Allison Stone 06/19/2013•
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fox: (305) 673-7254
4/1/2010
Allison Stone
4775 Colins Avenue #1905
Miami Beach, Florida 33140
S_UBJ_'; Health Facilities Authority Board
Congratulations! You have been reappointed by the City Commission to the above
referenced agency, board or committee for a term ending: 611912013.
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,
~~
/~° ~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Patricia Walker
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 commined to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
m MIAMIBEACH
•
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-741 1, Fax: (305 673-7254
TO Allison L. Stone
RE: Health Facilities Authority Board
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: 6/19/2013.
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/o~ida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public ricers 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.
Allison L. Stone
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 commit-ed to providing excellent public service and safely to all who live, work and play in our vibrant, tropical, historic communiy.
•
M®~ SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name Initial Last Name
Disclosure
For Tax Year
Name: k W SO N Sal ON E Ending: Z ~U~
Mailing Address: ~ /9i~
Zi
~
p:
City/State/
Social Security Number:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: ~ ~~ 1`' Term or Employment
. Began on: ~
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to
~
Florida Statutes § 119.07 please check here (re
a
d
instructions):
Work Telephone:
~
j
~
Home Address: ~~ ~.S ~6~'~-~t~rl~ ~~ ~7 ~~~
Street Address
%~
GLrru~
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 induding public salary you
received or any person received for your benefit or use during the d'esdosure period. The
income of your spouse or any business partner need not be disdosed. If continued on a
separate sheet, check here:
Description of the Principal
Name of Source of Income Address Business Activ'
~~ ~ S~~
I hereby swear (or affirm) that the aforesaid information is a true awd correct statement.
-~~ O ~ ~ ~0
Signature of person disclosing Da signed ~