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Anabel Evora 12/31/2010 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39, www miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 01-21-2009 Anabel Evora 245 Bard St. #5 Miami Beach, Florida 33141 SUBJECT+. Miami Beach Commission For Women Congratulations! You have been appointed by Commissioner Victor M. Diaz, Jr. to the agency, board or committee named above for a term ending: 12/31/2010. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, ,J Robert Parcher City Clerk cc: Saul Frances, Parking Director Ana Cecilia Velasco 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, 2-458 and 2-459 Ordinance No. 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 Employee We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. Ci1~- of INiand Math, 1700 Convention Center Drive, Miami Bench, Fbrida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (305) 673-7411, FAX: (305) 673-7254 TO Anabel Evora RE: Miami Beach Commission For Women 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 ~cers and Employees, 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 calendar year on which I have served. Anabel Evora Sworn to and subscribed before me t ~~_~ day of ti , 200' Silvia Prieto ~a ~i'L~i{~ ~iP1~~o 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 committed ro providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community. NAME: P/,!A~~~~I BEACH HOME ADDRESS: Last Name No. i ~j-First Nam/\~ ~ Middle Initial Street City State Zip PHONE: c3~~ "7"~ ~ ~~/~i !V//~B-~`Z ~ E/~i4t~ y'~~~L.~ Home Work Fax Email address ~ Business Name: ~G -~'i" fc%~C/~- ~ 7d~b~ion: Address: :~ ~3~y7 ~r` ~/~;~ No. Professional License (describe) Street s/L- City ~ State Zip Code Expires: Attach a cop} of the license Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall hav been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownershiprnterest for a minimu of six months in a business established iri~the city. • Resident of Miami Beach for a minimum of six (6) months: Yes or No 0 • Demonstrate an ownership/interest in a business in M' mi Beach for a minimum of six (6) months: Yes or No ^ • Are you a registered voter in Miami Beach: Yes~or No ^ • (Please circle one): I am now a resident of: South Beach Middle Beach • I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) ^ Affordable Housin Adviso Committee ^ Historic Preservation Board* ^ Art in Public Places Committee ^Housin Authori ^ Beach Preservation Board ^ Loan Review Committee* ^ Beautycation Committee ^ Marine Authorit * ^ Board of Ad~ustrnent* ^ Miami Beach Commission for Women ^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council ^ Ca ital Im rovements Oversi ht ^ Miami Beach Florida Sister Cities ^ Committee on Homeless ^ Normand Shores Local Gov't Nei h. Im rovement ^ Committee for Qualit Education in MB ^ Parks and Recreation Facilities Board ^ Communit Deveio ment Adviso ^ Personnel Board* 0 Communit Relations Board ^ Plannin Board ^ Convention Center Adviso Board ^ Police Citizens Relations Committee ^ Cultural Arts Nei hborhood District Overla CANDO ^ Production Indust Council ^ Debarment Committee ^ Public Safet Adviso Committee ^ Desi n Review Board* ^ Safet Committee 0 Disabilit Access Committee ^ Sin le Famil Residential Review Panel ^ Fine Arts Board ^ Sustainabilit Committee ^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabilit & Accountabilit Committee "TRAC" O Golf Adviso Committee ^ Trans ortation and Parkin Committee ^ Health Adviso Committee ^ Visitor and Convention Authorit ^ Health Facilities Authorit Board ^ Youth Center Adviso Board ^ His anic Affairs Committee * Board Required to File State Disclosure form C[TY QF MtAMI BEkGH BOi~R© kN© COMMITTEE APP~iCA T ION FORWI .,~~R\~A~L\Escarc a '.ommitt~es\~a'~ Appii,~auo~'~i6~::: Apnii~ati~,, P.evi~h 30€.ooc Note: If applying for Youth Advisory Board, please indicate your affi 1. Past service on the Youth Center Advisory Board: Yes No 2. Present participation in Youth Center activities by your ild ages, and which programs. List below: Child's name: Child's name: .Have you ever been convicted of a felony: Yes ^ or No with the Scott Rakow Youth Center: of Service: ;_ Noes, please list the names of your children, their Program: Age: Program: yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No [,~f If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ^ or No?~ tf yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes ^ or No~lf yes; which board? • What organizations in the City of Miami B do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: • I am now employed by the City of Miami Beach: Yes ^ or No'~Which department? • Pursuant to City Code Section 2-25 (b): Do you have a parent G, spouse ~, child ~, brother ~, or sister ~: who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): This section is "not required" but desir :Age: Ethnic Origin (Check one) White ^Afrlcan-American/Black ispanic: ^ years ofd Gender: Male ^ male ^ n or Pacific Islander ^ American Indian or Alaskan Native 0 "I hereby attes th accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article VII - of he Cit Code "Standards of Conduct for City Officers, Employees and Agency Members." Name of Applicant (PLEASE Plea attach a ~dpy of your resume to this application NOTE: App ications will remain on file for a period of one (1) calendar year. Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ Received in City Clerk's Office by Name of Deputy Clerk Document Control Number (Assigned by the City Clerk's Office) _ Entered By Date ._ ;/Z3/off LH _ 4. ,,~ __ . ::")H., , ..: )!"p ^lliib'. , c ~-\,. i?Il.,a_., ... i-~.ULH:CBUC ,J 11:2'(. ~.....