Harold Foster 12/31/2013 ® MIAMIBEACH
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
Harold Foster
3100 Collins Ave #404
Miami Beach, Florida 33140
S_0 E-C� Health Advisory 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,
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Cliftonf Leonard
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.
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 Harold Foster
RE: Health 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.
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 have served.
Harold Foster
Sworn to and subscribed before me t ,i DK day of Y�VZ 20
(:6k Silvia veto
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.
/\\4 1 ANA I BEACH
Git-y of Miami Beoeh,
1700 Convention Center Drive,
Miami Beach, Florido 33139,
www miamtbeochfl.aov
CITY CLERK Office CltyClerk�miamibeachfl.gov
Tel: 305.673.7,411 , Fax: 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; A
understand that no later than Ady '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-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 maybeve been
recently appointed.
You mustfle one of the following with the.City Cierk 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 Cnpy.of the person's current Federal income Tax Return
'Failure to file, according to the Miami Bade .County Code Chapter 1, General
Provision, Section 1-5 may subject the person or firm to a #i ne not to.exceed
$00.00 or by imprisonment in the county jail for a.period nDt to exceed sixty
days, or both.
5i.gnature: pate:
h
M® SOURCE ICE INCOME STATEMENT
-please.Print.or Type First Name Muddle Name/Initial last Name
Disclosure
For Tax'Year
1 Endin%; 24//
Name: �"
Mailing Address;
C3A
city/state/zip:
Social Security Number: — --
Filing as a: ® county Employee:
® Municipal Employee of:
Position held or sought:
I r G ` Term or.Employment
Board where serving: ,C U Zegan on:
Department-where arrOoVed:
Work Address:
if your-home address is exempt tMm puhlic records pursuant is work Tais l CD�lS:
piarid® Statutes¢ 115.07 please check here(read instructivns); P
Horne Address: Street Address
city State .Zip Code
Please.list below in descending order with'the largest source first, the name, dress and
principal business actiAtg of every source of your income inciue ing public you
roc®load or any person received for your banefiit or use during the disclosure period, The
-income of your spouse or any business; partner need not be disclosed. If continued on e
s
separate sheet, check here:
Description of the Principal
Name of 5vurce of Income Address
Busaness Activ �'
I hereby swear (or affirm) that the aforesaid information is:e true and correct statement,
Tnc> 6L
sianature of.parson disclQSing .Date sinned