Rheta Lastinger 12/31/201012/24/2008
Rheta Lastinger
5660 Collins Ave #16D
Miami Beach, Florida 33140
SUBJECT:-= Safety Committee
Congratulations! You have been reappointed by Commissioner Saul Gross
to the above referenced agency, board or committee for a term ending: 12131/2010.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
Sincerely,
//II ~ S~ '
~1~~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Clifford Leonard
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-2458, 2-459
Ordinance 2006-3543 -Amendment to City Code Section 2-22
Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.pov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305 673-741 1, Fax: (305) 673-7254
TO Rheta Lastinger
RE: Safety Committee
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the
United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of
a member of the above-mentioned board or committee of the City of Miami Beach to which I have
been appointed for a term ending: 12/31/2010.
I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code~(Conflict of Interest
and Code of Ethics Ordinance), as well as theF/orida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Emp/ogees, and understand that as a member
of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
I serve) on July 1st, following the closing of the calendarypar on which I have served.
Rheta`t:as>~nger j
Sworn to and subscribed before me this day of , 200
S' i"a Prie
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachFl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are commiHed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
,~ s ,
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the aty; this
requirement shall be fulfiNed in the following ways: a) an individual shall have been a resident of the aty for a minimum of six months; or
b) an individual shall demonstrate ovmershiplnberestfor a minirnrnn of six months in a business in the aty.
Resident of Miami Beach for a minimum of six (6) months: Yes ^ or No ^
Demonstrate an ownershipfMerest in a business in Miami Beach for a minimum of six (6) months: Yes ^ or No ^
I am app~ring for a Board appoirrtrrrent because I have gybes, Icnowfedge, experience: Yes ^ ~~~(~ X~~
My special abfiities, knowied9e. or experierroe vs: ~ }~
Are you a registered voter in Miami Beach: Yes No ^ /
~~ S'T ir/G~'i2 ~h~~
NAME:
First Name Midde Irk
Last Nye
Home: d o L v //lS /~ /~ I~,~~ ~/
Address: /%l f~-l~-/ / ,~'/T~-~JJ ,~ ~/ ~ U
No. Street Ciiy State Code
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Phone: ,~ U ~/' ~ ~ "J/7 ~ `_' ~ '~ ~
Home ~ Work Fax Email
^ ^ ~-~
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Business Name: Applicants Position:
Address: --
No. Street City State Z'ip Code
^ Owner ~ StockholdeNShareholder 0 Corporate Officer ^ Other Explain:
Professional t ioense (descxae)
1. Have you ever been convicUed of a felony: Yes ~ or No ~ H yes, please expla~ in detail:
2. Do you currently have a violation(s) of Ctly of Miami Beach cafes: Yes O or No~ tf yes, please explain ~ deta~
3. Do you cumenty owe the City of Miami Bead- any money: Yes ~ or No ~ If yes, explain in detail
4. Are you currently serv~g ar any Cry Boards ~ Correni~ex Yes ^ or Pic ty ff yes; whic~r board?
What organizations in the Cdy of Miami Beach do you currently hold membership ~?
Narr~: *-y~ G~ M ~
/ / // (~~ Tine- C7
Name: Title: " ~ v+
c'7 O
List all properties awned or have an artemst in, which are looted wtlhin the Crly of Miarrri Beath: ~ "~_ f^~
N ~
G/) ~ t!
O
tam now employed by the City of Miami Beach: Yes ~ or t~ If yes, which departrnent? ~ N
Pursuant to City Code Section 2-Z5 (b): Do you have a parent ~, spouse ~, child ^, brother ^, or sister ^ who is empbyed by the City of Miami
Bea~clt? Check all that apply. Identity the department(s):
" ~ ~.t~
Please list your prefererroes ~ order of ranking [1] first d'aice [2] seoorM dtoioe, and [3j third choice. Please note ghat oily three (3)
choices will be observed by the City Clerk's OtTice. (Regular Boards of City)
^ Housing AtdtroriRy"
^ Art in Pubic Places Conur~ee ^ Loan Review Corr'
^ Barrier Free Environment Comrrwttee
^ Beach Preservation Board
__~Beautificatiorr Canxrtifjee
^ Board of A~
^ Budget Advisory Committee
^ Committee on Homeless
Committee for QuaMy Educ~iore yr MB
^ Commrerrily De~relopmerrt Advisory'
^ Community Relations Board
^ Convention Center Advisory Board
^ Convention Center Capital Prajeds Oversight
^ Debarment Conurf~ee
^ Design Review Board'
.Fine Arts Board
^ Golf Advisory Comrreitbee
^ Health Advisory Corrert
^ Health Facilities Authority Board
^ Historic Preservation Board'
^ Marine Authority"
^ Miami Beach Cultural Arts Council
^ Miani Beach Commission on Stapes of VMomen
^ Miami Beach Fkrritia Sister Cities
^ Normandy Shores Loci Gov't Neigh. Improvement
^ Oversight Commdtee for General Obligation Bond
^ Parks and i~evea~tiore Far3ties Board
^ Parsormel Goad`
^ Planning Board'
^ Phoce Citizens Relations Committee
^ Prodr,c#iorr lredresi<y Coured
^ Pubic safety Advisory Coerrrrri6ee
safety Corrtrreittee
^ Transportation and Parking Committee
^ Yrsitor and Coreverition Arelhority'
^ Youth Caviler Advisory Boad
*Board Regrdred b Fite Static [>isclosune tornr
Note: ff appfyirg for Youth Advisory Board. please iredicabe your at~atiore wih the Scott Rakow Youth
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1. Past service on the Youth Cen1a Advisory Boad_ Yes ^ No ^ Yeas of Service:
2. Present pare ~ Youth Cerrter adev~es by your didren Yesfl Na ^_ [f yes. pie~ase ist the venires of yoer d~dren, their ages,
and whidt programs. List below:
Child's name: Age: Program:
Child's Warne:
This section is "not required" but desired: Age: ~~years old
Etfrnic~Opgin (Check one)
VVitite ^ ~ ~
Asian or Pacfic Islander ^ trfrettan or Maslore Nai6ve ^
Empbyment Status: Employeda~~\" _etirzed D Home-rnalcer ~ Other ^ .
"i hereby attest. to the aiaxeracy and ~ of the applfcatbon and ha~ie received, Wad and viriN abide by C~ap~lCr 2,
Amide the City Code `Sthrrdands of Caeduct for CRy Ollicasy /6npferyNS and Apcrrcy YwA~s,'
App!' nYs ~ Date Name of Appicauit (PLEASE PRINT)
Attadereeret Please aMach a Dopy of your reeuae b your apptie~orr.
NOTE: ~ will rennin on tie ~ a pallliod of are (1) caierair yMr:
s i 7%
Received in City Clerk's Office
Document Control Number (Assgned by the City
Gender: Male ^ Female ^
Entered
Deputy Clerk Date
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9!11/06 Ih