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Home My WebLink AboutStaff Report 8863 CITY OF PALO ALTO OFFICE OF THE CITY CLERK April 2, 2018 The Honorable City Council Palo Alto, California Selection of Applicants to Interview on April 24, 2018 for the Historic Resources Board, the Human Relations Commission, the Public Art Commission, and the Utilities Advisory Commission Recommendation Direct Staff to schedule interviews with all applicants for scheduled vacancies. Discussion Staff is requesting the City Council select the candidates to be interviewed for:  One term on the Historic Resources Board, ending on December 15, 2019;  Three terms on the Human Relations Commission, ending on May 31, 2021;  Three terms on the Public Art Commission, ending on May 31, 2021; and  Two terms on the Utilities Advisory Commission, ending on May 31, 2021. Interviews are scheduled for Tuesday, April 24, 2018 beginning at 6:00 P.M. Copies of all applications are attached. Some applications may be redacted at the request of the applicant. A full set of non-redacted applications will be provided to Council Members directly. Background During the last several recruitments, Council as elected to interview all applicants for respective Boards and Commissions. The City Clerk’s Office advertised this recruitment from January 11, 2018 through March 20, 2018, satisfying the 15-day minimum advertising period outlined in Municipal Code Section 2.16.060(a). Advertising included placements in the Daily Post newspaper, Palo Alto Online Express email, Palo Alto Weekly newspaper; announcements by the City Manager during Council meetings, by Clerk staff at Board and Commission meetings; promotion on the City’s website; and inclusion in weekly Council Packet GovDelivery notifications. Applicants Historic Resources Board (One Term) 1. Gogo Heinrich Human Relations Commission (Three Terms) 1. Rebecca Eisenberg 2. Kathy Johnson 3. Kaloma Smith 4. Valerie Stinger (Incumbent) Page 2 Public Art Commission (Three Terms) 1. Djibril Drame 2. Loren Gordon (Incumbent) 3. Marilyn Gottlieb-Roberts 4. Bonnie Hall 5. Yeuen Kim 6. (Robert) Ian Klaus 7. Shannon McEntee 8. Ben Miyaji (Incumbent) 9. Simcha Moyal Utilities Advisory Commission (Two Terms) 1. Arne Ballantine (Incumbent) 2. Mike Danaher (Incumbent) 3. Claude Ezran 4. Robert Hinden 5. Howard Hoffman 6. Yunteng Huang 7. Kamlesh Oza 8. Curtis Smolar 9. Rajesh Srinivasaraghavan 10. Henry Wong Please note that the City uses DocuSign electronic signatures as a method for individuals to submit applications for Boards and Commissions. Formatting irregularities present in the attached applications are likely the result the DocuSign process. ATTACHMENTS:  Attachment A: HRB - Heinrich, Gogo (PDF)  Attachment B: HRC - Eisenberg, Rebecca (PDF)  Attachment C: HRC - Johnson, Kathy (PDF)  Attachment D: HRC - Smith, Kaloma (PDF)  Attachment E: HRC - Stinger, Valerie (PDF)  Attachment F: PAC - Drame, Djibril (PDF)  Attachment G: PAC - Gordon, Loren (PDF)  Attachment H: PAC - Gottlieb-Roberts, Marilyn (PDF) Page 3  Attachment I: PAC - Hall, Bonnie (PDF)  Attachment J: PAC - Kim, Yeuen (PDF)  Attachment K: PAC - Klaus, Ian (Robert) (PDF)  Attachment L: PAC - McEntee, Shannon (PDF)  Attachment M: PAC - Miyaji, Ben (PDF)  Attachment N: PAC - Moyal, Simcha (PDF)  Attachment O: UAC - Ballantine, Arne (PDF)  Attachment P: UAC - Danaher, Mike (PDF)  Attachment Q: UAC - Ezran, Claude (PDF)  Attachment R: UAC - Hinden, Robert M (PDF)  Attachment S: UAC - Hoffman, Howard (PDF)  Attachment T: UAC - Huang, Yunteng (PDF)  Attachment U: UAC - Oza, Kamlesh (PDF)  Attachment V: UAC - Smolar, Curtis E (PDF)  Attachment W: UAC - Srinivasaraghavan, Rajesh (PDF)  Attachment X: UAC - Wong, Henry (PDF) Department Head: Beth Minor, City Clerk Page 4 Historic Resources Board Application 1 of 5 Personal Information Note: The HRB regularly meets the second and fourth Thursdays of the month at 8:30 a.m. Name: Address: Cell Ph ____ Home / ____ Office Ph E- Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci Conflict of Interest Code require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you own or your spouse real property in Palo Alto?___Yes ____ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: CEF2E1E7-6D6D-4557-BF55-80980300AC93 +SKS ,IMRVMGL JVMIRH )HYGEXMSR 9' &IVOIPI] &7 %VGLMXIGXYVI 0MGIRWIW 'EPMJSVRME %VGLMXIGX 0MGIRWI ' 0))( 4VSJIWWMSREP )\TIVMIRGI %VGLMXIGX ERH 4VSNIGX 1EREKIV JSV TVMZEXI ERH TYFPMG EKIRGMIW JSV SZIV ]IEVW .978 6)8-6)( 2SZIQFIV :SPYRXIIV QIQFIV SJ XLI 4VSJIWWSVZMPPI ,MWXSVMG 4VIWIVZEXMSR 'SQQMXXII Historic Resources Board Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Historic Resources Board that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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istoric Resources Board Application 3 of 5 2. Please describe an issue that recently came before the Board that is of particular interest to you and describe why you are interested in it. If you have never been to a Board meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Historic Resources Board achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: CEF2E1E7-6D6D-4557-BF55-80980300AC93 +SEPW EGLMIZEFPI TVIWIVZEXMSR MR PMRI [MXL XLI 'MX]W KYMHIPMRIW VYPIW ERH VIKYPEXMSRW %2( GSWX IJJIGXMZI [E]W JSV XLI GMXM^IRW XS QIIX XLI KSEPW EHSTXMSR SJ TVIWIVZEXMSR KYMHIPMRIW JSV RIMKLFSVLSSHW RSX NYWX MWSPEXIH TVSNIGXW [MXL GSQQYRMX] MRTYX -R Q] I\TIVMIRGI XLI ZSMGIW SJ XLI GSQQYRMX] 'MX] KSZIVRQIRX FSEVHW ERH GSQQMWWMSRW EVI GVMXMGEP XS XLI WYGGIWW SJ ER] TVSNIGX [LIXLIV MX FI E WMXI FYMPHMRK SV TVSGIWW 8LI MWWYI XLEX FIGEQI SJ MRXIVIWX XS QI [IVI XLI KYMHIPMRIW XLEX [IVI HVEJXIH JSV XLI 4VSJIWWSVZMPPI ,MWXSVMG 4VIWIVZEXMSR (MWXVMGX ,EZMRK FIIR E GSQQMXXII QIQFIV JSV XLI HVEJX FVSYKLX XS PMKLX XLI RIIH JSV GSRWMWXIRG] [MXL XLI 'MX]W ^SRMRK ERH FYMPHMRK GSHIW EW [IPP EW XLI RIIH XS LEZI GSQQYRMX] MRZSPZIQIRX MR XLI TVSGIWWIW Historic Resources Board Application 4 of 5 4. Please identify a project or projects that you find to be examples of good historic architecture, and explain why. You may attach samples, identify project addresses, or provide links. If you attach samples, Staff may request that you bring hard copy print outs to the interviews. 5. Historic Resources Board Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Palo Alto Comprehensive Plan Land Use Element Palo Alto Municipal Code Chapter 16.49 Secretary of the Interiors Standards for: Preserving, Rehabilitating, Restoring, and Reconstructing Historic Buildings California Environmental Quality Act DocuSign Envelope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ocuSign Envelope ID: CEF2E1E7-6060-4557-BF55-80980300AC93 Applications due March 20, 2018 at 4:30 pm Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, "No state or local agency shall post the home address or telephone number of any elected or appointed official on the Internet without first obtaining the written permission of that individual." This consent form will not be redacted and will be attached to the Application and posted to the City's website. The fu ll code can be read here: LINK Read the code, and check only ONE option below: I give permission for the City of Palo Alto to post to the City's website the attached Board and Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR X I request that the City of Palo Alto redact my home address, phone numbers, and email address from the attached Board and Commission Application prior to posting to the City's website. I am providing the fo llowing alternate information and request that they use the following contact information instead. _x_ Home/ __ Office Phone:-------------------------- E-mail : ----------------------------------~ The phone number I address can be non-public and different than the address collected on page one. Date: 1/14/2018 (Optional) Additional Attachmentlsl If you would li ke to submit a resume, work sample, etc. along with your Application, Check this box and click "Attach" to upload your document(s). Gogo Heinrich Historic Resources Board Application 5 of 5 Human Relations Commission Application 1 of 5 Personal Information Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope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uman Relations Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 %XXSVRI]4VMRGMTEP *SYRHIV 4VMZEXI'PMIRX0IKEP7IVZMGIW 2SR4VSJMX&SEVH1IQFIVWLMTW &SEVHSJ(MVIGXSVW0IKEP1SQIRXYQJSVQIVP]ORS[REWXLI2EXMSREP 3VKERM^EXMSRJSV;SQIR0IKEP(IJIRWI*YRHREXMSREPFSEVH &SEVHSJ(MVIGXSVW'VEMKWPMWX*SYRHEXMSR8VIEWYVIV*SYRHMRK QIQFIV &SEVHSJ%HZMWSVW/MZESVK1MGVSJMRERGI2SRTVSJMX &SEVHSJ%HZMWSVW8LI;IFF]%[EVHWERH1IQFIV-RXIVREXMSREP %GEHIQ]SJ%VXWERH7GMIRGIWTVIWIRX :SPYRXIIV'SRXVMFYXMSRW 4VS&SRSEXXSVRI]JSVJEQMPMIWSJWTIGMEPIHERH8MXPI-<WXYHIRXW .SVHER1MHHPI7GLSSP4EVIRX:SPYRXIIV 0IEHIVWLMT'MVGPI4EPS%PXS4EVXRIVWMR)HYGEXMSR4M) 7XERJSVH9RMZIVWMX]7TIGMEP+MJXW*YRHVEMWMRK(IZIPSTQIRX 'SQQMXXII7XERJSVH,SQIGSQMRK6IYRMSR ,EVZEVH0E[7GLSSP'IPIFVEXMSR)\IGYXMZI3VKERM^MRK'SQQMXXII 'IPIFVEXMSR)\IGYXMZI'SQQMXXIIERH4ERIP1SHIVEXSV4ERIPSR HMWGVMQMREXMSRMRLMKLXIGLMRHYWXV] 8LI,YQER6IPEXMSRW'SQQMWWMSRWQERHEXISJTVSQSXMRKXLINYWXERHJEMV XVIEXQIRXSJEPPTISTPIMR4EPS%PXSTEVXMGYPEVP]XLSWIQSWX ZYPRIVEFPIMWTVIGMWIP]EPMKRIH[MXLXLIQMWWMSRSJQ]TVSJIWWMSREP GEVIIVEW[IPPEWQ]TIVWSREPMRXIVIWXW 4VSJIWWMSREPP]-VYREPE[JMVQWIVZMRKQSWXP][SQIRERHQMRSVMXMIW [MXLGSQTIRWEXMSRRIKSXMEXMSR[SVOMRKXS[EVHWXLIWLEVIHKSEPWSJ IUYEPTE]JSVIUYEP[SVO4VIZMSYWP]-WIVZIHSJLIEHSJ0IKEPERH ,YQER6IWSYVGIWJSVWIZIVEPXIGLRSPSK]GSQTERMIWMRGPYHMRK8VYPME *PMT:MHISERH6IHHMX-LEZITYFPMWLIHRYQIVSYWEVXMGPIWSR YRGSRWGMSYWERHGSRWGMSYW FMEWMR7MPMGSR:EPPI]ERHLEZIWTSOIRSR XLIWIXSTMGWEXGSRJIVIRGIWERHIZIRXW-EQTEWWMSREXIEFSYX TVSQSXMRKE[EVIRIWWSJXLIWIMWWYIWERHIREFPMRKGSRZIVWEXMSRWXLEX WIIOXSMRGVIEWIMRGPYWMSRERHQYXYEPVIWTIGX 1]PIKEPI\TIVXMWIERHI\TIVMIRGIMRXLIEVIEWSJLYQERVMKLXWPE[ERH EPWSMRXLIEVIEWSJXIGLRSPSK]PE[GSQFMRIXSQEOIQIELMKLP] UYEPMJMIHGERHMHEXIJSVXLI,6'*SVI\EQTPIQ]ORS[PIHKISJJIHIVEP ERHWXEXITVMZEG]PE[GSYPHFILIPTJYPXSXLIEREP]WMWSJXLITSPMGI TVSTSWEPEFSYXZMHISWYVZIMPPERGI%RHQ]ORS[PIHKISJGMZMPVMKLXWPE[ GSYPHLIPT[MXLEREP]^MRKXLI[SQIRWIUYEPMX]HMWGYWWMSRXLI 'SQQMWWMSRLEHVIGIRXP] Human Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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uman Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 -VIEHXLVSYKLXLIWIHSGYQIRXWXLIPEWXXMQI-ETTPMIHJSVXLMW 'SQQMWWMSRERH[SYPHFILETT]XSVIEHXLVSYKLXLIQEKEMR+MZIRQ] ]IEVWSJI\TIVMIRGIEWEREXXSVRI]-EQZIV]WOMPPIHEXVIEHMRK EREP]^MRKMRXIVTVIXMRKERHETTP]MRKXLIWIX]TIWSJVITSVXWTPERWERH HSGYQIRXW Human Relations Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, official on the Internet without first obtaining the written permission of that ind This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Rebecca L. Eisenberg, Esq. 2345 Waverley St. Palo Alto, CA 94301 (415) 2358078 rebecca@privateclientlegal.com OVERVIEW: Trusted legal advisor and counsel for organizations & individuals. Detailoriented, empathetic, efficient, team player. EDUCATION: Harvard Law School, J.D., June 1993 Editor, Harvard Law Review. Harvard Law Record, journalist and columnist. contributor and editor. ABA, President of Harvard Law Chapter. Graduated Cum Laude. Stanford University, B.A. Psychology/Decision Sciences, June 1990 Phi Beta Kappa elected junior year. Departmental distinction. Boothe Prize for Excellence in Writing. Cap & Gown Honor Society; Phi Psi Honor Society. President, Stanford Undergraduate Psychology Association (SUPA). Peer Tutor, Calculus, Stanford Center for Teaching & Learning. Orientation Coordinator, Program Advisor, Stanford Office of Residential Education. Peer Counselor, the Stanford Bridge (suicide and counseling hotline). Teaching Assistant, Prof. Philip Zimbardo, sophomore, junior and senior years. BAR: Active member (167748) of the California Bar and the Federal Bar, Central District of California, admitted Dec. 1993. PROFESSIONAL EXPERIENCE: Private Client Legal Advisors, San Francisco, CA Principal & Founder, 1/2013 Present Operate boutique legal services firm, providing following services: Serve as outside GC for nonprofit organizations, technology companies, angel funds, entrepreneurs and executives. Locate, hire and manage specialized outside counsel; serve as intermediary between client and firms. Assist a variety of clients with matters involving regulatory compliance, employment matters, compensation, Fair Pay Act compliance, HR policies, financings and corporate transactions, as well as commercial agreements, licensing, employment disputes, litigation management, dispute resolution, public relations, and other business and legal affairs on behalf of founders, executives, nonprofits, companies and startups. Advise parents and various school representatives regarding legal rights and compliance under Title IX, FERPA, the CPRA, ADA, IDEA, California Ed Code and other local, state and federal laws and regulations. Serve as Palo Alto Education Law Expert to KTVU News San Jose. Analyze, negotiate and advise firms, companies and individuals on their financerelated documents warrants, convertible notes, stock purchase agreements, articles of incorporation and related corporate documents; provide actionable advice for stakeholders regarding different options and potential outcomes based on quantitative analysis of liquidity flowing through cap tables, interest accruing over time, types of collateral, and otherwise. Handle governance issues on behalf of a variety of organizations, including Board Meetings, public filings, and regulatory and legal compliance; ensure compliance with privacy laws and disclosure mandates. Provide legal consulting on Human Resources issues, including compensation, compliance and risk reduction. Vouch Financial Inc., San Francisco, CA General Counsel, Head of Human Resources & Corporate Secretary 5/14 to 3/15 first GC & Head of HR (4th employee), handled all legal & HR matters, including: Built and established legal department and legal function, including budget and hiring plan. Served as Board Secretary, drafted board resolutions, shareholder consents and board meeting minutes. Ensured compliance with all governance regulatory compliance including privacy and disclosure requirements. Secured new company office space, negotiated real estate transactions, handled office improvements and renovations in costeffective and efficient, yet highly successful manner. DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Handled 2 rounds of venture capital financing, as well as venture debt line; advised on all financial transactions. Established compliant HR system & structure, with a focus on risk reduction, recruiting & retention; established all legal and HR form agreements, company manuals and policies; trained employees on compliance. Created compensation programs with focus on compliance, recruiting and retention. Ensured regulatory and legal compliance with lending regulations (state and federal). Drafted company outward and inwardfacing policies, including privacy policies, user agreements, loan agreements, guarantor agreements, terms of use, license agreements, electronic communications agreements, credit consents and other legal agreements for website users, borrowers and guarantors. Negotiated all contracts with strategic business partners, investors, lenders, customers, and vendors. reddit Inc., San Francisco, CA General Counsel, Head of Finance and Head of Human Resources, 1/12 to 1/13 andled all legal, finance and HR matters for reddit, including: Negotiated and executed successful spinoff of reddit Inc. from Advance/Conde Nast. Served as Board Secretary; drafted & distributed resolutions, consents and board minutes. Legal, Human Resources and Finance departments. ensured regulatory and legal compliance, trained employees, drafted all employee agreements and policies. Handled, managed and trained staff members to respond to all Subpoenas, DMCA requests, infringement letters and other inbound legal communications. Established compensation systems and ensured compliance and consistency. Create . handled investment round and all corporate legal matters. Negotiated all commercial agreements; drafted all standard contracts; handled all other legal matters. Trulia, Inc., San Francisco, CA General Counsel, 3/10 to 12/11 andled all legal issues for this fastpaced Internet startup in the real estate industry, including: Handled M & A transactions, including acquisition of startup Movity. Handled financial transactions, including closing highfigure loan financing. Handled, drafted, negotiated all other corporate and commercial transactions, including business development, sales, licensing, comarketing and other commercial contracts, as well as real estate leases and transactions. Handled human resources issues, including handbooks, terminations, separation agreements and stock issues. Managed IP portfolio, including patents and trademarks. Managed litigation, including several patent infringement lawsuits; obtained very favorable settlement. Handled legal issues in product development, including terms of use, privacy policies and issuing associated with User Generated Content. Served on Senior Management Team, contribute to corporate strategy. Pure Digital Technologies, Inc., San Francisco, CA General Counsel, 9/089/09 Handled all legal issues for this consumer electronics technology company that provides the popular line of Flip Video handheld digital video camcorders. Handled successful Exit: Merger of Pure Digital with Cisco Systems, Inc in $615 million transaction. Led $630 Million merger with Cisco, in addition to all other corporate transactions. Successfully settled multimillion dollar (claimed) patent suit, managed all other litigation and threatened litigation. Handled all commercial transactions, licensing, sales and business development deal support (technology, software, content, comarketing), including with Facebook, Product (RED), YouTube, MySpace, AOL and other industry leaders. Led HR legal organization, provided advice, contracts, separations, consulting, conflict management. Handled intellectual property portfolio: patents, trademarks, copyrights. Leader on executive management team, provided strategic decision making, interfaced with Board of Directors. Managed and hired resources, handled legal budget of approximately $4 million. AdBrite, Inc., San Francisco, CA Vice President, General Counsel & Secretary of the Board, 3/079/08 andled all legal matters for this Internet startup in the online advertising space. Handled corporate governance/securities: minutes, resolutions Negotiated/drafted all commercial transactions: licensing, sales, real estate Handled Intellectual Property: Managed IP portfolio, all patents, copyrights, trademarks, DMCA. Successfully avoided litigation/managed risk: disposed of issues before they lead to lawsuits; create policies. DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Provided executive management, leadership. PayPal, Inc., an eBay Company, San Jose, CA Senior Counsel, Senior Director, Assistant Secretary 7/013/07 Joined company as second attorney, and assisted with IPO, Secondary Offering and Public Company Merger. Corporate development: assisted with IPO, secondary offering and public company merger with eBay Inc. Commercial Transactions: Handled all commercial transactions for the company. Sales: Supported sales team for $1.5 billion revenue company; create standardized documents and train salesforce. Intellectual property: Advised executives on intellectual property matters & compliance, handle IP licenses and strategy. International: supported business clients in Asia, Europe and Canada. Product Development: Analyzed all product specifications; drafted licenses and terms. User Agreement and Privacy Policy: drafting and maintenance, enforcement. Marketing and Content: Reviewed all marketing and other content; advised company on issues and risks. Management: Build and managed commercial legal team comprised of ten attorneys and staff. Risk management, litigation management, departmental processes. Ecast, Inc. (Internetbased music and games company), San Francisco, CA Vice President of Legal and New Market Development,9/996/01 Helped raise more than $18 M for the company, worked with investors. Managed strategic and business development as well as most legal and corporate development. Successfully closed deals including: digital music licensing with all 5 major labels, film/gaming licenses, wireless distribution deals , $7 million dollar software license/equity investment agreement with UK company. As the first licensed attorney to join the executive team of this fastpaced startup, also served as lead on risk management, compliance and marketing review, as well as delivered competitive analysis and business strategy. Cole Valley Group Consulting, San Francisco, CA Consultant: Internet business strategy, M&A advising & marketing, 10/9510/99 Provided strategic, technical marketing and business development services for numerous clients including Pixar, Quokka, Yoga Journal, Adjacency, Inc. (now Sapient), StarMine, Cyborganic Media, MediaCast, Sound Exchange Records, Electric Minds, Verbum and ChemisTree, among other startups and new media companies. Wrote over 10 business plans for startups, which as a group raised over $30M in venture financing; consulted start ups and established companies on mergers & acquisitions and other exit strategies; advised on intellectual property strategies. Consulted on intellectual property and strategic legal matters, including contributing to Rembrandts in the Closet, book on IP business strategies written by SmartPatents CEO (now Aurigin). CBS MarketWatch, San Francisco, CA 4/01 financial news site; contributed over 100 columns. Columns covered both technology strategic issues as well as high tech legal issues, including a high profile series on media. Awarded WELL journalism award for column which revealed privacy strategy behind WebMD/Healtheon merger. The San Francisco Examiner Internet business columnist, 6/9710/99 Wrote Net Skink, a biweekly column on Internet issues featured in the Sunday Cyborganic Media Director, Product Management and Corporate Development, 11/9510/97 Very early member of startup team on this tooearly MYSPACElike company (community and content aggregator) Produced and managed Hired, trained, managed and edited group of 12 individuals creating, updating and managing Web site GeekCereal.com. Contributed to Cyborganic business plan, helped raise angel funding. U.S. Court of Appeals, 5th Circuit, Houston, TX DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Judicial Law Clerk, Chief Judge Carolyn Dineen King, 8/9511/95. U.S. District Court, District of Columbia, Washington, DC Judicial Law Clerk, Honorable Gladys Kessler, 8/947/95. U.S. District Court, Central District of California, Los Angeles, CA Judicial Law Clerk, Honorable A. Andrew Hauk, 8/938/94. Morrison & Foerster, San Francisco, CA Summer Associate, business law and litigation, 1992. Ross & Hardies, Chicago, IL Summer Associate, business law and litigation, 1991. BOARD MEMBERSHIPS: Board of Directors, Legal Momentum (formerly known as the National Organization for Women Legal Defense Fund national board), 20092012. Board of Directors, Craigslist Foundation, Treasurer, Founding member, 19992007. Board of Advisors, Kiva.org (Microfinance Nonprofit), 20062009. Board of Advisors, The Webby Awards, and Member, International Academy of Arts and Sciences, 2003present. PUBLICATIONS: Academic Writing: Rebecca Eisenberg, Beyond Bray: Obtaining Federal Jurisdiction to Stop AntiAbortion Violence, 6 Yale Journal of Law and Feminism 155 (1994). Note, Pornography, Equality, and a DiscriminationFree Workplace: A Comparative Perspective, 106 Harvard Law Review 1075 (1993). Book Note, An Unladylike Response to Legal Conceptions of Women (reviewing Faludi, Backlash), 105 Harvard Law Review 2104 (1992). Popular Media Writing: Weekly column, Net Skink, San Francisco Chronicle Weekly column, Nouveau Geek, CBS Market Watch Regular contributor, Wired, Red Herring, Upside, Fast Company, Time Daily, Entertainment Weekly, Ms. Magazine. List of published clips available by request and online: http://www.omino.com/~dom/clips/ EDUCATION / VOLUNTEER ROLES: Special Gifts / Fundraising / Development Committee, Stanford Homecoming Reunion 1995, 2000, 2005, 2010, 2015. Harvard Law School Celebration 55 Committee; Harvard Law School Celebration 60 Committee. Reunion and Fundraising Coordinator, Whitefish Bay High School, Whitefish Bay, WI. Development Committee, Brandeis Hillel Day School, San Francisco, CA Room Parent, Brandeis Hillel Day School, San Francisco, CA Parent Volunteer, Walter Hays Elementary School, Palo Alto, CA Parent Volunteer, Jordan Middle School, Palo Alto, CA AWARDS & SPEAKING ROLES: Education law expert, KTVU News, San Jose. Award Winner, Top 25 Women on the Web. Award Winner, WELL Writing Award, Journalism and Overall Grand Prize. Technology industry Hardball with Chris Matthews, and PBS Computer Chronicles and Internet Café. Expert on consumer protection online; featured in book, Web Rules: How the Internet is Changing the Way Consumers Make Choices by Tom Murphy. Planning Committee and Panel Moderator hip Summit at Harvard Law School. DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Human Relations Commission Application 1 of 5 Personal Information Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____ City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                                                  Human Relations Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                                                                                                                                          Human Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particularinterest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                                                                                                                                                                                                Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                       Human Relations Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ E-mail: ____________________________________________ The phone number / address can be non-public and different than the address collected on page one. Signature: Date: (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your document(s). DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1  Human Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 4PIEWI WII EXXEGLQIRX 4PIEWI WII EXXEGLQIRX Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 2S TVIZMSYW I\TIVMIRGI List relevant education, training, experience, certificates of training, licenses, or professional registration: I have a wide range of experience and training that I feel would make me very useful in the role. Here is a brief synopsis of pertinent leadership experiences: 1. I have been able to successfully lead the University A.M.E. Zion through a significant transformation and growth. When I arrived five years ago, our congregation was down to 19 active members, who were black and seniors. Today we have grown to 120 active members, and we are now a multicultural church with an average age of 32. 2. I have completed the required course of study and educational training necessary for the ordination in the African Methodist Episcopal Zion Church. The ordination criteria are eight years of denominational study and formal schooling. This training included focus on community building, interpersonal conflict resolution and more. 3. I work on the national level to address systemic societal issues. I am currently part of the leadership cadre for the March Against Racism in Washington DC on April 4th in Washington DC to commemorate the 50th anniversary of the assassination of Martin Luther King. This march is sponsored by the National Council of Churches which represents 38 denominations, 100,000 congregations, and 45 million people. 4. I have been selected to be part of the Next Generation Leadership Cohort of World Methodist Evangelism which is part of World Methodist Council which represent 82 million people from 133 countries. 5. I am part of the Emerging Social Leader Cohort of the Peninsula Solidarity Network. I am the only clergy selected to the cohort from Santa Clara County. 6. I served as the Vice Chairperson for Ecumenical Hunger Program in East Palo Alto. Describe your involvement in community activities, volunteer and civic organizations: I am currently the Senior Pastor of the University A.M.E. Zion Church which is the oldest black church in the city of Palo Alto; this role has allowed me to connect with a wide range of community leaders and to be on the forefront of community dialogue around many issues. In the past three years I have led or participated in several initiatives to help foster a healthy conversation in our community: Community Open Forums on Race in America: After the tragic shootings at Mother Emmanuel A.M.E. Church in Charleston SC, there was a significant community outpouring of concern about race and where do we move from here. We held several community forums, which each had over 150 people in attendance. These forums allowed us to start the discussion around race and equality in our community and our country as a whole. Out of these community forums, we executed three significant initiatives; the first was the Community Unity Fair at Cubberley Community Center. We partnered with the city of Palo Alto and several local religious and civic organizations to hold a community fair that had children of different racial, ethnic, and religious backgrounds coming together to have fun. The goal was to create a space that would allow DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 children meet others from different backgrounds and let them see that we are all the same. The second was viewing and discussing the movie Church. This movie dealt with white privilege and its impact on racism and implicit bias and how it impacts Palo Alto. The discussion was lively and cathartic. The third activity was a community book club that read the book "The New Jim Crow." It was a thoughtprovoking and compelling dialogue dealing with mass incarceration and how it impacts our communities. I have also partnered with the Human Relations Committee in the planning of two initiatives in 2016 and 2017 named "Being Different Together." The original 2016 was a panel discussion and forum held at the Mitchell Park Library. I was part of the planning team along with being the moderator for that event. This event was a great success and well attended; it sparked us to ask the question, How could we continue the positive momentum and equip community leaders with tools to address implicit bias In 2017 we planned a 4 part Being Different Together." We worked with Dr. Joseph Brown from Stanford University to bring the implicit bias training that Stanford developed to the Palo Alto community. We were intentional inviting and encouraged persons from varied perspectives to be part of this community dialogue. It was terrific to have so many different views in the room. It made the discussion more meaningful and authentic. This initiative was a great success because of the positive community response. It also allowed people to be reflective of their implicit bias and it equipped them with tools to take back to their various constituency. I have also been active in promoting and developing ecumenical and interfaith connections in Palo Alto. Under my leadership, the University A.M.E. Zion Church has led our community in several activities to encourage religious tolerance. One of our events was sponsoring the 2016 Multifaith Peace Walk and Picnic to remember 9/11. The Multifaith Peace Walk started at Congregation Etz Chayim/Spark Church, then it went to University Church, followed by walking to Our Lady of the Rosary Catholic Church and concluded with American Muslim Voice hosted Peace Picnic at Mitchell Park. Each of the stops put together a brief presentation on how we can achieve peace in our society. The march was a fantastic show of solidarity in our community with over 700 participants, and over 35 community faith and civic organization represented including the Chief of Police from the city of Palo Alto. Finally, I am part of the of the Social Justice for Emerging Leader cohort for the Peninsula Solidarity Network. The Silicon Valley Foundation sponsors the Social Justice for Emerging Leader cohort. This program gathers community leaders from many faith traditions to research, discuss and dialogue with subject matter experts on issues that specifically affect our area. We have spent significant time examining issues such immigration, hypercapitalism, and housing issues. 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 Building healthy and sustainable communities is one of my passions. Whether it is in my role as Senior Pastor at University or in the Palo Alto community, I desire to build bridges and give voice to all stakeholders, equitably and efficiently. I believe this lines up with the stated purpose of the Human Relations Commission of fostering public awareness and understanding of human relations by any means. I believe the first step in any movement forward or reconciliation is an open dialogue, and it hopefully will foster compassion and communication for all parties involved. We live in very complicated times, and I believe for Palo Alto to continue to be a healthy and dynamic city, the work of the Human Relations Commission is vital. People in the community need to know there is a place where they can speak on complicated and nuanced issues we face today. 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archive: The March 8th meeting of the Human Relations Commission dealt with the issue of Palo Alto Police Field Based Video Policy. I believe this is one of the most critical issues in modern policing. The use of these technologies adds a layer of accountability and protection to the police officers. It's important that our city has a comprehensive policy in place to protect its citizens and employees. In today's modern political climate policing incidents can be significant flashpoints and having video evidence can hopefully allow for more clarity in the investigation of these incidents. 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? Palo Alto is indeed a global city, attracting people from all over the world. Our diversity is one of our greatest strengths, but it is an underutilized resource. Many people in Palo Alto have limited community based around work, ethnic groups or children activities. We as a city need to find ways to encourage and build deeper relationships based on the fact that we are all Palo Alto residents. We need to find ways to help those who are new to the community to dive into the deep end and connect with others. We also need to find ways to encourage longtime residents to be more receptive and accepting of newcomers. If I have the honor of being on the Human Relations Commission, my goal would be to develop resolutions, events, programs, and initiatives to encourage broader community in the city we call home. DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope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ublic Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3)be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____ City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 67A7E3CE-7C44-426B-9B1F-53B2C3D1C6C9                  Public Art Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Public Art Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 67A7E3CE-7C44-426B-9B1F-53B2C3D1C6C9                                                                                                                                                                                                    Public Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particularinterest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 67A7E3CE-7C44-426B-9B1F-53B2C3D1C6C9                                                                                     Public Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: 67A7E3CE-7C44-426B-9B1F-53B2C3D1C6C9                                    Public Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 0B1EDCFE-0C28-4C79-A308-99B98619CE22 -GYVVIRXP]WIVZISRXLI4YFPMG%VX'SQQMWWMSR 1ETPI7XVIIX4EPS%PXS'% 1]I\TIVMIRGIMRGPYHIWWIVZMRKEWE4EPS%PXS4YFPMG%VXGSQQMWWMSRIV JSVXLITEWXXLVII]IEVW%GXMRKEWGLEMVSJXLI1IQFIVWLMT)\IGYXMZI 'SYRGMPEXXLI'ERXSV%VXW'IRXIV'ERXSV ERHXLI%RHIVWSR 'SPPIGXMSREX7XERJSVH9RMZIVWMX]GYVVIRXWIVZMRKEWER I\SJJMGMSQIQFIVSJXLI(MVIGXSVW%HZMWSV]&SEVHEXXLI'ERXSV GYVVIRX-LEZIER1&%JVSQXLI9RMZIVWMX]SJ7ER*VERGMWGSERHE &%JVSQXLI9RMZIVWMX]SJ'SPSVEHS 0SVIR+SVHSR PMPMOK$KQEMPGSQ Public Art Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Public Art Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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ublic Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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ublic Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: 0B1EDCFE-0C28-4C79-A308-99B98619CE22 8LI'MX]SJ4EPS%PXSLEWERI[4YFPMG%VX1EWXIV4PERXLEXXLIWXEJJ ERHGSQQMWWMSR[SVO[MXLJVIUYIRXP]'SRWIVZEXMSRSJSYVGSPPIGXMSRMW ZIV]MQTSVXERX%XSYV1EVGLQIIXMRK[IEPPSGEXIHJYRHMRKJSV PERHWGETMRKERHMVVMKEXMSRXSTVIZIRXHEQEKIXSXLIWGYPTXYVI2YHIMR 7XIIP6YWXXVIEXQIRX[MPPEPWSFIRIGIWWEV]8LITPERTVSZMHIW KYMHIPMRIWJSVXLMW-REHHMXMSRXLIGSQQMWWMSRLEWYWIHSYV (IEGGIWWMSRSJ%VX[SVO4SPMG]JSV(MKMXEP(2%+S1EQEERH'EPMJSVRME %ZIRYI'EPMJSVRME2EXMZI,EZMRKERYTHEXIHTSPMG]MWGVMXMGEPJSV HIEGGIWWMSRERHGSRWIVZEXMSR Public Art Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 0B1EDCFE-0C28-4C79-A308-99B98619CE22 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: F1171810-CC8B-465A-867C-48AE67F155A2 )'LEVPIWXSR6H 1EVMP]R+SXXPMIF6SFIVXW Q$FIPPWSYXLRIX Public Art Commission Application 1 of 5 I have an active career in the arts; I was a tenured professor of studio art and art history 1980-2006 at Miami Dade College; Fulbright Scholar in Nigeria 2000-2002. Exhibitions include Hayden Planetarium, Clocktower, Exit Art in NYC; Harvard's Carpenter Center, Mobius Performance in MA; Columbus Museum (GA), Birmingham Museum (AL); an Art in Public Places commission in GA and in FL. Publications include the artist book A Durable Tale, published 2017 by [NAME] Publications Public Art Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Public Art Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: F1171810-CC8B-465A-867C-48AE67F155A2 1MEQM(EHI'SPPIKI%VX(ITEVXQIRX 4VSJIWWMSREPEVXMWX My community activities in Florida include service on the Executive Boards of Tigertail Productions (ten years) and the Interdisciplinary Sound Arts Workshop of the South Florida Composer’s Alliance (two years). For eight years I was a Panelist on Miami-Dade County's Dept. of Cultural Affairs International Cultural Exchange Grants. I've served as a State of Florida Division of Cultural Affairs Panelist, twice on Individual Artist Interdisciplinary Fellowship panels, and twice on panels for Art in Public Places commissions. National activities include service as Pearson/Prentice Hall Academic Reviewer, 7th Edition of Janson’s History of Art; sixteen years as a National Foundation for Advancement in the Arts Annual Awards Preliminary Adjudicator; and as a selected participant in three National Science Foundation Math and Art Curriculum Development Workshops--two at Franklin and Marshall College(PA)and one at Edmonton Community College (WA). International work includes service as publication Referee for the African Studies Review (scholarly journal of the African Studies Association), and for NAWACS, the annual publication of the National Association of Women Academics (Nigeria). For nine years delivered featured lectures at annual orientation for Foreign Fulbright Students I have recently relocated from Miami Beach to Palo Alto. An activist artist, I take deep pride and satisfaction in service. I want to dive deep into the life of my new community and seek company with those in Palo Alto who wish to advance the arts. Where better to accomplish this than through service on the Public Art Commission? I've not attached a resume, but if after a review of my application one is desired, I'd be happy to supply it. Public Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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ublic Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: F1171810-CC8B-465A-867C-48AE67F155A2 -LEZIRSTEWXI\TIVMIRGI[MXLXLMWHSGYQIRX Public Art Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: F1171810-CC8B-465A-867C-48AE67F155A2 Public Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____ City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 26898928-021C-41ED-810B-5DD39493D8E0                  I have implemented over 75 major public art projects from 1988 – to the present. I was CEO of an international art corp for more than 15 years, hold an M.B.A. in Public Administration, and am trained in Financial Planning. While working on the ‘97 Governor’s Conference on the Arts I conceived the idea of‘Art-Bytes’, a youth art and technology project which won a National Endowment for the Arts award. Public Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: 26898928-021C-41ED-810B-5DD39493D8E0                                                       Public Art Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ______ E-mail: ____________________________________________ The phone number / address can be non-public and different than the address collected on page one. Signature: Date: (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your Application, DocuSign Envelope ID: 26898928-021C-41ED-810B-5DD39493D8E0                Public Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: FD552AFB-7903-4976-B691-D1B4F30ECD5A - FIPMIZI XLEX EGGIWW XS EVX MW GLERKMRK NYWX EW XIEGLMRK QIXLSHW RIIH XS EHETX XS PIEVRIVW [E]W SJ EGUYMVMRK ORS[PIHKI - EQ WSQI[LEX SJ E 0YHHMXI FYX XLVSYKL Q] XIIREKIVW ERH VIWMHIRXW 1(W [LS EVI XVEMRMRK MR MRXIVREP QIHMGMRI QSWXP] EX 7XERJSVH - EQ GSRWXERXP] PIEVRMRK E RI[ [E] SJ YWMRK E JEQMPMEV ETT SV E RI[ QIXLSH SJ HMKMXEP SV WMQMPEV PIEVRMRK -Q [SRHIVMRK MJ 4EPS %PXS WIIW GSYPH FI E XLIQI WMQMPEV XS LS[ 7IEXXPI VIEHW FIKER [MXL XLI TYFPMG PMFVEV] QE]FI [I GSYPH LEZI ER MRWXEKVEQ EGGSYRX ERH WTYV HMWGYWWMSR WTEVOMRK MRXIVIWX MR ZMWMXMRK XLI %VX 'IRXIV SV SXLIV MRWXEPPEXMSR WMXIW - XLMRO - [SYPH PMOI XS PMWXIR JMVWX EW - EQ RI[ XS XLI [SVPH SJ QYRMGMTEP WIVZMGI ERH EVX GSQQMWWMSRW 7XEOILSPHIVW WYGL EW EVXMWXW EVX GIRXIV PIEHIVWWXEJJ FYWMRIWWIW IWT MJ VIUYMVIH XS WTIRH SJ XLIMV FYHKIX SR EVX SV EJJIGXIH F] PSGEP EVX WYGL EW 'EPMJ %ZI GSQQYRMX] MRWXMXYXMSRW PMFVEVMIW IZIR PE[ IRJSVGIQIRX SV LIEPXL GEVI GSYPH EPP LEZI MRXIVIWXW MR LS[ XLI EVX MRJPYIRGIW VIEGXMSRW ERH IZIR FILEZMSV - [SYPH PMOI XS LIPT SVKERM^I IZIRXW WYGL EW HIGSQQMWWMSRMRK GYVVIRX GSPPIGXMSRW QIRXMSRIH MR XLI 4%' VITSVX XLEX GSYPH LIPT VEMWI JYRHW XS LIPT WYTTSVX QSVI GSPPEFSVEXMSR ERH PSGEP EVXMWXW *MREPP] - [SYPH PMOI XS WII LS[ [I GSYPH GSPPEFSVEXI [MXL ]SYRKIV KIRIVEXMSRW IK LMKL WGLSSP SV WMQMPEV XS WII LS[ [I GER LIPT WYTTSVX XLIMV EVXMWXMG MRXIVIWXW ERH KSEPW 78)%1 RSX NYWX 78)1 QEXXIVW Public Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: FD552AFB-7903-4976-B691-D1B4F30ECD5A - HS RSX Public Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: PROFESSIONAL EXPERIENCE: I currently serve as a senior policy adviser to some of the world’s leading city networks. I am Non-resident Senior Fellow at the Chicago Council on Global Affairs and serve as an Advisory Board member for the World Economic Forum’s Future of Urban and Development Services. In all of these capacities, I work closely with city governments and city-focused non-profits around the world. I am a frequent contributor to numerous publications – including CityLab and Citiscope – that cover urban design, politics and culture. Previously, I was Senior Adviser for Global Cities at the U.S. Department of State, where I led external urban diplomacy engagement, including interacting with more than fifty mayors from around the world on global challenges in their cities. Additionally, I served as Deputy U.S. Negotiator for Habitat 3, acting as the lead day-to-day negotiator for the United States in advance of the United Nations every-twenty years urban conference. Prior to those roles, I served as a Member the Secretary of State’s Policy Planning Staff, advising two Secretaries of State on an array of policy issues, including cultural exchange and public diplomacy. EDUCATION: Ph.D. in international history from Harvard University; M.A. from Oxford University in Modern History and Literature. Public Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. While not having experience with this document, the goals and activities identified therein are consistent with work I have done with other cities, civil society and cultural groups. Public Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 532EEF5C-8721-4667-A2D5-F97131762C79 7LIVMHER%ZI WLERRSRVQGIRXII$KQEMPGSQ 7LERRSR1G)RXII &*%9RMZIVWMX]SJ9XEL 1%1MPPW'SPPIKI 8EYKLXQSHIVRHERGIEXYRMZIVWMX]PIZIPMRXLI97ERHEFVSEH Public Art Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Public Art Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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ublic Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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ublic Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: 532EEF5C-8721-4667-A2D5-F97131762C79 -HSRSXLEZII\TIVMIRGI[MXLXLMWHSGYQIRX Public Art Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 532EEF5C-8721-4667-A2D5-F97131762C79 Public Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Ph ____ Home / ____ Office P E- Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: B9A60FC9-D33D-48D7-873F-79F521BFAFAE &IR 1M]ENM 'YVVIRX :MGI'LEMV SJ XLI 4EPS %PXS 4YFPMG %VX 'SQQMWWMSR 'MX] SJ 4EPS %PXS 4YFPMG %VX 'SQQMWWMSR 1E] XS 4VIWIRX :MGIGLEMV .ER XS TVIWIRX 'MX] SJ 7ER .SWI %VXW 'SQQMWWMSR .YP] XS *IFVYEV] 'LEMV :MGIGLEMV 'LEMV 4YFPMG %VX 'SQQMXXII 1IXVS 2I[WTETIV 4YFPMG %VX 4IVWSR SJ XLI =IEV Public Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: B9A60FC9-D33D-48D7-873F-79F521BFAFAE (IEGGIWWMSR SJ E TMIGI SJ TYFPMG EVX 3ZIV XLI TEWX HIGEHIW TYFPMG EVX TMIGIW LEZI FIIR TPEGIH F] GSQQYRMXMIW MR QER] TPEGIW 0MXXPI XLSYKLX [EW KMZIR XS XLI YWI SJ QEXIVMEPW ERH PSRKIZMX] SJ XLI TMIGIW 8LMW LEW PIH XS E QENSV TVSFPIQ LS[ XS HMWTSWI SJ TMIGIW XLEX LEZI FIGSQI YRWEJI SV HIXIVMSVEXMRK# 8LI EIWXLIXMGW SJ XLI TMIGI HS RSX GSQI MRXS TPE] SV MJ WSQISRI PMOIW SV HMWPMOIW XLI TMIGI 4EPS %PXS XLVSYKL XLI 4YFPMG %VX 1EWXIV 4PER LEW MQTPIQIRXIH E ZIV] WSYRH TSPMG] SR HIEGGIWWMRK TYFPMG EVX TMIGIW 4PEGMRK XIQTSVEV] TYFPMG EVX MR RIMKLFSVLSSHW ERH RSX NYWX MR XLI HS[RXS[R EVIEW 8IQTSVEV] TYFPMG EVX MR RIMKLFSVLSSHW [SYPH EPPS[ QSVI TISTPI XS MRXIVEGX [MXL TYFPMG EVX 8LI 4YFPMG %VX 'SQQMWWMSR GER QEOI XLMW SRI SJ MXW TVMSVMXMIW MR XLI JYXYVI 4EPS %PXS LEW FIEYXMJYP QYVEPW EVSYRH XLI GMX] 8IQTSVEV] ERH TIVQERIRX QYVEPW EHH E JPEMV XS GMX] PERHWGETIW XLEX GERRSX FI EGLMIZIH [MXL SXLIV X]TIW SJ TYFPMG EVX %KEMR QEOI XLMW E TVMSVMX] SJ XLI GSQQMWWMSR Public Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: B9A60FC9-D33D-48D7-873F-79F521BFAFAE - [EW GLEMV SJ XLI 4EPS %PXS 4YFPMG %VX 1EWXIV 4PER 7XIIVMRK 'SQQMXXII ERH - EQ ZIV] JEQMPMEV [MXL XLI HSGYQIRX Public Art Commission Application 1 of 5 Personal Information Note: The PAC regularly meets the third Thursday of the month at 7:00 p.m. Name: Address: Cell Ph ____ Home / ____ Office Pho E- Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: B3BB18CF-710B-469D-AAAD-B528008902B3 7-1',% 13=%0 :IVRSR 8IVVEGI 4EPS %PXS '% ` WMQGLE$MWVEIPMZMWYEPEVXWGSQ ` [[[MWVEIPMZMWYEPEVXWGSQ 463*)77-32%0 )<4)6-)2') -WVEIPM :MWYEP %VXW 4VIWIRX WMQGLE 1S]EP Public Art Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Public Art Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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ublic Art Commission Application 4 of 5 4. Public Art Commission Members work with the document listed below. If you have experience with this document, please describe that experience. Experience with this document is not required for selection. Municipal Arts Plan DocuSign Envelope ID: B3BB18CF-710B-469D-AAAD-B528008902B3 2S Utilities Advisory Commission Application 2 of 5 Employment Present or Las t Em ployer: &PS SQ )RIVK] Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 351F3C67-1A0B-4DD9-99D3-824883C8D457 :MGI 4VIWMHIRX 7]WXIQ )RKMRIIVMRK - JIIP XLEX 4EPS %PXS 9XMPMXMIW EVI MR XLI QMHWX SJ QEREKMRK WIZIVEP ZIV] MQTSVXERX TSXIRXMEPP] XVERWJSVQEXMZI MWWYIW 1EMRXEMRMRK E VIWMPMIRX WIX SJ YXMPMX] WIVZMGIW [LMPI GSRXMRYMRK MR XLI XVERWMXMSR XS MRGVIEWIH IPIGXVMJMGEXMSR XS VIHYGI GEVFSR IQMWWMSRW )RWYVMRK 4EPS %PXS YXMPMXMIW EVI VSFYWX EKEMRWX ER MRGVIEWMRK RYQFIV SJ I\XIVREP XLVIEXW HVSYKLX WXSVQW JPSSHW IEVXLUYEOIW G]FIVLEGOMRK IXG *MRHMRK E [E] XS QEOI XLI GSQTPI\ XVERWMXMSR XS LMKLIV FERH[MHXL RIX[SVO GSRRIGXMSR -R Q] JMVWX XIVQ - LEZI PIEVRIH XLEX Q] JMVWXLERH YRHIVWXERHMRK SJ HMWXVMFYXIH KIRIVEXMSR W]WXIQW MW SJXIR ZIV] LIPTJYP MR EHHMRK XS XLI HMWGYWWMSR SJ W]WXIQ[MHI MQTPMGEXMSRW SJ YXMPMX] WXVEXIKMIW ERH XEGXMGW %RH - [SYPH IEKIVP] PSSO JSV[EVH XS ER STTSVXYRMX] XS GSRXMRYI XS GSRXVMFYXI XS TSMRXW ERH *YVXLIV - LEZI GSQI XS PIEVR E KVIEX HIEP EFSYX XLI GSQTPI\MX] SJ JMFIV XS XLI TVIQMWIW ERH [SYPH EPWS PSSO JSV[EVH XS [SVOMRK XS JMRH -R XLI TEWX XLVII ]IEVW Q] GSQQYRMX] EGXMZMXMIW LEZI FIIR JSGYWIH MR X[S EVIEW 7IVZMRK EW GSQQMWWMSR QIQFIV JSV XLI 9%' :SPYRXIIV XIEGLMRK JSV .SVHER 1MHHPI 7GLSSP .%;7 EJXIV WGLSSP LSQI[SVO EWWMWXERGI TVSKVEQ Utilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 351F3C67-1A0B-4DD9-99D3-824883C8D457 -R Q] TEWX XIVQ - FIPMIZI - LEZI LEH I\TIVMIRGI [MXL HMWGYWWMSR SV EGXMSRFEWIH VIRI[EP SJ EPP SJ XLIWI [MXL I\GITXMSR SJ XLI ]IEV TPERW WMRGI XLI] LEZI RSX FIIR VIRI[IH HYVMRK XLI TVMSV ]IEVW 3RI SJ XLI GVMXMGEP XEOIE[E]W JSV QI [MXL VIWTIGX XS XLIWI TPERW MW XLI REXYVI SJ XLI MQTEGX SJ I\XIVREP JSVGIW WYGL EW HVSYKLX [LMGL HVMZI I\XVIQI GSRZIVWEXMSR SR XLI TEVX SJ 4EPS %PXS GMXM^IRW SJXIR VIUYMVMRK EHNYWXQIRX MR EGUYMWMXMSR TPERW Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 7DEEA591-E923-404C-A4BB-F5378D56CBE7 ,EQMPXSR%ZI4EPS%PXS 1MOI(ERELIV PE[HIKVIISZIV]IEVWSJGSVTSVEXIFYWMRIWWI\TIVMIRGIMRGPYHMRK WYFWXERXMEPI\TIVMIRGI[MXLGPIERXIGLGSQTERMIW QHERELIV$[WKVGSQ GYVVIRXP]WIVZMRKSR9%' Utilities Advisory Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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tilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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tilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 7DEEA591-E923-404C-A4BB-F5378D56CBE7 -ZIHIEPX[MXLEPPSJXLIQHYVMRKQ]XIVQ Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 7DEEA591-E923-404C-A4BB-F5378D56CBE7 Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 'PEYHI)^VER GPEYHI$I^VERGSQ 7IEPI%ZIRYI Utilities Advisory Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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ÍHI*VERGI E WXEXIS[RIHYXMPMX][LMGLMWEQSRKXLIPEVKIWXYXMPMXMIWMRXLI[SVPH 7XYHMIHIPIGXVMGMX]KIRIVEXMSRERHHMWXVMFYXMSRMRKVIEXHIXEMP :MWMXIHQER]HMJJIVIRXX]TIWSJTS[IVKIRIVEXMSRTPERXW Utilities Advisory Commission Application 3 of 5 2.Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 8LIVIEVIQER]MWWYIWXLEXVIGIRXP]GEQIXSXLI'SQQMWWMSRXLEX MRXIVIWXQIWYGLEWXLI9XMPMXMIW7XVEXIKMG4PERERH'4%9WVSPIMR GSQQYRMX]VIWMPMIRG] -EQJSVMRWXERGIZIV]MRXIVIWXIHMRXLITPERWJSVER%HZERGIH 1IXIVMRK-RJVEWXVYGXYVIERHLS[XLEXGSYPHMQTVSZIGSRWIVZEXMSRSJ [EXIVERHIRIVK]EW[IPPEWTVSZMHIGYWXSQIVW[MXLMRJSVQEXMSRXLI] EVIGYVVIRXP]PEGOMRKXSFIXXIVQEREKIXLIMVGSRWYQTXMSR ;IEPWSRIIHXSPSSOEX[LEXGERFIHSRIXSHIGVIEWIXLIJVIUYIRG]ERH HYVEXMSRSJTS[IVSYXEKIWF]PSSOMRKEXEPPXLIJEGXSVWXLEXMQTEGX VIPMEFMPMX]IUYMTQIRXUYEPMX]IUYMTQIRXTPEGIQIRXVIHYRHERGMIWVMWO QEREKIQIRXLYQERJEGXSVWIXG Utilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 -VIEHXLIWIHSGYQIRXWERH[MPPHIJMRMXIP]WTIRHQSVIXMQISRXLIQMJ WIPIGXIHJSVXLITSWMXMSR -TEVXMGMTEXIHMREGSQQYRMX][SVOWLSTJSVXLIYTHEXISJXLI7XVEXIKMG 4PERPEWX3GXSFIV -HSEPWSGPSWIP]JSPPS[XLIRI[WEFSYXXLI'MX]YXMPMXMIWQSWXP] XLVSYKLXLI4EPS%PXS;IIOP] Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 CLAUDE A. EZRAN (650) 248-5706 770 Seale Avenue, Palo Alto, CA 94303 claude@ezran.com EXECUTIVE LEADERSHIP PROFILE Passionate Marketing and Business Development leader, who delivers results through a unique ability to assess market opportunities, push innovative thought processes, establish clear directions, and motivate teams to embrace the mission. Solid track record of bringing new products to market, in a variety of technologies, in large companies and start-ups. Adept at leading strategic change. Strong expertise in product life cycle management, product management, product marketing and corporate marketing. Solid business and deal making skills. Extensive experience working with customers. Strong experience in leading and managing people and cross-functional teams. Deep understanding of technology. Excellent verbal and written communication skills. Outstanding analytical skills. Action oriented. mputer sciences school. U.S. citizen. Exceptionally skilled at dealing with highly complex challenges with little prior experience and producing results. Example: founded and organized Palo Alto World Music Day (www.pamusicday.org), a free music festival with 50 musical groups and 20,000 attendees, now in its 10th year. PROFESSIONAL EXPERIENCE CONSULTANT IN MARKETING & STRATEGY, Palo Alto, CA 2016-Present Advise startups on their pitches, business plans, and go to market strategies. OORJA FUEL CELLS, Fremont, CA www.oorjafuelcells.com 2015-2016 Director of Marketing (Consultant Reporting to CEO) Oorja is a clean energy company that manufactures power systems based on direct methanol fuel cells. These systems significantly reduce operating costs and greenhouse gas emissions in a wide variety of applications such as wireless telecommunications and materials handling. Analyzed a range of product and market opportunities and decided which ones to focus on. Drove Product Marketing and pricing decisions. Identified new customers and distributors. Led task force seeking industry, government and academic partners to reduce the cost of the fuel cell stack. Significantly improved company positioning and sales tools (including competitive analysis and ROI model). BOOTUP VENTURES, Menlo Park, CA www.bootupventures.com 2014-2015 Advisor BootUP Ventures is an incubator for startups that provides a strong ecosystem to accelerate their growth. Advised companies on strategy, business plan formulation, marketing and business development. LABORVOICES, INC., Sunnyvale, CA www.laborvoices.com 2013-2014 Vice President of Marketing & Business Development LaborVoices is a for-profit social enterprise providing global brands with analytic tools to improve transparency within their supply chains. The company helps Corporate Social Responsibility departments achieve strong safety standards and decent working conditions, especially in the developing world, by crowdsourcing information directly from factory workers through cloud-based mobile technology. Customers included large companies such as Walmart and Monsanto. Authored company business plan and investors presentation. Helped raise equity. Produced mission statement, key messages, press releases, customer presentations, web site content and brochures. Initiated several new partnerships with companies in our industry. Signed-up new customers. DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 Claude Ezran Page 2 Responsible for all social media activities. MATISSE SOFTWARE, INC., Mountain View, CA www.matisse.com 2008-2013 Vice President of Marketing Software start-up. Matisse is an innovative post-relational SQL database. Increased Web site traffic by 60% and trial software downloads by 200%. Helped define and launch major new versions of the database. Identified and signed-up new partners. LASERCARD CORPORATION (Now HID Global), Mountain View, CA www.lasercard.com 2006-2008 Director of Marketing (Reporting to CEO) LaserCard ($40M, LCRD), a leader in secure ID solutions, manufactures and markets optical memory cards, RFID cards, smart cards and secure IDs (e.g. U.S. Green Card, Italian national ID card, etc.). Responsible for worldwide marketing function, including corporate marketing, PR, product marketing, product management and employee communications. Planned change in corporate identity and branding for two companies we acquired in Germany. Organized several trade shows, including CeBIT. Launched new products. Hired a new PR firm and expanded press & analyst coverage. MATISSE SOFTWARE, INC., Mountain View, CA www.matisse.com 2003-2006 Vice President of Marketing Redefined company positioning and key messages. Introduced new products. CONSULTANT IN MARKETING & STRATEGY, Palo Alto, CA 2002-2003 Advised several companies on product and go to market strategies. Authored business plans and launch plans. ADOBE SYSTEMS INCOPORATED, San Jose, CA www.adobe.com 1999-2001 Director of Product Marketing, Enterprise Imaging & Servers, Acrobat Group Led team in charge of all marketing and business development for communication, knowledge management and server products, as well as developer tools, in the Acrobat product line. Led multiple worldwide press & analysts tours that resulted in extensive press coverage. Negotiated several strategic relationships, including a major alliance with HP. Led team that defined a Product Life Cycle process for all marketing organizations throughout company. nirWANa, INC., Mountain View, CA 1997-1998 Vice President of Marketing Enterprise software start-up funded by Cisco Systems that developed an application server. Prepared public announcement of company; created Web site. XEROX COLORGRAFX SYSTEMS (Now XES), San Jose, CA 1995-1997 Vice President, Worldwide Marketing and Strategy ColorgrafX, a subsidiary of Xerox, was a leading provider of large format color printers and associated software. Sales were around $90M and growing 50% a year. Responsible for worldwide marketing function and company strategy, as well as: demo center, product documentation, customer service, technical support, training and financing. Led formulation of strategic business plan that refocused company on new inkjet technology and resulted in a product line that was very successful and received Selected new PR firm and doubled press coverage. COMMVISION CORPORATION, Mountain View, CA 1994-1995 Director of Marketing (Reporting to CEO) Data networking start-up backed by four leading venture capital firms. Responsible for entire marketing function. Achieved 30% more press coverage than key competitor 20 times our size. Helped raise $4.5M in venture capital. Created corporate identity and introduced company and its products to the marketplace. DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 Claude Ezran Page 3 VMX, INC. (now Avaya, Inc.), San Jose, CA 1992-1994 VMX invented voice mail, was also a major supplier of Interactive Voice Response systems. Sales were around $100M. Director of Product Marketing, Client/Server Software Division Helped conceive of, and then had worldwide marketing responsibility for start-up division focused on unified messaging and desktop telephony software. Our leadership in that area was the key reason why Octel acquired us. Group Manager, Product Marketing, then promoted to: Director of Product Marketing Initiated strategic relationships with Novell, Lotus, Microsoft, and Intel. 3COM CORPORATION (now HP), Santa Clara, CA 1987-1992 Chairman, Adapter Product Line Planning Committee Chaired cross-functional team that defined and executed 3Com's adapter product line strategy. Matrix responsibility for 13 hardware and 19 software engineers. Responsible for revenue and operating income targets. Was one of the key players who conceived of, and brought to market, "EtherLink III Parallel Tasking", the immensely successful line of third-generation Ethernet adapters with 3Com's own chipset. Within five months of introduction, adapter sales doubled, contributing to a tripling of 3Com's stock price. Promoted to: Product Line Manager, Adapters Worldwide responsibility for product line of network adapters and their associated software. Marketed to national distributors, resellers, system integrators, VARs, OEMs, as well as consumers. Grew business Was project team leader for 3Com's most complex adapter project, a high-performance Ethernet adapter OEM'ed by IBM for its RISC workstations; met all deadline commitments. Product Manager, PC Ethernet Adapters Managed entire product life cycle. Also, acted as Software Evangelist and OEM Product Manager. COMMUNITY INVOLVEMENT PALO ALTO WORLD MUSIC DAY www.pamusicday.org 2008-Present Founder and Executive Director Founded and organized free annual music festival, now in its 10th year, involving 50 musical groups, 40 volunteers, and 20,000 attendees. Led project from initial idea to complete success. PALO ALTO RECREATION FOUNDATION www.parecfoundation.org 2010-Present Member of the Board of Directors PALO ALTO HUMAN RELATIONS COMMISSION www.cityofpaloalto.org/gov/boards/hrc.asp 2008-2014 Commissioner, Vice-Chair, Chair Appointed twice by the Palo Alto City Council. CABLE CO-OP (now part of Comcast), Palo Alto, CA 1992-1998 Member of the Board of Directors Cable TV company serving 28,000 households around Palo Alto. Company pioneered cable modem service for Internet access. Elected twice by subscribers (top vote getter). EDUCATION MBA, HARVARD BUSINESS SCHOOL, Boston, MA MSEE, ELECTRICITE, Gif-Sur-Yvette, France France's top school for electrical engineering, computer sciences and telecommunications. BS, LYCEE LOUIS LE GRAND, Paris, France France's top ranked college. Majored in advanced mathematics and physics. DocuSign Envelope ID: 6B6874BE-8B54-486D-B425-1A529E3ABB45 Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 4B0B6C90-70FA-4FFB-BD85-A58AC36E0105 1YVVE];E] 6SFIVX1,MRHIR -LEZIE&EGLIPSVSJ7GMIRGIMR)PIGXVMGEP)RKMRIIVMRKERHE1EWXIVW SJ7GMIRGIMR'SQTYXIV7GMIRGIHIKVIIW-LEZI[SVOIHMR-RXIVRIX 8IGLRSPSK]JSVQSWXSJQ]TVSJIWWMSREPGEVIIVERHMRTYFPMGWIVZMGIMR XLI-RXIVRIX7SGMIX]ERH-RXIVRIX)RKMRIIVMRK8EWO*SVGIKVSYTXLEX HIZIPSTW-RXIVRIXWXERHEVHW 7IIQ]EXXEGLIH':JSVHIXEMPW VQL$EPHIVEERGSQ Utilities Advisory Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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tilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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tilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 4B0B6C90-70FA-4FFB-BD85-A58AC36E0105 -LEZIVIZMI[IHEPPSJXLIWIHSGYQIRXW -REHHMXMSR-EXXIRHIHERHTEVXMGMTEXIHMRXLI'SQQYRMX]7XVEXIKMG 4PERRMRK;SVOWLSTLIPHSR3GXSFIVXLEX[EWTEVXSJXLITVSGIWW XLEXHIZIPSTIHXLI9XMPMXMIW7XVEXIKMG4PER-LEZIEXXIRHIHXLI 9%'QIIXMRKWWMRGIXLI[SVOWLST[LIVIXLMWTPER[EWHMWGYWWIHERH ETTVSZIHF]XLI9%' Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 4B0B6C90-70FA-4FFB-BD85-A58AC36E0105 6SFIVX1,MRHIR 1YVVE];E]4EPS%PXS'% VQL$EPHIVEERGSQ 7YQQEV] 'SMRZIRXSVSJ-4Z'LIGO4SMRX*IPPS[EX'LIGO4SMRX7SJX[EVI'LEMVSJXLI-RXIVRIX 7SGMIX]&SEVHSJ8VYWXIIW 'SGLEMVSJXLI-)8*1%2-4Z[SVOMRK 6IGIMZIH-)))-RXIVRIX%[EVHJSV©TMSRIIVMRK[SVOMRXLIHIZIPSTQIRXSJXLIJMVWX -RXIVRIXVSYXIVWª4VIWMHIRX¬W%[EVHEX7YR1MGVSW]WXIQW 4YFPMG7IVZMGI -RXIVRIX7SGMIX] 'LEMVSJXLI-RXIVRIX7SGMIX]&SEVHSJ8VYWXIIWJVSQXSERHQIQFIVSJXLI &SEVHJVSQ%GGSQTPMWLQIRXWMRGPYHILMVMRKERI[')3JSVXLI SVKERM^EXMSRVIWXVYGXYVMRKXLISVKERM^EXMSRXSFIXXIVI\IGYXI-73'QMWWMSRWXEFMPM^IH MX¬WJMRERGIWWMKRMJMGERXP]MQTVSZIH-73'IJJIGXMZIRIWWERHZMWMFMPMX]MRXLI-RXIVRIX IGSW]WXIQERHFYMPXE[IPPJYRGXMSRMRK&SEVH -RXIVRIX7XERHEVHM^EXMSR %GXMZIMRXLI-)8*WMRGIERHMWXLIEYXLSVSJ6*'WMRGPYHMRKQER]SJXLIGSVI -4ZWTIGMJMGEXMSRWERHXLVII%TVMP6*'W'YVVIRXP]QIQFIVSJXLI6*')HMXSVMEP 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ocuSign Envelope ID: 4B0B6C90-70FA-4FFB-BD85-A58AC36E0105 Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____ City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: A8450E89-75DB-4A6A-8B45-B820563EDF45                                                                       Utilities Advisory Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: A8450E89-75DB-4A6A-8B45-B820563EDF45                                                                                                                                             Utilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particularinterest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: A8450E89-75DB-4A6A-8B45-B820563EDF45                                                                                         Utilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: A8450E89-75DB-4A6A-8B45-B820563EDF45                                                                                  Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ E-mail: ____________________________________________ The phone number / address can be non-public and different than the address collected on page one. Signature: Date: (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your Application, DocuSign Envelope ID: A8450E89-75DB-4A6A-8B45-B820563EDF45  Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: C5C9E994-CC35-4F39-8744-F038CF45EF26 4L(MR))JVSQ3VIKSR7XEXI9RMZIVWMX] 1&%JVSQXLI;LEVXSR7GLSSP9RMZIVWMX]SJ4IRRW]PZERME =YRXIRK,YERK 0S[IPP%ZI4EPS%PXS'% ]YRXIRKLYERK$KQEMPGSQ Utilities Advisory Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: C5C9E994-CC35-4F39-8744-F038CF45EF26 +IRIVEP1EREKIV:MGI4VIWMHIRX ZSPYRXIIV7EZIXLI&E] &SEVHQIQFIV;M^'LMRIWIRSRTVSJMX -LEZI[SVOIHMRXIGLRSPSK]WIGXSVJSVXLIPEWX]IEVWERHVIGIRX ]IEVWMRXLIEVIESJ-RXIVRIXSJ8LMRKW;ILEZIHIZIPSTIHTVSHYGXW XLEXEVIYWIHF]WQEVXQIXIVQERYJEGXYVIW7QEVXQIXIVMRKMWSRISJXLI XIGLRSPSK]QIERWXLEXLEWTSXIRXMEPXSLIPT[EXIVERHIRIVK] GSRWIVZEXMSR -EQMRXIVIWXIHMRIRZMVSRQIRXWYWXEMREFMPMX]ERH[SYPHPMOIXSQEOI GSRXVMFYXMSRMRTVIWIVZMRK[EXIVERHIRIVK]GSRWYQTXMSRMR4EPS%PXS 7MPMGSR0EFSVEXSVMIW-RG Utilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: C5C9E994-CC35-4F39-8744-F038CF45EF26 -JETTSMRXIH-HPMOIXSLIPTXLIGMX]XSYTKVEHIXLIYXMPMX]QIXIVMRK W]WXIQJSVXLIQSHIVRHE]WWYGLXLEXVIWMHIRXWERHGMX]GER[SVO XSKIXLIVXSGSRWIVZI[EXIVERHIRIVK] Utilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: C5C9E994-CC35-4F39-8744-F038CF45EF26 -HSRXLEZIER]TVMSVI\TIVMIRGI[MXLXLIWIHSGYQIRXW Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: C5C9E994-CC35-4F39-8744-F038CF45EF26 Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 39D52687-7DFF-4578-BD1E-7D4C814C425D 1EHHY\(V OEQ$]ELSSGSQ /EQPIWL'3^E ]IEVW[SVOMRKMRXLI9XMPMX]MRHYWXV]1SWXSJMXLEWFIIRJSGYWIH SRXLI7QEVX1IXIVMRKWIKQIRXEWTEVXSJ7MPZIV7TVMRK2IX[SVOW2S[ TEVXSJ-XVSR )HYGEXMSR&EGLIPSVWMR'SQTYXIV7GMIRGI1MRSVMR))1&% Utilities Advisory Commission Application 2 of 5 Employment Present or Las t Em ployer: -XV SR Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 39D52687-7DFF-4578-BD1E-7D4C814C425D -HPMOIXSGSRXVMFYXIQ]I\TIVXMWIMR7QEVX1IXIVMRKXSQ]GMX]EW[I TVSGIIHMRWIPIGXMRKXIGLRSPSKMIW ,EZIZSPYRXIIVIHEW=1'%GSEGL ,EVH[EVI8IWX)RKMRIIVMRK1EREKIV Utilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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tilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 39D52687-7DFF-4578-BD1E-7D4C814C425D 8LI7XVEXIKMG4PER[EW[VMXXIRWM\]IEVWEKSERHGSYPHTVSFEFP]HIWIVZI ERYTHEXI-LEZINYWXFVS[WIHMXRS[ERH[EWRSXTVIZMSYWP]JEQMPMEV [MXLMX -EQRSXJEQMPMEV[MXLXLI0)%4HSGYQIRXNYWXVIEHMXRS[ %KEMR XLMW[EWPEWXQSHMJMIHJMZI]IEVWEKS7XMPPZEPMH# 2SXJEQMPMEV[MXLXLI8IR=IEVTPER.YWXVIEHMXRS[ Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 39D52687-7DFF-4578-BD1E-7D4C814C425D Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 88DA3E52-6454-434F-9D41-1D81996BE459 -LEZIE.YVMW(SGXSVEXIJVSQ7SYXLIVR1IXLSHMWX9RMZIVWMX]ERH-EQ GIVXMJMIHMRTVMZEG]TVSXIGXMSR'-4497 ;EZIVPI]7XVIIX 'YVXMW)7QSPEV GWQSPEV$KQEMPGSQ Utilities Advisory Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 88DA3E52-6454-434F-9D41-1D81996BE459 +IRIVEP'SYRWIP -EQEFSEVHQIQFIVSJXLI4EPS%PXS0MXXPI0IEKYI 0IKEWPMWX-RG -LEZIFIIRPMXMKEXMRKMWWYIWVIPEXMRKXSTYFPMGYXMPMXMIWMRGPYHMRK [MXLSYXPMQMXEXMSRWXIEQTS[IVVEXIWIPIGXVMGMX]VEXIW19(W GSRXVEGXW[MXL4+ )ERHXLI'MX]ERH'SYRX]SJ7ER*VERGMWGS[EXIV YXMPMX]MWWYIWMWWYIWVIPEXMRKXSYXMPMXMIWERHEFMPMX]SJLSYWMRK Utilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 88DA3E52-6454-434F-9D41-1D81996BE459 -LEZIFIIRJSPPS[MRKXLI;SVO4PERJSV*MFIVXSXLI4VIQMWIWERH ;MVIPIWW2IX[SVO7MRGI-LEZIFIGSQIKIRIVEPGSYRWIPEXEWXEVXYT GSRRIGXMZMX]LEWFIGSQIEZMXEPMWWYIERH-EQMQTVIWWIH[MXLXLI 'MX]WLERHPMRKSJXLIQEXXIV -EQMRXIVIWXIHMR[SVOMRKSRXLI;SVO4PERJSV*MFIVXSXLI4VIQMWIW ERH;MVIPIWW2IX[SVOERH[SYPHPMOIXSQEOIEMQTEGXMRXLMWEVIE Utilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 88DA3E52-6454-434F-9D41-1D81996BE459 -EQJEQMPMEV[MXLEPPXLIHSGYQIRXWERH-LEZIFIIRMRZSPZIHMR WMXYEXMSRWMR[LMGLWMQMPEVTPERW[IVIMRZSPZIHMRXLITEWX Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 88DA3E52-6454-434F-9D41-1D81996BE459 Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 702D2832-8F87-4BD5-A900-47CF76AF5F95 6ENIWL7VMRMZEWEVEKLEZER /IRRIXL(VMZI4EPS%PXS'% XS4VIWIRX*SYRHIVERH')3/EPPEREM+VS[XL%HZMWSVW :4&YWMRIWW(IZIPSTQIRX-S8MYQ XS7IRMSV(MVIGXSV7XVEXIK]'MWGS7]WXIQW XS7IRMSV)RKEKIQIRX1EREKIV1G/MRWI]ERH'SQTER] XS1&%1-87PSER7GLSSPSJ1EREKIQIRX XS17'SQTYXIV)RKMRIIVMRK7]VEGYWI9RMZIVMWX] XS&8IGL)PIGERH'SQQR)RKK--81EHVEW VENIWLCW$WPSERQMXIHY Utilities Advisory Commission Application 2 of 5 Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Utilities Advisory Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 702D2832-8F87-4BD5-A900-47CF76AF5F95 Employment Present or Las t Em ployer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tilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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tilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 702D2832-8F87-4BD5-A900-47CF76AF5F95 8LIWIHSGYQIRXWLEZIFIIR[IPPXLSYKLXXLVSYKLERH-GSRXMRYIXS JEQMPMEVM^IQ]WIPJ[MXLXLIQ-HIJMRMXIP]FVMRKWMKRMJMGERXERH VIPIZERXI\TIVMIRGIMRWXVEXIKMGTPERRMRKXLEX[MPPLSTIJYPP]LIPT MQTVSZIJYXYVIMXIVEXMSRWSJXLIWEQI Utilities Advisory Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 702D2832-8F87-4BD5-A900-47CF76AF5F95 3393 KENNETH DRIVE, PALO ALTO, CA 94303 650 223 4781 rajesh_s@sloan.mit.edu Growth catalyst and results driven team leader, builder, and player. Persistent and diligent in driving from strategy to execution. Thinks out of the box to bring business innovations with implementation practicality. Brings business, people and engineering leadership with emphasis on product and sales strategy. Values teamwork, integrity, and meritocracy Growth Leader Product Management Marketing and Sales Management Strategy and Transformation Emerging Markets Business model innovation Channel Strategy & Management Corporate Development and M&A Private Equity and Growth New business growth: Helped create multiple $100M businesses as a core team member from days of ideation to launch (e.g., Cisco Consulting, Small Cell, Security startup, Insurance subsidiary in India) GM Expertise: Crossfunctional track record in Enterprise Technologies having held responsibilities in strategy, product management, sales, and engineering Leadership: Broad experience in building teams, scaling organizations & programs including enterprise sales, channel, inbound consumer models, emerging market field and agency organizations Founder / CEO Jan 2017 Current KALLANAI, LLC GROWTH ADVISORS, PALO ALTO, CA ( http://www.kallanai.com/ ) CxO advisors on Market Growth strategies Defined sales and channel strategy (incremental $600 M / year) for small business segment through indirect sales Redesigned Channel program for $400 Million Web Site Security business Defined and validated Industrial IoT growth strategy for a private equity growth investment of $50 Million Advised multiple AI related business from startups to fortune 50 companies on growth, investments and deployments VP Business Development Dec 2015 Dec 2016 IOTIUM, SUNNYVALE, CA, PALO ALTO, CA (http://www.iotium.io) Product Marketing and Business building: Drive new customer acquisitions Increased sales pipeline (10 600 marketing prospects, <5 60+ sales leads) and drove new pilots; Raised venture investments to fund growth and expansion $8.5 Million from GE, Juniper and March Capital Institutionalized product management, finance, marketing and sales (e.g., pricing, business model, demand generation, sales management, partnerships) and expanded into new verticals (e.g., Oil & Gas, Industrial Equipment) Senior Director, Strategy and Corporate Development Dec 2009 Dec 2015 CISCO SYSTEMS, SAN JOSE, CA New Business Growth: Launched initiatives that delivered top line and bottom line value to the shareholders Helped create multiple $100+M businesses strategy, business plan, product roadmaps and GTM strategy Revitalized slowing down BUs steadied profit erosion ($2B Optical), sustained revenue growth ($3B Server) Sales Management and Strategy: Built and scaled new Sales & Channel capabilities from ideation to execution Shifted US Enterprise ($4B sales, 1200 FTEs) sales from product to solution sales model Evolved Go To Market from products to codevelopment sales model ($10B, 2500 FTEs) Product Management: Drove market actions product strategy and inorganic investments Drove product strategy and investments in Data Center, Storage, Cisco consulting and Small Cell Drove portfolio planning and rationalization e.g., Cisco $45B, SP $12B, Data Center $7B, Video $3+B Team and capability building: Developed a Center of Excellence for strategic skill sets, tools, and capabilities Grew corporate strategy team in size (from 3 to 20+), built new capabilities customer intelligence, analytics Created and formalized planning process (LRP) with CFO/COO, presented to the Board and financial analysts DocuSign Envelope ID: 702D2832-8F87-4BD5-A900-47CF76AF5F95 Rajesh Srinivasaraghavan | rajesh_s@sloan.mit.edu | Page 2 Senior Engagement Manager Apr 2004 Dec 2009 MCKINSEY AND CO., NEW YORK, NY PALO ALTO, CA MUMBAI, INDIA General Management: Drove entire lifecycle of multiple business transformation on behalf of CxOs Drove $400M/year incremental revenue for US Telco in their SMB segment through better segmentation & cross selling Reduced costs through product ($125M/year for High Tech Co.,) and process (+20% for a captive BPO) redesign Technology Strategy: Created and executed multiyear transformation programs for fortune 500 CIOs Launched internal cloud delivery model while driving a $300M/year IT cost reduction for a pharmaceutical company Lowered IT Infrastructure costs by 25% through productivity improvements for a fortune500 apparel manufacturer Market Expansion: Created new revenue opportunities for clients Made recommendations for multiple PE deals incl. $65 M in Defense, $50100M in a VoIP VAR, $500M in life insurance Launched market expansion programs (e.g., 3X revenue growth for Cement producer, Market entry for Foreign Insurer) Talent development: Mentored, coached and demonstrated an ability to grow high performing teams Nurtured high potentials, turned around underperforming talent Launched mentorship programs and led recruitment, training for incoming cohorts and connectivity activities Senior Software Engineer Aug 1997 May 2002 HEWLETT PACKARD CO., Led architecture, product Launched a mobile development lab offer from architecture and design to development of a functional customer ready Cloud/ SaaS product; Grew the team from 3 to more than 20 by recruiting and mentoring new hires Extended beyond engineering architect/development role into adjacent marketing function recruited pilot customers, drove marketing events, lead customer workshops and created product support teams Product development experience that spans multiple products and markets (HighEnd Unix Servers, Networking, Network Management, Webbased video delivery systems, Mobile application platforms & 3 tier J2EE architectures) MBA, Entrepreneurship and Marketing Jan 2004 MIT SLOAN SCHOOL OF MANAGEMENT CAMBRIDGE, MA MIT TechLink Best Graduate Student Program, nominated , Graduated in 3 Semesters MS Computer Engineering May 1997 SYRACUSE UNIVERSITY SYRACUSE, NY Focus on Distributed Computing, Mobile and Data Networking; Graduated in 3 Semesters, Full Scholarship as an RA B.Tech., Electronics and Communication Engineering May 1995 INDIAN INSTITUTE OF TECHNOLOGY (IIT) MADRAS CHENNAI, INDIA Nominated by the Director to the Board of Academic Affairs, Member of Core Group, NTSE Scholar, Neural Networks The Rising Remote Infrastructure Mgmt. Nasscom & McKinsey 2010 for The McKinsey Quarterly, October 2008 The McKinsey Quarterly, June 2008 McKinsey on IT, Spring 2007 Lecturer in Management, Wharton West Executive MBA Program Spring 2018 onwards Available on Request DocuSign Envelope ID: 702D2832-8F87-4BD5-A900-47CF76AF5F95 Utilities Advisory Commission Application 1 of 5 Personal Information Note: The UAC regularly meets the first Wednesday of the month at 6:00 p.m. Name: Address: Cell Ph ____ Home / ____ Office Ph E- Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope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tilities Advisory Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Utilities Advisory Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 23C3B326-2F3A-49C2-AAC6-2F505A896EF4 -* ETTSMRXIH - [MPP PIZIVEKI Q] PEXIWX LMKL XIGL ORS[PIHKI XS PIEH 4%PXS MRXS XLI WX 'IRXYV] ;I [MPP FI XLI FIWX MR EPP ERKPIW SJ ER] 9XMPMXMIW 'SQQMWWMSR MW WTIRHMRK QSVI QSRI] ERH RSX QEOMRK EHHMXMSREP QSRI] [MXL SYV XIGLRSPSK] WQEVX 8MQI LEW GLERKIH XLEX MX VIUYMVIW WQEVX QEREKIQIRX XS [SVO WYTIV MRXIPPMKIRX ERH VYPI SZIV GSRZIRXMSREP QIRXEPMX] Utilities Advisory Commission Application 4 of 5 4. Utilities Advisory Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. The Utilities Strategic Plan The Long Term Electric Acquisition Plan The Gas Utility Long-term Plan Urban Water Management Plan Ten-Year Electric Energy Efficiency Plan and Ten-Year Natural Gas Energy Efficiency Plan DocuSign Envelope ID: 23C3B326-2F3A-49C2-AAC6-2F505A896EF4 - XSXEPP] WYTTSVX XLIWI TPERW