of same shall be in force or effect until the same has been subinitted to and approved by the City Council. Membership is reserved for a representative of the Visitors and Convention Council of the Lamar County Chamber of Commerce, one active member of the Band, and three members to be appointed at-large. Must be a resident citizen of the City of Paris. Current Members Term T. R. RandyBunch (Band) 07/14/2008 - 04/30/2011 Ray Karrer (At-large) 07/14/2008 - 04/30/2011 Thomas N. Neugent (At-large) 07/14/2008 - 04/30/2011 Bonnie Ausburn (At-large) 07/01 /2010 - 06/30/2013 (V&CC) 07/01/2010 - 06/30/2013 Council Liaison Edwin Pickle Staff Lisison Student Liaison BUILDING AND STANDARDS COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 3ia Monday Meeting Time: 4:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Evaluates and declares structures dangerous or substandard and detennines the remedy for having the structure comply with codes and ordinances. Members must be residents of the city and, as nearly as possible, represent each council district. Current Members Term Vicki Ballard 07/14/2008 - 04/30/2011 Chris Brown 07/14/2008 - 04/30/2011 Bill Harris ~ 07/14/2008 - 04/30/2011 Leann Barbee 05/01/2009 - 04/30/2012 Wendell Moore 05/01/2009 - 04/30/2012 Ryan Lassister 07/01/2010 - 06/30/2013 Johnny Norris 07/01/2010 - 06/30/2013 Councii Liaison Stephen Brown Staff Liaison Shawn Napier Student Liaison Matt Duren City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 ~ - 60 CIVIL SERVICE COMM1SSlON No. of Members: 3 Length of Term: 3 yrs. Appointed B,y: City Manager Regular Meeting Day: As Needed Meeting Time: TBD Meeting Location: City Hall Duties/Purpose: Adopts rules and investigates matters related to enforcement of Civil Service regulations for firefighters and police officers, and hears appeals from disciplinary actions. Members must have good moral character, resident of the city for more than three years, be over 25 years of age, and not have held any public office within the preceding three years. Current Members Term HerbertPreston 1/1/2010-12/31/2013 Howard Corriston 1/ 1/2008 - 12/31 /2011 Sims Norment 1/1/2009 - 12/31/2012 Couocil Liaison N/A Staff Liaison Sandy Collard HISTORIC PRESERVATION COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Da,y: 2"d Wed./4th Mon. Meeting Time: 4:00/Noon Meeting Location: Council Chamber Duties/Purpose: Adopt rules and procedures; adopt identification criteria and rules for delineation of historic district boundaries; conduct and administer historic resource surveys; recommend designation of districts and landmarks; establish committees as needed; produce and distribute minutes of ineetings; develop public outreach/education/awareness progams; approve/disapprove certificates of appropriateness; provide design and other reasonable fonns of advice to owners and tenants of historic properties in the certificate of appropriateness review process; recommend acquisition of endangered historic resources to the City Council; submit an annual report to City Council; prepare and promote design guidelines for landmarks/districts. Membership is reserved for an architect, a member of a local Historical Society, a member of the Main Street Advisory Board; an owner of or resident or tenant in a landmark property or property in a Historic District; and three at large members. Current Members Term Jerry Raper (At-large) 07/14/2008 - 04/30/2011 Susan Scholz (At-large) 07/14/2008 - 04/30/2011 Ben Vaughn (At-large) 07/14/2008 - 04/30/2011 Douglas Cox (Resident Property) 05/01/2009 - 04/30/2012 Arvin W. Starrett (Historical Society) 05/01/2009 - 04/30/2012 Matthew Coyle (Main Street) 07/01 /2010 - 06/30/2013 Paul Denney (Architect) 07/01/2010 - 06/30/2013 Council Liaison Rhonda Rogers Staff Liaison Shawn Napier Student Liaison Zachary Branch City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 61 HOUSING AUTHOWTY OF THE CTTY OF PARIS No. of Members: 5 Length of Term: 2 yrs. & 1 yr. Appointed Bv: Mayor Regular Meeting Day: 3rd Monday Meeting Time: 4:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Oversees the budget, maintenance, and policies of the Housing Authority of the City of Paris, which consists of several apartment communities as well as duplexes and houses in the city limits of Paris. Members must be residents of the city and cannot be officers or employees of the City of Paris. Additionally, one member is required to be a tenant of public housing and serves for only one tenn; four have two year staggered tenns. Current Members Term Donald Shelton 7/1/2011 - 6/30/2013 Annette Grant 7/1/2011 - 6/30/2013 Chet Hilyer 7/1/2011 - 6/30/2013 Mary Hughes 7/1 /2010 - 6/30/2012 Donald G. Wilson 7/1/2010 - 6/30/2012 Council Liaison Joe McCarthy Staff Liaison Denny Head LIBRARY ADVISORY BOARD No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 3'd Wednesday Meeting Time: 4:00 p.m. Meeting Location: Library Gallery Duties/Purpose: Acts in an advisory capacity to the City Council to study and make recommendations concerning library services, maintenance, and capital improvement projects. Members must be residents of the city, have knowledge of library affairs and a strong interest in library operations, as well as exhibit a genuine appreciation of books. Current Members Term Bill Kennedy 07/14/2008 - 04/30/2011 Eddie Poole 07/14/2008 - 04/30/2011 Linda Vandiver 07/14/2008 - 04/30/2011 Audrey Lakes OS/O 1/2009 - 04/30/2012 Deborah Anderson 05/01/2009 - 04/30/2012 Deborah Hatley 07/01/2010 - 06/30/2013 Hilda Mallory 07/01/2010 - 04/30/2013 Council Liaison John Wright Staff Liaison Priscilla McAnally Student Liaison Citv of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 _ . E', 7 MAIN STREET ADVISORY BOARD No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 3`d Tuesday Meeting Time: 4:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Advises the City Council and recommends Main Street program policies, goals and objectives. Also recommends guidelines for the refurbishing of buildings in the downtown area, recommends programs to bring patrons into the downtown area, and sponsors advertising for downtown events. Membership is reserved for one member of the Historic Preservation Commission. Current Members Term Wyatt Bowden _ 07/14/2008 - 04/30/2011 Kari Daniel 07/14/2008 - 06/30/2011 James Brockway 06/28/2010 - 06/30/2011 Dustin Lindsey 05/01/2009 - 04/30/2012 Ashlea Matoon 05/01/2009 - 04/30/2012 Britin Bostick 07/01/2010 - 06/30/2013 Matthew Coyle (HPC) 07/01/2010 - 06/30/2013 Council Liaison Edwin Pickle Staff Liaison Cheri Bedford Student Liaison Will Henderson PARIS ECONOMIC DEVELOPMENT CORPORATION No. of Members: 5 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 2"d Tuesday Meeting Time: 4:00 p.m. Meeting Location: Santa Fe Depot Duties/Purpose: Administers 4A sales tax funds for the promotion and enhancement of job creation and retention and other economic development activities of the City of Paris through development of incentives and short-term and long-term planning. Current Members Term Dan Smith 07/14/2008 - 04/30/2011 Chad Brown 07/14/2008 - 04/30/2011 Rick Poston OS/O l/2009 - 04/30/2012 M. Pike Burkhart, Sr. 05/01/2009 - 04/30/2012 Douglas Wehrman 07/01/2010 - 04/30/2013 (Mayor - Ex-0fficio) (City Manager - Ex-Officio) 'Chuck Superville (County Judge - Ex-Officio) Pam Anglin (PJC President - Ex-0fficio) Council Liaison John Wright Staff Liaison N/A uity ot Yaris Boards, Commissions, and Committees Description Revised 05/24/2011 - 1 63 PAR1S/LAMAR COUNTY ADVISORY BOARD OF HEALTH No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council & Commissioners Court Regular Meeting Day: 3rd Monday Meeting Time: 4:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Advises the Health Deparhnent Director on health matters and the operation of the Health Department. Members must be residents of Lamar County for a period of more than three years next preceding time of appointment and include three practicing physicians, one practicing dentist and three citizens. Current Members Term Dr. David Carpenter (Doctor of Medicine) 05/01/2009 - 04/30/2010 Ms. Denise Williams (Citizen) 05/01/2009 - 04/30/2010 Dr. Gordon B. Strom, Jr. (Doctor of Medicine) 05/01/2009 - 04/30/2011 Brady Fisber (Citizen) 05/01/2009 - 04/30/2011 Mr. Larry Reaves (Citizen) 05/01 /2009 - 04/30/2012 Dr. Robert Moseley (Doctor of Dental Science) 05/0 ]/2009 - 04/30/2012 Dr. Mary Gail Miesch (Doctor of Medicine) 05/01/2009 - 04/30/2012 Council Liaison Jason Rogers Staff Liaison Anthony Bethel PLANNIlVG AND ZONING COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 1 S` Monday Meeting Time: 5:30 p.m. Meeting Location: Council Chamber Duties/Purpose: Reviews the requests by property owners for changes in zoning inside the city limits of Paris and makes recommendations to City Council for the approval or disapproval of those requests. Members must be citizens of the City of Paris, taxpayers, and qualified voters. Current Members Term Curtis Fendle 07/14/2008 - 04/30/2011 Bill Harris 07/14/2008 - 04/30/2011 Berny Plata 07/14/2008 - 04/30/2011 Michael Keith Barnett 05/01/2009 - 04/30/2012 Dennis Chalaire 07/01/2010 - 06/30/2012 Richard Hunt 07/01/2010 - 04/30/2013 James Price 07/01/2010 - 04/30/2013 Council Liaison Jason Rogers Staff Liaison Shawn Napier Student Liaison Elizabeth Flick City of Paris Boards, Commissions, and Committees Description Revised 05/24/201] r, A TRAFFIC COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 1 S` Tuesday Meeting Time: 6:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Reviews requests for traffic control measures and proposes measures designed to minimize traffic safety problems resulting from vehicular traffic in Paris. Members must be residents of the city. Current Members Term George Kimbrough 05/10/2011 - 06/30/2014 Ken Kohls 07/14/2008 - 04/30/2011 Matt Frierson _ 07/14/2008 - 04/30/2011 Stephen (Red) Holmes 05/01/2009 - 04/30/2012 Rexi Stamper ~ 07/01/2010 - 06/30/2013 Barry Shiver 07/01/2010 - 06/30/2013 Jon McFadden 07/01/2010 - 06/30/2013 Council Liaison Joe McCarthy Staff Liaison Shawn Napier Staff Liaison Randy Tuttle Student Liaison ZONING BOARD OF ADJUSTMENT No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: As needed Meeting Time: Noon Meeting Location: Council Chamber Duties/Purpose: Zoning Ord. 1710 states that the Board hears zoning-related appeals by any person aggrieved or by an officer, department, or board of the municipality affected by the zoning decision of the administrative officer. Must be a resident of the city. A supermajority vote is required to approve an adjustment. Current Members Term Allen Moore 05/01/2009 - 04/30/2012 Terry Christian 05/01/2009 - 04/30/2012 Rick Hundley 05/01/2009 - 04/30/2012 Kyle McCarley 05/01/2009 - 04/30/2012 Chester Martindale 05/01/2009 - 04/30/2012 Bryan D. Glass 05/10/2011 - 06/30/2014 ' 05/01/2009 - 04/30/2012 Council Liaison Steve Brown Staff Liaison Shawn Napier Student Liaison Jesse Wallace City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 65 VISITORS & CONVENTION COUNCIL (MAYOR, CITY IYIANAGER AND ONE COUNCIL MEMBER; THREE YEAR TERM; CITY COUNCIL APPOINTS) To carry out the Chamber's contractual obligations with the City to administer the hotel/motel taxes. ARK-TEX COUNCIL OF GOVERNMENTS Appointed for one (1) ,year, or until disqualified to serve and successor is appointed; Mayor recommends & Council appoints according to ATCOG By-Laws; City Council can recommend to the Board of Directors of Ark-Tex a person for appointment to the Executive Committee. Adopts an annual budget, fixes the dues for member governmental units, and reviews, approves, and adopts all policy documents. The Executive Committee is responsible for the implementation of policies established by the Board. The Executive Committee is also empowered to conduct the affairs of the Board of Directors between quarterly meetings of the Board. City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 66 v' ~ a w= ~r; od ~e o E~ ~ O 00 Q Q . C C ai ' a ~ z 01 ' E , r~. C._: c. m Y'o°'3 v c v, r "Y acu, ~ t' ~ g: o Z > Y m , m y C m ~ o v , > . . 3 0 m a , c p, a C U . . to ~ [O t J ' - O - C . C ~ cU ~ y (0 . 2 L L U U 1 ~ O C N t C C . d CK1 C Y~.L' d y., r~H. . ~ . a ¢.v',aa,~.';E a 2. c_ r,v f0 c' c - t c;c '`m c o '°'3 ~ m' ~ Y ~ d OC 10 L . . ~ . _ m~ L~ , . . o:v v~ `m o E,_ - m c - •N ~ fYp N ~ ' ~ 'E o,r' F m~ u~ , . . V O R U . y m . , m C ~ . . . C Q U C ~ v: u,'` . C. . . . . . Z C C Q : d - d . . . . v 'N -0 > ! m ° E n a a E.=1 O U O : O O T V y u.~: O N GO, W O C : in I, ~ % . E'" ~ U N O~- N pCj d I ~E I a c c 'E c .c m ! c w O d Y'~ to i eD' C....'' .L,, . C E u ' L~ C1 : C': G/ L o a .;a cpp~ a..v v! E0 m E u W GI m U:~ N': pp t. d I, 2 .'yt C F, > = v a! a a,~ E>:: c~ c= c_I c z. 3 f0 C 0!_ 7; c . d:.~ 4C! L'~. L V', L (p N ta ~ N 10 ~ R1 m U ~ ~ N . . . . . c w+ y `w : oa $ a, M > a I a a > > ? I z F'i 7 BOARD/COMMISSION/COIVIMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to tlle well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of lnterest ❑ Aitport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipa] Band Commission ❑ Paris/Lamar County Board of Health ~ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission Zoning Board of Adjustment Name: Address: X//I7 Z6"CG_s_,t C 71- Work Phone: 7C% Home Phone: 2 C~ 7 fS5~~/ 3 Fax: E-mail Address: Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed 1 will attend at Ieast 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my tenn. I understand that the number of positions on a given board, conunission, or committee is limited aiid that I may not be appointed; however, if ] am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify tliat the inforniation given by me in this application is true and correct and any false information or misrepresentat' ~ sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this applicat' n. In accordance with Section 552 of the Local Government Code, I understand that information provided in this a licat' ay be available to tb y@-1*$c upon reyWst., Signature of Candidate: Date:_Z Conflict of Interest: Y i N Indebtedness: Y` N Nepotism: Y i N Dist.: 1 2 3 4 5 6 7 Previous Serrice: 0 1 2 3 4 5 h City of Paris MAY 12 2011 Revised 02/19/08 _ ~ n R Janice Eliis From: support@civicplus.com Sent: Wednesday, May 11, 2011 6:45 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris Gity Couneil is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's poGcy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general qualiflcations listed in the cert'tfication below, other qualifications may be mandated by statute, Ciry Charter, ordinance, or resolubon. Please complete the informaton requested below. First Name' Jerry Last Haning Namex Address" 1213 Pine Bluff City' Paris State" TX Zip" (X) 75460 O 75462 Telephone (903) 1234567' Areas of InteresY Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If appficable, list dates of service on any City boards, commissions, or committees. Certification and Authodzation 75461 903-491-9349 903-784-4034 [ j Airport Advisory Board Municipal Band Commission Building & Standards Commission [ l Paris/Lamar County Board of [ ] Civil Setvice Commission Health Economic Development [X] Planning & Zoning Commission Corporation Pubtic Library Advisory Board Historic Preservation Commission [ l Traffic Commission Housing Authority Board of [X] Zoning Board of Adjustment Commissioners [ ] Street Advisory Board Served on Fire and Building Code Review Committee in 2010. Was a homebuilder in Paris and Lamar ca. for 26 years. Changed to commercial building and worked mosUy out of town for 12 years. Now I am semi retired. I acknowledge that I am aware and agree to the prohibitions of the Ci4y of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boarcfs, commissions, and committees. I atsa certify that if appointed 1 wili attend at least 75 percent of afl regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committes is limited and that I may not be appointed; however, if I am not appointed, 1 agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this applicatian. In accordance with Section 552 of the Locat Govemment Code, I understand that information provided in this application may be available to the public upon request.'' [X] Agree ` indicates required fields. [ j Disagree The following form was submitted via your website: Application for Boards / Coinmittee / Commission 69 First Name: Jerry Last Name: Haning Address: 1213 Pine Bluff City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903-491-9349 903-784-4034 Areas of Interest: Planning & Zoning Commission,Zoning Board of Adjustment Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or cominittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Served on Fire and Building Code Review Committee in 2010. Was a homebuilder in Paris and Lamar co. for 26 years. Changed to commercial building and worked mostly out of town for 12 years. Now I am semi retired. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and corrunittees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during rny term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I ain not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all infonnation provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application inay be available to the public upon request.: Agree Additional Information: Form submitted on: 5/11 /2011 6:44:33 PM Submitted from IP Address: 70.251.93.64 Referrer Page: No referrer - Direct link Form Address: http://www.paristexas.QOV/forms.aspx?FID=69 70 BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, cominissions, and committees. In general, it is the City Council's policy to appoint persons to a maximum of two consecutive fu11 three-year terms on a given body. In addition to the general qualifications listed in the certification below, other gualifications inay be inandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Municipal Band Commission ❑ Building & Standards Commission ❑ Paris/Lamar County Board of Health ❑ Civil Service Commission ❑ Planning & Zoning Commission ❑ Economic Development Corporation ❑ Public Library Advisary Board ~ Historic Preservation Commission ❑ Traffic Commission. ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ~ Main Street Advisory Board Candidate lnformation Name: I\I 1~ ►IC Q I* on(1 f a", r Address: iNQi t,:,:i i~ 21 7 ~ k~ aL - Y-~15 Work Phone: S~ _ Home Phone: Fax E-mail Address: )0q r` G~~ n ri C\s 61,~ hIg r).(. f rrj Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. ~ o \ \ . ~T ~~r e~Te a~, 1 vo ~ Q Q\ e Y' o'Y0 t w."4 G~ P\cv:i ro.'~ wi n Cl~ v- es AS~110 5 le ~,xA4`aATrn~,a 2QytUI.S I~~ \Arris. ~X_a~1~ri~I~Cr~ Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, eommissions, and committees. I also certify that if appointed 1 will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number uf positions on a given board, conunission, or committee is limited and fhat I may not be appointed; however, if I am not appointed, 1 agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this application. In accordance wnth Section 552 of the Local Government Code, 1 understand that infonnation provided in this application~may be available to the public upon request. Signature of Candidate:~ Date: For City Clerk's Use Only Conflict of Interest: Y/ N Indebtedness: Y% N Nepotism: Y /N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Re.vised 02/19/08 71 Janice Ellis From: support@civicplus.com Sent: Monday, May 02, 2011 4:48 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee I Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Gommittee ! Gommission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to senve on its standing boards, commissions, and cornmittees. In generaf, it is the Ciry GounciPs policy tn appoint persons to a maximum of two consecutive fiitl three-year terms on a glven body. In addttion to the gene_ra.l .guali~'rcations IPsted ir► tihe certtfEation betaw, other qualifications may be manda#ed by statute, City Charter, ordinar~ce, orl~eso~u~ion. Please camptete the infiormation requested below. First Name' Vicki Last Ballarc! Name" Address` 1465 NE 20th City' Paris State"' TX Zip" (X) 75460 75462 75461 Tefephone 903-491-9240 (903) 123-4567* Areas of Interest' [ ] airport Advisory Boara [X] Build'rng & Standards Comrnission [ ] Civil Service Commission [ ] Economic Development Carporation [ ] Historic Preservation Commission [ J Housing Authority Board of Commissianers [ J Street Advisory Board Currently serve on this board. [ J Municipal Band Commission ( J Parisltamar Counly Board of Health [ ] Pfanning & Zoning Commissinn [ ] Publfc Library Advisory Board ( j Traffic Commission [ ] Zoning Board uf Adjustment Please note any speeial knowledge, edLCation, or experience you have that is applicable to the function of the board, commission, ar committee of interest (attach additivnal pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the faws of the State of Texas regarciing nepotism and conflicts of interest of appointees to City boards, commissions, and comrruttees. I atsa certify that if appointed ! wiil attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the Cify during my term. I understand that the number of positions on a gfven board, commission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, I agree to be ptaeed in a database for posstbte future notification of topics of interest. t certity that the information given by me in this application is true and correct and any talse information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided In this application. fn aecordance with Sect'ron 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request.' [XJ Agree ' +ndicates required fields. Disagree The following fornl was submitted via your website: Application for Boards / Committee / Commission 7 P. First Name: Vicki Last Naine: Ballard Address: 1465 NE 20th Ciry: Paris State: TX Zip:75460 Telephone (903) 123-4567: 903-491-9240 Areas of Interest: Building & Standards Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or coniinittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Currently serve on this board. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and coimnittees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and conect and any false infornlation or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all infonnation provided in this application. In accordance with Section 552 of the Local Government Code, I understand that infonnation provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/2/2011 4:48:11 PM Submitted from IP Address: 75.109.205.77 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 73 BOARD/COMMISSION/COIVIMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. ln addition to the general qualifications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information Name: Address: L-. Work Phone: Fax: ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ublic Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Home Phone:903, 1'7 p xl- Re? / E-mail Address: ~ ~~n ~c nboo ~'Cs~n.e~ i riease note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or cammittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. I I I / r ar! s ~ ` f ° . c I`~ S . , 1 S U-~/ ~ T S C W. ~ ~c~ ► Ca ~ ~O q s, Certification and Authorization _/r. r--cr! [_}e.Uck 'YYr ~!S ~ By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regi 'ar meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. ln accordance with Section 552 of the Locai Government Code, I understand that information provided in this application may be available to the public upon request. Signature of Candidate: Date:_ For Citv Cierk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 - ~ 74 Janice Ellis From: support@civicplus.com Sent: Monday, February 07, 2011 5:00 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Cammittee l Commission The Paris Ciry Cauncil is seeking commitEed indivicfuais who are dedicated to the vvetl-being of ths Paris community ta serve on its standing boands, commissians, and committees. In general, i# is the City Councii's polfcy to appoint persons to a ma)drrwm of tuvo consecutive full three-year temrs on a given bocfy. In add'ttion to the general qua deationa tisted in the certificatbn below, other qualifications may be mandated by statute, Citiy Charter, ordfnance, or resofution. Ptease comptete the infortnation requested below. First Name' BriGn Last Bostick Name' Address' 425 South Church City" Paris State" TX Zip' (X) 75460 75462 75461 Telephone (903) 715-1303 (903) 123-4587' Airpo►t Advismy Board Municipal Bartd Commission Areas of Interest" [ j Buikiing & Standards [ ] Paris/Lamac Gounty Boafd af Commi&sion keafth Civii Service CommFSSUan Plannmg & 2aning Commission Economic Development I IPublic Library Advisory Boacd Traffic Commtasion Corporation [ [k] Historic Preservation Commission [ ] Zoning Board of Atijustment [ ] Housing Authority Board of Commissioners [ j Street Advisory Board Please nota any special knmvledge, education, or Bachelor of Environmerrtal Design from Texas A&Ib{ University with a minor in experience yau have that is applieable to the function Art & Rrchitectural History. Main Street Advisary Board member sincF; Aprii of the board, commission, or committee of interest 2010.1 arn very involved in daumdown Pwis and $ee amazing potentiat for (attach additional pages if necessary). If applicable, increasing our visibility as a destir►ation tor heritage tourism and weekend list dates of service on any City boards, commissions, stays! 1 am committed to promoting smaN business growth and development in or committees. our historic dietrict while respect+ng ttue context of hiatoric architecture and hope to be able to use my ptofessional abihies fbr the bettemnent of the community! Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the {aws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commiseioRs, and committees. I also certify that if appointed I wilt attend at least 75 percent of all regular meetings and shatl not have any dehnquent indebtedness to the City during my term. I understand that the number of positions on a given boarcl, commission, or committee is limited and that 1 may not be appointed; however, if Iam not appointed, 1 agree to be placed in a database for possible future notfication of topics of inEerest. 1 certify that the informatian glven by me in this application is true and correct and any fialse infomtation or misrepreserrtation is sufficient gmunds for disqualification. I authoriae the Citk of Paris to verify atl infom►ation provided in this applicatlon. In accordance with Section 552 of the Local Govemment Code, I understand that irtformaGon pravided in this applicatian may be availabfe to the pubtic upon request." [X] Agree ' indicates required fields. [ ] Disagree 75 The following fonn was submitted via your website: Application for Boards / Committee / Colnmission First Name: Britin Last Name: Bostick Address: 425 South Church City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903) 715-1303 Areas of Interest: Historic Preservation Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Bachelor of Environmental Design from Texas A&M University with a minor in Art & Architectural History. Main Street Advisory Board member since April 2010. I am very involved in downtown Paris and see amazing potential for increasing our visibility as a destination for heritage tourism and weekend stays! I am committed to promoting small business growth and development in our historic district while respecting the context of historic architecture and hope to be able to use my professional abilities for the betterment of the community! Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Loeal Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 2/7/2011 5:00:24 PM Submitted from IP Address: 67.64.130.1 z 76 Referrer Page: http://paristexas.gov/Forms.aspx Form Address: http://paristexas.gov/forms.aspx'?FID=69 Janice Eliis From: support@civicplus.com Sent: Friday, May 06, 2011 3:57 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commissian The Paris City Councii is seeking committed individuais who are dedieated to the weN-being of the Paris community to senre on its sEanding boarcis, corrsm'rsstions, and commiftees. In general, it is the Giry Courtcii"s pattcy to appotnt perscros to a maximum of twa conseeutive fcH three-year tertns on a given body. In addition to the gsneral qua4Eflcaftorts listed in the ceMfieatiQn belaw, other qualifications may be mancia#ed by statute, City Charter, ordinanee, aF resatutian. Please complete the information requested belowr. First Name' James Last Brockway Neme' Address' 3350 Robin Rd. City' Paris State' TX Zip* (X) 75460 75462 754$1 Telephone (903)123-4587" Areas of InteresY Please note any special knowledge, education, or experience yau have thet is applicable to the function of the board, commission, or committee of interest (attach additional pages i# neeessary). If applicabte, list dates of service on any Citi boards, commissions, or committees. Certification and Authoriaation 903-737-8833 Airport Advisory Board Municipal Band Commission Building 8 Startdards Commission [ l ParisiLamar County Board of [ l Em Service Commission Health [Xj Economic Development Planning & 2oning Commission Corporation I I Pubtic Libtary Advisctty Board [I Historic Preservatfon Commission Traffic Comm+ssion [I Houeing Autt►ority Board o# I l Zoning Board of Ad'}ustment Commissioners ( 2 Street Advisory Board I'm currently serving on Main St. Advisory Board and would Ilke to become more involved in our city. 1 acknow{edge that I am aware and agree to the prohibitions of the City af Paris Charter ar►d fhe taws of the State of "Fexaa regarding nepotism and confliEts of interest of appointees to Ciry boards, commissions, and comm#lees. l also certify that if appointed I wi41 attend at least 75 percent af aii regular meetings and shall not have any delinquent indebtednesa to the City during my term. i understand that the number of positions on a given board, commission, or committee is limited and that I may not be appainted; howeveF, if i am not appointed, 1 agree to be placed in a database for possible future notiflcation ot topics of interest. 1 certify that the information given by me fi this app{ication is true and correct and any false information or misrepreseRtabon is sufficient grounds for disqualificatior►. i authorize the City of Paris to verify all infortnatian provicfed in this application. In accordance with Section 552 of the Locai Govemment Code, I understand that information provided in this application may be available to the public upon request.* [X] Agree ' indir,ates required fields. [ ) Disagree The following form was submitted via your website: Application for Boards / Committee / Commission 78 First Name: James Last Name: Brockway Address: 3350 Robin Rd. City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903-737-8833 Areas of Interest: Economic Development Corporatian Please note any special knowledge, education, or experience you have that is applicable to the function of the board, coinmission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I'm currently serving on Main St. Advisory Board and would like to become more involved in our city. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, 1 agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and conect and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that infonnation provided in this application may be available to the public upon request.: Agree Additional information: Form submitted on: 5/6/2011 3:57:23 PM Submitted from IP Address: 99.89.170.195 Referrer Page: http://www.paristexas.qov/Forms.aSpX Form Address: http://www.paristexas.qov/forms.aspx?FID=69 79 BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. in general, it is the City Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of lnterest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civi] Service Commission Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information /L -i N Name: /,7- Address: ~r Work Phone: Fax: Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. I '-7 t 1 . . . I i i `7 1 A I > > _ 1., ~ J c,\nvn~~Ta - ~I.'NLLC~LL~ ~IV1n !LY ~'~~G.1r / G.Y1 ws ► Jo ; d vv 1 v~u.~.., uU 4..Y- ~C.t.w► t~, Certifcation and Authorization . r ~J ~~i0u !u ~ , r Lcv I a 6 L ,y~I VSa.1A, L x` v► J By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees ro City boards, commissions, and committees. 1 also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the inforniation given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this application. ln accordance with Section 552 of the Local Government Code, I understand that information provided in this appl' tion may be available to e public upon request. ~ l Signature of Candidate: Date: For Citv Clerk's Use Onlv F y Conilict of Interest: Y/ N Indebtedness: Y /N Nepodsm: Y J N Dist.: 1 2 3 4 5 6 ~14 5 6 City of Paris 80 ❑ Municipal Band Commission ❑ Paris/Lamar County BoarJ of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment -GJI 90'; ~l 7416JHome Phone:9Q„ E-mail Address: 34L , h¢,+ BY: 02/19/OS Ai'r»nr4- A1.1 T'Z S.S i.~TlLr_!. ,C=e. o vt a tinn i[.... w;~~ Lii o►n./ ~o cr S. rr► , n 9 0 ~.A 1s 1V l J 81 Janice Ellis From: support@civicplus.com Sent: Wednesday, May 18, 2011 5:57 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee I Commission The Paris City Council is seeking committed individuals who are dedicated to the welf-being of the Paris community to serve on its standing boards, commissions, and committess. In genera4, it is the City Council's policy to appoint persons to a maximum o# two consecutive full three-year terms on a given body. In addition to the generaF qualifications tisted in the certtfication below, other qua{ifications may be mandated by sta#ute, Ciry Charter, ordinanee, or resotution. Please complete the information requested betow. First Name' Michael Last Cody Name' Address" 5240 Amherst Ct. Ciry' Paris State* TX Zip` 75460 (X) 75462 ( } 75461 Telephone (903) 123-4567' Areas of Interest" Please note any special knowledge, education, or experience you have that is appficable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization (318) 787-4002 Airport Advisory Boatd Municipal Band Commission [ j Building & Standards Commission ( l Paris/Lamar County Board of [ ] Civil Service Commission Health Economic Development Planning & Zoning Commissiort Corporatlon [X] Public Librery Advisory Boarci [X] Historic Preservation Commiss(on Traffic Commission kousing Authority Board of Zpning Board of Adjustment Commissioners [X] Street Advisory Board I have lived a year in Paris. I hold a Masters of Arts in Teaching from the University of Memphis. I am a former rrewspaper editor, teacheF and public relations advisor. I am a Kiwanis Club of Paris member and have recenUy cornpleted a book of short stoMes (currently unpublished). I woutd welcomc the opportuniry to serve my new hometown Paris, Texas. I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the Stafie of Texas regarding nepotism and conflicts of interest of appointees to Ciry boards, commissions, and committees. 1 also certiiy that if appointed I wiH attend at least 75 percent of all regular meetings and shatt not have any definquent indebtedness to the City during my term. 1 understand that the number of positions on a given board, commission, or committee is limited and tha# I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the Ciry of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public uport request.' [X) Agree " indicates required fields. [ j Disagree The following form was submitted via your website: Application for Boards / Committee / Commission i 82 First Name: Michael Last Name: Cody Address: 5240 Amherst Ct. City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: (318) 787-4002 Areas of Interest: Historic Preservation Coimnission,Street Advisory Board,Public Library Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I have lived a year in Paris. I hold a Masters of Arts in Teaching from the University of Memphis. I am a fonner newspaper editor, teacher and public relations advisor. I am a Kiwanis Club of Paris member and have recently completed a book of short stories (currently unpublished). I would welcome the opportunity to serve my new hometown Paris, Texas. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additionai Information: Form submitted on: 5/18/2011 5:57:29 PM Submitted from IP Address: 74.193.92.214 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 83 Janice Ellis From: support@civicplus.com Sent: Thursday, May 05, 2011 7:57 AM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking cotnmitted individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City CounciPs poliey to appoint persons to a maximum of two consecutive fuN three-year teems on a given bady. In addi#ion to the generat qualitications Msted in the certlfication betow, other qualifications may be mandafed by statute, City Charter, ordinance, or resoluUon. Please camptete the infomTation requested below. First Name' Billy Last Copeland Address" City' Telephone (903) 123-4567* Areas of interest` Please note any special knowtedge, education, or experience ydu have that is applicable to the function of the board, commission, or committee of interesl(attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorizatian Name' 143 CR 36450 ArthurCity State* (903) 732-3468 TX Zip' (X) 75480 ( ) 75462 75461 [X] Airpo+t Advisory Board Municipa! Band Commission Buiiding & Standards Commission [ l ParislLamBr Caunty Board of Heafth [ l C€vit Serv+ce Commission f~ Planring &Zatdng Commission [ J Economic Development L l Puhfic Library ftdvisory Board Corporation [ j Trafic Commission F+istoric Preservatiort Commission [ IZoRing Board a# Adjustment [ ] Housing Authority Board of Cornmissioners [ ] Street Advisory Board Have served on the board a prior term and have experiance on issues. Also attend open meetings training. Note : above zip code needs to be 75411 I acknowledge that i am aware and agree to the prohibitions of the City of Paris CharEer and the laws of the 5tate of Texas regarding nepotism and coMficts of interest of appoirytees to City boarcts, commissions, and comenittees. I also certity that if appointed I wiii attend at least 75 percen# of all regular meetings and shall not have any delinquent indebtedness to the Gity during my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appoiMed; however, if I am not appofnted, I agree to be placed in a database for possibfe future notification of topics of interest. I certify that the information given by ma in this applicatian is true and cornect and any false irtformation or misvepresentation is sufficient grounds for disqualificatioR. I authorize the City of Paris to verify all information provided in this appticatian. In accofdance with Section 552 of the Local Govemment Code, I understand that information provided in this application rnay 6e availabte to the public upon request." [X] Agree ' indirates required fields. Disagree The following form was submitted via your website: Application for Boards I Committee / Commission 84 First Name: Billy Last Name: Copeland Address: 143 CR 36450 City: ArthurCity State: TX Zip:75460 Telephone (903) 123-4567: (903) 732-3469 Areas of Interest: Airport Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, conmiissions, or committees.: Have served on the board a prior term and have experiance on issues. Also attend open meetings training. Note : above zip code needs to be 75411 Certification and Authorization l acknowledge that 1 am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinyuent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/5/2011 7:57:05 AM Submitted from IP Address: 66.76.72.25 Referrer Page: http://www.paristexas.gov/forms.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 85 BOARD/COM1`v1ISSiON/COMMITTEE APPLICATION The Paris City Cowlcil is seeking committed individuals who are dedicated to the Nvell-being of the Paris coinmunity to serve on its standing boards; commissions, and committees. In genei-al, it is the City Council's policy to appoint persons to a maximum of two consecutive full three-year tern7s on aoiven body. In addition to the general qualifications listed in the cErtification below, other qualifications nlay be illalidated by statute, City Cliarter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ~ Main Street Advisory Board tandidate IRformation . Name: Address: ~ ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Healtli ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Work Phone: Home Phone: -!~_l 7- qo5:;?, Fax: E-mail Address: ~ r~ Gb A 6,nAe a-Ir~ c Please note any special knowledge, education, or experience you have that is applicable to the functIon of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list By signing below, I acknowledge that ] am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. 1 certify that the information given by me in this application is tnie and coirect and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 5 of the Local Government Code, 1 understand that information provided in this app icat n may be av e t u o request. Signature of Candidate: ~ Date: For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: ] 2 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 86 Certification and Authorization Janice Ellis From: support@civicpius.com Sent: Wednesday, May 25, 2011 1:45 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version Application for Boards / Committee / Commission First Name* ~ ~Ce~r~Y I,.as~ P1arr ~1sReii City* °P~is'. ~Stat+ ToIophlor►e 903=784=4iS (903) 123=45~~'".. . , - Areas of lnter~sf* [ ) ,AirpQrt:,; 1,1 Bt~ld ' inf ~ E~nar! Coipciig j ~ His#o~c ~-1 Mousinq Corttir~ Alease note aity spedal knowledgs, education, or I St~rfed rriY I , experience yvu~have tt~at ts a~tlu~at~le ta. ~iifur~ction trrlcing; I.he o f the bPosrd,. ~1r~ls-i~rts t~` i~mr~sittee of In#ers~st as C~iamber / I7ft"~.iMiftf1i'S3a I'1'I7~vitngrona..~w:.\' .e_i'_-' . , x' ~P7 ; 75460 . , ' rnrurtwutsi 'ertification A~h~tibni [Xl A9ree [ 1 Disagree. ' indicates required fields. t~~t►ng d; - ie# itie The following form was submitted via your website: Application for Boards / Committee / Commission i 87 First Name: Kenny Last Name: Dority Address: 3005 Aspen City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: 903-784-4100 Areas of Interest: Economic Development Corporation Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I started my professional career working for the PEDC before moving on to banking. I have been an ex-officio board member of the PEDC through my role as Chamber Chairman and am very involved in community service. I am a lifelong resident of Paris and President of Guaranty Bond Bank. I would like to see Paris prosper in order for my children to have a future in Paris. I think my financial background will help in making decisions regarding incentives. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information ar misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/25/2011 1:45:15 PM Submitted from IP Address: 208.180.184.158 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 88 Janice Eilis From: support@civicpius.com Sent: Thursday, May 19, 2011 3:28 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission * indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission i g9 First Name: Cleonne Last Name: Drake Address: 2501 Simpson Street City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903)449-0978 Areas of Interest: Municipal Band Commission,Public Library Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I am a graduate of East Texas State University with a BS in Criminology. While in high school (PHS) and PJC, I was in the band and a music major. I worked for Floyd Weger after graduating from HS. I also was a member of the Municipal Band for several years. I was Director of the Crime Victim Clearinghouse for the State of Texas. I have been a teacher for 13 years. I have taught Language Arts, Reading, and Texas History. I am very interested in getting involved in the Community of Paris. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/19/2011 3:28:26 PM Submitted from IP Address: 66.76.72.25 Referrer Page: http://www.paristexas.gov/Search.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 q 0 BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, cormnissions, and committees. In general, it is the Gity Council's policy to appoint peisons to a maximtzm of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of lnterest Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board MA°d 6 Am1l:2! ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Corninission ❑ Public Library Advisory Board ❑ Traffic Coinmission ❑ Zoning Board of Adjustment Candidate Information Name: Address: ZJ~ DN ! Work Phone~ ~ 3-79 `f " E1 i_" S %JY 7.5L/ 6 0 Home Phone: (GYD 3) SF -r9S 'q~ Fax: (Y03/ 7e}' 2,5-D3 E-mail Address: S"9' 4 P-.''f& .421- Y'rk4eXet S< < 0 r+1 Please note any specia] knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). lf applieable, list dates of service o any City boards, commissions, or committees. , ,~►~~e ~ ~'I I ~ ~ t~ /~r~~orrt G~- • 'I ~ S 1.5 e- cZ '1-- r, T !i' as "en ah ~ rPah r ree r^ a ~ brih v~t,w Ie c and ~h i-~C E?Aa, As R-fle ~;yeL~ 7~ ci rr~ ~ bjP :h lgorA-l a (fxollom i c de CIP.k)ir+~~"~~,~ts Certification and Authorization By signing below, I acknowledge that I am aware and agree to the protiibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number af positions on a given board, commission, or committee is limited and that ] may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the inforniation given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this applic ' In accor ance Arith Section 552 of the Local Government Code, I understand that infonnation provided in this appli t' iay be a ilab}ao the public upon request. Signature of Candidate: Date: For City Clerk's Use Oniv Conflict of Interest: Y% N Indebtedness: Y.' N Nepodsm: N' i N Dist.: 1 2 3 4 5 6 7 Previoas Service: 0 1 2 3 4 5 6 City of Paris Revised 02/19/08 91 Janice Ellis From: support@civicplus.com Sent: Wednesday, April 13, 2011 1:00 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittai: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission •.N. tnn+c~~-a,~ rvinuvila vir a y!v=11 uua(O, CC7fFlRliSbtQ71, or cpmrraitcee is nrruted anctthaf I:may nat be appqirifed, Bf, If I 8h'1 llOt 80001tited, Iagree to be pfacecf in a database fcii~ nnssthl~ ti;f~ ~rp r~~t~;~.~ts.,„ „f t,~:~,.:r :.'s:~+~.s~+' ~..,,,.►:x: aa._a,.;:, r, o.t.p-wu-; i~,a~ti.wluat~4RF YYItl.~ ~S'l..IiSTA;~.7tflT LFIP. Local Gqvemment Code, I understaRd that infflrmation provided inIhis application ~ray be avaitable #o the public uRon reqiiest.' IX) Agree Disagree ' indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission i 92 First Name: William Last Name: Harris Address: 3221 Cleveland City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 9032498283 Areas of Interest: Street Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during rny term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 4/13/2011 1:00:24 PM Submitted from IP Address: 208.180.111.179 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 93 Janice Ellis From: support@civicplus.com Sent: Tuesday, February 01, 2011 8:50 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing t]lis HTML email, click to view a Text version. Application for Boards ! Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of tFie Paris communityy to serve on its standing baards, comrnissions, and committees. In general, it is the City Council's palicy ta appoint persons to a maxfmum of two consecutive fuli three-year terms on a given body. In addition to the general Gualifications listed in the certification betow, other quafifications may be mandated by statute, City Charter, ordlnance, ar resolutlan. Pfease complete the infortnation roquested betow. First Name* Arjumand Last Fiashmi Name* Address' 3220 Abby Lane City' Paris State' TX Zip' 75460 (X) 75462 ( ? 75461 Telephone (903) 123-4567" Areas of Intere,sY Please note any speeial knowledge, education, or experience yau have that is applicabte to the function of the boaPd, commission, or committee of interest (attach additiona{ pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Auihodzation 903 783 1598 [ ) Airport Advtsory Board [ j Building & Standards Comrreission [ ] Civil Service Commission [X] Economic Development Corporation [ J Historic Presarvation Commission [ ) Housing Authority Board of Commissioners [ J Street Advisory Board ( ] Municipal Bar►d CorrrmissEon [X] Paris/lamar County Board af Health [ ] Planning & Zoning Commission [ ] Pubtic Library Acfviscuy Board I l Tratfic Commissicrn [ j Zoning Board of Adjustment 1 acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and confiicts of interest of appointees to City boards, commissions, and committees. f also certity that if 8ppointed 1 will attend at least 75 percent of all regular meetings and shatl not have any delinquent indebtedness to the Cityy during my term. I understand that tfie number of positions on a given board, commission, or committee is limfted and that I may not be appanted; however, if I am not appointed, I agree to be placed in a dahabase for possrble fature notlflcatiort of topics of interest. I eertity that the information given by me ir► this application is tn.ie and correct and any false information or misrrepresentaton is sufflcienf grournds f+or disqualification. I authorize the City of Paris to verify all infortnation pcovided fn this application. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this application may be avaifable to the publlc upon request." [X] Agree [ j Disagree " indicates required fields 1 94 The following fonn was subniitted via your website:: Application for Boards / Committee / Commission First Nanie: Arjumand Last Naine: Hashmi Address: 3220 Abby Lane City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: 903 783 1598 Areas of Interest: Economic Development Corporation,Paris/Lamar County Board of Health Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Certification and Authorization 1 acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that infonnation provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 2/1/2011 8:49:42 PM Submitted from IP Address: 74.194.198.246 Referrer Page: httq://www.paristexas.qov/Forms.aspx Form Address: httq://www.paristexas.gov/forms.asqx?FID=69 2 95 BOARD/COM117ISSI0N/CQ1VI1`vII1r'TEE APPLICAdTIO1V T'he Pans City Council is seeking committed individuals who are dedicated to the well-being of the Paris cominunity to serve on its standing boards, comrnissions, and cammittees. In general, it is the City Counci]'s policy to appoint persons to a maximum of two consecutive fu11 three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infon-nation requested below and return to: City Clerk, 150 SE First Street'P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of lnterest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Coinmission ~ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information Name: A 44 Address: 4 ig/ c-6C1A_1 c3- Work Phone: f O 3 2 ~~e Phone: ` U,~ • ~ ~ Fax: ~7~~-~ E-mail Address: Cc l/41 6j~ ji r /,0 el.", (S,Qf El C~- 67 Please note any spe.cial knowledge; education,-or experience you h-ave that is applieable fio fihe function of the board, commission, or coinmittee of anterest (attach additional ipages if necessary). If applicable, list dates of service on any City boards; commissions, or committees. ~-~l/~1 G~~C.I~ ~ i✓I ~1 ~O/~i~lG~/9~ ~-~1 ~~l -~.1,%/P1~J ° i'yl~~I'. ~/C' ✓C. -51~4 bl'1r ,0rl q i~UJ .,rr/'.~~c~ YI b.-► co. ~J ~ ' r~'~ `r ~ 40` Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflrcLs of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of al] regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, conunission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, 1 agree to be placed in a database for possible future notification of topics of interest. I certify that the inforniation given by me in this application is true and correct and any false inforniation or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in tliis application. ln accordance with Section 552 of the Local Government Code, 1 understand that infonnation provided in tlus appli~ipy~ma,y~vailotpqto the public upon request. Date: Conilict of Interest: Y/ N Indebtedness: Y;' N Nepodsm: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 02/19/08 ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Coininission ❑ Public Library Advisory Board ❑ Traffic Coininission ❑ Zoning Board of Adjustment E~~IVE. ~ JUN ~ ' r`~~ ~ 96 SUnANfARY CURRICULUM YITAE Allan Helberg Allan Helberg is currently involved in the business community in Lamar and Red River Counties. He is President and Co-owner of AR Helberg and Associates, Vice President and Co-owner of Visiting Angels Paris/Texarkana, and Realtor with Century 21 Harvey Properties. He is welt ingrained in the Paris business community. He was raised in Red River County and returned to Paris to reside closer to his son, Chad Helberg, and be a part of his grandchildren's lives. He currently serves as Chairman of the Lamar County Medical Reserve Corp and works in conjunction with City and County Emergency Management Coordinator as well with Northeast Texas Regional Advisor Council for Disaster and Emergency Services and Federal Emergency Management Administration. Mr. Helberg graduated from Clarksville High School in 1965. He holds a Bachelor Degree in Business Administration graduating Magna Cum Laude and an Executive Masters of Business Administration. Allan Helberg is President of Mobile Healthcare, L.L.C. (MHC) of Dallas, Texas. MHC is an international healthcare consulting firm specializing in emergency and critical care services including ground and air medical transportation systems. He has extensive experience in the development, implementation, and management of various EMS systems to include rural and urban programs. He has lectured at state and national levels on numerous healthcare and management topics. Mr. Helberg served as Vice President of Operations for Memorial Health University Medical Center in Savannah, Ga. In this position he was responsible for 400+ employees, including 26 Medical Physicians. He developed and implemented a business plan for a new Outpatient Imaging Center producing $30 million annual gross revenues. He also served as Executive Director of EMS Services at Memorial Health System that included ground and air transportation with and annual budget of $10 million. As member of executive staff, he assisted in leading efforts of hospital culminating in receipt of Foctune Magazine Top 100 Companies to work for in America and J. D. Power and Associates`Distinguished Hospital Award for two years. Mr. Helberg's professional activities have included: President Texas Air Medical Association (TAAMS); chairperson of Legislation Committee TAAMS; member Emergency Medical Service Association of Texas, National Flight Paramedic Association; National Management Association, and Association of Air Medical Services(AAMS) critical care transport committee; past chairperson Legislation Committee for Texas Ambulance Association; past member Texas Emergency Health Care Advisory Committee; past,president, vice-president Northeast Texas EMS Coordinator Association; past chairperson Northeast Texas Regional Advisory Council, Trauma Service Area F. He attained Certified Medical Transport Executive by Association or Air Medical Service Medical Transport Leadership Institute. Mr. Nelberg's Comm.unity involves have included Clarksville School Board of Trus#ees and President, Lamar County American Red Cross fund raising Committee, Veterans of Foreign Wars Post #3900 Lifetime member, Past Master of Masonic Lodge #16, Clarksville, Tx.; Savannah, Ga Community Blood Bank Board Member, and is a past member of American College of Healthcare Executives. Mr. Helberg served our Armed Services in the Army during the Vietnam War Allan is married and has 3 children, 4 grandchildren anc! 2 great grandchild. !f you require further information or resume items, please contact Allan Helberg @903-249-9264. 97 Janice Ellis From: support@civicplus.com Sent: Thursday, May 19, 2011 8:39 AM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission First 1+laine" Addre,ss' City* Telephane, (903) 123=456 Y Areas~of Ir~ters~'~ r~ , ' d 272-9 list dates of seM"', pn'arty Ci~r bQar`ds; commissi~s; or comrnrfteesZ Certi~ca~ota a~i~ Au~fiionz~tioii'' . [xl Agree [ j Disagree ° ' * indicates required fields. ~ ~ng re~~ci. , inteci, . - ~ 5~;o~the , The following form was submitted via your website: Application for Boards / Committee / Commission i _ 98 First Name: Jeff Last Name: Higgins Address: 1457 27th NE City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903)272-9863 Areas of Interest: Economic Development Corporation Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I am very concerned with the Economic growth in Paris. After talking with Steve, we both feel that I am needed on this Board. I currently serve on the Board of Directors for PCT and I've been actively involved for the past 4 years. I believe that I will bring a fresh perspective to PEDC. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/19/2011 8:38:59 AM Submitted from IP Address: 68.88.216.225 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: hftp://www.paristexas.gov/forms.aspx?FID=69 99 ~~At,e-u/Ir;t AYYl,1CA"1'IOl!' The Paris City Council is seeking committed individuals who are dedicated to the well-being of t11e Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint percons to a maximum of two consecutive full three-year ternls on a given body. In addition to the genera] qualifications listed in the certification below, other qualifications niay be inaildated by statute, City Charter, ordirlance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Municipal Band Commission ❑ Building & Standards Commission ❑ Paris/Lamar County Board of Health ❑ Civil Service Commission ❑ Planning & Zoning Commission ❑ Economic Development Corporation ❑ Public Library Advisory Board ❑ Historic Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment EI'Main Street Advisory Board Candidate Information Name: Address: t-60 Z~"~ r1'~~~ ~ • Work Phone: Home Phone:_,.t(IY1Pi Fax: M031 3~~ 014P E-mail.Address: Please note any special knowledge, education, or experience you have that is applicable to the nction of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list Certification and Authorization By signing below, I acknowledge that 1 am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during nry term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if 1 am not appointed, ] agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and cotrect and any false inforniation or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this applicatio . In accordance with Section 552 of the Local Govemment Code, 1 understand that information provided in this able tothe piablic upon request. Signature of Candidate: V"il Date: Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 l 2 3 4 5 6 City of Paris Revised 08/19/08 100 dates of service on any City boards, commissions, or commrttees. BOARD/COti1MISSI(}N/COMMITTEE APPLICATION Tbe Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maYimum of two consecutive full diree-year terms on a given body. In addition to the general qualifications lisled in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. BoardlCommission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ~.Eublic Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment ,~Iln ..a-6 n p 1-1~ . WorkPhone: Home Phone: 11 . Fax: E-mail Address: C' IGLC',45 ex /I• - eA1 t Please note any special knowledge, education, or experience you have that is applica le to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any Ciry boards, commissions, or committees. /u.5 ll ~5 ' ' ~ cc~r ~.~-r~,~,~~ /A ~~/,~lc) /2- i4 ~~'~'t✓~-~ ~¢°fi~"C°°~ ~i01~ ~i ` ~ ~ /`PJ 7~ ~f~ r•~~~r~e ° j+1 f- ~ m Certification and Authorization By signing below, 1 acknowledge that I am aware and agree to the prohibitions of the City of Paris Chartir and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this appli tion. In accordance with Section 552 of the L,ocal Government Code, I understand that information provided in this app tion ma~ avail le to the public upon request. Signature of Candidate: Date: L41' For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0] 2 3 4 5 6 City of Paris Revised 08/19/08 ' 1 101 ❑ Main Street Advisory Board Janice Ellis From: support@civicplus.com Sent: Sunday, May 22, 2011 3:50 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittai: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission Eirst Name"` Kenrt~th l.~~t~ M~Is~ap ~P~V~ ~ F ~ ~ ~ AcftUess" 310 ~,;Hic~+Qr1t ~3t"ee;~` . . . City * Z~p* TX Pa~S ,StB~e~' 7546~1 Telephone ~ (963)7846063 (903)` 1234564# Airpart Advisory Boatd [ j MurniMi ~and,C~a~~ar~s~c~n ` Areas of Inter~'st" `Bui[ding`& Standards CoMrtaissivn' [ ] . "f aiisiR'.~mar Cat~n~y Bt~ard ~fr - . ` ~ ~ Civa Se~r~ce Cor~mfss,on [X~ ~~nomic pevw opm~rSt ` ~~S&ltln , Atl ~ ~qt'~or,t~1 Fri~ ~ Y ~rd~► ~ . Hiitoric Prasenrabcrr► CQmmfsaton ~ C~ ' Hrwsin Au ~3oarcl. of [ l ~ ~orr~h~ aE~pard o~ A~justrr►+~r~ ~ ~ Cc>trimission~trs , p(l Street Advisory Board Please nate ar+y special kncwy#edge, education, or ' ~ Presiden#lQ4arter of J&L Paving, LLC iPFlcabl~; tott~e; ~ experience y8whavb'thaf i~ , functian af ~ard,;~omrrusron, o~ wmmi~ cf h addrtional R499s if ~;cess~ryj: lf ir~teres# 4atta applicable, t,s~ t~te~ a#' s~t~ tir~ a'~ Ci#y boatds; coriimissions;.~-cor~i~n~~est~ = Certification 4iid Au#tioriiation I acknowledge fbat l ar't :aware and agree to'the proliibitinns:of fhe City o# Feris Chaftr arui the {aars cs~t~~ St~te o# Te~as i~4Fdtng o 416 7e~e~t.Arrirffi4w't'~Gfc-~.ZfCA'~if"'~T41~1~'~44l1t1ft~fa}R[~~44tY~I• disquatification i auitiorize the CttjreQ#' Aans fo.ve*,all informat~n,provid8d., in this apptication~ fn,a!.cordaraGe ~V~t~.:s~+ctn ~Z a~ the Local Goverriittent Code; I understanc! that infoanafion provit~d in thi "s appEicatan %nay be avaifabte tcci ~ pub~c iipwn r~iqiiest.", tXj Agree [ J Disagree * indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission 1~~ First Name: Kenneth Last Name: Millsap Address: 310 E. Hickory Street City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903)784-6063 Areas of Interest: Economic Development Corporation,Street Advisory Board,Planning & Zoning Commission,Traffic Commission,Zoning Board of Adjustment Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: President/Owner of J&L Paving, LLC Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during rny term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additionai Information: Form submitted on: 5/22/2011 3:50:19 PM Submitted from IP Address: 76.233.115.42 Referrer Page: http://paristexas.qov/Forms.aspx Form Address: http://paristexas.gov/forms.aspx?FID=69 z 103 Janice Ellis From: support@civicplus.com Sent: Friday, December 10, 2010 7:41 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards/Committee/Commission If you are having problems viewing this HTML email, click to view a Text version. ~ ~ ~ . ~ Application for Boards/Committee/Commission The Paris City Caur► = al is se = eKing committed individuals who are dedicated to the we#1-t~ee~g of the Paris comrr First Name' Frar~cirie Las# fde~ley - - Ns~* Address'" 5420 Brittany Lars City"' Paris State* -TX :Zip* { ) 75i460 (X) 75462 . { ) ''T5461 Tetephone 9037842170 (903) 923-4567* [ l Airport Advisory Board ( j-,Munict~sa! tMr~~„Gorr►mrss Aeeasof Interist " B utlding &;S#andaeds Commission anskamar abij~tEyBoar ~ U ,Civi# Seriice Comtnission , ; Econorr~ic,'D"evaloprnent I l P1~nit{g & Zoning Ct~m~ Corporatian.. [XI..Publc Litrrary, ~dvispryBi ~ t] Hisfaric Presenratiar► CoMmisslan 7raf~c Ccrmmtssion I l"Zah~t~ Boalyd of AcijustmE A h i [ l Ha tsing ut onty Bflard of C*tlissioners [ 1. S2reet Advi,sary Boacd Please note any special kraawledge, educaiion, or I am a"refired t6acher. l have servei,an this taoard be#ore tast;sernrtg i experience you twv+e that is~~Pplicat~le. to t#~e have:also sanrect an c~ty c.niinc+f 2DQ2-04 and th~ p}~nni~g a~d z+~ng: functivn of the bo~'d,.corr~mission; or`comrnittee of " c0rt3"tfee 2~Q.*~-0$, ~o t hiave ~n understandtr~~ of f~e librat~+.,~ro~ sev~ interest.(attac6 addi#ionai pag es if necessary). If `.sources Iami~ very irtfer~,sted.in k~aping otir libra,ry;at ~ae hi~ti standari applicable, Iist'da#es tif ssnrice on any City baards, hotds. Thank you for yaur c~nsi~l~ra#iar~: Frari Neet~Y. eamrnissions,, or coirnrnittees: Certification arad Auttiorization I adcnowledge that I am aware and agree to the pi4Ftibitiori's af tFie CitY af Paris Char#e`r a nd t#~e larNS° of C~i~ State o# T~xas're an Rst~ fi tinro.:,~;,, ' ~ ~eicavt wn d of~: ~ ' ~ ............~«......r urcaa u~.~vi~r~mww~ F1vv1VGW'1i1 41k1o Qt.7ld1M}liVll l}4tl•y UC CiVdlYitllUl['3.ID L[l$ ()l7Ullv,. up0p rQqUeSI.- IXl a9ree ' [ ] Disagres * indicates required fields. The following form was submitted via your website: Application for Boards/Committee/Commission i 104 First Name: Francine Last Name: Neeley Address: 5420 Brittany Lane City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: 9037842170 Areas of Interest: Public Library Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I am a retired teacher. I have served on this board before last serving in 2008. I have also served on city council 2002-04 and the planning and zoning committee 2005-08, so I have an understanding of the library from several sources. I am very interested in keeping our library at the high standard it now holds. Thank you for your consideration. Fran Neeley Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 12/10/2010 7:41:09 PM Submitted from IP Address: 74.193.93.115 Referrer Page: http://www.paristexas.gov/forms.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 z _ ~ ~ Janice Ellis From: support@civicplus.com Sent: Wednesday, May 11, 2011 3:16 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuats who are dedicated to the well-being of the Paris community to seroe on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoirtt persons to a maximum of two consecutive ft,ll three-year tertns on a given body. In addition to the generai qtiafMcations fisted in the certiFication bebw, othEr quaGfications may be mandated by statute, City Charter, ordinance, or resolution. Ptease complete the ir►formation requested below. First Name` Donnie Last Neisfer Name' Address' 815 S. Coltegiate Dr City' Paris State" TX Zip' (X) 75460 75462 75461 Tefephone (903)123-4587' Areas of Interesf' Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach addifional pages if necessary). If applicable, list dates of service ort any City boards, commissions, or committees. Certification and Autharization (903) 249-7777 [ ) Airport Advisory Board [ ] Buitd'rng & Standards Commission [ j Civil ServiEe Goenm'tssiort [ ] Economic Development Corporation [ ] Historic Preservation Commission [ ] Housing Autho►ity Board af Commissioners ( ) Street AcfviSOry Board [ ] Municipal Band Commission [ J ParislLamar County Board of Health [ ] Planning & Zoning Commission [ j Public Library Advisory Board [X] Traffic Commission [ I Zoning Board of Ad}'ustment I acknowledge tha! I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest af appointees to City boards, commissions, and commitises. I also certify that if appointed I will attend at least 75 percent of all regular mee6ngs and shafl not have any deNnquent indebtedness to the City during my term. 1 understand that the number o# positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appair►ted, I agree to be, placed In a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and comect and any false infortnation or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all infoimation provided in this applicalion. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this appkcation may tae available to the pubtic upon request.' [X] Agree ' indicates required fields [ J Disagree The following form was submitted via your website: Application for Boards / Committee / Commission 106 First Name: Donnie Last Name: Neisler Address: 815 S. Collegiate Dr City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903) 249-7777 Areas of Interest: Traffic Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committ:ees.: Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. 1 certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Add itional I nformation: Form submitted on: 5/11/2011 3:15:28 PM Submitted from IP Address: 74.195.69.27 Referrer Page: http://www.paristexas.gov/Forms.as x Form Address: http://www.paristexas.qov/forms.aspx?FID=69 ' ' 107 Janice Ellis From: support@civicplus.com Sent: Tuesday, May 10, 2011 8:22 AM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Apptication for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the weN-beitg of the Paris community to serve on its standing boa►cis, commissions, and committees. in general, it is the City CounciYs policy M appoint persons to a maxifnarn of two consecutive tuN three-year tsmrs on a gfven body. In addtUon to the general qualffica#lons listecf in the cerNficatian belpw, other qualiflcabons may be mandated by statute, City Chacter, ordinance, or reedufion. Ptme cofnpleCe the irtFoonnaton requesCed below. First Name' Phillip Last Payne E I~H 1~1„Qmex Address' 575 Laurel tane City' Paris State' TX 2ip" (X) 7S46p 75462 75461 Tetephone 903-737-0531 (903)123-4587' Areas of Interest' Piease note any special knowledge, education, or experience you have that is applicable to the functron of the boarci, com►nissfon, or eommittee of interest (attach additional pages if necessary). If applicable, list dates of service an any City boards, commfssions, or committees. Certification and Authorization [Xj Airport Advisory Boarcf Municipal gand Commissfon [ j Building & 5fandards Pariskamar Courty Board of Commission Heafth [ I Civil Service CommiWan fXI Ptanning & Zoning Gommission [X] Economic Development [X] Pubtic Library Adv+sory Board Corporation [ ] Traffic Gomrnission Historic Preservation Commission I I Zoning Board af Adjustment (Xj Housing Autharity Boafd of Commissioners [ ] Street Advisory Board MS Electrical Engineering, Foter Pitot USAF Served in Turkey, Saudi Arabia, Korea, Japan, Viet Nam, Thailand & Guam. I acknowledge that I am aware and agree to #he prohibitions of the City of Paris ChatEet and the laws of tfle State of Texas regarding nepotism and conftiets af interest of appointees to City boarcJs, commissions, and carnmEttees. l also certify that if appointed t will attend at Ieast 75 percent of a!I regular meetings and shall not have any delinquent indebtedness to the City during my term. 1 understand that the number of positions on a given board, commission, or cammittee is limfted and that i may not be appoinfed; however, if I am not appointed, I agr+ee to be placed in a database for possible future notification o# topics af inferest. I certi#y that the information given by me m this apptication is true and correct and any false infoRnation or rr►isrepresentation is sufficient grounds for disqualification. I authcrriae the City of Paris to verify all informaNon provided [n this appticatian. In aECOrdance with Sectlon 552 af the Local Govemment Code, I understand that information provided in this apptication may be available to the public upon request.' [X] Agree [ ] Disagree ' indicates required fields. The following forni was submitted via your website: Application for Boards / Committee / Commission First Name: Phillip E Last Name: Payiie Address: 575 Laurel Lane City: Paris State: TX Zip:75460 Telephone (903) 123-4567: 903-737-0531 Areas of Interest: Airport Advisory Board,Economic Development Corporation,Housing Authority Board of Commissioners,Planning & Zoning Commission,Public Library Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: MS Electrical Engineering, Fighter Pilot USAF Served in Turkey, Saudi Arabia, Korea, Japan, Viet Nam, Thailand & Guam. C,ertification and Authorization 1 acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and coinmittees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and conect and any false information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, 1 understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/10/2011 8:22:25 AM Submitted from IP Address: 74.195.69.45 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www,paristexas aov/forms asax?FlD gg z - ~ 109 Janice Ellis From: support@civicplus.com Sent: Wednesday, May 11, 2011 3:22 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards I Committee / Commission The Paris City Councii is seeking committed individuais who are dedicated to the weN-being of the Paris community to serve on its standing boards, commissions, and committees. In generat, it is the City Council's policy to appoint persons to a maximum of twa consecutive fuil three-year tertns on a given body. In addition to the general qualiflcations listed in the certification betow, other qualifications may be mandated by statute, City Charter, ord'mance, or resolution. Pteasa eomplete the information requested below. First Name ` john Last PENDLETON Name* Address` 475 SE 31 st City" Paris State` TX Zip" (X) 75460 75462 75461 Telephone (903) 123-4567' Areas of interest" Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If appiicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization 903 784 5832 [ ] Airport Advisory Board [ j Buitding & Standards Commission [ ) Civil Seroice Commission [ ] Economic Development Corporation [XJ Hiskaric Preservation Cammission [X] Housing Authority Board of Commissioners [ ] Street Advisory Board [ J Municipal Bend Commission [ ] ParislLamar County Board of Health [X] Planning & Zoning Commission [X] Pubiic Library Advisory Board [ ] Traffic Commission [ ) Zoning Board of Ad}ustment I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Tex,as regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed 1 wiit attend at least 75 percent of all regutar meetings and shall not have any de{inquent indebtedness to the City during my tertn. ! understand that the number of positions on a given board, commission, or committee is lim9ted and that 1 may not be appointed; however, if I am not appointed, I agree to be plaeed in a database for passible future notification of topics of interest. i certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verity all Information provided in this application. fn accordance wiih Section 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request." [X] Agree ' indicates required fields. [ ] Disagree The following fonn was submitted via your website: .Application for Boards / Committee / Commission i 110 First Name: john Last Name: PENDLETON Address: 475 SE 31 st City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903 784 5832 Areas of Interest: Historic Preservation Commission,:Housing Authority Board of Commissioners,Planning & Zoning Commission,Public Library Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessaxy). If applicable, list dates of service on any City boards, commissions, or committees.: Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or coinmittee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information ar misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Goverrunent Code, 1 understand that infonnation provided in this application may be available to the public upon request.: Agee Additional Information: Form submitted on: 5/11/2011 3:21:56 PM Submitted from IP Address: 74.193.89.123 Referrer Page: hftp://www.r)aristexas.gov/Forms.asi)x Form Address: hftp://www.paristexas.gov/forms.a 3px?FID=69 ill Janice Ellis From: support@civicplus.com Sent: Tuesday, May 17, 2011 1:20 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML emai l, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Councii's policy fo appoint persons to a maximum of two consecutive ferM three-year teans on a given body. In addition to the general qualiflca#ians fisted in the certification befow, other qualifications may be mandated by statute, City Charter, ord'mance, or resolution. Piesse complete the information requested below. First Name" john Last pendleton Address' City' Telephone (903) 123-4587' Areas of Interest" Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization Name* 475 31 st se Paris State" TX Zip" (X) 75460 75461 75462 9037845832 Airport Advisory Board [X] Building & Standards Commission [ ] Civil Service Commission [X] Economic Development Corporation [X] Historic Preservation Commi$sion [X] Housing Authority Board of Commissioners [ ] Street Advisory Board [ J Municipal Band Commission [ ] Paris/Lamar County Board of Health [ ] Planning & Zoning Commissfon [X] Public Library Advisory Board [ ] Traffic Commission [ J Zoning Board of Adjustment I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and commi#tees. I also certily that if appointed I will attend at least 75 percent of all regular meetings and shall not have any detinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or commit#ee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future nofifieation of topics ofi interest. I certify that the inforrnation given by me in this application is true and carect and any false infonnation or misrepresentation is sufficiertt grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 582 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request.' [X] Agree ` indicates required fields. [ J Disagres The following form was submitted via your website: Application for Boards / Committee / Coinmission 1]12 First Name: john Last Name: pendleton Address: 475 31 st se City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 9037845832 Areas of lnterest: Building & Standards Commission,Economic Development Corporation,Historic Preservation Commission,Housing Authority Board of Commissioners,Public Library Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or corrnnittees.: Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that infonnation provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/17/2011 1:20:26 PM Submitted from IP Address: 74.193.89.123 Referrer Page: httq://www.paristexas.qov/Forms.aSqX Form Address: http://www.paristexas.qov/forms.aspx?FID=69 - 1 111 Janice Ellis From: support@civicplus.com Sent: Wednesday, May 11, 2011 7:14 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boarcls, commissions, and committees. In generaf, it is the City Counci{'s policy to appoint persons to a maximum of two cortsecutive fuN three-year terms on a given body. In addition to the gsneral qua{iflcations listed in the certtfication below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. First Name` Randy Last Reed Name* Address` 4025 Brandyn PI City' Paris State' TX Zip' O 75460 (X) 75462 75461 Telephone (903) 123-4567' Areas of Interest' Please note any special knowledge, education, or experience you have that is applicabie to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization 903-517-6661 Airport Advisory Board Municipal Band Commission [ j Building & Standards Commission Paris/Lamar County Board of [ ] Civil Service Canmission Health Economic Development IXl Planning & Zoning Gommission Corporation Public Library Advisory Board Historic Preservation Commission I] Traffic Commission [ J Housing Authority Board of ~ J Zoning Board of Adjustment Commissioners [ ] Street Advisory Board I have been a business owner for the past twenty years, and have been involved in developing restaurants across five states. I used to be part of the ownership of Grandy's in Paris, and have lived in Paris fnr twenty years. I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I atso certify that if appointed 1 wilt attend at least 75 perceM of atl regular meetings and shal{ not have any delinquent indebtedness to tt►e City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and comect and any false infortnation or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Seetion 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request." [X] Agree ° indicates required fields. [ ] Disagree The following form was submitted via your website: Application for Boards / Committee / Commission 114 First Name: Randy Last Name: Reed Address: 4025 Brandyn P1 City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: 903-517-6661 Areas of Interest: Planning & Zoning Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I have been a business owner for the past twenty years, and have been involved in developing restaurants across five states. I used to be part of the ownership of Grandy's in Paris, and have lived in Paris for twenty years. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. 1 understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and conect and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/11 /2011 7:14:09 PM Submitted from IP Address: 74.193.84.123 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: hftp://www.paristexas.gov/forms.aspx?FID=69 11 fz)~- BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be mandated by statute, Ciry Charter, ordinance, ar resolution. Please complete the information requested below and retum to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission 2'tconomic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Candidate Information Name: V 1 c \1t.5 S~ Q. r- Address: ~AQ'd.0 . t S 'I 5Lk loa• Work Phone: '1 `6 5- ~A y~.1 Home Phone: Fax: rI S E-mail Address: V iL • rUSStQ1- Q? C4.r\_k urN a.~. Co Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Sq. Q_ P~~ G. c.,<N e, Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. i certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application In accordance with Section 552 of the Local Government Code, I understand that information provided in this application mgy-N available to the public upon request. Signature of Candidate•~~l--r~~J~~2~~ Date: 5 For Citv Clerk's Use Onlv Cooflict of 1nt2W#s..Y&4,-VL4w **tg01M;{~. Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris ~ Revised 08/19/08 t v 116 BY. I have been a Real Estate Broker in Paris for the last 35 years, owning and operating a successful business. For years, I have assisted in Employee Recruitment for the hospital, several of our major industries and some individual businesses by doing community tours and being an Ambassador for Paris and Lamar County. Down through time, I have served on various committees and boards. Currently, I am serving on the Airport Advisory Board and chair the Finance Committee for Our Lady of Victory Church. I obtained a BA from the University of North Texas. l I (.P - k Janice Ellis From: support@civicpius.com Sent: Thursday, February 24, 2011 5:27 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee 1 Commission q13AlftatiQr1$ ~be M,4hd1+F~t$1~ by aQxtauf3, Lml uflal"{Qr, QFQ1T}aI1ce, G?T. ffJ.`"~L„11UUY7fi. First Narrie* ffee, ~ Z$Wh '.ast,. , Sa . N6me* POdress" . City* 29~ Hut~bai'd' F'aris" State` TX Zip'" (X). 7~fl ' ~ , , ~ ~ T546~ ( ) 754G~ Tslephorae . (903)517-759 $ 23=4567'"" (903)1 Riryaort Advisoxy Brsard-_. [ 1 Wnici p~l E3ahd c ~t~+~s,`~qn , ' Areas of tFt#er'est [Xj Bwltdirri8r Staritlard$ i~t ~~arc1 Qf Pait~slt.arr~a~' Coc j j GSe~~ CoMmissten H"fth Pla~tn~n~ & Zonri~g Commiss~on ' ~1.. Ecanc>rrtic C~evvetapmer►#. 'a C ] p!~t,Ite t~lafary At~utsot~i ~aarc~ T►~ ~ , . , dor) C~rp4~ h r l Z°"~'uxg &iarcl of nf ic FreserYafion C*inrrti~io { ] Htstori . [ ] . Housipg. Au~rity Bt~'d taf GOtT1YCltSulO(16fS ; r c3i...~e ...,4a ~n"c~.ci,isnial.~rnnwlrat(na a,c~i►r`atieyn [Sr revtot~s merntier.of e°F34~jIdici9 A5 a t3 ar~,d Sterru~4t~is: Gommiss~t~, l _ disqualifcab4n I att#hpdze ttto City.af Pari& to verify ait inforrnatlon prdatded:fh th+5`;gPRIrCa#iorr ira acburdanr,e w O~W o e Locat Govemmerrt Cade; l understand`that in#ormitian pravided 'in tliis apoEon m~y b~ ~u~~l~bl~: to th~ publi~ uPQ~ r~~tes#,* tXI AgreE [ ] Disagree * indicates required fields. 1 11'7 The following form was submitted via your website: Application for Boards / Committee / Commission First Name: Zach Last Name: Saffle Address: 2995 Hubbard City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903)517-7515 Areas of Interest: Building & Standards Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: As a previous member of the Building and Standards Commission, I understand the importance of the work the commission does to provide a safer and more attractive community. I have also served on the Paris Main Street Advisory Board as a board member and board chairman. Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during rny term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 2124/2011 5:26:59 PM Submitted from IP Address: 99.64.232.61 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 f1. 8 BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximuin of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be inandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of lnterest ❑ Airport Advisory Board ❑ Municipal Band Commission ❑ Building & Standards Commission ❑ Paris/Lamar County Board of Health Civil Service Commission ❑ Planning & Zoning Commission Economic Development Corporation ❑ Public Library Advisory Board Historic Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ❑ Main Street Advisory Board Candidate Information Name: ~ ~M W Address: s~ Work Phone: ( f~'~ `i alSZIS~ ~ Home Phone: ~ O 7L~~ Fax: E-mail Address: d 1~z vc)- Please note any speeial knowledge, education, or experience you have that is applicable to the function of the board, commission, ar coinmittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City dwing my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notifieation of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Cade, i understand that inforniation provided in this app 'cation may be ~ava~lable to the public upon request. l Signature of Candidate: Date: _ For Citv Clerk's Use Only Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y, N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Parfs Revised 08/19/08 119 Janice Ellis From: support@civicplus.com Sent: Thursday, May 12, 2011 12:28 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris communi#y to serve on its standing boards, commissions, and committees. In general, it is the Gity Counci!'s policy to apPoint persons to a maximum of two conseeutive fuH three-year tertns on a given body. In addition to the general c#ualiflcations listed in the certification below, other qualificaNons may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requestsd below. First Name' Witliam Last Sanders (Bill) Name' Address* 3775 Eagle Bend City- Paris State' TX Zip' 75460 (X) 75462 75461 Telephone 903-517-6582 (903)123-4587* Areas of Inierest' Please note any speciat knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Airport Advisory Board Municipal Band Commission Buitding & Standards Commission Paris/Lamar County Board of [ ] Civil Service Commission Heafth (X] Economic Development [x] Planning & Zoning Commission Corporation Publie Library Advisory Board Historic PreservaEion Commission IX] Traffic Commission Housing Authaity Board of I l Zoning Board of Adjustment Commissioners [ j Street Advisory Board 1 have a BBS degree in Industrial Management from Texas Tech University. I had a 42 year career with CarnpbeH Soup Company, including assigments in production planning, tndustrial Engineering and Safety, Health and Security Director. I have been an OSHA trainer and lead the Paris Plant to the lowest injury rates and best Safety recorcis in the company. The plant also received the Texas Safety Award for the best safety programs in the State for 4 straight years. I was on the plant lesdership team which reported directly to the Plant Vice President. 1 am now retlred. f am activity with the Chamber of Commerce Ambassadors, the Optimist Club, and Blossom Church of Christ. I have the time, energy and desire to serve the community and would appreciate the consideration to serve on one of the City boards, commissions, or committees. Regards, Bill Sanders Certification and Authorization I acknowtedge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the Stafie of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indehtedness to the City during my tertn. I understand that the number o# positions on a given board, commi"Qn, or commdtee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future nottfleation of topics of interest. I cerGfy that the information given by me in this application is true and coirect and any false informatian or misrepresentation is sufficient grounds 1'or disqualification. I authorize the City of Paris to verify all infonnatian provided in this application. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this appfication may be available to the public upon request.' [X] Agree ' indicates required fields. [ ] Disagree 1 120 The following fonn was submitted via your website: Application for Boards / Committee / Commission First Name: William (Bill) Last Naine: Sanders Address: 3775 Eagle Bend City: Paris State: TX Zip:75462 Telephone (903) 123-4567: 903-517-6592 Areas of Interest: Economic Development Corporation,Planning & Zoning Commission,Traffic Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach a(lditional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I have a BBS degree in Industrial Management from Texas Tech University. I had a 42 year career with Campbell Soup Company, including assigments in production planning, Industrial Engineering and Safety, Health and Security Director. I have been an OSHA trainer and lead the Paris Plant to the lowest injury rates and best Safety records in the company. The plant also received the TeXas Safety Award for the best safety programs in the State for 4 straight years. I was on the plant leadership team which reported directly to the Plant Vice President. I am now retired. I am activity with tbe Chamber of Commerce Ambassadors, the Optimist Club, and Blossom Church of Christ. I have the time, energy and desire to serve the community and would appreciate the consideration to serve on one of the City boards, coinmissions, or committees. Regards, Bil] Sanders Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed 1 will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agee 101 Additional information: Form submitted on: 5/12/2011 12:27:45 PM Submitted from IP Address: 74.197.168.249 Referrer Page: http://www.paristexas.gov/forms.aspx Form Address: hftp://www.paristexas.qov/forms.a,spx?FID=69 3 i22 Janice Ellis From: support@civicplus.com Sent: Friday, May 13, 2011 11:46 AM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standirtg boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximum of two consecutive fuli three-year terms on a given body. In addition to the general qualifications Hsted in the certification betow, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infortna6on requested below. First Name' Jean Last Schweers Name Address* ' 5005 Old Clarksvilte Road City' Paris Statex TX ZiP* 75460 (X) 75462 Telephone 75461 (903) 123-4567' (903)737-8409 Areas of Interest" Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee ot interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization Airport Advisory Board [ j Municipal Band Commission Building & Standards Commission [ l Paris/Lamar County Board of ( J Civil Service Commission Health Economic Development ( l Planning & Zoning Commission Corporation Public Library Advisory Board Historic Preservation Commission IX] Traffic Commission Housing Authority Board of [ l Zoning Board of Adjustment Commissioners [ j Street Advisory Board I studied Civil Engineering for three years before completing a Bachelor of Science degree in Psychology. For fun, I am currendy taking classes at PJC with my last high school-aged homeschooled daughter and am re,ady to become invotved in improving the city of Paris. I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of ihe State of Texas regarding nepotism and conflicts of interest of appointees to City boarcis, commissions, and committees. I also certiry that if appointed 1 will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that t may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request.' [X] Agree indicates required fields. The following form was submitted via your website [ ) Disagree Application for Boards / Committee / Commission IP3 First Name: Jean Last Name: Schweers Address: 5005 Old Clarksville Road City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: (903)737-8409 Areas of Interest: Traffic Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, ar committees.: I studied Civil Engineering for three years before eompleting a Bachelor of Scienee degree in Psychology. For fun, I am currenily taking classes at PJC with my last high school-aged homeschooled daughter and am ready to become involved in improving the city of Paris. Certification and Authorization 1 acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the pu blic upon request.: Agree Additional Information: Form submitted on: 5/13/2011 11:45:33 AM Submitted from IP Address: 98.133.27.100 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www.Daristexas.gov/forms.a.§Px?FID=69 124 Janice Ellis From: support@civicplus.com Sent: Monday, May 16, 2011 12:18 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards J Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissiona, and committees. In general, n is the City Counci!'s pobcy to appofnt perspn$ to a maximum of two consecutive futl three-year tertns on a given body. In addition to the general qualifications 11sted in tfie certification betow, other qualifications may be mandated by statute, CiCy Charter, ordinance, or resolutlon. Please complete the information requested below. First Name* Marilyn Laat Smith Name' Address' 844 14th N.W. City' Paris State' TX ZiP" (x) 75460 ( ) 75462 Telephone (903)123-4567' Areas of Interest" Please note any special knowledge, education, or experience you have that is applicable to the functivn of the baard, commission, or committee of interest (attach aciditianal pages if necessary). if applicable, tist dales of senrice on any City boards, commissions, or committees. Certification and Authorization 903-784-5895 75461 Airport Advisary Board Municipel Band Commission [ l Bu►lding & Standards Commission N Paris/Lamar County Board of [ ) Civi1 Service Commission Health [X} Economic pevelopment (xl Planning & Zoning Commission Corporation [ j Publtc Library Advisory Board [ J Hfstoric Preservation Comrrrission f I Traffic Commission Housing Authority goard of [xJ 2oning Board of Adjustment Commissioners [ j Street Advisory Board May 12th Graduate af Lamar County Leadership I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and cortflicts of interest of appointees to Ciry boards, commisslons, and cammittees. I also certify that if appointed I witl attend at teast 75 percent of all regular meetings and shall not have any detinquent indebtedness to the City during my term. I understand that Ehe number of positions on a given board, commission, or committee is limited and that I may not be appanted; however, if I am not appointed, I agree to be plaeed in a dahabase for information given by me in this appGcation is true and corcect and any fat~sel~tnformabo~ Q~r~m'~t~~ of topies of interest, l certify that the disqualtficatian. I authorize the City of Paris to verify aq infom►atfon provided in this apptication,~In~ aecordance with Secti n 552 f the Local Govemment Code, I understand that information provided in this application may pe ava8able to the public upon request.' [XI Agree ' indicates required fields. The following form was submitted via your website ( ] Disa9ree Application for Boards / Committee / Commission 12 5' First Name: Marilyn Last Name: Smith Address: 844 14th N.W. City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903-784-5895 Areas of Interest: Economic Development Corporation,Paris/Lamar County Board of Health,Planning & Zoning Commission,Zoning Board of Adjustment Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, ar committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or coinmittees.: May 12th Graduate of Lamar County Leadership Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local GoverYUnent Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/16/2011 12:18:13 PM Submitted from IP Address: 66.76.72.25 Referrer Page: hftp://www.r)aristexas.gov/Forms.aspx Form Address: hftp://www.r)aristexas.gov/forms.aspx?FID=69 126 Janice Ellis From: support@civicplus.com Sent: Wednesday, April 27, 2011 11:22 AM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Appiication for Boards C Committee / Commission The Paris City Gouncil is seeking committed individuals who are dedicated to the weH-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to apppint persons to a maxtmum of two consecutive fuN three-year terms on a gtven body. In add+tion to the general qualifications listed in the cerpfication below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete Che information requested below. First Name" David Last Stewart M Name" Address` P.O. @ox 2 City# Petty State' TX. Zip' (X) 75460 75462 75470 O 75461 Telephone 903-517-4248 (903) 123-4567"' Areas of Interest' Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dafes af service on any City boards, commissions, or committees. Certification and Authorization I l airPart Advisory Board Municipal Band Commission Building &Standards Commission Paris/Lamar County Board of Health C1viE Service Commission [ J Ptanning & Zoning Commission [ j Econamic Development [ I Public Liixary Advisory Board Corporation [ ] Traff'►c Commission [X] Historic Preservation Commission ~ lZoning Board of Adjustment [ ] Housing Authority Board of Commissianers [ ] Street Advisory Board I have owned a historic building at 123 CtarksvHte for the last 2 years. In those 2 years, I've been before the commission on behaff of my building in order to make repairs and improve the fagade, giving m8 knowledge of procedures necessary to affect the preservation of my buitding I acknowledge that 1 am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I wiH attend at least 75 percent of all regular meetings and shafl not have any delinquent indebtedness to the City during my tertn. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database far possible future notiflcafion of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualficatlon. ! authorize the Ciry of Paris ta verify all informatian provided in thts application. In aceordance with Section 552 of the Locaf Govemment Code, I understand that infortnation provided in this application may be available to the public upon request." [X] Agree " indicales required flelds [ J Disagree The following form was submitted via your website: Application for Boards / Committee / Commission i 127 First Name: David M Last Name: Stewart Address: P.O. Box 2 City: Petty State: TX. 75470 Zip: 75460 Telephone (903) 123-4567: 903-517-4248 Areas of Interest: Historic Preservation Commission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I have owned a historic building at 123 Clarksville for the last 2 years. In those 2 years, I've been before the commission on behalf of my building in order to make repairs and improve the fa~ade, giving me knowledge of procedures necessary to affect the preservation of my building Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotisin and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular ineetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agee to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disquali:fication. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that infonnation provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 4/27/2011 11:21:31 AM Submitted from IP Address: 66.76.8,42 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: hftp://www.paristexas.gov/forms.aspx?FID=69 1~8 Janice Ellis From: support@civicplus.com Sent: Wednesday, May 11, 2011 9:57 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boarcls, commissions, and committees. tn general, it is the CiEy Courtcii's pplicy to appotnt persons to a maximum of two consecutlve fuH three-year terms on a gfven body. In addition to the general qualiflca#ions lisfed fn the certiftcation below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. First Name' Bennie Last Tschoemer Name' Address` 1911 Hamson City" Paris State" TX Zip" (X) 75460 O 75462 Telephone 7~1 903.784 4001 (903) 123-4567' . Areas of Interest" Airport Advisory Board [?l Municipal Band Commission Building & Standards Commission [ 1 Paris/Lamar County Board of [ ] Civil Service Commission Health [X] Economic Development [Xl Planning & Zoning Commission Corporation [ j Public Library Advisory Boarc! Historic Preservation Commission E 1 Traffic Commission Nousing Authority Board of [X] Zorting BoarcJ of Adjustment Commissioners Please note any special knowledge, education, or ri [ ] Street Advisory BoaM Since retirement from Paris ISD, work with a namber of or anizati i h expe ence you have that is applicable to the function of the board, commission, or committee of interest g ons w t online (intemet) database applications.. orgartizations indude USDLA (United States Distance Leaming Assn) Univ of Colorado UT-T f C (attach additionai pages if necessary). If applicable, list dates of service on any City boards , . , e e ampus, WCET(Westem Cooperative for Educational Telecommunications), etc.. also , commissions, or committees. currently am an adjunct instructor at PJC. Resume (not updated since I retired in 2006) can be vie d t h we a : ttp://www.conconnect.net/BIO-Bennie Tschoemer.pdf NOTE: the URL above is listed since I saw no way to ATTACH Certification and Authorization additional pages!!!???!! I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. t also certify that if appointed I wilt attend at teast 75 percent of aU regular meetings and shalf not have any delinquent indebEedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is timited and that I may not be appointed; hawever, if I am not appointed, I agree to be placed in a database fw possible future notiftcation of topics of interest. I certify that tlie information given by me in this application is true and correct and any fatse information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this apptication. In accordance with Section 552 of the Local GovemmerA Cade, I understand that information provided tn this application may be availabfe to the public upon request.* [Xj Agree ' indicates required fields. [ l Disagree 129 The following tonn was submitted via your website: Application for Boards / Committee / Commission First Name: Bennie Last Nanie: Tschoerner Address: 1911 Harrison City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903.784.4001 Areas of Interest: Economic Development Corporation,Municipal Band Commission,Planning & Zoning Coinmission,Zoning Board of Adjustment Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Since retirement from Paris ISD, work with a number of organizations with online (internet) database applications.. organizations include USDLA (United States Distance Learning Assn), Univ, of Colorado, UT-TeleCampus, WCET(Western Cooperative for Educational Telecommunications), etc.. also currently am an adjunct instructor at PJC. Resume (not updated since l retired in 2006) can be viewed at: http://www.conconnect.net/BIO-Bennie Tschoerner.pdf NOTE: the URL above is listed since I saw no way to ATTACH additional pages!!!???!! Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agee to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds far disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agee Additional Information: Form submitted on: 5/11/2011 9:56:40 PM Submitted from IP Address: 74.193.85.86 Referrer Page: http://www.paristexas.gov/forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 130 ~CITY OF PARIS VOLUNTEER APPLICATION BOARDS AND COMMISSIONS NAME: nclA vu RESIDENCE ADDRESS: SAa ;j isT ki c- i S -?J`A 6p Street - HOMEPHONE: C~p 3- rT85 - g(,~~ c~h' Zip PLACE OF EMPLOYMENT: P:~Z ( po-' + - ►y. c- ) EMPLOYER ADDRESS: ;)400 CAC,.~U. ttc &6 S eet BUSINESS PHONE: Please review the following questions: Are you eighteen years of age or older? Can you be contacted at your place of employment? Can you read and write the English language? Can you attend morning meetings prior to 8:00am? Can you attend meetings during the working hours of 8:00am - 12:00pm? Can you attend meetings during the working hours of 12:00pm - S:OOpm? Can you attend evening meetings after S:OOpm? Do you currently reside in the Paris city limits? 1 have been a resident of Paris since: Please indicate how many hours per month you can commit to meetings City '~o T es es es I Please review the list of boards, commissions, statutory corporations and government entities provided below: BOARDS AND COMMiSS10NS Airport Advisory Board Band Commission Building Commission Library Advisory Boazd Main Street Project Advisory Board Planning and Zoning Commission Traffic Commission Zoning Boazd of Adjustment 7s4&a Zip No No No No D5 0 .ti.e d...y s 60 No No No __0 STATUTORY CORPORATION & GOVERNMENT ENTITIES Housing Authority of the City of Pazis Pazis Economic Development Corporation Paris-Lamar County Board of Health I am interested in being considered for appointment to the following City of Paris board(s) or commission(s): 11~Ar'i " vi5vey ajo" c~ Signature• Date: .131 Janice Ellis F rom, support@civicpius.com Sent: Tuesday, May 10, 2011 10:51 AM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version, Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the uvell-being of the paris community to serve on its standing boards, commisslons, and committees. In general, it is the City Couneif's policy to appoirtt persons to a maximum of two consecutive fuh three-year tertns on a given body. In addition to the general quelftations t&,qted in the CertifiCetion bglpw, other qualifrcations may be mandated by statute, City Charter, ordinance, or resolution. Plsase complete the informaton requested below. First Name' Ben Last Vaughan Address ` Name* City' 1225 SE 20th Paris State' TX Zip' (X) 75460 75462 Telephone (903) 123-4587' Areas of Interest' Please note any special kno,,vledge, education, or experience you have thst is appficable to the function of the board, commission, ar committee of interest (attach additional pages if necessary). If appticable, list dates of service on any City boards, commissions,. or committees. Certification and Authorization (903) 785-2759 75461 I J Airport Advisory Board [ J Municipal Band Commission Buitding & Standarcis Paris/Lamar County Board of Commission Health Civil Service Commission Planning & Zoning Commission [ J Economic Development I) PubNc Library Advisory Board Corporation [ j Traffie Commission [Xj Historic Preservatian Commission I I Zonrn9 Boerd of AdjLStment [ ] Housing Authority Board af Commissioners [ ] Street Advisory Board I currently serve on the HPC. Home builder in Paris since 1974 Currently restoring / renovating histaric homes on Church St MS Edueational Psychology; l'AMU-Commerce I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and corrflicts of interest of appointees to City boarcls, commissions, and committees. I also certify that if appointed I wi11 attend at least 75 percent of ali regular meetings and shaQ not have any delinquertt indebtedness to the Ciry during my term. f understand that tMe number of positions on a given board, commission, or committee is limited and that I may not be appointed; howevef, if I am not appointed, I agree to be placed in a database for possible future notiflcation of tbpics of interest. I certify that the information given by me in this application is true and correct and any false information or mlsrepresentation is sufficient grounds for ifica the City Locala'Go etmment CodeZ I unders andthat infonna~tion' pro infoffnation pmvided may be available o the nc ~th Section 552 of the pub ic upon request. i [XJ Agree ` andicates reqwred fields. [ j Disagree The following fonn was submitted via your website: Application for Boards / Committee / Commission 0 2 First Naine: Ben Last Name: Vaughan Address: 1225 SE 20th City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (903) 785-2759 Areas of Interest: Historic Preservation Coinmission Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, ]ist dates of service on any City boards, commissions, or committees.: I currently serve on the HPC. Home builder in Paris since 1974 Currently restoring / renovating historic hnmes on Church St MS Educational Psychology; TAMU- Commerce Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and coinmittees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and sha11 not have any delinquent indebtedness to the City during my term. 1 understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database far possible future notification of topics of interest. I certify that the information given by me in this application is true and correet and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 5/10/2011 10:50:34 AM Submitted from IP Address: 209.86.226.19 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: http://www.paristexas aov/forms aspx?FID=69 I ~ti