Regina Berman 12/31/2012 ® MA.M BEACH
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
10/20/2011
Regina Berman
7970 Biscayne Point Circle
Miami Beach, Florida 33141
S ,B ECT = Miami Beach Commission For Women
Congratulations! You have been reappointed by Mayor Matti Herrera Bower
to the above referenced agency, board or committee for a term ending: 12131/2012.
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,
a" �V�_dLw
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Wanda Geist
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 MIAMI BEACH
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 Regina Berman
RE: Miami Beach Commission For Women
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: 12/31/2012.
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 1st,following the closing of the calendar ear on which I have served.
Regina Berman
fl,
Sworn to and subscribed before me this da of ( 201
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.
li
i
M,4=, _9OUR-CE OF INCOME STATEMENT
Please.Print.or Type First Name Middle Name Initial Last Name Disclosure
• ����� For Tax Year
• Endin9
Name: `-f-flo
Mailing Address:
City/state/Zip:
Filing as a: ® County Employee:
® Municipal Employee of:
position held or sought: L'�,ti y/s S,D v �oR GG�47411 r/
Board where serving: Term or:Employment
.Began.on:
Department where employed:
Work Address;
If your home address is exempt from public records pursuant to Work Telephone:
Florida statutes§118.07 please check here(read instructions); p •
u 1 C'iR e
Home Address:
.Street Address
n� e E A�_ly_l - rL 3�yi
City State Zip Code and
Please Dist below in descending order with the largest source first, the name, dress you
principal business acbvlty of every source of your income including public
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.disclosed. If continued on a
separate sheet, check here: [3
-Description of the Principal
Address Business Activi
Name of Source of Income o
q K A
7-0.4 Eac 92 S P� .4 ti x
Z_ 3
,V G
I hereby swear (.or affirm) that the;aforesaid information is.a true and .correct statement.
51 n re of person disclosing
to s fined
i
A I AA I BEAC H
City of Miami Beoah,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www miamibeachfl.Pov
CITY CLERK Office CityClerkCm i amibeachfl.gov
Tel: 305.673.741 1 , 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:
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 Elie,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, Fiorida, by July 1 each.year.
1. A S
" ource.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 fife, according to the Miami-Dade.County Gode 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,}ail for a period nvt to exceed sixty
days, or both.
a ao
AS ign . re: °te