Agenda Item# "3 A• \ PALM BEACH COUNTY

BOARD OF COUNTY COMMISSIONERS

BOARD APPOINTMENT SUMMARY

======================================================================== Meeting Date:

Department:

March 12, 2019

Administration

Advisory Board Name: Health Facilities Authority ------------------------------------------------------------------------------------------------------------------------------------------------I. EXECUTIVE BRIEF

Motion and Title: Staff recommends motion to approve: the reappointment of three individuals to the Health Facilities Authority for the term of May 1, 2019 to April 30, 2023:

Reappoint Joan Roude

James Howell

Tenna Wiles

Seat No. 3

4

5

Seat Requirement Resident of PBC

Resident of PBC

Resident of PBC

Nominated By Mayor Bernard Commissioner Valeche Commissioner McKinlay

Mayor Bernard Commissioner Valeche Commissioner McKinlay

Mayor Bernard Commissioner Valeche Commissioner McKinlay

Summary: Per Section 154.207, Florida Statutes and Resolution Nos. R77-379, R77-398 and R92-563, the Health Facilities Authority (HFA) is composed of five members appointed at-large by the Board of County Commissioners (BCC). A memo dated January 29, 2019 was circulated to the BCC notifying the Board of these three reappointments and requesting their support or asking for additional nominations. No additional nominations have been received. The HFA's current diversity is four Caucasian (80%) and one African-American (20%). The gender ratio male:female is 2:3. Staff is continuously working towards increased diversity. Countywide (HH)

Background and Justification: The Health Facilities Authority was created to assist health facilities in acquisition, construction, financing, and refinancing of projects.

Attachments: 1. Boards/Committees Application and Resume for Joan Roude 2. Boards/Committees Application for James Howell 3. Boards/Committees Application for Tenna Wiles 4. Current Membership listing from the Boards & Commissions Directory

========================================================================

n (lQ l ~· n ·~ 2..{1'{~\~ Recommended By: _____ U ___ ___.,.Q--t--...... _ _,__~------------~---Ass1sta~unty Administrator Date

Legal Sufficiency: ___ __....a ..... ~~~ ........... ----e_v __ q;J;J __ , . .......,..-'-P'-..... ___________ 2_-_Zl _ _,_,_t?_ Assistant' County Attorney Date

1

II. REVIEW COMMENTS

A. Other Department Review:

Department Director

REVISED 06/92 ADM FORM 03 (THIS SUMMARY IS NOT TO BE USED AS A BASIS FOR PAYMENT.) U:\Bcc\BDAPPT.FRM

2

Date

PALM BEACH COUNTY BOARD OF COuNTY COMMISSIONERS

BOARDS/COMMITTEES APPLICATION

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION II IN FULL.

Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.

Section I (Department): (Please Print)

Board Name: .po\ M~c.,~ (.D~'-\\-h.cJ-ih £,l~ 1\:\1~) ~~dvisory IJl NotAdvisory[ I

[ ] At Large Appointment or ] District Appointment /District#: __ _

Term of Appointment: Years. ------\.-&---"---

From:

Seat Requirement:

·~*Reappointment or [ ] New Appointment

or [ ] to complete the term of ----------- Due to: [ ] resignation [ ] other

Completion of term to expire on:

*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous

term shall be considered by the Board of County Commissioners: __ _

Section Il {Applicant): (Please Print)

APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Rbv->J'f..._ Last

Occupation/ Affiliation:

Business Name:

Business Address:

Owner [ ]

First

Employee [ ]

Middle

Officer Ill{

City & State ----------------- Zip Code:

Residence Address: l '] Y.1 4 r- \ "'5 \,,.t}~ P }

City & State f2i h k( ), i\-'\/h- Bo.-dch -f I Home Phone: (( l) 3 b q I ,r: 1 fl Business Phone:

Zip Code:

( ) Ext.

Cell Phone: cS <b} J Jy Y-v ~-{' Fax: ( )

Email Address: -:f P /_ Q.. fV )4 ~ 2-'+ ~ / Cl~ Mailing Address Preference: [ ] Business v{ Residence I Have you ever been convicted of a felony: Yes No __ _

If Yes, state the court, nature of offense, disposition of case and date: ---------------------

Minority Identification Code: [ ] Native-American

Page 1 of2

[ ] Male [ ] Hispanic-American [ ] African-American

ATTACHMENT "A"

Page 1 of2

v{Caucasian

Section JI Continued:

CONTRACTUAL RELATIONSHIPS: Pursuant to Article XllI, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to repo~ please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No. Department/Division Description of Services

Example: <R#XX-XX/PO XX> Parks & Recreation General Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity)

ETIDCS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment~ Article XIll, and the training requirement can be found on the web at: • Ethics training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

By watching the training program on the Web, DVD or VHS on ~ h~J /.. 20 JV By attending a live presentation given on , 20 __ ' I

By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & St e of Florida Co of Ethics: ~ I

*Applicant's Signature: JJ.._ Printed Name:-J b .Jl :Y\J }~ ~ uJf..9_ Date: I I l J.IJ 1 I I

Any questions and/or co ems regarding Article XIll, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website or contact us via email at or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section ill (Commissioner, if applicable): Appointment to be made at BCC Meeting on:

Commissioner's Signature:_~~..L~~~~~~~--=-~lz::::R::::::::::::~AL-_ Date:-------------

Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.

Page2 of2

ATTACHMENT "A" Page2 of2

Revised 02/01/2016

Sectfolll Il Confuitued:

CONTRACTUAL RELATIONSDIPS: Pursuant to Article Xill, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction :fur goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply w:hen the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract o:r transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with fib.is provision, it is necessary th.at you, as a ll>oard member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception o:r waiver pursuant to the code.

Contract/Transaction No. Departmelllt/Divisfon Description. of Services

Exam.pie: <R#XX-XX/PO XX) :Parks & Recreatioim General Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity)

ETIDCS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment:. Article :xm, and the training requirement calll be found on the web at: .. Ethics trammg is oDI-going, and pursuant to PPM CW-P-79 is required before appointment, allld upon reappomtmelllt~

By signing below I acknowledge th.at I have read, wn.dersta:n:ui, and agree to abide by Article XIII, the Pallm Beach County Code of Ethics, and I have received the required. Ethics training (in the manner checked below):

By watching the training progrrun on the Web, DVD or VHS on °J f 11-. 20 JV By attending a live presentation given on , 20 __

By signing below I acknowledge that I have read, understand and agree fo abide by the Guide to the Smash.me Amendment & St e of Florida Co of Ethics: -j' I

*Appllicant's Signature: L-...._ PrintedName:-10 .Jl YV /~ RJ) L<JSJ.~ Date: If l J.-1 11 I I

Any questions and/or co ems regarding Article XIIT, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website or contact us via email at or (561) 355-1915.

Retuirn this FORM to: {Insert Liaison Name Here}, {Insert :Department/Division Here}

{Insert Address Here)

Section m {Commissioner, ifapplic.alfile): I Appointment to be made at ~ca Meeting on: v i . . l 7

Commissioner's Signatur~:,;-/r. ~( 7 ... /. . ~ I I Pursuant to Florida's Public Records Law, t · document may be reviewed and photocopied by members of the public.

Page2 of2

ATTACHMENT "A" Page2of2

Revised OZ/01/2016

Section II Continued:

CONTRACTUAL RELATIONSBJPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited :from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation~ oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach. County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to repo~ please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No. Department/Division Description of Services

Example: <R#XX-ll/PO XX> Parks & Recreation General Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity)

ETIDCS TRAINlNG: All board members are required to read and complete training on Article :xm, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment~ Article XIll, and the training requirement can be found on the web at: • Ethics training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, unde1·stand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

By watching the training program on the Web, DVD or VHS on '"J JP1"'6 20 IV By attending a live presentation given on , 20 __

By signing below I aclmowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & S e of Florida Co of Et~ics: --J' ../ Y} Q , (

*Applicant's Signature: - ,M..,{;V-...._. Printed Name:-J 0 ~ f\) /e,. f...-tJ uJf . ..)1- Date: l I l t' } 1 I I

Any questions and/or co ems regarding Article XIIl, the Palm Beach County Code of Ethics,, please visit the Commission on Ethics website or contact us via email at or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section ill (Commissioner, if applicable): Appoin1ment to be made at BCC Meeting on:

Pursuant to Florida's Public Records I.aw, this document may be reviewed and photocopied by members of 1he public.

Pagel of2

ATTACHMENT "A1' Page2of2

Revised 02/01/2016

r ~ •

JOANROUDE 77 49 Springwater Place

Boynton Beach, FL 33437 369-1518-email: jolen0824@aol.com

I AM CURRENTLY TREASURER OF PALM ISLE III, CHAIRPERSON OF THE BUDGET COMMITTEE OF PALM ISLES III, AND REPRESENT PALM ISLES III ON THE MASTER BOARD.

PROFESSIONAL EXPERIENCE: RETIRED-BUSINESS MANAGER - LaGuardia Community College -

Responsible for Budget, Payroll, Purchasing, Bursar, Accounting, Student Funds, and Planning and Design of College Facilities.

ADJUNCT LECTURER, Broward College, 1966-2014-Taught Accounting and various Business Courses.

VOLUNTEER EXPERIENCE-CURRENT- HEALTH CARE DISTRICT OF PALM BEACH

COUNTY- Finance Committee, Audit and Compliance Committee. Oversight of County Nursing Home and Lakeside Hospital, Belle Glade, Construction Committee 2009-2011.

HEALTH FACILITIES AUTHORITY OF PALM BEACH COUNTY­Financial review of Health Care organizations application for debt service. This is a governor's committee.

TAMARA HADASSAH OF PALM ISLES- Treasurer

PRIOR- BRANDEIS NATIONAL WOMAN'S COMMITTEE- Florida Region President, Member of National Board of Directors.

UNITED WAY OF PALM BEACH COUNTY- Finance and Audit Committees

HOPE PROJECT-Board of Directors

DEGREES: MASTERS OF PUBLIC ADMINISTRATION-Baruch College­

Major: Budget and Finance BACHELOR OF BUSINESS ADMINISTRATION-Baruch

College-Major: Management

JOAN ROODE 7749 SPRINGWATER PLACE

Boynton Beach, Florida 33437 {407) 369-1518 (Home)

EDUCATIONAL BACKGROUND:

.Masters of Public Administration,Baruch College, CUNY,1985 Specialization in Budget and Finance

.Bachelors of Business Administration,Baruch College,CUNY,1981 Specialization in Management

.Associate in Applied Science,New York City Technical College, CUNY, 1954

PROFESSIONAL EXPERIENCE:

1973 - 1995

1987-1995 1981 -1978 1977 1973

1987 1981 1978 1976

MANAGEMENT RESPONSIBILITIES:

LAGUARDIA COM'MDNITY COLLEGE CITY UNIVERSITY OF NEW YORK

Business Manager Assistant Business Ma~ager Assistant to Business Manager Budget Officer Payroll and Budget Clerk

.Member of President's Cabinet - Long range college planning . . Member of Faculty Senate Committee on College Governance,and Professional Development . . Member of the Enrollment Management Committee . . Treasurer and Member of the Board of Directors of Student Association, Auxiliary Enterprise and the Endowment Corporation .

. Supervise Business Office's professional and clerical staff (30) in the areas of Accounts Payable, Auxiliary Enterprise, Budget, General Accounting, Payroll, Purchasing, and Student Faculty Association and Bursar . . Develop, in consultation with employees, ·.annual perfonnance goals; evaluate employees in their progress' toward goal achievement.

BUDGET PLANNING AND CONTROL:

.Manage a 50 million dollar operating expense budget .

. Negotiate, verify and facilitate campus wide resource allocation to all operating units of the College .

. Revenue and expense forecasting, modeling and budget variance analysis.

MEMBERSHIPS AND AFFiLIATIONS:

National Association of Auxiliary Services American Society of Public Administrators National Council of Community College Business Officers Eastern Region Council of Community College Business Officers Baruch Alumni MPA Association

REFERENCES AVAILABLE UPON REQUEST

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.

Section I <Denartment): (Please Print)

Board Name: _P_a_lm_B_e_a_c_h_C_o_u_n_ty_H_e_a_lt_h_F_a_c_ili_ti_e_s_A_u_th_o_r_ity ______ Advisory [ ] Not Advisory [XI

[XI At Large Appointment or ] District Appointment /District #: __ _

Term of Appointment: N/A Years. From:

Seat Requirement: Resident of Palm Beach County

[Xi *Reappointment or [ ] New Appointment

or to complete the term of ----------- Due to: [ ] resignation [ ] other

Completion of term to expire on:

*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _

Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Howell James Thomas First Middle Last

Occupation/ Affiliation: Physician, Professor, Nova Southeastern University

Owner [ ] Employee [ Officer [ ]

Business Name: Nova Southeastern University

Business Address: 3200 South University Drive

City & State Fort Lauderdale FL Zip Code: 33328-2018

Residence Address: 6411 Grand ~ypress Circle

City & State

Home Phone:

Lake Worth FL Zip Code: 33463

_(,_5_6...._j __ 35_7_-_5_5_83 _____ Business Phone: ( 95>4 626-1427Ext. Cell Phone: _(9=--5=--4"-'8=-=7'"""'3 ....... -0=-=8~6'-'-7 _____ Fax:

Email Address: jhowell@novd.edu jamesthowell@yahoo.com

Mailing Address Preference: [ ] Business [X] Residence

Have you ever been convicted of a felony: Yes No _X __ If Yes, state the court, nature of offense, disposition of case and date: ---------------------

Minority Identification Code: [ ] Native-American

Page 1 of2

[)J. Male [ ] Hispanic-American

[ ] Female [ ] Asian-American [ ] African-American [XJ Caucasian

ATTACHMENT "A" Page I of2

CONTRAC,'TUAL RELATIONS1IIPS; Pursuant to Article XIH, Sec. 2443 of the Palm Beach County Code of Ethics, advisory board members are prohjbited from entering into any contract or other transaction. for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed <::ompetitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the .advisory board member's board provides no regulation. oversight, management, or policy~setting reoo1nrnendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as.a board member appliennt, identify alt contractual relationships between Palm Beach County guvernment and you as, an individual, directly or indirectly, or your employer or business. This infonnation should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist Staff will review this informa.tfo11 and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No. Dmartment/Division

Example: (R#XX~XXIPO XX) Parks & Recreation

Description of Services Term

10/(11/00:09130/2100

-----(Attach Additional Sh~t(s), if necessary) OR

NOT APPLICABL~/ D (Governmental Entity)

ETfilCS TRAINING: All boa.rd members are required to read and complete training on Article xm~ the Palm Beach County Code of Ethics, and read the State Gui.de to the Sunshine Amendment~ Article XIIl, and the training ~quirement can be found en tlte web at: bttm/hi~'\n'i'.paJmbead1countvethics~com/t1•aining.btm. Ethics training is on-going, and pursuant to PPM CW-P~79 is required before appointment, and upon reappointment.

By signing below I ach."ll<>Wledge that I have read, understand, and agree to abide by Article XUI, the Palm Beach County C()de of Ethics, and I J~ave received the required Ethics training (in the roa.ime•· cbecked befow):

By watching the training program on the Web, DVD or "VHS on & { i.-fo .. 20 4 By attending a live pre~entation given on 20 .......... __

.By signing below I ack;nowledge that I have read,. tm.derstand and agree to abide by the Guide to the Sunshine Amendment & ~t.%~~t~7~~::~~~

*Applicant's Signat6i-e(Jamf~~,J,:.::;:Mt1iiv.eff., .... , Printed Name: James T. Ho~!~.~.-~.D. Date: 1/26/2019 .......... _ Any questions and/or co:nce:tns regarding Article XIII~ the Palm Beach County Code of Ethics, please vi.sit the Commission on Ethics website lYWw.palmbeacht;fH.mtvethics.c.om or contact us via email at ethks@pah11beachcountve!lncs.com or (561) 355 .. 1915.

Return th.is .FORM to: {Insert Liaison Name He.re}, {Insert Dcpartmentl.Division Here}

{Insert Address Here)

Section ID (Commfasione:r, if applicable.): Appointment to be made at BCC Meeting on:

Commissioner's .Signature: _______________ _ Date: ___ ,, _____ ,.···--·---Pursuant to Florida's Pub.He Records La'-v. this document may be rovfowed and photocopied by members of the public.,

Page2 of2

ATTACHMENT"N Page2 of2

Revised 02/01/2016

Section II Continued:

CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No. Department/Division Description of Services

Example: <R#XX-XX/PO XX) Parks & Recreation General Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity)

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment,!, Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training;htm. Ethics training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I aclmowledge that I have read, understand, and agree to abide by Article XIll, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

By watching the training program on the Web, DVD or VHS on _____ 20 __ By attending a live presentation given on 20 __

By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:

*Applicant's Signature: James T. Howell Printed Name: James T. Howell, M.D. Date: 1/26/2019

Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website wwvi'.palmbeachcouutyethics.com or contact us via email at ethics@palmbeachcountyethics.com or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section III (Commissioner. if appli~a-ble): I Appointment to be made a;,t·•'BGC Meeting 9h: /J / ~

Commissioner's Sigrurture>l-dJ {; f/O .k~----D-at_e_: -/-j--f-3-t;-. ~ -/--..,.,-/-. 9------\ I fr

Pursuant to Florida's Public Records Law, tlus document may be reviewed and photocopied by members of the public.

Page2 of2

ATTACHMENT "A" Page 2 of2

Revised 02/01/2016

Section Il Continued:

CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIll, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition do es not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an indiYidual, directly or indirectly, or your employer or business. This information should be provided. in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No. Department/Division Description of Services

Example: CR#XX-XX/PO XAJ Parks & Recreation General Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity)

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics~ and read the State Guide to the Sunshine Amendment.:. Article Xlll, and the training requirement can be found on the ·web at: http://www.palmbeach.countvethics.com/training.htm. Ethlcs training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

By watching the training program on the Web, DVD or VHS on _____ 20 __ By attending a live presentatiof!- given on 20 __

By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:

*Applicant's Signature: James T. Howell Printed Name: James T. Howell, M.D. Date: 1/26/2019

Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountvethics.com or contact us via email at ethics@palmbeachcountvethics.com or (561) 355-1915.

Return this FORM'to: {Insert Liaison Name Here}, {Insert DepartmentJDivision Here}

{Insert Address Here)

Section ID (Commissioner, if applicable): Appointment to be made at BCC Meeting on:

Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.

Page2 of2

ATTACHMENT 11A" Page 2 of2

Revised 02/01/2016

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION II IN FULL. Answer "none" or "not applicable" where appropriate. Please attach a biography or resume to this form.

Section J (Department): (Please Print)

Board Name~ .PC\\ rn ~f tAC\\ co\~ f)'\\.\ l-\ln \-\h fl7t c\ \\ H e.5 Advisory [ ] Not Advisory [.X:f A1Jtno n.~~

[ ] At Large Appointment or [ f D:istric.t Ap.poinfinent /District#: __ _

Term of Appointment: ----- Years. From; To:

Seat Requirement:

j)q*Reappointment or [ ] New Appointment

or to complete the term of ----------- Due to: [ ] resignation [ ] other

Completion of term to expire on:

*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shaU be considered by the Board of County Commissioners: __ _

.sectfon II fApplicanfl: (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: ~I!--"-~--'--'\ \~t.\~~ _____ K-'-"'='·C_._f).,.._._'()'-""-'Ll __________ _ Last First Middle

Occupation/ Affiliation: ~C,.......b .......... ...;_\ f ........ J..____,,,_t-'-'-~f......_..._( U-'-j_,_\,__\J--'-(,--...:[..._t\_,_,_~_...\ (_...f......_.,f ___________ _

Business Name:

Business Address:

City & State

Residence Address:

City & State

Home Phone:

Cell Phone:

Email Address:

.\JifJI PQ.\ll) BfC\C\j, FL ZipCode: .,._..,,3"'--"3_4'--"·0_lP ____ _

.:;_..A.;-:..t_,_,\ r'-"'-1-'-fnt.......,)L..='"0-...;1,___,_Fl=-' ---------.., Zip Code: _·3 __ 54 __ (0_2 ____ _ ( ) ~Lo \ .. Cl ill 6 - a s 1.0. Busine~s Phone: oQ:i\)~23- 3 t1-t{) . E.xt. \ 0 l9 ( ) '5(Q l ~- SZ3- 'l OS] Fax: { ) 5{Q l - 13.3 ~ .dl'38 S tf.DOQ hi @ \)bCro~. 0(1

Mailing Address Preference: !><J. Business [ ] Residence

Have you ever been convicted of a felony: Yes No \'A If Yes, state the court, nature of offense, disposition of case and date: -------------------

Minority Identification Code: [ ] Native-American

Page 1 of2

[ ] Male [ ] Hispanic-American

~Female [ ] Asian-American [ ] African-American ~Caucasian

ATTACHMENT 11A11

Page 1 of2

Section II Continued:

CONTR.A.CTUAt.. RELATiONSH'J.PS': Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your· employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction No. Departm-e.nt/DMsion .Descriptiotl .of Servkes·

Exaniple: CR#XX-XX:/PO XX). General Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity) ·

ETHICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment~ Article XIII, and the training requirement can be found on the web at: .bttp://wwwmalmb.eachconntyethics.coin/trainin.g.htm. Ethics training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

By watching the training program on the Web, DVD or VHS on( }Q f'I \ (.\ 20J.Jl_ By attending a live presentation given on , z<l____.

By signing below I acknowledge that I have read, understand and agree to ·abide by the Guide to the Sunshine Amendment & State of Florida Code Qf Ettqcs: .

*Applicant's Signature~ _&}~Name: lf.f\D(\ V\l i \!;) Date: \ • 2:1. I 9 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website·www.palnibeachco.tmtyethks.com or contact us via email at ethicsr@palmbeachcountyethies.com or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section Ill (Commission~r, ifapglicable): Appointment to be made at BCC Meeting on:

Commissioner's Signature: ~ ~ ~ate:_~-Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.

Page 2 of2

ATTACHMENT "A" Page2 of2

Revised 02/01/2016

Section II Continued:

C.ON'l'RA.CTUAt.. RELA:T.lONSHl.PS! Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or oth~r transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Co.de. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This infonnation should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transactfon Na. Deoartmen.ttDivision .Descriptiu.n· O:f Serv-ices·

Ex3.mple: (R#XX~XX/FO XX} ParkS & Reci&atlon · General Maintenance 10/01/00-09/30/2100

NONE D (Attach Additional Sheet(s), if necessary)

OR

NOT APPLICABLE/ D (Governmental Entity) ··

ETHICS TRAIJ\11NG: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment.": Article XIII, and the training requirement can be found on the web at: _http://www~palmb:eacbconntyetbies:.comltr.ainingJitm. Ethics training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

)( By watching the training program on the Web, DVD or VHS on c jQ fl l C\ 20--1.El By attending a live presentation given on 20 __

By signing below I acknowledge that I have read, understand and agree to ·abide by the Guide to the Sunshine Amendment & State of ,Florida Code Qf ·E~es: .

*Applicant'sSignatur.,;~ ~~Name:\:t.f'lfi'Cli lJ\I i\!b.___ Date: i .Z.1. I q Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website·www..pa1iribeaclieel:intyethks~com or contact us via email at ethicsa1Ipaimbeachc0UI1tyethics.com or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section. in (C~mmissioner, if applic~b~: . 1/ ,

Appomtment to be ma:fte ~C Mee~ rn: / ~i ~ . . ,,,.111_.)1 10 ~ .. ~...---· 11::::> ·/19· Commiss1oner's Signature. A,.\l...- ,, - Date! __ ~~..:)-€)-t----~-----

Pursuant to Florida's Public Records Law, ~fS'0.0cument may be reviewed and photocopied by members of the public..

1

Page 2 of2

ATTACHMENT "A" Page2 of2

Revised 02/01/2016

Section II Continued:

CONTRACTUAL.ilELA:TIONSHlPS~ Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report; please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

Contract/Transaction.No. Department/Division .Description· of Servk:es·

Example: fR#XX-X.X:/PO XXl Parke; & Ree1~entlon · Gen.eral Maintenance 10/01/00-09/30/2100

NONE

(Attach Additional Sheet(s), if necessary) OR

NOT APPLICABLE/ D (Governmental Entity)

ETf.IICS TRAINING: All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment..: Article XIII, and the training requirement can be found on the web at:. http:/lwww;palmbeachconntvethics-.c·om/tr.aining.htm. Ethics training is on-going, and pursuant to PPM CW-P-79 is required before appointment, and upon reappointment.

By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):

· "X By watching the training program on the Web, DVD or VHS ondO fl \ C\ 2o__li1_ By attending a live presentation given on , 20 __

By signing below I acknowledge that I have read, understand and agree to ·abide by the Guide to the Sunshine Amendment & State of Florida Code of 'E:tliics: .

*Applicant'sSignature:~ -&}~Name:}f.\JDO, i/\I i\!fi Date: \ .2j. J 9 Any questions and/or concerns regarding Article XIII~ the Palm Beach County Code of Ethics, please visit the Commission on Ethics website·www.pa1iribeacl1c6untyefliks~com or contact us via email at ethfosr@.'palmheachc0untvethios.co111 or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section III (Commissioner. if applicable): Appointment to be made at BCC Meeting on:

Commissioner's Signature: ~s.'..v-fr\'-~ Date:___..._....a/_.....'/f _,,__._lj __ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.

Page 2 of2

ATTACHMENT 11A" Page 2 of2

Revised 02/01/2016

I. AUTHORITY :

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS

HEAL TH FACILITIES AUTHORITY

Chapter 74-323, Laws of Florida; Chapter 154, Florida Statutes Part Ill; Resolution No. R-77-379, adopted April 12, 1977; and Resolution No. R-77-398, amended by Resolution No. R-92-563. '

II. APPOINTING BODY :

Board of County Commissioners

Ill. COMPOSITION,QUALIFICATIONS,TERMS & REMOVAL:

This Authority shall be composed of five (5) members appointed at-large to serve staggered terms of one (1), two (2), three (3) and two (2) four (4) year appointments. After initial appointments, all ~erms shall be for four (4) years. All terms shall expire in April.

EXTENDED COMPOSITION :

IV. MEETINGS :

Annual meetings are held the first Tuesday in April or May and other meetings are held as needed. The time of the meetings usually start at 4:00 p.m. The location of the meetings are at John Flanigan's Office, 660 U.S. Highway One, 3rd Floor, North Palm Beach, FL 33408

V. FUNCTIONS :

To assist health facilities in acquisition, construction, financing, and refinancing of projects; currently working on Health Center at Haverhill Road.

VI. LIAISON INFORMATION:

LIAISON DEPARTMENT

Outside Entity

CONTACT PERSON

John F. Flanigan, Esq

* indicates a member having an action pending

SpecificsBoardComp_Members. rpt

ADDRESS

660 U.S. Highway One Fl 3rd North Palm Beach FL 33408 Phone# 561-627-8100

Page 1of3 2/14/2019

HEAL TH FACILITIES AUTHORITY

ROLE RACE BUSINESS I APPOINT REAPPOINT EXPIRE SEAT ID CURRENT MEMBER TYPE CODE GENDER HOME PHONE SEAT REQUIREMENT DATE DATE DATE

Appointed By : At-Large/Palm Beach County Board of County Commissioners

Dr. Gerald M. Robinson Member CA M Resident of Palm Beach County 01/15/2019 04/30/2023 bocaknife@comcast.net BocaCare - Boca Raton Regional Hospital 670 Glades Rd Ste 300 Boca Raton FL 33431

NOMINATED BY :

2 Yolette Bonnet Member AA F Resident of Palm Beach County 01/15/2019 04/30/2021 ybonnet@foundcare.org FoundCare, Inc. 2330 S Congress Ave West Palm Beach FL 33406

NOMINATED BY :

3 JoanE. Roude Member CA F 561-369-1518 Resident of Palm Beach County 10/16/2012 05/01/2016 04/30/2020 jolen0824@aol.com

77 49 Springwater Pl Boynton Beach FL 33437

NOMINATED BY :

4 James T. Howell Member CA M 561-357 -5583 Resident of Palm Beach County 01/15/2008 05/01/2015 04/30/2019 jamesthowell@yahoo.com

6411 Grand Cypress Cir Lake Worth FL 33463 7363

NOMINATED BY :

* indicates a member having an action pending

SpecificsBoardComp_Members.rpt Page 2of3 2/14/2019

Appointed By : At-Large/Palm Beach County Board of County Commissioners

5 Tenna Wiles Member tennaw@pbcms.org Palm Beach County Medical Society 3540 Forest Hill Blvd Ste 101 West Palm Beach FL 33406

NOMINATED BY :

* indicates a member having an action pending

SpecificsBoardComp_Members.rpt

CA F 561-433-3940 X12

Resident of Palm Beach County

Page 3 of 3

03/13/2007 05/05/2015 04/30/2019

2/14/2019