Francinelee Hand 12/31/2011m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, floriiia:33139, vvww.miamibeachH.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (3051 673-7254
12/10/2009
Francinelee Hand
5313 North Bay Road
Miami Beach, Florida 33140
Miami Beach Commission For Women
Congratulations! You have been reappointed by Commissioner Jerry Libbin
to the above referenced agency, board or committee for a term ending: 12/31/2011.
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,
,~~- ~ s!°
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Wanda Ortiz
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 safety to all who live, work and play in our vibrant, tropical, historic community.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive; Miami Beach, Florida.33139, www.miamibeachH.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673-7411, 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: 12/31/2011.
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 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 calendars on which I have served. ~
Sworn to and subscribed before me this
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 ore committed ro providing excellent public service and safely to all who live, work and play in our vibrant tropical, historic community,
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HOME ADDRESS:
PHONE: _ ~Or 8(67 0
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Email address
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No. ~ Street .... City State Zip Code
Pnnfessional License{desc'~ibe'j' c V _ ~ w ~ ~ ~ ~r~ Expires „,° •+'~ 'j ~ e .l~kffaeit z3 c~iPy Of the license
• 4 ~ , Pursuant to City Code sectioh 2-22(4) a and b: Members of agencies. boards, and cornlrii$ees•shaiU be affiliated with tfie city; this
requitement shall be fuHilled in the following ways: a) an individual shall have been a resident of.the c3iy:•for a .minimum pf six
months; or b) an individual shall demonstrate ownershiplmterest (or a m~pimum of sax months in a ;esta~bli~ed in.itip .pity.
.~6/ y ...
• Resident of Miami Beach for a minimum of six (~ m :Yes r No ^
. Demonstrate an ownershipdnterest in a business "rami Beach for a minimum of six (6) months: Yes ^ or No
• Are you a r+~istered voter-in Miami Beach: Yes=
• (Please arGle one):1 am now a resident of: Beach South Beach Middle Beach
- . i am lying for an pomtgtent beta I have es, ed and expe ' PI i' below:
' j ~I) ~
• Are youp a 7~`City of1N'iami ~ ~ ~ ~/X~,~ I~ fi~'~~ ~ j
Please list your prei'erenoes in order of ranking [1] fast c~wice [2] second choice, and [3] third d~oice.
c~ok~s will be ot~erved by the City Clerk's Office. (Regular Boards of City)
rdable Housi Adviso Committee ^ Historic Preservation Board
^ Hou ' Autho '
ch Preservation Board ^ Loan Review Committee
utification Committee Marine Autho '
Board of Ad'ustment= Miami Beach Commission for Women
^ B et Advi Committee Miami Beach Cultural Arts Council
^ C ital Im vemerds Pro' Ove ht Committee ^ Miami Beach Sister Ct"hes
^ Committee on the Homeless ^ No Shores Local GoNt .1
^ Committee for Q Education in AAB O Parks and Rerxeatioon•F Board
^ Commun Adviso ^ p~~ Biro •
^ Commun Relations Boarri ^ p~ B~nt-
^ Convention Center Board ^ Police Citizens R Committee
^ Debamrent Committee ^ Produr~ion I Courtctl
^ Desi n Review Board' ^ p ~~
isabil' Access Committee D
ne Arts Board D S' Fam' Residential Review Pannt
Ga Business Develo ment Ad Hoc ^ Sustainata Committee
^ Ga Lesbian, Bisexual and Tran ender GLB
o Goff Adviso Committee ^ T Rehab S _. Corrpniitee °1RAC'
^ T arxi P Commdtee
^ Health Adviso Corrrmittee O VtsiGor and Convention
^ Health Facilities Auth Board ^ Youth Center Boani
^ His nic AfFairs Committee
~ Board uir~! to File Stage Disclosure tbrm
i
~'
Note: If applying for Youth *A/dvisory Board, P/,/~.~{w/.y.C. indicate your affiliation with file Scott Rakow Youth Center.
~V L ~~ ~~~Y rl
1. Past service on the Youth Center Advisory Board: Yes ^ No ^ Years of Service: -
2. Present participationF in.Vioirth Center•adivrties tipryour: children Yes^ No ^. If yes, Please list the~.naities of yorrr children, their
ages, and which programs. List below:
Child's name: Age: Prog~:
Child's name:
Age: Program:
s,
t
.Have you ever been convicted o~lony: Yes ^ or No yes, please expl~ detail: -~ °
e
• Do you cureentiy have a violation(s) of City of Miami Beach tx~d`es: Yt's~ ^ o o. ff yes, please ~xpl'ain in-detail:
M .
~ `~ ! ~' ~
• Do you curre,Ettly owe the City of Miami Beach any money: Yes ^ or No ff yes, explain in detail :.
` ~ . x .A 4 r '.} ~.
• Are you currently serving on any City Boards or Committees: Yes ^ or No ff yes; ;whi board?
• What organizations in the City of Miami Beach do you currertttv.(-old membershi in? ~~ // ~~~~
Name: ~ Title: ~ ~4/K ~~ S ~.~(J
N ~ No r~~
• List all propertiesA~ow~~ne~"d or ve interest in, which are located within the City of Miami Beach:
• I am now employed by the City of Miami Beach: Yes ^ or Ndd: Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ~, spouse ^, child ^, brother ^, ar sister ^ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s); -~ ..a{
~,/ • ' 0
Tt-e Ip ielfdAn Orl •iS volurtrtat •arit~ l'~ r~ietittier • • ~ .. 7 _ •• •~ •. "e L , - a „ • r~ ,
ttet staked toto canlpfjr with federal`eA~ ~Po~ItY rePo~n9 tenor iws ar~y t~eanfr~ on your narration for apPoini tt ~
a•
,. n
+•'.i° a ~~ ~
Gender: ^ Male ^ Female
EE~~rigin: Check one only (1)
ite (Not of Hispanic Orbgtre): Ati persons having origins fn any of the or~t pe~las of Europe, North Atrim ~ the N East..:. , - r .
^ AfricaTMAmericaeUBlack (Not of Hi~areic tJrigink AIi persons having origins in arty of the Btadc rat~al gnnq~s of Africa. ~ ~ . , ~ .
O Hispanic: Aq persons of Maxicare, Puerb Rare, Cedean, Central Bootle American, ~ other Sparrisfi adteme or tnigin, regardless of raoe. ; w '--
^Asian or Pacific fir. Ap perstms having origins fi any of the peoples of free Far East. Soutltea~ Asia, Uee Ired>an met, ore „~~-~
the Pacific Islands. This area 6ttfirdes. for example, Cteina, Indea, .iapaue, Korea, the ~ Ismreds and Stmtoa.
~ American Indian or Ata:dcare Native: /W persons leaving origins in arty of the ori~eal p of Nortte America, anti ~ mairdaire
Culh-ral ideretiftcafime Uuougtr trbal aft0ration or cornnttmiiy recx>grtition.
Yss O ar
Employment Status: Employed O Retired ~ Homemaker ^ ~ tJther ^
NOTE: ff appointed, you will be required to follow o~in laws which apply to city nom.
These laws irrdude, but are not limited to, tJre following:
o Prohibition from ding or indirectly lobbying city personnel (Miami Beach City Code secion 2-459).
o Prohibition from oontrading with the ~S+ (Miami-Dade County Code sectiare 2-11.1). ~,
o . .Prohibition from. lobbying _befiore .board/committee -you have. served on for.period of~ne .year alter leaving offioe_(AAiami '
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 Developmerrt Advisory CommtiGee}~:prottibition, during tenure and far one year alter office,
from having any interest in ar receiving any benefit from -Community Development Bkede Grant firreds fiar a yocrrself >
or those with whom you have business ar immediate farruTy ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the qty perk.
"1 hereby attest to the accuracy and truthfulness of the application and have•rer7~d, read arm mill abit~ by Chapter 2,
Article VI - the City Co " of uct lent qty Ot'flEeers, EmploYra;san//d Abney
Name
PRINT)
Ptease~tach ~ei:ap, y~df3~oiir-urie:<tc~slica<ion
N~'£:-J1Rplh~tons gill;remain ~afile'foraperiod of one (1) p~rMaryear.
Received in the City Clerk's Officae try :
Name
Gerk
Date: /~ Control No Jn1..
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