Frank Kruszewski 12/31/2013 MIAMIBEACH
City®f 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
12/30/2011
.Frank Kruszewski
1800 Sunset Harbor Drive #2002
Miami Beach, Florida 33139
' Majal N Convention:Center Advisory Board
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for term ending: . 12131/2013.
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,
Robert'Parcher
City Clerk
cc: Saul Frances, Parking Director
Lenny Timor
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, 2-26,2-2458,2=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 all who live, work and play in our vibrant, tropical, historic community.
AAIAMIBEACH
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 Frank Kruszewski
RE: Convention Center Advisory Board
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.
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 ave served.
Frank Kruszewski
Sworn to and subscribed before me this_,LCday of & VL,-- , 201'R
W..SiIvia 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.
We are committed to providing excellent public service and safety to all who live,work and play in our vibrant,tropical, historic community.
MIAMI BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.qov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax:305.673.7254
A
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)
Board Member name: FrAXV
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 City Commission,must file,even though you may have.been
recently appointed.
YOU must file one ofthe following with the City Clerk of Miami Beach, 17.00 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 Mianii-Dade.County Code-Chapter 1, General
Provision, Section 1-5 may subject the person or firm to a fi ne not to exceed
$500.00 or by imprisonment'in the county.jail for a period not to exceed sixty
days, or both.
- --4-01 Z /2," 2,
Signatu ate:
11
MIAMI
� SOUR=CE OF INCOME .STATEM-ENT
Please.Print.or Type First Name Middle Name Initial Last Name Disclosure
c For Tax Year.
Ending:
Name:
Mailing Address: L? 4t-
city/state/zip:
Social.Security Number:
Filing as a: Ej County Empivyee:
® Municipal Employee of:
Position held or sought:
Board where serving: 'Term or:Employm nt
'Began.on:
Department-where-employed:
Work Address:
if-your home address is exempt from public records pursuant to Worlc Telephone:
Florida statutes J.119.137 please check here(read instructions);
Hoare 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 public salary you
received or any person received for your.benefit or use during the disclosure o period.
an income of your.spouse or-any business partner need not.be disclose
.separate sheet, check here: 13
-Description of the-Principal
Address Business Activi
[Name of Source of Income .B��
I hereby swear (.or affirm)-thatthe aforesaid information is:a true and correct statement.
5i a pemon disclosing ate s' red
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