Jeff Blumenthal 12/31/2010Im- MIAMI SEA
City of Miami B®ach, 1700
OFFICE OF THE CITY CLERK, Robert
Tel: (3051 673-741 1, Fax: (305) 67
1 /19/2010
Jeff Blumenthal
9 Island Ave. Apt. #1604
Miami Beach; Florida 33140
Golf
Congratulations! You have
to the above referenced as
If you are unable to accept this
(305) 673-7411.
Please read the enclosed
Sincerely,
K_okP/~T /f~s/'
Robert Parcher
City Clerk
cc: Saul Frances, Parking
Kevin Smith
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applic
City Code Section 2-22, 2-23, 2-24,
Ordinance 2006-3543 - Amendmen
Miami-Dade County Code Section
City Wide Permit Application - (Part
Booklet -Guide to the Sunshine Arr
Employees
Center Drive, Miami Beach, Florida 33139, www.miamibeachN.aov
Ciy Clerk
ittee
reappointed by Commissioner Deede Weithorn
board or committee for a term ending: 12/3112010.
please notify the City Clerk's Office at
carefully. Again, congratulations and good luck.
tble to agency, board or committee
>-25, 2-26, 2-2458, 2-459
to City Code Section 2-22
11.1 -Conflict of Interest and Code of Ethics Ordinance
ng Department Form)
;ndment and Code of Ethics for Public Officers and
We are committed to providing excellent public service and safey ro all who live, work and ploy in our vibrant, tropical, hisroric communiy.
m- MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida.33139, wyvw.miamibeochA.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305( 673.7411, Fax: (305) 673-7254
TO Jeff Blumenthal
RE: Golf Advisory 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 m the Sunshine
Amendment and Cade of Ethics for Pub/ic Offica°rs 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 e s ed.
Sworn to and subscribed before me Phis ° " ' day of
Silvia Prieto
Deputy Clerk
*Please visit the Cty of Miami Beach website at www.miamibeachfl.gov under City perk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are commiBed to providing excellent public service and safey ro all who live, work and play in our vibrant, tropical, hisroric communiy.
I®~
Please Print or Type Fi
Name:
Mailing Address:
City /State/Zip:
Social Security Numbe
Filing as a: ® Cow
® Mun
Positian~ held or sough
SOURCE OF INCOME STATEMEfYT
Disclosure
/ For Tax Yaar
~J Enliing; ~ ~ ,
' ~• ~~dy
Employee;
al Employee of:
Board where sar+-ing: I~jUp/ ~ jj`lS'p~~/ Tenn or Employment
,~ ~~~555 l` Began on
Dapactmant where em loyad:
Work Address;
If your trome address k esenipt trom pu6iFc records puesaa~rt to
Pilnida S't8grtas ~ 119.07 please cheel: here (reed iaslruetiotesj: ® Work Tesiaphone;
Home Address;
Street Address
Zip Code
City
Please list below in descending order with the largest source first, the name, address and
principal business acEivity of every soun~ of your income including public salary you
received or any parson' received for your banaflt or use during the disclosure period, The
income of your spouse or any business partner Head not be discloessd. If continued an a
separate sheet, check here;
ptivn of the
of
T hareb ~ swear or affi ) th t the aforesaid information is z true ar+d correct statement.
a
_ ure i r s~i rng a signed