Lucero Levy 12/31/2011m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive; Miami Beach, f.lorida.33.1.39, xnww.miamibeachFl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
01-14-2010
Lucero Levy
1855 Cleveland Rd
Miami Beach, Florida 33141
vUB~+j6CT Beautification Committee
Congratulations! You have been appointed by Commissioner Jorge. Exposito
to the agency, board or committee named above for a term ending: 12/31/2011.
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,
.M~~ S6
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
John Oldenburg
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 safely to all who live, work and play in our vibrant, tropical, historic community.
m MIAMIBEACH
,~
.~ , :~ City of Miami Beach, t~7oo Convention Cenrer Drive; Miami~Beachi;Horidd.°.33:1`39 www:miamibeaclifl:aov ," •:~: r' ~~z.:~~ 'ti.; ,•,:~ a..`
-;-. OFFICE OF THE GITYCLERK;.Robed Parcher, CityClerk ~"" ! •' ~ "~~~- ~ =~ `;~
' +. Tel;, (305) 673-7411, Fax: (303) 673-7254 ' ' '" _
TO Lucero Levy
RE: Beautification 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: 12/31/2011.
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 ofEfhics for Pub/ic Oflr~rs 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.
.u-cry-t
Lucero Levy
Sworn to and subscribed before me this ~ day of ~/~ 20i@~
-
Silvia Prieto
Deputy Clerk
*Please visit the Gty of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Fnanaal Disdosure Requirements.
We are committed to providing excellent public service and safely fo all who live, work and play in our vibrant, tropical, historic community.
;i s, i ,t ;~'.\~~~. ~ V ~~~ ~ CfTY OF Mi~;IJII BEkCi-I
- BOARG AhID COMMfTTEE l+,PPLICA.TIOh FOP.N
~Cy~~ ~UC~-1zo /2~
NAME:
La/st Name First Name ~ Middle In'tiial
HOME ADDRESS: / ~.i f CLC~~L~f-~ ,~l~A-~ ~1/~'M/ P~~~H ~ .~.~ ~ y~
Apt No. House No.lStreet City State Zip Co e
PHONE: J~dJ =~6~= f~'/~°~ 7~"6°~S~-7.j~ 3DJ=~~= ~o~l~ ~y~~2~ L~ao~,~~.
Home VWOFIf ' ~~ • Fax Email address
Business Name: Position:
Address:
No. Street City State Zip Code
Professional License (describe) Expires: Attach a copy of the license
~~
~-
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 ownetshiplinterest 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 D ` /
• Demonstrate an ownershiplinterest in a business in Miami Beach for a minimum of six (6) months: Yes` or No D
• Are you a registered voter in Miami Beach: Yes or ~.,
• (Please circle one): I am now a resident of: orth Beac South Beach Middle Beach
• I am applying for an appointment because I have speraa a illties, knowledge and experience. Please fist below:
• Are you presently a registered lobbyist wig the City of Miami Beach? Yes ^ or No ~9(
Please list your preferences in order of ranking {1J first choice [ZJ second choice, and [3J third choice. Please note that onto three (31
choices will be observed by ~e Clty Clerk's Office. (Regular Boards of City)
D Affordable Housin Adviso Committee D Housin Autho '
^ Art in Public Pietas Committee D Loan Review Committee
Beautification CommithBe ^ Marine Autho
D BoaRf of Ad'ustment' Miami Beach Commission for Women
D B Adviso Committee D Miami Beach Cuttinal Arts Coundl
D C itel fm rovemerrts Pro'ects Oversi ht Committee D Miami Beach Sister Cities Pro ram
D Committee on the Homeless D Norman Shon3s local Govemmerrt Nei h. im rovemerrt
^ Committee for Qual' Education in MB ^ Parks and Recreation Faciifties Board
^ Cammun D~evelo merit Adviso ^ Personnel Board
Commun Relations Board D Plannin Board"
D Convention Center Adviso Board D Police Citizens Relations Committee
D Debam-ent Committee D Production indu Council
^ Desi n Review Board* D Public 5 Adviso Committee
D Disabil' Access Committee ^ Sa Committee
D Fine Arts Bcarti D Sin le Famii Residential Review Panel
D Ga ,Lesbian, Bisexual and Transaender GLBT D Sustainabif' Committee
D Golf Adviso Committee D Trans wren Reliabil' & Accountabil' Committee 'TRAC"
^ Health Adviso Committee ^ Tran ortation and Parkin Committee
^ Health Facilities Autho .Board D Visitor and Convention Atltho
D His nit Affairs Committee D Waterfront Protection Committee
^ Historic Preservation Board D Youth Center Adviso Board
*Board Required to Flle State Disclosure Form
Note: tf applying for Youth Advisory Boarcl, 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 bebw:
Child's name: Age: Program:
Child's name:
Aae: Prooram:
\~LEP.`.SAL'\a~~RM,S\BJARD ANC ~OMMITT~E~\B~ Aaolicoiion062609 NEN~.do:
•~save you eves been convicte~ o` ~relony Yes No !' vas please explain in detail:
• Do you currently have a vloiation(s) of City of Miami Beacr: codes. Yes ~ or/~fo ~. tf yes. please erp{am in detail:
• Do you currently owe the City of Miami Beach any money. Yes = c}(No~/7f yes; explain in detail
• Arn you currently serving or any City Boards or Committees: Yes " or No -. If vas. whict board?
What organizations in the City o? Miami Beach do you currently hold membership In?
Name: ~%~~~/l/i" l~/~ ~/4 Title: V/GC ' ~,~~5/!/ ~T
Name:
Title:
List ail properties o red or have an interest in, whic are located within the City of Miami Beach:
I am now employed by the City of Miami Beach: Yes ~~~ No~14Vhich department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent 0, spouse C~, child C, brother C, or sister 0 who is employed b~~ the
City of Miami Beach? Check all that apply. Identify the department(s):
The followtng information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. tt is
being asked to comply with federal equal opportuntty reporting requirements.
Gender: D Ntale l~~emale
Ethnic
necK one only (~~
White (Not of Hispanic Origin): All persons havtng origins in any of the original peoples of Europe, North Africa or the Middle East.
African-AmerieanlBtack (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
~'Miepanic: All persons of Mexican, Puerto Rican, Cuban, Carttral or South American, or other Spanish culture or origin, regardless of race.
U Asian or Pacific fstanrlet: All persons having origins in any of the original peoples of the mar mast, Southeast Asia, the Indian Subcontinent, or•
the Pacific kstands. This area indttdes, for axarrrpte, China, India, Japan, Korea, the Philippine (stands and Somoa.
J American Indian or Alaskan Nafive: All persons having origins in any of the original peoples of North America, end who maintain
Cultural idenfific~fion through tribal atflitafion or commtmtty recagnltton.
Yes 0 or
l~..
Employment Status: Employed ~ Retired D Homemaker" Other 0
NOTE: If appoilrtted, you will be required to fvliow certain taws which apply to city boardicommitlose msmbees.
These taws include, but are not limtioad f;o, the following: .
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from corttracfing with the dty (Miam+-Dade County Code section 2-11.1).
o Prohibition from lobbying before beard/committee you have served on for period of one year after leaving office (Mlam~
Beach City Code sedion 2-213).
o Requirement to disdoae certain frnandal irrterests and gifts (Miami-Dade County Code sedion 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 Btodc Grant funds for either yourself .
or those with whom you have business or immediate family ties (CFR 57D.611).
Upon request, copies of these laws may be obtained from the Ctty CierY..
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter ;.,
Art' VII - of C/~it_y Code " ndards of onduct or City Officers, Employees and Agency Members."
nt's Signature ~ Date Name of Applicant (PLEASE PRINT(
?lease attach a copy of your resume to this application
NOTE: Applications will remain on ills for a period of one (1 } calertCar year.
Receroed in the City Clerk's Office v)' Gate' _' rzooy ;;ontrol No Date ~_~'200g
Name of Deputy Clerk -