Joseph Conway 12/31/2011Im MI?~MI BEACH
City of Miami Beaeh, 1700 Convention Center Drive, Miami Beach, Florida.33139, www.miamiheachA.oov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: 13051 673-7411, Fax: 13051 673-7254
1 /12/2010
Joseph Conway
140 Jefferson Ave
Miami Beach, Florida 33139
SUBJECTt:' Public Safety Advisory Committee
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for a term ending: 1213712011.
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,
~~f ~~sP
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Chief Yuhr
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 commined ro providing excellent public service and safety to all who live, work and play in our vibrant, Tropical, hisroric community.
m- MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachA.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clark
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Joseph Conway
RE: Public Safety Advisory 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/onda Commission on Ethics Guide to the Sunshine
Amendment and Cade of Ethics for Public Officers and Emp/oyees, 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.
Joseph Conway
Sworn to and subscribed before me thi day of~~~~ 200 .
,.
~yt Silvia Prieto `
Deputy Clerk
*Please visit the Gty of Miami Beach website at www.miamibeachfl.gov under City Gerk/BOard and Committees
for additional information regarding the Financial Disclosure Requirements.
We ore committed b providing excellaM public service and sofey to all who live, work and play in our vibrant, tropical, historic cammuniy.
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HOME ADDRESS: ~ ~pO9 '- l ~O •7-L-~F''F/fSO~ iQ~/~ /vliAM i 8~1~1 3 3~ 3 9
Apt No. House No./Street City State Zip Code
PHONE: 3oS'S3i'7$0O gas-s'3i-i1 z3. 3Ps-ski •goc3 .7bS~p-rco••iwAy.o
Home Work v Fax Email address A4~-S s'Nr'E - EO M
Business Name: ~OSF~OiI.GI C~Nw~/ ~~~ Position: iQd'G`~T /o.~/.~/E~
Address: ~~~.A~TO~/ qA Mi~9Mi 8~.oly ~p 39/3
No. Street City State Zip Code
Professional License (describe) 2Y.~~ ~° /NS~/.PANlE Expires: /k4mr;,°~+n r^.ng .r :'>--G<, ~,~,;..
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 ownership/interest 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 ^
• Demonstrate an ownership/interest in a business Miami Beach for a minimum of six (6) months: Yes~'or No
• Are you a registered voter in Miami Beach: Yes ~or No ^
• (Please circle one): I am now a resident of: North Beach Sout Middle Beach
• I am applying for an appointment because I have special abilities, nowledge and expedence. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ^ ar No ~,
Please list your preferences in order of ranking [1] frst choice [2] second choice, and [3] third choice. Please note that only three t3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
Affordable Housin Adviso Committee ^Housin Authorit
^ Art in Public Places Committee ^ Loan Review Committee
^ Beautifcation Committee ^ Marine Authorit
^ Board of Ad'ustmenP ^ Miami Beach Commission for Women
^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council
Ca ital Im rovements Pro ects Oversi ht Committee ^ Miami Beach Sister Cities Pro ram
^ Committee on the Homeless ^ Normand Shores Local Government Nei h. Im rovement
^ Committee for Qualit Education in MB ^ Parks and Recreation Facilities Board
^Communit Develo ment Adviso ^ Personnel Board
^ Communit Relations Board ^ Plannin Board'
^ Convention Center Adviso Board ^ Police Citizens Relations Committee
^ Debarment Committee ^ Production Indust Council
^ Desi n Review Board" Public Safet Adviso Committee
^ Disabilit Access Committee ^ Safet Committee
^ Fine Arts Board ^ Sin le Famil Residential Review Panel
^ Ga ,Lesbian, Bisexual and Trans ender GLBT ^ Sustainabilit Committee
^ Golf Adviso Committee G Trans arenc Reliabilit & Accountabilit Committee "TRAC"
^ Health Adviso Committee ^ Trans ortation and Parkin Committee
^ Health Facilities Authorit Board ^ Visitor and Convention Authorit
^ His anicAffairs Committee ^ Waterfront Protection Committee
^ Historic Preservation Board ^ Youth Center Adviso Board
*Board Required 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 YesC7 No ~. If yes, please list the
ages, and which programs. List below:
Child's name: Age: Program:
Child's name:
Age: Program:
names of your children, their
.~ r , . ..
.Have you ever been convicted of a felony: Yes o or No`K If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes 17 or Noj( If yes, please explain in detail:
. Do you currently owe the City of Miami Beach any money: Yes ~ or Nox If yes, explain in detail
. Are you currently serving on any City Boards or Committees: Yes~'or No ^. If yes; which board?
pf//3~/c s.oF~T"Y
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: /"!i'EH~ B~G}9 G/IAMa~t/e Title: PSG A'A /~
Name: Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
/mod .TFiI`{/S,fo n/ A/E ?~/.f 009 /~/ AGTON /~C
. I am now employed by the City of Miami Beach: Yes ^ or No~Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent D, spouse ^, child ~, brother ^, or sister ~ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s): ~_
The following infonnatlon Is voluntary and is neither part of your application nor has any beartng on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: Male ^ Female
Ethnic Origin: Check one only (1)
White (Not of Hispanic Origin): All persons having origins in any of the odginal peoples of Europe, North Afrca or the Middle East.
^ Afdcan-AmerlcaNBlack (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
^ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South Amedcan, 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.
^ 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,
Physically Challenged: Yes ^ or Noi~'
Employment Status: Employed Retired ^ Homemaker ^ 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/committee you have served on for period of one year after leaving ofhce (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 beneft 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 accurecy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article VII - of the City o fandards of Cond ct fo City Officers, Employees and Agency Members:'
mow- ~~ ~ j o aos ~y d co,~w-~'
Applicant's Signatu D to Name o Auolicant lPt FARF PRINTI
Pleade attach'a edpy of you(reau'me to thl application
NOTEIcations will remain on file for a period of one (1) daleaAaryeari
Received in the City Clerk's Office by : u Y'~~ O Date,~lc~.T20 Control No. Date: /_/2009
Name a eputy Clerk 1 _