Mayra Diaz Buttacavoli 12/31/2013 IM MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeochfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
1/23/2012
Mayra Diaz Buttacavoli
5451 Alton Road
Miami Beach, Florida 33140
SUBJECT ¢ Loan Review Committee
Congratulations! You have been reappointed by Commissioner Ed Tobin
to the above referenced agency, board or committee for a 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,
141
iu
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Rocio Soto
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 ploy in our vibrant, tropical, historic community.
m► MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachA.aov
OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO Mayra Diaz Buttacavoli
RE: Loan Review 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 theFlonda 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.
Mayra Diaz Buttacavoli
vd
Sworn to and subscribed before me this day of et , 2012.
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeaciii9.gov under City Clerk/Board and Comirnittacs
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 BEAC H
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www miamibeachfl.aov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
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)
Boardember name: L rJ�A-GA✓D
d1h
understand that no .later than .July "1, of .each ey ar all members of.Boards and
Committees of the .City of Miami Beach, inciudin_g 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:responsibiiity is to recommend
legislation or give advice to the City Commission,mustffle,-even-though you may have.been
recently appointed.
You must file one ofthe 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 Retum
Failure to file, according to the Miami-Dade:County Co-de Chapter 1, General
Provision, Section 'I Z may-subject the.person or f rm to a fi r>oe not to exceed
.$500.00 or by imprisonment yin the county}ail for a period not to exceed sixty
days, or both.
Date:
Signature:
1�
MIAMI
M0 SOURCE OF INCOME STATEMENT
Please.Print.or Type First Name Middle Name Initial st Name Disclosure
For Tax Year
Ending/L,`"'�/y
Name:
Mailing ,address:
city/State/.Zip:
So
Filing as a: ® County Employee:
Municipal Employee of:
position held or sought:
Board where servin Term or Emgnia m7e t
'Began on:
Department where employed:
Work Address:
If--your home address is exempt from public records pursuant to n/�4
Florida statutes§119.07 please check here(read instructions): �► Weric Telephone:
Home Address: '»e a�oav�
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 far yr �rtner Head not be.dtsciospd. ifucontinu d on a or use during the
income of your spouse or any business p
separate sheet, chock:here: rl
-Description of the Principal
B`asinee:ss Activl
Name of Source of Income Address
Ci MA A0'118/G7)
3 IM
I hereby swear (or affirm)that the aforesaid information is:a true and -correct statement
.Signature of person disclosing
Date signed