governor's office boards and appointments application · all certicifications for the...
TRANSCRIPT
Contact
1- General
Title First Name
Middle/Maiden Last Name
Cell PhoneEmail Address
GenderRace
DisabilityFax
2- Residence
Address Line 1
City State
County
Phone Number
Zip / Postal Code
Addresses
Speficy the preferred mailing address:
3- Business
Address Line 1 Address Line 2
City State
Phone NumberZip / Postal Code
Allen
Ginder
Male
No
Caucasian
Residential
Please select
Mr.
Other Residences
4-A. List all your places of residence for the last ten (10) years.
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
Address Line 2
1 of 6PageApplication7/9/2015 4:20:38 PM
GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 7/20/2014 10:46:23 AM
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
Personal Information
5- Date of Birth
6- Driver License #
7- Social Security #
Place of Birth
Issuing State
Jacksonville, FL
Please select
8- Have you ever used or been known by any other legal name? No
9- A. Are you a United States citizen?
B. If you are a naturalized citizen, date of naturalization
Yes
10- Since what year have you been a continuous resident of Florida?
11- Vote
Are you a registered Florida voter? Yes
County of registration Duval Current Party Affiliation Republican
Education
12-A. High School Episcopal High School Year Graduated 1985
B. List all postsecondary educational institutions attended
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
Name & Location Start Date End Date Certificates / Degrees Received
University of Georgia, Athens, GA August 1985 May 1990 BA Political Science
Address City & State Start Date End Date
2/2000 2/2007
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
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 7/20/2014 10:46:23 AM
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(5)(a), F.S.
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.
15- Have you ever been employed by any state, district, or local governmental agency in Florida?
Appointments
16- A. State your experiences and interests or elements of your personal history that qualify you for this appointment
B. Have you received any degree(s), professional certification(s), or designations(s) related to the subject matter of this appointment? Yes
As someone who has been involved in technology issues for my entire professional life and working on technology issues with clients in the public sector, I am uniquely qualified to offer guidance and policy ideas in this field. Dealing in large enterprise environments and working with different systems allows me to understand the complex nature of technology requirements for state agencies both large and small. My experience in strategic planning allows me to work on the overall strategy between diverse working groups to ensure the constituents in the State of Florida have the best possible solution for their technology needs while ensuring Florida taxpayers receive the best value for their investments.
All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center, Cisco CCNA.
C. Have you received any awards or recognitions relating to the subject matter of this appointment? Yes
D. Identify all association memberships and association offices held by you that relate to this appointment
Won the following awards: Smithsonian Technology Award, Pinnacle Award - Top 1 Percent of Bellsouth Employees, Florida's Finest in Technology Award, Florida's Finest Award in Customer Service and Peer Leadership for three years running.
TalTech - Advisory MemberFlorida Digital Summit - Advisory Member of the Board of Directors
No
Employer's Name & Address Type of Business Occupation / Job Title
Start Date End Date
Avaya, Santa Clara, CA Technology Public Sector Director Florida
August 2008
Current
Coleman Technologies Technology Sales Manager April 2008 August 2008
ATT Bellsouth Technology National Account Manager
1993 April 2008
Position Employing Agency Start Date End Date
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 7/20/2014 10:46:23 AM
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
19- A. Have you ever been elected or appointed to any public office in this state? No
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)
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
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
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
Title of Office Term of Appointment Confirmation Result
Office Title Date of Election or Appointment
Term of Office Level of Government (city, county, district, state, federal)
Meetings Attended Meetings Missed Reason for Absence
Date Place Nature Disposition
Date Nature of Violation Disposition
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 7/20/2014 10:46:23 AM
Certifications
24- Have you held or do you hold an occupational or professional license or certificate in the State of Florida? No
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
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
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
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.
Agency Lobbies Principal Represented
Name of Business Your Relationship to Business Business Relationship to Agency
Avaya Employee Vendor
Name of Business Family Member's Relationship to You
Family Member's Relationship to Business
Business Relationship to Agency
Name Mailing Address Zip Code Phone Number
John Falconetti 5035 Long Bow Rd, Jacksonville, FL 32210 9048595902
John Peyton 823 Waterman Rd, Jacksonville, FL 32207 9047377220
Retired Navy Captain Charlie King
12952 Hunt Club Rd, Jacksonville, FL 32224 9048640837
Error: Subreport could not be shown.
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 7/20/2014 10:46:23 AM
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)
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
Name Mailing Address Office(s) Held & Term Date of Membership
Jacksonville Golf and Country Club Board of Directors
3985 Hunt Club Rd, Jacksonville, FL 32224
President and Member of the Board #Error
Beaches Episcopal School
1150 5th St North, Jacksonville Beach, FL 32250
Board of Directors and Capital Campaign Chair
#Error
Jacksonville Quarterback Club
245 Riverside Ave, Suite 450, Jacksonville, FL 32210
President #Error
Functional Category
Board Name Seat Seat Qualification Reappointment
Misc Technology Advisory Council
1 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
2 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
3 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
4 Four members appointed by the Governor, two must be from the private sector.
No
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 7/20/2014 10:46:23 AM
Contact
1- General
Title First Name
Middle/Maiden Last Name
Cell PhoneEmail Address
GenderRace
DisabilityFax
2- Residence
Address Line 1
City State
County
Phone Number
Zip / Postal Code
Addresses
Speficy the preferred mailing address:
3- Business
Address Line 1 Address Line 2
City State
Phone NumberZip / Postal Code
Kenneth
Fountain
Male
No850-939-3539
Robert
Caucasian
Business
2045 Fountain Professional Court
Navarre
32566
Suite A
Florida
850-939-3535
Mr.
Other Residences
4-A. List all your places of residence for the last ten (10) years.
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
Address Line 2
1 of 8PageApplication7/9/2015 4:20:10 PM
GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
Personal Information
5- Date of Birth
6- Driver License #
7- Social Security #
Place of Birth
Issuing StateF535516683720
Houston, Texas
Florida
8- Have you ever used or been known by any other legal name? No
9- A. Are you a United States citizen?
B. If you are a naturalized citizen, date of naturalization
Yes
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 Santa Rosa Current Party Affiliation Republican
Education
12-A. High School Choctawhatchee HS Year Graduated 1987
B. List all postsecondary educational institutions attended
Address City & State Start Date End Date
1/1/2015 cont
08/01/2004 4/30/2006
1/1/2011 8/1/2012
8/1/2012 7/30/2013
2001 7/31/2004
8/1/2013 12/31/2014
5/1/2006 12/31/2010
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
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S. s.119.071(4)(d), F.S.
s.119.071(4)(d), F.S.
s.119.071(5)(a), F.S.
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.
15- Have you ever been employed by any state, district, or local governmental agency in Florida?
Appointments
16- A. State your experiences and interests or elements of your personal history that qualify you for this appointment
B. Have you received any degree(s), professional certification(s), or designations(s) related to the subject matter of this appointment? Yes
BSBA, FinanceJuris DoctorBoard Certified Expert in Real Estate Law, Florida BarReal Estate Associate LicenseMortgage Broker License (expired)
No
Employer's Name & Address Type of Business Occupation / Job Title
Start Date End Date
Fountain, Schultz Associates, PL Law Firm Attorney Sr Partner 1/1/2009 present
Fountain Law Firm, PA Law Firm Attorney Sr Partner 1/1/1996 present
Fountain Lending, LLC Mortgage Brokerage Owner Broker 6/2002 12/2010
Beachside Title, LLC Title Insurance Owner Attorney 6/2002 12/2007
Realty Associates of Santa Rosa, Inc. Realtor Associate Realtor 11/2008 present
Position Employing Agency Start Date End Date
Name & Location Start Date End Date Certificates / Degrees Received
University of Florida, College of Business
August 1987 December 1991
BSBA, Finance
University of Florida, College of Law January 1992 December 1994
Juris Doctor
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
Growing up on the Emerald Coast I have witnessed the rapid growth of the communities along the coast from Pensacola to Panama City and the expansion of the military missions of Pensacola NAS, Eglin, Hurlburt, and Tyndall. My interest in real estate and development and military technology started with my family businesses and led me to study real estate, finance, and law at the University of West Florida and the University of Florida. After school I returned to the panhandle and soon started my own law firm, title company and mortgage brokerage and have been involved in major residential and commercial real estate developments, construction, and finance. I have also been actively involved in several high-tech defense contractor business and new technology start ups. I hope to serve and work to help expand educational and financing opportunities for new technologies in the panhandle, expand infrastructure for military and business growth, and help make the panhandle a place for people to return to after school or military service for their business and their families as it has been for me.
C. Have you received any awards or recognitions relating to the subject matter of this appointment? No
D. Identify all association memberships and association offices held by you that relate to this appointment
Florida Bar Association, Escambia Santa Rosa Bar Association, Okaloosa Walton Bar Association, Escambia Santa Rosa Real Estate Council, Emerald Coast Estate Planning Council, Navarre Area Board of Realtors, Florida Association of Realtors, Florida Association of Mortgage Brokers, Navarre Area Chamber of Commerce, Fort Walton Beach Chamber of Commerce, Destin Chamber of Commerce, Walton Area Chamber of Commerce, Gulf Coast Intellectual Property Association, TAPPI, University of Florida College of Law Alumni Council
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
19- A. Have you ever been elected or appointed to any public office in this state? No
Title of Office Term of Appointment Confirmation Result
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GOVERNOR'S OFFICEBoards and Appointments
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Date Submitted: 1/22/2015 5:48:10 PM
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)
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
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
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
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
Office Title Date of Election or Appointment
Term of Office Level of Government (city, county, district, state, federal)
Meetings Attended Meetings Missed Reason for Absence
Date Place Nature Disposition
Date Nature of Violation Disposition
Error: Subreport could not be shown.
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
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
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
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.
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)
Agency Lobbies Principal Represented
Name of Business Your Relationship to Business Business Relationship to Agency
Name of Business Family Member's Relationship to You
Family Member's Relationship to Business
Business Relationship to Agency
Tamara White Fountain Spouse none City of Pensacola
Gregory V. Fountain Father none RESTORE
Name Mailing Address Zip Code Phone Number
Hon. Terrance Ketchel
A Anthony Hughes Navarre, Florida 32566 8502596820
Comm. Lane Lynchard Gulf Breeze, Florida 32563 8503245933
Name Mailing Address Office(s) Held & Term Date of Membership
The Florida Bar 651 E Jefferson St, Tallhassee, FL 32399
none #Error
Florida Association of Realtors
7025 Augusta National Dr, Orlando, FL 32822
none #Error
Escambia Santa Rosa Bar Association
216 S Tarragona, Pensacola, FL 32502
none #Error
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
s.119.071(4)(d)(2)(c), F.S. s.119.071(4)(d)(2)(c), F.S. s.119.071(4)(d)(2)(c), F.S.
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
Okaloosa Walton Bar Association
none none #Error
Navarre Area Board of Realtors
1917 Navarre High School Road, Navarre, FL 32566
Board Attorney #Error
Navarre Area Chamber of Commerce
8543 Navarre Parkway, Navarre, FL 32566
Chamber Attorney FSA #Error
Better Business Bureau
912 E Gadsden St, Pensacola, FL 32501
Board Attorney FSA #Error
Estate Planning Council of the Emerald Coast
1201 Eglin Parkway, Shalimar, FL 32579
none #Error
Gulf Coast TAPPI
none none #Error
Gulf Coast Intellectual Property Association
none none #Error
Functional Category
Board Name Seat Seat Qualification Reappointment
Education Board of Trustees, University of West Florida
1 Six members appointed by the Governor
No
Education Board of Trustees, University of West Florida
11 Six members appointed by the Governor
No
Transportation Florida Transportation Commission
3 NA No
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
Transportation Florida Transportation Commission
4 NA No
Misc Technology Advisory Council
1 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
2 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
3 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
4 Four members appointed by the Governor, two must be from the private sector.
No
Economic Development
Florida Development Finance Corporation
4 NA No
Economic Development
Florida Small Business Development Center Network Statewide Advisory Board
3 Member from the private sector No
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 1/22/2015 5:48:10 PM
Contact
1- General
Title First Name
Middle/Maiden Last Name
Cell PhoneEmail Address
GenderRace
DisabilityFax
2- Residence
Address Line 1
City State
County
Phone Number
Zip / Postal Code
Addresses
Speficy the preferred mailing address:
3- Business
Address Line 1 Address Line 2
City State
Phone NumberZip / Postal Code
Peter
Butler
850-445-7583
Male
No
Caucasian
Residential
32309
5231 Outwood Mill Lane
FloridaTallahassee
Leon
Please select
Mr.
Other Residences
4-A. List all your places of residence for the last ten (10) years.
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
Address Line 2
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM
Personal Information
5- Date of Birth 02/01/1964
6- Driver License #
7- Social Security #
Place of Birth
Issuing StateB346675640410
Ft. Walton
Florida
8- Have you ever used or been known by any other legal name? No
9- A. Are you a United States citizen?
B. If you are a naturalized citizen, date of naturalization
Yes
10- Since what year have you been a continuous resident of Florida?
1970
11- Vote
Are you a registered Florida voter? Yes
County of registration Leon Current Party Affiliation Republican
Education
12-A. High School Lincoln High School, Tallahassee
Year Graduated 1982
B. List all postsecondary educational institutions attended
Employment
13- Are you or have you ever been a member of the armed forces of the United States? No
A. Date of Service
Name & Location Start Date End Date Certificates / Degrees Received
Tallahassee Community College 82 85 AA
Florida A and M University 86 89 BS in Journalism
Address City & State Start Date End Date
5231 Outwood Mill Lane Tallahassee, FL 3/2000 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
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM
s.119.071(5)(a), F.S.
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.
15- Have you ever been employed by any state, district, or local governmental agency in Florida?
Appointments
16- A. State your experiences and interests or elements of your personal history that qualify you for this appointment
B. Have you received any degree(s), professional certification(s), or designations(s) related to the subject matter of this appointment? Yes
Served for nearly 10 years in State Government, and have a unique understanding of information technology. During my tenure in the public sector, participated in bill drafting, policy development, the appropriations process, as well as procurement processes. Currently serve as a consultant to private sector businesses who are pursuing public sector technology opportunities throughout North America. Additionally, have been an active participant in the National Association of State Chief Information officers since 2008. Also, have been an active participant in the Florida Government Technology Conference since 1994.
In 2006, attended and received certification in "Executive Education - Public Sector Value and Technology Management Program" from the Harvard Kennedy School of Government
Yes
Employer's Name & Address Type of Business Occupation / Job Title
Start Date End Date
National Strategies, 1400 Eye St NW, Suite 900, Washington DC, 20005
Consulting Consultant, Director, Technology Sector
1/2008 present
Idea integration Tech Consulting Sales, Director Legacy practice
9/2006 12/2007
CA, 1 Computer Associates Plaza, Islandia, NY, 11749
Enterprise Software Sales, Account Director, State of Florida
2/2005 9/2006
Position Employing Agency Start Date End Date
Project Director, Florida Communities Network
DMS 11/94 10/98
Agency PIO, PMW Asst Bureau Chief, ABT Program Coordinator
BPR, DBPR 11/89 10/94
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM
C. Have you received any awards or recognitions relating to the subject matter of this appointment? Yes
D. Identify all association memberships and association offices held by you that relate to this appointment
1996 and 1997 - Florida Communities Network Awarded Best of the Web by Government Technology Magazine, 1996 - Florida Communities Network ranked number 6 in the annual InfoWorld Top 100 list of innovative client/server projects, Florida Communities Network was also featured in the 'Redefining Government' chapter in Bill Gates' book 'Business at the Speed of Thought', 2001 - while serving as VP of Product Development for Homes.com was awarded Silver award for "Best in Mobile Marketplace" at the CTIA Wireless Show (selected from over 11,000 applicants), 2001 - Homes.com app awarded the Yahoo! Gold Star Award for Best Wireless Real Estate application.
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
19- A. Have you ever been elected or appointed to any public office in this state? Yes
B. If your service was on an appointed board(s), committee(s), or council(s)
1- How frequently were meetings scheduled
monthly, quarterly
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)
Title of Office Term of Appointment Confirmation Result
Office Title Date of Election or Appointment
Term of Office Level of Government (city, county, district, state, federal)
Bicycle Pedestrian Advisory Committee
07/01/2002 Six years City
Airport Gateway Advisory Committee
07/01/2004 Two years City
Meetings Attended Meetings Missed Reason for Absence
48 4 travel
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM
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
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
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? No
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
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
6 0 NA
Date Place Nature Disposition
Date Nature of Violation Disposition
Agency Lobbies Principal Represented
Error: Subreport could not be shown.
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GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM
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
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.
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)
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
Name of Business Your Relationship to Business Business Relationship to Agency
Name of Business Family Member's Relationship to You
Family Member's Relationship to Business
Business Relationship to Agency
Name Mailing Address Zip Code Phone Number
Jon Johnson 537 East Park Avenue, Tallahassee, FL 32301 8502241900
Paul Gilbert 4500 W. Shannan Lakes Drive, Tallahassee, FL
32309 8503850004
Emmett Reed 307 W Park Avenue, Tallahassee, FL 32301 8502243907
Name Mailing Address Office(s) Held & Term Date of Membership
Four Oaks Community Church
4500 West Shannon Lakes Drive Elder #Error
6 of 7PageApplication7/9/2015 4:19:09 PM
GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM
Boards of Interest
Functional Category
Board Name Seat Seat Qualification Reappointment
Misc Technology Advisory Council
1 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
2 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
3 Four members appointed by the Governor, two must be from the private sector.
No
Misc Technology Advisory Council
4 Four members appointed by the Governor, two must be from the private sector.
No
7 of 7PageApplication7/9/2015 4:19:09 PM
GOVERNOR'S OFFICEBoards and Appointments
Application
Date Submitted: 2/23/2015 1:57:47 PM