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Amy Tancig 12/31/2012 erl NA i, , it , s :. 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) 6737411, Fax: (305) 673 7254 January 21, 2011 Amy Tancig SUBJECT: Transportation and Parking Committee P � Congratulations! You have been re-appointed nted * b virtue of your being a Re resentatg pp y y Representative for the Miami Design Preservation League to the agency, board or committee named above for a term ending 12/31 /2012, If ou are unable to accept this appointment, p Tease notify the City Clerk's Y p p fy ty C erk s Office at (305) 673 - 7411 Sincerely, /LP-/ - 57 f l c '''>- 61 -Q, 7 Y , Robert Parcher Ci ty Clerk cc: Saul Frances, Parking Director ATTACHMENTS: Letter of Appointment f Oath 1 City ode Ordinance section, applicable agency, ty pp e to agency, .board or committee City Code Section 2 -22 2 -23 2 -24 2 -25 2 -26 2 - tY 24 2 459 Ordinance 2006 -3543 - Amendment to City Code ty Section _2 2 MiamiDade County Code Section 2 -1 1 1 Conflict .of Interest and tY Code of Ethics Ordinance City Wide Permit Application (Parking De artment Fo pP p Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees We arecommitted t - �vida excellen Dubl' s ervice nd sae to l live o r la in o r ib n at. tr i al istoric ommuni U e are corrlml ,c, o pro in rng exce e t puoii servrce a and saretvlo aI � vvlo h pve, v*on , ak nti n play �nyovr vibranvt, {ro rcalo isforlc h corr�rnun v. 1Y' p A I Et) [C .6 - ii___:i ell 1 ' IA/ v i 'al A. HI a. City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov J OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673 -7411, Fax: (305) 673 -7254 TO Amy Tancig RE: Transportation and Parking 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, 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, 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. a C-1 - Amy Tancig Sworn to and subscribed before me thi Y a y of PU4 2011. i p 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. 2 We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. CITY 'INI�IIIMIIIIIIItl1�W .� 3 -- BOARD AND COMMITTEE L T NAME: Tancig Amy C Last Name First Name Middle Initial HOME ADDRESS: 7 2880 Pine Tree Drive Miami Beach FL 33140 Apt No. House No. /Street City State Zip Code PHONE: 303 - 522 -1973 305- 672 -2014 amy@mdpl.org Home Work Fax Email Address Business Name: Miami Design Preservation League Position: Executive Director Address: 1001 Ocean Drive Miami Beach FL 33139 No. Street City State Zip Code Professional License (describe): Expires: Attach a copy of the license 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: Yes • Demonstrate an ownership /interest in a business in Miami Beach for a minimum of six (6) months: Yes • Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: South Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Experience in city issues because of my connection via employment and as a resident of the area. • Are you presently a registered lobbyist with the City of Miami Beach? No 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) Affordable Housing Advibvi y COi i it rlillee HOuSiny AulhOi ay Art in Public Places Committee Loan Review Committee Beautification Committee Marine Authority Board of Adjustment* Miami Beach Commission for Women Budget Advisory Committee Miami Beach Cultural Arts Council ` Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program Committee on the Homeless Normand Shores Local Gov't Nei • h. Im • rovement Committee for Quality Education in MB Parks and Recreation Facilities Board Community Development Advisory _ Personnel Board Community Relations Board Planning Board* Convention Center Advisory Board Police Citizens Relations Committee Debarment Committee Production Industry Council Design Review Board* Public Safety Advisory Committee Disability Access Committee Safety Committee Fine Arts Board Single Family Residential Review Panel Gay, Lesbian, Bisexual and Transgender (GLBT) [2] Sustainability Committee Golf Advisory Committee [1] Transportation and Parking Committee Health Advisory Committee Visitor and Convention Authority Health Facilities Authority Board Waterfront Protection Committee Hispanic Affairs Committee Youth Center Advisory Board Historic Preservation Board * 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: No Years of Service: 2. Present participation in Youth Center activities by your children No If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: Program: i 7 :./) r - Child's name: Age: Program: • ive you ever been convicted of a felony: No If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: No If yes, explain in detail • Are you currently serving on any City Boards or Committees: No If yes; which board? • What organizations in the City of Miami Beach do you currently hold membership in? Name: ECOMB- Environmental Coalition of Miami Beach Title: member Name: Miami Beach Botanical Gardens Title: member • List all properties owned or have an interest in, which are located within the City of Miami Beach: • I am now employed by the City of Miami Beach: Which department? • Pursuant to City Code Section 2 -25 (b): Do you have a 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 consideration for appointment. It is being asked to comply with federal equal opportunity reporting requirements. Gender: Female Race: White Ethnic Origin: Check one only (1) Hispanic Physically Challenged: No Employment Status: Employed 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 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 2, Article VII — of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." !Amy Tancig agreed to the following terms on 12/27/2010 4:04:57 PM t Please attach a copy of your resume to this application NOTE: Applications will remain on file fora period of one (1) c- d r ear. / e Received in the City Clerk's Office by: �, �( ir Date: /2-1 t ontrol No. ag I 0 Date: J 2 > a 1 m of Deputy Clerk 0 Amy Cecilia Tancig MNM 2880 Pine Tree Drive #7 Miami Beach, Fl 33139 Ph. 303 -522 -1973 / email atancig @gmail.com Experience- ,Executive Director Miami Design Preservation League, Miami Beach, FL; 2010- present. Oversee all business and financial operation for the historic preservation organization's public programming, retail store, tourist information center, and museum. Interact with elected officials and community business and cultural leaders to facilitate mission and advocacy support. Expand and increase the organization's membership base. Manage state, county and city grants and foundation's support. Research and secure new public and private funding. Lead strategic planning. Maintain communication with the Board of Directors. ,Board Director Environmental Coalition of Miami Beach; Miami Beach, FL; April 2008 -2010. Active volunteer service on the Board of Directors for the environmentally focused non - profit in Miami Beach. Promote the mission by serving on the fundraising committee and the program development committee. Director of Development & Outreach Miami Design Preservation League, Miami Beach, FL; October 2007- May 2010. Network with businesses and cultural non - profits to promote cooperative programs and sponsorship ventures. Enhance current fundraising programs that generate revenue and facilitate exposure to larger demographic audience. Manage aspects of MDPL's Art Deco Weekend including: vendor and corporate sponsorship solicitation, program book editing and design, creative and PR initiation, logistical coordination. Project Assistant Mi Casa Resource Center for Women; Denver, CO; Summer 2007. Assist with implementing the organization's Denver Public Schools Urban Gardening Project and student -run farmer's market and vegetable garden. Tasks include providing business resources, fundraising assistance and horticultural expertise. The program has since been extended and expanded for future seasons. ,Landscape designer/business owner Grounded Gardens; Denver, CO; 2002 -2007. Develop and maintain a garden design company specializing in residential and commercial landscape design, container gardening, and garden maintenance. Manage all aspects of the business, including marketing, client relations, sales, design, installation, accounts receivable, and employee supervision. Received national accolades from Garden Design Magazine, Better Homes and Gardens, and the Rocky Mountain News Education ,Florida Atlantic University Ft. Lauderdale, Fl; 2010 Masters of Non - profit Management. Metro State College Denver, CO; 2007 BA Modem language (Spanish concentration) and Political Science. ' i MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk@miamibeochfl.gov Tel: 305.673.7411 Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Members for failure � to comply County P l with Miami -Dade Coun � Financial Disclosure Code Provision Code Section 2 -1.1.1 (1 Board Member name: I4 C - . l a.vxLc understand that no later t 1, of each Y ear 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 City with the Ci. 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 Count Y Chapter . a � ter 1 , General 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, jail for a P eriod not to exceed sixty days, or both. Signature: 1111 Date: • MIAMI •DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name /Initial Last Name Disclosure • /�, For Tax Year Name: Avv■-\ A Ending. - , � T Mailin Address: Z�� AV�Q, Mailing City/State/Zip: M �a. B v3-2 1 12/O Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: \ i rit,K.4 44- '1 CO Ati Board where serving: Term or Employment Began on: • - Department where employed: Work Address: 144 t Ocekt," fir - .v-e . P1--- 53 t 31 If your home address is exempt from public records pursuant to Florida Statutes § 119.07 please check here (read instructions): 1 Work Telephone: 3 05- • (01 ' 1°1 .Home Address: • ¢ � . .. .: `<s , .^•5s` - 'a``':-- r -.: �„ •;;r:, t•• •::5 � .r _ '`�, •Q _...�- ., s:h. .. w ". ':' .. • City State Zip Code 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: 0 • .Y ... -:�- • � T � •:' -- . apt Principal - escr ion . o _..the' Pri n� Name of Source of Income Address _ Business Activity . u U ( tp( , • r.Ai6 Pc... C% �l� �r� w�t� �C l�LCI� �► 6. WcigA+v4) Tb • __A I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Signat of on discl ate si gned