Beverly Aberbach 12/31/2010m MIAMI BEACH
City Of ~Mlomi BeOCl7r 1700 Convention Center Drive; Miami Bedch, Florida 33139, vJww_miamibeachfl aov
OFFICE Of THE CITY CLERK, Robert Parcher, Ciry Clerk ~ -
Tel: 1305) 673-7411, Fax: (305) 673-7254
2/16/2010
Beverly Aberbach
911 47th Court
Miami Beach, Florida 33140
Police Citizens Relations Committee
Congratulations! You have been reappointed by Commissioner Jorge Exposito
to the above referenced agency, board or committee for a term ending: 12/3112010.
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;
Robert Parcher
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, 2-2458, 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 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 Beaeh, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Beverly Aberbach
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 O~crrs 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.
II ~ i~
B erly Aberbach
Sworn to and subscribed before me this ~(~day of ~, 20^0¢
Silvia Prieto
Deputy Clerk
'Please visit the City of Miami Beach website at www.miamibeachFl.govuncter 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, hisroric community.
m- MIAMIBEACH
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
~ .
MAME: f~ /J L- /~ .CS H ~.%F7 6 ~ // ~ /GL k
Last Name First Name ~ Middle Initial
HOME ADDRESS: ~~ I - ~/ 7 G7~ i~~? /.9 a~ i '~~ /C C ~~ ~ ~f a
Apt No. House No./Street City / )~ Si~J~ate Zip Code
PHONE: c~0 S-J ,~I -~ 2/L1 G ~ Pf !'K11UP~`CJ0. ~ ~ _/~dL.C(
Home Work' F Email address
Business Name: Q~ Position:
Address: OS
No. Street City State Zip Code
Professional License (describe) ~ F~epires:_~ Attach a copy o/rhe license
Pursuant to City Code section 2-22(4) a and b: Members of agendes, 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 dly for a minimum of six
months; orb) an individual shall demonstrate ownershi~nterest for minimum of sa months in a business established in the atY.
• Resident of Miami Beach for a minimum of six (6) months: Yes ~r No ^
• Demonstrate an ownership(Merest in abusiness in Miami Beach for a minimum of six (6) months: Yes 0 or No d
• Are you a registered voter in Miami Beach: Yes I~r No ^
• (Please circle one): I am now a resident of: North Beach Soutlr Beach
• I am applying for an appointment beceuse I have spedal abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beads? Yes ^ or No
Please list your preferences in order of ranking [1] first choice [2] second dwice, and [3] third choice. Please note that oniv three 131
choices will be observed by the Ciri Clerk's l')ffice. (Regular Boards of Cily)
^ Affordable Housin Adviso Committee ^Housin Autho
^ Art in Public Places Committee ^ Loan Review Committee
^ Beautficafion Committee ^ Marine Auth '
^ Board of Ad'ustment' ^ Miami Beach Commission for Women
^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Coundl
^ Ca ital Im rovements Pro eds Oversi M Committee ^ Miami Beach Sister Clties Pro ram
^ Committee on the Homeless ^ Norma Shores Local Government Nei h. Im rovement
^ Committee for Qual' Education in MB ^ Parks and Recreation Fadlities Board
^ Commun' Develo ment Adviso ^ Personnel Board
^ Commun' Relations Board ^ tannin Board•
^ Convention Center Adviso Board Police Citizens Relations Committee
^ Debarment Committee ^ Production Indu Coundl
^ Desi n Review Board' ^ Public Sa Adviso Committee
^ Disabili Access Committee ^ Sa Committee
^ Fine Arts Board ^ Sin le Famil Resitlential Review Panel
^Ga Lesbian, Bisexual andTran ender GLB ^Sustainabil' Committee
^ Golf Adviso Committee ^ Trans ren Reliabil' 8 Aocountabil' Committee "TRAC°
^ Health Adviso Committee ^ Trans lion and Parkin Committee
^ Health Facilities Autho ' Boarl ^ Visitor and Cornerrtion Autho
^ His anic Affairs Committee ^ Waterfront Protection Committee
^ Histodc Preservation Board ^ Youth Center Adviso Board
't3oard R wired 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 Board: Yes 0 No ~ Years of Service:
2. Present partidpation in Youth Center adivities by your children Yes^ No o. 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\aFORM$\BOARD AND COMMITTEES\BC Application062609 NEW.doc
.Have you ever been convicted of a felony: Yes ^ or No C! If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No golf 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/~/U rreIntly serving on any City Boards or Committees: Yes Cf or No D. If.yes; which board?
r~lil G ~!tTlZr°NS ~L'-1ATld/ll-S'
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name: _.__ _~_ Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
q l I ..~1 l'_'('
• 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 o, child a, brother o, or sister o who is employed by the
City of Miami Beach? Check all that apply. Identity the department(s):
The following IMormatlon Is voluntary and is neither pert of your applicagon nor has any beadng on your conslderatlon for appointment tt is
being asked to wmpty with feder/a/l Dual opponuntty reporting requirements.
Gender. ^ Male eFemale
Etfttiic ONgin: Check one only (1)
hfte (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
~ African-AmericaNBlack (Not of Hispanic Origin): All pen;ons having origins in any of the Black racial groups of Africa.
^ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish cuRure w origin, regardless of race.
^ Asian or Pacific Islander. All persons having origins in any of the original peoples of the Far Easf, Southeast Asia, the Indian Subcontinent, on
the Padfic Islands. This area inductee, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
^ Amercan Indian or Alaskan Native: All parsons having origins in any of the original peoples of North America, and who maintain
Cukurel identfigtbn through tribal afFliation or community recognition.
Physically Challenged: Yes ^ or NOO.
Employment Status: Employed ^ Retired Homemaker ^ Other ^
NOTE: If appointed, you will be required to follow certain laws which appy to city board/committee membere.
These laws include, but are not limited to, the following:
o Prohibition from directly or indiredty lobbying dty personnel (Miami Beach Cily Code section 2-459).
o Prohibhion from contracting with the city (Miami-Dade County Code ser~on 2-11.1).
o Prohibition from lobbying before boardlcommitlee you have served on for period of one year after leaving office (Miami
Beach City Code section 2-26).
o Requirement to disdose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
(re: CMB Community Development Advisory Committee): prohibifion, during tenure and for one year after leaving office,
from having arty interest in or receiving any benefit from Community Development Block Grant funds for either yourself ,
or those with whom you have business ar immediate family ties (CFR 570.611).
Upon inquest; copies of Hrese 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,
~Ar_ticle VII - of fnhe\City Code "Standards o.~f Coonduct for Cily Officers, Employees and Agen jcy~Members."
f~ ll 112 Q l 1 A~ ~ ~!f 1 I n\ , (S ~e/V ~it^LV e4--1 ~n PJY~ ~i C'
Please attach a copy of your resume to this appika5ori
NOTE: Applications wll(remaln on file-for a period of one (1) calendar year.
Received in the City Clerk's Oitice by : Date: _/ rz(I09 Control No. Date: _/ /~
nre..w ..r rw,.a,, r•rew
MIA M FDADE
~ SOURCE OF INCOME STATEMENT
Please Prliit or Type First Name Middle Name Initial Last Name
Disclosure
n Q For Tax Year
Name: ~(~{"Z- AJ~~"I~b'~ Ending:
Mailing Address: Q / / -"Y G~
city/state/Zip: p vr) / ~~27G L ,~.3/5~
Serial severity Number. /~~' _~ ~ =o yg 9
Filing as a: D County Employee:
p Municlpal Employee of:
Position held or soughh.~/~e C~~.z~~, ~Q/ii~io~rJS CG~r" ~ ~-~~
Board where serving: ~ ~ Tenn or Employment
Began on: zoo?
Department where employed:
Work Address:
If your home address is exempt Prom puhiie rornrds pursuant to
Florida Statutes § 119.07 please diadc here (read instructioru): ~ Work Telephone:
Home Address:
Street Address
City State Zip Code
Please list below in descending order with the largest source first, tfie name, address and
princlpal business activity of every source of your income including public salary you
recelved or any person received for your benefit or use during ffie disclosure period. The
income of your spouse or airy business partner need not be disclosed. If corit<nued on a
separate sheet, check here: 0
Name of Source of Income
Address Description of the Princlpal
g{IS~nesg pctivi
I hereby swear (or affirm) that the aforesaid information Is a true and correct statement.
~~ ~~~~ ~
Signature cerson disclosing
~~
ate si ned