Cesar Garcia-Pons 12/31/2009m ~^IF.PJdBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-741 1, Fax: (305) 673-7254
01 /20/2009
Cesar Garcia-Pons
1539 Meridian Ave
Miami Beach, Florida 33139
SUBJECT:;; Parks and Recreational Facilities Board
Congratulations! You have been reappointed by Commissioner Victor M. Diaz, Jr.
to the above referenced agency, board or committee for a term ending: 1213112009.
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 tuck.
Sincerely,
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Kevin Smith
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
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
m
Ciq/ of Miami moth, 1700 Convention Center Drive, Miomi Beach, Fbrida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
TO Cesar Garcia-Pons
RE: Parks and Recreational Facilities Board
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: 12/31/2009.
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.
l O~"~~~1~1 \ ~
Ces r G rcla-P~opns~ ~
Sworn to and subscribed before me this ~~ day f _~r'~200_.
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 committed to providing excellent public service and safey to all who live, work, and play in our vibrant, tropical, historic communiy
~_ ~~ I A~/ , I ~ ~~C ~ C[Tl' OF Mtr4fVfl 3EAGH
(~ BOkRD RND COMMITTEE IaPPLIC/~,TIOh FOP.IVi
NAME: ~ G~- ~e~ ~~) Ces~
Last Name First Na a Middfe Initial
HOME ADDRESS: ) ~~ ~ ("'~"~~~ tGw~ 7'~Y \ ~~'`~~ ~~~M^ ~f?~.1~ _ ~, ~ ~ ~ 3~
PHONE:
No.
~~S~to12 t~~ ~
Street
City
Home
Work
Fax
State l Zip Code
address
~~ ( ~
Business Name: ~~~?)" " Position: ~~~~~'"
Address: J~ ~~ ! " \~1~1~~~c~yt ~. ~ ~ ~~j ~. ]j. { `~ ~ 3 ~ ~ J
No. Street City State Zip Code
Professional License (describe) ~ I ~ Expires: Anach a copf~ 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 have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownership/interest 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 D
• Are you a registered voter in Miami Beach: Yes ^ or 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 fist your preferences in order of ranking [1] first choice [2j second choice, and [3J third choice. Please note that oniv thn3e (31
choices will be observed by the Citv Clerk's Office. (Regular Boards of City)
G Affordable Housin Adviso Committee ^ Historic Preservation Board*
^ Art in Public Places Committee ^Housin Authorit *
^ Beach Preservation Board ^ Loan Review Committee*
^ Beautification Committee ^ Marine Authorit *
^ Board of Ad'ustment* ^ Miami Beach Commission for Women
^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council
^ Ca ital Im rovements Oversi ht 0 Miami Beach Florida Sister Cities
D Committee on Homeless ^ Normand Shores Local Gov't Nei h. Im rovement
^ Committee for Qualit Education in MB ^ Parks and Recreation Facilities Board
^ Communit Develo ment Adviso * ^ Personnel Board*
^ Communi Relations Board ^ Ptannin Board
^ Convention Center Advisor Board 0 Police Citizens Relations Committee
^ Cultural Arts Nei hborhood District Overia (CANDO ^ Production Indust Gouncil
^ Debarment Committee ^ Public Safet Adviso Committee
^ Desi n Review Board* ^ Safet Committee
D Disabilit Access Committee ^ Sin le Famil Residential Review Panel
^ Fine Arts Board ^ Sustainabili Committee
^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabilit & Accountabilit Committee "TRAC"
D 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
,_FR\SA_~1Boarc €: :;omirntt~es\5&C. HPpin.auon\5&:: F•,oniicauoi Revf~hc 13~E.ou:
dote:°if applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes ~i No ~~ Years of Service:
2. Present participation in Youth Center activities by your children Yeses No ~. If yes, please list the names of your children; their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
•Have you ever been convicted of a felony: Yes ^ or No`s If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No~. f yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No~lf yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes L9~or No ^. If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Name:
Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
~ tM~t~~ ~~dresS
• I am now Cmployed by the City of Miami Beach: Yes ^ or No(~(Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ^///, spouse ^, child ^, brother ^, or sister ^ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s): ~~
Gender: Male Female ^ Race: White ^ Bfack ^
Ethnic Origin:
Asian or Pacific Islander ^ African-American/Black ^ American Indian or Alaskan Native C Hispanic: White -Not Hispanic ^
Physically Challenged: Yes ^ or No~
"I hereby attest to the accuracy and truthfulness of the application and have received, read and wtll abide by Chapter 2,
Article VII - of the City Code "Standards of Conduct f(~o/r~City Officers, Employees and Agenc(y'Members."
S ~ ~ `Z~ 1 ~~1~` ~ a ~-'Ps~l~ ~Ur1`~~ `1r' uV1S
Applicant's Si n ture Date Name of Applicant (PLEASE
PRINT)
Please:attac p o '""u `~" ~s : ° Itcafion
N~~i~i~i__...._~s .,. R!_.~ .~. ~. i2e ~.~,one~(7;)ccafenlarayear..
Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^
Received in City Clerk's Office by Date
Name of Deputy Clerk ~ ,
Document Control Number (Assigned by the City Clerk's Office) ,~_ Entered By `- " Date
Revised 09102!08 LH
F:\CLER\$ALL\afORMS\BOARD AND COMMITTEES\BC Application 21309.doc