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Governors Offjee ‘Authorization for Release of Personal information and Waiver State of Novade ensue Clann. 1 authorize revi ad fll discos ofall ecards of my divers Mistry, cil ktory,edvesonlbackppund a well a records of _Deyrtment of Horan Resource and Child Supprt forcement and ecords of oa, sate, ad fdeaeriminal afte opens, {understand that ny lformation obtained by a percnal tory bckground nvtton which is dvelped dicey ing, pon his ress utoriaton wl sed in stein my subi forte appt Fa pve ular theeslogue ofthe aforementioned pasos! infra ony props) deemed by the Govemors OM nicely, nwo oe etal pasion oft 1 to bea prepa inthe ttemintion process of sh sity. 1 to cif that ny pesa() who ny fais such lfomation coneFning me il not ho eld sccoatble fe giving te iaformatian aod Td rey rele pose) fem ny and ll bly whlch ab Inu a esl oF Fusing sch nvomation. {herby elas rom ably promis to hol harmless der any ad all ces of legato the Site af Ne bl Sate, ofr, ag or nplys, aay and alps ols lish ay fr designated pees eis nthe purse of my kacrourd aves 1 hereby waive, without esevaton, any sight Lay have, now rin th oto examin, review or otherwise di Iacyroundivetigation ond al rested doument thereto, This wivr sal aly to any ight of aon of nyo occas to mel, mylar my ptsonal epeseattive() Apoyo ss rma vt gl fren gle poopy det on con ‘aye rend an ul uirstnd the contents ofthis suthorzato fo Releee of Pesos! Information Ds feta and the Department of oF opinion othe above ove the content of thie fe watsoover, tht may ginal grate James Nawies CaRrenree. boa Faltept Nine Siefae 14 Bewor Rpoe NRVE M Residence Street Address: Bex | Heaperson NV 59052 ei fo. Site as, Sea Sey Neate —— Dasbc Asonzten svbinrtn__NE vant ‘Name o Bond, Comms 5 Coomit, Athy, ene exo rps Pein of Te canon YESENIA PASTRANO Notary Fube Sate of Nevada ‘No. 09-11017-1 My Appt Exp, Aug. 14,2017 Page of | wileg [4e/T Sxare Amite eld masston) Bokp awe Mawar | c Aug rt wi 2ofy Technet be ccna ey eet rp te Friday, January 13, 2017 4:01 PM Boards StateWeb Gubernatorial Appointment Application ‘Data fiom form "Application" was received on 1/13/2017 4:01:24 PM. Design anew form. ‘Nevada Athletic Commission | MiddleName |Titte NickName KnownByOtherName [OtherLegalNameExplanation [na 01/30/1965 ‘Wilmington, CA Caucasian lUscitizen {USCitizentixplanation na vames Daniel Carpenter, Jr. 25 yrs Christy Lee Carpenter | 23 yrs isteredVoter Yes | CountyRegisteredVoter (Clark _LobbyingClients PreferredContactAddress ResidenceAddress |Email | HomePhone CellPhone County ContinuousResidentSince Hof YrsCurrentResidence ResidenceLast5 Years | BusAddress | JobTitle ‘License! Type [Licensel Number [LicensetissueDate {License number [License2IssueDate |Li License2 |DetinguentFiting Bankruptey asa 14 Brookridge Drive Henderson, NV 89052 |2505 anthem Village Drive B-594 Henderson, NV 89052 Medical 926 (05/09/1999 Yes Miraleste ‘High School, ; Torrance, CA/ Diploma 1989 )BA/Psycholozy USC - 1991 BS/Biological ‘Sciences [Kansas City University of Medicine and Biosciences - 1996-1 =D.0. | Field 'StateGrantMonies | EmbarassGovernor [ConflietOfinterest | ServelnStateOnice | ServeinstateOficeExplanatio ‘Email "Gubernatorial Appointment Application" originally sen 0 eee on 1/13/2017 4:01:24 PM, The following were alo $n cp Ea n [Nevada State Athletic Commission 1. alication for Appointment to Position Trust (R) Completion of this application packet and a successful background check is a requirement for your appointment by the Governor to a Board, Commission, Committee, Authority, of other Position of Trust. Information submitted on this form may be subject to public disclosure under NRS Chapter 239, Publie Records. Attach additional sheets for additional space if needed for explanations. Applying for:__Nevada State Athletic Commission _ ‘Nant of Boa, Commision, Commie, Aubority, Gena Ava of lees, or specific Postion of Trast Biographical Information Legal Name:,@anpentén ___ James Daniel = ast First Mile Omr. OMs. OMrs. Other:Doctor ‘Nickname or Preferred Name:_"Carp” (Chest veo itn “ote Have you ever been known by any other legal name? YesQ. No® Tf Yes” list and explains DOB: 1/30/1965 African American Asian/Pacific IslanderO — Cancasian@ HispanicO Native American © ‘Ate you aUS. Citizen: Yes@ — NoOIf“No” explain: Ifyou ate a naturalized citizen, date of naturalization: If “Yes, list place of birth: ‘Are youa Veteran? YesQ No@ ‘Are you a rogistered Nevada Voter? Yes © No © If “Yes” list county of registration:_Clark. Political Affiliation: _Republinan /_ Independent Have you changed your political aflliation at any time in the last two years? Yes No@ Are you a registered lobbyist? YesQ No@ —_If“Yes" list clients: Preferred contact address Residence @ Business Q Home E-mailQ Office E-mail @ Residence Address._2805 Anthem Village Drive E-594 Henderson NV 89052 See iy Site Zip nai: cto on; ‘Since what year have you been a continuous resident of Nevada’. Page 1 of 3 Yes@® NoO Have you lived in your current residence for a least five year? Ifless than five years, ist each city of residence during the last five years: City, State From Month/Year ‘To Month/Year Professional Information Present Employer: Self employed / Eye & Cosmetic Surgery, LLC CompanyBusiness Nome Business Address: 2517 E. Lake Mead Blvd. North Las Vegas NV 29030 ‘Steet, cy sie zip sl Job Title/Responsibilities: Owner /_ Eye and Facial S Business Phon: Identify all of your professional license(s) and the following information. Specify if your license(s) are in a name other than the legal name you listed on page 1 Continuously active since Issuance issuance? If no, please explain ‘Type of License License # Date ona separate page 4.NV Board of Pharmacy (0505339. soisiao12_ Yes® NoO 3, See Attached Kducational History ~ specify school attended, year of graduation and type of degree received High School or high school equivalence (G.E.D.): Miraleste High School Undergraduate: U.S.C.; BA, Psychology, 1989 _ BS, Biology, 1991 Graduate: St. Francis Medical Center, Dept. of Ophthalmology, Pittsburgh, PA. References 1. Sig Rogich_ res. Rogich Communication Group NV goat Nome TilelComgay site “ip 2 Richard Steele Owner / Boxing Club NV 89032 Name TileConpy ste ip 3. Peter Mahou Owner / Global inteligence Nv 89123 ‘Name TileConpany sie Zip Page 2 0f3 Backgroiind Informs Ifyou answer “Yes” to any of the following que 2. 16 1 certify that the facts containe ( ns, please submit an explanation on a si ion ( Have you ever had your driver's license suspended or revoked? Have you ever been attested or been the subject of criminal complaint ot indictment? , other than a Have you ever been convicted of, pled nolo contedere or pled guilty toa minor traffic offense? Have you ever hal any grievance or complaint filed with any bonrd that regulates your professional ficense(6), orld a professional license suspended, revoked, or modified? Have you ever bad a public order, private order, or any other type of sanction or reprimand entered against you or your professional license? Have you failed to file federal income tax retums for any of the past five (5) years? ‘Ate you, or is any company in which you had a controlling interest, delinquent in filing any local, state or federal taxes? Have you, or has any company in which you had a controlling interest, ever been investigated, reprimanded, of fined by a state or federal agency? Haye you, or has any company in which you had a controlling interest, ever been suspended from doing business with any state or federal agency? Do you have any pecuniary interest in any company thet does business with the State of Nevada? ‘Are you, or any organization that employs you, the recipient of any slate grant monies? Do you serve on any local or state board, commission, councit, authority, or in any elected office? Ifyes, please list. ‘Are you aware of any conflict of interest that might result from your appointment? Ifyou are applying for a position on a multi-member board, commission, committee or other public body, are you related to any other member within the third degree of consanguinity or affinity? Have you served in any branch of the military? Ifyou have served in any branch af the military, have you received anything other than an honorable discharge? Yes © No® Yes O No © Yes Q No © Yes © NoO Yes © NoO Yes O No © ‘Yes O No © Yes O No @ Yes O No © Yes O No © Yes © No @ Yes © No © Yes O No © Yes O No © Yes Q No © Yes © NoO application are true and correct to the best of my knowledge. I have reviewed the statutory requirements governing boards/commissions in which I have expressed interest and confirm that 1 mest those requirements. 1 authorize investigation of all statements contained herein. I further authorize any person to give you all the information concerning my qualifications and any pertinent information he or she may have, personal or otherwise, and release all persons who provide you with infoy from furnishing the same to you. x Date Page 3 of 3 fion concerning my qualifications from all liability for any damages that may result + te alaltd GUBERNATORIAL APPOL MENT LIMITED BACKGROUND INVESTIGATION James Daniel Carpenter, D.O. AS Continued Page 2 of 3 ‘Type of License License # 3. Instrument Helicopter Pilot 3264024 4, NV Board of Osteo. Medicine 926 5, AZ Board of Osteo, Medicine 3336 6. USA Boxing, NV LBC 2730963499 7. Medical Certificate 3" Class 2000238673 Issue Date 12/13/2010 05/09/1999. 06/01/1999 07/01/2005 04/22/2013 Continuously Active Yes Yes ‘Yes Yes Background Information - Question 4 Explanation of Bankruptcy James Daniel Carpenter, D.O. After the 2008 recession, a commercial real estate property owned by one of companies and personally guaranteed by me was substantially underwater. | was forced to file a voluntary bankruptcy. Arizona Board of Osteopathic Examiners in Medicine and Surgery 9595 E. Doublevee Ranch Road, Scotsdalo, AZ 85256 November 4, 2015 James Carpenter, D.O. Eye & Cosmetic Surgery Center of NV, LLC 2505 Anthem Village Dr. Ste E594 Henderson, NV 89052 Dear Dr Carpenter: ‘This eter is your receipt to show you have successfully renewed your license 3336 to practice osteopathic medicine In the State of Arizona, Your license valid until 12/31/2017 et which time it must be renewed, $636.00 Renewal Fee 8636.00 TOTAL FEES PAID Please remember you must atiend forty (40) hours of Continuing Medical Education (CME) in the two (2) Years prior to your nest renewel. CME must Include at least twenty-four (24) hours of Category I-A activities sponsored by an AOA accredited sponsor. The belance may consist of any ettegory of CME, including CME activities sponsored by an accredited AMA or ACCME provider and certified by the aceredited provider as AMA PRA Category 1 credit If you have a change of eddress, you are required to notlly the Board in writing within ten (10) days or Use the onlin change of address to enter the new address(es) youself, OPTIONAL DISPENSING REGISTRATION: Your license does not include authority to dispense ‘medications from your office. If you intend to dispense prescription medications andor controlled substances trom your offie, you must complete the “Initial Registration to Dispense Medication Form” from the Bonra's website end send it along with the registration fee to the Board offic, ‘Thank you for choosing to continue to provide healthcare to the citizens of he State of Arizona. Respectfully, Licensing Di Dr. J.D. Carpenter ‘Madial Dieter Not. tan ooo Henderson 408708: aston Ave, Sue 103 onde, WY wo0se leve& COSMETIC SURGERY CENTER OF NENADA, LLC [December 11, 2007 ‘To Whom It May Concern: RE: James Daniel Carpenter, DO ‘Nevada License #926 1, James Daniel Carpenter am pleased to report that as of December 2007 the Nevada State Board of Osteopathic Medicine has given notice that my license in Nevada is active and in good standing. | This has been a five year political entanglement in which I agreed to j comply with all request made by the State licensing Board, | The representative for the Licensing Board has reported that all inspections of charts and patient care within my practice have met with the standard of care, please see attached letters. ‘Your attention to this matter is greatly appreciated and I am thankful to have this behind me. However if there are any questions or additional information needed, please do not hesitate to call my office. | ‘STATE OF NEVADA JIB GIBBONS ‘Governor (MEMBERS: Danlel K. Curtis, D.O. ‘Matthew J. McMahon, D.O. Liga Miller Roche, Esq. Paul Kalohas, D.O. ota Rosaschi, MP.A. . Dean Mine, D.O. www.osten.state.nv.us Michael J. Ceovett, J, D.O. February 14, 2008 RE: James Carpenter, D.O. To Whom it may Concer: ‘This letter states that James Carpenter, D.O. has fully complied with his monetary obligations as well as the stipulations of his settlement agreement. This is to be interpreted as meaning that Dr. James Carpenter's Ifcense is unrestricted and without any conditions or limitations as well as being active and in good standing, Should you need any further information or if the Board can assist you in anyway, please do not hesitate to contact us. ‘Thank you. on ee State Board of Oxtenpathic Medicine 2275 Corporate Circle, Suite 210 Henderson, Nevada 89074 Led ‘www.bom.nv.gov oro nc 0 a> Osteopathic Physician and Surgeon J. Daniel Carpenter, D.O. 2505 Anthem Village Dr, HES94 Henderson, NV 89052 It any information is not correct, notify Nevada State Board of ‘Osteopathio Medicine at (702) 782-2147 or fox (702) 792-2078, teoputhie Medicine as ra oo ‘Meuada State Board of | 2278 0% J. Daniel Carpenter, D.O. License#: 926 Issued: 05/09/1999 Expires: 4231/2017 License Status: Active sro m6) on <> Background Information — Question One Explanation of State License being on Probation: James Danie! Carpenter, D.O. October 2006 the Nevada State Board of Osteopathic Medicine held a hearing regarding questions of care for my patients and their records, The Board placed my Nevada License on a two (2) year Probation with my records being audited four times a year. December 2007 the Nevada State Board of Osteopathic Medicine verified that my two (2) year Probation had met the boards requirements and my Nevada license was reinstated to an Active status, James Daniel Carpenter, Date 7 STATE OF NEVADA BOARD OF OSTEOPATHIC MEDICINE, 2860 E, FLAMINGO ROAD, STE. D us oes INV 89121-5270. MEMORANDUM 10; \DANTEL CARFENTER, D.O. cc [LARRY TARNO, D.O,, EXECUTIVE DIRECTOR AND BOARD MEMBERS, ET.AL. are: pscewaen 207 mom: chmmynaxazty.gxecutivs apamnismaror (7 fm RELEASE OF >RODATION ORDER ‘This notice seeves to provide contitmation that al requted stipulations given upon De, Carpenter by board action, taken in October of 2005, have ll been satisfied within the proper amount of time. Because of this it was discussed at the Board Meeting on December 1,2007 at 9:00am that althotigh the item was mistakenly lef off the agenda, at the next meeting which wil be held within the thee week of Jamuaty of 2008 the board will take definite action to formally release Dr. Daniel J. Caspentes, D.O. ftom probation status of his Nevada State Bousd of Osteopathic Medicine License #926, Ifyou have any further questions or woul le to confitm this information, please fee fee to contact ne st aT (ashi, Neveds Sato- Board of Ostepatic Meine ay) pe 7 (BUND De US TAY, Licensee Information Nevada State - Board of Osteopathic Medicine Verification ATHTO MEDICINE Licensee Information License Details Name: J. Danie! Carpenter License Type: D.O. License ‘Adios: 1669 W Hoizon Ri Phy, #100 LUcense Number: 928 Handareon, NY S012 License Status: Active chet Bees Effective: 05/08/1999 lie Expres: 1213112017 School: University of Health Selences College of Osteopathic Medicine Kansas City Resldency:St. Francis Medical Center (Rosidency) (S877 20000590) fueson Medical Contr (Intomship) (1996- O70 to 1987-08-30) ‘Specialty: Ophthalmology License History License License Number License Date Status | D.O. License 28 (0170172006 to 1278172017 ‘Aalve D.O. License 928 40/26/2005 to 12/31/2007 Probation Completed D.O, License 928 (05/09/1999 to 10/25/2005» ative Disciplinary Action Action Type Dato of Action Status Formal Disciplinary Complaint = 1471472008 Seltied Download Fulfilment of Settlement Agreement - Other 02/14/2008 Download Settlement Agreements - Other 0530/2008 Download Fornal Disciplinary Complaint arari2008 Soltled Download Forme! Disciplinary Order +1102/2005 Download Formel Disciplinary Compiaint 0711372004 Board Order Download Other State Disciplinary Actions Reporting Entity Action Date _ Novada Stato Board of Osteopathic Medicine o7rzar2008 Nevada State Board of Osteopathic Medicine 110212005 Malpractice Claims __ Court cas # Date Status Loss Location ‘A16-724800-6 08/00/2016 Open iar County, NY O7A546406 _0s(14/2007 Settled Clerk County, NV osasti972 70/21/2005 Dismissed Eighth Judicial District Court, Clark County, NV osasaz299 041472005 Dismissed _Eighth Jucictal Distict Cour, Cark County, NV o3a475979, “10412003 Dismissed Clark COunty, NV o3nas7o75, 05/21/2008 Dismissed Eighth Jugicial District Court, Clerk County, NV ipsicensek2system com/AcensngPblclap omnpanent-viewLicenseabageilcenscaSearchtsorvico=dreciRsessior-TEsp=2014eseteticensenSeo.... 12 Explanation of State License being on Probation: James Daniel Carpenter, D.O. October 2005 the Nevada State Board of Osteopathic Medicine held a hearing regarding questions of care for my patients and thelr records. The Board placed my Nevada License on a two (2) year Probation with my records being audited four times a year. July 2006, Rajy M. Rouweyha, M.D. Is the Board appointed auditor who has been reviewing my charts, has reported to the Nevada Osteopathic Board that all ‘examinations have supporting documentation and meat the standard-of-care for ophthalmology. My reviews are current and in good standing. My thoughts are always to serve my patients to the best of my medical knowledge and ability. | maintain my desire to be the best physician | can to every patient that ! treat. > (ly levee | COSMETIC, SURGERY | CENTER OF NENADA, LLC ‘December 11, 2007 08.4.2. Carpenter j ‘To Whom It May Concern: IRE: James Daniel Carpenter, DO Soimiecwoae , | Nevada License #926 tse Von, e8E00| {1, James Daniel Carpenter am pleased to report that as of December 2007 the Nevada State Board of Osteopathic Medicine has given notice that my |license in Nevada is active and in good standing. tendesan Siegen ne, | Hndestn,nverose | ‘This has been a five year political entanglement in which I agreed to PEP ith al cequest made by the State licensing Board. ' The representative for the Licensing Board has reported that all inspections of charts and patient care within my practice have met with the standard of | care, please see attached letters. | Your attention to this matter is greatly appreciated and I am thanicful to ‘have this behind me, However if there are any questions or additional information needed, please do not hesitate to call my office. niel Carpenter, DO | Attachments STATE OF NEVADA BOARD OF OSTEOPATHIC MEDICINE 2860 E, FLAMINGO ROAD, STE, D Las BAS Ny pS MEMORANDUM 70: ce: DATE: FROM: RE: DANIEL CARPENTER, D.O. LARRY TARNO, D.O, EXECUTIVE DIRECTOR AND BOARD MEMBERS, TAL. DDECEMORR 7, 2007 cama xm xncurweanoasisexron CL RELEASE OF PROBATION ORDER board action, taken ia October of 2008, have all been sit ‘This notice serves to provide confitmation that all requited stipulations given upon Ds. Caxpenter by sd within the proper amount of time, Because of this it was discussed at the Bosed Mecting on December 1, 2007 at 0am tht although the item was mistakenly left off the agenda the next meeting which will beheld within the third week of Junuaty of 2008 the bosed wl nce definite action to formally elease Dr. Daniel J. Carpenter, D.O. ftom probation status of his Nevada State Board of Osteopathic Medicine License #926. {you have any further questions ot would lke to confirm this information, please feel free to conte ne aT Cig 0, IM, GIBBONS STATE OF NEVADA (Governor Executive Director MEMBERS: DanletK. Curtis, D.O. Matthew J, MeMahon, D.O. as BOARD OF OSTEOPATHIC MEDICINE 2860 E. Flamingo Road, Suite D Las Vegas, Nevada 89121-5270 sa titer Roche, Esa. Pau! Kelekas, D.O. Rota Rosaschi, MPA, €., Dean Milne, D.O. www.osteo.state.nv.us Michael J. Crovettl, Jr, D.O. February 14, 2008 RE; James Carpenter, D.O. ‘To Whom it may Concern: ‘This letter states that James Carpenter, D.O. has fully complied with his monetary obligations as well asthe stipulations of his settlement agreement, This is to be interpreted as meaning that Dr. James Carpenter's license is unrestricted and without any conditions or limitations as well as being active and in good standing. Should you need any further information or if the Board can assist you in anyway, please do not hesitate to contact us. Thank you. LARRY 4. TARNO, 0.0. ‘This document may be used in the ereation of the news release regarding your appointment. Please make sure all information is ACCURATE and CURRENT. NEWS RELEASE CHECKLIST For Executive Appointments Pull Name;_Dr, James D. "Carp" Carpenter Curent City of Residenos: Hendereon, Neve Education; USC: BA-Paychology, BS-Biology /_ UHS-COM: DO, Kansas Gy, MO__ Work History: Please Attach Please list any professional affiliations, civic and/or community groups, ete. Please see attached C.V. Thank you, ‘Information requested may be attached in existing biographical format for convenience. DR. JAMES DANIEL CARPENTER, DO, B.S. EYE AND FACIAL SURGEON » BA RECEIVED Mailing Address: Eye & Cosmetic Surgery, LLC 2505 Anthem Village Dr. Suite E-594 MAY 13 2015 Henderson, Nevada 89052 Business Address: 3210 B. Lake Mead Blvd. (15 Years) N.Las aii Nevada 89030 1669 W. Horizon Ridge Parkway #100 Henderson, Nevada 89012 P| Date of Birth: 30 January, 1965 Place of Birth: Wilmington, California Citizenship: USA Preceptorship: County USC/Doheny Eye Institute Observed and assisted in the clinic, Operating Room, rounds & research 1985-1991 ‘Undergraduate: University of Southern California BA, Psychology 1989 BS, Biology 1991 i Minor, (Honors) Bioethics, 2991 Medical School: University of Health Sciences-COM Degree DO- Cum Laude Kansas City, Missouri 1992-1996 Internship: ‘Transitional Year Program — ACGME ‘Tucson Medical Center and Kino County Hospital 1996-1997 Residency: St. Francis Medical Center Department of Ophthalmology 4401 Penn Ave, Suite 1060 Chief Resident: Ass’t Clinical Professor: Board Certification: Private Practice: Pittsburgh, PA 15224 1997-2000 St. Francis Medical Center Department of Ophthalmology ~ Same 1997-2000 ‘Touro University College of Medicine Clinical Faculty of Surgery 2000-2004 ‘American Board of Ringside Medicine, Current Eye & Cosmetic Surgery, LLC Medical Director, 13 years 2000-Current Master’s Boxing Champion: Belted Heavyweight, Kansas City U.S. Olympic Physician: PBC / Al Haymen: Golden Boy Promotions: Big Knockout Boxing: Prime ‘Time Boxing: HBO Physician: Showtime Physician: MT USA Boxing: State Licensure: Laser Certifie: ‘Traveling Physician for U.S, Olympic Boxing Team CBS Boxing Surgeon Personal Surgeon for post-boxing lacerations and trauma Personal Surgeon for post-boxing lacerations and trauma Personal Eye & Facial Surgeon Personal Eye & Facial Surgeon Personal Physician and Surgeon, All Access. Canelo V. Lara YouTube.com/watch?v-LwiZzAqKiw 15:55. Surgeon to Floyd Mayweather, Jt. Master’s Boxer, Current Arizona #3336 2000 — Current Nevada #926 2000 ~ Current St. Francis Medical Center Part A and Part B Aireraf/Helicopter/Hangar Owner and Pilot: Organizational Support: Peer Review Bibliography: Peer Review Conferences: Book Reviews: Published Abstracts: Henderson Hangar and King Air £90 Aircraft Owner American Academy of Ophthalmology ‘American Academy of Cosmetic Surgery ‘American Society of Cataract and Refractive Surgeons Christian Ophthalmology Society ‘Aircraft Owners and Pilots Association McDonnell JM, Carpenter JD, Jacobs P, Wan WL, Gilmore JE: ‘The Investigation of Melanocytie Pediatrie Ocular Nevi: Ophthalmology 96:986-993, 1989 Jan M. McDonnell, Narsing Rao, James Carpenter W. Lee Wan, John Gilmore, Ronald Smith Melanocytic Conjunctival Lesions in Children. AAO. Annual Meeting 1998 McDonnell JM, Carpenter JD, Jacobs P, et al “American Academy of Ophthalmology Basic and Clinical Science Course- Pediatric Ophthalmology And Strabismus 1998. Carpenter JD, Kramer TR, Wiicezynski SP Human PapillomaVirus DNA Is Not Detected in Choroid And Retina Pigment Epithelium in Eye Bank Eyes By PCR: Investigative Ophthalmology & Vision Science February 15, 1996 Vol. 37 No. #193 Carpenter JD, Pickfor MS, Frambach DA: Rabbit RPE Transport and RPE Morphology Are Altered By Long Term Retinal Detachment: Association of Research and Vision in Ophthalmology Ophthalmology 2090-17; 5-05-06-92 Sun Yan Yu, Carpenter JD, McDonnell JM: Prevalence of Human Papillomavirus DNA In Asymptomatic Patients: Association Vision & Research in Ophthalmology 249:5, 05-06-92 References: McDonnell JM, Rao NA, Carpenter JD, Wan WL, Gilmore JE, Smith RI Melanocytic Conjunctival Lesions in Children: ‘American Academy of Ophthalmology 95:18, 1988 Carpenter JD, Barber JC: Persistent Corneal & Conjunctival Damage Following Oleoreson Capsicum ‘(Pepper Spray) Exposure, Association of Research and Vision in Ophthalmology. 39:04, 1998 Sig Rogich RCG LV, NV 89141 Bob List Ex-Governor of Nevada Joe Brown Ex-NAC Commissioner ‘Adam Laxalt Attorney General Nevada Richard Steele Steele Boxing NLV, NV 89032 Jay Nady Boxing Referee Pete Bliades Las Vegan Robert Gasperri __Goldenboy Promotions, LLC Dawn & PatBany Amateur Boxing Coordinator NV Armando Big Knockout Boxing and Prime ‘Time Television James Dan Carpenter studied at the University of Southern California. During his time there, he worked as a precept at the County USC/Doheny Eye Institute and graduated with degrees in Biology, Psychology and a minor with honors in Bioethics. He completed his osteopathic medical school training at the University of Health Sciences in Kansas City Missouri, where he graduated cum laude. He then completed a transitional year of training at the Tucson Medical Center in Tucson, Arizona. Dr. Carpenter finished his three-year ophthalmology residency in Pittsburgh, Pennsylvania at the St. Francis Medical Center where he had extensive dermato-cosmetic training as well. As the founder of the Eye & Cosmetic Surgery Center of Nevada, he has been serving his patients in the Las Vegas and Henderson, Nevada area for over 10 years, offering glaucoma detection, cataracts and refractive surgery, cosmetic surgery and pterygium removal and transplantations. He is the first eye surgeon in the state of Nevada to offer his patients the most advanced detection possible for glaucoma using the highest resolution OCT3 laser. For patients undergoing cataract surgery, Dr. Carpenter uses the IOL Master: a new laser system that offers the most accurate and precise method of calculating a person's intraocular lens power. With a no injection, no stitch, clear corneal method of cataract surgery, his methods expedite a patient's visual recovery. Dr. Carpenter also utilizes the latest laser and microsurgical techniques for all services, including micro-dermabrasion, Botox injections, surgery on upper and lower lids and removal of fat pads. Since Dr. Carpenter is an eye and facial surgeon, most vision and facial procedures done at the Eye & Cosmetic Surgery Center are covered by medical insurance. He is an active member of the American Academy of Ophthalmology, the Refractive Surgeons and the Christian Ophthalmology Society. He has numerous published peer review journals, abstracts and a book review. His interests are golf, boxing and surfing. JAMES DANIEL CARPENTER, DO, B.S. EYE AND FACIAL SURGEON Mailing Address: Bye & Cosmetic Surgery, LLC 2505 Anthem Village Dr, Suite E-594 Henderson, Nevada 89052 Business Address: 2517 B, Lake Mead Blvd. (3 Years) ‘N.Las Vegas, Nevada 89030 1669 W. Horizon Ridge Parkway #100 Henderson, Nevada 89012 Date of Birth: 30 January, 1965 Place of Birth: Wilmington, California Citizenship: USA Preceptorship: County USC/Doheny Bye Institute Observed and assisted in the clinic, Operating Room, rounds & research 1985-1991 ‘Undergraduate: University of Southern California BA, Psychology 1989 BS, Biology 1991 Minor, (Honors) Bioethics, 2991 Medical School: University of Health Sciences-COM Degree DO- Cum Laude Kansas City, Missouri 1992-1996 Internship: ‘Transitional Year Program — ACGME ‘Tucson Medical Center and Kino County Hospital 1996-1997 Residency: St, Francis Medical Center Department of Ophthalmology 4401 Penn Ave, Suite 1060 Chief Resident: ‘Ass’t Clinical Professor: Board Certification: U.S. Olympic Physician: Golden Boy Promotions: State Licensure: Laser Certification: Aircratt/Helicopter/Hangar ‘Owner and Pilot: Organizational Support: Peer Review Bibliography: Peer Review Conferences: Pittsburgh, PA 15224 1997-2000 St. Francis Medical Center Department of Ophthalmology — Same 1997-2000 Touro University College of Medicine Clinical Faculty of Surgery 2000-2004 American Board of Ringside Medicine, Current Eye & Cosmetic Surgery, LLC Medical Director, 13 years 2000-Current ‘Traveling Physician for U.S. Olympic Boxing Team Personal Surgeon for post-boxing lacerations and trauma Arizona #3336 2000 ~ Current Nevada #926 2000 — Current St, Francis Medical Center Part A and Part B Henderson Hangar and King Air £90 American Academy of Ophthalmology ‘American Academy of Cosmetic Surgery ‘American Society of Cataract and Refractive Surgeons Cristian Ophthalmology Society Aircraft Owners and Pilots Association McDonnell JM, Carpenter JD, Jacobs P, Wan WL, Gilmore JE: ‘he Investigation of Melanocytic Pediatric Ocular Nevk: Ophthalmology 96:986-993, 1989 Jan M, MeDonnell, Narsing Rao, James Carpenter W. Lee Wan, John Gilmore, Ronald Smith Book Reviews: Published Abstracts: References: ‘Melanocytic Conjunctival Lesions in Children. AAO ‘Annual Meeting 1998 ‘McDonnell JM, Carpenter JD, Jacobs P, et al Conjunctival Melanocytic Lesions in Children. ‘American Academy of Ophthalmology Basic and Clinical Science Course- Pediatric Ophthalmology And Strabismus 1998. Carpenter JD, Kramer TR, Wileczynski SP Human PapillomaVirus DNA Is Not Detected in ‘Choroid And Retina Pigment Epithelium in Eye Bank Eyes By PCR: Investigative Ophthalmology & Vision Science February 15, 1996 Vol. 37 No. # 193 Carpenter JD, Pickfor MS, Frambach DA: Rabbit RPE Transport and RPE Morphology Are ‘Altered By Long Term Retinal Detachment: ‘Association of Research and Vision in Ophthalmology Ophthalmology 2090-17; 5-05-06-92 Sun Yan Yu, Carpenter JD, McDonnell JM: Prevalence of Human Papillomavirus DNA In ‘Asymptomatic Patients: ‘Association Vision & Research in Ophthalmology 249:5, 05-06-92 ‘McDonnell JM, Rao NA, Carpenter JD, Wan WL Gilmore JE, Smith RE: Melanocytic Conjunetival Lesions in Children: ‘American Academy of Ophthalmology 95:18, 1988 Carpenter JD, Barber JC: Persistent Corneal & Conjunctival Damage Following Oleoreson Capsicum (Pepper Spray) Exposure. Association of Research and Vision in Ophthalmology. 39:04, 1998 Richard Steele Steele Boxing NLV,NV 89032 Sig Rogich RCG LV, NV 89141 Peter Maheu Global Intelligenee LV NV 89123 Pete Bliades Dr. J.D. Carpenter Cphihsime Phystlan Surgeon ‘Noah Las Yooas 2517 €, Lake Mead Blvd, Nas Vogas, NV 8080 Handrson 469 HatonFlégo Pay. Suit #i00 Henderson, NV 30012 EVE & | COSMETIC SURGERY LLC Siem vice January 14,2014 Nevada Governor Brian Sandoval 101 North Carson Street Carson City,NV 89701 Dear Governor Sandoval, Tam requesting to be considered as a candidate for any impending opening on the Nevada Athletic Commission. My past experiences for serving under you for this post include, but are not limited to: past Physician for the US, Olympic Boxing Team - responsibilities included overseeing the administration and health of our U.S. Boxers in foreign lands. I am board certified in Ringside Medicine. I have volunteered for the past 10 years helping the local amateur boxing organizations, I am also the physician and surgeon for Golden Boy Promotions, LLC in Las Vegas, Nevada. Thave enclosed my CV and Board Certification for your review and consideration. References include Richard Steele, Pete Eliades, Sig Rogich, Jay Nady and Peter Maheu. I would serve this appointment with the upmost integrity. ‘As discussed at our last meeting, I have also enclosed a few “yet limited” articles on Las Vegas and its connection to the birth of the State of Israel. Highest Regards, Dr. James “Dan” Carpenter Enclosures Od ononay “pusgny 7 Toe 2 aads ayy us azwatfiyaea gaday St Ubijuulmura ay) passed SSOIOMS WUY S, waainbad ay} fo ye parfsyus butavy Jaquiaw Suypunay Iqadsey jarurqg ‘(31g 1UYy) Sau 6 la aes A bury, fo “Oswalt ize “ACISONTY Jo CAVO

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