Robert Rosenwald 12/31/2010a~ n~ia~sis~,acH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33 i 39, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673.7411, Fax: (305) 673-7254
12/15/2009
Robert Rosenwald
811 8th Street Apt. 9
Miami Beach, Florida 33139
~S~UB~a~G~' , Gay, Lesbian, Bisexual and Transgender (c~ ~ 7~
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
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,
~~ ~~ ~~~~~sP .
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, 2-2458, 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 aN who live, work and play in our vibrant, tropical, historic community.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive; Miami Beach;.Florido 33:139, www.miamibeachfl.aov
OFFICE OF THE CITY CIERK,. Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Robert Rosenwald
RE: Gay, Lesbian, Bisexual and Transgender
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 Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, 1 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 calen~daprye~a-r-on which I have serve .
~~/~
Robert Rosenwald
Sworn to and subscribed before me this ~2~` day of ~uN ~G•..{ , y6e' .~1O
.~G~~~--
~- 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 are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic communiy.
NAME:
~~~sc~w~t d
CfTY Or' MI~,MI BEkCH
BOAF~G laND COMMfTTEE APPLICATION FOP.N
HOME ADDRESS;
PHONE:
Las~~rrae ~ ~ ~+ _,
apt No. House No./Street
L--~i~~'(Cz~
ame
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City State rp Code
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Email address
Home ~J~- Work
Business Name,:~r ~~~n' ~ ~" Position
Address: ~C1 u~ ~f ~J ~~`~""
No. Street
(,,y11....~c~~
City
State Zip
Professional License (describe) L~ Expires: ~~.so'V'O~1 Attach a copy of the license
Pursuant to Ctty 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 for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of sa (6) months: Yes~or No 0
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes D or No »$"
• Are you a registered voter in Miami Beach: Yes~or No ^
. (Please circle one): I am now a resident of: ~ North Beach oath Be Middle Beach
. I am applying for an appointment because I have special abilities, know a ge and expgrience. Please list below:
vv~ C.~
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ^ or No,,~1 ~
Please list your preferences in order of ranking [1j first choice (2j second choice, and (3j third chaise. Please note that oniv three (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
D Affordable Housin Adviso Committee D Housin Autho '
D Art in Public Places Committee D Loan Review Committee
^ Beautification Committee ^ Marine Autho
^ Board of Ad'ustment" D Miami Beach Commission for Women
^ Bud Adviso Committee D Miami Beach Guttural Arts Councl
D C ital im rovemerrts Pro ects Oversi ht Committee D Miami Beach Sister Cities Pro ram
D Committee an the Homeless D Nomrand Shores Local Govemmerrt Nei h. im rovement
^ Committee for Qual' Education in MB 0 Parks and Recreation Facilities Board
D Commun Devefo ment Adviso D Personnel Board
D Commun Relations Board D Plannin Beard'
D Convention Cer>ter Adviso Board 0 Police Citizens Relations Committee
D Debarment Committee D Production indu Council
0 Desi n Review Board' D Public 5 Adviso Committee
^ Disabil' Access Committee D Safe Committee
D Fine Arts Board D Sin to Famil Residential Review Panel
Ga ,Lesbian, Bisexual and Transaender GLBT ^ Sustainabil' Committee
Golf Adviso Committee D Trans wren Reliabil' & Accountabil' Committee "TRAC"
^ Health Adviso Committee ^ Trans ortation and Parkin Committee
^ Health Faalities Autho ' Board D Visitor and Convention Autho
D His anic Affairs Committee ^ Waterfront Protection Committee
^ Historic Preservation Board D Youth Cerrter Adviso Board
"Board Required to Flle 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 Beard: Yes C No D Years of Service:
2. Present participation in Youth Center activities by your children Yes_~ No ~. If yes, please fist the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name:
Age: Program:
F:\CLEP.\~AL!\aFORMS\BOARD AND COMM(TTEcS\BC Application062609 N°_VNi.do;
.Have you ever been convicted o* z felony. Yes o. No I` vas. please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes = No " . ff"yes, please explain in detail:
' : Do you currently owe the City of Miami Beach any money: Yes _ or o -. If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ~ or ~ If yes; whic'r board?
• What organizations in the City of Miami Beach do you currently hold membership m?
Name:
Name:
Title
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 I~Which department
• Pursuant to City Code Section 2-25 (b): Dp you have a parent D, spouse C~, child C, brother C, or sister 0 who is employed by the
Crty of Miami Beach? Check all that apply. Identify the department(s):
The following information is voluntary and !s Walther part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: d~lale 0 Female
E hnic Origin: Check one only (1)
White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
African-AmerieanlBfack (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
^ Hispanic: All persons of Mexican, Puerto Rtcan, Cuban. Central or South Amerign, or other Spanish culture or origin, regardless of race.
^ Asisn or Pacific Islander: All parsons having origins in any of the original peoples of the gar East, Southeast Asia, the inriian Subconfinent, on
the Pacific !stands. This area includes, for example, China, fndia, Japan, Korea, the Philippine Islands and Somoa.
^ American Indian or Aissftan Native: Atl persons having origins in any of the original peoples of North America, and who maintain
Cultural idertfficafion through tribal afflttation or community recognition.
Yes 0 or Norf.
Employment Status: Employed 0 Retired 0 Homemaker p Other p
NOTE: If appointed, you wil! be requtred to follow certain laws which apply to city baardfcommittee 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 sty (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 m 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 Block 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 Cferl:.
"I hereby attest to the accuracy a fulness of the application and have received, read and will abide by Chapter 2,
Arti ie VII - of the Clty Code "S dards f Conduct for City Officers, Employees and Agency Members."
(1Y~a
Applicarrt's Signature Gate Name of Applicant (PLEASE PRINT]
Please attach a copy of your resume to this application
NdTE: Applications will remain on file for a period of one (1) calendar year.
Received in the amity Gerk's Office by Date _- /2009 control No. Date ~ /2009
Name of Deputy Clerk ---