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Elsie Sterling Howard 12/31/2010m M,IP,MIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciry Clerk Tel: (305) 673-741 1, Fax: (305) 673-7254 01 /16/2009 Elsie Sterling Howard 4825 Lakeview Drive Miami Beach, Florida 33140 ~~BJBGT~~r Visitor and Convention Authority Congratulations! You have been reappointed by the City Commission 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, Robert Parcher City Clerk cc: Saul Frances, Parking Director Grisette Roque 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. I f .~ ~ 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 TO Elsie Sterling Howard RE: Visitor and Convention Authority 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 Pub/ic ~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. Cl Elsie Sterling Howard Sworn to and subscribed before me thi day of . , 0_Q Kerry Hernandez 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 to providing excellent public service and safety to all who live, work and play in our vibran-, tropical, historic community. ~ ~~ I A~~ I E~ ~iTY OF MsAMi B,=A~H 130A€2D AND CC7MMtTTEE APPLICATION 1=0RM NAME Last Name First Name Middle In HOME ADDRESS: ~~'.~ `~ 1_~, ILP.s, le L~~ ~' fu~aD~a ~ ~- No. Street City State Zip Code PHONE: Home ~ Work Business Name: Fax Position: ~ ~~ I ~S ~ Email address Address: No. Street City State Zip Code Professional License (describe) Expires: Attach a copy 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 mini i~mum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) months: Yes~Cl or No ^ • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (ti) months: Yes or No ^ • Are you a registered voter in Miami Beach: Yes or No ^ • (Please circle one): I am now a resident of: North Beach South Beach fiddle Be h • I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: ~~C~ p(~o ~ rZ-t-rn R ~'~ Please list your preferences in order of ranking [7] 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* ^ Beautification Committee ^ Marine Authori * ^ Board of Ad'ustment* ^ Miami Beach Commission for Women ^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council ^ Ca ital Im rovements Pro'ects Oversi ht Committee ^ Miami Beach Sister Cities Pro ram ^ Committee on the Homeless ^ Normand Shores Local Gov't Nei h. Im rovement ^ Committee for Quali Education in MB ^ Parks and Recreation Facilities Board ^ Communi Develo ment Adviso ^ Personnel Board* ^Communi 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 Safe Adviso Committee ^ Desi n Review Board* ^ Safe Committee ^ Disabili Access Committee ^ Sin le Famil Residential Review Panel ^ Fine Arts Board ^ Sustainabili Committee ^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabili & Accountabili Committee "TRAC" ^ Golf Adviso Committee ^ Trans ortation and Parkin Committee ^ Health Adviso Committee isitor and Convention Authorit ^ Health Facilities Authori Board ^ Youth Center Adviso Board ^ His anic Affairs Committee * Board Required to File State Disclosure form F:\CLER;SRLL\Board & Comn-~ittees\B&C ApplicationlB&C Appfication Revisk:d 111306 2.doc Note: 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 ^ No ^ Years of Service: 2. Present participation in Youth Center activities by your children Yes^ 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 Noyes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No L~l. If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ^ or No If yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes ^`6r No ^. If yes; which board? V ~'. • What organizations in the City of Miami Beach do you currently hold membership in? Name: Name: Title: 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 ^, spouse ^, child ^, brother ^, or sister ^ who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): N C7 This section i " of re wired" but desired: A e: l02^ ears old Gender: Male ^ Female C~- Race: White African-American/Black ^ White/Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ Haitian: ^ Origin Ethnic: Hispanic: Yes or No "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." Applic is Signature Date Name of Applicant (PLEASE PRIN Please attach a copy of your resume to this application NOTE: Applications will remain on file far a period of,one (1) calendar year: Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ Received in City Clerk's Office by Date Name of Deputy Clerk l t p ~ 11 ' L r'l Document Control Number (Assigned by the City Clerk's Office) Entered By ~ . , ~ ~ ~ Date ~ d~ l/ Revised 09/02/08 LH F:\CLERISALL\Board & Committees513c~C Application\B&C Appiica#ion Revi~:d 111308 2.doc