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Elaine Roden 12/31/2011MIAMI BEACH City of Miami Beach, 1700 Convention Center Driva, Miami Beach, Florida 33139, www.miamibeachA aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk Tel: 1305) 673-7411, Fax: 1305) 673-7254 02-04-2010 Elaine Roden 353 West 47th Street #6F Miami Beach, Florida 33140 l~6_ ECaT[: Miami Beach Sister Cities Program Congratulations! You have been appointed by Mayor Matti Herrera Bower to the agency, board or committee named above for a term ending: 12/31/2011. 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 Cierk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Robert Parcher City Clerk cc: Saul Frances, Parking Director Diana Martinez 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 ro providing excellent public service and safey ro all who live, work and play in our vibrant, tropical, hisroric communi y. m- MIAMIBEACH Ciry of Miami Fleach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miam'beachfl aov OFFICE OF THE CITY CLERK, Robert Percher, Ciy Clerk Tal: (305) 673-7411, Fax: i305i 673-7254 TO Elaine Roden RE: Miami Beach Sister Cities Progam 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 Cade (Conflict of Interest and Code of Ethics Ordinance), as well as theF/orida Commission on EthiaGuide to the Sunshine Amendment and Cade of Ethics for Public OhScers 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. Elaine Roden Sworn to and subscribed before me i ~ day of , 2000" Silvia rieto Deputy Clerk 'please visit the Qty of Miami Beads website at www.miamibeadifl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disdosure Requirements. We are committed to providing excellent public service and solely to all who live, work and ploy in our vibranf, tropical, historic Community. m- M,~JIAMy /I BEACH NAME: /t ~.~~JV /Larst~Name ` HOME ADDRESS:.!O_ C .3 S ~ ~l EST PHONE: Business Address: Professional License (tlesaibe) First Name CITY OF MIAMI BEACH COMMITTEE APPLICATION FORM moral Fires: Attach a copy of fhe license Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shalt be afiliated with the dty; 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; orb) 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~nterest in a business in Miami Beach for a minimum of six (6) months: Yes ^ or No ^ • Are you a registered voter in Miami Beach: Yes ^ or No~ • (Please cirde one): I am now a resident of. North Beach South Beach Middle Beach • 1 am applying for an appointment because I have spedal abilities, knowledge and experience. ease ist below: • Are you presently a registered lobbyist with the City of Miami Beach? Yes~or No ^ ~iz~'lhQ-~c,°rt "`-'~ ~ ref ~~ .A.. n.a. _ ._. n Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three f31 choices will be observed by the Cilv Clerk's O(flce. (Regular Boards of City) ^ Afforctable Housin Adviso Committee ^Housin Authorit ^ Art in Public Places Committee ^ Loan Review Committee ^ Beautification Committee da Marine Autho ' ^ Board of Ad'ustment• ^ Miami Beach Commission for Women ^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council ^ Ca ital Im rovements Pra'ects Oversi ht Committee Miami Beach Sister Cities Pro ram ^ Committee on the Homeless ^ Normand Shores Local Government Nei h. Im rovement ^ Committee for Quali Education in MB O Parks and Recreation Facilities Board ^ Communi Develo ment Adviso ^ Personnel Board ^ Commun' Relations Board ^ Plannin Board` ^ Convention Center Adviso Board ^ Police Citizens Relations Committee ^ Debarment Committee ^ Production Indust Councl ^ Desi n Review Board• ^ Public Safet Adviso Committee ^ Disabili Access Committee ^ Safe Committee D Fine Arts Board ^ Sin le Famil Residential Review Panel ^ Ga ,Lesbian, Bisexual and Tran ender GLBT ^ Golf Adviso Committee q Sustainabili Committee Trans arenc Reliabili & Accountabili Committee "TRAC° ^ Health Adviso Committee ^ Trans ortation and Parkin Committee ^ Health Facilities Authorit Board ~a Visitor and Convention Authori ^ His anic Affairs Committee ^ Watertront Protection Committee ^ Historic Preservation Board ^ Youth Center Adviso Board 'Board Required 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 ^ No ^ Years of Service: 2. Present partiapation in Youth Center activities by your children YesL No ^. !f yes, please list the names of your children, ages, and which programs. List below Child's name: Age: Program: Child's name: Age: Program: their F:\CLER\$q!L\aFORMS\BOARD AND COMMITTEES\BC Application062609 NEW.doc sP~/ Apt No. House No./Street City State Zip Code .Have you ever been convicted of a felony: Yes ^ or No~ If yes, please explain in detail: e Do you currently have a violation(s) of City of Miami Beach codes: Yes ~ or No~ 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 e Are you currently serving on any City Boards or Committees: Yes 0 or No~ If yes; which board? . 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: . I am now employed by the City of Miami Beach: Yes ^ or No~ Which department? • Pursuant to City Code Section 2-2i5 (b): Do you have a parent ~, spouse D, child a, brother ~, or sister ^ who is empldyed by the City of Miami Beach? Checc all that apply. Identify the department(s): The following Information is voluntary antl is nekher part of your application nor has any beadng on your consideretlon for appointment It Is being asketl to rampty wkh ferlerel equal opportunity reporting requirements. Gender: D Male Female Ethnic Origin: Check one only (1) White (Not of Hispanic Ongin): Ali persons having origins in any of the original peoples of Europe, North Atdca or the Middle East. ^ Afdcan-AmerlraMBlaek (Not of Hispanic Odgin): All persons having odgins in any of the Bladc racial groups of Afdca. ^ Hispanic: All persons of Mexican, Pueno Ripn, Cuban, Central or South American, or other Spanish culture or odgin, regardless of race. ^ Asian or Pacific Islander: All persons having odgins in any of the odginal peoples of the Far East, Southeast Asia, the tndian Subcenfinent, on the Padf~c Islands. This area indudes, for example, China, India, Japan, Korea, ftte Philippine Islands and Somoa. ^ American Indian or Alaskan Native: All persons having odgins in any of the odginal peoples of Nonh Amedce, and who maintain Cukural idemifiwlion through tribal a~fil`iati/on or community recognition. Physically Challenged: Yes o or Nof~. Employment Status: Employed i *Retired ^ Homemaker ^ Other ^ NOTE: If appointed, you will be required to follow certain laws which appy to city board/commktee members. These laws include, but are not Ilmtted to, the following: o Prohibtion from directly or indirectly lobbying city personnel (Miami Beach City Code sectien 259). o Prohibition from cantrading wkh the dty (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, Article VII - of Ube City Code "Standards of CondNct for City O~cere, Employees and Agency Members." PRINT) Receivetl in the City Clerk's Office by : ..~'-JJ ,~ ~ Datet~/]bzoda Control No. ~ t ~ Date: _/ I2~Q$ Name of Deputy Cled~e T `,Q` Elaine Roden 353 West 47'~ Street, Apt 6F Miami Beach, FI 33141 786-877-8888 Elaine@rowmiam ibeach, com PROFESSIONAL EXPERIENCE: February 2000 -Present Ronald W Shane Center Executive Director Oversee all aspects of daily operations of the Center and Miami Beach Rowing Club, produce annual budget and maintain fiscal control, accounting, business management, information systems, human resources, write grants and secure government funding, liaise with universities, city administration, clients, members and the boazd of directors, negotiate and secure corporate sponsorships, coordinate and promote local and national events, promote 8c organize regatta activities including city permitting and regatta budget, coordinate advertising & mazketing, attend national trade conventions May 1996 -February 2000 Shane Family Foundation Administrator Responsible for daily operations: accounting, business management, information systems, processing scholarship awazds and administration for Performing Arts Academy 1995 Reed's Travel Guide, England Freelance writer Writing hotel, resort and amaction guides on South Florida locations for British publication. 1993 - 1996 American Connections, Miami Beach Office Manager Accounts payable/receivable, ground transfers, hotel reservations, assisted in representing the company at travel trade conventions COMMUNITY INVOLVEMENT: Former Board member, City of Miami Beach Fine Arts Boazd Former Board member, North Beach Development Corporation Citizens' Advisory Committee Member for 63rd Street Flyover Project Former Board member, Miami Beach Senior High PTA Nautilus Middle School PTA and North Beach Elementary PTA SHILLS & CERTIFICATIONS: Proficient in QuickBooks, Microsoft Word, Excel, Power Point, Internet navigation Notary Public US Rowing Race Official EDUCATION: Cardonald College, Scotland, UK: English & History MIA M FDADE ~ SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name Initial Last Name Disclosure / For Tax Year Name: (~ ~//~ ~ Ending: ~~y,q Mailing Address: /,~/ F ~-L City/state/tip: ~ L I O Social Security Number: 77~ " 07 - ~Oc3r'f Filing as a: ~ County Employee: ® Municipal Employee of Position held or sought: Board where serving: ~~~.TE~ ~/7~~5 Term or Employme~+t Began on: ~ /~ /,~ ---~-~ Department where employed: !~ /~~"• Work Address: (~;~OO ~A1~11f~~~iC„ ~C/f/~ N your home address is exempt from public records pursuant to Florida Statutes § 119.07 please thedc here (read instructions): ~ Work Telephone: ~~~~ ~6~ ~~7K7 Nome Address: ~~ G1~~5T L~7TH cS7 /t!~ ~~ Street Address r~llAryri B~~c-ff FL. a 3Jt~ CL City state Zip Code Please list below in descending 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 any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here: ~ Name of Source of Inceme Address Description of the Prirrclpai Business Activi t; ab litil I h e re by swe ar (or affirm) that the aforesaid information is a true and correct statement ~ j~ ~, ~ ~ ~ ~ue~a~L L~-_ signature of person disclosing D signed