Gabriel Paez 12/31/2010MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miami6eachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciry Clerk
Tel: 13051 673-7411, Faz: (305) 673-7254
01-28-2010
Gabriel Paez
100 Lincoln Road #1638
Miami Beach, Florida 33139
Personnel Board
Congratulations! You have been appointed by the City Commission 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,
Jf~" Robert Parcher /~
U City Clerk
cc: Saul Frances, Parking Director
Ramiro Inguanzo
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 Depanment Form)
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee
We are committed ro providing excef(enf public service and safety to all wfio live, work and play in our vibrant, tropical, hisroric community.
m MIAMI BEACH
City of Miami Beaeh, 1700 Convention Cenrer Drive, Miami Beach, Florida 33139, www.miamibeachA.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciry Clerk
Tel: 13051 673-7411, Fax: 13051 673-7254
January 26, 2010
TO: Gabriel Paez
RE: Personnel Board
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 pertorm 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
12/31/2070.
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 Florida 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* requirements 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 calend(ar~on which 1 have servedp
mot" ~1~M / ~~~
Gabriel Pae
Sworn to and subscribed before me
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachFl.gov under City Clerk/Board and Committees
for additional informatlon regarding the Financial Disclosure Requirements,
We are committed ro providing excellent public service and safely ro oll who live, work and play in our vibrant tropical, historic community.
MIAMI B~ACFI
Silva Prieto, Administrative Aide I
CITY CLERK'S OFFICE
1700 Convention Center Drive, Miami Beach, FL 33139
Phone: 305.673-7000 ext. 6269! Fax: 305-673-7254
vnww.miamibeach0.eov
We are committed to providing excellent public service and safety to all
who live. work and play in our vibrant, tropical, historic community.
~ MIAMIBEA~N
E CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME: Paez Gabdet ~
Last Name First Name Middle Initial
HOME ADDRESS: 1638 100 Lincoln Road Miami Bea h F 1v
Apt No. House No./Street City State Zip Code
PHONE: 786.443.4733 3055325350 305535.5482 gjp1225~yahoo.com
Home Work Fax Email Address
Business Name: UNIDAD Position:
Career Advisor
Address: 833 6th Street Mlami Beach FL 33139
No. Street City State Zip Code
Professional License (describe): Professional in Human Resources Expin;s: 06/30/2012 Attach a copy of the
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 ownershipMterest 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
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes
• Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
I am a Human Resources professional.
• Are you presen9y a registered lobbyist with the City of Miami Beach? No
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)
choices will be observed by the City Clerk's Office (Regular Boards of City)
Art in Public Places Committee Loan Review Committee
Board of Ad'ustment' Miami Beach Commission for Women
Bud et Adviso Committee Miami Beach Cultural Arts Council
Ca ital Im rovements Pro'ects Oversi ht Committee 2 Miami Beach Sister Cities Pro ram
Committee on the Homeless Normand Shores Local Gov't Nei h. Im rovement
Committee for Quali Education in MB Parks and Recreation Facilities Board
Communi Develo ment Adviso 1 Personnel Board
Communi Relations Board Plannin Board'
Convention Center Adviso Board Police Citizens Relations Committee
Debarment Committee Production Indus Council
3 Desi n Review Board' Public Safe Adviso Committee
Disabili Access Committee Safe Committee
Fine Arts Board Sin le Famil Residential Review Panel
Note: I I ' enYBis~r6dN hBiE to our ffiliati rt3ar8taMral~' lC9iak0ittd4~uth Center:
Golf Adviso Committee Trans arenc Reliabili & Accountabili Committee "TRAC°
1. P 3tleallhidOdm~is ~oottnltteeter Adviso Board: No Y of ert®tien and Parkin Committee
Health Facilites Authori Board Visitor and Convention Authod
2. P el9 i4graitiolEbilNiOMd~Center activities b our child n Waterfront plieast3.distdBttemmes of our children
their
age ,19islk)Nbi07e.~ritelow: ,
Youth Center Adviso Board
C it 's name: A9 : 'Board Required to ~~e Disclosure form
Child's name: Age: Program:
• Have yott ever been convict a felony: No If yes, please ex~l in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: No If yes, explain in detail
• Are you currently serving on any City Boards or Committees: No If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Citizens' Police Academy Alumni Association Title: Vice-Chair
Name: 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: No Which department
• Pursuant to City Code Section 2-25 (b): Do you have a who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s):
The following Information is voluntary and is neither part of your application nor has any bearing on your consideration for appolntmeM. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: Male Race: White
Ethnic Origin: Check one only (1)
Hispanic
Physically Challenged: No
Employment Status: Emoloved Other:
NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee 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 city (Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before board/commiftee 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,
Article VII - of the City Code "Standards of Conduct for Clty Officers, Employees and Agency Members."
1 Gabriel Paez agreed to the following terms on 1 211 7/2009 11:42:56 AM
Please attach a copy of your resume to this application
NOTEyApplications will remaln_ onngle for a.penod ofone (1} c~lenda~ ar
Received in the City Clerk's Office by: ' ~ Date:J~~ trol No.~ Date:~6Y /~
Nama of Deputy C edc
I®~
Please Print or T ype
Name:
Mailing Address;
City/State/Zip:
SOURCE OE INCDME STATE
First Name Middle Name/Initial D Last Nr
/ov L~'`v~O LrU
~f~pa~G. f-L 33/
Social Security Number;
FNing as a: ® County Employee:
® Municipal Employee of:
HT
-L dr< /~3g
Disclosue
For Tax leer
Ending;
Position bald or sought; ~ pyr a-yl ftic~ ~ 'Urn.(
Board where serving;
Department where employed:
W ark Address;
Term or Eimpioyment
Began on: ~- Z.S-/a
Sf your home atliirsas !s exempt from pu6fi: records pursue~rt fz
Plvri~ srenreec § u,a.G7 plaeee ched; here (reatl instraetionsj: ~ Work Telephone:
Home Address: ~ A'/" ~ ~' ~S ~~~ ~
Street Address
~'
State
Zip Code
Please fist below in descending order with the largest source first, the name, address end
principal business adivlty of every source of your income including public salary you
received ar arry parson rsceivad for your benefit or use during the disclosure period, The
inrome of your spouse or arty business partner need not he desclused. If continued on a
separate sheet, check hare; ~ ~
Rame of Source of Income
Address Description of the Principal
Business Actlvi
nrr~ 33 ~~ St 3 / ,~
1 herabj'' sar (or affirm that the aforesaid information es a true and correct statement.
a-a-lf~
Signature of pera:an isclosmB Bate signed