print boards and committee application -submission #24825

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Boards and Committee Application - Submission #24825

Date Submitted: 5/30/2021

Select the Board, Commission, or Committee applying for*

List Other Boar d Bclo\1': Committee's requirements

Jother ::;:] Ah Hoc Fire, EMS, and Medical Treansport Committee

Click here to view Committee webpage

First Name*

I Stewn

Address1*

11493 Gayle Mill Driw

Address2

City*

I The Villages

Ar~_ y_c:>u a residerrt _of _ Sumter County*

·~ Yes

No

Email Address

I [email protected]

Phone Number*

13527501542

Middle

I Bluth and Maureen

If yes, how long?

Phone- ------------- --

c:. Mobile

·~~:·

Home ,,.., \._)

Work

Last Name*

I Bluth

State*

If no, what County

Alternate Phone Number

15749930032

Zip*

Education

I Medical Physician

Occupation* Place of Employment

I Retired

Professional Organizations

I American Academy of Ophthalmology

Civic and Professional Accomplishments

Self employed ophthalmologist and thereafter founder of Bluth and Gerber Eye Care Center LLC

Training or experience related to this appointment?

medical training and experience dealing with patients in an emergency room for eye emergencies.

What contributions do you feel you could make if you were selected to this committee/board?

I feel, because of my experience, that I can deal with the issues of concern in a logical manner.

References

1.

Roy Weimert, friend and Village neighbor. 352 633 2305

2.

Pat Telfer, former Village Neighbor. Physical Therapist retired. 574 286 3123

3.

Maureen Bluth. Ophthalmic Assistant. 352 750 1542

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter 112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required financial statement?*

Yes No

Appointees will be required to attend meetings in accordance with the adopted policies of the County.

Do you affirm that your personal and business affairs (if applicable) within Sumter County are in substantial r compliance with all county regulatory and taxing authorities rules and regulations?*

Yes No

Attach additional information, such as a resume.

Choose File j No file selected

From: Sent: To: Subject:

Question one: My answer is no.

Steven Bluth <[email protected]> Tuesday, June 01, 20211:56 PM Records Response to questions with respect to my application for the ad hoc committee concerning Fire, EMS, and Medical Transport

Question two: I, nor any of my relatives, are employees of UF Health Systems.

Question three: I am aware of HIPAA and its goals but do not profess to know the details of each of its regulations, whether recent or original.

Question four: My answer is no.

Question five: I have no particular objection or preference for any of the ten options.

This email has been scanned by the Symantec Email Security.cloud service. For more information please visit http://www.symanteccloud.com

1

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Boards and Committee Application- Submission #24707


Lis t O ther Boar d Below: Committee's requirements Select the Board, Commission, or Committee applying for•

I other I EMS Medical Transport Committee Click here to view Committee webpage

First Name•

jPaul

Address1*

Address2

~r~_you _11 resident of _ Sumter County*

Yes

No

Email Address

Middle

js.

If yes, how long?

24 months Full , Part time 10 yrs

Phone----------- -- -

·.~:.

Mobile

,0 ,

Home - , ·- '

Work

Last Name•

jo·onofrio

State• Zip*

If no, what County


Education

3200+ Hrs. of accredited Emergency Sel"\lices, Command/Logistics/Emergency Mgt./ Business, 2 yr AOS Electrical Design/Eng., 100+ hrs to AS Fire Science, FEMA certs, Division Supel"\lisor, 20yrs Private Business owner.

Occupation*

Semi-Retired Owner I Retired 41 yrs Fire Sel"\lice Volunteer & Part lime Paid County Agencies


Place of Employment

Owner- American Spacer Technologies Inc, Injection Molding Co. based in NYS,

Past Member NFPA Professionals, NYS East Counter Terrorism Board. NYS Fire Districts Commissioners Council, See attached Resume/Training for details


Please see my attached resume & Training records


Please see the attached resume, I also was a member of a panel that had to move our Rescue Squad independent from our large Fire District, because of the large mlume of calls (12000+/yr) that the mlunteer squad membership could not handle. Ambulances were purchased, and leased, a building was leased, paramedics and Mrs were hired, and now there is a 10 bay building, 10 Ambulances, call mlume is 18,000 calls a yr. and a capital reserve fund of 2. 7 mil with no large in cumbersome loans.


I feel that I can bring personal experiences as a past chief officer, and as a past employee of Sumter County EM, I had personal contact with both Chiefs Robert Hanson - Sumter County Fire Chief, and Edmund Cain - The Villages Fire Department. I know both of these great professionals and we ALL share a great respect for each other. During my short 6 mos. stent with the EM Department I was in constant contact with both Chiefs, their Deputies during COVID-19, and ALL emergency radio issues, as I was responsible for ALL day to day management of radio communication systems for Sumter County. I truly believe that I will be able to have both Chiefs, respect and their confidence that I will hear their mices, and concerns while fully understanding their positions because of my past 41 years of experience. I will be very open and do the best I can to assist this committee bringing the BEST EMS sel"\lice possible to Sumter Counties future. It is my OPINION that this committee will be reviewing and making decisions to decipher mounds of information for the MOST important SERVICE that is delivered to Sumter County residents and visitors besides basic water/sewer and electricity. I truly love this county and its diversity of communities, along with its citizens as I had the opportunity to meet many of them and their community governments while working for EM department. .

References

1.

2.

Greenport Fire District Commissioner Chairman - John Mausolf

3.

Sumter County - Bradley Arnold -Administrator

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter

~ 112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required financial statement?*

Yes No


Do you affirm that your personal and business affairs (if applicable)witllin Sumter County are in substantial compliance with all county regulatory and taxing authorities rules and regulations?*

Yes No


Fire EMS Advisory Brd Resi.IIlle.docx

Paul B. D'Onofrio

6/1/21

To: Leslie Smith, Administrative Services Mgr.

Subject: Fire, EMS, Medical Transport Comm.- Additional Answers

Good morning Leslie, as per your request please see my responses to the additional questions/answers requested;

1. I am not nor do I have any family members working for Sumter County Board of County Commissioners, or have any relations with entities that contract services with Sumter County.

2. I am not an employee, nor do I have any family members employed by UF Health System. 3. I have work with guidelines of HIPAA for many years and I am knowledgeable with updates,

but guidelines do change on a regular basis. 4. I have NEVER been fired nor asked to resign from any of my previous 41 years of

Emergency Services career.

I do NOT have any objections, nor do I have any preconceived ideas about this subject. I do have past experiences with this subject because of our Rescue Squad manpower issues we had many years ago with my Fire District.

Respectfully Submitted

Paul B. D'Onofrio

5/2021

Career I Volunteer Profile 41 yrs. as a volunteer with the Greenport Fire Department (present inactive LIFE member) 32 yrs. (Charter Member) Captain/Chief Columbia- Greene County Regional Hazmat Team 13 yrs. Deputy Chief 3 yrs. Fire District Commissioner- Purchasing & Fleet/Equipment Mgt.

17 yrs. Deputy Director- Columbia County Emergency Management 11 Yz yrs. I.B.M. Corp. Poughkeepsie/Kingston Facilities Eng. Coordination and Management,

also Fire Brigade & Hazmat Team 13 yrs. (Present) Business owner in Columbia County & Florida "American Spacer Technologies Inc"

6 mos. Sumter County Emergency Mgt.- Covid Logistics Chief, & Managed County Radio system with app.rox. 4000 radios, control maintenance, interface with all agencies and Motorola contract vendor

Skills and Proficiencies

• NIMS (National Incident Mgt. System) and ICS (Incident Command System) FEMA Certs. • High Level of Field Experience and Training

• Leadership

• Self Motivated • People Skills

• Goal I Task Driven

• Motivator I Planner • Finances and Budgeting

• Command Large Scale Incidents

Performance

• A proven reputation, with a consistent history of exemplary performance commanding numerous Fire Operations, Hazardous Material Incidents and County/State wide Natural Disasters. Managing day to day operations for the Fire Service and County Emergency Mgt ..

• Incident Commander during several County wide emergencies in the absence of Director, 2005 Power outage, first 30hrs of the 2008 ice storm, 2010- 30" snow storm and the Feb. 2011 snow/ice storm, 2012 Tornado, TCI Chemical Fire.

• Hurricane Irene- Deployed to Greene County 24hrs., reorganized the Command structure and mobilized Fire apparatus and emergency supplies for deployment.

• Hurricane Irene- Requested by NYS Emergency Mgt. Deployed to Schoharie County for 7 days, assisted and relieved the County Fire Coordinator, was tasked with Fire Field Operations for entire county, and civil municipality duties, interfaced with CALFIRE I MAT, communicated with 53 Federal, State and Local agencies including 3 branches of our United States Military.

• Hurricane Sandy- NYS Emergency Mgt. requested deployment to Queens- City Field, Logistics Command Center, 40hrs. inter-faced with National Guard Command, NYPD, FDNY, NYC EMO, and NYS EMO, to control staging of National response for utility services, stock pile food reserves, and create fuel depot.

• Preplanned and exercised large scale MCI's, Hazmat, Active Shooters, Rail incidents, and River vessel emergencies.

Education \Training Please see attached training schedule

Print




List Other 13 uard Bclo11 : Committee's requirements

j other

First Name*

IRoni

Address1*

1970 Smyrna Street

Address2

City*

I The Villages

Ar~_YQJU!_II:! _~ig!1 nt Qf. _ Sumter County*

Yes

0 No

Email Address

J [email protected]

Phone Number*

1917-640-0008

lAd Hoc Fire, EMS, Medical Transport I Click here to view Committee webpage

Middle Last Name*

IFeldblum

State* Zip*

132162

If yes, how long? If no, what County

Js- 1/2 years

Phone----------- - - Alternate Phone Number

·~)

Mobile

~~·

Home

·t"")

Work

Education

2 years college, multiple business courses post college attendance


I Manager I retired - Oikos Family Services




administration and management of client services, coordination of multiple projects simultaneously, critical thinking, problem solving, maintenance of ongoing business relations, budgeting.


Having a strong background in dealing with issues effecting and important to caring for very demanding clients, critical thinking; management of multiple professionals, vendors and providers while keeping relationships positive, Strong negotiating and management skills.

References

1.

Elaine Jaharis- previous employer 847-441-9771

2.

Sundar Kodiyalam- previous coworker 732-433-1906

3.

Robert Fox- professional and personal relationship 813-949-3800


1 112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required 1 financial statement?*

I \~ No


Do you affirm that your personal and business affairs (if applicable) within Sumter County are in substantial ~ oompllonoe with oil oounty <egulolo'Y ond toxlng outhontieo mleo ond <egulollono?'

~'

Yes No


Choose File No file selected

1. Are you or your relatives an employee of Sumter County Board of County Commissioners or any

District Government or an employee with an entity contracting with Sumter County Board of

County Commissioners or any District Government?

(Relative is defined as an individual who is related to you as father, mother, son, daughter, brother,

sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, sonin-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to you or who otherwise holds himself or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you.)

NO

2. Are you or your relatives an employee of UF Health Systems?

NO

3. Are you knowledgeable of current updates to the Health Insurance Portability and Accountability

Act (HIPAA)?

YES

4. Have you ever been terminated or asked to resign by an employer while working in a medical or

emergency services field?

NO

5. Do you have a particular objection or preference regarding any of the ten options for the Fire EMS

System presented to the Sumter County Board of County Commissioners on May 18, 2021?

NO

Applicant: Roni Feldblum

00929870

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Lis t Othe r Board Below: Committee's requirements

!other

First Name*

loavid

Address1*

11185 Isabelle Place

Address2

City*

I The Villages

Arl'u•ou a resi~~!lt_oj_ Sumter County*

Yes

No

Email Address

I [email protected]

Phone Number*

17168169581

I Ambulance Advisory Council Click here to view Committee webpage

Middle Last Name*

I Fountaine

State*


Phone------- --- Alternate Phone Number

(~j

Mobile

!['' _,

Home

·r~·

Work

Zip*

Education

PhD

Occupation• Place of Employment

I Retired/Adjunct Professor


Society ofHhuman Resource Management; American Society for Quality



Village Administrator in NY for 10 years, Senior Examiner for Baldrige Quality Award Program; member GFOA, member ICMA, Comptroller in US Army managing $165 million annual budget, Adjunct Professor for masters level HR courses


I've had to examine the delivery of EMS sel"'ices in NY. As a non-political municipal manager, I am skilled at municipal law and the delivery of sel"'ices.

References

1.

2.

3.


1112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required financial statement?*

~ .

Yes No

I __ . Appointees will be required to attend meetings in accordance with the adopted policies of the County.

Do you affirm that your personal and business affairs (if applicable) within Sumter County are in substantial compliance with all county regulatory and taxing authorities rules and regulations?*

Yes No


Dr David Folllltaine Vrta and Resume.docx

David Fountaine

No




No

{Relative is defined as an individual who is related to you as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, sonin-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to you or who otherwise holds himself or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you.)



Act (HIPAA)?

Yes - and have access to regular updates and proposed legislation through a professional

association I am a member of -The Society for Human Resource Management (SHRM)

No

No





00929870

DAVID FOUNTAINE, PH.D., SPHR, SHRM-SCP Bradenton FL I (716) 816-9581 I [email protected]

CHIEF OPERATING OFFICER Corporations I Education I Government

Driven, results-oriented executive with expertise providing business operations in the corporate, educational, nonprofit, and government sectors. Over 20 years of experience utilizing sound business acumen, change management, and communication skills to improve operations, expand market penetration, and generate multi-million-dollar growth. Proven success developing and executing business growth strategies and collaborating with all members of an organization to improve performance and achieve business and financial objectives. Instrumental in streamlining and improving processes, enhancing productivity, and implementing innovative solutions. Superior communication, analytical, and problem-solving skills. Quickly establishes and maintains effective rapport with individuals of diverse backgrounds and professional levels.

• • • •

Revenue Growth • Marketing Initiatives • Organizational Efficiency National Sales Leadership • Client Loyalty & Retention • Budget Management Strategic Planning • Capital Investment Analysis • Contract Negotiations Financial Analysis & Reporting • Talent Optimization • P&L Management

SELECT HIGHLIGHTS

• Turnaround specialist increasing sales year over year for an organization which has seen sales drop for over 24months.

• Member of the Malcom Baldridge Board of Examiners which oversees the national's only Presidential award for performance excellence.

• Led 90% of assigned organizations to consistent achievement of customer satisfaction and sales objectives by developing and implementing effective organizational improvement plans as Field Manager/Consultant with Maritz, Inc.

• Increased customer satisfaction rates by 15%, achieved 92% of prior year sales volume, and led Chevrolet dealership to earn recognition as #1 dealership in the world.

• Promoted to increasing levels of responsibility from individual consultant to regional leader and national account manager overseeing 40 consultants with projects in excess of $10 million.

• Saved $250K in annual operating expenses by divesting sewer management to the county and $50k in legal fees by negotiation union contracts as Village Administrator for the Village of Hamburg.

PROFESSIONAL EXPERIENCE

Current Position - Adjunct Professor for Strayer University and Southern New Hampshire University

ADESA Akron NY (12/2018 -10/2019) General Manager Directs activities of approximately 228 people managing day to day activities of automobile remarketing facility. Full responsibility for profit and loss, sales and marketing and operations for this multi-million-dollar operation.

MARITZ INC., St. Louis, MO North American Field General Manager Direct operational activities for international provider of market research, sales incentives, and training and development serving 4,000 employees across four countries in 28 of the world's largest companies. Identify, analyze, and engage prospective business consistent with firm strategy. Drive revenue by developing and maintaining effective relationships with key clientele. Develop and carryout strategies and ensure operational decision making aligns with identified objectives.

DAVID FOUNTAINE Resume, Page 2 • Collaborate with executive leadership to develop and translate corporate and performance improvement

strategies into actionable plans that leverage brand position, drive customer loyalty, and promote financial sustainabili ty.

• Create, deliver, and oversee account activities to ensure benchmarks are met; communicate status and outcomes with internal and external stakeholders.

• Manage daily operations with emphasis on service and financial objectives to achieve sustained performance levels.

Regional Business Partner Oversaw business improvement measures for 10 field personnel and 435 dealerships for General Motors. Created and implemented revenue growth initiatives. Developed sales, service, and operational plans to ensure retention of employees, clients, and growth of new relationships.

• Created improved strategies and ongoing management coaching at the regional and national levels. • Ensured effective management of daily field operations, new customer acquisition, and account retention by

recruiting and directing team of field managers. • Increased revenue by effectively prospecting, establishing and growing pipelines, and fostering client

centered approach while maintaining overall focus on organizational objectives. • Established budget, forecast, and goal-setting process based on identified market opportunities and regional

cross structures. • Identified new sales opportunities and cultivated untapped markets; initiated plans to secure new business

and adjusted tactics and methodologies based on thorough analysis of sales data and identified trends.

Lead Facilitator Led the organizational improvement of 250 retail automobile dealerships. Directed 13 improvement facilitators, ensuring maximum productivity and retention of most qualified talent.

• Established plans and ensured projects were completed according to timeline and within budget.

Perfonnance Improvement Consultant/ Facilitator (2004-2012) Improved customer satisfaction scores, sales volume, and profitability for 16 General Motors dealerships by developing sound solutions based on thorough analysis of operational and financial performance.

• Communicated with senior leadership, management, and employees to ensure effective implementation of short and long-term improvement strategies that ensured favorable financial and customer satisfaction outcomes.

TEACHING EXPERIENCE

ADJUNCT/ ASSIST ANT PROFESSOR 2005 - Present Southern New Hampshire University (2017- present) Strayer Universihj (2011-Present) Bryant & Stratton College (2009-2010) Erie Community College (2005-2008) Instruct undergraduate and graduate-level Human Resource and Accounting courses. Serve as subject matter expert for course design and activities.

• Ensure students receive comprehensive coaching on a variety of accounting and human resource activities including training, onboarding, performance evaluation, benefits management, organizational improvement, and change management initiatives.

ADDITIONAL EXPERIENCE

VILLAGE OF HAMBURG- Village Administrator

MALCOLM BRIDGE BOARD OF EXAMINERS- Past Member

SUNY FREDONIA ALUMNI BOARD MEMBER- Past President

DAVID FOUNTAINE Resume, Page 3

EDUCATION & CERTIFICATIONS

Ph.D., Training and Performance Improvement- Capella University, Minneapolis, MN

Master of Science, Human Resource Management- State University of New York, Fredonia, NY

Bachelor of Science, Business Administration- State University of New York, Fredonia, NY

Graduate, US Army Command and General Staff College- Fort Leavenworth, KS

Certified, Senior Professional in Human Resources (SPHR)

Certified, Society for Human Resource Management (SHRM -SCP)

Dr Fountaine VITA

DAVID FOUNTAINE, Ph.D., SPHR, SHRM-SCP 7205 River Hammock Drive

Unit 203 Bradenton, Florida 34212

(716) 816-9581 [email protected]

EDUCATION

Ph.D., Training and Performance Measurement Capella University, Minneapolis, MN Dissertation: The Development of a Web-Based Training Component of an Orientation Program for Newly Hired Automobile Sales Consultants

MA, Special Studies, Human Resource Management State University ofNew York, College at Fredonia, Fredonia, NY

BS, Business Administration with concentration in accounting State University of New York, College at Fredonia, Fredonia, NY

Graduate US Army Command and General Staff College FT Leavenworth, KS

Certifications

Certified, Senior Professional in Human Resources (SPHR)

Certified, Society for Human Resource Management (SHRM -SCP)

DAVID FOUNTAINE Resume, Page 4 Teaching Experience

Adjunct Professor Southern New Hampshire University Courses: Strategic Human Resource Management, Organizational Leadership, Total Rewards, Managing Human Resource Projects, certified to teach all human resource courses

Adjunct Professor Strayer University Courses: Strategic Human Resource Management, Talent Management, Total Rewards, Managing Human Resource Projects, certified to teach all human resource courses

Adjunct Professor Bryant & Stratton College Courses: Payroll Accounting, Compensation and Benefits, Human Resource Management, Employee Training and Development

Assistant Professor Erie Community College Courses Taught: Accounting I, Accounting II

Assistant Professor of Military Science State University of New York at Buffalo

Responsible for providing military science instruction to freshman and sophomore level Army ROTC Students. Served as liaison between Army ROTC and University and senior officer in charge of ROTC instruction.

Assistant Professor Central Texas University, Uijonbu, Korea

Instructed undergraduate business management courses while serving on active duty with the US Army in Korea.

Assistant Professor of Military Science State University ofNew York, College at Fredonia

Responsible for providing instruction and academic counseling to all levels of Army ROTC students at the university.

In addition to military science courses, also instructed a seminar on how to become a master student. This was a full-time active duty assignment while serving as an Army Officer.

Also served as department faculty representative in the faculty senate and served on the Middle States Accreditation task force.

Other Professional Experience

DAVID FOUNTAINE Resume, Page 5 Malcolm Baldrige Board of Examiners

SUNY Fredonia Alumni Board Member Board President

Senior Reviewer and Judge for Empire State Advantage Program Albany, NY

Served as an onsite team leader and judge for the Empire State Advantage (ESA) program which is New York's version of the Malcolm Baldrige award program. The ESA program assists organizations in New York to achieve world class excellence within their respective competitive sector (government, business, education, health care and non profit).

Assisted in drafting the final revision to the government sector self assessment criteria for the program.

Professional Associations

Publications

Presentations

Society for Human Resource Management (SHRM) American Society for Training and Development (ASTD) Past President, Buffalo/Niagara Chapter ASTD American Society for Quality (ASQ)

"Strategic Planning for Small Communities" published in Public Management magazine, October 2001 issue.

Featured in Small Communities Leadership magazine, March/April2004 issue. Title of article was "Tips for Managing a Small City with a Small Staff' and detailed my daily work routine as a small community manager.

"Human Resources: What's Your Plan?" Published in Public Management magazine, Jan/Feb 2005 issue.

Presented at the 2002 and 2003 annual conference of the International City/County Management Association. Both presentations focused on efficiently operating small communities.

Presented seminars on municipal utility operations to numerous audiences throughout New York State during 2001 - 2003.

Presented seminar on strategic planning for government in New York State at the 2002 annual conference of the Empire State Advantage program.

Recent/Current Research

Completed research project on web based learning system for US Army unit stationed in Germany.

DAVID FOUNTAINE Resume, Page 6

Completed research on use of distance learning for ICMA professional credentialing program.

Completed dissertation on developing and assessment of new employee orientation program in the retail automotive industry.

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List Other Lloar!l Below: Committee's requirements

Jo ther 2J Ad Hoc Fire, EMS, & Transport Committee


First Name*

I walter

Address1*

11693 Anthem Road

Address2

City*

I The Villages

Ar~_ YQ_l! _uesident of _ Sumter County*

Yes

·~· No

Email Address

I [email protected]

Phone Number*

13527501142

Middle

lr

If yes, how long?

115 years

Phone------------- --- -

Mobile

·~ · Home

Work

Last Name*

I Griffith

State*

If no, what County


18437293915

Zip*

Education

I Carroll College, Waukesha, Wi - BS


I Sales Management J retired



Founder & President, All One Family, Inc- a 501c3 charity sen.ing Widwood MHS Students Program Coordinator, Anthem Road AED, The Villages Chairman, N Scale Division, The Villages Railroad Historical Society


I have a wide range of jobs over the years with differing companies in\Qived in the arts as well as manufacturing and sales. I have managed people in different levels of organizations up to, and including, the Eastern half of the country. I was also a \Qiunteer firefighter in my youth.


I have a knowledge of the health and emergency sen.ices needed at the neighborhood level as the coordinator of our street's AED program. We have been in existence since the beginning of the program and I have been the coordinator for all of that time. I have seen the growth and opportunities of the program first hand.

References

1.

I Ed Ford, 1707 Anthem Road, The Villages, 32162- 352-430-1260

2.

Ray Lammes, 2100 Dove Hollow Run, The Villages, 32162- 585-315-2821

3.

Robert Jordan, 2152 Horizon Run, The Villages, 32162- 352-561-4247


Yes No


Do you affirm that your personal and business affairs(if applicable) within Sumter County are in substantial ~ oompllonoe wlfu oil oounty •egulolo'Y ond toxlng oulho•llle• rule• ond •egulollon•?• l

·~· Yes No


No file selected

Douglas, Jessica

From: Sent: To:

Walter Griffith <[email protected]> Tuesday, June 01, 202112:37 PM Records

Subject: Questions in regard to the Ad Hoc Committee Application

Question 1 -- No

Question 2 --No

Question 3 -- Somewhat

Question 4 -- No

Question 5 --No

Walter T. Griffith, III 1693 Anthem Road The Villages, Fl 32162 352-750-1142


1

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I Other ::.:J

First Name*

I Larry

Address1*

Address2

List Other 13 uard Bel oiY: Committee's requirements

I EMS Advisory Committee Click here to view Committee webpage

Middle Last Name*

I winston

State*

A_re you a resident of Sumter County*


Yes

No

II" !. I I ":"":

Phone----·--------- --- Alternate Phone Number

' ~j

Mobile

"" , _,

Home .-j

Work

Education

IAA Business Administration


I Retired



Selected to the Kansas EMS Hall of fame. Johnson County Med-Act recognized as one of the top systems in the Country.


Certified Kansas Paramedic. Business Administration, Microsoft Office. Director of two County EMS systems in Kansas. One single tier and one two tier. The second was overlaid over existing fire departments. 19 cities and 400,00 citizens. Fire operates BLS units, County ALS.


vast experience in the operation and maintenance of EMS systems. knowledge of both the administration and medical requirements to pro\ide the highest levels of patient care. Able to determine costs/budgets, equipment required, and personnel needed for different types of operating systems, Help evaluate the ten options proposed for consideration.

References

1.

I Jeff Hayes 913-461-4000 [email protected] 1149 Summerton The Villages, Fl 32162

2.

Mike Press 913-712-8312 [email protected] 10315 Greentree Ct Olathe, 66061

3.

I Mike Woolery 913-927-1204 [email protected] 17619nW. 112th Olathe, KS 66061


Yes No



Yes


No file selected

Larry Joy



County Commissioners or any District Government? No



2. Are you or your relatives an employee of UF Health Systems? No


Act (HIPAA)? No


emergency services field? No


System presented to the Sumter County Board of County Commissioners on May 18, 2021? No

00929870

Print




Lis t O the r Board Below: Committee's requirements

!other

First Name*

I Richard

Address1*

Address2

City*

Ar~u•ou a resident of Sumter County*

Yes

No

Email Address

• I I I • l II I •


Middle Last Name*

I Mark I Kleindienst Sr

State*


Phone-- ------------ Alternate Phone Number

·~)

Mobile

~)

Home

j

Work

Education

Graduated High School 1967, studied at Housatonic Community College and Norwalk Community College


I Golf Staff Supervisor I The Villages Golf and Tennis


Past Chainman, Town of Stratford Board of Education, Past Chairman, State of Connecticut EMS Communications Committee, Telecommunications Instructor Stae of Connecticut Department of Public Safety, Past Member EMS for Children/Pediatrics State of Connecti


Past Executive Director Southwestern Regional Emergency Communications Center-provided EMS communications to 14 municipalities and Fire communications to 3 of the fourteen municipalities serving a population of 690,000 residents and 1.5-2 million travelers daily in Fairfield County. Past Program Director Medical Reserve Corps Sumter County Health Department. Sector Commander EMS City of Bridgeport CT, L'Ambiance building collapse


38+ years emergency medical technician/intenmediate Town of Stratford and Captain Emergency Services City of Bridgeport. Providing EMS/Fire communications to fourteen municipalities including 911 dispatching using emergency medical dispatch providing pre arrival instructions. Serving as a Telecommunication instructor for the State of Connecticut delivering training to police, fire and emergency medical service dispatchers including prearrival instructions


I bring to the table a unique history of not only working in the EMS field but working in an emergency department for a level 2 trauma center and being a representative on a regional EMS council that provided input into the regionals diversion policy working with hospital clinical staff, representatives of Mayors and First Selectman, Town Manager and EMS agencies both private and municipal

References

1.

Mr. James Paturas EMTP, -Director Yale New Haven Health 99 Hawley Lane, 3rd Floor, Stratford, Connecticut- Cell Phone 203-502-4619-40 years

2.

3.

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter r 112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required

financial statement?*

Yes No



Yes No


Revised Resume. doc

Richard M. Kleindienst Sr.

1-Are you or your relatives an employee of Sumter County Board of County Commissioners or any

District Government or an employee with an entity contracting with Sumter County Board of County

Commissioners or any District Government? (Relative is defined as an individual who is related to you as

father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife,

father-in-law, mother-inlaw, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather,

stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great

grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild,

step great grandchild, person who is engaged to be married to you or who otherwise holds himself or

herself out as or is generally known as the person whom you intend to marry or with whom you intend

to form a household, or any other natural person having the same legal residence as you.)

Answer: No


Answer: No

3. Are you knowledgeable of current updates to the Health Insurance Portability and Accountability Act

(HIPAA)?

Answer: Yes



Answer: No


System presented to the Sumter County Board of County Commissioners on May 18, 2021

Answer: No

RICHARD M. KLEINDIENST SR.

CAREER SUMMARY

Results orientated individual with proven senior level management experience. Has extensive proven knowledge and experience working with and managing employees in acute care hospital emergency management compliance requirements. Well organized, detail orientated with the ability to function tactically and think strategically. A team player, mentor with a strong work ethic.

OBJECTIVE

To apply life experiences and knowledge through the utilization of acquired leadership and interpersonal skills.

WORK EXPERIENCE

2018-Present Havana Country Club, (Part Time) Golf Staff Supervisor Within the spirit of "Making People's Dreams Come True", this position is responsible for the daily business operations of the golf shop, while ensuring the delivery of Raving Fans customer service for both internal and external customers.

2012- 2018 Glenview Champions Country Club, (Part Time) Division of Golf Management Solutions

Positions held; Assistant Manager-Outside, Hybrid Manager, Ambassador (Champions and Executive Golf Courses), Starter (Championship), Driving Range, and Bag Drop.

2010-2013 Emergency Management Specialist (Casual Status) Center for Emergency Preparedness and Disaster Response Yale New Haven Health System One Church Street, 5th Floor New Haven, Connecticut 06510

Assigned to the development and delivery of an instructor lead training program for the US Department of Homeland Security /FEMA entitled

2010-2012

2003-2010

1983-2010

Planning for the Unique Evacuation and Shelter-in-Place Needs of People with Medical Dependencies During a Disaster

Program Director Medical Reserve Corps (MRC) Part Time Sumter County Health Department, Bushnell Florida

Responsible for recruitment, management, and training of 80+ healthcare professionals in a volunteer setting in a program that is overseen by the Sumter County Health Department, Florida Department of Health and the Office of Civilian Volunteer Medical Reserve Corps under the Office of Surgeon General. This was a grant funded position

Program Manager, Emergency Management Center for Emergency Preparedness and Disaster Response Yale New Haven Health System One Church Street, 5th Floor New Haven, Connecticut 06510

Responsible for the review, development, and implementation of emergency management I emergency operations and business continuity plans for the six Yale New Haven Health System delivery network hospitals. The System included a level one trauma center, level two trauma center, regional burn center, a children's hospital, cancer hospital and psychiatric hospital ensuring their compliance with The Joint Commission Standards and Occupational Safety and Health Administration regulations as well as other industry standards that pertained to emergency management. Conducted annual hazardous vulnerability analysis; participated in the design, facilitation, conducting and evaluating of drills and exercises

During the seven years with Yale New Haven Health System, also served as the Coordinator for the Yale New Haven Health System Medical Reserve Corps (MRC). Responsibilities included recruiting student volunteers, developing, scheduling and delivering training programs, and participated in exercises.

Intermediate Emergency Medical Technician Town of Stratford Stratford, Connecticut

Responsibilities included providing an advance level of emergency medical care which aside form the basic level of care, starting intravenous lines and cardiac defibrillation to the citizens of the Town of Stratford

1987-2003

1989-2001

1989-1999

Executive Director Southwestern Regional Emergency Communications Center 267 Grant Street, Marsh Building Bridgeport, Connecticut 06605

Developed the Center, a non profit 501 C3 corporation, as part of a statewide interoperable emergency medical and countywide Enhanced 911 communications network. The emergency medical interoperable communications system facilitated the need for the thirteen EMS providers (commercial and volunteer) to notify any one of the regions five acute care hospitals emergency department's clinical staff of incoming patient(s) and for advanced life support care medical direction. This level of service was provided to the fourteen municipalities in Southwestern Connecticut serving a population of 690,000+. In 1994 the Center began receiving direct Enhanced 911 calls from a segment of the municipalities it served and provided pre arrival instructions for not just EMS but also Fire services providing emergency medical first responder service. This added responsibility placed a greater emphasis on interoperability not just from a equipment standpoint but also training. The initial analog communications system was upgraded to a system capable of meeting the interoperable communications challenges presented.

Responsibilities included development, implementation and updated of policy and procedures; budgets; payroll; marketing; interviewing, hiring, managing and training to a emergency dispatch certification level staff to provided pre-arrival instructions to civilians through an Enhanced 911 system.

Telecommunication Instructor State of Connecticut Department of Public Safety, Division of Fire, Emergency and Building Services.

Responsibilities included preparing and delivering training to police, fire and emergency medical service dispatchers statewide in assessing and delivering pre-arrival instructions to the 3.5 million civilians in Connecticut

Adjunct Professor for the Emergency Medical Technician and Paramedic programs at Bridgeport Hospital, Joint Hospital Planning Council and Norwalk and Housatonic Community Technical Colleges

Responsibilities included preparing of instructional materials and curriculum

1987

1983-1995

1978-1983

Sector Commander, EMS, City of Bridgeport, CT, L'Ambiance building collapse

Captain, Emergency Services City of Bridgeport Bridgeport, Connecticut

Responsibilities included the supervision of twelve (12) emergency service ambulances (26 staff) providing basic to advanced level medical care to the largest city in Connecticut; participated in the development of the City of Bridgeport's emergency management plan

Emergency Medical Technician Town of Stratford Stratford, Connecticut

Responsibilities included providing basic level emergency medical care to the citizens of the Town of Stratford

EDUCATION

2012 FEMA IS-00660 Introduction to Public -Private Partnerships; 2011 FEMA ICS-300 Intermediate ICS for Expanding Incidents;

State of Florida Radiological Awareness Responder Training; West Virginia University Forensic Epidemiology: Joint Training; for Law Enforcement and Public Health Officials

2010 Gulfcoast South AHEC, Pasco County Health Department, The USF Center for Biological Defense "MRSA"; Florida Department of Health, Bureau of Laboratories, Chemical Terrorism Awareness and Clinical Sampling for Chemical Terrorism

2009 Yale New haven Health Emergency Preparedness for Healthcare Professionals

2008 American Medical Association Basic Disaster Life Support; Yale New Haven Health Incident Command Systems (ICS) for Health Care with NIMS; Homeland Security Exercise and Evaluation Program (HSEEP) Evaluator Training for Subject Matter Experts; FEMA IS-00120.A, Introduction to Exercises; FEMA IS-00139, Exercise Design; Yale New Haven Health Introductory to Emergency Management with NIMS

2007 Yale New Haven Health Introduction to Radiological Emergency Preparedness

2006 NFP A Emergency Evacuation Planning

Executive Overview NFP A 1600 Disaster/Emergency Management & Business Continuity Programs; FEMA IS-00100, Introduction to the Incident Command System; FEMA IS-00200, ICS for Single Resources and Initial Action Incident

2005 Yale New Haven International Congress on Disaster Medicine and Emergency Management; FEMA IS-700, National Incident Management System Introduction; FEMA IS-800, National Response Plan, Introduction

2004 Yale New Haven Health System Emergency Management 102 Texas A&M University System National Incident Management System Orientation

2003 United States Department of Homeland Security Office of Domestic Preparedness Center for Domestic Preparedness, WMD Response Training 100

1988 Norwalk Community Technical College, Business Management 1987 Association Public Communications Officers Instructor Program,

Associated Public Communications Officers 1982 National Emergency Training Center, Exercise Design Program;

Joint Hospital Planning Council, EMT Intermediate Program; Housatonic Community College, Business Management

1981 National Fire Academy, Hazardous Material Program

PROFESSIONAL AFFILIATIONS, APPOINTMENTS AND MEMBERSHIPS

Past Chairman, Town of Stratford Board ofEducation; Past Chairman, State of Connecticut EMS Communications Committee; Telecommunications Instructor; State of Connecticut, Department of Public Safety, Division of Fire, Emergency and Building Services; Life Member, Board of Trustees, Library Association Town of Stratford; Past Member, EMS for Children/Pediatric Committee, State of Connecticut Department of Health; Past Member, Southwest Freeway Management Committee, Connecticut Department of Transportation; Past Co-Chair, Town of Stratford Youth and Family Advisory Board; Current Member of Shrine International

LICENSES AND CERTIFICATIONS

Emergency Medical Technical-Intermediate/Emergency Medical Technician

AWARDS I CITATIONS 2009 Yale New Haven Health System Office of Emergency

Preparedness Employee of the Year

Print




Lis t Other Board Bclo\\': Committee's requirements

Jother :::::J I Fire, EMS, and Medical Transport Click here to v iew Committee webpage

First Name*

I Richard

Address1*

Lewis

Address2

j211 0 Alandari Ln

City*

I The Villages

Ar~_yQ_ll_~-r~iden! of_ Sumter County*

Yes

No

Email Address

I bnrlewis@infionline. net

Phone Number*

1352-775-8287

Middle

If yes, how long?

16 years

Phone

Mobile

Home

Work

Last Name*

jLewis

State*

If no, what County


1270-352-7040

Zip*

132162

Education

Associate degree and numerous various certificates


I Vice President I A A mold World Class Relocation


American Moving & Storage Assoc., International Association of Movers, Kentucky Household Goods Carriers Association


Member and officer of many boards in industry and community organizations as noted in the attached Resume


None specific to Fire, EMS and Medical Transport just keen interest in public health and safety.


As a former member of many committees and boards I have the ability to listen and learn and offer my best considered opinion with regard to the information submitted. I can and would be a team player with the best interests of the residents of Sumter County at heart.

References

1.

Ricky Spidel, supervisor, Manatee Recreation Center 352-674-8411

2.

Chuck White, International Association of Movers 703-317-9950

3.

I Bob Roush, 270-737-3532

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required

statement?*

Yes No


Do you affirm that your personal and business affairs (if applicable) within Sumter County are in substantial compliance with all county regulatory and taxing authorities rules and regulations?* I

Yes No


RAL Bio 2021.doc

Richard Lewis




NO

(Relative is defined as an individual who is related to you as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, sonin-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to you or who otherwise holds himself or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you.)


NO


Act (HIPAA}?

YES



NO



NO. HAVE NOT BEEN MADE AWARE OF THE 10 OPTIONS AND ONLY KNOW THAT

OPTIONS HAVE BEEN SUBMITIED FOR CONSIDERATION.

Rick Lewis (H) 352-775-8287 (C) 270-352-7040

00929870

OBJECTIVE

Richard A. Lewis 2710 Alandari Ln

The Villages, FL 32162 (352) 772-8287

To detail life long training and experience.

BUSINESS EXPERIENCE

2003 - Present

1992-2003

1987-1992

1985-1987

1979- 1984

1963- 1979

A. Arnold World Class Relocation Vice President, Government Division, Corporate Office

A. Arnold World Class Relocation Vice President, International & Government Divisions General Manager, Radcliff Branch Office

A. Arnold & Son Transfer & Storage Co., Inc. Corporate Director of Agency Services (additional responsibility) with responsibility for agent recruitment, rate filing, and hauling agreements with affiliate companies.

A. Arnold & Son Transfer & Storage Co., Inc. General Manager, Radcliff, Kentucky. Branch with duties and responsibilities as detailed below, and with staff as follows: Sales 3, Administration 7, Dispatch 2, Warehouse 2, Local12-40

Lewis Moving Services, Inc., I Prime agent for Burnham Service Corporation 14-4 Bridge Street, Montville, Connecticut 06353 President - Majority Stockholder

Phoenix Moving & Warehouse, Inc., I Prime agent for Atlas Van Lines 74 Foster Road, Waterford, Connecticut 06385- Vice President I Assistant Manager Provides Military and Civilian moving and warehousing services throughout United States. Complete responsibility for men and equipment, including Hiring, Firing, Driver Training, Safety Training and Accident Prevention, Scheduling Maintenance of 19 units of equipment, Purchasing New equipment, Dispatching, Sales, and Government Liaison. (Firm employed between 10 and 40 persons, depending upon workload).

MILITARY EXPERIENCE 1966 to 1974

EDUCATION

United States Marine Corps Reserve- Sergeant (E-5) Active Reserves 1966-1972, inactive through 1974

Honorable Discharge, 1974.

Mohegan Community College, Norwich, Connecticut Associate of Science Degree - General Studies

University of Hartford Division of Continuing Education Motor Fleet Supervisor Training Course - 1975

International Correspondence Schools Creative Sales Course

Elizabethtown Community College Total Quality Management -1992

National Moving & Storage Association Certified Moving Consultant - 1977

National Moving & Storage Association Certified Professional Mover- 1996

Bekins Van Lines B.O.S.S. Certified Sales Professional- 1996

American Movers Conference Household Tariff Specialist- 1997

American Moving & Storage Association R.I.M. Certification- 1/2000

PROFESSIONAL SOCIETIES AND ORGANIZATIONS National Institute Certified Moving Consultants - Member since 1977

Member Military I Industry Re-engineering Team, summer 1996 Central Connecticut Transportation Association

Member Military Moving Association, New London, CT.

Past Secretary, President Elizabethtown Area Transportation Club

President 1988, Member 1986-present American Movers Conference - Committee on Small Business Affairs

Member 1989-1992 American Movers Conference- Government Traffic Advisory Committee

Member 1998-Present Kentucky Household Goods Carriers Association

Board Member President 2006-2007

FRATERNAL AND OTHER ORGANIZATIONS Radcliff-Vine Grove Chamber of Commerce

Board member 1986/88/89/91, President 1990 Presidents Award 1987, 1992, 1993, 1996 Gold Award

Communities United for Excellence Founding Board Member

Kentucky Industrial Development Council Member 1992-98

Hardin County Metro United Way Charter member Hardin county advisory board through 1992 Member Voluntary Citizen Review Committee 1993-present

Hardin County March of Dimes Charter member teamwalk steering committee 1986-1990

Ft Knox Chapter#2301-AUSA (Association ofthe U.S. Army) Corp. Member chairman 1989- 1st Vice President 90/91 VP Membership 1992-1995, 1st VP, President Elect 1996, President 1997/98/99, Secretary 2000 to present AUSA State President for Kentucky July 2008 to 2013

Elizabethtown Rotary Club Heartland booth chairman 1989 & 1990, advisor 1991, Paul Harris Fellow 1994

Hardin County Cable Regulatory Board Member, Secretary, Vice Chairman 9/87-4/92

North Hardin Hope Board member 1990-91

Hardin County Arts Council I Fund for the Arts Campaign Chair 97, Board Member 98-99, President 99-01, Secretary01

Elizabethtown Country Club Corporate member 1986-1996

Armor Center Civic League Corporate member

Kentucky Colonels Member since 1985

2

CT. State Police Auxiliary Trooper, 1976-82 Auxiliary Unit Leader Troop 'K', 1980-82

Boy Scouts of America Affiliations Lincoln Heritage Council, BSA- Council Executive Board 1987-1997

Silver Beaver Award, 1990 Lincoln Trail District- District Chairman 1990/91

Presidents Award, 1988 Indian Trails Council, BSA, Mohegan District 1977-85

Assistant District Commissioner (8 Units, 3 Towns) Training Committee Member (Adult) Woodbadge Leadership training NE-179, Woodbadge Staff 1982

Mohegan Oscar 1983 District Award of Merit 1984

FRATERNAL AND OTHER ORGANIZATIONS (Continued)

PERSONAL

REFERENCES

Masonic affiliations

Blue Lodge Hiram Lodge #98, AF&AM, Bloomfield, CT.- Master, 1977 Scottish Rite Valley of Hartford-Council, Chapter, Consistory- 32nd Degree York Rite James B. Wall Chapter #145 R.A.M, Hocker Council #89 R.&S.M., Conrad H. Cates Commandery #37 Knights Templar Shrine Sphinx Temple, A.A.O.N.M.S., Hartford, CT.

Sphinx Temple Arab Patrol Association

Health - Excellent Height 72" Weight 185 Pounds Date of Birth- April12, 1947 Married, wife Barbara, 2 Sons- Rick Jr. and Scott

Provided upon request

3

Print




List O the r Hoard Bclo1r: Committee's requirements

j other ::.::J Ad Hoc Fire, EMS and Medical Transport Committee


First Name*

IGiorianne

Address1*

1981 Greyford Lane

Address2

City*

I The Villages

p.re Y.CLl! _~_residel'!! Qf Sumter County*

·~· Yes

No

Email Address

I [email protected]

Phone Number*

1352-350-0893

Middle Last Name*

I lowe

State* Zip*


Phone -- ·- -------- ·-- Alternate Phone Number

·~· Mobile

~_)

Home

-~ •,_ ..

Work

Education


I Retired





References

1.

2.

3.


1112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required I financial statement?* l I l?Yes ~No I I ____ _ _j Appointees will be required to attend meetings in accordance with the adopted policies of the County.


Yes No


No file selected

Schlak, Brenda

From: Sent: To: Subject:

Glowe <[email protected] > Tuesday, June 01, 202112:37 PM Smith, Leslie Re: IMPORTANT: Ad Hoc Fire, EMS and Medical Transport Committee

My responses

1. No

2. No

3. I know what they are not word for word

4. No

5. No

Glorianne Lowe

On Jun 1, 2021, at 11:02 AM, Smith, Leslie <[email protected]> wrote:

Thank you for applying to the Ad Hoc Fire, EMS, and Medical Transport Committee.

In order to finalize your application for consideration by the Sumter Board of County Commissioners at

their next regular meeting on June 8, 2021, please type your responses to the attached questions.

Please note that handwritten responses will not be accepted due to accessibility concerns with our

online agenda.

These responses will need to be submitted to [email protected] no later than 12:00 PM

(Noon) on Wednesday, June 2, 2021, so that they can be prepared for the agenda.

Leslie Smith Administrative Services Manager Administrative Services Board of Sumter County Commissioners Tel: 352-689-4400 Fax: 352-689-4401 www.sumtercountyfl.gov

NOT I::: : The Sumter County Board of County Commissioners is a govemmenl entity making thi s and future email transmi ssions inc luding attachment ; inspec tion under Flori da Statutes Chapter 11 9 unless spcc ili ca lly exempted or deemed contidcntia l by law.

1


<Fire EMS Committee Applicant Questions (00929870xA281E).docx>


2

Print




Lis t Other Board Below: Committee's requirements

!other ::.::J

First Name*

Address2

Ar~_y_Q_u a resid~nt Qf Sumter County*

Yes

No

Email Address

Middle

Is

If yes, how long?

Phone----------- - - -

·-~· Mobile

()

Home , -, ·~ - /

Work

Click here to v iew Committee webpage

Last Name*

jRosow

State* Zip*

If no, what County


Education

Post Graduate - Law School Graduate- Attorney


I Retired Attorney and Businessman Former Corporate Attorney; Dep. Assistant States Attorney




General and Corporate Practice of Law. Former Special Deputy Assistant State's Attorney - CT. Investor and owner in several retail and wholesale business enterprises.


Decision maker. Able to cut through extraneous material and get to the heart of the matter being considered. Bring group of people together and make a decision. Not subject to political pressure.

References

1.

!Alan Silver- 352-775-2089

2.

I Joel Caplan - 860-559-6799

3.

I Jeff Stein - 352-751-2454


Yes No



Yes No


No file selected

MARK B. ROSOW June 1, 2021

AD HOC FIRE, EMS, AND MEDICAL TRANSPORT COMMITIEE APPLICANT

ANSWERS TO APPLICANT QUESTIONS SUBMITIED BY ADMINISTRATIVE SERVICES MANAGER:

Question No.1- No

Question No.2- No

Question No.3- Not at this time. Will review for future reference.

Question No.4 - No

Question No.5- No. I will review each option, noting positives and negatives, with a view towards which option would best serve the interests of the residents of Sumter County. I am assuming that the final option will be coming from these initial ten options.

Submitted by:

Mark Rosow

Print




List Other Board Brlo11: Committee's requirements

]other :::::J

First Name*

I Neil

Address1*

Address2

City*

Ar~_you a residenLof Sumter County*

· ~· Yes

No

Email Address

• I • J • .:

Middle

If yes, how long?

I since 2009

Phone-·-- ------

,-, ~ -"'

Mobile

·~:·

Home

-~ ·~ - }

Work


Last Name*

lschulman

State*

If no, what County


Education

I B.A. in Education


I Retired I NYC Department of Corrections


I ADW /OW Correction Union


Volunteer and paid service as a EMT and Paramedic I was selected and cleared to be part of the Secrete Service Dignitary Detail, NYC EMS. Volunteer ZoZo Kids as an Baseball Umpire. High school teacher Newark NJ, Westchester County, NY and Marion County, Fl.. High School Baseball Umpire for 12 years.


I started as a First Aid responder at my college; Kean College, N.J. First Aid Squad which I became a member 1974-1976. I had been an EMT since 1976 and Paramedic in 1980 for NYC Emergency Medical Service. I was a mlunteer EMT for the Volunteer Heart Ambulance on Staten Island, NY. I continued to be a part of the emergency medical service as a Volunteer EMT and Fireman for the Kent Volunteer Fire Department, Carmel, NY, from 1988-2005. I had the same training as paid fireman. I became a Lieutenant, Captain, and Assistant Chief. Also was a elected Fire Commissioner for 3 years.


I feel I have extensive knowledge of emergency services. My time on both Volunteer and Paid EMS in a major city gives me insight of the workings of Government and 911 systems. How both City EMS and Private EMS differ as it relates to the total 911 system.

References

1.

Marty Bleiwas 1 Fox Avenue, Baldwin NY 516-378-4814

2.

Nancy DeGiacomo 1681 Sanderling St, The Villages, Fl 732-657-7992

3.

Dr. Leonard Hyman 939 McKenzie Pond Road Saranac Lake, NY 518-891-2426


Yes No


Do you affirm that your personal and business affairs (if applicable) within Sumter County are in substantial ~compliance with all county regulatory and taxing authorities rules and regulations?*

.1)

Yes No


MY RESUME.docx

Neil Schulman



County Commissioners or any District Government? NO.


sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, sonin-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent_ grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to you or who otherwise holds himself or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you.)

2. Are you or your relatives an employee of UF Health Systems? NO.


Act (HIPAA)? YES.


emergency services field? NO.



NOT AT THIS TIME.

00929870

PROFESSIONAL EXPERIENCE:

SCHULMAN LUMBER COMPANY :.1972-1986

STATEN ISLAND, N.Y. Sales person oflumber and hardware and deliveries to customer homes and job sites.

NEWARK BOARD OF EDUCATION- 1976-1978 2 Cedar Street, Newark New Jersey, 07102 (973-733-7360)

• Teacher for Industrial Arts. Shop teacher in woodworking and design.

NEW YORK CITY EMERGENCY MEDICAL SERVICE -1978-1982 9 Metro Tech, Brooklyn, N.Y. 11201 (718-999-2000)

• Paramedic and dispatcher for 911 C.A.D systems, both EMS and through New York City Police Department com munications. Assigned to Special Operations Division for Dignitary Protection.

NEW YORK CITY DEPARTMENT OF CORRECTIONS -1982-2004 75-20 Astoria Blvd, N.Y.C., 11370 (718-546-1500)

• Retired as a Deputy Warden for Administration and Security. Held a supervisor's position for 17 years of my career. Member of the Departments Emergency Response Unit.

• Instructor for 3 years in all aspects of training in the area relating to Correction Officers and Supervisors. NYS certified instructor in the use of Chemical Agents.

L3 COMMUNICATIONS NYCNewYork-2005-2012 6oo Third Avenue, NYC, NY, 10016 (212-697-1111)

o I was responsible for the Executive Protection oft he CEO and Board members at all ve nues. • Trained in all aspect of Executive Protection and Security Escort procedures.

RURAL METRO-(Aug. 2013-2014)

• 911 OPERATOR

MARION COUNTY SCHOOLS-(SEPTEMBER 2014 TO 2018)

• VANGUARD HS-CRIMINAL JUSTICE (Florida Professional Certificate K-12)

EDUCATION: Kean College, Newark New Jersey, Graduated with a BA in Education -1976. ADDITIONAL SKILLS:

• Trained as a Paramedic and 911 Emergency Dispatcher during the 4 years with NYC EMS. • Certified in CPR/ AED. Member ofthe Volunteer Heart and Resuscitation Unit as an E.M.T.

and Dispatcher, working through NYPD dispatch and rad io system. (1974-1978). • Member of the Kent Volunteer Fire Department. Responded on the Fire Trucks and

ambulance. Held the rank of Assistant Chief and Fire Commissioner. Also was a part time dispatcher. 1990-1999

e Substitute Instructor at Westchester BOCES, N.Y. (1990-9~-)).Substitute Teacher-Lake County School System, Florida (2012-Present)

" Certified High School Baseball Umpire

Print




Lis t O the r Board Below: Committee's requirements

I other

First Name*

I vincent

Address1*

11337 Murrells Inlet Loop

Address2

City*

I The Villages

Ar~_yQu~_res!.~~.ntQf Sumter County*

Yes

f)

No

Email Address

I [email protected]

Phone Number*

1352-750-3161

Ad Hoc Fire, EMS & Medical Click here to view Committee webpage Transport Committee

Middle Last Name•

I smith

If yes, how long?

114+ years

Phone------------ -

,-, •,_}

Mobile

·:~;.

Home

·~~·

Work

State•

If no, what County


1518-598-4618

Zip*

Education

I BS in Psychology, Fordham University


I retired



former member Malta NY Town Planning Board; former member US President's Committee on Employment of People with Disabilities; founder & president of Unlimited Potential Inc., Saratoga Springs NY; former chairman of Advanced Gifts Committee, Saratoga County (NY) United Way


Several years of paid & I.Qiunteer work on collaborative and study panels


lengthy experience on group panels to serve local, state & national entities

References

1.

David Meager, former supervisor, Town of Malta NY

2.

Paul Sausville, former supervisor, Town of Malta NY

3.

William Smith, former chairman Town of Malta NY GOP Committee

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required

statement?*

Yes No



·~··

Yes


Choose File No file selected

Schlak, Brenda

From: Sent: To:

V Paul Smith <[email protected]> Wednesday, June 02, 202110:48 AM Records

Subject: Ad Hoc Fire, EMS & Medical Transport Committee

Regarding the five questions asked of applicants, I assure: 1) No-- re self or relatives involved with County Board or any entity as employee or contractor 2) No -- re self or relatives employed by UF Health Systems 3) Yes -- re knowledgeable of HIP AA updates 4) No -- never terminated or asked to resign 5) No-- objection or preference to S/18/21 options

Vincent Smith 1337 Murrells Inlet Loop The villages, FL 32162 Phone:352-750-3161


1

Print




List O ther Buarrl Below: Committee's requirements


l othe1· 3 Ad Hoc Fire,EMS and Medical Transport Committee

First Name*

!Theresa

Address1*

14174 Victory Drive

Address2

City*

I The Villages

Ar~_you a resid~_f!~_Qf Sumter County*

Yes

()

No

Email Address

I [email protected]

Phone Number*

1407-256-2646

Middle Last Name*

lrrautman

State* Zip*


is years

Phone Alternate Phone Number

·/~:·

Mobile

·" '\ _}

Home

'"

Work

Education


I Registered Nurse


I Sumter County MRC Program- 110lunteer


Volunteer for vaccination administration -Sumter County Registerd nurse 24 years


Flight nurse and emergency department 7 years civilian flight nurse and managing transport and clinics in Afghanistan 1 year Rapid Response Charge Nurse with State of Massachusetts 2020-2021


Knowledgeable with emergency transport and medical protocols

References

1.

I Walter Thomas

2.

I Brian Maloney

3.

I Glory Decene


1 112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required 1 financial statement?*

I, ___ ·~_,Y_e_s ________________ No ___________________________________________________ __j Appointees will be required to attend meetings in accordance with the adopted policies of the County.

Do you affirm that your personal and business affairs (if applicable) within Sumter County are in substantial compliance with all county regulatory and taxing authorities rules and regulations?* l

Yes No


Choose Fiie No file selected

Print




Li s t Other 13 uard Below: Committee's requirements

jo ther 3 I Fire and Safety EMS

First Name*

I william

Address1*

1366 Troy Loop

Address2

City*

I The Villages, FL

P,re you a resident_ 9f _ Sumter County*

(~,·

Yes

No

Email Address

I [email protected]

Phone Number*

13526335955

Middle

If yes, how long?

Phone---------------------

")

Mobile

·,~)

Home

~.

Work

. Click here to view Committee webpage

Last Name*

I YELVERTON

State*

If no, what County


16077652760

Zip*

132162

Education

BS in Education, MS in Counseling and Psychiatric Rehabilitation, State Uni-.ersity of New York

Occupation*

Chief of Mental Health Rehabilitation Services and Chief of Mental Health Inpatient and Outpatient Services


Place of Employment

Binghamton Psychiatric Services, Binghamton, NY 1970-1996 (retired)

Chairman of the NYS Directors of Psychiatric Rehabilitation, 1974-1981


Guest Professor and Lecturer at the State Uni-.ersity of NY (Cortland)


My administrated function required systemic leadership and preparation so to successfully negotiate both State and Federal Quality of Care Standards Analysis and to main successful clinical outcome compliance with both inpatient and outpatient population's treatment goals each year. I managed both a professional and paraprofessional staff in excess of 150 that were responsible to provide both comprehensi-.e inpatient and outpatient mental health services, o-.er a fi-.e County Catchment, to in access of 4500 clients. As Chief of MN Treatment Services, it was my job to continually plan, budget, and evaluate both staff and program performance. Outcome Analysis was a continuing responsibility.


I firmly belie-.e that our 'Emergency Response Services' would benefit from continuing 'outcome analysis' and 'data-dri-.en leadership!! I feel that my experience could permit an external view, hopefully leading to a meaningful contribution to operational evaluation and strategic planning. I see both as critical ingredients for positi-.e growth.

References

1.

Most of my 'professional leaders' are no longer -.ertical. Howe-.er, since becoming a Villager', I began and currently lead my neighborhood's, NSN Program and up until recently, I ser-.ed as a member of the Property Owner's Association's Board of Directors. The POA's current President, Mr Cliff Weiner may be consulted on both.

2.

My wife, Helene Yel-.erton, who is arguably the best Dance Teacher and Musical Theatre Choreographer in The Villages usually speaks quite well of me following 61 years of marriage.

3.

Also, our Sons, Dr William Jr and Thomas (and his wife Deb), and our grandchildren, Kari and Kris (and his wife Sabrina) and finally, our two great-grandchildren, Kristiano and Romina all seem to like me quite a lot. to like us.

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter l112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required I financial statement?*

' ·0·

Yes No



I

I ~· . Yes No


No file selected

Schlak, Brenda

From: W!LllAM YELVERTON <[email protected]>

Tuesday, June 01, 2021 9:20 PM Sent: To: Records Subject: Q&A

Questions;

1. Are you or your relatives an employee of Sumter County Board of County Commissioners or any District Government or an employee with an entity contracting with Sumter County Board of County Commissioners or any District Government?

(Relative is defined as an individual who is related to you as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-inlaw, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to you or who otherwise holds himselj or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you.)

2. Are you or your relatives an employee ofUF Health Systems?

3. Are you knowledgeable of current updates to the Health Insurance Portability and Accountability Act (HIP AA)?

4. Have you ever been terminated or asked to resign by an employer while working in a medical or emergency services field?

5. Do you have a particular objection or preference regarding any of the ten options for the Fire EMS System presented to the Sumter County Board of County Commissioners on May 18, 2021?

00929870

Answers (William Yelverton, June 1, 2021)

1. No

2. No

3. No

4. No

1

5. No

Sent from my iPhone


2

Print




List Other Huar d Bclu1v: Committee's requirements

!other ::::J

First Name*

!Maryanne

Address1*

14138 McDowell Drive

Address2

City*

I The Villages

Are_ y_Q_!!__CLr~sident of Sumter County*

·~.·

Yes

<)

No

Email Address

I [email protected]

Phone Number*

1815-404-6514

Middle

lsarry

If yes, how long?

!10 years

Phone-·-------- --· -

·~· Mobile

t)

Home

·~)

Work


Last Name*

I Zinke

State* Zip*

If no, what County


Education

Masters of Science School Administration


I Retired


I Republican Party of Sumter County


Volunteer for campaigns for Brett Hage and Ron DeSantis



An objective point of view based on research of all the facts.

References

1.

Gary Search

2.

I Marilyn Miska

3.

Edna Wales

Some of the Boards and Committees appointed by the County Commission are required to comply with Chapter 112, Florida Statutes; the Financial Disclosure Law. If applicable, would you be willing to file the required

statement?*

Yes No



Yes No


No file selected

Maryanne Zinke



County Commissioners or any District Government? NO



2. Are you or your relatives an employee of UF Health Systems? NO


Act (HIPAA)? YES


emergency services field? NO


System presented to the Sumter County Board of County Commissioners on May 18, 2021? NO

00929870

print boards and committee application -submission #24825

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