Allee Newhoff 12/31/2010m MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, w~v.miamibeachN.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (3051 673-7411, Fax: (305) 673-7254
2/17/2010
Allee Newhoff i'
670 N E 58th St
Miami, Florida 33137
St, B~,..,~~T;~'~ Production Industry Council
Congratulations! You have been reappointed by Commissioner Jorge Exposito
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.
Since~roe,,ly~, ,~n~/ p
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Graham Winick
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 commiRed ro providing excellent public service and safey ro all who live, work and play in our vibrant, tropical, historic 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, Ciry Clerk
Tel: (305( 673-7411, Fax: (305) 673.7254
TO Allee Newhoff
RE: Production Industry Council
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
Amendmentand Code of Ethics for Pub/ic O~ceis 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.
L~CCC ~t
Allee Newho/ff~,
Sworn to and subscribed before me this ~ da of - ' (a/~ Od [.o
-~~~
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 to all who live, work and play in our vibrant, tropical, hisroric community.
m MiAMfBEACH
NAME: ~ `~.-~ ~~
Last Name
HOME ADDRESS: ~Z~ l
/~ 2 Apt No.
PHONE~y-~ `J ~ D 3~~~~
Business Name:
Address: ~ 1C
Professional License (describe)
~v
s . ip Code
address
l ~'
b State Zip Code
Expires: Attach a copy of the license
Pursuant to City 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 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) months: Yes 0 or Nc~C
• Demonstrate an ownership/interest in a business in Mia i Beach for a minimum of six (6) months: Ye~or No ^
• 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 Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ^ or No~
Please list your preferences in order of ranking [7] first choice [2] second choice, and [3] third choice. Please note that oniv three (31
choices will be observed by the Clty Cleric's Office. (Regular Boards of City)
^ Affordable Housin Adviso Committee ^Housin Autho '
^ Art in Public Places Committee 0 Loan Review Committee
^ Beautification Committee D Marine Autho '
^ Board of Ad'ustment' D Miami Beach Commission for Women
^ Bud t Adviso Committee ^ Miami Beach Cultural Arts Council
^ Ca ital Im rovements Pro ects Oversi ht Committee ^ Miami Beach Sister Cities Pr ram
D Committee on the Homeless ^ Normand Shores Local Government Nei h. Im rovement
^ Committee for Quai' Education in MB ^ Parks and Recreation Faaltties Board
^ Communit Develo ment Adviso ^ Personnel Board
^ Commun Relations Board ^ Ptannin Board'
^ Convention Center Adviso Board ^ Police Citizens Relations Committee
^ Debarment Committee roduction Indus Council
^ Desi n Review Board' D Public Safe Adviso Committee
D Disabil' Access Committee ^ Safe Committee
^ Fine Arts Board ^ Sin le Famil Residential Review Panel
^ Ga ,Lesbian Bisexual and Trans ender GLB ^ Sustainabil' Committee
^ Golf Adviso Committee ^ Trans arenc Reliabil~ & Accountabil' Committee "TRAC"
^ Health Adviso Committee ^ Trans ortation and Parkin Committee
^ Health Facilities Author' Board 0 Visitor and Convention Authori
^ His anic Affairs Committee ^ Waterfront Protection Committee
^ Historic Preservation Board D Youth Center Adviso Board
"Board Required to Ffle State Disclosure Forth
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
t . Past service on the Youth Center Advisory Board: Yes ^ No ^ 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: Age: Program:
CITY O'r MIAMi BEACH
BOAP.D AND COMMi ~ TEE APPLICATION FORM/
First ~
~~ ~~`
House No./Street
>~~4a~
rk I
~~ Position:
n a, ~ SOI ~
F:\CLER\$ALl\aFORMS\BOARD AND COMMITTEES\BC Applicaiion062609 NEW.doc
.Have you ever been convicted of a felony: Yes C' or N If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes Ci or No f yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes~or No ^. If yes; which board?
PiL
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name:
properties owned or have an interest in, which are located within the City of Miami Beach:
~ rriO~ls
• I am now employed by the City of Miami Beach: Yes ^ or No,~:C.Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ^, child ~, brother ~, or sister o who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s):
The following infonnatfon is voluntary and Is nekher part of your appltcadon nor has any bearing on your wnsidenstion for appoirdment. It is
being asked to comply with fe\der/al equal opportunity reporting requirements.
Gender: ^ Male ..Female
Ethnic Origin: Check one only (1)
hits (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, NoRh Africa or the Middle East.
^ African-AmeHeanlBlack (Not of Hispanic Origin): All persons having origins in any of the Black radal groups of Africa.
^ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South Americen, or other Spanish culture or origin, regardless of race.
^ Asian or Pacific Islander. All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on
the Padfic Islands. This area Indudes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
^ American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal a~Ifati/oyror community recognition.
Physically Challenged: Yes G or N,~.
Employment Status: Employe Retired ^ Homemaker ^ Other ^
NOTE: If appointed, you will be required to follow certain laws which apply to city boaMfcommittee members.
These laws include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before boardfcommittee 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 t e accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
APticle VII - of he Code "Standards of Conduct for Clty Officers Employees and AgencyY M--mb '
Applicant's Signature Date Name of Applicant (PLEASE PRINT)
P.lease:attadhiiitc4pyrdf+your+r~asume^.toithls.aRplication
NDTE:7AppllcationswVlll:remalnronsflle'fora;period of:one:(1):calendaryear.
Received in the City Clerk's Office by : Date: _/ /2010 Control No. Date: ,/_/201 D
Name of Deputy Clerk F:ICLERi$ALL1aFORMSIBOARDRND COMMITTEESI6C Application.doc
"®>~ SOURCE OF ZNCOME STATEMEhfT
Pleas= Frint or Type
Name; HOFF •'~--.
Mailing Address; ~~ NF ~8~
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For Tax lea r
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City/state/Zip; r}~.lC~, "'~i3~
social Security Number, ~~ O ~ - S~~
Filing as a; ~ County Employee;
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Pasitian~ held or soughtr, ~ ~
'eaard where serving; ~(~ Terrn or Empbyment
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Department where employed:
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W ark Address: l (q w~n ~ ' 9 CJJ ~ .~ ~~ .
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Home Address: L~-~rw~ ~ ~D ~~
street Address
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P-sase list below in ciescanding order with the Largest source f~r3t, the name, address and
principal business acEivity of every source of your income including pubii~ salary pvu
received or arty person received far your banef'rt or ttse during the disclosure period, The
income of your spouse or any business partner need oat be ciiscio:ssd. If aontinuad on a
separate sheet, ^hacl; hare: ~
.Description of
of
] hereby swear (nr a'frinn) that the aforesaid irrFdrrnatior~ LS z "tru= and cDrrert sffitement.
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_ nai o•. person ciis~iosing L'sate signed