Loading...
Manuel Minagorri 12/31/2012 1 i I • 1114 MIAMI :EACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Horida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK Robert Parcher Ci ty Clerk Tel: (305) 673- 74 Fax: (305) 673 -7254 01 -03 -2011 Manuel Minagori , Ati Normandy Shores Local Gov. Neighborhood Impv. Congratulations! You have been appointed by the City Commission to the agency, pP Y Y g y, board or committee named above for a term ending: 12/31/20: I Pursuant to Ordinance No 2006 - 3543, commencing with terms beginning on or after g g 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 Cit • Yq p City Clerk's Office at 305 -673- 7411. Please read the enclosed materials carefully. Congratulations again and good luck Sincerely, I 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. t. y f; . • MIAMIBEACH 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 Manuel Minagory RE: Normandy Shores Local Gov. Neighborhood Impv. 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: 12/31/20 . 1� 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 serve) on July 1st, following the closing of the calendar year on which I have served. Ma uel 7X- Sworn to and subscribed before me this 7ay of oriti , 20%. 11 rieto 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 safely to all who live, work and play in our vibrant, tropical, historic community. MIAMI • CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM time Last Name First Name Was NW HOME ADDRESS: "%1//"9y A 6V, Apt No. House NolStreet City State Zip Code PHONE 3J 14 ,6 s / f re;?- Home Work Fax Email address Business Name: k//''' Post/ion: ' Od de Address: ,97/r / -3/ V tkik. s -t City State Zip Code Professiona/ License {describe) - Expires: Attach a copy of the license Pursuant to City Code section 2-22(4) a and Ix 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 owner ipiinterest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) nonths : Yes Vor No • Demonstrate an ownership/interest in a business iv Miami Beach for a minimum of six (6) months: Yes U or No • Are you a registered voter in Miami Beach: Yes Vor No c=4 (Please circle one): 1 am now a resident of: firth Beach ) South Beach Middle Beach --. 473 1 am applying for an appointment because 1 have sOecial abilities, knowledge and experience. Please list below. • .0, #"4...7,0_ 7fP • Are you presently a r gi tered lobbyist with the eity of Miami Beach? Yes u or No rn M .77 artla Please list your preferences in order of ranking [11 first choice [21 second choice, and [31 third choice. Please note thalAmly three choices will be observed by the City Clerk's Office. (Regular Boards of City) (J) 7:111 L} Affordable Housing. Advisory Committee : Di Marine Authority j 0 Art in Public Places Committee - 0 Miami Beach Commission for Women —rt , 0 Beautification Committee E3 Miami Beach Cultural Arts Council 1 13 Board of Adjustment* J Miami Beach Human Rights Committee 4 , 0 Budget Advisory Committee J 0 Miami Beach Sister Cities Program Capital Improvements Projects Oversight Committee Viormandy Shores Local Government Neigh. Improvement 0 Committee on the Homeless , 0 Parks and Recreation Facilities Board 0 Committee for Quality Education in MB 0 Personnel Board fl Community Development Advisory 0 Planning Board* 0 Community Relations Board 0 Police Citizens Relations Committee 0 Convention Center Advisory Board 0 Production industry Council I 0 Debarment Committee 0 Public Safety Advisory Committee LT-Design Review Board* 0 Safety Committee 0 Disability Access Committee 0 Single Family Residential Review Panel •' 0 Fine Arts Board 0 Sustainability Committee El Gay, Lesbian, Bisexual and Transgender (GLBT) 0 Transportation and Parking Committee 0 Golf Advisory Committee 0 Visitor and Convention Authority 0 Health Advisory Committee 0 Waterfront Protection Committee El Health Facilities Authority Board 0 Youth Center Advisory Board 0 Hispanic Affairs Committee 0 Historic Preservation Board 0 Housing Authority 0 Loan Review Committee *Board Required to File State Disclosure Form : Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: . t. Past service on the Youth Center Advisory Board: Yes _I No Li Years of Service: 2. Present participation in Youth Center activities by our children YesU No L. 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: FACLER\SALIAcIFORMS\BOARD AND COMMITTEMBC Appliccttion.doc 4:f tip .Have you ever been convicted of a ony: Yes U or No 04yes, please explain inillil: • Do you currently have a violation(s) /Xs) of City of Miami Beach codes: Yes LI or No it4yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes U or No I/If yes, explain in detail • Are you currently serving on any City Boards or pommittees: Yes 0 or No a If yes; which board? ,t ___SAo,eto_ .24:c..47-4 7v.. 4/e/f4 a3-,,,,-.0, • What organizations in die City of Miami Beach do you currently hokl membership in? Name: 44,i' Tam Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: 6.,s 1-' Ze/ ■ - 40/ -./. - "27.//,e .00,4.7 .'"7:,-- • I am now employed by the ity of Miami Beach: NoAtti Yes U or rch department? hie Pursuant to City Code Section 245 (1* Do you a patent 14, spouse U. clad Li brother L!,, or sister U who is employed by the City of Miami Beach? Check all that apply. Iderdify the departnent(s): 1 The following information is voluntary and is neither part • f your application nor has any bearing on your consideration for appointment it is being asked to comply with federal equal opportunity r- • • "ng requirements. Gender: E/Male 0 Female Ethnic Origin: Check one only CO 0 white (Not of Hispanic 0144 All persons having • 1.:' - in any of the original peoples of affope, North Africa or the Middle East. 0 . , " an-American/Black (Not of Hispanic Origin): All • - mons haying origins in any of the Black racial groups of Africa. Z - -- - c: PM persons of Mexican. Puerto Rican, Cuban Central or South American. or other Spanish cut= or origin, regardless of race. 0 Asian or Pacific Islander: Al[ persons having origins in - ny of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent. on the Pacific Islands. This area includes. for example, • , . India. Japan. Korea. the Philippine Islands and Sornoa. 0 American lndian or Alaskan Native: A persons having origins in any of the original peoples of North America. and who maintain Cultural identifu:ation through trgial afffialion or comnirsuly tecogition. Physically Challenged: Yes U or Nol Employment Status: Employed / Retired CI Homemaker CI Other TZI NOTE: If appointed, you wM be required to follow certain laws which apply to city board/committee members. These Laws include, but are not limited to, the following: 0 Prohibition from dreg or indirectly lobbying crty personnel (Miami Beach City Code section 2-459). O Prohibition from contracting witil the city (fshirni-Dade County Code section 2-11.1). O Prohibition from lobbying before board/co ' e you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). © Requirement to disclose certain financial in rests 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 taws may be obtained from the City CleriL Ar 9 ti hr e hereby a_tr to C th ity e C ac o cu de ra „s cy tan an d d ar tr ds uth ot fu c l o n i el. c o t f ior the city app o li ffi ca c ti er o s n . an Em d p h io a y v e e e r s e a c n e d ived Ae r n e c a y d m an ern d be wi ts li . !.b . ide by Chapter 2, - 4,edorkti " __ _/ 7 // 4/314; €.Z /111110 e Appffc- • 's Si i a i• ; _ 400101. ' '- Nam of Applicant (PLEASE P tNT) Please attach a . . of your resume to this application e NOTE: Applications will remain on file for a period of one (1) calendar year. 1 AP& Received in the City Cleric's Office by : ..... / .0.! 01.__. . * .4„i ' fDate:Olf 7 r2ote - Controf ..„9---y °Date: t 12010 / / V // Name of 1 - MI , , City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CiiyClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Members for failure to comply With Miami - Dade County Financial Disclosure Code Provision Code Section 2- 11.1(i) (2) ' ' " / , i - "/ Board Member name: r7 � I understand that no later than July 1, of each year 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 Cly 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 Fed I Income Tax Return el Failure to file, according to the Mi mi -Dade County Code Chapter 1, General Provision, Section 1 -5 may subject the person or firm to a fine not to exceed $500.00 or by imprisonment in the county jail for a period not to exceed sixty days, or both. )3 ' - /7/1 Signature: Date: F_OCLERI$1LLOaFORMSi3QARD AND COMMITTEES BC App1cation doc 0 • i MI A M MADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure For Tax Year Name: i oe . 77."/7 el' e-/ .0/2// 9_"'/ Ending: zc l 0 , s Mailing Address: /e9 6.5' „"e" , e .( .1 42,, e_.,. / City/State/Zip: /27.//6 /% ,4,7 / i7421 • f....1 Social Security Number: _ --- — - - -7— -- - 7<, - . C.... •rn c:a 33 4 0 Filing as a: 0 County Employee: is Municipal Employee of: ,4,,4 7 -- ,..... , 7 :.• Position held or sought: (/) c:,, /2/0/2")1,04 v ....442.- Ze .44 - 11 Board where serving: / ri j-- Term or Employment -- s .. --- -2//. -----& - ''' on: Department where employed: Work Address: 5f5/ 5/ 41W a a g‘ie 7/7/ 0.4. ...3./ V... , If your home address is exempt from public records pursuant to Honda Statutes § 119.07 please check here (read instructions): Ei Work Telephone: 30,1 Home Address: /4/266 4, 440,2/4" _e_ StreeiAddress ,17/ ..40Y4C .0 331 5/3 City State Zip Code 1 Please list below in descending order with the largest source first, the name, address and principal business activity of err ry source of your income including public salary you received or any person received or your benefit.or use during the disclosure period. The income of your spouse or any bu iness partner need not be disclosed. If continued on a separate sheet, check here: _J .....i.......:-.... the Prin '..':Na.:iiiioi. of Source of ItiCOme:::::,.z.* .i..::::::::::::: - -; ,-.. -:' ; :•---i--::_-::.:,13i1Sinet..A0tiiiity',-..'...., - ,' -. -:'..' 7e e; &oe'e,49 ..,e...ri //liel 34 / e_. -5 ,..eV. 9 - 33 xv..., ,-,7,9,74 7‘.7 I hereby swear (or affirm) that the aforesaid information is a true and correct statement. ." Signatur of ,p,erso ,:..,2 Date igne /d 'AIILIW --