Francinelee Handm /~~~~lA.N11BEACH
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) 673-7411, fax: (305) 673-7254
06-17-2009
Francinelee Hand
~'~'~J, CST Miami Beach Commission For Women __
Congratulations! You have been appointed by Commissioner Jerry Libbin
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
Ana Cecilia Velasco
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 all who live, work and play in ovr vibrant, tropical, historic community.
i .,y ~ ..'
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachH.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-741 1, Fax: (305) 673-7254
TO Francinelee Hand
RE: Miami Beach Commission For Women
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 Pub/ic Oh9cers 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 calendar year oyrrttfch I have served.
Sworn to and subscribed before me this ~ day of
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 committed to providing excellent public service and safely to all who live, work and play in our vibrant, tropical, historic community.
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First Name
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No. Street _ City State Zip Code
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Pursuant to City Code sedioit 2 22(4) a and b: Members of ager~ies, boards, and t7orntni~SS~shaN be affikated with the city; this
requirement shall be fulfilled in the tolbwing ways: a) ~ individual stray have been a resident of the city •for 8 minimum Of six
months; or b) an indiwidual shah demonstrate ownershiptrrrterest fora ran of six monnhs in .a btrs~e~:lished in.thp qty.
s `_.
• Resident of Miami Beach for a minimum of six (6) :Yes No ~
• Demonstrate an ownershipbnterest in a business " i Beach for a minimum of six (ti) months: Yes ^ or No
•-Are you a registered voters Miami Beach: Yes<
• (Please arde one): I am now a resident of: Beach South Beach Middle Beach j
!~ ~~~~ying for an~ppointq~eM beta 1~{h~avy~ and a belorw
• Are you a ~~6~ trie`CitY of ~ jx'~"~'" _ ~~~„S ~ ~~ ~" ~ ~ ~,
Please list your pre in order of ranking [1] first c~wioe [2] second dioioe, and [3] hard choice. note on th ~~3
choices will be observed by ttre City Clerk's Ottice. (Regular Boards of City)
rdable H Advi Committee ^ Historic Preservation Board
^ '
Preservation Board ^ Loan Review Committee
utification Committee Mine
Board of Ad' stmerrY' Muni Beach Commission for Women
^ B t Ad ' Committee Miami Bea~ctt Cuiftual Arts Council
^ C I I Committee ^ Mtann Beach Sister Cues
0 Committee on the Homeless ^ Shores Local Gov't .1
^ Committee for Education in MB ^ Parks and Rerxeatiort~Faa'fities Board
^ Com D Persorme! Board
^ Commun Relations Board ^ g~b*
^ Convention Center Advi Board ^ Police Citizens Relations Corrarrr~~ee
^ Debarment Committee ^ Production 1 Courx~l
^ Des' n Review Board' ^ p ~~
' t»I' Access Committee ^ Corrrnittee
ne Arts Board ^ F Re.~idential Review Panel
Ga Business Develo nt Ad Hoc D Sustai Committee
o Ga Lesbian, Bisexual and Tran nder GLB ^ Tra R 8 ' Corm'TRAC`
^ Golf Advi Committee ^ T and Conunittee
^ Health Committee ^ y arrd Corgi
^ Health Faalities Board ^ Youth Carder Board
^ H' 'Affairs Committee
'` t3oaM red to Fik Stele DiSGlosure fOrln
y
Note: If applying for Youth Advisory Board,pl~~e indicate fur affiliation with the Soft Ralcow Youth Center.
IUU _~- /V f}-
1. Past service on the Youth Center Advisory Boani: Yes O No ~ Years of Service:
2. Present participation= in:Youth Genter~adivities by.yoirr: children Yes^ No ^. ff yes, please fist the names of your chikken, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
s
t
.Have you ever been convicted o elony: Yes ^ or No yes, please expl~ .i detail: V
f l
• Do you currently, have a violation(s) of City of Miami Beach L•od `es: Yt3s ^ o ^. ff yes, please ~xptain itrdetail:
h. .
~~ ''F' ti
• Do you currently owe the City of Miami Beach any money: Yes ^ or No ff yes, explain in detail ..
¢' =sue • n. -'° .~ 9'. y.. M ' ~..~~ ~ ~ -:~.. .,~ .~ y, ex~ '~' ,. x ~E ! •. "
Y M
. Are you currently serving on any City Boards or Committees: Yes O or No ff yes; .which board?
• What organizations in the City of Miami Beach do you currently fold m~ in? ~~
Name: ~ Title: ~ ~D/K ~~ S l.I-~-(f Q
N ~ J1li~ ~Dttl
• List all properties owned or ve interest in, which are located within the City of Miami Beach:
- 3~3 ~` _~.~.rr
• I am now employed by the City of Miami Beach: Yes ^ or Naid' Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse Q, cad Q, txother ^, or sister ^ who is employed by the
City of Miami Beach? Chedr afl that appy. Identifythe deparhner~t(s)- .. -N, a.. f
4
." ~ .
may} ~i ~y'~ T '. _ . - s. N
The fo'llo~riig irffdr•rragon is volnnrtary~ar~ ~ ~iedi~er ~ R i ~ ' i nor has ' "bean' on ~ appoin6naN.
'~..* fem., 7v... .~•7 ~ ~~ ~r ~ . ~ is
being-aRI~tO CbOn~p~r Ml~tb federal equal OpPortAmity reporting rel8rlt5• s +
w e
Gender: ^ Male ^ Female
Ethry'e~Origin: Check one only (1)
M1Mhite (Not of Hispanic Originr. Ao Having origir~ in ary of the original peoples of Europe, North Africa or the IMiddle East.. .. .
^ African-AmericadBlack (Not of Hispanic t7riginX A!< Persons having origins in any of tl~e Btacic radal groups of Africa. _ •
^ Hispanic: AN persons of Mexiprr, Puerto Rican, Cuban, Cer>bal Sam Arnerign, a other Sparrsh algre or orig~, regartfiess of race. ,. - ~,
^ Asian or Pacific Islander: Afi P ~9 ~ ~ ~ ~-!9~.p of f:re Fa East. Soutl>east Asia, the krdian Suboorrlirrent, on ".~
the Pacific Islands. This area includes, for example. China, fie, ,f~r,'l~orea, the Pfippirre Isfarrds and Sonroa.
^ American Indian a Alaskan Native: Ali persons having origns in any ~ ~ a~ P~Ples of Narlh America, and who maintain
Cultural iderrtificafion through trfial affiliation or community reoognifion.
Physically Challenged: Yes ^ or Na~a!~
Employment Status: Employed ^ Retired Homemaker ^ - Other ^
NOTE: ff appointed, you will be required to follow certain laws which apply to dty boaindleorrrerritwaee members,
These laws include, but are not limited to, the foNowing:
o Prohibition from directly or indirectly bbbying city personnel (Miami Beach City Code section 2-459). _
o Prohibition from contracting vvilh the pty (Mtami-pads County Code section 2-11.1).
o _Prohibition from_ lobbying .before_boatel/committee youu have_ served on for_period_o_fsx~e _year after _~
leavir~ offic~e_(Miami
Beach City Code section 2-26).
o Requirement to disclose cerhain financial interests and gifts (Miami-Dade County Code section 2-11.1).
(re: CMB Community Developmerrt Advisory Committee:prohibition. during ternre and for one yea alter leaving office,
from having any interest in or receiving any benefit irorn Community Devebpment Block C funds for either yotuself ,
or those with whom you have business or immediate fam~- ties (CFR 570.611).
Upon req~t, copies of these laws may be olrtained from Ute City Clerk.
"wl.~he~rweby attest(~t~o/'the /Vac/~c~u~ra~c7y~~a~niyd~~t~nrthfuy-l{r/m~{s~~{s~~{~o~f the/~a~p{~p/l~ic@atYTio-n a~n/d have'riee~giJvB~d/,~~r~eysyd ane~~vh'9 abide by Chaffer 2,
/'V YM~ ~ t~R'i Yity // -" // ~~ I ~ _ "_+ 1/~,R~sl ~"T_~7~~.. ®R7 . ~~•.~7 .A
~+rF7~n.a.~~a~ww~8 ua[e -~ Name of Apprrgnt (PLEASE PRINT)
Pte,atta~:a copy of ga~ur restune to tMs application
No~'£: Applicatiwrs wMl,r~emaiin an -tile for a period of orre (4) plendar yea(. ~ p /~
Received in the City Clerk's Office by ~ Date: / /2 Control No~~C. / L?ateetJ /! ~
Name of Deputy Clerk -'"7'- ~j
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