Bruce Reich 12/31/2010® MIAMI ~EAC~i
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33.139, www.miamibeachfl.a~v
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673-7411, fax: 13051 673-7254 '
3/1/2010
Bruce Reich
5262 LaGorce Dr
Miami Beach, Florida 33140
S-UBJ:EC7T7c;` Miami Beach Sister Cities Program
Congratulations! You have been reappointed by Mayor Matti Herrera Bower
to the above referenced agency, board or committee for a term ending: 1213112010.
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,
/CO ~~~~2~eJ~a,~~s~
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, 2-2458, 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 ore commined ro providing excellent public service and safey to all who live, work and play in our vibrant, tropical, historic communiy.
m MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Bruce Reich
RE: Miami Beach Sister Cities Program
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 Emp/ogees, 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.
Bruce Reich
Sworn to and subscribed before me this ~ ff day of ~/~ , 20~ ()
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding The Financial Disclosure Requirements.
We are committed ro providing excellent public service and safety ro all who live, work and play in our vibrant, tropical, historic community.
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CfTY OF MIAfJI! 3EL;CI
BOARD AND COfVIMiTTEE /+.PPLICf,TICN FORT
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Business Name . ~~1~ ~ `r
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~~ Email addr s
Address:
No. ~n Street r ~ j~ ~~ty grate Zip Code
Professional License (descrlGe) y- /~ Expires ~~ Attach a copy of tAe liven:
Pursuant to Clty Code section 2-22(4) a and h: Members of agencies, beards, 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 ownershiplinterest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (6) morrths: Yes D or No D
• Demonstrate an ownershiplinterest in a business in Miami Beach for a minimum of six (6) months: Yes ^ or No D
• Are you a registered voter in Miami Beach: Yes ^ or No ^
• (Please circle one): I am now a resident of: North Beach South Beach Middle Bsaeh
• I am applying for an appointmerrt because I have special abilities, knowledge and experience. Please list below:
• Are you preserrtiy a registered lobbyist with the City of Miami Beach? Yes D or No D
Please list your preferentres in order of ranking [f] first choice [2] second choice, and [3] third choice. Please note that oniv three C:
chokes will be observed by tfie City Clerk's Office. (Regular Boards of City)
0 Affordable Housin Adviso Committee D Housin Autho '
^ Art in Public Places Commftbae D Loan Review Committee
D BeauUfitation Committee D Marine Aufho
D Board of Ad rtshnarrt` D Miami 9each Commission for Women
D Bud Advil Committee iami Beach Guttural Arta Cotrrfdl
D C ital 1 rrts acts Oversi Committee i i Beach Sister Cities Prn m
D Committee on the Homeless om-a Shores Lo~l Gvvemmerrt Ne' h. Im rovement
^ Commitlee for l7ual Education in MB D Parks and Recreation Facfllties Board
^ Commun Develo ertt Adviso D Personnel Board
D Commun Relations Board D Plannin Board"
^ Convention Cerrter Adviso Board ^ Police Cit¢ens Reiatiores Committee
D Debennent Commtttae D Production Yndu Coundl
D Deli n Review Board' ^ Public S Advtso Committee
D Disabil Aaceas Committee ^ S Committee
^ Fine Arts 8aard ^ Si Ye Fami Residential Review Panel
D Ga ,Lesbian, Bisexual and 7ransoender GLBT ^ 5ustainabil' Committee
D Golf Advil Committee ^ Tra ran Refiabil' 8 Accourrtabifity Committee "TRAC"
^ Health Adviso Committee D Trans grtation and Parkin Committee
0 Health Facilities Atttho ' Board D Visitor and Convetrtion Autho '
O His nic Affairs Committee D Waterfront Protection Committee
D Historic Preservation Board ^ Youth Cerrter Adviso Board
"Board ReQuired to Flle Slate Disclosure Fotm
Note, ff applying for Youth Advisory Board, please indicat° your affiliation with the Scott Rakow Youth Center:
1-Past service on the Youth Center Advisory Beard: Yes . No _~ Years of Service:
c Present participation in Youth Center activities by your children Yes_ No _. If yes, please list the names of your children, their
ages, and which programs. List below.
Cni1d's nam=_ Age: Program:
Cnild's nam=_
Age: Program:
r ~, ~!=P-,50.!'_~a~~RM,S ~B~4P,„~ AND :OMMnT°_;\B~ Anoiicauon062b0~ N?~'.do:
•-',a VE y0:. eV~' :1°er. ~~1 V;^to^ ;. ~ lel~`1 ~' `~e5 NO '.' V°~ ~18a5'r expialrl In tleiall.
• Co you currently have a vio;ahonts o? City o. IJram Beacf; copes Yes .. No _. I` yes. oiease ero;air Ir detail.
• Do you currently owe the City o' I/liam, Beach any money. Yes . or N -.. I` vas exolam Ir. detail
• Are you curre~/n~tly servinc or an tte Boards /ar Com,m/itte~;~_es/ or No ~I` ;ey w~lor ooardn
. What orga~ni/z~ations Ir: the City o~ Miami '' e'a~n~.o~ yo~u/currently Hold mAm~ArsrnF, ;r:^
Name: f!!//~'/~l. ~.C,®cr ~ ,« /!L._~,~ itie .l/ ./~~GY~ ~-'
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 I~o~ .Which department?
• Pursuant to City Cade Section 2-ZS (b): Do you have a parent ^, spouse =, child G: brother C, or sister G who is employee c~, tn~
City o` Miami 13erach? ChecY. all that apply. Identify the department(s): ~v
The following tnformation is voluntary and Is nelttter part of your appllcatlon nor has any bearing on your consideraflon for appolntmen; h, it
being asked to comply with federal equal opporWnity reporting requlremerrts.
Gender: ale 0 Female
on=_ only (1
White (Not of Hispanic Origin). All pereons having ohgtns in any of the original peoples of ctirope, North Africa or the Middle `est.
^ African-AmerieanlBlaek (Not of Hlepentc Origin): All persons having ohgins in any o` the Biark. racial groups of Africa.
^ Hispania: All persons of Mexign, Puerbo Rican, Cuban, Cerrtrel or South American, or other Spanish ; utture or origin, regardless of race
J Aston or Paeiftc ls~nder: All persons Paving origins in any of the original peoples of the Far cast, Sotrthesst Asia, the Indian Subcontinent. or
the Pacific Islands. This area irrttlttdes, far eaampYe, China, India, Japan. Korea, the PMfippine fslantls and Somoa.
Amedean lnHlan or Alaskan NeBva: All parsons having origins in any of the original peoples of North America, and who mamtein
Cultural idarttffiwfion through 1rQal etflliadan or cornrttunity recognition.
Physieatty Challenged: Yes 7 or No~
Employment Status: Employed •0'~ Retired 0 Homemaker ^ Other
NOTc: tf appointed, you will tm required to follow certain taws which apply to elty boardfcotmnM,6ae members.
These laws include, but are nrrt timi6ad to, the following:
I
o Prohibition from directly ar indirectly lobbying city personnel (IJiam~ Beach City Code section 2-459)
., Prohibition from contractin with the
g dty (hf~iami-Dade County Code section 2-11.1)
o Prohibition from fobbymg before boardlcommittee you have served on for period of one year after leaving office (Miam
Beach City Code section 2-26j.
o Requirement tD disclose certain financial interests and gifts (Naam~-Dade County Code setdion 2-1 i.1).
(re: CMB Communtty Development Advisory Committee): prohibition, duhng tenure and for one year after leaving ofric<_
from having any irttsrest in m receiving any benefit from Community Development Block Grarrt funds for either yoursef'
or those with whom you have business or immediate family ties (CPR 570.611).
Upon reouest, copies of friese fawn may be obtained from the Chy Cieri;.
i
"! hereby attest to the accuracy and trutltfulneas of the application and have received, read and wtll abide by ~hapte•
Article VII - of Ctty ode "Standards of Corttluct for City Officers. c loyees and Agenc}~ Mom'
Applicant's Signature Uate Name of Noo6can! (PL`cv,S~ °RINTj
Piasae attach a copy o' vour resume to this applicafion
N6TE: Aob4cafions will remern or. file for a oerion of one f1 i colander year
i
kecervec it ire Ch~~ ~ienrs Jffice og Gat= ~ ;•ZpOF :,ontroi No Gate _/ OOF
Name O' 6eouty ;,IerR
IpM4
~ SOURCE OF INCOME STATEMEtYT
p)gzye Frint or Type First frame middle rvame/inrtrel Last ntame
~ Disclosure
,] ~ ~,/ ~ ~ ~1 ! ~~ , C /7 For Tar. lsa r
Name; Ending;
Mailing Address; ~~ ~ ~~~-~ ~~`~~~
City/State/ZiR; I l °/I~. ~~~`l ~ -~/~Y~
5acial Security Number: ~ ~ y ~ ~ ~ Z ~
Filing as a: ® County Employee;
~ Municipal Employee or:
Position held yr sought: _
'8aard where serving; ~/ ~~ '"' ~ Term or Smpivyment
'Began on
i
Department where employed:
Work 14tldress:
if your home address is exempt Srom pubfi: records pursuant Lo `"~ (% (O ~L// . ~YO~/
Biocide steta>Itas § i~.s.Q7 please ehaet; here (read iueRruatiousj; ~ork Telephone: ______--
Home Address; ~~ L ~ 2-- ~GL.~~/'~~~/j~,e
street Address - ~~1,~•~0
city c,,-tate Zip Code
Plsase list heirnv in descending order with the Largest source ftrst~ the name, address and
principal business activity of every source of your income including pubii~ satary you
re~'rved or arty parson received tar your bensP~t yr use during the tiisoios:ure period. The
income of your spouse ar any business partnerr need not be disclc:sad.. Zf continued on a
separai~ sheet, check here; ~
-~ta a of Source of Zn^.nme
Address ,Description of the Principal
Susi ass Act'rvi
1 hereby swear (or afr~rm) that the aforesaid infvrrnativn is a truce aced correct statement.
~.~~/%
Signature v. person dis~iosing - Bate Signed