Loading...
Regina Berman 12/31/2010.. : ~ i .. ~ - - ; . ~- . f ~s~~I ~ ,fin - _ ~ .. ~ I . ~ .: Clt)/ Of .~IQ1111.$@QCE'1~ 1700-Convention Center-Drive, Miami Beach, Florida 33139, v~vy.miamibeachfl.~cov . __ .: OFFICE OF. THE CITY CLERK;. Robert Parcher,. City Clerk ~ .. ~ ` . ~. . Tel: (305) X673741.1', Fax:, (305) 673>7254~ _ ~ . •. '~ } 03:-23-2010 ~ , i . ,. . _ - . ... ~. R'eginaBerman . i 7:970 Biscayne Point Circre - -.~ ~' Miami Beach, 'Floridan 33.141 I ~. ~. ~. SUBJECT: Miami Beach (;ommisson 'For:Worx~en Congratulations! Ybu have been appointed by Mayor .Matti Herrera .Bower ' to°the agency, board or cornmittee~narimed above for a.term ending: 12/31[2010. . .. .. } Pursuant to Ordinance No:.2006=3543., commencing with terms ~beginn:ing on or after . January 1st; 2007,;the #erni of board members who are dir-ectly appointed by a .member of . the City Commission, shall automatically expire on December 31 of these year~the .appointing. - - - ~ erected .official .leaves office. ' ~ ~ _ ~ . ~ ~ . If you are unable ~to accept this appoiritment or. have any questions; please call. the City ' :. GI'erk's Office at~305-673-7411. Please :read fhe enclosed materiars carefully. Congratulations again and good luck. - ~ -- Sincerely, ,_ ~ ~G _ - x . . .. v _ ~. ' Y ; ~~ Robert Parches. ,~ ' ~ ~ .. . - . ':City Clerk cc: Saul Frances, Parking Director Wanda 'Orti ~ i. .. ~ - . i . ' ' 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 1Nide Permit Application = (Parking Department Form) a, - Booklet -Guide to the~.Sunshine Amendment and Code of Ethics for Public~Officers and Employee ,. x~ ., ~ 1 I . t We are.committed to rovidin excellent ubdic service and safe to all who live; work and la in our vibrant tro ical historic communi . P ; 9 R ~' P Y p ty. ~. , G j e~ `~ M ~V \~~~V ~~~~ ~~~U ~ ._ { .. r. • • • I ., v s ., y ~~ - ~ - . ;Clfy Of:.~Mlaml ,Bec~Ch~;1-.700 Convention Genter• Drive; Miami Beach;°Faoricla-;331.39, www:miamibeachfl:gov `_ .x,:.~ f, ~. ~ _. ,:,_~~, .~ Rr ' i. - .. ~. OFFICE OF THE CITY CLERK, Robert Karcher,-City Clerk „~ ~ ':-. .:~~ ; ~ ~ . ~.~:- ;__: ,' ~'.. _. ...~. `-` ... °~ -~~,' .. Tel: (305) 673-7411, Fax: (305j 673; 7254 ' - ~ .+ ". ,~ 4 ~,,~ + ~+' ~ ' :~~ ' ~ . TO Regina 'Berman ' ' ~ ~ ~ ~ r 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: 12/31/2010. 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 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. Regina Berman Sworn to and subscribed before me this day of - 2010. n ~. j __._ 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. i We are committed to providing excellent public: service and safety to alF who live, work and play in our vibrant, tropical, historic community. .. ti ~ ~.. . .. ~ .. ~. ~ . . ~ i , . I ..f ,~.._`~ BO~,RG ~ttil~ tVlf . ~ '. asf Name =first (Jame ~ ` .(Jii~dle Initial • HAMS ADDR'rSS: ~~ ?U : ~/s.e~/~/ ~ ~4/-~/T .C /~ ~~ %L 3-.~/S//- <;pt No. H se Nc.~Srceet _ pity Stale .Zip erode :~ ~ PHONE: 30 ~h s~ Rio ---3~-~s/~~ 3os ~ay ~~as~ /1~ ~,l~~~r~~r~,ev~ . ; Horne Work ~ r.ex ess Bmai(~addr . --, Business Name: . ,, .. ~. ; /~ / _ .. ° ,~.Cidre55: ~ll~ / S ~ ~/.~~ ~~ ~D (/V • /~~/~/~ / t~`~ ~ .3 ~~~ ,. ~ r N~. `Street City ~ p ;ode State Zi . . .. . . .. .. . Pcoiessional License (describe) ~ ~ ~ Expires i Attach a copy af.the Jicense _-e . ,. .. , = ~ Pursuant.to City Cotle `section 2=22(4) Q, and s: Members of agencies;,. boards, .and committees.shall be affiliated with the -city; this .. ~requrement shall : be` fulfilled iri the ~ollawing ways: a) an individual shall `have been' a resident ~af ahe city for a minimum of six _ months;:or b;) an ihdividuai stra(I :demonstrate' ownershiplinterest for a minimum of six months ~in _a business established in the city. - :. .., . • Resident of Miami Beach fora minimum of six (6) months: Yes O or No D . ~ - •Demonstrate an ownershiplinterest in a business in Miarrri Beach fora minimum of six-(6) months: Yes .J ar No . s Are you.a registered-voter in Miami Beach: Yes 'D or No 0 •-.(Please circle one): 1 am~iiQw a resident of: North. Beach South Beach: :Middle Bsach ~ ' ~: I iam_appfying for an ;appointment because I have. specral_.abilities, knowledge-and experience. P,fease lisf below: ~- ,. i •. ~. ~ --~. ~ • Are you presently a~registered ibbbyist with the: City, of Miami-Beach? Yes D or No~.O :.. , - ~ Please list your prefierences in .order of ranking [7j fiirst choice [2j econd choice; and [3j third :choice. Pisase note that aniy three X31 choices wilybe observed by the'City Cisrk' office. (Regular.8oarcls of .City) _ _ _ p Affordable Housin Adviso Committee ~D Housin Autho ' i' ^'Art in Public Places ..Committee ~ ~ D Laan Review Committee O Beautifrcation "Committee ^ Marine Autho ' • . . ° D i3aard . ofi Ad' ustment" • ~ D Miami Beach Carnmission ii~or Y1Jomen • Bur~aet AdvisoCommittee - • DMiami Beach Cultural Arts Council D Ca ital irn rovemeriits Proiei~s Dversigtt Committee .D °Nfiami Beach .Sister Cti~es Program 0 Committee on the ~iomeiess D Nom~andY Shores Lo~l Government Neigh. imvrovement ^~Committee for:Quaf` Education in MB ~ D Parks and Recreation; Paciiities:Board ^ rnunit Deveio meht Acviso ~ Personnel Board Common' .Relations $aard -- _ -- ~ _.C1 Planning Board* ^ Converrtion Center Advisory Board ^ •Pofice Ciitizzens °Reiatons .Committee - 0 Debarment Committee ~ ~ . D Production industry :C~ouncih . ~l] Desian. Review 6oard* ~ - ^ Public Safe. AbvisorV Committee D Dsabiiit -Access Committee ~ ~ Cl Sa'e Committee .. ~ ~ , Ci Fine °Arts Board ~. ~ D Sin fie Famii Residential Review Panel ^ Ga , Lesbian, ~8isexual and Transgendei- GLBT D Sustainabiiity Committee ^ G~otf Attvisory Committee ~ ,. - ^ Trans aren Reiiabii' ~ 8. Accountability Committee °TRAC" ^ Health Adviso Committee, p Transportation:and Parkin Committee , ' 0 Hsatth~Faciiities Authority Board: ~ ~ ~ O Visitor and _Convention_f?.utho ' ~~ ^ -His anic Affairs Committee ." ~ ^ vVaterfront Protection iComrnittee ^ Historic Preservation Board p Youth Center Adviso : Board .: - .. . -.: - ~"Board •Ret~uired Ito File State' Disclosure Form Note.: if applying fior Youth •Advisory Ba~~rd, prase indicate your affiliation with the Scott Raic~w Youth.Center:~ ~ . . _ ~. fi Past service. on the Youth Center tid'JtSOry Board: Yes;.. No :_~ Years of service ,I ~ 2 ~resen~ participation in Youth "Center activities by your children Ye~~- No ~. it yes, please. List the names of your children, their agbs, and which prggrarns. Lis; .be1o~~: ~ ~ - : 4 child`s ham= ~ loge: Pro ram: . i x A .. oaram - ~ - ... ., ~ ^ / .~L=° .~AL_~o=~Rh~;,~~6~~,P,i~ ANC ~.~hJ~MiTf~~=\B..tippii~ation0E~2~i0~' h_W .doc ' i `. / - - ~ - , _• e-~a'J~ y0:. AVM„ Joc~:r' ~~"?'~/! ~r' c: ?~IJ"ll' ~'oC ~Y'" f~AG/ ~r°.~. :D18~SF: r `I r': Ir: ~°~dfl y - '. . . ` ~•w,.~/~U,,:,~Jrr?rlif)!, iiBV~ ~ VlOiafl~il(5j ~'-.vat)' 'J- I~iHrl'l ~~a:`' :~~eS: Y?5 ,. N'O f' V°.~'. D.I=~SE °Y,Jir7lr;.lf.:]'eial~'. ..... , ~o you ,.ul-ren~fy ow tr7.. ~:Ity-o? !t/ilaml B~a~r, arty-rrionvv Y~~es _. No __; f`w~ xpiair: Ire a~~ai:~ . , . . • .. Y ~ ';yr~ you GUr'r'enti~% 5?rVfrl~ ~~ ?rl1`'~,It1 .'Jar'.' j O ..O"1^l(ti?A" YeS- . ~('N0 -. U°S Vd`1!~~ ~O.ar~~~. ' .. ... ~ ~' ' 17 .• . . • -UVi ~~`° Ory3Ri'ati~RS li i!l~ Wi(t)- ~:• C~fiarTl': ~i~a~.f' ~~ 't/;JL~ ,^,;~rrarltfy nOf~ Tl?il'lb°rSillr IFG.r,'-`- , .. 5 -. _ t~ .. ream.., ~ .a, - I.It{~'. , .. -, . Title; ' • 'List al( properties owtia~ or have ~n interest in; w~ict-; are b.ate~ within the City af„ Niarrii Beaoh~ . ,. . ~ ~ I•'am no-n~.~ernpioyeo •by the amity o? Miami $each: Yes ~~ or°No%' hici-r debartment? ~ . : . , '.~ ?ursuant tc City Cade Section 2-25 (b): Do youhave a parent ,`'spouse ~; ~cntid ~ ; brother C,: or sister. ~~,~ wi;a is employer' ~~~ to "Ity o~ tJfiamf BEact1 % Check af± that apply, i~erttify the department(s):. . . .. Tne foltvwing trcforrrzation.is voluntary artd is netthsr part of your appttcation nor has:anyassaring onyQUr consiiaerattan for appointment. t; is ~. -being; asked to .comply with federal appal:.opportunity reportirvg rsquiremert~s. ~ . Ger~cier: 0 ~ Ncaie : ~rr~aie ~ ~ . :. ~ . Eth is Or'tgetn: Ch~cr:: ~ niy ;1.} - . on° o - . : ~~~~ VVhtte (Na; a`.1-{isRanlc Ori in : Alt arsons haviri on ins in an ~ of the ari final p 9 ) p , g 9 } g p..oples of _urope, North Afr-ca arahe Nicddte mast. ` •; ~ . D .Atri:.ari-~-mericanlBtack •. (i~tot of Hispanic. O(igtn7:-All persons having origins in arn/ a` the. Blatt; racial groups i,f Africa. G "~isRantc: A!f persons of N4exi~n, • u~erta F~ican,'-Cuban.: Central or South Ameri;,an, pr'ather. Spanish culture or origin, regardless of race. , • ~. '~ o I I . ~ thet'Pa^ift Ptstani:t lstT~rar;_ Alf persons iitavirtg artgirts in any of the anginal peoples of the tar cast, Southeast kste; the Indian Subcontiner.'. or . area irtc:tudes, far'exampte Ghitis, indfa ;japan, _Koraa,'the~?t-iftppine lstan~s and Somaa'. ~:1. <~meticart tii~cit~n. or Alaskan f~tattive ,4f( persons having origins .ih .any of the orioinal peoples of 'North Arreertca, anti who mair-tain I~. ~ . ~ttttcrra( identfft~ian through nitsal.af~iiation or,~mrtttlntty reco~tnition L .. `'~` Physically Ci=catiengetf: Yes D`or ~eD. ~ • .. . . : .. _, ~rrZptQymertt S~atl.~s: 'cmptoyed~~r efired D ; Homemaker ~ ether `"D~ ~~ NQT~: if a ointed, pp you wfi[ b~.-requitred fo foilouv ..et'L<,ain tavtrs which apply to ;,tty baardfcvmmtt#ee tlnembecs. These .tears irtctude; but,ate trot iimtfsd to, ~tre foftowm ' , .I . _ . . _ I ' c ?i-afnibition from' directiy~ or indirectly lobbying cit}> persorine! ltJiiami~ Beach City Code section 2-4~g} Prohibition from corrtracing with `tile city ((Viiami-Dade county. erode sectron ~=~ i .1 ~j • ~~ `.~ o 'Rrofnibition, from lobbying beifare b'aardlc~mmftteG you have served on for, period. o` one ysar, after leaving ofTrcp (h/Ilarn . • Beach ' ity Code section 2-26). ` o' Kequirement to disclQSe .certain frnartcia! interests any grfts (Nrcami-:Dade Count}r'~dd'e se~ion 2=1 i.,1). (re: GMB Cornmunlt5/ .bevel©pment Advisory. ~ommtttee.): prohibition, during tenure and for one year attar leaving oftl~e ~. i • ~ tram having any interest in ar receiving •any beneftt Trom Community beveiopme;nt 3to^..4r Grant t'unds for etft~er vourse'~ .' + or-thQSe-with wham you tavE~ business or immediate.famiiy ties (CrR 67U:611;: ~ . . ~ . :. . ~ ~. -Ligon regc~est,_copies of these taws they be obtained from .the Citp~ Cleric. { . .. - . "' `finer }%~attest to"the accuracy and truthfutrress of the application and -have received, read ant wit! abide by .~haate~ ~ ' ' ~ ~,r'ci e !'f-~ of the ci r Code "Standards of~Conduct for ~i~yr rJfficer•s, ~mptoyees and~kgee~cy tt/lembers." ~ ' ~- ppf cart • Signature _ .~ ~ I ~ ~.ar/ . . Jot Name of tippficani LP! ~<t,SE ERIN i ; ' Please~attaeh a copy of your resume to this app{ication .' . • ~t~T~: l~pptications will remerr,-on the tar ~ period a~ one f1 calentlar yeai - ~ o ;. .~. - ~ Fce..eivec ;c the Git~.~ ~iertr~ :1fficL~ o~- .. _ ate ODD / • _~.. ~ . _ /2 ~ant~o! N~ 3 Date i:..00~, ' Name o` ~epur,, ;,lerf: . _ , ' f - Please Pr-int. or Type Game: "i~Raiiireg Addresst ;City/State/Zipc Disclosure For Tax Year .Ending; . ~D O . ~. Socia[Security Number: 02 ~p ~ ~ d~ ~/a ~ . ,~ _ _. °Fiiin_g as a: .~ t7 P y ~. ~-~ _T..e.,., Coun ~ fm ° lv ee. _ ~. ~ Municipal Employee of: ~ ~ . -~ _~' e;. ,la <-~-~ ~ ~~ ' ~ ~ ,'z. ~Posifion held orso~ght ~ ~ °°~, ~~,~ _ - . mss, ~ . ,~~ - ~ Board ~v~here serving:: Term ®r~lEmpioyment ~ ~ .r ... ~,. ~ ,a began on: ,,., .~ ~. ~epartrnent where einployed:~ ~ , VA-ork Address: ' .If your home address is exemp'k`fcom public.rec~c~ls pursuant t® ~ ~~ ' , -Florida Statutes.§ ag9.07•please check here (read .instructions): ® Work Telephone: ,~ 6 J ~~~ .~6~~ . tiotne Address: ~.~~ ~ ~~~eA~~ ~ d~oiw T C'~G1 ~ ~~ . .. street bddress . . - _. ~~ _L~ iii i. ~ ~e..~ ~ ~~ ~ /~/ ~itgr State ~ Zip Code Piease.iist~below~-in descending .order with, the largest source ftrs~~ the name, :address and principal ..business activitjr of edery .source `of your -inc®Qne including .public salary you received .or. any person received. for your benefit ~or use during the' disclosure- peri®d. The r .income ofi your spouse or .any business .partner need not be disclQSed. If continued on .a .aeparate sheep, .check heire: i ~,. :~ ''I hereby swear (~or:affirrn}-that the aforesaid information is a true aead incorrect statement, ~~ ~ . , ignat . of~person disclosing ~ a signed