Alan Fishman 12/31/2012 / Ill
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, wwwmiamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673 -741 1, Fax: (305) 673 -7254
01 -19 -2011
Alan Fishman
4640 Post Ave
Miami Beach, Florida 33140
0 :::.".' 'jt:Oti a Miami Beach Human Rights Committee
Congratulations! You have been appointed by the City Commission to the agency,
board or committee named above for a term endin •
g . 12/31 /201
Pursuant to Ordinance No. 2006 - 3543, commencing with terms beginnin g on or after
January 1st, 2007, the term of board members who are directly appointed by a member of
the City Commission shall automatically expire on December 31 of the year the appointing
elected official leaves office.
If you are unable to accept this appointment or have . any questions, please call the City
y
Clerk's Office at 305- 673 -7411 Please read the enclosed materials carefully.
Congratulations again and good luck
Sincerely,
D
i )s ki P g)11--L? i sti
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
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)
Booklet Guide to the Sunshine Amendment and Code of Ethics for Public Officers and ee Em to
P Y
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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0 4111
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4 MI MAI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673 -7411, Fax: (305) 673 -7254
TO Alan Fishman
RE: Miami Beach Human Rights Committee
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, each, 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: 12/31/2012.
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 theFlorida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees, p ogees, 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 - : rved.
Alan Fishman
Sworn to and subscribe 9 Y4
d before me th is day of 2011.
, I A - fi
, .
Silvia Prie
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 la . in our vibrant tropical, historic community.
P Y p
e i'
_:4 CITY OF MIAMI BEACH
BOARD AND MI I TEE APPLICATION FORM
NAME: l AY`N `, �
Last Name , rsName Middle Initial
HOME ADDRESS: —` W D VO Z AlfrenV-C tc-
Apt No. House No. /Street City State Zip Code
PHONE: e W S S32
Home Work Fax Email address
Business Name: Position:
Address:
No. Street City State Zip Code
Professional License (describe) 1 Expires: Attach a copy of the license
i
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) an individual shall have been a resident of the city for a minimum of six
months; or b) 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: Ye or No ❑
• Demonstrate an ownership /interest in a business. in - 'ami Beach for a minimum of six (6) months: YAET No ❑
• Are you a registered voter in Miami Beach: Yes or No ❑
• (Please circle one): I am now a resident of: North Beach South Beach iddle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please ist below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ❑ or Nc)4
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)
0 Affordable Housing Advisory Committee ❑ Marine Authority f
❑ Art in Public Places Committee ❑ Miami Beach Commission for Women
❑ Beautification Committee ❑ Miami Beach Cultural Arts Council
tt(Board of Adjustment* Miami Beach Human Rights Committee
❑ Budget Advisory Committee ❑ Miami Beach Sister Cities. Program
❑ Capital Improvements Projects Oversight Committee ❑ Normandy Shores Local. Government Neigh. Improvement
❑ Committee on the Homeless ❑ Parks and Recreation Facilities Board
❑ Committee for Quality Education in MB ❑ Personnel Board
❑ Community Development Advisory ❑ Planning Board*
❑ Community Relations Board ❑ Police Citizens Relations Committee
❑ Convention Center Adviso Board ; ❑ Production Indust Council r
0 Debarment Committee ! ❑ Public Safety Advisory. Committee c)
0 Design Review Board* f ❑ Safety Committee +�""" ''
❑ Disabilit Access Committee ; ❑ Sin • le Famil Residential Review Panel -- Y
0 Fine Arts Board.
i ❑ Sustainability Committee
❑ Gay, Lesbian, Bisexual and Transgender (GLBT) 1 ❑ Transportation and Parking Committee
c
❑:Golf Advisory Committee ❑'Visitor and Convention Authority ÷".7 ,
❑ Health Advisory Committee ViWaterfront Protection Committee 4.-
❑ Health Facilities Authority Board . ❑ Youth Center Advisory Board Pi t
❑ Hispanic Affairs Committee
❑ Historic Preservation Board •
0 Housing Authority �u AI
❑ Loan Review Committee *Board Required to Fte$ta#e�`Disclgi, ik 1 f 1 e IA
z .!- ,,,,,,,, ,- - ' - ' 4 ;( i os i o,
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: I
1. Past service on the Youth Center Advisory Board: Yes 0 No 0 Years of Service:
2. Present participation in Youth Center activities by your children Yes❑ No . '❑. If yes, lease list the names of your children
p y , their
ages, and which programs. List. below: ,
Child's name: Age: Program:
Child's name:
Age: Program:
F: \C:L =ER\$ALL \aF()RMS \ BOA RD AND COMM#TTTEES\BC Applicatjon.doc
/ .
. 1
•Have you ever been convicted of a Yes ❑ or No es please explain in Oil: , 0 - t
yes, p
• Do you currentl. have a violation(s) of City of Miami Beach explain in :
y currently O y � ea h codes. Yes ❑ or yes, please explain in detail.
•. Do you currently owe the City. of Miami Beach any money: Yes ❑ or Na yes, explain in detail
i
1
• Are you currently serving on any City Boards or Committees: Yes ❑ or No . yes; which board?
• What organizations in the City of Miami Beach d ' you currently in?
9 y , y tly hold. membership In .
Name:
i
Title:
Name: I Title:
• List all properties owned or hav an int rest in, which are located within the City of Miami Beach:
tAbLk b o A" Arv mt/ -- Yu
i ,
• I am now employed by the City. of Miami Beach: Yes ❑ or Which department?
• Pursuant to City Code Section 2 -25 (b): Do you have a parent 0, spouse ❑, child D, brother 0, or sister ❑ who is employed by the
City of Miami Beach? Check all that apply. Identify the d
The following information is voluntary and is neither.part ofyour application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: )(Male ❑ Female r
• th , is Origin: Check one only (1) 1
1 ` hite (Not of Hispanic Origin): All persons having origins ins in any of the original eo les of Euro pe, North Africa or the Middle East.
� Y peoples
0 African- American /Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
❑ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless
p 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.
0 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 0 or No❑.
Employment Status: Employed Ret ❑ Homemaker ❑ Other ❑
NOTE: If appointed, you will be required to follow certain laws which apply to city board /committee me
y 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 -w Code section 2 -26). i 1 ,'
0 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 have business or immediate family ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter
Y 2,
Article VII — of ity Co "Standards of Co duct f r City Officers, Employees and Agency Members."
f
— , i \-7 ItAlPV
Applicant's Signature Da a Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to thisFapplication
NOTE Applications will emain on f Ile for a period of one= (1) calendar year:
/7
Received in the City Clerk's Office by : - Dat / 0 Control No. 7 Date. i /
/201 //
Name of i eputy Clerk
•
hy
i
. . I. •
ALAN B. FISHMAN, ESQ. .
Suite 204
300 Arthur Godfrey Road
.Miami Beach, Florida 33140 • .
(305) 532 -2810
PROFESSIONAL • .
AFFILIATIONS: The.. Florida. Bar, 1987.
Certified PublicAccountant (Florida), 1987.
EXPERIENCE:
• Solo .Practitioner, Law Office. of Alan 'B..Fishman., • Miami Beach,
. Florida.
May 1.989 - •Present. Practice in Teal. estate, bankruptcy and corporate
law.
Therrel Baisden & Meyer Weiss, Miami Beach, Florida.
October 1987 -' May 19•89, Attorney. Research and writing opinions and . •
memoranda involving banking and real estate law. Tax ' research in
• . .. partnership, corporate, g planning , cor rate, forei n, estate lannin and federal and .state tax
• . controver Research and writing pleadings and memoranda for civil . .
. litigation proceedings.
Michael J Moorhead, Professor • of .:Law, University' of Florida,.
Gainesville, Flo September X1985 - May 1987, .Research Assistant.
� y
. Researched labor law, administrative law and civil - rights law• to as in
• . the preparation of articles for publication. Extensive use of WESTLAW
computer research and legislative . materials. •
•
PUBLICATIO.N.: . .
• Co- author, Florida Civil Practice Damages Chapter Six, (CLE Second .
Edition, 1989 Supplement). .
1
EDUCATION:
Juris Doctorate, •
University* f Florida. Colle e of Law, May 1.987.
Y g � Y
Science Bachelor f ' -
o .. Business Administration . in Professional Accounting
and Finance,
• The American University, •May 1984. •
-HONORS AND
•ACTIVITIES: University of Florida College of .Law Merit.Loan ( - 1987). .
- The .American University Merit Scholarshi p (198.1— *1984).
- Charles Glover Scholarship (1983).. • • •
•
Sidney .Ludwig Foundation Scholarship (.1..980 - 1983).
Outstanding .Student Service Award, Ko l i
. g god Co lege • of Business
• . Administration, The American University. (1984). .
• Chairman, Commencement Committee 1.983 1984
C 1984).
M
410
f
Senator, Kogod College of Business Administration Student Representative to
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Faculty Senate (1983 - 1984).
Student Representative, Senate Finance Committee (1983 1984).
Student Representative, Board of Trustees Finance Committee
(1983 -1 984)'•
Assistant Academic Advisor, entering freshmen (1983). g
Student Confederation Judge, Criminal and Conduct Code Tribunal
(1980 - 1981).
MEMBERSHIPS:
Dade County Bar Association:
Director, Young Lawyers Section (1988 - 1991 g Y 1991).
Treasurer, Young Lawyers Section (1991- 1993).
American Bar Association.
Phi Delta Phi Legal al Frat rni
9 Fraternity.
Z
• 1110
eral MIAMI BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miarnibeochfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Members for failure
g
to comply with Miami -Dade County Financial Disclosure Code Provision
Code .Section 2 -11.1 (1) ( \ / Board Member name.
l� \ANA
I understand that no later than July year 1, of each all members of :Boards and
Committees of the City of Miami Beach, including those of a purely advisory nature, are
required to comply with Miami -Dade County Disclosure Requirements. This means that the
members of City Advisory Boards, whose sole or primary responsibility is to recommend
legislation or give advice to the City Commission, must file, even though you may have been
recently appointed.
You must file one of the following with the City Clerk of Miami Beach, 1700 Convention
Center Drive, Miami Beach, Florida, by July 1 each year.
1. A "Source of Income Statement" (attached) or .
2. A "Financial Statement" (attached( or] •
3. A Copy of the person's current Federal Income Tax Return
Failure to file, according to the Miami -Dade County Code Chapter 1, General
tY P
Provision, Section 1-5 may subject the person or firm to a fine not to exceed
$500.00 or by imprisonment in the county ail for period not to exceed sixty
tY1 P
days, or both.
Signature: Date:
•
1
MIAMI
COUNTY
SO OF INCOME STATEMENT
Please. Print or Type First Name Middle Name /Initial Last Name
Disclosure
4L/ty\ F For Tax Year
• Name: Ending z Q ( d
Mailing
Address: `'(. D -(-- A-1NA kite City/State/Zip:
( Oc-e` gr-(A-1 C
Social :Security Number: -
Filing as a: CI County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: 46_ Term or Employmne t
Li fir / 1 c, Ada .l -.B on: / //
Department Where employed:
Work Address:
if your home address is exempt from public records pursuant to
Florida Statutes § 119.07 please check here (read instructions): 0 Work Telephone: _
Home Address: Pes S
H
Street Address
T 1 ( -(O
Ci ty State Zip Code
. Please list b elo w descending in descendin 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: 0
Description of the Principal
Name of Source o' Income Acddr-ess Business Activi
��
t/(.. -C L 6 0 (. r
•
hereby swear (or affirm) that the aforesaid information is a true and correct statement.
-
Si nature of P - � , osing Date signed
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