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Morris Sunshine 12/31/2011m MIAMI ~E~CH City of Miami .Beach, 1700 Convention Center Drive,. Miami Beach, Florida 331$9, www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk Tel: (305) 673.7411, Fax: (305) 673.7254 2/18/2010 Morris Sunshine 465 Ocean Drive #807 Miami Beach, Florida 33139 Waterfront Protection Committee Congratulations! You have been reappointed by Commissioner Jorge Exposito to the above referenced agency, board or committee for a term ending: 12/3112011. 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 Lisa Botero 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 safey 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, www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk Tel: 13051673-7411, Fax: (3051673-7254 TO Morris Sunshine RE: Waterfront Protection 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 ofEthics ln~ Pub/ic OArcers 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 Galen r year on which I have served. Morris Sunshine Sworn to and subscribed before me this ~ y of _.~~~ .~riic ~'~ Silvia Prieto 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 safey ro all who live, work and play in our vibrant, tropical, hisroric community. NAME i,I,' .I,~',~ B~ACH ~: ~~~~ ~~~ CITY OF MIAMI B.ACF'. BOARG AND COMMITTEE APPL ICf; T ION r=ORM _ _ ~ ~ /~ /C~t.//mss' Last Nayn~ ~ ~T~ ~. ~~ First t~am~~ / ~/ - le HOME ADDRESS: `/mil/ ~y jJ.~~~' ~ 3 QApS-' v ~ Z ypa~ Street c~~ City State Zip Co PHONE: y / ~ ~~~~ ~~~ Home Work Fax Email address cam--- ~_ Business Name: Position: Address: ~ r-- No. Stteet City State Zip Code Professional License (describe) Expires: Attach a copy of fhe license Pursuant to Ctty 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 Gty for a minimum of six months; or b) an individual shall demonstrate owhership/interest for a minimum of six months in a business established in the city. . Resident of Miami Beach for a minimum of sa (6) months: Yes D or No ^ • 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 D . (Please arcle one): I am now a resident of: Notth Beach South Beach Middle Bsach . I am applying for an appointment because I have speaal abilities, knowledge and experience. Please list below • Are you presently a registered lobbyist with the City of Miami Beach? Yes D or No D Please list your preferences in order of ranking (1] first choice [2] second choice, end [3] third choice. Pisase note that oniv three !3i choices will be observed by the City Clerk's Office. (Regular Boards of City) D Affordable Houain Advtso Committee ^ Housin Autho ' ^ Art in Public Places Committee D Loan Review Committee ^ Beautlfication Committee D Marine Autho D Board of Ad'uatrnerrt' D Miami Beach Commission for Women D Sud Adviso Corrmttlae D Miami Beach Cultural Arts Coundl D C ital Im meMs P Oversi Committee D Miami Beach Sister Cities P ram D Committee on the Homeless D Norman Shores Local Government Ne h. Im mvement D Committee for Qual Education in MB D Parks and Recreation Faoifities Board ~ D Commun Develo meat Adviso ^ Personnel Board ^ Commun Relations Board ^ Ptannin Board' ^ Convention Garner Adviso Boersi ^ Police Citizens Relations Committee D Debarment Commtttee D Production indu CounGl D Desion Review Board' ^ Public 5 Adviso Committee ^ Disabil' Access Committee ^ Sa Committee D Fine Arts Board D Sin le Famii Residential F;eview Panel ^ Ge ,Lesbian, Bisexual and Trans ender GLBT D Sttstainabil Commtttae ^ Golf Adviso Committee 0 Tre ren Reliabil' 8~ Accountabil Committee 'TFtAC" ^ Health Adviso Committee ^ Ttan ortation and Parkin Committee ^ Health Facilities Autho ' Board p Vie' and Convention Autho ' ^ His nic Affairs Committee riront Protection Committee ^ Historic Preservation Board D Youth Center Adviso Board "Board Required to File State Disclosure Form Note: ff 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 C No D Years of Service: 2. 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: Child's name: Age: Program: Child's name: Acre: Program: ~~~LLP.",BALL'\ar~RM5~B~4R'v AND ~OMMITT:a\BC Aoolicanon06260~ N.VY.doc ~~ •~~ave you ever been conv~otec o' s relpny Yes ~o P vas please explain in detail. • Do you currently have a violation{s) of City o` Niami Beach codes. Yes :_ dr Nd.~l` yes. please explain Ir detail. Do you currently owe the City or Miami Beach any money'. Yes or No trf~yes' explain In detail • Are you currently servino on any City Boards or Committees: Year No -. It vas which board • What organizations in the Ciiy of Mi mi Beach de you currently hold membership in? Name: Title: Name: Title: • List all~ro~erties owned or have an interest in, which ~ located within the City of Miami Beach: • I am now employed by the City of Miami Beach: Yes G or No~ ich department? • Pursuant to City Code Section 2-25 (b}: Do you have a parent ~, spouse ^, child G, brother C, or sister ^ who is employed by the City of Miami Beach? Cheok all that apply. Identify the department(s}: / i ~ The following information is voiurttary and Is nekher part of your application nor has any bearing on your eonaidereflon for appointment. It is being asked to/comply wkh federel equal opporWnity reporting requlremerds. Lender: ~ Male D Female one omy ~ I 1 KWhlte {Not of Hispanic Origin): Ail persons having origins in any of the original peoples of Europe, North Afnw or the Mirtdle East. ^ Afrftan-AmericanlBlack (Not of Hfspentc Ortgln): All persons having origins in any of the Black recial groups of Africa. 0 Hispanic: All persons of Mexican, Puerto Riven, Cuban, Cernrel or South American, or other Spanish culture or origin, regardless of race. 7 Asian or Pacific islander. All parsons having origins in any pf the original peoples of the Far Easl, Southeast Asia, the Indian Subcontinen!, or the Pacific Islands. This area hrdtMes, for example, China, India, Japan, Korea, the PMlippine Islands and Somoe. ^ American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain Cttlhrral itlerttfftwfion through tribal atriliafion or community racrognlfion. Pnysicatty Challenged: Yas r~ or NoD Employment Status: Employed D Retired''C~ Homemaker D Other p NOTE: If appointed, you call[ ite requhed to follow certain laws which apply to city boardfcommittee members. These taws include, but are not limilmd to, the following: c Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459). o Prohibition from contraciing with the dty (Nfiami-Dade County Code section 2-11.1), o Prohibition from lobbying befog board/committee you have served on for period of one year after leaving office (Mlam Beach City Code section 2-26). o Requirement to disciase certain financial irtterests and gifts (Miami-Dade County Code section 2-1 i.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year afher 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 57D.611). Upon request, copies of these laws may be obtained from the City CierY.. "I hereby attest to the acc cy and truthfulness of the application and have received, read and will abide by Chapter .. i Arti a VII - of ~he City Co "Standards onduet for City Oeff-i~cer~ ~mployee~s~and Agency Memb~e I Ap cant's Signature Dated Name of Apolecant (PLEASE pRINT~ Please attach a copy of your resume to this application NdTE: Applications will remain on file for a periotl of one (1 i calenber year. kecervet: in the City Clerlrs Office oy .~t(Vt Q ~~~ Gate,i,yzod~ :;ontrol No -3~q Date _'_/ Bg@Zd~D Name of Deputy Clerk I®~ please Print or Typ= Name: ' Malting Address; City/State/Zip; 5aeial 5ecurfty Number; ^ ~-'x- Fffing as a; ~ County Employee; ~ Municipal Employee of: C~ -.- i~ ,~6 ATEMEtYT DtsclosuQ For Tax year Ending; ~~ Pesftian~ held or sought~~~~2U /~f ~ ~ ~~p~,i_ ~!'~. ~.. „ 'Board where sar+ring; ~ ~IL~"~/e Tarm ar Employment Began on: Department where ernpioyecf; ~--- Work Address: Sf your Dome atltlreas is meampt Srom pobii: retards puexusert b' Ploride 9ladttas § 12.B.Q7 please ehael: here (read inrtrtt~tiomtj: 0 Work Teisphone: --- Harrre Address; '! d Q 5treat Address SOURCE OF INCOME ~3' Zap Cnde Pleas= list below in descending order with the Largest source first, the name, addr~ and prim©pal business acEivity of every source of your income including public salary you received ar arry person received for your banediit or use during the disclosure period, The income of your spouse or arty business partner need not be disciersed. If continued tm a separate sheet, check here; Q 1 aretry swear (nr effrrm) that the aforesaid inf~rrnation is s true aced correct statement. i r 5 Z /o Signature of person ois~lgsing I3a'te signed