GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 7/16/2015 3:02:53 PM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. Yes

Contact 1- General

Title Mr. First Name Daniel

Middle/Maiden Scott Last Name Fridman

Email Address [email protected] Cell Phone s. 119.071(4)(d) F.S.

Race Hispanic-American Gender Male

Fax Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 s. 119.071(4)(d) F.S. Address Line 2

City s. 119.071(4)(d) F.S. State s. 119.071(4)(d) F

County s. 119.071(4)(d) F.S. Zip / Postal Code s. 119.071(4)(d)

Phone Number s. 119.071(4)(d) F.S.

3- Business

Address Line 1 White Case, LLP Address Line 2 200 South Biscayne Blvd., Suite 4900 City State

Zip / Postal Code 33131 Phone Number 305-995-5264

Other Residences 4-A. List all your places of residence for the last ten (10) years.

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Date Submitted: 7/16/2015 3:02:53 PM

Address City & State Start Date End Date 1711 Segovia Street Coral Gables, FL 07/15/2001 07/15/2005 2610 Indian Mound Trail Coral Gables, FL 07/15/2005 07/31/2006 2610 Indian Mound Trail Coral Gables, FL 08/01/2007 12/1/2014 3404 Cameron Mills Road Alexandria, VA 8/1/2006 8/1/2007 s. 119.071(4)(d) F.S. s. 119.071(4)(d) F.S. 12/1/2014 Present

4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date 3404 Cameron Mills Road Alexandria, VA 8/1/2006 8/1/2007 4322 HLS Holmes Hall Cambridge, MA 08/1/1996 06/01/1999 George Washington University, Francis Scott Washington, D.C. 06/1/1996 08/15/1996 Key Hall

Personal Information 5- Date of Birth s. 119.071(4)(d) F.S. Place of Birth New York

6- Driver License # F635177743100 Issuing State New York

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a citizen? Yes legal name? No

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida? 1985

11- Vote

Are you a registered Florida voter? Yes

County of registration Miami-Dade Current Party Affiliation Republican

Education

12-A. High School Plantation High School Year Graduated 1992 B. List all postsecondary educational institutions attended

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Date Submitted: 7/16/2015 3:02:53 PM

Name & Location Start Date End Date Certificates / Degrees Received Harvard Law School, Cambridge, MA 8/1996 6/1999 J.D. cum laude University of Florida, Gainesville, FL 8/1992 6/1996 B.A. with highest honors

Employment 13- Are you or have you ever been a member of the armed forces of the United States? No

A. Date of Service B. Branch or component C. Date & Type of Discharge

14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title White Case, LLP, 200 S. Biscayne Law Firm Laywer 11/1/2014 Present Blvd., Suite 4900, Miami, Florida Holland Knight, LLP, 701 Brickell Ave, Law Firm Laywer 10/2008 10/31/2014 Suite 3300, Miami, FL Lewis Tein, PL, Coconut Grove, FL Law Firm Laywer 11/2007 10/2008 United States Attorneys Office, Miami, Government Law Prosecutor 10/2004 10/2007 FL Enforcement United States Department of Justice, Government Law Senior Counsel to the 04/2006 08/2007 Washington, DC Enforcement Deputy Attorney General Hunton Williams, LLP, Miami, FL Law Firm Lawyer 09/2000 10/2004

15- Have you ever been employed by any state, district, or local governmental agency in Florida? No

Position Employing Agency Start Date End Date

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? No

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Date Submitted: 7/16/2015 3:02:53 PM

I was appointed by Governor Scott to serve a four-year term on the Eleventh Circuit Judicial Nominating Commission beginning July 2011. I am currently the Vice-Chairman of the JNC. I have now conducted several dozen interviews of judicial applicants and am very familiar with the process and identifying qualified applicants. I have also never missed a meeting in the four years I have served. I am very proud of the quality of candidates that have been sent to the Governor for consideration during my tenure.

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this No appointment

I am a member of the Florida Bar.

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? Yes

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal) Judicial 07/01/2011 Four Years State Nominating Commission Member, Eleventh Judicial Circuit

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings As required by judicial vacancies scheduled 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

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Meetings Attended Meetings Missed Reason for Absence I never missed a meeting. Zero NA

Violation 20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) No

Date Place Nature Disposition

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select 23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

Error: Subreport could not be shown.

25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? No

A. Did you receive any compensation other than reimbursement for expenses? No B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? Yes

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27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? Yes

Name of Business Your Relationship to Business Business Relationship to Agency White Case, LLP Partner My firm has been engaged to represent agencies of the state of Florida in the past, such as redistricting cases. White Case LLP and Holland Partner I have represented clients under Knight investigation by the State Attorney Generals Office and the Medicaid Fraud Control Unit

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? Yes

Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency Florida International Wife Employee She is the Dean of University School of Law Students at FIU Law School

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Paul C. Huck, Jr. Jones Day, 600 Brickell Avenue, Suite 33131 3057149727 3300, Miami FL Jason Rosenberg, M.D. 4500 Newberry Road, Gainesville, FL 32607 3522622559 Raoul Cantero White Case, 200 South Biscayne Blvd., 33131 3059955290 Suite 4900, Miami, FL

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership Florida Bar Tallahassee, FL Member #Error Greater Miami Miami, FL Member and Vice Chair of #Error Chamber of Healthcare and Bioscience Commerce Committee

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30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? No

Boards of Interest

Functional Board Name Seat Seat Qualification Reappointment Category Judicial/Legal Eleventh Circuit Judicial 2 Governor appoints 5 members who Yes Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Eleventh Circuit Judicial 3 Governor appoints 5 members who Yes Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Third District Court of 1 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Third District Court of 3 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar.

10/27/2015 11:30:48 AM Application Page 7 of 7 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 7/7/2014 5:31:58 PM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. Yes

Contact 1- General

Title Mr. First Name Jason

Middle/Maiden Brent Last Name Gonzalez

Email Address [email protected] Cell Phone s. 119.071(4)(d) F.S.

Race Caucasian Gender Male

s. 119.071(4)(d) F.S. Fax Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 s. 119.071(4)(d) F.S. Address Line 2

City s. 119 071(4)(d) F.S. State s. 119.071(4)(d) F

County s. 119.071(4) Zip / Postal Code s. 119.071(4)(d)

Phone Number s. 119.071(4)(d) F.S.

3- Business

Address Line 1 Shutts and Bowen, LLP Address Line 2 215 South Monroe Street, Suite 804 City Tallahassee State Florida

Zip / Postal Code 32301 Phone Number 850-521-0600

Other Residences 4-A. List all your places of residence for the last ten (10) years.

Address City & State Start Date End Date

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4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date

Personal Information 5- Date of Birth s. 119.071(4)(d) F.S. Place of Birth Tallahassee, Florida

6- Driver License # G524422733500 Issuing State Florida

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a United States citizen? Yes legal name? No

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida? 1973

11- Vote

Are you a registered Florida voter? Yes

County of registration Leon Current Party Affiliation Republican

Education

12-A. High School Leon High School Year Graduated 1992 B. List all postsecondary educational institutions attended Name & Location Start Date End Date Certificates / Degrees Received University of Florida, Gainesville, August, 1992 April, 1998 B.S.B.A., J.D. Florida University of Florida, Gainesville, FL August, 1992 April, 2998 B.S.B.A., J.D.

Employment 13- Are you or have you ever been a member of the armed forces of the United States? No

A. Date of Service B. Branch or component C. Date & Type of Discharge

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14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title Shutts and Bowen, LLP Legal Services Partner January, Present 2014 Ausley and McMullen, P.A. Legal Services Shareholder June, January, 2009 2014 Executive Office of the Governor Legal Services General Counsel February, June, 2009 2008 Shutts and Bowen, LLP, 215 South Legal Services Partner January, Present Monroe Street, Suite 804, Tallahassee, 2014 FL 32301 Ausley and McMullen, P.A., 123 South Legal Services Shareholder June, January, Calhoun Street, Tallahassee, FL 32301 2009 2014

15- Have you ever been employed by any state, district, or local governmental agency in Florida? Yes

Position Employing Agency Start Date End Date General Counsel Executive Office of the Governor February, 2008 June, 2009 General Counsel Executive Office of the Governor February, 2008 June, 2009

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? Yes

I believe that I am the only person who has experience Juris Doctorate working on judicial appointments as the Governor's General Counsel and as a commissioner on the Supreme Court, District Court and Circuit Court JNC's. Due to the timing of my appointments, I have never had the opportunity to serve a full 4 year term on a JNC. I have experience on the Florida Bar Judicial Nominating Committee, litigating JNC procedures twice before the Florida Supreme Court and giving several speeches to local bar associations on the topic of the judicial nomination and appointment process.

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this Yes appointment

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Federalist Society N/A James Madison Award - 2009

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? Yes

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal) Commisioner 08/06/2001 2001 2004 District Second Circuit JNC Commissioner 10/21/2004 2004 2007 District First DCA JNC Commissioner 09/04/2007 2007 2008 State Supreme Court JNC Commissioner 07/01/2001 3 years Second Circuit Judicial Nominating Chair Commission Commissioner 09/01/2004 3 years First District Judicial Nominating Commission Chair

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings Average of 4 per year scheduled 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

Meetings Attended Meetings Missed Reason for Absence 30 None NA 30 0 na

Violation

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20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) No

Date Place Nature Disposition

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select

23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

Error: Subreport could not be shown.

25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? Yes

A. Did you receive any compensation other than reimbursement for expenses? No

B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented Florida Legislature and Governors Office Tampa Electric Company Department of Revenue, Governors Office and 1st National Assets Broward County Florida Legislature Coral Mortgage Florida Legislature Trinity Highway Products Florida Legislature and Governors Office Citrus Memorial Hospital Florida Legislature Florida Financial Services Association Florida Legislature and Governors Office ADP, Inc. Florida Legislature DaVita, Inc.

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Florida Legislature and Governors Office OrangeLake Parkway Partners, LLC

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? No

27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Your Relationship to Business Business Relationship to Agency Florida Department of Environmental Attorney for business Legal Counsel Protection Agency for Healthcare Administration None Legal Counsel Florida Department of Transportation None Legal Counsel Florida Department of Financial None Legal Counsel Services Florida State Board of Administration None Legal Counsel Florida Department of Agriculture and None Legal Counsel Consumer Services Florida Department of State None Legal Counsel Agency for Persons with Disabilities None Legal Counsel

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Dubose Ausley 123 South Calhoun Street, Tallahassee, 32301 8502249115 Florida Michael Glazer 123 South Calhoun Street, Tallahassee, 32301 8502249115 Florida Larry Sellers 315 South Calhoun Street, Tallahassee, 32301 8502247000 Florida Charles M. Trippe, Jr. 501 West Bay Street, Jacksonville, FL 32202 9043561306

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Daniel E. Nordby 215 South Monroe Street, Suite 804, 32301 8505210600 Tallahassee, FL Jesse Panuccio 107 East Madison Street, Tallahassee, 32399 8502450710 FL

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership Leadership 300 East Park Avenue, NA #Error Tallahassee Tallahassee Florida 32302 The Federalist 1015 18th Street, N.W., Suite Tallahassee President #Error Society 425, Washington, D.C. 20036 Republican Party 420 East Jefferson Street, General Counsel #Error of Florida Tallahassee, Florida 32301 Leadership 300 East Park Avenue, None #Error Tallahassee Tallahassee, FL 32302 The Federalist 1776 I Street, N.W. Suite 300, Tallahassee President #Error Society Washington, DC 20006 Republican Party 420 East Jefferson Street, General Counsel #Error of Florida Tallahassee, FL 32301

30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? Yes

Wildwood Church, PCA. I have been a member since 1998. Membership is restricted to those who scknowledge their belief in certain core tenets of biblical Christianity. Attendance is open to all.

Boards of Interest

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Functional Board Name Seat Seat Qualification Reappointment Category Judicial/Legal Second Circuit Judicial 4 Governor appoints 4 members of the Yes Nominating Commission Florida Bar from a list of nominees submitted by Board of Governor of the Florida Bar. Judicial/Legal Second Circuit Judicial 7 Governor appoints 4 members of the Yes Nominating Commission Florida Bar from a list of nominees submitted by Board of Governor of the Florida Bar. Judicial/Legal First District Court of 4 Governor appoints 4 members of the Yes Appeal Judicial Florida Bar from a list of nominees Nominating Commission submitted by Board of Governor of the Florida Bar. Judicial/Legal First District Court of 7 Governor appoints 4 members of the Yes Appeal Judicial Florida Bar from a list of nominees Nominating Commission submitted by Board of Governor of the Florida Bar. Judicial/Legal Supreme Court Judicial 4 Governor appoints 4 members of the Yes Nominating Commission Florida Bar from a list of nominees submitted by Board of Governor of the Florida Bar. Judicial/Legal Supreme Court Judicial 7 Governor appoints 4 members of the Yes Nominating Commission Florida Bar from a list of nominees submitted by Board of Governor of the Florida Bar. Judicial/Legal Second Circuit Judicial 1 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Second Circuit Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal First District Court of 2 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal First District Court of 3 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar.

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Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar.

10/27/2015 11:23:24 AM Application Page 9 of 9

GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. Yes

Contact 1- General

Title Ms. First Name Kansas

Middle/Maiden R Last Name Gooden

Email Address [email protected] Cell Phone s. 119.071(4)(d) F.S.

Race Caucasian Gender Female

s. 119.071(4)(d) F.S. Fax Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 s. 119.071(4)(d) F.S. Address Line 2

City s. 119.071(4)(d) F.S. State s. 119.071(4)(d) F

County s. 119.071(4 Zip / Postal Code s. 119.071(4)(d)

Phone Number s. 119.071(4)(d) F.S.

3- Business

Address Line 1 201 N. Hogan St., Suite 400 Address Line 2

City Jacksonville State Florida

Zip / Postal Code 32202 Phone Number 904-353-6241

Other Residences 4-A. List all your places of residence for the last ten (10) years.

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Address City & State Start Date End Date 17100 N. Bay Rd. Apt 17 Sunny Isles Beach, FL August 2006 August 2008 17100 N. Bay Rd. Apt. 17 Sunny Isles Beach, FL August 2006 August 2008 4150 Quail Oaks Lane Harrisonburg, VA December May 13, 2007 1999 s. 119.071(4)(d) F.S. s. 119.071(4)(d) F.S. April 1, 2009 present 606 Hibernia Oaks Drive Fleming Island, FL May 14, 2007 March 31, 2009 6200 NW 173rd Street Miami Gardens, FL August 2005 August 2006 6200 NW 173rd Street, Apt No unknown Miami Gardens, FL August 2005 August 2006

4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date 1510 S. 2nd St., Apt 2 Louisville, KY November December 2001 2000 1510 S. 2nd St., Apt. 2 Louisville, KY November December 2001 2000 4150 Quail Oaks Lane Harrisonburg, VA December May 13, 2007 1999

Personal Information 5- Date of Birth s. 119.071(4)(d) F.S. Place of Birth Harrisonburg, VA

6- Driver License # G350516826040 Issuing State Florida

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a United States citizen? Yes legal name? No

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida?

11- Vote

Are you a registered Florida voter? Yes

County of registration Clay Current Party Affiliation Republican

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Education

12-A. High School Fort Defiance H.S. Year Graduated 2000 B. List all postsecondary educational institutions attended Name & Location Start Date End Date Certificates / Degrees Received University of Louisville, Louisville, KY August 2000 December none transferred 2001 James Madison University, January 2002 December BBA Finance, minor Criminal Justice Harrisonburg, VA 2004 St. Thomas University School of Law, August 2005 May 2008 JD Miami, FL James Madison University, January 2002 December BBA Finance, minor Criminal Justice Harrisonburg, VA 2004 University of Louisville, Louisville, KY August 2000 December None Transferred 2001 James Madison University, January 2002 December BBA Finance, minor Criminal Justice Harrisonburg, VA 2004 St. Thomas University School of Law, August 2005 May 2008 JD Miami Garden, FL

Employment 13- Are you or have you ever been a member of the armed forces of the United States? No

A. Date of Service B. Branch or component C. Date & Type of Discharge

14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title Boyd Jenerette, PA, 201 N. Hogan St., law firm Attorney Partner March 16, present Suite 400, Jacksonville, FL 32202 2009 Walton Lantaff Schroeder Carson, law firm Attorney August 11, March 15, 12740 Gran Bay Parkway 2320, 2008 2009 Jacksonville, FL Walton Lantaff Schroeder Carson, law firm law clerk November January 12740 Gran Bay Parkway 2320, 2007 2008 Jacksonville, FL Cole Scott Kissane, 4686 Sunbeam law firm law clerk May 2007 August Rd., Jacksonville, FL 2007

10/27/2015 11:32:27 AM Application Page 3 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

St. Thomas University School of Law, law firm tutor, active learning January May 2008 16401 NW 37th Ave., Miami Gardens, instructor 2006 FL Ira Kahn PA, 1489 W. Palmetto Park, law firm law clerk May 2006 August Rd. Suite 425, Boca Raton, FL 2006 Boyd Jenerette, PA, 201 N. Hogan St., law firm attorney March 16, present Suite 400, Jacksonville, FL 2009 Walton Lantaff Schroeder Carson, law firm attorney August 11, March 15, 12740 Gran Bay Parkway 2320, 2008 2009 Jacksonville, FL Walton Lantaff Schroeder Carson, law firm law clerk November January 12740 Gran Bay Parkway 2320, 2007 2008 Jacksonville, FL Cole Scott Kissane, 4686 Sunbeam Rd, law firm law clerk May 2007 August Jacksonville, FL 2007 St. Thomas University School of Law, law school tutor, active learning January May 2008 16401 NW 37th Avenue, Miami instructor 2006 Gardens, FL Ira Kahn, PA, 1489 W Palmetto Park law firm law clerk May 2006 August Rd Ste 425, Boca Raton, FL 2006 Americast construction supply accounting clerk 2003 2004 precast

15- Have you ever been employed by any state, district, or local governmental agency in Florida? No

Position Employing Agency Start Date End Date

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? Yes

J.D. from St. Thomas University School of Law

10/27/2015 11:32:27 AM Application Page 4 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

I am an appellate practitioner who is personally and professionally invested in having the highest quality judges serve on the First District Court of Appeal. I believe this is especially important in light of the vacancies coming available in the upcoming years. My experience provides a perspective valuable in evaluating the qualification of the applicants. I know the importance of the judges' roles not only on the Court, but also in the community. I am the current chair of the Jacksonville Bar Association's Appellate Section and the vice president of the Jacksonville Associate of Defense Counsel. I am an active member in the First DCA Inn of Court. In these roles, I have had the opportunity to interact with judges. It has been a pleasure to serve in these capacities; however, I would like the opportunity to contribute more to the appellate community and being selected to serve on the First District JNC would provide me with an avenue to do so. I am highly committed to this community and will work tenaciously on its behalf.

Moreover, I am an accomplished amateur golfer, holding several state and national titles. Golf taught me the value of honesty, integrity, professionalism, and patience. All of these are characteristics which are important in the judiciary; my background will help me idenitfy individuals that possess these qualities. Golf also shaped me into the individual that I am today. It has taught me the value of hard-work and determination.

The Court needs jurists that know, understand, and will fairly apply the law. The fair administration of justice requires intellect and strength of character, and I will work diligently and determinedly to identify the most qualified applicants to serve on the bench.

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this Yes appointment

2011 Super Lawyers Rising Star in Appellate Law; 2012 Super Lawyers Rising Star in Appellate Law; 2013 Super Lawyers Rising Star in Appellate Law; 2014 Super Lawyers Rising Star in Appellate Law

10/27/2015 11:32:27 AM Application Page 5 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

2012-2013 Vice Chair of Jacksonville Bar Association's Appellate Section; 2013-2014 Chair of Jacksonville Bar Association's Appellate Section; 2013 Secretary of Jacksonville Associate of Defense Counsel; 2014 Vice President of Jacksonville Associate of Defense Counsel; 2012-present member of First District Appellate Inn of Court; 2010- present member of Florida Defense Lawyers Association; amicus committee member of Florida Defense Lawyers Association; 2008-present member of Florida Bar Appellate Section; 2013 member of the Florida Bar's Appellate Section's CLE Committee; 2013 member of the Florida Bar's Appellate Section's Legislative Committee; 2014 Florida Bar's Appellate Section's liason to the Jacksonville Bar Association;

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? No

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal)

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings scheduled 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

Meetings Attended Meetings Missed Reason for Absence

Violation 20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) Yes

Date Place Nature Disposition 07/26/2006 Osceola County Speeding Payment of Ticket over 150

10/27/2015 11:32:27 AM Application Page 6 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

07/26/2006 Osceola County Speeding Admission of Guilt, Payment of Ticket over 150

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select

23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

Error: Subreport could not be shown.

25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? No

A. Did you receive any compensation other than reimbursement for expenses? No

B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? Yes

27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? Yes

Name of Business Your Relationship to Business Business Relationship to Agency Boyd Jenerette, PA employee firm represents Jacksonville Transit Authority in negligence lawsuits Boyd Jenerette, PA employee firm represents Clay County School Board in workers compensation claims Boyd Jenerette, PA employee firm represents Jacksonville Transit Authority in negligence lawsuits

10/27/2015 11:32:27 AM Application Page 7 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

Boyd Jenerette, PA employee firm represents Clay County School Board in workers compensation claims

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Meg Heiden 225 Water St., Suite 1800, Jacksonville, 32202 9043597700 FL Andrew Abramovich 201 N. Hogan St., Suite 400, 32202 9043536241 Jacksonville, FL Rebecca Creed 865 May. St., Jacksonville, FL 32204 9043500075 Jane Anderson 201 N. Hogan St, Suite 400, Jacksonville 32202 9043536241 FL Bryan Gowdy 865 May St., Jacksonville, FL 32204 9043500075 Meg Heiden 225 Water St. Suite 1800, Jacksonville FL 32202 9043597700

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership Defense 55 W. Monroe, Suite 2000, none #Error Research , IL Institute First District 2000 Drayton Dr., Tallahassee, none #Error Appellate Inn of FL Court Jacksonville PO Box 17311 Jacksonville, FL none #Error Claims Association Jacksonville na Secretary 2013 VP 2014 President #Error Association of 2015 Defense Counsel

10/27/2015 11:32:27 AM Application Page 8 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

Jacksonville Bar 1 Independent Dr., Suite 2201 Vice Chair of Appellate Section 2012 #Error Association Jacksonville FL to 2013 Chair of Appellate Section 2013 to 2014 Florida Defense na none #Error Lawyers Association Federalist 1015 18th Street, NW Suite 425, none #Error Society Washington DC 20036 Defense 55 W. Monroe, Suite 2000, none #Error Research Chicago, IL Institute First District 2000 Drayton Dr., Tallahassee, none #Error Appellate Inn of FL Court Jacksonville PO Box 17311 Jacksonville, FL none #Error Claims Association Jacksonville na Secretary 2013 and Vice President #Error Associate of 2014 Defense Counsel Jacksonville Bar 1 Independent Drive, Suite 2201, Vice Chair Appellate Section 2012 to #Error Association Jacksonville, FL 2013 and Chair of Appellate Section 2013 to 2014 Florida Defense na none #Error Lawyers Association

30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? No

Boards of Interest

10/27/2015 11:32:27 AM Application Page 9 of 10 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 5/29/2014 3:28:05 PM

Functional Board Name Seat Seat Qualification Reappointment Category Judicial/Legal First District Court of 2 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal First District Court of 3 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal First District Court of 1 Governor appoints 5 members who No Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar.

10/27/2015 11:32:27 AM Application Page 10 of 10

GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 2/5/2015 2:13:00 PM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. No

Contact 1- General

Title Ms. First Name Pamela

Middle/Maiden Last Name Kiser Burch

Email Address [email protected] Cell Phone 850-524-5640

Race Caucasian Gender Female

Fax 850-539-2583 Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 1820 Ox Bottom Road Address Line 2

City Tallahassee State Florida

County Leon Zip / Postal Code 32312

Phone Number 850-524-5640

3- Business

Address Line 1 545 River Birch Road Address Line 2

City Midway State Florida

Zip / Postal Code 32343 Phone Number 850-539-2542

Other Residences 4-A. List all your places of residence for the last ten (10) years.

10/27/2015 11:32:58 AM Application Page 1 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 2/5/2015 2:13:00 PM

Address City & State Start Date End Date 1820 Ox Bottom Road Tallahassee Florida 03/2014 Present

4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date

Personal Information 5- Date of Birth 12/17/1971 Place of Birth Tallahassee Florida

6- Driver License # K261676719570 Issuing State Florida

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a United States citizen? Yes legal name? Yes

Pamela Kiser

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida? 1971

11- Vote

Are you a registered Florida voter? Yes

County of registration Leon Current Party Affiliation Republican

Education

12-A. High School Amos P. Godby Year Graduated 1989 B. List all postsecondary educational institutions attended Name & Location Start Date End Date Certificates / Degrees Received

Employment 13- Are you or have you ever been a member of the armed forces of the United States? No

A. Date of Service B. Branch or component C. Date & Type of Discharge

10/27/2015 11:32:58 AM Application Page 2 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 2/5/2015 2:13:00 PM

14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title TriEagle Wholesaler Director of HR 04/1996 present

15- Have you ever been employed by any state, district, or local governmental agency in Florida? No

Position Employing Agency Start Date End Date

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? No

Previously served on the Killearn Acres Homeowners Association Board, WorkForce Plus Board and presently on the Leon County Value Adjustment Board.

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this No appointment

Killearn Acres Homeowners Association, WorkForce Plus and Leon County Value Adjustment Board

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? Yes

10/27/2015 11:32:58 AM Application Page 3 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 2/5/2015 2:13:00 PM

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal) Citizen 02/01/2013 2 years county Representative Value Adjustment Board

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings Twice per year scheduled 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

Meetings Attended Meetings Missed Reason for Absence All None na

Violation 20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) No

Date Place Nature Disposition

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select 23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

Error: Subreport could not be shown.

10/27/2015 11:32:58 AM Application Page 4 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 2/5/2015 2:13:00 PM

25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? No

A. Did you receive any compensation other than reimbursement for expenses? No

B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? Yes

27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Your Relationship to Business Business Relationship to Agency

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Luke Starling 4652 Pimlico Drive, Tallahassee 32309 8507438943 Tripp Transou 545 River Birch Road, Midway 32343 8505392539

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership

30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

10/27/2015 11:32:58 AM Application Page 5 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 2/5/2015 2:13:00 PM

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? No

Boards of Interest

Functional Board Name Seat Seat Qualification Reappointment Category Misc Workers' Compensation 3 2 No Panel Economic Unemployment Appeals 2 NA No Development Commission Economic Unemployment Appeals 3 NA No Development Commission Education State Board of Education 1 Seven members appointed by the No Governor. Education State Board of Education 3 Seven members appointed by the No Governor. Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Education Board of Trustees, Florida 8 Six members appointed by the No State University Governor Education Board of Trustees, Florida 9 Six members appointed by the No State University Governor

10/27/2015 11:32:58 AM Application Page 6 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 6/29/2015 4:08:22 PM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. Yes

Contact 1- General

Title Mr. First Name Peter

Middle/Maiden Last Name Feaman

Email Address [email protected] Cell Phone s. 119.071(4)(d) F.S.

Race Caucasian Gender Male

Fax Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 s. 119.071(4)(d) F.S. . Address Line 2 s. 119.071(4)(d) F

City s. 119.071(4)(d) F.S. State s. 119.071(4)(d) F

County s. 119.071(4)(d) F.S. Zip / Postal Code s. 119.071(4)(d)

Phone Number

3- Business

Address Line 1 Address Line 2

City State Please select

Zip / Postal Code Phone Number

Other Residences 4-A. List all your places of residence for the last ten (10) years.

10/27/2015 11:24:25 AM Application Page 1 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 6/29/2015 4:08:22 PM

Address City & State Start Date End Date s. 119.071(4)(d) F.S. s. 119.071(4)(d) F.S. June, 2005 current

4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date

Personal Information 5- Date of Birth s. 119.071(4)(d) F.S. Place of Birth Springfield, Massachusetts

6- Driver License # F550673530210 Issuing State Florida

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a United States citizen? Yes legal name? No

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida? 1978

11- Vote

Are you a registered Florida voter? Yes

County of registration Palm Beach Current Party Affiliation Republican

Education

12-A. High School Hopkins Year Graduated 1971 B. List all postsecondary educational institutions attended Name & Location Start Date End Date Certificates / Degrees Received Union College, Schenectady, New 9/1971 6/1975 Bachelor of Arts York University of Miami, Coral Gables, 9/1975 5/1978 Juris Doctor Florida

Employment 13- Are you or have you ever been a member of the armed forces of the United States? No

10/27/2015 11:24:25 AM Application Page 2 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 6/29/2015 4:08:22 PM

A. Date of Service B. Branch or component C. Date & Type of Discharge

14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title Peter M Feaman, P.A. Law Firm Attorney Owner 11/15/200 current 9 Hodgson, Russ Law Firm AttorneyPartner 05/2005 08/2009

15- Have you ever been employed by any state, district, or local governmental agency in Florida? No

Position Employing Agency Start Date End Date

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? Yes

Appointed by Governor Martinez to the Fourth District Juris Doctor, University of Miami Court of Appeal JNC: 1988-1992; Appointed by Governor Bush to the Fifteenth Judicial Circuit JNC; 1998-2002; Appointed by Governor Scott to the Fourth District Court of Appeal JNC; 2012-2015

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this No appointment

The Florida Bar 1978-present The Palm Beach County bar Association 1983- Present

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

10/27/2015 11:24:25 AM Application Page 3 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 6/29/2015 4:08:22 PM

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? Yes

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal) Fourth District 06/10/1988 3 years District Court of Appeal JNC: See also 16 above

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings as needed scheduled 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

Meetings Attended Meetings Missed Reason for Absence all of them None NA

Violation 20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) No

Date Place Nature Disposition

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select

23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

10/27/2015 11:24:25 AM Application Page 4 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 6/29/2015 4:08:22 PM

Error: Subreport could not be shown.

25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? No

A. Did you receive any compensation other than reimbursement for expenses? No

B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? Yes

27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Your Relationship to Business Business Relationship to Agency

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Honorable Kenneth Stern, 157 Capri D, Delray Beach, Florida 33484 5619014968 Circuit Judge, retired Honorable Jonathan 4th District Court of Appeal 1525 Palm 33401 5613858989 Gerber, Judge, Fourth Beach Lakes Blvd. West Palm Beach, FL District Court of Appeal 33401 Jesse Pennucio 107 East Madison Street, Tallahassee, 32399 8502457298 Fla

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership

10/27/2015 11:24:25 AM Application Page 5 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 6/29/2015 4:08:22 PM

30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? No

Boards of Interest

Functional Board Name Seat Seat Qualification Reappointment Category Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Fourth District Court of 1 Governor appoints 5 members who Yes Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Fourth District Court of 2 Governor appoints 5 members who Yes Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar.

10/27/2015 11:24:25 AM Application Page 6 of 6 GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 10/15/2015 12:59:43 AM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. Yes

Contact 1- General

Title Ms. First Name Raquel

Middle/Maiden Aurora Last Name Rodriguez

Email Address [email protected] Cell Phone m Race Hispanic-American Gender Female

s. 119.071(4)(d) F.S. Fax Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 s. 119.071(4)(d) F.S.. Address Line 2 s. 119.071(

City s. 119.071(4)(d) F.S. State s. 119.071(4)(d) F

County s. 119.071(4)(d) F.S. Zip / Postal Code s. 119.071(4)(d)

Phone Number

3- Business

Address Line 1 McDonald Hopkins LLC Address Line 2 200 S. Biscayne Blvd., Ste. 2600 City Miami State Florida

Zip / Postal Code 33131 Phone Number 305-704-3994

Other Residences 4-A. List all your places of residence for the last ten (10) years.

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Date Submitted: 10/15/2015 12:59:43 AM

Address City & State Start Date End Date 2007 N. Meridian Rd. Tallahassee, Florida December December 2006 2004 s. 119.071(4)(d) F.S. s. 119.071(4)(d) F.S. April 1997 present

4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date 1276 N. Adams Street, Apt. 507 Arlington, VA August 2002 November 2002 16 The Hermitage Richmond, Sussex, England December July 1999 1998 2140 Comanche Trail, No. 39 rental income Park City, UT January 2013 present property 69 Deanhill Court, Upper Richmond Road West East Sheen, London, England July 1997 December 1998

Personal Information 5- Date of Birth s. 119.071(4)(d) F.S. Place of Birth Miami Beach, Florida

6- Driver License # R362721618680 Issuing State Florida

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a United States citizen? Yes legal name? No

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida? 1961

11- Vote

Are you a registered Florida voter? Yes

County of registration Miami-Dade Current Party Affiliation Republican

Education

12-A. High School Immaculata LaSalle Year Graduated 1979 B. List all postsecondary educational institutions attended

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Name & Location Start Date End Date Certificates / Degrees Received University of Miami August 1979 August 1982 B.A. University of Miami September 1982 May 1985 J.D.

Employment 13- Are you or have you ever been a member of the armed forces of the United States? No

A. Date of Service B. Branch or component C. Date & Type of Discharge

14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title McDonald Hopkins LLC 200 S. Law firm Miami Managing April 2011 present Biscayne Blvd., Suite 2600, Miami, Member Florida 33131 McDermott Will Emery LLP, 333 SE Law firm Partner February April 2011 Second Ave., Ste 4500, Miami, Florida 2007 33131 State of Florida Executive Office of the Government General Counsel December January 1 Governor, The Capitol, Room 209, 9 2002 2007 Tallahassee, Florida 32399

15- Have you ever been employed by any state, district, or local governmental agency in Florida? Yes

Position Employing Agency Start Date End Date General Counsel State of Florida Executive Office of the December 9, January 1, Governor 2002 2007

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? Yes

Juris Doctor

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Date Submitted: 10/15/2015 12:59:43 AM

I have been a lawyer for 30 years, with substantial experience in the area of commercial litigation. As General Counsel to Governor Bush, I was involved in over 200 judicial appointments at all levels of the Florida judiciary. I have been a member of the Third DCA JNC since 2011 and have a deep commitment to the nomination and appointment of judges who are hard- working, ethical, highly qualified, humble and have a judicial philosophy that respects the separation of powers such that they will apply the law, not make it.

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this Yes appointment

I have been recognized by my peers and clients for American Bar Association - numerous positions excellence in my practice, among them Martindale including Standing Committee on Election Law Hubbell AV rating, Super Lawyer, Florida Trend Legal Florida Bar Section of International Law - Amicus Elite, Best Lawyers, Chambers and Partners. I also was a Committee Co-Chair member of the law review at the University of Miami Florida Bar Judicial Nominations Procedure School of Law and graduated Summa Cum Laude. Committee Miami International Arbitration Society Federalist Society Miami Chapter President

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? Yes

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal) Commisioner, 07/01/2011 4 years State Judicial Nominations Commission Third District Court of Appeal

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Board of 07/01/2011 4 years State Governors, Florida Workers Compensation Joint Underwriting Association

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings scheduled 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

Meetings Attended Meetings Missed Reason for Absence All None Not applicable 70 7 illness or work conflict

Violation 20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) No

Date Place Nature Disposition

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select

23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

Error: Subreport could not be shown.

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25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? Yes

A. Did you receive any compensation other than reimbursement for expenses? Yes B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented Executive Branch, Governors Office, Office of Best Doctors, Inc. Insurance Regulation, Legislature Executive Branch, Governors Office, Legislature Administrative Consultants LLC Executive Branch, Govenors Office, OTTED, DEO, Vaccine and Gene Therapy Institute of Florida Corp. Legislature Executive Branch, Governor and Cabinet, Office of Florida International Administrators Association Inc. Financial Regulaton, Legislature Palm Beach County Commission, City of South Bay Kestrel Logistics LLC, Florida Crystals Corporation DEO Lake Point Phase I LLC, Lake Point Phase II LLC, Lake Point Restoration LLC US Congress International Air Leases

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? Yes

27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Your Relationship to Business Business Relationship to Agency

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Kent Perez Office of the Attorney General, The 32399 8502450180 Capitol, Tallahassee, Florida

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Alia Faraj Johnson 106 E. College Ave., Suite 820, 32301 8502224100 Tallahassee, Florida Jefferson Knight 999 Ponce de Leon Blvd., Suite 510, 33134 3054412804 Miami, Florida

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership American Bar 321 N. Clark Street, Chicago, Standing Committee on Election Law #Error Association Illinois 2008 to 2014 Miami 1200 Anastasia Ave., Suite 213, None #Error International Coral Gables, Florida 33134 Arbitration Society BioFlorida 525 Okeechobee Blvd., Suite Board of Directors 2012 to present, #Error 1500, West Palm Beach, Florida Executive Committee 2012 to 2015, 33401 CoChair Legislative Committee 2013 to present Foundation for 215 S. Monroe Street, Suite 110, Board of Directors 2012 to present, #Error Future Tallahassee, Florida 32302 Audit Committee 2014 to present Florida Israel One SE Third Avenue, 25th Board of Directors, Executive #Error Business Forum Floor, Miami, Florida 33131 Committee 2008 to 2011 CubanAmerican 200 S. Biscayne Blvd., Ste. None #Error Bar Association 3200, Miami, Florida 33131 Dade County Bar 123 NW 1st Ave., Suite 214, None in past 5 years #Error Association Miami, Florida 33128

30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? No

Boards of Interest

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Functional Board Name Seat Seat Qualification Reappointment Category Judicial/Legal Third District Court of 1 Governor appoints 5 members who Yes Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Third District Court of 3 Governor appoints 5 members who Yes Appeal Judicial are residents of jurisdiction; at least Nominating Commission 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar.

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GOVERNOR'S OFFICE Boards and Appointments Application

Date Submitted: 1/11/2015 11:54:04 AM

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. No

Contact 1- General

Title Mrs. First Name Valerie

Middle/Maiden Weatherford Last Name Evans

Email Address [email protected] Cell Phone 407-496-8747 om Race Caucasian Gender Female

Fax 407-377-6699 Disability No

Addresses

Speficy the preferred mailing address: Business

2- Residence

Address Line 1 1808 Kalurna Court Address Line 2

City Orlando State Florida

County Orange Zip / Postal Code 32806

Phone Number 407-496-8747

3- Business

Address Line 1 618 East South Street Address Line 2 Suite 500

City Orlando State Florida

Zip / Postal Code 32801 Phone Number 407-377-6399

Other Residences 4-A. List all your places of residence for the last ten (10) years.

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Address City & State Start Date End Date 1808 Kalurna Court Orlando, FL March 1986 current

4-B. List all your former and current residences outside of Florida that you have maintained at any time during adulthood.

Address City & State Start Date End Date Troy, Alabama Troy, Alabama 1972 1975

Personal Information 5- Date of Birth 11/10/1950 Place of Birth Newton, MS

6- Driver License # E152879509100 Issuing State Florida

7- Social Security # s. 119 071(5)(a) F.S.

8- Have you ever used or been known by any other 9- A. Are you a United States citizen? Yes legal name? Yes

Valerie Dean Weatherford, Valerie Weatherford Messick

B. If you are a naturalized citizen, date of naturalization

10- Since what year have you been a continuous resident of Florida? 1975

11- Vote

Are you a registered Florida voter? Yes

County of registration Orange Current Party Affiliation Republican

Education

12-A. High School Crestview High School, Year Graduated 1968 Crestview, FL B. List all postsecondary educational institutions attended Name & Location Start Date End Date Certificates / Degrees Received Troy State University, Troy, AL 1968 1972 Bachelor of Arts Troy State University, Troy, AL 1972 1975 Masters The Florida State University College 1983 1985 Juris Doctorate of Law

Employment

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13- Are you or have you ever been a member of the armed forces of the United States? No

A. Date of Service B. Branch or component C. Date & Type of Discharge

14- Concerning your current employer and for all of your employment during the last ten years, list your employer’s name, business address, type of business, occupation or job title, and period(s) of employment.

Employer's Name & Address Type of Business Occupation / Job Start Date End Date Title The Orlando Family Firm, Jonathan Law Firm Attorney October current Simon, 618 East South Street, Orlando, 2014 FL 32801 West, Green and Assoc, Richard West Law Firm Attorney March October and Caryn Green, 801 N. Orange Ave., 2009 2014 Ste 700, Orlando, FL 32801 The Marks Law Firm, Tom Marks, 733 Law Firm Attorney April 2006 February N. Magnolia Ave., Orlando, FL 32803 2009 self employed at residential address legal research and Attorney January April 2006 writing 2005

15- Have you ever been employed by any state, district, or local governmental agency in Florida? Yes

Position Employing Agency Start Date End Date Teacher, Niceville High Okaloosa County, FL, School System January 1975 August 1983 School, Niceville, FL

Appointments 16- A. State your experiences and interests or B. Have you received any degree(s), professional elements of your personal history that qualify you for certification(s), or designations(s) related to the this appointment subject matter of this appointment? No

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I am a long-time attorney in the state of Florida. I have been a resident of the state of Florida since 1955, except for a brief time in 1972-1975 as a resident of the state of Alabama and I continue to want to see this state prosper. I have served on Judicial Nominating Commissions in the past and continue to have an interest in the appointment of the best judges and justices possible. I was appointed by Governor Jeb Bush to the 9th Circuit JNC three times (1999-2006) and to the 5th DCA JNC (2006-2010). I was appointed by Speaker of the House Daniel Webster to the Constitution Revision Commission (1997-1998). I was appointed by Orange County Chairman Mel Martinez to the Orange Counter Charter Review Commission (1999 - 2000). I have always had an interest in seeing that government on all levels functions properly so that the people in the state of Florida can prosper.

C. Have you received any awards or recognitions D. Identify all association memberships and relating to the subject matter of this appointment? association offices held by you that relate to this No appointment

17- Do you currently hold an office or position (appointive, civil service, or other) with the federal or any foreign government? No

18- Have you previously been appointed to any office that required confirmation by the Florida Senate? No

Title of Office Term of Appointment Confirmation Result

19- A. Have you ever been elected or appointed to any public office in this state? Yes

Office Title Date of Election or Term of Office Level of Government (city, county, Appointment district, state, federal) Commissioner, 08/06/1999 July 7, 1999, until July 1, State 9th Circuit 2003 Judicial Nominating Commission

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Commissioner, 08/21/2001 August 8, 2001, until July State 9th Circuit 1, 2002 Judicial Nominating Commission Commissioner, 08/09/2002 July 2, 2002, until July 1, State 9th Circuit 2006 Judicial Nominating Commission Commissioner, 07/21/2006 July 2, 2006, until July 1, State 5th District 2010 Court of Appeal Judicial Nominating Commission Commissioner, 01/14/1998 May 23, 1997, until State Constitution November 3, 1998 Revision Commission Commissioner, 05/01/1999 1999, until November County Orange County, 2000 FL Charter Review Commission

B. If your service was on an appointed board(s), committee(s), or council(s)

1- How frequently were meetings frequently as needed, always scheduled attended 2- If you missed any of the regularly scheduled meetings, state the number of meetings you attended, the number you missed, and the reasons(s) for your absence(s)

Meetings Attended Meetings Missed Reason for Absence 100 0 attended all meetings 100 0 attended all meetings 100 0 attended all meetings 100 0 attended all meetings 100 0 attended all meetings 100 0 attended all meetings

Violation 20- Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid.) No

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Date Place Nature Disposition

21- Has probable cause ever been found that you were in violation of the Code of Ethics for Public Officers and Employees, Part III, Chapter 112, F.S.? No

Date Nature of Violation Disposition

22- Have you ever been suspended from any office by the Governor of the State of Florida? No

Title of Office Reason of Suspension

Date of Suspension Result Please Select

23- Have you ever been refused a fidelity, surety, performance, or other bond? No

Certifications 24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? Yes

Error: Subreport could not be shown.

25- Have you ever been a registered lobbyist or have you lobbied at any level of government at any time during the past five (5) years? No

A. Did you receive any compensation other than reimbursement for expenses? No

B. Name of agency or entity you lobbied and the principal(s) you represented

Agency Lobbies Principal Represented

Disclosures 26- If required by law or administrative rule, will you file financial disclosure statements? Yes

27- A. Have you, or businesses of which you have been an owner, officer, or employee, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

Name of Business Your Relationship to Business Business Relationship to Agency

B. Have members of your immediate family (spouse, child, parents(s), siblings(s)), or businesses of which members of your immediate family have been owners, officers, or employees, held any contractual or other direct dealings during the last four (4) years with any state or local governmental agency in Florida, including the office or agency to which you have been appointed or are seeking appointment? No

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Name of Business Family Member's Family Member's Business Relationship to You Relationship to Business Relationship to Agency

References & Affiliations 28- List three persons who have known you well within the past five (5) years. Include a current, complete address and telephone number. Exclude your relatives and members of the Florida Senate.

Name Mailing Address Zip Code Phone Number Terri Johannessen 1863 Lake Spier Drive, Winter Park, FL 32789 4076975929 Belvin Perry 2129 Piedmont Street, Orlando, FL 32805 4073763787 Jay Cohen 8611 Captiva Court, Orlando, FL 32817 4076179080

29- Name any business, professional, occupational, civic, or fraternal organizations(s) of which you are now a member, or of which you have been a member during the past five (5) years, the organization address(es), and date(s) of your membership(s)

Name Mailing Address Office(s) Held & Term Date of Membership Alpha Gamma 8710 North Meridian Street, International Vice President of #Error Delta Fraternity Indianapolis, IN Extension 2 terms The Orange 880 N. Orange Ave, Orlando, FL none #Error County Bar 32801 Association

30- Do you know of any reason why you will not be able to attend fully to the duties of the office or position to which you have been or will be appointed? No

31- Are you now, or in the past three years have you been, a member of any club or organization that, to your knowledge, in practice or policy, restricts membership or restricted membership during the time that you belonged on the basis of race, religion, national origin, or gender? If so, detail the name and nature of the club(s) or organization(s), relevant policies and practices, and state whether you intend to continue as a member if you appointed by the Governor? Yes

Alpha Gamma Delta Fraternity restricts its membership to women only -- of any race, religion, or national origin. It is a women's social fraternal organization which is also a member of the National Panhellenic Council. It has collegiate and alumnae chapters throughout the United States and Canada. I intend to remain a member.

Boards of Interest

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Functional Board Name Seat Seat Qualification Reappointment Category Judicial/Legal Supreme Court Judicial 2 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar. Judicial/Legal Supreme Court Judicial 3 Governor appoints 5 members who No Nominating Commission are residents of jurisdiction; at least 2 must be members of the Florida Bar.

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