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Emilio Fernandez 10/11/2013~~ ~~~ . ;City ~-# Miami. beach, t 70o Convert#ion Center. Drive, Miami $each, Florida 33.139, www.miamibeachfl.~ov ~" ' OF.EICE.OF THE CITY CLERK, Robert P~archer, City Clerk. ;.Tet: 1305) 673-7411, Fax: (305):673-;x254- - ' 05-17-2010 . _; . . :. Emilio Fernandez` I ... _. . .. ~ I 416-Bianca Ave. ~ . Coral Gables, Florida 33146 SIJ~JECT: Housing ~Autha~ity - ~ ~ j . {: - i _ _ ~ Congratulations! You have begin appointed b~y fVlayor Niatti Herrera Bower ,- . _ . to the agency; board or committee named above:for a~term ending.: 1.0/111/2013. - . 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. autmmatically expire on: December 3.1 of the year the appointing elected official leaves office.; . If ou are unable to acce t this a ointment.or have an ~ ' y ~ p pp y questions, please calf the City ` . Clerk's Office at 305-673-7411: Please -read the~erclosed materials carefully. ` ~ . , Congratulations again -and good luck. _ - . ~ .. ~- ` ... Sincerely,. . _. - ~ ~ . h . a. _ Q' ~ , ~~ ' . - .- . ~ Robert Parcher . - . . ~. - City..Clerk . cc: SaulFrances, Parking Dilrector Anna Parekh 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) ~ j ~ ~ . . . Booklet -Guide to the Sunshine Amendment and..Code. of Ethics:for Public Officer';s and Employee : k _ ~ . ` V1/e are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. - . I J . m M~AMI~~,'~~r' City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-741 1, Fax: (305) 673-7254 - ' . _ ... , TO Emilio D. Fernandez RE: Housing Authority I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of th United States, the State of Florida, and the City of Miami Beach, and to perform all the duties 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: 10/11,/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/orida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employe s~ atird enders d that as a member of a City of Miami Beach Board and/or Committee, I must mply with the financi I .disclosure* require- ments of Miami-Dade County or the State of Florida (dep ndi the board or c mittee on which I serve) on July 1st, following the closing of the calendar ich I have serv d. Emilio D. Fe nandez Sworn to and subscribed before me this ~ day of , 2010. ..~. ~R.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 to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. . 1 r . - ~ - ~. ~ . ~ ~ ~ , 3 ,. . 1" f ~ ~ ~ ~ ,. i - #, i . - .. :NAME: Fernandez ~. Emilio . .. ~ , . .• . Last Name ~ ~ •First Name ~ Middle Initial ~~ - ~ ~ ~ - ` ~ HOME:ADDR_ESS: `. ~ 41fi Bianca. Ave Coral Gables FL t ~ 33146 Apt No. ,: - House No:/Street City ~ -State Zip Code- -':• 'PHONE: ':305-299-9284. ;, _: 30h-470-7125 ~~. 4-866-743-3489.- }'. ., fernandez emilio@citi.com ~ ' °. . Home _ . Work Fax_ i Emaif Address .. - ~ ; Business Name.; Citibank ~ ' ° " ";Position: ~- `VP-Community Lending- • ~ ' Address: - ~ 1685 Washington Avenue; :~ , Miami Beach ~~ FL .33139 _ ;, No: Street City 1 ~ State . ; ~ Zip Code. Professional License (describe): .,None ~ Expires:. - ~ " f _ ~ . '. ~ ~k~~~ ~~~ ~~~,~ fs~~,~s " .~ Y O g a Pursuant fo Cit Code section 2-22 4 a and b: Members of a encies, boards, _ nd committees shall be. affiliated with the city; this `requirement shall be fulfilled m the following ways: a) an mdwidual shall have been a resident of the city fora 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 fora °minimum of six (fi) months: No - ~ • ~~~ • Demonstrate ~an'ownership/interest in abusiness in Miami Beach for a minimum of six (6) mo;nths:. Yes ~ .~. • • Are you a registered .voter iri Miami Beach:. No_. ~ : . ~ .. " • (Please circle one): I am .now a' resident of:~ South Beach • I am applying for arrappointment because i have special abilities, knowledge acid experience. Please list below: ~• . I have been working in.the Affordable Housing arena for the past 15-years at (',itibank,~working with non profits and the .. public~sector: - • Are you'presently a registered lobbyist with 1'he City of Miami:Beach? No ~ ~ - :~ - .' I ~. ~ ~ , 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) .. ~ . _. t ~~.. _ ..Art in .Public Places Committee ~ Loan Review.Committee . ~ - .. ~. 'Boardof Ad'ustment* _ Miami Beach Commissionfor Women -Bud et~Adviso 'Committee .. ~ _ Miami Beach Cultural Arts Council ~ ~ .• ' ` Ca ital Im rovements Pro'ects Oversi ht: Committee ': Miami.Beacli Sister Cities Pro 'ram Committee on the Homeless ~ - ~ Normand Shores Local Gov't Nei h.- m rovement .~. Committee for Qualit Education- in MB; Parks and Recreation Facilities. Board ' Communit Develo merit Adviso ~ ` Personnel Board ~ ~ - . - :.Communit Relations Board . . ~ - - Plannin Board* .. I ~ ~ , -.Convention Center Adviso Board •, _ Police Citizens Relations Committee Debarment Committee , ~ - Production Indust Council - Desi n.Review Board* '' _ : Public Safet Adviso- _Committee ~' .. Dsabilit Access Committee _i .Safet Committee - . -Fine Arts Board ~ ~ ~ - ' ~ Sin le Famil Residential Review Panef . Ga , Lesbian, Bisexual and Trans ender GLBT Sustainabilit .Committee - Golf Adviso Committee ' - Trans 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 . v • , . . • - . Board Re uired to.File tate.Disclosure form Note:' If `applying for Youth Advisory .Board, .,please in dicate our affiliation with the Scott Rakow Y y ,outh Center: ' i 1:. Past service on the Youth_ Center Advisory Board:. ~ ~ Years of Service: ~ _ - a Present ~artici ation in Youth Center activitirs b - 2•• I?~, p e y your children If yes, please list the "names of your children,-their ' ges, a,nd~which programs. List below: ~ ~ ~ { - ' . -. .. ,. ... i . ,1 Child's name:... - Age: ~ Program: ~• . ,. . Child's name:. ; , Age:. ~ Program: . . ~ - '~ .. , Have ova 'ever been convicted of a- lony: ~ if yes, please explain in` detail: __ Y ~. - - ~ ~ - ,. ~_ ~. •. Do you. currently have a violation(s) of City of Miami Beach codes: 1f yes, please explain irr detail: . - ~ . ~ . .. • Do you currently owe the City~of Miami Bach any money: ~ If_ye1s, explain in detail :. - t .._. _ •~ Are you currently serving on any City Boards o`r Committees: .. s (f;ye"s;,which :board? .... i ., ~• UVh'at organizations in the City of Miami B:each'do~you currently hold membership~.in?, .'~ ~-~- ° .' f. F ~ ~ ~= ~-~ -Name: ` .. :' Title:... ~ ~ .. e ~ Name: ~: .. . - - ~ Title: ~ ., ... -. ~; ::• List all properties owned or have any interEat in, which are located within the Ci#y of Miami Beach; ~. . ~ . . ~ .~ . l - - _ ~ { ~ ~ i • I am now empioyed by the City of Miami E3each: Which department? -- _ . ~ . • Git r of Miami Bea h~ Check alol the ~a b ~ dtinti u ~ the de a - . 'who 4is employed by the Y ~ r tint(s). j ~ ~ " 1 Y pp Y• Y fY p rtm NO ~ ~ - ~ . •.. ~ ~ The folfowmg~information~is voluntary and is neither part of your application nor lies any bearing on your consideration for appointment. It is being asked to comply with federal equal opportunity-reporting requirements. ' , - '. ~ ' .. Gender: ... ; ~ ~ Race: -. .. ^ ~ ~ ~ ~ ;, - . ..: Ethnic Origin:.Check one only (1) .. ~ ~: -, t . ..•' •`- Physically Challenged: ~ ~ _ - - ` ~Errlployment Status: ~ = ~ , - ~ - Other: ; - " .~ . NOTE: If a ointed . pp ,you will be requiired to :follow certain laws which apply~to.city board/committee members. These laws include, but are not lima#ed to, the, following: ~ 1 ` ' . _ ;: . o .Prohibition from directly or indirectly lobbying city personnel (Miami Beach City `Code section 2=459). ` . o "Prohibition from contracting..with-the city (Miami=Dale 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): i" .. , 1 - o Requirement to disclose certain financiial 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 . y ~ y PP "I hereb - attest.to the accurac and truthfulness of the a lication and.: have received; read and will abide by Chapter 2, Article VII -.of th - ` e City; Code "Standards.. of Conduct for City Officers; Employees and AgencyMembers."- s 1 Emilio Fernandez agreed to the, following terms on 3/30/201...0.1:35:02 PM Please attach a copy of your resume to this application - _ - : ._-- j ~ r ~/~ ;. NOTE: Applications will remain on file for a periocl of one (1) lendaryear. ~ . G~/t' ~~- ,Received <in the City Clerk's Office by: Date• . /... / .Control N~ Date: ~/_/ " Name cif Deputy lerk - _ ., _- I - ;. ~ ~ ~. ' ~ 1"~~MM~'LX~VG 0 Please Print ®r hype arnea asling, Address: pity/State/z'p0 First Name P~idslle Narne/.~nttaa~ ~s~ o~~rr'~ r ~~ ~~~ U l /~~ ®iscl®sure F®r °Tax Year Ending ~~~ Cy' S®cial Security Nurnberg Filing as ao ® C®unty Ernpl®yeea ® Municipal Ernpl®yee ~f® P®~iti~n held ®r s®ughta irk Address. It your hone address is exera~pt #rorrt public records pursuant to ~ 3Z~-~'oO~ Florida statutes § 119.07 please check here (read instructions): •rk Tele~h®nee d~e~se `7" / t~ ~~ f~'~i`~._.-sue G~~~~' ce d a //~~ S rest Address pity State Zip C®de Please list below in descending ®rder with the largest s®urce first, the Warne, address and principal business activity ~f every s®urce ®f your inc®rne including public salary you received ®r any pars®n received f®r your benefit ~r use during the disc)®sure peri®da the inc~rr~e ®f your sp®use ®r arey business partner need nit be disc)®sede If continued ®n a separate sheet, check hares ' e~cripti®n ®f the Principal awe ®f Surce ®f Inc~rne A,d business Activi