Steven Oppenheimer 12/31/2010/,~
IVtI /~lvl!,f ~EAL~
CMy of Miami Bsaeh, 1700 Convention Center Drive, Miami Beach, floridc 33139, vrww.miamibeachR.gov
OFFICE OF THE CITY CLERK, Robert Percher, Ciy Clark
TEL: (305( 673-741 1, FAX: (305( 673-7254
01-27-2010
Steven Oppenheimer
4645 N. Bay Road
Miami Beach, Florida 33140
(SU,B`JECsTIi:~-- Police Citizens Relations Committee
Congratulations! You have been appointed by Commissioner Jonah M. Wolfson
to the agency, board or committee named above for a term ending: 12!31/2010.
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,
~~-`~ y~`
Robert Percher
City Clerk
cc: Saul Frances, Parking Director
Chief Carlos Noriega
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 saley to all who live, work, and play in our vibrom, tropicol, hisroric communiy
® MIAMIBEACH
Ciry of Miami Bsaeh, 1700 Convention Center Drive, Miami Beach, Fkxidc 33139, www.miamibeachR.gov
OFFICE OF THE CITY CLERK, Robert Percher, Ciy Cbrk
TEL: 13051673-7411, FAX: 13051673-7254
TO Steven Oppenheimer
RE: Police Citizens Relations 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: 12/31/2010.
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, 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.
Steven Oppenheimer
7>`-
Sworn to and subscribed before me this ~9 day of ~.~v.a~T, 20.~~D
~~
/a -Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under Gty Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are committed ro providing excellenr public service and sofey ro oll wlro live, work, and phy in our vibronl, Iropicol, hisroric communiy.
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NAME:
HOME ADDRESS: , V ' S
PHONE: ~S•) 3~'•~6~~
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Home pVVOrk Faz Email address
Business Name:~R`~r~2 ~ ~P/ `"+"/~"~ /~~ ),~p~i4'onA /of~~~~t-/~
Address: ~dS A/~-/IyU~ ~0/~~y /~'~ • /'y~ Fy ~3/~~O
AL. c.-". ...~. -7--1 ..._. _. _
Pmh55iorW Lioenso (doscribe)
D Housing Authority'
^ Loan Review Committee'
D Marine Authority'
D Miami Beach Cultural Arts Couna7
D Miami Beach Commission for Women
D Miami Beach Florida Sister Cities
0 Normandy Shores Local Gov't Neigh. Improvement
^ Oversight Committee for General Obligation Bond
^ Parks end Recreation Fadiities Board
^ Personnel Board'
^ Planning Board'
iB'~'olice Citizens Relations Committee/
^ Productionlndustry Counca
^ Pudic Safety Advisory Committee
^ Safety Committee
G+'rrransportation end Parking Committee ~ 2
^ Visitor and Convention Authority"
D Youth Center Advisory Board
Pursuant to Cily Gode sectlon 2-22[4) a and b: Members of agendas, boards, and commitffias shall be affiliated witfi the city; fhis
requirement shall be fulfilled in the following ways: aj an individual shall have been a resident of the sty for a minimum of six
months; or D) an individual shall demonstrate ownershipAnffirest for a min i~mum of eix montlrs in a business esffiblished in the dty.
s Resident of Miami Beach for a minimum of six (6) months: Yes Lf or No U
• Demonstrate an ownership/interest in a business~~in~~Miami Beach for a minimum of sbt (6) months: Yes Nor No u
• Are you a registered voter in Miami'Beach: Yes Cfor No U
e (Please check one): I am now a resident of. North Beach U South Beach U Middle Beach fd'
e I am~pplying for an~pointment because I have special abilities, knowledge, experience. Please list below:
oN~ ~~,//I: ~s~ ~,f.rr' ,aN~ ij/S/A.~SS ®w,t,E~ ~3~1.5tFfus~ c..ho l_,~(,,+t
~'~•~ /~ Sw"Sf£r-/ ~J~, .,,iti /_.,.., ... _ .sue. .
Please list your preferences in order of ranking [t] first choice [2] second choice, and [3J third choice. Please note that only three (31
chokes will be observed by [he Gtv Gerk's OTfice (Regular BoaMs of City)
^ Art in Public Places Committee
^ Beach Preservation Board
t34eatrtifrcatfon Committee
^ Board of AdjusimenY
^ Budget Advisory Committee
D Committee on Homeless
t2COmmittee for Duality Education in MB
^ Community Development Advisory'
0 Community Relations Board
^ Convention Center Advisory Board
^ Debarment Committee
D Design Review Board'
^ Disability Access Committee
^ Fine Arts Board
^ Golf Advisory Committee
D Health Advisory Committee
D fieaith Fadlities Authority Board
^ Hispanic Affairs Committee
^ Histodc Preservation Soard`
`Begird Required to F(le titate D(sclosure torn
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Staffi Zip Code
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Note: M applying far Youth Advisory Hoard, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes a No U Years of Service:
2. Present participation in Youth Center activities by your children YesJ No J. If yes, please list the names of your children, their
ages, and which programs. List bebw:
Ghild's name: Age: ~ Program:
Ghild's name:
Age: _ Program:
.Have you ever been convicted of a felony: Yes U or No Il~If yes, please explain in detail:
e Do you currently have a violation(s) of City of Miami Beach codes: Yes u or No ~If yes, please explain in detail:
e Do you currently owe the City of Miami Beach any money: Yes u or No ~__/If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes U or No 1/ if yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: r~Ne~
• List elf 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 U or Nol~Which department?
• Pursuant to Gity Code Seetlon 2-25 (b): Do you have a parent U, spouse U, child u, brother u, of sister J who is employed by the
Gity of Miami Beach? Check atl that apply. Identify the department(s): ~/.
This section is "not required" but desired: Age: years old Gender: Male ~ Female ^
Ethnic Origin (Check one)
White QAfrican-AmericanBlack p Hispanic: Q Asian or Pacific (slander ^ American Indian or Alaskan Native Q
Employment Status: Employed ^ Retired ^ Ffome-maker D Other ^
"t hereby attest to the accuracy and truthfulness of the application and have received, read and wig abMe by Chapter 2,
Article VII - of me Ciry Code "Standards of Conduct for City Officers, Employees and Agency Members."
piicant's Signature
Please attach a wpy of your rewme to this application
tiOTE: Applications will remain on File for a period of one (1) calendar year.
Received in City Ckark's Orfice by Date
~. Name of Doputy Clork~ ~~
Document Control Number (Assigned by the City Clerk's Office) Entered By pate ~ 2' ~
Revhee 92W L HetlkM
r' . L .~^.C,i,' 1 ~ rp ~c.,^,i
fi , 4 ,.,mri fl ~`.,,
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American Aasociatlon of Endodon[ists
® Specialist Members
I2tCNAttD MAUTNErt, D.D.S.
STEVEN OPPENNEIMER~ D.M.D.
Pracrice Limired m Endodontics
925 Arthur Godfrey Rd., Suite 207
Miami Beach, FL 33140
Phone: (305) 531-0641
Fax: (305)531-2808
2999 N.E. 191°' St., Suite 602
Aventura, FL 33180
Phone: 1305)882.1795
Fax: 1305)682-1706
STATE OF F~,LIjiWA~'~ .` ACY- J0p`'F ~~~S111
DEPARTMENf,OF~HEALTH .. ..._. ...
NO.
LICENSEE SIGNATURE
M®~ SOURCE OF INCOME STA
Please Frint or Type First Name miooie names in~nai ~asc name
Name: / f --_
Melling Address; /~~ ~J ~ '~/''~
City/State/Zip: J % ~ y / 7 J
Social Security Number:
Flung as a: ~ County Employee:
® Mlunicipal Employee of:
Position Field or sought:
DtSCIQSt1R
~~ For Tax year
Ending;
Board where serving;`/~ G~iiLttiS ~~B rm or Employment
Began an:
pepartanent where employed:
Work Address;
IF your home sddn~s is exempt 6rum pubik reeorde pucauarrt i9
RYari~ 5'b,drtes § 118.07 plaeae check here (nmd irestwedone): ~ Work Telephone:
Home Address;
Street Address
City
5ta1~
Zip Code
Please list below in deecerrding order with the largest source first, the name, address and
principal business activity of every source of your income including public salary you
received or arty parson re~caivad for your benefit or use during the disclosure period, The
inrome of your spouse ar any business partner need not be disclosed. If continued on a
separate sheet, check here: ~
Name of Source of Income
1 hereby~we rrj(or affirm) that the aforesaid information is a true and correct statement.
/.l///~ ,/ ,/ J
Sign/eture of person disclosing ate si nsd