Moni Cohen 12/31/2012 IA i *
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 -741 1, Fax: (305) 673 -7254
12 -20 -2010
Moni Cohen
880 Lakeview Drive.
Miami Beach, FLI 33140
1 E T Ft; r Beautificatio n Committee
N t. I,'
cG
Congratulations! You have been appointed by Commissioner Jerry Libbin
to the agency, board or committee named above for a term ending: 1
Pursuant to Ordinance No. 2006 -3543, commencing with terms beginning 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
Clerk's Office at 305- 673 - 7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
Sincerely,
4 / C C )
4-
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
John Oldenburg
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.
.„
,j
fa MI NAIBI-ACH
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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 Moni Cohen
RE: Beautification 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:
Pp 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 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.
A (il '
A
Moni Cohen
Sworn to and subscribed before me this Z day of \> 0 nuc , 2011.
i ' i , f
Silvia Priet •
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 play in our vibrant, tropical, historic community.
M I AM I BEACH
City of Miami Beach,
1 700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK Office CityClerkCmiarnibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Members for failure
9
to comply with Miami -Dade Coun ty Financial Disclosure Code Provision
Code Section 2- 11.1(1) (2)
Board Member name:
eo Le r)
I understand that no later than . Y 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 ith the City Clerk of Miami Beach
9 tY 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 ode Chapter 1, General
ty p ,
Provision, Section 1 -5 may subject the person or firm to a fine not to exceed
$500. or by imprisonment in the count . 'ail for period not to exceed sixty
Y1 P .Y
days, or both.
Et_
�--
Signature: Date:
•
•
MAPCO
COUNTY SOURCE OF INCOME STATEMENT
Please. Print .or Type First Name Middle Name/Initial Last Name
Disclosure
Name: i4(o()1 (oh eci For Tax - Year
EndingiV
Mailing Address: gX6 Lc{ Ke vt` - dr
t' .6070 1 6 _e_4_ , Ofd
City/State/Zip: -1{1
Social Security Number:
Filing as a: 1E0 County Employee:
Ei Municipal Employee of:
Position held or sought:
fi„,
Board where serving: i'?„ / /. Term or Employ ent
u' • - *Began on:
Department employed:
Work Address: /0
if your home address is exempt from public records 'pursuant to •
Florida Statutes § 119.07 please check hare (read instructions): 0 Work Telephone:
Home Address: 6 O La e}t/LA-
• Street Address
FL 35 1
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:
Description of the Principal
Name of Source of Income Address BUSifleSS Activity
k.
•
1 hereby swear (or affirm) that the aforesaid information is.a true _and correct statement.
(\i
.Signature of person disclosing Date signed