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Michael Rotbart 12/31/2011~ ~ i City O~ OWiQn1i ~e®C~'1~ 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-741 1, Fax: (305) 673-7254 3/9/2010 Michael Rotbart 1675 Cleveland Road Miami Beach, Florida 33141 SU~J~C`Te Loan Review- Committee Congratulations! You have been reappointed by Cornrnissioner Deede Weithorn to the above referenced agency, board or committee for a term ending: 12/31/2011. 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, ~~~ ~~ s~ Robert Parcher City Clerk cc: Saul Frances, Parking Director Richard Bowman ATTACFBMENTS: 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 committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. m MIAMIBEAC~i City of IVliarni ~e®ch, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TeL• (305) 673-741 1, Fax: (305) 673-7254 TO Michael Rotbart RE: Loan Review Committee 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: 12/31/2011. 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 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 a d. Michael Rotbart ~ Sworn to and subscribed before me this ~ ® day of ~~~~'; 2010. 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 to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. .; w o NAME: rotbart mike Last Name First Name Middle Initial HOME ADDRESS: 1675 Cleveland rd Miami Beach FL 33141 Apt No. House No./Street City State Zip Code PHONE: 305 4798001 305 6747034 305 4282603 mike@rotbart.com Home Work Fax Email Address Business Name: rotbart and assoc. inc. Position: president Address: 1675 Cleveland rd Miami Beach FL 33141 No. Street City State Zip Code Professional License (describe): r.e bkr. mortgage bkr, Expires: 11/02/2011 ~~r~~~~~ ~ ~~ 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 ownership/interest 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 • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes • Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: North Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: real estate appraisals, bdg mgt. construction, • Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) Art in Public Places Committee Loan Review Committee Board of Ad'ustment* Miami Beach Commission for Women Bud et Adviso Committee Miami Beach Cultural Arts Council Ca ital Im rovements Pro'ects Oversi ht Committee 3 Miami Beach Sister Cities Pro ram Committee on the Homeless Normand Shores Local Gov't Nei h. Im rovement Committee for Qualit Education in MB Parks and Recreation Facilities Board 2 Communi Develo ment Adviso Personnel Board Communi Relations Board Plannin Board* 1 Convention Center Adviso Board Police Citizens Relations Committee Debarment Committee Production Indust Council Desi n Review Board* Public Safet Adviso Committee Disabilit Access Committee Safet Committee Fine Arts Board Sin le Famil Residential Review Panel Ga ,Lesbian, Bisexual and Trans ender GLBT Sustainabilit Committee Golf Adviso Committee Trans arenc Reliabili & Accountabilit Committee "TRAC" Health Adviso Committee Trans ortation and Parkin Committee Health Facilities Authorit Board Visitor and Convention Authorit His anic Affairs Committee Waterfront Protection Committee " Historic Preservation Board Youth Center Adviso Board * Board Required to File State Disclosure form Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: Years of Service: 2. Present participation in Youth Center activities by your children 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: • Ha~Be you ever been convicted of a f~ny: No If yes, please explain in ~~tail: ~~,. • Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: No If yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes If yes; which board? loan review • What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: 1675 Cleveland rd, 2401 Collin s ave 612, • I am now employed by the City of Miami Beach: No Which department? • Pursuant to City Code Section 2-25 (b): Do you have a City of Miami Beach? Check all that apply. Identify the department(s): who is employed by the The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with federal equal opportunity reporting requirements. Gender: Male Race: Ethnic Origin: Check one only (1) Hispanic Physically Challenged: No Employment Status: Other: NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee 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 board/committee 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 the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." mike rotbart agreed to the following terms on 12/23/2009 4:33:14 PM Please attach a copy of your resume to this application ` NOTE: Applications will remain on file for a period of one (1) lendar year. ~. Received in the City Clerk's Office by: •~ Date: _/ _/ Control No. Date Name of Deputy Clerk (~ 5 ~"~" SpURCF OF INCDM~ STAT~M~~T please Frirtt nr i ype rust game N[iddiE Natna/initial Last t'~tame Disclas~re For Tax 'Ise r Dame: ~~Q- Ending; tytaf Ii ng ,4cidress; /~ ~ ~~.~ `~ = -'~`~ `~ ~~ city /star / R, Saciai Security ~ umber; Fifing as a; (~ County Empiv}~ee; ~ Phureicipal EmRivyee ar; Pasitian• ~reid or saugh~, •B~aard where s~rvingc 2~~,n ~~ ~ Term o-r ~rnpiv}~ment Ragan crn Dapartm®nt whore ampb®y~j VI+®r~ l~ck~rass; - -- 1f your h®me ®tl~resss is exempt from publ9ic r®car~s pursuaat t~ ~ ~ ~ Fbritfa Statutes b ~.i8.[I7 p6®ase cba~k h®re (read iatstructi®rts~; ~ ~®r'~: Ta:~~pEec~net ~'~~- ~®s't7e ~1~Lir~sS; • 5treat atkt}ress City Mate dip Code P'bsase list haiaw in cbescenciing ®reier with the karge~-t source ~rirst, the name, add~r~s and principal business acEivity ®f av®ry source of ~attr income brilciuacibng pubiic sakary y®u received mr any parson received for your hana~t ar use r~uring `Cht+e ti~scbarsure p-ariad, The income ofi yavr spn~use car atry business partroar need neat be ciiscb ord. zfi eantinued on a sa~arate sheet, ehec6; hare; ~ /carne of source of ~.ncome A.d~ciress Descripti®n of the Princw~al )mousiness pctivi • 1 hereby swear (nr aft'rrm j that ti,e a~Foresaid inrvrrnativn i~ z true and correct st~rtem®rtt. :.> ~- / ~ ~ _. Sinriszu _ v. parson riisnlQSing l:~a signed