Senior Citizen Board
Submit Date: May 02, 2022
Prefix First Name Middle Initial Last Name
Email Address
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Employer Job Title Occupation
City of Burbank Boards, Commissions & Committees
Application Form
Profile
Which Boards would you like to apply for?
Senior Citizen Board: Submitted
Art in Public Places Committee: Submitted
Length of time as a Burbank Resident:
10y
Burbank Registered Voter?
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
Why are you interested in serving on a board, commission or committee? Having served on the Board for two years, I have a much clearer sense of what the Board actually does and the ways I can actually help. My contribution to its activities will be enhanced by my experience. It has been a challenge and pleasure to serve, as my physical limitations and the pandemic have tightened constraints.
Education
MD; Board Certified Psychiatrist. Retired.
Michael L Johnson
N Buena Street
Burbank CA 91504
Mobile:
Retired Clinical Instructor, Harvard Med Psychiatrist
Michael L Johnson
Additional Pertinent Courses or Training
I took the Burbank Police Community Academy 12 week course four years ago. The death of my wife of 30y in December 2021 has been an ontological instruction in itself, underlying a renewed understanding of aging. I’ll be 81 this month.
Other Pertinent Skills, Experience or Interests
I maintain online reading in neuroplasticity, neuroatypicality, and alternatives to traditional psychopharmacology. I volunteered for 2y at the LA County Juvenile Detention Center 8y ago.
Community Involvement
Specify current or prior service on a City Board, Commission or Committee:
2y with this Board.
List Community activities in which you are involved:
Rising Star Toastmasters of Burbank for last two years.
If you are related to any City of Burbank employee(s), please state their name(s), relationship(s), and department(s). If you are not related to a City of Burbank employee, please put N/A.
N/A
Conflict of Interest
Conflict of Interest:
Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect conflict of interest including a financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the Board, Commission or Committee to which you seek appointment?
Yes No
If you answer yes, explain in detail any potential conflicts in the same manner as required by the Fair Political Practices Commission’s Statement of Economic Interests (Form 700). (If you should have any questions about this matter or need further information as it relates to your situation, please advise the City Clerk prior to submitting your application.) Michael L Johnson
AB 1234 Training
The Board, Commission or Committee (collectively Board) you are seeking appointment to provides City reimbursement for attending trainings or conferences. Therefore, under State Law all members of the Board must receive at least two hours of ethic’s training, as prescribed by the Fair Political Practices Commission, within one year of appointment and once every two years thereafter.
First Choice
FIRST choice for Board/Commission/Committee appointment:
Senior Citizens Board
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position.
See above
What are your goals in serving on this Board/Commission/Committee? Align my thinking with the Governor’s goals, which motivates me to pay attention to pending legislation.
Second Choice
SECOND choice for Board/Commission/Committee appointment:
Public Arts
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position I’ve been an amateur artist, more in the tradition of Marisol than Manet, most of my life. Since my wife died, my apartment is littered with canvases, paints and assemblages.
What are your goals in serving on this Board/Commission/Committee? As an amateur, I can invoke the spirit of those with creative impulse but who lack the courage to take the risk of doing it.
Supplemental Questions
Acknowledgements
Michael L Johnson
Acknowledgment No. 1 - General
ALL INFORMATION SUBMITTED IS A PUBLIC RECORD AND WILL BE POSTED ON THE CITY’S WEBSITE. All City Board, Commission, and Committee members serve without compensation from the City. No person shall serve at the same time on more than one Board, Commission or Committee. All applicants must be electors of, and actually reside in the City of Burbank, with the exception of the Burbank Cultural Arts Commission and the Sustainable Burbank Commission. (Per BMC Section 2-1-405, 2-1-406, 2-1-407) I Agree
Acknowledgement No. 2 - City of Burbank COVID-19 Vaccination Policy I have read the City of Burbank Covid-19 Vaccination Policy and hereby agree to provide proof of vaccination or either a medical or religious exemption form. Upon receipt of the application City Clerk’s Office staff will contact me with further instruction. Vaccination documentation will not be disclosable to the public.
I Agree
Michael L Johnson
Submit Date: May 04, 2022
Prefix First Name Middle Initial Last Name
Email Address
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Employer Job Title Occupation
City of Burbank Boards, Commissions & Committees
Application Form
Profile
Which Boards would you like to apply for?
Board of Library Trustees: Submitted
Senior Citizen Board: Submitted
Length of time as a Burbank Resident:
4 Years
Burbank Registered Voter?
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
Why are you interested in serving on a board, commission or committee? To give back to the community.
Education
Associate of Arts Degree, Los Angeles City College
Mr. Richard V Rupp
E Verdugo Ave
Burbank CA 91502
Mobile:
Retired/Self Employed Author Author/Writer
Mr. Richard V Rupp
Upload a Resume
Additional Pertinent Courses or Training
UCLA Extension - Extensive courses in Insurance, Business Law, and Business Management College of the Desert - Extensive courses in Law Enforcement, Economics, and Writing Chartered Property & Casualty Underwriters designation from the American Institutes Completed Executive Management Program at the College of Insurance, New York City Completed Loss Control Program at Factory Insurance Association
Other Pertinent Skills, Experience or Interests
Published Author of the "Rupp's Insurance & Risk Management Glossary used in numerous court cases involving the application of insurance Published Author in the crime novel genre - "Death & Taxes" and "Death on the High Seas" Have written numerous articles for business and insurance publications.
Publish a weekly newsletter titled "Rupp's Notes"
Community Involvement
Specify current or prior service on a City Board, Commission or Committee:
N/A
List Community activities in which you are involved:
I am a resident of the Burbank Senior Artist Colony and participate in a number of group activities.
If you are related to any City of Burbank employee(s), please state their name(s), relationship(s), and department(s). If you are not related to a City of Burbank employee, please put N/A.
N/A
Conflict of Interest
Conflict of Interest:
Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect conflict of interest including a financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the Board, Commission or Committee to which you seek appointment?
Yes No
Mr. Richard V Rupp
If you answer yes, explain in detail any potential conflicts in the same manner as required by the Fair Political Practices Commission’s Statement of Economic Interests (Form 700). (If
you should have any questions about this matter or need further information as it relates to your situation, please advise the City Clerk prior to submitting your application.) AB 1234 Training
The Board, Commission or Committee (collectively Board) you are seeking appointment to provides City reimbursement for attending trainings or conferences. Therefore, under State Law all members of the Board must receive at least two hours of ethic’s training, as prescribed by the Fair Political Practices Commission, within one year of appointment and once every two years thereafter.
First Choice
FIRST choice for Board/Commission/Committee appointment:
Senior Citizens Board
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position.
First, I'm a senior citizen. Second, I'm active with a number of the projects at the Burbank Senior Artist Colony.
What are your goals in serving on this Board/Commission/Committee? To improve the lives of Senior Citizens who live in Burbank.
Second Choice
SECOND choice for Board/Commission/Committee appointment:
Board of Library Trustees
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position In college, I was a librarian for the Boy's Club of Hollywood My job as a researcher required me to constantly use the facilities of libraries. I understand the transition to digital research and the movement of public and specialty libraries to being more oriented toward resource centers. I had a card for the Library of Congress and frequently used it for research.
What are your goals in serving on this Board/Commission/Committee? To improve the use of the library and recognize the impact of digital research on it. To encourage youth to understand the importance of libraries and reading.
Supplemental Questions
Mr. Richard V Rupp
Acknowledgements
Acknowledgment No. 1 - General
ALL INFORMATION SUBMITTED IS A PUBLIC RECORD AND WILL BE POSTED ON THE CITY’S WEBSITE. All City Board, Commission, and Committee members serve without compensation from the City. No person shall serve at the same time on more than one Board, Commission or Committee. All applicants must be electors of, and actually reside in the City of Burbank, with the exception of the Burbank Cultural Arts Commission and the Sustainable Burbank Commission. (Per BMC Section 2-1-405, 2-1-406, 2-1-407) I Agree
Acknowledgement No. 2 - City of Burbank COVID-19 Vaccination Policy I have read the City of Burbank Covid-19 Vaccination Policy and hereby agree to provide proof of vaccination or either a medical or religious exemption form. Upon receipt of the application City Clerk’s Office staff will contact me with further instruction. Vaccination documentation will not be disclosable to the public.
I Agree
Mr. Richard V Rupp
RICHARD VINCENT RUPP
RESUME
Richard V. Rupp retired from a successful career in the insurance and risk management industries in 2010. Following his retirement, he successfully tried his hand at writing crime novels.
Prior to writing crime fiction, Dick was an internationally recognized lecturer, writer, and published author on the subjects of insurance and risk management. He was born in Santa Monica, California, and grew up in a Hollywood movie industry family. He served in the Army Reserve, where he was assigned to the Army Finance Corp. His business career led him to the commercial insurance industry . H e became an executive specializing in developing new insurance products and risk financing concepts. His forte was research, writing, and designing risk management and risk funding products used by major corporations. His positions allowed him to travel the world, including frequent trips to London, Bermuda, and the Cayman Islands.
During his thirteen years with Marsh & McLennan, his colleagues dubbed him the “professor” as he was the Los Angeles office’s representative with a Marsh unit based in New York that developed many of the risk management concepts currently in use today.
He established the first captive insurance company out of the Los Angeles Office of Marsh for HMO Internation, which later became CIGNA Health Plans. He also developed that offices first construction Wrap-Up programs for new buildings being constructed by United California Bank, Cedars Sinai Hospital, Sunkist Growers and other projects for the C.L.
Peck Construction Company. He served on three Marsh special task forces that sought to resolve such problems as lack of industry capacity and the medical malpractice and products liability crises.
Dick was involved in forming captive insurance companies for leading California firms such as Fleetwood Enterprises, Sambo’s Restaurants, and an auto warranty captive for Kelly Blue Book, including President Ronald Regan and his Kitchen Cabinet (Holmes Tuttle, Buster Kelly, Charles Cook) as shareholders.
At California Casualty Management Company, Dick developed one of the first Employment Practices Liability Insurance programs jointly marketed through the California employers Group and the California Manufacturers Association.
Dick is the author of adult -oriented FBI Special Agent Har tmann crime novels. In the series Death & Taxes, his first novel received excellent reviews and won the Independent Book Publishers Association Benjamin Franklin Silver Award for Best New Voice in Fiction. His second novel, Death on the High Seas, has received excellent reviews.
Dick is now working on a SciFi genre manuscript titled Skyward.
Dick lives in Burbank, California.
Submit Date: May 18, 2022
Prefix First Name Middle Initial Last Name
Email Address
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Employer Job Title Occupation
City of Burbank Boards, Commissions & Committees
Application Form
Profile
Which Boards would you like to apply for?
Board of Library Trustees: Submitted
Senior Citizen Board: Submitted
Length of time as a Burbank Resident:
26 years in June 2022
Burbank Registered Voter?
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
Why are you interested in serving on a board, commission or committee? My education and areas of work have been involved intimately with Reading, Expression. Research, Writing. A library is where people, no matter what age, learn these tools, and get a chance to practice these. If I can assist people of all ages to better appreciate and/or to develop skills in these areas, that wouild be a good fit for me. As for the Senior Citizen Board, well I do qualify as a Senior and the same principle applies: use my skills to make life better for Seniors.
Education
Fordham University, School of Education: BS Secondary Education. New York University, Master of Arts in Educational Theater. California State University, Northridge. Master of Arts in English.
Mr John A. Medici
North Rose St
Burbank CA 91505
Home: Mobile:
Retired. Adjunct Associate Professor
Instructor LA City College ...
Actor, SAG/AFTRA, Actors
Equity Assoc. a
Mr John A. Medici
Upload a Resume
Additional Pertinent Courses or Training
I have studied acting with Lee Strasberg, NYC. In Los Angeles with Allan Miller ( at 90 is still active), here in LA and NYC. I have been an intern at the Actors Studio, NYC. I have acted and directed for theater, in NYC, Los Angeles and in other regions as well.
Other Pertinent Skills, Experience or Interests
I taught Theater history. -- taught Directing and Acting in comunity colleges. I have directed many theater productions at schools and professionally. I taught English, with an emphasis on writing, also in community colleges. I wrote a memoir of childhood, published 2017. "Pleasant Avenue, A place, A boy, A family." available on Amazon.
Community Involvement
Specify current or prior service on a City Board, Commission or Committee:
None
List Community activities in which you are involved:
I have been evaluating written essays for a Scholarship committee at the SAG Foundation. I've done volunteer work with Union committees. I have been a poll worker for elections. I walked the streets and did door to door US Census interviews.
If you are related to any City of Burbank employee(s), please state their name(s), relationship(s), and department(s). If you are not related to a City of Burbank employee, please put N/A.
No relationships with any Burbank city employees.
Conflict of Interest
Conflict of Interest:
Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect conflict of interest including a financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the Board, Commission or Committee to which you seek appointment?
Yes No
Mr John A. Medici
If you answer yes, explain in detail any potential conflicts in the same manner as required by the Fair Political Practices Commission’s Statement of Economic Interests (Form 700). (If
you should have any questions about this matter or need further information as it relates to your situation, please advise the City Clerk prior to submitting your application.) AB 1234 Training
The Board, Commission or Committee (collectively Board) you are seeking appointment to provides City reimbursement for attending trainings or conferences. Therefore, under State Law all members of the Board must receive at least two hours of ethic’s training, as prescribed by the Fair Political Practices Commission, within one year of appointment and once every two years thereafter.
First Choice
FIRST choice for Board/Commission/Committee appointment:
Board of Library Trustees.
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position.
In the earlier part of this application, I have expressed how my education, a professional life in teaching English and Writing at an adult level and my personal work in Theater, where I learned to work with others and to help people to express themselves, as well as my experience in writing a memoir ... all add up to a person suited to serving others in library work.
May I mention that a teacher is taught by their students; I like to be challenged, to give something back to others.
What are your goals in serving on this Board/Commission/Committee? Serving on
Library Commission/Committee, I would want to expand the library's outreach to communities which are lacking in either knowledge of what a library has to offer, or those who may need encouragement to use the library.
In short, I'd like yo help library management in whatever its goals are.
Second Choice
SECOND choice for Board/Commission/Committee appointment:
The Senior Commission/Committee ... well, I do belong with that community.
Let's just say, I remember
Harry Truman.
His first term!
I have the same goal that I have for any Burbank volunteer work: to use myself in service.
I'd like to offer to others my personal ideal for this phase of life -- each day is a gift and often we have to learn how to use and how to enjoy that gift.
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position I have an actual resume of my teaching career ... somehow I can't seem to find the digital copy of it.
It lists
how I started teaching in Community College as far back as 1978, all the places I taught at and the varieties of subjects in English (mostly Writing) and Theater, acting and directing.
If I am able to redo the
resume, I will send it or bring it in, if and/or when I am interviewed.
Thank you very much.
Mr John A. Medici
What are your goals in serving on this Board/Commission/Committee? Supplemental Questions
Acknowledgements
Acknowledgment No. 1 - General
ALL INFORMATION SUBMITTED IS A PUBLIC RECORD AND WILL BE POSTED ON THE CITY’S WEBSITE. All City Board, Commission, and Committee members serve without compensation from the City. No person shall serve at the same time on more than one Board, Commission or Committee. All applicants must be electors of, and actually reside in the City of Burbank, with the exception of the Burbank Cultural Arts Commission and the Sustainable Burbank Commission. (Per BMC Section 2-1-405, 2-1-406, 2-1-407) I Agree
Acknowledgement No. 2 - City of Burbank COVID-19 Vaccination Policy I have read the City of Burbank Covid-19 Vaccination Policy and hereby agree to provide proof of vaccination or either a medical or religious exemption form. Upon receipt of the application City Clerk’s Office staff will contact me with further instruction. Vaccination documentation will not be disclosable to the public.
I Agree
Mr John A. Medici
JOHN MEDICI AFTRA SAG, AEA
Mobile:
Home: or
E:
TELEV
ISION:
Comedy Central: Kroll show Murphy Brown Benson Moonlighting Who’s The Boss Daddy Dearest Oh Madeline General Hospital Quincy Soap Cagney and Lacey Hill Street Blues Washingtoon Mike Hammer Baby Comes Home Gangster Chronicles Jayne Mansfield Story
FILM: Serpico My Favorite Year The Mask
STAGE: L.A.
Solo Performances, Self – written.
AKA MEDICI PASTA, DREAD & MAZEL @ Back Alley Theater, Theater East, No Ho Renegade Are You Now or Have You Ever Been The Journalists @ Back Alley Theater.
Dead End at Sunset @ Theater East I Won’t Pay You @Renegade West Theater.
The Lucky O’Learys @ El Portal Theater. Skaters @ L A Actors Theater.
St. Jack @ Matrix Theater. Nevada @ Taper Forum LA.
Director: 40th Anniversary, 2008 Lovers and Other Strangers @ 69 Cent Theater.
BROADWAY: NYC. Lenny Lovers and Other Strangers
A D R: Rapid Fire I KE Rhinestone
REGIONAL & OFF-B’WAY:
Scapin The Odd Couple The Apple Tree
The Owl &The Pussycat Cactus Flower Torchbearers
Magic of Jolson The Typists Star Spangled Girl
The Mandrake Arms and The Man The Knack
Submit Date: May 26, 2022
Prefix First Name Middle Initial Last Name
Email Address
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Employer Job Title Occupation
City of Burbank Boards, Commissions & Committees
Application Form
Profile
Which Boards would you like to apply for?
Senior Citizen Board: Submitted
Length of time as a Burbank Resident:
43 years
Burbank Registered Voter?
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
Why are you interested in serving on a board, commission or committee? I am a retired school employee interested in becoming a member to discover the options available in the city to assist senior citizens as well as promote City programs. I would like to gain knowledge to share with others as well as be able to address problems and possible solutions to help fellow senior citizens.
Education
High school graduate with some college. As a former school employee working with special needs students for 23 years I have had extensive training and courses in assisting with the special population of students and you g adults.
Ms Kathryn A Bremmer
N. Buena Vista St.
Burbank CA 91505
Mobile:
Retired BUSD Classified employee Classified Employee
Ms Kathryn A Bremmer
Upload a Resume
Additional Pertinent Courses or Training
Other Pertinent Skills, Experience or Interests
I am currently a volunteer at Gain federal credit union where I have served for 18 years now.
Community Involvement
Specify current or prior service on a City Board, Commission or Committee:
N/A
List Community activities in which you are involved:
Before the pandemic I was quite active in classes at the Joslyn Center.
If you are related to any City of Burbank employee(s), please state their name(s), relationship(s), and department(s). If you are not related to a City of Burbank employee, please put N/A.
N/A
Conflict of Interest
Conflict of Interest:
Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect conflict of interest including a financial interest.
Are
you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the Board, Commission or Committee to which you seek appointment?
Yes
No
If you answer yes, explain in detail any potential conflicts in the same manner as required by the Fair Political Practices Commission’s Statement of Economic Interests (Form 700). (If
you should have any questions about this matter or need further information as it relates to your situation, please advise the City Clerk prior to submitting your application.) Ms Kathryn A Bremmer
AB 1234 Training
The Board, Commission or Committee (collectively Board) you are seeking appointment to provides City reimbursement for attending trainings or conferences. Therefore, under State Law all members of the Board must receive at least two hours of ethic’s training, as prescribed by the Fair Political Practices Commission, within one year of appointment and once every two years thereafter.
First Choice
FIRST choice for Board/Commission/Committee appointment:
I would like to serve on the senior citizens board
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position.
I am 68 year old senior citizen, retired from Burbank Unified schools as a special Ed instructional assistant as well as a campus supervisor.
What are your goals in serving on this Board/Commission/Committee? To learn and share information pertaining to senior citizens and what the city has to offer this population.
Second Choice
SECOND choice for Board/Commission/Committee appointment:
Describe any qualifications, experience, and education, as well as any technical or professional background you may have relative to the duties of this position What are your goals in serving on this Board/Commission/Committee? Supplemental Questions
Acknowledgements
Ms Kathryn A Bremmer
Acknowledgment No. 1 - General
ALL INFORMATION SUBMITTED IS A PUBLIC RECORD AND WILL BE POSTED ON THE CITY’S WEBSITE. All City Board, Commission, and Committee members serve without compensation from the City. No person shall serve at the same time on more than one Board, Commission or Committee. All applicants must be electors of, and actually reside in the City of Burbank, with the exception of the Burbank Cultural Arts Commission and the Sustainable Burbank Commission. (Per BMC Section 2-1-405, 2-1-406, 2-1-407) I Agree
Acknowledgement No. 2 - City of Burbank COVID-19 Vaccination Policy I have read the City of Burbank Covid-19 Vaccination Policy and hereby agree to provide proof of vaccination or either a medical or religious exemption form. Upon receipt of the application City Clerk’s Office staff will contact me with further instruction. Vaccination documentation will not be disclosable to the public.
I Agree
Ms Kathryn A Bremmer