governor's office boards and appointments application · all certicifications for the...

21
Contact 1- General Title First Name Middle/Maiden Last Name Cell Phone Email Address Gender Race Disability Fax 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 Number Zip / Postal Code Allen Ginder Male No [email protected] 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 6 Page Application 7/9/2015 4:20:38 PM GOVERNOR'S OFFICE Boards 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 s.119.071(4)(d), F.S. s.119.071(4)(d) s.119.071(4)(d), F s.119.071(4)(d),

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Page 1: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

[email protected]

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.

Page 2: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

2 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(5)(a), F.S.

Page 3: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

3 of 6PageApplication7/9/2015 4:20:38 PM

GOVERNOR'S OFFICEBoards and Appointments

Application

Date Submitted: 7/20/2014 10:46:23 AM

Page 4: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

Page 5: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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.

5 of 6PageApplication7/9/2015 4:20:38 PM

GOVERNOR'S OFFICEBoards and Appointments

Application

Date Submitted: 7/20/2014 10:46:23 AM

Page 6: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

6 of 6PageApplication7/9/2015 4:20:38 PM

GOVERNOR'S OFFICEBoards and Appointments

Application

Date Submitted: 7/20/2014 10:46:23 AM

Page 7: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

[email protected]

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.

Page 8: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

2 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. 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.

Page 9: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

3 of 8PageApplication7/9/2015 4:20:10 PM

GOVERNOR'S OFFICEBoards and Appointments

Application

Date Submitted: 1/22/2015 5:48:10 PM

Page 10: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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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Page 11: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

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Date Submitted: 1/22/2015 5:48:10 PM

Page 12: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

6 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)(2)(c), F.S. s.119.071(4)(d)(2)(c), F.S. s.119.071(4)(d)(2)(c), F.S.

Page 13: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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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Page 14: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

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Date Submitted: 1/22/2015 5:48:10 PM

Page 15: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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

[email protected]

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

1 of 7PageApplication7/9/2015 4:19:09 PM

GOVERNOR'S OFFICEBoards and Appointments

Application

Date Submitted: 2/23/2015 1:57:47 PM

Page 16: GOVERNOR'S OFFICE Boards and Appointments Application · All certicifications for the following: APSS for Unified Communications, Data Networking, Video Collaboration, Contact Center,

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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s.119.071(5)(a), F.S.

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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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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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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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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

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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

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