Rosalie Pincus 12/31/2013 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
02/28/2012
Rosalie Pincus
11 Island Ave Apt.1512
Miami Beach, Florida 33139
AY, " Personnel Board
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
Ramiro Inguanzo
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 a//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 Rosalie Pincus
RE: Personnel Board
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 Ofcers 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 o hich I have se
Rosalie Pincus
Sworn to and subscribed before me this day of , 2012.
ii 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.
MIAMBEACH
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www miamlbsachfl.aov
CfTY CLERK Office C1fyClerkC m i❑mibeochfl..gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mean bars for failure
to comply with Miami-Dane 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
-requiredto comply with Miami-Dade County Disclosure Requirements. This meansthat 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"l ile one of the following with the.City Ciark of Miami Beach, 17DO Convention
Center Drive, Miami Beach, Florida,by July 1 each year.
1. A".Source of income Statement".(attached) or
.2. A"Financial.Statemerif' (attached(.or)
3. A Copy.of the person's current Federal income lax Return
Failure to tile, according to the Miami Bade .County Code Chapter 1, General
Provision, Section '1.5 may subject the person or firm to a fi ne not to.exceed
$BDOX or by imprisonment in the county,jaiii for a period nvt to exceed sixty
days, or both.
V1,194:s0a,
5i ature: Dats:
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MIAMI. S;DURCE DE NCOME STATEMENT
Mi
Please.Print.or Type Pirst Fume Middle Name/Initial Last Name Disclosure
For Tax Ysar _—
Ending;
Name: G
Mailing Address:
City/State/Zip; -
Social.Security dumber:
Filing as a: ® County Employee;
®
Municipal Employee ot:
position held or sought:
Board where serving: Term or Employment
.Began on:
Departmentwhere employed:
Work Address:
If your-home address is exempt from public recards•pursuant to C WDric Tela ilDns:
Rioride statutes§ 118.07 please chock here(read instructions):
Hoene Address: Street Address
city, State. .Zip Code
Please list below in descending order with-the largest source first,the name,s�r� and
ou
principal business ac:EIvlty of every source of your income including p ry y
Tecaived or any person received for your bansf'it or use during the disclosure period. The
income of your spouse or any business partner need not be disciosad. If continued on ia
separate shoat, Check here;
Description of the Principal
'
Name ci r Source of Income Address Business AcEiv
I
I h by swear (Dr affirm)that the aforesaid information is:e true and zorrect statement,
sip re of.parson disciQSing Rate signed