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17-Resolution appointing members to the various Boards, Commissions and CommitteesCITY COUNCIL AGENDA ITEM BRIEFING SHEET Submittal Date: Originating Department: Presented By: Agenda Item No.: OS/26/11 Council Date: City Council Gene Anderson 17. 06/27/11 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 Z Resolution Budgeted Amt. ❑ Presentation ❑ Ordinance y'I'D Actual ❑ Public Hearing ❑ Other Acct. Name Acct. Number FISCAL NOTES: REVIEWED AND APPROVED BY: Z Administration Z City Clerk ❑ Community Development ❑ EMS/IT ❑ Eng. ❑ Finance ❑ Fire ❑ Municipal Court Z Legal ❑ Library ❑ Police ❑ Public Works ❑ Urilities City of Paris Revised 2/04/08 121 RESOLUTION N0. 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: Dan Smith Chad Brown Planning & Zoning: Benny Plata Vacant Vacant 122 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. That the following appointments are hereby made to the Library to serve a three year term from July 1, 2011 to June 30, Section 6. That the following appointments are hereby made to the Main Street Advisory Board: to serve a three year term from July 1, 2011 to June 30, 2014. 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 123 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 271h day of June, 2011. Joe McCarthy, Mayor Pro Tem ATTEST: Janice Ellis, City Clerk APPROVED AS TO FORM: W. Kent McIlyar, City Attorney 124 POLICIES AND PROCEDURES 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 Corporation (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) ar 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 06/28/10 126 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 year three. 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 terms. 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 Apri12008, those terms shall be extended to include the time period prior to April 2008 and run through the next appointments in Apri12009. VACANCIES 2. Appointees to vacant positions will serve the remainder of their predecessor's unexpired term. 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 ~ 12 7 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 - 1 1.28 BOARDS, COMMISSIONS, AND COMMITTEES This list describes each of the City of Paris' standing citizen boards, commissions, and committees. Committees include one Council Member liaison and one or more City staff liaisons appointed as an ex- officio members. The Mayor and City Manager also serve as ex-officio members to each committee. Ex- officio liaison members inay 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: l. No delinquent indebtedness to the City. 2. No family relationship within the second degree by affinity (marriage) ar within the third degree by consanguinity (blood) to any member of the city council or to the City 1Vlanager. 3. No conflict between the appointee's private interests and duties and their interests and duties as a committee member. 4. Attendance at a minimum of 75 percent of all regular meetings. In order to improve the diversity and community 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, priar 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 terms. Appointees are not prohibited from serving on additional 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 By: 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 05/01/2009 - 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 Liaison Edwin Pickle Staff Liaison Shawn Napier Student Liaison Davis White City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 - 1 129 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 submitted 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 Ausbum (At-large) 07/01/2010 - 06/30/2013 (V&CC) 07/01/2010 - 06/30/2013 Council Liaison Edwin Pickle Staff Liaison Student Liaison BUILDING AND STANDARDS COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 3rd Monday Meeting Time: 4:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Evaluates and declares structures dangerous or substandard and determines 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 - 04/30/201 l 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 Noms 07/01 /2010 - 06/30/2013 Council Liaison Stephen Brown Staff Liaison Shawn Napier Student Liaison Matt Duren City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 -1 130 CIVIL SERVICE COMM1SSiON No. of Members: 3 Length of Term: 3 yrs. Appointed By: City Manager Regular Meeting Day: As Needed Meeting Time: TBD Meeting Location: City Hall Duties/Purpose: Adopts rules and investigates matters related to enfarcement 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 Herbert Preston 1 / 1 /2010 -12/31 /2013 Howard Corriston 1 / 1 /2008 -12/31 /2011 Sims Norment 1/ 1/2009 - 12/31 /2012 Council Lisison N/A Staff Liaison Sandy Collard HISTORIC PRESERVATION COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 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; apprave/disapprove certificates of appropriateness; provide design and other reasonable forins 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 Praperty) 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 - - 131 HOUSING AUTHORITY OF THE CITY OF PARIS No. of Members: 5 Length of Term: 2 yrs. & 1 yr. Appointed By: 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 term; four have two year staggered terms. Current Members Term Donald Shelton 7/1/2011 - 6/30/2013 Aunette 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 ta 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 05/01/2009 - 04/30/2012 Deborah Anderson 05/01 /2009 - 04/30/2012 Deborah Hatley 07/01/2010 - 06/30/2013 Hilda Mallory 07/0l/2010 - 04/30/2013 Council Liaison John Wright Staff Liaison Priscilla McAnally Student Liaison City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 ~ , 19 ~ 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 Mem6ers 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 OS/O 1/2009 - 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 05/01/2009 - 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 AnRlin (PJC President - Ex-Officio) . _ . . . Council Liaison John Wright Staff Liaison N/A City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 _ ` ~J~ PARIS/LAMAR COUNTY ADVISORY BOARD OF HEALTH No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council & Commissioners Court Regular Meeting Day: 3`d Monday Meeting Time: 4:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Advises the Health Department 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) OS/O 1/2009 - 04/30/2011 Brady Fisher (Citizen) 05/01/2009 - 04/30/2011 Mr. Larry Reaves (Citizen) 05/01/2009 - 04/30/2012 Dr. Robert Moseley (Doctor of Dental Science) OS/Ol /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 PLANNING AND ZONING COMM1SS10N No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: ls` 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 - 04/30/201 l Benny 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 07/0l/2010 - 04/30/2013 James Price 07/01/2010 - 04/30/2013 Council Liaison Jason Rogers Staff Liaison Shawn Napier Student Liaison Elizabetb Flick City of Paris Boards, Commissions, and Committees Description Revised 05/24/2011 -1. 134 TRAFFIC COMMISSION No. of Members: 7 Length of Term: 3 yrs. Appointed By: City Council Regular Meeting Day: 1" Tuesday Meeting Time: 6:00 p.m. Meeting Location: Council Chamber Duties/Purpose: Reviews requests for traffic control measures and proposes measures desigmed to minimize traffic safety problems resulting from vehicular traffic in Paris. Members must be residents of the city. Current Members Term George Kimbrough 05/10/201 l- 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 Lisison 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 OS/O 1/2009 - 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 B D. Glass 05/10/2011 - 06/30/2014 a 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. -1 135 VISITORS & CONVENTION COUNCIL (MAYOR, CITY MANAGER 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 annua] 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 136 BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris cominunity to serve on its standing boards, coinmissions, 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 inandated by statute, City Charter, ordinance, ar 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 Candidate Information ❑ Municipa] Band Commission ❑ ParislLamar County Board of Health ~ Planning & Zoning Coimnission ❑ Public Library Advisory Board ❑ Traffic Commission Zoning Board of Adjustment Name: y Address: c' ~ Work Phone: 1C" ~ 07 V l.,~ ,.!L Home Phone: 2 -!f' 1 ` 51Z 3 Fax: E-mail Address: Please note any special knowledge, education, or experience you have that is applicable to the function of ihe board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. 27' ~ / /"i-:i IR (z ~ / d'r% C~ 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 conflict-, of interest of appointees to Ciiy boards, commissions, and committees. I also certify that if appointed I will atCend at least 75 percent of all regular meetin};s 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 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 tliat the inforniation given by me in this application is true and correct and any false information or misrepresentat' sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this applicat' n. In accordance with Section 552 of the Local Government Code, 1 understand that information provided in this a licat' ay be available to t Ic upon re st. Signature of Candidate: Zzli~ Date:LZ Wz-, 1 f - / For Cit Clerk,s Use Onl Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 67 Previous Service: 0 12 3 4 5 6 Cit,y of Paris MAY 12 2011 . . 1J7 Revised 02/19/08 Janice Ellis 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 Addtess"' City'" Tetephane (903)123-4567"` Areas of I t' Please nate any special know{edge, educgtian, or experience you have ttW is appficaMe to the fur►ction of the board, commissictn, or comtni#tee at interest (attach additional pages if'necessary). If app4icable, list dates of gsrviee on any City boards, commissions or committees. Certification and Au#horization I acknowledge that I am aware and agrae to the prohibitions of tt►e Cityr af Paris Charter and the laws of the Stat+s of Texas reorciing nepatism aruf conflic#s of interest of appoirrtees to City boards, cammissions, and committeos. I atso certify that if appoin#ed f wiit attend at least 75 pencerrt af alt regular meetings and shalt not have any detinquent kidebtedrtess ta the City dciuing rny term. I understand that the numtler o# pasitivns on a given board, commisWon, or cammittee is iimitett and that t may ntat be appointod; however, if t am not appoirfted, 1 agree to be placed in a database for pmible future rtotif'icaNon af topics of intsarest. I Certify that the information given by me in #his application is true and correcf and any fa1se infowmation or rnisreprew►dation is sutfieient grawuis for ' disqualificafian. k au#harize the City of Paris to verify att information provi;ied in this appfiCadvn. In accordance with Section 552 a€ the Local Govemment Code, I understand that informatian provided in this applicat3on may be avaitabte to the pubffc upcrn request'` [X] Agree * indicates required fields. [ ) Disagres The following form was submitted via your website: Application for Boards / Committee / Commission 11 113O Fi1'St N8m6* 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 committee 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 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: 5/11/2011 6:44:33 PM Submitted from IP Address: 70.251.93.64 Referrer Page: No referrer - Direct link Form Address: http://www.paristexas.gov/forms.aspx?FID=69 139 _ t BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the we11-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 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 Coininission ❑ Economic Development Corporation ❑ Public Library Advisory Board Historic Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment Pq Main Street Advisory Board Candidate Information Name: I\1 Ch Y"Ay-.. q I I P Y-Sk Address: 2~2_ 1 ~ 1' CA Y- Z Work Phone: !)k,3 - ~ S ) - 14 11 Home Phone: Fax: E-mail Address: )~9eA r~ oV,e v) Y, 65 ~(4 hc L, (trr) 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. ~ Ir'el'.v v~ 7 r,r ~3~ e r~ 1 r~ ~\Q A ti` Y Z\ 0~ ti 1'l ~ v\:.{ si -T A►'~,4m ia v~ ~ol r i s \A 64ty-5 QA ti\Cc.~ ~cr I\, Tt`ti Yr\ X:nt'ri P/'tC C 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 tenn. I understand that the number of positions on a given board, conunission, or commitCee is lituited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notificatiou of topics of interest. I certify that the information given by me in tbis application is true and correct and any false inforniation 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 Locai Government Code, I understand that information provided in this application may be available to the public upon request. Signature of Candidate: Q-1 ~ A,Date:_ For Ci+y Cierk's Use Oniv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 S b City of Faris Revised 02/19/08 140 Janice Ellis From: support@civicplus.com Sent: Monday, May 02, 2011 4:48 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Appiication for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards 1 Committee 1 Commission [Xl Agree ` indicates required fields. C ] ~I&Vree The following form was submitted via your website: Application for Boards / Committee / Commission -1 141 First Name: Vicki Last Name: Ballard Address: ] 465 NE 20th City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903-491-9240 Areas of Interest: Building & Standards Commission Please note any special knowledge, education, ar 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.: 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 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 al] 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: 5/2/2011 4:48:11 PM Submitted from IP Address: 75.109.205.77 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: http:l/www.paristexas.qov/forms.aspx?FID=69 z _ ~ 142 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 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 ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission EP~ublic Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Candidate Information Name: -76- Address: L-. Work Phone: , Home Phone:_ 90 Fax: E-mai l Address: q~~ n u~, dp, ~ boo ~~s )g c, r',-) 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. V c ~ca i c a 7. r~ ~ ~ ~ ~l%-( (u e.)rq 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 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 futurF 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. Signature of Candidate: %~%_Z: Date: For Citv Cierk's Use *tgly Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotisms Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 1- 143 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 / Committee ! Commission First Name" . Loo. _ . . ; Address* 426 AC Citar"' ~ Stoo. 'FX ZW ()4. 1 W'; , w7m 0 Telephone (003) 715,,M, (933) t23 ~Ii ARpodMWiWY OOW Rms of Irtto"W & Cormo pq HWaft Pn iarn CWW: WkW, k [I PfEwsft AtVwrity Wwd czf Ccurafr~i~et~~s ftest'~~~ ~ft rk.; ; 552 of the te41t:*' [XJ Agree ' indicates required fields. [ j Disagree 1 44 The following fonn was submitted via your website: Application for Boards / Committee / Commission 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 corrunittee 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. I authorize the City of Paris to verify all infonnation provided in this application. In accordanee 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: 2/7/2011 5:00:24 PM Submitted from IP Address: 67.64.130.1 v2~ 45 Referrer Page: http://paristexas.gov/Forms.aspx Form Address: http://paristexas.qov/forms.aspx?FID=69 3~- - 146 Janice Ellis From: support@civicplus.com Sent: Friday, May 06, 2011 3:57 PM To: Janice Eilis; 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 ~ ~ ~ ~ ~ Cc~►~i~~sr~ 5UW~AdWeory Soard ~ Piease nots'onv sDeciW Wwwlecao, eiucation, ar 1'ra c4rriently senoitg on Mah Stw.Adyisory Sowtf ani:l woWd W* to becorm expe[ience of the boarr (attach add list dates a1 tD the UwdQn n►om Wwolved in ow city. a Interest tf appuowbe, t aeknowledge Viet !am awara artct aWee to the pmhiN nepotism and cwflicts of trftrest of appantees to'City i attend a# ie 76 pomWA of a# regulOr rreetings Wnd $l understand t Oe nurnbo€ of posWans an a gt"n bcag however, if tam not appointed, t agree to be pkcad in a database for possiblo tuUM nOUROM" +aT IOpKS aT lnmfw- F cw+wy ~Uto inforrnation aliven by ►r+a tn Ois appEicaE#csn ia lsrtm and carrect Wtf any fafte WO M tr tio►'t is W nt gW 10r disqualificaftan. t aufhodze the City ef Faris to verify alt inf(xmatkn prcrvtdof in this aapkation. accon1la~ ~$Pcw" 562 Of t1e Locat Govemment Code, tunderstand that infnrmatim provided in this appticatitm mai be avallable to tfte pualiC erpon ceWee#.* [X] Agree [ ] Disagres * indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Coinmission i . 147 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 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'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 appoinXees 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.: Agnee Additional Information: Form submitted on: 5/6/2011 3:57:23 PM Submitted from IP Address: 99.89.170.195 Referrer Page: http://www.r)aristexas.gov/Forms.aspx Form Address: http://www.paristexas.aov/forms aspx?FID=69 148 Robin Norwood From: Janice Ellis Sent: Monday, June 13, 2011 9:09 AM To: Robin Norwood Subject: FW: Online Form Submittal: Application for Boards / Committee / Commission Please make fourteen copies (can be front and back). I need this for the meeting tonight. From: support@civicplus.com [mailto:support@civicplus.com] Sent: Monday, June 13, 2011 9:01 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 TMe Paris Oty Cowxi4 ~ ~ ft cwwnWae!d &ndi' ls wt* as`tt~ Wto #0 W0 . .v , %014e, Far, 5~~~ ~ ~ W"Its stancling *ad corW .'IeF ~rW,,, ~ ~4t01r1~1~kR [C~.~it~,,~i.to~ GtUBri~'f ` IY14'~~l ~ r~'[~I4R1+ vr~y w1-tv an-- • - - First Name'"' Rw'idy L8st ' ftmch Iwt~" Address" 338{t 1Mi#ow Senci CityK Poft 8tos* ; TX ZI0"` 0 76W : ()7501 Telephone (803) 78t-5184 (903)1234587"` [ l MW Advisary Soard pq' Mu . our Areas of trtterest* [ ] SuildirV 8, Stant3ards Gomminii~t & pwmft L 3 clv# service COMMISSW ~ 3Putk L t l E+~nornic ~vs#ct~nt ~r~ratkarr ; +~,nu~! ~ I l HE#stwic Preaervation COMM~"On zoft Board of A*wtrnertt [ ] Nousing Authorltyr Baard of Cctrtttrtissioners [ ] Sb?eet Acivisary Boarci Ptease note ar~ty special tmowledge, educagan, 1 have !,een senring on this ccxnm#ssio't for severat YeaFS.1 hwe constderakl9 or expenom ' you have thaf is app~kable to ft knomftdge of budget comornS, membership and sore as tte acte mornbw o# tw funetian of the board, cammisstion, or band as ouUined by the Band CcrmmMion byrWm asWASW about 8-10 ' ago. committee of irtter+est (aftach adctffiOnat Pa9es if necessary). ff applicabte, list dates af servics on any City bae+cf.s, eamrnissior►s, or committees. Certification and Authorization I acknovukwdge that 1 arn aware and agree ta fhe ptoMitiarrs of the Cify of Paris ChaftF and the iwA.of t~ State aF Texas regarft nepotisrn and conf#icts of trt#erest of appoOtm to City bowds, wmnni s, atW laiso 'if appointed tvAN attend aE ieast 75 perconi of aN regutar meefts and shall not have arty dekxWM trx4et4edrtess to the City c'urft my ttttm, t understand that the tlumber of pasifts art a given board, commWsion, or camrtaifte is Hmfted ani that t may not be appointed; however, if 1 am nat appointed, k agree'to be placed in a datatase fot po"bte futuro nadkaftrt of topim of irAet+ost. Eoartffjt that the information given by r►e in this apptica#ior► is true and r.arrect artd any fatw MfwmafJDr► or misre is wftent gmonds far disqualif►catron.l authariae ths City+ of Paris to verity aN irrfarrnAtior► pravidet! in tltiis ..tn. ln aWoMance wwtt SecLion 562 o# the lacai GowemmeM Cocte: r UMdB( ESL3fKI ftt IFlfOrt118Eion p(E)YWBd t►1 ttiS Bppkafi4F'F 1'my be ava1Iable, to Vie Gubitc"~ ~~WftV [X] A9ree [ } Disagree 1 149 * indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission First Name: Randy Last Name: Bunch Address: 3380 Willow Bend City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: (903) 784-5184 Areas of Interest: Municipal Band 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 cornmittees.: I have been serving on this commission for several years. I have considerable knowledge of budget concerns, membership and serve as the active member of the band as outlined by the Band Commission bylaws established about 8-10 years ago. 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 disqualif cation. 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: 6/13/2011 9:01:09 AM Submitted from IP Address: 74.193.83.121 _1 150 Referrer Page: http://www.paristexas.gov/Forms.aspx 69 Form Address: htti)://www.paristexas.clov/forms.aspx?FID= 151 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 StreeUP.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission A Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Boar!of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: l,7J 1r Lt.ir -li - Address: 2 4'S-" +2-» Work Phone: k -C Fax: 419jHome Phone:s0- 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 I , or committees. LV~a~ ~ LLJ1 vadb~ , S _t7 i S 1 G.+~'~d.1A L.L1l ~1 VY► LL1r s IOL) , • 1t7 Certification and Authorizahon Sllty ~cL.n ` D Wn. ~ ~~','o u l aa D~rw►a. ►1\ 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 regutar 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 1 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. In accordance with Section 552 of the Local Government Code, 1 understand that information provided in this appl' tion may be available to e public upon request. Signature of Candidate: Date: f l . d~ T. For Citv Clerk's Use Onlv , ` Conflict of Interesh Y/ N Indebtedness: Y i N Nepodsm: Y/ N Dist.: 1 2 3 4 S 6e+'tie~14 i4 5 6 City of Paris . 152 BY; 7: 02/19/08 Y''~ o~ t~-,r; ~.l~-~- i r»d~~- ~t c.►.~ , vv l~Joc~•r~ l 9 7Ds ~ Y ` ~5S 1.S~Lv[~l. .L=G.G1~1[~Yfn f~L~ ~~LV11~/?~ LL~~ ~`o c.L~l.ct.~J o H il 4-Lll I`I 71~ s u. ti.~. c-Q.1 ~1 ~D.,s w►~-~ cl is+r ,I uj; ouj~o ~'sY',' c, S n~►a'f'f'd,c ~ 1 Y'~dY' Lu.vwu.Y l.~o.a..v~,~~ ~~c.e,m.l~l~1r- o~~oVv►w~.llrt~L ~ 97~ ~ S ~ t , _ . 1;9 3 Janice Ellis NNAMN~ 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 / Commission I ackn lhat {am aware and agree tO nepatism oid cxsrtflicts af lrtWest ot appoft* attend at Iost 75 peeeed of a1t t?agtdaf inest understand, that the number esf posftns s cn a however, if !am not appointed, t agee to be infomiatian given #ay me in this appOcat#an is disqualificattatl. 1 auftrize #he CiEy a# Patis I Local Govemment Cad+s, l u+nderstand that ir [XI p9Feg ` indicates required fields. arW cocrect atrd suty an proukied in fhis application mely be av~i [ ] Disa9r" The following form was submitted via your website: Application for Boards / Committee / Commission i 154 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 Commission,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 former newspaper editor, teacher and public relations advisor. I am a Kiwanis Club of Paris member and have recently completed a book of short stories (cunently 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 delinyuent indebtedness to the City during my tenn. 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 notification of topics of interest. I certify that the information griven 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.gov/forms.Mx?F[D=69 2 155 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 I Committee / Commission " indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission 1 156 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, commissions, 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 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 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 I am not appointed, l 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 Add itional I nformation: 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 z 15'7 BOARD/COMMISSTON/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, crnnmissions, and committees. 1n 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 Gharter, 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/Comnuttee of lnterest ❑ Ailport 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 N ❑ Municipal Band Commission ❑ Paris/Lamar Gounty Board of Health ~ Planning & Zoning Cominission ❑ Public Library Advisory Board ❑ Traffc Cominission ~ Zoning Board of Adjustment ame• . _,~r_ Address: S% ..?lr /~f /Yl C / ' Work Phone: 7C+ '7 ~7 ,1 1:: Home Phone: J' 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, coinmissions, 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. 1 also cerGify that if appointed I will attend at least 75 percent of all regular meetings and shail 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 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 inforniation given by me in this application is true and correct and any false inforniation or misrepresentat' ~ sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in diis applicat' n. ln accordance with Section 552 of the Local Government Code, 1 understand that information provided in this a ticat ay be available to t c upon re st. 1~ / Signature of Candidate: Z Date:~~ For Citv Clerk's Use Only Conflict of Interest: Y i N Indebtedness: Y; N Nepotism: Y /N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 Citv of Paris Revised 02/19/08 MAY 1 Z 2~1~ ~ ~~~158 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 I Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Appiication for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to Et►e well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's potiey to appoint persons to a maximum of two consecutive ful{ three-year terms on a given body. In addiUon to the generai qualificaGons {isied in the certificafiion below, other qualifications may be martdated by statute, City Charter, ordinance, or resolutian. Please complete the information requested below. First Name* Jerry Last Haning Name' Address" 1213 Pine Bluff Paris State TX Zip' (X) 75460 75462 City" ) 75461 Telephone (903) 123-4567* Areas of InUerest* Please note any specia( know{edge, education, or experience you have that is applicable to the function of the boarci, 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 ~ 903491-9349 903-784-4034 Airport Advisory Boar'd Municipal Band Commission Building & Standards. Commission f l Pa►'►s/Lamar County Board of [ ] Civil Service Commission Health Economic Development Ixl Planning & Zoning Commission Corporation Pubiic Library Advisory Board Historic Preservation Commission Traffic Commission Housing Authority Board of [x] Z~~ing Board of Adjustment Commissioners [ ] Street Advisory Baard Served on Fire and Building Code Review Committee in 2010. Was a homehuilder 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. 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 inter+est of appointees to City boarcls, commissions, and committees. I atso certify that if appointed I will attend at teast 75 percent of all regular meetings and shall not have any delinquent indebtedness to the Ciry during my term. I understand that the number of positions on a given board, commission, ar 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 certity that the information given by me in this application is true and corneCt and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this apptication. {n accordance with Section 552 of the Local Govemment Code, I understand that information provided in this appiication may be avaitabte ta the public upon request.` [XJ Agree ` indicates required fields. [ ] Disagree The following form was submitted via your website: Application for Boards / Committee / Corrunission 159 First Nalne: 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 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. ln 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 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 U~~- - 160 BOARD/COM:MISSION/COMMITTEE APPLICATION The Paris City Council is seeking conlmitted 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 tnandated 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 ❑ Municipal Band Commission ❑ Building & Standards Cominission ❑ Paris/Lamar County Board of Health ❑ Civil Service Commission ❑ Planning & Zoning Cominission ❑ Economic Development Corporation ❑ Public Library Advisory Board F)~ Historic Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ~ Main Street Advisory Board Candidate Information Name: I\I A V1C V I+ V-\A f r^_ Address: , ~G'1 11 P7 h 2 ~ ~U~_~`T~• ~ ~ ~ ~ ~ Work Phone: ~ I ~(S ° ~11M Home Phone: Fax: E-mail Address: )z, r~ o'Ve n n 6s &2~p VNv l~(~ ° C ►lr") Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or coinmittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Wya_~~5~ r ~ _~r' p t4S Qz_ l4~UY t' K-71f ~"t i rttv ~7 ~ a. Ye c 1YN )~1Q LY6a-P ►M GT P~~iv~S uAf vx ~(A r- is A 4'~Al+"s i,) le„CrvA(`oA i4 k Tr&nA _RYcxs A" ~3.Z.► ~s. tX flerletlc t 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 least 75 percent of all regular meefings 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 ro 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 inforniation 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 applicatio lmay be available to the public upon request. Signature of Candidate: ~-1 ~~r~ Date:~.3 For CittiClerk's Use Onl Conflict of Interest: Y/ N Indebtedness: Y/ N Nepodsm: Y/ N Dist.: I 2 3 4 5 6 7 Previous Service: 0 l 2 3 4 5 6 City of Paris Revised 02/19/08 ~ , 161 Janice Ellis From: support@civicplus.com Sent: Monday, May 02, 2011 4:48 PM To: Janice Ellis; Denene Tayior Subject: Online Form Submittal: Application for Boards I 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 cammitted individuals who are dedicated to the well-be'rng of the Paris community to serve on its standing boa►ds, commissions, and committees. In generai, it is the City Counci!'s poticy to appoint persons to a maximum of two consecutive fukt three-year teRns on a given body. In addition to the gene~rai guelifleatiflns Nsted in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, o~e~aolut[on. Rfease compfete the ininrmation requested befow. First Name" Vicki Last Batlarti Name* Address" 1465 NE 20fh Ciry" Paris Stats° TX Zip' (X) 75460 75462 75461 Telephone (903)1234567* Areas of Interest' 903-491-5240 [ ) Airpwt Advisory Basnd [x] Bu'sfdinq & Standards Commission ( ] Civil Service Comrttission [ j Econorrric Devefopment CorporaNon ( ] Historic Presenrstion Commisssion [ l Housing Autharity Board of Commiss[oners Street Advisory Board CuRently serve on this board. [ } Municipal Band Commission [ j Paris/tamar County Board of Health [ ] Planr►aig & Zonitig ComrMseion [ ] Public Litxary Advisory Board [ j Traffie Comm"ion ~ J Zoning Board of Adjustment Please note any special knovvledge, 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 senrice on any City boards, commissions, or committees. Certification and Authorization I acknowledge that 1 am aware and agree to the prohibitions of the City of Paris Charter and the Isws of the State of Texas regarcling nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I atso certify that if appointed I will attend at least 75 petcent of all regular meetings and shati not have any deiinquent indeht+adness tv the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and thaf t may not be appointed; however, if I am not appointed, t agree to be placed in a database for possibte future notification of topics of interest I certify tha# the information given by me in this application is tnae and correct and any fatse informaYon or misrepresentaUon is sufficient grounds for disqualification. I authorize the City of Paris to veriiy atl infnrmation provided in this application. Irt accorcJance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.' [X] Agree * indicates required fields. [ I Disagree The following form was submitted via your website: Application for Boards / Committee / Commission 16~ First Naine: Vicki Last Name: Ballard Address: 1465 NE 20th City: 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 committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, cominissions, or committees.: Cunently serve on this board. Certrfication 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 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 far possible future notification of topics of interest. 1 certiiy that the infonnation 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 inay 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: hftp://www.r)aristexas.gov/Forms.asl)x Form Address: hftp://www.r)aristexas.qov/forms.asox?FID=69 `..-1.63 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. 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 ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission 11, EP1~ublic Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: f~a~" Lvl c20k5 _ Address: ~ [P _C' ~ (c,-fL, . _5 Work Phone: Fax: _ Home Phone: 90 -31'~/ P ~I - ~ b' ~l / E-mail Address: q [e n u nc,/ioc.4boo Oav~'x~ i/, ~c, s°''~ 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. ~ar!/S iqh ~ Qa r l S .J Cfii 1 vr (11 ~ - e-IJ-r cQ ~ 4r:P l ' rn, ~ rS C . w_ j~k ry4i , C; qi ` Certification and Authorization 1 1-1r5 , - C 1Z a I s Dr. e-~,-/ S e-e.. - By signing below, 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 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. 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. Signature of Candidate: Date:-.- f Ror 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 12 3 4 5 6 City of Paris Revised 08/19/08 164 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 I Commission If you are having problems viewing this HTML email, click to view a Text version. App{ication for Boards I Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being af the Paris community to serve on its standing boards, commissions, and committees. In general, it is the Cityy CounciPs policy to appois►t qersons to a mauirrrum of twa consecutive fW4 three-year tsmts on a given body. In addition to the general qualifications tisteci in the certHicatlon betorivv, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. First Name" Britin Last Bostick NFame" Address' 425 South Chufch city, Paris State' TX Zip' (X) 75480 O 75462 ( ) 75481 Telephone (903) 715-1303 (903)123-4567' Airport Advisorry Board Municipa{ Band Commission Areas of Interest' Bui#ding & Stanciafds ParislLamar Ccwnty Board of Commission MeaRh Civil Service Commission [ I Piann+ng & Zoning Commission Economic Development [ l Public Library Advisory BoaM Traffic Comm"on Corporatian [X] Historic Rreservation Camrt"sion [ I Zoning Bosrd of Adjustment I l Housing Auihority Board of Commissioners [ ] Street Advisory Board Please note any specia{ knowiedge, education, or i f Bachelor o# Environmerrtal Design from Tsr.as A&M Urtiversity wtth a minar in Ma{n Street Advisory Board member sinCe Aptfl t & Archifectural klistory A on unct experience you have tt►a# is appiicabie to the or committee of interest commission of the board . r 2010. I am very involved in downtown Paris and see ama2ing potential far , , (attach addittonal pages if necessary). If applicable, list dates of 5ervice on any City boards, commissions, increasing our visibNity as a destnation tbr heritage tourism and weekend stays! 1 am committed 4o pramoting amall business growth and development in or committees. our historic district while respecting the context of historic architecture and hope to be abte t4 use my profaasional abllMes for the betterment of the community! Certification and Authoriaation 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 regaMing nepotism and conflicts of interest of appointees to City boards, commissbns, and cammittees. l also certity that if appointed { vvilt attend at least 75 perceM of ali regular meetings and shaN not have any delinqusni indebtednes$ to the City during my tenn. I understand that the number of pasitions on a given board, commission, or committee is i'Emited and that I may no# be sppointed; however, if i am not appointed, I agree to be placed in a database for posstble tuture notif"tian af topics of interest. I certlfy that the information glven by me in this application is true and correct and any false information or misrepnesentation is sufficient grounds for disqualification. 1 authoriae the Gity o€ Paris to verify all information provkied in this applicatlan. !n accordance with Stection 552 of the Local Govemment Cods, I understand that 'rnforrnation provided in this appiicabon rray te avaitabie to tlhe public upon reqaest." [X] Agree ' indicates required fields. [ ] Disagree _ _ 165 The following fonn was submitted via your website: Application for Boards / Committee / Coinmission 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 Coinlnission 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 Apri] 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 l 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 sha11 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 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 Govenunent 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: 67.64.130.1 166 Referrer Page: http://paristexas.gov/Forms.aspx Form Address: hftp://paristexas.gov/forms.aspx?FID=69 - 16'7 Janice Ellis 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 / Commission The Paris City Council is sesking committed individuals who are dedicatect to tl1e wet!-being of the Paris community to serve on its standing boarcis, commissions, and committees. In general, it is me efty coWnaf's paky to appoint persons to a maximum of two consecutive futl three-year terms on a given body. In addition to the general quaNcaWns llstetl in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolutIon. PEease complete the information reqaested betow. Fiest Name' ~ame$ Last Br'OCkway Name' Address* 3350 Robin Rd. City' Paris State' TX Zip` (X) 75480 75462 75461 Telephone (903)123-4567` Areas of Interest* Please note any special knawledge, education, or experience you have that is spplicable to the function of the board, Commission, or committee of interest (attach additionai pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certiflcation and Auttwrization 903-737-8833 ( j Airport Advisory BoeFd ( I Municipal Bartd Ccxnmiss+on Building & Standards Cor►mission [ I Paris/Lamar Counry Boanf oi I J Civil Service CoFnmission IXI Eeonomic Development HooM I I Pfanning & Zoning ComrMsskm Corporation Publfe Library Advisory Board [ J Historic Preservation Commissian [ J Tratfic Commission [ l Zoning Baard of Adjustment ( I Housing Authority Board of Commissioners [ ] 5treet Advfsory Board I'm currontly servMg on Mein St. Advisory Board and woutd like ta beeome more involved in our city. 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 canflicts af interest of appointees to City boards, commiasions, and commlttees. I aiso certify Mat if appoir►►teci 1 wi# attend at lea&t 75 percent of all regular meetings and shali not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or cammittee Is limited arui that I may rtot be appoPnted; however, if I am not appoirrted, I agree to be placed in a database for possible Tuture notHicafion of topics of interest. I certify that the information given by me In this application is true and correct and any false inEarmation or misrepnesentation is sufficient grounds for disquatification. I authorize the City of Paris to verify afl infortnation provided In thia appNcation. In accordance with Secfion 552 af the Locat Govemment Code, 1 understand that information provided in this apptication may be avaitabie to the pubiic upon request.` [X] Agree ` indicates required fields. [ ] Disagree The following fortn was submitted via your website: Application for Boards / Committee / Commission 168 First Naine: 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 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'm currently serving on Main St. Advisory Board and would like to become more involved in our city. Certification and Authorization 1 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, coinmissions, 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, ar 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 disyualification. 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: hftp://www.Daristexas.gov/Forms.aspx Form Address: htti)://www.paristexas.gov/forms.aspx?FID=69 ~1- 169 liOARD/(.;OMMISSION/(:OMMITTEE 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 retum to: City Clerk, 150 SE First StreeUP.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 ❑ Municipal Band Commission ❑ Paris/Lamar County Boarl of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: Address: ~f 4-213Q-Z»a c-,,~ c, ~ Work Phone:~'iYh.~: G~~I ?DX Z/ 7y4IM;Home Phone:. 910 A 7 - Fax: E-mail Address: ` & ha+ 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. C~ 1 ~ tL t J . I ~ ~Q. d T • ,a.l~vrt ~ 1 s i [.r~' '(a.1n CL1l ~1 ~nn [Lr , ~ S YD 4 - r 1`3 a.4 ~ Ince.~ Q,u, > eni tl. ws I,~p CV4 'l- L." ~G o w► J ct.►~ 7 Certification and AuthorizaNon t" Saz~, 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. 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 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 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 application. In accordance with Section 552 of the Local Government Code, 1 understand that information provided in this appl' tion may be available to e pubiic upon request. Signature of Candidate: ~ i Date: For Citv Cterk's Use Onlv ° ~c~.,~-a , Conflict of Interest: Y/ N Indebtedness: Y /N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 ~~c'~:' 06~~,314 5 6 ? City of Paris ' ed 02/19/08 BY: 170 T`1 P-t' ti c.l r ► ~~S 1,~L~[~(. ~_G~VLUY1n f G~ .~LL'1j~?~ ~7 LLt.~.~ ~`o ~L. LL ) O h1 i 4144, s'f"~'. S rnc,~f'~ /u.4-22- ~ 9 7DS u.u cX 1~/~OS "1~~"~ oLAo 9i~ c L 1~ v►~, u.Y ~a .,~.v~.~ y~L u.m.L1 &Jr- o~~ v~nn w~,l.~r'[~G I 9 70 S, , .~,.o ~ ,3 t rv i 171 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 / Commission The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to fierve on its standing boarcts, commissions, and committees. In general, it is the City Council's poticy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general quallfications tisted in the certification below, other quatifications may be mandated by statute, City Charter, ordinance, or resoluUon. Please complete the information requested below. First Name' Michael Last Cody Name' Address' 5240 Amherst Gt. City- 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 applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, iist dates of service on any City boards, commissions, or committees. Certification and Authorizatian (318) 787-4002 Alrport Advisory Board [ J Municipal Band Cammission Build'tng &Standards Commission Paris/Lamar County Board of [ ] Civil Service Commission Health Economic Development [ I f'lanning & Zoning Commissian Corporation [X] Public Library Advisory Board [X] Historic Preservation Commission I I Traffic Commission Housing Authority Board of [ I Zoning Board of Adjus#ment Commissioners [X] Street Advisory Board I have lived a year in Paris. I hold a Masters of Arts in Teaching ftom the University of Memphis. I am a former newspaper editw, teacher and public relations advisor. I am a Kiwanis Club of Paris member and have recentty completed a book of short stories (currently unpublished). I wouki wetcame the opportunity to senre 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 State of Texas regarding nepotism and conflicts of interest o# appointees to Ciry boards, commissions, and committees. I alsa certify that if appoinfed I wiN 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 committee is limited and that I may not be appoiMed; however, if I am not appointed, l agree to be placed in a database for possible future notification of topics of interest. 1 certify that the infonnation given by me in this apptication is true and comect and any fatse information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verity alt information provided in this application. ln accordance with Section 552 of the Local Govemment Code, I understand that infoRnation 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 172 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 Commission,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.: 1 have lived a year in Paris. I hold a Masters of Arts in Teaching from the University of Memphis. I am a former 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 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, cominissions, 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, coinmission, or cominittee 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 Add itional I nformation: 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.qaristexas.qov/forms.aspx?FID=69 , 173 Janice Eilis 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 / Comrnission The Paris City Councii is seeking committed individuals who are dedicated to the we8-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Councii's policy to appoint persons to a maximum of two consecutive fuli three-year tertns on a given body. In addition to the general qualificaticxss listeci in the certifieatian below, other qualifications may be martdated by statute, City Charter, ordinance, or resolution. Please complete the infoRnation requested below. First Name' Biliy Last Copefand Name' Address" 143 CR 36450 City' ArthurCity State' TX Zip" (X) 75480 O 75462 Telephone (903) 123-4587` Areas of Interest' Please note any special knawledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attacFi additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization (903)732-3489 75481 [XI Airport Adviaory Board Municipat Band Commission Building & Standards Commission [ 1 ParislLamar County Board of Health [ I Civf! Service Commiss+on I] Planning & Zonittig Commission Economic DevelopmeM pubEic LibraFy Advisory Board Corporation [ ] Traffic Gommission F{istoric Preservation Commission ( lZoning Board of Adjustment [ ] Nousing Authority Board of Commissioners [ ] Street Advisary Board Have senred on the board a prior tenn 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 Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to Ciry boards, commissions, and comcMttees. ! also certify that if appointed I will attend at least 75 percent of all regular meetings and shafl not have any delinquent irtdebtedness to the City during my term. I understand that the number of positions on a given board, commission, or commttEee is OmiEed and that I may not be appointed; however, if 1 am nat appointed, I agree to be placed in a database for possibte future notification of topics of interest. I certify Et►at the information given by me in this application is true and correct and any Palse information or misrep►esenfation is sufficient grounds for disqualification. I authorize the City of Paris to verity aN information provided in this appfication. In accordance with &ection 552 of the Locaf Govemment Code, I understand that infortnation 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 174 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, commissions, 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 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 ineetings 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 infonnation 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.gov/forms.aspx?FID=69 L : 175 BOARD/CQMMISSION/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 ternls on a Qiven body. ln addition to the general qualifications listed in the certification below, other qualifications may be marldated 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 t;andidate Information . 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: '705-','17. qC'5_,;?, Fax: IJ E-mail Address: ,r ~ titi~ , r,,,•a 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 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 1 am not appointed, I agree to be placed in a database for possible fiiture notification of topics of interest. 1 certify that the information 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 this application. In accordance with Section 5 of the•Local Government Code, I understand that infonnation provided in this app icat' n may be av e t u o request. Signature of Candidate: Date: T For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 176 Certification and Authorization Janice Ellis From: support@civicplus.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 " indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission 4 177 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 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: 5/25/2011 1:45:15 PM Submitted from IP Address: 208.180.184.158 Referrer Page: http://www.paristexas.gov/Forms.aspx Form Address: hftp://www.paristexas.gov/forms.asr)x?FID=69 -1'7 8 Janice Ellis From: support@civicplus.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 ~ ~ 179 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.gov/forms.aspx?FID=69 - - - 180 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 Gity 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 gualifications inay 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 ❑ Givi] Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Name: MAY 6 r~m11o21 ❑ Municipal Band Commission ❑ Paris/Lamar County Baard of Health ❑ Planning & Zoning Cominission ❑ Public Library Advisory Board ❑ Traffic Coininission ❑ Zoning Board of Adjustment Address: Z IJ ON H;-I1/jR St I S Work Phone 0 3 `f - E q ~Y Home Phone: 7s116 0 Fax: (9"0J?Y7e~' 2_~_03 E-mail Address: P-Krk'kXCcS~ 0 i4l 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 J any City boards, cornmissions, or committees. , , ~ we nd . Y fi i I ~ r~ ~ t~ ,J+f,~or~ ~d- 1~. s t S T 1~ Gt ~ ~-1'?. ~f j eY' a h C` ~a h r ~ reE' ,Y' a b n_h yit,w W wld ee Ptc ~ -t~C S Pz. p L -r .a 'I' I'll, -f;) f).-,.-) eco.'►om i r ta;-0h *~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 T will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my tenn. I undei-stand that the number of positions on a given baard, conunission, 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 inforniation given by me in this application is true and correct and any false infornlation ar misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this applic . ln accor ance with Section 552 of the L,ocal Government Code, ] understand that information provided in this appli t' ay be a ilab o the public upon request. Signature of Candidate: Date: For Cfty Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Neporism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris - - 181 Revised 02/19/08 Janice Ellis From: support@civicplus.com Sent: Wednesday, April 13, 2011 1:00 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 / Committee / Commission * indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission 182 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 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: 4/13/2011 1:00:24 PM Submitted from IP Address: 208.180.111.179 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 183 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 this HTML email, click to view a Text version. Application for Boards I Committee / Commission The First Narr*~ A.' d < Address* City* P S k Tetephone 90 78315M (903)1234667"' ' % ~ M001~~ Areaas ofi 1 istow " e l ~06 Coayltyfto 100 W. 1 ~ Atd ,df ~ Sttse# Advisclty Board I acknawtetp that Ian Ovuare 8nd agree fiO the prok~bftns a#' the City of Parii nepotism atd cortftts tf intetest o# appoWeOs fo CkEy boards, roffmiissiQns, s attend at least 75 percent of aft regWar rnaebngs'and sftaN ►^wt ftave sny de#irrqi understartcf that the number af positons on a gtven Eoard, eotrntirission, at eam however, if t am no# appainted, t agree to be pWted in s doWase fcu' possibie' informatior►, gnren by me in this applic,ation is tnte ard canet artci any falsg infc disqwalificaMan, i autlmrize tkue Gity of Paris to verify OIt 'rnformatlon provided irt Loeal Govemment Cade, t undetstand tltiat infonnation provided in #hia aPPNca1 [X] Agree ` indicates required fields. [ ] Disagree ~ ~ 184 The following form was submitted via your website: Application for Boards / Committee / Commission First Name: Arjumand Last N ame: Hashini 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 cominittees.: 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. 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 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 griven by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. T authorize the Gity of Paris to verify all information provided in this application. In accardance 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: 2/1 /2011 8:49:42 PM Submitted from IP Address: 74.194.198.246 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 185 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, coininissions, and committees. In general, it is the Gity Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the genera] 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 ❑ Civil Service Commission ~ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information Name: ~/,,,4/ r:z- 4 1 Address: l ~ ~ y vmu- f, ..4 v ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Cominission ❑ Zoning Board of Adjustment ECEIVE JUN 0 6 2011 _ ~ _ C-16 A/4- Work Phone: q 03 ;Y " 3~j0A I~e~re Phone: `76i: - ~ j~ ~l:~ Fax: E-mail Address: 6c 1/./~ /Y ~i t- ~X e~,rti S~4 i. C1~~--- Please note any special kriovwledge; +education, or experience }rou have that is applicable to the function of the board, commission, or cornmittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards; commissions, or committees. -1- j 112 ~4 " G ("B, A w° !/I • . . ~1 ~O/~?i~'lGrl?~~1 ~.f.%lcyf"J Jr ~ ~'rl " r'~C' ~ ~i~ G/17 //'h 9 / iuJ ~/',~l~C~ /'l b.•~ Gc~. ~rJ ~ " rd'~ h~r! ~o 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 l 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 that the inforniation given by me in this application is true and correct and any false infornlation or misrepresentation is sufficient grounds for disqualitication. 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 infonnation provided in this appliq6loy/may-bcitvailabl~to the public upon request. Date: I./V - Conflict of Interesfi: Y/ N Indebtedness: Y 'N Nepotism: Y i N Dist.: 1 2 3 4 5 6 7 Previous Seri-ice: 0 1 2 3 4 5 6 City of Paris Revised 02/19/08 186 SUMMARY CURRICULUM VITAE 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 well 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 Daltas, 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 Direc#or 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 Fortune 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. Helberg's Community 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 and 2 great grandchild. If you require further information or resume items, please contact Allan Helberg @903-249-9264. 1. 18'7 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 * indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission 188 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 Corparation 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: http://www.paristexas.qov/forms.aspx?FID=69 1199 BOARD/COnIMISSION/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 ternls on a Qiven body. In addition to the general qualifications listed in the certification below, other qualifications may be maildated 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 ❑ 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 dMain Street Advisory Board Candidate Information Name: Address:.o 2~"~ M6, - Work Phone: M03 5-1"f] " 901(-) Home Phone:_149'"Z Fax: NO) ~34- Q12P E-mail Address: Ig i• 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 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 tmderstand that the number of positions on a given board, cotnmission, or committee is limited and that 1 may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible fiiture notification of topics of interest. I certify that the information given by me in this application is tnie and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify ali information provided in this applicatio . In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this a i may e ailable to the public upon request. Signature of Candidate: Date: Conflict of Interest: Y/ N Indebtedness: 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 y - 190 dates of service on any City boards, commissions, or committees. BOARD/COMMISSIUN/CaMMITTEE APPLICATI4N The Paris City Council is seeking committed individuals wbo 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 maximwn of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualificakions may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested below and return to- City Clerk, l SO SE First StreetlP.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 ❑ Municipal Band Commission ❑ ParislLamar County Board of Health ❑ Planning & Zoning Commission ~.Yublic Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjushnent c~ -4ib n ~Phone: YA~ Home Phone: ZR el O~ FaY: s~f~°" E-mail Address: C IGLe':45 C~ 44.-e 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 anv Citv boards_ commissions_ ar committees. . e 4' 2s 0 ` . /ti,vll, Ave Pe (~t9x/i/}'LLl/?l I 4-1cl ~!✓z 41? j" C1~ r Certification and Authorization ~ '~~~~K V~Gt r By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Chartr 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 ion. In accordance with Section 552 of the Local Government Code, I understand that infortnation provided in this app ~ tion ma~ avaii le to the public upon request. Signature of Candidate: 1~ Date: For Citv Clerks U&e Onlv Conflict of Tnterest: Y/ N Tndebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 012 3 4 5 6 City of Paris Revised 08119/08 191 ❑ Main Street Advisory Board lniC~.RDrCO,MNI1SSIONiCo~~ITTEE APPLIcATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris cominunity 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 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 ❑ 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 Gommissioners ❑ Zoning Board of Adjustment ❑ Main Street Advisory Board Candidate Information Name: Q51f1£ ~J~fA2'eRS Address: 415. L,7- Work Phone: ym- Home Phone: ~ 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). lf applicable, list dates of service on any City boards, commissions, or committees. RA iA/ L~~~w1G)L Certification and Authorization By signing below, I acknowledge that I am aware and agree to the proliibitions 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. I certify tliat 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. In accordance with Section 552 of the Local Government Code, 1 understand that infonnation provided in this appli ation may be available to the public upon request. Signature of Candidate: Date: For City Clerk's Use Onlv Conflict of Interest: Y i N Indebtedness: Y;' N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0] 2 3 4 5 6 Citv of Paris Revised 02/19/08 - ~ 192 Janice Ellis From: support@civicplus.com Sent: Sunday, May 22, 2011 3:50 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 v,.193 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 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: 5/22/2011 3:50:19 PM Submitted from IP Address: 76.233.115.42 Referrer Page: http://paristexas.qov/Forms.aspx Form Address: http://paristexas.qov/forms.aspx?FID=69 z UL 194 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 BoardslCommittee/Commission (r* * indicates required fields. The following form was submitted via your website: Application for Boards/Committee/Commission V Li t- 19 -5 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 counci12002-04 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 o- 196 Janice Ellis mmm~ From: support@civicpius.com Sent: Wednesday, May 11, 2011 3:16 PM To: Janice Ellis; Denene Taylor Subject: Oniine Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text verston. Application for Boards / Committee / Commission First . . y~ ~ Donn* .L ; ' ~ ,4ttdr•essi" , Ci#y"' i~~r~: ~i~ Or ~ Staw TX zw Q0 .46W l # Telepttortex ` (903) 249-M3 (903) 123 t } Akpwt A0W Areas of t " ~ . C~ , 11, ~ tc ~~nent Pub-ft I l' ~ ~ ~r~ . a ~milaelloners [ j Stiet'Advimy Boarti ~ ~or Piease nate any speciaf knowkKigs, educattar►. a' expefiencco you tave t#at is apPkAWO tD tte kuwAion of the boattL c.wnmmission, or cornmiitee o# mterest (aftach a al pages If necessary). If ap , list dates of setvice on any C}ty baartiis, commissiam, ac comr+nittees. Certification and Authorizationn I acknowledge M I am awaite arettF agree to the prohibifiions of the C+ty of Paft CttarW' and t►e nepotism and e.onflic of ittterest of appaiMees to CI#.jr boards, comsnWians, a►nd cormnittees. i attend at Ieast 75 percent of aN regutar meettngs and shaN nat hava any daftluent dnes understand that the number of passiticxtis on a given baard, eomrtnWaior►, or camt'rtifte is knited i however, it 1 arn not appair►ted, t agree to be placed in a detabase for possbe ftWm notificatliori informatioo giverrby rre In this appRoatican is ttve ar►€t ctti~ed and any Ugse itdvrnuftt or twom disqualifica#ion. I aufhorize the City of Raris to verify al# infarmation provided irr tteis appficattort.1 Locai Govemment Code, I understand that information provided in this applicaton may `be avall; [X] Agree ` indicates required fields. t ? Disagree The following form was submitted via your website: Application for Boards / Committee / Commission i ~ , 19'7 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 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. 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 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: 5/11/2011 3:15:28 PM Submitted from IP Address: 74.195.69.27 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: http://www.paristexas.qov/forms.aspx?FID=69 198 BOARD/COIV1MISSI0N/CQ1VIM1TTEE APPLTC,4'I'ION The Paris City Counci] is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, coinmissions, and committees. In general, it is the Gity 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 cet-tification below, other qualifications inay be niandated by statute, Gity Charter, ordinance, or resolution. Please complete the infonnation requested below and retw-n to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of Interest ❑ Aiiport Advisory Board ❑ Building & Standards Conlmission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Tnformation Name: c, i_:~ d.rr Address: Q ~o Lv hr E G Work Phone: 3~'-' Home Phone: 4T Fax: ~ E-mail Address: y_~,a + 41 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 additionai pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. K;k lco ~ik_L- C)A- *fB-D q2 E(~-°Ta d 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 cornmittees. I also certify that if appointed I will attend at ]east 75 percent of'all regular meetings and shall not have any delinquent indebtedness to the City dunng 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, 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 fa]se inforniation 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 Local Government Code, I understand that infonnation provided in this applicatio,n-niay be avail le to the public upon request. Signature of Candidate: Ivin 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 Citv of Paris Revised 02/19/08 [~C Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Cominission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of A ' ~ I "VR E JUN 13 2011 BY:_.__ ~ 1- 199 Janice Ellis From: support@civicplus.com Sent: Tuesday, May 10, 2011 8:22 AM 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 [X] Agree * indicates required fields. Disagres The following form was submitted via your website: Application for Boards / Committee / Commission 1 200 First N ame: Phillip E Last Name: Payne 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. 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 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. 1 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. 1 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 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.qov/forms.aspx?FID=69 - 201 Janice Ellis From: support@civicplus.com Sent: Wednesday, May 11, 2011 3:22 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 The Paris starxgrrg t quatificaticsns rnaY be mandated b First Name" AddtBSS* City"` Telephane (903)123-45fr7' Areas of InWreat" ~ Last PENDLETON * 475 SE 34 sE Pwis SOW TX Zip* {Xj 75460 ()75462 f ~ 7WI 9037845832 (I Arpor# Advisory BeWd 'Berd omro & Stantlaccls [ ] E l ~ W.ar~r ~s►~r ~rc! s~f ~ [ ] Grv# 3ervice Gcammission ~nni~ 4Z)OVIiAg C [ ] Em►omk C3evelaprrerit ~l Pctblic LbWy y Board ' Corp;prako ( l Traft eomn EXI HgtMt "an CaMMIsSion I 7ZWft BoWd of tmarrt [X] Hbuft Auirrwity Soeyd af Cotntrtissioners t I Stresf Advisory Baard Piease nots any specia! Irnowledgs, education, cH' experisnce you have ftt is appficable ta the functian of the board, commission, or cammittee of ktterest (attach adtbanal pages if necessary). If applicable, list dates of service on any Ci#y boards, c:omrnissicans, or committees. Certification and Au#hodaation I acknowledge that i am aware and agree to fhe prohibitions of the Gity of Paris Gharter and itte laws of the State of Texas regardirug nepatism arki eonflicts of interest of appaintses to Cityr boarcis, commissions, and committees. t'afsc> ceFtify that if appointed t vaN1 attend at least 75 percent of ali regular meetings and shall not have arty delirnquent indebfedness to tFna CI#y dtrirrg nty tertn. 1 understand that the number of positicros on a given board, commission, or comrrittee is limitec# antf tltat l may rio# be appolrtW` however, if [ am not appointed, I agree to be placed in a database far qossibie fiAure notification of tapics of ` certiiy that the information given by rns in this applicatien is true and eorrect and any false infafrriation or misrepresentation is sufficient grounds for disqua{ificatlon. I authorize the City of Paris ta verffy aN iniormation provided in this aWicat'ron. In accordance with Secfion 552 of the Local Govemment Code, t understand that inforrnation provided in this appkication may be avaitable to the pubffc upon request,"" (X] Agree ' indicates required fields. [ ] Disagree The following form was submitted via your website: Application for Boards / Committee / Commission i 202 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 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 wi11 attend at least 75 percent of all regular meetings and sha11 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 gnounds 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 3:21:56 PM Submitted from IP Address: 74.193.89.123 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 ~ 2 0 3 Janice Ellis From: support@civicplus.com Sent: Tuesday, May 17, 2011 1:20 PM To: Janice Ellis; Denene Taylor Subject: Online Form Submittal: Appiication for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission Firs# hlame* Last 09101*000 ' ArttlreW 47$ 3°Ist 1o Cilr Peft Stow `TX W 764, ' ()75462 Tw1 Telephtxte - 9037845= (903)123-45$7" Mra" ~ Akport ~A~~ ~ ~~r►~~+r~ w Areas o# Inte~est euftnvk SwWaMo t } PatWLaffw Cott* $Wd of, H l h Ccmtnlkwian Civt~ ~ Cot ~ tn ea t . ~ ~ ~ ~ ~ ~ ~o ~ [)q EcD000110, D&VSk*1~t Pq Pubk Lbraty ~dvisorg+ ~ ~ ~ Traffic Coma0sWon Pq Hb4oft ~ r►0"0*` t l Zorin9 ~ ot A*wtrriant . ` [X] Housfw~ AWW* Board of Gcmmlisslor~ Please note.any spocial knowkdge, educatio►t, or experience you have that is applicabb to the ftrnction of the baard* commiWon, ar cAmmifte of iMerest (attach addW,mai pages if necessary). If applicabte, list dates of sorvice on any Ciiy baards, comrnissfons, or committees. Certificafion anci Auttta►ization [ 1 Street Adviswy Bcyard I acknowledge that 1 am aware and agree to the prohibEtitina of tte City of Parfs Cherter &,-4 the lams of 1he State of Texas regardrg nepotism and conflicts of interest of appoi»tees ta Gity boarcls, coMmWsloM arid cortrrtttfees.1 also cerfify that i# appointei t wiR attend at leas# 75 percerrt of a# regular meetings and shatt nak tave any delinquent ind ess #a the Gity during rrty term. F understand tha# the number of positions on a given txrard, comnthsion, cu commfte is Iltiited and thati l may rticrt be appotted; however, if Iarn not appairrted, Iagr+ee to be placed in a database for poesbW tuWm natitieattan of tcpics of InWast l certif'y that the information given by me in this application is true and cornact aru# any tWw lni`twtaWn or mtsrepreserttation is suft[ent gmrnds for disqualificativn. I authorize the GFty of Patis to verify atl infbrnabon provk#od irt this appkation. tn accordance v~th Seetion 552 of #he Local Govemment Cade, i understarni tha# infoima#ion provided itt this appiica#ion may be avai#able to #he public upcn reiquest* [X] Agree * indicates required fields. [ J oisagree The following form was submitted via your website: Application for Boards / Committee / Commission - - 204 First Name: john Last Name: pendleton Address: 475 31 st se City: Paris State: TX Zip: 75460 Tel ephone (903) 123-4567: 9037845832 Areas of Interest: 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 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 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 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: http://www.paristexas.gov/Forms.aspx Form Address: http://www.paristexas.gov/forms.aspx?FID=69 2 205 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 Patis Gt~ CounciI IS kktg C~ inditiCluaks wft aM . stand~g . t~t n~ ~ aM ~s. ~ ~t ~ ~ ~ E:~t ~ cor~secuUv+a,~# r~'► ~ , ~ t#~ _ _ . _ . . ~ s _ yv.~.............,...,......~. . First Name _ . Fi;andy Last~ Ftooct ~ Address* City* 4025 Smndyrr PI Fatis 9tat+a* "tX zr 75M - (X) 75462 TWfi Telephane 903-517-6661 (903)123-4587", (l Aurport Athtiaory Bvard ~ J Murildpai Eand Cmmts6tm Areas of tntoest" I ] Btkft ~ Standarcs Commissian { ] PwWLww Ca~ ~ { j Cid ServicB ConvtissiOri Ercu~ornic Qev~itrprnent N 1~#Hoob ~tir►~} & ~ft Ct~nmi5eittn CorpQration f I Pubk LEtrwy rY ga,arf HMacic Pr ation C+rtmrnissfan C l T c CartmlwsKon [ ? Zoning Boarf tYE Adjustmet►t Nfwain3 Au#vx* Boord of Ctxrurnissivners [ ) sfreet Advisory Boaro Please nate any specia# knwvAedge, aducation, ar I have been a busimw awnet for the post tvventy years, attd haue been experience ytou have that is applicable to ft turtctitxi invatved in developing nastaura~n.'~s acrn&s five stabss. C used ta ke part of the of the board, cxommissian, or c:ornmlttee of interest awnership o# Grandy's in Paris, and have Nved in Paris fbr fwenty years. (attach addManal pages if necessary). If applicable, list dates of 8ervice on sny City baards, commissions, or cornmittees. Certification and Authorization I acknowledge that # am aware and agree to the prohibitiarrs a# the CCi#yy of Paris Gtarter and th+e laws of the State of Texas regarding nepotism artid conflicts of irsterest of appointees to-Cifp baards, commissbns, wci comrni#Eees, f also certit'yy that if appointect I vHl attend at least 75 percerrk of a11 regular meettr►gs and shatl not have any delinquent indebtedness ta the Ci#y dur'rng my term, 1 understand Ehat the nurrtber of positicros on a given bQard, commission, ar camrniitea is Eitnited arad that I may not be appcaintecf; however, if L am not appoirrted, I agree to be plaeed in a database fiar passibte future notifica#ion of topics of interest. 1 c.+ertifjt that #tte information girerr by me in thEs application is true and cc7rreGt and any false infiorrnatican or misrepresertation is suftiden# grounds far disqualification. 1 autt►orize the City of Reris to verify atl infbrtnaticm provicied in this apalicaflon. In accardance wrth Sectltan 552 4# the Local Govemment Code, ( understand thaf informatian providad in this applieaUan may be availabfe to the public upcrn request." [X] Agree * indicates required fields. Cl Disagree The following form was submitted via your website: Application for Boards / Committee / Commission L~ 206 First Name: Randy Last Name: Reed Address: 4025 Brandyn PI 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. 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. 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.: Agee 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: http://www.paristexas.qov/forms.aspx?FID=69 - 207 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. Boa rd/Comm ission/Comm ittee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission 2tconomic 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\ c \1L5 S`Q, r- Address: ~AQ2,.0 \-k o~lo f op \4, 0.r ~ S ~ 5~ toa Wark Phone: rA%S- ~_,y'~.1 Home Phone: 7 g S - ~a Fax: 1A`64 -V,\~$ S 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 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 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 m available to the public upon request. Signature of Candidatez_<~~, Date: For Citv Clerk's Use Onlv Conflict of Int1&f#s.Y&44ZL06tydipM. Y / N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris F, MAY 7 5 2011 Revised 08/19/08 g : ` , 208 Janice Ellis From: support@civicplus.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 / Commission * indicates required fields. 4 210 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 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: 2/24/2011 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.qov/forms.aspx?FID=69 - 211 BOARD/COMMISSION/C4MMITTEE 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 qualifcations listed in the certification below, other yualifications 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 ❑ Municipal Band Commission ❑ Building & Standards Commission ❑ ParislLamar County Board of Health Civil Service Commission ❑ Planning & Zoning Commission Economic Development Corporation ❑ Public Library Advisory Board AHistoric Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ❑ Main Street Advisory Board Candidate Information Name: ~ LV Address: Work Phone: ( ~ ~ 'T ~ISZIJ~ / Home Phone: q O 7 2- Fax: _ E-mail Address: d E L% ~C) d, cc~9 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 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 T will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the Ciry during my term. I understand that the number of posiCions 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 apptication 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 appl'cation may be ava~lable to the public upon request. Signature of Candidate: Date: -21- For Citv Clerk's Use Only Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Prevtous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 212 Janice Ellis From: support@civicplus.com Sent: Thursday, May 12, 2011 12:28 PM To: Janice Ellis; Denene Taylor Subject: Oniine Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text verslon. Application for Boards / Committee ! Commission The Paris t~UGllFi4GUll1F~~zwj i~ r~~rwa.~v. r~. w.M.......,.r Ftf'$t NBfYFB* Wm&Cdt t.$st Sanows (8t0) NafW Address" 3775 ~SOO BOW ; City"` Paris StO#e" 7X Zip" 7 (X), 76462 ()?5461 Telephone 9f}3-517-6592 (903)1234667" Airport kdrrisory Boar3 E I Mwnicipal Bond Commkolon Areas af In#erest" E] Butllci€ng & Stancardss CaMtWBion E~ ~o" CvAunty E~var~d ~ L] Civii Setv~ Commissi€~n ~ Rlannir+g & Zonft Convn"w [XI Ecanomic C}evelaprent pt~blic Libr~y R"sary B~f Cor~ratir~ mra~t [ l Hisfioric Pr~v~mrn ea~n~i~n pq TraMe Ccr f] ZcWrhg E3r,wd of ACilustm+ent: [ } Housft Authority, Baat+d of Camrrtis4i[smts I I strW Advisory Buard Please nate any speciat knowledge, educatian. eu { have a E~BS degree in tnctusk~! M~ag~ecneri# from 'fe~as T~ch<Univ~arsi#y. I experience you have Ehat is applicable to the fimctiort haci a 42 year career vtkh COnpkiell ScUP CcxrtPany, tnekWkV assi9merrts in of the board, cQrnmissinn, or committee o# intsrest production planning. lndustrfa1 Enginmft and Safe#y, HeaM anct SecUty (attach additionai pagas if necessery). If aPPk-SUe, QirOctOr. f havs been an C)t"~At trairer an# Iead the Pars Pkwi to the Ivwmt list dates of service on any City boards, injury rates and best SafBty moords in the cwipanY. The pFant als+a rsceived thE commissions, ar committees. Texas Satefiy Award far #he best safefyr Progranu in the S#ate fcar 4 straight yeats. t was on the plant 18 'p team vv#tich mpoft#+ dit'actly ta the P18nf Vice President. I am eiow retlfed, l am actixiry w#th the Chafter of Ccrmmerce ambassaddrs, the Qp#im[st Ckib, and Bbsoom Church of Christ.l houe ft time, energy, and desire to som the cammunlty and would appr'eciate the corisiderabon to senre on one of the Gityr boards, cxytnmiWorts, ar commiftees. Regards, Bilt Sandefs Certification and Authorization I acknowledge that t am aware and agree to the prohibitions of the City of Paris Charter and ft taws af the Skarte of Texas reprding nepotism and canflicts af interest of appofntees to City boards, commissions, and committees. t aiso certil5r that if appc7inted ! wiil attend at least 75 percent of ail regular rneetings and shafl nat have any deiirrquent inciebtedness to the CdY durin'J mY ternt. f understand that fhe Rumher of posibcrns on a given board, conmission, or cammittee is ttmited and ttat f may not te appainiett; however, if 1 am no# appainted, t agree to be placed in a database for possible future rWicatior► Qf topics of irtterest, t certify t1hat the information given by me in this appiicarion is true and cornect and any fafse irifQnnatisn or misrepressenfation is su1'Ocient grourxloa for disqualific.aticrn. I authorize Nte Cityr a# Paris to verity alf irtformativn provided in tY►is application, tn aecordance anth Sectivn 552`Qf the Local Goverrtment Gode, t understand that infarrnatian providecf in this apptication rtiay be avaifable to tt►e pubiic upon request.' [X] Agree, [ j D'rsagree * indicates required fields. - - 213 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 Coininission 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 riecessary). 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 assigrnents 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 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 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 infonnation 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 a11 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 214 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: http://www.paristexas.gov/forms.aspx?FID=69 -1- 215 Janice Ellis From: support@civicpius.com Sent: Friday, May 13, 2011 11:46 AM To: Janice Ellis; Denene Taylor Subject: Oniine 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 The Paris CKy Counal is sseking committed indiuiduals who are dedicaW tu the mll-boft a# ft standing bes►rds, comfftissiorts, and cc»tmiltees. In , k is the Ci3y Ctauncit's p€'fty Eo a y consecutive f'trH thrwyear terms em a glrren body, In addWw to the gonwW qtalifi ns Ksted Nrr i qualificatiors may be mancfated by statute, G#ty Charter. otdinance, or rescylution. Pime campiefe First Name* .featt L2Est Sehweers hisme* Address* 5005 Old Claricsvi#e Roerd City'" Raris Sta#e'" 'fX Zip* 75460 ( ) 75461 Telephone (903)123-4567* Areas of Interest"` Please note any special knowlecige, education, or experience you haue that is applicabie to the function of the board, commissiun, or committee of interest (attach addftional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Certification and Authorization (903)737-8409 r k..r tXj 75482 [ lA+rPod Advrsary Boarci [ I Munici{W 8end Comrrdssiom [ j Budding & StandWrtis Commission [ I Parisl..arrlO€ COLmly Eloard of [ l Givii Service Comrrdssion Heat#h [ l Economic Qevalapmsnt L I Rlanning & Zcinir►g CommissiQn Corporatian [ l PtbJic k.ibraryr Afwiwry Baard [ l Historic Preservation Commrrgssion N Traffic Commissican i 1Housing Authority Bc►ard af [ I Zaning Baard ctf Adjustmen# Commissioners I 1 Street Advisory Board I studied Civif Engineering far three ysars befare completing a Bachelor of Science degree in Psychology. Fcsr fun, J am swrer►tty tadcing classes a# PJC with my last high scMool-aged homeschooied daughter and am ready ta beeome involved fn improving the aty a# Paris. I acknowledge tha# I am aware and agroe ta the prohibitions af the City of Paris Chatter and the laws of the State of Texas regarding nepotism and conflicts of interest af appaintees to City boards, commissions, and committees. t also certifyr that if appanted I witl attend at least 75 percent of all regular meetings and shatl rto# have any detinquent [ndebtedness tu ihe City during my term. I understand that the number of positions an a given boarct, eommissian, or committee is limited and that I may not te appointed; however, if I am not appointed, 1 agree to be placed in a dabbase for possible future natification of topics of interest. t certity that the information given by me in this apptication is tnae and eorreci and any fafse infbrma#ion or misrepresen#a#ion is suffieient grounds for disqualificafion. I authorize the City of Paris to verify all infa(mation provided in this applicatian. In accardance with 5ection 552 of the Local Govemment Code, I understand that information provided in this application may be availab{e to the public upon request."` [X] Agree ` indicates required fields. [J Disagres The following form was submitted via your website: Application for Boards / Committee / Commission e s 216 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, or committees.: I studied Civil Engineering for three years before completing a Bachelor of Science degree in Psychology. For fun, I am currently 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 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 l 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 Local Government Code, 1 understand that infor►nation provided in this application may be available to the public upon reyuest.: 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.paristexas.gov/forms.aspx?FID=69 - _ 21'7 Janice Eliis 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 / Committee / Commission Fimt Name*~ ~ag ~ AddreW P Ctty" Tetephcane (9W)123-40W ' Akpo Areas of In ' Pq; Et" conx 'mobw HOW Cat'E" [J ~ Please note any spwW knenn*d9e, educatian, or luay 12th 4 8Xp8fi@FiCB ~ hwo ~ is aW116011510 tfl ft fUfldfNt of the , comm"fN'f, or CiiF#N~'1 of Iflt81e5t (attach ~ If k1 ty}. {f` applicahte, No# dates of wyles on any C#ly baards, COt'I1t11fSS10fa, Or"+ComCtt Certiflcation amd Authotftstfvn I ackno+vle ttrat !€m swam ' and Vre8 t4 the prohbftm of tlhe nepatism ariO t;cxni'llicts of hAerest of PPokt tD Gity kotrft, Ow attend at teag 75 ' of aa# regular rneetings and sW ntA hom pemwd understand tha# ft rtwnber of pasttkOns at a given koard,'samrrus however, ifi !arc ttiot appak#jxf. l agm to be pleoW it► a taU► disqualfficaftn. t atWtot'ize the City+ of Paft Local Gaveaoment Ccde, i understand that [XI a9ree ' indicates required fields. [ l Disa9+roe t vAttt S,609,00 W Of te ft upon tequest.` The following form was submitted via your website: Application for Boards / Committee / Commission - - 218 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, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: 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 iny 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 gnounds 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: 5/16/2011 12:18:13 PM Submitted from IP Address: 66.76.72.25 Referrer Page: http://www.paristexas.qov/Forms.aspx Form Address: hftp://www.paristexas.gov/forms.aspx?FID=69 - - 219 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. Application for Boards / Committee / Commission Firsfi Natne* Address" City* Telephone; (903)123-4667"` Areas of frftrest" m ' P.O. Btut 2 Pettyt 5tw 'fX. ZIP~ (X) '?'uw 7602, 75470 f 1 75461 903-317-4248 Ptease note any speciat knawledge, educ.atwn, or 1 have ovvnsd a historic bcnlding Ot 123 Clwksuft fcu #►o las# 2 years, trr those 2 experience you hate tha# is aPplicmbte tv the yom, i've been telbre the commMion an boW of my ' % In crder lo rnak,e function ofi the bQard, e,ommission, or cornrn€ttee crf repairs arKt knprove the fagad€s, giving me knowleds of procedtm necessM interest (attaeh addftic)4ei pages if necessYy}. lf to affect the pmserva#ion c►f rny building appticable, list da#es af senriGe on any City boards> commissions, cyr committees. Certification and Authorization I acknowW€fge that i am awaee and agree to the prWbffiens o# the Gity of Paris Charter and the laws af the S#aEs of Texas regatding nepotism and eonfliets of interest of appoifltess to Ci#y toards, commissians, and eommiZtees. F atso certiiy t'rat if appoutted 1 wiM attend at ieW 75 percent of aU regular meetfngs and shalt not have any cletinqusrrt bidebtedness to the City curing rny term. understand that the numtter o# pasitions on a given bosrd, commiWon, or commi#tee is l'irnited antl tltat I may not be appcyirdegt; however, Ff E am not appainted, t agree to be placed fn a database fior passibte future notificabon of tDpic$ of i t codi!'jf #tat ft infcxmatian given by me in this appticaticm is true and reurect and any false information or misrepresenfafion is sufttent groctnds fvr disqualificatfon. I authorize the Ci#y of Parts to verft'y all! irt#ormaati€xn provfded in tltis application. In aceordance vnth Sec#ion 552 of the Local Government Cade, 1 understand that infiormation provided in this apptication may be availabte ta the public upon request.' [X] Agree * indicates required fields. [ ] Disagree The following form was submitted via your website: Application for Boards / Committee / Commission 220 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 faqade, 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 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 disqualiiication. 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 Add itional I nformation: 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: http:/Jwww.paristexas.qov/forms.aspx?FID=69 221 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 FIl`St NalRe" T W AddreW kfao-€w ` City* P" StOW 1`iC ?.lp* (X) 4460 ()75462 ( ) r4464 Telephone 903.784.4001 (903) 1234W7" ( T- Akpot Acykoy Bowd Pq Munhcipe! Barrid CMMission ; Areas of In * Buifft,& SWWards Cmvygssdf~~ 11 ~ bt C I Ciw service comm ~ GQt°~tMic~n PI~'ting 8~ E~i~ m~tt ~ ~c L. A~~r ~r~f t I H~ Presenration Ccunniissim I I Traft ssior pq Zan#n9 Board a1' Adjustment [ } , Houeft: iy Board a# Ccur►m rem [ ] Streef AdvMry Boart! Please note any special fsnovvkedge, education, or Since retirament frorn Paris !S?, work with a nt.mber of crganizatians vAth experience you [ave that Is apEp€icable t€a the function oatline (htternet) datg"e appt Qtgertizeitons inctudaUSDE.A (kJnited of the boarcd, cornmissiAn, srr commtttee o# intefest States Distarcs Learrdng AsSr►), tJniv. of Cobrado, UTw"TeteCampus, (attach additional pages ifi necessary). Ifi appticable, V1tCET(Westem Ccuopetattve 1or Educationat Tet+er.,ommurt ' etc.. alsa tist dates of service on any City baards, cumently am an adjuncf insEWor at FJC. Resume (not e;pclateci s'rnr.e ! retired commissiors, or committees. in 2006) can ke viewed at: hltEa:th~.conconned.notJBCt?-Bennie Tschoemee.ptif' Idf?TE: ihe URL above is listed since t sawr rro way fo R7TACH addifional pages!!!???t! Certificatian and Au#harizzation I acknowledge that I am aware and agree to the prohibitions a# the City of Paris Chacter and ths Caws o#`the Stae of Texas regatdirig nepotism and canflicts of inte(est of appointees ta City boarc#s, comm"ons, and cortntittees, l a1so cartify that if appointed ! vin attend at least 75 percent of aH regular meefings and shali not have any cMaEinquerv# indebtedness to the C'tfiy during my terrn. 1 understand that the numiber of posi#ions cm a given baard, comrr"or►, or committee is tiryuited arxi that 1 may nctt ba atppoirtied, however, if t am not appointed, I agree to be ptaced rn a database #or poiWble fubute nod#ic.ation of topics of interest. 1 Ce" ftt the information given by me in this application is true and corrsct and arty fa4se intormatbn or misrepresenEa#fon is sufkWnt grounds#ar disqualifica6lon, t auihorize the Cityy of Paris to verify alt infarrnatiort providact in tttis app#ication. fn aceordarce wfth Secticn 552 of the Local Goventment Code, ! ur►derstand that intormation providecf in this apptication may be available to the pub0e uport reqttesf. [X] Agree " indicates required fields. [ ] Disagree - 1 22~ The following form was submitted via your website: Application for Boards / Committee / Commission First Name: Bennie Last Name: 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 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.: 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 I retired in 2006) can be viewed at: http://www.conconnect.netBlO-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 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: 5/11 /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 z ~ 223 G%b NAME: CITY OF PARIS VOLUNTEER APPLICATION BOARDS AND COMMISSIONS RESIDENCE ADDRESS: ,)4Ou C.Aa.&-k--su,►le- SA, Street City Zip HOME PHONE: CIO 3` 785 - S('C(-~ PLACE OF EMPLOYMENT: + ~ ~ n^ e" ) EMPLOYER ADDRESS: BUSINESS PHONE: is ?JQ(oo Qr;-"A.i `1S 4 oo q,3'7,L- S eet c?~Z`~" City Zip Please review the following questions: Are you eighteen years of age or older? Y-0 No N Can you be contacted at your place of employment? es o Can you read and write the English language? es ' No Can you attend morning meetings prior to B:OOam? Can you attend meetings during the working hours of 8:00am - 12:00pm? s J Ye ~Yes No C~No S~-'vle days Can you attend meetings during the working hours of 12:00pm - S:OOpm? e No Can you attend evening meetings after S:OOpm? No Do you currently reside in the Paris city limits? es No I have been a resident of Paris since: [Ci 4 0 Please indicate how many hours per month you can commit to meetings 1 2 ~ Please review the list of boards, commissions, statutory corporations and government entities provided below: BOARDS AND COMMISSIONS STATUTORY CORPORATION & GOVERNMENT ENTITTES Airport Advisory Board Housing Authority of the City of Paris Band Commission Paris Economic Development Corporation Building Commission Library Advisory Board Paris-Lamar County Board of Health Main Street Project Advisory Boazd Planning and Zoning Commission Traffic Commission Zoning Board of Adjushnent I am interested in being considered for appointment to the following City of Paris board(s) or commission(s): I IGY+ U~`1 ~ v i s~~c•~ I~ G-r ~ Signature: , V, J" Date: 4 ` 2_,:~:)'- -~-u t i 224 Janice Eilis From: support@civicplus.com Sent: Tuesday, May 10, 2011 10:51 AM To: Janice Ellis; Denene Taylor Subject: Oniine 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 Counal is aeeking committed individuals who are dedicated to tf►e welb,heing of #1'►e Pads commuritY tD sere on it5 standing boards, commissions, and commiltees. In general, it is the City Courzstl's pok, y 1o apPaW't PWw~* tO & rr►Oxin°+m aF tvvr consecutive tuR th+ree-}ear tertne on a giuen body. in addition t4 thw ger'►wal qum1'i1kvgms lisled in ft tarillicafibn laelouv, alher quaffieations " be mandaftd by ststute, City Charter, cndimnce, or resoEtftn: P1~ comphft ft l'tiforwvWftn rr0*0816i bstaw- First Name' Ben ~ g* Vaughan Address# 1225 SE 20fh City' Paris State' TX Zip` (X) 78460 ()764,62 4 f 75461 - Telephone (903)123-+1567* Areas of IMerest' Please note any speclai knowted9e, education, or experienee you hv+e that is appicabie to fhe function of the boapd, cainrnis9irna, or camrnittee of trteress# (attach ad'cltionat pages ii necessarY). hf appticabte, list dates et service an any City boards, commiss'wns, or commiRees. Certification and Authorization (903) 785-2759 I 1 airport Adv" Boa'd t l mmldpat ftn~ ~ im [ l Buikfi'►g & 8tsndards [ ] ~ ~aer Co~ty Baa~4 of Comrr►ission [ l C9vit 3eririee COMMiSSio+a I lp*MU8 & Zo~ft ComWaaWn Econar»iE C~evet~ap~'►t [ 1~'u~c f,~"~'~!' ~ 8~1''~ Corporatfian ~ I Tr~!Ic Ccar~ni~► {Xj Hiatoric Premmilom COMisslon [ ) zwft BQwct of Adjt*WmW [ I ~owft AUftft BOW Id Commisat"rs [ ] Street Advisory Board I currentiy serve on the WPC. Home buitctor in Pwis aime 1974 Curre►0yr resfairtg 1 renovatir+g htslar'ic hQmws tut C4wrth St MS €ducatiuna{ Psychotog}r; TRW-ComMe" I acknowiecige that 1 arn awana and agree to the prohlbiCons of #he Cily of Par1s C#aFlbe atid ft 104 Of tFte siote Of 1''~ mpro9 nepotism and conffcts of intersst of appointees to City boards, co►nmissiar+s, SAd commcitees, FOso ce!ti#jf that if apPointed rVA attend at teast 75 percertE of att regular meetings and shalf not have any deibtquent iniftbYechrm to fhe EitY duuin9 ►nY tam• I understand thet the number of positions on a gMen board, cornmission, or commfte is fimEte?d and ttO F may W be aApainted; however, if I am not appointed, I agree to be ptaced in a database br passibte firkue notliftefton of topics of inlereffif. t certtfy that the information given by me in this application is true and correct rand any false intomwgon o► ft*mquesentalion is svWtent Wouads tpr disqua{Yflcaticm. i 8utharae the City of Paria te verify alt inbi►natfion provlded in thha appkasm M amodw" wm 9eic%rt Wl,tf the Local Govemment Code, I und+erstand that information provided in this appt'►catian msY be availabie to the Public uP°n re4uest•; IxI a9ree ' indicates required fields. [ l Disagree The following fonn was submitted via your website: Application for Boards / Committee / Commission 225 First Name: 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 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 currently serve on the HPC. Home builder in Paris since 1974 Currently restoring / renovating historic homes 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 shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, cominission, 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: 5/10/2011 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.gov/forms.aspx?FID=69 z 226 HGgR g/Co NAL NlzSSIGN/CQNINLITTE E, A.PPLICATIQN 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 genei-al, 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 infoi-ination requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Boa,rd/Commission/Comniettee of Interest ❑ Airport Advisory Board ❑ Municipal Band Commission gBuilding & Standards Commission ❑ Paris/Lamar County Board of Health ❑ Civi] 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: tL'SC~ Address: -5 l L D e'j ~ Acl-1 L~ f---4 I S ( 7546 0 Work Phone: an -!49L- ~0-7-6. Home Phone: q63 7&5 46(a~ 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. rD ehi gp~ ~1~-- By signing below, I acknowledge that I am aware and agree to the proliibitions of the City of Paris Charter and the laws of che 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 tenn. I understand that the number of positions on a given board, conunission, or committee is ]imited and that ] rnay 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. ] authorize the City of Paris to verify all information provided in this application. ln accordance with Section 552 of the Local Government Code, 1 understand that infonnation provided in this appli tion may e i] b t the public upon request. Signature of Candidate: Date: For Ciri Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y:' N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Ser-Oce: 0 1 2 3 4 5 6 Citv ot' Faris Revised 02/19/08 227 Certification and Authorization