Juan Torres 12/31/2011m MIAMI~EACFi
Clty O M~am~ Beach, 1700 Convention'Center Drive; N1i,ami'Beach; Florida.33:1':39, ~ww.miamibeachfl:~ov ...., -. , . .. ,
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk -
Tel: (305) 673-741 1, .Fax: (305) 673-7254 ... - ~ .
2/18/2010
Juan Torres
1688 Meridian Ave in c/o Mellon Bank
Miami Beach, Florida 33139
SU.BJ,ECT: Loan Review Committee
Congratulations! You have been reappointed by Mayor Matti Herrera Bower
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,
~~~~ ~a.r~ ~S1°
Robert Parcher
City Clerk
cc Saul Frances, Parking Director
Richard Bowman
ATTACHMENTS:
i
.Letter of Appointment
Oath ~ I
City Code Ordinance-section, applicable to agency, board or committee
City Code Section 2-22, 2-23, 2 24, 2-25, 2-26i, 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 anal 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.
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cy.t,,~~~! ,~~• ..•CI of:~Miami Beach ~170.0:Convention,Centei
~~~ .:; .`:... , :,~-- OFFIGE'OF THE CITY:CLERK;i,Robert,Parcher, Ciry Glerk
. 1'el:"`(305) 673=7..4.1:.1,:-Fax'~(305) 673-7254 ~ ;
TO Juan Torres
RE:. Loan Review Committee
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Drive;,~Miam..i~Be`'ach,xF,londa:;,33.1839;7~www~miamibeaclfl:c~ov,,__ wi;;~}r~,T~'ei;r~~tx;c,~..;,~ ~~-~.~, ~~ ,~:~
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I do solemnly swear or affirm to bear true faith, loyalty andi 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 Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, 'I mus ply with the financial disclosure* require-
ments of Miami-Dade County or the State of Florida (de en on the board or committee on which
I serve) on July 1st, following the closing of the calenda ye r n v~ich I have served.
v
u n Torres
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Sworn to and subscribed before me ,this ~ ay of <<--, 20~
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Silvia Prieto
i
~ Deputy Clerk
a
*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
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- NAME:
Last Name ~ ~ First .Name ~ Middle Initial
..
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FIOME ADDRESS: / ~ ~d!' /~~~r1J %r~,t.J~ y~ ~ !'~''/ ~' dt-~t ~ ' •~ C° tSF' `L ~3 ~ ~ ~ "~
' ~ - _ Apt No. ~ House No./Street ~ 'City ~ State Zip Code
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PHONE; ~~S'oZ®~'` ~03~~ ~~~~, ~~5'' ~ ~l>S'~y ~~-S ~ ~.7-t/~al, i oR~i't'~ ~ -
' ~ Home ~ ~ Wor ! ~ Fax ~ .Email address ~~ ~"J
. ;
Business Name:. ~ o iti n: ~ +d-~l/C.pSC ~~_
/ ~ ,
Address: / ~~ ~ /~if ~~-~ i b~,~~/ v~ ~ .t~~ ~~~"~t e~ ` ~~.. ~.~ i ~ ~"
No. Street _ City State Zip Code
.. - ~ 1
Professional License (describe) ~ ':~ - Expires: ~' << ,~;;a ;~ .:~ ~~¢e$ ~y»2~,r~~:
_-
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) ari individual 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 for a minimum. of six (6) months: Yes for No ^
• .Demonstrate an ownership/interest.in a business in Miami Beach for a minimum of six (6) months: Yes ^ or No d~Y~ '
• Are you a registered voter in Miami .Beach: Yes E~No~ ^
. • (Please circle one): I am now a'resident of:. .North Beach .____ South Middle Beach
• 1 am applying for an appointment because I have special~abilities; knowledge and experience. Please list below:
• Are you: presently a registered lobbyist with the City of Miami Beach? Yes ^ or N~ '
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-wilt be observed by the City Clerk's Office.~(Regular Boards of. City) '
^ Affordable Housin Adviso Committee ' ~ ^ usin Authorit
^ Art~in Public Places Committee ~ Loan Review Committee
Beautification Committee ~ ~ ! ^ Marine Authorit
^ Board of Ad'ustment* ^ Miami Beach Commission for Women
Bud et Advisor Committee ~ j' ^ Miami Beach Cultural Arts Council
^ Ca ital. Im rovements Pto'ects Over•si ht Committee. ^ Miami :Beach Sister Cities Pro ram
^ Committee on the .Homeless ~ . ^ Normand Shores Local Government Nei h. Im rovement
Committee for Qualit Education in.M6. ^.Parks-and .Recreation Facilities Board
Comrnunit Develo merit Adviso ~ ~_ ^ Personnel Board
^ Communit Relations Board ~ !. , ^ Plannin Board* ;
^ Convention Center Adviso Boards _r j ^ Police Citizens Relations Committee '
^'Dekiarrnent Committee ':, ^ Production Indust Council
^ Desi n Review Board* ~ ^ Public Safet Adviso Committee
^ Disabilit Access Committee j ^ Safet Committee
Fine Arts Board ~ ~ ^ Sin le Famil Residential Review Pariel
~ Ga ,Lesbian, Bisexual°and Trans ender GLBT ^ Sustainabilit Committee
^ Golf Adviso Committee I ^ 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 I ^ Youth Center Advisor Board- :.
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*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 on the Youth Center Advisory Board: Yes ^ No ^ Years of Service:
2. Present participation in Youth Center activities by your children Yes^ No ^. If yes,. please list the names of your children, their
ages,. and which., programs. List below: '
Child's name: ~ Age: Program:
Child's name: ~ ~ ~~ ~ Age: Program:
{ '
.Have you ever been convicted. of a felony: Yes ^ or No If yes, please explain in detail:
=.
• Do you currently .have a violation(s) of City of'Miami Beach-codes:. Yes ^ or No ~1 If yes, .please explain.in detail:
.
• Do you currently owe the-City of Miami Beach any money: Yes, ^ or No If yes, explain in detail
. .
• Are you currently serving on any City Boards or Com? ittees: Yes or No ^. If yes; which board?
• What. org nizations i the City of Miami Beach do you currently hold membership in? '
Name: /~~ ! ~!A-M ~3E~2. ~S'~ ~~ ~'i? t ~.'G~ Title: /~'fE'~i ~s'~"~
Name:.. I Title: ..
i
"• List alf properties 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~^ or Noe'~ch department?
i
o~ Pursuant to City Code Section 2,-25 (b): Do you have a parent ^, spouse ^, child ^, .brother. ^, or sister ^ who is employed by the
- City of Miami Beach? Check all that apply. Identify:the department(s);
~"
' The following information. is .voluntary and is neither part of your application nor has any .bearing on your consideratiorr for.appointment. It is
being asked to comply with federal equal opportunity reporting requirements. '
I
Gender: Male ^ Female ~ ~ ~ .
Ethnic Origin: Check one only (1) ~~
^ White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, .North Africa or the Middle East.
Af ' an-American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
' ispanic: 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/or community recognition.
Physically Challenged: Yes ^ or Nom'
' 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 havebusiness or,immediate family ties (CFR 570.611).
Upon. request, copies of these laws may be obtained from the City Clerk:
"I he eby o the accuracy_`and truthfulness of the application and have received, read and will abide by Chapter. 2,
Articl VII t City Code "Standards of Co uct or City Officers, Employees and Agency Members."
~J~ a ~ ~~ ~.~i u-s~ C? ~.Q,~~--.~
Applicant Sig e D e Name of Applicant (PLEASE PRINT)
'Please attach '.'.copy of your. resume to this application
. ~ NOTE: Applications will remain ~ file fora period of one (1 ).calendar year.. ,
_ _~ ~~~,
Received in the City Clerk's Office. by ; Date: / /2009 Control No. ~ Date / /2009
' Name of Deputy Clerk
Disclosure
.For Tax Year
Ending: ~..~C~
Social Security Number: ~~ ~ ~ ~ e S 3 ! ~O ~ '~
Filing as a: ~ County Employee:. ~ ~ .
® Municipal Employee of:
Position held or sought: ~ ~ .
Board where serving: „~p ,~.-,,~,/ /~~-y~ ~"~ Term.or Employment
. ... Began on:.
Department where'employed:
Work Address: ~ ~ ..
If your home address is exempt~from public records pursuant to ~~. ~~ Y° ~~j ! 9
Florida Statutes §.119.07 please check here (read instructions): -Work Telephone:.. .
- _ .__ _.
Home Address: ~~
Street Address
City - State ~ip-Code
M I A M I•DADE
~ SOURCE OF INCOME STATEMENT;
Please Print or Type
Name:
Mailing Address:
_ ~ City/State/Zip:
.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 salary 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: ~
I hereby we r ~r affirm) that the aforesaid information is a~true and correct statement.
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Signature of r disclo ing Date signed ,