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Joel Stedman 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: (305) 673-741 1, Fax: (3051 673-7254 07-27-2009 Joel Stedman ~`;U~E- . ~~ Gay, Lesbian, Bisexual and Transgender (GLBT) Congratulations! You have been appointed by Commissioner Jonah M. Wolfson 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, o~~~ S/ 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 committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. ~ ~~ ~~ ~ ~' City of Miami Beach, 1700 Convenson Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Joel Stedman 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 (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. Joel Stedman Sworn to and subscribed before me this _~ day of SC-Q~c~rnc3c-?200 . ' / t ~~ Silvia Prie o 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 safety to all who live, work and play in our vibrant, tropical, historic community. NAME: Last Name t~ First Na~,~mye~ / Middle Initial 1 HOME ADDRESS: ~--IQ /Z ~U~T ~~ /~ l/1q'~L_~e(~ .~~ ~~c3/ 3C Apt N2o. House N22o~~/Street City tate Zip Code PHONE• J '" 53 `' 33 c_7~-~ - ~ - ~ ~~ ~ T ~ L • C Home Work Fax Email address Business Name: (d,~ ! ~~ % Position: ~/ w J t'V r/ 2 Address: /fj S ~ ~il/~A-S~ 1V 6__!_ a LV /Ll-C ~y/YL L f~~~~ ~2 ~3~ 3~ No. Professional License (describe) _ City State Zip Code _ Expires: 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 fora inimum 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 iami Beach for a minimum of six (6) months: Yes or No ^ • Are you a registered voter in Miami Beach: Yes OYor 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 abilfies, kn a and experience. Please list 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 ~e Citv Clerk's Office. (Regular Boards of City) ^ Affordable Housi Advi Committee ^ Housin Autho ' ^ Art in Public Places Committee ^ Loan Review Committee ^ Beautification Committee ^ Marine Autho ' ^ Board of Ad'ustmerrt* ^ Miami Beach Commission for Women ^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council ^ Ca ital Im ovemerrts P 'acts Oversi ht Committee ^ Miami Beach Sister Cities Pr ram ^ Committee on the Homeless ^ Norman Shores Local Government Nei h. Im rovement ^ Committee for Qual' Education in MB ^ Parks and Recreation Facilities Board ^ Communi Devel ant Advis ^ Personnel Board ^ Commun' Relations Board ^ Planni Board' ^ Convention Center Advi Board ^ Police Citizens Relations Committee ^ Debarment Committee ^ Production Indus Councl ^ Desi n Review Board" ^ Public Sa Adviso Committee ^ Disabili Access Committee ^ Safe Committee ^ F' a Arts Board ^ Sin le Fami Residential Review Panel Lesbian, Bisexual and Trans ender GLB ^ Sustainabil' Committee ^ Golf Advi Committee ^ Trans re Reliabil' & Acxountabil' Committee "TRAC" ^ Health Adviso Committee ^ Trans lion and Parkin Committee ^ Health Facilities Auth Board ^ Visitor and Convention Auth ' ^ His nic Affairs Committee ^ Waterfront Protection Committee ^ Historic Preservation Board ^ Youth Center Adviso Board 'Board Required 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: ~~~~~ Street .Have you ever been convicted o~ _ Felony: Yes ^ or No If yes, please expla~. ,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 If yes, explain in detail • A,re 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: 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[9-tll~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? Check all that apply. Identify the department(s): ~.® The following Information is voiurdary and is rreitlrer part of your applk~tion nor tree any bearing on your wnsideratton for appointment h 1s beingasked to/comply wNh federal •yuoi opportunlh r+epordn9 requirements. Gender: ig' Male ^ Female Origin: Check one only (1) (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Afriq or the Middle East. ^ African-AmerlcaNBlack (Not of Hispanic Origin): All persons having origins in any of the Bladc raaal 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 Subcon6ra'nt, on the Padfic Islands. This area indudes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa. ^ Am•rlcan Indian or Alaskan Nativ: All persons having origins in any of the original peoples of North Ameriq, and who maintain Guttural identification through tribal affiliation or community recognition. Yes ^ or No^. Employment Status: Employed ~ Retired ^ Homemaker ^ Other ^ NOTE: ff appointed, you will be required to follow certain laws which apply to city boardlcommittee members. These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459). o Prohibition from contracting with the aty (Miami-Dade County Code section 2-11.1). o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). o Requirement to disclose 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 Blodc Grant funds for either yourself , or those with whom you have business or immediate family ties (CFR 570.611). Upon request, copies of these laws may be obtained from the City Clerk. "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Artic e V 1 the Code "Standards of Conduct for City Officers, Employees and Agency Members." Ap nt's gn re at Name of Applicant (PLEASE PRINT) Pleas. attach a copy of your resume to this application NOTE: Applkatlons will rema on a period of one (1) calendar year. Gj ~~ Received in the C~yy Cleric's Olfice ny : Date: 1 t2~00 Control NQ%~ Date: ,~,/ /2009 O ame of rk Tide: