Rosa Figarola 12/31/2011m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive;' Miami Beach, Florida 33a 39, ~vw.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk -
Tel: 1305) 673-741 1, Fax: (305) 673-7254 '
03/11 /2010
Rosa Figarola
401 -69th St. # 1412
Miami Beach, Florida 33141
SUBJECT: Miami .Beach Commission For Women
Congratulations! You have been reappointed by Commissioner Michael Gongora
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, %,
~~~ ~c~~l~~-~S /
Robert Parcher
City Clerk
cc: Saut 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,.2-2458, 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 MIAMI6~fi,CGI
City of Miami Beach, 1700 Convention Center Drive,.IvVami~Beacli;~Florida:33.1.39, www.miamibeachfl.gov ... .
OFFICE OF THE CITY CLERK, Robert Parcher, Ciry Clerk
Tel: (305) 673-741 1, Fax: (305) 673-7254
TO Rosa Figarola
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: 12/31/2011.
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 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 cale ar year on which I have served.
R sa Figarola
Sworn to and subscribed before me s ~ day of ~ R rL, , 2 0.
Silvia Prie
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.
NAME:
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HOME ADDRESS: I ~I ~ hh
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Business Name: Work. !
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Address: ,_I~ ~ ~ ~./ I ~- ~J'~ ~ R lp ~ ~ ti ~lY ~ J'Yli1 ~ v\i ~ `J t ~~
No. Street
Professional License(describe) ~ ~ City
Expires: State Zip Code
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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 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; ~ or No , i
• Demonstrate an ownership/interest in a business inaMiami_Beach for a,minimum of six (6) months: Yes . -•or No {.;
• Are you a registered voter in Miami Beach: Yes , or No i '
• (Please circle one): I am now a resident of: North Beach South Beach Middle Beach
• I am applying for an appointment because (have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes : i or No
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three 131
choices will be observed by the Citv Clerk's Office. (Regular Boards of City)
Affordable Housin Advisor Committee ^Housin Authorit
^ Art in Public Places Committee ^ Loan Review Committee
^ Beautification Committee ^ the Authorit
^ Board of Ad'ustment' iami 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
` 0 Committee on the Homeless ^ Normand Shores Local Government Nei h. Im rovement
^ Committee for Qualit Education in MB ^ Parks and Recreation Facilities Board
^ Communit Develo ment Adviso ^ Personnel Board
^ Communit Relations Board ^ Plannin Board`
^ 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 Advisor Committee ~ 'p°Trahs arenc Reliabilit & 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 orrthe Youth Cen er v d: Yes ; ~ No+ r. Years of Service:
2. Present participation in Youth Center activities by ' dren Yes . No ' !. If yes, please list the names of your children, their
ages,. and which programs. List below:
Child's name: Age: r
Child's name: Age: Program:
~,I
.Have you. ever been convicted of a felony: Yes 1 i or`!NNo ; : If yes, please explain in detail:
• Do you currently have a violation(s) of City ofi Miami Beach codes: Yes i i o~No)' '. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes I ; or~No) I. If yes, explain in detail
• Are you currently serving on an City Boards o Committees: Ye i ~ or No1.i. If yes; which board?
fU~,~ Cti 1~'t-t ~ (~(r.~ti ~ti r S f ~~. ~>Lt0 r ~tl f w,n P~
. What organizations in the City of Miami Beach do you currently hold membership in?
Name: " Se.Q~ ~ (') ~- Title:
Name: Title:
o List all:pro erties owned or have an interest in, which are located within the City of Miami Beach:
o I am now employed by the City of Miami Beach: Yes I ! o No' i. Which department?
o Pursuant to City Code Section 2-25 (b): Do you have a parent i t, spouse !, child 1 , brother ~ , or sister
City of Miami Beach? Check all that apply. Identify the department(s): to
.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 ~ Q emale
Ethnic Origin: Check orie orily (1)
0 White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
^~ rican-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 North America, and who maintain
Cultural identification through tribal affiliation orcommunity recognition.
Physically Challenged: Yes `or o' ~.
Employment Status: Employed ~/ Retired ^ Homemaker ^ 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,
icle VIP= of a Ci/ty~ C~od~e~"/S}tandards of onduc for City Officers, E loyees and A encyM~e~ Qb/e}rs."
pplicant's Signatui ate N rrie of Applicant (PLE SE PRINT)
Please attach a copy of;your,i'esume to~this application ~ '
NOTE: Applications wdl remai on filerfor a,period of orie (1) calendar;year;
Received in the City Clerk's Office by : t Date: _/ /2010 Control No. j~~ Date: ~ 01 ~O
' Narne of Deputy Jerk F:\CLER\$ALL\aFORMS\BOARD AND COMN)TTEES\B pplicato doc
IMI®~E~
' r SOURCE OF INCOME STATEMENT
Please Print or Type
Name•
Mailing Address:
City/State/Zip:
Last
FIGAROLA
175 NW First Avenue, Raom~: 2926
MIAMI, FLORIDA 33128
Social Security Number: 264-47-8424
Filing as a: ® County Employee:
® Municipal"Employee of "-
Position held or sought: COMMISSION MEMBER
B d h
Disclosure
For Tax Year
Ending:
oar were serving: MB COMMISSION FOR WOMEN Term or Employment
Began on: 2009
Department where employed: NOT EMPLOYED. BY MIAMI BEACH
Work Address: .
If your home address is exempffrom public records pursuant to
Florida Statutes § 119.07 please check here (read instructions): ~ Work Telephone: (305) 349-5702
Home Address: N/A
Street Address
N/A N/A:~;
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 alary 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: ® _ _
°'Descripfion~ofahe=Principal.
'Name of..Source of.Income - ~ _ Y
.;Address ~ <~ ;, Business Activi
STATE OF FLORIDA r.niTNTV
SOURCES OF I
h reby swear (or affirm) that the aforesaid information ~is a true and correct statement.
4-13-2010
ignature of person isclosing Date signed