Jared Plitt 12/31/2013 m MIAMI BEACH
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
2/7/2012
Jared Plitt
9721 E. Bay Harbor Drive, #2A
Bay Harbor, Florida 33154
a Police Citizens Relations Committee
Congratulations! You have been reappointed by Commissioner Deede Weithorn
to the above referenced agency, board or committee for a term ending: 1213112013.
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,
y
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Asst. Chief R. Martinez
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 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 Jared Plitt
RE: Police Citizens Relations 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 compl with the financial disclosure* require-
ments of Miami-Dade County or the State of Florida (dependi n the board or committee on which
I serve)on July 1st,following the closing of the calendar ye which I have served.
Jared Plitt
Sworn to and subscribed before me this t day of Myv) 2012.
--Si via 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.
MIAMI BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.micmlbeochfi.gov
CfTY CLERK Office CityClerk@miarnibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
Acknowledgement of fines/.suspension for Board Mern hers for.failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code .Section 2-11.1 (i) (2)
Board Member name:
I 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 soie or primary responsibility is to recommend
iegisiation or give advice to-the City Commission,mustfiie, even though you may have.been
recently appointed.
You must file one of-the following 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 Retum
Failure to-file, according to-the Miami-Dade.County Code Chapter 1, General
Provision, Section 1-5 may subject the person or firm to a fine not to exceed
,$500.00 or by imprisonment'in the county Jail fora period nvt to exceed sixty
days, or both.
Signa e: Date:
F =M 7MIAMI® SOURCE OF INCOME STATEMENT"
Please.Print.or Type First Name Noddle Name Initial Last Name Disclosure
For Tax Year
Ending:
Name: (
Mailing address;
")3 y/state/zip:
cit �S�1
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: — (� ZE/1�s 'Term or irmplvyment
"Began.on:
ELF f'i DNS
Department-where employed:
Work Address: r
if your home address is exempt from public records pursuant to
0 �Woric Tale hone:
Fiorida statutes j 119.07 pisaae check here(rand instructiona); P
Horne Address: Street Address
City .state. Zip Code and
please list below in descending order with the largest source first, the name,public dyes Y u
principal business activity of every source of your income including p
received or any person received for your.benefit ur 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:
.Descripinn of the-Principal
Name of Sclurce of Income
Address Business Activi
45:1p-by swear (.or affirm) that the aforesaid information is:a true and c®rrect statement.
� 6�R
I ondisclosing —Date signed
p