Robert Arkin 12/31/2010iF F~
Cihr of Miami d~ach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, vrww.miomibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEI: (3051673-7411, FAX: (305) 673-7254
01 /22/2009
Robert Arkin
4205 Alton Rd
Miami Beach, Florida 33140
,.~ ,,.
S = BJE;CT:.;. Transportation and Parking Committee
Congratulations! You have been reappointed by Commissioner Jerry Libbin
to the above referenced agency, board or committee for a term ending: 1213112010.
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,
~ ~~~.
,:~o-~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Saul Frances
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 sofey to all who live, work, and ploy in our vibrant, Tropical, historic community
'#
Cihr of Miami fll~ach, 1700 Convention Center Drive, Miami Beach, Fbrido 33139, vaww.miamibeochfl.gov
OFFICE OF THE CITY CLERK, Robert Porcher, Ciy Clerk
TEI: (305) 673-7411, FAX: (305) 673-7254
TO Robert Arkin
RE: Transportation and Parking Committee
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 Public Officers 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 on which I have served.
Sworn to and subscribed before m~rfs ~~ day of
Silvia Prieto
Deputy Clerk
200 Q~
*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 safey to oll who live, work, and pby in our vibront, tropical, historic communiy.
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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~nterest 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): t am now a resident of: North Beach South Beach Middle Beach
• I am applying for an appointment because I have special abilities, knowledge 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 [1j first choice [2j 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)
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 C 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:
.Have you ever been convicted of a felony: Yes ^
Female ^
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or 1~ ^. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or ~ ^. If yes, explain in detail
• Are you currently serving on any City Boards or Co~ mi(tees: Yes~or No ^. If yes; which board?
,~ ._-- /
Age: Program:
^ If yes, please explain in detail:
• What organizations i'n 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 ^ ol.~^. 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):
Gender: Ma~
Ethnic Origin:
Asian or Pacific Islander
Race: Whit Black ^
African-American/Black ~ American Indian or Alaskan Native ^ Hispanic: C White -Not Hispanic C
Yes :~ or NOS.
"I hereby attest to the accuracy and truthfulness oft a application and have received, read and will abide by Chapter 2, Article VII - of the
Cit ndards of City Officers, mpl es and Agency M ~~rs."
p Name of Applicant (PLEA PRINT)
Applica It's'9ig re
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: Em
^ Home-maker ^
Received in City Clerk's Office by ~`~'~ ~
Name o eputy Clerk
Document Control Number (Assigned by the City Clerk's Office) _
Date
Entered By Date