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Micky Ross Steinberg 12/31/2011. ~.~ nn /~ ' .,. , - `C11')/ Of MId1111-BedC~l~ 1700 Convention Center Drive; Miami,Beach; Florida 33139, www.miamibeachfl;~ov ' OFFICE OF THE CITY CLERK, Robert Parcher; Ciry Clerk ,~ ~ ' ~ 4 - Tel: (305) 673-741 1, Fax: (305) 673-7254. ~ ~ " - ` , 04-19,2010 . ~ - . -Micky :Ross- Steinberg. .9Q0 Bay`Drive _ - , - . .. ,, , . ' .Miami Beach; Florida 33141 ' . SUBJECT: ~ Y ~. ..~ ' Visitor and Convention Authorit " Congratulations! You-have been appointed by the City Commission to the agency, ' ;board' or committee named above for a term ending: 12/31/2011; Pursuant to~ Ordinance No..2006-3543, commencingwith terms beginning on or after,- . `• January 1st, 2007, the term of boal-d members who are directly appointed by a member of . the City Commission shall.automatically~expire on .December 31 of the year the appointing t, elected official .weaves office. `-1f you are unable to accept this appointment or have any questions, please: call the City CI ' erk's Office. at 305-673-7411.. Please read the enclosed materials carefully. :. , Congratulations again and good luck.. ~ -- • ` Sincerely,. _ ~ :. ~ . .v Robert Parche'r . , -City Clerk e p . . _ ...~ e cc: SauF~Frances,~Parking:Director ;~ ~ ' ' Girisefte Roque ;. .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=Dad,e•Counfy,Gode Section 2-11...1 -Conflict oflriterest 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, woik and play in our vibrant, tropical, historic community. m MIAMIB~,4C~i ` ' ~ ~ ; _CIi~[:aOf. MIpMlrBedch~1700 Corvention Center Drive; Miami'Beach'floridd33:139;:www:miamibeachfl;gov -: ~. ~' `': ~~ s'•`-.:.:v~"~.i ,. .~~ '~'OFFICE'OF.THE CITY:CLERK;:Robeit.P.archer; Gity"'Clerk . • ' n~ ,~-.M::~ ':r } :.-~w; _,:":i' ~;~.~ ~_,...a.„~'~~.; . ~_,- Tef: (305) 673-74'1 l;.Faz:,(305),,673-7254. .~ '~ _~'~-' f ~;:~ r,.:.. _ ,., . : ". TO Micky Ross Steinberg RE: .Visitor and Convention Authority I do solemnly swear or affirm to bear true faith, loyalty and.. allegiance to the Government of the United States, the State of Florida,.arid 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 served. Micky Ross Steinberg `~- Sworn to and subscribed before me this v~~ day of - ;=.~.- . . --, 2010. ~F/L-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. 1 I I ', a i i r I We are committed to providing excellent public service and safety,to all who live, work and play in our vibrant, tropical, historic community. ~_ . - _ ~ _ _, ~ ' NAME:.Ross Steinberg . _ , .Micky I ~ A Last Name • ~ first Name Middle Initial "• HOME'ADDRESS; 504 900 Bay Drive ~ Miami Beach FL 33141 .` - :. -Apt No, • House No./Street t - City State Zip Code PHONE: 305-864-4928 305.-538-2344. ; ~ 305-538-0419. Mick y@PalmProp.com - . ~ - Home Work ~ Fax Email Address Business Name: Palm Properties of S FL 4 Position: Realtor .Address: • -767 Arthur Godfrey Rd l Miami Beach FL 33140 Nn Cfrcof '. C t St t , Professiorial'License (describe):, Real Estate Sales Person Pursuant to City Code section"2-22(4)-a and b.' Members requirement shall be fulfilled in the following ways: a) an indi months;,or b) an individual shall demonstrate ownership/inte .';Resident of Miami Beach for a minimum of six (6) months: • Demonstrate an ownership/interest in a business in Miami • Are you a registered voter in Miami Beach: Yes- • • (Please circle one): t am now a resident of: North Beach °• I am applying for an appoiri~tment because I have special a ' .`I'Ve been-a.resident in Miami Beach since I was a your • Are you presently a registered lobbyist with the City of Mia i y a e. Zip Code Expires: 09/30/2010 ~~t~eh ~ copy of the ticet~se - agencies, boards,. and committees shall be affiliated with. the city; this ual shall have been a resident of the city for a minimum of six ~t for a minimum of six months in a .business established in the city. o~" for a minimum of six (6) months: No lities, knowledge and experience. Please list below: ' i child and care deeply for our community. i Beach? No • ° •. ~ - P _ ~ ~ ` lease list your preferences rn order of ranking [1] first choice {2] second choice,. and j3] third choice..Please note that only three (3) ~• choices will be observed by the Citv Clerk's Office. (Regul~ r Boards of City) - . 'Art in Public Places Committee J - Loan-Review Committee. ° ° Beautification Committee f Marine Authorit 1 Board of Ad'ustment* • ~ Miami,Beach Comrriission 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 mentAdJiso ( '. Personnel Board ' Communit' Relations Board ~ Plannin .Board" ` Convention. Center Adviso Board ~ Police Citizens Relations Committee '. • Debarment Committee'- ., J Production Indust Council Desi n Review Board" ~ , Public Safe Adviso Committee ~, Disabilit' Access Committee ~ ' ~ Safet Committee ' ' ~ Fine Arts Board _ f Sin le Famil Residential Review Panel Ga ,Lesbian, Bisexual' and' Trans -ender GLBT '} - Sustainabilit Committee' ' .Golf Adviso Committee 1 . Trans arenc Reliabilit & Accountabilit Committee "TRAC" Health Adviso Committee Trans ortation and Parkin Committee Health Facilities Authorit $oard $ 2 Visitor and Convention Authorit ` His anic Affairs Committee I Waterfront Protection Committee Historic Preservation Board 1 Youth- Center Adviso Board ' _ ~ ° • ,~ * Board Required to File State Disclosure form Note: If applying for Youth Advisory $oard,please indicate yoi 1. Past service on the Youth;Center Advisory'Board: 2. Present participation in Youth Center activities by your chil ages,.and which..programs. List below: Child's name: ~ Child's name: ~ liation with the Scott Rakow Youth Center: Years of Service: If yes, please list the names of your children, their Program: Program: -~t I j ~. ..,. . -• .Hove yourever been convict~f a felony: ~No • ! . Do you currently'have a violation(s) of City of~Miami B { • Do you .currently owe the £ity of ,Miami :Beach any mo • Are you currently serving on any City Boards or Comn • What organizations in the City of Miami Beach do you Name:. - Name: • :..,List-all properties owned or` have an interest in, which • `900 Bay'Dr #504 MB, FL 33141' ' •) am now employed by the City of Miami .Beach: N~ • Pursuant fo City Code: Section 2-25 (b): Do you have a :.City of Miami Beach? Check all-that apply.. Identify the depai Which department who is employed by the - The,following information is voluntary ahd is neither part. of your Ipplication nor has any bearing on your consideration for appointment. It is being asked to comply with federal. equaF opportunity reporting requirements. •: ;: `Gender: ~ Female Race: White EthnicOrigin: Check one only (1) -.White Physically Challenged:. No - . - Employment,$tatias: Employed Other: ,. L __ ..NOTE: If appointed; you will'be required to follow certain laws which-apply to city board/committee members. These laws-include, bufare not limited to, the following: o -Prohibition from directly or indirectly lobbying city persl nnel (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 #or 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). ` ' , lJpon request, copies of these laws may be obtained fri m the City Clerk. .. I ,_ - "1 hereby attest to the-accuracyand truthfulness of the application and have received, read and will abide by Chapter 2, . 'Article VII - of the City Code "Standards of Conduct for Cit~ Officers, Employees and Agency Members." I~Micky Ross Steinberg agreed to the following terms on 1/1/2010 11:1.1:43 AM .Please attach a copyof your resume to this a lication I PP / i ; ' , ,,'NOTE:, Applications will remain on file for a period of one (1) calendar year. ~ D///~l~/L '' ^ ^ 1, . ~ Received in'the City Clerk's"Office by: ~ r Date: ~ / ~ ~~Cohtrol No: ate: ~/_ t' (] Name of Deputy Clerk ~ - If yes, please e~in in detail: , ach .codes: No ~If yes, please explain in detail - ~y: No If yes, explain in detail - ftees: No If yes; vvhich'board? :urrently hold membership in? Title: Title: re located within the City of Miami Beach: •. MI~DADE SOURCE OF . INCOME: TATE . S MENT " '' Please Pcirit or Type -First Name Middle Name/Initial - Last Name '. - `. `- .. ~ -. ~ ~ Disclosure ' ... ,• For~Tax Year. ,. Name:. i'~i L~ ~ ..2nSS. S-Fe h, Sep n . . :Ending:. ~, y.. , ~- -:: - ~.+ .Mailing Address:- yob ~. ajr ,~ ~'~+y ~ ,, . ..~ ,City/State/Zip:..- :M3 ~c..l '~'3IY t. .- :., ~ Social Security Number `. OS'3 ° G'a=.~-~ ss . . 'Filing as a: ® County.Employee: ' ~ Municipal Employee. of: " ` Position held or sou ht: ; . ` 9 ~c~ meni. t~ , Board vrhere servin , .~ ' _ 9~ °. ~ ~ Term or Employment ., .. `1 Began on:... °" _ Department where employed: ' ~`~ ~,, ~ - .. Work Address;~~-i-t..{{.r _ to .~~::~.., 2J' i_.v~F ~ ~ '3`~1+~ ~ . . ~ If your home.address is exempt from public recirds,pursuant to Florida.Statutes § 119:07,please check here (read instructions): ~ . Work'Teieph`one: ~ 3°~ ~ P'~ ~'+ "' ; ` '. . - ~ Home Address:: 5~.. U SM Q l ~ ~ +^.~ ~c~~t S " ~ - . ~ .Street Address - .. _ ,• ~ '.City State Zip Code . 'Please list' below in descending orderwith {the aargest source first, the' name, raddress and principal business .activity of -every -source bf your. income including ,public .salary you _ ~ ~'' ~ . ~' ~ ` received or:any.,person -received for,your benefit•or..use during the disclosure period. The Y P Y P separate sheet, check here• n ®usines ~ artner need not be disclosed. If; continued on'a . .._. .. ~ 4 ,, . , `. ri tion of the.Pr ;Desc p inci al P .. , , . .:Name ofSource .of Income Address Businessgctivi ' ~ , .' , . ~ - . .' ., . a r I hereby~swear.(oraffirm)..thattheafori said information is.a.true.and correct statement. ' Signature of person disclosing •, ~ - ' ~ .Date signed .