Mark Weithorn 12/31/2013 /\A1A' M1B-EACH.,-
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
January 12, 2012
Mark Weithorn
1 130 Stillwater Drive
Miami Beach, FL 33141
SUBJECT: Transportation and Parking Committee
Congratulations! You have been re-appointed *by virtue of you being a Representative for the
North Beach Development Corporation to the agency, board or committee named above for a
term ending 12/31/2013.
If you are unable to accept this appointment, please notify the City Clerk's Office at (305)
673-74 1 l
Sincerely,
r) S�
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
We arq-\qp61LPffi4Ef�l4Y! !Rc @� 1tN,� r y�rAc °!!,4,Q,�n�►istQr ,;4mmunity.
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 Mark Weithorn
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: 12/31/2013.
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 the board or committee on which
I serve)on July 1 st,following the closing of the calendar year on which I have served. ;
Mark Weithorn
Sworn to and subscribed before me this Z day of Si+N�,► , 2012.
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.
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.miomlbeachfl.gov
C[TY CLERK Office CityC{erkCm i arnibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mem hers for.failure
to comply with Miami-Dade County Financial.Disclosure Code Provision
Code -Section 2-11.1(i) .(2)
Board Member name: G X17
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 tolhe City Commission,-must- le,:eventhough you may have..been
recently appointed.
You must file one of-the with the City Clerk of Miami.Beach, 1700 Conventon
-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-Davie.County Code.Chapter 1, General
Provision, Section 1-5 may subject the.person-or firm to a f ne not to exceed
.$500.00 or by imprisonment'in-the county.jail for-a period nDt-to exceed sixty
days, or'both.
Signature: .Date:
MIAMI, - .50
URCE DF INCOME .STATEMENT
Please.pr int.or Type First Name Middle Name Initial last Name DisClQSUre
For'Tax Yaar
F,"A Ending;
t�lailing.Address: 1 /3-0 S 711C. ..:.A�c� �A.
City/State/:dip.
Social.Security.Number.
Filing.as ac ® County Employee:
® Municipal Employee of:
po-gItion held or sought:
Board.where serving:
�' � Term or°Empioymerot
�Ny of u agan.on.
Department where employed:
Work Address:-
if your home address is exempt from public records pursu®rrt to ® �WOrlcTelephane:
Floriide Statutes J.219.07 pisase Zheck here(read Ina-malons):
Home Address: Street Address
City State Zip Code
below in descending order with the'largest.source first,-time �-aarroe, address and
please list public salary y
rind al business activity of every source of . your income including ng1�ure: eriod. -The
c
P R 'n :the di'ts P
-received or any.person received for your.benefit or use durw g
;income of your spouse or any,business.partner need not
be;disclose. If continued on a
separate sheet, check There:
�Descripb®n Of-the Principal
Address Business Activii
Name-of Source of Income
Z her'eb -swear (.-or affirm)that the aforesaid information is.a true=and correct stet®meat.
y
signature of person:aiisclQSing
Date signed