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Agenda - 06-26-2003-9E1
ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 26, 2003 Action Agenda Item No. 9 - SUBJECT: Alcoholic Beverage Control Board (ABC Board) -Appointment(s) DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Membership Roster Interest List Applications/Resumes of Those on the Interest List Copy of N.C. Gen. Stat. § 18B-700 INFORMATION CONTACT: Clerk's Office, ext. 2130, 2125, 2126, 2129 TELEPHONE NUMBERS: Hillsborough Chapel Hill Durham Mebane 245-2130 968-4501 688-7331 336-227-2031 PURPOSE: To consider appointment(s) to the Alcoholic Beverage Control Board; to consider designating a member of the ABC Board as its chair. BACKGROUND: In Orange County, all members of the Orange County ABC Board are appointed by the Board of County Commissioners. The ABC Board has the authority to buy, sell, transport and possess alcoholic beverages for the operation of its stores. The ABC Board operates the ABC system and has the authority to hire and dismiss employees. The ABC Board members are compensated as determined by the Board of Commissioners. There are two vacancies on the Alcoholic Beverage Control Board. The Board of County Commissioners, as the ABC Board appointing authority, is also empowered to designate one of the ABC Board members as the chair of the ABC Board. The Board of Commissioners has never before exercised the authority to designate the chair to the ABC Board. Since the seat of the present ABC Board chair is being filled by one of the appointments being made now, this is a good opportunity for the Board of County Commissioners to designate the chair to the ABC Board if it elects to do so. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider appointment(s) to the Alcoholic Beverage Control Board; consider designating one of the ABC Board members as the chair of the ABC Board. ^~ ~/ O ~_J ,Oi r~r~1 ~ ! 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'O d H Applicant Interest Listing by Board Name and by Applicant Name Alcoholic Beverage Control Board Contact Person: Dan Sykes, General Manager Contact Phone: 919-732-3432 x23 Mr. Robert F. Bailey 6015 Deerwood Lane Durham NC 27705 Skills: Accountant Skills: Church Officer Mr. Thomas Heffner 103 Porter Place Chapel Hill NC 27514 Skills: Business Owner Skills: Community Service Volunteer Skills: Real Estate Appraiser Day Phone: 919-383-1669 Evening Phone: 919-383-1669 FAX: E-mail: Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Eno Date Applied: 0/14/2002 Day Phone: 919-929-0518 Sex: Male Evening Phone: 919-929-4637 Race: Caucasian FAX: 919-929-0758 Township: Chapel Hill E-mail: thheffner@aol.com Date Applied: 05/28/2003 Also Serves On: Equalization and Review Board Mr. William T. Hendrickson 2219 Lawrence Road Hillsborough NC 27278 Skills: Boy Scouts Skills: Employee Benefit Insurance Service Skills: Life Insurance Skills: Owner -Local Farm Skills: Self-Employed Day Phone: 919-644-8636 Evening Phone: 919-644-0677 FAX: E-mail: Also Serves On: Human Relations Commission Sex: Male Race: Caucasian Township: Eno Date Applied: 10/03/2001 Mr. Melvin S. HurStOn Day Phone: 919-966-4423 Sex: Male 731 Saluda Ct. Evening Phone: 919-968-1434 Race: African American Chapel Hill NC 27514 FAX: 919-966-3709 Township: Chapel Hill E-mail: mhurston@unch.unc.edu Date Applied: 05/07/2002 Skills: CPLUC Nominee Also Serves On: Board of Health Also Serves On: CPLUC-Comprehensive Plan Land Use Committee Also Serves On: Human Services Advisory Commission Skills: Director/Operations/[JNC Hospitals Also Serves On: Boazd of Health Also Serves On: CPLUC-Comprehensive Plan Land Use Committee Also Serves On: Human Services Advisory Commission Tuesday, June 17, 2003 Page 1 of 2 J~ Applicant Interest Listing by Board Name and by Applicant Name Alcoholic Beverage Control Board Contact Person: Dan Sykes, General Manager Contact Phone: 919-732-3432 x23 Mr. Leslie A. Johns 106 Blue Granite Ct. Chapel Hill NC 27514 Skills: Advisory Board Experience Skills: CPA Mr. Charles Lee 112 Finley Forest Dr. Chapel Hill NC 27517 Skills: Customer Service Day Phone: 919-942-8700 Sex: Male Evening Phone: 919-967-3037 Race: Caucasian FAX: Township: Chapel Hilt E-mail: les_johns@msn.com Date Applied: 01/22/2002 Also Serves On: Also Serves On: Day Phone: 919-762-2525 Sex: Male Evening Phone: 919-969-8136 Race: Caucasian FAX: Township: Chapel Hill E-mail: cml@nc.ir.com Date Applied: 04/17/2002 Also Serves On: Mr. Steve L. Medlin 5904 Hideaway Drive Chapel Hill NC 27516 Skills: Planner -City -County Skills: Red Cross Disaster Services Volunteer Mr. John C. Steffens 1826 N. Lakeshore Drive Chapel Hill NC 27514 Skills: Biotechnology Skills: Homeowner's Association Member Skills: Professor Day Phone: 919-560-4137 Evening Phone: 919-967-0793 FAX: 919-560-4641 E-mail: dmedlin2@nc.rr.com Also Serves On: Also Serves On: Day Phone: 919-765-5063 Evening Phone: 919-933-2481 FAX: 919-541-8585 E-mail: john.steffens@syngenta.com Also Serves On: Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 06/07/2002 Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 07/21/2002 Mr. Bill Thorpe 709 Tinkerbell Road Chapel Hill NC 27514 Skills: ABC Board -Orange County Skills: Kiwanis Club Skills: N.C. Dept. of Crime Control Skills: NAACP Day Phone: 919-967-5813 Evening Phone: 919-740-9180 FAX: E-mail: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Sex: Male Race: African American Township: Chapel Hill Date Applied: 06/12/2003 Friday, June 20, 2003 Page 2 of 2 w FOR OFFICE USE OgLY ~ ~~/o~. ~a e 1 of ~. ~c~7erf ~ ~q i 1 e VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 1$ years old, and willing to volunteer your time and expertise to your community, please complete this application and n: ~ 2 n ~ 2 Orange County Commissioners' Office D L5 ll l.s P.o. Box 8181 MAY i ~ 2002 Hillsborough, NC 27278 Phone (918) 245-2125; 245-2129; 245.2130; 732 - Fax: (919) 644-0245 • Emall: nmartin~ca.oran -NAME: ~=FT ~ .~1+ ~~,~~f HOME ADDRESS: 6015 DEERWOOD LANE CITY: - ~ ~( ORANGE COUNTY) DuR~BH • N ~ ,~ _ _, _ Zip Code: 2 7 7 5 PHONE: (Day) 919 383 (Evening/late) SArawF. (Fax) EMAIL: ~ NONE PLACE OF EMPLOYMENT: RETIRED ,,,,_JOB T17LE: IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP OF RE5IDENCE: D Bingham ^ Cheeks ^ Hillsborough ~ Ena ^ Chapel Hill ^ Little River ~ Cedar Grove iN ADDITION, PLEASE INDICATE 1F YOU LNE IN_ ONE OF THE FOLLOWING AREAS: ~ Joint Planning Area ^ Extraterritorial Area ^ Transition Area WE ASK YOUR HELP IN ASSURING DNERSf1Y OF MEMBER5HIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: X~Male ^ Female ETHNIC BACKGROUND: ^ African American Caucasian ^ Hispanic ^ Native American ^ Other DATE OF BIRTH: 6/23/30 PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDSICOMMISSIONS ON WHICH YOU WOULD BE WILLING TO SER1/E. 1. ABC CONTRn~,n, ~RAN(~R RP nF nn,TUg~~gN~. PF.RRAN7+".j.'[. ADVT~nRy BOA. WORK EXPERIENCE: rFAmrFrFr, D':BLIC ACC4T~tuT,i~--~N~-~9~6~ PARTNER AND~R N _TpAT~ jjq FTRMS GTNru ]"Q77 ASSOCIATE NEAL ~BRADSH R .A.ND TAYr.oR S-rNrT.. ~ qo~ VOLUNTEER EXPERIENCE' TREASURER ST PHILIPS EPISCOPAL CHURCH FOR OFFICE U5E DHLY s ~ o ~ ~a ~. z.o~ ~ Ro.~-it-~&i~ ~~. . EDUCATION: ___nrrRUt-M uTru ~rx~or. t;RADLTATE ,,,,. ,~~~ ~ TN BrSTN.~fi rrNTVxR$ITY NORTH CAROLINA CHAPEL HILL OTHER COMMENTS: A C OARDS. WN R OF BUSINEES AND KNOWLEDABLE WITH • PERSONNELL AND MANAGEMENT OF BUSINESS. SOME KNOWLEDGE OF REAL ESTATE AND TAX LAWS. How did you become aware of Orange County volunteer opportunities? (Please check all that apply}: ~ Newspaper ^ County Web page ^ Current Orange County Volunteer ^ Radio ^ T.V. ^ Other ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS I agree by my signature below that, if appointed, I pledge to comply with the following ethics guidelines for advisory boards and ~mmissians as adopted by the Orange County Board of Commissioners. Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in which they have a conflict or potential conflict of interest or an interest which reasonably might appear to be in conflict with the concept of fairness in dealing with public business. A conflict of interest or a potential conflict occurs if a member has a separate, private, or monetary interest, either direct or indirect, in any issue or transaction under consideration. Any member who violates this provision may be subject to removal from the board or commission. , If an advisory board ar commission member believes'helshe has a conflict or potential conflict of interest on a particular issue, then that member should state this belief to the other members of his/her respective advisory board or commission during the board or commission's public meeting. The member should state the nature of the conflict, detailing that he/she has a separate, •private, or monetary interest, either direct or indin;ct, in the issue or transaction under consideration. The member should then excuse himself/herselffrorn considering and voting on the matter. In cases where an advisory board or commission member declares a conflict ar potential conflict of interest, the member shall excuse himselflherself from the board table/voting area until all discussion, consideraton, and voting is completed on the matter in question. Any advisory board or commission member having questions or needing assistance regarding the interpretation of these ethics guidelines or other conflict of interest matters should contact the administrative staff for the respective board or commission. Staff will assist the member with questions and interpretations and may provide a recommendation on whether or not the advisory . board or comrrdssion member should excuse himself/herself from voting. The member may request that the staff n~pand in writing. Staff may contact the County Manager fot• any additional assistance. If appointed, I agree to attend athree-hour orientation which will give an overview of how Orange County Government operates and its relationsFiip to other governmental units. ot.% Date • Signature YOLOISK3:APPLS:TN; b2\~YOLAPPL,000 ,~1~ - J~A~i :-kT~ ~~2dIA~ HEFFIVE~ . r: ~ , • •~ . V . :~ T~ ~~MM~~~~O~T. Tf you •~zre an prr3nge County.., rasfdent, at least 1$ years old, artd xilling voluntesr,••:yaur time_and expertise~ta~Fauz~ aommupity! p1®ase complete return to: brattge County Board of Cammiss3.ou~tt+s O~fiae P. O. Box $181 Hill.sboz•vugh, NC 27278 NAME t Thoatss A. Heffnex HG~ME ADDRESS ; 243 Porter PJ.ace Chapel~Hi11, N^,C.~.,,.w_Zip Cade 77514... . TELEPHONE: { W ~ 919____~,/g,,, ~g 0518 , (I'1) ~_1~29; 457 PL.'~CE OF EKFLOYHENT: Thoma9_H. Heffner, Real ai~~ ARRIal_'~L~.. JQB TITLE: Owae~ ~, ~~_~VTRS.~.~t LIST JOB, voLUNTEER AN'D EDUGATxONAL EXPERIENCE AATD/4R SKII X4U WQULD I,TKE FQR US TO CQI~SZD$R. Ses the attached resume ,IN aRDI~R '~O ASSURE COUNTYWIDE REgRE9FNTATION PLEASE INDICATE YOUR T4W?t$I~XP KESIATiNCE: . Aitisham Cheeky Hillsborough _,~~~ Eno Chapel IIiI.1 x__.^_~.. Littla Rivsz• Ced a x Grove .,..,,.,,~,,.,,..~ wE ASR YOUR HELP IN ASBURINO DIVERSITY t?F HExBERSHIP BY AGE, GFNDE]~ AND RAC 33Y ANSWERYIv"G 'I'~IE L~OLL4WINa QUESTIONS: !Sale ~,~____ ETKNIC B~ICKGR4Uwb; 3~emale ~,,._~ A~ricen A~eriCan .,.,~.~ Higpt~nic ,,,.,,~ ' C~auaasian ~.,~,,,, Qther Native A.meri.caz~ _~,____„_ DATF OF $rRTH: 9!9/48 wrrw.~~~~r.rrwwwr~r r. r~~~w..rw.~r~r~r ww w..w..~~www.. rrr~.~~wrw wwNwr~wr r~rr wwwrrrr• PLEASE LI5T { IN C3RDER 4F PIt~:FFkENCE~ THE $OAR~3S/CQMHX$SIONS oN FTHxC$ ~ WUULb I3E WII~LZNO TO SERVE. 1 ~ Board of Equilizatiort and }rev em ,~, • 4 • ..... .. .,. .•...~... .~,.,, (P].aase complete reverse side) PJ.ess~ 1 i'st e.rsy work ~ volun£~er; a~1alar $..,..._..,..._.__....._ G • - •-• .....__..... .J .. to'hav~ considered in the review Qt your aaplicmtion. • • ~ ~----•- , WQRK E~fF'ERIENCE: -~ See the attached resum - .~.W.V•WI IY - - Vc~LLzhTEER E~R_~F,~~S See the attached resume. EBUCATXQ~iAL E~P~,~,N~$: See the attached zaeume. Taw dfa you become aw~-re of orangee county volunteer oppar~unfltlies: Newspaper ,,,,,,,,,_ Current Ortsrige Caur~ty Volunteer .,,^.~ Radio ~„~. T.V. _..x~- Other ~~ Cf appointed ~ agree tc ahead e. 3 hour orisnta~ioxt which Wi,~3, give a:t ~verviea of hot+ Grange Caunty Go>>ernmert oper~-te~ aad what i,ts rels.tionship Es to er g v x~nmental iini.ts. ,~ nturo~ fdntca ~VQL~?I SK: APPLC~N ,~,^__ U c : ; ; •~ . Sa'1 3 1 1 .:i ~ A =vi sK T h ~~ Zvi A ~~ Hr,RFh7EF~ ! D ~A~..~..~.~-•A-~~ FEV I ~'rl , oA~a - SAS ~gl...S~.~ t . Length Cf rs3i dance i n Grange Caunty 26 Years 2. Dc~ you own property i n Orange County? Yes If Yee, Please indicate the tyoe of real property and the number of parcels. (Use reverse cf pa9e if necessary? 103 Porter Place (singla„f~iiv,_eRi~pn~~ ~, ,~ _,,,__ - - 8 Fidelity .Gout (&ondem~,ni~,~ , 3, Indicate Lhe extent to wh1Ch you are f amiliar c~ith the value ap rs,a1 property located •Nithin Orange Caunty. I have been active in the real estate bxokera~te~ad aparai a1 b siaess ~... - and bxakerage business fox the ast 20 Years. I .~ ~AM.,/11 nr+l~r•irirl/1 111 1'ASl ¢r'ri9~i~ appra.ieing4 Sea the attached resume. If yes, Please give detai~s• ~, Please indicate ar~y other aualificax~ons yQU would like to nave considered. See the attached a ume. ~&RGIUEST • IUN ~J w . ~ ~ -tea.. u ' ~.~ X33 1 1 :~~A=42 ~TH11viAy HEFF~~F=„ _... .. _._.... ._ /,~ THor~,,S H. HEFFNER EDUCAI'IdNt AB -- University of Nai`tih C2eralina, Chapel. ~~~ Hill TRA7NINGt Graduate, Realtors Snstitute (GRI) ~ 1974 Realtors National Nl2~rketing Snstitute Courses 101, 102, 103, 104, 105 ___.American Institute of Real Estate Appraisers • Course 8 - 8/12/76 PROFESSYONAL Certified Residential Specialist _ CRS DESIGNATIONS AND ACTIVITIESS Certified Rea], Estate Brokerage Manager - CRS North Ca,~. President President Chairman - Chairman ~- President Director Realtor of i~a AssACiation of Realtors - 198? Elect - 1,986 Education Committee Convention Committee - North Carolina CR8 Chapter the Year - 1986 Uhatae,~.1.1 hoard of Realtors President - 1977 Realtor of the Year - 1985 National Assoo~.atiQ~~ Re~ltars_ Director - 1987-1990 Member - Economios and Research Committee - 1988-1990, State and Municipal Legislation Coaunittea - 199x, strategic Plariniriq - 1991 North Carolina Real_Estate.Educatidna]. Fa~~ion. 2nc. Fresident -- 1984 and 198 Dean - Realtors Institute 1382 and ].983 Instructor - Market Analysis, Land Development, Governmental Effects on Real Estate, Estimating Value, and Communications. North Carolina Rea]. Estate Ca~sszan Broker's Lj.Gense 23926 State-Certified Residential Appraiser A310 gniversity of North ~a~,q~.~.na - Chanel Hill Leoturer - SeleGtad Topics in Real Estate (8A 97) Introduction to Real Property (BA IZ6) !': ~2 COMMIINI'1'Y Chairman, Orange CQUaty Board vfl Equilization and ACTIVITIES: Review - 1983, x.987 Chairman, Chapel Hf.ll Housing ~iutharfty - 1983 anc 1984 Chaixtnan, Orange County Heart Fund Orange County Boy Scout Chairman D3.rector, Chapel Hi~.l Chamber of Commerce Trustee, Triangle Kidney Foundation Co--chairman (with Kathie Heffz`ier~ chapel Hill Christmas Tour • . /3 - ~' ~ VQLUNTEER A.~'PLIC.ATIaN GRANGE C4•[TNTY BaARDS AND COMMI S S ~aN•S • '- • If you are an Orange County resident, at least 18 gears old, and xilling.to volunteer Tour time and expertise to your commuaitT, please complete and return to: . County ~Comraissioners' Office p. 0. Sax 8181 gi/.J.lsboraugh NC 27278 NAME : /,! ~ 1 ~ Pj/j ~ /~ Ci 7 HONE ADDRESS : ~ ~l~/~'~//~C ~e ~ 4 `I ~ t ~ I/r•9 ~Gf/L~ 2i.p Code~~s~~ . ~ - ~p V ~a~-2., TELEPHONE : (W) `~` ~ 4 ~~ ~ ~ S ~ PLACE OF EHPLOY~ENT: ~-i 7~ ~" ~" JOB TITLE: _ ~ ~''l~'~~' ._~(,~,tit.~L~ ~ •• ONE-E SIDE LIST JOB, VOLUNTEER, AND 'EDUCATIONAL F.SPERIENCE AND/OR SgILLS YOU WOULD LIRE FOR US TO CONSxDER. ORDER TO ASSURE COUNTYWIDE REPRESENTATxON PLEASE YNDICATE YOUR TOWNSSxP OF RESIDENCE: Cheeks ' Bingham gillsborough ~° "''~~C'-~' • Chapel Hill Little River. ~.._. Cedar Grave 'WE ASK YOUR'HELP IN ASSURING DIVERSITY OF l~EMBERSHTP BY• AGE' GENDER AND RACE; BY ANSWERING TSE FOLLOWING QUESTIONS: • Male ~ ETxNxC BACgGROUND : - gispan,i,c ~.- Female ~_.., African Aaeeriean • ~ 'Gaucasa.an ~ Other _,-._.~ ~ . Native Ameri.caa _~. DATE OF BYRTS:(~ .PLEASE LIST (IN ORDER OF PREFERENCE) THE ARDS/COHMISSZONS ON WSICH YOU WOULD BE. SjILLxNG TO SERVE. ~~ V~'~~~ ~. , C ~- ~. ~' rte. u~~. NOU-13-19~? i5:.~1 BUCC: f'IAhJAGER 9196~~ ~ ! `• ' ~~ ~ ~~ • w ~• `O` ~ o/~~ ~~~5 V 1`~'~~~' ~ ~ ~~ ~ Vt5~.1 .J. ~~ McCui n F•4 a+s•1-a7 ~• t 7•ac~ Sze an Qr~! CauatY resident, at ie~st 1.8 ge~~•s oJ.d, ~d +~illiag to •Ql,unteer •gavx' ti~aca an,d ecp~ex-tisa to Tour camac:nztg, pl~~se aamp2~te atxd ~~tuTn. tai: r~ ; Ca~st7' ~am~gZSSioatrs' iDff iee F. o. $ax SXBI $i113ba~4~EJh~ NC 27278 ~~~wiw .~ ~u.~s~'~~r tWi 9~~-- a~cE ~F ~ZO"r: xos ~rsr~; ~~ LET X08. voz~vrrr~•, aNU ELtriCArrorr~r. E~PiCE ~xntoR 5~2Lrs ~~ cos vs ~ coxszD~. RRn~ 1'4 I~S5' Cpt~et~'S~E R~FRESEN~J1~xON pSE INnIel1'1`E YCli~ ~ow~SBxp v~ A~tG$ s Cltaeks _...~., HzlZsbe~~•ov~h ~, ~ ~° • ~..` Gl~a•~1 Hill L~.tt1.e Exv~rr ~.~„ Cedes Gr~ve• . ~~ ~Ay` ~ ~~~I i/.~w •J1~1~7f~ J~ ~•rQ• RiQii~~'~~~~i ~Y AGE t Gl~!'~7ER AMD R~ICfi ~ BF l~i~R1MG TF~ Fd?rLCWIl~'G QVFSSSQNS : - ~isls .,,,.~,..~. KIC EJ1~1CG3tCVND = ~ _ . 1el~i~.~ .~.^. /l~r~,CiDt Amer3Cs~t Sispaala .~_ ' Nitive .K~eeYi~a2! ~• ~~.--.• Da~TE CF SI~tY'g: f~+; ~i r~~~Mw~/~ PLFa15~ LYS~ trrr oT~DER as pa~t~esl ~ ~Q~ws~co~trssxa~s off ~xcx you wovLn B rLLlbt~ rto SzR - ~. - 3. _ 996443 r ~''. 5~~ ` NFU-1~-1997 1542 ,80CCi;~IdAGER~ ~, . "~ ,,~ volunteer. ~.ad/ar ~sdu~aLioas.Z Q7~P+er er~ae Tou yr yio~rii list i.A7 York= V1lCx v~ 7-gv7C a?p1i.G6t14tS- :e $ive costeide~ced in tb~ ~a ~.. ae~.t~~ _ r.. .. - - 1 I Jlf _J ~ ~e ~~ .• ~ ~ veltintte~ 4FPe~"~um3tiac~' a~' aTiABe couAt7 Rov did TQa beG~ mate Kew*paperM OeuntT vaixu~teer (~+leaso sPra3fT1 ~ -~ Current O~aaSe Radio . • ~'^ Other --fn"r rieat*C~~~ ++hi~l~ gill ~(t"e a attend e- 3 ha~sr o d vhat its rsl~,t j,onskxi Lf s,~eiated= I Wired co ~ trat~es an pvszTf-e++ df bvY Qriags CauntT Go arn~eut a~ qve ssital ~gts - is to os3gr ~ J~ ~ ~a ~ d -> ~ - f.C~t~- (date)^-.r =~- ~t~.ra ) ~arr'ra~. ~. F w+~-n4 ` a ww- ~+r t This space for office use only 1/22/02 Page 1 of 1 Leslie A. Johns VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME: ------------------------- ------ Leslie A. Johns HOME ADDRESS: ----------------- 106 Blue Granite Court CITY: ----------------------------------- Chapel Hill STATE: -------------------------- ------ NC ZIP CODE: ---------------------------- 27514 TELEPHONE: (Home) -------- ----- 919-967-3037 TELEPHONE: (Work) -------------- 919-942-8700 TELEPHONE: (FAX) --------------- EMAIL: ------------------------------ lesjohns@msn.com PLACE OF EMPLOYMENT: ------Blackman & Sloop, CPAs, P.A. JOB TITLE: --------------------------- CPA TOWNSHIP OF RESIDENCE: --- Chapel Hill ZONE OF RESIDENCE: ---- ------- Does not apply SEX: --------------------------------- Male ETHNIC BACKGROUND: -------- Caucasian DATE OF BIRTH: ------------------- 11251946 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1. Economic Development Council...2. Board of Health...3.ABC ....4.OWASA Please list work, volunteer and educational experience. WORK EXPERIENCE: CPA VOLUNTEER EXPERIENCE: Chair Finance Committee, Mercy High School, Burlingame, CA 7 years; Chair Building & Quality Committee, Mills-Peninsula Hospitals, Burlingame, CA, 10 years; Chair, Burlingame Community Education Foundation, Burlingame,CA, 3 years. EDUCATIONAL EXPERIENCE: B.S. Accounting, Long Island University, Brooklyn, NY 1969 OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: County Web Site If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Tue Jan 22 11:19:50 2002 E- ~ .. ~ D ~ -_ _ . ~r.~ . ~ • FOR OFFICE USE ONLY ~~, y~~i ~- oz ~ p. t o ~ 2 Cha v-l~`~~~~k~-- -_..--- • VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS !f you are an Orange County resident, at least 78 years olds and wilpng to volunteer your time and expertise to your communlty~ please complete this application and return to: Orange County Commissioners' Office P.O. Box 8184 Hillsbarough~ NC 27278 • Phone (919) 245-2125; 245-2129; 245-2130; 732.8181 . - Fax: (949) 6440246 • Emafl: nmartin~co.orange.nc.us t4AR4E: C ~1 q h ~ tPi.S L~'~, . HOME ADDRESS: ~ ~ ,. a . F+n ~e~ FO -~5-~- ~r CITY: _ ~ C ~,a ~e I ~ N i ~ I,~ ~~ Zip Cede: o~ ~5~ PHONE: (Day) 6 ~ a " a So21 (IEveningllate) ~ 6 ~ ` ~ X36 (Fax) EMAIL: _ GM ~ Q nc.rr.cOlh ~ ~ . PLACE OF EMPLOYMENT: Se o rf5 Er-t{,PAVO rs ~,c, JOB TRLE: C KS~lo~ei` Sci vice ~2i~f- !N ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP OF RESIDENCE: D Bingham D Cheeks D H[Itsborough D Eno [Chapel Hil! D Little River ^ Ceaar Grope IN ADDITION,•PLEASE INDICATE IF YOU LNE IN ONE OF THE FOLLOWING AREAS: D Joint Planning Area ^ Extraterritorial Area ^ Transition Area - WE ASK YOUR HELP IN ASSURING DNERSlTY OF MEMBERSHIP BY AGE. GENDER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: 63!'Male D Female - • ~ .. • • ETHNIC BACKGROLND:~ D African American C~Caucasian- ~D Hispanic a ' American- ~ •~ . O Other ~ DATE OF BIRTH: CI~ 0?9 '7,3 PLEASE LIST (W ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE. 1. ABC $Oane~ 2. P°urSofi-~.~ ~4dyiSory Boar~3, Agr~'cKl~trg~ Pi~ser•~tf~o~ Boy WORK EXPERIENCE: ~sPcrts ~-deavors .~`r~~. /H~lls~oroti~i~NC~CMs~o~-,serv,'ceA~ent • S('. . o20Q~' ~hi(;~h/ /4~1' li~ $ Mo/rilY~`~f ~(!C /~es~rva/t0Y1 sales A end Mq ~~ aool-s ~ fir. Po ~ Lee l~ov/klnal NG Roce ~NoniSf 0{fi~ce M~hq er TNxe aA~O--'=eb,aa~l ~` Iali a, J q~ ~nirersi Ga n~ u5 po5-F P~ Ce r~'-n~ q ~G worf~ S•lud /~ H • / yqs-Hq 1997 VOLUNTEER EXPERIENCE:~I`R4iSB-f!e Rvv-~ Pro,1~f'~Rowlg4~N~ -TII,~I~°-.1i aAd) ~- N Eck Re ryas S~ ~Sehq-I~ Cary a. Nor ! J"u 1 -- Nal , J ~9' ~ ~obeSan CvNhfy IN~IiC 08fuiders o,F~;'ce [`l.~w,be~~ti N ~ Vane- ~y9, /99~ er IS' FOR OFFICE USE ONLY ~f ~ a z . Pa z - ~ C~v'les L~~ . EDUCATION: ~ R~z-'t~' UniV•P,i'3 M.~s~e r o~ pal~fi`ca~ lNgn9,~/F`t~ Uir r~,9 B~~% (//~ Mayo ~W~nja-le- Unii''P.fsii~'S/_ RfF Fn ~4Mar,'can Sftirdre.S (W;nga~iNG ;Ttin~ t9g7 - OTHER COMMENTS: Car"p~i~er 5 Ki fi5 ~ QO$~ ow5 ~j; W~ao~w.5 3g~au_i~, Wo~~ ApPkwark; How did y~ u become.awrare of Orange County volunteer opportunities? (Please check ap that apply): ~19"Newspaper l:] County Web Page ~ Current Orange County Volunteer . . ~ Radio l7 T.V. Q Other ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND CO I agree by. my signature below that, if appointed, i pledge t4 comply with the following ethics guidelines for - advisory boards and commissions as adopted by the Orange County Board of Commissioners. Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in which.th~'have a conflict or potential oorrfGct of interest or an interest•which reasonably might appear to be in conflict with the concept of fairness in dealing with public business. A conflict of,interest or a potential conflict occurs if a~meniber has a separate, Private, or monetary interest, either direst or . indirect, in- any issue or transaction under consideration.- Any member whe violates this provision may be subject th removal from the board or commission. If an.advisory board or commission member be0eves he/she has a conflict or potehtial conflict of • ' interest on a particular issue, then that member should state this belief to the other members of hislher respective advisory board or commission during the board or commission's pubi'~c meeting. The - member should state tl~e nature of the confi'u~; •detaiting that helshe• tias a separate, private, -or monetary interest, e.'rther direct or Ndirect, in the issue or transaction under consideration. The member should then excuse hirnself/trerseiffrem considering and voting on the matter. In cases where an advisory board or commission member declares a conflrct or potential conflict of interest, the member shall excuse himselF/hersetffrorn the board tabte/vasting area urdil aq discussion, consideration, and voting is completed on the matter in quesdon: . ~_ Any advisory board or commission member having questions or needing assistance regaling the Interpretation of these ethics guide~nes or other conflict of interest matters should contact the administrative staff for the respective board or commission. Staff w1U assist the member with • questions and interpretations and may provide a recommendation on whether or~not the advisory board ar commission member should excuse himself/t-ersetf from voting. The member may request that the staff respond in writing. ,;Staff may contact the County Manager for any additional assistance. if appointed, l agree bo attend athree-hour orientaticn which w~l give an overview of how Orange County t3ovemment operates and its relationship to other governmental units. - . ~~~~ ~'~ ,~~- oy ~s oa Signature Date This space for office use only 6/7/02 Page 1 of 1 Steve L. Medlin VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME: ------------------=-------------- Steven L. Medlin HOME ADDRESS: ------------------ 5904 Hideaway Drive CITY: ----------------------------------- Chapel Hill STATE: -------------------------------- NC ZIP CODE: ---------------------------- 27516 TELEPHONE: (Home) -------------- 919-967-0793 TELEPHONE: (Work) --------------- 919-560-4137 TELEPHONE: (FAX) ---------------- 919-560-4641 EMAIL: --------------------------------- dmedlin2@nc.rr.com PLACE OF EMPLOYMENT: ------ City of Durham JOB TITLE: -------------------------- Planning Supervisor -Development Management TOWNSHIP OF RESIDENCE: ---- Chape] Hill ZONE OF RESIDENCE: ----------- - SEX: ---------------------------------- Male ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: ----------------- 07/26/1958 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Orange County Planning Board 2. -------- Commission for the Environment 3. ----------------- Alcoholic Beverage Control Board Please list work, volunteer and educational experience. WORK EXPERIENCE: Durham City-County Planning Department, Planning Supervisor 1988-2002; Durham County Planning Department 1986-1988 -Planner; U.S. Commerce Department, Census Bureau - Geographer 1983-1985; City of Greenville Planning Department -Planner 1982; Regional Development Institute, Greenville -Research Associate 1981. VOLUNTEER EXPERIENCE: Orange County Board of Adjustment 1995-2002 (term expired in June); Habitat for Humanity Association of Retarded Citizens (Pitt County). EDUCATIONAL EXPERIENCE: East Carolina University - B.S. Urban and Regional Planning 1982; Pitt Technical College -Property Surveying 1980; Institute of Government -various planning, land use and management courses. OTHER COMMENTS: Certified Planner (AICP) by the American Planning Association. How did you become aware of Orange County volunteer opportunities? List all that apply: County Web Site If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation. This form was submitted online, on Fri Jun 7 13:04:24 2002. 2© This space for office use only 7/21/02 Page 1 of 1 John C. Steffens VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME: -------------------------------- John C. Steffens HOME ADDRESS:. ---------------- 1826 N. Lakeshore Dr. CITY: -------------------------------- Chapel Hill STATE: ----------------------------- NC ZIP CODE: --------------------------- 27514 TELEPHONE: (Home) ------------ 933-2481 TELEPHONE: (Work) -------------- 765-5063 TELEPHONE: (FAX) -------------- 541-8585 EMAIL: ---__________________________ john.steffens@syngenta.com PLACE OF EMPLOYMENT: ----- Syngenta Biotechnology, Inc. JOB TITLE: ------------------------- Global Head of Traits Research TOWNSHIP OF RESIDENCE: ---- Chapel Hill ZONE OF RESIDENCE: ------------ Does not apply SEX: ------------------------------------ Male ETHNIC BACKGROUND: ------- Caucasian DATE OF BIRTH: ------------------ 5/7/57 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Alcoholic Beverage Control Board 2. ---------------------- 3. ---------------------- Please list work, volunteer and educational experience. WORK EXPERIENCE: Head of Traits Research, Syngenta Biotechnology (2000-present).Group Leader, Syngenta Biotechnology (1997-2000).Professor, Cornell University (1987-1997). VOLUNTEER EXPERIENCE: Chairman, Lake Forest Association (199.9-2002). Led $1.2 MM fundraising and restoration of Eastwood Lake in Chapel Hi11.Board member, Lake Forest Association (1997-1999). EDUCATIONAL EXPERIENCE: PhD, Biology and Chemistry, University of Virginia (1983).BA, Biology, University of Virginia, 1979. OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: Current Orange County Volunteer. If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Sun Ju121 17:24:57 2002. /~ ~f \ FOR OFFICE USE ONtY ' ~. ~~~ ~ ~ ~~ 2 ~jl~ ~ ~ ~ ~'~. . VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to x ~lunteer your time and expertise to your community, please complete this application and return to.. Orange County Commissioners' Office , P.O. Box 8181 ~, '~~ ~ ~ Hillsborough, NC 27278 Phone (919) 245-2125; 245-2129; 2~5-2130; 752-8481 ~ _ _ Fa~c: (91916440246 • Email: nmarttn~co.orange.nc.lrs - NAME: ~ ~ ~ . - -.- HOME ADDRI:.,S~ ' ~ Zlp Code: - CITY: . PHONE: {Day 7~~~ra~ (EveningAate~ q~~~~ ~ R~ y0 ~ .(Fax) EMAIL: ~;~ r 1 LACE OF EMPLOYMENT: ~ ~ B ~"E: ~i~' " " """ ~-~D 111~- P IN.QRDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE iNDiC~-TE YOUR TOIN.NS1~liP- . OF RESIDENCE: p Bingham ^ Cheeks D Hillsborough D Eno ~ Chapei Hill ^ Lrttle River ^ Cedar Gra~-e IN ADDITION, PLEASE INDICATE IF YOU LNE IN ONE OF THE FOLLOING AREAS: ~loint Planning Area .0 Extraterritorial Area D Transition Area WE ASK YOUR HELP IN ASSURWG DNERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSVYERING THE FOLLOWING. QUESTIONS: ~Nale D Female . ETHNIC BACKGROUNO:~f African American D Caucasian D His~nic O Native American D Other DATE OF BIRTH: PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDSICOAAMISSIONS ON WHICH YOU WOULD BE WILLI TO SERVE 2. ~- 5: WORK EXPERIENCE: VOLUNTEER EXPERIENCE: ,•. 22 • FOR OFFICE U5E ONLY Haw did you become aware of Orange County volunteer opportunities? (Please check all that apply): D Newspaper ~ Co We Page Current Orange County Volunteer •C7 iZadio O •T.Y. ji5l Other Q~~~,,/J ~~ ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMlSS10N5 I agree by my signature below that, if appointed, i pledge to comply with the fallowing ethics guidernes for advisory boards and commissions as adopted by the Orange County Board of Commissioners. Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in . whieh'they have a conflct or potential conflict of•interest or an interest which reasonably, rtllght appear_ _ to be in conflict with the concept of fairness in dealing with public business. A conflict of.interes~ or a potential conflict occurs if a•member has a separate, private, or monetary interest, either director indirect, In any issue or transaction under consideration.• Any member who violates this provision may be subject to removal from the board or commission. If an advisory board or commission member believes he/she has a conflict or potehtial conflict of interest on a particular issue, then that member should state this belief to the other members of his/her respective advisory board or commission during the board or commission's public meeting. •The member should state the nature of the conflict, detailing that he/she tias'a separate, private, or monetary interest, either direct oc indirect, in the issue or transaction under consideration. The member should then excuse himselftherseff from considering and voting on the matter. In cases where an advisory board or commission member declares a conflict or potential conflict of interest, the member shall excuse himselt/herselflrom the board table/voting area until aq discussion, consideration,-and voting is completed on the matter in question. Any advisory board or commission member having questions or needing assistance regarding the Interpretation of these ethics guidelines or other conflict of interest matters should contact the administrative staff for the respective board or commission. Staff will assist the member with questions and interpretations and may provide a recommendation on whether or not the advisory board or commission member should excuse himselflher5elf from voting. The member may request that the staff respond in writing. Staff may contact the County Manager far any additional assistance. If appointed, I agree to attend athree-hour orientation which wilt give an overview of how Orange County Government operates and its rel~ionship to other governmental units. ~ •6 Date NCGA General Statutes - GS § 18B-700. Appointment and organizatioi... 2~ Article 7• Local ABC Boards. § 18B-~ao• Appointment and organization of local ABC boards. (a)Membership• - A local ABC board shall consist of three members appointed for three-year terms, unless a different membership or term is provided by a local act enacted before the effective date of this Chapter, or unless the board is a board for a merged ABC system under G•S• 18B-703 and a different size membership has been provided for as part of the negotiated merger. One member of the initial board of a newly created ABC system shall be appointed for a three-year term, one member for a two-year term, and one member for a one-year term. As the terms of initial board members expire, their successors shall each be appointed for three-year terms. The appointing authority shall designate one member of the local board as chairman. (b) City Boards. - City ABC board members shall be appointed by the city governing body, unless a different method of appointment is provided in a local act enacted before the effective date of this Chapter. (c) County Boards. - County ABC board members shall be appointed by the board of county commissioners, unless a different method of appointment is provided in a local act enacted before the effective date of this Chapter. (d) Qualifications. - The appointing authority shall appoint members of a local board on the basis of the appointees' interest in public affairs, good judgment, knowledge, ability, and good moral character. (e) Vacancy. - A vacancy on a local board shall be filled by the appointing authority for the remainder of the unexpired term. If the chairman's seat becomes vacant, the appointing authority may designate either the new member or an existing member of the local board to complete the chairman's term. (f) Removal. - A member of a local board may be removed for -cause at any time by the appointing authority. Local board members are subject to the removal provisions of G•S• 18B-2~2• (g) Salary. - A local board member may be compensated as determined by the appointing authority. (h) Conflict of Interest. - The provisions of G•S- 186-201 shall apply to local board members and employees. (i) Bond• - Each local board member shall be bonded in an amount not less than five thousand dollars ($5,000 , secured by a corporate surety, for the faithful performance of his duties. A public employees' blanket position bond in the required amount satisfies the requirements of this subsection. The bond shall be payable to the local board and shall be approved by the appointing authority for the local board. The appointing authority may exempt from this bond requirement any board member who does not handle board funds, and it may also increase the amount of the bond for any member who does handle board funds. (j) Limited Liability. - A person serving as a member of a local ABC board shall be immune individually from civil liability for monetary damages, except to the extent covered by insurance, for any act or failure to act arising out of this service, except where the person: (1) Was not acting within the scope of his official duties; (2) Was not acting in good faith; (3) Committed gross negligence or willful or wanton misconduct that resulted in the damage or injury; (4) Derived an improper personal financial benefit from the transaction; or (5) Incurred the liability from the operation of a motor vehicle. The immunity in this subsection is personal to the members of local ABC boards, and does not immunize the local ABC board for htta://www.ncga.state.nc.us/Statutes/GeneralStatutes/HTMUBySectio... 06/20/2003 NCGA General Statutes - GS § 18B-700. Appointment and organizatioi... 2~ liability for the acts or omissions of the members of the local ABC board• (1981, c• 412, s• 2; c• 747, s• 50; 198], (Reg• Sess•, 1982), c• 1262, s• 10; 1989, c• 80~, s• 19•) httn:~/www.ncga.state.nc.us/Statutes/GeneralStatutes/HTM L/BySectio... 06/20/2003