Joel Stedman 12/31/2011m MIP,M,BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami.Beach, Florido 331.39, ~v.miamibeachN.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, fax: (305) 673-7254
1 /12/2010
Joel Stedman
1800 Purdy Ave. #2102
Miami Beach, Florida 33139
{S~BJfEG:tT~~ Gay, Lesbian, Bisexua{ and Transgender
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
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,
PGJLB~/~,5~
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 ore 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, 1700 Convention Center Drive; Miami .Bench; florida:33:139, www.miamibeachH.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Joel Stedman
RE: Gay, Lesbian, Bisexual and Transgender (GLBT)
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.
1 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/o~ida Commission on Ethics Guide to the Sunshine
Amendment and Code ofEthics for Public ~cers and Employees, 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 w~ishi-i~ve served.
v Jo`~fStedman
Sworn to and subscribed before me this ~2 day of .~~ n.a7 , 20~~
.~
Silvia rieto
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 ro providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
m MIAMIBI*CH
„.... Sre,n,.a,J
HOME ADDRESS:
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CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
r~ 33 ~ S ~ 1~~.~
Work
City
Business Name: ( 1 ~~ % Position: ~(a) /V ErL
Address: /b S ~ ~il/~A--S~i It/ b i a iU /~ic~ yam rf-~~~ ~ ~~135
No.
Professional License (describe)
City
address
State
Facpires: Affach a copy of the license
Pursuant to City Code section 2-ZZ(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 aty for a minimum of six
months; or b) an individual shall demonstrate ownership/interest fora inimum of six months in a business established in the aty.
• Resident of Miami Beach for a minimum of six (6) months: Yes or No ^
• Demonstrate an ownership/interest in a business in~iami Beach for a minimum of six (6) months: Yes or No ^
. Are you a registered voter in Miami Beach: Yes for No ^
. (Please arcle one): I am now a resident of. North Beach South Beach Middle Beach
• 1 am applying for an appointment because I have special abilfies, kno ge 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 [3J third choice. Please note that only three (,
choices will be observed by ~e City Clerk's Office. (Regular Boards of City)
^ Affordable Housin Adviso Committee ^ Housin Autho '
^ Art in Public Places Committee ^ Loan Review Committee
0 Beautification Committee ^ Marine Autho '
^ Board of Ad'ustment' ^ Miami Beach Commission for Women
^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council
^ Ca ital Im rovements P 'acts Oversi ht Committee ^ Miami Beach Sister Cities P ram
^ Committee on the Homeless ^ Norman Shores Local Government Nei h. Im rovement
^ Committee for Quali Education in MB ^ Parks and Recreation Faalities Board
^Commun' Devei ant Advi ^ Personnel Board
^ Commun' Relations Board ^ Planni Board'
^ Convention Center Advi Board ^ Police Citizens Relations Committee
^ Debarment Committee ^ Production Indus Councl
^ Desi n Review Board`' ^ Public Sa Adviso Committee
^ Disabili Access Committee ^ Safe Committee
^ F' a Arts Board ^ Sin le Fami Residential Review Panel
Lesbian, Bisexual and Trans ender GLB ^ Sustainabil' Committee
^ Golf Adviso Committee ^ Trans ran Reliabil' & Acx:ourrtabil' Committee "TRAC'
^ Health Adviso Committee ^ Trans lion and Parkin Committee
^ Health Faalities Auth Board ^ visitor and Convention Autho "
^ His nic Affairs Committee ^ Waterfront Protection Committee
^ Historic Preservation Board ^ Youth Center Adviso Board
"Board R wired to File 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 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 below.
Child's name: Age: Program:
Child's name:
Age: Program:
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application062609 NEW.doc
.Have you ever been convicted stony: Yes ^ or No Oct' If yes, please expla~etait:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No e!If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ^ or No If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
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 NoC~-aVFich 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 Beac~t? Check all that apply. Identify the department(s): ~Q
The following Irrformatlon is voluntary and is neitlter part of your application nor has any b~ring on your conslderatlon for appointment. It is
behtg asked to~comPh- whh federal equal oPpordmity repoAln9 naqulremer~Cs.
Gender: ®' Male ^ Female
-- __ _
Et~rtic Otigin: Check one only (1)
ite (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Afica or the Middle East.
^ African-AmerlcanBlack (Not of Hispanic Origin): All persons having origins in any of the Bladc reds! groups of Afriq.
^ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
(] Asian or Pacific Islander: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on
the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
0 American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal affiliation or community recognition.
Yes ^ or No^.
Employment Status: Employed ~ Retired ^ Homemaker D Other D
NOTE: H appointed, you will be required to follow certain laws which apply to city boardlcommittee 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 Clty (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 to 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 Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Antic e V ~ the Code "Standards of Conduct for City Officers, Employees and Agency Members."
Ap nt's gn~ re at Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume ~ this application
NOTE: Applications will rema on ffl r a perod of one (i) calendar year.
~ ~ ~ N~~~~ !~ ?i
Received in the City Clerk's Office by : Date: / !2009 Control ,r~~-.. Date: ~ J2~9
ame of De Clerk