Michael Andrews 12/31/2013 IM MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, v,�ww.miamibeachfl aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
02/28/2012
Michael Andrews
1135 Euclid Avenue #1
Miami Beach, Florida 33139
SUBJ,�;CT Miami Beach Human Rights Committee
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,
C�j1 . f
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Ralph Granado
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.
IM :MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305)673-7254
TO Michael Andrews
RE: Miami Beach Human Rights 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 ve rve .
MAzk�
Michael Andrews
Sworn to and subscribed before me this day of 2012.
/�Q ilvia 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.
MIAMBEACH
City of Miami Hooch,
1700 Convention Cenier Drive,
Miami Beach, Florida 33139,
WWW miomlbeochfl.aov
CfTY CLERK Office Cit Clerk(LamiarnibeochfL.9ov
Tel: 305.673.7411 , Fox: 305.673.7254
Acknowledgement of fines/suspension for Board Merin hers for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11.1 (i) .(2)
Board Member name. IT�V4
understand that no later than.:lug 1 , of each year all members of Boards and
Committees of the City of Miami :Beach, including those of a puraiy advisory nature, :are
-requiredto comply with Miami-Dade County Disclosure Requirements. This meansthatthe
members of City Advisory Boards, whose sole or primary responsibility is to.recommend
,legislation or give.advice:to-the City Commission,-must file, even thou.gh you me.y.have been
recently appointed.
YOU mustflle CAB of the following with the.City Clark_of Miami Baach, 1700 Convention
Center Drive, Miami Beach, Florida,by Juiy 1 each year.
1. A".Source of Income Statement".(attached) or
Z A"Financial.Statement' (attached(-or]
3. A Copy.of the person's current Federal income Tax Return
'Failure to Tile, according to the Miami Bade.County Code Chapter 1, General
Provision, Section 1 Z may subject the person or firm to a fi ne not to.exceed
isonment in the count affil for period nvt to exceed sixty
�DD.DO orb im r y� p
.Y P
days, or both.
3A
Signature: Date:
MIAMFDADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name Initial Last Name
Disclosure
�--- For Tax Year
Name: �/1 dvq 3 Ending:
Mailing Address:
City/state/Zip: ►'I! V�i �Q�yU'1 F� -, �"r"
Social Security Number:
Filing as a: 0 County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving:M6 �HMan RiLr3 �jMm.PTerm or Employment
'�� Began on: p�
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to
Florida Statutes§119.07 please check here(read instructions): 13 Work Telephone:
Home Address: "M Z--�
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 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:
Description of the Principal
Name of Source of Income Address Business Activity
S
aL C1qctmUv 5 Q a V--f- vJ 51 L Cblj c`1 5
I hereby swear or Irm)that the aforesaid information is a true and correct statement.
Signature of person disclosing Date signed