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Mark Wohl 12/31/2013t ® 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 02-28-2012 Mark Wohl 1688 West Avenue#808 Miami Beach, Florida 33139 [SUBJECT; ; Affordable Housing Advisory Committee Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2013. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, a/ ,� sP Robert Parcher City Clerk cc: Saul Frances, Parking Director Richard Bowman 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, 2-458 and 2-459 Ordinance No. 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 Employee 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.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk Tel: (305) 673-7411, Fax: (305)673-7254 TO Mark Wohl RE: Affordable Housing Advisory 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. I 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 year on which I have served. Mark Wohl / Sworn to and subscribed before me this /3 day ofd`, 2012. 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 ore 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, vvww miamlbeachfl.aov CITY CLERK Office CityClerk@miamlbeachfl..gav Tel: 305.673.7411 , Fax;305.673.7254 Acknowledgement of fines/suspension for Board Merry bars for failure to comply with Miami-Dade County Financial Disclosure Code Provision Code Section 2-11.1 (i) (2) Board Member name: /44�c __ ' (1/0 All understand that no later than.Jul I , of each nor all members of Boards and Committees of the City of Miami :Beach, including those of s purely advisory nature,:are -requiredto 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 file.,.even though you may-have been recently appointed. YOU mustfle one of the following with the City Clerk 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] 3. A Copy.of the person's current Federal income Tax Return Failure to fiie, according to the Miami-Dade .County Code Chapter 1, General Provision, Section 1 Z may subject the person or firm to a fine not to.exceed $500.00 or by imprisonment in the countyjail for a period rant to exceed sixty days, or both. Signature: Dote: M l SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name Initial Last Flame Disclosure / r For Tax Year Name: (/)o� 1 Ending: Mailing Address: /G Fif �, efr ve City/State/Zip: r Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving /� Term or Employe ent +7 Began on: 2 2 Y / 2 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): ® Work Telephone: Home Address: .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:df,Source of Income Address Business Activity .I hereby swear(or affirm)that the aforesaid information is a true and correct'statement. Signature of person disclosing Date signed