Scott Needleman 12/31/2010m ~/,i~P."'BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vvww.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-741 1, Fax: (305) 673-7254
01-21-2009
Scott Needelman
1455 Drexel Ave. #1
Miami Beach, Florida 33139
;~UBJECT~~ Debarment Committee
Congratulations! You have been appointed by Commissioner Victor M. Diaz, Jr.
to the agency, board or committee named above for a term ending: 12/3112010.
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,
~ ~ ~, i
~~~~~ ~~~ J ~~ ~~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Gus Lopez
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.
of Miami Hoch, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEI: (305) 673-7411, FAX: (305) 673-7254
TO Scott Needelman
RE: Debarment 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 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.
Scott Needelman
Sworn to and subscribed before me this ~g day of J~N~,r~`-Q-. , 200q
/.~-~ ~ ~
~ ,-Silvia Prieto
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 ore commit-ed to providing excellent public service and safey to all who live, work, and play in our vibrant, tropical, historic communiy.
~~ ~ /~l~/~ I ~ ~~~ ~"~ Ci T" OF MIAMI BEkCH
_ BOARD AND COMM[ T TEE kPPLICATION FORM
NAME:
HOME ADDRESS
Last Name First Name Middle Initial
No. Street City State Zip Code
PHONE:~~~'`6~~ Iyb~ 3p~-n<U--S~~S 1 30~ 6~3'~~~{[~ SQn~~{5~i ~~77
Home Work Fax Email address i~/~ .~
BusinessName: ~~~-1~~-~u-~~o~'-'~` ~nc.- Position: ~~~'1~.1
Address:~~59 ~~,XQ-~ +~Jt'< ~~( ~,1, ~~ ~3r~q
No. (~ Street City State Zip Code
Professional License (describe) ~ lRad `4;JJt~~~p.i,,"}(ac.~ Expires: Attach a coAe of the IicensE
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be af('iliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownershipCnterest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (6) months: Yes,~or No ^
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes ~ or No 0
• Are you a registered voter in Miami Beach: Yes for No ^
• (Please circle one): I am now a resident of: North Beach _~ 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 Citv Clerk's OfFice. (Regular Boards of City)
^ Affordable Housin Adviso Committee ^ Historic Preservation Board*
^ Art in Public Places Committee D Housin Authori '`
D Beach Preservation Board ^ Loan Review Committee"`
^ Beautycation Committee ^ Marine Authori *
~Baard of Ad'ustment* ^ Miami Beach Commission for Women
D Bud et Adviso Committee D 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 Quali Education in MB D Parks and Recreation Facilities Board
^ Communi Develo ment Adviso ^ Personnel Board*
^Communi Relations Board ^ Plannin Board
^ Convention Center Adviso Baard D Police Citizens Relations Committee
^ Cultural Arts Nei hborhood District Overfa (CANDO ^ Production Indust Council
ebarment Committee D Public Safet Adviso Committee
D Desi n Review Board* ^ Safet Committee
D Disabilit Access Committee ^ Sin le Famil Residential Review Panel
^ Fine Arts Board D Sustainabili Committee
^ Ga Business Develo ment Ad Hoc D Trans arenc Reliabilit & Accountabilit Committee "TRAC"
^ Golf Adviso Committee D Trans ortation and Parkin Committee
^ Health Adviso Committee D Visitor and Convention Authorit
D Health Facilities Authorit Board D Youth Center Adviso Board
D His anic Affairs Committee
* Board Required to Fiie State Disclosure form
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