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Ronald Loring 12/31/2010 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: 1305) 673-741 1, Fax: 1305) b73-7254 05/19/2009 Ronald Loring 907 N. Shore Drive Miami Beach, Florida 33141 Normandy Shores Local Gov. Neighborhoo 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 f~G~ Weithorn Deede 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 4 .. R City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-741 1, Fax: (305) 673-7254 TO Ronald Loring RE: Normandy Shores Local Gov. Neighborhood 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 Emp/ogees, 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 calend year on which I have serve c 1~ ~ Sworn to and subscribed before me this /day of , 20~ . r -- ___~ 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 safely to all who live, work and play in our vibrant, tropical, historic community. ~, , NAME: HOME PHONE Busines Address Professic 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; orb) an individual shall demonstrate ownership/interest for a minimum~ix months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) months: Yes owl' r No ^ • Demonstrate an ownership/interest in a business in Mia i 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: Nort_~t .Beach > South Beach Middle Beach • I am applying for an aRpointment because I have specialpbilities, knowledge.,experience._Please list below: Please list your preferences in order of ranking [1]:fii°st choice [2] second choice, and [3] third choice. Please note t~iat only three (31 choices will be observed by the Citv Clerk's Office. (Regular Boards of City) ^ Affordable Housin Adviso Committee ^ Health Facilities Authori Board ^ Art in Public Places Committee ^ His anic Affairs Committee ^ Beach Preservation Board ^ Historic Preservation Board* ^ Beautification Committee ^Housin Authori ^ Board of Ad'ustment* ^ Loan Review Committee* ^ B et Adviso Committee ^ Marine Authori * a ital Im rovements Oversi ht ^ Miami Beach Commission for Women ^ Committee on Homeless ^ Miami Beach Cultural Arts Councl ^ Committee for Quali Education in MB ^ Miami Beach Florida Sister Cities ^ Communi Develo ment Adviso * ^ Normand Shores Local Gov't Nei h. Im rovement ^ Communi Relations Board ^ Parks and Recreation Facilities Board ^ Convention Center Adviso Board ^ Personnel Board* ^ Cultural Arts Nei hborhood District Overla CANDO ^ Plannin Board ^ Debarment Committee ^ Police Citizens Relations Committee ^ Desi n Review Board* ^ Production Indust Council ^ Disabili Access Committee ^ Public Safe Adviso Committee ^ Fine Arts Board ^ Safe Committee ^ Ga Business Develo ment Ad Hoc ^ Trans aren Reliabili 8~ Accountabili Committee "TRAC ^ Golf Adviso Committee ^ Trans ortation and Parkin Committee ^ Green Ad Hoc Committee ^ Visitor and Convention Authori ^ Health Adviso Committee ^ Youth Center Adviso Board ova~u Rvyunvu w runs aww utsc~vsure ions ~= ~t,tEFZ;SF~~ f ,8<?hc:,~1~r_~~,afo~ ~~~~, t`~.,.~atan Res~sec! ~"f'-Q~ doc 1 J ~• 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 partiapation 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: Aqe: 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 f yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ^ or No C~! If yes, explain in detail • Are you currently servin~n any_C{ty Boards or Committees: lf,~s • or No ^. If yes; which board? • What organizations in the City of Miam~ach do you currently hold membership in? Name: Title: Name: Title: • List all properties o ned or have ans nterest in, which are located within the City Miami Beachh ~ i - c.~ ~ • I am now employed by the City of Miami Beach: Yes ^ or No ich 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? Chedc all that apply. Identify the department(s): ,o{,~/. '~ This section is "not required" but desired: Age: years old Gender: Male ~ Female ^ Ethnic Ori ~ (Check one) White frican-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ "wI ~ereby attestt'q~h accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, 'Y"~ VII, of C' Code "Standards of Conduct for City Officers, Employees and Agency Members." Please attach a copy of your resume to this application NOTE: Applications will remain on file for a period of one (1) calendar year. Employment Status: Employed ^ Retired ^ Home-maker ^ Other Received in City Clerk's Office by Document Control Number (Assigned by the City Clerk's Office) Entered By ?=:`L LERtSr'~ L1~riC ~~p~~9 aiicm\R~C; ~;~ p i^atirr F'z a.st;c Q~j!30z',do~:: Date Date ~ ~ ~~ Revised