Marivi Iglesias 12/31/2013 9D MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov
OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk
Tel: (305)673-7411,Fax: (305)673-7254
1/25/2012 Copy
Marivi Iglesias
1670 Bay Road
Miami Beach, Florida 33139
T Gay, Lesbian, Bisexual and Transgender
Congratulations! You have been reappointed by Commissioner Deede Weithorn
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,
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Rebecca Wakefield
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.
M
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 Marivi Iglesias
RE: Gay, Lesbian, Bisexual and Transgender(GLBT)
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 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 th S-4 and or committee on which
I serve)on July 1st,following the closing of the calendar year o ave served.
i
Marivi Iglesias
Sworn to and subscribed before me this Z day of TAAJ . , 2012.
L
I 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.
,
G
11/1 I AM I
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.saov
CITY CLERK Office, CityClerkCmiarnibeachfl.gov
Tel:305.673.741 1 , Fax: 305.673.7254
Acknowledgement of fines/.suspension for Board Mernbers for failure
to comply with Miami-Dade County:Financial Disclosure Code Provision
Code section .2-11 a 1(i) (2)
Board Member name: fil,12 1/ 147-1 LAS
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 flie,=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 not to exceed
X500..00 or by imprisonment in the county Jall for a period not to exceed sixty
days, or both.
r 21 L
Signat. re: Date:
A
M.®
SOURCE OF INCOME :S3�i�E1�1ENT'
Piease.Print.or Type First Fume Middle Name Initial Last fame disclosure
For TaxYear
16Lxf{1 Ending: I�
Name: �-- --
mailing Address:
City/State/.zip: ,3509
Social.Security Number: -- -
Filing as a: County Employee:
® Municipal Employee of:
position held or sought:
Board where serving: 12 �l Term or'Employment
B �M `segan.on:
.h 1�M� D to a�� GoMMv�ny �� lNPa���
Department�where employ ed: pLi Vgeyx 1-T
Work address: 9 l ( Nw
If-your home address is exempt from public records Pursuant to
Florida Statutes§119.07 piease check here(read instructions):
® -Work Telephone:
Hone Address: P C 7� 19/1-K amp �r
Street-Address
---M .dip Code
City State.
Blow in descending order with the largest source first, the name, address and
please lest b public salary y
principal business activity of every source of your income including R
received or any.person received for your.benefit or use during the disclosure If re period The
income of your spouse or any business partner need not be desclose
separate sheet, check-here:
• Descrip i®n of the Principal
Address Bnsiness Active
Marne-of Source of Income
1 eo
Z her eb w r affirm)that the aforesaid information is.a true and �®rrect statement.
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Date signed
.Signature o person disclosing