Elsa Orlandini 12/31/2013 ® MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk
Tel: (305) 673-7411, Fax: (305)673-7254
1/11/2012
Elsa Orlandini
1111 Lincoln road Ste. 40D
Miami Beach, Florida 33139
S;UBJECTM Miami Beach Commission For Women
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for a term ending: 12/31/2013.
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,
411 41W , sf
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Wanda Geist
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Section 2 722, 2-23, 2-24, 2-25, 2-26,2-2458, 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 and Code of Ethics for Public Officers and
Employees
We are committed to providing excellent public service and safety to oil who live, work and play in our vibrant, tropical, historic community.
m 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 Elsa Orlandini
RE: Miami Beach Commission for Women
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: 12/31/2013.
1 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 theftrida 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 ha. s
Elsa Orlandini
Sworn to and subscribed before me this 1t day of 2012.
-A- knA3-) -
/"atialt.lartinez
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.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.
MIAMI B
city.of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
WWW.miomibeachfl.aov
CITY CLERK Office CityClerkCrniarnibeachfl.gov
Tel:305.673-7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mein bers for.failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11.1(i) .(2)
Board
Member name: ,
5 0124- 01'/y/
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 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
Provision, Section-1-5 may subject the person or firm to a fine notto exceed
,$500.00 or by imprisonment in the county}ail fora period not to exceed sixty
days, or both.
-- ��L
Signature: ❑te:
Ji
MIAMI
Please.Print or Type First Name Middle Name Initial Last Name Disclosure
���u GM /Q w / For Tax Year
t �(VV Ending: f�
Name: —
Mailing Address:
City/State/Zip:
ocial.Security Number:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Term or Empia rn
Board where serving: _ ,� '�n� ' �,q ") .Began on:
Departmant-Where employed: ry
Work Address:
If your home address is exempt from public records pursuant tD o S
�I �Worli Telephone:
Florida Statutes§119.07 please check here(read instruetbns): P
Horne Address: Street Address
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 p 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:
Descri ion of the'Principal
Name of Source of Income Address Business Activi
l 0 ( (-J^L &u 2
I here ",wear foresaid.information is:a true and CDrrect Statement,
_ / l
.Signature of person.disclosing Date signed