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Aida El-Matari 12/31/2010m MIAMIBEACH City of Miami Beach, 1700 Convention OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Tel: (305) 673-7411, Fox:.(305) 673-7254 10-15-2009 Aida EI-Matari 320 84th Street Miami Beach, Florida 33141 Commun Congratulations! You have been to the agency, board or committee Pursuant to Ordinance No. 2006-3543, January .1st, 2007, the term of board me the City Commission shall automatically elected official leaves office. If you are unable to accept this appointr Clerk's Office at 305-673-7411. Please Congratulations again and good luck. Sincerely, v~ s , Robert Parcher City Clerk cc: Saul Frances, Parking Director Mercedes Rovirosa ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to City Code Section 2-22, 2-23, 2-24, 2-25, 2 Ordinance No. 2006-3543 -Amendment to Miami-Dade County Code Section 2-11.1 - CityWide Permit Application - (Parking Del Booklet -Guide to the Sunshine Amendme Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov Committee d by Commissioner Deede Weithorn above for a term ending: 12/31/2010. acing with terms beginning on or after who are directly appointed by a member of on December 31 of the year the appointing or have any questions, please call the City the enclosed materials carefully. ency, board or committee i, 2-458 and 2-459 tv Code Section 2-22 .t of Interest and Code of Ethics Ordinance nt Form) Code of Ethics for Public Officers and Employee We are committed to providing excellent public service on~l safety to all who live, work and play in our vibrant, tropical, historic community. m MIAMIBEACH City of Miami Beach, 1700 Convention Drive, Miami.Beach; Floridd 33:139; www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Tel: (305 673-7411, Fax: (305 673-7254 TO Aida EI-Matari RE: Community Development Advisory Comm I do solemnly swear or affirm to bear true faith, loyalty an'd 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 o~ 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 Miam and Code of Ethics Ordinance), as well as theF/on`da Coi Amendment and Code of Ethics for Public ricers and E of a City of Miami Beach Board and/or Committee, I mu. ments of Miami-Dade County or the State of Florida (deG I serve) on July 1st, following the closing of the calendar Dade County Code (Conflict of Interest mission on Ethics Guide to the Sunshine v/oyees,and understand that as a member comply with the financial disclosure* require- nding on the board or committee on which ear on which 1 have served. r Aida EI-Matari /~j Sworn to and subscribed before m this~7 day of ~!~~ , 200_l *Please visit the City of Miami Beach website at www.miami for additional information regarding the Financial Disclosure I e ~/~-~' Silvia Prieto / Deputy Clerk under City Clerk/Board and Committees We are committed ro providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. .a ., NAME: EI-Matari Last Name HOME ADDRESS: CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM M First Name Apt No. House No./S~reet City State PHONE: 786 587 9497 305 341 1391 305 531 2206 je: Business Name: Shelborne Beach Resort Address: 1801 Collins Avenue Zip Code :mail.com Address Position: Sales 8~ Catering Miami Beach FL 33139 No. Street City State Zip Code Professional License (describe): Expires: Attach a copy of fhe license Pursuant to City Code section 2-22(4) a and b: Membe of agencies, 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 ownershipfin~erest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (ti) month :Yes . Demonstrate an ownership/interest in a business in Mia i Beach for a minimum of six (ti) months: No • Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: North Beac • I am applying for an appointment because 1 have specia abilities, knowledge and experience. Please list below: 18 years living at Miami Beach, I participate in all m tings at school and would like to participate at the City of Miami Beach. • Are you presently a registered lobbyist with the City of iami Beach? No I'~ Please list your preferences in order of ranking [1] first ch~ice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Citv Clerk's Office. (R~gular Boards of City) Art in Public Places Committee Loan Review Committee Beautification Committee Marine Authori Board of Ad'ustment* Miami Beach Commission for Women Bud et Adviso Committee Miami Beach Cultural Arts Council Ca ital Im rovements Pro'ects Oversi ht Committee Miami Beach Sister Cities Pro ram Committee on the Homeless Normand Shores Local Gov't Nei h. Im rovement 3 Committee for Quali Education in MB Parks and Recreation Facilities Board 1 Communi Develo ment Adviso Personnel Board Communi Relations Board Plannin Board* Convention Center Adviso Board Police Citizens Relations Committee Debarment Committee Production Indust Council Desi n Review Board* Public Safe Adviso Committee Disabili Access Committee Safe Committee Fine Arts Board Sin le Famil Residential Review Panel Ga ,Lesbian, Bisexual and Trans ender GLBT Sustainabili Committee Golf Adviso Committee Trans arenc Reliabili & Accountabili Committee "TRAC" Health Adviso Committee Trans ortation and Parkin Committee Health Facilities Authori Board Visitor and Convention Authori His anic Affairs Committee Waterfront Protection Committee Historic Preservation Board 2 Youth Center Adviso Board * Board Required to File State Disclosure form Note: If applying for Youth Advisory Board, please indicate 1. Past service on the Youth Center Advisory Board: No 2. Present participation in Youth Center activities by your ages, and which programs. List below: Child's name: Jessica Fleitas Child's name: our affiliation with the Scott Rakow Youth Center: Years of Service: hildren Yes If yes, please list the names of your children, their Age: 11 Program: Summer Camp/After School A e: Pro ram: r~ f • Have you ever been convicted~elony: No If yes, please expl~ detail: • Do you currently have a violation(s) of City of Miamieach codes: No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any rr~oney: No If yes, explain in detail • Are you currently serving on any City Boards or Co mittees: No If yes; which board? • What organizations in the City of Miami Beach do y u currently hold membership in? Name: Saint Jose h School Title: PTA Name: Title: • List all properties owned or have an interest in, whi are located within the City of Miami Beach: • I am now employed by the City of Miami Beach: No Which department • Pursuant to City Code Section 2-25 (b): Do you have a who is employed by the City of Miami Beach? Check all that apply. Identity the de artment(s): The following information is voluntary and is neither part of y ur application nor has any bearing on your consideration for appointment. k is being asked to comply with federal equal opportunity reportin n3quirements. Gender: Female Race: White Ethnic Origin: Check one only (1) Hispanic Physically Challenged: No Employment Status: Em to ed Other: Shelborne Beach Resort NOTE: If appointed, you will be required to follow ertain laws which apply to city board/committee members. These laws include, but are not limited to, the foll ing: o Prohibition from directly or indirectly lobbying city ersonnel (Miami Beach City Code section 2-459). o Prohibition from contracting with the city (Miami- ade County Code section 2-11.1). o Prohibition from lobbying before board/committe 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 interest and gifts (Miami-Dade County Code section 2-11.1). (re: CMB Community Development Advisory Co mittee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any be efit from Community Development Block Grant funds for either yourself , or those with whom you have business or immed ate family ties (CFR 570.611). Upon request, copies of these laws may be obtain d from the City Clerk. "I hereby attest to the accuracy and truthfulness of th application and have received, read and will abide by Chapter 2, Article VII - of the Clty Code "Standards of Conduct f r City Officers, Employees and Agency Members." 1 Aida EI-Matari agreed to the following terms on 10/1/2009 1 :45:59 AM Please attach a copy of your resume to this application NOTE: _Applications will remain on fle_for a period of one (1) ~F ndar year] Received in the City Clerk's Office by: Date: _/ _/_ Control No. ~6 // Date: ~/L~ ~ V /