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Robert Saland 12/31/2010m ."JJAIJBEACH 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: (305j 673-7254 01 /16/2009 Robert Saland 2370 Arch Creek Drive North Miami, 33181 ~S.UBJECT ~' Affordable Housing Advisory Committee Congratulations! You have been reappointed by the City Commission to the above referenced agency, board or committee for a term ending: 1213112010. 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, ~~ l Robert Parcher City Clerk cc: Saul Frances, Parking Director Anna Parekh 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. ,~~ n. Ciy of Miami d~ach, 1700 Convention Center Drive, Miami Beach, Fbrido 33139, www.miamibeachA.gov OFFICE OF THE CITY CLERK, Robert Parchor, City Clerk TEI: (305) 673-7411, FAX: (305) 673-7254 TO Robert Saland RE: Affordable Housing Advisory 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/o~ida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public O~ceis 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. Robert Saland Sworn to and subscribed before me is ~ ~ - day of , 2001) Silvia Prte 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 soiey to all who live, work, and play in our vibrant, tropical, historic community. NAME: MIAMBEACH CITY OF MiAMi BEACH BOARD AND CQMMiTTEE APPLiCATiON F©RM Last Name First Name Middle Irntial ~3~~ ~~~ ~~~C fir, ~~ ~, ~~ ~~~~ ~ No. Street City State Zip Code HOME ADDRESS PHONE: Home Work Business Name: ~ 1' `~" ~` D~~~S ... ~~ ~ Address: No. 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 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 ^ • 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 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* ^ 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 ^ Visitor and Convention Authorit ^ Health Facilities Authorit Board ^ Youth Center Adviso Board ^ His anic Affairs Committee * Board Required to File State Disclosure form Fax address Position: ~~'5~~~ .~~~ ~~, ~k~~ ~~ 33~L~t Citv ~ State Zip Code F:ICLER\~ALL\Board & CommitteeslB&C ApplicationlB&C AppEication RevisLd 1113Q8 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 No ~ If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No'~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 N~o ^. 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: • 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): This section is "not re uired" but desired: A e: ears old Gender: Male Female ^ 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, Arti a VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." C ~ 4~~ ~~~ ~~~~ Applic> nSignatu_re~~ Date Name of Applicant (PLEASE PRINT 1Yy_c~,1~' f"~ Please attach a copy of your resume tothis application NOTE: Applications will remain an file for a period of one (1) calendar year. Employment Status: Employed,p-F~etired ^ Home-maker ^ Other ^A Received in City Clerk's Office b ~ ~ [)ate ame of ep rk :~ , ` ~~~~~~,I, r Document Control Number (Assigned by the City Clerk's Office) ~ ~ Entered By 'LM""". ,' Date ___~~ '-``C~ ~ V Revised 09/02/( F:\CLF_R;$ALL1Board & CommitteeslH&C Application;B&C Application Revi~c! 111308 2.doc Title: