Robin Schwartz 12/31/2009m ML4h/,iBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vr`,vw.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: 1305) b73-741 1, Fax: X305) 673-7254
06-19-2009
Robin Schwartz
1560 Lenox Ave.
Miami Beach, Florida 33139
~~~ Gay, Lesbian, Bisexual and Transgender (GLBT)
Congratulations! You have been appointed by Commissioner Deede Weithorn
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
Rebecca Wakefield
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 commined to providing excellent public service and safety to al! who live, work and play in our vibrant, tropical, Ristoric community.
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachFl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-741 1, Fax: (305) 673-7254
TO Robin Schwartz
RE: Gay, Lesbian, Bisexual and Transgender (GLBT)
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 ~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 (de nn~on the board or committee on which
I serve) on July 1st, following the closing of the calendar year on v~ ' ave rve .
R chwartz
Sworn to and subscribed before me this 2- I day of ~~ , 200
`ut Z~c.~iLr~
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 commined to providing excellent public service and safely to all who live, work and play in our vibrant, tropical, historic community.
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Pursuant to City Code section 2-22(4) a and b: Members of dies, boards, and committees shall be affiliated with the city; this
requirement shall be fuffilled 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 i iami Beach for a minimum of six (6) months: Yes D or No u
• 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 1 have special abilities, kno and experience. Please list below:
• Are you presently a registered lobbyist wdh the City of Miami Beach? Yes ~ or No
Please list your preferences in order of ranking [1] first choice [2] second choice, and [S] third choice. Please note that only three (31
choices will be observed by the City Clerk's Office (Regular Boards of City)
u Affordable Housin Advisory Committee ^ Historic Preservation Board
^ Art in Public Places Committee ^ Housing Authority
^ Beach Preservation Board D Loan Review Committee
^ Beautycation Committee D Marine Authori c=
^ Board of Ad~ustment' ^ Miami Beach Commission for Women `a
D Bud et Adviso Committee ^ Miami Beach Cultural Arts Council ;
^ Ca ital Im rovements Pro ects Oversi ht Committee ^ Miami Beach Sister Cities Pro ram r'°` r' .
0 Committee on the Homeless ^ Normand Shores Local Gov't Nei h. Im ro ~ en
^ Committee for Quality Education in MB ^ Parks and Recreation Facilities Board =~-
^ Community Development Advisory ^ Personnel Board c,f; 'Z3 °'`
^ Communi Relations Board ^ Plannin Board' ~~
^ Convention Center Adviso Board D Police Citizens Relations Committee -,-
^ Debarment Committee ^ Production Indust Council O
D Design Review Board' ^ Public Safety Adviso Committee
D Disabili Access Committee ^ Safe Committee
^ Fine Arts Board ^ Sin le Fami Residential Review Panel
a Business Develo ment Ad Hoc ^ Sustainability Committee
^ Gay, Lesbian, Bisexual and Trans ender (GLBT) ^ Transparency Reliabil~ 8 Accountabili Committee "TRAC"
D Golf Adviso Committee ^ Trans rtation and Parkin Committee
^ Heatth Adviso Committee ^ Visitor and Convention Authori
D Health Facilities Authority Board ^ Youth Center Advisory Board
^ Hispanic Affairs Committee
Board Re wired to File State Disclosure form
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:
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.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;~Jf yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes J or No~ If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes
No -. If yeTs; wlhich board?
• What organizations in the City of Miami Beach do you currently hold me~bership i/n~?
Name: ~ ~ Title: V/6!~ (..~'l/L~
Name: Title:
• List all properties owned or have an interest in, which are loei~within the City of Miami Beach:
• I am now employed by the City of Miami Beach: Yes J or N~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):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. k is
being asked to comply with federal equal opportunity reporting requirements.
Gender: ^ Male ^ Female
Ethnic Origin: Check one only (1)
^ White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
^ African-American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
^ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
^ Asian or Pacific Islander: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on
the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
^ American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal affiliation or community recognition.
Physically Challenged: Yes ~ or No^.
Employment Status: Employed ~ Retired ^ Homemaker ^ Other ^
NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee members.
These laws include, but are not limited to, the following:
o Prohibition from directy or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1)_
o Prohibition from lobbying before boardlcommittee you have served on for period of one year after leaving office (Miami
Beach City Code section 2-26).
o Requirement to disGose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself ,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, co~jrs.Pf these laws may be obtained from the City Clerk.
t accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
- Code "Standards of Conduct for City Officers, Employees and Agency Members."
Signature Date Name of Applicant (PLEASE PRINT)
Phase attach a copy of your resume to this
NoTe: AAaa
will remain on file for a period of one t1) calendar year.
Received in the City Clerk's Office by : _ ~ ~~yL.Q ~~~ Dat~/ 09 Control No. Date: _/ /2009