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Bryan Rosenfeld 12/31/2013 GM 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) 673-7411, Fax: (305)673-7254 02/28/2012 Bryan Rosenfeld 5750 Alton Road Miami Beach, Florida 33140 SC % Board of Adjustment Congratulations! You have been reappointed by the City Commission 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 Antonieta Stohl 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 ore 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.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Bryan Rosenfeld RE: Board of Adjustment 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 theF/orida 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 year on which I have served. Bryan Rosenfeld 1 Sworn to and subscribed before me this ?/day of Jf l4­ , 2012. it Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachf.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. FIL ICATK- NAME: Rosenfeld Bryan A Last Name First Name Middle Initial HOME ADDRESS: 5750 Alton Miami Beach 5750 Alton 33140 Apt No. Home No./Street City State Zip Code PHONE: 305-335-6098 305-335-6098 305-861-4447 rosenfeIdb@atianticbb.net Home Work Fax Email Address Business Name: Position: Address: FL No. Street City State Zip Code Professsional License(describe): CPA Expries: 12/31112 Attar:h;.7 copy the `itfllln—ll 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 ownership/interest 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 • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: No •Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: REAPPOINTMENT •Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking[1]first choice[2]second choice,and [3]third choice. Please note that only three(3)- choices will be observed by the City Clerk's Office. (Regular Boards of City) Affordable Housing Advisory Committee Housing Authority Art in Public Places Committee Loan Review Committee Beautification Committee Marine Authority [1] Board of Adjustment* Miami Beach Commission for Women Budget Advisory Committee Miami Beach Cultural Arts Council Capital Improvements Projects Oversight Committee Miami Beach Human Rights Committee Committee for Quality Education in MB Miami Beach Sister Cities Program Committee on the Homeless Normandy Shores Local Gov't Neigh. Improvement Community Development Advisory Parks and Recreation Facilities Board Community Relations Board Personnel Board Convention Center Advisory Board [2] Planning Board* Debarment Committee Police Citizens Relations Committee [3] Design Review Board* Production Industry Council Disability Access Committee Safety Committee Fine Arts Board Single Family Residential Review Panel Gay,Lesbian,Bisexual and Transgender(GLBT) Sustainability Committee Golf Advisory Committee Transportation and Parking Committee Health Advisory Committee Visitor and Convention Authority Health Facilities Authority Board Waterfront Protection Committee Hispanic Affairs Committee Youth Center Advisory Board Historic Preservation Board 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: No Years of Service: 2. Present participation in Youth Center activities by your children 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: GJ . Have}bu ever been convicted of a feloneo If yes, please explain in detail:• • Do you currently have a violation(s)of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Money Beach any money: No If yes, please explain in detail: •Are you currently serving on any City Boards or Committees: Yes If yes,which board? Board of Adjustment •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: • I am now employed by the city of Miami Beach: No Which department? • Pursuant to City code Section 2-25(b): do you have a spouse who is employed by the City of Miami Beach?Check all that apply. Identify the department(s): Office of Budget and Performance Improvement 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: Female Ethnic Orgin:Check one only(1) Hispanic Physically Challenged: No Employment Status: Employed 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 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,Article VII—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." I Bryan Rosenfeld agreed to the following terms on 1/4/2012 2:14:46 PIM Received in the City Clerk's Office by: ✓G f Date// /2012 Control No. Date: 12 12 a e of Deputy Clerk BRYAN A. ROSENFELD, CPA M5750 on iami Beachh, F�L 33140 Fax 305-861-4447 305-335-6098 E-mail: brcpa @hotmail.com EXPERIENCE 2008—Present Bloom, Gettis& Habib, PA Miami, FL Accounting and Tax Senior Manager 2007—2008 Mallah Furman & Co., PA Miami, FL Controller 2001 —2007 Gerson Preston Robinson & Co., PA Miami, FL Accounting and Tax Supervisor 1996—2001 Rachlin Cohen & Holtz, LLP Miami, FL Senior Staff Accountant EDUCATION December 1996 Florida International University Miami, FL Master of Accounting July 1994 Nova Southeastern University Ft. Lauderdale, FL Bachelor of Science,Business Administration Dean's List: Fall 1993,Winter 1994 Alpha Chi National College Honor Scholarship Society PROFESSIONAL American Institute of Certified Public Accountants MEMBERSHIPS Florida Institute of Certified Public Accountants ATTRIBUTES Computer skills: MS Office, various accounting systems, tax preparation software and other financial applications. Language skills: Fluent in Spanish V NO/..... a All v ki 9j, AS evil W 00 gm-'(Z.ma ";)A-ft & '0" vir, 7 (4,; --g.'),0 t4)pq y. A"Al :^, V-51, Tlrs� CHI )j�i.gg- rd. N, MAK . ............... . .. ......................... ..... 3WH HOVAO LL ............. .......................... mou jno/,uosuojjejn)ej6uoo uu,uplioijulssevisnq6ulopjojnoANueqi , sioujoIsno inoA GAJOS upo no ja4l os jeltaq noA OAJGS of GAIJIS Aj)UejSUOD 1 1 lesueoll -1c 4 t Lu Al eqj Inocle ejow ujual puia siollelsmou jueuipudep of eqposqns InoA joedwi jeq)SUOI)elnbGJ Gqj PUU SUOISIAIP ino Inocla uoiliawjo)ul ejow pull ueo noA ajaqj tuoo,equeolILplAoIlAw,mmmoluo6olesueld'soolNosinoinoqeuoliewjo4ulloj BM e /G en mA p GA3 4N,X -6uojis Awouooe s,epljolj deeN Aeqj pue Isjuvinelsoi anbaqjeq ol siaxoq IR� wojj,sia4ojq jqoeA of s)oqjjqoje wojj aBuej sesseulanq pue slouoisseloid ino Uojjialn5e�j jeuolssojoici pue ssouisng jo juawliede(i eqj Aq pasumil suaippolA uojjjjw auo Apeau all to auo awooeq noA esueoll 9141 qjIM Isu.011cinjuibuoo OS'vT HAIUG 8UOHSAV9 �IaOg ELM T099 S NVAUU MHANSSON L09zc qIq SqUIASaRIVO V HIMS 'RAId(I HL9L MR Of 009g-EEE (ZSO ADNV.LNIIODDV JO CIEVOEI XOj,LVqfIDa*d UVNOISS39OUd UNV SSHNISng ao iNawjuvdaa .VCIINOIJ :10 31ViS 9D MIAMI BEACH City of Miami Beach, 1700 Convention Cenier Drive, Miami Beach, Florida 33139, Www miamlbeachfl.poy CITY CLERK Office OtYClerk miamlbaochfl..gov Tel: 305.673.7411 , 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 2-1 1 A M (2) Board Member name; I understand that no later than JUIY 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 Ihatthe members of City Advisory Boards, whose sole or primary responsibility is to recommend 'legislation or give.advice to-the City Commission, must tile, even though you may-have been recently appointed. YDU MUStfle Dne of the Ioiiowing with the City Clark of Miami Beach, 1700 Convention Canter Drive, Miami 'Beach, Florida, by July 1 each year. 1. A"Source of income Statement".(attached) or .2. A"Financial.Statement' (attached(.( or] I A Copy.of the person's current Federal income lax Return Failure to file, according to the Miami=Dade.County rode Chapter 1, General Provision, Section 1,5 may subject the person or firm to a fi ne not to.exceed $500.00 or by imprisonment in the county,jail for a period nDt to exceed sixty days, or both. //& , L Signature: Dote: h ®FSOUM RCE DF INCOME STATEMENT" -pi Base.Print.orType First Name Middle Name/Initial Last Name DisdlQSUre D 1 / For Tax Year / G/v (� Ending; Name: •- Mailing Address; City/State/Zip, Filing as a; ® County Employee; ® Municipal Employee of; Position held or sought; Term or Employment�ql Board where serving. d f� .Began on; Z Z Departmenttwhere ampbPdi: Work Address: r your home adtirees is exempt irom public record;-pursuant to .World Telephone: piarid® statutes j 118.67 pisase rhez:k here(read instructions); P Horne Address: 9treat Address City State, Zip Code please list bellow in descending order with-the largest source first,the name, address and principal business activity of every source of your income inciuciing public salary you received or any person received for your benefit or use during the disclasure period. The -income of'your spouse or any business partner need not be diseiased. If continued on e separate sheet, check here; Description of the Principal Name of Source of Income Address Business ActiviltY .Q(eon &44,,5 c l Z C.o f 5� dA:w 'c, 33 3 Z heraby swear (or affirm) that the aforesaid information is:a true.and yorract statement, :51 2- IL Rate .51onotture of.person ciisciosing signed