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Lisette Olembert-Goldstein 12/31/2009 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: (305J 673-741 1, Fax: (305) 673-7254 05-05-2009 Lisette Olemberg-Goldstein 1405 West 24th St. Sunset Island #3 Miami Beach, Florida 33140 ~tJBJECT: Art in Public Places Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2009. 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, Robert Parcher City Clerk cc: Saul Frances, Parking Director Dennis Leyva 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 oll who live, work and play in our vibrant, tropical, historic community. m 'IAPvVBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-741 1, Fax: (305) 673-7254 TO Lisette Olemberg Goldstein RE: Art in Public Places 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. ~ r IL'\ N.isette Olemberg oldsteirl C ) Swtorn to and subscribed before me this ~~ t pday of l ~ Gi , 200 ~: ~ ~ ~ ~ , y, --~~~ .. ..r'~G ~. ~ 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 are commiried to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. NAME: . I; ,r:n,l BEACH I~~ 1- C ~ I ~ s-+--~ Ci T Y ~JF Mii/,.t~~! t~EACi-i '3G~RD f~ND C{7M(t1iiTTEE I~PPLICATi©N FOR(Vi ~- ~ 5~--E- -f-~.._. S . Last Na e (~ First Name Middle Initial HOME ADDRESS: ~ ~~~ ~ ~~?' ~'~> ~ ~ `T~~ 5~--. ~~~'~l~f ~~ . ~~I ~1...~ Apt No. House No./Street City State Zip Code PHONE.~t~ ~ ~~~- ~~~--~ t~ ~l~ ~0 2 ~~ ~~.~ ~ )~ ~I ~ ~~ ~ 15 rn`~ ~ Q1~ ~.S t~ti~ ~ Vr14C__• L~'~1 Home Work Fax address Business Name: ~ 1~~~ ~ ~ ~`~ ~y f D Position: -~ S J~ n Y,~ , ; Address: ~ v ~' ~ Les ~ ~ ~-~ ~''1 ~ ~ t • ~~ ~ ~9"~ .. No. Street City State Zip Code Professional License (describe) Q ~ ~~~ ,'1~.1( ~--~ ~7 E,(~ ~-`(~ ~ ~ ~) Expi Attach a capy of the Lcense 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 ownershiplinterest 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 fiddle Beach . • I am applying for an appointment because I have special abilities, knowledge, experience. Please fist below: • Are you presently a registered lobbyist with the City of Miami Beach? Yes ^ or No Please list your preferences in order of ranking [1] first choice [2] second choice, and (3) third choice. Please note that only three (31 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 0 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 ^ Communit Relations Board ^ Plannin Board" ^ Convention Center Adviso Board ^ Police Citizens Relations Committee ^ 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 & Accountabilit Committee "TRAC" ^ Goff 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 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application 21309.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 fist 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 n 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 ^ or No ^. If yes; which board? • What organizations in the City of Miami Beach 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 Na~ Which department? • Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ~, child G, brother r, or sister ~ who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): Gender: Male ^ Female Race: White Black ^ Ethnic Origin: Asian or Pacific Islander ^ African-AmericanlBlack ^ American Indian or Alaskan Native C Hispanic White -Not Hispanic ~Li Physically Challenged: Yes ^ or No~ /Y "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, A 'cfe VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." .~. Ap Ilcant's Signatur Date Name of Applicant (PLEA PRINT} Please=attach arcopycdf,yourxresume`to this-application ., .E .~ NOT.E.~Applicafions aivill:remam zontf~f efDr,-a ~penod ~of~one;(1) calendar<;year. Employment Status: Employed ^ Retired ^ Home-maker ^ Othe~^ ~ { Received in City Clerk's Office by ~~-''`~`'"Y `~ V`~ "''~ "~' Date `-' Name of Deputy Clerk ~C Document Control Number (Assigned by the City Clerk's Office) Entered By ..-a9-""'T~'`-''~- Date LH r:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application 21309.doc ,~ ;~~1"(* ~ MIA''~I D~1~~~1i NAME: Olemberg Goldstein Lisette S Last Name First Name HOME ADDRESS: 1405 West 24"' street Sunset Island #3 Miami Beach. FI.33140 Street City PHONE: H(305)534-0662 cell(3051458-1168 fax(305)534-2352 lisette.goldstein@mac.com Business Name: Olem Shoe Corporation Position: Assistant Buyer/Desien Development Address: 800 N.W. 215` Street Miami, Fl. 33127 Street City State Zip Code Professional License (describe): Attorney -Member of the Florida Bar -Admitted 05-05-1997 Fl. Bar # 0110371 Membership: current in good standing -inactive status Middle Initial Zip Code State 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 (fi) month • Yes r 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 r No _ (Please check one): I am now a resident of: North Beach South Beach fiddle Beach _ [ am applying for an appointment because 1 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) Art in Public Places Committee Beach Preservation Board Beautification Committee Board of Adjustment* Budget Advisory Committee Committee on Homeless Committee for Quality Education in MB Community Development Advisory* Community Relations Board Convention Center Advisory Board Debarment Committee QDesign Review Board* Disability Access Committee Fine Arts Board Golf Advisory Committee Housing Authority* Loan Review Committee* Marine Authority* (~fy Miami Beach Cultural Arts Council Miami Beach Florida Sister Cities Normandy Shores Local Gov't Neigh. Improvement Oversight Committee for General Obligation Bond Parks and Recreation Facilities Board Personnel Board* Planning Board* Police Citizens Relations Committee Production Industry Council Public Safety Advisory Committee rv L a CJ7 3A t,t~ t~ Cr ''1'i :~ +'1 ~i J~~ Health Advisory Committee Safety Committee Health Facilities Authority Board Transportation and Parking Committee Hispanic Affairs Committee Visitor and Convention Authority* Historic Preservation Board* Youth Center Advisory Board Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: I .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 . [f 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 io If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach codes: Yes o No . If yes, please explain in detail: Do you currently owe the City of Miami Beach any money: Yes or(NoJ. If yes, explain in detail Are you currently serving on any City Boards or Committees: Yes o No If yes; which board? What organizations in the City of Miami Beach do you currently hold membership in? Name: PTA of RASG Hebrew Academy Title: mem er Name: Title: List all properties owned or have an interest in, which are located within the City of Miami Beach: "' street Sunset Island #3 Miami Beach. FI. I am now employed by the City of Miami Beach: Yes or Io 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 required" but desired: Age: rears old Gender: Male Female Ethnic Origin (Check one) White African-American/Black Hispanic Asian or Pacific Islander American Indian or Alaskan Native Employment Status: Employed Retired Home-maker Other: Employed part time- homemaker and part-time student Miami Dade College -School of Architecture "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, rticle VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members:' ~,~-1~„ - - ~'i I-1 ~{ _ ~~ L t ~; + -+~ ~~ 1 c° `~ti-,~~c°~-~ ~ ids - K try Applicant's Signature Date Name of Applicant (PLEASE PRINT) a38 ~ ~~- ~ Please attach a copy of your resume to this application NOTE: Applications will remain on Fle for a period of one (1) calendar year. --'L Date ~ ~ W Received in City Clerk's Office by Name of Deputy Clerk ~f Q • Document Control Number Assigned by the City Clerk's Office) ~/ V Entered By Date o Revised 10/29/2007 L. Ha~eld Lisette Olemberg Goldstein Contact Information: lisette Olember9 Goldstein 1405 West 24"' Street Sunset Island #3 Miami Beach, FI.33140 Cell: [3051458-1168 OBJECTIVE: APPLYING FOR A POSITION ON 1l THE DESIGN REVIEW BOARD OR ON THE 2l ART IN PUBLIC SPACES COMMITTEE OR FOR A POSITION ON THE 3l MIAMI BEACH CULTURAL ARTS COUNCIL EDUCATION: CURRENTLY ENROLLED PART TIME ATMIAMI-DADS COLLEGE - SCHOOL OF ARCHITECTURE NOVA SOUTHEASTERN UNIVERSITY LAW SCHOOL - FT. LAUDERDALE, FL. IURIS DOCTOR -1996 BOSTON UNIVERSITY, BOSTON, MASSACHUSETTS BACHELOR OF ARTS, ECONOMICS -1990 LANGUAGES: FLUENT IN ENGLISH AND SPANISH WORK EKPERIENCE: CURRENTLY WORK PART TIME AT OLEM SHOE AS A DESIGN CONSULTANT WORKED FULL TIME IN DESIGN DEVELOPMENT AND PURCHASING FOR OLEM SHOE CORPORATION [1996-20021 COMMUNITY SERVICE: ACTIVE MEMBER OF THE PTA AT THE RASG HEBREW ACADEMY ACTIVE MEMBER OF THE GREATER MIAMI JEWISH FEDERATION [WOMEN'S DIVISION] ACTIVE MEMBER OF TEMPLE MENORAH PROFESSIONAL MEMBERSHIPS: THE FLORIDA BAR -ADMITTED 05-05-1997 LICENSE NUMBER: #0110371 [CURRENTLY INACTIVE)