Andrew Fischer 12/31/2011
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: (305) 673-741 1, Fax: 1305) 673-7254
03-23-2010
Andrew Fischer
1895 Ne 117th Road
N. Miami, Florida 33181
SUBJECT. ='' Committee on the Homeless
Congratulations! You have been appointed by Mayor Matti Herrera Bower
to the agency, board or committee named above for a term ending: 12/31/2011.
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
Ingrid Usaga
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 committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic communiy.
City of Miami Beach, 1700 Convention Center Drive, Miami Beach; Florida 33139, www.miamibeachH.ggy
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673-7411, Fax: (3051 673-7254
TO Andrew Fischer
RE: Committee on the Homeless
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: 12/31/2011.
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 o hich I have served.
Andrew Fischer
Sworn to and subscribed before me thi~ 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 ro providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
~.
~/! ~ ,~:,~~~1 ~ B E,~~ H
NAME:
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CITY OF MIAM! BEACH
AND COMMITTEE APPLIC,~4TION FORM
Last Name ~+ (J 'First Name /~ J /~ Middle InitialZ
HOME ADDRESS: IO~ S ~~-• ~~ 7 T-~- +~~ (" ' r ~R~~ ~L `~~
Apt No. -~H^ouse No./Strqeeqt / City ~ 1 State n Zip Code
PHONE: ro~v'~l `Z~OS ,~-/S_ (,~35"( ((o~o ~PS 5~S`]c7ii~ aTt~C~eJ ®E`,CS~~r_,~crs~~'~
Hnme Work Fax Email address
Business Name: Svc ' Position: ) //~~ r2
Address: ~C7S ~ ~T'l~~S ~~~~ '~z8 IA„, DP.,~~ FL J.5~,3~
No. `` (~^Street Crty State Zlp Code
Professional License (describe) """1`I"'~ ~ i ' °i'~1~ ~~S 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; orb) an individual shall demonstrate ownershiplinterest for a minimum of six months in a business established in the city.
e Resident of Miami Beach for a minimum of six (6) months: Yes ^ or No~
o Demonstrate an ownership/interest in a business in Miami Bach for a minimum of six (fi) months: Yes~S or No ^
o Are you a registered voter in Miami Beach: Yes ^ or No 6'
o (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 G or No
Please list your preferences in order of ranking [1j first choice [2] second choice, and [3j third choice. Please note that only three (3)
choices will be observed by the Citv Clerk's Office. (Regular Boards of City)
Affordable Housin Adviso Committee D Housin Authorit
^ Art in Public Places Committee D Loan Review Committee
^ Beautification Committee D Marine Authori
^ Board of Ad'ustment' ^ Miami Beach Commission for Women
^ Bud et Adviso Committee D Miami Beach Cultural Arts Council
^ Ca ital Im rovements Pro ects Oversi ht Committee ^ Miami Beach Sister Cities Pro ram
ommittee on the Homeless ^ Normand Shores Local Government Nei h. Im rovement
D Committee for Quali Education in MB D Parks and Recreation Facilities Board
^ Communi Develo ment Adviso ^ Personnel Board
D Communit Relations Board ^ Plannin Board*
^ Convention Center Adviso Board ^ Police Citizens Relations Committee
^ Debarment Committee ^ Production Indust Council
^ Desi n Review Board' ^ Public Safe Adviso Committee
^ Disabili Access Committee ^ Safe Committee
^ Fine Arts Board 0 Sin le Famil Residential Review Panel
^ Ga ,Lesbian, Bisexual and Trans ender GLBT ^ Sustainabilit Committee
^ Golf Advisor Committee ^ Trans arenc Reliabili 8 Accountabilit Committee "TRAC"
^ Health Adviso Committee ^ Trans ortation and Parkin Committee
^ Health Facilities Authori Board ^ Visitor and Convention Authorit
D His anic Affairs Committee 0 Waterfront Protection Committee
istoric Preservation Board ^ Youth Center Adviso Board
"Board Required to File State Disclosure Form
Z
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth N ~~~
1 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:
F-\CLEP.\$ALL\aFORMS\BOARD AND COMMITTEES\BC Hpplication062609 NEW.doc ~ p
,,~•
.Have you ever been convicted of ,...cony: Yes S: or Not/ If yes, please explain i„ .retail:
• Do yo currently have a violations of City of Miami Beach codes: Yes 'vor No ^. If yes, plea~e explain in detail:
:~, ~;~1 ~ ~ k~ ~ /~; to
e Do y~ current) owe the /City of Miami Beach any moPPney: Ye~/sy~ or No yes, expl In in detail
• Are you currently serving on any City Boards or Committees: Yes ~ or No~f yes; which board?
• What organizations in the City of Miami Beach do you currently tioid membership in?
Name: Title:
Name: Title:
• Li,~t all properties owned or have an interest in, which are located within the City of
• I am now employed by the City of Miami Beach: Yes ~ or No[j! I~Vhich department?
~C.cfc
o Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ^, child ^-, brother G, or sister ~ who is employed by the
City of Miami Bach? Check all that apply. Identify the department(s):
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 co y with federal equal opportunity reporting requirements.
Gender: Male ^ Female
Et Origin: Check one only (1)
hate (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
^ African-American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
^ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, 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 Pacific Islands. This area includes, 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 Nonh America, and who maintain
Cultural identification through tribal affiliation/o'r community recognition.
Physically Challenged: Yes ~ or Nog!
Employment Status: Employed b/ Retired ^ Homemaker ^ Other ^
NOTE: If appointed, you will be required to follow certain laws which apply to city boardlcommittee 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.
,, ,
_._.
ere 'Y' ttes t e`acc acy and truthfulness of the application and have received, read and will abide by Chapter 2,
,_ IL- the Ci r ~ °Standards of Conduct for City Officers, Employees and Agency Members."
9/~ j o5 A-~ ~~ ~ ~y~P.s
icant's Signature -~ Name of Aoolicant (PLEASE PRINTI
Please attach a copy of your resume to this application
NOTE: Applications will remajq on file for a period of one (1) calendar year.
Received in the City Clerk's Office by : \ SJ~"~'-`"~-(//~~~f~ Date: _/ /2009 Control
Name of Dew Cled<
Date: ~v/~/2009
~~
IAMI•DADE ,
r. ~-d.~- • SOURCE OF If~COPgE STATEPNEII~IT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
/~ - For Tax Year
Name: ~ ~el.J ~ 1 Ending:
Mailing Address: 8~ ~ ~y ~ r
City/State/Zip: ~ f ~ wi ; ~ 3 3 l
Social Security Number: -1~~~ ~~ ~~~~
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought: @~o~ ~~ Me,,.~ d,~r-
Board where serving: ~~~/ ~ U,v !~
~/Da~e LP~1-d
Department where employed:
Term or Employment
Began on: 3 l U
Work Address: ~~ _ °t 6~ v
If your home address is exempt from public records pursuant to
Florida Statutes § 119.07 please check here (read instructions): ® Work Telephone:
W 1 ~ II
Home Address: ~ g ~ ~ ~ ~ 7"- d~
Street Address
No ~ ~, C1 ~ ~ ~„~ F L 33 i81
City State 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 partner need not be disclosed. If continued on a
separate sheet, check here:
Description of the'Principal
Name of Source of'Income Address Business Activity ~~
I
Signature of
disclosing
the aforesaid information is a true and correct statement.
3 zs 1 d
Date signed