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Jonathan Groff 12/31/2010MIAMI BEAC~I City of Miami Beach, 1700 Convenfion Center Drive, Miami Beach, Florida 33:139, vrww.miamibeachfl.aov OFFICE OF THE CITY C1ERK, Robert Parcher, Ciy Clerk Tel: (305) 673-7411, Fax: (3051 673-7254 02-23-2010 Jonathan Groff 4294 Nautilus Drive Miami Beach, Florida 33140 ~UBJ_ECT:-j Parks and Recreational Facilities Board Congratulations! You have been appointed by Commissioner Deede Weithorn to the agency, board or committee named above for a term ending: 12/31/2010. 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 Clerk'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 Kevin Smith 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 commined to providing excellent public service and safey to all who live, work and ploy in our vibrant tropical, hisroric communiy. MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.aov OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk Tel: (305) 673-7411, fax: (305) 673-7254 TO Jonathan Groff RE: Parks and Recreational Facilities Board 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 for Public Ofi9cers 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 t and or committee on which I serve) on July 1st, following the closing of the calendar year o hich I ha a served. ,~at~n G~roiff~ / Sworn to and subscribed before me this ~ day of ~~'/~~t , 20Q1p ~,.~t%~C~r~ Silvia Prieto Deputy Clerk *Please visit the City of Miami Beads website at www.miamibeachfl.gov under Gty Gerk/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 communiy. lease Print or Name: J ONo~~~ pry Mailing Address: City/State/Zip: Social Security Number: Demure ~ For Tax Yesr ISO ~ Ending: 2 p/O Ao'~ /~-~ ~2- ~f-GIg2/ Filing as a: ® County Empbyee: ® Municipal Empbyee of: Position held or sought: ~//~s e- ~C/~ti ~/dna~ Board where serving:C ~ ~ ~f~~i9„/~~Ad Department where empbyed: Work Address: Tenn or Employment Began on: ma/~ Zo /a If pour home address is exempt from pubik records pursuant to (o ~/-' 3633 florida Statutes § 119.07 pkasa check here (read instructlon//s): ® Work Telephone: ~~ s r Home Address: ~irr G~-S /}5ov~ Street Address City 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 pardner need not be disclosed. If continued on a separate sheet, check here: Name of Source of Income Address Description of the Principal Business Activ' ~t ii ~ G'~a 590! Sw st 5,,,.N~ oy ~,/ ~'/c yypi,.. oµ Y~ m;r.,,/' / 3/ 3 N I hereby swea ~ ~i at the aforesaid information is a true and correct statement. 3- /- /O Signs of pe ing Date signed