Robert Kraft 12/31/2013 ® MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miomibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk
Tel: (305) 673-741 1, Fax: (305)673-7254
1/11/2012
Robert Kraft
326 Ocean Dr. #1
Miami Beach, Florida 33139
0 Waterfront Protection Committee
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for a term ending: 12/3112013.
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
Elizabeth Wheaton
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, 2459
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 MIAMIBEACH
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
TO Robert Kraft
RE: Waterfront Protection 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 theFlodda 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.
Robert Kraft
Sworn to and subscribed before me this Z day of �Q , 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 ploy in our vibrant, tropical, historic community.
Ca MIAMI BEACH CITY OF MIAMI BEACH
/� BOARD AND COMMITTEE APPLICATION FORM
NAME: ��� �� �(7 /J Q- /X V/��
La t Name First Name Middle Initial
HOME ADDRESS: �Z(7 CE -jV F'
No. House No./Street �( y State Zip Code
t
PHONE: _ � 53 I
—�Hom Work Fax Email address
Business Name: Position: �-
Address:
No. Street City State Zip Code
Professional License(describe) Expires: Attach a copy of the license
Pursuant to City Code section 2-22(4)a and b: Members of agencies, boards, and committees shall be affiliated with the city;this
requirement shall be fulfilled in the following ways: a) an individual shall have been,a resident of the city for a minimum of six
months; or b)an individual shall demonstrate ownershipfinterest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six(6) months: Yes❑or No ❑
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes❑or No ❑
•Are you a registered voter in Miami Beach:Yes ❑or No ❑
• (Please circle one): I am now a resident of: North Beach South Beach Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
•Are you presently a registered lobbyist with the City of Miami Beach?Yes 0 or No ❑
Please list your preferences in order of ranking [1]first choice [2] second choice, and [3] third choice. Please note that onlv,three (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
0 Affordable Housing Advisory Committee ❑Marine Authority
❑Art in Public Places Committee 0 Miami Beach Commission for Women
❑Beautification Committee 0 Miami Beach Cultural Arts Council
❑Board of Adjustment' 0 Miami Beach Human Ri hts Committee
0 Budget Advisory Committee 0 Miami Beach Sister Cities Pro ram
❑Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Government.Neigh. Improvement
❑Committee on the Homeless ❑Parks and Recreation Facilities Board
❑Committee for Quality Education in MB 0 Personnel Board
0 Community Development Advisory 0 Plannin Board'
0 Community Relations Board 0 Police Citizens Relations Committee
❑Convention.Center Advisory Board 0 Production Industry Council
❑Debarment Committee
GeRwAktee-
0 Design Review Board" ❑Safety Committee
❑Disability Access Committee ❑Single Family Residential Review Panel
❑Fine Arts Board 0 Sustainability Committee
0 Gay, Lesbian, Bisexual and Trans ender GLB 0 Transportation and Parking Committee
❑Golf Advisory Committee 0 'sitor and Convention Authority
0 Health Advisory Committee Waterfront Protection Committee
0 Health Facilities Authority Board 0 Youth Center Advisory Board
❑Hispanic Affairs Committee
0 Historic Preservation Board
❑Housing Authority
❑Loan Review Committee *Board Required to File State Disclosure Form
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes 0 No❑ Years of Service:
2. Present-participation in Youth'Center activities by your children Yes❑ No ❑. If yes,-please list the names of your children, their
ages,and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
FACLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc
*Have you ever been convicted of a felony: Yes ❑ or No elfyes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑or No . If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ❑ or No . If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ❑or No If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name: Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
32C a c Ea n/ P4 14-- 1
• I am now employed by the City of Miami Beach: Yes ❑or No hich department?
• Pursuant to City Code Section 2-25(b): Do you have a parent❑, spouse❑, child❑, brother❑, or sister❑who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s): �6
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: 5/Male ❑ Female
Et is Origin: Check one only(1)
White (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
❑ African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa.
❑Hispanic: All persons of Mexican, Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race.
❑Asian or Pacific Islander:All persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,on
the Pacific Islands. This area includes,for example,China, India,Japan, Korea,the Philippine.Islands and Somoa.
❑American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal affiliation o community recognition.
Physically Challenged: Yes❑or No .
Employment Status: Employed ❑ Retired ❑ Homemaker❑ Other❑ SCLP E:M I7LU Le
NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members.
These laws include, but are not limited to,the following:
• Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
• Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1).
• Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami
Beach City Code section 2-26).
• Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties(CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Articl VII—of the Ci Code "Sta a s of Conduct for City Officers, Employees and Agency Me bers."
2-2- 2 E,�T �TCf�/ X �
q!I cant's Signa r Date Name of Applicant(PL E PRINT)
Received in the City Clerk's Office by: Date 0 0 Control No. Date:F F/20 0
e of Deputy Clerk
MAM I BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www miomibeochfLeov
CITY CLERK Office CityClerk @m i amibeochfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mern bers for.failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11.1(i) (2)
Board Member name: ` D E5S /"� 24Ef
understand that no later than July 1, of each year all members of.Boards and
Committees of the .City of Miami Beach,.includin.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 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-foliowing 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 Milanii-Dade.County Code Chapter 1, General
Provision, Section 15-may subject the-person-or firm to a f rye not to exceed
,$500.00 or by.imprisonment the county jail fora period not to exceed sixty
days, or both.
Sign tore: .Date:
L
MIAMI,
� SOURCE OF INCOME STATEMENT'
Please.Print.or7ype First Name Noddle Name Initial Last Name
Disclosure
4, For Tax Year `
Ending.
.Name: ggl�/�
9� f1
Mailing Address: 32-6
City/State/.zip: /°' � E-A C
social.security Number: r
Filing as a: ® county Employee:
® Municipal Employee of:
position held or sought:
i-an 'Term or:Employment
Board where san►ing: �T I 6A Began on: 22
Department where employed:
Work Address:
if your home address is exempt from public racords pursuant tiff � WDr'IC Telephone:
Florida statutes§119.07 please check here(read instructions): P
Home Address: street Address
City State Zip Code
Please list below in descending.order with the largest source first, tthe name, address and
principal business actnrlty of every source of your income including public 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 disciose:d. If continued on B
separate sheet, check here:
Description of the`Principal
Name pf.Source of Income Address Business.Activ
I hereby swear (or affirm) that the aforesaid information is.a true and norrect statement.
Z-2-
Si turg�rson.disclosing Date signed