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Margaret (Peggy) Benua 12/31/2010m MiAM1+3EACH City of Miami Beach, 1700 Convention Center Drive, Miami:Beach, Florida 33139, vrww.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Eax:.(305i 673-7254 04-06-201.0 Margaret (Peggy) Benua 115 W. Sunrise Avenue Coral Gables, Florida 33133 SUBJECT: ~ Miami Beach Commission For Women Congratulations! You have been appointed by. Commissioner Michael Gongora 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, ~~~~ - sT° Robert Parcher City Clerk cc: Saul Frances, Parking Director Wanda Ortiz 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 community. m MIAMIB~A,C{-~ City of Miami Beach, 1700 Convention Center Drive,~lvliami.Beach; florida:33.b39, www.miamibeachfl.gov ,_ ., .. OFFICE OF THE .CITY CLERK, Robert Parcher, City Clerk ' "~F-:.;r''" ~'; ~, - ";. F .;'~~: <:, s., .. ~ ~ " Tel: (305) 673-741 l ,Fax: (305) 673-7254 ~ -~' ;''~. _~! ~~• ~ 3 •? i ~=~-;. '"". "~' ~'_ .~~ •: •. , . .. , TO Margaret (Peggy) Benua . , . RE: Miami Beach Commission For Women 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: 12/3]./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 of Ethics for Pub/ic Officers 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 have served. Margaret (Peggy) Benua Sworn to and subscribed before me this 7t~day of ~/L, 201 C Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at uvww.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 safely to all who live, work and play in our vibrant, tropical, historic community. m MIAMI~''~,CI-i ~~, CI ~ Y t~F P~l~~lll BEAGF! QAR 4D Ct~i~~~6'~I(TT~E APF~L~CATIC)tV ~~RM NAME: Benua Margaret (Peggy) A Last Narne First Name Middle Initial HOME ADDRESS: 115 W Sunrise Avenue Coral Gables FL 3313 Apt No. House No./Street City State Zip Code 305 793 7164 305 673 4747 305 673 4749 PHONE: peggybenua@dreamsouthbeach.com Home Work Fax Email Address Business Name: Dream South Beach Hotel Position: General Manager Address: 1111 Collins ,Avenue Miami Beach FL 33139 No. Street City State Zip Code Professional License (describe): Expires: Atl~ch a rnnir of Shp firc+ncn 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: No • 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: No • (Please circle one): I am now a resident of: South Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have been in senior management positions in hotels on Miami Beach for almost 10 years. • 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 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 Communit Develo ment Adviso Personnel Board Communi 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 Disabilit Access Committee Safe 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 1 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: No Years of Service: 2. Present participation in Youth Center activities by your children 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: ,,,/// • Have yqu ever been convicted of a felony: No If yes, please explai n detail: • • 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: No If yes; which board? • What organizations in the City of Miami Beach do you currently hold membership in? Name: Miami Beach Chamber of Commerce Title: Pillar Board Vice Chair Name: Greater Miami and Beaches Hotel Assoc Title: Board Member • List all properties owned or have an interest in, which are located within the City of Miami Beach: ' Dream South Beach Hotel 1111 -1119 Callins Ave • 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 involuntary 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: Female Race: White Ethnic Origin: Check one only (1) White Physically Challenged: No Employment Status: Employed 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." I Margaret (Peggy) Benua agreed to the following terms on 9/21/2009 9:33:14 AM Please attach a copy'of your resume to this application NOTE::Applications will remain on file for a period, of one (1,) calendar. year. Received in the City Clerk's Office by: Date: / _/ Control No~" ~ ~ Date: I f /l _ ,~ U/ ~ / Name of Deputy Clerk lease Print or Type r_ 'Name: Mailing Address: ~• ~. City/State/Zip:.. Disclosure For Tax Year Ending: 2~~ Social Security. Number: .. Filing as a: ®~ County,Employee: /~ ~~ ~ - -; _ ~ ~ ® Municipal Employee. of: (_. - ~~ .:.Position held or sou ht• ~ ~ -` _ ~ ___ _ _. L Board where serving _ _~ {~~~ Term or Employment ` -~.nn~--i~SS:;~n ~n,vl Began on: Department where `' , . c~ ~ , , employed ~JC~e,.,.. ~~ ~~-L ~ ~-~ ' " / ` nn Work Address: •~ _~~~~ (,ot~~~5 1,~1~ ~~c~, ~~~.. `1-~-- ~31~~ If your home address is exempt from public records pursuant to i II Florida Statutes § 119.07 please check here (read instructions)c ®. "Work Telephone: ~~ b ~ ~~~ Home Address: I [ ~ ~~~ ~~ ~.~ ~. Q ~. _. :~.: ~ to /~. ~ Stree ddr ss _ __ ~n~( ~~ ~ ~~3r3~ .. Clay State Tin C'nrln " 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: ~ -- Name of Source of Income Address.. bescription of the Principal. Business Activi y7 I VS,~LGL~ S~/L' 1~"{ar ZW ~_ JJ~ S~ /~" '` ~Ln. N(J-~. ~ ~~" rvl„I-«til k~M nom,.-~ .~ . - ..~ J1 . " I here 'swear (or affirm) that the aforesaid information is a true and correct statement. .. °~ Signature ~ person disclosing " Date signed